Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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ulnar deviation or 20° radial deviation is a 100% loss of wrist lateraldeviation function. This is equivalent to a 30% impairment of wristmotion and 18% impairment of the upper extremity.Example: Ulnar deviation 0° and radial deviation 10°:IUD% = 5% impairment of the upper extremity.IRD% = 2% impairment of the upper extremity.5% + 2% = 7% impairment of the upper extremity.Example: Wrist ankylosis in 15° radial deviation: IA% = 16% impairmentof the upper extremity.Combining Wrist Abnormal Motion ImpairmentsDetermine the impairments of the upper extremity contributed <strong>by</strong> abnormalwrist motions (flexion/ extension and radial/ulnar deviation) as describedabove.Note: Impairments of pronation and supination are ascribed to the elbow.Because the relative value of each wrist functional unit has been taken intoconsideration in the impairment charts, impairments of flexion/extensionand radial/ ulnar deviation are added to determine the impairment of theupper extremity.Use Table 3 to relate impairment of the upper extremity to impairment ofthe whole person.Example: Wrist flexion/extension impairment of 16% and wristradial/ulnar deviation impairment of 7%: 16% + 7% = 23% impairment ofthe upper extremity and 14% impairment of the whole person.Example: Wrist ankylosis in 0° flexion and 0° lateral deviation:
Flexion IA%=21%Lateral deviation IA%=9%21% + 9% = 30% impairment of the upper extremity and 18% impairmentof the whole person.3. 1f ElbowAmputation
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NeurologyEdited by Professor Emerit
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That I only found when studying Wil
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fig. 2: origins and distribution of
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Vasodilatation - ØIntestineslongit
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those two modes, its contact with t
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epressive sexual education/impaired
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"The vegetative“ (autonomic) "ner
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4.1. TechniqueOver the years, lots
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medication which either only battle
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the ANS' level, stress means sympat
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In therapy, we work from the tensio
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Naturally, besides the intensive tr
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neck furthermore intercepts the flo
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Robert A. Dew puts asthma down to t
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Looking at the vernacular gives the
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5.5. Peptic Ulcer5.5.1. Pulsation o
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appears "openly dependent" or, if c
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During the resolution of the blocks
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Heike S. Buhl M.D., born 1955. Trai
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TitleDiagnosing and Treating Injure
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ody electrolyte strength will gener
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As presented, the peak of the first
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This situation has an important imp
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fibers. Sequential action potential
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and active tissue under electrode B
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Action potentials of injured cardia
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a nearby electrode and a distant re
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The distances between the poles of
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ecorded simultaneously the membrane
Page 59 and 60: When there are conditions of hypoad
Page 61 and 62: Trauma and injuries are a natural a
Page 63 and 64: BOOKS1. An Advanced Treatise in Qua
Page 65 and 66: One of the easiest ways to learn ab
Page 67 and 68: HOMEOPATHIC TREATMENT OF PAINAbstra
Page 69 and 70: DESCRIPTION: PAIN - HEAT IMPROVESNU
Page 71 and 72: BEFOREAFTER4321OOOOOOOOXXXXXXXX0Avg
Page 73 and 74: tissues to bring about a lowering i
Page 75 and 76: CAUSES OF HEADACHE PAIN (Vindicate)
Page 77 and 78: ARTICLES AND STUDIES1. A Practical
Page 79 and 80: impairment or "disability" evaluati
Page 81 and 82: criteria:The third step is the comp
Page 83 and 84: 5. Estimate of the expected date of
Page 85 and 86: ImpairmentThe Extremities, Spine, a
Page 87 and 88: 3. Explanation for concluding that
Page 89 and 90: 3.1b Principles and Methods of Impa
Page 91 and 92: The range of motion should be recor
Page 93 and 94: IA is a function of V when Vext = V
Page 95 and 96: Interphalangeal Joint-Flexion and E
Page 97 and 98: Example: Thumb metacarpophalangeal
Page 99 and 100: Note: Because the relative value of
Page 101 and 102: Determine the length of the finger
Page 103 and 104: position (0 cm) to: Lost Retained o
Page 105 and 106: If the metacarpophalangeal joint is
Page 107 and 108: 40 of ring finger 450 of little fin
Page 109: Joint-Radial and Ulnar DeviationMea
Page 113 and 114: extremity.Flexion and ExtensionMeas
Page 115 and 116: the upper extremity, and 15% impair
Page 117 and 118: Add the impairment values for flexi
Page 119 and 120: Internal and External RotationMeasu
Page 121 and 122: shoulder motions (flexion/ extensio
Page 123 and 124: The peripheral spinal nerves consti
Page 125 and 126: obtained history, a thorough medica
Page 127 and 128: Example: In an injury, a patient su
Page 129 and 130: associated with those particular ne
Page 131 and 132: Ulnar or Radial Deviation%Digit Imp
Page 133 and 134: Joint Instability% Joint Impairment
Page 135 and 136: Example: Implant resection arthropl
Page 137 and 138: Intrinsic tightness in the hand may
Page 139 and 140: Extensor TendonSubluxation Severity
Page 141 and 142: With the patient plantar-flexing th
Page 143 and 144: 0° 30° 0° 4510° 20° 10° 3020
Page 145 and 146: Center the goniometer over the meta
Page 147 and 148: Example: If 50% of the distal phala
Page 149 and 150: of the toe being tested (Figure 61c
Page 151 and 152: Center the goniometer over the late
Page 153 and 154: Inversion and Eversion (Subtalar Jo
Page 155 and 156: 10° active dorsi-flexion 410° act
Page 157 and 158: Place the goniometer base as if mea
Page 159 and 160: Add the impairment values contribut
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Place the goniometer base as if mea
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Hip Joint-Two or More Ranges of Mot
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3.2f Impairment of the Lower Extrem
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In evaluating pain that is associat
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After the individual values for los
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value for loss of function = 15%) 1
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Principles for Calculating Impairme
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motion or ankylosis.B. Repeat the a
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is the greatest angle measured.5. C
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Example: Occipital flexion measurem
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possible, again recording both incl
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Cervical Region-RotationBecause the
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minimum kyphosis is actually a meas
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2. With the subject in either the s
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1. The subject may be seated or sta
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3.3) Ask the subject to rotate the
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3.3e Impairments Due to Range of Mo
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(for automated devices capable of c
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Example: T12 flexion measurements o
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3. Record the "0" readings first at
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3.4 The PelvisThe following shows i
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Addendum to Chapter 3A. Introductio
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1. If applicable, use Table 49 (p.
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B. Repeat the above steps for secon
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2. Consult the Ankylosis Section of
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impairment of the whole person.Exam
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Ankylosis1. Place the goniometer ba
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6. Add the impairment values contri
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FINAL IMPAIRMENT RATING FOR WHOLE M
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Combined value of spinal impairment
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There is a neutral or relaxed perio
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SPHENOBASILAR/CRANIAL BASE TORSIONT
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IMPAIRMENT OF THE NERVOUS SYSTEMThe
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upper extremities, controlling blad
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2. Neurological disorder results in
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4) Neurological: Grades = 5=normal
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4) Neurological:Sensation: (right/l
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technique on the part of the physic
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Direct TechniqueWith the patient co
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CONTRAINDICATIONSThe only contraind
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In order to determine the presence
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IX Glosso- pharyngealPharynx muscle
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ReflexesMuscle stretch reflexes, cu
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Abdominal skin reflex (exteroceptiv
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Sensory symptomsPersistant or episo
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Pyramidal tract signsEponym Manoeuv
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doubts of survival7. Psychotic symp
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· Foramen jugulare syndrome (Siebe
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For cranial nerve stimulation the c
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Demonstration of specific antibodie
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4.6.2 Explosive type4.6.3 Postural
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8.4.2 Caffeine withdrawal headache8
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Headache: differential diagnosisDes
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Diagnostic criteria of drug-induced
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convexity), glioblastoma, oligodend
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Hypothalamic regulatory hormonesHyp
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0 = normal1 = stride down to 30-45
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Parkinsonism: causesAetiology or Pa
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Paradoxical hyperkinesiaSudden good
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Meige syndrome(bilateral facial spa
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ThalamotomyScale for quantification
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Eating10 = independent (with aids)5
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InfectionsMeningitisOtitis media, m
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OculomotorDependent on surgery, var
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AreflexiaSlowed nerve conduction ve
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Causes of lumbosacral root disorder
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Compartment syndromescompartmentsAu
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Lateral root of median nerve (C5-C7
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Palsy without pronator, teres invol
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Baker's cyst (in rheumatoid arthrit
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Gluteal nerve lesionsIntramuscular
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Differential diagnosis of important
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2. C8 root syndromeMotor lossAs for
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Congenital and usually inherited my
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(iv) Type 7.erythrocytes involved.P
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Myopathies (polymyositis, dermatomy
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denervated muscles.)Prostigmine may
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Polyneuropathy (rarely)Hypothyroidi
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Multiple sclerosis - CAMBS scaleDis
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Intrathecal IgG production ≥90Oli
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THE CV-4 TECHNIQUEThe still point a
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NEUROLOGY TESTBlood pressure should
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To find out about the different neu
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support, clergy support, counseling
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HYGIENESelf-care deficit (specify l
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___________________________________
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ObjectiveHard -formed stoolStrainin
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Definition: [ failure of the heat t
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___________________________________
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Work overloadUnrealistic perception
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Inappropriate or poorly communicate
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Decreased skin turgorIncreased puls
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Definition: The client is unable to
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DEFINING CHARACTERISTICSInternal (i
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SUPPORTING DATAETIOLOGYLack of expo
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Satiety immediately after ingesting
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DEFINING CHARACTERISTICSSubjectiveX
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Does not defend self-care practices
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Cognitive perceptualCultural or spi
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SUPPORTING DATAETIOLOGYEnvironmenta
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Mechanical factorsShearing forcesPr
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Changes in postureFrequent yawningN
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DEFINING CHARACTERISTICSObjectiveSk
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Toxic reactions to medicationBatter
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______Self-concept, disturbance in:
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Bed rest or immobilityDEFINING CHAR
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Unmet needs[Physiological factors,
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___________________________________
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Inability to speak in sentencesDoes
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Decision and actions by family whic
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ETIOLOGYSituational transition and/
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Hypotension [postural]Increased pul
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Central venous pressure changesJugu
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ObjectiveCryingDevelopmental regres
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Abnormal blood profile: altered clo
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Children playing without gates at t
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Reluctance to attempt movement[C/o
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SubjectiveReported or observed dysf
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diagnosis that adjustment to parent
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Acute Phase:Emotional reactions: an
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SubjectiveVerbalization of:Change i
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SUPPORTING DATAETIOLOGYEnvironmenta
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ETIOLOGYExternal (environmental) fa
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Interrupted sleep[Falls asleep duri
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Alteration in behavior or mood evid
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DEFINING CHARACTERISTICSSubjectiveF
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6) ORTHOPAEDIC TEST/SIGNS:Noted in
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Hibbs (positive) (negative) for (rt
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PROGNOSIS:MODERATE:The prognosis fo
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RECIPESBETTER BUTTERFor those of yo
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or flakes. Begin with 1/2 teaspoon
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in waterfor an elegant main course.
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This recipe also makes an excellent
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adding the celery and carrot near t
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stuffed caps in lightly greased bak
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TOFU SURPRISES2 tablespoons cold-pr
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By following these guidelines, you
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The technique of somatoemtional rec
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SPINAL IMPAIRMENT RATINGWhole Man1.
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59. Do you have a loss of interest
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The technique used to mobilize the
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The technique for evaluation and tr
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Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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