Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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minimum kyphosis is actually a measure of ankylosis, and impairmentresulting from this angle should be found in the Ankylosis Section ofTable 54.Measurement of thoracic flexion/extension using 2-inclinometermethod1. Locate and place a skin mark over the T1 and T12 spinous processes.Place both inclinometers against a true vertical surface, such as a wall, andrecord the neutral "0" position. Place the inclinometers over T1 and T12spinous processes while instructing the subject to maintain the maximallyextended "military brace," straight posture position (Figures 90a or b).Subtract the T12 inclinometer reading from the T1 inclinometer reading toobtain angle of minimum kyphosis. Find the impairment level in theAnkylosis Section of Table 54.2. Next, "zero out" the inclinometers to the neutral "0" position withsubject in the erect "military brace" posture. Then ask the subject to placethe hands on the hips and flex fully <strong>by</strong> curving the thoracic spine.Bending at the hips is permitted. Subtract the T12 inclinometer readingfrom the TI inclinometer reading to obtain the angle of thoracic flexion(Figures 90c or d).
3. A reproducibility test is best facilitated in the sitting position. Seatthe subject on a stool and ask the subject to flex maximally the thoracicspine from the "military brace" position after recording the neutral "0"position with the subject sitting erect on the stool. The seated angle ofthoracic flexion should be identical to the angle obtained in the erectposition. Repeat either the sitting or standing test to obtain three valuesthat are within + /- 10% or 5°, whichever is greater. If the validitycharacteristics of the three tests are insufficient, simply repeat alternatingtests (sitting or standing) to obtain up to six measurements.4. Consult the Abnormal Motion Section of Table 54 to determine theimpairment of the whole person.Measurement of thoracic spine flexion/extension using singleinclinometer method (for automated devices capable of calculatingcompound joint motions)1. Utilize either the standing or sitting methods as described under the2-inclinometer method. Obtain the neutral reading "0" on a verticalsurface such as a wall. With the subject in the erect "military brace"position place the inclinometer at T1 and record, followed <strong>by</strong> aninclinometer reading at T12. Subtract one measurement from another toobtain the angle of minimum kyphosis.
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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
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When there are conditions of hypoad
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Trauma and injuries are a natural a
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BOOKS1. An Advanced Treatise in Qua
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One of the easiest ways to learn ab
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HOMEOPATHIC TREATMENT OF PAINAbstra
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DESCRIPTION: PAIN - HEAT IMPROVESNU
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BEFOREAFTER4321OOOOOOOOXXXXXXXX0Avg
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tissues to bring about a lowering i
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CAUSES OF HEADACHE PAIN (Vindicate)
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ARTICLES AND STUDIES1. A Practical
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impairment or "disability" evaluati
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criteria:The third step is the comp
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5. Estimate of the expected date of
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ImpairmentThe Extremities, Spine, a
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3. Explanation for concluding that
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3.1b Principles and Methods of Impa
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The range of motion should be recor
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IA is a function of V when Vext = V
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Interphalangeal Joint-Flexion and E
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Example: Thumb metacarpophalangeal
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Note: Because the relative value of
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Determine the length of the finger
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position (0 cm) to: Lost Retained o
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If the metacarpophalangeal joint is
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40 of ring finger 450 of little fin
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Joint-Radial and Ulnar DeviationMea
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Flexion IA%=21%Lateral deviation IA
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extremity.Flexion and ExtensionMeas
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the upper extremity, and 15% impair
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Add the impairment values for flexi
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Internal and External RotationMeasu
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shoulder motions (flexion/ extensio
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The peripheral spinal nerves consti
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obtained history, a thorough medica
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Example: In an injury, a patient su
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associated with those particular ne
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Ulnar or Radial Deviation%Digit Imp
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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
Page 161 and 162: Place the goniometer base as if mea
Page 163 and 164: Hip Joint-Two or More Ranges of Mot
Page 165 and 166: 3.2f Impairment of the Lower Extrem
Page 167 and 168: In evaluating pain that is associat
Page 169 and 170: After the individual values for los
Page 171: value for loss of function = 15%) 1
Page 174 and 175: Principles for Calculating Impairme
Page 176 and 177: motion or ankylosis.B. Repeat the a
Page 178 and 179: is the greatest angle measured.5. C
Page 180 and 181: Example: Occipital flexion measurem
Page 182 and 183: possible, again recording both incl
Page 184 and 185: Cervical Region-RotationBecause the
Page 188 and 189: 2. With the subject in either the s
Page 190 and 191: 1. The subject may be seated or sta
Page 192 and 193: 3.3) Ask the subject to rotate the
Page 194 and 195: 3.3e Impairments Due to Range of Mo
Page 196 and 197: (for automated devices capable of c
Page 198 and 199: Example: T12 flexion measurements o
Page 200 and 201: 3. Record the "0" readings first at
Page 202 and 203: 3.4 The PelvisThe following shows i
Page 204 and 205: Addendum to Chapter 3A. Introductio
Page 206 and 207: 1. If applicable, use Table 49 (p.
Page 208 and 209: B. Repeat the above steps for secon
Page 210 and 211: 2. Consult the Ankylosis Section of
Page 212 and 213: impairment of the whole person.Exam
Page 214 and 215: Ankylosis1. Place the goniometer ba
Page 216 and 217: 6. Add the impairment values contri
Page 218 and 219: FINAL IMPAIRMENT RATING FOR WHOLE M
Page 220 and 221: Combined value of spinal impairment
Page 222 and 223: There is a neutral or relaxed perio
Page 224 and 225: SPHENOBASILAR/CRANIAL BASE TORSIONT
Page 226 and 227: IMPAIRMENT OF THE NERVOUS SYSTEMThe
Page 228 and 229: upper extremities, controlling blad
Page 230 and 231: 2. Neurological disorder results in
Page 232 and 233: 4) Neurological: Grades = 5=normal
Page 234 and 235: 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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___________________________________
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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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