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ACP Medicine, 2006 Edition (Two Volume Set) by David C. Dale

By David C. Dale

The 2006 sure version of ACP medication is greater than ever, with greater than 3000 pages, over 1,100 figures and algorithms, approximately 1,000 tables, and over 16,500 references. Examples of improved assurance comprise new chapters on breast mass, pelvic mass, and the Pap smear, that have been further to the Gynecology and Women's overall healthiness part, in addition to a brand new rheumatology bankruptcy on fibromyalgia. furthermore, cardiac resuscitation and grownup preventive care chapters were up-to-date to incorporate the most recent guidance. total, forty five% of the fabric within the booklet both has been up to date or is new.

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12 In this study, the slides were rehydrated, a technique that increases sensitivity but reduces specificity; during the trial, 38% of patients in the annual FOBT group underwent colonoscopy because of a positive test result. 13,14 In the European trials, unlike in the Minnesota study, patients were drawn from the general population, the slides were not rehydrated, and all testing was biennial. In the screening trials, FOBT reduced mortality from colon cancer but did not reduce all-cause mortality.

JAMA 281:1998, 1999 36. Pedrini MT, Levey AS, Lau J, et al: The effect of dietary protein restriction on the progression of diabetic and nondiabetic renal diseases: a meta-analysis. Ann Intern Med 124:627, 1996 37. Stamler J, Elliott P, Kesteloot H, et al: Inverse relation of dietary protein markers with blood pressure: findings for 10,020 men and women in the INTERSALT study. Circulation 94:1629, 1996 38. Potter J, Langhorne P, Roberts M: Routine protein energy supplementation in adults: systematic review.

Precautions are also in order for prevention of hypoglycemia in diabetics who exercise. People who exercise regularly can experience increased plasma volume that produces hemodilution or pseudoanemia. True anemia is less common but may result from shortened red cell life span caused by vascular trauma or iron deficiency. Exercise can produce proteinuria or hematuria; both are benign but are indications for studies to rule out renal disease. In warm, humid weather, exercise can produce heat cramps, hyperthermia, or heatstroke, all of which are preventable.

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