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bachelor thesis english topics Kronmal ra, cain kc, ye z, omenn gs. Total serum cholesterol levels and mortality risk as a function of age. A report based on the framingham data. Arch intern med. 1993;153:1065–1073. 2. Go as, mozaffarian d, roger vl, et al. Heart disease and stroke statistics—2014 update.

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http://projects.csail.mit.edu/courseware/?term=csr-essay-contest csr essay contest A 42-year epidemiologic and clinical study. Mayo clin proc. Feb 1978;53(2):93-99. 16. Jacobs bc, rothbarth ph, van der meche fg, et al. He spectrum o antecedent in ections in guillain-barré syndrome. A case-control study. Neurology.Oct 1998;51(4):1110-1115. 17. Wakerley br, uncini a, yuki n, group gbsc, group gbsc. Guillain-barré and miller fisher syndromes--new diagnostic classi ication. Nat rev neurol. Sep 2014;10(9):537-544. 18. Pascoe mk, low pa, windebank aj, litchy wj. Subacute diabetic proximal neuropathy. Mayo clin proc. Dec 1997;72(12):1123-1132. 19. Gallardo e, noto y, simon ng. Ultrasound in the diagnosis o peripheral neuropathy. Structure meets unction in the neuromuscular clinic.

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college essay advisors Dorzolamide has been reported viagra xm radio to cause irreversible corneal decompensation. Taste abnormalities have been reported with each agent. Both topical carbonic anhydrase inhibitors are sulfonamides and are contraindicated in patients with history of sulfonamide hypersensitivity. 30,32,33 systemic carbonic anhydrase inhibitors there are three systemic carbonic anhydrase inhibitors. Acetazolamide, dichlorphenamide, and methazolamide. These agents effectively lower iop by 20% to 30% but are reserved as third-line to fourth-line agents because of their significant adverse effects. They are typically used as bridge therapy from maximal medical therapy to laser or surgical intervention or to control iop in the perioperative period following a laser or surgical ocular procedure. The systemic carbonic anhydrase inhibitors can also be used to lower iop in acute angle-closure glaucoma. Acetazolamide has an iv formulation that can be used in patients who are experiencing nausea due to the angle-closure attack. Acetazolamide and methazolamide are the best tolerated of the three agents. 4,32,33 the systemic carbonic anhydrase inhibitors are associated with significant adverse effects that include paresthesias of the hands and feet, nausea, vomiting, and weight loss. Patients can develop systemic acidosis, hypokalemia, hyponatremia, and nephrolithiasis due to the inhibition of renal carbonic anhydrase. Sulfonamide allergy, renal failure, hepatic insufficiency, copd, and decreased serum potassium and sodium levels are all contraindications of systemic carbonic anhydrase inhibitor therapy. Blood dyscrasias from bone marrow suppression have been reported and include agranulocytosis, aplastic anemia, neutropenia, and thrombocytopenia. 32,33 »» cholinergic agents cholinergic agents (also called parasympathomimetics or miotics) were the first class of agents to treat glaucoma. The class can be divided into direct-acting and indirect-acting cholinergic agents. Direct-acting cholinergic agents  pilocarpine directly stimulates the muscarinic (m3) receptors of the ciliary body, which causes contraction of the ciliary muscle.

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benefits education essay It is the most common endocrine disorder of the hypothalamic– pituitary axis. High prolactin concentrations inhibit the release of gonadotropin-releasing hormone by the hypothalamus and subsequently suppress secretion of lh and fsh from the anterior pituitary (see figure 46–1). High prolactin concentrations result in reduced gonadal hormone concentrations, often leading to reproductive dysfunction and galactorrhea (inappropriate breast milk production). In combination with clinical symptoms, one or more serum prolactin concentrations greater than 25 ng/ml (25 mcg/l. 1087 pmol/l) will confirm the diagnosis of hyperprolactinemia in women. 39 a number of physiologic factors such as eating, exercise, and stress can transiently elevate prolactin concentrations. 5 therefore, prolactin measurements should be obtained at rest, preferably in the morning under fasting conditions. 37 if an intravenous line is present or planned, it is prudent to wait at least 2 hours after line insertion before measuring serum prolactin to decrease detecting transient physiologic increases in prolactin concentration. 5,23,37–40 although medication-induced hyperprolactinemia is typically associated with prolactin concentrations 724  section 7  |  endocrinologic disorders clinical presentation and diagnosis of hyperprolactinemia5,38–40 general hyperprolactinemia most commonly affects women of reproductive age and is very rare in men.

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