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  • RESEARCH 4 BUSINESS 2016, Ljubljana, 5 and 6 of May 2016

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    The take-home message from these two stories is that “natural” does not necessarily mean safe, and botanicals should be viewed as diluted forms of drugs, which when taken in viagra side effects shortness breath larger quantities have the potential to produce harm. Case reports in literature indicate that ephedra may not be the only herb with potential severe side effects. The FDA has issued warnings concerning the use of kava and its link to liver toxicity in some twenty-five cases from Europe and Canada.21 In addition to these case reports, the FDA has received several reports from the United States related to kava liver toxicity. One report describes an otherwise healthy woman who took kava and required a liver transplant.22 Other anecdotal reports from lay media add to this alarming concern over kava liver toxicity.

    Kava (Piper methysticum) is a native plant from the South Pacific islands. In January 2006, a story from the media stated that a woman lost her life after agreeing to join a radio contest in California that required the contestants to drink large quantities of water.

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    J. Health care providers can follow these very concrete suggestions to convey to patients that they are in a safe environment in which they can relax and trust their practitioner (Rankow 1996c, 1994c. It is important for practitioners to be aware that lesbian women often turn to friends as their primary source of support, unlike heterosexuals, who consider both family members and friends as equally supportive. When appropriate, and when desired by the patient, this support system should be included in the patient’s health care.

    C. • Include a patient’s partner or friend if desired by the patient • Discuss issues of confidentiality, including how disclosed information will be treated in the written medical record • Display magazines, brochures, and images that reflect the full diversity of the patient population, including lesbian women • Post a nondiscrimination policy in the office waiting room. Research has shown that many lesbians enjoy consistent support from strong partner relationships and friends.

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    CHAPTER 23 EVALUATION OF FOcAL LIVER viagra side effects shortness breath MASSES 175 8. List the differences between hepatic adenomas and FNH. Some authorities recommend discontinuing OCPs in women if FNH is diagnosed, therefore. OCPs are not considered a causative agent of FNH but occasionally may enhance their growth. More than 90% of cases occur in women and usually are diagnosed between 17 viagra side effects shortness breath and 40 years of age. See Table 25-5.

    Malignancy Surgical resection Cold defect FOCAL NODULAR HYPERPLASIA < 5 cm Yes Common Rare Rare lesions may grow in size Resection not necessary Positive uptake in 40% to 70% 6. What is the most frequent malignancy in the liver?, table 22-1.  Hepatic Adenomas Versus Focal Nodular Hyperplasia HEPATIC ADENOMA Size Kupffer cells Central scar Symptoms Complications Treatment Sulfur-colloid liver scan 8 cm No Rare Common Bleeding. Metastatic disease to the liver is much more common than primary hepatic tumors in the United States and Europe.

  • About 28% of viagra side effects shortness breath patients have B-symptoms. The bone marrow is involved in two thirds of the cases, and in some patients a leukemic dissemination can be found already at diagnosis. The mantle cell lymphomas have a rather unfavorable prognosis related to the relative resistance of the neoplastic cells to cytotoxic treatments, prognosis Compared with the follicular lymphomas.

    As multiple gastrointestinal polyposis, for example. In about 11% of patients the gastrointestinal tract is involved. Almost two-thirds of the patients have an enlarged spleen.

    The average survival is about 3–5 yr.

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    Lang (2004) viagra side effects shortness breath. 143 Fernandez-Alvarez (2006). 132 Monday and Jankovic (1992). 135 Factor et al.

    (1992). 224 Fahn (1994).

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    Adapted by viagra side effects shortness breath permission. 96 A N ATO M Y cally congruent pattern. Copyright 1995 by viagra side effects shortness breath Oxford University Press. From Ross et al.