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How To Use Clinician In A Sentence

  • The relationship between a woman and her clinician should be built on trust, and the benefits and the risks of a procedure such as an episiotomy must be openly discussed to ensure truly informed consent.
  • In summary, the research to date provides few definitive guidelines for the clinician.
  • Clinicians should refer cocaine-exposed children to early intervention services to attenuate long-term effects.
  • The critical step is for clinicians to be willing to enter the arena and to participate.
  • The clinician must be well-attuned to the patient when the patient may be in the process of reconstructing schemas, thinking dialectically, recognizing paradox and generating a revised life narrative.
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  • Meanwhile, one group of patients continues to worry clinicians and researchers: adults with anorexia, estimated to make up about 35 percent of anorexic patients.
  • Phyllis Magelky, head clinician at Dakota Orofacial Myology, 3309 Fiechtner Drive, Fargo, has earned certification in orafacial myology. Homepage | INFORUM | Fargo, ND
  • PR. com) -- HealthCare Global Enterprises Limited (HCG), South Asia's largest cancer care network, today unveiled the PET Myocardial Blood Flow (MBF) System that offers clinicians a non-invasive method to determine true myocardial blood flow and accurately assess the need for revascularization procedures such as stenting and bypass surgery. PR.com Press Releases
  • Primary care clinicians need to be able to discriminate which patients within a relatively unselected population have a higher likelihood of malignant disease.
  • Clinicians sought improved usability and flexibility, whereas national headquarters prioritised business and executive functions such as accurate coding and reimbursement.
  • Clinicians should remember to ‘fill up the tank’ before attempting to constrict the vessel.
  • The access to data about treatment outcome and quality of care should be a major incentive for clinicians.
  • The clinician programme on offer will include cardiology, oncology, neurology, urology and a wide range of other procedures.
  • That will require complete transparency across the whole care system so that patients and clinicians alike can see which services work best and which do not. Times, Sunday Times
  • The clinician must look for tuberculosis, and confirm or exclude this treatable malady in any patient who presents with gastrointestinal disease.
  • A number of excellent tables, figures and flow charts are included for clinicians to use in practice.
  • More important, however, is the occasional presence of an initial relatively symptom free period, which can mislead the clinician.
  • This could be even more useful to clinicians and patients and has the potential to change health care across the world.
  • A clinician must balance these provider - centered goals with patient - centered goals.
  • If you are a clinician working in the health service, what has been your hardest choice? Times, Sunday Times
  • However, the two chapters on bioenergetic analysis (one by Resneck-Sannes, the second by Robbins) provide worthwhile information for the hypnosis clinician and are fairly well focused.
  • Sharing data requires clinicians to trust one another, and non-clinical colleagues, far more than is common at the moment.
  • Magnification devices, such as a colposcope, allow the clinician to observe small lesions that may not otherwise be readily identified.
  • The definitions also make an important distinction regarding the degree of clinical responsibility for clinician's caseloads that supervisors, consultants, or trainers assume.
  • ROME -- Long-term gout patients should not be considered "refractory" -- and clinicians should not treat them as such -- until uric crystals are dissolved to the point that flares of pain are prevented, a researcher said here. Medicaid and Medicare
  • In this study, we surveyed the clinicians who are the recipients of these interpretations.
  • Many clinicians have tailored patient treatment regimens through hemodynamic monitoring.
  • Guidelines that disseminate new information and provide advice are welcome, but they should not be couched so rigidly as to present clinicians who practise in the current defensive culture with insoluble dilemmas.
  • But the scores on such tests are meaningless unless they are interpreted by sophisticated clinicians who are totally knowledgeable in pertinent research on child and adult development, cognitive psychology, and neuropsychology, and who are astute observers and interpreters of behaviors such as the person's approach to problem solving or the degree to which anxiety or distractibility might have compromised the person's test scores. Scott Barry Kaufman, Ph.D.: Intelligent Testing
  • The nature of the hypotheses varies widely depending upon which theory of psychotherapy and psychopathology the clinician applies.
  • Serial sonographic study of fetuses with lung lesions has helped clinicians to define the natural history of these lesions, determine the pathophysiologic features that affect clinical outcome and formulate management plans that are based on prognosis. Bronchopulmonary sequestration and Congenital Cystic Adenomatoid
  • Clinicians who recommend books to their clients cite evidence that such readings are effective adjuncts to therapy in many areas.
  • As a clinician, I remain frustrated that we still can't get them to talk fluently to one another. Tickler Systems and Thoughts on Mandating the EMR
  • As a measure that everyone could recognize, clinicians and researchers used the minimum amount of drug needed to kill bacteria, expressed as milligrams of drug per liter of blood, which they called the minimum inhibitory concentration, or MIC for short. SUPERBUG
  • Clinicians ideally should be in equipoise about the treatments being tested, and patients should give voluntary consent based on full disclosure of relevant information.
  • Progress is hindered by the lack of clinicians in managerial posts. Times, Sunday Times
  • Actually, SOTT does not recommend the above mentioned website because, to our certain knowledge, there is at least one "clinician" operating there who dispenses advice and counsel who is pathological herself. Signs of the Times
  • His method allowed clinicians to identify mothers who displayed a lack of synchrony with their babies. Red Flags or Red Herrings?
  • There are two ways in which researchers and clinicians have attempted to solve this problem.
  • I am visiting the Jimma Referral Hospital as part of a trip sponsored by the UN Population Fund (UNFPA), which provides support for the government's program to train non-physician clinicians to perform procedures, such as obstetric surgery, traditionally performed by doctors. Hanna Ingber Win: Mothers Of Ethiopia Part I: Zemzem's Journey
  • Although no scientific studies are available to support these claims, clinicians report that thin layers of slough or fibrin buildup on the wound bed can be covered with a selective enzymatic debriding agent prior to sponge application.
  • In fact, you think the move -- which preps you for a BLOOD FEAST-style glossectomy that never happens -- is a bout finisher until Dr. Kutter, in her struggle (but obviously still thinking with the chill practicality of a certified clinician), reaches into a drawer full of medical instruments and grabs a scalpel (standard #10 blade) with a mind toward literally getting this freak off her back. 31 Screams: Diana Brown
  • Important epidemiologic concepts and common biostatistical terms to help clinicians translate medical research into everyday practice. MedPageToday.com - medical news plus CME for physicians
  • Fortunately, therapeutic paradigms are shifting, and clinicians have many new agents in their armamentarium for combating fungal infection.
  • This summary is the belief of the most conservative of the outstanding clinicians in the United States engaged in diabetic work on a large scale. Frederick G. Banting - Nobel Lecture
  • Herbal medicinals are being used by an increasing number of patients who typically do not advise their clinicians of concomitant use.
  • These data underscore the need for clinicians to search for problems with other depressant drugs and to take care before prescribing benzodiazepines in alcohol-dependent individuals.
  • Conclusion: Familiarizing with CT scan patterns may help the clinician to exclude certain diagnoses and narrow the differential diagnosis for others.
  • A blinded clinician conducts interviews with patient and caregiver.
  • The brain is a phenomenal organ, but it can play tricks on us, and clinicians sometimes come across rare and exceedingly strange brain conditions. Times, Sunday Times
  • Secondly, questionnaires were developed for self completion by other clinicians and non-medical staff in the practice.
  • The delay was not the fault of local clinicians and managers, who have done their best to progress matters and involve patients, the public and staff in the process.
  • Progress is hindered by the lack of clinicians in managerial posts. Times, Sunday Times
  • The big challenge clinicians deal with now in this country when treating HIV patients is keeping the virus locked in a dormant state," Janice Clements, professor of molecular and comparative pathobiology at the Johns Hopkins University School of Medicine, said in a news release. Medlogs - Recent stories
  • Kegan has much more to say to educators and clinicians from his constructivist perspective.
  • Relegated to serological realms, and with medical practitioners generally using saline, blood-typing was virtually ignored by clinicians.
  • But it was two Dublin clinicians more than a century later who gave heart block and its effects the eponym Stokes - Adams syndrome.
  • Despite this it seems likely that clinicians and patients aren't sufficiently aware of these problems.
  • We are especially seeking clinicians with a positive psychology approach and interest in the application of biofeedback and neurofeedback to mindfulness, meditation, and stress.
  • Under the current arrangements, the priorities within open heart surgery are decided solely by the clinicians concerned.
  • I'd defied her instructions to play along with the Clinicians; she might not be too happy about that. NIGHT SISTERS
  • However, the study also found that if clinicians gave more aggressive treatments to the diabetic AF patients - in this study they treated them with a combination blood pressure lowering drugs, (perindopril and indapamide) - the risk of dying or developing any of these complications was reduced. THE MEDICAL NEWS
  • ‧ Clinicians should avoid the routine use of experimental therapies to promote growth and delay puberty, and patients should avoid adrenalectomy; Newswise: Latest News
  • He depicts me as a naive clinician who has "made himself into something like a [psychopharmacologic] messiah. 'Listening to Prozac'
  • Clinicians working in anaesthesiology tend to be risk averse and interested in patient safety because anaesthesia can be dangerous but has no therapeutic benefit of its own.
  • There, he will serve as a clinician specializing in infectious disease and teach post-graduate medical students.
  • For now, clinicians need to use caution in interpreting available information and in counseling their patients.
  • For example, the clinician may want to know if the disease is active, or which organs might be involved.
  • Asking clinicians and patients about errors provides information that is more useful.
  • To give this information clinicians need to ask patients what they count as a benefit.
  • And for more than 20 years, clinicians have talked about the maladaptive personality. Times, Sunday Times
  • She recently worked with a clinician to teach her horse half-steps, which precede training the piaffe.
  • Clinicians should query parents about eating behaviors when discussing dietary habits at well-child visits.
  • Thus, the clinician's goal is to promote relief from pain and promote functional recovery.
  • Many perioperative nurses report that new providers and clinicians have a limited understanding of medical versus surgical asepsis.
  • The modern medical student's exposure to patients and the clinicians looking after them is now minimal. Times, Sunday Times
  • In cases in which MRI scan does not reveal stress fracture, clinicians may consider using bone scintigrams.
  • Some clinicians require unequivocal angiographic proof of pulmonary embolism before they will begin thrombolysis.
  • It's a great thing to be able to have these level of coaches, because they attract other top-level clinicians.
  • The clinician programme on offer will include cardiology, oncology, neurology, urology and a wide range of other procedures.
  • The Center for Fetal Diagnosis and Treatment is pleased to sponsor this three-day multidisciplinary educational forum for clinicians in obstetrics, maternal-fetal medicine, prenatal radiology, neonatology, pediatric cardiology and genetic counseling, scheduled March 16-18, 2011, in Philadelphia. Professional Resources
  • Progress is hindered by the lack of clinicians in managerial posts. Times, Sunday Times
  • Clinicians should remain alert for large spinal curvatures when examining adolescents.
  • Stephani Cox, a Decatur-based nurse practitioner and downstate lead clinician for Planned Parenthood of Illinois, said a herpes vaccine "would be wonderful.
  • Clinicians need the network to carry the electronic patient record and at last we can visualise both the possible shape of the record and how it might work for us.
  • Traditionally, the results of emergency biochemistry and haematology requests have been telephoned by laboratory staff to the requesting clinician or ward area as soon as a specimen has been analysed.
  • Often faculty are not clinicians but other health professionals and lay community members.
  • One major issue is that non-clinicians can legally inject botulinum toxin (botox) and dermal fillers. Times, Sunday Times
  • In contrast, some contemporary clinicians who have discussed the topic have been much less enthusiastic about connecting creativity to psychosis.
  • Experienced and knowledgeable clinicians, however, can further refine this and other amorphous categories (e.g., hallucinosis secondary to coarse brain disease) by their awareness of the scientific literature, which always runs ahead of the official nosology and offers unofficial, but clinically useful, choices (e.g., catatonia as a treatment-responsive syndrome separate from schizophrenia; various frontal and parietal lobe syndromes). The Neuropsychiatric Guide to Modern Everyday Psychiatry
  • The clinicians were unknowingly transmitting their attitudes towards the medication to their patients.
  • There is greater communication between the clinician and the prosector in that the clinician completes the problem-oriented autopsy request, giving a brief clinical summary with clinical diagnoses.
  • However, if you consider the fact that the investigators in most studies of ADHD are more rigorous in their election process than clinicians, who often diagnose and prescribe stimulants for "subclinical" cases, the percentage of nongenetic impulsive/inattentive behavior is probably far higher than 85%. Daniel Goldin: ADHD proven to be a genetic disorder! Well, maybe not.
  • We need to see real local freedoms for managers, clinicians and patients to lead and manage their own affairs. Times, Sunday Times
  • Should the clinician and patient simply press ahead with yet another poorly controlled clinical trial?
  • Similarly, clinicians rarely record all communicative exchanges with patients.
  • However, calculation of the anion gap will lead the clinician to the correct diagnosis.
  • Developers of guidelines for clinical practice attempt to identify, appraise, and collate the best evidence to ensure that the highest quality information is available for clinicians and patients.
  • For the pulmonary clinician, this heralds the dawn of promising therapies in various domains such as infections, allergy, and cancer.
  • The non-degree training programs will take no more than six months to complete and train workers in jobs such as clinician/practitioner consultant, implementation support specialist and technical/software support staff. Dallas Business News - Local Dallas News | Dallas Business Journal
  • AIM : To provide rational use of gastrointestinal prokinetic agents ( GIPA ) for clinicians reference.
  • The encounter begins by the clinician setting the clinical problem in a conventional biomedical model.
  • We fear that patients, clinicians and taxpayers will pay a high price. Times, Sunday Times
  • In the future, we hope a clinician might be able to test the elafin levels of a transplant patient with a rash to decide whether to initiate treatment, " says Ferrara.
  • The Nuffield council was given the task of examining how far scientists and clinicians should go in trying to meet this need and encouraging people to donate everything from organs to eggs, sperm, blood, other tissue or their whole bodies. Organ donors' funeral expenses should be met by the NHS, says report
  • As a clinician, the medical director's instincts were to place the patients first and investigate the problem.
  • We have seen no reports, however, that describe in detail the use of such a service by local clinicians.
  • Clinicians tried to reduce anxiety by emphasising the mildness, early stage, or non-seriousness of the disorder and the likelihood that patients would recover.
  • But in the past 20 years, as clinicians themselves produced self-help literature for the general public, nonfiction has become the dominant genre in bibliotherapy.
  • Rather than shirking from the term palliative care, they have thrown their weight and credibility behind it in a further effort to educate clinicians and consumers about palliative care and to reduce stigma associated with the term. Pallimed: A Hospice & Palliative Medicine Blog
  • The local research ethics committee's permission must be sought before a clinician undertakes a new invasive procedure
  • This program will enhance interactions between scientists and clinicians in order to accelerate the translation of research findings into medical applications.
  • Standardization simply supports the safe practice of competent clinicians.
  • This is a considered trilateral conversation between a patient, their loved ones and clinicians. The Times Literary Supplement
  • Adequate knowledge and training of clinicians will minimize the occurrence of such serious complications.
  • HealthCare Global Enterprises Limited (HCG), South Asia's largest cancer care network, today unveiled the PET Myocardial Blood Flow (MBF) System that offers clinicians a non-invasive method to determine true myocardial blood flow and accurately assess the need for revascularization procedures such as stenting and bypass surgery. PR.com Press Releases
  • We examined clinicians' communication according to how patients experienced it.
  • Thus, bone quality and skeletal fragility are among the hottest topics for basic scientists, clinical investigators, and clinicians.
  • A Clinician's Guide is part of a growing countercurrent within psychiatry, psychology, and allied disciplines, aimed at redressing the shortcomings of that legacy.
  • Patients’ persistent complaints about malodour are often ignored by dental clinicians.
  • The service welcomes and encourages feedback from callers and clinicians.
  • Progress is hindered by the lack of clinicians in managerial posts. Times, Sunday Times
  • Some clinicians believe the money should be channelled towards improving the state of the nation's hospitals.
  • Clear aims and defined outcomes are essential and are likely to be helped by the involvement of lay people and NHS clinicians.
  • Are clinicians reluctant to put older people on surgical waiting lists because they are in some way discriminating against older people?
  • Some clinicians and microbiologists continue to believe that P cepacia is a marker for, rather than the cause of, pulmonary deterioration.
  • Fendrick says, "Cutting back on health care without consulting your clinician is a very risky decision. Kansas City infoZine Headlines
  • `In the protection of the holy Angels," Razoxane persisted, `and by the power of the seven Shadows, I convoke the Clinicians. NIGHT SISTERS
  • `In the protection of the holy Angels," Razoxane persisted, `and by the power of the seven Shadows, I convoke the Clinicians. NIGHT SISTERS
  • If and when technologies stabilise, it may be too late to randomise: clinicians may have developed firm if unsubstantiated views, such that they are no longer equipoised.
  • Finally, we emphasise that close cooperation between microbiologists and clinicians is important.
  • In addition to providing patients specific anticancer drug therapies, pharmacogenetics will aid in the clinician's ability to predict adverse reactions before they occur and identify the potentials for complications.
  • Public protestations aside, she says, ‘Clinicians know privately that results can be jiggered.’
  • My experience was of many managers and clinicians being intolerant of a challenge. Times, Sunday Times
  • There has been little input from the clinicians who prescribe oral contraceptives or from the women who use them.
  • The clinician should ask the patient to stand so lower extremity alignment may be observed.
  • He said they planned to take on extra clinicians in respiratory medicine, obstetrics and gynaecology.
  • The second policy issue will focus on the continuing saga of involving clinicians in management.
  • As postmodern ideas of social constructionism have influenced the fields of family therapy, clinicians have become more collaborative by including clients' experiences and views throughout the process of therapy.
  • As a result clinicians can offer patients the best possible chance for treatment, designed for their individual needs. Times, Sunday Times
  • But some question targets that force clinicians and managers into perverse behaviour, such as adjusting the care package for a patient adversely to meet a target. Times, Sunday Times
  • Monitoring and adjustment may be controlled by clinicians or patients.
  • The first stage is for the clinician to decide whether or not a ventilator-supported patient has a reasonable likelihood of being able to breathe on his or her own.
  • Are the political constraints that prevent purchasers from making their decisions on rationing explicit any different from those facing clinicians?
  • About 160,000 more nurses, doctors and other clinicians are treating patients. Times, Sunday Times
  • One is that the clinical microbiology laboratory provides summary data on antimicrobial resistance in a facility to concerned clinicians on a regular basis.
  • Too many of the clinicians were poorly trained in palliative care. Times, Sunday Times
  • Can we apply the results from this group of Australian general practitioners to clinicians around the world?
  • But the best benefit, according to at least one study participant, was the ability to watch the entire procedure in real time on a color monitor and receive immediate feedback from the clinician.
  • As the symptoms are intermittent, and only occur in cold conditions, it is rare for the clinician to witness an attack.
  • Assessments were made using the BDI, and clinician rated obsessions and compulsions for each individual patient.
  • The clinician's task is to not only avoid harming the child, but to also effect the best or ultimate good for the patient, all things considered.
  • One approach has been to "task shift" -- train and deploy more nonphysician clinicians to take on a broader range of health services, including some emergency obstetric care. Pamela W. Barnes: The Five Steps to Achieving MDG 5 and Saving Mothers' Lives
  • Accordingly, the clinician should be alerted to the possibility of an unsuspected AAT abnormality in liver disease patients manifesting ‘unexplained’ PAS-D inclusions.
  • Federal health officials launched a media campaign in March to alert clinicians about adolescent inhalant abuse.
  • A study last month in the Journal of the American Academy of Pediatrics highlighted these often graphic videos of adolescents engaging in what we as clinicians call "self-injury" and kids call "cutting" -- on camera. Dr. Harold Koplewicz: YouTube Cutters: What Parents Can Do About Kids Injuring Themselves on Camera
  • A researcher wants to ban the word clinician because it implies superiority over non-clinical specialties.
  • Clinicians working in anaesthesiology tend to be risk averse and interested in patient safety because anaesthesia can be dangerous but has no therapeutic benefit of its own.
  • “The best clinicians understand that there is an intrinsic physiological intervention brought about by positive emotions such as mirthful laughter, optimism and hope,” the ‘Daily Mail’ quoted lead researcher Dr Lee Berk as saying. 30 Minutes Of Laughter A Day For A Healthy Heart | Impact Lab
  • This is therefore likely to encourage clinicians to search for more cost-effective procedures.
  • He'd started out as a clinician and turned to academe only relatively recently. THE LAST TEMPTATION
  • Clinicians and patients should beware of possible reductions in systemic bioavailability of conventional drugs when taken concomitantly with St John's wort.
  • We should stop blaming clinicians and managers for the shortcomings of the system. Times, Sunday Times
  • The final decision of whether or not the test should be done is up to the judgment of clinicians; a court will not override their decision, regardless of the woman's wishes.
  • The clinician being a psychiatrist, especially a psychiatrist with strong biogenetic causal beliefs.
  • Increased awareness of adverse drug reactions can assist the clinician in differential diagnosis of medical problems and events.
  • Therefore results of such studies will be awaited with interest by clinicians and patients alike. Times, Sunday Times
  • For now, clinicians need to use caution in interpreting available information and in counseling their patients.
  • It provides the clinician with the most information for dosing the patient in the future as opposed to the other methods.
  • The drugs are then administered to the patient by a nurse or 'clinician' who may or may not be licensed. Theodore's World
  • Patients’ persistent complaints about malodour are often ignored by dental clinicians.
  • If family support disappears and a patient loses housing or a job or both, what can the clinician do?
  • It is the duty of the referring clinician to ensure the completeness, accuracy, and veracity of the information provided.
  • Early accounts were mainly anecdotal, reported by clinicians and interpreted mainly as psychodynamic processes occurring during early development.
  • Communicate compromise settlement problems , coordinate the project leader, clinician, section office, clinical base and patient.
  • We presented the results of the retrospective audit to the clinicians at two district general hospitals.
  • It was criticised for its potential to remove legal protections for vulnerable patients, with research charities and senior clinicians saying that it was simply not needed. Times, Sunday Times
  • Clinicians should note that surface-level infection does not manifest as erythema, edema, and induration of the surrounding tissue.
  • These populations are clinically and pathologically distinct from patients with back pain or sciatica who are treated by most clinicians and included in all the other trials.
  • Five judges and you will watch as 10 young unbroken horses enter the arena and meet the clinician for the first time.
  • Communicate compromise settlement problems , coordinate the project leader, clinician, section office, clinical base and patient.
  • This judgment is to be made only by an experienced clinician.
  • Although such technology has been commercially available for 30 years, the average worldwide adoption of EMRs by clinicians in their day-to-day work is less than 20 percent.
  • Clinicians use administrative functions for the development and sharing of lists and databases to keep track of drug formularies, call schedules, and contact details.
  • Another critical component of this activity will be to address the use of antimicrobial drugs by clinicians and their patients.
  • Making patients and clinicians aware of a potentially transformative treatment that is already available should take centre stage in efforts to improve cancer outcomes. Times, Sunday Times
  • In our experience, this approach usually leads to an agreement between the clinician and the patient on how to proceed - whether to warn the potential victim, modify the current treatment or hospitalize the patient.
  • In contrast, some contemporary clinicians who have discussed the topic have been much less enthusiastic about connecting creativity to psychosis.
  • As one expert commented, clinicians have to face up to this "unpalatable" evidence "for the sake of our patients. The Line Between Madness and Mayhem
  • Referring clinicians gave permission for this to be carried out and the study was approved by the local Hospital Ethical Committee.
  • During the examination, the clinician should palpate the skin for temperature changes.
  • For the rank-and-file clinician and patient, I'd say right now I wouldn't worry about this interaction," said Deepak Bhatt, a cardiologist at Brigham and Women's Hospital, Boston and lead author of the study. Worries About Using Plavix With Heartburn Pills May Be Overblown
  • Applied to the increase in decadent caesareans for women who can't even be bothered to have a free orgasm, the paradoxical injunction would require clinicians to tell women to go right ahead and do that, yes, to have their stupid, selfish caesareans, quite guiltlessly, as if it was just as good as a normal birth and the NHS really did not care one way or the other about the appalling waste of money. Please, render unto caesareans a little less hysteria | Catherine Bennett
  • If clinicians are unsure of the diagnosis in a patient with severe febrile illness, it is reasonable to treat for malaria.
  • Those who have been in the lecturer and clinician positions for six years may be advanced to the senior positions.
  • A discussion of botanicals such as chaparral, lobelia, wormwood, belladonna, and kava is provided from the point of view of experienced clinicians.
  • The majority of researchers and clinicians interested in the use of prenatal "dex" focus on preventing development of ambiguous genitalia in girls with CAH. AlterNet.org Main RSS Feed
  • The clinician and the patient need not complete all cells of the chart during the first visit.
  • Thus, clinicians may consider regimens with fewer potentially hepatotoxic agents in patients with advanced or unstable liver disease, and expert consultation is advisable in treating such patients.
  • The investigators say that if clinicians are confident of findings obtained bimanually, little is likely to be gained by speculum examination.

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