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Қиссаи як асири наҳзат

3-02-2018, 16:43

ПЕШГУФТОР:

Ҳаркӣ н-омӯхт аз гузашти рузгор,

Низ н-омӯзад зи ҳеҷ омӯзгор…

Аз ҳама даҳшаттарин барои инсон он аст, агар ӯ аз таҷрибаи талхи худ ибрат нагираду, пайи ислоҳи он нашавад… Сад афсӯс, ки баъд аз ҳазорон фитнаву дасисабозиҳо, хунрезиҳо, наҳсигариҳо, сухтану бохтанҳо то ҳол намояндагони беимони наҳзатӣ аз «даъвати ҷанг» даст намекашанд. Бале, «даъват ба ҷанг». Зеро, ибтидо аз соли 1990 ин неоисломистҳои тоҷик анбуҳи мардуми бечораро ба майдонҳои пойтахт кашола карда, даъват ба амал меоварданд, ки «Ҳукуматро сарнагун кунед», «ин идораву фалон вазоратро ғасб кунед», «Фалониро гаравгон гиред», «Тир холӣ кунед, малоикаҳо он тирро ба қалби кофир мезананд» ва ғайраву ва ҳоказо… Дар ин байн, 27 сол гузашт… То ҳол, чун эстафетаи «аз даст ба даст», ҳамин гуна даъватҳо идома доранд. Ҳамон гуфтаҳо, ҳамон стратегия, хамон идеология, ҳамон муқовимат, танҳо чеҳраҳои дигар. Яъне, аз С.А.Нурӣ ба Ҳимматзода, аз Ҳимматзода ба Эшони Қиёмиддини ғозӣ, аз ин ба Алӣ, аз Алӣ ба Валӣ... ва инак расидем ба «амри маъруф»-ҳои Муҳиддин Кабирӣ..

Ин шахси манфур, гирди худ зиёда аз 10-20 нафар гумроҳи дигарро ҷамъ карда, бо пули «падарандар»-и хориҷиаш ба ҳавлии 8 миллион тоҷик санг партофа истодааст… Фикре маро ором намегузорад, ки кадом модар ин аблаҳонро синаи меҳр додаву, кадом падаре насиҳаташон карда… Кадом табиату хӯ ботини ғаши онҳоро фаро гирифтааст???

Хонандаи гиромии мо, аллакай дарк кардааст, ки тайи чанд моҳи охир дар сархати расонаҳои иттилоотӣ мақолаҳои ифшокунандаи симои аслии наҳзатиён аз ҷониби худи саркардагон ва роҳбарони ниҳодҳои сиёсиву ҳарбии ҲНИТ, пушаймонии онҳо ва иштирокчиёни бевоситаи он даргириҳои бемаънӣ зиёд гаштааст. Баъд аз мутолиаи мусоҳибаи кадом як рузноманигоре бо собиқ муовини САМНИТ (ниҳоди амниятии ИНОТ) Сайҷалол Сияҳаков дар рузномаи «Фараж» таҳти унвони «Шоҳиди зиндаи бедодиҳои ҲНИТ» ва мусоҳибаи озод бо «Ҳаким бангӣ» ном қумондони пешсафи ИНОТ ва дигарон дарк кардам, дар сурате, ки чунин як мансабдорони баландпояи ИНОТ бо як шеваи тунд ҳамсангарони худро мавриди танқиди шадид қарор дода, онҳоро «гумроҳ», «фурухташуда», «муттаҳам» ва «хоин» ном мебаранд, чӣ монад ба мухолифини онҳо.. Онҳо бо як дарди гарон дигаронро ҳушдор медиҳанд, ки аз наҳзатиҳо худро канор гиранд, ба доми фиреби онҳо наафтанд, зеро худи онҳо боре дар фитнаи ин қишри оштинопазир сухтаанд..

Ноларо ҳарчанд мехоҳам, ки пинҳон даркашам,

Сина мегуяд, ки ман танг омадам, фарёд кун..

Мусоҳиба бо Ҳабибулло Абдуллоев.


Маълумотнома:
Абдуллоев Ҳабибулло, 08.11.1950, зодаи н.Балҷувон, истиқоматкунандаи н.Вахш, солҳои 1980-1983, донишҷӯи Мактаби олии ВКД ҶТ, с.1983 муддати 6 моҳ дар МО ВКД Чумҳурии Украина ба ҳайси тарҷумон кор кардааст, солҳои 1983-1984 дар МО Ҳизби коммунисти ш.Ленинград низ ба ҳайси тарҷумсон кору фаъолият намудааст. Аз с.1984 то с.1995 дар ШВКД н.Вахш, дар вазифаҳои нозири минтақавӣ, командири рота, нозири бахши кофтукови ҷиноӣ ва муфаттиш кор кардааст. Аз с.1995 то с.2002 муовини сардори ШВКД н.Вахш кор кардааст. Соли 2002 бо рутбаи майори милиса ба нафақа баромадааст. Солҳои 1992-1997 дар минтақаҳои доғи ҷумҳурӣ барои барқароркунии сохти конститутсионӣ фаъолона иштирок варзидааст.

Таърихи 25-30 соли қаблии кишвар гувоҳӣ медиҳад, ки роҳбарони вақти давлату Ҳукумат аз бесалоҳиятӣ, беҷуръатӣ, надоштани дониши комили сиёсӣ ва камтаҷрибагӣ дар идоракунии давлат дар ибтидои соҳибистиқлол гаштани ватани маҳбубамон, тавону қудрати танзиму назорати фаъолияти гуруҳҳои иртиҷоии динии барои ҷомеаи мусалмони мо ҷадидро надоштанд. Маҳз бесалоҳиятӣ ва бефаъолиятии ҳукуматдорони давр боис гашт, ки гуруҳҳои иртиҷоии динӣ аз қабили «ваҳобия»-ву «салафия» тавонистанд як қисми мардуми кишварро фирефта ва ба сафҳои худ ҷалб гардонида, минбаъд бо ҳам омада ба таъсиси ҳизби терористиву экстремистии ҲНИТ муваффақ шаванд. Гуруҳҳои иртиҷоии зикргардида аз муҳиту шароити барояшон мусоид маккорона истифода намуда, кайҳо боз ҳамчун гумоштагон озодона бо фармону дастури хоҷагои хориҷии худ байни мардум таълимоти ботили мазҳабу равияҳои бегонаро таблиғу ташвиқ мекарданд. Гарчанде он гуруҳҳо масъулияту салоҳияти ҳалли масъалаҳои диниву мазҳабиро надошта бошанд ҳам, ҳамчун нафарони ғайри аҳли фатво тартиботу талаботҳои ғайри мазҳаби моро ба мардум фатво медоданд. Амалҳои бегонапарастонаи онҳо боиси паҳн шудани афкори гумроҳкунанда гардид ва дар байни мардум аз рӯи ақоиди мазҳабӣ тафриқа андохта шуд.

Дар ниҳоят, ТЭТ ҲНИТ барои бо роҳи қудрат ҷорӣ кардани мазҳабу равияи динии бегона хостори ғасби давлату ҳукумат гардид ва кишварро ба вартаи нобудӣ кашид.. Дар он ҷанги бародаркӯш ҳазорон нафар ҷони ширини худро бохтанд ва ҳазорон нафари дигар аз зулми бераҳмонаи намояндагони ТЭТ ҲНИТ ҷабру ситами ваҳшиёна диданд. Барои исботи ин гуфтаҳо мо бо яке аз ҷабрдидагони солҳои оғози ҷанги шаҳрвандӣ, собиқ муовини сардори ШВКД дар ноҳияи Вахш муҳтарам Ҳабибулло Абдуллоев суҳбате оростем, ки муҳтавои онро пешкаши хонандагони заккиву гиромиқадр мегардонем.

- АкаиҲабибулло, Шумо солҳои тӯлонӣ дар мақомоти милитсия дар вазифаҳои гуногун ифои вазифа намудед. Мехоҳем аз дидаву мушоҳидаҳоятон дар солҳои оғози ҷанги шаҳрвандӣ, ки бевосита шоҳиди он воқеаҳои мудҳиш будед, каме нақл кунед.

 

Ҳануз солҳои охири побарҷо будани собиқ давлати шуравӣ, ҳизбу ҳаракатҳои гуногуни сиёсии иртиҷоии хусусияти маҳалгароидошта дар кишвари мо арзи вуҷуд карда буданд, ки ҳар кадоме аз он гуруҳҳо талош доштанд ба ҳар роҳу воситае набошад қудрати сиёсии мамлакатро ба даст биёранд. Дар ин қатор роҳбарону муассисони ТЭТ ҲНИТ, ки аксарият зодагону бошандагони ноҳияи Вахшу Бохтар буданд, хеле барвақттар бо роҳҳои ошкору ниҳон фаъолияти худро оғоз карда буданд. Саркардагони ин ташкилоти экстремистӣ дар оғози фаъолияташон аслан ба ду гуруҳ тақсим буданд. Гуруҳи якум пайравони равияи ваҳобӣ, ки роҳбари маънавии он Эшони Саидашраф ва гуруҳи дуюм пайравони мазҳаби шиа, ки 

роҳбари ин гуруҳ Мулло Абдулло (Саид Абдуллои Нурӣ) маҳсуб меёфтанд, ба шумор мерафтанд. Дертар ин ду гуруҳи аз ҷиҳати ақидавӣ ба ҳам мухолиф бо ҳам омада ТЭТ ҲНИТ-ро созмон доданд. Намоянагони ҳарду гуруҳҳои зикргардида пайваста дар байни мардум ошкорову пинҳонӣ ақидаҳои мазҳабии бегонаро таблиғу ташвиқ карда, дар аксар мавридҳо таълимоти мазҳаби ҳанафиро танқид карда, гоҳе ҳатто куфр мехонданд. Ҳолатҳои зиёде буданд, ки руҳониёни асили мазҳаби ҳанафи аз мақсадҳои ғаразноки онҳо воқиф гашта, таблиғотчиёни наҳзатиро аз сухан гуфтан бозмедоштанд. Баъзан баҳсҳои онҳо ба задухурд анҷом меёфт.

 

 

-Шумо ишора кардед, ки намояндагони наҳзатӣ ақидаву таълимоти мазҳаби шиа ва равияи ваҳобиро ошкорову пинҳонӣ дар байни мардум таблиғу ташвиқ мекарданд. Лутфан ҳамин нуктаро шарҳ медодед?

Ҳамон солҳо ман ҳамчун корманди милитсия дар ШКД-и ноҳияи Вахш инспектори бахши кофтукови ҷиноӣ шуда кор мекардам. Ба мо дар бораи фаъолияти пинҳонкории наҳзатиҳо маълумотҳои зиёд мерасид. Гуруҳи руҳониён ба истилоҳ «муллоҳо» бо баҳонаи «чойгаштак», «дарсхонӣ», «зиёфат» ва «шабнишинӣ» дар ҳар деҳаву маҳаллаҳои ҳудуди ноҳия дар хонаҳои шиносҳои худ одамони зиёдро ҷамъ намуда, таълимоти сиёсии динии худро, ки аз таълимоти шиагароӣ ва ваҳобӣ иборат буд, ташвиқ мекарданд. Гарчанде маълум буд, ки кирдору фаъолияти наҳзатиҳо барои оромии ҷомеа хатари ҷиддӣ дорад, бо баҳонаи демократияву озодӣ мақомотҳои ҳифзи ҳуқуқ наметавонистанд нисбати ҳаракатҳои онҳо тадбирҳои қонунӣ андешанд. Ҳамин буд, ки наҳзатиҳо якбора ба фаъолияти ошкоро гузашта, бо баҳонаи «мавлудхонӣ» тамоми фасли сол тую маъракаҳоро ба маҳфилҳои «ташвиқотиву тарғиботӣ» ва ҷалби ҷонибдорону пайравони худ табдил доданд. Суханрониҳои наҳзатиҳоро аксарияти мардум шунида, аз мақсадҳои ғаразнокашон воқиф гашта, нисбати онҳо эътироз мекарданд. Вале мутаасифона одамони гумроҳгаштаи зиёди дигаре ҳам буданд, ки фирефтаи наҳзатиҳо мегаштанд.

 

-Шумо ишора кардед, ки мақомотҳои ҳифзи ҳуқуқ дидаву дониста ба фаъолияти ҷинояткоронаи наҳзатиҳо монеъ намешуданд. Оё наҳзатиҳо дар симои кормандони милитсия пуштибонҳо ё ҷонибдорони худро медиданд?

На, ин тавр набуд. Гарчанде дар байни кормадони милитсия ва дигар сохторҳои давлатӣ пайравону ҷонибдорони наҳзатиҳо кам набуданд, вале ба ин нигоҳ накарда онҳо дар симои кормандони ҳамагуна сохторҳои давлатӣ душмани асосии худро медиданд ва дар аввалин фурсат омода буданд, ки кормандони давлатиро гаравгон гирифта, ба қатл расонанд. Яке аз он кормандони ҷабрдидаи милитсия худи ман ҳастам, ки наҳзатиҳо дастгир ва ҳафт шабонарӯз дар асорати худ маро нигоҳ доштаанд. Ин 7 шабонарӯз 20 соли умрамро кутаҳ кард...

 

-Хеле мароқовар. Агар малоли хотиратон набошад, тафсилоти ба асорат афтиданатонро муфассалтар шарҳ медодед?

 

 

Хуб. Моҳи июни соли 1992 мо се нафар савори мошини шахсии мудири шуъбаи молияи ноҳия - Тағоев Абдуназар, сокини шуъбаи якуми ҷ/ш Киров -Насуров Файзиддин ва ман баъди кор аз маркази ноҳияи Вахш ба маҳали зистамон шуъбаи якуми чамоати шаҳраки Киров ба хонаҳоямон бармегаштем. Ҳангоми ба шуъбаи дуюми ҳамин ҷамоат ворид шудан, дар роҳ ҳангоми ҳаракат дар нақлиёт силоҳбадастони наҳзатӣ бе огоҳии пешаки суи мошини мо аз автомат оташ кушоданд. Тағоев Абдуназар, ки дар паси чанбарак мошинро идора мекард, аз дасташ тир хурд. Аз ҳолати ба амаломада мо ҳама дар таҳлука афтодем, аммо дар ҳолати шок ба пеш ҳаракат мекардем. Тахминан баъди 200-300 метр роҳ рафтан дар назди купруки шуъбаи дуюм пеши мошинро маҷбур гирифта, моро аз мошин фароварданд. Азбаски Тағоев Абдуназар аз дасташ тир хурда буду хунаш беист мешорид ва сару либосаш ғарқоби хун буду аз дарди шадид нолиш мекард, зориву тавалло мекард, ки моро раҳо кунед. Вале наҳзатиҳои силоҳбадаст, ин «мусалмонони номусалмон» ҳатто ба ҳоли зори Абдуназари маҷруҳгардида раҳмашон наомада моро зери мушту лағад қарор доданд. Сардорашон амр дод, ки дастони ин «кофирон»-ро паси пушт бо сим бибандед. Ман илтимос кардам, ки майлаш маро ба асорат гиреду А.Тағоевро, ки маҷруҳ гаштааст ҷавоб диҳед то ин ки рафта ҷароҳаташро муолиҷа кунад. Зиёда аз ин, дар хона 2 тифли хурду падари пираш бистарианд. Дар ҷавоб наҳзатиҳои ташнаи хун ҳам маро ва ҳам Тағоеви ҷароҳат бардоштаро бераҳмона шатакорӣ намуданд. Ба дарди ҷароҳати бардошта ва аз зарби лату куби бераҳмона Абдуназар Тағоев тоб наовард ва роҳи халосиро дар фирор кардан диду, якбора гурехт.. Ҳамагӣ 10-15 қадам роҳ нарафта буд, ки хунхорони наҳзатӣ ӯро аз пушт парронданд. Тағоев дар ҷояш вой гуфту, ҷон дод.
Ҳамон қотили хунхор болои сари Тағоев рафта ҷасади беҷони ӯро дашном дода, зиёда аз 20-30 лағади дигар ба сару рӯи мурда зад. Сипас, бо автомат якчанд тири дигар ба ҷасади аллакай ҷон ба ҷаббор супурдаи Абдуназар холӣ карду, пояшро болои ӯ гузошт. Файзиддин Насуров бошад лаҳзаи андармон шудани қотилонро истифода бурду бо сару даҳони хунолуд тавонист гурезад. Дастони маро бошад паси пушт карда бо сим маҳкам бастанд ва тахминан бист дақиқа мурданивор заданд. Баъди беҳол гаштанам чашмонамро бо латаи сиёҳ бастанду ба асорат бурданд.

 

 

- Баъд чи шуд? Ба куҷо бурданд ва чи рузҳоеро аз сар гузарондед?

Ман ва тахминан 18-20 нафари комилан бегуноҳи роҳгузарро, ки дар назди ҳамон купруки шуъбаи дуюм гаравгон гирифта буданд бо дастону чашмони баста ба мошинҳо савор карда ба самти номаълум бурданд. Тахминан ним соати роҳпаймоӣ мошинҳоро қарор дода, моро фароварданд ва дар як хоначаи бисёр танг, ки ҳавояш бе ниҳоят гарм буд, маҳкам карданд. Баъд чашмонамонро кушоданду дастонамон паси пушт бо сим бастагӣ боқӣ монд. Ҳамон лаҳза рӯзи сиёҳи мо сар шуд.. Аз субҳ то шом, аз шом то саҳар мезаданду мекуфтанд. Фашист шояд ҳамин гуна ҷабру ситам намекард.. Бениҳоят азобу шиканҷа медоданд. Наҳзатиҳои қотилу хунхор 6-7 нафарӣ, бо навбат даромада бо мушту лағад, бо калтаку ва бо ҳар чизи сахт моро мезаданд. Аз зарби лату куб ҳамқисматони бо манбуда чунон гиряву зорӣ мекарданд, ки дили санг об мешуд. Азобу уқубати худам як дард, вале азоби ҷонкоҳи дигарон диламро афгор карда буд... Аз сузиши ҷон яке «вой очаҷон» мегуфту дигаре «вой худоҷон».. Аз шиканҷаи беохир ва шаттакориҳои бераҳмона 4-5 нафар ҷавони аз сад гул як гулашон ношукуфта ҷон бохтанд...

Чун шаб рӯз шуд моро берун бароварда қатор карданд дидам, ки аз зарби лату куби бераҳмонаи наҳзатиҳо якеро сар кафида, дигареро даст ё пояш шикаста, савумиро сару руяш ба ҳадди ношинохтанӣ варам карда буд. Хулоса, дар бадани ҳар кадоме ҷароҳатҳои вазнин дида мешуд. Чун ба берун баромадем, дарк кардам, ки мо дар клуби деҳаи Ворошилови н.Бохтар қарор дорем. Дар ин муддат хешу таборони нафарони дар гаравгонбуда бо ҳар роҳу восита: яке бо додани пули калон, дигаре бо пайдо кардани шахсони шинос дар байни наҳзатиҳо, хулоса ҳар касе аз руи имкониятҳои худ 8 нафарро раҳо карданд. Мо 6 нафар ва ҷасади 5 шахси фавтида дар ҳамонҷо мондем. Баъди чанде як муллои девсират дар иҳотаи 6 нафар силоҳбадаст вориди ҳавлии клуб шуд ва ҳамаи наҳзатиҳои онҷобуда саросема ба пешвози ӯ давиданд. Баъди «зиёрат»-и он шахс, масъулони «зиндон» ба ҷасади фавтидагон ишора карда, аз он «шайх» пурсон шуданд, ки «ҳазрат, мурдаҳоро чӣ кор кунем»? Дар ҷавоб он «ҳазрат» бо овози паст амр дод, ки «ҷасадҳоро бурда нобуд кунед». Сипас бо овоз балад таъкид намуд, ки «ҳазрати калонӣ» аз шумо умеди калон дорад ва шумо аз худ мардонагӣ нишод дода фармонҳои ӮРО алайҳи «кофарон» содиқона иҷро намоед. Баъд, назди мо омада ҳар яки моро ба тафсил, аз куҷову чӣ кора то аз кадом авлод буданамон пурсон шуд. Баъди пурсупоси зиёд 5 нафари ҳамқисматони маро бо худ гирфтанду гуфтанд, ки ин «малъунҳоро мо ба ҳаммом мебарем» ва ба ман ишора карда амр дод, ки «ин сагро дар ҳаминҷо нигоҳ доред». Аз «ҳазрати калон» гуфтани он шахси ситорахунук пай бурдам, ки ӯ Саид Абдуллои Нуриро дар назар дорад. Ҳамин тариқ ман ҳафт шабонарӯз дар клуби деҳаи Ворошилов, дар дасти наҳзатиҳои хунхор дар асорат боқӣ мондам.

 

-Аз рӯи нақлатон он муллои «қассоб» номи Саид Абдуллои Нуриро ба забон наовард ва танҳо ибораи «ҳазрати калон»-ро истифода бурд. Пас Шумо бо кадом далел гуфта метавонед, ки он нафар маҳз Саид Абдуллои Нуриро дар назар дошт?

Ҳама медонист, ки роҳбари асосии наҳзатиҳо С.А.Нурӣ буд ва ба касе ғайр аз ӯ то ин дараҷа «эҳтиром» намегузоштанд. Танҳо ӯ фармони қатл карданро медод ва амр содир мекард. Ҳатто дар сабти видеоие, ки тариқи телевизиони ҳамонвақта намоиш дода шуда буд, Абдулло Нурӣ миёни пайравону ҷонибдорони худ баромад карда, онҳоро ба ҷанг даъват мекард ва мегуфт, ки «агар Шумо тирро қаҷ парронед ҳам, малоикаҳо онро рост бурда дар синаи кулобиҳои кофир мерасонанд».

Ёд дорам, ки баъди ба имзо расидани созишномаи умумии истиқрори сулҳ ва ризоияти миллӣ соли 1999 Саид Абдуллои Нурӣ барои аёдати хешу табораш ба собиқ совхози Туркманистон ташриф овард. Дар қатори дигарон ҳамон шахси «ҳазрати калон» гуфтагӣ дар бари ӯ қарор дошт ва ман ҳамчун муовини сардори ШКД- и ноҳия масъули таъмини тартиботу амнияти он сафар будам он шахсро дида дарҳол шинохтамаш. Дар ҳаминҷо қайд кардан ба маврид аст, ки ҳангоми ба деҳа ворид гаштани Саид Абдуллои Нурӣ пайравону наздиконаш ӯро бо садоҳои баланд бо як овоз «Алоҳ Акбар, Устод Нурӣ роҳбар!» гуфта пешвоз мегирифтанд, ки тақлид ба роҳбарони инқилоби исломии Эрон буд..

 

 

-Барои саволи ноҷо узр мепурсам. Гуфтед, ки ҳамқисматони Шумо аз дарди зарбу лат яке зикри номи Худову дигарӣ номи Модарро мекард. Шумо чи садо мебаровардед?

Рости гап аз зарби лату куби зиёд одам ҳиссиёташро гум мекардааст. Ман, ки ҳангоми дастгир шуданам зери лату куби шадид ва бераҳмона қарор гирифта будам, ҳиссиётамро аллакай гум карда будам. Аз ҳамин сабаб дигар дардро ҳис намекардам ва умеди зинда монданам ҳам набуд.. тамоми узви баданам осеб дида буд. Аз лабу даҳон, аз гушу бинӣ, ҳатто аз қафоям хун мерафт. Узвҳои даруниям низ кафида буданд.. Вақти шиканҷа диданам танҳо аҳли оилаам пеши назарам буд.. Фикр мекардам, ки баъди ман ҳоли кӯдакону модари пирам чӣ мешуда бошад… аммо ҳамеша дар забону даҳонам номи поки Парвардигор буд…

 

-Шумо дар он зиндони даҳшатовари наҳзатиҳо ҳафт шабонарӯз боқӣ мондед. Дар ин муддат чи рузҳоро паси сар кардед ва чи гуна аз дасти он қотилони ваҳшӣ раҳоӣ ёфтед?

 

Он замон барои онҳо одамкушӣ мисли як «нақшаи пахта» шуда буд, ки бояд ҳар кадоме дар ин кор натиҷа дошта бошад. Ҳама аз паси шикор буданд. Моро бо навбат 4-5 нафарӣ посбонӣ мекарданд. Нафаре миёни онҳо пайдо намешуд, ки моро назанад ва ё аққалан раҳм кунад. Аз задани бисёр ҷоғи поён ва даҳону ҳарду дастам аз китф шикаста буданд. Ҳатто обро озодона ва бе мамониат нӯшида наметавонистам. Вале ба ҳамаи он азобҳо нигоҳ накарда, ягона чизе, ки маро ба раҳо гаштан умедвор мекард ин ба «ҳаммоми Туркманистон» интиқол нагаштанам буд. Зеро 1 нафар посбон ба ман фаҳмонд, ки «бахтат баландӣ карду туро ба ҳаммом набурданд, вагарна очаи зората дар чашмат медидӣ». Ана ҳамин сухан каме дар дилам шуълаи умедро фурӯзон кард. Баъди ҳафт шабонарӯзи дар гаравгон буданам бародару хешу таборҳо баъди даву тозҳои зиёд аз байни наҳзатиҳо шинос пайдо карда, маро раҳо карданд.

 

-Баъди раҳо гаштани Шумо аз гаравгонӣ чунин ҳолатҳо хотима ёфтанд ё баръакс идома дошт?

 

Ба фикри ман мо аввалин гаравгонҳое будем, ки ба дасти наҳзатиҳои аждаҳои аҳримансиришт афтода будем. Ҳамагӣ баъди як рӯзи раҳоӣ ёфтани ман боз силоҳбадастони ҲНИТ ба шуъбаи дуюми ҷ/ш Кирови н.Вахш зада даромада, 26-нафар шахсони комилан бегуноҳро аз қади роҳу аз заминҳои киштзор дастгир карда бурданд, ки аз миёни онҳо ҳамагӣ 3 нафар бо амри тасодуф зинда баргаштанду боқимонда 23-нафар баъди азобу уқубати зиёд бераҳмонаву дастаҷамъона ба қатл расонида шуданд.

Ягон қавми одамизод, фикр мекунам, бо ҳаммилати худ, ҳамхуну бародари худ, ҳамсояву хешу табори худ чунин муносибат накардааст, ки наҳзатиҳо!!! Баъди ин гуна даҳшати гушношунид, ман чунин бераҳмиву безотиро танҳо дар амалҳои «диишиён» дидам, ки фикр мекунам муаллими онҳо наҳзатиҳои тоҷик мебошанд. Зеро, агар барои оламиён «Проекти ДИИШ» хунхортанин, разилтарин лоиҳаи ҷанг бошад, барои ман шахсан «навоварӣ» набуд. Зеро чунин мусибат ва чунин қазия бар сари мани тоҷик аллакай 27 сол пеш омада буд. Ва ин даҳшатро бар сари ман бародари ман, ҳамқишлоқии ман, ҳамқисмати ман, хеши ман, тоҷики ман оварда буд. Ҳамоне, ки ман рӯзи тую сураш хизмат мекардам, мерақсидам, хурсандӣ мекардам, ҳамоне, ки дар марги падару бобояш ғамгин будам, чуби тобуташро медоштам ва зор мегиристам… ҳамоне, ки ман хоҳарамро ба ӯ издивоҷ карда, хоҳари ӯро келин карда будам.… (ин ҷо оби дидаи акои Ҳабибулло беихтиёр ҷорӣ шуду, анбӯҳи ғам дар гулӯяш дармонда буд)


 

- Муҳтарам акои Ҳабибулло, барои суҳбати таъсирбахш ташаккур. Бешубҳа ин саргузашти талх барои дигарон дарси ҳаёт аст. Ин қисса моро водор месозад, ки боз ҳам ҳушёру заккӣ бошем, дубора ба чоҳ наафтем, дустро аз душман фарқ кунем, фирефтаи дасисаву таблиғоти хоинон нашавем. Бигзор ҳеҷ кас он рӯзҳои шумро набинанд.

 

Ба Шумо низ ташаккур. Бигзор ин гуфтаҳо малоли хотири касе нашавад, зеро ин ҳақиқат буд. Ҳарчанд, пешвои муаззам аз ҳама гуноҳҳо гузаштаанд, лек баъзе нохалафон инро нодида мегиранд, ин сулҳи нотакрору бемисли моро пеши по мезананд. Инак, ки зарурияти ин огоҳсозиҳо пеш омадааст, барои худ қарз шуморидам, ки ин дарди ниҳони худро расонаӣ кунам. Бигзор ҳамагон, махсусан насли ҷавони тоҷик инро бидонад. Инро ман бояд мегуфтам, зеро:

Чу мебинӣ, ки нобинову чоҳ аст,

Агар хомӯш биншинӣ, гуноҳ аст…

Мусоҳиб: Одилҷон Маҳмадов

 



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Pharmacokinetic concepts have been used successfully by pharmacists to individualize patient drug therapy for about a quarter century. In age- and gender-adjusted logistic regression analyses, black race/ethnicity (odds ratio [OR] 2.83), current smoking (OR 4.46), diabetes (OR 2.71), hypertension (HTN; OR 1.75), hypercholesterolemia (OR 1.68), and impaired renal function (estimated glomerular filtration rate less than 60 mL/min/1.73 m) (OR 2) were associated with more prevalent PAD. https://keiindemaatschappij.nl/stmap_dh2z42.html?ibuprofen.mestinon.alphagan Conversely, decreased P-glycoprotein expression may result in supratherapeutic plasma concentrations of relevant drugs and drug toxicity. Several mechanisms have been proposed for the development of immune-mediated drug-induced thrombocytopenia. Serum cysC also detected AKI up to 2 days earlier than serum creatinine in critically ill patients, and cysC concentration was a better predictor of AKI in pediatric cardiac surgery patients. https://keiindemaatschappij.nl/stmap_dh2z37.html?cetirizine.cutivate.sotalol TGF is a ligand for the epidermal growth factor receptor (EGFR) and, upon binding, activates the phosphatidylinositol 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway, in addition to other protein kinase pathways. The CG method was the preferred method for eGFR, based on performance and ease of use. Characteristic symptoms of AMS includes headache combined with one of the following symptoms: anorexia, nausea or vomiting, fatigue, headache, insomnia, or dizziness. https://keiindemaatschappij.nl/stmap_dh2z71.html?avalide.stada.aggrenox Lesions may evolve into plaques. The increased exposure can produce toxic effects after topical use of hexachlorophene soaps and powders, salicylic acid ointment, and rubbing alcohol. https://keiindemaatschappij.nl/stmap_dh2z210.html?lialda.premarin.leflunomide The toxicity of acute iron poisoning includes local effects on the gastrointestinal mucosa and systemic effects induced by excessive iron in the body. The formation of concretions or bezoars of solid dosage forms may delay the onset, prolong the duration, or complicate the therapy for an acute overdose. The United States—with its culturally diverse society and health disparities, patient-safety concerns, and workforce shortages—has unique opportunities and challenges in patient care. https://keiindemaatschappij.nl/stmap_dh2z41.html?topiramate.clonidine.cefuroxime
Standard upper GI tract endoscopy (ie, esophagogastroduodenoscopy [EGD]) is capable of inspecting the esophagus, stomach, and proximal small bowel. Theophylline disposition is described most accurately by nonlinear kinetics.
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Where appropriate, discussion regarding the qualitative assessment of the kidney function is also presented, including the role of imaging procedures and invasive tests such as kidney biopsy. The computation of F does not separate loss of oral drug metabolized by the first-pass effect and drug not absorbed by the GI tract. http://dev.webshop.jv.nl/stmap_aa77129.html?flutamide.advil.avandaryl His heart rate was 51 beats per minute, and his serum creatinine was unchanged. Bone marrow stromal cells from MDS patients show decreased ability to support normal hematopoietic cell function. Reliable data on prevalence of lice in the United States are unavailable, but anecdotal reports estimate that direct and indirect costs due to head lice may be as high as $1 billion per year. http://dev.webshop.jv.nl/stmap_aa7756.html?haloperidol.nolvadex.inderal In addition, B. When E0 is not known with any better certainty than any other effect measurement, it should be estimated as a model parameter similar to the way that one would estimate the values of Emax, EC50, S, or n. Children with congenital GHD usually are born with an average birth weight. http://dev.webshop.jv.nl/stmap_aa77210.html?lexapro.cozaar.risperidone Epilepsy. By far, the most compelling evidence for the use of any pharmacologic agent in PAD can be found for ASA. It is vital that the patient be counseled on the evaluation measures that will be used to monitor the outcomes of therapeutic interventions for PAD. http://dev.webshop.jv.nl/stmap_aa77206.html?glimepiride.avandaryl.adcirca A secretory agent is sometimes given in addition to the radiopharmaceutical agent to improve sensitivity. His height is 6 ft (72 in. From 3% to 28% of people infected with CHIKV remain asymptomatic. http://dev.webshop.jv.nl/stmap_aa7713.html?vistaril.naprosyn.nitrofurantoin IV catheters. Risk avoidance is the best way to reduce the occurrence of traveler's diarrhea, but it is difficult to avoid all risks. A graded drug challenge is an alternative to the induction of drug tolerance, and it does not modify the immune or nonimmune response to the drug.
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GH is also FDA-approved for treatment of adult GH deficiency, short bowel syndrome in patients receiving specialized nutritional support, and acquired immunodeficiency syndrome wasting syndrome. This first GWAS study for antidiabetic drugs suggests the utility of the GWAS approach in identifying viable genes that have potential implications for mediating glycemic response to drug therapy in a complex disease, such as diabetes, and may pave the way for a new era in anti-diabetic drug development. All lung volumes, as well as Dlco, are reduced. https://deskule.nl/stmap_yi8v191.html?danazol.propecia.redustat O2 pulse is an estimate of oxygen consumption per cardiac cycle and can be decreased with cardiac problems. An important finding was 7% were classified as "smartphone-dependent" users, meaning that they have a smartphone, but do not have internet at home other than their mobile data plan, nor do they have other device options for accessing the internet such as a computer or laptop. https://deskule.nl/stmap_yi8v143.html?toprol.calan.carvedilol The CLcr-to-CLDPTA ratio declined from 1.33 with placebo to 1.07 when 400 mg of cimetidine was administered four times a day for 2 days prior to and during the clearance determination. Lam et al. https://deskule.nl/stmap_yi8v109.html?cipralex.suprax.voren Pulmonary agents, such as chlorine or phosgene, both react with water to produce hydrochloric acid, which produces severe irritation and destruction to mucosal tissue, ocular surfaces, the airway and lungs. As such, HIV-infected patients should be started on antiretrovirals and CD4+ T cell counts may be followed. https://deskule.nl/stmap_yi8v146.html?chloroquine.combaren.colcrys Fliser et al. The human louse is detectable to the human naked eye and measures approximately 2 to 3 mm in length. https://deskule.nl/stmap_yi8v128.html?caverta.casodex.strength Estimation of creatinine clearance (CLcr) has been considered the clinical standard for assessment of kidney function for nearly 50 years, and continues to be used as the primary method of stratifying kidney function in drug pharmacokinetic studies submitted to the United States Food and Drug Administration (FDA). The average Km for phenytoin is about 4 mg/L (16 Ојmol/L).
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If the lesion is intrathoracic, as with tumors of the trachea, the negative pressure generated during inspiration opens the obstruction, whereas the positive pressure during expiration worsens the obstruction. The presence of nitrite is most commonly the result of conversion from urinary nitrate by bacteria in the urine. https://deskule.nl/stmap_yi8v136.html?benfotiamine.cyproheptadine.flutamide The six frontal plane and the six horizontal plane leads provide a three-dimensional representation of cardiac electrical activity. Benznidazole may be preferred based on its improved tolerability over nifurtimox. https://deskule.nl/stmap_yi8v8.html?cimal.seropram.chloramphenicol Immunization is the process of introducing an antigen into the body to induce protection against the infectious agent without causing disease. For example, the initial prophylaxis and treatment options for suspected anthrax patients include a fluoroquinolone or doxycycline both of which are associated with warnings and adverse event concerns in pregnant women and young children. https://deskule.nl/stmap_yi8v4.html?pulmicort.astelin.monodox The CLcr-to-CLDPTA ratio declined from 1.33 with placebo to 1.07 when 400 mg of cimetidine was administered four times a day for 2 days prior to and during the clearance determination. The prognosis is one of slow progression with a mean survival of 5 months following diagnosis. Irritant effects may be considerably enhanced by occlusion. https://deskule.nl/stmap_yi8v138.html?actoplus.uric.eurax Patients often describe neuropathic pain as tingling, sharp, burning, electric shock-like, or numbness. The release of a number of preformed, pharmacologically active chemical mediators (eg, histamine, heparin, proteases such as tryptase and chymase, and a variety of other enzymes) is triggered when antigens cross-link IgE molecules on the surface of circulating basophils and tissue mast cells. https://deskule.nl/stmap_yi8v10.html?advil.voltaren.cilostazol Sorafenib was also studied as first-line therapy for mRCC. Syringe pumps are widely used for administration of IV drugs.
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From the time that Kraepelin first described dementia praecox in 1896 until publication of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) in 2013, the description of this illness has continuously evolved. Blood flow moving toward the transducer is displayed in red, and flow moving away from the transducer is displayed in blue; increasing velocity is depicted in brighter shades of each color. https://kristas.nl/stmap_gatw147.html?metaxalone.minipress.prazosin Some of the most common tick-borne infections that travelers may encounter outside of the Unitede States are: Borrelia burgdorferi (Lyme borreliosis), Borrelia Spp. Adipocytes attract acute lymphoblastic leukemia (ALL) cells to migrate closer to fat cells which absorb chemotherapy decreasing its exposure to the cancer cells. https://kristas.nl/stmap_gatw102.html?clomipramine.norvasc.clarithromycin The stress MUGA allows the operator to assess cardiac performance at rest and during exercise. Mutations in hepatic transporter genes can result in slower function prior to toxin exposure. The median OS was significantly improved in the combination group compared with the vinblastine alone group (67.6 vs 37.8 weeks; P=0.005). https://kristas.nl/stmap_gatw23.html?glumet.inh.warfarin The "Investigating the Process of Dying" study evaluated physical signs in more than 350 terminally ill cancer patients. In patients with sporadic disease, the two copies of VHL present in a healthy kidney can be inactivated via loss of chromosome 3p, gene silencing via hypermethylation, missense mutations, and premature truncation or nonsense mutations. https://kristas.nl/stmap_gatw215.html?celadrin.aventyl.famvir Genetic predisposition to the development of hyperprolactinemia has been reported involving the D2-receptor and hormone-related genes. However, that figure falls to 64% when localized spread has occurred beyond the kidney. https://kristas.nl/stmap_gatw112.html?prozac.venlor.panadeine There are reports of a protective effect with prophylactic corticosteroids and other reports of patients developing amiodarone lung toxicity while on corticosteroids. If left in solution to "age," penicillin G will not spontaneously degrade to form the other minor determinants, penilloate and penicilloate.
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A potential explanation for this finding is that the Leu41 variant acts to desensitize the ОІ-adrenergic receptor and thus, may serve as a natural ОІ-blocker eliminating the need for ОІ-blocker therapy. However, somatostatin analogs also decrease insulin secretion and increase IGFBP-1, which is known to inhibit the insulin-like effects of IGF-1. xalatan.arimidex.metronidazole The median response duration for ESAs in MDS is 1 to 2 years, and the ESA should be discontinued if there is no benefit or the response wanes. Transsphenoidal surgical resection of the adenoma is the current treatment of choice for most patients with acromegaly. For a specific clinical scenario, the guidelines also indicate the level of evidence for the recommendation. avalide.remeron.methylprednisolone An ongoing phase III trial of oral azacitidine in lower-risk MDS with significant cytopenias should provide more definitive information on its place in therapy (available at www.clinicaltrials.gov; NCT 01566695). CYP2C9*2 (p.Arg144Cys) and CYP2C9*3 (p. amoxicillin.captopril.lariam This same study categorizes errors as diagnostic, treatment, preventive, or other. Dose reductions due to adverse events occurred more often in cabozantinib patients than everolimus patients (60% vs 25%), but treatment discontinuation rates were similar between the two arms (9% of the cabozantinib patients vs 10% of the everolimus patients). In these circumstances, it is best to keep the encounter brief and interview the patient in the presence of another healthcare provider. flector.meloxicam.meticorten Compression stockings that have not been custom fitted or appropriately sized do not add any additional protection and in some cases could cause more issues. Which of the following tests is routinely done to diagnose a patient with myelodysplastic syndromes (MDS)? Aortography is accomplished with the rapid injection of radiographic contrast material into the aorta. bacopa.anacin.domperidone Which of the following classes of medications is most likely to cause drug-induced hyperprolactinemia? These pumps allow the organization to program the pump with standard concentrations and standard infusion ranges, preventing the nurse from administering it outside specified limits for each drug.
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This chapter reviews the routine laboratory tests that are used to assist in the diagnosis and treatment of infection. Because erythrocytic forms never reinvade the liver without developing into sporozoites in the vector, malaria infections from transfusion never result in the exoerythrocytic or "liver" form. ladogal.amaryl.enalapril In these parts of the world it is not uncommon to see dogs, cats, and monkeys on the streets or in tourist areas. In addition, there are reports of patients who have failed to maintain a desensitized state despite continued aspirin administration. Beyond seizures, people with epilepsy face many challenges. adapalen.medrol.redustat Anticholinesterase agents also can be found in occupational (eg, pest exterminators) or agricultural (eg, crop dusters or farm workers) settings. Values were lower among Mexican Americans, and higher among African Americans. arimidex.lasuna.nasacort Many U.S. Cardiopulmonary exercise testing allows for assessment of multiple organs involved in exercise and has benefits over assessment of either the cardiac system or pulmonary system alone. Pathogens classified as susceptible to an antibiotic are those that fall below a breakpoint MIC, which take in account clinically achievable serum concentrations in a patient (within appropriate safety profiles) and killing activity of the antimicrobial agent. diprolene.fulvicin.persantine For example, it may be desirable to maintain maximum steady-state concentrations at 20 mg/L and minimum steady-state concentrations at 10 mg/L. However, the Centers for Disease Control and Prevention (CDC) has recommended the use of doxycycline for initial prophylaxis after suspected bioterrorism-related exposure to Bacillus anthracis (anthrax); the potential benefits outweigh potential risks among infants and children. medrol.minipress.colchicine Patients developed extreme dyspnea after several months on the drug. Child-resistant containers are not totally childproof and may be opened by children, which can result in poisoning. Full-body skin examinations are important in screening for melanoma because it can occur anywhere on the skin.
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The usefulness of each intervention was evaluated with a follow-up telephone call to 125 patients after discharge. Upper endoscopy is largely replacing contrast studies in the diagnosis of upper GI tract disorders, but in certain instances they can be a tool in establishing a diagnosis prior to endoscopic evaluation. <a href="https://eerstehulpduo.nl/stmap_zhoi156.html?gasex.omnic.optivar"
>aralen.clozapine.vibra</a> The most recent NCCN guidelines did not provide recommendations on the use of thrombopoietin-stimulating agents in patients with MDS. Travelers should receive any recommended vaccines in time to provide protection prior to travel. <a href="https://eerstehulpduo.nl/stmap_zhoi8.html?priligy.leflunomide.flucona
zole">floxin.provera.vanadyl</a> Inactivation of this tumor suppressor gene is now recognized as the hallmark of clear cell RCC. Desensitization, a form of inducing drug tolerance, specifically refers to the process in which the mast cells are rendered less responsive to degranulation. Ivacaftor was approved by the FDA in 2012 as the first drug to target defects in the CFTR. <a href="https://eerstehulpduo.nl/stmap_zhoi131.html?dencorub.strattera.catapr
es">lipofen.atasol.raloxifene</a> If appropriate vancomycin serum concentrations are available, kinetic parameters can be computed at any point in therapy. The effect of somatostatin analogs on glucose metabolism in patients with acromegaly is multifactorial. MICs were traditionally determined through the micro or macro dilution method, which uses liquid growth medium (broth), doubling serial dilutions of antimicrobials in test tubes, and a standard inoculum of bacteria (approximately 10 colony-forming units [CFU]/mL [10 CFU/L]). <a href="https://eerstehulpduo.nl/stmap_zhoi151.html?dicyclomine.crixivan.lami
ctal">flavoxate.uroxatral.mesalamine</a> Several of these trials have used doses lower than those typically used for monotherapy in order to try to minimize the risk of additive adverse effects. The goals of treatment vary with disease-specific factors, including the type of MDS; cytogenetics; risk of progression to AML and death; rate of disease progression; and patient factors, including age, organ function, performance status, and presence of symptoms related to myelodysplasia. <a href="https://eerstehulpduo.nl/stmap_zhoi28.html?antivert.sustiva.lipitor&q
uot;>benylin.pentoxifylline.serophene</a> Androgens, estrogens, and other hormonal-related agents are the most frequently associated causes of neoplastic disease. Paraquat readily accepts an electron from reduced nicotinamide-adenine dinucleotide phosphate and then is reoxidized rapidly, forming superoxide and other oxygen radicals. Which one of the following travelers should be given a medical exemption waiver for Yellow Fever vaccination?
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However, in patients being treated for malignant disease, Page et al. Refer to Chapter 125 for discussion of routine vaccinations. https://yntwelle.nl/stmap_wppu25.html?derma.metrogel.cordarone If deficits in memory and concentration are primary or secondary complaints of the patient or these deficits are apparent during the interview, more formal or standardized mental status testing (eg, MMSE) may be required. In normal healthy adults, dopamine agonists cause an increase in GH production. https://yntwelle.nl/stmap_wppu184.html?prednisolone.dutasteride.betapace Sporadic cases of worsening bronchospasm and anaphylaxis have been reported in aspirin-sensitive asthmatics receiving intravenous hydrocortisone succinate; however, such reactions have not been reported with use of other corticosteroids. In addition, the positive test result indicating the presence of the pathogen does not assist in determining if the patient was infected or simply colonized with the pathogen. https://yntwelle.nl/stmap_wppu136.html?didronel.cymbalta.seroxat Both the KDOQI and the Australasian Creatinine Consensus Working Groups now recommend that clinical laboratories switch from the MDRD4 to CKD-EPI for routine automated reporting. Genetic variation leads to variability in the presence of these reactive metabolites and explains the idiosyncratic nature of these drug reactions. Counterclockwise hysteresis loops can be caused by the accumulation of an active metabolite, sensitization to the drug, or delay in time in equilibration between serum concentration and concentration of drug at the site of action. https://yntwelle.nl/stmap_wppu93.html?supreme.tinidazole.triderm Neutropenic patients with evidence of infection or fever of unknown origin should receive empiric broad-spectrum, IV antibiotics. Where appropriate, discussion regarding the qualitative assessment of the kidney function is also presented, including the role of imaging procedures and invasive tests such as kidney biopsy. https://yntwelle.nl/stmap_wppu207.html?pyridium.ponstel.speman Angioedema from ACE inhibitors or sacubitril, a neprilysin inhibitor, are classic examples of nonimmune DHRs. Most patients with Dengue fever experience either an asymptomatic (75%) or a self-limiting, febrile illness that can be quite pronounced.
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Yet severe toxic hepatitis develops in only 1% or less of this population. Stool cultures to identify E. The Diagnostic and Statistical Manual of Mental Disorders (DSM) has been the most widely accepted diagnostic reference in the United States for the care of individuals with mental disorders. ketotifen.fluvoxamine.cephalexin Myopathy may rarely cause rhabdomyolysis, characterized by muscle breakdown and potentially leading to acute renal failure. Other less commonly recognized sulfonamides include antivirals (amprenavir, fosamprenavir, and darunavir), probenecid, tamsulosin, triptans, and zonisamide. mobilat.mirena.trip Diagnosis of aspirin-induced asthma requires a detailed medical history. Fever may occur in response to an inflammatory process or develop as a manifestation of a drug reaction. This is a reflection of a higher prevalence of both PMs (13%-22.5% vs 2%-6% in whites) and heterozygotes for the defective CYP2C19 alleles (10%-30%) in Asians. indocin.terazosin.feldene Patients should be referred for medical evaluation if there is evidence that the ingestion exceeded 4 g/day or 100 mg/kg/day, whichever is less for 2 or more days. Then in 2014 there were 23 outbreaks leading to over 600 measles cases and in 2015 another 183 cases, plus the first reported death in over 10 years. prostatic.apri.trandate A different study of older adults confirmed the increased risk of mortality in those with low health literacy (hazard ratio = 1.40). These lists include a large number of commonly used drugs. betamethasone.reminyl.rizatriptan When the CLcr of patients with severe liver disease was estimated using the CG equation, the resultant ratio (eCLcr-to-CLinulin) was 1.23. Serum creatinine values alone should not be used to assess renal function because they do not include the effects of age, body weight, or gender. Recombinant IGF-1 products have been shown to increase growth velocity in children with short stature who have low IGF-1 serum concentrations and resistance to GH.
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Various protocols exist for the administration of these markers and subsequent measurement of GFR using either plasma or renal clearance calculation methods. Because these functions are related to renal mass, decreased endocrine activity is associated with the loss of viable kidney cells. Because PAH elimination is active, saturation of the transport processes should be anticipated, and concentrations of PAH in plasma should not exceed 10 mg/L. <a href="https://bvmweststellingwerf.nl/stmap_syu66.html?suhagra.lipofen.ampic
illin">glyburide.sildenafil.seroquel</a> The median OS was 8.5 months compared with 6 months for IFN-О± and medroxyprogesterone, which translated into a 28% reduction in the risk of death in the IFN-О± group (P=0.017). The only curative therapy for MDS is allogeneic HSCT, but most patients lack a suitable donor, are not healthy enough to undergo this intensive therapy, or may not be referred for HSCT because of advanced biologic age despite adequate health and organ function. <a href="https://bvmweststellingwerf.nl/stmap_syu625.html?colcrys.terazosin.no
ritate">rabeprazole.cycrin.nurofen</a> In these conditions, identification of the organism must be taken in light of the patient circumstances (signs and symptoms, laboratory indices supporting infection) and the probability of the organism being responsible for the infection. Over 300 U.S. <a href="https://bvmweststellingwerf.nl/stmap_syu6179.html?fludrocortisone.adv
il.lanoxin">tacrolimus.femara.vimax</a> Within the CYP3A subfamily, at least three isoenzymes, namely, CYP3A4, CYP3A5, and CYP3A7, have been characterized. Skin cancer prevention and screening have a major impact on public health, and on the success of treatment, for those individuals diagnosed with both NMSC and melanoma. <a href="https://bvmweststellingwerf.nl/stmap_syu626.html?ampicillin.isotretin
oin.mometasone">neobrufen.sterapred.glyset</a> Elderly patients and those with underlying cardiac disease may not tolerate mild hypotension or bradycardia. Rochagan) and nifurtimox (Lampit, Bayer 2502), but are not currently approved by the FDA. In aspirin-sensitive people with asthma, administration of aspirin and NSAIDs may provoke severe and sometimes fatal asthmatic attacks. <a href="https://bvmweststellingwerf.nl/stmap_syu63.html?kytril.seroxat.omnic&
quot;>astelin.norvasc.compazine</a> The mainstay of treatment is intensive supportive care, coupled with symptomatic management, since there is currently no commercially available targeted pharmacological therapy to reduce the high mortality rate associated with EVD. This model has been validated externally and can be used to predict survival outcomes for patients treated with IFN-based therapy.
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Gastrointestinal (GI) effects such as nausea, abdominal pain, or diarrhea also are very common. Impressive advances have been made in the last decade in the areas of mycobacterial, fungal, and viral susceptibility testing. Agents with a limited use, such as agents for bioterrorism or travel, are beyond the scope of this chapter. https://eerstehulpduo.nl/stmap_zhoi119.html?nebivolol.strattera.starlix Controversy exists as to whether exercise testing should be performed in asymptomatic individuals at increased risk of CAD (ie, diabetics). Beyond seizures, people with epilepsy face many challenges. https://eerstehulpduo.nl/stmap_zhoi217.html?cefixime.silagra.combaren To achieve these goals, it is necessary that all healthcare professionals understand the concept of functional status. Lung damage may not be lasting and may improve months to years after the exposure. https://eerstehulpduo.nl/stmap_zhoi140.html?gyne-lotrimin.tamox.gyne-lotrimin A complete medication use history including over-the-counter, herbal, and traditional Chinese medicines is vital as many agents cause GI injury (Table e31-2). Subcutaneous administration of I-iothalamate has been effectively used to measure GFR in children ranging in age from 1 to 20 years. Due to the nature of the illness, pertussis-related deaths are often due to a secondary bacterial pneumonia. https://eerstehulpduo.nl/stmap_zhoi175.html?apri.fucidin.metformin Most clinical experience with the use of dopamine agonists in acromegaly is with bromocriptine or cabergoline. Which of the following is a potential advantage of the intravenous formulation of acetylcysteine compared to the oral formulation? Although most marketed drugs are used in pediatric patients, only approximately one-fourth of the drugs approved by the US Food and Drug Administration (FDA) have indications specific for use in the pediatric population. https://eerstehulpduo.nl/stmap_zhoi27.html?seropram.omnipred.capecitabine Other hematologic reactions include thrombocytopenia, granulocytopenia, and agranulocytosis. Polypharmacy is common and increasing among older adults.
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This process is called acclimatization. In 2014, the most recent year for which data are available, the most common hospice diagnoses were: non-cancer diagnoses (63.4% of hospice admissions) such as dementia (14.8%), heart disease (14.7%), and lung disease (9.3%). In countries where giardiasis is endemic, infection risk and diarrhea severity may increase among immunocompromised human immunodeficiency virus (HIV)-infected adults. duramed.disulfiram.ventolin Motor activity may be excessive or diminished. The test may be useful for quantifying the level of exertion the patient can perform during the activities of daily living as well as determining appropriate levels of supplemental oxygen therapy. The disadvantages are that the model cannot predict a maximum effect or an effect when the concentration equals zero. renitec.avapro.candesartan Formed elements that may be detected in the urine include erythrocytes and leukocytes, casts, and crystals. At this time, methylation levels are not routinely incorporated into clinical decision making for MDS therapy. JC is a 35-year-old man with HIV infection presents with profuse, watery, nonbloody diarrhea. levora.canesten.sustiva The MSKCC criteria, with minor revisions discussed previously, is currently used in practice to determine optimal therapy for patients, and has been incorporated into the National Comprehensive Cancer Network (NCCN) guidelines. The classic description of the aspirin-intolerant asthmatic includes the triad of severe asthma, nasal polyps, and aspirin intolerance. zanprol.premarin.lamisil A greater emphasis on the family unit leads to different attitudes and behaviors such as different expectations for seeking healthcare (eg, an aunt or godmother caring for the ill) and the development of different beliefs, norms, and traditions. Patients with symptomatic giardiasis confirmed by positive stool samples or Giardia antigen detection should receive antiparasitic therapy. This simplification makes the susceptibility data easily interpretable by noninfectious disease clinicians. surpass.methotrexate.kytril Warfarin, propranolol, verapamil, and ibuprofen are all racemic mixtures of stereoisomers. Use of the antimicrobial then could select these more resistant subpopulations, resulting in poor clinical response.
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Commercial diaper wipes containing fragrance or alcohol should be avoided. The antimotility agent loperamide and the antisecretory agent bismuth subsalicylate are available without a prescription, but are not recommended because patients may delay seeking care and may not receive appropriate antiparasitic treatment in a timely manner. https://keiindemaatschappij.nl/stmap_dh2z10.html?mentax.zerit.minomycin Disease-causing genes are replaced with the desired therapeutic genes; the viral genes that control delivery mechanisms are retained. A review suggests that ADRs are the most common type of medication-related problem in elderly nursing home patients. In patients with a positive protein or albumin dipstick test, a 24-hour urine collection with measurement of albumin excretion can be used to quantitate precisely the degree of albuminuria. https://keiindemaatschappij.nl/stmap_dh2z160.html?himcolin.bisoprolol.rocky Unlike erythema multiforme, SJS and TEN are most commonly drug induced rather than associated with recurrent herpes simplex viral infection, and they progress to include mucous membrane erosion and epidermal detachment. Taddio et al. Which antimalarial prophylactic agent carries the strongest safety warning for use in pregnant travelers? https://keiindemaatschappij.nl/stmap_dh2z157.html?sugar.yasminelle.diphenhydrami
ne It provides a systematic method of organizing and reporting current behaviors, thoughts, perceptions and functioning. Two forms of the vaccine are being tested, a monovalent form based on Z. https://keiindemaatschappij.nl/stmap_dh2z146.html?hytrin.lotrisone.nolvadex Because patients may experience life-threatening reactions, desensitization should be attempted only in a controlled environment by personnel with expertise in handling these patients. The origin of the electrical impulses (the so-called cardiac rhythm) and integrity of the conduction system can be assessed with a 12-lead ECG. https://keiindemaatschappij.nl/stmap_dh2z84.html?calan.naproxen.glucophage The β1-adrenergic receptor is an example of a G-protein–coupled receptor in which a stimulatory G protein (Gs protein) mediates the activation of the effector adenylyl cyclase and the generation of the second messenger cyclic adenosine monophosphate (cAMP) following receptor stimulation (Fig. Dialysis should be considered when the duration of symptoms is expected to be prolonged, normal pathways of excretion are compromised, clinical deterioration is present, the drug is dialyzable (ie, cleared by dialysis hemofilters), and appropriate personnel and equipment are available.
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Early symptoms are usually masked in ventilator-dependent patients. GFR, particularly in patients with severely reduced GFR. Because response to immunosuppressive therapy is often delayed (3-4 months), patients require continued supportive care until recovery. <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd?carafate.menosan.minomyc
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actone Laparoscopy, it is important to remember, is extremely invasive. Patients experiencing hemolytic anemia from cephalosporins should be advised to avoid all agents in the class. In the patient with a myocardial infarction, CK-MB can be detected in the blood 2 to 4 hours after symptom onset; its serum concentration peaks within 24 hours, and it remains detectable in the blood for 48 to 72 hours.
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The use of radiolabeled markers allows one to determine the individual contribution of each kidney to total renal function. The lung is the only organ of the body that receives the entire circulation. They are unique and separate infectious entities with different signs and symptoms and infecting organisms. zolt.amantadine.haldol The sooner therapy can be instituted in the field, as in carrying atropine, pralidoxime, and diazepam autoinjectors in an area where a nerve agent attack is anticipated, generally the better the outcome will be. Although a generic clopidogrel product is now available, it remains significantly more expensive than ASA therapy and may be less accessible by prescription than ASA, an over-the-counter (OTC) product. However, vigilance is still critical since outbreaks occur when unimmunized travelers visit countries where measles is still prevalent and in communities where vaccination rates are less than ideal. cipralex.norfloxacin.prazosin The typical patient experiences rhinorrhea and nasal congestion as early symptoms followed by nasal polyps. After 3 months of therapy, the dose may be titrated based on serum GH concentrations, serum IGF-1 concentrations, and control of clinical signs and symptoms of acromegaly. These so-called "fixed" drug eruptions recur in the same area each time the offending drug is given. nolvadex-d.priligy.geriforte Travelers should review information about their destinations and itinerary and consider potential self-care options for health issues that may arise during travel. This test is performed by combining the patient's serum with normal RBCs and then subjecting them to the direct Coombs test. zyloprim.precose.diarex In this model, a high level of preformed specific IgG antibody combines with antigen to produce a localized edematous, erythematous reaction within 5 to 8 hours. Vancomycin pharmacokinetics also support this approach because the volume of distribution is relatively stable and is not changed by many disease states or conditions. accutane.duramed.zestoretic The term disease, from the view of Western medicine, is the result of a physiologic process. Patients with extensive, life-limiting comorbidities or who are asymptomatic at diagnosis may warrant supportive care alone. Finally, efforts should be made to offer evidence-based pharmacotherapy.
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High aminotransferase (aspartate aminotransferase [AST] and alanine aminotransferase [ALT]) and alkaline phosphatase concentrations usually indicate acute hepatic cellular damage and do not establish poor liver drug metabolism reliably. The shape of the flow–volume loop, which includes inspiratory and expiratory flow–volume curves, and the ratio of forced expiratory and inspiratory flow at 50% of VC (FEF50%/FIF50% greater than 1) may be useful in the diagnosis of upper airway obstruction. https://ilsemarije.nl/shop/stmap_76jc131.html?alavert.femara.hydrea As testing of these drugs in a serum-supplemented medium has not gained widespread acceptance, their in vivo activity can be overestimated by in vitro MIC test results. Cabozantinib tablets first received breakthrough approval from the FDA in August 2015, and then received full approval in April 2016, for the treatment of advanced RCC. Hepatic blood flow may decline by 20% to 50%, and hepatic clearance of propranolol and amitriptyline may be reduced by 40% or more in older adults. https://ilsemarije.nl/shop/stmap_76jc35.html?furosemide.combaren.finasteride IV bolus and a steady-state one-compartment IV bolus, respectively. Almost half (45%) of the patients previously transfusion dependent who received azacitidine became transfusion independent. https://ilsemarije.nl/shop/stmap_76jc68.html?pariet.propecia.diprosone The distinct pathophysiology underlying neuropathic pain necessitates a different approach to treatment, where adjuvant agents (drugs not originally developed for use as analgesics) are considered first line for pharmacologic management. Histopathological changes are also nonspecific. Pharmacogenomics may help clinicians predict and minimize drug and disease interaction risks and adverse drug reactions (eg, cardiovascular disease and hyperprolactinemia with antipsychotic agents). https://ilsemarije.nl/shop/stmap_76jc116.html?indocin.nateglinide.purinethol In an introductory program, third-year pharmacy students determined the impact of using health literacy communication tools in a group of independent-living senior residents. In the 2014 to 2015 outbreak, bleeding was documented in less than 20% of the cases. https://ilsemarije.nl/shop/stmap_76jc56.html?omnic.capecitabine.feldene Stool on the examiner's glove obtained during rectal examination is often subjected to testing for detection of occult blood. For the chapter in the Wells Handbook, please go to Chapter 52. The relationship between YF vaccination and these subsequent illnesses is not well understood.
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Average parasitological cure rates at 1 to 4 weeks are above 90% for metronidazole (range 77%-100%) and tinidazole (range 80%-100%) and above 75% for nitazoxanide (range 64%-94%). However, people in every income and social strata can become infected. zantac.trimox.alavert Commonly, the initial agent(s) fails to lower blood pressure to goal or produces intolerable adverse effects (Fig. Affect describes the patient's current emotional tone, as expressed through facial expression, body posture, and tone of voice, all of which can be objectively observed by the clinician. The greater the distance covered, the better the patient's general fitness and exercise tolerance. chlorphen.advair.lynoral Follow-up studies, such as imaging procedures or kidney biopsy, may then further differentiate the specific cause, thereby guiding the selection of the optimal therapeutic intervention. In addition to important acute medical care issues post the disaster the needs of displaced individuals for chronic medical needs and medication access should be addressed. norgestimate.decadron.nimotop In 2009, 25.0% of community-dwelling older adults reported difficulty with one or more ADLs, and 12.0% reported difficulty with one or more IADLs. In this population, all-cause mortality rates were significantly different between equations. Latex allergens are proteins found in both raw latex and the extracts used in finished rubber products. norethindrone.antacid.cipramil It is an acute inflammatory dermatitis affecting the buttocks, genital, and perineum regions that are covered by a diaper. Nearly one week after the initial infection secondary viremia occurs, spreading the virus to other organs, which can result in pneumonia, encephalitis, and other complications. vera.avalide.zicam One classic publication reported that 247 patients had osteomyelitis in a prominent American teaching hospital during a 4-year period. Based on these data, clinicians are using extended-interval dosing as the preferred method for most patients.
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The chest radiograph is normal, as are pulmonary function tests (spirometry and diffusing capacity). Reduction of toxin absorption can be achieved by administration of activated charcoal. https://uren.jv.nl/stmap_1xeh33.html?diamox.somac.cytoxan Pharmacogenetics has the potential to greatly improve drug use and therapy outcomes. When the extravascular dose is administered orally, part of the dose may be metabolized by enzymes or removed by transport proteins contained in the GI tract wall or liver before it reaches the systemic circulation. There is no single unifying mechanism of toxicity of the chemicals used for warfare or terrorism because of the variety of different agents involved (see Table e9-14). https://uren.jv.nl/stmap_1xeh54.html?dexamethasone.fungus.prostatic For the chapter in the Wells Handbook, please go to Chapter 56. The maintenance dose will be given as digoxin tablets, so F = 0.7 in the dosing equation: D/П„ = [(1.5 mcg/L)(60 mL/min)(60 min/h)(24 h/day)]/[0.7(1,000 mL/L)] = 185 mcg/day, rounded to 187.5 mcg/day (given as 1 1/2 of 125 mcg tablets). https://uren.jv.nl/stmap_1xeh96.html?celecoxib.mupirocin.levonorgestrel Somatropin is composed of the same amino acid sequence as native human pituitary GH. Thus, codeine should not be used in these patients. CT scanning is rapidly replacing plane radiography of the abdomen due to its widespread availability, diminishing cost, and wealth of information provided. https://uren.jv.nl/stmap_1xeh134.html?tarivid.uroxatral.estrace Acetylcysteine (also known as N-acetylcysteine), a sulfhydryl-containing compound, replenishes the hepatic stores of glutathione by serving as a glutathione surrogate that combines directly with reactive metabolites or by serving as a source of sulfate, thus preventing hepatic damage. A 12-lead ECG demonstrates a prolonged QT interval. Another category of "special populations" are those patients needing extra assistance to access care, such as the hearing impaired, homebound elders, and homeless. https://uren.jv.nl/stmap_1xeh66.html?indinavir.apri.esomeprazol The vaccine is contraindicated in anyone with a history of acute hypersensitivity reaction to any components of the vaccine (including gelatin) or a history of acute hypersensitivity to eggs or egg products. The knowledge of pharmacogenetics and pharmacogenomics now is being applied to patient care in some instances.
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A total of 47% of patients had a major erythroid response when EPO doses were escalated or filgrastim was added. For some drugs, such as the sulfonamides, the parent compound must be converted to a metabolite before it can combine with the macromolecule. Specimens that contain fastidious organisms or anaerobes require special transport media and should be forwarded immediately to the laboratory for processing. https://eerstehulpduo.nl/stmap_zhoi130.html?coumadin.linezolid.co-diovan A comfortable distance for personal space also varies across cultures. After the diagnosis of obstructive airways disease is established, the course and response to therapy are best followed by serial spirometry. Consumption of sulfites in US diets is estimated to be 2 to 3 mg/day in the home with 5 to 10 mg per 30 mL of beer or wine consumed. https://eerstehulpduo.nl/stmap_zhoi9.html?innopran.himcolin.nebivolol A similar pattern can be seen with regards to internet access. Measles outbreaks have been blamed on an unfounded link between autism and measles, mumps and rubella (MMR) vaccine and, subsequent low vaccination rates in some regions. In many cases treatment solely with activated charcoal or observation and supportive care should be considered. https://eerstehulpduo.nl/stmap_zhoi121.html?bellissima.phenazopyridine.raloxifen
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Broad differences currently exist between DSM-5 and ICD-10. Once these definitions are set, a tracking process can be designed. estrace.captopril.mobilat The presence and severity of valvular regurgitation may be evaluated qualitatively by observing the amount of radiographic contrast material that regurgitates in a retrograde direction across the valve. Occupational exposures to hair dyes, cereal dusts, exhaust gases, diesel fuel, and industrial solvents (including benzene and toluene) have been associated with development of MDS. The estimated incidence of chloramphenicol-induced aplastic anemia is one case per 20,000 patients treated, but the overall prevalence has declined with decreased use of this agent. nabumetone.imigran.ginseng For this reason, many clinicians consider concentrations obtained after three half-lives to be Css. Multiple strategies have been implemented and proposed to prevent opioid-related deaths. Most health information is written at a 12th grade level or higher, but the average American reads at about the 8th grade level. tenoretic.caverta.elocon A Css of 9.2 mcg/mL (9.2 mg/L; 37 Ојmol/L) is measured. These studies have reported average final adult heights ranging from 0.5 to 1.7 standard deviations below the population mean. For each point, the actual concentration is subtracted from the extrapolated concentration to compute the residual concentration. renagel.metrogel.lanoxin In a few instances, it may be possible to continue the offending drug and "treat through" the reaction (eg, ampicillin-associated maculopapular skin rash). Because asthma is an inflammatory disorder of the airways (predominantly large airways), Dlco is usually normal or even slightly above the normal range. cystone.biaxin.vivitrol The observed swallowing of the contrast agent permits visualization and monitoring of esophageal structural and motor functions. They are nonspecific and may appear in concentrated urine.
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Others suggest that professionals should screen patients' health literacy and then tailor communications accordingly. For example, the discovery that CML was caused by chromosome translocation and consequent production of an enzyme capable of producing life-threatening lymphocyte levels led to accelerated FDA approval of imatinib (also known as STI-571), an inhibitor of the translocation-created enzyme, for treatment of CML. <a href="http://mastiel.nl/stmap_l8qm78.html?monodox.jarvis.sterapred">
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peman.symbicort.aricept</a> Whole bowel irrigation should be considered for ingestions of extended-release formulations, packets of drugs such as heroin intended for smuggling, and fentanyl dermal patches once the patient is stabilized. The 2013 ACC/AHA cholesterol guideline classifies PAD as a coronary heart disease (CHD) risk equivalent and at highest risk for recurrent atherosclerotic cardiovascular disease (ASCVD) and ASCVD death. Electrolyte replacement, antibiotic therapy, and nutritional support are essential adjunctive treatment modalities. <a href="http://mastiel.nl/stmap_l8qm116.html?ardin.uroxatral.lipothin"&g
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Patients with SPMI receive the same level of medical care as the general population. Because RFA and cryoablation can result in localized fibrotic reactions, surgical salvage after relapse can be compromised, and these procedures are typically reserved for patients who are not surgical candidates but still desire aggressive localized therapy. <a href="http://m.utsneek.nl/stmap_3t8y178.html?reglan.deprenyl.renova"&g
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scitalopram.betnovate.xenical</a> Continuous IV infusions of theophylline (or its salt, aminophylline) can be individualized rapidly by determining the patient's CL before steady state occurs. Correction factors are 0.3 for ОІ-lactams, 0.45 for ciprofloxacin, and 0.4 for aminoglycosides.
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The genetic code has substantial redundancy, in that two or more codons code for the same amino acid. The platelet count slowly returns to baseline after an initial decline despite continued heparin therapy. https://dev.vwc.jv.nl/stmap_0kol143.html?laura.oxy.clavulin Noncardiogenic pulmonary edema may progress to hemorrhage; cellular debris collects in the alveoli, followed by hyperplasia and fibrosis with a residual restrictive mechanical defect. Kidney transplant recipients are frequently monitored for renal function, as numerous complications may occur during the life of the allograft. https://dev.vwc.jv.nl/stmap_0kol198.html?zenegra.famvir.omnic The epidemic began in Guinea, spread to neighboring countries in West Africa and despite infection control measures, cases occurred in the United Kingdom, Italy, Spain, and the United States. The dermis, which is derived from mesoderm, is a much thicker layer that contains nerve endings and blood vessels. Baseline or highest level of functioning does not influence treatment goals. https://dev.vwc.jv.nl/stmap_0kol73.html?anacin.veramyst.albuterol The shape of the flow–volume loop can be helpful in differentiating obstructive and restrictive defects and in diagnosing upper airway obstruction (Fig. A commonly recommended regimen in high-risk patients is oral prednisone (50 mg) 13, 7, and 1 hours before exposure with 50 mg of diphenhydramine given orally or intramuscularly 1 hour before exposure to prevent immediate reactions. A detailed neurologic examination is an extremely important tool for localizing a lesion within the nervous system. https://dev.vwc.jv.nl/stmap_0kol107.html?glimepiride.imipramine.florinef Sebaceous glands and small hair follicles together form pilosebaceous units, which originate in the dermis and have follicular ducts extending through the epidermis to the skin surface. In adults, osteomyelitis caused by contiguous spread, including postoperative, direct puncture, and that associated with adjacent soft tissue infections, comprises 47% of infections. While assessing a patient for EVD, it is important to consider alternative and concurrent conditions that may present in the same way. https://dev.vwc.jv.nl/stmap_0kol32.html?sinequan.tradox.aldactone Celiac disease is a small intestinal immune-mediated enteropathy caused by intolerance to ingested gluten, a storage protein found in wheat, barley, and rye. Establishment of adequate oxygenation and maintenance of adequate circulation are the highest priorities.
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uot;>binozyt.zyrtec.clonidine</a> Other benefits to this technology include the ability to detect slow-growing or nonfastidious organisms as well as not being limited to only a positive blood culture as the source of specimen. Patients with SPMI have a shortened life span compared to the general population. The cough reflex to capsaicin is enhanced but not to nebulized distilled water or citric acid.
10 март 2018 15:14

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