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This complication has been found to have ahigher incidence among patients with a pudendal thigh flap.42 If there is difficulty inmaintaining patency, requiring the use of obturators, this can be a deterrent to sexualactivity. This overlap can readily be seen by comparingelectron micrographs of resting and contracted muscle. Theirritative diarrhoea is to be distinguished fromthat due to superinfection

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Meta-analyses of randomized trialshave demonstrated that systemic administrationof corticosteroids if given early (<96 h) or moder-ately early (7–14 days) is effective in facilitatingweaning from the ventilator and reducing the inci-dence of oxygen dependence at 28 days of ageand 36 weeks postmenstrual age (Halliday et al.2009; Halliday et al. Prevention of heartfailure by antihypertensive drug treatment in older per-sons with isolated systolic hypertension. The organism survives in the acidic environ-ment of the stomach by splitting urea, thereby maintaining a nearly neutral pH

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The plasma membraneactively extrudes calcium ion from the cell to maintaincytosolic concentrations at a low level compared withthe external environment (the ratio of intracellular toextracellular concentration is about 1:10,000). In cases of tachy-cardia, it is essential to know whether the tachycardia is ventricular or preventricular inorigin. Can’t stand forlong near the kitchen sink or anything like that.

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