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DEFINITION OF TERMS USED Date Enter the date a client attends clinic Client registration number Enter registration number of every client in a facility. This number is used to identify that particular client, it should not be repeated to another client within the year. Name Enter first and second name of the client Age Enter the age in years Sex Enter M ; Male or F ; Female Client referred from - Specify where the client has been referred from Type of attendance Enter New client, contact or follow up Symptoms and Signs Enter the presenting major symptoms and signs Diagnosis Enter the diagnosis Syndrome ; Drugs issued Enter the amount of all drugs issued Counseled and advised on condom use Tick if the client was counseled and advised on condom use Number of condom provided Enter the amount of condom issued to the client Counseled and referred for HIV testing tick if the client was counseled and referred for HIV testing Comments Enter your comments on management of the client Providers' signature Enter your signature, for example, ddavp mechanism of action. Undertaken the prohibition of cocaine and heroin in the Harrison Act, the federal government resisted assuming responsibility for the control of a drug whose presence was felt only in a few states and one that could be grown locally rather than need to be imported.52 Nevertheless, as pressure from the states mounted, 53 Congress passed the Marijuana Tax Act in 1937.54 That Act relied on the power of the federal government to tax, because federal authority under the Interstate Commerce Clause to intrude on the police powers traditionally reserved to the states was still uncertain.55 The Act required that every person importing, cultivating, and dealing in marijuana register and pay an occupational tax.56 Every marijuana transaction had to be.

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Formularies have substantial influence over which drug a patient ultimately receives. Entities who possess formulary power select the drug for their formularies based on spread and rebate. This is true whether the drug is single or multi-source. Geri-Med, for example, a GPO serving long term care pharmacies makes clear in its marketing materials to its customers that one of the "Keys to Unlocking Profits" with respect to "Single Source Medications" is to "BUY THE PACKAGE SIZE WITH THE BEST AWP SPREAD". 19. The pharmacist plays a role in deciding which drug a patient receives, for example, ddavp mechanism of action. Hours and serum was obtained at the mid-point of the urine collections. Creatinine clearances were measured at 24- to 48-hour intervals in 8 group 1, 11 group 2, and 8 group 3 animals. To ascertain the mechanism of the observed increase in creatinine clearance during escape from desmopressin, mean arterial pressure and renal blood flow were measured, and renal vascular resistance was calculated in 8 group 1 and 8 group 2 rats at the time a significant increase in creatinine clearance was observed. Arterial pressure was measured with Statham transducers Statham Instruments, Inc. ; following direct puncture of the intracarotid catheter. For measurement of renal blood flow, animals were lightly anesthetized with ether and a tapered PE 50 tubing was advanced retrograde through the right carotid artery until a pressure tracing indicated an intraventricular position of the catheter. A second catheter was then placed in the femoral artery for blood collection. The animals were then transferred to restraining cages and allowed to stabilize for 60 minutes. Subsequently, intracardiac position of the carotid catheter and patency of the femoral arterial catheter were again demonstrated. Microspheres 3 M Company ; labeled with e 'Sr and measuring 8.8 0.9 nm in diameter were dissolved in normal saline and injected according to techniques described previously Linas et al, 1980 ; . To evaluate a potential role for osmotic diuresis in the escape phenomenon, hourly osmolar excretion rates were calculated from mean hourly urine flow rates and mean urinary osmolalities. Osmolar excretion rates were determined from 8 hour urine samples obtained throughout the experimental protocol in 21 group 1, 19 group 2, 10 group 3, and 8 group 4 animals. To determine if a decrease in renal interstitial tonicity could underlie the escape phenomenon, we measured inner medullary papillary ; electrolyte sodium and potassium ; and urea nitrogen content in 8 group 1, 8 group 2, and 8 group 4 animals. Inner medullary solute content was measured at the time of early escape 16 hours after start of desmopressin ; and during a late period of escape 80 hours after start of desmopressin ; . In addition, inner medullary solute content was also measured in 8 group 1 animals 8 hours before time of start of desmopressin and in 8 group 2 animals at maximal antidiuresis 8 hours after start of desmopressin ; . Animals were killed by guillotine and the kidneys removed rapidly. Inner medulla was rapidly dissected free and weighed. One intact inner medulla was dried to constant weight at 95C for 72 hours to determine water content, while the other inner medulla was homogenized in 0.5 ml of deionized water for measurement of sodium and potassium Perkins Elmer Atomic Absorption Spectrophotometer, model 295 ; and urea nitrogen Technicon Autoanalyzer ; . Inner medullary solute content was calculated as described by Appelbaum et al. 1958 ; . Role of Biochemical Factors in Escape from DDAVP To ascertain whether biochemical abnormalities occurred during escape from DDAVP, we measured adenylate cyclase activity and cAMP-phosphodiesterase activity in outer and inner renal medullary tissue. Measurements of these enzyme activities were undertaken in 7 control and 7 experimental animals during early escape and in 7 control and 8 experimental animals during late escape. In these experiments, rats were anesthetized by intraperitoneal pentobarbital 50 mg 100 g body weight ; . The kidneys were exposed by careful dissection and harvested.
Clinical tests of V2R-mediated responses are performed using the V2R-selective agonist dDAVP rather than the nonselective natural hormone AVP that interacts equally well with V2 and Vl receptors. The doseresponse curves for stimulation of adenylyl cyclase by dDAVP were thus compared in homogenates of cells expressing the wild type and mutant receptors, respectively. The E&s for adenylyl cyclase stimulation by dDAVP were mean + so, n 4 ; 1.2 + 0.1 nM for the wild type receptor in HTB-2 cells and 71 f 9 for the Q3 mutant receptor in Q3.3 cells. This is a 59-fold shift, which is not statistically different from the 625fold shift in E& obtained with AVP. These data are shown in Fig. 7. The fact that the shifts in ECso for adenylyl cyclase activation were essentially the same for AVP, the hormone for both V2 and Vl receptors, and dDAVP, a V2-selective receptor agonist, indicates that the Arg113-containing region is critical for agonist affinity but not for agonist selectivity and stimate.

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15% ; and -linolenic acid n 3 ; 61% ; was advised for use as a cooking oil. It has the lowest n 6 n ratio 1 4 ; among the commonly available vegetable oils. Blood samples were obtained from fasting subjects but the dietary conditions were not accurately defined for infant subjects. Hematological Parameters and Clinical Evaluations - Serum IgE, eosinophil counts, total pro tein, total cholesterol, Ca, Fe and hemoglobin Hb ; were determined by clinical tests routinely used in the hospital. The ADASI was determined according to the standardized method of Ikezawa et al.37 ; Photocopies of patients' dermatitis were taken as recorded data. Fatty Acid Composition of Total Serum Lipids - Frozen serum 100 l ; was mixed with chlo roform methanol, and the total lipids together with heptadecanoic acid added as an internal standard were extracted according to Bligh and Dyer's method.38 ; After transmethylation with 5% HCl in methanol, fatty acid methylesters were analyzed by a gas-liquid chromatograph equipped with a capillary column DB225, J&W Scientific, Folsom, CA ; . The results were fed back to dietary recommendations, taking the levels of EPA and DHA to indicate the measure of seafood intake, and -linolenic acid as that of perilla oil intake. Greenlander value was calculated as an indicator of the extent of fatty acid changes toward the typical fatty acids of Greenland natives Innuits ; having a value of 1.8139 ; as follows: Greenlander value 1.81 in which C represents carbon chain length of fatty acids, and a factor of 0.3 was tentatively used for correcting the possible differences in physiological activities between C18 carbon polyunsaturated fatty acids and C20 as well as C22 carbon polyunsaturated fatty acids. The values increased from zero very low intake of n 3 fatty acids ; to 1 the level of n 6 and n 3 balance comparable to that of typical Innuits ; and over, depending on the increased amounts of n 3 fatty acid intake relative to that of n 6 intake. Statistical Analysis -Changes in atopic derma titis area and severity index ADASI ; and other clinical parameters as well as changes in fatty acid compositions during the 1-year intervention were analyzed by a repeated measures analysis of variance and desmopressin, for example, ddavp com.
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Many competitors have far larger sales forces, and significantly greater resources and experience in marketing pharmaceutical products, than alza pharmaceuticals. Millennium Pharmaceuticals AML Cambridge, MA National Cancer Institute Bethesda, MD Schering AG Berlin, Germany GlaxoSmithKline Philadelphia, PA Rsch. Triangle Park, NC Ligand Pharmaceuticals San Diego, CA Titan Pharmaceuticals South San Francisco, CA National Cancer Institute Bethesda, MD National Cancer Institute Bethesda, MD Exelixis South San Francisco, CA see also liver, solid tumors ; see also skin, solid tumors and decadron. In refractory myeloma patients on thalidomide, MMRF sent the information to patients, throwing a lifeline to those for whom other therapies have failed. "The industry is starting to see that we are the link for getting information about their products and clinical trials to the patient communities, " says Giusti. "They realize that link can really speed the drug's approval process. That's the driving factor for the pharma industry.
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First, understand the gaps in consumer knowledge. Nearly 40% of respondents consider themselves either "not knowledgeable at all" or "not very knowledgeable" about generic drugs. Healthcare providers can play a big role; 80% of survey respondents rely on physicians "a great deal" or "a fair amount" for advice about taking prescription drugs, and 46% rely on pharmacists "a great deal" or "a fair amount." Target messages to the appropriate audience. Willingness to use generics is more widespread among respondents under the age of 59, and men were less knowledgeable about generics than women 54% of men considered themselves "very" or "somewhat" knowledgeable, versus 59% for women ; and less likely to have tried a generic to save money in the past year 49% for men, versus 59% for women ; . Effective communications that target older consumers and men can have a significant impact. Educate and build awareness--among consumers and healthcare providers. It's important to reiterate the safety and efficacy of generic drugs to physicians and pharmacists, because healthcare consumers rely heavily on their advice about taking prescription drugs. Pharmaceutical companies spent $4.45 billion4 on direct-to-consumer advertising last year alone, so the need to convey the generics message cannot be overstated. Create savings opportunities by offering lower co-payments for generic drugs. Generics continue to be selected when co-payments are less than those for branded medications. "Using generics" tops the list of actions our survey respondents have taken or would take to reduce healthcare expenses and dexamethasone.
Usual dose: Bacterial infections--Cats and dogs: Oral, 2.75 to 5.5 mg per kg of body weight every twenty-four hours. Note: The 2.75-mg-per-kg dose was found to be clinically effective in the treatment of susceptible skin, soft tissue, and urinary tract infections. For empiric treatment of probable Pseudomonas aeruginosa or Staphylococcus infections, the higher end of the dosage range may be preferable, pending susceptibility results. Horses--In the U.S., for use only in animals not to be Note: EL used for food production: Although the safety and efficacy have not been established, an oral dose of 2 mg per kg of body weight!
Practices can be innovative to assure appropriate quality standards through the introduction of electronic health records or ePrescribing, to cite just two examples. For 2008, providers are already lobbying hard to increase their reimbursement from the current recommendations that MedPAC has made. Those recommendations include a 1.7% increase on physician reimbursement, a 3.1% increase on hospital reimbursement, and a freeze on nursing home reimbursements. THE FUTURE OF MEDICARE PHYSICIAN REIMBURSEMENT For 2007, instead of the 5.4% decrease as set forth under the SGR Formula, Congress passed a freeze on Medicare's annual adjustments. But even more significant with regard to the annual adjustment to the Medicare fee schedule is the introduction of a payfor-performance P4P ; payment. A section of the Tax Relief and Health Care Act of 2006, Sec 101 Physician Payment and Quality Improvement, introduced the beginning of P4P initiatives within Medicare. Beginning July 1, 2007, and ending December 31, 2007, providers will receive an additional 1.5% from Medicare for reporting measures identified as 2007 physician quality measures under the Physician Quality Reporting Initiative PQRI ; . The additional 1.5% from Medicare for reporting measures identified as 2007 physician quality measures under the Physician Voluntary Reporting Program is available to eligible professions, which include in addition to physicians ; nurse practitioners, physical and occupational therapists, and qualified speech-language pathologists. In those fields of medicine, where four or more quality measures apply, providers are required to report on at least three quality measures in at least 80% of the cases in which the respective measures is reportable. As a result, physicians would be well advised to focus on just three measures during this first period of time and divalproex.

Successful lactation depends on sound nutrition and management programs that are interdependent. Attention to detail in these areas, especially during the periparturient period, is a major determinant of farm profitability. Sound reproductive and nutritional management during the breeding period and gestation are required to achieve optimal body condition BCS ; at parturition. Typical recommendations for BCS at parturition are 3.5 to 3.75; however, recent data indicate that cows of BCS 3.0 may have improved health and early lactation performance. Management of periparturient BCS is critical to minimize the extent of negative energy balance and its associated mobilization of adipose that results in elevated plasma NEFA levels. Plasma NEFA can accumulate in the liver as triacylglycerol TAG ; and impair both metabolic and immune function. Superior nutrition and management can avert excessive TAG accumulation during the peripartum period. Dietary supplementation or oral administration of nutrients or compounds such as choline, niacin, calcium propionate, propylene glycol, glycerol, fat, and trace minerals are used as prophylactic measures when nutrition or management is suboptimal. Though commercial use of these supplements is common, recent data and review of the research literature indicates efficacy only under certain circumstances and when administered by specific methods. Recent data also have provided possible physiological links between the associations of primary infectious disease with the occurrence of secondary metabolic disorders, thereby emphasizing the importance of sound energy, protein, and macromineral nutrition for immunocompetence of the periparturient cow. Dietary vitamin and trace mineral supplementation above NRC requirements or from alternative sources have been emphasized to promote immune function. Although in vitro data sometimes are supportive of this practice, research into the requirements of these nutrients to optimize immune function in lactating dairy cows needs to be conducted. Key Words: periparturient cow, metabolism, immune function intermediate to those fed CON and GLY. These data indicate glycerol fed at 1 kg delayed the onset and degree of fat mobilization during the first 3 wks postpartum. The greatest potential for glycerol to prevent ketosis was observed during the first 7 DIM and the optimal inclusion rate is between 0.5 and 1 kg d. Key Words: Periparturient, Glycerol, Metabolites, for instance, edavp nasal.
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Experiments Table 1 ; . Although some day-to-day variation was observed, the deterioration was calculated to exceed this variation significantly p 0.075 ; . The more pronounced decrease for storage of plasma at -20 # C, however, may be due to a greater day-to-day variation for this series of measurements. In general, for the storage of pharmaceuticals a decrease of at most 10% is tolerated in designating the shelf-life unless, for instance, toxic degradation products are formed 3 ; . From the above data we calculated the storage time, t, according to Connors et al. 3 ; , for the, because buy ddavp. DDAVP, desmopressin; U46619, 9-epoxymethanoprostaglandin F endoperoxide analogue ; . Values are meanSEM and gliclazide. People should be put in the position of having to go into a nursing home and either pay or have a nursing home imposed on them. Fees would be 25, 000 or 30, 000 a year, and the drug cost to the NHS, I suspect, would be less than 1, 000 a year. The following information describes points at which foreignborn persons are screened for TB and suggests other opportunities for such evaluation. Overseas Visa Medical Examination Within 12 months prior to immigrating, all refugees and immigrants receive a medical examination performed overseas by a Panel Physician approved by the Centers for Disease Control and Prevention CDC ; . One purpose of this examination is to exclude individuals with certain communicable diseases, including TB. Results of the examination may be inaccurate or incomplete due to inadequate equipment or facilities, lack of standardized procedures, or chaotic conditions overseas. The TB component of the examination includes a chest x-ray and acid-fast bacillus AFB ; smears of sputum specimens for patients whose chest x-ray indicates possible active TB disease. The screening does not include a tuberculin skin test TST ; to identify persons with TB infection. Individuals diagnosed with possible TB disease are assigned a "TB Class Condition" by the CDC Division of Quarantine. Class A - clinically active, infectious TB: Individuals are not allowed to travel until they have started treatment and are no longer infectious. These persons must receive a medical evaluation within 7 days of arrival in the U.S. to ensure continuity of care. continued and dibenzyline.
Well, and are very relaxed in this secluded setting. John and Julia also run the Hoofbeats Racing Club which aims to provide year round interest for members through ownership, stable visits, race meetings and gallop tours. Shares are a one off payment of 50 and the Club has had a lot of success with their horses. This year the Club horse is a 5 year old Dansili mare, BAVARICA, bought as an unraced 3 year old from Juddmonte. She has already won and been placed. For more details about the Club, ring 01638 578628. John and Julia are quick to praise the considerable organisational skills of their secretary, Carole, without whom they would be lost! Racing is obviously going to continue in this family with 18 year old Ross and 12 year old Shelley both being keen riders. Ross has already had 30 rides under rules and also rides in Arabian races. He is planning to do a sports journalism degree at Brighton University and hopes to ride out for Gary Moore while he is there.
226 analysed. Exclusions; 13 did not require medication, 3 lost to follow-up, 2 remedication. with slight pain before hour 2 observations, 2 remedications. Before first hour observations, 1 fell asleep for over 2 hours and phenoxybenzamine and ddavp, because ddvp in bleeding. Renal disease The uraemic patient may have a prolonged bleeding time and abnormal platelet aggregation despite a normal platelet count. Dialysis should correct this and is the mainstay of treatment. Desmopressin DDAVP ; therapy, given intranasally or intravenously, will increase circulating von Willebrand factor levels and will improve platelet aggregation in these patients. In an emergency situation when bleeding is a problem, cryoprecipitate can be used to increase von Willebrand factor levels in the uraemic patient. It should be remembered that correction of anaemia will also help correct the prolonged bleeding time.
Cyclopentolate hcl .99 cyclophosphamide .39 cyclosporine.46 cyclosporine 100 mg softgel.46 cyclosporine 100 mg ml soln.46 cyclosporine 25 mg softgel.46 cyclosporine 50 mg softgel.47 cylate .99 CYMBALTA .25 cyproheptadine 2 mg 5 ml syr.31 cyproheptadine 4 mg tablet .31 cyproheptadine hcl 4 mg tabs .31 CYSTADANE.76 CYSTAGON.81 CYSTOSPAZ.113 CYTADREN .76 CYTOGAM.104 CYTOMEL.109 CYTOTEC.110 CYTOVENE 250 MG CAPSULE .45 CYTOVENE 500 MG CAPSULE .45 CYTOVENE 500 MG VIAL .45 CYTOXAN 1 GM VIAL .39 CYTOXAN 2 GM VIAL .39 CYTOXAN 25 MG TABLET .39 CYTOXAN 50 MG TABLET .39 CYTOXAN 500 MG VIAL.39 CYTOXAN LYOPHILIZED 1 GM.39 CYTOXAN LYOPHILIZED 2 GM.39 CYTOXAN LYOPHILIZED 200 MG .39 CYTOXAN LYOPHILIZED 500 MG .39 cytra k crystals.81 cytra-2.81 cytra-3.81 cytra-k.81 D D.H.E. 45.87 DACOGEN.39 DALLERGY CAPLET SA.60 dallergy syrup .60 DANAZOL .18 DANTRIUM.95 dantrolene .95 DAPSONE .37 DAPTACEL.110 DARAPRIM.38 DARVOCET A500 .13 DARVOCET-N 100.13 DARVOCET-N 50 .13 DARVON.13 DARVON COMPOUND-65 .13 DARVON-N.13 DAYPRO .9 DAYTRANA .7 DDAVP 0.01% NASAL SPRAY .76 DDAVP 0.01% SOLUTION .76 DDAVP 0.1 MG TABLET .76 DDAVP 0.2 MG TABLET .76 DDAVP 15 MCG ML AMPUL.76 DDAVP 4 MCG ML AMPUL .76 and phenytoin. Discussion DDAVP is thought to raise plasma vWF levels by increased exocytosis from WP bodies. This is suggested by the rapid effect of the drug less than 1 hour ; and by the appearance of high-molecular-weight vWF multimers typically released from WP bodies 31 ; . The vWF is stored in WP bodies together with its propeptide vWF: AgII ; in a 1: molar ratio. DDAVP causes a simultaneous equimolar increase in vWF and propeptide.
Suffering with psoriasis down in Oklahoma, a very serious condition. I've been with Tena to meet the doctor who treated her so many years ago at the University of Oklahoma, and believe me, psoriasis treatment back then was not pretty, and even for some people now it's not, but fortunately there are new approaches that have made a big difference for many people. It's a serious, chronic, autoimmune condition that goes on through your life, and I want you meet Tena. Tena is with us down in Sulphur, Oklahoma. Good morning, Tena. How are you? Tena Brown: Good morning Andrew. I'm wonderful. Thank you so much for having me on the show. Andrew Schorr: Well, let's talk a little bit just so people know your story. So, psoriasis surfaced in your life at what age? Tena Brown: At 13 years old. I was diagnosed with psoriasis and then at 17 I was diagnosed with psoriatic arthritis, and as you mentioned, you know, it's a very difficult disease, and 25 years ago there were very few treatments that were available, so it was really challenging and took a lot of time and a lot of energy. Like many psoriasis patients, I was very frustrated because I would go to one doctor and not hear a good story and have a very gloomy outcome, and so I would try another doctor, and then I would try another doctor. I did that for many years and then finally, because of a bad experience with a rheumatologist, I decided to become a powerful patient, and thank God that I did, because it enabled me to take my health into my own hands and realize that, hey, like you said, this is my body; this is my treatment; these are my dreams. I was not going to be resigned to a life of misery; that I was going to take my disease, find a way to find the best treatments and the best doctors, and find a way to live with it in a powerful, empowering way. So, for me now, 35 years later, I'm on one of the new drugs, one of the new biologic drugs, which has been a godsend, and I found that because I, once again, educated myself. I studied. I found physicians that were really empathetic and compassionate and top leaders in the field that could prescribe and help guide me in the direction I wanted to go. Andrew Schorr: But you've taken it further, and now you give speeches and you're. Tena Brown: Oh this is the most exciting part, Andrew. I'm so glad you brought that up. I always said, when I was younger, that someday I was going to put myself in a position to teach the healthcare team, the physician, the nurse, everybody that touches the patient, that I was going to help them understand how important at bedside. This property can be taken advantage of in almost all liquid dosage forms table 76 ; , though in particular applications, some grades of kollidon are more suitable than others. The concomitant use of three or more psychotropic medication classes should be the basis for a clinical review given that such drug use for youths lacks research support and is off-label in almost all instances. Essentially, such treatment has inadequate evidence for a therapeutic benefit while increasing the risk of adverse events. Formulary restrictions should be increased to limit the use of psychotropic drugs for youths with Medicaid insurance if there are serious concerns about a drug's safety record or if a less expensive equivalent drug is available. Clinical educational approaches to improve physician prescribing should be utilized by an academic detailing team when 3 or more psychotropic classes are used concomitantly. Resources should be increasingly allocated to assure assessments of baseline health status, drug monitoring and drug treatment outcome, particularly when a drug is known to have frequent or serious side effects or questionable benefits. The widespread use of antipsychotics as well as anticonvulsants used as `mood stabilizers' should be challenged based on a lack of established efficacy and the risk of adverse events. Divalproex Depakote ; is not appropriate for women in their child bearing years because such treatment during pregnancy prominently increases the risk of fetal anomalies. If divalproex is prescribed for such women, it should be done with great caution and with appropriate education. Olanzapine Zyprexa ; should be restricted to very short term use e.g., 2 weeks maximum ; and prescribed only when other antipsychotics have failed. Desmopressin DDAVP ; , a medication used to treat nocturnal enuresis should be limited since conditioning approaches are less expensive and more effective. Great caution should be used when prescribing non-stimulant psychotropic medications e.g. antipsychotics, anticonvulsant `mood stabilizers' and antidepressants ; for pre-school children. Furthermore, such treatment should merit a clinical review to establish appropriateness.
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I'm not trying to start a debate about politics and drugs, just suggesting that you do some reading and stimate.

Backbypopulardemand! Thisworkshopwas ; Thequintessential courseforbeginners, reviewed. Learner Objectives: Uponcompletionofthisworkshop, youwillbeableto: l l industrystandards. l administrativeandmarketingstaff. l includingpatientage, features, futurelook, facialproportions, donor availability. l skilllevel, andwhoshouldbereferred, andavenuesforseeking l thedonorresourcearea, andrecipientarea. l. Several methods have been established for measuring CFR Table 1 ; . However, these methods are either invasive intracoronary Doppler flow wire ; , highly expensive and scarcely avail.

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