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The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help alleviate symptoms of mental illness and boost overall mental well-being.
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Tb in sot
Solid organ transplant recipients have a higher risk of developing TB compared to the general population. The majority of post-transplant TB cases are due to reactivation of latent TB infections in recipients. Donor-derived TB may occur if the donor was from a TB endemic area or had untreated TB. For living donors, a TST or IGRA is used for screening and treatment of latent TB is considered. For recipients, treatment of latent TB is indicated if they have a risk factor such as a positive PPD or history of TB exposure. Recommended regimens include 9 months of INH or 4 months of rifampin plus other drugs. Treatment duration of at least 12 months is important to prevent TB recurrence.
Treatment of hcv_in_hiv_infected_patients
Treatment of HCV in HIV-infected patients has historically been challenging with low response rates and side effects. However, recent developments in direct-acting antiviral agents now offer highly effective interferon-free regimens. Studies show sofosbuvir-based combinations achieving over 90% cure rates in HIV/HCV coinfected individuals, including those on antiretroviral therapy. Daclatasvir is being studied in phase III trials and may be co-administered with many antiretrovirals. These developments promise to greatly improve outcomes for people living with HIV/HCV coinfection.
Im id board reviow 2
1. The document contains questions and answers related to internal medicine board review topics such as infectious diseases, antibiotics treatment, and hospital-acquired infections.
2. Many questions focus on determining the most appropriate antibiotic therapy or treatment duration for various bacterial infections and hospitalized patients.
3. Other topics addressed include risk factors for ventilator-associated pneumonia, Clostridium difficile infection treatment, HACEK gram-negative bacilli, and antifungal therapy for invasive fungal infections.
Learning id
This document lists resources for infectious diseases, including textbooks, journals, websites, and resources for residents. It provides textbooks such as Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases and Hospital Epidemiology and Infection Control. Journals mentioned include Clinical Infectious Diseases and Lancet Infectious Diseases. Websites include Journal Watch, Medscape, and various sites for HIV/AIDS, hepatitis, and emerging diseases. Resources for residents include textbooks, MKSAP, Red Book, and reviewing major infectious disease syndromes through articles.
Treatment of hcv_in_hiv_infected_patients
Treatment of HCV in HIV-infected patients has historically been challenging with low response rates and side effects. However, recent developments in direct-acting antiviral agents now offer highly effective interferon-free regimens. Studies show sofosbuvir-based combinations achieving over 90% cure rates in HIV/HCV coinfected individuals, including those on antiretroviral therapy. Daclatasvir is being studied in phase III trials and may be co-administered with many antiretrovirals. These developments promise to greatly improve outcomes for people living with HIV/HCV coinfection.
Syphilis in pregnancy-final_version
The document discusses three case scenarios involving pregnant women with reactive syphilis serology. It provides details on interpreting syphilis serology, the stages of syphilis infection, and recommendations for treatment and follow up after treatment. The key points are: syphilis should be suspected in pregnant women who are sexually active or have partners with risk factors; reactive nontreponemal and treponemal tests indicate current or past untreated syphilis; and pregnant women with reactive tests should be treated with penicillin to prevent transmission to the fetus.
Stainingbacteria 101004225924-phpapp02
The document discusses various staining techniques used to visualize bacteria under the microscope, including simple staining, Gram staining, acid-fast staining, and Albert staining. Different staining methods are used to differentiate bacteria based on cell wall structure and composition, with Gram staining distinguishing between Gram-positive and Gram-negative bacteria and acid-fast staining identifying Mycobacteria. Proper staining enhances contrast and visibility of bacterial cells and structures.
Antimicrobial resistance
A 41-year-old woman with aplastic anemia was admitted with fever. Blood cultures grew E. coli resistant to ampicillin and narrow-spectrum cephalosporins. Despite treatment with multiple antimicrobials over 4 weeks, the patient's fever and bacteremia persisted. The microbiology lab was contacted to help determine why standard therapies were failing to clear the infection.
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Tb in sot
Solid organ transplant recipients have a higher risk of developing TB compared to the general population. The majority of post-transplant TB cases are due to reactivation of latent TB infections in recipients. Donor-derived TB may occur if the donor was from a TB endemic area or had untreated TB. For living donors, a TST or IGRA is used for screening and treatment of latent TB is considered. For recipients, treatment of latent TB is indicated if they have a risk factor such as a positive PPD or history of TB exposure. Recommended regimens include 9 months of INH or 4 months of rifampin plus other drugs. Treatment duration of at least 12 months is important to prevent TB recurrence.
Treatment of hcv_in_hiv_infected_patients
Treatment of HCV in HIV-infected patients has historically been challenging with low response rates and side effects. However, recent developments in direct-acting antiviral agents now offer highly effective interferon-free regimens. Studies show sofosbuvir-based combinations achieving over 90% cure rates in HIV/HCV coinfected individuals, including those on antiretroviral therapy. Daclatasvir is being studied in phase III trials and may be co-administered with many antiretrovirals. These developments promise to greatly improve outcomes for people living with HIV/HCV coinfection.
Im id board reviow 2
1. The document contains questions and answers related to internal medicine board review topics such as infectious diseases, antibiotics treatment, and hospital-acquired infections.
2. Many questions focus on determining the most appropriate antibiotic therapy or treatment duration for various bacterial infections and hospitalized patients.
3. Other topics addressed include risk factors for ventilator-associated pneumonia, Clostridium difficile infection treatment, HACEK gram-negative bacilli, and antifungal therapy for invasive fungal infections.
Learning id
This document lists resources for infectious diseases, including textbooks, journals, websites, and resources for residents. It provides textbooks such as Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases and Hospital Epidemiology and Infection Control. Journals mentioned include Clinical Infectious Diseases and Lancet Infectious Diseases. Websites include Journal Watch, Medscape, and various sites for HIV/AIDS, hepatitis, and emerging diseases. Resources for residents include textbooks, MKSAP, Red Book, and reviewing major infectious disease syndromes through articles.
Treatment of hcv_in_hiv_infected_patients
Treatment of HCV in HIV-infected patients has historically been challenging with low response rates and side effects. However, recent developments in direct-acting antiviral agents now offer highly effective interferon-free regimens. Studies show sofosbuvir-based combinations achieving over 90% cure rates in HIV/HCV coinfected individuals, including those on antiretroviral therapy. Daclatasvir is being studied in phase III trials and may be co-administered with many antiretrovirals. These developments promise to greatly improve outcomes for people living with HIV/HCV coinfection.
Syphilis in pregnancy-final_version
The document discusses three case scenarios involving pregnant women with reactive syphilis serology. It provides details on interpreting syphilis serology, the stages of syphilis infection, and recommendations for treatment and follow up after treatment. The key points are: syphilis should be suspected in pregnant women who are sexually active or have partners with risk factors; reactive nontreponemal and treponemal tests indicate current or past untreated syphilis; and pregnant women with reactive tests should be treated with penicillin to prevent transmission to the fetus.
Stainingbacteria 101004225924-phpapp02
The document discusses various staining techniques used to visualize bacteria under the microscope, including simple staining, Gram staining, acid-fast staining, and Albert staining. Different staining methods are used to differentiate bacteria based on cell wall structure and composition, with Gram staining distinguishing between Gram-positive and Gram-negative bacteria and acid-fast staining identifying Mycobacteria. Proper staining enhances contrast and visibility of bacterial cells and structures.
Antimicrobial resistance
A 41-year-old woman with aplastic anemia was admitted with fever. Blood cultures grew E. coli resistant to ampicillin and narrow-spectrum cephalosporins. Despite treatment with multiple antimicrobials over 4 weeks, the patient's fever and bacteremia persisted. The microbiology lab was contacted to help determine why standard therapies were failing to clear the infection.
Opportunistic infections
A HIV-infected patient presents with cough, fever and sputum production for 4 days. A chest X-ray shows a left lower lobe infiltrate and the patient has a low CD4 count of 150/mm3. The most likely pathogen is Pneumocystis jirovecii (previously known as P. carinii) given the presentation and severe immunosuppression. PCP is a common opportunistic infection in patients with advanced HIV/AIDS. Diagnosis requires staining of respiratory samples for visualization of the organism, with BAL having the highest diagnostic yield. Treatment involves anti-pneumocystis medications.
Vap getting started kit
This document provides guidance on preventing ventilator-associated pneumonia (VAP) in adult and pediatric patients. It outlines the adult VAP bundle, which consists of 5 evidence-based practices: elevating the head of the bed, daily readiness-to-extubate evaluations, use of endotracheal tubes with subglottic secretion drainage, oral care with chlorhexidine, and early enteral nutrition. Additional recommended practices include hand hygiene, promoting patient mobility and autonomy, and VTE prophylaxis. For children, key practices are head elevation, proper tube positioning, and oral care. The document aims to help healthcare teams reduce VAP through a quality improvement approach.
Antimicrob. agents chemother. 2015-lee-aac.01477-15
This document summarizes a study comparing clinical outcomes of patients with Enterobacter cloacae bacteremia treated definitively with cefepime or carbapenems. The study found:
1) Among 144 patients receiving definitive cefepime or carbapenem therapy, 30-day mortality rates were similar at 26.4% for cefepime and 22.2% for carbapenems.
2) However, for the 18 patients infected with cefepime susceptible-dose dependent (SDD) isolates, those treated with cefepime had a higher 30-day mortality rate than those treated with carbapenems (71.4% vs 18.2%).
3
Corona virus MERS
Coronaviruses are a family of viruses that cause illnesses ranging from the common cold to more severe diseases. Middle East respiratory syndrome (MERS) is a viral respiratory disease caused by a coronavirus called MERS-CoV. The first case was reported in Saudi Arabia in 2012. Additional cases were found in several Middle Eastern countries. Research indicates that camels are a reservoir for the virus and may transmit it to humans. Transmission between humans occurs through close contact. Symptoms include severe pneumonia and kidney failure. There is no vaccine or specific treatment, though supportive care can be given.
Mers corona virus
Lecture By :
DR.SATTI MOH’D SALEH
INFECTIOUS DISEASE PHYSICIAN
MEDICAL DIRECTOR
MEEQAT GENERAL HOSPITAL
CBAHI INFECTION CONTROL MEMBER
Management MERS-COV 12 july 2013
The document provides guidelines for dealing with cases of Middle East respiratory syndrome coronavirus (MERS-CoV). It discusses what MERS-CoV infections may look like clinically, including symptoms like fever, cough and shortness of breath. It provides criteria for who should be tested for MERS-CoV, such as those with severe acute respiratory illness who have traveled to the Middle East. It also outlines appropriate infection control measures, like droplet and contact precautions, to prevent transmission in healthcare settings. Currently there is no antiviral treatment available for MERS-CoV.
Stuff about MERS-CoV that may not have been talked about here and isn't just ...
This document discusses a novel coronavirus that was isolated from a patient in Saudi Arabia in 2012. It summarizes key details about MERS cases reported from 2012-2015, including demographics of cases and potential risk factors. It discusses evidence that dromedary camels can harbor the virus and may play a role in transmission to humans, but that human-to-human transmission is the primary driver of MERS outbreaks and clusters. Knowledge gaps are identified around the virus's geographic distribution and seasonality, population differences in severity, and the role of co-circulating respiratory viruses.
Case discusion
This document discusses the case of a 21-year-old female patient with a history of acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML) who developed a skin lesion on her arm during chemotherapy treatment for AML relapse. Skin biopsy revealed infection with Aspergillus fumigatus. She was diagnosed with cutaneous aspergillosis and treated intravenously with voriconazole. Cutaneous aspergillosis is a rare manifestation of disseminated infection most commonly caused by A. fumigatus in immunocompromised patients, with skin lesions occurring in 5-10% of cases. Treatment involves intravenous antifungal drugs such as amphotericin B
Board review presentation
The most likely diagnosis based on the information provided is viral meningitis (B). A CSF with cloudy appearance, lymphocytic predominance, and glucose greater than half the serum level is characteristic of viral meningitis. Bacterial meningitis would show a higher white count with neutrophil predominance. Tuberculous meningitis typically has a lower glucose. Cryptococcal meningitis would have a very low glucose.
Id im board review 2015 part 1
A woman presents for a pre-employment physical. She received the hepatitis B vaccine in medical school. Her hepatitis B serologic profile would be hepatitis B surface antigen negative, core antibody positive, and surface antibody positive, indicating past infection that resolved.
A man with a history of blood transfusions 10 years ago has elevated liver enzymes and tests positive for hepatitis C antibodies. A liver biopsy shows portal inflammation, indicating he has chronic hepatitis C. The incidence of this complication from HCV infection is 20%.
Dengue fever is the only viral haemorrhagic fever listed that has not been reported in Saudi Arabia.
Treatment of hcv in hiv infected patients
Treatment of HCV in HIV-infected patients has historically been challenging with low response rates and side effects. However, recent developments in direct-acting antiviral agents now offer highly effective interferon-free regimens. Studies show sofosbuvir-based combinations achieving over 90% cure rates in HIV/HCV coinfected individuals, including those on antiretroviral therapy. Daclatasvir is being studied in phase III trials and may be co-administered with many antiretrovirals. These developments promise to greatly improve outcomes for people living with HIV/HCV coinfection.
Board review course badreddine- june 2015 id
This document contains a series of clinical case scenarios and questions related to infectious diseases and hospital infection control. The cases cover topics like tuberculosis, hepatitis from anti-TB drugs, rifampin interaction with oral contraceptives, multidrug resistant tuberculosis, central line-associated bloodstream infections, catheter-associated urinary tract infections, MERS, and ventilator-associated pneumonia. The questions test knowledge of appropriate diagnostic testing, treatment regimens, transmission-based precautions, and measures to prevent hospital-acquired infections.
Hiv lecture
HIV infection is caused by a retrovirus that can lead to AIDS if not treated. It is transmitted through bodily fluids and can be diagnosed through viral load tests, p24 antigen tests, HIV antibody tests, and Western blot. If left untreated, it progresses from acute infection to asymptomatic infection and eventually symptomatic infection and AIDS. Antiretroviral therapy is recommended for all infected individuals to suppress the virus and preserve immune function. The goals of treatment are to durably suppress the virus, restore immune function, and prevent transmission. Response is monitored through clinical, virologic, and immunologic measures.
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Best Ayurvedic medicine for Gas and Indigestion
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Ketone bodies and metabolism-biochemistry
This slide consists of all the topics of ketone . This can be used for exam purpose for writing about Diabetic keto acidosis etc . Thank you
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Swisschem Dermacare has mentioned the List of The Best Antifungal Soap In India 2022. All of these soaps are trusted by various Dermatology Experts.
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Opportunistic infections
A HIV-infected patient presents with cough, fever and sputum production for 4 days. A chest X-ray shows a left lower lobe infiltrate and the patient has a low CD4 count of 150/mm3. The most likely pathogen is Pneumocystis jirovecii (previously known as P. carinii) given the presentation and severe immunosuppression. PCP is a common opportunistic infection in patients with advanced HIV/AIDS. Diagnosis requires staining of respiratory samples for visualization of the organism, with BAL having the highest diagnostic yield. Treatment involves anti-pneumocystis medications.
Vap getting started kit
This document provides guidance on preventing ventilator-associated pneumonia (VAP) in adult and pediatric patients. It outlines the adult VAP bundle, which consists of 5 evidence-based practices: elevating the head of the bed, daily readiness-to-extubate evaluations, use of endotracheal tubes with subglottic secretion drainage, oral care with chlorhexidine, and early enteral nutrition. Additional recommended practices include hand hygiene, promoting patient mobility and autonomy, and VTE prophylaxis. For children, key practices are head elevation, proper tube positioning, and oral care. The document aims to help healthcare teams reduce VAP through a quality improvement approach.
Antimicrob. agents chemother. 2015-lee-aac.01477-15
This document summarizes a study comparing clinical outcomes of patients with Enterobacter cloacae bacteremia treated definitively with cefepime or carbapenems. The study found:
1) Among 144 patients receiving definitive cefepime or carbapenem therapy, 30-day mortality rates were similar at 26.4% for cefepime and 22.2% for carbapenems.
2) However, for the 18 patients infected with cefepime susceptible-dose dependent (SDD) isolates, those treated with cefepime had a higher 30-day mortality rate than those treated with carbapenems (71.4% vs 18.2%).
3
Corona virus MERS
Coronaviruses are a family of viruses that cause illnesses ranging from the common cold to more severe diseases. Middle East respiratory syndrome (MERS) is a viral respiratory disease caused by a coronavirus called MERS-CoV. The first case was reported in Saudi Arabia in 2012. Additional cases were found in several Middle Eastern countries. Research indicates that camels are a reservoir for the virus and may transmit it to humans. Transmission between humans occurs through close contact. Symptoms include severe pneumonia and kidney failure. There is no vaccine or specific treatment, though supportive care can be given.
Mers corona virus
Lecture By :
DR.SATTI MOH’D SALEH
INFECTIOUS DISEASE PHYSICIAN
MEDICAL DIRECTOR
MEEQAT GENERAL HOSPITAL
CBAHI INFECTION CONTROL MEMBER
Management MERS-COV 12 july 2013
The document provides guidelines for dealing with cases of Middle East respiratory syndrome coronavirus (MERS-CoV). It discusses what MERS-CoV infections may look like clinically, including symptoms like fever, cough and shortness of breath. It provides criteria for who should be tested for MERS-CoV, such as those with severe acute respiratory illness who have traveled to the Middle East. It also outlines appropriate infection control measures, like droplet and contact precautions, to prevent transmission in healthcare settings. Currently there is no antiviral treatment available for MERS-CoV.
Stuff about MERS-CoV that may not have been talked about here and isn't just ...
This document discusses a novel coronavirus that was isolated from a patient in Saudi Arabia in 2012. It summarizes key details about MERS cases reported from 2012-2015, including demographics of cases and potential risk factors. It discusses evidence that dromedary camels can harbor the virus and may play a role in transmission to humans, but that human-to-human transmission is the primary driver of MERS outbreaks and clusters. Knowledge gaps are identified around the virus's geographic distribution and seasonality, population differences in severity, and the role of co-circulating respiratory viruses.
Case discusion
This document discusses the case of a 21-year-old female patient with a history of acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML) who developed a skin lesion on her arm during chemotherapy treatment for AML relapse. Skin biopsy revealed infection with Aspergillus fumigatus. She was diagnosed with cutaneous aspergillosis and treated intravenously with voriconazole. Cutaneous aspergillosis is a rare manifestation of disseminated infection most commonly caused by A. fumigatus in immunocompromised patients, with skin lesions occurring in 5-10% of cases. Treatment involves intravenous antifungal drugs such as amphotericin B
Board review presentation
The most likely diagnosis based on the information provided is viral meningitis (B). A CSF with cloudy appearance, lymphocytic predominance, and glucose greater than half the serum level is characteristic of viral meningitis. Bacterial meningitis would show a higher white count with neutrophil predominance. Tuberculous meningitis typically has a lower glucose. Cryptococcal meningitis would have a very low glucose.
Id im board review 2015 part 1
A woman presents for a pre-employment physical. She received the hepatitis B vaccine in medical school. Her hepatitis B serologic profile would be hepatitis B surface antigen negative, core antibody positive, and surface antibody positive, indicating past infection that resolved.
A man with a history of blood transfusions 10 years ago has elevated liver enzymes and tests positive for hepatitis C antibodies. A liver biopsy shows portal inflammation, indicating he has chronic hepatitis C. The incidence of this complication from HCV infection is 20%.
Dengue fever is the only viral haemorrhagic fever listed that has not been reported in Saudi Arabia.
Treatment of hcv in hiv infected patients
Treatment of HCV in HIV-infected patients has historically been challenging with low response rates and side effects. However, recent developments in direct-acting antiviral agents now offer highly effective interferon-free regimens. Studies show sofosbuvir-based combinations achieving over 90% cure rates in HIV/HCV coinfected individuals, including those on antiretroviral therapy. Daclatasvir is being studied in phase III trials and may be co-administered with many antiretrovirals. These developments promise to greatly improve outcomes for people living with HIV/HCV coinfection.
Board review course badreddine- june 2015 id
This document contains a series of clinical case scenarios and questions related to infectious diseases and hospital infection control. The cases cover topics like tuberculosis, hepatitis from anti-TB drugs, rifampin interaction with oral contraceptives, multidrug resistant tuberculosis, central line-associated bloodstream infections, catheter-associated urinary tract infections, MERS, and ventilator-associated pneumonia. The questions test knowledge of appropriate diagnostic testing, treatment regimens, transmission-based precautions, and measures to prevent hospital-acquired infections.
Hiv lecture
HIV infection is caused by a retrovirus that can lead to AIDS if not treated. It is transmitted through bodily fluids and can be diagnosed through viral load tests, p24 antigen tests, HIV antibody tests, and Western blot. If left untreated, it progresses from acute infection to asymptomatic infection and eventually symptomatic infection and AIDS. Antiretroviral therapy is recommended for all infected individuals to suppress the virus and preserve immune function. The goals of treatment are to durably suppress the virus, restore immune function, and prevent transmission. Response is monitored through clinical, virologic, and immunologic measures.
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Antimicrob. agents chemother. 2015-lee-aac.01477-15
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Best Ayurvedic medicine for Gas and Indigestion
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
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