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Sampling rates and methodologies How and where evidence will be archived How evidence will be evaluated
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(147) What is the gold standard for the diagnosis of osteoporosis (a) Plain x-ray of the thoracic spine (b) Qualitative ultrasound densitometry (c) Peripheral dual x-ray absorptiometry (DXA) (d) Central (DXA) (e) A quantitated computed tomography (QCT) (148) A 52-year-old woman has been experiencing signs of menopause, including increasing hot flushes during the day and night, difficulty sleeping, emotional lability, and anxiety. She denies any other complaints or medical illnesses. Her last period was approximately 12 months ago. Her vital signs are all within normal range. Her pelvic examination reveals atrophic external genitalia, a small anteverted uterus, and no adnexal masses. The rest of her examination is normal. What is the most effective treatment option for this patient (a) Progestin alone (b) Estrogen alone (ERT) (c) Antidepressants (d) Estrogen with progestin (hormone replacement therapy [HRT]) (149) If this patient also complained of vaginal dryness and pain during intercourse, reasonable treatment options would include (a) Topical estrogen cream (b) An estrogen ring (Estring) (c) Vaginal moisturizers (d) All of the above
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Console.WriteLine("Result and remainder of 10 / 3: " + iresult + " " + irem); Console.WriteLine("Result and remainder of 10.0 / 3.0: " + dresult + " " + drem); } }
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obj = 0; // works only for numeric types and enums, but not structs
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than approximately the mean DGD, the output pulses are not broadened, but rather are split into two pulses resolved along the PSPs. As rule of thumb, acceptable transmission in digital networks requires the DGD to be less than one-tenth of a bit period. Under this condition, the pulse-splitting, principal-states model is clearly appropriate.
Since many systems have or will be installing ber-optic plant, it is timely to study these methods. A system may not have to install all of its own ber, because the telephone companies, power companies, and independent common carrier systems have installed huge amounts of optical ber and may have some bers available for lease. Fiber-optic theory is available from sources mentioned in the bibliography, but from a practical sense, it will be taken up here. Essentially, an optical ber is a waveguide for extremely high frequencies (100 THz) or shortwave lengths (850 1550 nm). These wavelengths are below the visual spectrum. Therefore, because humans cannot see this light, optical power at suf cient levels causes serious eye damage. People
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When is a pessary contraindicated There are few contraindications to using a pessary: allergy to the product material untreated vaginitis or pelvic inflammatory disease and in a patient who is unable/unlikely to follow up When a patient is symptomatic from her prolapse and has been counseled regarding her treatment options
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