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Often theneurologic manifestations of these disorders antedate therecognition of an underlying malignancy and thus mayrepresent the presenting symptoms. As the homogeneous cultures of industrialized nation-states mutate,becoming more multicultural, rumors that target recent immigrants (legal or ille-gal, temporary or permanent) frequently appear

As the homogeneous cultures of industrialized nation-states mutate,becoming more multicultural, rumors that target recent immigrants (legal or ille-gal, temporary or permanent) frequently appear.

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However,the use of very high doses of some chemicals can cre-ate cellular, bio-chemical, and physiological changesthat can produce chronic organ toxicity or carcinoge-nicity, but do so only under these altered cellular con-ditions created by the high dose. Furthermore,any new symptoms, impairments, or disabilities resultingfrom a new insult to homeostasis in the elderly are likelyto act synergistically with existing impairments and dis-abilities to produce disproportionate declines in functionalperformance

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throm-bolytic therapy have been established by largerandomised studies. In this case, Miles has a finger laceration and the only time the provider talksdirectly to the patient is when he or she scolds the 6-year-old for crying

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