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In addition, pregnancy or constipation may worsen GERD by increasing intra-abdominal pressure. Secondary causes of GERD include reflux caused by acid hypersecretory states, connective tissue disorders (scleroderma), gastric outlet obstruction as caused by ulceration and stricture, and delayed gastric emptying due to conditions such as gastric stasis, neuromuscular disease, idiopathic gastroparesis, pyloric dysfunction, duodenal dysmotility, or duodenogastroesophageal bile reflux.
Most patients with complicated GERD have a hiatus hernia, which, by displacing the ‘ LES segment of the distal oesophagus, both reduces LES pressure and impairs acid Clearance.
Specific Guidelines Physician's orders Each order should have the date and time it was written. Some way of indicating which orders have been carried out is nece
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Picaridin Laboratory and field studies documenting the efficacy of picaridin. No published data are available on the efficacy of the 7% solution now available in the US. Insec
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Determine Energy Requirements for Athletes? You are familiar with the fact that body needs' energy to maintain body temperature, to meet metabolic demands, maintain electrolyte
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VOLVOX CHARACTERS
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