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4.2. Medical and Psychological Consequences and Benefits Ability to ambulate 10 meters or one mile is not the only benefit of ambulation via FES. By now several research groups have published medical and psychological evaluation data on patients who underwent ambulation training with the Parastep FES system. Below, we discuss the major such evaluation results: i ; . Lower-Extremity Blood Flow: A study on Parastep users at the Miami Project Nash et al., 1997 [26] ; discussed earlier, involving 12 Parastep users, reports of an average increase of lower extremity blood inflow volume from 417 mL min, to 650 mL min. after 12 weeks 32 sessions ; of Parastep training. It is noted that, after paralysis due to thoracic level SCI, blood flow to the lower extremities decreases considerably, with detrimental subsequent effects on kidney function and eventual cardiovascular effects. Dr. Cerrel-Bazo reported verbally ; to this author similar improvements at the and cefdinir.
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There are pros and cons to both home and clinic based euthanasia. Euthanasing a pet in its basket at home conjures up an image of a "good" death, but it will only be an easy one if personnel are confident, competent and have the necessary equipment to hand. No one wants their last memory of a best friend to be associated with a yellow cadaver bag, so small considerations, such as remembering a blanket for transporting the body, are important. A little thought can make a consulting room more comfortable for clinic-based euthanasia: N Provide chairs for clients and a vet bed for the patient. N Ensure the room is warm, quiet and private switch internal phones and pager off. N Introduce yourselves to the client and the pet. N Check the case record so you are sure of the pet's name and details owners are more comfortable if they feel you know their pet. N If possible use a room that clients can exit without having to go through waiting areas. N When discussing practice.
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1. Anderson, M. E. 1985 ; : Meth. Enzymol., 113, 548-555. 2. Benderra, Z., Morjani, H., Trussardi, A. and Manfait, M. 1999 ; : Adv. Exp. Med. Biol., 457, 151-160. 3. Boiocchi, M. and Toffoli, G. 1992 ; : Eur. J. Cancer., 28, 1099-1105. 4. Bradford, M. M. 1976 ; : Analyt. Biochem., 72, 248-254. 5. Brian, L. J., Dalton, W., Fisher, G. A. and Sikic, B. I. 1993 ; : Cancer, 72, 3484-3488. 6. Chu, X. Y., Suzuki, H., Ueda, K., Kato, Y., Akiyama, S. and Sugiyama, Y. 1999 ; : J. Pharmacol. Exp. Ther., 288, 735-741. 7. Kartner, N., Evernden-Porelle, D., Bradley, G. and Ling, V. 1985 ; : Nature, 316, 820-823. 8. Kartner, N., Shales, M., Riordan, J. R. and Ling, V. 1983 ; : Cancer Res., 43, 4413-4419. 9. Kirschner, L. S., Greenberger, L. M., Hong-Hsu, S. I., Huang Yang, C. P., Cohen, D., Piekarz, R. L., Castillo, G., Han E.-H., Yu, L. and Horwitz, S. B. 1992 ; : Biochem. Pharmacol., 43, 77-87. 10. Lambert, P. A., Kang, Y., Greaves, B. and Perry, R. R. 1998 ; : J. Surg. Res., 80, 177-181 and
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