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Due to the prior documentation of Bartonella infection, intravenous doxycycline, rifampin, and gentamicin were administered, and total parenteral nutrition was instituted.
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Dyads are randomly assigned to the intervention or control group after stratification for two factors that may influence the success of the intervention: type of designated proxy (spouse vs. other) and self-report by the older adult of prior documentation of healthcare preferences (yes vs. no).
Presence of diabetes mellitus (DM) was defined by prior documentation in the medical record or by an admission HbA1c ≥6.5%.
First, if there was some sort of prior documentation stating the patient's desire to communicate with his family terminally, even in the environment of an ICU.
Valvular disease was defined as the prior echocardiographic documentation of stenosis or regurgitation of moderate or greater severity or a prior valve repair/replacement procedure.
This lack of prior documentation doesn't necessarily mean that the "poonado" is new or a fluke.
Most states allow family members to make decisions for their loved ones even without prior documentation.
Prior documentation of celiac disease-like enteropathy in non-human primates is limited to two case reports, one in a single rhesus macaque necropsy [28], and another in a single cynomolgus monkey which improved on a gluten-free diet [29].
Several issues with no prior documentation are identified.
Declarations of past transmission risks or serological evidence of past infection, without prior documentation, were considered as presentations at time of recording.
* Pre-existing diabetic nephropathy as depicted by prior documentation of proteinuria, abnormally elevated serum creatinine levels and enlarged, echogenic kidneys on renal sonography.
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