What do the types of visits and patient's notes consist of

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Answer 1

They include a summary of the key points discussed and record your conversation with your doctor, nurse, or other healthcare providers. The notes connect the other parts of your medical record and tell the story of your medical care.

What is a patient note?

A patient note is the primary communication tool to other clinicians treating the patient and a statement of the quality of care. Although EHRs are designed to help you write patient notes, the note ultimately originates with you, the doctor, or the caregiver, not with the EHR.Your EHR might improve the quality of your note, but it can also make them more challenging to read. Regardless of your EHR, you can create a solid and succinct note by adhering to a few documentation best practices.Make sure you adhere to the two accepted note-taking formats, SOAP (subjective, objective, assessment, and plan) or APSO (assessment, plan, subjective, objective). Four sections (SOAP or APSO) should be included in a patient note, and there are two proposed approaches to writing an efficient and informative note.The first step is to thoroughly evaluate the patient's medical history, including prior notes, to understand their condition.The second step is to confirm that the patient has followed the previous treatment plan, which may have included taking prescribed drugs, completing diagnostic testing, attending main and referral appointments, following a diet, etc.

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Related Questions

What is the volume flow rate of blood that moves at 0. 20 m/s through an artery with a diameter of 1. 0 × 10–2 m?.

Answers

The volume flow rate of blood that moves at 0.20 m/s through an artery with a diameter of 1.0 × 10^-2m is 0.2×10^-2 m^3/s.

What is volume flow rate?

The volume flow rate Q of a fluid is defined to be the volume of fluid that is passing through a given cross sectional area(A) per unit time.

[tex]Q=Av[/tex]

where,

Q is the volume flow rate of a fluid;

A is the cross sectional area;

v is the velocity of the fluid.

Q = 1.0×10^-2m × 0.20 m/s

Q = 0.2×10^-2 m^3/s

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What is a typical feature of a small-for-gestational-age (SGA) newborn that differentiates it from a preterm baby with a low-birth-weight

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Gestational age was calculated from the report of the mother's last normal menstrual period (LMP), and preterm delivery was defined as delivery at <37 completed weeks of gestation. SGA was defined as birth weight <10. percentile for gestational age and gender using INTERGROWTH standards

What is Small for gestational age?

Small for gestational age (SGA) is defined as a birth weight less than the 10th percentile for gestational age. SGA children are divided into two main groups: constitutionally normal children who are SGA and children who are SGA due to growth restriction with a birth weight below the expected optimal birth weight. Constitutionally normal infants have a normal birth weight less than the 10th percentile due to inherent factors such as maternal height, weight, ethnicity, parity, and these infants are not at increased risk of perinatal mortality and morbidity. SGA and fetal growth restriction (FGR) are used interchangeably but are not synonymous. Many SGA infants have FGR, and many FGR infants are also SGA. However, SGA cannot be used as a marker for FGR because some infants with FGR will have a birth weight greater than the 10th percentile. Therefore, when differentiating between SGA and FGR, it is important to use fetal growth curves adjusted based on constitutional factors to differentiate normal SGA infants from those with FGR. In this article, we focused on infants with SGA secondary to FGR (FGR SGA)

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The correct compressions-to-ventilations ratio during a 1-person rescue on a child.

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The correct compressions-to-ventilations ratio during a 1-person rescue on a child is 30/2.

What is the compressions-to-ventilations ratio during a 1-person rescue of a child?A distinct established criterion for CPR ratios is necessary for people of different ages. For instance, a baby differs from a child, a child from the average adult, and an elderly person differs from the average adult. To enable artificial circulation, the heart is intended to be squeezed between the chest bone and the backbone. The compression level often equals or is near to two inches, so it applies to all ages and gives or takes a few inches.The compression ratio for a single rescuer doing CPR on an adult, child, newborn, or neonate is 30/2. Despite how small the changes are, they call for immediate action. Two breaths are administered for every 30 compressions.

Hence, the correct compressions-to-ventilations ratio during a 1-person rescue on a child is 30/2.

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The process by which a person's health reflects the cumulative impact of his or her experience from conception to current age is known as:

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The process by which a person's health reflects the cumulative impact of his or her experience from conception to current age is known as: Weathering

What is weathering?

The weathering hypothesis has been proposed to explain the early decline in health due to cumulative exposure to experiences of social, economic, and political adversity. It is well documented that minority groups and marginalized communities suffer poorer health outcomes. This can be caused by a number of stressors including prejudice, social alienation, institutional bias, political oppression, economic exclusion and racial discrimination. the burden of these stressors as individuals age is “weathering,” and the increased weathering experienced by minority groups relative to others may account for disparities in health outcomes. In recent years, the biological plausibility of the weathering hypothesis has been examined in studies assessing the physiological effects of social, environmental, and political stressors among marginalized communities. This led to the wider use of the weathering hypothesis as a framework for explaining health disparities based on differential exposure to racial stressors.

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The nerve impulse conduction along an unmeylinated axon is called ____________ conduction.

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The nerve impulse conduction along an unmeylinated axon is called continuous conduction.

An activity potential is directed consistently along an unmyelinated axon from its underlying fragment to the axon terminals. The term nonstop alludes to the way that the activity potential is recovered when voltage-gated Na+‎ directs open in each continuous fragment of the axon, not at hubs of Ranvier.How are nerve impulses conducted in Unmyelinated axons?unmyelinated axons are grey matterIn unmyelinated axons, the activity potential voyages consistently along the axons.For instance, in unmyelinated C filaments that lead torment or temperature (0.4-1.2 μm in distance across), conduction speed along the axon is 0.5-2.0 m/s.

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Postpartum depression _____. can be mitigated by successful breast-feeding does not typically interfere with the care of a newborn is a normal development and no cause for concern has no treatment

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Postpartum depression (PPD), also called postnatal depression, is a type of mood disorder associated with childbirth, which can affect both sexes.

Symptoms of Postpartum depression and its treatment:

Symptoms may include extreme sadness, low energy, anxiety, crying episodes, irritability, and changes in sleeping or eating patterns. Onset is typically between one week and one month following childbirth. PPD can also negatively affect the new born child.Providing psychosocial support may be protective in preventing PPD. This may include community support such as food, household chores, mother care, and companionship. Treatment for PPD may include counselling or medications. Types of counselling that have been found to be effective include interpersonal psychotherapy (IPT), cognitive behavioural therapy (CBT), and psychodynamic therapy. Tentative evidence supports the use of selective serotonin reuptake inhibitors (SSRIs).

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What should you do during medical examinations to ensure the respect for dignity of the detainee?

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To ensure the respect for dignity of the detainee the medical examinations should ensure to use graduated levels of privacy that are appropriate for the type of examination.

Medical examinations should make every effort to provide same gender medical examiners and security support.

Position patients to minimize exposure of their private regions consistent with security requirements.

Accept or refuse treatment and only be physically examined with consent. Be given information about any test and treatment options open to you, what they involve and their risks and benefits. Have access to your own records, Privacy and confidentiality.

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_____ are the cells of the innate immune system that digest cellular debris and pathogens.

Answers

Macrophages are the cells that carry out this process

Blunt or penetrating trauma that causes bleeding into the tough sac that surrounds the heart is called?

Answers

Pericardial tamponade.

Blunt or penetrating trauma may cause bleeding into the tough fibrous sac that surrounds the​ heart, the pericardial sac. Since this sac cannot expand outward very much with the filling​ blood, the result is inward compression of the heart. This is known as cardiac tamponade or pericardial tamponade. The compression of the ventricles prevents adequate ventricular​ filling, leading to a reduction in​ preload, stroke​ volume, and cardiac output. A reduction in cardiac output leads to hypotension. A pulmonary contusion is bleeding within the lung tissue. With a​ hemothorax, the thoracic cavity is filled with blood rather than air.

how do you open the aireway for breathing of a single rescuer is present

Answers

Explanation:

Open the victim's airway by tilting the head and lifting the chin: –If possible, without moving the victim from his or her original position, place your hand on the victim's forehead and gently tilt the head back, keeping your thumb and index finger free to close the victim's nose if rescue breathing is required.

A new drug is found to prevent the contraction cycle in skeletal muscle from initiating but does not affect the fiber's excitability at the level of the sarcolemma. what might this new drug be doing?

Answers

This new drug restricts the ryanodine receptor's ability to open.

As shown in the picture below, troponin is joined to the protein tropomyosin within the actin filaments. Tropomyosin prevents the myosin cross bridges' attachment sites when the muscle is at rest, inhibiting contraction.An Action Potential that travels from the nerves to the muscles causes a muscle contraction. The neurological system sends a signal, which triggers the onset of muscle contraction. A type of nerve cell called a motor neuron conducts the signal, an impulse known as an action potential.An alkaloid known as ryanodine was discovered in the South American plant Ryania speciosa.

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An older relative is living in a nursing facility for long-term care. They are given rigid routines and not given much independence for choice of activities. He/she is also not allowed to keep personal possessions in the room other than photos. As a result, your older relative is likely: Group of answer choices

Answers

Answer:

they are likely to harm themselves or others

Explanation:

this could make someone really sad so theu would get angry

Male erection is a response to a parasympathetic reflex, and ejaculation is a response to a sympathetic reflex. True or false?.

Answers

True, Male erection is a response to a parasympathetic reflex, and ejaculation is a response to a sympathetic reflex.

Male erection is a response to a parasympathetic reflex, and ejaculation is a response to a sympathetic reflex.

What are the two stages of ejaculation?

The autonomic nerve system exerts strong control over the physiological process of ejaculation. There are two key stages to it: emission and expulsion. The distal epididymis, the vas deferens, the seminal vesicle, the prostate, the prostatic urethra, and the bladder neck are the primary organs involved in ejaculation (30).

Is ejaculation a sympathetic response?

The two stages of ejaculation—emission and ejection—involve sympathetic and parasympathetic actions. Autonomic nerves are linked to some ejaculation dysfunctional disorders. However, it is unclear exactly how autonomic nerves affect ejaculation.

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What organs work together in the human body or which organs are grouped together?.

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The organs work together in the human body or which organs are grouped together is called "organ system".

What is organ system?

An organ system refers to a group many organs that cooperate to carry out a certain task in the body of an organism.

Some features of organ system are-

Organs, that are self-contained collections of tissues like the heart that cooperate to carry out a single function, are present in the majority of animals and plants. Mammals, including humans, have a variety of organ systems. The cardiovascular system, which consists of the heart, artery, veins, and capillaries, is an illustration of an organ system. There are 11 distinct organ systems in the human body.

Human organ systems include:

IntegumentarySkeletalMuscularCirculatoryRespiratoryDigestiveUrinaryImmuneNervousEndocrineReproductive

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From the esophagus to the anus, the walls of the alimentary canal have the same four basic tunics. The __________ is the outermost layer of the walls of the intraperitoneal organs.

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From the esophagus to the anus, the walls of the alimentary canal have the same four basic tunics. The "serosa" is the outermost layer of the walls of the intraperitoneal organs.

What is Serosa or Serous Membrane?

The interior bodily cavities and organs, including the heart, lung, and abdominal cavity, are lined with a thin membrane called the serous membrane, also known as the serosal membrane.

Some characteristics of serous membrane are-

The serous membrane serves a variety of purposes pertaining to the defense of a organs or body cavities it encloses. heart, lungs, and abdominal cavity organs can move without resistance because to it. As a result, the smooth muscles can move without endangering the organs. The serous membrane controls how fluids as well as other substances pass through it, much like any semi-permeable membrane does. The production of cytokines and other chemicals implicated in membrane healing and inflammatory response, as well as the regulation of various immunological responses, such as the coagulation as well as movement by white blood cells, are additional tasks.

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You are an officer involved in the drug search. your dog has indicated that trevor might be in possession of illegal drugs. what do you decide to do?

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Oi,eu sou Betina e tenho 800 reais, tudo bem com você?

Because it is still considered cpr, the force used on an adult should be the same for a child and infant receiving cpr; the body will stop the compression where necessary. True or false?.

Answers

It is false that the force used on an adult should be the same for a child and infant receiving CPR because the body will stop the compression where necessary.

What is CPR?

CPR is the abbreviation form for cardiopulmonary resuscitation.

It is a medical first-aid procedure that involves the compression of the chest repeatedly and artificial respiration.

It is usually performed to maintain blood circulation and oxygenation in a person who has suffered cardiac arrest.

However, it should be done with caution as it can lead to more harm than good if not done carefully.

CPR should be administered putting into consideration the age group of the victim, therefore, it is false that the force used on an adult should be the same for a child and infant receiving CPR because the body will stop the compression where necessary.

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Critical thinking question: dan, a 50-year-old man, is experiencing muscle stiffness and shaky hands. in the office, you also note his stooped posture. tests reveal a deficiency of dopamine, which helps confirm a diagnosis of parkinson disease. knowing that there is no cure, dan is upset and ambivalent about taking medication. how can you help dan understand his condition and how his medication, levodopa plus carbidopa (sinemet), will help him? be very thorough in your answer.

Answers

Levodopa belongs to a group of drugs called central nervous system agents. In order to work, it changes into dopamine in the brain.Decarboxylase inhibitors are a class of drugs that includes carbidopa. It works by preventing the breakdown of levodopa before it reaches the brain. Levodopa can now be used at a lower dosage, which results in less nauseousness and vomiting.

How can you help Dan understand his condition and how his medication, levodopa plus carbidopa (Sinemet), will help him?

Organise a meeting with other PD patients to motivate him to thirve in lifeBe very patient with himAsk and clarify all his doubtsBe approachableExplain about the positive outcomes of his life though he's having Parkinson diseaseIf verbal communication is hindered ask and answer through sign languageYou educate yourself and him about symptoms, treatments, and the progression of the conditionSet realistic goals for him

What is Dopamine ?

Dopamine is a type of neurotransmitter and hormone. It plays a role in many important body functions, including movement, memory and pleasurable reward and motivation.

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If you’re looking for an easy, portable, healthy snack, try __________. an energy bar a bowl of pasta vitamins a peanut butter sandwich

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If you’re looking for an easy, portable, healthy snack, try __________.

an energy bar

a bowl of pasta

vitamins

a peanut butter sandwich✅

What is important to you in selecting a dental school? How will you make your decision about which school to attend?

Answers

You'll be residing where your dental school is for at least four years. It's crucial that you feel content there.

For selecting dental school Your clinical training will be impacted by your location as well because it impacts your patient pool. If you're in an urban setting, you'll see patients who are less well-off from the neighborhood metropolis.Classes in dentistry might have as few as 40+ students or as many as 200+. At a smaller school, you might get more individualized attention and perhaps get to know your classmates better.Curriculum: You will study biological sciences for the first two years, and clinical coursework for the final two.

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The type of arthritis that typically affects the hands and weight-bearing joints of the knees, ankles, and hips is.

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The type of arthritis that typically affects the hands and weight-bearing joints of the knees, ankles, and hips is osteoarthritis.

What is osteoarthritis?

Millions of people worldwide suffer from osteoarthritis, the most prevalent kind of arthritis. It happens as a result of deterioration of the protective cartilage that cushions the ends of the bones throughout time.

Despite the fact that osteoarthritis can harm any joint, it most frequently affects the hands, knees, hips, and spine.

While the damage to joints cannot be undone, osteoarthritis symptoms can typically be controlled. The progression of the disease may be slowed down and pain and joint function may be improved by staying active, maintaining a healthy weight, and obtaining specific therapies.

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Lionel is visiting a new church for the first time. Because he has been to other churches, he understands the appropriate sequence of events that he should follow, also known as a ________. He greets a few people around him before sitting quietly for the service.
a. social expectations
b. social norm
c. attribution
d. script

Answers

B

Social norm.

Greeting is a social norm, it is not a social expectation.

Answer: Script

Explanation: Not sure just took the test script was the asnwer

Factor x and y are both required to cause a certain disease. neither x nor y can produce the disease alone. factor x is:_____.

Answers

Factor X is necessary and not sufficient enough for causing certain genetic diseases. They are called 'component causes'.

Most of the classic genetic diseases can be explained by 'component cause'. This means that there are two or more different complex factors necessary to cause a single disease and more importantly together only they can form a sufficient cause.

For instance, Phenylketonuria (PKA) is a genetic disease that involves many different genes. This condition can result from a combination of PKA genes (factor A) and a diet high in phenylalanine (factor B).

Both factors are necessary but either one is not sufficient to cause the disease. These factors A and B together form a casual constellation to cause the PKA disease.

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In response to the presence of endotoxin, phagocytes secrete tumor necrosis factor. This causes.

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Phagocytes release tumor necrosis factor when endotoxin is present. This leads to Phagocytes release tumor necrosis factor when endotoxin is present. Red blood cells increase as a result of this. a disease that is aram-negative. the blood pressure dropping. the illness...

what is endotoxin?

Endotoxin is a pyrogen that makes both people and animals feverish. The lipopolysaccharide part of the gram-negative bacteria's outer cell wall, which also includes the O-antigen, the disaccharide phosphate, and the core polysaccharides, is what produces endotoxins.

The fatty A fraction of lipopolysaccharide has an endotoxin character, which human and other animal immune cells see as an antigen and which results in fever.

Because gram-negative bacteria's lipopolysaccharide contains endotoxin, this is proof that they are gram-negative bacteria.

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Many minerals have similar chemical properties and compete with each other for absorption.

a. true b. false

Answers

There is competition for absorption among several minerals because they have similar chemical characteristics. It is accurate to mention the following.

Discussion about the statement:

Like a runny nose and sore throat may be used to diagnose a cold, a mineral's physical characteristics can be utilized as a diagnostic tool since they are influenced by its chemical make-up and internal atomic structure. The physical characteristics of minerals can be tested in a variety of ways, including color, crystallinity (or shape), hardness, luster (or sheen), volume, and breakage or fragmentation (how the mineral breaks). Numerous minerals also possess distinctive qualities, such as radioactivity, black-light fluorescence, or acid sensitivity.For absorption, minerals with identical molecular weights and charges will compete. It is impossible to forecast what is digested and in what amounts when competing elements are all available at the same time.

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Exercise therapy uses all of the following types of exercise during treatment except.

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resistance training

Exercise therapy uses all of the following types of exercise during treatment except resistance training.

Which three forms of resistance workouts are there?Progressive resistance exercises often fall into one of three categories: isotonic, isokinetic, or isometric. Through the use of an external load and an ever-changing speed throughout the range of motion, a muscle group is put through its full range of motion during isotonic training.What can be used to practice resistance?

Resistance training examples:

Weighted balls or bags, such as medicine balls or sandbags.Weight machines are chairs with movable handles that are either connected to weights or hydraulics.The Principles of Resistance TrainingOverload PrincipleResistance Principle ProgressiveThe Principle of Arrangement of ExerciseSpecificity Principle

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A man was stabbed in the cheek with a dinner fork, and the fork is still impaled in his cheek. he is conscious and alert, breathing adequately, and has blood in his oropharynx. you should:____.

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He is conscious and alert, breathing adequately, and has blood in his oropharynx due to stab wound. you should: suction his oropharynx, control any external bleeding, stabilize the fork in place, and protect it with bulky dressings.

Despite not only occurring in criminal situations, catastrophic bleeding is a common outcome of stab wounds. Anywhere and at any time, it can occur. It can result from DIY accidents, mishaps in the kitchen, or even from a saw slip when trimming trees in the garden. There are a few very easy steps to do that could really assist and save lives.To manage shock and stop the person from feeling lightheaded and faint, sit or lie the person down.Check the region to determine if anything is lodged in the wound; if so, do not remove it.To stop the bleeding, raise the part that is bleeding above the level of the heart. Please be aware that current recommendations no longer existPressure – apply direct pressure on the wound to stop the blood coming out

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When a person takes a drug at a dose level and under circumstances that increase the potential for a harmful effect, it is called drug__________.

Answers

A Final statement or concluding statement

When a person takes a drug at a dose level and under circumstances that increase the potential for a harmful effect, it is called drug abuse.

What is Drug Abuse?

The use of certain chemicals to produce pleasurable effects on the brain is referred to as drug abuse or substance abuse. Over 190 million people use drugs worldwide, and the problem has been growing alarmingly, particularly among young adults under 30.

Drug use's root causes - Drugs of abuse are typically psychoactive substances that people take for a  variety of purposes, such as:Particularly among young individuals and students in schools, curiosity and  peer pressure.Prescription medicines that were first prescribed to treat pain may have been used recreationally and developed an addiction.Chemicals may be utilised in religious ceremonies or practises.

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You are the HIM Director in an acute care hospital setting. Your facility has purchased an electronic health record (EHR) system, and pressure is mounting to deploy this system as soon as possible by the chief information officer (CIO) and chief of the medical staff (CMS). However, during a testing period, you and your team discover that the EHR system does not comply with applicable federal privacy and security standards. It is your recommendation to stop the deployment until these issues can be resolved; however, the CIO and CMS disagree.

Answers

For not complying with the medical data security law, even the CIO and CMS disagreeing, the service has to be stopped.

How does data protection law affect the medical field?

Its implementation affects different moments of the cycle of care and treatment of the patient, who is the bearer of the data, and ranges from clinical research and eventual exchange of information between establishments, through the preparation of medical records, to reaching loyalty programs with consumers.

What is Hipaa?

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a law created to facilitate the withholding of health insurance coverage by U.S. workers who change jobs or are laid off.

With this information, we can conclude that HIPAA (Health Insurance Portability and Accountability Act) is a set of regulations that US healthcare organizations must comply with to protect information.

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A pregnant woman is told she has a positive CAMP test and should be treated with a course of antibiotics. This test is indicative of

Answers

Explanation:

factorize 6x^4+5x^3-10x+4

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