If the examination is positive, referral to an orthopedist may be a better strategy than MRI because of the latter's relatively low specificity. |
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After referral to a pediatric orthopedist, she was diagnosed with idiopathic juvenile osteoporosis. |
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Immunocompromised or monocular patients also warrant closer attention and may require earlier ophthalmologic referral. |
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At the time of referral, she was awaiting surgery for a colonic stricture resulting from a recurrence of carcinoma of the colon. |
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You should ask for an immediate referral to a veterinary cardiologist for evaluation of the heart. |
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The precise indications for referral to occupational therapy in patients with osteoarthritis remain to be delineated. |
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Unless complications are present, patients with chronic lymphocytic leukemia do not require urgent referral to a hematologist. |
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It transpired blood test results attached on a Post-it to a referral letter had not been seen. |
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In a rural area, the local psychiatrist once refused my referral of an actively suicidal patient with major depression. |
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After referral to the maxillofacial team, computed tomograms were taken in the coronal plane. |
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We measured referral rates as the annual percentage of patients with a new referral to a specialist physician. |
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The fabricated nature of a dispute as a precondition for the admissibility of a referral is a slippery concept, not without dangerous pitfalls. |
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We studied the referral rates for dermatology across the 16 practices in a primary care group with a comparatively uniform population mix. |
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A small proportion of the samples were referral samples sent by physicians in private practice. |
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The treatment of hypothyroidism is usually simple, and referral to secondary care is unnecessary. |
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The pulse rate fell, and blood pressure became unrecordable before arrival at the referral hospital, and she could not be resuscitated. |
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The referral had to be made carefully since in the wrong hands Rachel would end up in theatre having an unnecessary exploratory operation. |
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A referral service offers a more personalized approach for clients than simply posting gig notices on a bulletin board. |
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We carried out the study in a neonatal unit in the main tertiary neonatal referral centre for the south east of Scotland. |
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Consider a referral to a neuromuscular specialist for possible nerve biopsy. |
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She was offered a referral for speech therapy, which is a widely used treatment for vocal cord dysfunction. |
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Her role involves providing advocacy and referral, counselling and activities for young people. |
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If no improvement occurs, referral to a podiatric foot and ankle surgeon is appropriate. |
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Associated fractures of the coracoid process or the lateral one third of the clavicle may occur, necessitating an orthopedic referral. |
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Fractures that are difficult to reduce or unstable after reduction may require orthopedic or hand referral. |
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However, this break would require reduction and casting, and orthopedic referral. |
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If the dislocation is irreducible or unstable after reduction, referral to an orthopedic or hand subspecialist is advised. |
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But it falls short of imposing any sanctions on him, which could have included referral to the General Medical Council. |
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So New Zealand First will support this bill's referral to the select committee. |
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As I have said, National supports this bill's referral to a select committee. |
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Initial referral to a review pharmacist included a copy of the patient's discharge letter. |
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It was made very clear that a similar action after qualification would be likely to result in referral to the General Medical Council. |
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Consecutive patients whose referral letters gave no reason for exclusion were considered provisionally eligible. |
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The report also said many GPs had difficulty identifying which patients needed urgent referral to hospital cancer services. |
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A doctor will carry out a pelvic examination and may then arrange further investigations or a referral to a gynaecologist. |
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As the previous speaker has said, National supports this legislation and its referral to the Regulations Review Committee. |
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There was no evidence that subsequent hospital management was influenced as a result of better investigation by doctors before referral. |
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No effect of referral from medical or social service providers was detected. |
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If the findings at that point are positive, an orthopedic referral is needed. |
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More than half of cancer patients requiring an urgent referral are having to wait longer than two months. |
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He recommended that the whole family learn about the components of a healthy diet and made a referral to the dietitian. |
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We selected patients by examining all referral letters to the hospital's gastroenterology outpatient clinics and open access endoscopy service. |
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Being aware of this very substantial fall in hysterectomies is important and may be helpful in counselling patients before referral. |
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On the 4th Defendant's request the referral letter was dated 12 April, the day of dictation. |
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Specialty referral is warranted for suspected complications and inpatient detoxification programs should be considered. |
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If insurance problems or other factors prevent referral, it is possible to detoxify the patient on an outpatient basis. |
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Patients with critical limb ischaemia require urgent referral to a vascular surgeon. |
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There is no suggestion of a home assessment, a care package, or psychogeriatric referral. |
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No doubt a well-timed psychiatric referral of a suicidal patient can sometimes save a life. |
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In our clinic, consultants regrade the referral letters on receipt using the British Association of Surgical Oncologists guidelines. |
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They called for urgent action to address the problems, including a referral to the forensic science regulator. |
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The aim of this study was to identify referral pathways from primary care for women with ovarian cancer. |
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Lack of correlation between use of syrup of ipecac and referral reduction does not mean that syrup of ipecac is ineffective. |
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The question that arises Constitutionally is, is the plenary power referred limited to matters which go forward from the date of referral? |
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We used the records to identify the patient referral pathway from primary care to hospital treatment. |
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Patients require referral to a dentist within 24 hours for drainage and debridement of the infected periodontal area. |
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If physiologic genu varum or genu valgum persists beyond seven to eight years of age, orthopedic referral is indicated. |
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That is why the national authorities may place only an application for referral. |
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The student may report symptoms of a problem that alert the counselor to the appropriateness of a referral for further assessment. |
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In other words, once the precondition set out in section 13 is satisfied, there is a presumption in favour of referral. |
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The next morning my consultant asked about events during the night, and I mentioned the referral. |
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Anyone with a medical problem will then be provided with a referral for appropriate medical care and attention. |
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These uncommon forms of nodular lymphangitis may require referral to an appropriate subspecialist. |
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If no physical problems are determined, then treatment or referral for a behavioral consult may be needed. |
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Occasionally, when confronted with unusual symptoms or signs that are refractory to standard therapy, referral may be indicated. |
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Any sign of cancer should be communicated to the radiologist with the referral for a diagnostic mammogram. |
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I'm looking forward to being able to write prescriptions and referral letters with the click of a button. |
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Present guidelines recommend referral for colposcopy after detection of three borderline and two mild abnormalities. |
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Usual management could include referral to a gastroenterologist but excluded immediate endoscopy. |
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Our study of an unselected population took place at a tertiary referral centre with autopsy performed by specialist paediatric pathologists. |
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This project was started in 2001 in a tertiary referral obstetric unit, which manages around 6000 births a year. |
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Issues of alcohol and substance abuse may have to be addressed by referral to relevant agencies. |
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The referral letter described the marital relationship as extremely distressed, with Andrea thinking of leaving her husband. |
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If he comes back before the courts for breaching his referral order or committing another offence, he will have nailed his colours to the mast. |
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Specifically, menorrhagia is one of the most common reasons for referral to gynaecology clinics. |
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It also ensures that proper counseling, medical referral, and evaluation are targeted for patients with serologically confirmed HCV infection. |
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If a break occurred in the skin overlying the fracture, it must be considered an open fracture, necessitating orthopedic referral. |
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A fourth violation results in a minor misdemeanor for the establishment and referral to the Ohio Department of Liquor Control. |
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I'll write a referral so someone from the emotional crisis center will come by, okay? |
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The introduction of an alcohol referral scheme is being looked at with increased provision for alcohol misusers. |
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As developmental paediatrician to a neonatal referral centre she followed many low birthweight children with great skill. |
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With a good referral, you can get to a shrink with expertise in this area, and you'll be back in the boudoir in no time. |
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These patients may require specialist gastroenterological referral. |
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The IG office opened the investigation last September based on a referral from the FBI, but its progress is unclear, carper said. |
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On a normal school day, about 35 children attend the pupil referral unit. |
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This review explains how general practitioners can approach the first level of diagnosis and warn patients about what lies ahead after referral to a specialist. |
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Few studies have examined referral patterns in ovarian cancer. |
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Ocular involvement should prompt immediate referral to an ophthalmologist. |
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Visual impairment or globe injury warrants immediate referral. |
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Talk to your doctor about getting a referral to a genetic specialist. |
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Your most important task is to detect potentially serious ocular presentations for immediate referral of the patient to an ophthalmologist and treatment. |
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Consider referral to an allergist for desensitisation therapy. |
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A single blinded, randomized, controlled, prospective study was performed at St. Paul's Sinus Center, Vancouver, a tertiary referral rhinology center. |
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This preliminary experience suggests that, despite close liaison with the primary care group, the referral process will take time to be adopted and implemented. |
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I was scanning the referral logs tonight and noticed a new blog. |
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Conditions requiring referral to an ophthalmologist are orbital cellulitis, hyphaema, scleritis, iritis or uveitis, acute angle closure glaucoma, and corneal abrasions. |
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We measured the rate of neonatal autopsy at a tertiary referral centre over the past decade to investigate the role of various factors in determining consent for autopsy. |
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There are few clinical therapists specialising in self-injury, so referral is often to therapists who deal with abuse or whose expertise is in eating disorders. |
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A spokesman for the Department of Health said the government was introducing a guideline of 18 weeks from referral to treatment in a bid to quell the problems. |
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The triage nurses inside the homeless shelter had already initiated a referral form for a surgery consultation prior to sending the young man to the mobile clinic. |
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Word of mouth referral is a common way to find a pet sitter. |
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Common partners can serve as referral agents and relay expectations and responsibilities as part of the process of bringing together two hitherto unconnected firms. |
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He is confident that police have the weapons they need to stamp out unruliness, including youth referral schemes and anti-social behaviour orders. |
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Endophthalmitis is an acute emergency necessitating an urgent referral for intraocular injection of antibiotics, occasionally combined with vitrectomy surgery. |
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In all, the counties had one referral hospital each and 17-24 health centers. |
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Perhaps it will be a referral for an intervention shown to have no benefit. |
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And if the person on the other end declines, he or she will often offer up another friend as a referral. |
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Hospital records within Cumbria, and in regional referral centers outside Cumbria, were searched to improve ascertainment of stillbirths and infant deaths. |
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Rather than make an office appointment, I decided to send him an E-mail message outlining my case history and asking for either treatment recommendations or a referral. |
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Improving training for front-line caseworkers to provide early recognition and referral to mental health professionals for persons with mental and emotional disorders. |
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What you are told here is that the matters were referred to the legal assistance referral scheme for merit opinions which were not favourable to the clients. |
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If glaucoma is suspected or if the patient is at high risk for developing glaucoma, referral to an optometrist or an ophthalmologist for further evaluation is essential. |
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They found no relationship between the rate of referral and physicians' knowledge, beliefs and familiarity with the effects of alternative therapies. |
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Previous studies have recommended more frequent cytologic sampling and prompt referral for colposcopy in HIV-positive women with abnormal cytology. |
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Inpatients should expect to wait no longer than 18 months for a bed, but more than three out of four inpatients are admitted to hospital within three months of referral. |
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Surgical referral may be indicated after conservative treatment has failed, although the exact timing of surgery should be decided on an individual basis. |
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Services include prophylactic treatment for sexually transmitted infections, pregnancy testing and post-coital contraceptive service, and referral for STI screening. |
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Although physicians are gatekeepers to almost all medical resources, their role in managing referral to specialists has been the most controversial aspect of gatekeeping. |
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However, changes may be subtle and primary care physicians' lack of skill in interpreting electrocardiograms may mean that referral for specialist opinion is still required. |
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A predominance of dysmorphic red blood cells in the urine should prompt an evaluation for renal parenchymal disease or referral to a nephrologist. |
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Patients were recruited through screening and referral, with 1,801 depressed or dysthymic elderly patients randomized to usual care or to the intervention. |
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Dumfries and Galloway Royal Infirmary is the principal secondary care referral centre for Dumfries and Galloway region. |
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A single pathway should remove the present educated guess by GPs choosing the urgent or non-urgent referral route. |
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The discovery of retinal haemorrhages upon routine optometric examination is a common reason for referral into secondary eye care services. |
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The data inputter did not make a judgement on whether or not the referral or diagnosis was appropriate or not. |
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Tygerberg Hospital serves as the referral centre for all morbidly obese pregnant women within the region. |
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Following the reorganisation there are 25 primary schools, four referral schools, three special schools and five secondary schools within Exeter. |
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A trigger point is by definition painful to palpate and when palpated refers pain in a specific pattern known as a referral pattern. |
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A direct referral is just one of several ways for students to secure internships. |
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Longstanding relationships with consulting hydrogeologists provide the company a steady stream of referral business opportunities. |
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Some NHS organisations are using referral management centres to help reduce inappropriate referrals in an attempt to save the NHS money. |
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Pain referral patterns of asymptomatic costotransverse joints have not been established. |
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Ten medical and dental colleges are located in the Kolkata metropolitan area which act as tertiary referral hospitals in the state. |
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It also funded female footie coaches at HMP Holloway, North London, and troubled teenagers in referral units. |
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Hendricks, president and chief executive officer of ProVisors, a business referral network of over 4,000 professionals. |
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Liaisons were identified at both schools in order for the referral and assessment process for students with deafblindness to begin. |
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By implementing an automated referral management system, employees are incentivised to take an active part in the company's staffing efforts. |
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See your doctor for investigation and referral to a specialist for treatment, possibly surgery to remove the gall bladder. |
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The system includes 6 medical centers, 2 TB referral centers, and 1 regional hospital, distributed in 4 regions of Taiwan. |
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We considered starting the patient on a loop diuretic to increase the urinary excretion of calcium if the referral took longer than expected. |
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Shu'aiba differs in that it contains referral build-ups of rudists surrounded by dense basinal limestones of the Bab member. |
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Granted an escort of five veteran soldiers and a letter of referral to Charles by Lord Baudricourt, Joan rode to see Charles at Chinon. |
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Consultations are more productive with the use of computerized referral guidelines and suggested pre-referral workups. |
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Of these, 55 percent come from the referral agencies and 45 percent are preidentified. |
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At the time of referral, the patient was tachypneic, tachycardic and cyanotic with prominent hepatomegaly. |
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Opticians get much more practice in spotting squints but the end result is usually much the same, a referral to a hospital-based orthoptist. |
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The national health department also operates the San Lazaro Hospital, a special referral tertiary hospital. |
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The referral was to a proctologist to treat the hemorrhoids. |
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Hypertropia and cyclotropia are usually the result ofincomitant deviations and new cases will require referral to the HES for an investigation of the underlying cause. |
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If the anterior chamber completely fills with blood this is called a 'black ball' and requires admission, diamox 250 mg qid, timolol and referral for drainage. |
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The Security Council made its second such referral in February 2011 when it asked the ICC to investigate the Libyan government's violent response to the Libyan Civil War. |
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On referral to our endocrine center, imaging of her pituitary revealed no evidence of a prolactinoma, although a small incidental tentorial meningioma was seen. |
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Official guidelines state that no one should have to wait more than 62 days for cancer treatment after a referral from their general practitioner. |
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Smokers should he given clear, firm advice to stop smoking, and offered suitable support, including rescription of pharmacotherapies and referral to specialist services. |
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The referral was to a coloproctologist to treat the hemorrhoids. |
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Education and specialist referral of patients with atopic dermatitis. |
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Ashram Housing Association, based in Tyseley, has been endorsed as a referral agency for the Sparkhill foodbank, managed by local charity Narthex. |
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My problems started with an innocuous referral by my cardiologist Dr Jamsheer at Salmaniya Medical Complex to go and get an angiography done from the BDF Hospital. |
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Unlike traditional medals catalogues, the duotones are placed within the text proper, facilitating referral to the object while studying the text. |
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Where the appeal committee is seised, it shall meet at the earliest 14 days, except in duly justified cases, and at the latest 6 weeks, after the date of referral. |
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Results of this study highlight the urgent need for nutrition counselling and early referral to dieticians among women with gestational diabetes, she said. |
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This late sign-up often occurs because the ex-offender's parole officer makes a referral or a current or past participant in RIO assures the parolee that the program works. |
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Her referral to hospital with pneumococcal meningitis was delayed for two days after out-of-hours GP Dr I Salih told her worried mother Nicola she had gastric flu. |
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A final source of cases is the referral power of the federal government. |
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There must be no fee-splitting among the referral service and member lawyers, which includes a prohibition on charging a set fee for each referral. |
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