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The pain is more marked with activity and the patient feels comfortable by taking rest.Sometimes, she feels difficulty in standing from sitting position. If the second sam-ple sounds more unnatural than the first sample,give it a higher number.

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Use active listening skills, interview, and talk with the patient to try to determine thereason for refusal.

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Eachof these fatty acids is the purported precursor for lon-ger chain, more highly unsaturated fatty acids in theomega-6 and omega-3 families, respectively. What type of CVD is this? 497A

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