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    • Hamilton Anxiety Rating Scale (HAM-A)

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      Rating Clinician-rated Administration time10–15 minutes Main purposeTo assess the severity of symptoms of anxiety PopulationAdults,adolescents and children Commentary The HAM-A was one of the first rating scales developed to measure the severity of anxiety symptoms, and is still

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      You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: U.S. Department of State, Bureau of Consular Affairs, Passport

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    • The Neck Disability Index

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      £ I can hardly do any recreation activities because of pain in my neck £ I can’t do any recreation activities at all Score: /50 Transform to percentage score x 100 = %points Scoring: For each section the total possible score is 5: if the first statement is marked the section score = …

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    • Reference Tables for Physical Setting/Earth Science

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      Physical Setting/Earth Science Reference Tables — 2011 Edition 2 Generalized Landscape Regions of New York State A p p a l a c h i a n P l a t e a u (U p l a n d s) Interior Lowlands

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      Adam Walsh State Contacts and Procedures for Child Abuse Registry Checks We strive to keep this list accurate and up to date. If you do notice any discrepancies, please contact us ... foster care, investigation, home study, employment etc.) of the request and identifying information on

    • Barthel Index Scoring Form

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      1. The index should be used as a record of what a patient does, not as a record of what a patient could do. 2. The main aim is to establish degree of independence from any help, physical or verbal, however minor and for whatever reason. 3. The need for supervision renders the patient not independent. 4.

    • CDC/NHSN Surveillance Definitions for Specific Types of ...

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      CDC/NHSN Surveillance Definitions for Specific Types of Infections INTRODUCTION . ... Antibiograms of the blood and isolates from potential primary sites of infection do not have to match for purposes of determining the source of BSIs (see “matching organisms” below).


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    • STOP-BANG Sleep Apnea Questionnaire

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      Do you SNORE loudly (louder than talking or loud enough to be heard through closed doors)? Yes No Do you often feel TIRED, fatigued, or sleepy during daytime? Yes No Has anyone OBSERVED you stop breathing during your sleep? Yes No Do you have or are you being treated for high blood PRESSURE? Yes No BANG BMI more than 35kg/m2? Yes No


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      I UNDERSTAND THAT THE STERILIZATION MUST BE CONSIDERED PERMANENT AND NOT REVERSIBLE. I HAVE DECIDED THAT I DO NOT WANT TO BECOME PREGNANT, BEAR CHILDREN OR FATHER CHILDREN. I was told about those temporary methods of birth control that are available and could be provided to me which will allow me to bear or father a child in the future.


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      must repeat them. Do 2 trials. Do a recall after 5 minutes. Subject has to repeat them in the forward order [ ] 2 1 8 5 4 Subject has to repeat them in the backward order [ ] 7 4 2 Read list of letters. The subject must tap with his hand at each letter A. No points if ≥ 2 errors [ ] FBACMNAAJKLBAFAKDEAAAJAMOFAAB


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      you don’t understand and write down the answers, if necessary. If you are prescribed any medications, make sure that you know how much you are supposed to take and when you are supposed to take them. Here is a list of questions that may also help you to gain understanding of your condition: • Why do I have this problem?

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