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Medical Symptoms / Review of Systems - Stella Maris Internal ...

12855 North Forty Drive, Suite 350 St. Louis, MO 63141 314.205.1926 •fax: 314.205.1076 www.heal-stl.org Hani C. Soudah, MD, PhD Medical Symptoms / Review of Systems Diplomate American Board of Internal Medicine Name _________________________________________________________ Date _________________ Week _______________ Rate each of the following symptoms based upon your typical health profile for: q Past 30 days q Past 48 hours Point Scale 0 1 2 Never or almost never have the symptom Occasionally have it, effect is not severe Occasionally have it, effect is severe _____ Dizziness _____ Faintness _____ Bags or dark circles under eyes _____ TOTAL _____ TOTAL _____ Insomnia _____ Blurred or tunnel vision (does not include near or farsightedness) _____ Chronic Coughing MOUTH/ THROAT _____ Swollen, reddened or sticky eyelids _____ Faintness HEAD Frequently have it, effect is not severe Frequently have it, effect is severe _____ Watery or itchy eyes _____ Faintness EYES _____ Headaches 3 4 _____ Gagging, frequent need to clear throat _____ Sore throat, hoarseness, loss of voice _____ Swollen or discolored tongue, gums or lips _____ Canker sores _____ TOTAL _____ Sneezing attacks _____ Excessive mucus formation _____ Drainage from ear _____ Ringing in ears, hearing loss _____ TOTAL _____ Irregular or skipped heartbeat ...

Beyond the Bowel - UNC School of Medicine

IBS - Beyond the Bowel: The Meaning of Co-existing Medical Problems Olafur S. Palsson, Psy.D. and William E. Whitehead, Ph.D. UNC Center for Functional GI & Motility Disorders Irritable bowel syndrome (IBS) is a disorder that is defined by a specific pattern of gastrointestinal (GI) symptoms in the absence of abnormal physical findings. The latest diagnostic criteria for IBS -the Rome II criteria created by an international team of experts -- require that the patient have abdominal pain for at least 12 weeks within the past 12 months and that the pain meets two of the following three criteria: it is relieved after bowel movement, associated with change in stool frequency, or associated with stool form. It is becoming clear, however, that these bowel symptoms do not tell the whole story of symptoms experienced by IBS patients. People with this disorder often have many uncomfortable non-gastrointestinal (non-GI) symptoms and other health problems in addition to their intestinal troubles. SYMPTOMS ALL OVER THE BODY IN IBS Several research reports have established that IBS patients report non-bowel symptoms more frequently than other GI patients and general medical patients. For example, four studies that have asked IBS patients about a wide variety of body symptoms(1-4) all found headaches (reported by 23-45% of IBS patients), back pain (28-81%), and frequent urination (20-56%) to be unusually common in individuals with IBS compared to other people. Fatigue (36-63%) and bad breath or unpleasant taste in the mouth (16-63%) were found in three of these four studies to be more common among IBS patients, as well. Furthermore, a large number of other symptoms have been reported to occur with unusually high frequency in single studies. In our recent systematic review of the medical literature(5), we found a total 26 different symptoms, that are reported to be more common in IBS patients than comparison groups in at least one study. Non-gastrointestinal symptoms more common in irritable bowel syndrome patients than in comparison groups(5).

MEDICAL SYMPTOMS QUESTIONNAIRE - Evergreen Center for ...

MEDICAL SYMPTOMS QUESTIONNAIRE Rate each of the following symptoms based upon your typical health status for the past 30 days. ! Point Scale 0 - Never or almost never have the symptom 1 - Occasionally have it, effect is not severe 2 - Occasionally have it, effect is severe 3 - Frequently have it, effect is not severe 4 - Frequently have it, effect is severe System HEAD EYES EARS NOSE MOUTH & THROAT SKIN HEART LUNGS Points Symptoms Total 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 Headaches Faintness Dizziness Insomnia _____ 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 Watery or itchy eyes. Swollen, reddened, or sticky eyelids Bags or dark circles under eyes Blurred or tunnel vision (does not include nearor farsightedness) _____ 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 Itchy ears Earaches, ear infections Drainage from ear Ringing in ears, hearing loss _____ 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 Stuffy nose Sinus problems Hay fever Sneezing attacks Excessive mucus formation _____ 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 Chronic coughing Gagging, frequent need to clear throat Sore throat, hoarseness, loss of voice Swollen or discolored tongue; gums, lips Canker sores _____ 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 Acne Hives, rashes, dry skin Hair loss Flushing, hot flashes Excessive sweating _____ 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 Irregular or skipped heartbeat Rapid or pounding heartbeat Chest pain _____ 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 0····1····2····3····4 Chest congestion Asthma, bronchitis Shortness of breath Difficulty breathing _____ Evergreen Center for Integrative MedicinE! 2008 NE 65th St * Seattle, wa 98115 ! PHone: 206-729-0907 fax: 206-729-0199 Patient Name: !...

Microevolution of intermediary metabolism: evolutionary genetics ...

During the past decade, microevolution of intermediary metabolism has become an important new research focus at the interface between metabolic biochemistry and evolutionary genetics. Increasing recognition of the importance of integrative studies in evolutionary analysis, the rising interest in ‘evolutionary systems biology’, and the development of various ‘omics’ technologies have all contributed significantly to this developing interface. The present review primarily focuses on five prominent areas of recent research on pathway microevolution: lipid metabolism and life-history evolution; the electron transport system, hybrid breakdown and speciation; glycolysis, alcohol metabolism and population adaptation in Drosophila; chemostat selection in microorganisms; and anthocyanin pigment biosynthesis and flower color evolution. Some of these studies have provided a new perspective on important evolutionary topics that have not been investigated extensively from a biochemical perspective (hybrid breakdown, parallel evolution). Other studies have provided new data that augment previous biochemical information, resulting in a deeper understanding of evolutionary mechanisms (allozymes and biochemical adaptation to climate, life-history evolution, flower pigments and the genetics of adaptation). Finally, other studies have provided new insights into how the function or position of an enzyme in a pathway influences its evolutionary dynamics, in addition to providing powerful experimental models for investigations of network evolution. Microevolutionary studies of metabolic pathways will undoubtedly become increasingly...

EXAM FM SAMPLE QUESTIONS - Society of Actuaries

SOCIETY OF ACTUARIES EXAM FM FINANCIAL MATHEMATICS EXAM FM SAMPLE QUESTIONS This page indicates changes made to Study Note FM-09-05. January 14, 2014: Questions and solutions 58–60 were added. Copyright 2013 by the Society of Actuaries. Some of the questions in this study note are taken from past SOA/CAS examinations. FM-09-05 PRINTED IN U.S.A. These questions are representative of the types of questions that might be asked of candidates sitting for the new examination on Financial Mathematics (2/FM). These questions are intended to represent the depth of understanding required of candidates. The distribution of questions by topic is not intended to represent the distribution of questions on future exams. 11/08/04 4 1. Bruce deposits 100 into a bank account. His account is credited interest at a nominal rate of interest of 4% convertible semiannually. At the same time, Peter deposits 100 into a separate account. Peter’s account is credited interest at a force of interest of δ . After 7.25 years, the value of each account is the same. Calculate δ. (A) 0.0388 (B) 0.0392 (C) 0.0396 (D) 0.0404 (E) 0.0414 11/08/04 5 2. Kathryn deposits 100 into an account at the beginning of each 4-year period for 40 years. The account credits interest at an annual effective interest rate of i. The accumulated amount in the account at the end of 40 years is X, which is 5 times the accumulated amount in the account at the end of 20 years. Calculate X. (A) 4695 (B) 5070 (C) 5445 (D) 5820 (E) 6195 11/08/04 6 3. Eric deposits 100 into a savings account at time 0, which pays interest at a nominal rate of i, compounded semiannually. Mike deposits 200 into a different savings account at time 0, which pays simple interest at an annual rate of i. Eric and Mike earn the same amount of interest during the last 6 months of the 8th year. Calculate i. (A) 9.06% (B) 9.26% (C)...

Sample Level II Item-Set Questions Questions 1 ... - CFA Institute

SMC Case Scenario Ian Sherman, CFA, is a portfolio manager at SMC, an investment advisory firm which offers investment products and services to individual and institutional clients. SMC has adopted the CFA Institute Research Objectivity Standards and implemented policies in compliance with the Standards. All of SMC’s investment professionals have earned CFA charters. Sherman tells prospective clients, “The CFA charter is the highest credential in the global investment management industry. As charterholders we are committed to the highest ethical standards. Completion of the program has dramatically improved the team’s portfolio management knowledge and their ability to achieve better performance results.” Sherman has earned a reputation for consistently outperforming the market. Over the long run, his mutual funds have outperformed their respective market benchmarks by a wide margin. For the past 12 months the funds have slightly underperformed the benchmarks. Some clients have noticed that Sherman’s fund performance information has not been updated on the advisor’s...

SOA/CAS Exam P Sample Questions
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SOCIETY OF ACTUARIES/CASUALTY ACTUARIAL SOCIETY EXAM P PROBABILITY EXAM P SAMPLE QUESTIONS Copyright 2005 by the Society of Actuaries and the Casualty Actuarial Society Some of the questions in this study note are taken from past SOA/CAS examinations. P-09-05 PRINTED IN U.S.A. Page 1 of 82 1. A survey of a group’s viewing habits over the last year revealed the following information: (i) (ii) (iii) (iv) (v) (vi) (vii) 28% watched gymnastics 29% watched baseball 19% watched soccer 14% watched gymnastics and baseball 12% watched baseball and soccer 10% watched gymnastics and soccer 8% watched all three sports. Calculate the percentage of the group that watched none of the three sports during the last year. (A) 24 (B) 36 (C) 41 (D) 52 (E) 60 Page 2 of 82 2. The probability that a visit to a primary care physician’s (PCP) office results in neither lab work nor referral to a specialist is 35% . Of those coming to a PCP’s office, 30% are referred to specialists and 40% require lab work. Determine the probability that a visit to a PCP’s office results in both lab work and referral to a specialist. (A) (B) 0.12 (C) 0.18 (D) 0.25 (E) 3. 0.05 0.35 You are given P[A∪B] = 0.7 and P[A∪B′] = 0.9 . Determine P[A] . (A) 0.2 (B) 0.3 (C) 0.4 (D) 0.6 (E) 0.8 Page 3 of 82 4. An urn contains 10 balls: 4 red and 6 blue. A second urn contains 16 red balls and an unknown number of blue balls. A single ball is drawn from each urn. The probability that both balls are the same color is 0.44 . Calculate the number of blue balls in the second urn. (A)...

2011 CQE Sample Exam w inst - ASQ
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The purpose of the following sample examination is to provide an example of what is provided on exam day by ASQ, complete with the same instructions that are provided on exam day. The test questions that appear in this sample examination are retired from the CQE pool and have appeared in past CQE examinations. Since they are now available to the public, they will NOT appear in future CQE examinations. This sample examination WILL NOT be allowed into the exam room. Appendix A contains the answers to the sample test questions. ASQ will not provide scoring and analysis for this sample examination. Remember: These test questions will not appear on future examinations so your performance on this sample examination may not reflect how you perform on the formal examination. A self-appraisal of how well you know the content for the specific areas of the body of knowledge (BOK) can be completed by using the worksheet in Appendix B. On page 2 of the instructions, it states “There are 160 questions on this 5-hour examination.” Please note that this sample exam only contains 75 questions.

Distributed Dynamics and Optimization in Multi-agent Systems

Motivation Many networks are large-scale and comprise of agents with local information and heterogeneous preferences. This motivated much interest in developing distributed schemes for control and optimization of multi-agent networked systems. Routing and congestion control in wireline and wireless networks. Parameter estimation in sensor networks. Multi-agent cooperative control and coordination. Two Complementary Control Paradigms Cooperative Decentralized Network Control: Obedient users and well-defined system objective. Goal: Design distributed algorithms that rely on local information and involve simple computations (robust to dynamic changes). Examples: Information processing in sensor networks Mobile ad hoc communication networks Past and present of data networks Noncooperative Network Control: Model distributed control problem as a multi-agent game (either because of selfish incentives or as an alternative distributed control paradigm). Goal: Establish efficiency properties of resulting equilibrium and show convergence of simple distributed adaptive dynamics to an equilibrium. Examples: Internet Future source-based network architectures Transportation and energy networks...

Crisis Management Plan - Pi Kappa Phi Fraternity

CRISIS MANAGEMENT PLAN Pi Kappa Phi is not immune to the tragedies and crises that have struck the college fraternity population with alarming frequency over the past decade. As leaders and volunteers working with student chapters, we must be prepared to meet the needs of any crisis we face. This guide is dedicated to the prevention of risk management crises, but also outlines the basics steps to follow in case of an emergency. EDUCATE MEMBERS BEFORE A CRISIS Teach Risk Management and Crisis Management to the membership. All Pi Kappa Phi Statements of position and risk management policies and procedures should be taught during the initial intake period for members, the associate member education program. Review these policies and procedures with the entire membership in the beginning of each semester. The first concern should be the health and safety of each member, and the chapter in general. All members must know who is in charge and be prepared to follow instructions. Complete the Risk Management Statement of Responsibility as a chapter. In order to reinforce the importance of managing our risk as an organization, make sure to complete the Risk Management Compliance Statement EACH SEMESTER (include all officers) and return it to the National Headquarters. Identify the leader BEFORE the problem happens....

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