Зам тээврийн ослын улмаас 14 хүний амь нас эрсджээ

2017-03-03 00:00 Уншсан тоо: 27191
Үнэлгээ өгөх
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    Сар шинийн баярын үеэр замын цагдаа өндөржүүлсэн бэлэн байдалд ажиллаж, шуурхай арга хэмжээ авч байсан ч авто ослын тоо өмнөх оны мөн үеийнхнээс өссөн дүнтэй гарчээ. 2-р сарын 26-наас 3-р сарын 2-ыг хүртэл цагаан сарын өдрүүдэд авто ослын улмаас 14 хүний амь нас хохирч, 49 хүн хүнд, хөнгөн бэртэл авсан байна. Хот хоорондын замд гарсан ослын улмаас 13 хүний амь нас хохирсныг харахад битүүлэг, золголтын үеэр хөдөө замд хурд хэтрүүлэх, согтуугаар тээврийн хэрэгсэл жолоодох үзэгдэл их, ноцтой хэмжээнд байжээ.

   Эдгээрийн дотроос битүүний өдөр буюу 2-р сарын 26-нд нэг гэр бүлийн дөрвөн гишүүний амь насыг авч одсон аймшигтай осол гарсан нь олон хүний зүрхийг шимшрүүлсэн байна. Төв аймгийн Борнуур сумын нутаг “Урьхан” зоогийн газраас Дархан чиглэлд гурван км-т “H.ton” маркийн том оврын автомашины жолооч Д нь согтууруулах ундааны зүйл хэрэглэсэн үедээ тээврийн хэрэгсэл жолоодон урсгал сөрсний улмаас “T,Corolla” маркийн автомашинтай мөргөлдсөн. “T,Corolla” машинд зорчиж явсан нэг бүлийн 40 настай эрэгтэй С, 38 настай эмэгтэй У, 6 настай эмэгтэй А, 3 настай эмэгтэй А нар газар дээрээ нас барж, цогцсыг нь ч машинаас гаргаж авахын аргагүй болсон байжээ. Согтуугаар тээврийн хэрэгсэл жолоодож, нэг гэр бүлийн халуун амийг тасалсан жолооч хэргийн газраас зугатсан байсныг Цагдаагийн албан хаагчид илрүүлэн баривчилсан байна.

   Сар шинэ төдийлэн хуучраагүй, ажил албатай зэрэгцэн үргэлжилж байгаа энэ өдрүүдэд дахин авто осол гарч хүний амь нас, эрүүл мэнд эрсдэх аюул бий тул нийт иргэд замын хөдөлгөөний дүрмээ ягштал баримталж, нэгнээ хүндэтгэж хөдөлгөөнд оролцохыг Замын цагдаагийн газраас сэрэмжлүүлж байна.

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  • Akiportevam 2018-03-09 23:12 Бичсэн: Akiportevam

    In addition, the resting ECG may indicate if the patient has had a remote myocardial infarction. Additional risk factors that require additional validation include: dietary factors (eg, use of alcohol), occupational exposures (eg, asbestos, cadmium, hydrocarbons, and trichloroethylene ), reproductive factors (eg, use of oral contraceptives and parity), and the use of analgesics. Third, whereas temsirolimus was studied in the first-line setting in patients with poor prognosis based on clinical features, everolimus was studied in the second-line setting in patients who had progressed after sorafenib or sunitinib. montelukast.carvedilol.point A more sensitive way to measure obstruction is to express FEV1 as a ratio of FVC. Traumatic brain injury (TBI) is currently the leading cause of death and disability among children and young adults in the industrialized world. Plasma BNP concentrations provide prognostic information in patients with acute decompensated heart failure: in-hospital mortality is threefold higher in those in the highest BNP quartile when compared to the lowest quartile. capitis.piroxicam.lotensin At 2 years, 51% of azacitidine patients were alive compared with 26% of patients who received a CCR, and median overall survival time was prolonged by 9 months. However, in patients with end-stage disease, reversing the underlying cause may no longer be possible, in which case symptoms should be controlled through pharmacologic and nonpharmacologic treatment. The FDA requires appropriate labeling for all medical devices containing natural rubber latex to ensure avoidance and a latex-free environment. mestinon.amitriptyline.colchicine In 2010, persons age 65 and older accounted for 13.0% (40 million) of the total US population, up from 12.4% in 2006. The cause of the tragic chloramphenicol-induced gray baby syndrome in newborn infants is decreased metabolism of chloramphenicol by glucuronyltransferases to the inactive glucuronide metabolite. These findings may have implications for individualized use of calcium channel blockers for blood pressure control in patients with coronary heart disease. kamagra.yaz.depade AT is a 27-year-old resident of San Diego who returns from Mexico and presents with severe abdominal cramps, blood-streaked diarrhea with mucus. Changes in t1/2 can result from a change in either VD or CL; a change in t1/2 does not necessarily indicate that CL has changed. vardenafil.stada.effexor ECMO or extracorporeal membrane oxygenation may be necessary to manage the ensuing severe pneumonia and respiratory failure. The presence of hypoxemia with a normal A–a gradient usually implies alveolar hypoventilation (eg, sedative overdose).

  • Akiportevam 2018-03-09 20:51 Бичсэн: Akiportevam

    Patients will complain of severe itching and an inability to sleep and may have excoriations in the interdigital web spaces, wrists, elbows, buttocks, groin, and scalp with the face and neck unaffected. In addition, when considering the normal range for an individual, one must be aware that considerable variation in serum concentrations exists according to age, gender, weight, and renal function. For some drugs, clearance increases as the dose or concentration of the drug increases. reminyl.euthyrox.naltrexone Dosing specifics are included in Table e10-5. There is no standard protocol for graded challenge dosing; a therapeutic dose may be achieved over a matter of hours or days. Which of the following phrases most accurately characterizes the burden of Drug-Induced Liver Disease and associated disorders? valette.fluoxetine.ceftin Improving our ability to detect, prevent, and treat these outbreaks; while enhancing research, education, and communication related to our preparation and response is a major focus of the CDC and WHO and dozens of participating partners and countries. Because the left atrial pressure is transmitted to the pulmonary capillaries, it can be recorded "indirectly" as the pulmonary capillary "wedge" pressure. benadryl.hydrochlorothiazide.bayer As a result, federal policy initiatives promoting health literacy continue to be highlighted in Healthy People 2020, the Patient Protection and Affordable Care Act of 2010, and the Plain Writing Act of 2010. Periodic use of these tools can help individuals and organizations identify in which direction they are moving on the continuum in order to make necessary adjustments. thyroxine.emergen.mentat Urinalysis can be used to detect and monitor the progression of diseases such as diabetes mellitus, glomerulonephritis, and chronic urinary tract infections. Although terminologies can be misleading, the MSE should not be confused with the Mini Mental Status Exam (MMSE), which is discussed in the Neuropsychiatric Rating Scales section later. cytotec.ciloxan.retin-a Immunization with the live oral capsule vaccine consists of one capsule taken every other day for four doses. Unbound drug in the blood provides the driving force for distribution of the agent to body tissues. However, if patient B received the same inappropriate dose of the same opioid-containing medication and was also treated with naloxone, but in this case the patient had to stay an extra night in the hospital, this would be a category F error.

  • Akiportevam 2018-03-09 18:33 Бичсэн: Akiportevam

    Many theories have been proposed to explain the human aging process. Another example is psoriasis—the most common type is plaque psoriasis noted by discrete, well-defined plaques; however, there are other types of psoriasis such as guttate or erythrodermic with varying lesions. When serum concentrations obtained during a pharmacodynamic experiment are between 20% and 80% of Emax, the concentration–effect curve may appear to be linear (Fig. http://sj.jv.nl/stmap_jrbe103.html?protease.isoniazid.buspar Nausea and Vomiting. Other strategies, such as automated drug-distribution cabinets enabled with bar-code scanning, help to decrease storage and dispensing errors. http://sj.jv.nl/stmap_jrbe166.html?warfarin.nimodipine.amaryl Specific recommendations can be found in Chapter 21. The desired outcome of patient care is to halt the natural course of the virus by preventing hypovolemic shock, while infection control procedures are focused on interrupting transmission. Many prospective studies have been performed to evaluate the safety and efficacy of once-daily aminoglycoside dosing, and most have revealed similar rates of efficacy and toxicity, or trends toward improved efficacy and reduced toxicity for once-daily dosage regimens as compared with traditional (thrice daily) regimens. http://sj.jv.nl/stmap_jrbe139.html?pamelor.label.nimodipine Inhaled poisons typically cannot penetrate a handkerchief over the nostrils so that it can be used to protect against fumes in order to rescue someone. To compute the formation clearance of M1 and M2 (CLFM1, CLFM2), urine would be collected for five or more half-lives after a single dose or during a dosage interval at steady state. http://sj.jv.nl/stmap_jrbe103.html?grippostad.broad.symbicort Four patients, or 0.5% of the total respondents, experienced adverse respiratory symptoms. The diagnosis of acromegaly is based on a combination of diagnostic tests and clinical signs and symptoms. http://sj.jv.nl/stmap_jrbe197.html?promethazine.cytoxan.uric A clinical policy statement by the American College of Emergency Physicians concludes that although no definitive recommendation can be made on the use of ipecac syrup, gastric lavage, cathartics, or whole-bowel irrigation, activated charcoal is advocated for most patients when appropriate. Centrolobular necrosis, steatohepatitis (steatonecrosis), phospholipidosis, and generalized hepatocellular necrosis are each identifiable by particular biopsy results and subtle differences in clinical presentation. Traveling to country and acquiring measles.

  • Akiportevam 2018-03-09 13:37 Бичсэн: Akiportevam

    Immediately rinse the eye with sterile water when a chemical is splashed on it. However, several studies have linked PPI use to uncommon but serious adverse events, including increased risk of bone fracture, enteric infection, pneumonia, and chronic kidney disease in patients with long-term use. Diarrhea. https://keiindemaatschappij.nl/stmap_dh2z137.html?gris.hydroxyurea.orlistat Patients undergoing autologous HSCT are at increased risk for development of t-MDS. The normal duration of the QRS complex is less than 0.12 second. The measurement or estimation of CLcr, however, remains the most commonly used index for individualizing medication dosage regimens in patients with acute and CKD. https://keiindemaatschappij.nl/stmap_dh2z115.html?rivastigmine.cetirizin.xenical Pulmonary toxicity has followed intrathecal as well as oral administration and has occurred after single doses as well as long-term daily and intermittent administration. Multiple examples of tracking systems are available; errors may be grouped by the type of error or the extent of patient harm. https://keiindemaatschappij.nl/stmap_dh2z228.html?inderal.mupirocin.fluoxetin The excretion of urea may, therefore, be decreased under conditions that necessitate water conservation such as dehydration although the GFR may be normal or only slightly reduced. Correction factors have been used to adjust drug dosing in obese children. https://keiindemaatschappij.nl/stmap_dh2z178.html?lithium.lipostat.vaseretic Nicotine is metabolized by CYP2A6, and the clinical relevance of the CYP2A6 polymorphism lies in management of tobacco abuse. However, recommendations regarding how therapy can be tailored to maximize patient benefit based on these findings are not available at this time. Many chronic conditions can be prevented or improved with behavioral modification, such as diet and physical activity. https://keiindemaatschappij.nl/stmap_dh2z74.html?flector.micronase.crixivan A 55-year-old woman comes to your clinic pharmacy with complaints of dysphagia and a burning sensation in her throat. From travel advisories to health emergencies, organizations like the WHO provide timely information and guidance for the prevention of illnesses that could lead to significant morbidity or mortality. A number of retrospective studies reporting variable rates of cross-reactivity relied on self-reported histories as confirmation of penicillin allergy.

  • Akiportevam 2018-03-09 13:32 Бичсэн: Akiportevam

    The occurrence of allergic reactions after receipt of nonantibiotic sulfonamides has also been attributed to a predisposition to allergic reactions in the affected individuals rather than cross-reactivity with sulfonamide antibiotics. As discussed earlier (see Immunosuppressive Agents above), patients with HLA DR15 positivity have a superior response to immunosuppressive therapy as first-line management. clavamox.vpxl.zestoretic CVD accounts for 75% of all deaths in patients with PAD. For the chapter in the Wells Handbook, please go to Chapter 47. No significant difference existed on the basis of BMI in the rate of complete remission, overall survival, incidence of relapse, and frequency of toxicity. remeron.ciloxan.avita The BHD tumor suppressor gene (also known as FLCN) is located on the short arm of chromosome 17 and is responsible for encoding the protein folliculin. Estimation of an exact dose is impossible in most cases of acute poisoning; thus, tabulated "toxic" doses generally are not helpful in assessing risk of toxicity. Coagulation factors circulate as inactive precursors (zymogens). belara.tadacip.doxycycline For example, warfarin may be initiated at lower doses with closer monitoring in patients with a VKORC1 genotype associated with increased warfarin sensitivity or a CYP2C9 allele associated with reduced warfarin metabolism. The insulin infusion rate can be reduced gradually as signs of toxicity resolve. Patient education is crucial to prevent fatalities due to underuse and incorrect administration of epinephrine. zumo.prochlorperazine.clomipramine Another IOM report in 2007, "Preventing Medication Errors," described system changes that are necessary to improve safety to include computerized physician order entry (CPOE), bar-code-assisted medication administration (BCMA), multidisciplinary communication, and the active involvement of patients in their treatment. A 2011 Cochrane review found no evidence of benefit for benzodiazepines in the management of dyspnea. epivir-hbv.zyloprim.imigran In which of the following circumstances should the particular form of gastric decontamination be used for a person who swallowed something that could be poisonous? Large hepatic abscesses or amebic pericarditis may require needle aspiration, percutaneous catheter drainage, or, rarely, surgery before drug therapy.

  • Akiportevam 2018-03-09 02:10 Бичсэн: Akiportevam

    With mechanical or conventional CT, the X-ray tube itself rotates around the patient, and the use of multirow detector systems rays (ie, multislice CT) allows acquisition of up to 320 simultaneous images, each 0.5 mm in thickness. Due to recent economic changes in the community, he now has to work three part-time jobs (two in food industry and one in construction) so that he can help support his wife who is undergoing breast cancer treatment. When EC50 is much greater than C, E = (Emax/EC50)C = S Г— C, where S = Emax/EC50. https://kristas.nl/stmap_gatw176.html?toprol-xl.pyridium.oxytrol Which of the following laboratory tests is often elevated in a patient with an upper gastrointestinal tract bleed? These include the Poison Prevention Packaging Act (PPPA) of 1970, the evolution of regional poison control centers, the application of prompt first aid measures, improvements in overall critical care, development of less toxic product formulations, better clarity in the packaging and labeling of products, and public education on the risks and prevention of poisoning. https://kristas.nl/stmap_gatw80.html?inh.proquin.periostat PET imaging with these agents allows one to measure myocardial blood flow at rest and during pharmacologically induced hyperemia. Investigators have theorized that metabolites of these medications bind covalently to macromolecules in the cell and then cause cell death either by exerting a direct toxic effect on the stem cell or by causing the death of lymphocytes involved in regulating hematopoiesis. His serum creatinine today is 1.50 mg/dL (133 Ојmol/L) (using the IDMS calibrated assay). https://kristas.nl/stmap_gatw101.html?indocin.extendaquin.cefuroxime A patient presents with bilateral leg weakness, difficulty urinating, and numbness from the waist down. Young users (age 18-29) also use their smartphones heavily for social networking services (91%) compared with other age groups. https://kristas.nl/stmap_gatw70.html?paxil.vera.clavulanate These have included impaired learning due to decreased short-term memory, attention span and problem solving ability; risks with motor vehicle driving associated with changes in motor control, coordination, judgement, and tracking ability; brain development; and drug dependence or addiction which may develop later in adulthood. Measures to enhance elimination from the bloodstream by hemodialysis or multiple-dose activated charcoal have not been shown to be effective and are not indicated for calcium channel blocker poisoning. https://kristas.nl/stmap_gatw182.html?lotrimin.lithobid.serevent Pharmacogenetic factors responsible for poisoning risk among individuals have not been systematically studied, but unusual circumstances of poisoning cases have prompted the use of genotyping as a means to identify polymorphically expressed drug metabolizing enzymes. This model differs from the IPSS in identifying five risk categories by incorporating different categories for marrow blast percentage value and depth of cytopenias, expanding the cytogenetic risk groups from three to five groups and including a number of less common cytogenetic abnormalities. Similarly, ensuring adherence to pharmacotherapy in pediatric patients poses a special challenge.

  • Akiportevam 2018-03-08 23:47 Бичсэн: Akiportevam

    When using opioid therapy as part of an analgesic regimen, palliative care practitioners must diligently monitor for and manage opioid adverse effects. Exposure to mosquitoes and other insects may occur indoors as well as outdoors. A microtiter fractional inhibitory concentration experiment is performed to assess the effects of a combination of a new fluoroquinolone and a new aminoglycoside. https://choir-practice.com/stmap_rqk1222.html?risperidone.ethiopia.duphalac These reactions may be evident as fixed drug eruptions; macropapular, morbilliform, or erythematous rashes; exfoliative dermatitis; photosensitivity reactions; or eczema. Cutaneous anthrax causes a unique black eschar which is a hallmark sign of the disease. https://choir-practice.com/stmap_rqk1119.html?carvedilol.astelin.ponstel In the United States, bromocriptine is commercially available as 0.8 and 2.5-mg oral tablets and 5-mg oral capsules. For the chapter in the Wells Handbook, please go to Chapter 11. https://choir-practice.com/stmap_rqk1167.html?cymbalta.caverta.relafen Cancer diagnoses accounted for 36.6% of hospice admissions. This range will vary between laboratories and patients, as it is dependent on patient age, gender, comorbidity status (WBC, especially neutrophils, increase naturally during pregnancy). https://choir-practice.com/stmap_rqk1196.html?antiox.imitrex.doryx While the safety of albendazole in children younger than 6 years is unclear, World Health Organization recommends 200 mg doses for those at least 12 months of age. Drugs that can produce nonimmune DHR include vancomycin, opiates, iodinated radiocontrast agents, angiotensin-converting enzyme (ACE) inhibitors, amphotericin B, and D-tubocurarine. https://choir-practice.com/stmap_rqk1156.html?feldene.finax.sinemet Importantly, all of the systems contain information management software that allow for the storage and rapid retrieval of historical susceptibility data. The drug interaction between amiodarone and digoxin probably involves all three of these mechanisms; this explains why digoxin concentrations increase so dramatically in patients receiving amiodarone.

  • Akiportevam 2018-03-08 21:22 Бичсэн: Akiportevam

    Antipsychotic medications are the most frequently reported agents to cause hyperprolactinemia due to their potent dopamine-receptor blockade. After clearance of the drug from the circulation, the direct Coombs test result will become negative. https://fawaka.nu/stmap_6dk539.html?biaxin.gyne-lotrimin.coreg Inflammatory processes participate in the development of atherosclerosis and contribute to the destabilization of atherosclerotic plaques, which may ultimately lead to an acute coronary syndrome. What is the difference between cultural and community competency? https://fawaka.nu/stmap_6dk5203.html?levothyroxine.vistaril.atenolol For the chapter in the Wells Handbook, please go to Chapter 69. Serum elevations in the liver enzymes begin 40 to 50 hours after ingestion. https://fawaka.nu/stmap_6dk524.html?proair.broad.paroxetin A residence was the site of exposure in 93% of the cases, and a single substance was involved in 89% of cases. They are classified based on time of onset and termination within systole: midsystolic or holosystolic (pansystolic). https://fawaka.nu/stmap_6dk543.html?bupropion.sertraline.evista Travelers should be provided with written material about proper application to reduce the risk of repellant toxicity. It is important to note that although antagonism has been demonstrated for several combinations in vitro (eg, penicillin plus tetracycline, chloramphenicol and an aminoglycoside, fluoroquinolones and rifampin), antagonism in vivo has been demonstrated only infrequently. https://fawaka.nu/stmap_6dk5200.html?nifedipine.menosan.piroxicam Electronic medication dispensing devices, such as MedicaSafe, are available to not only help remind patients to take their medication but also allow prescribers to monitor progress. This complex activates the platelets.

  • Akiportevam 2018-03-08 18:57 Бичсэн: Akiportevam

    This should encourage the industry to develop and market more drugs for the pediatric population. GFR. The liver plays host to all of the cells that make up the innate immune response system in the body along with Kupffer cells, which are a type of macrophage. https://ilsemarije.nl/shop/stmap_76jc169.html?avita.zaditor.diflucan What is the most appropriate therapy for a 72-year-old man with MDS associated with an isolated chromosomal 5q deletion? Both the patient and interviewer should have equal access to leave the room if either becomes too uncomfortable. https://ilsemarije.nl/shop/stmap_76jc27.html?metformin.detrol.lopid Typical symptoms include fever, tachypnea, dyspnea, dry cough, and, less commonly, pleuritic chest pain. As noted by the expert panel, this classification system has limitations because route of drug administration and the presence of immune co-factors (eg, viruses, drug interactions affecting drug metabolism) can influence the onset or progression of the immune reaction. https://ilsemarije.nl/shop/stmap_76jc125.html?combantrin.atrovent.portal Many of these infections in their naturally occurring state are very uncommon. Emphasis on initiating antibiotic therapy as soon as possible is important in reducing long-term complications. Patients with pulmonary edema may be comatose with depressed respirations or dyspnea and tachypnea. https://ilsemarije.nl/shop/stmap_76jc141.html?raloxifene.torsemide.mestinon Patients with limited health literacy have less knowledge about how to manage their disease; they misunderstand dosing instructions and warning labels on medication containers; they are less likely to read or even look at medication guides; their ability for medication management is limited as these persons are less able to identify or distinguish their medications from one another; and they are less able to use a metered-dose inhaler (MDI) properly. Persons with schizophrenia often provide concrete (literal or superficial interpretations) or bizarre responses to probes of abstraction. Patient preparation involves instructing patients to refrain from eating or drinking for at least 8 hours prior to the procedure and the administering of bowel-cleansing agents. https://ilsemarije.nl/shop/stmap_76jc196.html?nolvadex.terbinafine.glumetza MDRD4 and CKD-EPI relative to CG in 153 postrenal transplant patients. For the chapter in the Wells Handbook, please go to Chapter 47. Since 1998, those reporting four or more chronic conditions has increased from 11.6% to 17.4%.

  • Akiportevam 2018-03-08 16:25 Бичсэн: Akiportevam

    The publication of the Oslo Definitions has helped to address this concern. Geography helps to distinguish differences between a male of Islamic religion and Somali descent who is raised in Philadelphia, Pennsylvania, from one who is raised in St. https://bvmweststellingwerf.nl/stmap_syu6149.html?finax.adapalen.inh The most common cause of pulmonary edema is an increase in capillary hydrostatic pressure because of left ventricular failure. In patients with initially localized disease who undergo nephrectomy, 20% to 30% will relapse, with most relapses occurring in the first 2 years after surgery. https://bvmweststellingwerf.nl/stmap_syu644.html?protopic.starlix.benzac Community-based surveys reveal that older adults take an average of 2 to 10 prescription and nonprescription medications each day. Bedside Schwartz equation performed better than the original Schwartz equation for patients with mild-moderate CKD, but was less accurate in patients with mild CKD. https://bvmweststellingwerf.nl/stmap_syu6107.html?periostat.aralen.unisom After the antibodies bind to the complexes, platelet activation and aggregation occur, with subsequent release of more circulating PF-4 to interact with heparin. The concern with live vaccines is that they can transmit vaccine strain illness to the fetus. Further clinical trials are required to understand the mechanism of paradoxical cough with fentanyl and to identify the means to prevent it. https://bvmweststellingwerf.nl/stmap_syu6160.html?vivitrol.letrozole.pentoxifylline Using the Emax model as an example and setting Emax = 100 units and EC50 = 20 mg/L, doubling the serum concentration from 5 to 10 mg/L increases the effect from 20 to 33 units (a 67% increase), whereas doubling the serum concentration from 40 to 80 mg/L only increases the effect from 67 to 80 units (a 19% increase). Specific goals should include increasing maximal walking distance, duration, and pain-free walking, improving control of comorbid conditions contributing to the morbidity of the condition (eg, HTN, hyperlipidemia, and diabetes), improvement in overall quality of life, and reduction in cardiovascular complications and death. https://bvmweststellingwerf.nl/stmap_syu6175.html?tetracycline.doxazosin.domperidone The incidence of adverse effects with pasireotide is similar to octreotide and lanreotide with the exception of a higher incidence of hyperglycemia (61%-67% vs 25%-30%) often requiring treatment with antidiabetes medications (38%-39% vs 6%). These structures are visualized as shadows of differing density rather than as discrete entities. Anemic patients with MDS may have either a lower than expected endogenous serum EPO level relative to the degree of anemia present or an elevated EPO level.

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