Term
| primary prevention definition |
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Definition
| treatments and lifestyle modifications that prevent disease |
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Term
| secondary prevention definition |
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Definition
| detection of disease early or decreases effect of disease that already occured |
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Term
| tertiary prevention definition |
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Definition
| intervention that reduces or eliminates long term disabilities, minimizes suffering |
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Term
| type of prevention -treatment of confirmed cancer |
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Definition
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Term
| type of prevention - cervical screening |
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Definition
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Term
| type of prevention - mammogram |
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Definition
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Term
| type of prevention - folic acid in foods |
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Definition
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Term
| type of prevention - bike helmet |
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Definition
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Term
| type of prevention - LEEP |
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Definition
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Term
| recommended daily exercise |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| 3 cancers with highest incidence |
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Definition
| 1) breast, 2) lung, 3) colorectal |
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Term
| 3 cancers with highest mortality |
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Definition
| 1) lung, 2) breast, 3) colorectal |
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Term
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Definition
| >55yo AND ONE - 30 PPY smoker (hx or current) within past 15y -> low dose helical CT yearly, DC when not smoking for 15y |
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Term
| risk factors for colon cancer - 5 |
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Definition
| obesity 1.5x, smoking 2x, FHX, syndromes, IBD (not IBS) |
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Term
| protective factor for colon cancer |
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Definition
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Term
| worst prognostic factor for colon cancer |
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Definition
| obesity increases risk of death |
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Term
| start, interval, stop colon cancer screening - average |
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Definition
| 50yo, q10y, 75-85yo or <10y left |
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Term
| start, interval, stop colon cancer screening - African american |
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Definition
| 45yo, q10y, 75-85yo or <10y left |
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Term
| start and interval colon cancer screening - family history of colon cancer |
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Definition
| 10y before first diagnosis or by 40yo, q5-10y |
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Term
| start and interval colon cancer screening - FAP |
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Definition
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Term
| start and interval colon cancer screening - HNPCC |
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Definition
| 1-2y before first family dx or by 20-25yo, q1-2y |
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Term
| start and interval colon cancer screening - IBD |
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Definition
| 8-10y post-diagnosis, q1y |
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Term
| colonoscopy interval - hyperplastic polyp |
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Definition
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Term
| colonoscopy interval - adenoma |
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Definition
| <10mm 5-10y, >3 or >10mm then 3y |
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Term
| colonoscopy interval - serrated |
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Definition
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Term
| colonoscopy interval - >100 polyps |
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Definition
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Term
| order by highest to lowest sensitivity - CT colonoscopy, FOB testing, stool DNA, stool immunohistochemistry, colonoscopy |
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Definition
| colonoscopy 98%, stool DNA 92%, CT colonoscopy 90%, innunohistochemistry 80%, FOB 30% |
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Term
| order by best to least decrease in cancer mortality - flex sigmoid with FOB testing, FOB testing, colonoscopy, innunohistochemistry |
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Definition
| colonoscopy 88%, flex sigmoid with FOB 80%, immunohistochemistry 74%, FOB testing 30% |
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Term
| what type of lesions do colonoscopies miss |
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Definition
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Term
| what does flex sigmoid with FOB testing miss |
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Definition
| only sees L colon and misses 60% of cancer on right side of colon, and in women 65% of their colon cancer is on the right side |
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Term
| interval flex sigmoid with FOB testing |
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Definition
| flex q5y, FOB testing q3y |
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Term
| which colon cancer test does not require sedation - 4 |
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Definition
| CT colonoscopy, FOB testing, immunohistochemirstry, stool DNA |
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Term
| interval for CT colonography |
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Definition
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Term
| which colon testing is the pill you swallow |
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Definition
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Term
| which colon testing is the barium squirt |
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Definition
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Term
| risks of CT colonography - 2 |
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Definition
| misses 50% of lesions <1cm (20% of cancers), radiation exposure increases cancer from 1:2000 to 1:20 |
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Term
| things that cause a false positive FOB testing - 8 |
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Definition
| meat, broccoli, turnips, cauliflower, apple, oranges, mushroom, clochine |
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Term
| things that cause false negative FOB testing |
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Definition
| polyps that are not currently bleeding |
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Term
| interval for FOB testing alone, which you shouldn't do |
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Definition
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Term
| what screening labs start at 45yo |
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Definition
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Term
| what screening labs start at 50yo |
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Definition
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Term
| what screening labs start at 65yo |
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Definition
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Term
| when should lipids be screened for |
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Definition
| 9-11yo once, 18-21yo once, 45-75yo q5y |
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Term
| when should TSH be screened |
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Definition
| FHX, autoimmune diseases, >50yo q3y |
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Term
| when should glucose be screened |
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Definition
| BMI >25, PCOS, HTN, FHX, GDM all earlier. if not then 45yo q3y |
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Term
| which screening labs are q3y |
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Definition
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Term
| which screenining labs are q5y |
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Definition
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Term
| which screening labs are q1y |
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Definition
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Term
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Definition
| yearly if at risk starting at 13yo. 2x in life after 15yo |
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Term
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Definition
| 1945-1965 born once lifetime, annually starting at 13yo in high risk, at time of HIV diagngosis |
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Term
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Definition
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Term
| 3 screenings that start at 50yo |
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Definition
| colonoscopy, TSH, zoster immunization |
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Term
| 3 screenings that start at 65yo |
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Definition
| DEXA, UA annually, pneumococcal |
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Term
| contraindications to hep B vaccine - 3 |
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Definition
| yeast, allergy, acute illness |
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Term
| who to check hep B immunity in - 5 |
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Definition
| chronic liver disease, DM <60yo, HIV, CKD, healthcare workers |
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Term
| how to check hep B immunity and how to manage |
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Definition
| if HepSAb is >10 then immune, if not give booster, in 1mo if still <10 give rest of 2 doses of the series, if in 1mo still not then consider non-responder and needs Ig every time exposed |
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Term
| what is the dosing scheduled for Tdap |
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Definition
| 2, 4, 6, 15-18mo, 4-6y, q10y |
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Term
| who gets what tdap vaccine |
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Definition
| <7yo DTap, >11yo Tdap, booster Td, around infants Tdap |
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Term
| how long before contact with an infant do you need to be vaccinated for pertussis |
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Definition
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Term
| who should have their MMR immunity checked - 3 |
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Definition
| travel, going to college, pre-conception |
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Term
| schedule for meningococcal vaccine |
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Definition
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Term
| who needs early meningococcal vaccine |
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Definition
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Term
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Definition
| 11-12yo (0 then 6-12mo), allowed 9-26yo and up to 46yo but my not cover it, if >15yo need 3 doses (0, 2, 6mo) |
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Term
| what are the vaccines to check in teens - 5 |
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Definition
| meinigococcal, HPV, flu, MMR if going to college, Td boosters |
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Term
| what is the schedule for the zoster vaccine |
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Definition
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Term
| what is the schedule for the pneumonia vaccine |
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Definition
| 65yo (PCV13 then in 6-12mo PSV23) |
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Term
| what are the 3 early pneumonia vaccine regimens |
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Definition
| PCV13, 6-12mo, PSV23 all before 65...… PCV13, 6-12mo, PSV23, 5y, PSV23 all before 65...….. PCV23 before 65 |
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Term
| who gets PCV13 > 6-12mo > PSV23 - before 65yo |
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Definition
| coclear implant, CSF leak |
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Term
| who gets PCV13 > 6-12mo > PSV23 > 5y >PSV23 - all before 65yo |
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Definition
| SC, hemoglobinopathy, leukemia, lymphoma, multiple myeloma, asplenia, HOV, cancer, immune deficiency, organ transplant, CKD, nephrotic syndrome |
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Term
| who gets 1 dose of PCV23 before 65yo |
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Definition
| chronic renal, liver, lung disease, DM, smoking, alocholism |
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Term
| when do you start giving the flu vaccine |
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Definition
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Term
| criteria to get a flu test - 8 |
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Definition
| fever >100F +1 - cough, sore throat, congestion, body aches, fatigue, diarrhea, vomiting, SOB |
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Term
| complications of flu in pregnancy - 6 |
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Definition
| pneumonia, respiratory distress, PTD, worsening of CHF and asthma, death |
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Term
| which flu is more common in pregnancy |
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Definition
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Term
| risk of hospitalization for flu in pregnancy |
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Definition
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Term
| criteria for hospitalization during the flue - 6 |
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Definition
| CHF, asthma, HIV, PTL, cant follow up |
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Term
| who gets post-exposure PPX for the flu |
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Definition
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Term
| what is post-exposure PPX for the flu |
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Definition
| olstamivir 75mg/d x10d start within 1-2d of exposure |
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Term
| when should someone with flu like symptoms come in for evaluation - 7 |
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Definition
| SOB, CP, painful cough, PO intolerance of liquids, dizziness, decreased responsiveness, not improving |
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Term
| if you receive the pneumonia vaccine out of order how do you fix it |
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Definition
PSV23 <65yo - give PCV13 at 65yo and PSV23 in 6-12mo.
PSV23 >65yo - give PCV13 in 6-12mo |
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Term
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Definition
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Term
| #1 accidental COD in adolescents |
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Definition
| accidents in females, accidents = homicide/suicide in males |
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Term
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Definition
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Term
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Definition
| heart disease, suicide/homicide for females |
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Term
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Definition
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Term
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Definition
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Definition
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