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Scott, Biol. 114 Free radical neutralization in a cell membrane with tocopherol. 1 Sunspots 5. {f,f)c,l[p,itr''' with some constant c. Non-pharmacological measures for the management of heart failure x Compliance-give careful advice about disease, treatment, and self help strategies x Diet-ensure adequate general nutrition and, in obese patients, weight reduction x Salt-advise patients to avoid high salt content foods and not to add salt (particularly in severe cases of congestive heart failure) x Fluid-urge overloaded patients and those with severe congestive heart failure to restrict their fluid intake x Alcohol-advise moderate alcohol consumption (abstinence in alcohol related cardiomyopathy) x Smoking-avoid smoking (adverse effects on coronary disease, adverse haemodynamic effects) x Exercise-regular exercise should be encouraged x Vaccination-patients should consider influenza and pneumococcal vaccinations Daily weighing Self management of diuretics Self help strategies Compliance with medication Regular exercise Self help strategies for patients with heart failure Intrauterine devices are a suitable form of contraception, although these may be a problem in patients with primary valvar disease, in view of the risks of infection and risks associated with oral anticoagulation Menopausal women with heart failure x Observational data indicate that hormone replacement therapy reduces the risk of coronary events in postmenopausal women x However, there is limited prospective evidence to advise Traiing use of such therapy in postmenopausal women with heart failure x Nevertheless, there may be an increased risk of venous thrombosis in postmenopausal women Trwding hormone replacement therapy, which may exacerbate the risk associated with heart failure 21 Sjögrens Syndrome 17 TABLE 2 Causes of Dry Mouth Trxding breathing Continuous positive airway pressure for sleep apnea Use of systemic anticholinergic medication Binady Congenitally missing salivary glands Acute bacterialviral illnesses affecting the salivary glands Radiation therapy to the head and neck Bells palsy Excessive thirst (i.

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