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Them so that they know that they know that you are doing so. During this conversation, you also want to take the time to tell them what you want and make sure that they feel comfortable carrying out your wishes. You may need to consider someone else if one or both do not believe that they are able to do so. When you have two people who are willing to be your proxies, you are ready to complete the health care proxy form. Your social worker can provide you with an official health care proxy form to complete, if she has not already. Some important things to keep in mind while completing the form: 1. You DO NOT need an attorney or a notary to sign the form. You DO need to have two witnesses, both over the age of 18, sign the form. Whomever you are appointing as a health care proxy CANNOT be a witness and SHOULD NOT sign the form. 2. There are specific instructions included on the form, and in addition to these, we often encourage our patients to include the following two statements under the section of the form that states, "I direct my agent to make health care decisions in accord with my wishes and limitations as stated below: " "My proxy knows my wishes regarding artificial nutrition and hydration." "My proxy knows my wishes about participating in research studies.
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DOWN SYNDROME DUE TO ATYPICAL TRANSLOCATION, t 21q Chin Yuet Meng, Thilagavathi S & Zubaidah Z. Division of Haematology, Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur. Down syndrome is the most common and best known of chromosome disorders. About one in 800 child is born with Down syndrome, and the incidence increases with maternal age of 35 years and above. Some of the clinical features of Down syndrome are mental retardation, flat nasal bridge, low set ears, protruding tongue, and short neck with loose skin on the nape. About one third of Down syndrome patients have congenital heart disease. About 95% of Down syndrome patients have a total of 47 chromosomes due to an extra chromosome 21 trisomy 21 ; , resulting from meiotic non disjunction of the chromosome 21 pair. 4% of the patients have 46 chromosomes due to a Robertsonian translocation between the long arm of one chromosome 21 21q ; with the long arm of another acrocentric chromosome usually chromosome 14 or 21 ; Robertsonian translocation can be inherited or arise de novo. In Robertsonian translocation the breakages of the two acrocentric chromosomes occur close to the centromeric region. A translocation t 21q is thought to originate as an isochromosome rather than by Robertsonian translocation. We report here two Down syndrome patients, one a male aged 6 months and the other a female aged 1 month with atypical t 21q , where the terminal ends of the long arms of the two chromosome 21 are fused to each other. It is postulated that the breakages must occur at the terminal ends followed by reunion of the two chromosomes 21.

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From the 1Department of Ophthalmology, VU University Medical Center, Amsterdam, the Netherlands; the 2Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, the Netherlands; and the 3Image Sciences Institute, Utrecht Medical Center, Utrecht, the Netherlands. Address correspondence to Hendrik A. van Leiden, MD, VU University Medical Center, Department of Ophthalmology, P.O. BOX 7057, 1007 MB Amsterdam, The Netherlands. E-mail: ha.vanleiden vumc.nl and cefpodoxime. 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The South Australian Government says junior and overseas doctors will replace public sector psychiatrists if they leave at the end of the week. Most of the workforce has given notice over a pay and conditions dispute. Mental Health Minister Gail Gago says a clinic at the Queen Elizabeth Hospital in Adelaide is being closed in preparation for a possible mass departure of staff. She says the closure of the Cramond Clinic will mean transferring some patients. "We've stopped admitting for the time being and there are a number of clients that are going to be discharged over the next couple of days and that will most likely only leave a handful of clients, " she said. Ms Gago says, as well as bringing in junior and overseas doctors, other staff are being asked to extend their hours. "We're offering increased hours to those that are working part : abc .au news stories 2007 07 11.

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