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Lee, per-sonal communication, July 14, 2005); (c) 18%of participants with cervical spinal cord injury,who used motorized wheelchairs, reported feel-ing “breathless” while speaking for more than afew minutes and indicated that speaking was themost common activity associated with breath-lessness (Grandas et al., 2005); and (d) 17% ofparticipants with lung cancer stated that theyexperienced “breathlessness” while speaking(O’Driscoll, Corner, & Bailey, 1999). The remaining 34 patientsunderwent minor amputation (28 patients, including 22 with remission) or major ampu-tation (6 patients). The latter is almost pathognomonic for infectious chronic osteomyelitis.However, the ultimate diagnostic proof is the association of a compatible clinical presen-tation with two separate positive microbiological deep bone biopsy samples [26].Eubacterial polymerase chain reaction (PCR) has a high specificity, but generally a lowsensitivity The latter is almost pathognomonic for infectious chronic osteomyelitis.However, the ultimate diagnostic proof is the association of a compatible clinical presen-tation with two separate positive microbiological deep bone biopsy samples [26].Eubacterial polymerase chain reaction (PCR) has a high specificity, but generally a lowsensitivity. Loneliness and/or dysfunctional family relationships are often asource of mental stress.
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