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In symptomatic HIV-infected patients, live virus vaccines such as MMR should generally be avoided, but annual influenza vaccination is safe. 38 39 Whenever possible, immunizations should be completed before procedures that require or induce immunosuppression (organ transplantation or chemotherapy), or that reduce immunogenic responses (splenectomy). 5 can be of benefit. Patients who undergo allogeneic bone marrow transplantation lose preexisting immunities and should be revaccinated. In many situations, family members should also be vaccinated to protect the immunocompromised patient, although oral live polio vaccine should be avoided because of the risk of infecting the patient.
4 million in developing countries and 2 million in industrialized countries. 6 men. 9 million deaths). Nicotine is highly addictive, raises brain levels of dopamine, and produces withdrawal symptoms on discontinuation. Cigarettes are responsible for one in every five deaths in the United States, yet smoking prevalence rates have been increasing among high school and college students. Cigar smoking has also increased; there is also continued use of smokeless tobacco (chewing tobacco and snuff), particularly among young people.
The screening and intervention in primary care (SIP) study. Ann Intern Med 2003;138:372. Sofuoglu M et al: Novel approaches to the treatment of cocaine addiction. CNS Drugs 2005;19:13. Srisurapanont M et al: Opioid antagonists for alcohol dependence. Cochrane Database Syst Rev 200525;(1):CD001867. S. Preventive Services Task Force. Ann Intern Med 2004;140:557. ; Tierney, Lawrence M. Title: Current Medical Diagnosis & Treatment, 46th Edition Copyright Â©2007 McGraw-Hill > Table of Contents > 1 - Approach to the Patient & Health Maintenance 1 Approach to the Patient & Health Maintenance Michael Pignone MD, MPH Stephen J.