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Distributors additional minimize these to correspond to their assumption of viewer expectations. It is fascinating to notice that ninety years later, Snow Piercer, a South Korean film produced in 2013, whose story and structure pay homage to Metropolis, was additionally shortened considerably for American audiences by its U. Furthermore, it obtained mixed reviews, notably in America, perhaps because the shortened print made the movie tough to observe. Roger Ebert calls it the primary true science-fiction film (Ebert 1998), and David Bordwell writes that "Metropolis (1927) is among the great sacred monsters of the cinema" (Bordwell 2010). Eventually, the film turned a cult favorite of cinema clubs, among structure and physics college students, and in addition classic movie followers. They differed slightly within the order of scenes, the inclusion or exclusion of sometimes necessary narrative material, and most of all within the accompanying soundtrack. The movie has had electronic music, waltz-like tunes, jazz, industrial sounds, and Eighties rock. In 1984, music impresario Giorgio Moroder added a rock/disco monitor, colorized scenes, added extra footage and stills, which had been found, rearranged the sequence of some scenes, and added notes to clarify the narrative. The Eighties rock version and the version with original music have been launched theatrically in 35mm. In 2002, the Murnau Stiftung, along with the British Film Institute, launched through Kino International the remastered version and in 2010 launched the newest restored copy. This 2010 version contains extra footage found in Argentina and is augmented by footage positioned in Australia and New Zealand. The film is estimated to be ninety five p.c of the unique, thus allowing viewers to see what had excited audiences on the Berlin premier. Noted film critic and historian Lotte Eisner pronounced it "divested of all actuality" (Eisner 1976, 86). Yet as Roger Ebert wrote, "The movie has a plot that defies widespread sense, but its very discontinuity is a Metropolis 31 the real or good Maria preaching in front of the workers. That is to say, the greatness of the film lies precisely within the multifaceted and multivalenced vastness of its images and filmic type. Outwardly, the film is science fiction, reflecting the marvelous innovations and ambiance found within the novels of Hans Dominik, a German science-fiction writer in style on the time. Joh Fredersen, the daddy and mastermind of the enterprise lifetime of town, communicates by two-method video. The workers control the life help of town through an elaborate system of equipment. Lang depicts the futuristic, deceivingly utopian side of town through the distantly seen cityscape of the Metropolis created for the film. Yet science is a malevolent force in Metropolis, suggesting a dystopic somewhat than utopic future. For science is used in opposition to the bulk of the people, finally threatening to destroy town. The scientific thoughts is represented by Rotwang, a mad scientist whose obsession is to destroy Fredersen, his former rival in love, and to this finish he uses his cybernetic creation. Metropolis reflects the popular tradition of the Nineteen Twenties and its interest in social, political, and religious themes. Another early scene shows workers in lock step trudging to industrial elevators to be lowered to their properties deep underground. This sequence is 32 German Culture through Film juxtaposed with one exhibiting the "club of the sons" excessive above the world partaking in sports and romping in a pleasure backyard. The images exhibiting the disparity of wealthy and poor and the exploitation of the latter for the good thing about the former mirror the social points with which modernity was struggling. Their subsequent assembly takes place in front of an altar, where Maria has been preaching to the workers concerning the Tower of Babel and brotherly love. Her passionate sermon is harking back to American evangelists Aimee Semple McPherson, Mary Baker Eddy, or the ladies crusaders of the Salvation Army.

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The dose is 1 g/kg of precise body weight of oral activated charcoal or a ten:1 ratio of charcoal to xenobiotic, whichever is greater. It reduces the systemic absorption of xenobiotics and enhances elimination by disrupting the enterohepatic or enteroenteric cycle. Activated charcoal is a fantastic black powder prepared by pyrolysis of carbonaceous materials, adopted by remedy at high temperatures of oxidizing agents to improve the adsorptive capability by growing the surface space. Similar to the data for gastric emptying, a scarcity of evidence reporting clinically vital finish factors for activated charcoal (Isbister 2011; Chyka 2005). Several research of wholesome volunteers describe the adsorptive capability of activated charcoal in addition to the lowered serum concentrations of orally administered medication. It is finished with osmotically balanced polyethylene glycol electrolyte lavage answer. Whole bowel irrigation has successfully been used and described in several case reports and case sequence. Because of the quantity and price of administration, a nasogastric tube is mostly required. Whole bowel irrigation may be thought of when iron, sustained-launch calcium channel blockers, body packers, modified-launch bupropion, and sustained-launch -blockers are involved. Assessing laboratory findings in an acutely intoxicated patient can provide useful data, together with confirming or excluding the toxic exposures suspected due to the original history or bodily examination findings, providing insight into unknown exposures, and dictating a specific antidotal remedy when a toxic focus is recognized. Results of certain testing additionally verify the severity of poisoning and should dictate extra remedy recommendations such as extracorporeal removing. When approaching an acutely poisoned patient, the decision to order certain laboratory exams often is dependent upon the ingestion, patient history, and availability of medicine-specific speedy quantitative testing, in addition to toxidromes that suggest a specific toxin. In all sufferers with an altered mental standing, a speedy fingerstick glucose should be measured quickly. Pediatric sufferers can develop delayed, recurrent hypoglycemia after publicity to a single-tablet ingestion of sulfonylureas (Abbruzzi 2002), ingestion of ethanol (Souganidis 2016), and -blocker ingestion (Poterucha 2015). A serum ethanol focus should be obtained in all pediatric sufferers with an unexplained altered mental standing. All intentional overdoses ought to have an acetaminophen focus obtained, regardless of history (Ashbourne 1989). Finally, a real optimistic result merely means prior use of the drug, which can be days or even weeks prior. Table 1-three provides insight into some frequent xenobiotics leading to false-optimistic urine toxicology screens. Despite the limitations of the urine toxicology screen, it does provide some insight into the pediatric population. Furthermore, more complete exams can be done, however these usually must be despatched to a specialty laboratory for evaluation. The methodology for such testing is mostly quantitative rather than qualitative. Practice Points In determining the optimal method and pharmacotherapy for the management of the acutely intoxicated pediatric patient, practitioners ought to consider the next: · A focused bodily examination together with evaluation of mental standing; pupils; vital signs; pores and skin findings; bowel sounds and reflexes provide helpful data in determining a specific toxidrome · Rapid attention to airway, respiratory and circulation is crucial in managing all acutely intoxicated sufferers whatever the history of publicity · Many xenobiotics trigger hypoglycemia particularly in pediatric sufferers and a speedy fingerstick glucose should be obtained in all sufferers with altered mental standing · There are quite a few antidotes which may be thought of in managing a pediatric patient. Consultation with a regional poison middle or medical/scientific toxicologist should be employed as often, therapies and doses may change. In addition, using bodily examination findings in addition to a medical history to decide a toxicologic etiology and applicable antidotal remedy is crucial. Pediatric sufferers pose a unique scenario; in many cases, the publicity is from a single dosage form with a identified time of ingestion, however many xenobiotics could cause morbidity and mortality, even in small doses. Unintentional youngster poisonings handled in United States hospital emergency departments: national estimates of incident instances, population-based mostly poisoning charges, and product involvement. The population pharmacokinetics of citalopram after deliberate self-poisoning: a Bayesian method. The effect of sorbitol and activated charcoal on serum theophylline concentrations after slow-launch theophylline. Experimental emetine myopathy: enzyme histochemical, electron microscopic, and immunomorphological research. The effect of activated charcoal on drug publicity in wholesome volunteers: a meta-evaluation. Value of speedy screening for acetaminophen in all sufferers with intentional drug overdose.

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A gender schema is a psychological representation of conduct that helps a toddler manage and categorize behaviors. For instance, a girl develops a schema of how a female ought to act and then behaves in accordance with that schema. The woman begins to play with dolls when she perceives that this conduct fits in together with her notion of what kinds of toys women play with. Industrial/organizational psychologists propose that the inequality in the office could also be the result of a number of factors. Many women interrupt their careers for youngster care and in doing so miss opportunities for promotion and salary will increase. Visualize the Main Idea Using an organizer similar to the one below, record and characterize three theories explaining the origins of gender differences. Recall Information According to the social studying concept, how do children learn gender roles? Think Critically Why may many people disagree with or oppose organic theories of gender differences? Analyze the gender roles portrayed, then reply the next query: What function do the media play in the development of gender stereotypes? Stanley Hall portrayed the adolescent as present in a state of great storm and stress. Other psychologists and social scientists, corresponding to Margaret Mead, regard adolescence as a comparatively easy continuous development out of childhood and into maturity. The onset of puberty marks the end of childhood; both boys and girls experience a progress spurt simply before puberty. During adolescence, most individuals reach the stage of formal operations pondering during which pondering becomes summary and fewer concrete. Social Development Main Idea: Adolescents bear many modifications in their social relationships, adjusting to new relationships with parents and the affect of peers. One of the principal developmental duties for adolescents is becoming impartial of their families. Belonging to a peer group fulfills the need for closeness with others and offers the adolescent a method of creating an identity. Parents and peers train affect in shaping adolescent conduct and attitudes. Gender Roles and Differences Main Idea: Females and males have physical and psychological gender differences. Our beliefs about what we predict it means to be male or female affect our conduct. Most psychologists agree that nature and nurture work together to affect gender differences. When Sandra Bem discusses androgyny, is she talking about gender function or gender identity? Use a chart similar to the one below to clarify the identity formation concept of each of the next: Erik Erikson, James Marcia, Albert Bandura, and Margaret Mead. Psychologist/Social Scientist Theory of Identity Formation Reviewing Vocabulary Choose the letter of the correct term or idea below to complete the sentence. Belonging to a(n) is important to most adolescents and serves a number of features. According to Erik Erikson, adolescents go through a(n), a time of internal battle during which they fear about their identities. Feet which might be too giant for the physique is an example of, or the situation of uneven progress or maturation of bodily components. Oversimplified or prejudiced opinions and attitudes concerning the way males or women ought to behave are known as. How does the organic concept of gender development clarify the differences in gender? Evaluating Information Write 5 words or phrases that, in your opinion, characterize adolescence.

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Ganja is ready from the flowers and higher leaves and is more potent than bhang. Charas, essentially the most potent of the three preparations, is produced from the flowers in the top of their bloom. Charas incorporates a relatively great amount of resin and is roughly related in energy to hashish. Many social and spiritual gatherings in ancient occasions, in addition to current, have been merely incomplete unless bhang was a part of the occasion. It is claimed that those that speak derisively of bhang are doomed to undergo the torments of hell as long as the solar shines in the heavens. Without bhang at particular festivities like a marriage, evil spirits have been believed to hover over the bride and groom, waiting for an opportune moment to wreak havoc on the newlyweds. War as one other occasion during which bhang and more potent prepa-rations like ganja have been typically resorted to. Just as troopers generally take a swig of whiskey earlier than going into battle in modern warfare, during the Middle Ages in India, warriors routinely drank a small quantity of bhang or ganja to assuage any feelings of panic, a custom that earned bhang the cognomen of vijaya, "victorious" or "unconquerable. A volunteer was wanted, a man prepared to danger sure dying to accomplish the unimaginable task of slaying the elephant. To the person closest to him he gave some bhang and somewhat opium, and then watched as the person went out to kill the elephant. Fortified by the drug, the loyal soldier rushed headlong into the thick of battle and charged the swordwielding elephant. Deftly evading the slashing blows that would simply have severed his body in two, he man-aged to slip beneath the elephant and with all his energy he plunged his personal weapon into the unprotected belly of the beast. From that time forth, the Sikhs com-memorated the anniversary of that great battle by drinking bhang. The judge readily accepts and, tasting it, declares that "it produces a wholesome appetite, sharpens the wits, and acts as an aphrodisiac. It creates very important energy, increases mental powers and internal heat, corrects irregularities of the phlegmatic humor, and is an elixir vitae. It was initially produced like nectar from the ocean by churning it with Mount Mandara. This desire-fulfilling drug was believed to have been obtained by men on earth for the welfare of all folks. Rather, it was and nonetheless is because of its association with the non secular lifetime of the country that bhang is so extolled and glorified. Like the communion of Christianity, the devotee who partakes of bhang partakes of the god Siva. Cannabis additionally held a preeminent place in the Tantric faith which advanced in Tibet in the seventh century A. To fight the demonic risk to the world, the folks sought safety in the spells, incantations, formulation (mantras), and exorcisms of their lamas, and in vegetation corresponding to hashish which have been set afire to overcome evil forces. Cannabis was additionally an important a part of Tantric non secular yoga sex acts consecrated to the goddess Kali. During the ritual, about an hour and a half previous to intercourse the devotee placed a bowl of bhang earlier than him and uttered the mantra: "Om hrim, zero ambrosia-shaped goddess [Kalil who has arisen from ambrosia, who showers ambrosia, deliver me ambrosia again and again, bestow occult energy [siddhi] and produce my chosen deity to my energy. The delay between drinking the bhang and the sex act was to enable the drug time to act so that it will heighten the senses and thereby increase the sensation of oneness with the goddess. It cures dysentery and sunstroke, dears phlegm, quickens digestion, sharpens appetite, makes the tongue of the lisper plain, freshens the mind, and offers alertness to the body and gaiety to the mind. Such are the useful and needful ends for which in his goodness the Almighty made bhang. It is inevitable that temperments ought to be discovered to whom the quickening spirit of bhang is the spirit of freedom and data. In the ecstasy of bhang the spark of the Eternal in man turns into mild the murkiness of matter. The supporting energy of bhang has brought many a Hindu household secure through the miseries of famine. To forbid and even significantly to limit the usage of so holy and gracious an herb because the hemp would trigger widespread suffering and annoyance and to large bands of worshipped asce-tics, deep-seated anger.

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The reply means that the employee ought to being the interview in the identical method any other interview would begin without reference to completely different ethnic or racial backgrounds. Group, particular person and mom daughter treatment is commonly employed in families recovering from sexual abuse. Mother-daughter treatment could also be essential if both or each really feel betrayed by the opposite and have to restore the relationship. Cost effectiveness is outlined by the power to mediate between costs and effectiveness. A price efficient service is one that provides service that works the last thing the employee ought to do when considering a brand new assignment is to negotiate the phrases & conditions. This is done only when the brand new assignment is clearly understood by the employee and the supervisor, and when 26 · · · · 10. After these are mentioned, the employee might be in a position to resolve whether or not the assignment is suitable and fascinating. The goal of neighborhood follow is to construct neighborhood groups that will turn into increasingly unbiased and engaged in local institutions or decision making constructions. The neighborhood employee is, partly, a coach, enabler and a modeler, helping folks to act on behalf of their neighborhood. Civic associations usually have broad enchancment purposes whereas social welfare and social service organization have extra specific and targeted purposes. Overhead incorporates non program or service supply bills corresponding to administration costs, accounting charges, common insurance, hire, phone and some office bills. While all companies use this class, the precise items included in overhead may vary significantly Many cities and smaller communities establish organizations who purposes and activities are guided by public decision making process. Information evaluation: o In developmental psychology we study the modifications in behavior from conception until dying o the maturation of an individual is mostly based mostly on age. Stages of Development: o Birth ­ 2 months: in all probability can notice faces and bright objects o 2 months: social smile develops, usually can observe transferring objects with eyes, pays attention to talking voice, grunts and sighs. Dada mama baba, responds to name o Ten months: pays attention, performs some games, stands with assist 27 Growth & Development · · · 11 months: stands by self with assist 12 months: walks with assist, shows affection, jealously, anger and different feelings. Psychosocial Development: Erikson o Erikson stresses the social quite than the sexual improvement. Muscular anal (18 months -three years) Outcome: self-assertion, self-control and feelings of adequacy. Locomotor genital (three-6 years) Outcome: sense of initiative, purpose and path. Outcome: capacity to type closer personal relationships & make career commitments 7. According to Kohlberg, every stage arises from the one before it and is extra advanced. To measure ethical improvement Kohlberg presented topics with a sequence of moral dilemmas and requested them to consider them. Stage 5: legalistic orientation, particular person is anxious with fitting in the neighborhood and abiding societal mores, and so forth. Generally, this refers to an idea that defines the place individuals really feel control over their behavior or the place the accountability lies. This accountability lies within themselves (inner) or exterior themselves and is influenced by exterior environmental and system occasions. Accommodation: modify present thought construction to take care of new features of an surroundings. This need for steadiness is the primary organizing drive behind cognitive progress and improvement. Research has found a fantastic variation in what ages folks attain these phases; nonetheless, these phases correlate nicely with intelligence testing. Sensorimotor: (ages 0-2 six substages, individuals look to surroundings when it comes to sensory data and the actions that may be performed. Concrete Operational (ages 7-11) throughout this stage, individuals can perceive summary symbols. Here the child is realistic in his/her way of thinking · Achieve conservation (mass, liquid, volume, and weight)(Formal Operations: the individual develops egocentrism and is able to self-admire and self-criticize, full summary and logical deduction capacity is reached. Demographic variables are used to define your pattern Two types of essential variables are the unbiased and dependent. Dependent variables are the presumed impact and vary as associated to the unbiased variable.

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Successful sales of our product candidates, if permitted, rely, partially, on the availability of adequate protection and reimbursement from third-celebration payors. Adequate protection and reimbursement from governmental healthcare applications, corresponding to Medicare and Medicaid, and commercial payors is critical to new product acceptance. Obtaining protection and reimbursement approval of a product from a government or other third-celebration payor is a time-consuming and costly course of that might require us to provide to the payor supporting scientific, scientific and price-effectiveness data for the usage of our merchandise. Further, we plan to develop our product candidates to be used in combination with other merchandise, which can make them value prohibitive or much less prone to be coated by third-celebration payors. Patients are unlikely to use our product candidates until protection is supplied and reimbursement is adequate to cowl a significant portion of the price of our product candidates. In the United States, no uniform coverage of protection and reimbursement for merchandise exists among third-celebration payors. Therefore, protection and reimbursement for merchandise can differ significantly from payor to payor. As a result, the protection determination course of is often a time-consuming and costly course of that may require us to provide scientific, scientific and price-effectiveness data and assist for the usage of our product candidates to every payor individually, with no assurance that protection and adequate reimbursement will be obtained. We intend to seek approval to market our product candidates in each the United States and in selected overseas jurisdictions. 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Recently enacted and future laws could increase the problem and price for us to obtain advertising approval of and commercialize our product candidates and have an effect on the costs we could obtain. Third-celebration payors, whether domestic or overseas, or governmental or commercial, are growing increasingly sophisticated strategies of controlling healthcare costs. In each the United States and sure overseas jurisdictions, there have been numerous legislative and regulatory changes to well being care methods that might impact our ability to promote our merchandise profitably. In specific, in March 2010, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act, collectively, the Affordable Care Act, was enacted. 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The nurse should instruct the consumer to apply foot powder and to wear cotton socks and properly fitting shoes. The nurse 312 Endocrine system must also instruct the consumer to keep away from going barefoot to forestall injury and keep away from using scissors to trim his nails. Which nursing prognosis is most likely for a consumer with an acute episode of diabetes insipidus? Nutrition, as trade, and tissue perfusion are also in danger beause of diabetes insipidus but this threat is a results of the fluid quantity deficit caused by diabetes insipidus. It does this by continuously exchanging water and solutes, such as hydrogen, potassium, chloride, bicarbonate, sulfate and phosphate, throughout cell membranes. The genitourinary system also encompasses the feminine and male reproductive systems. Urine producers the kidneys are two bean-shaped organs that produce urine and maintain fluid and acid-base steadiness. To assist maintain acid-base steadiness, the kidneys secrete hydrogen ions, reabsorb sodium and bicarbonates, acidify phosphate salts, and produce ammonia. By removing water from the physique in the form of urine, the kidneys also assist regulate blood strain. The renin-angiotensin system is activated by decreased blood strain and may be altered by renal disease. Transport tubule the ureter, which transports urine from the kidney to the bladder, is a tubule that extends from the renal pelvis to the bladder floor. Storage sac the bladder, a muscular, distendable sac, can comprise as much as 1 L of urine at a single time. Key treatments · Antibiotic: penicillin (Pen-Vee K) · Bed rest throughout acute section · Diuretics: metolazone (Zaroxolyn), furosemide (Lasix) · Antihypertensives: hydralazine (gentle to average hypertension), labetalol (severe hypertension) · Fluid restriction · High-calorie, low-sodium, low-potassium, lowprotein food regimen throughout acute section Key interventions · Monitor vital indicators and electrolyte values. Key treatments · Hemodialysis or continuous venovenous hemofiltration · Low-protein, elevated-carbohydrate, average-fat, and average-calorie food regimen with potassium, sodium, and phosphorus intake regulated according to serum ranges · Inotropic agent: dopamine · Diuretics: furosemide (Lasix), metolazone (Zaroxolyn) Key interventions · Monitor fluid steadiness, respiratory, cardiovascular, and neurologic status. Key treatments · Surgery, relying on the placement and progress of the tumor Key interventions · Provide postoperative care. Key treatments · Bone marrow and peripheral stem cell therapy for superior breast cancer · Surgery: lumpectomy, pores and skin-sparing mastectomy, partial mastectomy, complete mastectomy, and modified radical mastectomy · Chemotherapy: cyclophosphamide (Cytoxan), methotrexate (Trexall), fluorouracil · Hormonal therapy: tamoxifen, toremifene (Fareston), diethylstilbestrol, megestrol (Megace) Key interventions · Provide routine postoperative care. Key treatments · Preinvasive: conization, cryosurgery · Invasive: radiation therapy (inside, external, or each); radical hysterectomy Key interventions · Provide emotional support and luxury measures. Key treatments · Antibiotics: doxycycline (Vibramycin), azithromycin (Zithromax) · For pregnant women with chlamydial infections, azithromycin in a single dose Key interventions · Maintain standard precautions. Key treatments · Dialysis · Kidney transplant · Antihypertensive: metoprolol (Lopressor) Key interventions · Provide supportive care. Key treatments · Fluid restriction · Low-protein, low-sodium, low-potassium, low-phosphorus, excessive-calorie, and excessive-carbohydrate food regimen · Peritoneal dialysis and hemodialysis · Antacid: aluminum hydroxide gel · Antiemetic: prochlorperazine · Calcium supplement: calcium carbonate (Os-Cal) · Cation trade resin: sodium polystyrene sulfonate (Kayexalate) · Diuretic: furosemide (Lasix) Key interventions · Monitor renal, respiratory, and cardiovascular status and fluid steadiness. Key treatments · Increased intake of fluids and vitamin C · Antibiotics: co-trimoxazole (Bactrim), levofloxacin (Levaquin), ciprofloxacin (Cipro) Key interventions · Monitor renal status. Key treatments · Antibiotics: ceftriaxone (Rocephin), doxycycline (Vibramycin), erythromycin (E-mycin) · Prophylactic antibiotics: 1% silver nitrate or erythromycin (EryPed) eyedrops to forestall infection in neonates Key interventions · Before therapy, establish whether the consumer has any drug sensitivities, and watch closely for opposed results throughout therapy. Key treatments · Antiviral agents: idoxuridine (Herplex), trifluridine (Viroptic), vidarabine (Vira-A) · 5% acyclovir (Zovirax) ointment (potential aid to clients with genital herpes or to immunosuppressed clients with Herpesvirus hominis pores and skin infections; I. For clients with extensive cutaneous, oral, or genital lesions, institute contact precautions. Key treatments · Resection of the involved ovary (conservative therapy) · Total belly hysterectomy and bilateral salpingooophorectomy with tumor resection, omentectomy, and appendectomy (aggressive therapy) · Antineoplastics: carboplatin (Paraplatin), chlorambucil (Leukeran), cyclophosphamide (Cytoxan), dactinomycin (Cosmegen), doxorubicin (Doxil), fluorouracil, cisplatin (Platinol), paclitaxel (Taxol), topotecan (Hycamtin) · Analgesics: morphine, fentanyl (Duragesic-25) Key interventions Before surgery · Thoroughly explain all preoperative tests, the anticipated course of therapy, and surgical and postoperative procedures. Both tests, if positive, turn into reactive within 1 to 2 weeks after the primary lesion seems or 4 to 5 weeks after the infection begins. Key treatments · Antibiotics: penicillin G benzathine (Permapen); if allergic to penicillin, erythromycin or tetracycline Key interventions · Check for a history of drug sensitivity earlier than administering the primary dose of penicillin. A consumer treated for latent or late syphilis should receive blood tests at 6-month intervals for 2 years.


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