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Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.
Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.
When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.
Most childhood vaccines are 90–99% effective in preventing disease. Side effects are rarely serious.
After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

