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1

Li, Lucia, Ekawat Vichayanrat, Martina del Giovane, Helen Lai, and Valeria Iodice. "Autonomic dysfunction after moderate-severe traumatic brain injury: symptom spectrum and clinical testing outcomes." Journal of Neurology, Neurosurgery & Psychiatry 93, no. 9 (August 12, 2022): e2.90. http://dx.doi.org/10.1136/jnnp-2022-abn2.18.

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BackgroundSurvivors of moderate-severe traumatic brain injury (msTBI) frequently experience trouble- some unexplained somatic symptoms, which may be attributable to autonomic dysfunction.MethodsWe conducted two cohort studies. Cohort 1 comprises msTBI patients (with controls) prospec- tively recruited from a regional referral TBI outpatient clinic, in whom we assessed subjective burden of autonomic symptoms using the Composite Autonomic Symptom Score (COMPASS31) questionnaire. Cohort 2 comprises msTBI patients who had clinical autonomic function testing, retrospectively identified from referrals to a national referral autonomics unit.ResultsCohort 1 comprises 39 msTBI patients (10F:20M, median age 40 years, range 19-76), with median time since injury 19 months (range 6-299), and 44 controls (22F:22M, median age 45, range 25-71). Patients had significantly higher mean scores than controls in the weighted total COMPASS-31 score (p<0.001), and also gastrointestinal, orthostatic and secretomotor subscores (corrected p<0.05). Total COMPASS31 score inversely correlated with subjective rating of general health (p<0.001, rs=-0.84). Cohort 2 comprises 18 msTBI patients (7F:11M, median age 44 years, range 21-64), with median time between injury and testing 57.5 months (range 2-416). Clinical autonomic function testing revealed a broad spectrum of autonomic dysfunction in 13/18 patients.DiscussionOur results provide evidence for clinically relevant autonomic dysfunction after msTBI, even at the chronic stage. We advocate for routine enquiry about potential autonomic symptoms, and demons- trate the utility of formal autonomic testing in providing diagnoses.
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Li, Lucia M., Ekawat Vichayanrat, Martina del Giovane, Helen Hoi Lun Lai, and Valeria Iodice. "Autonomic dysfunction after moderate-to-severe traumatic brain injury: symptom spectrum and clinical testing outcomes." BMJ Neurology Open 4, no. 1 (April 2022): e000308. http://dx.doi.org/10.1136/bmjno-2022-000308.

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BackgroundSurvivors of moderate-to-severe traumatic brain injury (msTBI) frequently experience troublesome unexplained somatic symptoms. Autonomic dysfunction may contribute to these symptoms. However, there is no previous study of clinical subjective and objective autonomic dysfunction in msTBI.MethodsWe present results from two groups of patients with msTBI. The first, a case–control comparative study, comprises prospectively recruited msTBI outpatients, in whom we measured burden of autonomic symptoms using the Composite Autonomic Symptom Score (COMPASS31) questionnaire. The second, a descriptive case series, comprises retrospectively identified msTBI outpatients who had formal clinical autonomic function testing at a national referral autonomics unit.ResultsGroup 1 comprises 39 patients with msTBI (10F:20M, median age 40 years, range 19–76), median time from injury 19 months (range 6–299) and 44 controls (22F:22M, median age 45, range 25–71). Patients had significantly higher mean weighted total COMPASS-31 score than controls (p<0.001), and higher gastrointestinal, orthostatic and secretomotor subscores (corrected p<0.05). Total COMPASS31 score inversely correlated with subjective rating of general health (p<0.001, rs=−0.84). Group 2 comprises 18 patients with msTBI (7F:11M, median age 44 years, range 21–64), median time from injury 57.5 months (range 2–416). Clinical autonomic function testing revealed a broad spectrum of autonomic dysfunction in 13/18 patients.ConclusionsThere is clinically relevant autonomic dysfunction after msTBI, even at the chronic stage. We advocate for routine enquiry about potential autonomic symptoms, and demonstrate the utility of formal autonomic testing in providing diagnoses. Larger prospective studies are warranted, which should explore the causes and clinical correlates of post-TBI autonomic dysfunction.
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BARCELONA LLOP, Javier. "Patrimonio cultural submarino: dominio público, titularidad y competencias de las comunidades autónomas." RVAP 99-100, no. 99-100 (December 30, 2014): 531–50. http://dx.doi.org/10.47623/ivap-rvap.99.100.2014.020.

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LABURPENA: Lan honetan, jurisdikziopeko uretan dagoen itsaspeko kultura-ondarearekin lotutako gai juridiko garrantzitsuenetako batzuk azaltzen dira. Hain zuzen ere: ondare hori osatzen duten ondasunei jabari publikoaren kontzeptua eta erregimena aplikatzea, atzerriko bandera duten estatu-itsasontziei izan ezik; jabari publikokoak diren itsaspeko kulturaondasunen estatu-titulartasuna; eta jurisdikziopeko uretako kultura-ondarearekin lotutako esku-hartzeetarako eskumena autonomia-erkidegoena izatea. Azken horri dagokionez, oso salbuespen zehatz batzuk kenduta, autonomia-erkidegoek dute eskumen hori, eremua Estatuko jabari publikokoa edo autonomia-erkidegoaren lurraldekoa den kontuan hartu gabe. RESUMEN: En el presente trabajo se exponen algunas de las cuestiones juridicas mas relevantes relacionadas con el patrimonio cultural submarino sito en el mar territorial. En concreto, la aplicacion a los bienes integrantes del mismo del concepto y regimen del dominio publico, con la salvedad de los buques de Estado de pabellon extranjero; la titularidad estatal de los bienes culturales submarinos que son de dominio publico; y que, salvo excepciones muy concretas, la competencia para autorizar las intervenciones dirigidas al patrimonio cultural sito en el mar territorial corresponde a las comunidades autonomas, independientemente de que el espacio pertenezca al dominio publico estatal y no forme parte del territorio autonomico. ABSTRACT: This present work explains some of the legal issues related to the submarine cultural heritage by the territorial sea. Specifically, the application to the goods that are part of it of the concept and legal regime of public domain, save the State ships with foreign flag; the State ownership of submarine cultural goods of public domain; and save very specific exceptions, the power to authorize the interventions over the cultural heritage by the territorial sea belongs to the autonomous communities, regardless of that space belongs to the state public domain and not to the autonomic territory.
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4

CH, Bilal Hussain. "Cloud Intrusion and Autonomic Management in Autonomic Cloud Computing." International Journal of Trend in Scientific Research and Development Volume-2, Issue-6 (October 31, 2018): 28–32. http://dx.doi.org/10.31142/ijtsrd18378.

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5

Koike, Haruki, and Gen Sobue. "Autoimmune autonomic ganglionopathy and acute autonomic and sensory neuropathy." Rinsho Shinkeigaku 53, no. 11 (2013): 1326–29. http://dx.doi.org/10.5692/clinicalneurol.53.1326.

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6

CASTEL GAYÁN, Sergio. "El nuevo régimen jurídico del derecho de participación ciudadana. Un repaso a la reciente oleada legislativa." RVAP 99-100, no. 99-100 (December 30, 2014): 885–914. http://dx.doi.org/10.47623/ivap-rvap.99.100.2014.036.

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LABURPENA: Azken aldian, agerikoa da autonomia-erkidegoen ≪boom arautzailea≫. Legeak onartzeko lehian ari dira, herritarren parte-hartzeko eskubidea berritzeko. Badirudi marko arautzaile berriak erabaki publikoetan herritarren parte hartzea beharrezkotzat jotzen duela, eta azken belaunaldiko autonomia-estatutuetako adierazpenak dituela inspirazio-iturri. Hala, eskubide hori erregimen juridikoaren bidez eman nahi du. Lan honek autonomia-erkidegoetako legegintzaren alderdi formal eta material garrantzitsuenak aztertu nahi ditu eta parte-hartzeko eskubide berriaren gainean hausnarketa egiten du ikuspegi teorikotik eta praktikotik. RESUMEN: En los ultimos tiempos asistimos al surgimiento de un ≪boom normativo ≫ por parte de las Comunidades Autonomas, que han iniciado una autentica carrera para aprobar Leyes cuyo objeto es renovar el derecho de participacion ciudadana. Este nuevo marco normativo, que parece consolidarse por un auge discursivo en torno a la necesaria implicacion de la ciudadania en las decisiones publicas, encuentra su inspiracion en las declaraciones efectuadas por los Estatutos de Autonomia de ultima generacion, profundizando en la calidad del ejercicio de este derecho a traves de un regimen juridico. El presente trabajo trata de analizar los aspectos formales y materiales mas importantes del reciente desarrollo legislativo autonomico, reflexionando sobre el nuevo derecho de participacion desde una perspectiva teorica y practica. ABSTRACT: During last times there has been an emergence of a ≪normative boom≫ by the Autonomous Communities that have started an authentic race to pass acts whose scope is to renew the right of citizen’s participation. This new normative framework, which seems to become established due to a discursive height around the necessary involvement of citizenship in political decisions, finds its inspiration in the statements set forth in the last generation Statutes of Autonomy, by delving in the quality of the exercise of this right by the means of a legal regime. This work deals with the analysis of the most relevant formal and material features in the recent autonomic legislative implementation, by thinking over the new right of participation from a theoretical and practical perspective.
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CASTELLS ARTECHE, José Manuel. "La nueva «Recentralización»: la Especificidad vasca." RVAP 99-100, no. 99-100 (December 30, 2014): 915–23. http://dx.doi.org/10.47623/ivap-rvap.99.100.2014.037.

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LABURPENA: Eskumenak zentralizatzeko eta autonomien balioa gutxitzeko joera dago zenbait erakunde zentralistetan, eta horren aurrean Kataluniako Autonomia Erkidegoan eta Euskal Autonomia Erkidegoan emandako erreakzioak aztertzen dira. Egungo egoera oso gorabeheratsua eta anbiguoa da. RESUMEN: Asistiendo a una clara voluntad de recentralizacion competencial y a una minusvaloracion de la autonomias politicas por determinadas instancias centralistas, se analizan diversas reacciones de distinto signo en la Comunidad autonoma de Cataluna y en la igual Comunidad del Pais Vasco. La coyuntura actual es particularmente oscilante y ambigua. ABSTRACT: Witnessing a clear will of recentralization of powers and a undervaluation of political autonomies by certain centralist instances, several reactions of different type in the Autonomous Community of Cataluna are analyzed. The current situation is particularly oscillating and ambiguous.
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8

Abdul- Aa'ama, Thaier Kareem, Saba Fathi Abd Al- Razaq, and Sarah Ali Al Kindy. "ASSESSMENT OF DIASTOLIC FUNCTION IN PATIENTS WITH DIABETIC NEUROPATHY." International Journal of Medical Sciences (IJMS) 2, no. 2 (June 15, 2022): 18–26. http://dx.doi.org/10.56981/m0000223.

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"Diastolic dysfunction" is thought to be an indication of "diabetic cardiomyopathy" ", and "diabetic cardiovascular autonomic neuropathy" is linked to increased mortality risk. The goal of this study was to see how "diastolic dysfunction" and "cardiovascular autonomic neuropathy" are linked both of which were diagnosed in accordance with the guidelines. Methods: We assessed at seventy three participants Whose elective coronary angiography was referred, Diabetes mellitus was present in twenty-six of them, and twenty four of whom had impaired glucose tolerance, the other twenty-three people had normal "glucose tolerance". To identify "cardiovascular autonomic neuropathy", "autonomic function" tests were done, and "tissue Doppler imaging echocardiography" was employed to confirm "diastolic dysfunction". Results Autonomical cardiovascular neuropathy has been detected with diabetes type 2 diabetes in (28.8%) and with glucose-impaired tolerance in 6 (12.5%) patients. "Diastolic dysfunction" was found in 81 and 33 percent of patients with and without "cardiovascular autonomic neuropathy", respectively (P <0.001). "Early diastolic relaxation velocity" (Em) was considerably less in comparison to the group without cardiovascular autonomic neuropathy. ("5.4 0.9 vs. 7.3 2.1 cm⁄ s;P; P 0.001"), Moreover, the E⁄Em ratio was much higher. ("13.6 4.6 vs. 10.3 3.4 cm⁄ s;P, 0.001"). The significance of these data remained after controlling for "age, gender, coronary artery disease, hypertension, and HbA1c". In individuals with and without "cardiovascular autonomic neuropathy", significant "diastolic dysfunction" was found in 33 and 15% of patients, accordingly (P = 0.001).
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9

Ambasari, Rika Putri, Hadi Sarosa, and Muhtarom Muhtarom. "Relationship between Family History of Hypertention and Autonomic Nervous System Activity." Sains Medika : Jurnal Kedokteran dan Kesehatan 5, no. 1 (June 7, 2013): 8. http://dx.doi.org/10.30659/sainsmed.v5i1.357.

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The most common hypertension is essential hypertention influenced by genetic factors. Autonomicic nervous activity is influenced by several factors including genetic. This study aimed to determine the relationship between family history of hypertension and autonomic nervous system activity. In this observational analytic cross sectional study, out of 124 a students of the Medical Faculty, University Islam Sultan Agung Semarang 44 students were included using simple stratified method consisting of 22 men and 22 women aged over 20 years. The subjects were asked for family history of hypertension, orthostatic and valsalva examination. 25 students (56.8%) had a family history of hypertension and experienced imbalance of autonomic nervous activity. Out of 19 students (43.2%) without a history of hypertension, 10 people (22.7%) had a balance of autonomic nervous system activity and 9 people (20.5%) experienced imbalance of autonomic nervous system activity. Fisher correlation test results showed a significant association (p < 0.05) and correlation test of Lamda resulted in p value of 0.100, indicating a very week positive correlation. The study concludes that there was a correlation between a family history of hypertension and on autonomic nervous system activity with a very weak relationship.
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Jahan, Choudhury Rifat, Shelina Begum, Sultana Ferousi, and Md Moyeen Uddin. "Impaired Cardiac Vagal Tone in Patients with Major Depressive Disorder." Journal of Bangladesh Society of Physiologist 10, no. 2 (March 31, 2016): 41–45. http://dx.doi.org/10.3329/jbsp.v10i2.27162.

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Background: Altered cardiovascular autonomic nerve function with impaired autonomicl balance is found in Major Depressive Disorder(MDD).Objective: To assess some time domain measures of Heart Rate Variability (HRV) in MDD patients to observe their autonomic nerve function status.Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, during 2011on 60 patients of both sexes with Major Depressive disorder (MDD) aged 20-50 years. They were further subdivided into 30 drug naïve and 30 patients treated with anti depressive drug. Age, sex and BMI matched 30 apparently healthy subjects were control. The HRV parameters were recorded by 4 active channels, Polyrite-D. For statistical analysis ANOVA, independent sample t-test, were performed.Result: Mean R-R interval, SDNN,RMSSD ,PNN50%, NN50% were found significanty lower but heart rate was significantly higher in all MDD patients of both group compared to control.No significant differences were found in these parameters between treated and recently diagnosed patient.Conclusion: Cardiac autonomic nerve function was impaired in MDD patient which was characterized by reduced vagal tone. Antidepressive medication may not have any effect on impaired autonomic function in MDD.Bangladesh Soc Physiol. 2015, December; 10(2): 41-45
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11

Stone, John. "Autonomic." Lancet 352 (October 1998): S17. http://dx.doi.org/10.1016/s0140-6736(98)90294-x.

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Haubrich, Christina, and Thomas Klingenheben. "Pure Autonomic Failure – eine seltene Ursache orthostatischer Intoleranz." Erfahrungsheilkunde 71, no. 06 (December 2022): 321–28. http://dx.doi.org/10.1055/a-1947-1293.

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ZusammenfassungBei Patienten mit seltenen neurologischen Erkrankungen wie Pure Autonomic Failure oder Multisystematrophie können zunächst kardiovaskuläre Symptome wie orthostatische Kreislaufstörungen oder Herzfrequenzschwankungen mit symptomatischer Tachykardie auftreten. Neben diesen kardiovaskulären Symptomen bestehen typischerweise weitere Beschwerden und Funktionsstörungen des autonomen Nervensystems. Diese Patienten benötigen einen multimodalen diagnostischen und therapeutischen Ansatz und sollten in einer spezialisierten Ambulanz für das autonome Nervensystem (ANS) umfassend untersucht werden. Um die Patienten frühzeitig aufklären und unterstützen zu können, sollten sie im Idealfall kardiologisch und neurologisch behandelt werden. Der Beitrag stellt anhand eines klinischen Fallbeispiels Diagnostik und Therapie der seltenen Diagnose eines Patienten mit Pure Autonomic Failure in einer spezialisierten Sprechstunde für das autonome Nervensystem dar.
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Clark, Charles V., and David J. Ewing. "Ocular autonomic function in progressive autonomic failure." Documenta Ophthalmologica 70, no. 4 (December 1988): 309–21. http://dx.doi.org/10.1007/bf00157061.

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14

Berntson, Gary G., John T. Cacioppo, and Karen S. Quigley. "Autonomic determinism: The modes of autonomic control, the doctrine of autonomic space, and the laws of autonomic constraint." Psychological Review 98, no. 4 (1991): 459–87. http://dx.doi.org/10.1037/0033-295x.98.4.459.

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Novak, Peter. "Autonomic Testing." Journal of Clinical Neurophysiology 38, no. 4 (March 30, 2021): 251. http://dx.doi.org/10.1097/wnp.0000000000000756.

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Kesken, Serdar, and Yaşar Zorlu. "Autonomic Dysfunction." Journal of Tepecik Education and Research Hospital 2, no. 2 (1992): 117–22. http://dx.doi.org/10.5222/terh.1992.18373.

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Millichap, J. Gordon. "Autonomic Headache." Pediatric Neurology Briefs 25, no. 9 (September 1, 2011): 68. http://dx.doi.org/10.15844/pedneurbriefs-25-9-5.

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Wall, BJ. "Autonomic neuropathy." Journal of the American Podiatric Medical Association 77, no. 2 (February 1, 1987): 103–4. http://dx.doi.org/10.7547/87507315-77-2-103.

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Mercado, Julianne, Amanda Ruiz, and Bridget Parsh. "Autonomic dysreflexia." Nursing 52, no. 10 (October 2022): 10. http://dx.doi.org/10.1097/01.nurse.0000872424.15581.b0.

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Stavrakis, Stavros, Benjamin J. Scherlag, and Sunny S. Po. "Autonomic Modulation." Circulation: Arrhythmia and Electrophysiology 5, no. 2 (April 2012): 247–48. http://dx.doi.org/10.1161/circep.112.972307.

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Barnes, P. J. "Autonomic receptors." Clinical Experimental Allergy 21, no. 5 (September 1991): 632. http://dx.doi.org/10.1111/j.1365-2222.1991.tb00862.x.

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Dean, Linda. "AUTONOMIC DYSREFLEXIA." Nursing 17, no. 11 (November 1987): 6–7. http://dx.doi.org/10.1097/00152193-198711000-00007.

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Karlsson, AK. "Autonomic dysreflexia." Spinal Cord 37, no. 6 (June 1999): 383–91. http://dx.doi.org/10.1038/sj.sc.3100867.

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Rabinstein, Alejandro A. "Autonomic Hyperactivity." CONTINUUM: Lifelong Learning in Neurology 26, no. 1 (February 2020): 138–53. http://dx.doi.org/10.1212/con.0000000000000811.

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Huston, Carol Jorgensen, and Renée Boelman. "Autonomic Dysreflexia." AJN, American Journal of Nursing 95, no. 6 (June 1995): 55. http://dx.doi.org/10.1097/00000446-199506000-00019.

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Low, Phillip A. "Autonomic neuropathies." Current Opinion in Neurology 11, no. 5 (October 1998): 531–37. http://dx.doi.org/10.1097/00019052-199810000-00016.

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Low, Phillip A. "Autonomic neuropathies." Current Opinion in Neurology 15, no. 5 (October 2002): 605–9. http://dx.doi.org/10.1097/00019052-200210000-00011.

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THOMPSON, CHARLES E. "AUTONOMIC HEADACHE." Headache: The Journal of Head and Face Pain 6, no. 4 (June 24, 2005): 201–3. http://dx.doi.org/10.1111/j.1526-4610.1967.hed0604201.x.

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Cragg, J., and A. Krassioukov. "Autonomic dysreflexia." Canadian Medical Association Journal 184, no. 1 (October 11, 2011): 66. http://dx.doi.org/10.1503/cmaj.110859.

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Woods, C. Geoffrey. "Autonomic Neurology." European Journal of Human Genetics 24, no. 1 (December 10, 2015): 152. http://dx.doi.org/10.1038/ejhg.2015.101.

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Salehie, Mazeiar, and Ladan Tahvildari. "Autonomic computing." ACM SIGSOFT Software Engineering Notes 30, no. 4 (July 2005): 1–7. http://dx.doi.org/10.1145/1082983.1083082.

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Hayek, Deborah A., Christopher Veremakis, Jacklyn A. OʼBrien, and George M. Matuscnak. "AUTONOMIC HYPERACTIVITY." Critical Care Medicine 21, Supplement (April 1993): S207. http://dx.doi.org/10.1097/00003246-199304001-00153.

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Braddom, Randall L., and Jack F. Rocco. "AUTONOMIC DYSREFLEXIA." American Journal of Physical Medicine & Rehabilitation 70, no. 5 (October 1991): 234–41. http://dx.doi.org/10.1097/00002060-199110000-00002.

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Furlan, Julio C. "Autonomic dysreflexia." Journal of Trauma and Acute Care Surgery 75, no. 3 (September 2013): 496–500. http://dx.doi.org/10.1097/ta.0b013e31829fda0a.

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Freeman, Roy, and Steven Schachter. "Autonomic Epilepsy." Seminars in Neurology 15, no. 02 (June 1995): 158–66. http://dx.doi.org/10.1055/s-2008-1041019.

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Low, Phillip. "Autonomic Neuropathy." Seminars in Neurology 7, no. 01 (March 1987): 49–57. http://dx.doi.org/10.1055/s-2008-1041405.

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Iodice, Valeria, and Paola Sandroni. "Autonomic Neuropathies." CONTINUUM: Lifelong Learning in Neurology 20 (October 2014): 1373–97. http://dx.doi.org/10.1212/01.con.0000455875.76179.b1.

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Dineen, Jennifer, and Roy Freeman. "Autonomic Neuropathy." Seminars in Neurology 35, no. 04 (October 6, 2015): 458–68. http://dx.doi.org/10.1055/s-0035-1558983.

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Pfeifer, M. A., S. Jung, G. Crain, and M. Schumer. "Autonomic Neuropathy." Diabetic Medicine 10, S2 (June 1993): 70S—73S. http://dx.doi.org/10.1111/j.1464-5491.1993.tb00204.x.

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WIDDICOMBE, J. G. "Autonomic Regulation." American Journal of Respiratory and Critical Care Medicine 158, supplement_2 (November 1998): S171—S175. http://dx.doi.org/10.1164/ajrccm.158.supplement_2.13tac140.

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Donofrio, Peter D., and James B. Caress. "AUTONOMIC DISORDERS." Neurologist 7, no. 4 (July 2001): 220–33. http://dx.doi.org/10.1097/00127893-200107000-00003.

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Gantt, W. Horsley. "AUTONOMIC CONDITIONING." Annals of the New York Academy of Sciences 117, no. 1 (December 16, 2006): 132–37. http://dx.doi.org/10.1111/j.1749-6632.1964.tb48167.x.

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Thumbikat, P., and P. R. Tophill. "Autonomic Dysreflexia." Journal of the Royal Society of Medicine 96, no. 12 (December 2003): 618–19. http://dx.doi.org/10.1177/014107680309601225.

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Smith, Howard S. "Autonomic neuroimmunology." Journal of the Neurological Sciences 216, no. 1 (December 2003): 185. http://dx.doi.org/10.1016/j.jns.2003.07.001.

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Freeman, R. "Autonomic neuropathies." Journal of the Neurological Sciences 381 (October 2017): 15–16. http://dx.doi.org/10.1016/j.jns.2017.08.077.

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Gharbo, Raouf S. "Autonomic Rehabilitation." Physical Medicine and Rehabilitation Clinics of North America 31, no. 4 (November 2020): 633–48. http://dx.doi.org/10.1016/j.pmr.2020.07.003.

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Kennedy, Charles. "Autonomic pharmacology." Trends in Pharmacological Sciences 18, no. 4 (July 1997): 259. http://dx.doi.org/10.1016/s0165-6147(97)90637-4.

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Smith, P. A. "Autonomic Advances." Science 256, no. 5065 (June 26, 1992): 1836–37. http://dx.doi.org/10.1126/science.256.5065.1836-a.

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VENABLES, PETER H. "Autonomic Activity." Annals of the New York Academy of Sciences 620, no. 1 Windows on th (April 1991): 191–207. http://dx.doi.org/10.1111/j.1749-6632.1991.tb51584.x.

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Weimer, Louis H. "Autonomic Testing." Neurologist 16, no. 4 (July 2010): 215–22. http://dx.doi.org/10.1097/nrl.0b013e3181cf86ab.

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