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Clinical DSS are “active knowl-edge systems which use two or more items ofpatient data to generate case-speci? c advice”(Wyatt and Spiegelhalter 1991). A term for exposure limitsestablished by the American Conference of GovernmentalIndustrial Hygienists (ACGIH). Waiting for death, however, is an entirely different matter. Oralnaltrexone (Revia) should be initiated in elderly patientsat 25 mg daily and either maintained there or increasedto 50 mg daily for the duration of treatment (Oslin et al.,1997)

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