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You know that living with Parkinson’s means that some days will be better than others. A few practi- cal tips may help your kids cope with the inevitable ups and downs and come to understand that the effects of PD are not always constant. Allow All Feelings Lisa Lieberman brings a unique perspective to her work in dealing with family issues related to chronic illness. Her husband has MS and their son is autistic. “One of the tools for my journey is to allow all feelings,” she says. Old parenting wisdom says allow feelings, limit actions. Give your kids a chance to voice feelings, even the seemingly forbidden ones like fear,. | AASLD PRACTICE GUIDELINES Alcoholic Liver Disease Robert S. O Shea Srinivasan Dasarathy Arthur J. McCullough and the Practice Guideline Committee of the American Association for the Study of Liver Diseases and the Practice Parameters Committee of the American College of Gastroenterology This guideline has been approved by the American Association for the Study of Liver Diseases AASLD and the American College of Gastroenterology and represents the position of both associations. Preamble These recommendations provide a data-supported approach. They are based on the following 1 formal review and analysis of the recently published world literature on the topic Medline search 2 American College of Physicians Manual for Assessing Health Practices and Designing Practice Guidelines1 3 guideline policies including the AASLD Policy on the development and use of Practice Guidelines and the American Gastroenterological Association Policy Statement on Guidelines2 and 4 the experience of the authors in the specified topic. Intended for use by physicians these recommendations suggest preferred approaches to the diagnostic therapeutic and preventive aspects of care. They are intended to be flexible in contrast to standards of care which are inflexible policies to be followed in every case. Specific recommendations are based on relevant published information. To more fully characterize the quality of evidence supporting recommendations the Practice Guideline All AASLD Practice Guidelines are updated annually. If you are viewing a Practice Guideline that is more than 12 months old please visit www.aasld.orgfor an update in the material. Abbreviations AASLD American Association for the Study of Liver Diseases AH alcoholic hepatitis ALD alcoholic liver disease ALT alanine aminotransferase AST aspartate aminotransferase AUDIT Alcohol Use Disorders Identification Test GAHS Glasgow Alcoholic Hepatitis Score GGT gamma glutamyl transpeptidase MDF Maddrey discriminant function MELD Model .
