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Rate dependent RBBB is not commonly observed during routine
2019-05-29
Rate-dependent RBBB is not commonly observed during routine clinical exercise testing [8]. In the S-ICD, when new RBBB arises, the QRS-T wave morphology recorded by the device may also change. In this case, the R/T wave ratio may decrease to a threshold where the T wave is above the sensing decay cu
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The conventional cutoff for small for
2019-05-28
The conventional cutoff for small for gestational age is based on birthweight, which is suitable for infants born at term but is far less appropriate for those born preterm. Preterm birth is itself pathological, and ultrasound-based estimates of fetal weight show that infants born preterm are much s
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In this context in Heather Zar and colleagues
2019-05-28
In this context, in , Heather Zar and colleagues report findings from the first study to assess the accuracy of Xpert MTB/RIF in young children presenting to a primary-care facility with symptoms of pulmonary tuberculosis. Primary analysis was done in 309 children in whom four samples (two induced s
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Sendo o propositor da lei
2019-05-28
Sendo o propositor da lei das os, Bresser Pereira as definiu como entidades sem fim lucrativo, públicas não estatais, financiadas pelo Estado e por ele controladas através de contrato de gestão com fxação de indicadores de desempenho. Dessa forma proporcionariam maior autonomia e flexibilidade das a
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br Discussion Metastatic RCC is a
2019-05-28
Discussion Metastatic RCC is a fatal disease with survival often measured in months, rather than years. Surgery alone is the standard of care for patients who present with isolated renal disease at the time of diagnosis. However, approximately 1/3 of these patients will go on to develop clinicall
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br Alternans and arrhythmogenesis in different clinical cond
2019-05-28
Alternans and arrhythmogenesis in different clinical conditions APD alternans, whether spatially concordant or discordant, can produce arrhythmias. For example, spatially concordant alternans themselves can produce 2:1 conduction block, thereby initiating re-entry [48]. Nevertheless, discordant a
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cetp inhibitor Effective medical management of cutaneous
2019-05-27
Effective medical management of cutaneous cetp inhibitor arising from internal malignancy is usually difficult. Systemic chemotherapy and local excision or radiation therapy may be considered. As for metastatic ampulla of Vater cancer, the more recent histological differentiation in intestinal and
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The main products of EBM are evidence based
2019-05-27
The main products of EBM are evidence-based guidelines (EBGs), “systematically developed statements to assist practitioner and patient decision about appropriate health care for specific clinical circumstances” [21]. EBGs indeed substantially improve clinical care [29]. Preliminary steps for guidel
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br Case report We report on a year old male
2019-05-27
Case report We report on a 28-year-old male without any past medical history. After a minor work accident (professional mechanic) he noticed significant pain in his left knee. The pain increased over time and a radiograph was taken. It showed minor bone resorption at the neck of the left proximal
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Cryotherapy related soft tissue injury usually occurs within
2019-05-27
Cryotherapy related soft tissue injury usually occurs within a few weeks postoperatively. Skin necrosis is a significant complication if freezing of the superficial surface occurs. Constant irrigation of the adjacent tissues with warm saline reduces the chance of skin necrosis. Our rate of infection
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tropisetron Furthermore permanent cardiac pacemaker implanta
2019-05-27
Furthermore, permanent cardiac pacemaker implantation may be required when severe bradyarrhythmia recurs for a long period. Sympathetic preganglionic neurons innervating the tropisetron may be damaged beyond recovery in such cases [2]. Since placement of new leads immediately after infected lead re
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Causative genes for ARVC and their
2019-05-27
Causative genes for ARVC and their respective characteristics are summarized in Table 1. Desmosome genes for ARVC Other causative genes for ARVC Although more than half of ARVC patients carry mutations in desmosome genes, other genes have also been reported as causative genes for ARVC (Table
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Common and rare SCN A variants may
2019-05-27
Common and rare SCN10A variants may contribute to AF susceptibility [59,60]. SCN10A mutations (R14L and R1268Q) cause a loss of function of Nav1.5 current, which is expected to reduce excitability and lead to the development of the arrhythmogenic substrate responsible for BrS and AF. A common varian
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Cardiovascular magnetic resonance imaging CMR is recognized
2019-05-27
Cardiovascular magnetic resonance imaging (CMR) is recognized as a versatile, safe, and reproducible technique, allowing for accurate structural and functional assessment of the heart. CMR is the gold standard for ejection fraction measurement [15–17]. Considering the technical limitations of other
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No hace falta recordar que esta escena de
2019-05-27
No hace falta recordar que esta escena de amenazas, falta de respeto y robos, está lo suficientemente cerca de la realidad fenoménica como para ser reconocido por cualquier ciudadano/a mexicano/a. Estar cerca no significa que las novelas de Mendoza reflejen la realidad, ello sería imposible para cua
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