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This patient presented to our emergency department
2019-06-06
This patient presented to our emergency department with a three-day history of worsening headache six years after she was diagnosed with mixed adenoneuroendocrine carcinoma of the uterine cervix. Upon presentation, she reported rapidly progressive dizziness, vomiting and rightward deviation when wal
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LQT can have numerous clinical
2019-06-06
LQT1 can have numerous clinical manifestations, ranging from no symptoms to sudden cardiac death, which reflects the heterogeneity in channel dysfunction. Mutation type, location, and even a patient׳s ethnic background, age, and gender are critical factors that affect the pathophysiology of the dise
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Performing an ajmaline test in children
2019-06-06
Performing an ajmaline test in children is problematic for 2 reasons. First, the test is apparently less sensitive in children than in adults. In fact, in 1 study, a repeat ajmaline challenge performed after puberty unmasked BrS in 23% of relatives with a previously negative drug test performed duri
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A coordena o atestada de valores hoje considerados
2019-06-06
A coordenação atestada de valores hoje considerados universais em regulamentos, estatutos, editais e leis setoriais pelo mundo indica o esquema de convergência de motivos e razões, e figuras sociais e jurídicas, que remete a uma intensificação da comunicação entre as diversas partes do planeta, send
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One study in Pakistan showed that
2019-06-05
One study in Pakistan showed that 12-O-tetradecanoyl phorbol-13-acetate cost lay health workers could deliver health promotion materials for blood pressure and achieve effective lowering of blood pressure levels in the population. And the ability of non-physician health workers to detect and manage
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Studies of strategies to reduce greenhouse gas emissions and
2019-06-05
Studies of strategies to reduce greenhouse gas emissions and improve health in urban environments have shown the potential to achieve both environmental and health improvements. For example, modelled effects of low emission vehicles and increased walking and cycling in London and Delhi showed major
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If the patient s coronary artery is very close to
2019-06-05
If the patient’s coronary artery is very close to the ablation target site, or if the origin of the VT/VPCs cannot be estimated by only the 12-lead ECG, for example, because of a severely deformed thorax or an alteration in the morphology of the VT, the CartoSound® system can be a useful tool for as
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Importance of heart failure Acute
2019-06-05
Importance of ack1 inhibitor failure Acute decompensated heart failure (ADHF) refers to a clinical condition of worsening HF with dyspnea, often with evidence of fluid overload [1]. This is generally triggered by 1 of the 4 main factors: atrial fibrillation, anemia, hypertension, and medication/di
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When the subject of climate change is raised
2019-06-01
When the subject of climate change is raised, people tend to think of extreme heat events, droughts, violent storms, rising sea levels, and floods. Today, we certainly live in an era of severe weather events, which will intensify if human-driven climate change continues unabated. Such events are kno
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The data also revealed notable differences
2019-06-01
The data also revealed notable differences in practice patterns across the countries. In France, Italy, Spain and the UK, patients were most likely to have multiple disseminated sites of metastases at the time of initial bone ppar antagonist detection; however, patients in Germany were most likely t
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Infectious and parasitic diseases cause about half the anaem
2019-06-01
Infectious and parasitic diseases cause about half the anaemia burden. Stevens and colleagues estimate that iron-amenable anaemia was about 50% in non-pregnant and pregnant women, and 42% in children in 2011. In addition to the contributions of malaria, schistosomiasis, hookworm infection, and HIV,
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The findings of Peck and colleagues are in major ways
2019-06-01
The findings of Peck and colleagues are in major ways expected and apply to many developing countries. However, the quest for solutions must integrate many other important questions. To what extent is the report by Peck and colleagues specific for NCDs and not only a reflection of an overall non-opt
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Detailed data were available in Kilifi
2019-06-01
Detailed data were available in Kilifi not only on carriage of vaccine types of pneumococci, but also on receipt of vaccine by the individuals in the study, and the overall vaccine coverage in the ap1 was also known. The data suggest that vaccine coverage of around two-thirds of children younger th
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br Acknowledgements br Introduction The chronic myeloprolife
2019-06-01
Acknowledgements Introduction The chronic myeloproliferative neoplasms (MPN) comprise a group of clonal stem cell disorders with a high prevalence of the JAK2 V617F mutation (JAK2+) causing excessive production of mature blood cells. Transformation to acute myeloid leukemia (AML) is seen in 2–
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While it has been reported that the combination
2019-06-01
While it has been reported that the combination therapy of As2O3 and ATRA is highly effective not only as the front-line treatment [6], but also in relapsed and treatment-refractory APL patients [7], showing fewer adverse events than the combination of ATRA and chemotherapeutic drugs, the efficacy a
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