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In the days before Christmas adverse weather
2019-05-13
In the days before Christmas, 1952, adverse weather conditions and the burning of sulphurous coal led to the death of almost 12 000 people in London. Despite improvements in pollution prevention since the “Great Smog”, London continues to experience toxic air pollution linked to thousands of prematu
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Several true lumen re entry
2019-05-13
Several true lumen re-entry devices have been introduced into the market, including the Outback catheter, allowing fluoroscopically controlled true arterial lumen re-entry after subintimal guidewire passage. A recent retrospective review reported a successful re-entry rate of 91% in 11 patients with
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Table shows the AF ablation procedure data The
2019-05-10
Table 2 shows the AF ablation procedure data. The preoperative inspection consisted of transesophageal echocardiography and cardiac computed tomography (CT) in 79.9% and 80.8%, respectively; cardiac magnetic resonance imaging (MRI) was performed in only 1.1% of the patients. Two 3D mapping systems w
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Several mechanisms for cardiac involvement have been
2019-05-10
Several mechanisms for cardiac involvement have been propounded as (1) direct cardiac involvement, (2) hematogenous spread, (3) lymphatic spread, (4) spreading from the venous system, such as the pulmonary vein or inferior vena cava. In cases of pericardium metastasis, most spreading routes result f
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For single shot techniques like the CBA a
2019-05-10
For single-shot techniques, like the CBA, a modified spiral mapping catheter has been introduced for the identification of PVPs prior to ablation and also for monitoring purposes during the ablation process [6]. The Achieve™ Mapping Catheter (AC) is an intra-cardiac electrophysiological diagnostic c
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Recent studies have analyzed the miRNA profile
2019-05-10
Recent studies have analyzed the miRNA profile of serum and bile samples from patients with PSC and patients with CCA complicating PSC. Overall, the miRNA expression of all analyzed miRNAs from both patients with PSC and patients with CCA complicating PSC was significantly higher compared with healt
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While this report demonstrates that CMA with SNP arrays is
2019-05-10
While this report demonstrates that CMA with SNP arrays is useful for the analysis of genomic imbalances in the peripheral blood of patients with suspected MDS, this technique is not readily available at many medical centers and many institutions perform fluorescence in situ hybridization to detect
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Despite these recommendations diagnosing CIED infection coul
2019-05-10
Despite these recommendations, diagnosing CIED infection could be challenging. Early after implantation procedure it is important to differentiate CIED pocket infection from incisional erythema or superficial wound infection or stitch abscess. These cases usually resolve with local measures and some
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Nademanee et al reported nine
2019-05-09
Nademanee et al. reported nine symptomatic patients with BrS who experienced VF and underwent electrophysiological study and catheter ablation [8]. The patients exhibited abnormal epicardial electrograms characterized by fragmented electrograms with a relatively low voltage ( Idiopathic ventricular
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br Hacia un monote smo ta no
2019-05-09
Hacia un monoteísmo taíno Debido al hecho de que la irreductible diversidad de los cemíes parece demasiado peligrosa para ser comparada con la noción antigua de divinidad, la Relación trata de proponer, aunque de manera discreta, otra forma de interpretación: es decir, la búsqueda de las huellas
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Myeloid sarcoma can be observed
2019-05-09
Myeloid sarcoma can be observed as a de novo malignancy (without leukemic presentation in peripheral blood and bone marrow), during the course of acute myeloid leukemia (AML), affecting 2.5–9% of all AML patients, myelodysplastic syndromes (MDS) or myeloproliferative neoplasms (MPNs, both chronic my
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Education is part of the foundation for a
2019-05-09
Education is part of the foundation for a successful ASP. A well-designed educational program provides prescribers with updated knowledge on antimicrobial use, drug resistance, and infectious disease management. Educational interventions have been shown to improve prescribing competency, change pres
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Nademanee et al reported nine symptomatic patients with BrS
2019-05-09
Nademanee et al. reported nine symptomatic patients with BrS who experienced VF and underwent electrophysiological study and catheter ablation [8]. The patients exhibited abnormal epicardial electrograms characterized by fragmented electrograms with a relatively low voltage ( Idiopathic ventricular
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A type saddle back type or type ST
2019-05-09
A type 2 (“saddle-back type”) or type 3 ST-segment elevation cannot substitute for a type 1, unless converted to type 1 with fever or sodium drug challenge. A drug challenge–induced type 1 can be used to diagnose BrS only if accompanied by 1 of the criteria specified above. Type 2 is characterized b
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br En el ciclo de novelas que de una
2019-05-09
En el ciclo de novelas que de una forma u otra giran alrededor de la violencia y del narcotráfico, Cóbraselo caro atraviesa todos esos textos para preguntarse, por un lado, por la génesis de la violencia mexicana y por otro, para manifestar el deseo de una limpieza hallada en el modelo de mundo de
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