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The clinical presentation of patients
2019-05-31

The clinical presentation of patients with CIED pocket infection and those with endovascular infection can vary, but once the diagnosis is made, the management is similar and involves removal of all hardware along with antibiotic therapy [2,7,8,15]. Conservative managements with Imatinib therapy on
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In addition we evaluated the
2019-05-31

In addition, we evaluated the left atrium–left ventricle contraction sequence caused by the interatrial conduction delay. When we performed AV sequential pacing using the nominal AV delay setting, left atrial contractions were significantly delayed and were almost simultaneous with the left ventricu
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Moore et al in a
2019-05-31

Moore et al., in a study of 40 patients with sarcoidosis and musculoskeletal symptoms, found intramedullary bone lesions on MRI in 43% of patients (17/40) [5]. The lesions ranged in size from 1 to 4cm. Lesions of the large bones and muscle metabolism were present in 33% of patients (13/40), 9 of wh
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NAFLD and fatty liver is the accumulation
2019-05-31

NAFLD and fatty liver is the accumulation of fat and cholesterol in hepatocytes. NAFLD is one of the most common liver diseases in the USA and worldwide. NAFLD is associated with obesity, inflammation and insulin resistance. Fat accumulation in the liver is due to the uptake and synthesis (intake) o
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Na contram o do ascenso
2019-05-30

Na contramão do ascenso do movimento de massas do final dos anos 1970, Sendero não apoiou a greve geral de 1977 e não endossou a participação no processo constituinte. Na contramão da democratização política em 1980, enquanto a esquerda peruana debatia tática e estratégia conformando Izquierda Unida
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br Over the past decade a growing number of
2019-05-30

Over the past decade, a growing number of studies have linked urban green space and aspects of an empowered woman with emotional wellbeing. Although the existing body of epidemiological work has been very encouraging—collectively providing a strong argument that access to areas rich in vegetation
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Now consider a Special Report by the WHO Ebola Response
2019-05-30

Now consider a Special Report by the WHO Ebola Response Team. In it, the authors rightly—if not tautologically—suggest that shortening the delay to isolation of Ebola virus disease suspects would lead to quicker overall outbreak containment, yet they fail to adequately discuss the reality that suspe
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Several true lumen re entry devices
2019-05-30

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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br Acknowledgments We thank all the
2019-05-30

Acknowledgments We thank all the ultramarathon runners who participated in this study and all the doctors, nurses, and emergency medical technicians who provided professional care at the ultramarathon race. We also thank our colleagues at Soochow University, Taipei, Taiwan and the Chinese Taipei
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Purkinje potentials have been identified in some
2019-05-30

Purkinje potentials have been identified in some cases of successful ablation of PVCs originating in the right ventricular papillary muscles, indicating a possible involvement of the Purkinje fibers as well as the left ventricular papillary muscles [3,4]. During our first procedure, a Purkinje poten
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In the case reported by Goldstein et al a Riata
2019-05-30

In the case reported by Goldstein et al. [2], a Riata ST lead (St. Jude Medical, Sylmar, CA, USA) was used. The authors did not mention whether the lead was a dual-coil system or not. If the lead was a single-coil system, the possibility of an HV short circuit between the RV coil conductor and the d
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VV optimization From the foregoing
2019-05-30

VV optimization From the foregoing discussion, it is clear that AV delay programming to ensure ventricular preexcitation with optimal LV diastolic filling and systolic function is complex, and the optimal method that translates into improved patient outcomes is uncertain. These issues are even more
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Despite potassium administration her serum potassium concent
2019-05-30

Despite potassium administration, her serum potassium concentration did not normalize until 56h after admission because she lp-pla2 had taken hydrocortisone for pituitary adrenal insufficiency after surgery for a pituitary tumor. Under the persistent hypokalemic condition (K+=2.5–2.64mEq/L), alterna
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Most forms of AVNRT are created by
2019-05-30

Most forms of AVNRT are created by reentry between two (or more) atrial connections to the AV node. The fast AV nodal pathway (shortest conduction time) is formed by transitional cells crossing the tendon of Todaro superiorly. Two slow AV nodal pathways are formed by the rightward and leftward infer
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Much previous work highlights the rapid increases in DAH in
2019-05-30

Much previous work highlights the rapid increases in DAH in the past decade, but in , Katherine Floyd and colleagues report that, in the case of tuberculosis, growth in domestic financing has been equally impressive. Their findings are convincing, especially in view of the fact that their study migh
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