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Although the CHADS score is useful for
2019-06-06

Although the CHADS2 score is useful for evaluating the risk of stroke in NVAF patients, about half of all NVAF patients have a score of 0 or 1 [7]. There are no clear guidelines on whether warfarin should be administered or not, to these patients because the risk of annual incidence of stroke is so
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br Postoperative rehabilitation Although surgery is
2019-06-06

Postoperative rehabilitation Although surgery is the main curative therapy for lung cancer, the procedure can directly cause a reduction in pulmonary functional reserve and exercise capacity proportional to the extent of resection. The problems might be more severe in those undergoing multimodali
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br It is encouraging to read
2019-06-06

It is encouraging to read in the Article by Mercy Kanyuka and colleagues (March, 2016) about Malawi\'s success in reducing child mortality, but I fear the authors might have missed one of the key factors contributing towards this great achievement. Specifically, that Malawi is unique in sub-Sahara
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Changing the pacemaker mode to VDD is a good
2019-06-06

Changing the pacemaker mode to VDD is a good approach in cases of normal sinus node function and loss of atrial lead capture, especially if atrial sensing is stable. In this case, Short AV delay is a good way to reduce the risk of R on T phenomenon which is theoretically possible if a ventricular ec
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br Discussion Zoledronic acid has been
2019-06-05

Discussion Zoledronic 69 9 has been approved for prevention and treatment of osteoporosis and glucocorticoids-induced osteoporosis, treatment of Paget\'s disease, hypercalcemia, multiple myeloma and bone metastasis. In the particular case of breast cancer, it is recommended as a monthly administr
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smad We conducted a retrospective analysis to compare
2019-06-05

We conducted a retrospective analysis to compare a BMD-alone strategy, versus BMD+FRAX® and BMD+FRAX®+TBS screening strategies. To our knowledge, this constitutes the first study to assess the relative contributions of FRAX® and TBS. In our cohort, FRAX®+BMD identified 9 (9%) additional patients at
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After overdrive pacing excitation that
2019-06-05

After overdrive pacing, excitation that is one lap behind (the second beat after the stimulus) is caused by several mechanisms. One is the prolonged conduction time that is longer than the TCL due to a long conduction pathway and/or slow conduction. The other is the dual-loop reentry [12]. The excit
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Human ether a go go
2019-06-05

Human-ether-a-go-go-related gene (HERG) encodes the α-subunit of rapidly-activating delayed-rectifier potassium mu receptor that generate IKr. This outward potassium current is elicited during the plateau phase of action potentials and is required for repolarization [4]. After being translated in t
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The region is also suffering
2019-06-05

The region is also suffering from administrative negligence, extreme poverty, lack of basic health facilities, and weak infrastructure, which have increased its vulnerability to the climatic misery. Travel time to the nearest health facility is 2–4 h, at a cost of PKR 1000–4000 (US$10–40) in a regio
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Por ltimo una divergencia crucial
2019-06-05

Por último, una divergencia crucial entre los bestiarios y las historias naturales está en la característica glosa alegórica que condujo la lectura moral de la TH-302 en el Bestiario; en la historia natural primó una lectura literal o “histórica” que se finca en la experiencia de los sentidos y el
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Recordemos que en diciembre de se celebr
2019-06-05

Recordemos que en diciembre de 1938 se celebró en Lima la Octava Conferencia Internacional de los Estados Americanos, donde se analizó la Segunda Guerra Mundial y las posibles consecuencias para América, así como el rol de Estados Unidos, aunque no se aprobó ninguna acción colectiva. La Declaración
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win 55 212-2 manufacturer Funding NIH K AI PATH Gates Founda
2019-06-05

Funding NIH K23-AI103105, PATH, Gates Foundation 50274, UW MSRTP, AOA Carolyn Kuckein Fellowship, IDSA Medical Scholars. Declaration of interests Abstract Background Safe, timely and accessible global essential surgery and anaesthesia, once neglected in global health, is now an integral part of
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br Commentary Her ECG showed a
2019-06-05

Commentary Her ECG showed a regular wide QRS complex tachycardia at a rate of 130 beats per minute. The morphology of the QRS complex exhibited the right BBB (RBBB) pattern with inferior axis. The duration of the QRS complex was 0.16s. P waves of sinus origin were not seen, presumably hidden in t
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A recent analysis recommended axillary staging
2019-06-05

A recent analysis recommended axillary staging by sentinel lymph node biopsy, and administration of adjuvant radiotherapy and endocrine therapy after breast conserving surgery for mucinous carcinoma. Park et al. concluded that adjuvant chemotherapy could potentially be omitted in cases with favorab
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Performance based financing often highlighted in Rwanda
2019-06-01

Performance-based financing, often highlighted in Rwanda\'s story, has had mixed results when applied elsewhere, partly because of breakdowns in execution. For example, the failure of the performance-based financing initiative in neighbouring Uganda was caused by challenges in setting targets, deliv
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