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br ALANISMO E IZQUIERDA UNIDA
2019-04-26
ALANISMO E IZQUIERDA UNIDA No plano político, o desmoronamento da iu está associado às ambiguidades com que se relacionou com a primeira força política do país neste momento, o apra e o presidente Alan García. Especificamente, o grupo em torno de Alfredo Barrantes acreditou em um cenário de alter
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br Identidade negra e quilombola O uso da express
2019-04-26
Identidade negra e quilombola O uso da expressão “remanescentes” para classificar os agrupamentos negros, enquanto unidades que guardam correspondência histórica com os quilombos, motivou reflexões sobre seu significado. Adotamos o entendimento de que ao contrário do sentido de sobra ao qual pod
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One day after implantation diaphragmatic stimulation was obs
2019-04-26
One day after implantation, diaphragmatic stimulation was observed when the patient was in the seated position, and it could not be resolved by reprogramming the device. We decided to replace the LV lead; however, there were no other vein branches suitable for CRT in the lateral region of the LV (Fi
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All patients with symptomatic cardiac AL amyloidosis had poo
2019-04-26
All 4 patients with symptomatic cardiac AL amyloidosis had poor prognoses. The median survival period for these 4 patients was 12.3 months (minimum=4 months, maximum=28 months) (Table 1). The patient in Case 2, whose BNP level was the highest of the 4 patients, had the shortest survival period. Howe
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Despite taking hydroxyurea for months his leukocytosis splen
2019-04-25
Despite taking hydroxyurea for 6 months, his leukocytosis, splenomegaly, and constitutional symptoms were poorly controlled and his performance status and overall function had declined even further. There was little clinical benefit to gain by increasing the hydroxyurea dose further especially in th
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Cyclic AMP cAMP is a key factor
2019-04-25
Cyclic AMP (cAMP) is a key factor involved in the signal transduction pathways of melanogenesis. CREB, a cellular transcription factor, can be activated by the cAMP signaling pathway through protein kinase A (PKA). PKA is an important group of Ser/Thr kinase family and can phosphorylate CREB (p-CREB
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br Heart rate turbulence HRT
2019-04-25
Heart rate turbulence (HRT) HRT was introduced by Schidmt in 1999 [11]. It refers to the physiological phenomenon in response to a premature beat. After a ventricular premature contraction (VPC) and a compensatory pause, there is an increase in blood pressure because of the prolonged filling. Ref
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br Case report A year old man with a surgically
2019-04-25
Case report A 54-year-old man with a surgically repaired DORV was admitted to our hospital due to palpitations and worsened right ventricular heart failure. He had been diagnosed with DORV and had undergone the Blalock Taussig operation at 7 years of age. He underwent the Rastelli operation at 35
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Importance of heart failure Acute decompensated heart
2019-04-25
Importance of SBHA supplier 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/die
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The animal model described here is also expected
2019-04-25
The animal model described here is also expected to lead us to design mechanism-based therapeutic interventions for bone metastases of NB. In this context, it is notable that the selective COX-2 inhibitor NS-398, which is known to selectively inhibit COX-2 without affecting COX-1 activity [30], inhi
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br Conclusions br Conflict of interest
2019-04-25
Conclusions Conflict of interest Introduction Radiofrequency (RF) catheter ablation is an established method of therapy for symptomatic supraventricular tachycardia (SVT). It has gained widespread acceptance for the treatment of accessory pathways in pediatric SVTs [1]. Accessory pathways a
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br Conclusion br Conflict of interest
2019-04-24
Conclusion Conflict of interest Introduction The implantable cardioverter-defibrillator (ICD) has dramatically reduced the risk of sudden death in patients with malignant ventricular tachyarrhythmias [1,2]. However, 10–30% of patients who have undergone ICD implantation experience “electric
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Despite these recommendations diagnosing CIED infection coul
2019-04-24
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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br Introduction Epidemiological studies have shown that
2019-04-24
Introduction Epidemiological studies have shown that viral infections such as hepatitis C virus (HCV) and hepatitis B virus (HBV) are important factors contributing to hepatocellular carcinoma (HCC) development. Chronic HCV leads to cirrhosis in approximately 20% of patients over a 10–20 year per
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br Anticoagulation reversal Anticoagulation may require
2019-04-24
Anticoagulation reversal Anticoagulation may require elective (as described above) or emergent reversal. Vitamin K may be administered, which substantially reduces INR within 24h; the rapidity of INR decrease depends on the route of administration and the dose [51,52]. Oral administration is pref
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