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br Discussion Rarely a breast cancer patient has
2019-06-12
Discussion Rarely, a breast cancer patient has histologically proven breast cancer found outside the breast without a detectable primary breast tumor. Almost always the site of detected disease is an axillary lymph node. The incidence of axillary breast cancer with occult primary is relative low,
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Despite taking hydroxyurea for months his leukocytosis splen
2019-06-12
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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Patients with both primary gaze consecutive esotropia Fig an
2019-06-12
Patients with both primary gaze consecutive esotropia (Fig. 1) and consecutive exotropia (Fig. 2) showed significantly less vertical deviation postoperatively compared with preoperative measurements (p Discussion The treatment of constant vertical tropia associated with consecutive horizontal dev
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On the basis of this mechanism the
2019-06-12
On the basis of this mechanism, the prolonged RR interval with the patient\'s symptoms was likely a reflection of the progression of the AV block with an underlying first-degree AV block. Despite a first-degree AV block (420ms) during the short RP rhythm, a short PR interval (160ms) was observed wit
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br Discussion The implant of
2019-06-12
Discussion The implant of a CRT device in a patient with a resting ejection fraction of 50% represents off-guideline use of this therapy [1]. However, since the patient׳s significant NYHA Class III symptoms, LBBB and exertional ventricular dysfunction achieved evidence-based levels for improvemen
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It is noteworthy that in a recent
2019-06-12
It is noteworthy that in a recent study, Le Scouarnec et al. [199]. estimated the burden of rare coding variation in arrhythmia susceptibility genes among 167 BrS index patients and compared that with 167 individuals ≥65 years old with no history of cardiac arrhythmia. The authors concluded that, ex
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La ignorancia que evidencia Xa Am
2019-06-12
La ignorancia que evidencia Xa. América poética respecto de los literatos mexicanos corrobora la falta de proximidad entre zonas tan distantes del orbe hispanoamericano. Al mismo tiempo comprueba el vacío biográfico que en este punto muestran las revistas mexicanas o, más exactamente, El Recreo de l
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Importa recordar que el intelectual acad mico siempre se
2019-06-12
Importa recordar que el intelectual académico siempre se ha sentido incómodo en su propia piel. Leer y escribir rigurosamente pueden ser actos radicales en sí, pero la relación del intelectual y la academia suele exigir sospecha, mucho más que la del artista y el mercado, o la del político y el part
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Qu dicen las fechas en que se ha flexibilizado
2019-06-12
¿Qué dicen las fechas en que se ha flexibilizado la posición de ambas partes? Veamos una cita elocuente sobre la situación internacional en la década de los años setenta del siglo pasado, marco en el que se mejoraron las relaciones entre Washington y La Habana, bajo el gobierno de James Carter. Po
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Una recopilaci n impresa del trabajo que
2019-06-11
Una recopilación impresa del trabajo que realizó con su cámara, desde 1980 hasta 1986, fue publicado con el título: Guatemala: Eternal Spring, Eternal Tyranny en 1988. En 2010 reeditó el libro en español, el cual se difundió ampliamente en Guatemala como parte del proceso de recuperación histórica.
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PPCL were associated with a very poor prognosis The median
2019-06-11
PPCL were associated with a very poor prognosis. The median survival duration according to published small trials was short, ranging from 7 to 13 months, with less than 10% of patients having a median survival of more than 5 years. In the largest recently published epidemiological study, the median
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br Methods br Discussion We observed a significantly
2019-06-11
Methods Discussion We observed a significantly lower than expected Day +100 TRM. Other NMAT studies [4,5] have shown similar findings, although 60% of our trial hcv protease inhibitor had high risk disease per the CIBMTR classification. In this and other studies, late TRM and disease progress
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What lies ahead Clearly the extremely ambitious goals and
2019-06-11
What lies ahead? Clearly the extremely ambitious goals and targets set by the UNCoLSC have not been reached, and challenges must be overcome. While the current evaluation highlights several challenges and strategies for action, a clear process in moving forward would be to link this bottleneck analy
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It is generally agreed that
2019-06-10
It is generally agreed that a previous history of aborted cardiac arrest, syncope, presence of a spontaneous type-1 ECG, and male gender are significant predictors of further arrhythmic events [5,7,10,11,32,33]. Risk stratification Exercise testing Some clinical studies have reported the augm
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Complete resection of the tumor with
2019-06-10
Complete resection of the tumor with negative margins at the time of diagnosis appears the most preferred mode of intervention towards favorable prognosis. It is worth mentioning that the germline nmda antagonist of DICER1 is believed as the genetic cause in the majority of PPB; consequently, earlie
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