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Performance based financing often highlighted in
2019-05-15
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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En los bestiarios y cr nicas
2019-05-15
6. En los bestiarios y crónicas existe la intención de inducir el placer estético, acto que no es desinteresado, sino ligado a la contemplación de la divinidad, ya que la naturaleza es hermosa gracias a que la omnipotencia divina “resplandece” en ella: “el mundo sólo puede ser venustus, lindo, agrad
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br A manera de conclusi n El peri dico La
2019-05-15
A manera de conclusión El periódico La Lucha mantuvo una postura contra la intervención estadounidense en el proceso independentista cubano de 1895. Misma que refrendó en la coyuntura de la imposición de la Enmienda Platt. En esa ocasión utilizó un lenguaje grandilocuente que vislumbraba un futur
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Se temos ent o um passado colonial comum e
2019-05-15
Se temos, então, um passado thiostrepton comum e uma gente que “sobreviveu a séculos de genocídio”, parece ser a língua portuguesa e as trocas comerciais direcionadas para os Estados Unidos e para a Europa que nos isolam, como se disséssemos: “Não trabalhamos com pobres como nós”, “Apesar da pobrez
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br In a Comment February we
2019-05-15
In a Comment (February, 2017), we argued that action on the conditions currently referred to as non-communicable diseases (NCDs) may be hampered by the inadequacy of their label. We received a remarkable amount of feedback on this suggestion, and in this Comment we synthesise the responses garnere
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MiR a rs is situated in the passenger strand
2019-05-15
MiR-196a2 rs11614913 is situated in the 3′ passenger strand mature sequence of miR-196a2. The C to T mutation of the rs11614913 SNP, which was located in the stem region of an miR-196a-2 precursor, leads to a change from a G:C to a G:U mismatch. A previous study has shown that miR-196a2 rs11614913 c
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br Mechanisms of ventricular fibrillation electrical storm i
2019-05-15
Mechanisms of ventricular fibrillation/electrical storm in the Brugada syndrome patients One of the most consistent features of BrS is that premature ventricular contraction (PVC), which triggers VF, is almost always short-coupling [3,4]. An interesting phenomenon is that many of the VF episodes
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In contrast the prevalence of BS or
2019-05-15
In contrast, the prevalence of BS or Brugada-type ECG in Asian countries is relatively high. Type 1 ECG has been identified in 0.17% of 3907 asymptomatic Filipinos [24] and in 0.13% of 20,652 Taiwanese patients who visited the hospital for non-cardiovascular reasons [25]. Brugada-type ECG has been o
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order Seliciclib Importance of heart failure Acute decompens
2019-05-15
Importance of order Seliciclib 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/
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In the American College of Chest Physicians provided a
2019-05-15
In 2013, the American College of Chest Physicians provided a guideline to the preoperative physiological assessment of patients being considered for surgical resection of lung cancer. It has been recommended that patients must be assessed by a multidisciplinary team before operation, regardless of a
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After a decade of political and economic crisis between
2019-05-14
After a decade of political and economic crisis between 1999 and 2010, health education in Zimbabwe was in a desperate state and required a major overhaul. UZCHS reported a 60% decrease in medical student enrolment, a 61% faculty vacancy rate, a 50% increase in failure rate, and the specialist train
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br AF suppression algorithm and prevention mechanism
2019-05-14
AF suppression algorithm and prevention mechanism The atrial overdrive pacing algorithm is the most commonly used algorithm for AF prevention. Other pacing strategies have also been developed, including atrial pacing in response to atrial premature beats (post-PAC response), pacing in response to
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Heart failure is a complex
2019-05-14
Heart failure is a complex disease and the status of each patient is highly heterogeneous; therefore, nominal manufacturer-delivered device settings may not be optimal for all patients who receive CRT implantation. A growing body of evidence suggests hemodynamic and clinical status benefits associat
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br Discussion We herein report a
2019-05-14
Discussion We herein report a case of inappropriate shock therapy that was caused by T-wave oversensing and that occurred when the patient had sinus tachycardia and was squatting. Several methods were considered to troubleshoot this problem. We decreased the sensitivity and increased the NID and
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A year old male was referred to our hospital
2019-05-14
A 59-year-old male was referred to our hospital in cardiogenic shock. A 12-lead electrocardiogram showed abnormal Q-waves in V1–V4 leads and complete atrioventricular block; the patient was diagnosed with acute myocardial infarction (AMI) (Fig. 1). Upon arrival, the patient was unconscious, and his
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