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Celiac disease serology in patients with different pretest probabilities: Is biopsy avoidable?

World Journal of Gastroenterology 2010年第25期16卷 3144-3152页

作者： Emilia Sugai María l moreno Hui J Hwang Ana Cabanne Adriana Crivelli Fabio Nach-man Horacio Vázquez Sonia Niveloni Julio Argonz Roberto Mazure Graciela la Motta María E Caniggia Edgardo Smecuol Néstor Chopita juan C Gómez Eduardo Maurińo Julio C Bai Small Bowel Section Department of Medicine Gastroenterology Hospital "Dr. C. Bonorino Udaondo" Caseros 2061 Ciudad de Buenos Aires Argentina Pathology Service Hospital de Gastroenter-ología "Dr. C. Bonorino Udaondo" Av. Caseros 2061 Ciudad de Buenos Aires Argentina USNMA HIGA "San Martín" La Plata B1900 Provincia de Buenos Aires Argentina Endoscopy Service Hospital de Gastroenter-ología "Dr. C. Bonorino Udaondo" Av. Caseros 2061 Ciudad de Buenos Aires Argentina Endoscopy Service HIGA "San Martín" La Plata

AIM: To establish the diagnostic performance of sev-eral serological tests, individually and in combination, for diagnosing celiac disease (CD) in patients with different pretest probabilities, and to explore potential se- rological algorithms to reduce the necessity for biopsy. METHODS: We prospectively performed duodenal biopsy and serology in 679 adults who had either high risk (n = 161) or low risk (n = 518) for CD. Blood samples were tested using six assays (enzyme-linked immunosorbent assay) that detected antibodies to tissue transglutaminase (tTG) and deamidated gliadin peptide (DGP). RESUlTS: CD prevalence was 39.1% in the high-risk population and 3.3% in the low-risk group. In high-risk patients, all individual assays had a high diagnostic efficacy [area under receiving operator characteristic curves (AU ROC): 0.968 to 0.999]. In contrast, assays had a lower diagnostic efficacy (AU ROC: 0.835 to 0.972) in the low-risk group. Using assay combinations, it would be possible to reach or rule out diagnosis of CD without biopsy in 92% of cases in both pretest populations. We observed that the new DGP/tTG Screen assay resulted in a surplus compared to more conventional assays in any clinical situation. CONClUSION: The DGP/tTG Screen assay could be considered as the best initial test for CD. Combinations of two tests, including a DGP/tTG Screen, might be able to diagnose CD accurately in different clinical scenarios making biopsy avoidable in a high proportion of subjects.

关键词： Celiac disease Serology Gliadin peptide antibodies Tissue transglutaminase Antigliadin antibodies Small bowel biopsy Diagnostic accuracy

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Hydrogen production through glycerol steam reforming using Co catalysts supported on SBA-15 doped with Zr,Ce and la

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Journal of Energy Chemistry 2017年第1期26卷 42-48页

作者： Alicia Carrero Arturo J.Vizcaíno JoséA.Calles lourdes García-moreno Department of Chemical and Energy Technology ESCETRey Juan Carlos University28933 MóstolesSpain

The steam reforming of glycerol has been studied at 500 and 600 oC using Co/SBA-15 and Co/M/SBA-15（M: Zr, Ce, or la） promoted catalysts. The prepared materials were characterized by inductively coupled plasma atomic emission spectroscopy（ICP-AES）, X-ray powder diffraction（XRD）, hydrogen temperatureprogramed reduction（H;-TPR）, ammonia temperature-programed desorption（NH;-TPD）, nitrogen physisorption analysis（N;-BET）, transmission electron microscopy（TEM） and thermogravimetric analysis（TGA）. The incorporation of promoters like Zr, Ce and la on SBA-15 support and successive Co impregnation leaded to smaller cobalt crystallites improving metaldispersion. Besides, stronger metal-support interactions between Co species and M/SBA-15 supports were observed. Thanks to the incorporation of Zr, la and mainly Ce, promoted catalysts present higher glycerol conversion than Co/SBA-15 along 5 h of time on stream. Besides, at 600 oC, Co/M/SBA-15（M: Zr, Ce, or la） catalysts produce higher hydrogen amounts than Co/SBA-15.

关键词： Cobalt SBA-15 Cerium Zirconium lanthanum Steam reforming Hydrogen

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New real-time-PCR method to identify single point mutations in hepatitis C virus

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World Journal of Gastroenterology 2016年第43期22卷 9604-9612页

作者： Qian Chen Irene Belmonte Maria Buti leonardo Nieto Damir Garcia-Cehic Josep Gregori Celia Perales laura Ordeig Meritxell llorens Maria Eugenia Soria Rafael Esteban juan ignacio Esteban Francisco Rodriguez-Frias Josep Quer liver Unit Internal Medicine Lab. Malalties Hepàtiques Vall d’Hebron Institut Recerca-Hospital Universitari Vall d’ Hebron08035 Barcelona Spain Centro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas Instituto de Salud Carlos Ⅲ28029 madrid Spain liver Pathology Unit Departments of Biochemistry and Microbiology Hospital Universitari Vall d’Hebron Autonomous University of Barcelona 08035 Bareelona Spain Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas del Instituto de Salud Carlos Ⅲ 28029 Madrid Spain Universitat Autònoma de Barcelona 08193 Bareelona Spain

AIM To develop a fast, low-cost diagnostic strategy to identify single point mutations in highly variable genomes such as hepatitis C virus(HCV).METHODS In patients with HCV infection, resistance-associated amino acid substitutions within the viral quasispecies prior to therapy can confer decreased susceptibility to direct-acting antiviral agents and lead to treatment failure and virological relapse. One such naturally occurring mutation is the Q80 K substitution in the HCV-NS3 protease gene, which confers resistance to PI inhibitors, particularly simeprevir. low-cost, highly sensitive techniques enabling routine detection of these single point mutations would be useful to identify patients at a risk of treatment failure. light Cycler methods, based on real-time PCR with sequencespecific probe hybridization, have been implemented in most diagnostic laboratories. However, this technique cannot identify single point mutations in highly variable genetic environments, such as the HCV genome. To circumvent this problem, we developed a new method to homogenize all nucleotides present in a region except the point mutation of interest. RESUlTS Using nucleotide-specific probes Q, K, and R substitutions at position 80 were clearly identified at a sensitivity of 10%(mutations present at a frequency of at least 10% were detected). The technique was successfully applied to identify the Q80 K substitution in 240 HCV G1 serum samples, with performance comparable to that of direct Sanger sequencing, the current standard procedure for this purpose. The new method was then validated in a Catalonian population of 202 HCV G1-infected individuals. Q80 K was detected in 14.6% of G1 a patients and 0% of G1 b in our setting. CONClUSION A fast, low-cost diagnostic strategy based on real-time PCR and fluorescence resonance energy transfer probe melting curve analysis has been successfully developed to identify single point mutations in highly variable genomes such as hepatitis C virus. This

关键词：丙肝病毒联系抵抗的氨基酸替换便宜测试单个点的变化 Q80K

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Prevalence of and risk factors for erectile dysfunction in young nondiabetic obese men:results from a regional study

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Asian Journal of Andrology 2020年第4期22卷 372-378页

作者： María Molina-Vega Maite Asenjo-Plaza María JoséBanderas-Donaire María Dolores Hernández-Ollero Silvia Rodríguez-moreno juan Jálvarez-Millán Pablo Cabezas-Sanchez Fernando Cardona-Díaz juan Alcaide-Torres lourdes Garrido-Sánchez Daniel Castellano-Castillo Francisco J Tinahones JoséC Fernández-García Department of Endocrinology and Nutrition Virgen de la Victoria University Hospital(IBIMA)Málaga UniversityMálaga 29010Spain Centro de Investigación Biomédica en Red de la Fisiopatología de la Obesidad y Nutrición(CIBEROBN) Instituto de Salud Carlos IIIMadrid 28029Spain Cruz de Humilladero Primary Care Center Málaga 29010Spain Teatinos Primary Care Center Málaga 29010Spain Chemical Sanitary Consulting(CQS lab) Madrid 28003Spain

Erectile dysfunction(ED),a condition closely related to cardiovascular morbidity and mortality,is frequently associated with *** this study,we aimed to determine the prevalence of ED and evaluate the associated risk factors in a cohort of 254 young(18–49 years)nondiabetic obese(body mass index[BMI]≥30 kg m−2)men from primary *** function(International Index of Erectile Function[IIEF-5]questionnaire),quality of life(Aging Males'Symptoms[AMS scale]),and body composition analysis(Tanita MC-180MA)were *** testosterone was determined using high-performance liquid chromatography–mass *** logistic regression analysis was used to study the factors associated with *** prevalence was 42.1%.Subjects with ED presented higher BMI,waist circumference,number of components of the metabolic syndrome,AMS score,insulin resistance,and a more unfavorable body composition than those without *** logistic regression analysis showed that a pathological AMS score(odds ratio[OR]:4.238,Plipoprotein(HDl)-cholesterol levels(OR:0.956,P=0.004),and age(OR:1.047,P=0.016)were factors independently associated with *** conclusion,we demonstrate that,in a primary care-based cohort of nondiabetic young obese men,ED affected>40%of subjects.A pathological AMS score,the degree of obesity,and age were positively associated with ED,while elevated HDl-cholesterol levels were inversely associated with the odds of presenting *** prospective studies are needed to evaluate the long-term consequences of ED in this population.

关键词： Aging Males'Symptoms score erectile dysfunction International Index of Erectile Function-5 questionnaire obesity testosterone

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Vapor Phase Decarbonylation of Furfural to Furan over Nickel Supported on SBA-15 Silica Catalysts

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Modern Research in Catalysis 2016年第3期5卷 85-94页

作者： Diana Vargas-Hernández juan Miguel Rubio-Caballero Ramon moreno-Tost Josefa María Mérida-Robles José Santamaría-González Antonio Jiménez-lópez María Ana Pérez-Cruz Rosario Hernández-Huesca Pedro Maireles-Torres Catedrática CONACYT—Universidad de Sonora Hermosillo México Departamento de Química Inorgánica Cristalografía y Minerología (Unidad Asociada al ICP-CSIC) Facultad de Ciencias Universidad de Málaga Málaga Spain Facultad de Ciencias Químicas Benemérita Universidad Autónoma de Puebla Puebla México

Vapor-phase transformations of furfural over SBA-15 silica supported Ni catalysts under H2 in a continuous-flow reactor at atmospheric pressure and 170°C and 230°C were investigated. Two different samples having Ni loadings of 5 and 20 wt% (denoted here by SBA-5Ni and SBA-20Ni, respectively) were prepared by impregnation and characterized by atomic absorption spectroscopy, N2 sorption analysis, X-ray diffraction, X-ray photoelectron spectroscopy, and transmission electron microscopy. Furan and furfuryl alcohol were two primary products resulting, respectively, from decarbonylation and hydrogenation of furfural. Under the conditions of the study, both reactions exhibited structure sensitivity evidenced by changes in product selectivities with variable Ni loadings. Compared with SBA-20Ni, the 5 wt% Ni catalyst showed better catalytic activity, reaching a furfural conversion of 100 mol% and a selectivity to furan of 98 mol%, after 5 h of time-on-stream at 230°C.

关键词： Ni-SBA-15 Furfural Hydrogenation Furan Furfuryl Alcohol

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long-term effect of autologous progenitor cell therapy to induce neo angiogenesis in patients with critical limb ischemia transplantated via intramuscular vs combined intramuscular and distal retrograde intra venous

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Stem Cell Discovery 2012年第4期2卷 155-162页

作者： luis Padilla juan Rodriguez-Trejo ignacio Escotto Manuel lópez-Hernandez Mauricio González José De Diego Neftaly Rodrgiuez Jesús Tapia Takeshi landero Carranza Pilar Hazel Olguin Juarez Horacio Mauricio Di Silvio Paul Mondragon-Teran Department of Experimental Surgery Microsurgery Unit Centro Medico Nacional “20 de Noviembre” ISSSTE Mexico City Mexico Surgery Department Faculty of Medicine Universidad Nacional Autonoma de Mexico Mexico City Mexico Angiology Vascular and Endovascular Surgery Unit Centro Medico Nacional “20 de Noviembre” ISSSTE Mexico City Mexico Haematology Unit Centro Medico Nacional “20 de Noviembre” ISSSTE Mexico City Mexico Bank of Blood Unit Centro Medico Nacional “20 de Noviembre” ISSSTE Mexico City Mexico Pediatric Hematology Unit Centro Medico Nacional '20 de Noviembre’ ISSSTE Mexico City Mexico Department of Research Hospital General de México OD Secretaria de Salud México Mexico City Mexico Department of Biomedical Research Centro Medico Nacional “20 de Noviembre” ISSSTE Mexico City Mexico

Critical limb ischemia is a medical condition that decreases blood flow and limb oxygen supply;this disease in its late stages of progression leads to only two possible options: either surgical bypass revascularization or limb amputation. We investigated a novel method using autologous transplantation of progenitor cells derived from mobilized peripheral blood bone marrow mononuclear cells to evaluate its long-term effect as a cell therapy to induce neo-angiogenesis and restore blood flow in the affected ischemic limbs. A total of 20 ischemic limbs from critical limb ischemia diagnosed patients, non candidates to surgical revascularization were transplanted with autologous progenitor cells by either intramuscular combined with intravenous (group A) or intramuscular (group B) procedure. Patients were monitored during 31 months. Treatment efficacy was evaluated according to the following parameters: ankle brachial index which increased at a range of 0.29-1.0 in group A and 0.40-0.90 in group B;pain-free walking distance which increased at a range of 50-600 m in group A and 50-300 m in group B;and blood perfusion (measured by laser Doppler) which increased at a range of 48-299 in group A and 135-225 in group B. We achieved 90% treated ischemic limbs free of amputation in both transplanted groups. Results here described provide a safe, efficient and minimally invasive therapy with progenitor cells to induce angiogenesis and preserve limbs from amputation in ClI diagnosed patients.

关键词： Neo-Angiogenesis Cell therapy Critical limb Ischemia Progenitor Cells Blood Perfusion

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Formation and Elimination of Pollutant during Sludge Decomposition in the Presence of Cement Raw Material and Other Catalysts

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Advances in Chemical Engineering and Science 2011年第4期1卷 183-190页

作者： juan A. Conesa Araceli Gálvez ignacio Martín-Gullón Rafael Font 不详

The use of a waste-based secondary fuel in clinker kilns is a widely used practice. Nevertheless, specific studies to understand the destruction mechanism of exhaust pollutants in cement raw material (CRM) are limited. This work focuses on the possible catalytic effect of the interaction of exhaust gases from the combustion of sewage sludge with various solids beds, including CRM. Catalyst based on vanadium pentoxide and deNOx commercial catalyst, based on Ti/Zr/Pt, were used. The behaviors of volatile compounds, polycyclic aromatic compounds and dioxins and furans are analyzed in the presence or absence of the different materials. Some compounds are produced when interacting the pollutants with the beds, and some others are destroyed. Results show that the presence of CRM at the outlet of the combustion gases is beneficial for the decrease in pollutant emission, confirmed by a catalytic effect of CRM at medium temperatures.

关键词： Dioxin Polycyclic Aromatic Hydrocarbons Sewage Sludge Cement Emissions

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Pharmacokinetics of sildenafil in children with pulmonary arterial hypertension

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World Journal of Pediatrics 2017年第6期13卷 588-592页

作者： Hugo Juárez Olguín Hector Osnaya Martínez Carmen Flores Pérez Blanca Ramírez Mendiola liliana Rivera Espinosa juan luis Chávez Pacheco Janett Flores Pérez ignacio Mora Maga(n)a laboratory of Pharmacology National Institute of PediatricsMexico CityMexico Department of Pharmacology Faculty of MedicineNational Autonomous University of MexicoMexico CityMexico Service of Cardiology National Institute of PediatricsMexico CityMexico laboratory of Pharmacology National Institute of PediatricsMexico CityMexico Subdirection of Teaching and Educational Programming National Institute of PediatricsMexico CityMexico

Background:Recently,sildenafil was introduced to treat pulmonary arterial hypertension (PAH);however,there are currently few studies on the pharmacokinetics of sildenalfil in ***,we aimed to carry out a pharmacokinetic study of sildenafil in children with PAH using a single ***:Twelve children diagnosed with PAH,consisting of with ten males and two females,were recruited for the study after obtaining written consent from their parents or *** samples were obtained predose and at 0.25,0.5,1,2,4,8 and 12 hours after the oral administration of 1 mg/kg of sildenafil using an extemporal pediatric formulation developed in our *** samples were analyzed using a previously validated high performance liquid chromatography ***:A pharmacokinetic analysis using the WinNonlin 3.1 program that considered the Akaike information criterion (AIC) for sdecting a more adjustable model was *** following pharmacokinetic parameters were obtained:maximal concentration (Cmax):366+179 ng/ml,time to maximal concentration:0.92±0.30 hours,elimination half-life (t1/2):2.41±1.18 hours,total clearance (Clto/F):5.85±2.81 l/hour,volume of distribution (Vd/F):20.13±14.5 l,absorption rate constants (Ka):0.343 hour-1,elimination rate (Ke):0.35 hour-1,area under curve from zero to infinity:2061±618 ng/ml/*** data of all patients adjusted to the model of one compartment were corroborated using ***:The parameters Ka,Ke and t1/2 were found to be similar to those reported in adults;however,the values of Cmax and Vd/F were significantly *** on these findings,we propose that treatment regimen of sildenafil be adjusted in children with PAH.

关键词： pharmacokinetics pulmonary arterial hypertension sildenafil

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Serum levels of undercarboxylated osteocalcin are related to cardiovascular risk factors in patients with type 2 diabetes mellitus and healthy subjects

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World Journal of Diabetes 2017年第1期8卷 11-17页

作者： Sergio Sanchez-Enriquez Isabel Thalia Ballesteros-Gonzalez JoséRafael Villafán-Bernal Sara Pascoe-Gonzalez Edgar Alfonso Rivera-leon Blanca Estela Bastidas-Ramirez Jorge David Rivas-Carrillo juan luis Alcala-Zermeno juan Armendariz-Borunda Iris Monserrat llamas-Covarrubias Abraham Zepeda-moreno Biochemistry laboratory Molecular Biology and Genomics Department University Center of Health Sciences University of Guadalajara Academic Group UDG-CA-533 Multidisciplinary Study of Chronic and Degenerative Diseases Molecular Biology and Genomics Department University Center of Health Sciences University of Guadalajara Departamento de Jóvenes Investigadores y Cátedras del Consejo Nacional de Ciencia y Tecnología (CONACYT) Departamento de Cirugía Centro Universitario de Ciencias de la Salud Universidad Autónoma de Aguascalientes Physiology Department University Center of Health Sciences University of Guadalajara Institute of Degenerative Chronic Diseases Molecular Biology and Genomics Department University Center of Health Sciences University of Guadalajara Molecular Biology and Genomics Department University Center of Health SciencesUniversity of Guadalajara Institute of Cancer Research in Child and Adolescent University Center of Health Sciences University of Guadalajara

AIM To determine a potential relationship between serum undercarboxylated(uc OC) concentration and cardiovascular risk factors in type 2 diabetes(T2D) patients and healthy subjects(HS).METHODS A cross-sectional study was conducted on 140 subjects classified into two groups, 70 with T2D and 70 HS. Medical history and physical examination with anthropometric measurements were obtained from all subjects. Body fat percentage was determined by bioelectrical impendency analysis. Serum uc OC concentration was determined by enzyme immunoassay,while serum levels of insulin and hsC RP were obtained using high sensitivity enzyme-linked immunosorbent assay. Insulin resistance was determined using the homeostasis model assessment-IR. lipid profile [triglycerides,total cholesterol(TC), high-density lipoproteins(HDl-c),low density lipoproteins(lDl-c), very low-density lipoproteins] was determined by spectrophotometry and standard formulas when applicable. RESUlTS The T2D patient group showed significantly higher values of waist circumference, waist-to-hip ratio, systolic blood pressure(SBP), diastolic blood pressure(DBP),current smoking, and alcohol use when compared to the HS group(P ly lower serum ucO C concentration in T2D than in HS(1.5 ± 1.4vs 2.3 ± 1.8, P le study population,ucO C concentration was inversely correlated with body mass index(BMI)(r =-0.236, P lasma glucose(r =-0.283, P l-c(r =-0.255,P ly correlated with lDl-c/HDl-c ratio(r = 0.306, P l-c ratio(r =0.284, P ly correlated with BMI(r =-0.310, P ly correlated with DBP(r = 0.450,P lation between serum levels of uc OC and SBP(r = 0.277, P lUSION Serum uc OC is a potential marker for cardiovascular risk in Mex

关键词：骨头 Osteocalcin 葡萄糖新陈代谢糖尿病心血管的风险

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Congenitally Corrected Transposition of the Great Arteries: Conduction Anomalies: A Case Report

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World Journal of Cardiovascular Diseases 2021年第9期11卷 439-444页

作者： Jose Antonio luna-Alvarez-Amezquita Javier Ivan Armenta-moreno Joaquin Berarducci Jorge luis Bermudez-Gonzalez Jose luis Siller-Nava Edson Alberto Escandón-Villalobos Nilda Espinola-Zavaleta Roberto Cano-Zarate juan ignacio Straface Department of Nuclear Cardiology National Institute of Cardiology Ignacio Chavez Mexico City Mexico Department of Echocardiography ABC Medical Center I.A.P. Mexico City Mexico Department of Magnetic Resonance National Institute of Cardiology Ignacio Chavez Mexico City Mexico

Introduction: Congenitally corrected transposition of the great arteries (CCTGA) is a rare heart disease that encompasses an atrioventricular and ventriculoarterial discordance and accounts for less than 1 percent of congenital heart diseases. Objective: To present an atypical case of a man with complex congenital heart disease and conduction anomalies. Case Presentation: This is a case of a 34-year-old patient who came to the hospital with 1 week of dyspnea on exertion and episodes of lipothymia. The patient was referred to our hospital after an electrocardiogram from his primary care with evidence of blocked atrial fibrillation. During the initial evaluation blocked atrial fibrillation was confirmed with a rescue ventricular rate of 38 bpm. A magnetic resonance confirmed the presence of the atrioventricular and ventriculoarterial discordance, the aorta had a left anterior position, perimembranous ventricular septal defect with a right to left shunt, biventricular systolic dysfunction, moderate tricuspid, and mitral regurgitation, interventricular septal intramyocardial and biatrial fibrosis, left le="white-space:normal;">le="font-family:;" "="">atrial dilation, and dilation of the pulmonary artery. After pacemaker placement, the patient has an improvement in his clinical symptoms and quality of life. Conclusions: Cardiac arrhythmias are CCTGA’s leading cause of death, mostly ventricular tachycardia, and atrial fibrillation. Right bundle branch block is a previously unreported and potentially very rare presentati

关键词： Congenital Heart Disease Congenitally Corrected Transposition of the Great Arteries Cardiac Magnetic Resonance Echocardiography Arrhythmia

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