The angiographic features of a case of parachute mitral valve.
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A method of stabilizing intraoral skin grafts from outside the mouth is described. It provides excellent immobilization ot the graft and superior oral hygiene as compared with conventional intraoral stents.
We describe 2 cases of recurrent dislocation of the shoulder in free-fall parachutists that occurred while falling free. We suggest that in such sportsmen surgical repair should be effected after the first dislocation.
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Systematic variations in the 13C contents of individual extractable n-alkanes (C16-C29) can be modelled quantitatively and interpreted as indicating contributions from at least five distinct sources. These appear to be cyanobacterial (C16-C18, delta 13C = -37% vs PDB), phytoplanktonic (C16-C23, delta = -32%), chemoautotrophic bacterial (C20-C29, delta = -38%), phytoplanktonic or heterotrophic bacterial (C20-C29, delta = -30%), and vascular plants (C23-C29, delta = -29%). Hydrous pyrolysis of related kerogens yields large quantities of additional n-alkanes with different and much more uniform delta values. The latter materials are apparently derived from the thermolysis of aliphatic biopolymers whose presence in the Green River Oil Shale has been recognized visually.
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Development of endoluminal repair has substantially reduced mortality and morbidity associated with repair of the thoracic aorta. It has significant advantages over conventional surgical repair, particularly in the management of acute dissection and thoracic aortic injury. Despite these perceived advantages it is important to realize that no level 1 data are available to prove safety and/or efficacy. Because the advantages are perceived to be so great these data are unable to be accrued and it is important that clinicians involved with this procedure keep rigorous data and undertake ongoing evaluation to ensure that clinical perceptions are eventually underpinned by robust data.
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A company's stock price usually takes a beating when the firm faces a crisis. But a CEO can minimize the effects of a sudden lapse of investor confidence with a wise communication strategy.
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