948 resultados para left trisectionectomy
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This paper addresses globalization and governance in the EU by attempting to generate some plausible hypotheses that might explain the policy choices of the 12 out of 15 European democratic left governments. With all of the discussion in recent years of a democratic deficit, and then need to maintain a "social Europe," why have these governments not produced more explicit left-wing policies? It suggests three possible hypotheses to account for this apparently mysterious outcome. Hypothesis #1: They want to but they can't. Hypothesis #2: They don't want to because they aren't really left anymore. Hypothesis #3: They could, but they all are suffering from a fundamental failure of imagination. The paper explores each of these hypotheses in two ways. First it examines the initial years of the Schröder government in Germany apparently, pursuing each of these three hypotheses and different times during this period. Then it looks more systematically and comparatively and each of the three hypotheses by including analysis both of Germany and several other EU member states. The larger goal of this work is to provoke discussion and research on what role left political movements can actually play. Is it even reasonable to expect such a group of nation states to develop innovative forms of cross-national governance? Or are new and/or revised forms of representation and governance beyond traditional nation-state models.
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BACKGROUND Ventricular arrhythmias (VAs) from the left ventricular outflow tract (LVOT) region can be inaccessible for ablation because of epicardial fat or overlying coronary arteries. OBJECTIVE We describe surgical cryoablation of this type of VA. METHODS From March 2009 to 2014, 190 consecutive patients with VAs originating from the LVOT underwent ablation at our institution. Four patients (2%) underwent surgical cryoablation for highly symptomatic VAs after failing catheter ablation. RESULTS In all patients, endocardial or percutaneous epicardial mapping was consistent with origin in the LVOT. In 2 patients, the points of earliest activation during VAs were marked with a bipolar pacing lead in the overlying cardiac vein for guidance during surgery. Surgical cryoablation was successful in 3 of the 4 patients. The fourth patient subsequently had successful endocardial catheter ablation. During a mean follow-up of 22 ± 16 months (range 4-42 months), all patients showed abolition of or marked reduction in symptomatic VA. However, 1 patient subsequently required percutaneous intervention to the left anterior descending coronary artery; another developed progressive left ventricular systolic dysfunction caused by nonischemic cardiomyopathy; and a third patient underwent permanent pacemaker implantation because of complete atrioventricular block after concomitant aortic valve replacement. CONCLUSION Surgical cryoablation is an option for highly symptomatic drug-resistant VAs emanating from the LVOT region. Despite extensive preoperative mapping, the procedure is not effective for all patients, and coronary injury is a risk.
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Dexter, Mich. residences and church. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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Ann Arbor, Mich. residences and business. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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Ann Arbor, Mich. businesses. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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Ypsilanti, Pittsfield Township (Mich.) residences. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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Ypsilanti, Mich. school and residences. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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Pittsfield Township (Mich.) residences. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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Lodi Township (Mich.) residence. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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Augusta Township (Mich.) residences and businesses. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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Augusta Township (Mich.) residences. Inset: Sheep barn & young orchard of Robt Campbell. Publication information: Chicago, Ill. : Everts & Stewart, 1874.
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On verso: M-10