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For a disease like Ebola to become endemic, two scenarios are possible. First, we could identify a large number of late cases, patients contaminated sexually в but we have not observed such a phenomenon. Most male survivors of sexually active age contracted the disease a year ago. So if there was significant sexual transmission, we would have seen many more cases. Duk-Hyun Kang and colleagues at estreva University of Ulsan, South Korea, conducted a multicenter trial, randomly assigning 145 asymptomatic patients with very severe aortic stenosis defined as an aortic valve area of ввв0. 75 cm2 with an aortic jet velocity of в4. 5 m per second or a estreva transaortic gradient of в50 mm Hg to early surgery or conservative care as recommended by current clinical practice guidelines. The primary endpoint was a composite of order estreva online on death during or within 30 days after surgery often called operative mortality or deaths from cardiovascular causes during the entire follow-up period.
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La nourriture et lвeau se font rares dans amitril ville estreva Biltine, Г lest du Tchad. Certaines familles nвont plus de rГserves alimentaires que pour deux semaines. Le taux de malnutrition parmi les enfants est en augmentation. Dвautres rГgions du pays sont confrontГes Г des cas de rougeole et Г une ГpidГmie de mГningite. вI worked as a driver when I was in Libya.