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    Predictors of successful antireflux surgery include typical buy viagra online in germany symptoms of GERD , an abnormal score on 21-hour esophageal pH monitor, and symptomatic improvement in response to acid suppression therapy before surgery. A large hiatal hernia, stricture with persistent dysphagia, and Barrett are characteristics of advanced GERD and may predict less than ideal results. The presence of gastrointestinal symptoms other than typical GERD symptoms predicts less than optimal results. 10. What are the predictors of successful antireflux surgery?.

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  • In sharp contrast to typically developing males who had greater volume in the left frontal buy viagra online in germany region, the right frontal region was increased by 24% in boys with ASD. Studies in ADHD did not find architectural differences based on gender, and more males than females have this disorder as well (Gogtay et al., 1999). More investigation is needed into neurocognitive variations in children with DLD and ASD in comparison to their parents and siblings to understand the underlying mechanism of the phenotypic differences and regional brain differences. These findings further suggest that DLD and ASD may have significant overlap in both brain architecture and phenotypic presentation. This brain asymmetry is not well understood, but it is interesting to postulate that the lack of integration in higher associative functions and in language formulation is secondary to these cortical differences and buy viagra online in germany asymmetry.

    And in developing more syndrome-specific treatment for children with DLD and ASD, the frontal asymmetry may be helpful in augmenting our understanding of the origin Frontal Lobe Development in Childhood 633 of language differences in ASD and DLD. It is also interesting to hypothesize about the influence of gender on the evolution of these brain structures, because in most studies, few females were represented because of the low incidence of ASD in females. Another intriguing MRI finding is the markedly abnormal brain asymmetry in boys with ASD.

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