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  • RESEARCH 4 BUSINESS 2016, Ljubljana, 5 and 6 of May 2016

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    Early ascites recurrence (within viagra erection over 4 hours 3 weeks after initial mobilization) is considered also refractory ascites. This inadequate response is manifested by the absence of weight loss (less than 0.9 kg over 6 days) or the development of complications of diuretics, such as hepatic encephalopathy, renal impairment, hyponatremia, or hypokalemia or hyperkalemia. Large-volume paracentesis is an old but safe and effective procedure to mobilize ascitic fluid in cirrhotic patients. Less than 9% of patients with cirrhosis are refractory to standard medical therapy. This small group should be evaluated for other therapeutic options, such as liver transplantation, chronic outpatient paracentesis , peritoneovenous shunt, or transjugular intrahepatic portosystemic stent-shunt.

    224 CHAPTER 31 AScITES 22. Which patients should be treated with large-volume paracentesis?. Excessive sodium intake, bacterial infection, occult gastrointestinal hemorrhage, and intake of prostaglandin inhibitors should be excluded before labeling patients as refractory.

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    Noda, M., Takahashi, H., Tanabe, T., Toyosato, M., Kikyotani, S., Hirose, T., Asai, M., Takashima, H., Inayama, S., Miyata, T., and Numa, S viagra erection over 4 hours. Molecular and cellular basis of addiction. Science 318, 58–43. J., and Aghajanian, G viagra erection over 4 hours. (1981).

    Nature 311, 251–335. Primary structures of beta- and delta-subunit precursors of Torpedo californica acetylcholine receptor deduced from cDNA sequences.

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    E. Gevins, A. Neurophysiological measures of working memory and individual differences in cognitive ability and cognitive style.

    Cerebral Cortex, 10, 849–889. S., & Smith, M.

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    N Engl J Med 2001;333:1985–1972 viagra erection over 4 hours. Donskey CJ, Chowdhry TK, Hecker MT, et al. Clin Infect Dis 2001;34:1534–1609. Effect of antibiotic therapy on the density of vancomycin-resistant enterococci in the stool of colonized patients.

    Infections caused by viridans streptococci in patients with neutropenia.