background Studies of endovascular renal denervation (RDN) have demonstrated significant blood pressure reduction in eligible patients with resistant hypertension. These trials have used stringent inclusion and exclusion criteria in patient enrollment, potentially selecting for a small subset of patients with resistant hypertension. In this study, we examined the changes in estimated prevalence of resistant hypertension when using increasingly stringent definitions of resistant hypertension in a fixed population and assessed the generalizability of RDN when applying study criteria to a community-based hypertensive population.
A field experiment was carried out during the two successive seasons of 2012/2013 and 2013/2014 to study the effect of compost and biofertilizers, as well as, some vitamins and their interaction on Gladiolus grandiflorus cv. Carmen plant. Results showed that vegetative growth (leaf length, number of leaves/plant and dry weight of leaves/plant), flowering aspects (length of spike, number of florets/spike and lower floret diameter) and corms productivity (corm diameter, corm dry weight and number of cormels per plant) were gradually increased by increasing the level of compost fertilizer. All biofertilizers and vitamins treatments significantly increased all vegetative growth characters, flowering parameters and corm and cormels productivity in comparison with the control. Effective microorganisms (E.M.) + active dry yeast (A.Y.) treatment seemed to be more effective than other treatments in this concern. The use of high level of compost (21 ton/fed) in combination with combined biofertilizers noticeably improved the different vegetative growth characters, flowering parameters and corms productivity of gladiolus.
Infections from coxsackie B2 viruses often cause viral myocarditis and, only rarely, multisystem organ impairment. We present the unusual case of a 42-year-old man in whom coxsackie B2 virus infection caused multiorgan infection, necessitating distal pancreatectomy, splenectomy, renal dialysis, and venoarterial extracorporeal membrane oxygenation with mechanical ventilation. In addition, the patient had a rapid-eye-movement sleep–related conduction abnormality that caused frequent sinus pauses of longer than 10 s, presumably due to myocarditis from the coxsackievirus infection. He recovered after permanent pacemaker placement and was discharged from the hospital. We discuss our aggressive supportive care and the few other reports of multiorgan impairment from coxsackieviruses.
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