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The RA subjects with anti-CCP (+) were 25 individuals (18 females 7 males), aged 39 to 63 years (mean age 54.4 ± 9.6). The mean anti-CCP antibody levels was 96.72± 61.07 U/ml (mean±SD) in anti-CCP(+) group. The RA patients without anti-CCP consisted of 24 individuals (19 females, 5 males), aged 42 to 62 years (mean age 56.2 ± 11.2). As shown in Table 1, RA patients with anti-CCP(+) had significantly higher DAS 28 scores, tender joint count and morning stiffness time (p<0.01) than that of those with anti-CCP(-). Other demographic, clinical and laboratory characteristics did not show statistically significant differences between groups.. As of June 2013, Greece has adopted a 'soft' presumed consent law, while in the midst of an unprecedented financial and social uncertainty . A series of recent studies in an array of healthcare settings have attempted to shed light on the main factors impacting organ and tissue donation rates in Greece [10-17]. Their findings have been disturbing in terms of low organ donation rates, but not unexpected, given the fragmentation of healthcare services, the haphazard nature of attempted reform and the absence of extensive debate among policy makers, healthcare professionals and the public. The implied shortcomings of Greek undergraduate medical and nursing curricula in systematically addressing issues of organ donation promotion, recruitment, procurement and donor/recipient needs were particularly intriguing [16,18].. Many efforts have been made to improve covered SEMS with better migration-resistance and longer stent patency. Recent covered stents were designed in a dumbbell shape with flange ends and to have a proximal uncovered portion for the prevention of migration . In our included studies can i buy Lyrica online all the covered stents were partially coated except for those in two studies by Krokidis et al [25,26], who did not report data on stent migration. However, a recent meta-analysis found no disparity in all measured outcomes between fully and partially covered stents in bile duct . Stent with covered material inserted between two layers of metal nets (Niti-S Comvi), which is designed to slow tumor ingrowth and at the same time to minimize the risk of migration, was used in a few of the enrolled studies. It was demonstrated that the efficacy of this new stent was similar to other two-layer covered stent [29,30]. In addition, stents made of stainless steel might migrate more often than those made of nitinol [24,31]. However, all of the covered stents in our meta-analysis were nitinol ones. Although stents covered with polytetrafluoroethylene seems to be less membrane damage by tumor ingrowth than other materials, the role that different coatings plays in stent outcomes is still undetermined [2,9]. On the other hand, stent-in-stent technique has become an alternative therapy for tumor ingrowth. The additional insertion of a covered stent to the inside of a bare stent, or simultaneous deployment of bare and covered stent was reported to be valid for the prevention of stent migration and tumor ingrowth [32,33].. invasive laparoscopic cholecystectomy has been established. However,. The purpose of this review is to analyze available data from studies The purpose of this review is to analyze available data from studies. morphological and/or biochemical changes in response to long-distance.
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