DIAGNOSIS OF ACUTE CORONARY SYNDROME IN PRIMARY CARE SERVICES IN COLOMBIA AND INDICATIONS FOR EMERGENT TRANSFER TO A HIGHER LEVEL OF COMPLEXITY. IS IT POSSIBLE WITHOUT CARDIAC ENZYMES?

Mandolines Chest pain is a frequent complaint in the emergency department, and the lack of timely diagnosis of the acute coronary syndrome is associated with high mortality and malpractice lawsuits.There are multiple algorithms to rule out this condition; however, they are designed for institutions with the availability of cardiac biomarkers; In Co

Many reformed church orders, which reflect the Dort Church Order of 1619, albeit revised, still apply its subdivision into these four chapters: firstly, offices (dienste); secondly, general assemblies (samekomste); thirdly, doctrine, sacraments and other ceremonies (leer, sakramente en seremonies); and fourthly, church discipline (kerklike tug).Thi

Since the release of the Coleman Report in 1966, studies (such as Sirin, 2005; Radford, Berkner, Wheeless, and Shepherd, 2010) have continued to find an association between socioeconomic status and educational attainment.Wyner, Bridgeland, and Diiulio (2007) observe that a progressively lower proportion of low-income, high achieving students remain

Friction stir extrusion is an innovative direct-recycling technology for metal machining Capsules-Gels chips.During the process a specifically designed rotating tool is plunged into a cylindrical matrix containing the scraps to be recycled.The stirring action of the tool prompts solid bonding related phenomena allowing the back extrusion of a full

Hypertension is a common disorder with uncertain etiology.In the last several years, it has Kitchen Cart become evident that components of both the innate and adaptive immune system play an essential role in hypertension.Macrophages and T cells accumulate in the perivascular fat, the heart and the kidney of hypertensive patients and in animals with