Clinical Benefit of Low Molecular Weight Heparin for ST-segment Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention with Glycoprotein IIb/IIIa Inhibitor

The efficacy of low molecular weight heparin (LMWH) with low dose unfractionated heparin (UFH) during percutaneous coronary intervention (PCI) with or without glycoprotein (Gp) IIb/IIIa inhibitor compared to UFH with or without Gp IIb/IIIa inhibitor has not been elucidated. Between October 2005 and July 2007, 2,535 patients with ST elevation acute myocardial infarction (STEMI) undergoing PCI in the Korean Acute Myocardial Infarction Registry (KAMIR) were assigned to either of two groups: a group with Gp IIb/IIIa inhibitor (n=476) or a group without Gp IIb/IIIa inhibitor (n=2,059). These groups were further subdivided according to the use of LMWH with low dose UFH (n=219) or UFH alone (n=257). The primary end points were cardiac death or myocardial infarction during the 30 days after the registration. The primary end point occurred in 4.1% (9/219) of patients managed with LMWH during PCI and Gp IIb/IIIa inhibitor and 10.8% (28/257) of patients managed with UFH and Gp IIb/IIIa inhibitor (odds ratio [OR], 0.290; 95% confidence interval [CI], 0.132-0.634; P=0.006). Thrombolysis In Myocardial Infarction (TIMI) with major bleeding was observed in LMHW and UFH with Gp IIb/IIIa inhibitor (1/219 [0.5%] vs 1/257 [0.4%], P=1.00). For patients with STEMI managed with a primary PCI and Gp IIb/IIIa inhibitor, LMWH is more beneficial than UFH

Globalizations, Nations and the Question of Global Democracy

The after cold war period is characterized by the resurgence of ethnic, religious and nationalist conflicts. The rise of such issues can also be observed in a context of globalization which, according to some analyses, is a standardising phenomenon (Waltz, 1999) thus considered by some as threatening local identities. The aim of this paper is to analyse the multifaceted phenomenon of globalization and some definitions of the concept of nation, and then, the relationship between globalization and nation. The analysis is based on the hypothesis of the existence of three kind of globalization (of economy, security and signification). All three globalization shall then be correlated to the two main trends of definition of the concept of nation, the modern and the romantic approaches

Brazil under President Lula: a New External Policy

Analyse de la politique extérieure du Président Lula de 2003 à 2010 ainsi que de l'affirmation du Brésil comme protagoniste régional et international majeu

Libro de medicina, llamado Tesoro de Pobres : en que se hallaran remedios muy aprobados para la sanidad de diversas enfermedades ...

El maestro Julián (Pedro Juliano) és Joan XXIEn la port., el segon tít. precedeix la primers menció de responsabilitat. Autor de "Regimiento de Sanidad", obtingut de p. 117Sign.: A-I