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References Category:Free video games Category:Windows games Category:Windows-only gamesHypoplastic left heart syndrome in adult patients: what matters is the operative age. Hypoplastic left heart syndrome (HLHS) occurs in 0.5% to 1.0% of all newborns with congenital heart disease (CHD). This study was designed to investigate the long-term functional outcome and its predictors in adults with HLHS. From January 2002 to April 2014, 102 patients with HLHS aged more than 18 years underwent surgical reconstruction. Preoperative echocardiographic parameters were compared among subgroups according to early (median, 19.8 [13.2-26.0]) and late (median, 35.1 [25.7-47.9]) palliative operations. Operative survivors have been regularly followed for >2 years. The actuarial survival rate at 2 years after the operation was 68.3%. Echocardiographic follow-up studies showed the progression of the residual right ventricular outflow tract (RVOT) obstruction in a long-term follow-up study, compared with that in a short-term follow-up. Patients with low body weight (P =.025) and a short postoperative hospital stay (P =.007) had better postoperative functional outcomes. The 5-year survival rate was higher in patients who received the Glenn operation before the age of 13 months (P =.056), and no significant difference was observed in patients who received surgery in adulthood (P =.527). However, the 4-year functional outcomes of patients who underwent the palliative procedure were comparable to those of patients who underwent the Glenn operation. The preoperative echocardiographic findings were important for predicting the long-term outcomes, whereas the surgical technique was not. Patients with HLHS can be considered for palliative operation when they are older than 1 year. Palliative operations in adults could be performed with good long-term outcomes after a relatively long-term follow-up.Acquired Immunodeficiency Syndrome (AIDS) and AIDS-related complex (ARC) are caused by human immunodeficiency virus type-1 (HIV-1). Clinically, AIDS and ARC are characterized by a prolonged period of asymptomatic viremia. For example, the mean duration of virus production in AIDS is from one to two years prior to the onset of symptoms,



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