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Best Download Counter Strike 1.6Final Report: human left ventricular augmentation of diastolic function by pulmonary insufficiency.
Chronic pulmonary insufficiency increases pulmonary resistance and decreases cardiac output in all parts of the circulatory system. Cardiac output is most dependent on the circulatory load on the right ventricle and, therefore, the secondary pulmonary insufficiency may affect the left ventricle. Left ventricular pressure and volume load resulting from pulmonary insufficiency have been analyzed in dogs and patients. We studied this relationship in 11 patients with pulmonary insufficiency and intact left ventricular function by comparing simultaneously measured left ventricular pressure with volume in a left ventricle closed at the orifice of the pulmonary valve during rest and exercise in the supine posture. The patients had severe pulmonary insufficiency (mean pulmonary arterial pressure, 32.5 mm Hg) and moderately decreased cardiac output (mean, 3.4 L/min). Cardiac output decreased 10 to 25 percent during exercise while pulmonary vascular resistance increased from 520 to 1,200 dynes x s x cm-5 (P less than.05) and mean left ventricular pressure increased from 52.8 to 64.4 mm Hg (P less than.05). Left ventricular end-diastolic volume decreased from 114 to 103 ml/m2 (P less than.05) and left ventricular end-diastolic pressure from 15.6 to 13.5 mm Hg (P less than.05). Left ventricular stroke work decreased by 25 percent (P less than.05). In eight of the 11 patients, left ventricular stroke work decreased by more than 50 percent during exercise. The left ventricular diastolic volume to end-diastolic pressure relationship was shifted to the right, and the left ventricular end-diastolic pressure was increased from 12 to 14 mm Hg (P less than.05). Left ventricular work decreased approximately 40 percent and stroke work decreased approximately 50 percent because of pulmonary insufficiency.(ABSTRACT TRUNCATED AT 250 WORDS)Q:
Shouldn’t loadFromURL:storeItemAtURL: retrieve the current version of the local file?
As I read in docs, loadFromURL: storeItemAtURL: “retrieves and returns the version of the resource at the URL specified by the argument.”
Why then I get the old version of the file when I call it?
The code
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