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Theseconnective tissueelementsgradually merge with the loose connective tissue surroundingthevessels. Enzymesinvolved in digestion of carbohydrates are classified as salivary andpancreatic amylases. There isaccelerated microvascular damagewith fibrinoid necrosis in the walls of small arteries and arteriolesand intravascular thrombosis. This increased pressure interferes withnormal retinal nourishment and function, causing the reti-nal nerve fiber layer to atrophy (Fig

This increased pressure interferes withnormal retinal nourishment and function, causing the reti-nal nerve fiber layer to atrophy (Fig. I neverexpected her to surrender her diet to accommodate mine

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The arcuate line is located approximatelymidway between the umbilicus and the symphysis pubis or at the level of theanterosuperior iliac spine.

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However, in that study, the cutoff was set at14 days prior to data collection. The area of oligemia can be preservedby limiting the severity of ischemic injury (neuronal pro-tection) or by reducing the duration of ischemia (restoringblood flow to the compromised area).

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