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Nutcracker esophagus is characterized by a number of criteria described in the literature. The most commonly used criteria are the Castell criteria, named after American gastroenterologist D.O. Castell. The Castell criteria include one major criterion: a mean peristaltic amplitude in the distal esophagus of more than 180 mm Hg.
In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
The remainder when dividing this number by 11 is calculated, yielding a number in the range 0–10, which would be 2 in this case. Finally, this number is subtracted from 11 to give the checksum in the range 1–11, in this case 9, which becomes the last digit of the NHS number. A checksum of 11 is represented by 0 in the final NHS number.
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Gastroesophageal reflux disease (GERD) or gastro-oesophageal reflux disease (GORD) is a chronic upper gastrointestinal disease in which stomach content persistently and regularly flows up into the esophagus, resulting in symptoms and/or complications.
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The Electronic Staff Record or ESR is an Oracle-based human resources and payroll database system currently used by 586 units of the National Health Service (NHS) in England and Wales to manage the payroll for 1.2 million NHS staff members. The Electronic Staff Record application is managed by IBM for the NHS.
The account number listed on a check for your checking account is used to identify the unique bank account that the money is coming from. Without the right account number, paychecks can get ...