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Its usually mid-size and larger hiatal hernias that result in noticeable symptoms that may include: Heartburn that gets worse when resting or lying down Epigastric or chest pain Frequent belching Trouble swallowing Types of Hiatal Hernias Hiatal hernias can further be broken down into two more specific classifications: sliding hiatal hernias and paraesophageal (fixed) hernias

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However, for healthy North African subjects, as well as for healthy Caucasian subjects, the Na,K-ATPase activity correlates with the maximum number of ouabain binding sites on erythrocytes, whereas no such correlation has been found for patients with insulin-dependent diabetes

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133 YangY.GehrkeS.ImaiY.HuangZ.OuyangY.WangJ.-W.et al (2006)