The lack of adequate antiplatelet therapy in these trials may have also conferred a predisposition to thrombotic problems. Fibrinolysis is followed by elevated platelet aggregation and activation, and stent implantation early after fibrinolysis without adequate antiplatelet therapy could be associated with increased rates of severe stent thrombosis.32 However, if the delay between PCI and fibrinolysis is too much time, patients face the risk of reinfarction and recurrent ischemia while they await PCI, and patients in whom reperfusion after fibrinolysis is not successful may not be in a position to undergo rescue PCI quickly enough to salvage myocardium.The 2011 National Report Card once again released failing grades for having less progress in reducing lung cancer’s general high mortality and survival rate, as well as the continued stigmatization of the condition. However, the 2011 National Report Card highlighted quality adjustment in Early Detection upward, in addition to acknowledging improvements in the federal response to a call to action on lung cancer policy and growing support among a National Network of Supporters uniting to create lung cancer a public health priority. Hannah Kersey, 23, offered birth to three women in September, said Richard Dottle, a spokesman for Southmead Medical center in Bristol where in fact the triplets had been born. The children spent nine weeks in a healthcare facility but the reason had not been disclosed.