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Viviparids have experienced population collapse 30- to 50-fold more severe than that seen in haplochromine cichlids from the region, and population declines began 100K years earlier, prior to the last glacial maximum (~15,000-18,000 years ago). Their results reveal a new facet to the profound and lasting impacts of Pleistocene climate change on the modern fauna of the Lake Victoria ecoregion and its ability to respond to current human-mediated stressors. Guidelines recommend trans-esophageal echocardiography (TEE) for patients with atria
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