21 research outputs found

    Combination of contrast with stress echocardiography: A practical guide to methods and interpretation

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    Contrast echocardiography has an established role for enhancement of the right heart Doppler signals, the detection of intra-cardiac shunts, and most recently for left ventricular cavity opacification (LVO). The use of intravenously administered micro-bubbles to traverse the myocardial microcirculation in order to outline myocardial viability and perfusion has been the source of research studies for a number of years. Despite the enthusiasm of investigators, myocardial contrast echocardiography (MCE) has not attained routine clinical use and LV opacification during stress has been less widely adopted than the data would support. The purpose of this review is to facilitate an understanding of the involved imaging technologies that have made this technique more feasible for clinical practice, and to guide its introduction into the practice of the non-expert user

    Nothing Lasts Forever: Environmental Discourses on the Collapse of Past Societies

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    The study of the collapse of past societies raises many questions for the theory and practice of archaeology. Interest in collapse extends as well into the natural sciences and environmental and sustainability policy. Despite a range of approaches to collapse, the predominant paradigm is environmental collapse, which I argue obscures recognition of the dynamic role of social processes that lie at the heart of human communities. These environmental discourses, together with confusion over terminology and the concepts of collapse, have created widespread aporia about collapse and resulted in the creation of mixed messages about complex historical and social processes

    Use of anticoagulants and antiplatelet agents in stable outpatients with coronary artery disease and atrial fibrillation. International CLARIFY registry

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    Carbonate xenoliths hosted by the Mesoproterozoic Siddanpalli Kimberlite Cluster (Eastern Dharwar craton): Implications for the geodynamic evolution of southern India and its diamond and uranium metallogenesis

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    A number of limestone and metasomatised carbonate xenoliths occur in the 1,090 Ma Siddanpalli kimberlite cluster, Raichur kimberlite Field, Eastern Dharwar craton, southern India. These xenoliths are inferred to have been derived from the carbonate horizons of the Kurnool (Palnad) and Bhima Proterozoic basins and provide evidence for a connection between these basins in the geological past. A revised Mesoproterozoic age is proposed for the Bhima and Kurnool (Palnad) basins based on this kimberlite association and is in agreement with similar proposals made recently for the Chattisgarh and Upper Vindhyan sediments in Central India. The observed Bhima–Kurnool interbasinal uplift may have been caused by: (1) extension- or plume-related mafic alkaline magmatism that included the emplacement of the southern Indian kimberlites at *1.1 Ga, (2) mantle plume-related doming of the peninsular India during the Cretaceous, or (3) Quaternary differential uplift in this region. It is not possible, with the currently available geological information to constrain the exact timing of this uplift. The deep erosion of primary diamond sources in the Raichur kimberlite Field in the upper reaches of the Krishna River caused by this uplift could be the elusive source of the alluvial diamonds of the Krishna valley. Mesoproterozoic sedimentary basins can host world class unconformity-type uranium deposits. In light of its inferred Mesoproterozoic age, a more detailed stratigraphic and metallogenic analysis of the Kurnool basin is suggested for uranium exploration
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