The Buddhist princess and the woolly turban: non-Buddhist others in a 15th century biography

Revue d’Etudes Tibétaines Number 15, November 200

Cardiac resynchronization therapy in the real world: need to upgrade outcome research

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Cardiac resynchronization therapy in the real world: need to focus on implant rates, patient selection, co-morbidities, type of devices, and complications

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Buddhism

Buddhism has existed for around two and half millennia, and is practiced by over 500 million people in the world today. The anthropology of Buddhism spans the breadth of the Buddhist world and provides rich ethnographic accounts of the religion as lived in diverse social contexts. Anthropological studies have evolved from early taxonomic work to the study of continuities and reinterpretations of socially embedded Buddhist traditions. Today, they encompass broad considerations of politics, economics, ethics, and belief. This entry considers the biography of the Buddha before examining the tenets, organisation, and spread of Buddhism. It then provides an overview of the development of the anthropology of Buddhism and key areas of focus, paying particular attention to processes of religious reform and reconstruction, political and economic relationships, and transformations in social and ethical life

Naturaleza social, identidades en tensión y brechas digitales: una aproximación etnográfica al desarrollo turístico en la Argentina Serrana

In a border region between San Luis and Córdoba (Argentina), Villa de Merlo and Traslasierra have undergone major transformations due to the rapid development of tourism. While limiting extractive activities and the exploitation of natural resources, the tourism industry has nonetheless monetised the environment in line with its own agenda. The resulting socio-environmental changes in the region and competing understandings of their “collateral damage” affect the unevenly developing communities in different ways.  Using fieldwork from 2019/20 and complementary research methods, this text analyses how environmental issues are related to an already fragmented society; on one hand they increase division and on the other they create a common ground that transcends the existing differences in the social fabric. Paradigm changes brought about by the increase of social media and, more recently, Covid-19 have not only highlighted current issues but also created opportunities to act upon them. In this context a combined creative use of virtual communication and practical approaches could connect disjointed people and ideas. Only by acknowledging the difference and validity of multiple perspectives and using previously conflicting views to complement each other can solutions to these emerging and future challenges to the natural environment in this area be found.El desarrollo del turismo ha transformado significativamente una región fronteriza entre las provincias argentinas de San Luis y Córdoba. Si bien este fenómeno ha limitado la explotación de los recursos naturales, también ha propiciado un proceso de mercantilización de la naturaleza. En consecuencia, el desarrollo de las comunidades aledañas ha sido asimétrico y las diferentes formas de relacionarse con la naturaleza se han vuelto más obvias. Aunado a ello, el aumento de las redes sociales, y más recientemente, Covid-19, han tanto aumentado las tensiones existentes como propiciado oportunidades para atender tales asimetrías. A través de observaciones de campo realizadas en 2019/20 y la revisión de otros documentos, este trabajo analizarà la relación entre los problemas socioambientales y las tensiones sociales, considerando la naturaleza como elemento común que trasciende las diferencias observadas en la zona. En este contexto, parece necesario combinar un uso creativo de la sociodigitalidad y una dimensión práctica para conectar ideas desarticuladas. Por tanto, concluyo argumentando que reconocer las diferencias entre los actores que hacen vida en el territorio y los contextos que delimitan sus respectivas perspectivas, permitirá transformar puntos de vista previamente conflictivos en espacios para abordar colectivamente los desafíos actuales y futuros en la Argentina serrana.&nbsp

Performance of seven ECG interpretation programs in identifying arrhythmia and acute cardiovascular syndrome

Background: No direct comparison of current electrocardiogram (ECG) interpretation programs exists. Objective: Assess the accuracy of ECG interpretation programs in detecting abnormal rhythms and flagging for priority review records with alterations secondary to acute coronary syndrome (ACS). Methods: More than 2,000 digital ECGs from hospitals and databases in Europe, USA, and Australia, were obtained from consecutive adult and pediatric patients and converted to 10 s analog samples that were replayed on seven electrocardiographs and classified by the manufacturers' interpretation programs. We assessed ability to distinguish sinus rhythm from non-sinus rhythm, identify atrial fibrillation/flutter and other abnormal rhythms, and accuracy in flagging results for priority review. If all seven programs' interpretation statements did not agree, cases were reviewed by experienced cardiologists. Results: All programs could distinguish well between sinus and non-sinus rhythms and could identify atrial fibrillation/flutter or other abnormal rhythms. However, false-positive rates varied from 2.1% to 5.5% for non-sinus rhythm, from 0.7% to 4.4% for atrial fibrillation/flutter, and from 1.5% to 3.0% for other abnormal rhythms. False-negative rates varied from 12.0% to 7.5%, 9.9% to 2.7%, and 55.9% to 30.5%, respectively. Flagging of ACS varied by a factor of 2.5 between programs. Physicians flagged more ECGs for prompt review, but also showed variance of around a factor of 2. False-negative values differed between programs by a factor of 2 but was high for all (>50%). Agreement between programs and majority reviewer decisions was 46–62%. Conclusions: Automatic interpretations of rhythms and ACS differ between programs. Healthcare institutions should not rely on ECG software “critical result” flags alone to decide the ACS workflow

Performance of seven ECG interpretation programs in identifying arrhythmia and acute cardiovascular syndrome

Abstract Background No direct comparison of current electrocardiogram (ECG) interpretation programs exists. Objective Assess the accuracy of ECG interpretation programs in detecting abnormal rhythms and flagging for priority review records with alterations secondary to acute coronary syndrome (ACS). Methods More than 2,000 digital ECGs from hospitals and databases in Europe, USA, and Australia, were obtained from consecutive adult and pediatric patients and converted to 10 s analog samples that were replayed on seven electrocardiographs and classified by the manufacturers' interpretation programs. We assessed ability to distinguish sinus rhythm from non-sinus rhythm, identify atrial fibrillation/flutter and other abnormal rhythms, and accuracy in flagging results for priority review. If all seven programs' interpretation statements did not agree, cases were reviewed by experienced cardiologists. Results All programs could distinguish well between sinus and non-sinus rhythms and could identify atrial fibrillation/flutter or other abnormal rhythms. However, false-positive rates varied from 2.1% to 5.5% for non-sinus rhythm, from 0.7% to 4.4% for atrial fibrillation/flutter, and from 1.5% to 3.0% for other abnormal rhythms. False-negative rates varied from 12.0% to 7.5%, 9.9% to 2.7%, and 55.9% to 30.5%, respectively. Flagging of ACS varied by a factor of 2.5 between programs. Physicians flagged more ECGs for prompt review, but also showed variance of around a factor of 2. False-negative values differed between programs by a factor of 2 but was high for all (>50%). Agreement between programs and majority reviewer decisions was 46–62%. Conclusions Automatic interpretations of rhythms and ACS differ between programs. Healthcare institutions should not rely on ECG software "critical result" flags alone to decide the ACS workflow

Oral loading of propafenone: restoring its role before restoring rhythm

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Recurrence of pericarditis after influenza vaccination: a case report and review of the literature

BACKGROUND: This case report describes a patient with pericarditis likely attributed to influenza vaccination (positive rechallenge), with a literature review. CASE PRESENTATION: A 87-year old patient developed pericarditis after influenza vaccination, with acute chest pain, without ECG abnormalities or increased cardiac enzyme levels. Echocardiogram showed moderate pericardial effusion. Recovery was obtained through steroids One year later, few days after re-immunization, the patient experienced the same symptoms and was admitted to hospital with diagnosis of recurrence of pericarditis with severe pericardial effusion, again treated with steroids. Other possible causes were ruled out and the cardiologist recommended against influenza vaccinations in the future; the patient did not experience recurrence of pericarditis in the following 6 years. Cases of pericarditis following influenza immunization in the literature were also reviewed. CONCLUSIONS: Pericarditis following immunization for influenza is very rarely reported in the literature. In a few cases, influenza vaccination seems likely responsible. We suggest considering recent immunization in patient's history as part of the differential diagnosis in elderly with chest pain