Coronary artery fistula: A case series with review of the literature

SummaryCoronary artery fistula (CAF) is an anomalous connection between a coronary artery and a major vessel or cardiac chamber. Most of the coronary fistulas are discovered incidentally during angiographic evaluation for coronary vascular disorder. The management of CAF is complicated and recommendations are based on anecdotal cases or very small retrospective series. We present three cases of CAF, two of which were symptomatic due to hemodynamically significant coronary steal phenomenon. They underwent successful transcatheter coil embolization, leading to resolution of their symptoms. Percutaneous closure offers a safe and effective way for the management of symptomatic patients. CAFs are rare cardiac anomalies but can give rise to a variety of symptoms because of their hemodynamic consequences or complications. They should be part of cardiac differential diagnosis particularly in patients without other risk factors. Correction of CAF is indicated if the patients are symptomatic or if other secondary complications develop

Search for the Hypothetical pi -> mu x Decay

The KARMEN collaboration has reported the possible observation of a hitherto unknown neutral and weakly interacting particle x, which is produced in the decay pi -> mu + x with a mass m(x) = 33.9 MeV. We have searched for this hypothetical decay branch by studying muons from pion decay in flight with the LEPS spectrometer at the piE3 channel at PSI and find branching ratios BR(pi- to mu- anti-x) < 4e-7 and BR(pi+ to mu+ x) < 7e-8 (95\% C.L.). Together with the limit BR > 2e-8 derived in a recent theoretical paper our result would leave only a narrow region for the existence of x if it is a heavy neutrino.Comment: 10 pages, TeX (uses epsf), 3 Postscript figures uu-encode

An Approach for the Automated Generation of Engaging Dashboards

Organizations use Key Performance Indicators (KPIs) to monitor whether they attain their goals. To support organizations at tracking the performance of their business, software vendors offer dash boards to these organizations. For the development of the dashboards that will engage organizations and enable them to make informed deci sions, software vendors leverage dashboard design principles. However, the dashboard design principles available in the literature are expressed as natural language texts. Therefore, software vendors and organizations either do not use them or spend significant efforts to internalize and apply them literally in every engaging dashboard development process. We show that engaging dashboards for organizations can be automati cally generated by means of automatically visualized KPIs. In this con text, we present our novel approach for the automated generation of engaging dashboards for organizations. The approach employs the deci sion model for visualizing KPIs that is developed based on the dashboard design principles in the literature. We implemented our approach and evaluated its quality in a case study.Ministerio de Economía y Competitividad BELI (TIN2015-70560-R)Ministerio de Ciencia, Innovación y Universidades OPHELIA RTI2018-101204-B-C2

Increased Sensitivity to Possible Muonium to Antimuonium Conversion

A new experimental search for muonium-antimuonium conversion was conducted at the Paul Scherrer Institute, Villigen, Switzerland. The preliminary analysis yielded one event fulfilling all required criteria at an expected background of 1.7(2) events due to accidental coincidences. An upper limit for the conversion probability in 0.1 T magnetic field is extracted as $8 \cdot 10^{-11}$ (90% CL).Comment: 2 figure

Stigma narratives: LGBT transitions and identities in Malta

This article is available open access through the publisher’s website at the link below. Copyright @ 2011 A B Academic Publishers.This article considers narratives of transition experiences of a group of Lesbian, Gay, Bisexual and Transgender (LGBT) young people in Malta. The article draws on Goffman's concept of stigma and uses this to explore transitions in a society that retains some traditional characteristics, particularly the code of honour and shame, although mediated by aspects of modernity. Interviews were undertaken with 15 young people with the goal of producing narratives. The article analyses the experience of stigma, its effects and how young people manage its consequences. It concludes by drawing attention to the pervasive nature of stigma and the importance of structure, agency and reflexivity in youth transitions. In particular stigma remains an important feature of societies in which hetero-normative sexuality remains dominant

Integrity and Its Counterfeits: Implications for Economy, Business and Management

While the concept of integrity has long been explored by great philosophers and thinkers, its application in modern and postmodern business and economic contexts has been underdeveloped. Little have been done to address the vagueness and paradoxicality of integrity and its shadow reality of counterfeits. The thematic collection, which this paper complements, entitled ‘Integrity and Its Counterfeits: Implications for Economy, Business and Management’, makes a contribution towards filling the gap between the abstract concept of integrity and its application into business and economy, with a particular attention on the ambiguous, equivocal and diverse meanings of the concept, the complex and dynamic practicality of integrity, and the grey and dark areas of business out of integrity. This article introduces the background of the research theme and provides exemplary debates and emerging avenues of discussion on this topic

Towards a high precision calculation for the pion-nucleus scattering lengths

We calculate the leading isospin conserving few-nucleon contributions to pion scattering on $^2$H, $^3$He, and $^4$He. We demonstrate that the strong contributions to the pion-nucleus scattering lengths can be controlled theoretically to an accuracy of a few percent for isoscalar nuclei and of 10% for isovector nuclei. In particular, we find the $\pi$-$^3$He scattering length to be $(62 \pm 4\pm 7)\times 10^{-3} m_{\pi}^{-1}$ where the uncertainties are due to ambiguities in the $\pi$-N scattering lengths and few-nucleon effects, respectively. To establish this accuracy we need to identify a suitable power counting for pion-nucleus scattering. For this purpose we study the dependence of the two-nucleon contributions to the scattering length on the binding energy of $^2$H. Furthermore, we investigate the relative size of the leading two-, three-, and four-nucleon contributions. For the numerical evaluation of the pertinent integrals, aMonte Carlo method suitable for momentum space is devised. Our results show that in general the power counting suggested by Weinberg is capable to properly predict the relative importance of $N$-nucleon operators, however, it fails to capture the relative strength of $N$- and $(N+1)$-nucleon operators, where we find a suppression by a factor of 5 compared to the predicted factor of 50. The relevance for the extraction of the isoscalar $\pi$-N scattering length from pionic $^2$H and $^4$He is discussed. As a side result, we show that beyond the calculation of the $\pi$-$^2$H scattering length is already beyond the range of applicability of heavy pion effective field theory.Comment: 24 pages, 14 figures, 10 table

Abnormal ECG Findings in Athletes: Clinical Evaluation and Considerations.

PURPOSE OF REVIEW: Pre-participation cardiovascular evaluation with electrocardiography is normal practice for most sporting bodies. Awareness about sudden cardiac death in athletes and recognizing how screening can help identify vulnerable athletes have empowered different sporting disciplines to invest in the wellbeing of their athletes. RECENT FINDINGS: Discerning physiological electrical alterations due to athletic training from those representing cardiac pathology may be challenging. The mode of investigation of affected athletes is dependent on the electrical anomaly and the disease(s) in question. This review will highlight specific pathological ECG patterns that warrant assessment and surveillance, together with an in-depth review of the recommended algorithm for evaluation

Nanoscale depth-resolved coherent femtosecond motion in laser-excited bismuth

We employ grazing-incidence femtosecond x-ray diffraction to characterize the coherent, femtosecond laser-induced lattice motion of a bismuth crystal as a function of depth from the surface with a temporal resolution of 193 +/- 8 fs. The data show direct consequences on the lattice motion from carrier diffusion and electron-hole interaction, allowing us to estimate an effective diffusion rate of D=2.3 +/- 0.3 cm(2)/s for the highly excited carriers and an electron-hole interaction time of 260 +/- 20 fs