189 research outputs found

    FIXED AND DYNAMIC LEFT VENTRICULAR OUTFLOW OBSTRUCTIONS IN TANDEM: NOT A ROUTINE PREOPERATIVE EVALUATION

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    Abundant Exotics and Cavalier Crafting: Obsidian Use and Emerging Complexity in the Northern Lake Titicaca Basin

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    Book Abstract: Using case studies from around the globe—including Mesoamerica, North and South America, Africa, China, and the Greco-Roman world—and across multiple time periods, the authors in this volume make the case that abundance provides an essential explanatory perspective on ancient peoples’ choices and activities. Economists frequently focus on scarcity as a driving principle in the development of social and economic hierarchies, yet focusing on plenitude enables the understanding of a range of cohesive behaviors that were equally important for the development of social complexity. Our earliest human ancestors were highly mobile hunter-gatherers who sought out places that provided ample food, water, and raw materials. Over time, humans accumulated and displayed an increasing quantity and variety of goods. In households, shrines, tombs, caches, and dumps, archaeologists have discovered large masses of materials that were deliberately gathered, curated, distributed, and discarded by ancient peoples. The volume’s authors draw upon new economic theories to consider the social, ideological, and political implications of human engagement with abundant quantities of resources and physical objects and consider how individual and household engagements with material culture were conditioned by the quest for abundance. Abundance shows that the human propensity for mass consumption is not just the result of modern production capacities but fulfills a longstanding focus on plenitude as both the assurance of well-being and a buffer against uncertainty. This book will be of great interest to scholars and students in economics, anthropology, and cultural studies. Contributors: Traci Ardren, Amy Bogaard, Elizabeth Klarich, Abigail Levine, Christopher R. Moore, Tito E. Naranjo, Stacey Pierson, James M. Potter, François G. Richard, Christopher W. Schmidt, Carol Schultze, Payson Sheets, Monica L. Smith, Katheryn C. Twiss, Mark D. Varien, Justin St. P. Walsh, María Nieves Zedeño Source: Publisherhttps://scholarworks.smith.edu/ant_books/1001/thumbnail.jp

    CARDIAC MYXOMAS: A SINGLE CENTER EXPERIENCE WITH 123 PATIENTS SPANNING TWO DECADES

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    752-6 Visualization of Coronary Arteries and Measurement of Coronary Blood Flow with Transthoracic Echocardiography After Intravenous Administration of a New Echocardlographic Contrast Agent

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    Imagent®US (AF0145, Alliance Pharmaceutical Corp.), a new hemodynamically inert perfluorochemical echocardiographic contrast agent, produces excellent left ventricular and blood pool contrast effect after intravenous administration when imaged with conventional (2-D) ultrasound. We evaluated the potential of Contrast Specific Imaging (Acuson) employing second harmonic principles to further enhance the visualization of structures containing contrast agents. Transthoracic images were obtained during injections of 10–40mg of the agent into the left femoral vein of seven closed chest dogs. Coronary Dopplerflow was simultaneously measured using an intracoronary Doppler wire. No alterations in flow velocities were observed with contrast administration. There was heterogenous opacification of the myocardium following contrast injection: a striking finding was of contrast-enhanced linear, branching structures in the myocardium consistent with coronary vessels. Further exploration of the largest structures (2–3mm diameter) in the region of the basal ventricular septum was technically possible with pulsed wave Doppler in two dogs. A characteristic coronary Doppler flow pattern was observed (Fig 1a). Transthoracic Doppler flow velocities transiently increased after intracoronary adenosine (Fig 1b). The calculated coronary flow reserve ratio was similar to simultaneous intracoronary Doppler measurements.ConclusionsIntramyocardial coronaryvasculature was observed and coronary flow velocites were measured during transthoracic Contrast Specific Imaging with an intravenously administered contrast agent. These findings suggest that noninvasive assessment of coronary blood flow is possible with echocardiographic contrast enhancement

    Abundant Weirdness: Our Journey to Breaking a World Record

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    In Fall 2013, the Math Honors Seminar at Central Washington University broke the world record for largest primitive weird number ever discovered. A weird number is a number N whose set of proper divisors sums to be larger than itself, but which has no subset of proper divisors exactly equal to N. Take, for example, the number 70, which has proper divisors {1, 2, 5, 7, 10, 14, 35}. The sum of these numbers is 74, a number that is larger than our original number. Though, this only satisfies one of the qualifications for the number 70 to be considered “weird.” In particular, 70 is a weird number because no subset sum of {1, 2, 5, 7, 10, 14, 35} equals 70. The most important class of weird numbers is the primitive weird numbers – those not divisible by any others. Thousands of primitive weird numbers are known, but there is no efficient way to find them all. By early 2013, the record for the largest known primitive number was held by Dr. Sidney Kravitz, who discovered a 53-digit weird number. Using a generalization of Kravitz’s ideas, the class broke this record, finding weird numbers with 74, 127, and 226 decimal digits

    Multidetector Computed Tomography Findings of a Papillary Fibroelastoma of the Aortic Valve: A Case Report

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    Papillary fibroelastoma is a rare benign cardiac tumor that represents 10% of all primary cardiac tumors. Diagnosis is accomplished incidentally by echocardiography that is usually performed for another purpose. Most papillary fibroelastomas are asymptomatic, but the lesions are recognized as a cause of embolisms. To the best of our knowledge, there has been no case report of computed tomography findings of a papillary fibroelastoma. We report a case of a papillary fibroelastoma in a 78-yr-old woman who had dyspnea and chest tightness. Echocardiography revealed a small lobulated mobile echogenic mass attached to the aortic valve, and CT demonstrated a lobulated soft tissue density mass with a thin stalk at the sinotubular junction of the aortic valve

    Case Report: A Rare Case of Right-Sided Papillary Fibroelastoma in a 1-Year-Old With Congenital Heart Disease

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    Introduction: Cardiac papillary fibroelastomas (PFEs) are the most common primary benign cardiac tumors, although they are somewhat unusual in children and typically seen on the left-sided cardiac valves. Case summary: A 10-week-old patient was found to have a partial atrioventricular canal defect, with associated tricuspid and mitral regurgitation. He was medically managed until 1 year of age, when surgical correction was done. During the procedure, a PFE was found incidentally on the TV. Conclusion: This is one of the youngest patients to be reported with PFE, thus adding to the literature of these unusual cases in children
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