Comparison of Ventricular Refractory Periods Determined by Incremental and Decremental Scanning of an Extrastimulus

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73345/1/j.1540-8159.1989.tb02699.x.pd

Effects of epinephrine in patients with an accessory atrioventricular connection treated with quinidine

The purpose of this study was to determine whether physiologic doses of epinephrine reverse the electrophysiologic effects of quinidine in patients with an accessory atrioventricular (AV) connection. Eighteen patients with an accessory AV connection who had inducible sustained orthodromic tachycardia underwent an electrophysiologic study in the baseline state and after at least 2 days of treatment with 1.4 to 1.9 g/day of quinidine gluconate. The effects of epinephrine were then determined. Epinephrine infusion rates of 25 and 50 ng/ kg/min were used in 9 patients each because these doses of epinephrine previously have been demonstrated to result in elevated plasma epinephrine concentrations in the range that occurs during a variety of stresses in humans. Quinidine prolonged refractoriness in the atrium and accessory AV connection and slowed conduction through the accessory AV connection. These effects were partially or completely reversed by epinephrine. Among 8 patients in whom quinidine resulted in orthodromic tachycardia becoming noninducible or nonsustained, sustained tachycardia became inducible again in 5 patients after infusion of epinephrine. After quinidine, atrial fibrillation was either non-inducible or nonsustained in 8 patients; however, sustained atrial fibrillation could be induced in 4 of these patients after infusion of epinephrine. The results of this study demonstrate that the therapeutic effect of quinidine in patients who have an accessory AV connection are often reversed by physiologic increases in circulating epinephrine.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/27138/1/0000131.pd

Pharmacodynamics of intravenous procainamide as used during acute electropharmacologic testing

No previous studies have determined the pharmacodynamics of intravenous procainamide when administered in a dose of 15 mg/kg and at a rate of 50 mg/min, as is common practice during etectropharmacologic testing. In this study, 30 patients received procainamide in this fashion; the right ventricular effective refractory period and the QRS duration at a ventricular pacing rate of 120/minute were then determined every minute for 20 minutes. Ten patients received no maintenance infusion of procainamide (group A), 10 received a 4 [mu]g/min maintenance infusion (group B) and 10 received an 8 mg/min maintenance infusion (group C). Ten additional patients received no procainamide and served as control subjects (group D). The plasma procainamide concentration was measured at 1, 5, 10,15 and 20 minutes after the loading dose was administered. A stable plasma procainamide concentration was not present in group A, B, or C until 15 minutes after infusion of the loading dose. The effective refractory period and QRS duration increased compared with baseline at 1 minute, decreased between 1 and 10 minutes and then remained essentially unchanged between 10 and 20 minutes in all 3 treatment groups. Concentration-effect relation was linear in each treatment group. The plasma procainamide concentrations in group C were significantly greater than in group A; however, the effects on refractoriness and QRS duration were similar in both groups. These findings indicate that with a procainamide dosing method commonly used during electropharmacologic testing, the plasma procainamide concentration decreases significantly during the first 15 minutes after the loading dose is administered; the effects of procainamide on ventricular refractoriness and conduction parallel the changes in the plasma procainamide concentration; and an 8 mg/min maintenance infusion of procainamide results in higher plasma procainamide concentrations without an associated increase in ventricular refractoriness or slowing of conduction.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/27475/1/0000517.pd

What's It like to See Earth from Space? Viewing Your World with NASA's Worldview!

When you first see Earth from space, you'll realize it's largely covered in white - our world is quite cloudy! Look closer and you'll discern landmasses, oceans, and regions covered in snow. Look closer still and you'll notice that our world is in constant motion - storms brewing and tracing paths over the oceans, plumes of smoke from wildfires and plumes of ash from volcanic eruptions billowing with the wind, dust storms blowing across the deserts, phytoplankton swirling in the oceans, icebergs floating in the oceans, and you'll see the human footprint on the earth's surface: cities connected by roads and vast swaths of agriculture. NASA's Worldview (https://worldview.earthdata.nasa.gov) interactive web map application provides a platform to view the world as it has been every day for the past 18 years, using data from NASA's fleet of Earth Observing System (EOS) satellites.This presentation will cover the history and development of the Worldview web map application; the 700+ imagery layers that are provided by the Global Imagery Browse Services (GIBS) (https://earthdata.nasa.gov/gibs); current and new features that are in Worldview to constantly improve the user experience; the interdisciplinary nature of the app and how it helps a broad range of user communities discover and interact with NASA satellite imagery; and ongoing efforts to improve Worldview and serve user communities

Expanding NASA's Land, Atmosphere Near Real-Time Capability for EOS (LANCE)

NASA's Land, Atmosphere Near real-time Capability for EOS (LANCE) is a virtual system that provides near real-time EOS data and imagery to meet the needs of scientists and application users interested in monitoring a wide variety of natural and man-made phenomena in near real-time. Over the last year: near real-time data and imagery from MOPITT, MISR, OMPS and VIIRS (Land and Atmosphere), the Fire Information for Resource Management System (FIRMS) has been updated and LANCE has begun the process of integrating the Global NRT flood, and Black Marble products. In addition, following the AMSU-A2 instrument anomaly in September 2016, AIRS-only products have replaced the NRT level 2 AIRS+AMSU products. This presentation provides a brief overview of LANCE, describes the new products that are recently available and contains a preview of what to expect in LANCE over the coming year

NASA GIBS and Worldview: Leveraging Visualizations to Improve Data Discovery

NASA's Global Imagery Browse Services (GIBS) leverages scientific and community best practices and standards to provide a scalable, compliant, and authoritative source for NASA Earth Observing System (EOS) Earth science data visualizations. Since 2013, its goal has been to "transform how end users interact and discover [EOS] data through visualizations." Imagery layers within GIBS allow end users to easily and quickly interact with full resolution, pre-generated visualizations of scientific parameters. This interactive discovery approach relies on visual observation and identification of phenomena that are not as simply identified otherwise

NASA GIBS and Worldview: Visualizing NASA's Earth Science Data for All to Explore

For more than 20 years, the NASA Earth Observing System (EOS) has operated dozens of remote sensing satellites collecting nearly 15 Petabytes of data that span thousands of science parameters. Within these observations are keys the Earth Scientists have used to unlock many discoveries that we now understand about our planet. Also contained within these observations are a myriad of opportunities for learning and education. The challenge is making them accessible to educators and students in intuitive and simple ways so that effort can be spent on lesson enrichment and not overcoming technical hurdles. The NASA Global Imagery Browse Services (GIBS) system and NASA Worldview website provide a unique view into EOS data through daily full resolution visualizations of hundreds of earth science parameters. For many of these parameters, visualizations are available within hours of acquisition from the satellite. For others, visualizations are available for the entire mission of the satellite. Accompanying the visualizations are visual aids such as color legends, place names, and orbit tracks. By using these visualizations, educators and students can observe natural phenomena that enrich a scientific education

The twilight of the Liberal Social Contract? On the Reception of Rawlsian Political Liberalism

This chapter discusses the Rawlsian project of public reason, or public justification-based 'political' liberalism, and its reception. After a brief philosophical rather than philological reconstruction of the project, the chapter revolves around a distinction between idealist and realist responses to it. Focusing on political liberalism’s critical reception illuminates an overarching question: was Rawls’s revival of a contractualist approach to liberal legitimacy a fruitful move for liberalism and/or the social contract tradition? The last section contains a largely negative answer to that question. Nonetheless the chapter's conclusion shows that the research programme of political liberalism provided and continues to provide illuminating insights into the limitations of liberal contractualism, especially under conditions of persistent and radical diversity. The programme is, however, less receptive to challenges to do with the relative decline of the power of modern states

Constitutivism

A brief explanation and overview of constitutivism

Philosophy of action

The philosophical study of human action begins with Plato and Aristotle. Their influence in late antiquity and the Middle Ages yielded sophisticated theories of action and motivation, notably in the works of Augustine and Aquinas.1 But the ideas that were dominant in 1945 have their roots in the early modern period, when advances in physics and mathematics reshaped philosophy