Abstract Background Calcified lesions are one of the most challenging cases for PCI, where optimal angiographic results and satisfying outcomes are hard to achieve. Methods We evaluated the baseline ...clinical, procedures characteristics and outcomes of patients with severe coronary artery calcification (CAC) who underwent coronary intravascular lithotripsy (IVL) and rotational atherectomy (RA). Results Respectively 152 and 238 patients who underwent IVL and RA are enrolled from January 2023 to November 2023. Regarding demographic characteristics, the gender proportion, medical history of PCI and smoke history among groups reach statistical significance. Left anterior descending and right coronary artery were the main vessels treated in both groups. The 2.5 and 3.0 mm IVL balloons and 1.5 mm burr were the most commonly used. 99.3% cases were successfully implanted drug-eluting stents after IVL balloon pre-treatment, which was higher than in the group treated with RA. During hospitalization, there were no serious adverse events in the IVL group, but there were two adverse events in the RA group. Procedural complications were higher in the RA group than the IVL group (5.5% vs. 0.7%, P = 0.027). Conclusions IVL appears to be safe and effective for the treatment of severe CAC lesions compared to RA.
In this article, a chiastic structure in Matthew 17:14–20:34 is identified, evaluated and discussed. This structure highlights the movements of Jesus between the Mount of Transfiguration ...and Jerusalem as he is on his way to the cross to provide forgiveness of sins. However, this chiastic structure may also be considered in its wider, prophetic context. The structure of Matthew 17:14–20:34 fits into the larger thought or movement of Matthew 16:28–25:46. This shows Jesus’ movements from the Mount of Transfiguration to Jerusalem and beyond — not only during his first advent, but also at his second coming.
Every year, about one-third of food intended for human consumption is wasted along the distribution chain, in which advent food contributes a significant portion. Advent food marketing and ...consumption are suggested as the primary channel to use advent food and reduce food waste. With the booming of the advent food market, it is necessary to explore factors attributed to advent food purchase and food waste reduction behaviors. This study explored what consumer concern and value might influence food waste reduction intention in the context of advent food consumption. Based on a survey of Chinese consumers (
N
= 509), this study develops a structural equation and tests the hypotheses with consistent Smart-pls software. Results show that, as expected, health concerns, utilitarian value, and impulse buying significantly affect food waste reduction intention. Price concern, utilitarian value, and hedonic value exert direct positive effects on impulse buying, which negatively influence food waste reduction intention. In the mediating effect analysis, impulse buying partially mediates the relationship between price concern and food waste reduction intention. Theoretical and managerial implications and recommendations for future research are discussed.
Moyamoya disease (MMD) is characterized by a progressive spontaneous occlusion of distal internal carotid arteries and its main branches. It is necessary to promptly diagnose and treat this ...condition, especially in children, because of the high risk of stroke and consequent severe disability. In this study, we examine the role of multiple burr-hole surgery (MBHS) in the treatment of pediatric patients with MMD and quasi-MMD and the role of perfusion magnetic resonance imaging (MRI) in the surgical indication and during follow-up.
We reviewed preoperative, early postoperative, and late postoperative MRI perfusion and digital subtraction angiography images together with clinical and surgical outcomes in 10 children with MMD treated by MBHS.
Fourteen MBHS procedures (6 unilateral, 2 bilateral, and 2 single-setting bilateral) were performed in 10 children. Clinical and radiologic follow-up for all patients ranges from 16 months to 7 years. No ischemic events (transient ischemic attacks or stroke) occurred during the follow-up period. Postoperative digital subtraction angiography showed good revascularization around the burr-hole sites in all patients. The functional efficacy of the surgery was confirmed by dynamic susceptibility contrast perfusion MRI studies in 8 patients.
Our data underline the good rate of success of MBHS in pediatric MMD and quasi-MMD. This technique results in good collateral revascularization, improved cerebral perfusion and excellent short and long-term symptoms control, with low perioperative risk. Postoperative changes of perfusion parameters and ivy sign MRI finding seem to show a positive correlation and mainly occur in posterior middle cerebral artery territory.
Swedish preschool education is, by law, non-confessional. Yet, it is also an educational context within which most children aged 1-5 encounter traditions that carry Christian connotations. This paper ...explores how two Swedish preschools maintain a balance between keeping education non-confessional and paying attention to the traditions that are associated with the preparation for and celebration of Christmas - Advent. The data consist of ten videotaped observations from two preschools. The data was thematised with the help of Ninian Smart's dimensions of religious and secular worldviews. This way, we could show that the different traditions the two preschools were engaged in during the four weeks before Christmas contributed to a banal reproduction of a holiday season with roots in Lutheran Christianity. At the same time, the preschools contributed to a (re)production of traditions that evoke a national imaginery. Our results show that Advent in Swedish preschools is characterised as a non-confessional task for the institution. Thus, the principle of non-confessionality lives side by side with a banal national religion. Thereby, the Swedish preschool plays an integral part in the banal reproduction of a Swedishness that includes Lutheran Christianity.
Heilsames Warten - zwei kurze Unterrichtsbausteine für Fachlehrerinnen, die Adventskalender und Adventskranz filmgestützt bzw. gestalterisch in den Mittelpunkt des Religionsunterrichts stellen. Die ...käuflichen Adventskalender haben mit der biblischen Geschichte von der Geburt Jesu meist nichts mehr zu tun, die Kränze und Gestecke haben die traditionellen Formen weiterentwickelt. Und doch gliedern sie auch in neuerer Gestalt die Zeit bis Weihnachten und sind es wert, genauer betrachtet zu werden.
U ovom se radu metodom analize sadržaja istražuje priroda medijskih napisa u prezentaciji manifestacije Advent u Zagrebu. Analiziraju se prilozi objavljeni u domaćim tiskanim i elektroničkim medijima ...s naglaskom na dnevnike Jutarnji list i Večernji list te tjedne internetske portale Novosti i Telegram. Posebno se istražuje pitanje pridonosi li medijska prezentacija isključivo adventizaciji i festivalizaciji zagrebačkih prostora odnosno razvoju poduzetničkih kapaciteta, ili doprinosi i stvaranju novog urbanog i kulturnog identiteta Zagreba kao “adventske metropole”. Također, nastoji se ispitati vidi li se iz medijskih napisa kakav identitet Zagreba kreira gradska uprava posredstvom manifestacije Advent u Zagrebu. Osobit se fokus u radu usmjerava prema nekritičnom i euforičnom pisanju o novom “adventskom” identitetu Zagreba.
The advent of hand surgery in India reads like a fortuitous saga, a continuum of the hand deformity correction on leprosy patients pioneered by Dr. Paul Wilson Brand at the Christian Medical College ...(CMC) Vellore, Madras State (Tamil Nadu TN), in 1948. The “Hand Research Unit,” established in 1951, became the largest repository for hand reconstructive surgeries and with its head-start drew in most hand dysfunctions in the country. Early industrialization and disorderly road traffic generated hand injuries that threatened workforce in India. Propitiously, a hand injury service was opened in 1971 at the Government Stanley Medical College Hospital, Chennai. The inexorable growth of hand surgery continued and incorporated the gamut of conditions that required hand care and rehabilitation, including brachial plexus injuries. Continuing Medical Education programs, Hand Surgery workshops, Indian Society for Surgery of the Hand meetings, Hand Fellowships, etc., increased the number of “hand surgery” practitioners, which drew the attention of the Medical Council of India to commence a postgraduate Hand Surgery program that it eventually gazetted. The sagacity of the members of the Board of Studies of TN Medical University honored the historical role of CMC Vellore in hand surgery and allowed it to commence the first Master of Chirurgiae Hand Surgery course in India in 2015. An intuitive understanding of 70 years of hand surgery accomplishments that redesigned and restored deformed and injured hands and protected livelihoods have made young surgeons increasingly take hand surgery as a career.
PDF
