Cardiac device infections (CDIs) continue to be a serious clinical problem, with varying terminology and different classifications constituting one of the major diagnostic and therapeutic challenges ...in routine clinical practice. The problem invariably arises during an attempt to estimate the extent of the infection, which in consequence determines the choice of treatment strategy (duration of antibiotic therapy). The most serious form of CDI is lead-related infective endocarditis (LRIE). There are no clearly established diagnostic criteria for this disease; the available Duke University criteria are difficult to apply in patients with a suspicion of LRIE because of low sensitivity. As the treatment of LRIE is expensive and troublesome, there is a tendency to underdiagnose this condition and seek any intermediary forms between local pocket infection and definite LRIE. The present review includes suggestions for the systematization of CDIs with a clear definition of LRIE as a separate and most severe entity among CDIs.
El 28 de agosto de 1612 Juan Vivas de Cañamás, embajador en Génova del rey Felipe III, encargó al escultor genovés Giuseppe Carlone una gran estatua de mármol blanco de Polveracio, que representaba, ...según el dibujo adjunto al contrato, la figura de un caballero. El retratado no era otro que el duque de Lerma, cuya efigie marmórea fue encargada para presidir desde finales de 1613 su castillo y palacio de la ciudad valenciana de Dénia. En este sentido, la obra se enmarca históricamente en el proceso de renovación del castillo que llevó a cabo Lerma desde finales del siglo XVI, reformas que incluyeron la incorporación de este exclusivo encargo artístico hasta ahora desconocido por la historiografía.
This article argues that James Thomson depicts the 2
nd
duke of Argyll's methods as a counterpart to Britain's rapacious imperial ventures as epitomized by Edward Vernon. It supplements scholars' ...efforts to reassess Thomson's treatment of Scotland and its cultural practices. Argyll's many affiliations with the region authorize his rule; his sensitivity to his surroundings influences traditional pursuits – agricultural labour, for example – industry, and wider enterprises that reverberate across Scotland and the globe. This article considers the ways in which Thomson moderates his tribute to Britain as a benevolent colonial power. The article examines: the interplay between robust British commerce and the preservation of healthy ecologies; Thomson's poem
The Castle of Indolence
to analyze the responsibilities of the georgic poet; and the anxieties and responsibilities that attend supplementing and even replacing the energy of the sun.
Physician training and standards for medical licensure differ widely across the globe. The medical education process in the United States (US) typically involves a minimum of 11 years of formal ...training and multiple standardized examinations between graduating from secondary school and becoming an attending physician with full medical licensure. Students in the US traditionally enter a 4-year medical school after completing an undergraduate bachelor's degree, in contrast to most other countries where medical training begins after graduation from high school. Medical school seniors planning to practice medicine in the US must complete postgraduate clinical training, referred to as residency, within the specialty of their choosing. The duration of residency varies depending on specialty, typically lasting between 3 and 7 years. For subspecialty fields, additional clinical training is often required in the form of a fellowship. Many experts have called for changes in the medical education system to shorten medical training in the US, and reforms are ongoing in some institutions. However, physician education in the US generally remains a progression from undergraduate premedical coursework to 4 years of medical school, followed by residency training with an optional subspecialty fellowship.
Beyond Category: Black Souls On-Screen Cason, Franklin
Black camera : the newsletter of the Black Film Center/Archives,
10/2019, Letnik:
11, Številka:
1
Journal Article
Recenzirano
How does one recognize blackness or soul expressed on-screen? Even when addressing the fascination with black skin, common in pre-classical cinema, we inevitably find ourselves face to face with ...“black presence,” that ineffable, limited conception of blackness. This essay shows how black images in silent and early sound films exposit soul, pleasure, and excess. With Duke Ellington's first film role in Dudley Murphy's film, Black and Tan (1929), as a test case, I shift attention from black skin to black soul. Confronting the limits of traditional iconic image analysis—the seemingly clear criteria for recognizing blackness—I show how the aesthetics of photogénie, one of cinema's earliest theories, shares the overdetermined tendencies of the folk concept “soul” as problematized during the Harlem Renaissance and early black film era. Soul seems to direct black image analysis to an impasse: aesthetics leading in one direction (haunted by the specter of photogénie), while politics veer off in the other. Yet this needn't be an either/or dilemma. The essay shows that a renewed emphasis on aesthetic cinematic effects, not reducible to meaning in the sense of conventional interpretation, complements established political approaches to African American Cinema.
To contemporaries, the Wars of the Roses were known collectively as a cousins' war." The series of dynastic conflicts that tore apart the ruling Plantagenet family in fifteenth-century England was ...truly a domestic drama, as fraught and intimate as any family feud before or since. As acclaimed historian Sarah Gristwood reveals in Blood Sisters, while the events of this turbulent time are usually described in terms of the male leads who fought and died seeking the throne, a handful of powerful women would prove just as decisive as their kinfolks' clashing armies. These mothers, wives, and daughters were locked in a web of loyalty and betrayal that would ultimately change the course of English history. In a captivating, multigenerational narrative, Gristwood traces the rise and rule of the seven most critical women in the wars: from Marguerite of Anjou, wife of the Lancastrian Henry VI, who steered the kingdom in her insane husband's stead; to Cecily Neville, matriarch of the rival Yorkist clan, whose son Edward IV murdered his own brother to maintain power; to Margaret Beaufort, who gave up her own claim to the throne in favor of her son, a man who would become the first of a new line of Tudor kings. A richly drawn, absorbing epic, Blood Sisters is a tale of hopeful births alongside bloody deaths, of romance as well as brutal pragmatism. It is a story of how women, and the power that women could wield, helped to end the Wars of the Roses, paving the way for the Tudor ageand the creation of modern England.
Objective: to evaluate the prognostic significance Baevsky-index (BI), during the bicycle exercise test, in comparison with the data of coronary angiography (CAG) in patients with chronic ischemic ...heart disease. Material and methods: the study involved 116 patients with chronic ischemic heart disease (men - 84.5%) of them with angina pectoris functional class 2 - 47 (40.5%), functional class 3 - 69 (59.5 %) patients. The average age of the subjects = 56,99±9,29 years. From the 116 surveyed 62 (53.4%) patients had a history of myocardial infarction. More than 80% of the patients in the subsequent CAG were performed. Depending on the values of the BI patients were divided into 4 groups: 1gr. - 37 (31.9%) patients with BI 3.5. Results: more than 85% of the patients were characterized by the presence of excess weight, and in 4gr. - 100% of patients. Also in 4gr. patients, lipid profile, in comparison with those in groups 1-3, were slightly lower and atherogenic index (AI) - was the smallest. Analysis of the echocardiographic parameters, in addition to the relative left ventricular dilatation, testified about reducing the contractile function of the heart muscle, and a more severe diastolic dysfunction in patients 4gr. According bicycle exercise tests, it was found that patients 4gr. characterized by the lowest level of maximal oxygen consumption (MOC 4gr. = 3,46 ± 0,94 MET, that is 22.9%, 16.6% and 12.6% was lower than in groups 1-3, respectively), and with the growth of values BI noted decline in the index of Duke. According to the CAG, the average score on the SYNTAX score reaches a maximum value in people 4gr. Correlation analysis found an inverse relationship between the BI and the index of Duke (p>0,05). At the same time, by comparing the value of BI and CAG data, in particular the amount of vascular lesions, direct correlation was observed (p
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