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Sample records for arrhythmias venice 5-8

  1. Arrhythmia

    MedlinePlus

    An arrhythmia is a problem with the rate or rhythm of your heartbeat. It means that your heart beats ... is called bradycardia. The most common type of arrhythmia is atrial fibrillation, which causes an irregular and ...

  2. Arrhythmias

    MedlinePlus

    A change in the heart's normal electrical conduction system can result in an arrhythmia or irregular heartbeat. An arrhythmia can be an abnormally slow heartbeat, or an abnormally fast heartbeat. In ...

  3. Arrhythmia

    MedlinePlus

    ... from the NHLBI on Twitter. What Is an Arrhythmia? Español An arrhythmia (ah-RITH-me-ah) is a problem with ... rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, ...

  4. Arrhythmia

    MedlinePlus

    ... beats too quickly, too slowly, or with an irregular pattern. When the heart beats faster than normal, ... of arrhythmia is atrial fibrillation, which causes an irregular and fast heart beat. Many factors can affect ...

  5. [Arrhythmias].

    PubMed

    Misaki, Takuro; Fukahara, Kazuaki

    2004-07-01

    The success of the radiofrequency catheter ablation procedure for most types of supraventricular and ventricular tachycardia largely eliminated the role of surgical therapy of arrhythmias. However, there remains a subset of arrhythmia patients in whom urgent surgical treatments are required. In this review we mention recent developments of the urgent surgical treatment for arrhythmias. In cases with complete atrioventricular (AV) block and ventricular fibrillation which associated with sudden death, temporary cardiac pacing and cardiac defibrillation using direct current (DC) cardioversion must be immediately induced and followed by implantation of permanent cardiac pacemaker or implantable cardioverter defibrillator (ICD), if necessary. In addition to usual cardiac pacing therapy, novel pacing therapy has been developed recently for the patients with symptomatic heart failure. Cardiac resynchronization therapy (CRT) using biventricular pacing is an emerging therapy for improvement of cardiac function in patients with heart failure in association with intraventricular conduction delay. To prevent the sudden death in patients with heart failure, biventricular pacing combined with ICD are also implanted and its efficacy are reported. With the exception of the pacing therapy, curative surgical treatments are limited in drug-refractory atrial fibrillation and ventricular fibrillation/tachycardia after myocardial infarction requiring Dor's type operation. In any case surgical treatment must be performed promptly and suitably with lower invasive methods. PMID:15362552

  6. Venice, Italy

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Four hundred bridges cross the labyrinth of canals that form the 120 islands of Venice, situated in a saltwater lagoon between the mouths of the Po and Piave rivers in northeast Italy. All traffic in the city moves by boat. Venice is connected to the mainland, 4 kilometers (2.5 miles) away, by ferries as well as a causeway for road and rail traffic. The Grand Canal winds through the city for about 3 kilometers (about 2 miles), dividing it into two nearly equal sections. According to tradition, Venice was founded in 452, when the inhabitants of Aquileia, Padua, and several other northern Italian cities took refuge on the islands of the lagoon from the Teutonic tribes invading Italy at that time.

    This image was acquired on December 9, 2001 by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) on NASA's Terra satellite. With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER will image Earth for the next 6 years to map and monitor the changing surface of our planet.

    ASTER is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of Economy, Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products.

    The broad spectral coverage and high spectral resolution of ASTER will provide scientists in numerous disciplines with critical information for surface mapping, and monitoring dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats; monitoring potentially active volcanoes; identifying crop stress; determining cloud morphology and physical properties; wetlands evaluation; thermal pollution monitoring; coral reef degradation; surface temperature mapping of soils and geology; and measuring surface heat balance.

    Dr. Anne

  7. [Reperfusion arrhythmias].

    PubMed

    Jurkovicová, O; Cagán, S

    1998-01-01

    Reperfusion arrhythmias originate as a consequence of the complex of cellular and humoral reactions accompanying the opening of coronary artery. As the primary cause of their generation are considered the chemically defined substances that are produced and accumulated in myocardium during reperfusion. The key role is ascribed to free oxygen radicals but of importance are also other substances such as calcium, thrombin, platelet activating factor, inositol triphosphate, angiotensin II and others. These chemical mediators of reperfusion arrhythmias operate as modulators of cellular electrophysiology causing the complex changes at the level of ion channels. It is supposed that in the genesis of reperfusion arrhythmias unlike ischemic arrhytmias operate nonreentrant mechanisms such as abnormal or enhanced automacy and triggered activity due to afterdepolarizations. As a typical reperfusion arrhythmia is considered an early (within 6 hours after start of thrombolysis), frequent (> 30 episodes/hour) and repetitive (occurring during > 3 consecutive hours) accelerated idioventricular rhythm (AIVR). AIVR with such characteristics has a high specificity and positive predictive accuracy but relative low sensitivity as a predictor of reperfusion. Thus, in occurrence of AIVR, recanalization of infarction-related coronary artery is very probable, but in absence of AIVR, reperfusion is still not excluded. The following arrhythmias are regarded also as markers of reperfusion: frequent premature ventricular complexes (> twofold increase in frequency within 90 minutes after the start of thrombolysis), a significant increase of episodes in nonsustained ventricular tachycardia, sinus bradycardia and probably also high-degree atrioventricular blocks. At present, there is no definite evidence, as to whether sustained ventricular tachycardia and especially ventricular fibrillation can be caused by reperfusion. Reperfusion arrhythmias are an important noninvasive marker of successful

  8. Living with an Arrhythmia

    MedlinePlus

    ... from the NHLBI on Twitter. Living With an Arrhythmia Many arrhythmias are harmless. It's common to have an occasional ... heartbeat or mild palpitations . People who have harmless arrhythmias can live healthy lives. They usually don't ...

  9. Spectrum of Fascicular Arrhythmias.

    PubMed

    Sung, Raphael; Scheinman, Melvin

    2016-09-01

    Fascicular arrhythmias encompass a wide spectrum of ventricular arrhythmias that depend on the specialized conduction system of the right and left ventricles. These arrhythmias include premature ventricular complexes, monomorphic ventricular tachycardia, polymorphic ventricular tachycardia, and ventricular fibrillation. These arrhythmias may be organized by mechanism, including intrafascicular reentry, interfascicular reentry, and focal. Mapping and ablation of the fascicular system can result in high cure rates of debilitating and potentially life-threatening arrhythmias. When approaching these arrhythmias, careful consideration of the structure of the His Purkinje system as well as their electrophysiologic properties may help guide even the most complex of arrhythmias. PMID:27521090

  10. Gypsies, Jews, and "The Merchant of Venice."

    ERIC Educational Resources Information Center

    McKendy, Thomas

    1988-01-01

    Shows how looking at Shakespeare's prejudices and their roots, as seen in "The Merchant of Venice," can teach students not only about historical attitudes but also about their own unacknowledged assumptions and stereotypes. (MM)

  11. Prevention and Treatment of Arrhythmia

    MedlinePlus

    ... Pressure High Blood Pressure Tools & Resources Stroke More Prevention & Treatment of Arrhythmia Updated:Sep 2,2016 Do ... Risk for Arrhythmia • Symptoms, Diagnosis & Monitoring of Arrhythmia • Prevention & Treatment of Arrhythmia Introduction Medications Ablation Devices for ...

  12. Children and Arrhythmia

    MedlinePlus

    ... and is at risk for sudden arrhythmias including sudden death. Learn about special considerations for cardiac arrest in ... and is at risk for sudden arrhythmias including sudden death. Learn about special considerations for cardiac arrest in ...

  13. Treating Arrhythmias in Children

    MedlinePlus

    ... and is at risk for sudden arrhythmias including sudden death. Learn about special considerations for cardiac arrest in ... and is at risk for sudden arrhythmias including sudden death. Learn about special considerations for cardiac arrest in ...

  14. How Are Arrhythmias Treated?

    MedlinePlus

    ... Some arrhythmias are treated with a jolt of electricity to the heart. This type of treatment is ... senses a dangerous ventricular arrhythmia, it sends an electric shock to the heart to restore a normal ...

  15. Cardiac arrhythmias in pregnancy.

    PubMed

    Knotts, Robert J; Garan, Hasan

    2014-08-01

    As more women with repaired congenital heart disease survive to their reproductive years and many other women are delaying pregnancy until later in life, a rising concern is the risk of cardiac arrhythmias during pregnancy. Naturally occurring cardiovascular changes during pregnancy increase the likelihood that a recurrence of a previously experienced cardiac arrhythmia or a de novo arrhythmia will occur. Arrhythmias should be thoroughly investigated to determine if there is a reversible etiology, and risks/benefits of treatment options should be fully explored. We discuss the approach to working up and treating various arrhythmias during pregnancy with attention to fetal and maternal risks as well as treatment of fetal arrhythmias. Acute management in stable patients includes close monitoring and intravenous pharmacologic therapy, while DC cardioversion should be used to terminate arrhythmias in hemodynamically unstable patients. Long-term management may require continued oral antiarrhythmic therapy, with particular attention to fetal safety, to prevent complications associated with arrhythmias. PMID:25037518

  16. Predictive simulation of the subsidence of venice.

    PubMed

    Gambolati, G; Gatto, P; Freeze, R A

    1974-03-01

    Land subsidence at Venice is the result of sediment compaction in the unconsolidated, aquifer-aquitard system that underlies the Venetian Lagoon. Compaction is caused by extensive groundwater withdrawals at the nearby industrial port of Marghera. The total subsidence at Venice for the period from 1930 through 1973 has been about 15 centimeters. Predictive simulations with a calibrated mathematical model were hampered by the sparseness of available data, but, as a first estimate, they suggest that, if withdrawals are kept constant in the future as they have been since 1969, about 3 centimeters of further subsidence can be expected. PMID:17780771

  17. Ranolazine in Cardiac Arrhythmia.

    PubMed

    Saad, Marwan; Mahmoud, Ahmed; Elgendy, Islam Y; Richard Conti, C

    2016-03-01

    Ranolazine utilization in the management of refractory angina has been established by multiple randomized clinical studies. However, there is growing evidence showing an evolving role in the field of cardiac arrhythmias. Multiple experimental and clinical studies have evaluated the role of ranolazine in prevention and management of atrial fibrillation, with ongoing studies on its role in ventricular arrhythmias. In this review, we will discuss the pharmacological, experimental, and clinical evidence behind ranolazine use in the management of various cardiac arrhythmias. PMID:26459200

  18. Anger and ventricular arrhythmias

    PubMed Central

    Lampert, Rachel

    2011-01-01

    Purpose of review Although anecdotal evidence has long suggested links between emotion and ventricular arrhythmia, more recent studies have prospectively demonstrated the arrhythmogenic effects of anger, as well as mechanisms underlying these effects. Recent findings Epidemiological studies reveal that psychological stress increases sudden death, as well as arrhythmias, in patients with implantable cardioverter-defibrillators, in populations during emotionally devastating disasters such as earthquake or war. Diary-based studies confirm that anger and other negative emotions can trigger potentially lethal ventricular arrhythmias. Anger alters electrophysiological properties of the myocardium, including T-wave alternans, a measure of heterogeneity of repolarization, suggesting one mechanistic link between emotion and arrhythmia. Pilot studies of behavioral interventions have shown promise in decreasing arrhythmias in patients with implantable cardioverter-defibrillators. Summary Anger and other strong emotions can trigger polymorphic, potentially life-threatening ventricular arrhythmias in vulnerable patients. Through autonomic changes including increased sympathetic activity and vagal withdrawal, anger leads to increases in heterogeneity of repolarization as measured by T-wave alternans, known to be associated with arrhythmogenesis, as well as increasing inducibility of arrhythmia. Further delineation of mechanisms linking anger and arrhythmia, and of approaches to decrease the detrimental effects of anger and other negative emotions on arrhythmogenesis, are important areas of future investigation. PMID:19864944

  19. 6 CFR 5.8 - Business information.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... requirements of Executive Order 12600 (3 CFR, 1988 Comp., p. 235); or (4) The designation made by the submitter... 6 Domestic Security 1 2010-01-01 2010-01-01 false Business information. 5.8 Section 5.8 Domestic... Freedom of Information Act § 5.8 Business information. (a) In general. Business information obtained...

  20. 6 CFR 5.8 - Business information.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... requirements of Executive Order 12600 (3 CFR, 1988 Comp., p. 235); or (4) The designation made by the submitter... 6 Domestic Security 1 2011-01-01 2011-01-01 false Business information. 5.8 Section 5.8 Domestic... Freedom of Information Act § 5.8 Business information. (a) In general. Business information obtained...

  1. 6 CFR 5.8 - Business information.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... requirements of Executive Order 12600 (3 CFR, 1988 Comp., p. 235); or (4) The designation made by the submitter... 6 Domestic Security 1 2012-01-01 2012-01-01 false Business information. 5.8 Section 5.8 Domestic... Freedom of Information Act § 5.8 Business information. (a) In general. Business information obtained...

  2. 6 CFR 5.8 - Business information.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... requirements of Executive Order 12600 (3 CFR, 1988 Comp., p. 235); or (4) The designation made by the submitter... 6 Domestic Security 1 2014-01-01 2014-01-01 false Business information. 5.8 Section 5.8 Domestic... Freedom of Information Act § 5.8 Business information. (a) In general. Business information obtained...

  3. 6 CFR 5.8 - Business information.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... requirements of Executive Order 12600 (3 CFR, 1988 Comp., p. 235); or (4) The designation made by the submitter... 6 Domestic Security 1 2013-01-01 2013-01-01 false Business information. 5.8 Section 5.8 Domestic... Freedom of Information Act § 5.8 Business information. (a) In general. Business information obtained...

  4. Land Subsidence International Symposium held in Venice

    NASA Astrophysics Data System (ADS)

    The Third International Symposium on Land Subsidence was held March 18-25, 1984, in Venice, Italy. Sponsors were the Ground-Water Commission of the International Association of Hydrological Sciences (IAHS), the United Nations Educational, Scientific, and Cultural Organization (UNESCO), the Italian National Research Council (CNR), the Italian Regions of Veneto and Emilia-Romagna, the Italian Municipalities of Venice, Ravenna, and Modena, the Venice Province, and the European Research Office. Cosponsors included the International Association of Hydrogeologists (IAH), the International Society for Soil Mechanics and Foundation Engineering (ISSMFE), and the Association of Geoscientists for International Development (AGID).Organized within the framework of UNESCO's International Hydrological Program, the symposium brought together over 200 international interdisciplinary specialists in the problems of land subsidence due to fluid and mineral withdrawal. Because man's continuing heavy development of groundwater, gas, oil, and minerals is changing the natural regime and thus causing more and more subsiding areas in the world, there had been sufficient new land subsidence occurrence, problems, research, and remedial measures since the 1976 Second International Symposium held in Anaheim, California, to develop a most interesting program of nearly 100 papers from about 30 countries. The program consisted of papers covering case histories of fluid and mineral withdrawal, engineering theory and analysis, karst “sink-hole”-type subsidence, subsidence due to dewatering of organic deposits or due to application of water (hydrocompaction), instrumentation, legal, socioeconomic, and environmental effects of land subsidence, and remedial works.

  5. Is the Venice Lagoon Noisy? First Passive Listening Monitoring of the Venice Lagoon: Possible Effects on the Typical Fish Community.

    PubMed

    Bolgan, Marta; Picciulin, Marta; Codarin, Antonio; Fiorin, Riccardo; Zucchetta, Matteo; Malavasi, Stefano

    2016-01-01

    Three passive listening surveys have been carried out in two of the three Venice lagoon tide inlets and inside the Venice island. The spectral content and the intensity level of the underwater noise as well as the presence or absence of Sciaena umbra and the distribution of its different sound patterns have been investigated in all the recording sites. The passive listening proved to be successful in detecting S. umbra drumming sounds in both Venice lagoon tide inlets. Our results indicate that the spectral content and the level of underwater noise pollution in the Venice lagoon could affect fish acoustic communication. PMID:26610947

  6. Understand Your Risk for Arrhythmia

    MedlinePlus

    ... Tools & Resources Stroke More Understand Your Risk for Arrhythmia Updated:Apr 6,2016 Expected changes in heart ... content was last reviewed on 10/23/2014. Arrhythmia • Home • About Arrhythmia • Why Arrhythmia Matters • Understand Your ...

  7. Devices for Arrhythmia

    MedlinePlus

    ... the heart an electric shock (as with a defibrillator ). For people with recurrent arrhythmias, medical devices such as a pacemaker and implantable cardioverter defibrillator (ICD) can help by continuously monitoring the heart's ...

  8. History of arrhythmias.

    PubMed

    Janse, M J; Rosen, M R

    2006-01-01

    A historical overview is given on the techniques to record the electrical activity of the heart, some anatomical aspects relevant for the understanding of arrhythmias, general mechanisms of arrhythmias, mechanisms of some specific arrhythmias and nonpharmacological forms of therapy. The unravelling of arrhythmia mechanisms depends, of course, on the ability to record the electrical activity of the heart. It is therefore no surprise that following the construction of the string galvanometer by Einthoven in 1901, which allowed high-fidelity recording of the body surface electrocardiogram, the study of arrhythmias developed in an explosive way. Still, papers from McWilliam (1887), Garrey (1914) and Mines (1913, 1914) in which neither mechanical nor electrical activity was recorded provided crucial insights into re-entry as a mechanism for atrial and ventricular fibrillation, atrioventricular nodal re-entry and atrioventricular re-entrant tachycardia in hearts with an accessory atrioventricular connection. The components of the electrocardiogram, and of extracellular electrograms directly recorded from the heart, could only be well understood by comparing such registrations with recordings of transmembrane potentials. The first intracellular potentials were recorded with microelectrodes in 1949 by Coraboeuf and Weidmann. It is remarkable that the interpretation of extracellular electrograms was still controversial in the 1950s, and it was not until 1962 that Dower showed that the transmembrane action potential upstroke coincided with the steep negative deflection in the electrogram. For many decades, mapping of the spread of activation during an arrhythmia was performed with a "roving" electrode that was subsequently placed on different sites on the cardiac surface with a simultaneous recording of another signal as time reference. This method could only provide reliable information if the arrhythmia was strictly regular. When multiplexing systems became available in

  9. Deposition in St. Mark's Basilica of Venice.

    PubMed

    Morabito, E; Zendri, E; Piazza, R; Ganzerla, R; Montalbani, S; Marcoleoni, E; Bonetto, F; Scandella, A; Barbante, C; Gambaro, A

    2013-04-01

    Atmospheric pollutants may cause damage to monuments and historical buildings. Besides air contaminants, soluble salts are also responsible for stone deterioration and decay in outdoor and indoor monuments. The problem of how to conserve works of arts thus requires a deep knowledge of contaminants' concentration and distribution inside buildings. In this work, water-soluble ions inside St. Mark's Basilica in Venice were studied, with the aim of understanding their principal source and distribution inside the building. With the aid of Fourier transform infrared spectroscopy and scanning electron microscopy analysis, the interaction between ions and surface's material was also investigated. Ion chromatographic analysis of depositions highlighted a large amount of "deteriorating agents" such as sulphates and chlorides. A possible source in the innermost area of the basilica has been found for formates and nitrates. On the contrary, a decrease of chloride, from the entrance to the innermost area, has been found, which indicates that the source is outside the building. It is emphasized that different contaminants behave differently on different material, and the effect of pollution inside churches and monuments is not easy to predict. Wood and brick seem to react differently than stone and mortar to the damaging action of salts and pollutants. The present work should be considered a useful tool for the future preservation of St. Mark's Basilica in Venice. PMID:22972617

  10. Hemodynamics in fetal arrhythmia.

    PubMed

    Sonesson, Sven-Erik; Acharya, Ganesh

    2016-06-01

    Fetal arrhythmias are among the few conditions that can be managed in utero. However, accurate diagnosis is essential for appropriate management. Ultrasound-based imaging methods can be used to study fetal heart structure and function noninvasively and help to understand fetal cardiovascular pathophysiology, and they remain the mainstay of evaluating fetuses with arrhythmias in clinical settings. Hemodynamic evaluation using Doppler echocardiography allows the elucidation of the electrophysiological mechanism and helps to make an accurate diagnosis. It can also be used as a tool to understand fetal cardiac pathophysiology, for assessing fetal condition and monitoring the effect of antiarrhythmic treatment. This narrative review describes Doppler techniques that are useful for evaluating fetal cardiac rhythms to refine diagnosis and provides an overview of hemodynamic changes observed in different types of fetal arrhythmia. PMID:26660845

  11. Mitochondria and Arrhythmias

    PubMed Central

    Yang, Kai-Chien; Bonini, Marcelo G.; Dudley, Samuel C.

    2014-01-01

    Mitochondria are essential to providing ATP thereby satisfying the energy demand of the incessant electrical activity and contractile action of cardiac muscle. Emerging evidence indicates that mitochondrial dysfunction can adversely impact cardiac electrical functioning by impairing the intracellular ion homeostasis and membrane excitability through reduced ATP production and excessive reactive oxidative species (ROS) generation, resulting in increased propensity to cardiac arrhythmias. In this review, the molecular mechanisms linking mitochondrial dysfunction to cardiac arrhythmias are discussed with an emphasis on the impact of increased mitochondrial ROS on the cardiac ion channels and transporters that are critical to maintaining normal electromechanical functioning of the cardiomyocytes. The potential of using mitochondria-targeted antioxidants as a novel anti-arrhythmia therapy is highlighted. PMID:24713422

  12. [Alcohol and arrhythmias].

    PubMed

    Pfeiffer, D; Jurisch, D; Neef, M; Hagendorff, A

    2016-09-01

    The effects of alcohol on induction of arrhythmias is dose-dependent, independent of preexisting cardiovascular diseases or heart failure and can affect otherwise healthy subjects. While the probability of atrial fibrillation increases with the alcohol dosage, events of sudden cardiac death are less frequent with low and moderate consumption but occur more often in heavy drinkers with alcoholic cardiomyopathy. Men are first affected at higher dosages of alcohol but women can suffer from arrhythmias at lower dosages. Thromboembolisms and ischemic stroke can occur less often at lower dosages of alcohol; however, hemorrhagic stroke and subarachnoid hemorrhage are increased with higher alcohol dosages. Recognizable protective mechanisms of alcohol with respect to cardiovascular diseases only occur with lower amounts of alcohol of less than 10 g per day. Underlying mechanisms explain these controversial effects. Specific therapeutic options for alcohol-related arrhythmias apart from abstinence from alcohol consumption are not known. PMID:27582366

  13. Fetal and Neonatal Arrhythmias.

    PubMed

    Jaeggi, Edgar; Öhman, Annika

    2016-03-01

    Cardiac arrhythmias are an important aspect of fetal and neonatal medicine. Premature complexes of atrial or ventricular origin are the main cause of an irregular heart rhythm. The finding is typically unrelated to an identifiable cause and no treatment is required. Tachyarrhythmia most commonly relates to supraventricular reentrant tachycardia, atrial flutter, and sinus tachycardia. Several antiarrhythmic agents are available for the perinatal treatment of tachyarrhythmias. Enduring bradycardia may result from sinus node dysfunction, complete heart block and nonconducted atrial bigeminy as the main arrhythmia mechanisms. The management and outcome of bradycardia depend on the underlying mechanism. PMID:26876124

  14. LITERATURE CURRICULUM III--TEST FOR "THE MERCHANT OF VENICE."

    ERIC Educational Resources Information Center

    KITZHABER, ALBERT R.

    THIS TEST--"THE MERCHANT OF VENICE"--WAS DESIGNED BY THE OREGON CURRICULUM STUDY CENTER FOR A NINTH-GRADE LITERATURE CURRICULUM. IT IS INTENDED TO ACCOMPANY CURRICULUM UNITS AVAILABLE AS ED 010 815 AND ED 010 816. (MM)

  15. Exercise and Inherited Arrhythmias.

    PubMed

    Cheung, Christopher C; Laksman, Zachary W M; Mellor, Gregory; Sanatani, Shubhayan; Krahn, Andrew D

    2016-04-01

    Sudden cardiac death (SCD) in an apparently healthy individual is a tragedy that prompts a series of investigations to identify the cause of death and to prevent SCD in potentially at-risk family members. Several inherited channelopathies and cardiomyopathies, including long QT syndrome (LQTS), catecholaminergic polymorphic ventricular cardiomyopathy (CPVT), hypertrophic cardiomyopathy (HCM), and arrhythmogenic right ventricular cardiomyopathy (ARVC) are associated with exercise-related SCD. Exercise restriction has been a historical mainstay of therapy for these conditions. Syncope and cardiac arrest occur during exercise in LQTS and CPVT because of ventricular arrhythmias, which are managed with β-blockade and exercise restriction. Exercise may provoke hemodynamic or ischemic changes in HCM, leading to ventricular arrhythmias. ARVC is a disease of the desmosome, whose underlying disease process is accelerated by exercise. On this basis, expert consensus has erred on the side of caution, recommending rigorous exercise restriction for all inherited arrhythmias. With time, as familiarity with inherited arrhythmia conditions has increased and patients with milder forms of disease are diagnosed, practitioners have questioned the historical rigorous restrictions advocated for all. This change has been driven by the fact that these are often children and young adults who wish to lead active lives. Recent evidence suggests a lower risk of exercise-related arrhythmias in treated patients than was previously assumed, including those with previous symptoms managed with an implantable cardioverter-defibrillator. In this review, we emphasize shared decision making, monitored medical therapy, individual and team awareness of precautions and emergency response measures, and a more permissive approach to recreational and competitive exercise. PMID:26927864

  16. Meeting of World Medical Association in Venice.

    PubMed

    1983-12-10

    Several changes in existing WMA declarations were adopted at the 1983 annual Assembly. The 1948 Declaration of Geneva was amended to indicate respect for human life from the "time of commencement" rather than the previous "time of conception." A determination of when life commences was left open. A new clause was added to the 1964 Declaration on Human Experimentation in General to cover protection of children. Wording emphasizing that the entire brain including the stem must have ceased functioning was added to the WMA position on determining death for purposes of organ transplantation. A document regarding euthanasia was approved and will be released as the Declaration of Venice, 1983. It considers euthanasia to be unacceptable even in cases of incurable illness; however, withholding treatment in order to reduce suffering is stated to be appropriate when the patient or next of kin consents. PMID:11644274

  17. [Arrhythmias during pregnancy].

    PubMed

    Trappe, H-J

    2008-09-01

    Cardiovascular emergencies are rare during pregnancy with an incidence of 0,2-4,0%. Emergencies include arrhythmias, acute coronary syndrome, peripartum cardiomyopathy and hypertensive disorders. Electrical DC-cardioversion with 50-100 Joules is indicated in the acute treatment of arrhythmias in all patients in an unstable hemodynamic state. If 100 J fails higher energies (up to 360 J) will be necessary. In stable supraventricular tachycardia intravenous adenosine is the first choice drug and may safely terminate the arrhythmia. Ventricular premature beats are frequently present during pregnancy and benign in most patients. However, life-threatening ventricular tachyarrhythmias (sustained ventricular tachycardia [VT], ventricular flutter [VFlt], ventricular fibrillation [VF]) were observed less frequently. Electrical DC-cardioversion is necessary in all pregnant women who are in a hemodynamically unstable state and have a life-threatening ventricular tachyarrhythmias. In hemodynamically stable pregnant women the initial therapy with ajmaline, procainamide or lidocaine is indicated. Implantation of a cardioverter-defibrillator is indicated in patients with syncope caused by VT, VF, VFlt or aborted sudden death. PMID:18767007

  18. [Arrhythmias in athlets (author's transl)].

    PubMed

    Degenhardt, H; Jungmann, H

    1978-10-20

    380 athletes in optimal performance were examinated within 10 years between 2 and 13 times (average: 4 times): ECG were taken at rest, during breathing tests and under maximal physical load by ergometry. 88 (23.2%) of them showed arrhythmias, 32 in the same examination different forms of premature beats. All kinds of arrhythmias were seen except atrial flatter, total av-block and paroxysmal tachycardias. Breathing tests provoked most of arrhythmias followed by the recovery after maximal physical load. Follow-up studies and clinical examinations proved that in 86 sportsmen these arrhythmias were not a symptom of heart disease. Only in 2 athletes heart injury could not be excluded. But in nearly 50% extracardial inflammations, like tonsillitis, bronchitis etc., were found. It is discussed that bradycardia and vagotonia of the highly trained sportsmen cause the arrhythmias. This vagotonia is intensified by breathing tests. But arrhythmias found in athletes should cause an examination for other chronical sicknesses. PMID:703672

  19. Arrhythmias in pulmonary arterial hypertension.

    PubMed

    Rajdev, Archana; Garan, Hasan; Biviano, Angelo

    2012-01-01

    Cardiac arrhythmias are important contributors to morbidity and mortality in patients with pulmonary arterial hypertension (PAH). Such patients manifest a substrate resulting from altered autonomics, repolarization abnormalities, and ischemia. Supraventricular arrhythmias such as atrial fibrillation and flutter are associated with worsened outcomes, and maintenance of sinus rhythm is a goal. Sudden death is a relatively common issue, though the contribution of malignant ventricular arrhythmias versus bradyarrhythmias differs from non-PAH patients. Congenital heart disease patients with PAH benefit from catheter ablation of medically refractory arrhythmias. Clinical studies of defibrillator/pacemaker therapy for primary prevention against sudden death in PAH patients are lacking. PMID:23009914

  20. Arrhythmias in Pulmonary Arterial Hypertension

    PubMed Central

    Rajdev, Archana; Garan, Hasan; Biviano, Angelo

    2013-01-01

    Cardiac arrhythmias are important contributors to morbidity and mortality in patients with pulmonary arterial hypertension (PAH). Such patients manifest a substrate resulting from altered autonomics, repolarization abnormalities, and ischemia. Supraventricular arrhythmias such as atrial fibrillation and flutter are associated with worsened outcomes, and maintenance of sinus rhythm is a goal. Sudden death is a relatively common issue, though the contribution of malignant ventricular arrhythmias versus bradyarrhythmias differs from non-PAH patients. Congenital heart disease patients with PAH benefit from catheter ablation of medically refractory arrhythmias. Clinical studies of defibrillator/pacemaker therapy for primary prevention against sudden death in PAH patients are lacking. PMID:23009914

  1. Natural versus anthropogenic subsidence of Venice.

    PubMed

    Tosi, Luigi; Teatini, Pietro; Strozzi, Tazio

    2013-01-01

    We detected land displacements of Venice by Persistent Scatterer Interferometry using ERS and ENVISAT C-band and TerraSAR-X and COSMO-SkyMed X-band acquisitions over the periods 1992-2010 and 2008-2011, respectively. By reason of the larger observation period, the C-band sensors was used to quantify the long-term movements, i.e. the subsidence component primarily ascribed to natural processes. The high resolution X-band satellites reveal a high effectiveness to monitor short-time movements as those induced by human activities. Interpolation of the two datasets and removal of the C-band from the X-band map allows discriminating between the natural and anthropogenic components of the subsidence. A certain variability characterizes the natural subsidence (0.9 ± 0.7 mm/yr), mainly because of the heterogeneous nature and age of the lagoon subsoil. The 2008 displacements show that man interventions are responsible for movements ranging from -10 to 2 mm/yr. These displacements are generally local and distributed along the margins of the city islands. PMID:24067871

  2. Natural versus anthropogenic subsidence of Venice

    PubMed Central

    Tosi, Luigi; Teatini, Pietro; Strozzi, Tazio

    2013-01-01

    We detected land displacements of Venice by Persistent Scatterer Interferometry using ERS and ENVISAT C-band and TerraSAR-X and COSMO-SkyMed X-band acquisitions over the periods 1992–2010 and 2008–2011, respectively. By reason of the larger observation period, the C-band sensors was used to quantify the long-term movements, i.e. the subsidence component primarily ascribed to natural processes. The high resolution X-band satellites reveal a high effectiveness to monitor short-time movements as those induced by human activities. Interpolation of the two datasets and removal of the C-band from the X-band map allows discriminating between the natural and anthropogenic components of the subsidence. A certain variability characterizes the natural subsidence (0.9 ± 0.7 mm/yr), mainly because of the heterogeneous nature and age of the lagoon subsoil. The 2008 displacements show that man interventions are responsible for movements ranging from −10 to 2 mm/yr. These displacements are generally local and distributed along the margins of the city islands. PMID:24067871

  3. [Rational management of arrhythmias].

    PubMed

    González-Hermosillo, J A; Colín, L; Iturralde, P; Romero, L

    1990-01-01

    Despite the development of better diagnostic techniques and new modes of therapy, management of cardiac arrhythmias is still difficult. The lack of standardization in the indications of each technique has increased the risk of overtreatment and unnecessary cost. This paper describes the minimal requirements necessary for the different techniques and the appropriate information that should be collected from each. A well taken clinical history and a 12-lead EKG give very important information for the decision on when and how to treat. PMID:2091549

  4. Arrhythmias in the athlete.

    PubMed

    Bisbal, F; Mont, L

    2012-06-01

    Regular exercise provides substantial health benefits, mostly by reducing cardiovascular risk factors. However, it may also trigger acute cardiac events and cause sudden cardiac death in individuals with a pre-existing condition. In an otherwise healthy population, intense regular exercise may lead to morphological and electrical cardiac adaptations commonly referred as "athlete's heart." Recent data suggest that this may itself produce structural changes of atrial and ventricular myocardium with enlargement and fibrosis, creating the substrate for development of arrhythmias in apparently healthy athletes. The state of the art in this controversial issue is reviewed. PMID:22782729

  5. Mechanisms of cardiac arrhythmias

    PubMed Central

    Tse, Gary

    2015-01-01

    Blood circulation is the result of the beating of the heart, which provides the mechanical force to pump oxygenated blood to, and deoxygenated blood away from, the peripheral tissues. This depends critically on the preceding electrical activation. Disruptions in the orderly pattern of this propagating cardiac excitation wave can lead to arrhythmias. Understanding of the mechanisms underlying their generation and maintenance requires knowledge of the ionic contributions to the cardiac action potential, which is discussed in the first part of this review. A brief outline of the different classification systems for arrhythmogenesis is then provided, followed by a detailed discussion for each mechanism in turn, highlighting recent advances in this area. PMID:27092186

  6. Who Is at Risk for Arrhythmia?

    MedlinePlus

    ... on Twitter. Who Is at Risk for an Arrhythmia? Arrhythmias are very common in older adults. Atrial fibrillation (a common type of arrhythmia that can cause problems) affects millions of people, ...

  7. [New diagnostic tools for arrhythmias].

    PubMed

    Teres, C; Burri, H

    2015-05-27

    Cardiac arrhythmias are common conditions that often manifest themselves intermittently, thus complicating their diagnosis, particularly in the ambulatory setting. Recently, technological advances have facilitated public access to health applications and devices. This article reviews the available technologies and analyses their usefulness for the diagnosis of arrhythmias in the context of everyday clinical practice. PMID:26182638

  8. Using "The Merchant of Venice" in Teaching Monetary Economics.

    ERIC Educational Resources Information Center

    Kish-Goodling, Donna M.

    1999-01-01

    Describes the use of Shakespeare's "The Merchant of Venice" in an undergraduate course in monetary economics, focusing on the usury theme origins of usury laws, scholastic arguments on paying interest for using money, civil usury laws, and modern theories of interest. It is argued that the play provides an interesting vehicle for an…

  9. Case Studies in Censorship: Censoring "The Merchant of Venice."

    ERIC Educational Resources Information Center

    Gray, Richard A.

    1991-01-01

    Reviews censorship of "The Merchant of Venice," which has been based on its portrayal of the Jewish character Shylock. Background information is followed by an annotated bibliography which includes 15 citations dealing with Shylock, 22 citations to articles that address the censorship of the play, and 64 works of literature that have been censored…

  10. A Teacher's Guide for "The Merchant of Venice" and "Othello."

    ERIC Educational Resources Information Center

    WGBH-TV, Boston, MA.

    William Shakespeare has influenced most, if not all, Western playwrights. His techniques, themes, characters, and plots are contained in much of what is produced today, from television to Broadway. This teacher's guide provides summaries of the plays "The Merchant of Venice" and "Othello," essays, and corresponding student activities. The…

  11. Tycho Brahe and the Republic of Venice: a failed project

    NASA Astrophysics Data System (ADS)

    Pigatto, Luisa

    In 1592 the Senate of the Republic of Venice issued a decree by which awarded Tycho Brahe `300 coronati' for an astronomical mission to Alexandria in Egypt. The aim was to measure the pole elevation with meridian observations both of Sun and stars. Tycho writes about this project, never carried into execution, in his Astronomiae Instauratae Mechanica of 1598.

  12. Using "The Merchant of Venice" in Teaching Monetary Economics.

    ERIC Educational Resources Information Center

    Kish-Goodling, Donna M.

    1998-01-01

    Uses the theme of usury in Shakespeare's "The Merchant of Venice," and the history of Christian and Jewish beliefs concerning the charging of interest on loans to crystallize lending practices throughout history, particularly the medieval period and the transition to modern capitalism. Outlines themes addressed in the unit and assignments. (DSK)

  13. Systems Pharmacology of Arrhythmias

    PubMed Central

    Berger, Seth I.; Ma’ayan, Avi; Iyengar, Ravi

    2011-01-01

    Long-QT syndrome (LQTS) is a congenital or drug-induced change in electrical activity of the heart that can lead to fatal arrhythmias. Mutations in 12 genes encoding ion channels and associated proteins are linked with congenital LQTS. With a computational systems biology approach, we found that gene products involved in LQTS formed a distinct functional neighborhood within the human interactome. Other diseases form similarly selective neighborhoods, and comparison of the LQTS neighborhood with other disease-centered neighborhoods suggested a molecular basis for associations between seemingly unrelated diseases that have increased risk of cardiac complications. By combining the LQTS neighborhood with published genome-wide association study data, we identified previously unknown single-nucleotide polymorphisms likely to affect the QT interval. We found that targets of U.S. Food and Drug Administration (FDA)–approved drugs that cause LQTS as an adverse event were enriched in the LQTS neighborhood. With the LQTS neighborhood as a classifier, we predicted drugs likely to have risks for QT effects and we validated these predictions with the FDA’s Adverse Events Reporting System, illustrating how network analysis can enhance the detection of adverse drug effects associated with drugs in clinical use. Thus, the identification of disease-selective neighborhoods within the human interactome can be useful for predicting new gene variants involved in disease, explaining the complexity underlying adverse drug side effects, and predicting adverse event susceptibility for new drugs. PMID:20407125

  14. 76 FR 60113 - Culturally Significant Objects Imported for Exhibition Determinations: “Masters of Venice...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... Paintings of Passion and Power from Kunsthistorisches Museum, Vienna'' SUMMARY: Notice is hereby given of... included in the exhibition ``Masters of Venice: Renaissance Paintings of Passion and Power...

  15. Arrhythmia risk in liver cirrhosis

    PubMed Central

    Mozos, Ioana

    2015-01-01

    Interactions between the functioning of the heart and the liver have been described, with heart diseases affecting the liver, liver diseases affecting the heart, and conditions that simultaneously affect both. The heart is one of the most adversely affected organs in patients with liver cirrhosis. For example, arrhythmias and electrocardiographic changes are observed in patients with liver cirrhosis. The risk for arrhythmia is influenced by factors such as cirrhotic cardiomyopathy, cardiac ion channel remodeling, electrolyte imbalances, impaired autonomic function, hepatorenal syndrome, metabolic abnormalities, advanced age, inflammatory syndrome, stressful events, impaired drug metabolism and comorbidities. Close monitoring of cirrhotic patients is needed for arrhythmias, particularly when QT interval-prolonging drugs are given, or if electrolyte imbalances or hepatorenal syndrome appear. Arrhythmia risk may persist after liver transplantation due to possible QT interval prolongation, persistence of the parasympathetic impairment, post-transplant reperfusion and chronic immunosuppression, as well as consideration of the fact that the transplant itself is a stressful event for the cardiovascular system. The aims of the present article were to provide a review of the most important data regarding the epidemiology, pathophysiology, and biomarkers of arrhythmia risk in patients with liver cirrhosis, to elucidate the association with long-term outcome, and to propose future research directions. PMID:25866603

  16. Is the 'mose' project to save Venice already obsolete?

    NASA Astrophysics Data System (ADS)

    Pirazzoli, P. A.; Umgiesser, G.

    2003-04-01

    Five meteorological and surge events that occurred during the last decades are analysed, simulating that a relative sea-level rise of 0.5 m (average IPCC prediction for the year 2100 + local subsidence) has taken place and that the "MOSE" gates (the planned mobile protection against flooding of Venice) could have been in operation during the events. In all cases considered, flooding would have occurred in the lowest parts of Venice, lasting for dozen hours, in spite of raising the street level to the +100 cm, or even to the +110 cm levels above the local datum. Problems would start for a sea-level rise of about 25--30 cm, or even of only 10 cm for a repetition of the 1966 event. This is both because the projected gates are not watertight, and rainfall and river discharge contribute to raise the average water level in the lagoon. Therefore, the "MOSE" would be inadequate to protect Venice in the case of the near-future sea-level rise predicted by climatic models for this century. This project might be useful to attenuate surge peaks, but would not prevent gradual floods when the closure durations implied by a sea-level rise will increase. Temporary "diffuse" interventions seem preferable to the "MOSE" gates because they would be safer for the environment and bring back the frequency of flooding to the very acceptable level of about one century ago, thus making possible to gain a few decades. This would give time to verify ongoing evolution and probably to narrow the large uncertainty ranges of present-day estimations. Only with a closer assessment of near-future sea-level rise will it be possible to decide which type of "hard" defence would be eventually necessary to save Venice and its lagoon. Anyway, a stricter control of water pollution should be a priority intervention.

  17. 1 CFR 5.8 - Form of citation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 1 General Provisions 1 2013-01-01 2012-01-01 true Form of citation. 5.8 Section 5.8 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.8 Form of citation. Without prejudice to any other form of citation, Federal Register material may be cited by...

  18. 1 CFR 5.8 - Form of citation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 1 General Provisions 1 2014-01-01 2012-01-01 true Form of citation. 5.8 Section 5.8 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.8 Form of citation. Without prejudice to any other form of citation, Federal Register material may be cited by...

  19. 1 CFR 5.8 - Form of citation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 1 General Provisions 1 2010-01-01 2010-01-01 false Form of citation. 5.8 Section 5.8 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.8 Form of citation. Without prejudice to any other form of citation, Federal Register material may be cited by...

  20. 1 CFR 5.8 - Form of citation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 1 General Provisions 1 2011-01-01 2011-01-01 false Form of citation. 5.8 Section 5.8 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.8 Form of citation. Without prejudice to any other form of citation, Federal Register material may be cited by...

  1. 1 CFR 5.8 - Form of citation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 1 General Provisions 1 2012-01-01 2012-01-01 false Form of citation. 5.8 Section 5.8 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.8 Form of citation. Without prejudice to any other form of citation, Federal Register material may be cited by...

  2. Arrhythmias in the muscular dystrophies.

    PubMed

    Rajdev, Archana; Groh, William J

    2015-06-01

    In patients with muscular dystrophies, cardiac involvement leading to cardiomyopathy and arrhythmias occurs with variable prevalence, mirroring the phenotypic variability seen among and within the various hereditary myopathies. Knowledge of the incidence of arrhythmias and predictors of sudden death in the various hereditary myopathies can help guide screening and appropriate management of these patients, thereby improving survival. The noncardiac manifestations can lead to delayed recognition of symptoms, affect the decision to implant a prophylactic device, and once a decision is made to proceed with device implant, increase peri-procedural respiratory and anesthesia-related complications. PMID:26002394

  3. Sudden Arrhythmia Death Syndromes (SADS) Foundation

    MedlinePlus

    ... all proceeds benefiting the SADS Foundation (Sudden Arrhythmia Death Syndrome). Each year 4,000 young Americans die ... Investigator Awardees 5/19/2016 The Sudden Arrhythmia Death Syndromes (SADS) Foundation announces the winners for the ...

  4. Arrhythmia - Multiple Languages: MedlinePlus

    MedlinePlus

    ... Supplements Videos & Tools You Are Here: Home → Multiple Languages → All Health Topics → Arrhythmia URL of this page: https://medlineplus.gov/languages/arrhythmia.html Other topics A-Z A B ...

  5. Arrhythmia - Multiple Languages: MedlinePlus

    MedlinePlus

    ... Supplements Videos & Tools You Are Here: Home → Multiple Languages → All Health Topics → Arrhythmia URL of this page: https://www.nlm.nih.gov/medlineplus/languages/arrhythmia.html Other topics A-Z A B ...

  6. Arrhythmias in Complex Congenital Heart Disease

    PubMed Central

    Hayward, Robert M.; Tseng, Zian H.

    2014-01-01

    Late after surgical repair of complex congenital heart disease, atrial arrhythmias are a major cause of morbidity, and ventricular arrhythmias and sudden cardiac death are a major cause of mortality. The six cases in this article highlight common challenges in the management of arrhythmias in the adult congenital heart disease population. PMID:25197326

  7. 76 FR 4651 - Venice Gathering System, L.L.C.; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Venice Gathering System, L.L.C.; Notice of Request Under Blanket Authorization January 19, 2010. Take notice that on January 7, 2011, Venice Gathering System, L.L.C....

  8. A new hydrogeologic model to predict anthropogenic uplift of Venice

    NASA Astrophysics Data System (ADS)

    Teatini, P.; Castelletto, N.; Ferronato, M.; Gambolati, G.; Tosi, L.

    2011-12-01

    Recent numerical studies based on a simplified lithostratigraphy of the Venice subsurface suggest that the city may be raised by pumping seawater into deep aquifers through 12 wells located on a 10 km diameter circle. Using an updated 3-D reconstruction of the Quaternary deposits, developed very recently from about 1050 km of multichannel seismic profiles and eight exploration wells, along with a more accurate representation of the injection boreholes, novel finite-element predictions are performed. The new model simulates the lithostratigraphy of the lagoon subsurface and allows for a reliable assessment of the water volumes injected into the geologic formations based on the actual bottom hole overpressure that can vary both in space and time. Pumping occurs into two Pleistocene sequences that are originated from the Alps and Apennine sedimentation and terminate just south and north of Venice, respectively, and the shelf portion of a Pliocene sequence that is rather continuous below the central lagoon with arenite layers to depths as much as 1000 m below mean sea level. With a proper tuning of the injection pressure the new hydrogeologic model allows for a prediction of a quite uniform 25-30 cm uplift over 10 years after the inception of injection. The gradient of the vertical displacement ξz does not exceed 5 × 10-5 and 1 × 10-5 in the whole lagoon and Venice, respectively, i.e., well below the most conservative bound recommended for the safety of the structures. If ad hoc calibrated injection overpressures are implemented in each single well, ξz may be reduced to as much as 0.1 × 10-5 throughout the city.

  9. Floating call boys and agile homosexuals: homophobia/Venice/history.

    PubMed

    Champagne, John

    2014-01-01

    Because works of nonfiction are always composed of literary tropes and metaphors, they have to be read critically for the ways in which their truth claims are potentially structured by ideologies and stereotypes. This essay reads passages from Richard Sennett's sociological analysis Flesh and Stone, The Body and the City in Western Civilization and Joseph Brodsky's memoir Watermark in order to demonstrate how these alleged works of nonfiction shore up some dishearteningly familiar literary stereotypes of male homosexuality and participate in a tradition, dating from the 19th century, of linking the city of Venice with homosexuality and death. PMID:24423004

  10. Arrhythmias in the Muscular Dystrophies

    PubMed Central

    Rajdev, Archana; Groh, William J.

    2015-01-01

    Synopsis In patients with muscular dystrophies, cardiac involvement leading to cardiomyopathy and arrhythmias occur with variable prevalence mirroring the phenotypic variability seen among and within the various hereditary myopathies. These patients are at risk for development for bradyarrhythmias and tachyarrhythmias including sudden cardiac death. Knowledge of the incidence of arrhythmias and predictors of sudden death in the various hereditary myopathies can help guide screening and appropriate management of these patients, thereby improving survival. The non-cardiac manifestations can lead to delayed recognition of symptoms (limited mobility and respiratory weakness masking cardiac manifestations), affect decision to implant prophylactic device (quantity vs. quality of life) and once a decision is made to proceed with device implant, increase peri-procedural respiratory and anesthesia-related complications. PMID:26002394

  11. Remote Arrhythmia Monitoring System Developed

    NASA Technical Reports Server (NTRS)

    York, David W.; Mackin, Michael A.; Liszka, Kathy J.; Lichter, Michael J.

    2004-01-01

    Telemedicine is taking a step forward with the efforts of team members from the NASA Glenn Research Center, the MetroHealth campus of Case Western University, and the University of Akron. The Arrhythmia Monitoring System is a completed, working test bed developed at Glenn that collects real-time electrocardiogram (ECG) signals from a mobile or homebound patient, combines these signals with global positioning system (GPS) location data, and transmits them to a remote station for display and monitoring. Approximately 300,000 Americans die every year from sudden heart attacks, which are arrhythmia cases. However, not all patients identified at risk for arrhythmias can be monitored continuously because of technological and economical limitations. Such patients, who are at moderate risk of arrhythmias, would benefit from technology that would permit long-term continuous monitoring of electrical cardiac rhythms outside the hospital environment. Embedded Web Technology developed at Glenn to remotely command and collect data from embedded systems using Web technology is the catalyst for this new telemetry system (ref. 1). In the end-to-end system architecture, ECG signals are collected from a patient using an event recorder and are transmitted to a handheld personal digital assistant (PDA) using Bluetooth, a short-range wireless technology. The PDA concurrently tracks the patient's location via a connection to a GPS receiver. A long distance link is established via a standard Internet connection over a 2.5-generation Global System for Mobile Communications/General Packet Radio Service (GSM/GPRS)1 cellular, wireless infrastructure. Then, the digital signal is transmitted to a call center for monitoring by medical professionals.

  12. Arrhythmias presenting in neonatal lupus.

    PubMed

    Brucato, A; Previtali, E; Ramoni, V; Ghidoni, S

    2010-09-01

    Perfusion of human foetal heart with anti-Ro/SSA antibodies induces transient heart block. Anti-Ro/SSA antibodies may cross-react with T- and L-type calcium channels, and anti-p200 antibodies may cause calcium to accumulate in rat heart cells. These actions may explain a direct electrophysiological effect of these antibodies. Congenital complete heart block is the more severe manifestation of so-called "Neonatal Lupus". In clinical practice, it is important to distinguish in utero complete versus incomplete atrioventricular (AV) block, as complete AV block to date is irreversible, while incomplete AV block has been shown to be potentially reversible after fluorinated steroid therapy. Another issue is the definition of congenital AV block, as cardiologists have considered congenital blocks detected months or years after birth. We propose as congenital blocks detected in utero or within the neonatal period (0-27 days after birth). The possible detection of first degree AV block in utero, with different techniques, might be a promising tool to assess the effects of these antibodies. Other arrhythmias have been described in NL or have been linked to anti-Ro/SSA antibodies: first degree AV block, in utero and after birth, second degree (i.e. incomplete block), sinus bradycardia and QT prolongation, both in infants and in adults, ventricular arrhythmias (in adults). Overall, these arrhythmias have not a clinical relevance, but are important for research purposes. PMID:20696016

  13. Electrical injury causing ventricular arrhythmias.

    PubMed Central

    Jensen, P J; Thomsen, P E; Bagger, J P; Nørgaard, A; Baandrup, U

    1987-01-01

    Dangerous or long lasting ventricular arrhythmias developed in three patients who had sustained an electrical injury in which current passed through the thorax. In all three cases there was a delay of 8-12 hours between the injury and the onset of symptoms. The ventricular arrhythmias were severe and long lasting. In two of the three patients, ventricular tachycardia or ventricular fibrillation or both occurred and in one patient ventricular parasystole developed. No enzymatic evidence of myocardial necrosis was found but the results of an endomyocardial biopsy carried out in two of the three patients showed focal myocardial fibrosis and increased numbers of Na, K-pumps. The two patients with ventricular tachycardia became symptom free after appropriate antiarrhythmic treatment and in the third patient ventricular parasystole disappeared spontaneously within two years. Patients sustaining electrical injury in which current passes through the thorax should be monitored electrocardiographically for at least 24 hours, and patients with unexpected arrhythmias should be questioned about previous electrical injury. Images Fig 2 PMID:3566986

  14. Vibrio Trends in the Ecology of the Venice Lagoon

    PubMed Central

    Rahman, Mohammad Shamsur; Cardazzo, Barbara; Facco, Pierantonio; Bordin, Paola; Mioni, Renzo; Novelli, Enrico; Fasolato, Luca

    2014-01-01

    Vibrio is a very diverse genus that is responsible for different human and animal diseases. The accurate identification of Vibrio at the species level is important to assess the risks related to public health and diseases caused by aquatic organisms. The ecology of Vibrio spp., together with their genetic background, represents an important key for species discrimination and evolution. Thus, analyses of population structure and ecology association are necessary for reliable characterization of bacteria and to investigate whether bacterial species are going through adaptation processes. In this study, a population of Vibrionaceae was isolated from shellfish of the Venice lagoon and analyzed in depth to study its structure and distribution in the environment. A multilocus sequence analysis (MLSA) was developed on the basis of four housekeeping genes. Both molecular and biochemical approaches were used for species characterization, and the results were compared to assess the consistency of the two methods. In addition, strain ecology and the association between genetic information and environment were investigated through statistical models. The phylogenetic and population analyses achieved good species clustering, while biochemical identification was demonstrated to be imprecise. In addition, this study provided a fine-scale overview of the distribution of Vibrio spp. in the Venice lagoon, and the results highlighted a preferential association of the species toward specific ecological variables. These findings support the use of MLSA for taxonomic studies and demonstrate the need to consider environmental information to obtain broader and more accurate bacterial characterization. PMID:24487545

  15. Eukaryotic ribosomes that lack a 5.8S RNA

    NASA Technical Reports Server (NTRS)

    Vossbrinck, C. R.; Woese, C. R.

    1986-01-01

    The 5.8S ribosomal RNA is believed to be a universal eukaryotic characteristic. It has no (size) counterpart among the prokaryotes, although its sequence is homologous with the first 150 or so nucleotides of the prokaryotic large subunit (23S) ribosomal RNA. An exception to this rule is reported here. The microsporidian Vairimorpha necatrix is a eukaryote that has no 5.8S rRNA. As in the prokaryotes, it has a single large subunit rRNA, whose 5-prime region corresponds to the 5.8S rRNA.

  16. Maternal cardiac arrhythmias during pregnancy and lactation

    PubMed Central

    Cordina, Rachael; McGuire, Mark A

    2010-01-01

    Arrhythmias occurring during pregnancy can cause significant symptoms and even death in mother and fetus. The management of these arrhythmias is complicated by the need to avoid harm to the fetus and neonate. It is useful to classify patients with arrhythmias into those with and without structural heart disease. Those with a primary electrical problem, but an otherwise normal heart, often tolerate rapid heart rates without compromise whereas patients with problems such as rheumatic heart disease, congenital heart disease or cardiomyopathy may quickly decompensate during an arrhythmia.

  17. Carbon monoxide and lethal arrhythmias

    SciTech Connect

    Farber, J.P.; Schwartz, P.J.; Vanoli, E.; Stramba-Badiale, M.; De Ferrari, G.M. )

    1990-12-01

    The effect of acute exposure to carbon monoxide on ventricular arrhythmias was studied in a previously described chronically maintained animal model of sudden cardiac death. In 60 percent of dogs with a healed anterior myocardial infarction, the combination of mild exercise and acute myocardial ischemia induces ventricular fibrillation. The events in this model are highly reproducible, thus allowing study by internal control analysis. Dogs that develop ventricular fibrillation during the test of exercise and acute myocardial ischemia are considered at high risk for sudden death and are defined as 'susceptible'; dogs that survive the test without a fatal arrhythmia are considered at low risk for sudden death and are defined as 'resistant.' In the current study, the effects of carboxyhemoglobin levels ranging from 5 to 15 percent were tested in resistant and susceptible dogs. A trend toward higher heart rates was observed at all levels of carboxyhemoglobin, although significant differences were observed only with 15 percent carboxyhemoglobin. This trend was observed at rest and during exercise in both resistant and susceptible dogs. In resistant animals, in which acute myocardial ischemia is typically associated with bradycardia even under the control condition, this reflex response occurred earlier and was augmented after exposure to carbon monoxide. This effect may depend on the increased hypoxic challenge caused by carbon monoxide, and thus on an augmentation of the neural reflex activation or a sensitization of the sinus node to acetylcholine induced by hypoxia. In both resistant and susceptible dogs, carbon monoxide exposure induced a worsening of ventricular arrhythmias in a minority of cases. This worsening was not reproducible in subsequent trials. These data indicate that acute exposure to carbon monoxide is seldom arrhythmogenic in dogs that have survived myocardial infarction. (Abstract Truncated)

  18. Noninvasive mapping of ventricular arrhythmias.

    PubMed

    Shah, Ashok J; Lim, Han S; Yamashita, Seigo; Zellerhoff, Stephan; Berte, Benjamin; Mahida, Saagar; Hooks, Darren; Aljefairi, Nora; Derval, Nicolas; Denis, Arnaud; Sacher, Frédéric; Jais, Pierre; Dubois, Rémi; Hocini, Meleze; Haissaguerre, Michel

    2015-03-01

    Several decades of research has led to the development of a 252-lead electrocardiogram-based three-dimensional imaging modality to refine noninvasive diagnosis and improve the management of heart rhythm disorders. This article reviews the clinical potential of this noninvasive mapping technique in identifying the sources of electrical disorders and guiding the catheter ablation of ventricular arrhythmias (premature ventricular beats and ventricular tachycardia). The article also briefly refers to the noninvasive electrical imaging of the arrhythmogenic ventricular substrate based on the electrophysiologic characteristics of postinfarction ventricular myocardium. PMID:25784026

  19. Arrhythmias

    MedlinePlus

    ... done to look at heart function: Coronary angiography ECG (electrocardiogram) Echocardiogram A special test, called an electrophysiology ... through the middle Heart, front view Atrioventricular block, ECG tracing Normal heart rhythm Bradycardia Ventricular tachycardia Conduction ...

  20. Arrhythmia

    MedlinePlus

    ... chambers. The walls of the heart squeeze together (contract) to push blood through the chambers. The contractions ... heart beats too slowly. Cardiac defibrillation (very brief electric shock) can be used to stop an abnormal ...

  1. Arrhythmias

    MedlinePlus

    ... a heart function test, like an electrocardiogram (ECG/EKG) . continue What's a Normal Heart Rate? Heart rate ... suspected, the doctor will probably recommend an ECG/EKG to measure the heart's electrical activity. There's nothing ...

  2. Arrhythmias

    MedlinePlus

    ... travels through the heart along a set electrical pathway. Different nerve messages signal your heart to beat ... slowed. Electrical signals travel in new or different pathways through the heart. Some common causes of abnormal ...

  3. Macroalgae, nutrient cycles, and pollutants in the lagoon of Venice

    SciTech Connect

    Sfriso, A.; Pavoni, B.; Marcomini, A.; Orio, A.A. )

    1992-12-01

    The Lagoon of Venice is a wide, shallow coastal basin that extends for about 50 km along the northwest coast of the Adriatic Sea. The lagoon has been substantially modified through the actions of man over the last century through the artificial control of the hydraulic dynamics of the lagoon including the construction of channels to facilitate navigation. The lagoon is subjected to considerable pollutant loading through the drainage of land under cultivation, municipal sewage, and industrial effluents. In this paper are reported the results of observations designed to document recent changes in macroalgal species composition, seasonal cycles of primary producers and nutrient levels, and the effects of the macroalgal community on concentrations of organic and inorganic pollutants. The dominant macroalgae in the lagoon was Ulva rigida, and the levels of plant nutrients and pollutants were influenced by the seasonal cycles of the macroalgal community. 44 refs., 11 figs., 2 tabs.

  4. Statistical characterization of spatiotemporal sediment dynamics in the Venice lagoon

    NASA Astrophysics Data System (ADS)

    Carniello, Luca; D'Alpaos, Andrea; Botter, Gianluca; Rinaldo, Andrea

    2016-05-01

    Characterizing the dynamics of suspended sediment is crucial when investigating the long-term evolution of tidal landscapes. Here we apply a widely tested mathematical model which describes the dynamics of cohesive and noncohesive sediments, driven by the combined effect of tidal currents and wind waves, using 1 year long time series of observed water levels and wind data from the Venice lagoon. The spatiotemporal evolution of the computed suspended sediment concentration (SSC) is analyzed on the basis of the "peak over threshold" theory. Our analysis suggests that events characterized by high SSC can be modeled as a marked Poisson process over most of the lagoon. The interarrival time between two consecutive over threshold events, the intensity of peak excesses, and the duration are found to be exponentially distributed random variables over most of tidal flats. Our study suggests that intensity and duration of over threshold events are temporally correlated, while almost no correlation exists between interarrival times and both durations and intensities. The benthic vegetation colonizing the central southern part of the Venice lagoon is found to exert a crucial role on sediment dynamics: vegetation locally decreases the frequency of significant resuspension events by affecting spatiotemporal patterns of SSCs also in adjacent areas. Spatial patterns of the mean interarrival of over threshold SSC events are found to be less heterogeneous than the corresponding patterns of mean interarrivals of over threshold bottom shear stress events because of the role of advection/dispersion processes in mixing suspended sediments within the lagoon. Implications for long-term morphodynamic modeling of tidal environments are discussed.

  5. Free amino acids in atmospheric particulate matter of Venice, Italy

    NASA Astrophysics Data System (ADS)

    Barbaro, Elena; Zangrando, Roberta; Moret, Ivo; Barbante, Carlo; Cescon, Paolo; Gambaro, Andrea

    2011-09-01

    The concentrations of free amino acids were determined in atmospheric particulate matter from the city of Venice (Italy) in order to better understand their origin. The analysis of aerosol samples was carried out via high-performance liquid chromatography coupled to a triple quadrupole tandem mass spectrometric detector (HPLC/ESI-MS/MS). The internal standard method was used and the analytical procedure was validated by evaluating the trueness, the precision, the recovery, the detection and the quantification limits. The particulate matter was collected using quartz fiber filters and extracted in methanol; after filtration the extract was directly analyzed. Forty samples were collected from April to October 2007 and the average concentrations of free amino acids in the aerosol were: alanine 35.6 pmol m -3, aspartic acid 31.1 pmol m -3, glycine 30.1 pmol m -3, glutamic acid 32.5 pmol m -3, isoleucine 2.4 pmol m -3, leucine 2.7 pmol m -3, methionine, cystine and 3-hydroxy-proline below the limit of detection, phenylalanine 2.8 pmol m -3, proline 43.3 pmol m -3, serine 8.6 pmol m -3, threonine 2.8 pmol m -3, tyrosine 1.7 pmolm -3, valine 3.8 pmol m -3, asparagine 70.2 pmol m -3, glutamine 38.0 pmol m -3, 4-hydroxy-proline 2.5 pmol m -3, methionine sulfoxide 1.1 pmol m -3, and methionine sulfone 0.1 pmol m -3. The total average concentration of these free amino acids in aerosol samples of Venice Lagoon was 334 pmol m -3. The temporal evolution and multivariate analysis indicated the photochemical origin of 4-hydroxy-proline and methionine sulfoxide and for other compounds an origin further away from the site of sampling, presumably reflecting transport from terrestrial sources.

  6. Sinus Node and Atrial Arrhythmias.

    PubMed

    John, Roy M; Kumar, Saurabh

    2016-05-10

    Although sinus node dysfunction (SND) and atrial arrhythmias frequently coexist and interact, the putative mechanism linking the 2 remain unclear. Although SND is accompanied by atrial myocardial structural changes in the right atrium, atrial fibrillation (AF) is a disease of variable interactions between left atrial triggers and substrate most commonly of left atrial origin. Significant advances have been made in our understanding of the genetic and pathophysiologic mechanism underlying the development and progression of SND and AF. Although some patients manifest SND as a result of electric remodeling induced by periods of AF, others develop progressive atrial structural remodeling that gives rise to both conditions together. The treatment strategy will thus vary according to the predominant disease phenotype. Although catheter ablation will benefit patients with predominantly AF and secondary SND, cardiac pacing may be the mainstay of therapy for patients with predominant fibrotic atrial cardiomyopathy. This contemporary review summarizes current knowledge on sinus node pathophysiology with the broader goal of yielding insights into the complex relationship between sinus node disease and atrial arrhythmias. PMID:27166347

  7. [Electrophysiologic study in arrhythmia surgery].

    PubMed

    Nitta, Takashi

    2007-07-01

    The traditional paradigm in surgery for cardiac arrhythmias has been the electrophysiological assessment of the arrhythmia followed by the determination of a specific lesion set for the ablation or a definitive procedure based on the results of the analysis in each patient. The maze procedure was developed as a definitive procedure for atrial fibrillation (AF) and was not guided by electrophysiologic findings in individual patients. The rationale behind the maze procedure is to create a line of conduction block to prevent the propagation of repetitive activations from the pulmonary veins toward the left atrium and to block the reentrant activations occurring on the atrial wall. The cut-and-sew technique is the most reliable method to accomplish conduction block. However, it extends the cardiac arrest and cardiopulmonary times and increases the risk of bleeding. During the past decade, a number of ablation devices have been developed and tested in animals and humans for their ability to create complete conduction block. The use of ablation devices enables less invasive AF surgery. However, the non-transmural or non-contiguous necrosis caused by an incomplete ablation can permit conduction across the ablation line and impair the efficacy of the surgery. Intraoperative verification of conduction block is mandatory to assure the transmurality and contiguity of the lesions created by the ablation devices. PMID:17763669

  8. Electromechanical wave imaging for arrhythmias

    NASA Astrophysics Data System (ADS)

    Provost, Jean; Thanh-Hieu Nguyen, Vu; Legrand, Diégo; Okrasinski, Stan; Costet, Alexandre; Gambhir, Alok; Garan, Hasan; Konofagou, Elisa E.

    2011-11-01

    Electromechanical wave imaging (EWI) is a novel ultrasound-based imaging modality for mapping of the electromechanical wave (EW), i.e. the transient deformations occurring in immediate response to the electrical activation. The correlation between the EW and the electrical activation has been established in prior studies. However, the methods used previously to map the EW required the reconstruction of images over multiple cardiac cycles, precluding the application of EWI for non-periodic arrhythmias such as fibrillation. In this study, new imaging sequences are developed and applied based on flash- and wide-beam emissions to image the entire heart at very high frame rates (2000 fps) during free breathing in a single heartbeat. The methods are first validated by imaging the heart of an open-chest canine while simultaneously mapping the electrical activation using a 64-electrode basket catheter. Feasibility is then assessed by imaging the atria and ventricles of closed-chest, conscious canines during sinus rhythm and during right-ventricular pacing following atrio-ventricular dissociation, i.e., during a non-periodic rhythm. The EW was validated against electrode measurements in the open-chest case, and followed the expected electrical propagation pattern in the closed-chest setting. These results indicate that EWI can be used for the characterization of non-periodic arrhythmias in conditions similar to the clinical setting, in a single heartbeat, and during free breathing.

  9. Electromechanical Wave Imaging for Arrhythmias

    PubMed Central

    Provost, Jean; Nguyen, Vu Thanh-Hieu; Legrand, Diégo; Okrasinski, Stan; Costet, Alexandre; Gambhir, Alok; Garan, Hasan; Konofagou, Elisa E.

    2015-01-01

    Electromechanical Wave Imaging (EWI) is a novel ultrasound-based imaging modality for the mapping of the electromechanical wave (EW), i.e., the transient deformations occurring in immediate response to the electrical activation. The correlation between the EW and the electrical activation has been established in previous studies. However, the methods used previously to map the EW required the reconstruction of images over multiple cardiac cycle, precluding the application of EWI for non-periodic arrhythmia such as fibrillation. In this study, we develop new imaging sequences based on flash and wide-beam emissions to image the entire heart at very high frame rate (2000 fps) during free breathing in a single heartbeat. The methods are first validated by imaging the heart of an open-chest canine while simultaneously mapping the electrical activation using a 64-electrode basket catheter. Feasibility is then assessed by imaging the atria and ventricles of closed-chest, conscious canines during sinus rhythm and during right-ventricular pacing following atrioventricular dissociation, i.e., a non-periodic rhythm. The EW was validated against electrode measurements in the open-chest case, and followed the expected electrical propagation pattern in the closed-chest setting. These results indicate that EWI can be used for the characterization of non-periodic arrhythmia in conditions close to the clinical setting, in a single heartbeat, and during free-breathing. PMID:22024555

  10. Electromechanical wave imaging for arrhythmias.

    PubMed

    Provost, Jean; Nguyen, Vu Thanh-Hieu; Legrand, Diégo; Okrasinski, Stan; Costet, Alexandre; Gambhir, Alok; Garan, Hasan; Konofagou, Elisa E

    2011-11-21

    Electromechanical wave imaging (EWI) is a novel ultrasound-based imaging modality for mapping of the electromechanical wave (EW), i.e. the transient deformations occurring in immediate response to the electrical activation. The correlation between the EW and the electrical activation has been established in prior studies. However, the methods used previously to map the EW required the reconstruction of images over multiple cardiac cycles, precluding the application of EWI for non-periodic arrhythmias such as fibrillation. In this study, new imaging sequences are developed and applied based on flash- and wide-beam emissions to image the entire heart at very high frame rates (2000 fps) during free breathing in a single heartbeat. The methods are first validated by imaging the heart of an open-chest canine while simultaneously mapping the electrical activation using a 64-electrode basket catheter. Feasibility is then assessed by imaging the atria and ventricles of closed-chest, conscious canines during sinus rhythm and during right-ventricular pacing following atrio-ventricular dissociation, i.e., during a non-periodic rhythm. The EW was validated against electrode measurements in the open-chest case, and followed the expected electrical propagation pattern in the closed-chest setting. These results indicate that EWI can be used for the characterization of non-periodic arrhythmias in conditions similar to the clinical setting, in a single heartbeat, and during free breathing. PMID:22024555

  11. Atrial Arrhythmia Summit: Post Summit Report

    NASA Technical Reports Server (NTRS)

    Barr, Yael

    2010-01-01

    The Atrial Arrhythmia Summit brought together nationally and internationally recognized experts in cardiology, electrophysiology, exercise physiology, and space medicine in an effort to elucidate the mechanisms, risk factors, and management of atrial arrhythmias in the unique occupational cohort of the U.S. astronaut corps.

  12. Ideas: NCTM Standards-Based Instruction, Grades 5-8.

    ERIC Educational Resources Information Center

    Hynes, Michael C., Ed.

    This document is a collection of activity-based mathematics lessons for grades 5-8 from the "Ideas" department in "Arithmetic Teacher: Mathematics Education through the Middle Grades." Each lesson includes background information, objectives, directions, extensions, and student worksheets. A matrix is included which correlates the titles of the…

  13. 36 CFR 5.8 - Discrimination in employment practices.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 36 Parks, Forests, and Public Property 1 2014-07-01 2014-07-01 false Discrimination in employment... INTERIOR COMMERCIAL AND PRIVATE OPERATIONS § 5.8 Discrimination in employment practices. (a) The proprietor... jurisdiction of the United States Department of the Interior. No discrimination in employment practices on...

  14. 36 CFR 5.8 - Discrimination in employment practices.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 1 2013-07-01 2013-07-01 false Discrimination in employment... INTERIOR COMMERCIAL AND PRIVATE OPERATIONS § 5.8 Discrimination in employment practices. (a) The proprietor... jurisdiction of the United States Department of the Interior. No discrimination in employment practices on...

  15. 36 CFR 5.8 - Discrimination in employment practices.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Discrimination in employment... INTERIOR COMMERCIAL AND PRIVATE OPERATIONS § 5.8 Discrimination in employment practices. (a) The proprietor... jurisdiction of the United States Department of the Interior. No discrimination in employment practices on...

  16. 36 CFR 5.8 - Discrimination in employment practices.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 1 2011-07-01 2011-07-01 false Discrimination in employment... INTERIOR COMMERCIAL AND PRIVATE OPERATIONS § 5.8 Discrimination in employment practices. (a) The proprietor... jurisdiction of the United States Department of the Interior. No discrimination in employment practices on...

  17. 36 CFR 5.8 - Discrimination in employment practices.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 1 2012-07-01 2012-07-01 false Discrimination in employment... INTERIOR COMMERCIAL AND PRIVATE OPERATIONS § 5.8 Discrimination in employment practices. (a) The proprietor... jurisdiction of the United States Department of the Interior. No discrimination in employment practices on...

  18. Global Issues in the Intermediate Classroom, Grades 5-8.

    ERIC Educational Resources Information Center

    Johnson, Jacquelyn; Benegar, John

    This publication contains teacher developed activities for teaching about global issues in grades 5-8. The self-contained activities are organized into three major parts. Part I, "Global Awareness," introduces students to the concept of global education. Students are made aware of the nature of the world and the part they play in it as inhabitants…

  19. 17 CFR 5.8 - Aggregate retail forex assets.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 17 Commodity and Securities Exchanges 1 2012-04-01 2012-04-01 false Aggregate retail forex assets... FOREIGN CURRENCY TRANSACTIONS § 5.8 Aggregate retail forex assets. (a) Each retail foreign exchange dealer and futures commission merchant offering or engaging in retail forex transactions shall calculate...

  20. 17 CFR 5.8 - Aggregate retail forex assets.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 17 Commodity and Securities Exchanges 1 2013-04-01 2013-04-01 false Aggregate retail forex assets... FOREIGN CURRENCY TRANSACTIONS § 5.8 Aggregate retail forex assets. (a) Each retail foreign exchange dealer and futures commission merchant offering or engaging in retail forex transactions shall calculate...

  1. 17 CFR 5.8 - Aggregate retail forex assets.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 1 2014-04-01 2014-04-01 false Aggregate retail forex assets... FOREIGN CURRENCY TRANSACTIONS § 5.8 Aggregate retail forex assets. (a) Each retail foreign exchange dealer and futures commission merchant offering or engaging in retail forex transactions shall calculate...

  2. Lysophosphatidylcholine (LPC) metabolism and cardiac arrhythmias

    SciTech Connect

    Giffin, D.M.; Man, R.Y.K.; Arthur, G.; Choy, P.C.

    1986-05-01

    The effect of LPC in the production of cardiac arrhythmias in isolated mammalian hearts has been well-documented. Cardiac arrhythmias are initiated by the accumulation of the lysolipid in the cardiac membrane. When isolated rat hearts were perfused in 10 ..mu..M LPC for 10 min, severe arrhythmias were observed in all experiments. In isolated guinea pig hearts that were perfused under identical conditions, the development of severe arrhythmias was never observed, and mild arrhythmias were produced in less than 50% of the hearts used. When the hearts of both species were perfused with (/sup 14/C-palmitate)-LPC, the labellings found in the microsomal fractions (expressed in mg protein) were similar. However, a higher amount of labelled LPC (2-fold) was found in rat heart microsomes, whereas a higher amount of labelled fatty acid was located in the guinea pig heart microsomes. Determination of lysophospholipase activities in these microsomal fractions revealed that the specific activity of the enzyme was much higher in the guinea pig heart than the rat heart. The authors conclude that the differential effect of LPC-induced arrhythmias between the rat and guinea pig heart may be a direct result of the lysophospholipase activities in these hearts. The ability to catabolize LPC more rapidly in the guinea pig heart may decrease the accumulation of LPC in the membrane, and hence, reduce the production of arrhythmias.

  3. POPs in the Lagoon of Venice: budgets and pathways.

    PubMed

    Guerzoni, Stefano; Rossini, Paolo; Sarretta, Alessandro; Raccanelli, Stefano; Ferrari, Giorgio; Molinaroli, Emanuela

    2007-04-01

    Dioxins and furans (PCDD/Fs), polychlorobiphenyls (PCBs) and hexachlorobenzene (HCB) in the ecosystem of the Lagoon of Venice were studied, in order to provide a general picture of conditions in the lagoon in terms of contamination by persistent organic pollutants (POPs). We present here novel data on atmospheric deposition, water, sediment and clam samples collected in the lagoon during the period January 2001-December 2004. Atmospheric deposition was sampled monthly at six sites located both close and far from large industrial and urban sources. Water samples were collected monthly from fifteen stations, and twenty-five samples of sediments and clams (Tapes philippinarum) were collected in four areas where clams are farmed and harvested inside the lagoon. All samples were analysed for PCDD/Fs, PCBs and HCB by HRGC/HRMS in the same laboratory. All samples examined (atmospheric deposition and water) substantially confirmed the spatial pattern reported in previously published data on sediments and atmospheric deposition: the zone surrounding the Porto Marghera petrochemical plant always had the highest levels of POPs (i.e., PCDD/Fs: atmosphere approximately 6 pg of 2,3,7,8-TCDD equivalents (I-TE) m(-2)d(-1); water 0.37 pg I-TEl(-1); sediment: 300 ng kg(-1); clam 2.8 pg I-TE g(-1)), and the minima were found at points on the margins of the lagoon (PCDD/Fs: atmosphere approximately 1 pg I-TEm(-2)d(-1); water 0.05 pg I-TEl(-1); sediment: approximately 5 ng kg(-1); clam approximately 0.2 pg I-TE g(-1)). Intermediate values were often encountered in the historical city centre of Venice and in the central part of the lagoon. To confirm this, new data on correlation between levels of PCDD/F in sediments and clams are reported, both for absolute values and for the PCDD/F "fingerprint". There is always a clear fingerprinting signature (PCDF/PCDD>1) for samples collected near Porto Marghera, and the opposite (PCDF/PCDD<1) in the rest of the lagoon. PMID:17215019

  4. Ship traffic and shoreline erosion in the Lagoon of Venice

    NASA Astrophysics Data System (ADS)

    Scarpa, Gian Marco; Zaggia, Luca; Lorenzetti, Giuliano; Manfè, Giorgia; Parnell, Kevin; Molinaroli, Emanuela; Rapaglia, John; Gionta, Sofia

    2016-04-01

    A study based on the analysis of a historical sequence of aerial photographs and satellite images combined with in situ measurements revealed an unprecedented shoreline regression on the side of a major waterway in the Venice Lagoon, Italy. The study considered long and short-term recession rates caused by ship-induced depression wakes in an area which was reclaimed at the end of the '60 for the expansion of the nearby Porto Marghera Industrial Zone and never used since then. The GIS analysis performed with the available imagery shows an average retreat of about 4 m yr-1 in the period between 1965 and 2015. Field measurements carried out between April 2014 and January 2015 also revealed that the shoreline's regression still proceed with a speed comparable to the long-term average regardless of the distance from the navigation channel and is not constant through time. Periods of high water levels determined by astronomical tide or storm surges, more common in the winter season, are characterized by faster regression rates. The retreat proceeds by collapse of slabs of the reclaimed muddy soil after erosion and removal of the underlying original salt marsh sediments and is a discontinuous process in time and space depending on morphology, intrinsic propertiesand vegetation cover of the artificial deposits. Digitalization of historical maps and new bathymetric surveys made in April 2015 allowed for the reconstruction of two digital terrain models for both past and present situations. The two models have been used to calculate the total volume of sediment lost during the period between 1970 and 2015. The results of this study shows as ship-channel interactions can dominate the morphodynamics of a waterway and its margins and permitted to better understand how this part of the Venice Lagoon reacted to the pressure of human activities in the post-industrial period. Evaluation of the temporal and spatial variation of shoreline position is also crucial to predict future

  5. Improving Literacy Outcomes for Years 5-8 Boys

    ERIC Educational Resources Information Center

    Mercer, Kelly

    2011-01-01

    This paper reports on a small action research project carried out by a Special Education Needs Coordinator (SENCO) in a small rural, full primary school in New Zealand. It focused on improving the literacy outcomes for Years 5-8 boys in the school by way of a boys'-only writing group. Results show that the boys'-only learning group had a positive…

  6. Fragrances as new contaminants in the Venice lagoon.

    PubMed

    Vecchiato, Marco; Cremonese, Simone; Gregoris, Elena; Barbaro, Elena; Gambaro, Andrea; Barbante, Carlo

    2016-10-01

    Fragrance Materials (FMs) are omnipresent components of household and Personal Care Products (PCPs). In spite of their widespread use, little is known about their environmental occurrence. We selected 17 among the longest-lasting and most stable fragrance ingredients that are commercially available, namely: Amberketal, Ambrofix, Amyl Salicylate, Benzyl Salicylate, Bourgeonal, Dupical, Hexyl Salicylate, Isobutavan, Lemonile, Mefranal, Myraldene, Okoumal, Oranger Crystals, Pelargene, Peonile, Tridecene-2-Nitrile, Ultravanil. A new analytical method was developed to quantify FMs in water samples and it was applied to perform the first study about the distribution of these compounds in the surface waters of the city of Venice and its lagoon. Total FMs concentrations range from about 30ngL(-1) to more than 10μgL(-1) in polluted canals during the low tide. Sewage discharges were supposed to be the main sources of the selected FMs in the environment. Salicylates, oestrogenic and allergenic compounds, were in general the most abundant and widespread components. This study reports for the first time the detection of most of the selected FMs in surface waters and represent the first step to understand their environmental fate. PMID:27267717

  7. Cardiac Arrhythmias In Congenital Heart Diseases

    PubMed Central

    Khairy, Paul; Balaji, Seshadri

    2009-01-01

    Arrhythmias figure prominently among the complications encountered in the varied and diverse population of patients with congenital heart disease, and are the leading cause of morbidity and mortality. The incidence generally increases as the patient ages, with multifactorial predisposing features that may include congenitally malformed or displaced conduction systems, altered hemodynamics, mechanical or hypoxic stress, and residual or postoperative sequelae. The safe and effective management of arrhythmias in congenital heart disease requires a thorough appreciation for conduction system variants, arrhythmia mechanisms, underlying anatomy, and associated physiology. We, therefore, begin this review by presenting the scope of the problem, outlining therapeutic options, and summarizing congenital heart disease-related conduction system anomalies associated with disorders of the sinus node and AV conduction system. Arrhythmias encountered in common forms of congenital heart disease are subsequently discussed. In so doing, we touch upon issues related to risk stratification for sudden death, implantable cardiac devices, catheter ablation, and adjuvant surgical therapy. PMID:19898654

  8. Effects of an antiarrhythmic drug A-2545 on canine ventricular arrhythmia models; comparison with mexiletine and flecainide.

    PubMed

    Xue, Y X; Arita, J; Aye, N N; Hashimoto, K

    1998-12-01

    We investigated effects of a new Na+ channel blocking antiarrhythmic drug, A-2545, N-3 (2,2,5,5-tetramethyl-3-pyrroline-3-carboxamido)-propyl-phthalimide-hydro chloride, on various canine ventricular automaticity arrhythmias induced by two-stage coronary ligation, digitalis and adrenaline, and compared them with those of mexiletine. A-2545 showed antiarrhythmic effects, significantly decreasing the arrhythmic ratio of 24-h and 48-h coronary ligation-, digitalis- and adrenaline-induced automaticity arrhythmias. The antiarrhythmic plasma concentrations (IC50) of A-2545, 2 mg kg(-1) 10 min(-1), i.v., for 24-h and 48-h coronary ligation-, digitalis- and adrenaline-induced arrhythmias were 1.8, 1.3, 5.8 and 3.7 microg ml(-1), respectively, and that calculated for oral A-2545 (25 mg kg(-1)) in 24-h coronary ligation-induced arrhythmia was 1.8 microg ml(-1). A-2545 is specifically potent in suppressing coronary ligation-induced arrhythmias, i.e., decreasing the arrhythmic ratio nearly to zero by oral administration, and among the intravenously given experiments A-2545 was effective at lower concentrations than other arrhythmia models; A-2545, 2 mg kg(-1) 10 min(-1), was equipotent to 5 mg kg(-1) 10 min(-1) mexiletine in suppressing 24-h coronary ligation-induced arrhythmia, indicating that A-2545 is more potent than mexiletine. In order to determine whether A-2545 has arrhythmogenic effects, we used programmed electrical stimulation (PES)-induced reentry arrhythmias in dogs with old myocardial infarction and compared effects of A-2545 and flecainide. A-2545, 2 and 5 mg kg(-1) 10 min(-1), significantly suppressed the PES-induced arrhythmias in all six dogs without aggravating them. These arrhythmias were not markedly suppressed by flecainide either with 1 or 3 mg kg(-1) 1O min(-1); moreover even in one out of six dogs aggravation of arrhythmia was noted after 1 mg kg(-1) 10 min(-1). In conclusion, A-2545 suppressed various canine ventricular arrhythmias, and the

  9. Inherited arrhythmias: The cardiac channelopathies

    PubMed Central

    Behere, Shashank P; Weindling, Steven N

    2015-01-01

    Ion channels in the myocardial cellular membrane are responsible for allowing the cardiac action potential. Genetic abnormalities in these channels can predispose to life-threatening arrhythmias. We discuss the basic science of the cardiac action potential; outline the different clinical entities, including information regarding overlapping diagnoses, touching upon relevant genetics, new innovations in screening, diagnosis, risk stratification, and management. The special considerations of sudden unexplained death and sudden infant death syndrome are discussed. Scientists and clinicians continue to reconcile the rapidly growing body of knowledge regarding the molecular mechanisms and genetics while continuing to improve our understanding of the various clinical entities and their diagnosis and management in clinical setting. Two separate searches were run on the National Center for Biotechnology Information's website. The first using the term cardiac channelopathies was run on the PubMed database using filters for time (published in past 5 years) and age (birth-18 years), yielding 47 results. The second search using the medical subject headings (MeSH) database with the search terms “Long QT Syndrome” (MeSH) and “Short QT Syndrome” (MeSH) and “Brugada Syndrome” (MeSH) and “Catecholaminergic Polymorphic Ventricular Tachycardia” (MeSH), applying the same filters yielded 467 results. The abstracts of these articles were studied, and the articles were categorized and organized. Articles of relevance were read in full. As and where applicable, relevant references and citations from the primary articles where further explored and read in full. PMID:26556967

  10. Microwave Treatment for Cardiac Arrhythmias

    NASA Technical Reports Server (NTRS)

    Arndt, G. Dickey (Inventor); Carl, James R. (Inventor); Raffoul, George W. (Inventor); Pacifico, Antonio (Inventor)

    1999-01-01

    Method and apparatus are provided for propagating microwave energy into heart tissues to produce a desired temperature profile therein at tissue depths sufficient for thermally ablating arrhythmogenic cardiac tissue to treat ventricular tachycardia and other arrhythmias while preventing excessive heating of surrounding tissues, organs, and blood. A wide bandwidth double-disk antenna is effective for this purpose over a bandwidth of about six gigahertz. A computer simulation provides initial screening capabilities for an antenna such as antenna, frequency, power level, and power application duration. The simulation also allows optimization of techniques for specific patients or conditions. In operation, microwave energy between about 1 Gigahertz and 12 Gigahertz is applied to monopole microwave radiator having a surface wave limiter. A test setup provides physical testing of microwave radiators to determine the temperature profile created in actual heart tissue or ersatz heart tissue. Saline solution pumped over the heart tissue with a peristaltic pump simulates blood flow. Optical temperature sensors disposed at various tissue depths within the heart tissue detect the temperature profile without creating any electromagnetic interference. The method may be used to produce a desired temperature profile in other body tissues reachable by catheter such as tumors and the like.

  11. Inherited arrhythmias: The cardiac channelopathies.

    PubMed

    Behere, Shashank P; Weindling, Steven N

    2015-01-01

    Ion channels in the myocardial cellular membrane are responsible for allowing the cardiac action potential. Genetic abnormalities in these channels can predispose to life-threatening arrhythmias. We discuss the basic science of the cardiac action potential; outline the different clinical entities, including information regarding overlapping diagnoses, touching upon relevant genetics, new innovations in screening, diagnosis, risk stratification, and management. The special considerations of sudden unexplained death and sudden infant death syndrome are discussed. Scientists and clinicians continue to reconcile the rapidly growing body of knowledge regarding the molecular mechanisms and genetics while continuing to improve our understanding of the various clinical entities and their diagnosis and management in clinical setting. Two separate searches were run on the National Center for Biotechnology Information's website. The first using the term cardiac channelopathies was run on the PubMed database using filters for time (published in past 5 years) and age (birth-18 years), yielding 47 results. The second search using the medical subject headings (MeSH) database with the search terms "Long QT Syndrome" (MeSH) and "Short QT Syndrome" (MeSH) and "Brugada Syndrome" (MeSH) and "Catecholaminergic Polymorphic Ventricular Tachycardia" (MeSH), applying the same filters yielded 467 results. The abstracts of these articles were studied, and the articles were categorized and organized. Articles of relevance were read in full. As and where applicable, relevant references and citations from the primary articles where further explored and read in full. PMID:26556967

  12. Arrhythmia in Stem Cell Transplantation

    PubMed Central

    Almeida, Shone O.; Skelton, Rhys J.; Adigopula, Sasikanth; Ardehali, Reza

    2015-01-01

    Synopsis Stem cell regenerative therapies hold promise for treating diseases across the spectrum of medicine. Recent clinical trials have confirmed the safety of stem cell delivery to the heart with promising but variable results. While significant progress has been made in the preclinical stages, the clinical application of cardiac cell therapy is limited by technical challenges, including inability to isolate a pure population of cardiac-specific progenitors capable of robust engraftment and regeneration, lack of appropriate pre-clinical animal models, uncertainty about the best mode of delivery, paucity of adequate imaging modalities, and lack of knowledge about the fate of transplanted cells. The inability of transplanted cells to structurally and functionally integrate into the host myocardium may pose arrhythmogenic risk to patients. This is in part dependent on the type of cell transplanted, where the expression of gap junctions such as connexin-43 is essential not only for electromechanical integration, but has also been found to be protective against electrical instability post-transplant. Additionally, certain methods of cell delivery, such as intramyocardial injection, carry a higher rate of arrhythmias. Other potential contributors to the arrhythmogenicity of cell transplantation include re-entrant pathways due to heterogeneity in conduction velocities between graft and host as well as graft automaticity. In this paper, we discuss the arrhythmogenic potential of cell delivery to the heart. PMID:26002399

  13. Cardiac arrhythmias during or after epileptic seizures

    PubMed Central

    van der Lende, Marije; Surges, Rainer; Sander, Josemir W; Thijs, Roland D

    2016-01-01

    Seizure-related cardiac arrhythmias are frequently reported and have been implicated as potential pathomechanisms of Sudden Unexpected Death in Epilepsy (SUDEP). We attempted to identify clinical profiles associated with various (post)ictal cardiac arrhythmias. We conducted a systematic search from the first date available to July 2013 on the combination of two terms: ‘cardiac arrhythmias’ and ‘epilepsy’. The databases searched were PubMed, Embase (OVID version), Web of Science and COCHRANE Library. We attempted to identify all case reports and case series. We identified seven distinct patterns of (post)ictal cardiac arrhythmias: ictal asystole (103 cases), postictal asystole (13 cases), ictal bradycardia (25 cases), ictal atrioventricular (AV)-conduction block (11 cases), postictal AV-conduction block (2 cases), (post)ictal atrial flutter/atrial fibrillation (14 cases) and postictal ventricular fibrillation (3 cases). Ictal asystole had a mean prevalence of 0.318% (95% CI 0.316% to 0.320%) in people with refractory epilepsy who underwent video-EEG monitoring. Ictal asystole, bradycardia and AV-conduction block were self-limiting in all but one of the cases and seen during focal dyscognitive seizures. Seizure onset was mostly temporal (91%) without consistent lateralisation. Postictal arrhythmias were mostly found following convulsive seizures and often associated with (near) SUDEP. The contrasting clinical profiles of ictal and postictal arrhythmias suggest different pathomechanisms. Postictal rather than ictal arrhythmias seem of greater importance to the pathophysiology of SUDEP. PMID:26038597

  14. Demons, nature, or God? Witchcraft accusations and the French disease in early modern Venice.

    PubMed

    McGough, Laura J

    2006-01-01

    In early modern Venice, establishing the cause of a disease was critical to determining the appropriate cure: natural remedies for natural illnesses, spiritual solutions for supernatural or demonic ones. One common ailment was the French disease (syphilis), widely distributed throughout Venice's neighborhoods and social hierarchy, and evenly distributed between men and women. The disease was widely regarded as curable by the mid-sixteenth century, and cases that did not respond to natural remedies presented problems of interpretation to physicians and laypeople. Witchcraft was one possible explanation; using expert testimony from physicians, however, the Holy Office ruled out witchcraft as a cause of incurable cases and reinforced perceptions that the disease was of natural origin. Incurable cases were explained as the result of immoral behavior, thereby reinforcing the associated stigma. This article uses archival material from Venice's Inquisition records from 1580 to 1650, as well as mortality data. PMID:16809862

  15. Sediment budget in the Lagoon of Venice, Italy

    NASA Astrophysics Data System (ADS)

    Sarretta, A.; Pillon, S.; Molinaroli, E.; Guerzoni, S.; Fontolan, G.

    2010-05-01

    A comparison of 1927, 1970 and 2002 bathymetric surveys in the Lagoon of Venice was used to reconstruct historical changes in sedimentation. A detailed GIS-based analysis of the charts revealed the timing and pattern of geomorphic changes and allowed calculation of sediment deposition and erosion for the entire lagoon and each of its four sub-basins: Treporti, Lido, Malamocco and Chioggia. Two main developments are discernible from comparative observation of the areal distribution of the main elevation ranges: the diminution in area of the saltmarshes, which decreased by more than 50%, from 68 km 2 in 1927 to 32 km 2 in 2002, and the progressive deepening of the lagoon, with a huge increase in the area of subtidal flats (between -0.75 and -2.00 m depth), from 88 to 206 km 2 during the same period. Generally, the lagoon showed a clear-cut change in the most frequent depths (modal depth) from a value of -0.62 m in 1927 to -0.88 m in 2002. The deepening of the lagoon affected mostly the lagoonal sub-basins south of the town of Venice, where modal depth increased from -0.65 to -1.12 m in Lido, from -0.64 to -1.75 m in Malamocco and from -0.39 to -0.88 m in Chioggia. Large changes in lagoonal morphology were caused by human-induced subsidence, the dredging of navigation channels between 1927 and 1970, and intense natural erosion enhanced by sediment re-suspension due to Manila clam fishing between 1970 and 2002. There was a net loss of about 110 Mm 3 of sediment from the lagoon, most of which (73 Mm 3, ca.70%) was in the earlier period. A significant amount was lost by dredging and direct disposal outside the system, either on land or at sea, and there was a net loss of 39 Mm 3 from the lagoon to the sea through the inlets, at an annual rate of 0.5 Mm 3. Comparison of erosion rates in the two periods revealed an alarming acceleration, from a net sediment loss of 0.3 Mm 3 yr -1 in the period 1927-1970 to 0.8 Mm 3 yr -1 in 1970-2002. Deterioration caused a shift from a

  16. Migration Rate Of Tidal Meanders: Inferences From The Venice Lagoon

    NASA Astrophysics Data System (ADS)

    Finotello, A.; D'Alpaos, A.; Ghinassi, M.; Lanzoni, S.; Marani, M.; Rinaldo, A.

    2015-12-01

    Meandering channels are ubiquitous features of tidal landscapes. However, despite their fundamental role on the eco-morphodynamic evolution of these landscapes, tidal meanders have received less attention when compared to their fluvial counterparts. Improving current understanding of tidal meander migration, a largely-examined topic in fluvial landscapes, is a key step to highlight analogies and differences between tidal and fluvial cases. The migration of about 400 meander bends, belonging to 40 salt-marsh channels in the Northern Venice Lagoon (Italy), from 1968 to nowadays, has been investigated by means of both a classical method in fluvial frameworks and new procedure. Similarities with fluvial meanders occur, although important difference also emerge. Meanders cutting through the San Felice marsh follow the relationship between cartesian length and channel width, typical of meanders developed within different settings. However, meander migration rates proved to be smaller than those characterizing fluvial meanders. Indeed, the analysis of meander migration suggests a mean migration rate of about 0.10 m/year, consistent with the few data available in the literature. As for the fluvial case, the maximum-potential migration rate (i.e. the envelope curve of the relationship between migration rate and bend radius, both divided by channel width) reaches a maximum for radius-over-width ratio included between 2 and 3, regardless of the considered method. Nevertheless, the new-proposed method allows us to provide a more objective and continuous characterization. By using this new procedure, the channel curvature has finally been Fourier-analyzed, confirming the importance of even harmonics along the curvature spectrum. A correlation between migration rates and dominant harmonics seems to drive the evolution of tidal meanders and might represent a key-feature to distinguish them from their fluvial counterparts.

  17. The Taming of the Jew: "The Merchant of Venice" Is No Laughing Matter

    ERIC Educational Resources Information Center

    Beck, Bernard

    2005-01-01

    A new movie version of Shakespeare's classic troubling comedy, "The Merchant of Venice" (Brokaw, Cowan, Navidi, Piette, & Radford, 2004), has appeared, bringing up an ancient issue of the possible bigotry of the greatest writer in the English language. Shakespeare's plays about minority characters in the Venetian Republic have caused more and more…

  18. Understanding "The Merchant of Venice": A Student Casebook to Issues, Sources, and Historical Documents.

    ERIC Educational Resources Information Center

    Halio, Jay L.

    "The Merchant of Venice," even in its own time, was considered William Shakespeare's most controversial play. Now, one of the most popular read and performed works, the play raises even more important issues for today, particularly anti-Semitism and the treatment of Jews. The analysis of the play in this casebook helps students interpret…

  19. Situation Venice: Towards a Performative "Ex-Planation" of a City

    ERIC Educational Resources Information Center

    Whybrow, Nicolas

    2011-01-01

    The article's main concern is to analyse theoretical and artistic factors influencing the attempt by a group of undergraduate students (at the University of Warwick, UK) to produce a "performative mapping" of the city of Venice. In other words, it asks what kind of performance-based strategies might usefully be applied in the process of…

  20. Sedimentation rates and erosion processes in the lagoon of Venice.

    PubMed

    Sfriso, Adriano; Adriano, Sfriso; Facca, Chiara; Chiara, Facca; Marcomini, Antonio; Antonio, Marcomini

    2005-09-01

    Since the early 1990s in the lagoon of Venice, especially in the central basin, the surface sediment underwent high re-suspension and sedimentation changes and water turbidity increased both because of the disappearance of the macroalgal coverage and the harvesting of the Manila clam Tapes philippinarum Adams and Reeve, which had rapidly colonised the bottom free of macrophytes. Clams are harvested with hydraulic and mechanical dredges which remove and re-suspend surface sediments causing the transport and loss of the finest materials. Sediment transport and re-deposition in the lagoon have been monitored with sediment traps placed onto the bottoms near the Malamocco mouth (st. A), the Lido watershed (st. B) and the mainland (sts. C and D). From 1989-1993 to 1998-1999 sedimentation rates increased significantly at st. A (from 41 to 228 kg DW m(-2) year(-1)), st. B (from 65 to 760 kg DW m(-2) year(-1)) and st. C (from 140 to 721 kg DW m(-2) year(-1)), while at st. D sedimentation rates increased only by ca. 20%. In parallel sediment grain-size changed with a loss of the finest fraction especially near the mainland. The erosion or sedimentation status, acquired by utilizing sedimentation devices placed onto the bottoms, showed that sts. B, C, D were affected by sediment losses, while st. A, populated by seagrasses and characterised by seasonal variations which depend on the shoot development, did not show any significant bathymetric change on an annual basis. The highest sediment erosion was recorded at st. D (ca. 3.6 cm year(-1)) whereas a loss of ca. 1.5 and 0.5 cm year(-1) was found at sts. C and B, respectively, which accounted for a mean loss in the central lagoon of ca. 1.2 million tonnes year(-1). Those data agree with the previous indirect estimation of sediment loss which was based on the number of fishing boats operating in the lagoon on an annual basis. PMID:16083960

  1. Noninvasive diagnostic mapping of supraventricular arrhythmias (Wolf-Parkinson-White syndrome and atrial arrhythmias).

    PubMed

    Cakulev, Ivan; Sahadevan, Jayakumar; Waldo, Albert L

    2015-03-01

    The 12-lead electrocardiogram has limited value in precisely identifying the origin of focal or critical component of reentrant arrhythmias during supraventricular arrhythmias, as well as precisely locating accessory atrioventricular conduction pathways. Because of these limitations, efforts have been made to reconstruct epicardial activation sequences from body surface measurements obtained noninvasively. The last decade has registered significant progress in obtaining clinically useful data from the attempts to noninvasively map the epicardial electrical activity. This article summarizes the recent advances made in this area, specifically addressing the clinical outcomes of such efforts relating to atrial arrhythmias and Wolf-Parkinson-White syndrome. PMID:25784024

  2. Cardiac arrhythmias associated with spinal cord injury

    PubMed Central

    Hector, Sven Magnus; Biering-Sørensen, Tor; Krassioukov, Andrei; Biering-Sørensen, Fin

    2013-01-01

    Context/Objectives To review the current literature to reveal the incidence of cardiac arrhythmias and its relation to spinal cord injury (SCI). Methods Data source: MEDLINE database, 304 hits, and 32 articles were found to be relevant. The relevant articles all met the inclusion criteria: (1) contained original data (2) on cardiac arrhythmias (3) in humans with (4) traumatic SCI. Results In the acute phase of SCI (1–14 days after injury) more cranial as well as more severe injuries seemed to increase the incidence of bradycardia. Articles not covering the first 14 days after injury, thus describing the chronic phase of SCI, showed that individuals with SCI did not have a higher incidence of cardiac arrhythmias compared with able-bodied controls. Furthermore, their heart rate did not differ significantly. Penile vibro-stimulation was the procedure investigated most likely to cause bradycardia, which in turn was associated with episodes of autonomic dysreflexia. The incidence of bradycardia was found to be 17–77% for individuals with cervical SCI. For individuals with thoracolumbar SCI, the incidence was 0–13%. Conclusion Bradycardia was commonly seen in the acute stage after SCI as well as during procedures such as penile vibro-stimulation and tracheal suction. These episodes of bradycardia were seen more often in individuals with cervical injuries. Longitudinal studies with continuous electrocardiogram recordings are needed to uncover the true relation between cardiac arrhythmias and SCI. PMID:24090076

  3. Inherited Arrhythmias - Where do we Stand?

    PubMed

    Katritsis, Demosthenes G; Gersh, Bernard J; Camm, A John

    2014-08-01

    This review discusses inherited arrhythmias and conduction disturbances due to genetic disorders. Known channel mutations that are responsible for these conditions are presented, the indications and value of genetic testing are discussed, and a glossary of terms related to the discipline of genetic cardiology has been compiled. PMID:26835071

  4. Arrhythmias: Opening Pandora's Box -- incidental genetic findings.

    PubMed

    Behr, Elijah R; Krahn, Andrew D

    2016-04-01

    A major goal of precision medicine is to improve disease prevention and therapy by using big data provided by genomic technology and electronic health records. In a new study, assessment of a patient population without a history of cardiac disease revealed that genetic variants putatively associated with a risk of sudden death were not linked with arrhythmia phenotypes. PMID:26935036

  5. Cardiac Arrhythmias and Abnormal Electrocardiograms After Acute Stroke.

    PubMed

    Ruthirago, Doungporn; Julayanont, Parunyou; Tantrachoti, Pakpoom; Kim, Jongyeol; Nugent, Kenneth

    2016-01-01

    Cardiac arrhythmias and electrocardiogram (ECG) abnormalities occur frequently but are often underrecognized after strokes. Acute ischemic and hemorrhagic strokes in some particular area of brain can disrupt central autonomic control of the heart, precipitating cardiac arrhythmias, ECG abnormalities, myocardial injury and sometimes sudden death. Identification of high-risk patients after acute stroke is important to arrange appropriate cardiac monitoring and effective management of arrhythmias, and to prevent cardiac morbidity and mortality. More studies are needed to better clarify pathogenesis, localization of areas associated with arrhythmias and practical management of arrhythmias and abnormal ECGs after acute stroke. PMID:26802767

  6. Recommendations and cardiological evaluation of athletes with arrhythmias

    PubMed Central

    Hoogsteen, J.; Bennekers, J.H.; van der Wall, E.E.; van Hemel, N.M.; Wilde, A.A.M.; Crijns, H.J.G.M.; Gorgels, A.P.M.; Smeets, J.L.R.M.; Hauer, R.N.W.; Jordaens, J.L.M.; Schalij, M.J.

    2004-01-01

    Confronted with a competitive or recreational athlete, the physician has to discriminate between benign, paraphysiological and pathological arrhythmias. Benign arrhythmias do not represent a risk for SCD, nor do they induce haemodynamic consequences during athletic activities. These arrhythmias are not markers for heart disease. Paraphysiological arrhythmias are related to athletic performance. Long periods of endurance training induce changes in rhythm, conduction and repolarisation. These changes are fully reversible and disappear when the sport is terminated. Pathological arrhythmias have haemodynamic consequences and express disease, such as sick sinus syndrome, cardiomyopathy or inverse consequences of physical training. Arrhythmias can be classified as bradyarrhythmias and tachyarrhythmias. Conduction disorders can be seen in fast as well as in slow arrhythmias. ImagesFigure 2 PMID:25696329

  7. Transcriptomic resources for environmental risk assessment: a case study in the Venice lagoon.

    PubMed

    Milan, M; Pauletto, M; Boffo, L; Carrer, C; Sorrentino, F; Ferrari, G; Pavan, L; Patarnello, T; Bargelloni, L

    2015-02-01

    The development of new resources to evaluate the environmental status is becoming increasingly important representing a key challenge for ocean and coastal management. Recently, the employment of transcriptomics in aquatic toxicology has led to increasing initiatives proposing to integrate eco-toxicogenomics in the evaluation of marine ecosystem health. However, several technical issues need to be addressed before introducing genomics as a reliable tool in regulatory ecotoxicology. The Venice lagoon constitutes an excellent case, in which the assessment of environmental risks derived from the nearby industrial activities represents a crucial task. In this context, the potential role of genomics to assist environmental monitoring was investigated through the definition of reliable gene expression markers associated to chemical contamination in Manila clams, and their subsequent employment for the classification of Venice lagoon areas. Overall, the present study addresses key issues to evaluate the future outlooks of genomics in the environmental monitoring and risk assessment. PMID:25514060

  8. Non-invasive Mapping of Cardiac Arrhythmias.

    PubMed

    Shah, Ashok; Hocini, Meleze; Haissaguerre, Michel; Jaïs, Pierre

    2015-08-01

    Since more than 100 years, 12-lead electrocardiography (ECG) is the standard-of-care tool, which involves measuring electrical potentials from limited sites on the body surface to diagnose cardiac disorder, its possible mechanism, and the likely site of origin. Several decades of research has led to the development of a 252-lead ECG and computed tomography (CT) scan-based three-dimensional electro-imaging modality to non-invasively map abnormal cardiac rhythms including fibrillation. These maps provide guidance towards ablative therapy and thereby help advance the management of complex heart rhythm disorders. Here, we describe the clinical experience obtained using non-invasive technique in mapping the electrical disorder and guide the catheter ablation of atrial arrhythmias (premature atrial beat, atrial tachycardia, atrial fibrillation), ventricular arrhythmias (premature ventricular beats), and ventricular pre-excitation (Wolff-Parkinson-White syndrome). PMID:26072438

  9. Genetics of inherited primary arrhythmia disorders

    PubMed Central

    Spears, Danna A; Gollob, Michael H

    2015-01-01

    A sudden unexplained death is felt to be due to a primary arrhythmic disorder when no structural heart disease is found on autopsy, and there is no preceding documentation of heart disease. In these cases, death is presumed to be secondary to a lethal and potentially heritable abnormality of cardiac ion channel function. These channelopathies include congenital long QT syndrome, catecholaminergic polymorphic ventricular tachycardia, Brugada syndrome, and short QT syndrome. In certain cases, genetic testing may have an important role in supporting a diagnosis of a primary arrhythmia disorder, and can also provide prognostic information, but by far the greatest strength of genetic testing lies in the screening of family members, who may be at risk. The purpose of this review is to describe the basic genetic and molecular pathophysiology of the primary inherited arrhythmia disorders, and to outline a rational approach to genetic testing, management, and family screening. PMID:26425105

  10. Cardiac arrhythmias in space. Role of vagotonia.

    PubMed

    Leguay, G; Seigneuric, A

    1981-07-01

    Rhythm disorders observed in space have always been minor but they are not unfrequent. They include: ventricular or supra-ventricular extrasystoles, nodal arrhythmias, auriculo-ventricular conduction disorders. There are several etiopathogenetic hypotheses: a strict selection must permit its elimination of an underlying heart disease; the potassium deficiency is often advanced but its role is not certain; the role of catecholamines is also discussed; the role of hypervagotony is extensively analysed as great clinical and electro-cardiographic evidence speaks for it. It can induce disorders which are more serious than those observed so far, particularly fibrillation or intermittent atrial flutter; weightlessness itself could partly condition the vagotonic state; and the effects of fluid shifts are also discussed from this point of view. The possible therapies for various atrial, nodal, ventricular disorders are reviewed, with greater detail for vagal atrial arrhythmias. PMID:11542963

  11. Diagnosis and Treatment of Fetal Arrhythmia

    PubMed Central

    Wacker-Gussmann, Annette; Strasburger, Janette F.; Cuneo, Bettina F.; Wakai, Ronald T.

    2014-01-01

    Detection and careful stratification of fetal heart rate (FHR) is extremely important in all pregnancies. The most lethal cardiac rhythm disturbances occur during apparently normal pregnancies where FHR and rhythmare regular and within normal or low-normal ranges. These hidden depolarization and repolarization abnormalities, associated with genetic ion channelopathies cannot be detected by echocardiography, and may be responsible for up to 10% of unexplained fetal demise, prompting a need for newer and better fetal diagnostic techniques. Other manifest fetal arrhythmias such as premature beats, tachycardia, and bradycardia are commonly recognized. Heart rhythm diagnosis in obstetrical practice is usually made by M-mode and pulsed Doppler fetal echocardiography, but not all fetal cardiac time intervals are captured by echocardiographic methods. This article reviews different types of fetal arrhythmias, their presentation and treatment strategies, and gives an overview of the present and future diagnostic techniques. PMID:24858320

  12. Progressive interatrial block and supraventricular arrhythmias.

    PubMed

    Enriquez, Andres; Conde, Diego; Redfearn, Damian P; Baranchuk, Adrian

    2015-07-01

    Interatrial conduction disorders are frequent in patients with structural heart diseases, including hypertension, coronary disease, and hypertrophic cardiomyopathy, and they are strongly associated with atrial tachyarrhythmias, especially atrial fibrillation and flutter. Conduction delays lead to dispersion of refractory periods and participate in initiating and maintaining reentry circuits, facilitating atrial arrhythmias. In this case, the changing pattern over time is a manifestation of progressive atrial remodeling and conduction delay. The terminal negative component of the P wave in the inferior leads suggests block of the electrical impulse in the Bachman bundle zone, with retrograde activation of the left atria via muscular connections at the coronary sinus. This has been reproduced in experimental models and confirmed by endocardial mapping. Physicians should be aware of the association between advanced interatrial block and development of atrial arrhythmias as its recognition could prompt early and aggressive antiarrhythmic treatment. PMID:25201217

  13. Catheter Ablation of Arrhythmia During Pregnancy.

    PubMed

    Driver, Kevin; Chisholm, Christian A; Darby, Andrew E; Malhotra, Rohit; Dimarco, John P; Ferguson, John D

    2015-06-01

    Cardiac arrhythmia as a complication of pregnancy can be problematic to maternal health and fetal life and development. Catheter ablation of tachyarrhythmias during pregnancy has been successfully performed in selected patients with limited experience. Techniques to limit maternal and fetal radiation exposure, including intracardiac echo and electroanatomic mapping systems, are particularly important in this setting. Specific accommodations are necessary in the care of the gravid patient during catheter ablation. PMID:25828853

  14. [Managing acute supraventricular arrhythmia in pregnancy].

    PubMed

    Manzo-Silberman, Stéphane

    2015-01-01

    Palpitations: frequent reason for referral to a cardiologist. Arrythmia: rare, mostly benign. Premature extra-beats and sustained tachy-arrhythmias: more frequent or revealed during pregnancy. Hemodynamic changes in expectant women favor an environment conducive to arrhythmogenesis. AF and flutter: very rare unless structural heart disease or hyperthyroidism. Drugs: careful monitoring of the patient and dose adjustments. Cardioversion: only in case of severe symptoms or hemodynamically unstable. PMID:26277779

  15. Arrhythmia discrimination using a smart phone.

    PubMed

    Chong, Jo Woon; Esa, Nada; McManus, David D; Chon, Ki H

    2015-05-01

    We hypothesize that our smartphone-based arrhythmia discrimination algorithm with data acquisition approach reliably differentiates between normal sinus rhythm (NSR), atrial fibrillation (AF), premature ventricular contractions (PVCs) and premature atrial contraction (PACs) in a diverse group of patients having these common arrhythmias. We combine root mean square of successive RR differences and Shannon entropy with Poincare plot (or turning point ratio method) and pulse rise and fall times to increase the sensitivity of AF discrimination and add new capabilities of PVC and PAC identification. To investigate the capability of the smartphone-based algorithm for arrhythmia discrimination, 99 subjects, including 88 study participants with AF at baseline and in NSR after electrical cardioversion, as well as seven participants with PACs and four with PVCs were recruited. Using a smartphone, we collected 2-min pulsatile time series from each recruited subject. This clinical application results show that the proposed method detects NSR with specificity of 0.9886, and discriminates PVCs and PACs from AF with sensitivities of 0.9684 and 0.9783, respectively. PMID:25838530

  16. Impact of maritime traffic on polycyclic aromatic hydrocarbons, metals and particulate matter in Venice air.

    PubMed

    Gregoris, Elena; Barbaro, Elena; Morabito, Elisa; Toscano, Giuseppa; Donateo, Antonio; Cesari, Daniela; Contini, Daniele; Gambaro, Andrea

    2016-04-01

    Harbours are important hubs for economic growth in both tourism and commercial activities. They are also an environmental burden being a source of atmospheric pollution often localized near cities and industrial complexes. The aim of this study is to quantify the relative contribution of maritime traffic and harbour activities to atmospheric pollutant concentration in the Venice lagoon. The impact of ship traffic was quantified on various pollutants that are not directly included in the current European legislation for shipping emission reduction: (i) gaseous and particulate PAHs; (ii) metals in PM10; and (iii) PM10 and PM2.5. All contributions were correlated with the tonnage of ships during the sampling periods and results were used to evaluate the impact of the European Directive 2005/33/EC on air quality in Venice comparing measurements taken before and after the application of the Directive (year 2010). The outcomes suggest that legislation on ship traffic, which focused on the issue of the emissions of sulphur oxides, could be an efficient method also to reduce the impact of shipping on primary particulate matter concentration; on the other hand, we did not observe a significant reduction in the contribution of ship traffic and harbour activities to particulate PAHs and metals. Graphical abstract Impact of maritime traffic on polycyclic aromatic hydrocarbons, metals and particulate matter and evaluation of the effect of an European Directive on air quality in Venice. PMID:26681325

  17. Diagnosis of diabetes mellitus at the hospital of Venice in 1863.

    PubMed

    Dall'Olio, G; Dorizzi, R M

    2000-07-01

    In 1674 Thomas Willis reported that the presence of urine 'as sweet as honey' was the pathognomonic sign of diabetes mellitus. In the 19th Century several reactions for the detection of glucose in urine were proposed and glucose measurement became common in the laboratories that were being set up in Europe. A case of diabetes mellitus, diagnosed by Namias, the head of the Women's Section of the Medicine Department of Venice Hospital, was reported in 1863 in the 'Giornale Veneto di Scienze Mediche' which contains clinical and laboratory information. A 34-year-old woman was admitted to the hospital for polydypsia, polyuria, bulimia and fatigue. Urine was weighed for 2 months (2-10 kgday(-1)) and the relative density ranged from 1.045 to 1.038. Glucose was measured in the urine using Moore, Trommer and Fehling reagents. A few days after admission a urine sample showed 7.69 parts/100 parts of urine and a blood sample showed 547 mg of glucose/100 g of serum. The assays were carried out in the Clinical Laboratory of Venice Hospital, founded in 1863, directed by Giovanni Bizio, one of the first chemists who graduated at Padua University. In 1863 chemical analyses were commonly carried out in Venice as in the other parts of Habsburg empire. PMID:10841905

  18. Regional and local land subsidence at the Venice coastland by TerraSAR-X PSI

    NASA Astrophysics Data System (ADS)

    Tosi, L.; Strozzi, T.; Da Lio, C.; Teatini, P.

    2015-11-01

    Land subsidence occurred at the Venice coastland over the 2008-2011 period has been investigated by Persistent Scatterer Interferometry (PSI) using a stack of 90 TerraSAR-X stripmap images with a 3 m resolution and a 11-day revisiting time. The regular X-band SAR acquisitions over more than three years coupled with the very-high image resolution has significantly improved the monitoring of ground displacements at regional and local scales, e.g., the entire lagoon, especially the historical palaces, the MoSE large structures under construction at the lagoon inlets to disconnect the lagoon from the Adriatic Sea during high tides, and single small structures scattered within the lagoon environments. Our results show that subsidence is characterized by a certain variability at the regional scale with superimposed important local displacements. The movements range from a gentle uplift to subsidence rates of up to 35 mm yr-1. For instance, settlements of 30-35 mm yr-1 have been detected at the three lagoon inlets in correspondence of the MoSE works, and local sinking bowls up to 10 mm yr-1 connected with the construction of new large buildings or restoration works have been measured in the Venice and Chioggia historical centers. Focusing on the city of Venice, the mean subsidence of 1.1 ± 1.0 mm yr-1 confirms the general stability of the historical center.

  19. Arrhythmias following spinal anesthesia for cesarean delivery - Is Wenckebach common?

    PubMed Central

    Kalra, Seema; Hayaran, Nitin

    2011-01-01

    Arrhythmias in pregnancy are common and may cause concern for the well-being of both mother and fetus. Generally, no previous history of heart disease is elicited and majority of the arrhythmias are benign. Bradycardia is commonly seen following subarachnoid block for cesarean section. However, the incidence of subsequent heart block is low. This case report highlights the occurrence of perioperative arrhythmias following sympathetic blockade in pregnant patients and their early detection by vigilant monitoring. PMID:22096293

  20. 41 CFR 51-5.8 - Violations by entities of the Government.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Violations by entities of the Government. 51-5.8 Section 51-5.8 Public Contracts and Property Management Other Provisions...-CONTRACTING REQUIREMENTS § 51-5.8 Violations by entities of the Government. Any alleged violations of the...

  1. Basic Cardiac Electrophysiology and Common Drug-induced Arrhythmias.

    PubMed

    Lee, Aimee; Pickham, David

    2016-09-01

    Drugs can be a double-edged sword, providing the benefit of symptom alleviation and disease modification but potentially causing harm from adverse cardiac arrhythmic events. Proarrhythmia is the ability of a drug to cause an arrhythmia, the number one reason for drugs to be withdrawn from the patient. Drug-induced arrhythmias are defined as the production of de novo arrhythmias or aggravation of existing arrhythmias, as a result of previous or concomitant pharmacologic treatment. This review summarizes normal cardiac cell and tissue functioning and provides an overview of drugs that effect cardiac repolarization and the adverse effects of commonly administered antiarrhythmics. PMID:27484663

  2. Drug Resistant Fetal Arrhythmia in Obstetric Cholestasis

    PubMed Central

    Altug, Nahide; Kirbas, Ayse; Daglar, Korkut; Biberoglu, Ebru; Uygur, Dilek; Danisman, Nuri

    2015-01-01

    Obstetric cholestasis (OC) is a pregnancy specific liver disease characterized by increased levels of bile acid (BA) and pruritus. Raised maternal BA levels could be associated with intrauterine death, fetal distress, and preterm labor and also alter the rate and rhythm of cardiomyocyte contraction and may cause fetal arrhythmic events. We report a case of drug resistant fetal supraventricular tachycardia and concomitant OC. Conclusion. If there are maternal OC and concomitant fetal arrhythmia, possibility of the resistance to antiarrhythmic treatment should be kept in mind. PMID:25821617

  3. Arrhythmia analysis with an expert system.

    PubMed

    Redman, T C; Hahn, A W

    1989-01-01

    We have developed a rule based expert system which was designed to diagnose electrocardiographic arrhythmias in several species. The program, called ECG-X, is written in OPS5 and runs under MS-DOS 2.1 and higher on an IBM-PC or AT type machine. The program uses the paper speed, the species, the temporal relationships between the P waves and the QRS complexes as well as basic information about the P and QRS morphology, and provides the user with a rhythm diagnosis consistent with rules provided by contemporary cardiac electrophysiologic knowledge. PMID:2742969

  4. Classification of cardiac arrhythmias using competitive networks.

    PubMed

    Leite, Cicilia R M; Martin, Daniel L; Sizilio, Glaucia R A; Dos Santos, Keylly E A; de Araujo, Bruno G; Valentim, Ricardo A M; Neto, Adriao D D; de Melo, Jorge D; Guerreiro, Ana M G

    2010-01-01

    Information generated by sensors that collect a patient's vital signals are continuous and unlimited data sequences. Traditionally, this information requires special equipment and programs to monitor them. These programs process and react to the continuous entry of data from different origins. Thus, the purpose of this study is to analyze the data produced by these biomedical devices, in this case the electrocardiogram (ECG). Processing uses a neural classifier, Kohonen competitive neural networks, detecting if the ECG shows any cardiac arrhythmia. In fact, it is possible to classify an ECG signal and thereby detect if it is exhibiting or not any alteration, according to normality. PMID:21096338

  5. Difficulties with Ablation for Arrhythmias in Children

    PubMed Central

    Asirvatham, Samuel J

    2008-01-01

    Radiofrequency ablation procedures in children present unique challenges for the electrophysiologist. At times, obtaining vascular access to reach the heart is a problem. If this first step is accomplished, the small size of the child's heart, arrhythmias relatively unique to the pediatric population, and the presence of congenital heart disease add to the complexity. In this manuscript, a review of commonly encountered problems and suggested solutions based on practice are presented. Precise mapping of the arrhythmogenic substrate, techniques to access excluded portions of the atrium from prior surgery, and the basis for electrophysiology maneuvers important in pediatric ablation are highlighted. PMID:18478062

  6. Respiratory sinus arrhythmia in Chagas disease.

    PubMed

    Neves, Victor Ribeiro; Peltola, Mirja; Huikuri, Heikki; Rocha, Manoel Otávio da Costa; Ribeiro, Antonio Luiz

    2014-10-01

    We applied the respiratory sinus arrhythmia (RSA) quantification algorithm to 24-hour ECG recordings of Chagas disease (ChD) patients with (G1, n=148) and without left ventricular dysfunction (LVD) (G2, n=33), and in control subjects (G0, n=28). Both ChD groups displayed a reduced RSA index; G1=299 (144-812); G2=335 (162-667), p=0.011, which was correlated with vagal indexes of heart rate variability analysis. RSA index is a marker of vagal modulation in ChD patients. PMID:25130950

  7. Caveolae, Ion Channels and Cardiac Arrhythmias

    PubMed Central

    Balijepalli, Ravi C.; Kamp, Timothy J.

    2009-01-01

    Caveolae are specialized membrane microdomains enriched in cholesterol and sphingolipids which are present in multiple cell types including cardiomyocytes. Along with the essential scaffolding protein caveolin-3, a number of different ion channels and transporters have been localized to caveolae in the heart including L-type Ca2+ channels (Cav1.2), Na+ channels (Nav1.5), pacemaker channels (HCN4), Na+/Ca2+ exchnager (NCX1) and others. Closely associated with these channels are specific macromolecular signaling complexes that provide highly localized regulation of the channels. Mutations in the caveolin-3 gene (CAV3) have been linked with the congenital long QT syndrome (LQT9), and mutations in caveolar-localized ion channels may contribute to other inherited arrhythmias. Changes in the caveolar microdomain in acquired heart disease may also lead to dysregulation and dysfunction of ion channels, altering the risk of arrhythmias in conditions such as heart failure. This review highlights the existing evidence identifying and characterizing ion channels localized to caveolae in cardiomyocytes and their role in arrhythmogenesis. PMID:19351512

  8. Fetal Arrhythmias Associated with Cardiac Rhabdomyomas

    PubMed Central

    Wacker-Gussmann, Annette; Strasburger, Janette F; Cuneo, Bettina; Wiggins, Delonia; Gotteiner, Nina; Wakai, Ronald T

    2014-01-01

    Background Primary heart tumors in fetuses are rare and mainly represent rhabdomyomas. The tumors have a variable expression and can be associated with arrhythmias, including both wide and narrow QRS tachycardia. Although multiple Doppler techniques exist to assess fetal heart rhythm, it can be difficult to record precise electrophysiological pathologies in fetal life. Objective Investigations defining precise electrophysiological diagnosis were performed using fetal magnetocardiography (fMCG). Methods In addition to routine fetal echocardiography, fMCG was used to investigate electrophysiologic rhythm patterns in a series of 10 fetuses with cardiac rhabdomyomas. Results The mean gestational age of the fetuses was 28.6 weeks (SD ± 4.7 weeks). The multiple rhabdomyomas were mainly located in the right and left ventricles as well as around the AV groove. Arrhythmias or conduction abnormalities were diagnosed in all 10 patients, although only six of them were referred due to that indication. Remarkably, 80% (8/10) had associated Wolff-Parkinson-White pre-excitation. In addition, we found prominent p waves in four fetuses. Conclusion In fetuses with rhabdomyomas, a disease where rhythm pathology is common, precise electrophysiological diagnosis can now be made by fMCG. fMCG is complimentary to echocardiography for rhythm assessment, and can detect conduction abnormalities that are not possible to diagnose prenatally with M-mode or pulsed Doppler ultrasound. Risk factor assessment using fMCG can support pregnancy management and post-natal treatment and follow-up. PMID:24333285

  9. Method for classifying cardiac arrhythmias using photoplethysmography.

    PubMed

    Polania, Luisa F; Mestha, Lalit K; Huang, David T; Couderc, Jean-Philippe

    2015-08-01

    Advances in mobile computing and miniature devices have contributed to the accelerated development of wearable technologies for clinical applications. The new trend of wearable technologies has fostered a growth of interest for sensors that can be easily integrated into wearable devices. In particular, photoplethysmography (PPG) is especially suitable for wearable sensing, as it is low-cost, noninvasive, and does not require wet electrodes like the electrocardiogram. Photoplethysmograph signals contain rich information about the blood pulsating variation which is strongly related to the electrical activities of the heart. Therefore, in this paper we hypothesize that the ambulatory PPG monitoring could be employed for arrhythmia detection and classification. This paper presents a method for classifying ventricular premature contraction (VPC) and ventricular tachycardia (VT) from normal sinus rhythm (NSR) and supraventricular premature contraction (SVPC) recorded in patients going through ablation therapy for arrhythmia. Although occasional VPCs are benign, the increase in the frequency of VPC events may lead to VT, which in turn,could evolve into ventricular fibrillation and sudden cardiac death. Therefore the accurate measurement of VPC frequency and early detection of VT events becomes essential for patients with cardiac disease. PMID:26737799

  10. Loperamide Induced Life Threatening Ventricular Arrhythmia

    PubMed Central

    Bodar, Vijaykumar; Singh, Sharanjit; Frumkin, William; Mangla, Aditya; Doshi, Kaushik

    2016-01-01

    Loperamide is over-the-counter antidiarrheal agent acting on peripherally located μ opioid receptors. It is gaining popularity among drug abusers as opioid substitute. We report a case of a 46-year-old male that was presented after cardiac arrest. After ruling out ischemia, cardiomyopathy, pulmonary embolism, central nervous system pathology, sepsis, and other drug toxicity, we found out that patient was using around 100 mg of Loperamide to control his chronic diarrhea presumably because of irritable bowel syndrome for last five years and consumed up to 200 mg of Loperamide daily for last two days before the cardiac arrest. We hypothesize that the patient's QTc prolongation and subsequent cardiac arrest are due to Loperamide toxicity. Patient experienced gradual resolution of tachyarrhythmia and gradual decrease in QTc interval during hospitalization which supports the evidence of causal relationship between Loperamide overdose and potentially fatal arrhythmias. It also provided the clue that patient may have congenital long QT syndrome which was unmasked by Loperamide causing ventricular arrhythmias. This case adds one more pearl in the literature to support that Loperamide overdose related cardiac toxicity does exist and it raises concerns over Loperamide abuse in the community. PMID:27547470

  11. Loperamide Induced Life Threatening Ventricular Arrhythmia.

    PubMed

    Upadhyay, Ankit; Bodar, Vijaykumar; Malekzadegan, Mohammad; Singh, Sharanjit; Frumkin, William; Mangla, Aditya; Doshi, Kaushik

    2016-01-01

    Loperamide is over-the-counter antidiarrheal agent acting on peripherally located μ opioid receptors. It is gaining popularity among drug abusers as opioid substitute. We report a case of a 46-year-old male that was presented after cardiac arrest. After ruling out ischemia, cardiomyopathy, pulmonary embolism, central nervous system pathology, sepsis, and other drug toxicity, we found out that patient was using around 100 mg of Loperamide to control his chronic diarrhea presumably because of irritable bowel syndrome for last five years and consumed up to 200 mg of Loperamide daily for last two days before the cardiac arrest. We hypothesize that the patient's QTc prolongation and subsequent cardiac arrest are due to Loperamide toxicity. Patient experienced gradual resolution of tachyarrhythmia and gradual decrease in QTc interval during hospitalization which supports the evidence of causal relationship between Loperamide overdose and potentially fatal arrhythmias. It also provided the clue that patient may have congenital long QT syndrome which was unmasked by Loperamide causing ventricular arrhythmias. This case adds one more pearl in the literature to support that Loperamide overdose related cardiac toxicity does exist and it raises concerns over Loperamide abuse in the community. PMID:27547470

  12. Study of water chlorophyl content in the Venice Lagoon through hyperspectral data

    NASA Astrophysics Data System (ADS)

    Garfagnoli, Francesca; Bizzaro, Beatrice; Moretti, Sandro

    2013-04-01

    In the framework of the HICO Project (http://hico.coas.oregonstate.edu/), a number of radiance and reflectance images of the Venice Lagoon were used to evaluate the possibility of performing quick and reliable mapping of water quality parameters. Sponsored by the Office of Naval Research, the Hyperspectral Imager for the Coastal Ocean (HICO™) is the first spaceborne imaging spectrometer specifically designed to sample the coastal areas, with 128 spectral bands, a 90 m spatial resolution, full spectral coverage (380 to 960 nm sampled at 5.7 nm) and a very high signal-to-noise ratio to resolve the complexity of the coastal ocean. Eutrophication is one of the major causes of water quality deterioration. The concentration of chlorophyll-a found in water can be used to trace the abundance of planktonic algae in rivers, lakes or lagoons. The Venice Lagoon, famous worldwide, represents one of the most fragile and vulnerable ecosystems, which is being constantly threatened by factors of stress, both human and natural, such as erosion, presence of urban and agricultural sources of pollution, stress from fishing, pollution produced by the industrial area of Porto Marghera and by the city of Venice itself, downwash of sediments from the hinterland and eutrophication. Traditional methods of water quality estimation are often time consuming and involve periodical sampling and plenty of laboratory analyses. In this study the possibility of using imaging spectroscopy to rapidly obtain raster-based maps of chlorophyll concentration by comparing the results obtained through five different literature bio-optical models, which permit the retrieval of mathematical relations between the water's spectral properties and physicochemical parameters; pH, dissolved oxygen, turbidity and chlorophyll concentration. Evaluation of performances is achieved by comparing the hyperspectral based maps with maps of kriged concentration values, provided by the Magistrato delle Acque di Venezia (http

  13. Atrial Arrhythmias and Their Implications for Space Flight - Introduction

    NASA Technical Reports Server (NTRS)

    Polk, J. D.; Barr, Y. R.; Bauer, P.; Hamilton, D. R.; Kerstman, E.; Tarver, B.

    2010-01-01

    This panel will discuss the implications of atrial arrhythmias in astronauts from a variety of perspectives; including historical data, current practices, and future challenges for exploration class missions. The panelists will present case histories, outline the evolution of current NASA medical standards for atrial arrhythmias, discuss the use of predictive tools, and consider potential challenges for current and future missions.

  14. A Vision of Venice in the next Fin-de-Siècle

    NASA Astrophysics Data System (ADS)

    Tagliapietra, Davide

    2014-05-01

    The IPCC's Fifth Assessment Report projections of sea level rise are larger than in the previous one. In the Adriatic a sea level rise higher than 60 cm is considered possible and rise of one meter cannot be excluded. An end-of-century a scenario in which the mobile barrier at the inlets will not be sufficient to protect the City of Venice from permanent floods is realistic and the closure of the lagoon will become inevitable. The possibility of converting the lagoon of Venice in an enclosed non-tidal basin is discussed. The aim is to protect the City preserving as much as possible the features of a healthy brackish ecosystem able to provide many of the ecosystem services it provides at present. This involves technological challenges, a deeper understanding of the ecological functioning of enclosed coastal basins, and last but not least, a shift in the educational and cultural paradigms. There is the need to endorse a coordinated and large-scale research effort to understand what will be the new hydrology and ecohydrology of the lagoon. The relationship between ecosystem metabolism and hydrology should be approached in the conceptual framework of lagoonal saprobity. Ad hoc research programs with experimental studies and observational monitoring should be implemented to improve our understanding of new ecological scenarios. Among the new opportunities arising from an heavy hydrological management there is the possibility to keep the water at an optimum level for the fruition of the City as it was a few centuries ago. It is likely that the sea level rise would change the entire geographical context. Brackish and freshwater wetlands surrounding the lagoon of Venice, reclaimed during the last century, will be probably ingressed by the sea. An attentive adaptive policy of wetland re-creation could supply both the ecological functions and the ecosystem services lost by the lagoon of Venice. The rapid adoption of a long-term strategy is therefore needed. Strategies should

  15. Perspective: A Dynamics-Based Classification of Ventricular Arrhythmias

    PubMed Central

    Weiss, James N.; Garfinkel, Alan; Karagueuzian, Hrayr S.; Nguyen, Thao P.; Olcese, Riccardo; Chen, Peng-Sheng; Qu, Zhilin

    2015-01-01

    Despite key advances in the clinical management of life-threatening ventricular arrhythmias, culminating with the development of implantable cardioverter-defibrillators and catheter ablation techniques, pharmacologic/biologic therapeutics have lagged behind. The fundamental issue is that biological targets are molecular factors. Diseases, however, represent emergent properties at the scale of the organism that result from dynamic interactions between multiple constantly changing molecular factors. For a pharmacologic/biologic therapy to be effective, it must target the dynamic processes that underlie the disease. Here we propose a classification of ventricular arrhythmias that is based on our current understanding of the dynamics occurring at the subcellular, cellular, tissue and organism scales, which cause arrhythmias by simultaneously generating arrhythmia triggers and exacerbating tissue vulnerability. The goal is to create a framework that systematically links these key dynamic factors together with fixed factors (structural and electrophysiological heterogeneity) synergistically promoting electrical dispersion and increased arrhythmia risk to molecular factors that can serve as biological targets. We classify ventricular arrhythmias into three primary dynamic categories related generally to unstable Ca cycling, reduced repolarization, and excess repolarization, respectively. The clinical syndromes, arrhythmia mechanisms, dynamic factors and what is known about their molecular counterparts are discussed. Based on this framework, we propose a computational-experimental strategy for exploring the links between molecular factors, fixed factors and dynamic factors that underlie life-threatening ventricular arrhythmias. The ultimate objective is to facilitate drug development by creating an in silico platform to evaluate and predict comprehensively how molecular interventions affect not only a single targeted arrhythmia, but all primary arrhythmia dynamics

  16. HERG1 Channel Agonists and Cardiac Arrhythmia

    PubMed Central

    Sanguinetti, Michael

    2014-01-01

    Type 1 human ether-a-go-go-related gene (hERG1) potassium channels are a key determinant of normal repolarization of cardiac action potentials. Loss of function mutations in hERG1 channels cause inherited long QT syndrome and increased risk of cardiac arrhythmia and sudden death. Many common medications that block hERG1 channels as an unintended side effect also increase arrhythmic risk. Routine preclinical screening for hERG1 block led to the discovery of agonists that shorten action potential duration and QT interval. Agonists have the potential to be used as pharmacotherapy for long QT syndrome, but can also be proarrhythmic. Recent studies have elucidated multiple mechanisms of action for these compounds and the structural basis for their binding to the pore domain of the hERG1 channel. PMID:24721650

  17. HERG1 channel agonists and cardiac arrhythmia.

    PubMed

    Sanguinetti, Michael C

    2014-04-01

    Type 1 human ether-a-go-go-related gene (hERG1) potassium channels are a key determinant of normal repolarization of cardiac action potentials. Loss of function mutations in hERG1 channels cause inherited long QT syndrome and increased risk of cardiac arrhythmia and sudden death. Many common medications that block hERG1 channels as an unintended side effect also increase arrhythmic risk. Routine preclinical screening for hERG1 block led to the discovery of agonists that shorten action potential duration and QT interval. Agonists have the potential to be used as pharmacotherapy for long QT syndrome, but can also be proarrhythmic. Recent studies have elucidated multiple mechanisms of action for these compounds and the structural basis for their binding to the pore domain of the hERG1 channel. PMID:24721650

  18. Geochemical characterization of PM10 emitted by glass factories in Murano, Venice (Italy).

    PubMed

    Rampazzo, Giancarlo; Masiol, Mauro; Visin, Flavia; Rampado, Egisto; Pavoni, Bruno

    2008-05-01

    The atmosphere in Venice, like in other European cities, is influenced by complex PM(10) multi-emission sources with a net tendency to exceed the limits fixed by the directive 99/30/EC. This study investigated the composition of an ensemble of similar industrial sources, the Murano Glassmaking Factories (MGFs), and their influence on the Venice air quality, using a modelling approach, statistical analysis and geochemical considerations. Preliminary modelling simulations were conducted to select three sampling sites along the way of preferential transport of pollutants from source between February and April 2003. Subsequently, a sampling campaign was carried out in the same period of simulations. Concentrations of PM(10), eight major elements (Al, Ti, Ca, Mg, Na, K, Fe, Mn), 20 minor and trace elements (Li, V, Cr, Co, Ni, Cu, Zn, Ga, As, Se, Rb, Sr, Ru, Rh, Cd, Sb, Ba, Ce, Pt, Pb) and four PAHs (BaA, BbF, BkF, BaP) were quantified. The analytical results were statistically processed for exploring the relationships between inorganic elements and organic compounds, and results were interpreted using geochemical considerations. Results show a MGF component of PM(10) characterised by two different fingerprints: the first linked to glass raw material composition and the second mainly related to glass additives. Particularly, Cd, Se, As and Li preserve their ratios in all study area, and are interpreted as principal components of the MGF emissions. Other fingerprints can be traced to urban sources from the Venetian mainland. PMID:18328529

  19. The application of profile imaging for monitoring organic and metal pollution in the Venice lagoon

    SciTech Connect

    Bona, F.; Maffiotti, A.

    1995-12-31

    Since 1993 the technique of Sediment Profile Imaging (SPI) has been applied in monitoring the Venice Lagoon. The purposes of the monitoring were several, ranging from an initial baseline survey of sediment quality, to the control of Ulva rigida proliferation, to sediment quality assessment for dredging and capping activities in restricted areas of the lagoon. Data resulting from each computer image analysis have been summarized in one index which takes into consideration the mutual interactions between the physical and chemical conditions and the benthic community. In this way a spatial and seasonal gradient in the quality Venice Lagoon sediments has been established and the key roles of the organic enrichment and of the ecosystem hydrodynamics have been confirmed. The underwater camera and image analysis have also been an effective screening tool to address further investigations in those areas of particular concern for sediment contamination. On the basis of the SPI indices a selection of stations has been made in order to sample and perform sediment toxicity tests and chemical analyses to assess contamination levels.

  20. Organic micropollutants in wet and dry depositions in the Venice Lagoon.

    PubMed

    Gambaro, Andrea; Radaelli, Marta; Piazza, Rossano; Stortini, Angela Maria; Contini, Daniele; Belosi, Franco; Zangrando, Roberta; Cescon, Paolo

    2009-08-01

    Atmospheric transport is an important route by which pollutants are conveyed from the continents to both coastal and open sea. The role of aerosol deposition in the transport of polycyclic aromatic hydrocarbons (PAHs), polychlorobiphenyls (PCBs) and polybromodiphenyls ethers (PBDEs) to water and soil systems has been evaluated by measuring their concentrations in wet and dry depositions to the Venice Lagoon. The organic micropollutant flux data indicate that they contribute to the total deposition flux in different ways through wet and dry deposition, showing that the prevalent contribution derives from wet deposition. The fluxes calculated for PBDEs, showed the prevalence of 47, 99, 100 and 183 congeners, both in dry and wet fluxes. With regard to PCBs, the flux of summation operatorPCB for wet deposition is in the same order of magnitude of the diffusive flux at the air-water interface. The PAH fluxes obtained in the present study are similar to those obtained in previous studies on the atmospheric bulk deposition to the Venice Lagoon. The ratios between Phe/Ant and Fl/Py indicate that the pollutants sources are pyrolytic, deriving from combustion fuels. PMID:19524283

  1. Effects of Heterogeneous Diffuse Fibrosis on Arrhythmia Dynamics and Mechanism

    PubMed Central

    Kazbanov, Ivan V.; ten Tusscher, Kirsten H. W. J.; Panfilov, Alexander V.

    2016-01-01

    Myocardial fibrosis is an important risk factor for cardiac arrhythmias. Previous experimental and numerical studies have shown that the texture and spatial distribution of fibrosis may play an important role in arrhythmia onset. Here, we investigate how spatial heterogeneity of fibrosis affects arrhythmia onset using numerical methods. We generate various tissue textures that differ by the mean amount of fibrosis, the degree of heterogeneity and the characteristic size of heterogeneity. We study the onset of arrhythmias using a burst pacing protocol. We confirm that spatial heterogeneity of fibrosis increases the probability of arrhythmia induction. This effect is more pronounced with the increase of both the spatial size and the degree of heterogeneity. The induced arrhythmias have a regular structure with the period being mostly determined by the maximal local fibrosis level. We perform ablations of the induced fibrillatory patterns to classify their type. We show that in fibrotic tissue fibrillation is usually of the mother rotor type but becomes of the multiple wavelet type with increase in tissue size. Overall, we conclude that the most important factor determining the formation and dynamics of arrhythmia in heterogeneous fibrotic tissue is the value of maximal local fibrosis. PMID:26861111

  2. Effects of Heterogeneous Diffuse Fibrosis on Arrhythmia Dynamics and Mechanism.

    PubMed

    Kazbanov, Ivan V; ten Tusscher, Kirsten H W J; Panfilov, Alexander V

    2016-01-01

    Myocardial fibrosis is an important risk factor for cardiac arrhythmias. Previous experimental and numerical studies have shown that the texture and spatial distribution of fibrosis may play an important role in arrhythmia onset. Here, we investigate how spatial heterogeneity of fibrosis affects arrhythmia onset using numerical methods. We generate various tissue textures that differ by the mean amount of fibrosis, the degree of heterogeneity and the characteristic size of heterogeneity. We study the onset of arrhythmias using a burst pacing protocol. We confirm that spatial heterogeneity of fibrosis increases the probability of arrhythmia induction. This effect is more pronounced with the increase of both the spatial size and the degree of heterogeneity. The induced arrhythmias have a regular structure with the period being mostly determined by the maximal local fibrosis level. We perform ablations of the induced fibrillatory patterns to classify their type. We show that in fibrotic tissue fibrillation is usually of the mother rotor type but becomes of the multiple wavelet type with increase in tissue size. Overall, we conclude that the most important factor determining the formation and dynamics of arrhythmia in heterogeneous fibrotic tissue is the value of maximal local fibrosis. PMID:26861111

  3. Wind-induced Resuspension Events in the Venice Lagoon: evidence from the Past and Trends for the Future.

    NASA Astrophysics Data System (ADS)

    D'Alpaos, A.; Carniello, L.; D'Alpaos, L.; Rinaldo, A.

    2015-12-01

    Wind waves promote the erosion and degradation of ubiquitous geomorphic features of tidal landscapes, such as subtidal platforms, tidal flats and salt marshes. Both in the vertical and in the horizontal planes, wind-wave induced erosion is one of the chief processes controlling the morphodynamic evolution of shallow tidal basins. Wind-wave induced bottom shear stresses can promote the disruption of the polymeric microphytobenthic biofilm and lead to the erosion of tidal-flat surfaces and to the increase in suspended sediment concentration which in turn affects the stability of intertidal ecosystems. As an example, the Venice Lagoon has experienced strong erosion processes in the last two centuries, which progressively deepened the lagoonal bottoms, promoted the loss of fine cohesive sediments through the inlets after storms, and lead to the loss of extensive salt-marsh areas. Towards the goal of developing a synthetic theoretical framework to represent wind wave-induced resuspension events and account for their erosional effects on the long-term biomorphodynamic evolution of tidal systems, we employed a full-fledged finite element model accounting for the role of wind waves and tidal currents on the hydrodynamic circulation in shallow basins. Our analyses of the spatial and temporal characteristics of wind-induced erosion events for the actual configuration of the Venice Lagoon and for a few configurations of the last two centuries, allow us to reconstruct erosive trends typical of past Venice Lagoon configurations and to provide predictions on future scenarios for the Venice Lagoon.

  4. 43 CFR 3585.5-8 - Decision on plan and participation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Decision on plan and participation. 3585.5-8 Section 3585.5-8 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) SPECIAL LEASING AREAS...

  5. Cardiac arrhythmias during exercise testing in healthy men.

    NASA Technical Reports Server (NTRS)

    Beard, E. F.; Owen, C. A.

    1973-01-01

    Clinically healthy male executives who participate in a long-term physical conditioning program have demonstrated cardiac arrhythmia during and after periodic ergometric testing at submaximal and maximal levels. In 1,385 tests on 248 subjects, it was found that 34% of subjects demonstrated an arrhythmia at some time and 13% of subjects developed arrhythmia on more than one test. Premature systoles of ventricular origin were most common, but premature systoles of atrial origin, premature systoles of junctional origin, paroxysmal atrial tachycardia, atrioventricular block, wandering pacemaker, and pre-excitation were also seen. Careful post-test monitoring and pulse rate regulated training sessions are suggested for such programs.

  6. Mechanisms of ventricular arrhythmias: from molecular fluctuations to electrical turbulence.

    PubMed

    Qu, Zhilin; Weiss, James N

    2015-01-01

    Ventricular arrhythmias have complex causes and mechanisms. Despite extensive investigation involving many clinical, experimental, and computational studies, effective biological therapeutics are still very limited. In this article, we review our current understanding of the mechanisms of ventricular arrhythmias by summarizing the state of knowledge spanning from the molecular scale to electrical wave behavior at the tissue and organ scales and how the complex nonlinear interactions integrate into the dynamics of arrhythmias in the heart. We discuss the challenges that we face in synthesizing these dynamics to develop safe and effective novel therapeutic approaches. PMID:25340965

  7. An integrated circuit for wireless ambulatory arrhythmia monitoring systems.

    PubMed

    Kim, Hyejung; Yazicioglu, Refet Firat; Torfs, Tom; Merken, Patrick; Van Hoof, Chris; Yoo, Hoi-Jun

    2009-01-01

    An ECG signal processor (ESP) is proposed for the low energy wireless ambulatory arrhythmia monitoring system. The ECG processor mainly performs filtering, compression, classification and encryption. The data compression flow consisting of skeleton and modified Huffman coding is the essential function to reduce the transmission energy consumption and the memory capacity, which are the most energy consuming part. The classification flow performs the arrhythmia analysis to alert the abnormality. The proposed ESP IC is implemented in 0.18-microm CMOS process and integrated into the wireless arrhythmia monitoring sensor platform. By integration of the ESP, the total system energy reduction is evaluated by 95.6%. PMID:19963908

  8. Mechanisms of Ventricular Arrhythmias: From Molecular Fluctuations to Electrical Turbulence

    PubMed Central

    Qu, Zhilin; Weiss, James N.

    2015-01-01

    Ventricular arrhythmias have complex causes and mechanisms. Despite extensive investigation involving many clinical, experimental, and computational studies, effective biological therapeutics are still very limited. In this article, we review our current understanding of the mechanisms of ventricular arrhythmias by summarizing the state of knowledge spanning from the molecular scale to electrical wave behavior at the tissue and organ scales and how the complex nonlinear interactions integrate into the dynamics of arrhythmias in the heart. We discuss the challenges that we face in synthesizing these dynamics to develop safe and effective novel therapeutic approaches. PMID:25340965

  9. The eSurge-Venice project: altimeter and scatterometer satellite data to improve the storm surge forecasting in the city of Venice

    NASA Astrophysics Data System (ADS)

    Zecchetto, Stefano; De Biasio, Francesco; Umgiesser, Georg; Bajo, Marco; Vignudelli, Stefano; Papa, Alvise; Donlon, Craig; Bellafiore, Debora

    2013-04-01

    On the framework of the Data User Element (DUE) program, the European Space Agency is funding a project to use altimeter Total Water Level Envelope (TWLE) and scatterometer wind data to improve the storm surge forecasting in the Adriatic Sea and in the city of Venice. The project will: a) Select a number of Storm Surge Events occurred in the Venice lagoon in the period 1999-present day b) Provide the available satellite Earth Observation (EO) data related to the Storm Surge Events, mainly satellite winds and altimeter data, as well as all the available in-situ data and model forecasts c) Provide a demonstration Near Real Time service of EO data products and services in support of operational and experimental forecasting and warning services d) Run a number of re-analysis cases, both for historical and contemporary storm surge events, to demonstrate the usefulness of EO data The re-analysis experiments, based on hindcasts performed by the finite element 2-D oceanographic model SHYFEM (https://sites.google.com/site/shyfem/), will 1. use different forcing wind fields (calibrated and not calibrated with satellite wind data) 2. use Storm Surge Model initial conditions determined from altimeter TWLE data. The experience gained working with scatterometer and Numerical Weather Prediction (NWP) winds in the Adriatic Sea tells us that the bias NWP-Scatt wind is negative and spatially and temporally not uniform. In particular, a well established point is that the bias is higher close to coasts then offshore. Therefore, NWP wind speed calibration will be carried out on each single grid point in the Adriatic Sea domain over the period of a Storm Surge Event, taking into account of existing published methods. Point #2 considers two different methodologies to be used in re-analysis tests. One is based on the use of the TWLE values from altimeter data in the Storm Surge Model (SSM), applying data assimilation methodologies and trying to optimize the initial conditions of the

  10. Global change and relative sea level rise at Venice: what impact in term of flooding

    NASA Astrophysics Data System (ADS)

    Carbognin, Laura; Teatini, Pietro; Tomasin, Alberto; Tosi, Luigi

    2010-11-01

    Relative sea level rise (RSLR) due to climate change and geodynamics represents the main threat for the survival of Venice, emerging today only 90 cm above the Northern Adriatic mean sea level (msl). The 25 cm RSLR occurred over the 20th century, consisting of about 12 cm of land subsidence and 13 cm of sea level rise, has increased the flood frequency by more than seven times with severe damages to the urban heritage. Reasonable forecasts of the RSLR expected to the century end must be investigated to assess the suitability of the Mo.S.E. project planned for the city safeguarding, i.e., the closure of the lagoon inlets by mobile barriers. Here we consider three RSLR scenarios as resulting from the past sea level rise recorded in the Northern Adriatic Sea, the IPCC mid-range A1B scenario, and the expected land subsidence. Available sea level measurements show that more than 5 decades are required to compute a meaningful eustatic trend, due to pseudo-cyclic 7-8 year long fluctuations. The period from 1890 to 2007 is characterized by an average rate of 0.12 ± 0.01 cm/year. We demonstrate that linear regression is the most suitable model to represent the eustatic process over these 117 year. Concerning subsidence, at present Venice is sinking due to natural causes at 0.05 cm/year. The RSLR is expected to range between 17 and 53 cm by 2100, and its repercussions in terms of flooding frequency are associated here to each scenario. In particular, the frequency of tides higher than 110 cm, i.e., the value above which the gates would close the lagoon to the sea, will increase from the nowadays 4 times per year to a range between 20 and 250. These projections provide a large spread of possible conditions concerning the survival of Venice, from a moderate nuisance to an intolerable aggression. Hence, complementary solutions to Mo.S.E. may well be investigated.

  11. On the Lateral Retreat of Salt Marshes: Field Monitoring in the Venice Lagoon (Italy)

    NASA Astrophysics Data System (ADS)

    Solari, L.; Bendoni, M.; Mel, R.; Oumeraci, H.; Francalanci, S.; Lanzoni, S.

    2014-12-01

    Salt marshes are geomorphic structures located in ecotone environments such as lagoon and estuaries, providing lot of ecosystem services to local population. In the last decades they are disappearing due to several factors such as sea level rise, subsidence and edge erosion due to surface waves. The latter is likely the chief mechanism modeling marsh boundaries and leading to the loss of wide marsh areas. In the case of the Venice Lagoon, from the beginning of the last century, the whole salt marsh surface has more than halved and trends indicate that the salt marshes might completely disappear over the next 50 years. Here, we present a field monitoring activity that we are currently carrying out on a retreating salt marsh located in the north part of the Lagoon of Venice (Italy). The marsh is subject to North-East (Bora) wind. Marsh area loss during the last decades has been documented through the comparison of georeferenced aerial photographs showing a retreat rate of the order of 1 m/year. Field measurements started by the end of November 2013 and consist of: salt marsh bank geometry at different cross-sections and wave climate in the lagoon about 30 m in front of the salt marsh. Erosion data are obtained by means of erosion pins located horizontally on the marsh scarp; at higher banks (about 0.9 m), two pins are located along the same vertical direction, for lower banks (about 0.4m), only one pin is employed. Significant wave height has been measured during three storm surges by means of pressure transducers (Pts). The measured wave climate in front of the bank was then put into relationship with the offshore wave climate estimated using wind data (intensity and direction) and bathymetric data. Wind intensity and direction is measured hourly by several measurement stations located in the Lagoon of Venice. In this way, it is possible to extrapolate wave climate hourly at the monitored marsh and calculate the wave power that acted on the bank in a given time

  12. On the Lateral Retreat of Salt Marshes: Field Monitoring in the Venice Lagoon (Italy)

    NASA Astrophysics Data System (ADS)

    Solari, L.

    2015-12-01

    Salt marshes are geomorphic structures located in ecotone environments such as lagoon and estuaries, providing lot of ecosystem services to local population. In the last decades they are disappearing due to several factors such as sea level rise, subsidence and edge erosion due to surface waves. The latter is likely the chief mechanism modeling marsh boundaries and leading to the loss of wide marsh areas. In the case of the Venice Lagoon, from the beginning of the last century, the whole salt marsh surface has more than halved and trends indicate that the salt marshes might completely disappear over the next 50 years. Here, we present a field monitoring activity on a retreating salt marsh located in the north part of the Lagoon of Venice (Italy). The marsh is subject to North-East (Bora) wind. Marsh area loss during the last decades has been documented through the comparison of georeferenced aerial photographs showing a retreat rate of the order of 1 m/year. Field measurements started by the end of November 2013 and consist of: salt marsh bank geometry at different cross-sections and wave climate in the lagoon about 30 m in front of the salt marsh. Erosion data are obtained by means of erosion pins located horizontally on the marsh scarp; at higher banks (about 0.9 m), two pins are located along the same vertical direction, for lower banks (about 0.4 m), only one pin is employed. Significant wave height has been measured during three storm surges by means of pressure transducers. The measured wave climate in front of the bank was then put into relationship with the offshore wave climate estimated using wind data (intensity and direction) and bathymetric data. Wind intensity and direction is measured hourly by several measurement stations located in the Lagoon of Venice. In this way, it is possible to extrapolate wave climate hourly at the monitored marsh and calculate the wave power that acted on the bank in a given time interval. Field survey revealed that the

  13. Radiofrequency catheter ablation in pediatric patients with supraventricular arrhythmias.

    PubMed

    Rhodes, L A; Lobban, J H; Schmidt, S B

    1995-01-01

    Radiofrequency (RF) ablation of foci leading to abnormal cardiac rhythms is rapidly becoming the procedure of choice in the management of arrhythmias in adults. This report reviews our initial experience with RF ablation in the pediatric population. PMID:8533398

  14. Mechanisms of Arrhythmias and Conduction Disorders in Older Adults

    PubMed Central

    Mirza, Mahek; Strunets, Anton; Shen, Win-Kuang; Jahangir, Arshad

    2012-01-01

    Synopsis Aging is associated with an increased prevalence of cardiac arrhythmias, which contribute to higher morbidity and mortality in the elderly. The frequency of cardiac arrhythmias, particularly atrial fibrillation and ventricular tachyarrhythmia, is projected to increase as the population ages, greatly impacting health care resource utilization. Several clinical factors associated with the risk of arrhythmias have been identified in the population, yet the molecular bases for the increased predisposition to arrhythmogenesis in the elderly are not fully understood. Therefore, only limited therapeutic strategies directed at pathophysiological processes that enhance cardiac vulnerability to arrhythmias are available. This is further compounded by the paucity of outcome studies providing evidence on which optimal management guidelines can be formulated for the very elderly. This review highlights the epidemiology of cardiac dysrhythmias, changes incardiac structure and function associated with aging, and the basis for arrhythmogenesis in the elderly, the understanding of which is critical to formulate preventive strategies. PMID:23101571

  15. Arrhythmia diagnosis and management throughout life in congenital heart disease.

    PubMed

    Clark, Bradley C; Berul, Charles I

    2016-03-01

    Arrhythmias, covering bradycardia and tachycardia, occur in association with congenital heart disease (CHD) and as a consequence of surgical repair. Symptomatic bradycardia can occur due to sinus node dysfunction or atrioventricular block secondary to either unrepaired CHD or surgical repair in the area of the conduction system. Tachyarrhythmias are common in repaired CHD due to scar formation, chamber distension or increased chamber pressure, all potentially leading to abnormal automaticity and heterogeneous conduction properties as a substrate for re-entry. Atrial arrhythmias occur more frequently, but ventricular tachyarrhythmias may be associated with an increased risk of sudden cardiac death, notably in patients with repaired tetralogy of Fallot or aortic stenosis. Defibrillator implantation provides life-saving electrical therapy for hemodynamically unstable arrhythmias. Ablation procedures with 3D electroanatomic mapping technology offer a viable alternative to pharmacologic or device therapy. Advances in electrophysiology have allowed for successful management of arrhythmias in patients with congenital heart disease. PMID:26642231

  16. Cellular and Molecular Mechanisms of Arrhythmia by Oxidative Stress

    PubMed Central

    Sovari, Ali A.

    2016-01-01

    Current therapies for arrhythmia using ion channel blockade, catheter ablation, or an implantable cardioverter defibrillator have limitations, and it is important to search for new antiarrhythmic therapeutic targets. Both atrial fibrillation and heart failure, a condition with increased arrhythmic risk, are associated with excess amount of reactive oxygen species (ROS). There are several possible ways for ROS to induce arrhythmia. ROS can cause focal activity and reentry. ROS alter multiple cardiac ionic currents. ROS promote cardiac fibrosis and impair gap junction function, resulting in reduced myocyte coupling and facilitation of reentry. In order to design effective antioxidant drugs for treatment of arrhythmia, it is essential to explore the molecular mechanisms by which ROS exert these arrhythmic effects. Activation of Ca2+/CaM-dependent kinase II, c-Src tyrosine kinase, protein kinase C, and abnormal splicing of cardiac sodium channels are among the recently discovered molecular mechanisms of ROS-induced arrhythmia. PMID:26981310

  17. An update on risk factors for drug-induced arrhythmias.

    PubMed

    Vlachos, Konstantinos; Georgopoulos, Stamatis; Efremidis, Michael; Sideris, Antonios; Letsas, Konstantinos P

    2016-01-01

    A variety of drugs, either anti-arrhythmics or non-antiarrhythmics, have been associated with drug-induced arrhythmias. Drug-induced arrhythmias are usually observed in the presence of long QT interval or Brugada electrocardiographic pattern. Clinical risk factors, such as female gender, structural heart disease, metabolic and electrolyte abnormalities, bradycardia and conduction disease, increased drug bioavailability, and silent channelopathies act as ''effect amplifiers'' which can make an otherwise relatively safe drug dangerous with regard to risk for polymorphic ventricular tachycardia in the setting of QT interval prolongation. A drug-induced type 1 electrocardiographic pattern of Brugada syndrome is considered highly proarrhythmic. Specific electrocardiographic markers including the corrected QT interval, QRS duration, Tpeak-Tend/QT ratio, and others may predict the risk of arrhythmias in both situations. The present review highlights on the current clinical and electrocardiographic risk factors for prediction of drug-induced arrhythmias. PMID:26460585

  18. Atrial Arrhythmias in Astronauts. Summary of a NASA Summit

    NASA Technical Reports Server (NTRS)

    Barr, Yael; Watkins, Sharmila; Polk, J. D.

    2011-01-01

    This slide presentation reviews the findings of a panel of heart experts brought together to study if atrial arrhythmias more prevalent in astronauts, and potential risk factors that may predispose astronauts to atrial arrhythmias. The objective of the panel was to solicit expert opinion on screening, diagnosis, and treatment options, identify gaps in knowledge, and propose relevant research initiatives. While Atrial Arrhythmias occur in approximately the same percents in astronauts as in the general population, they seem to occur at younger ages in astronauts. Several reasons for this predisposition were given: gender, hypertension, endurance training, and triggering events. Potential Space Flight-Related Risk factors that may play a role in precipitating lone atrial fibrillation were reviewed. There appears to be no evidence that any variable of the space flight environment increases the likelihood of developing atrial arrhythmias during space flight.

  19. Cardiac Arrhythmia Management: Why Women Are Different from Men

    MedlinePlus

    ... led to incorrect diagnoses including anxiety neurosis and panic attacks. However, since serotonin reuptake inhibitors can be effective ... Cardiac Arrhythmia Management in Women | Heart Disease Facts | Panic Attack or Heart Attack | Three Women from New Jersey | ...

  20. Cardiovascular profiles of scleroderma patients with arrhythmias and conduction disorders.

    PubMed

    Muresan, L; Petcu, A; Pamfil, C; Muresan, C; Rinzis, M; Mada, R O; Gusetu, G N; Pop, D; Zdrenghea, D; Rednic, S

    2016-01-01

    Introduction Arrhythmias and conduction disorders are common among patients with scleroderma. Their early identification is important, since scleroderma patients with arrhythmias have a higher mortality risk compared with scleroderma patients without arrhythmias. The aim of this study was to characterize the cardiovascular profiles of scleroderma patients with different types of arrhythmias and conduction disorders. Methods One hundred and ten consecutive patients with a diagnosis of systemic sclerosis according to the ACR criteria were included in the study. Patients underwent a 12-lead ECG and a 24-hour Holter ECG monitoring for arrhythmias and conduction disorders identification. Blood sample testing, echocardiography, spirometry, chest X-ray and, when considered appropriate, high resolution chest CT were also performed. A subgroup of 21 patients underwent NT-pro BNP level measurements. Patients' clinical and para-clinical characteristics were compared according to the presence or absence of arrhythmias and conduction disorders. Results The prevalence of arrhythmia and conduction disturbances was 60.9%. Patients with such disorders were older (54.4 ± 13.3 vs. 49.7 ± 10.1 years, p=0.05), had a higher prevalence of pulmonary hypertension (p=0.008), valve disease (p < 0.001), especially mitral and tricuspid regurgitation, chamber enlargement on echocardiography (left atrial and right ventricular, p = 0.012 and 0.005, respectively) as well as higher NT-pro BNP levels: 265.5 ± 399.7 vs. 163 ± 264.3 pg/ml, p=0.04. Conclusion Arrhythmias and conduction disorders are common in patients with scleroderma. Patients with such disorders are older, have a higher prevalence of pulmonary hypertension, more severe mitral and tricuspid regurgitation, left atrial and right ventricular dilation on echocardiography. PMID:27115105

  1. Arrhythmias in two patients with left ventricular bypass transplants.

    PubMed Central

    Kennelly, B M; Corte, P; Losman, J; Barnard, C N

    1976-01-01

    Two patients who underwent left ventricular bypass transplants are described. Both patients sustained postoperative rhythm disturbances of their own hearts during sinus rhythm of the donor hearts. Illustrative examples of atrial flutter, ventricular flutter, ventricular fibrillation, blocked atrial extrasystoles, and double ventricular parasystole in the recipient hearts are presented. The patients tolerated all these arrhythmias well during uninterrupted sinus rhythm in the donor heart. The problems in interpretation of arrhythmias in the presence of two hearts are discussed. Images PMID:788729

  2. [Treatment of arrhythmia in atrial fibrillation].

    PubMed

    Daubert, Jean-Claude; Pavin, Dominique

    2013-02-01

    The initial therapy after onset of atrial fibrillation (AF) should always include adequate antithrombotic treatment and control of the ventricular rate. Depending on the patient's course, this strategy may prove insufficient and may then be supplemented by rhythm control using drugs or interventions. Clinical frustration came by clinical trials that have demonstrated that the strategy of maintaining sinus rhythm has no demonstrable value when compared with the "laissez-faire" approach of leaving AF to a permanent form and controlling ventricular rate. These disappointing findings can be considered as paradoxical when considering the severe complications associated with AF in epidemiological studies. New anti-arrhythmic approaches might offer added value but this is still a matter of debate. Non-pharmacological interventions to prevent AF recurrences or to limit its expression have been substantially developed in the past decade. Ablation techniques, usually done percutaneously using a catheter, have proved successful n the treatment of AF, particularly by reducing the symptomatic burden associated with the arrhythmia, to such an extent that a 'cure' may be achieved in some patients with paroxysmal AF. PMID:23513784

  3. Ethanol for the treatment of cardiac arrhythmias

    PubMed Central

    Schurmann, Paul; Peñalver, Jorge; Valderrábano, Miguel

    2015-01-01

    Introduction Ethanol infusion was an early mode of ablative treatment for cardiac arrhythmias. Its initial descriptions involved coronary intra-arterial delivery, targeting arrhythmogenic substrates in drug-refractory ventricular tachycardia or the atrioventricular node. Largely superseded by radiofrequency ablation (RFA) and other contact-based technologies as a routine ablation strategy, intracoronary arterial ethanol infusion remains as an alternative option in the treatment of ventricular tachycardia when conventional ablation fails. Arrhythmic foci that are deep-seated in the myocardium may not be amenable to catheter ablation from either the endocardium or the epicardium by RFA, but they can be targeted by an ethanol infusion. Recent findings Recently, we have explored ethanol injection through cardiac venous systems, in order to avoid the risks of complications and limitations of coronary arterial instrumentation. Vein of Marshall ethanol infusion is being studied as an adjunctive procedure in ablation of atrial fibrillation, and coronary venous ethanol infusion for ventricular tachycardia. Conclusion Ethanol ablation remains useful as a bail-out technique for refractory cases to RFA, or as an adjunctive therapy that may improve the efficacy of catheter ablation procedures. PMID:26049378

  4. Update on management of cardiac arrhythmias in acute coronary syndromes.

    PubMed

    Willich, T; Goette, A

    2015-04-01

    This review summarizes different types of arrhythmias in patients with acute coronary syndromes and provides an overview of the available therapeutic options for acute care and management of critical arrhythmias. The different therapeutic options are depending on the origin and type of arrhythmia. The main common dominant mechanisms are intramural re-entry in ischemia and triggered activity in reperfusion. The different forms of arrhythmia were explained in detail. Atrial arrhythmias are mainly atrial fibrillation; other forms are rare and usually self-limited. As therapeutic options antiarrhythmic drug therapy with beta-blockers or amiodarone and direct current cardioversion are suitable. Ventricular arrhythmias can be divided in premature ventricular complexes, accelerated idioventricular rhythm, non-sustained ventricular tachycardia, sustained ventricular tachycardia (VT), ventricular fibrillation (VF) and electrical storm. As therapeutic options antiarrhythmic drug therapy, implantable cardioverter defibrillator therapy (ICD), radiofrequency catheter ablation (RFA) and stellate ganglion blockade are available. The treatment with antiarrhythmic drug is rather cautious recommended, with the exception of beta-blockers. An additional drug therapy with ranolazine may be considered. The advantage of ICD therapy for long-term primary or secondary prophylactic therapy has been well documented. ICD therapy is associated with significant reduction in mortality compared with antiarrhythmic drug therapy (mainly amiodarone), with the exception of beta-blockers. RFA and stellate ganglion blockade are rather intended as therapeutically options for incessant VT/VF or electrical storm. PMID:25612305

  5. Addition polymers from 1,4,5,8-tetrahydro-1,4;5,8-diepoxyanthracene and Bis-dienes: Processable resins for high temperature application

    NASA Technical Reports Server (NTRS)

    Meador, Mary Ann B.

    1987-01-01

    1,4,5,8-Tetrahydro-1,4;5,8-diepoxyanthracene reacts with various anthracene endcapped polyimide oligomers to form Diels-Alder cycloaddition copolymers. The polymers are soluble in common organic solvents, and have molecular weights of approximately 21,000 to 32,000. Interestingly, these resins appear to be more stable in air then in nitrogen. This is shown to be due to a unique dehydration (loss of water ranges from 2 to 5 percent) at temperatures of 390 to 400 C to give thermo-oxidatively stable pentiptycene units along the polymer backbone. Because of their high softening points and good thermo-oxidative stability, the polymers have potential as processible, matrix resins for high temperature composite applications.

  6. Processable, high temperature polymers from 1,4,5,8-tetrahydro-1,4;5,8-diepoxyanthracene and bis-dienes

    NASA Technical Reports Server (NTRS)

    Meador, Mary Ann B.

    1988-01-01

    1,4,5,8-tetrahydro-1,4;5,8-diepoxyanthracene reacts with various anthracene end-capped polyimide oligomers to form Diels-Alder cycloaddition copolymers. The polymers are soluble in common organic solvents, and have molecular weights of approximately 21,000 to 32,000. These resins exhibit lower weight loss in air than in nitrogen. This is suggested to be due to dehydration (loss of water ranges from 2 to 5 percent) at temperatures of 390 to 400 C to give thermooxidatively stable pentiptycene units along the polymer backbone. Because of their high softening points and good thermooxidative stability, the polymers have potential as processable, matrix resins for high temperature composite applications.

  7. Dynamics of ship-induced solitary wave troughs in Venice Lagoon

    NASA Astrophysics Data System (ADS)

    Parnell, Kevin E.; Soomere, Tarmo; Zaggia, Luca; Rodin, Artem

    2015-04-01

    Based on experiments in the industrial channel of the Venice Lagoon, we demonstrate that ship-induced depressions (Bernoulli wakes) may propagate as long-living strongly nonlinear Riemann waves of depression into shallow water adjacent to navigation channels. Ships of moderate size (blocking coefficient 0.07-0.14) and sailing at low depth Froude numbers (0.37-0.5) produce depressions with a depth up to 2.5 m. The waves of depression decrease in height away from the channel before increasing in very shallow water. As the waves propagate into and through shallow water surrounding the navigation channel, they become strongly asymmetric with the rear of the depression wave becoming extremely steep, similar to a bore, and may be associated with very high water velocities.

  8. Masterplan to safeguard Venice and to restore the lagoon and conterminous areas

    NASA Astrophysics Data System (ADS)

    Bini, Claudio; Gallo, Alba; Nadimi-Goki, Mandana; Wahsha, Mohammad

    2015-04-01

    Venice and its lagoon constitute a complex system, well known all over the world for the peculiarity of the town and for the fragility of the lagoon ecosystem with its delicate equilibrium. The whole system has been, and is currently, affected by human activities (industry, agriculture, settlements, tourism) that impact severely the ecosystem. Discharge from the agricultural drainage basin affects particularly the area North of the city of Venice; the central and southern areas, instead, receive important pollutant inputs from the industrial zone of Porto Marghera since the early'50s. Additional sources of pollution are domestic sewage and waste disposal from the urban area, that is visited by more than 10M people every year. As a consequence of the increasing land contamination, significant amounts of contaminants (both organic and inorganic) are accumulated in soils of the borderline, in water and in lagoon sediments, which constitute a potential source of secondary pollution. Results of surveys carried out in recent years in the whole area show that contaminants concentration increased from the beginning of the industrial activities until the '90s, when Porto Marghera declined. Most of contaminants have concentrations above the background levels. The highest metal levels were found in an area between Porto Marghera and the city of Venice, where both industrial and urban sewage are discharged, provoking environmental and human health hazard. In order to safeguard the city of Venice, and to restore its lagoon and conterminous areas, a Master Plan of intervention has been developed since the early 2000s. The land currently interested by environmental analysis and/or restoration covers approximately 1350ha; 78% of these (1100ha) proved variously contaminated, with 85% of sites overcoming the National Reference Values. Contamination, besides being diffused, is quite complex, involving the co-existence of several contaminant families (PAH, PCB, dioxin, heavy metals

  9. Interannual heavy element and nutrient concentration trends in the top sediments of Venice Lagoon (Italy).

    PubMed

    Masiol, Mauro; Facca, Chiara; Visin, Flavia; Sfriso, Adriano; Pavoni, Bruno

    2014-12-15

    The elemental composition of surficial sediments of Venice Lagoon (Italy) in 1987, 1993, 1998 and 2003 were investigated. Zn and Cr concentrations resulted in higher than background levels, but only Cd and Hg were higher than legal quality standards (Italian Decree 2010/260 and Water Framework Directive 2000/60/EC). Contaminants with similar spatial distribution are sorted into three groups by means of correlation analysis: (i) As, Co, Cd, Cu, Fe, Pb, Zn; (ii) Ni, Cr; (iii) Hg. Interannual concentrations are compared by applying a factor analysis to the matrix of differences between subsequent samplings. A general decrease of heavy metal levels is observed from 1987 to 1993, whereas particularly high concentrations of Ni and Cr are recorded in 1998 as a consequence of intense clam fishing, subsequently mitigated by better prevention of illegal harvesting. Due to the major role played by anthropogenic sediment resuspension, bathymetric variations are also considered. PMID:25455371

  10. Surface water-groundwater exchange in transitional coastal environments by airborne electromagnetics: The Venice Lagoon example

    NASA Astrophysics Data System (ADS)

    Viezzoli, A.; Tosi, L.; Teatini, P.; Silvestri, S.

    2010-01-01

    A comprehensive investigation of the mixing between salt/fresh surficial water and groundwater in transitional environments is an issue of paramount importance considering the ecological, cultural, and socio-economic relevance of coastal zones. Acquiring information, which can improve the process understanding, is often logistically challenging, and generally expensive and slow in these areas. Here we investigate the capability of airborne electromagnetics (AEM) at the margin of the Venice Lagoon, Italy. The quasi-3D interpretation of the AEM outcome by the spatially constrained inversion (SCI) methodology allows us to accurately distinguish several hydrogeological features down to a depth of about 200 m. For example, the extent of the saltwater intrusion in coastal aquifers and the transition between the upper salt saturated and the underlying fresher sediments below the lagoon bottom are detected. The research highlights the AEM capability to improve the hydrogeological characterization of subsurface processes in worldwide lagoons, wetlands, deltas.

  11. Harmful Algae Records in Venice Lagoon and in Po River Delta (Northern Adriatic Sea, Italy)

    PubMed Central

    Bilaničovà, Dagmar; Marcomini, Antonio

    2014-01-01

    A detailed review of harmful algal blooms (HAB) in northern Adriatic Sea lagoons (Po River Delta and Venice lagoon) is presented to provide “updated reference conditions” for future research and monitoring activities. In the study areas, the high mollusc production requires the necessity to identify better methods able to prevent risks for human health and socioeconomical interests. So, an integrated approach for the identification and quantification of algal toxins is presented by combining microscopy techniques with Liquid Chromatography coupled with High Resolution Time of Flight Mass Spectrometry (HPLC-HR-TOF-MS). The method efficiency was first tested on some samples from the mentioned coastal areas, where Dinophysis spp. occurred during summer in the sites directly affected by seawaters. Although cell abundance was always <200 cells/L, the presence of Pectenotoxin-2 (PTX2), detected by HPLC-HR-TOF-MS, indicated the potential release of detectable amounts of toxins even at low cell abundance. PMID:24683360

  12. Development and validation of a new Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmia (ASTA) with focus on symptom burden

    PubMed Central

    2012-01-01

    Background Arrhythmias can appear with a variety of symptoms, all from vague to pronounced and handicapping symptoms. Therefore, patient-reported outcomes (PROs) concerning symptom burden are important to assess and take into consideration in the care and treatment of patients with arrhythmias. The main purpose was to develop and validate a disease-specific questionnaire evaluating symptom burden in patients with different forms of arrhythmias. Methods A literature review was conducted and arrhythmia patients were interviewed. Identified symptoms were evaluated by an expert panel consisting of cardiologists and nurses working daily with arrhythmia patients. SF-36 and Symptoms Checklist (SCL) were used in the validation of the new questionnaire Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmia (ASTA). Homogeneity was evaluated with Spearman´s correlations and Cronbach´s alpha coefficient (α) was used to evaluate internal consistency. Construct validity was evaluated using item-total correlations and convergent and discriminant validity. For this, Spearman´s correlations were calculated between the ASTA symptom scale, SCL and SF-36. Concurrent validity was validated by Spearman´s correlations between the ASTA symptom scale and SCL. Results The correlations between the different items in the ASTA symptom scale showed generally sufficient homogeneity. Cronbach´s coefficient was found to be satisfactory (α = 0.80; lower bound 95 % CI for α = 0.76). Construct validity was supported by item-total correlations where all items in the symptom scale were sufficiently correlated (≥0.3). Convergent and discriminant validity was supported by the higher correlations to the arrhythmia-specific SCL compared to the generic SF-36. Concurrent validity was evaluated and there were sufficiently, but not extremely strong correlations found between the ASTA symptom scale and SCL. Conclusions The nine items of the ASTA symptom scale were found to have good

  13. Toxic metals in Venics lagoon sediments: Model, observation, an possible removal

    SciTech Connect

    Basu, A.; Molinaroli, E.

    1994-11-01

    We have modeled the distribution of nine toxic metals in the surface sediments from 163 stations in the Venice lagoon using published data. Three entrances from the Adriatic Sea control the circulation in the lagoon and divide it into three basins. We assume, for purposes of modeling, that Porto Marghera at the head of the Industrial Zone area is the single source of toxic metals in the Venice lagoon. In a standing body of lagoon water, concentration of pollutants at distance x from the source (C{sub 0}) may be given by C=C{sub 0}e{sup -kx} where k is the rate constant of dispersal. We calculated k empirically using concentrations at the source, and those farthest from it, that is the end points of the lagoon. Average k values (ppm/km) in the lagoon are: Zn 0.165, Cd 0.116, Hg 0.110, Cu 0.105, Co 0.072, Pb 0.058, Ni 0.008, Cr (0.011) and Fe (0.018 percent/km), and they have complex distributions. Given the k values, concentration at source (C{sub 0}), and the distance x of any point in the lagoon from the source, we have calculated the model concentrations of the nine metals at each sampling station. Tides, currents, floor morphology, additional sources, and continued dumping perturb model distributions causing anomalies (observed minus model concentrations). Positive anomalies are found near the source, where continued dumping perturbs initial boundary conditions, and in areas of sluggish circulation. Negative anomalies are found in areas with strong currents that may flush sediments out of the lagoon. We have thus identified areas in the lagoon where higher rate of sediment removal and exchange may lesson pollution. 41 refs., 4 figs., 3 tabs.

  14. Radiological impact of phosphogypsum discharged into the Venice lagoon: 222Rn

    NASA Astrophysics Data System (ADS)

    Cantaluppi, C.; Ceccotto, F.; Cianchi, A.; Fasson, A.; Degetto, S.

    2012-04-01

    For about 20 years, between the 60 's and the 80 's of the last century, in the Passo a Campalto area (Lagoon of Venice - Italy) about 400,000 m3 of phosphogypsum (PG) were deposited at the border of the lagoon and next to urban areas without any environmental control. These materials are a by-product formed during the wet processing of phosphate rocks by sulphuric acid and have a significant environmental impact due to their abundance and their chemical-physical and radiochemical characteristics. The PG contains both chemical elements, which are considered dangerous for the ecosystems and natural radionuclides whose concentrations are much higher if compared to those typical for the Earth's crust. These discarded materials caused for many years the dispersion of radionuclides in the environment due to the tidal erosion, the re-suspension of radioactive inhalable dusts, the uncontrolled radon exhalation and the bioaccumulation of some radionuclides in the lagoon environment. After a decision of the appointed authorities, the Venice Water Authority (Ministry of Infrastructure and Transport), planned a permanent safety control of the site resulting in the complete isolation of the entire volume of contaminated materials from the environmental system. The entire project was specific for the particular features of the site and it required the improvement of analytical, sampling and measurement techniques in order to verify the effectiveness of the safety action. The radon assessment, in particular the check of the effectiveness of the inhibition of radon exhalation, is part of a more complex study, covering many other aspects of the management of a permanent disposal; they will be the object of further notes. The ultimate results of this study prove the efficacy of the intervention: radon concentrations in air and exhalation values from the restored area, measured during surveys, have been proved to be well in agreement with those of non contaminated soils.

  15. Storm surge forecasting for operating the Venice Flood Barrier with minimal impact on port activities

    NASA Astrophysics Data System (ADS)

    Cecconi, Giovanni

    2015-04-01

    The operation of the Venice storm barrier, due to enter into operation by the end of 2017 , is particularly demanding in terms of the required accuracy of the forecast of the max water level for the time lead of 3-6 hours. With present sea level and safeguard level established at 1.1 m a.s.l. of 1895 the barrier is expected to be operated 10 times a year to cope with an average of 5 storms with around 15 redirections of the navigation through the locks. The 5 extra closures and the 10 extra interferences with navigation are needed for compensating the present forecast uncertainty of 10 cm in the maximum storm high for the required time lead of three hours, the time needed to stop navigation before the closures of the lagoon inlets. A decision support system based on these rules have been tested along the last four year with satisfactory results in term of reliability easy of operations. The forecast is presently based on a statistical model associated with a deterministic local model; the main source of uncertainty is related to the prediction of the local wind. Due to delays in the completion of Venice local protection till 1.1 m it is expected that the population will urge a reduction of the safeguard level from 1.1m to 0.9m with an exponential increase in the number of closures with greater impact on navigation. The present acceleration in sea level rise will also contribute to the increase in the number of closures. To reduce the impact on port activity, better forecast accuracy is required together with experimenting new operational closures : e.g. activating only the northern barriers. The paper evaluate the problem and the possible solutions in terms of improving storm surge forecast and developing new schemes for partial operation of the barriers for predicted limited floods not requiring complete closures.

  16. Radial collapse and physical mechanism of carbon nanotube with divacancy and 5-8-5 defects

    NASA Astrophysics Data System (ADS)

    Zhang, Ya-Ping; Ling, Cui-Cui; Li, Gui-Xia; Zhu, Hai-Feng; Zhang, Meng-Yu

    2015-04-01

    By employing molecular mechanics and molecular dynamics simulations, we investigate the radial collapses and elasticities of different chiral single-walled carbon nanotubes (SWCNTs) with divacancy, and 5-8-5 defects. It is found that divacancy and 5-8-5 defect can reduce the collapse pressure (Pc) of SWCNT (10, 10) while 5-8-5 defect can greatly increase Pc of SWCNT (17, 0). For example, 5-8-5 defect can make Pc of SWCNT (17, 0) increase by 500%. A model is established to understand the effects of chirality, divacancy, and 5-8-5 defect on radial collapse of SWCNTs. The results are particularly of value for understanding the mechanical behavior of SWCNT with divacancy, and the 5-8-5 defect that may be considered as a filler of high loading composites. Project supported by the National Natural Science Foundation of China (Grant No. 11374372), Natural Science Foundation of Shandong Province, China (Grant No. ZR2014EMQ006), the Postdoctoral Science Foundation of China (Grant No. 2014M551983), the Postdoctoral Applied Research Foundation of Qingdao City, China (Grant No. 2014), the Fundamental Research Funds for the Central Universities, China (Grant Nos. 12CX04087A and 14CX02018A), and the Qingdao Science and Technology Program, China (Grant No. 14-2-4-27-jch).

  17. Thermal pollution and settlement of new tropical alien species: The case of Grateloupia yinggehaiensis (Rhodophyta) in the Venice Lagoon

    NASA Astrophysics Data System (ADS)

    Wolf, M. A.; Sfriso, A.; Moro, I.

    2014-06-01

    The Venice Lagoon has become increasingly affected by the introduction of allochthonous macroalgae mainly coming from the Indo-Pacific area. In consequence to the recent climate changes and temperature increase, such species could simply find numerous habitats suitable for their growth. One local process that contributes to water temperature changes is thermal pollution. In this study we used the DNA barcoding method to identify a new alien macroalgal species, Grateloupia yinggehaiensis Wang et Luan (Rhodophyta), found near the industrial area of Porto Marghera (Venice, Italy) hosting the Fusina thermoelectric power plant. The microclimate of this area has enabled the spread of this species native of the tropical area of the Hainan Province (China) and probably introduced in the Mediterranean Sea via shellfish transfers.

  18. Geophysical techniques in the historical center of Venice (Italy): preliminary results from HVSR and multichannel analysis of surface waves

    NASA Astrophysics Data System (ADS)

    Trevisani, Sebastiano; Rocca, Michele; Boaga, Jacopo

    2014-05-01

    This presentation aims to outline the preliminary findings related to an extensive seismic survey conducted in the historical center of Venice, Italy. The survey was conducted via noninvasive and low-cost seismic techniques based on surface waves analysis and microtremor methods, mainly using single station horizontal to vertical spectral ratio techninques (HVSR) and multichannel analysis of surface waves in passive (ReMI) and active (MASW) configurations. The importance and the fragility of the cultural heritage of Venice, coupled with its peculiar geological and geotechnical characteristics, stress the importance of a good knowledge of its geological architecture and seismic characteristics as an opportunity to improve restoration and conservation planning. Even if Venice is located in a relatively low seismic hazard zone, a local characterization of soil resonance frequencies and surficial shear waves velocities could improve the planning of engineering interventions, furnishing important information on possible local effects related to seismic amplification and possible coupling within buildings and soil resonance frequencies. In the specific we collected more than 50 HVSR single station noise measurements and several passive and active multichannel analysis of surface waves located in the historical center. In this work we report the characteristics of the conducted seismic surveys (instrumentation, sampling geometry, etc.) and the preliminary findings of our analysis. Moreover, we discuss briefly the practical issues, mainly of logistic nature, of conducting this kind of surveys in a peculiar and crowed historical center as represented by Venice urban contest. Acknowledgments Instrumentation acquired in relation to the project co-financed by Regione Veneto, POR-CRO, FESR, 2007-2013, action 1.1.1. "Supporto ad attività di ricerca, processi e reti di innovazione e alla creazione di imprese in settori a elevato contenuto tecnologico"

  19. Sedimentological, archeological and historical evidences of paleoclimatic changes during the holocene in the lagoon of Venice (Italy)

    SciTech Connect

    Bonardi, M.; Canal, E.; Cavazzoni, S.

    1997-12-31

    Sedimentological investigations and archeological and historical information have allowed to correlate paleoenvironmental and coastline variations, in the Lagoon of Venice, to climatic changes during the Holocene. In particular, we report the results of a detailed study of Holocene sediments, from salt marshes and small islands, taken above and below a level with well dated archeological findings that gave a good indication of the mean sea level.

  20. Nucleotide sequence of an exceptionally long 5.8S ribosomal RNA from Crithidia fasciculata.

    PubMed

    Schnare, M N; Gray, M W

    1982-03-25

    In Crithidia fasciculata, a trypanosomatid protozoan, the large ribosomal subunit contains five small RNA species (e, f, g, i, j) in addition to 5S rRNA [Gray, M.W. (1981) Mol. Cell. Biol. 1, 347-357]. The complete primary sequence of species i is shown here to be pAACGUGUmCGCGAUGGAUGACUUGGCUUCCUAUCUCGUUGA ... AGAmACGCAGUAAAGUGCGAUAAGUGGUApsiCAAUUGmCAGAAUCAUUCAAUUACCGAAUCUUUGAACGAAACGG ... CGCAUGGGAGAAGCUCUUUUGAGUCAUCCCCGUGCAUGCCAUAUUCUCCAmGUGUCGAA(C)OH. This sequence establishes that species i is a 5.8S rRNA, despite its exceptional length (171-172 nucleotides). The extra nucleotides in C. fasciculata 5.8S rRNA are located in a region whose primary sequence and length are highly variable among 5.8S rRNAs, but which is capable of forming a stable hairpin loop structure (the "G+C-rich hairpin"). The sequence of C. fasciculata 5.8S rRNA is no more closely related to that of another protozoan, Acanthamoeba castellanii, than it is to representative 5.8S rRNA sequences from the other eukaryotic kingdoms, emphasizing the deep phylogenetic divisions that seem to exist within the Kingdom Protista. PMID:7079176

  1. Macrolide Antibiotics and the Risk of Cardiac Arrhythmias

    PubMed Central

    Schuller, Joseph L.

    2014-01-01

    Randomized, controlled trials have demonstrated that chronic therapy with macrolide antibiotics reduces the morbidity of patients with cystic fibrosis, non–cystic fibrosis bronchiectasis, chronic obstructive pulmonary disease, and nontuberculous mycobacterial infections. Lower levels of evidence indicate that chronic macrolides are also effective in treating patients with panbronchiolitis, bronchiolitis obliterans, and rejection after lung transplant. Macrolides are known to cause torsade des pointes and other ventricular arrhythmias, and a recent observational study prompted the FDA to strengthen the Warnings and Precautions section of azithromycin drug labels. This summary describes the electrophysiological effects of macrolides, reviews literature indicating that the large majority of subjects experiencing cardiac arrhythmias from macrolides have coexisting risk factors and that the incidence of arrhythmias in absence of coexisting risk factors is very low, examines recently published studies describing the relative risk of arrhythmias from macrolides, and concludes that this risk has been overestimated and suggests an approach to patient evaluation that should reduce the relative risk and the incidence of arrhythmias to the point that chronic macrolides can be used safely in the majority of subjects for whom they are recommended. PMID:24707986

  2. Cardiac arrhythmias in hypokalemic periodic paralysis: Hypokalemia as only cause?

    PubMed

    Stunnenberg, Bas C; Deinum, Jaap; Links, Thera P; Wilde, Arthur A; Franssen, Hessel; Drost, Gea

    2014-09-01

    It is unknown how often cardiac arrhythmias occur in hypokalemic periodic paralysis (HypoPP) and if they are caused by hypokalemia alone or other factors. This systematic review shows that cardiac arrhythmias were reported in 27 HypoPP patients. Cases were confirmed genetically (13 with an R528H mutation in CACNA1S, 1 an R669H mutation in SCN4A) or had a convincing clinical diagnosis of HypoPP (13 genetically undetermined) if reported prior to the availability of genetic testing. Arrhythmias occurred during severe hypokalemia (11 patients), between attacks at normokalemia (4 patients), were treatment-dependent (2 patients), or unspecified (10 patients). Nine patients died from arrhythmia. Convincing evidence for a pro-arrhythmogenic factor other than hypokalemia is still lacking. The role of cardiac expression of defective skeletal muscle channels in the heart of HypoPP patients remains unclear. Clinicians should be aware of and prevent treatment-induced cardiac arrhythmia in HypoPP. PMID:25088161

  3. Ab initio and molecular dynamics studies of crystalline TNAD (trans-1,4,5,8-tetranitro-1,4,5,8-tetraazadecalin).

    PubMed

    Qiu, Ling; Xiao, He-Ming; Zhu, Wei-Hua; Xiao, Ji-Jun; Zhu, Wei

    2006-06-01

    The structural and electronic properties of the energetic crystal TNAD (trans-1,4,5,8-tetranitro-1,4,5,8- tetraazadecalin) have been studied using plane-wave ab initio calculations based on the density function theory method with the ultrasoft pseudopotentials. It is found that the predicted crystal structure is in good agreement with experimental data and there are strong inter- and intramolecular interactions in bulk TNAD. Band structure calculations indicate that TNAD is an insulator with the band gap of ca. 3.3 eV. The hydrostatic compression effect on TNAD has been studied in the pressure range of 0-600 GPa. The results show that a pressure less than 10 GPa does not significantly change the geometric parameters, charge distributions, and electronic bands. When the pressure is over 10 GPa, increasing the pressure determines significant changes of the geometrical and electronic structures and large broadening of the electronic bands together with a sharp decrease of the band gap. Isothermal-isobaric molecular dynamics simulations at atmospheric pressure were further performed on the TNAD crystal in the temperature range 5-500 K. Average equilibrium lattice parameters and elastic properties as functions of temperature were determined. The thermal expansion coefficients calculated for the crystal indicate anisotropic behavior with the largest expansion along the b axis. PMID:16771311

  4. Assessing short- and long-time displacements in the Venice coastland by synthetic aperture radar interferometric point target analysis

    NASA Astrophysics Data System (ADS)

    Teatini, Pietro; Strozzi, Tazio; Tosi, Luigi; Wegmüller, Urs; Werner, Charles; Carbognin, Laura

    2007-03-01

    The Venice Lagoon in Italy is a unique environment vulnerable to loss in surface elevation relative to the mean sea level. We present detailed synthetic aperture radar (SAR) interferometric analyses on persistent point targets for the historical center of Venice, the tourist area of Sottomarina, and the Zennare farmland close to the southern lagoon edge. The selected areas are characterized by different degrees of development and our analyses show the remarkable capability of SAR Interferometric Point Target Analysis (IPTA) to map land displacement rates in densely urbanized zones and to detect movement information on isolated structures with a mm/year accuracy. A detailed analysis of the time series from 1992 to 2000 provided by IPTA shows that the vertical component of the measured displacements are the superposition of a short timescale, generally seasonal, movement on the order of 1 cm that is likely related to the fluctuation of environmental variables (temperature, piezometric head in the aquifer system underlying the lagoon, sea/lagoon water level) and a long-term ground deformation associated with building construction, the geomorphology of the area, and the human development of natural resources. If Venice is confirmed to be generally stable, significant long-term subsidence on the order of 4 mm/year is detected at the Sottomarina coastland. The highest displacement rates, of up to 8-10 mm/year, are recorded in the farmland bounding the lagoon margin where the movements are found to be highly site-specific.

  5. Antiloosening ability of 5/8 inch stainless steel BSW threaded fasteners

    NASA Astrophysics Data System (ADS)

    Panja, Bikash; Das, Santanu

    2016-07-01

    Threaded fasteners are popular for temporary joining of different components due to the fact that they retain high clamping force and torque for long. However, they may loosen under vibrating conditions causing failure of the system. In this experimental work, antiloosening ability of various 5/8 inch BSW fastening elements, such as conventional nut and nylock nut with flat washer, spring washer, inside and outside serrated washers is tested with stainless steel (SS) bolts. A hybrid double nut using a simple nut and one nylock nut at the outside and a typical adhesive bonded nut with 5/8 inch BSW bolt are introduced to obtain resistance to loosening. Some hybrid double nut and adhesive bonded nut are recommended for stainless steel 5/8 inch BSW bolts under vibration.

  6. LDEF polymeric materials: 10 months versus 5.8 years of exposure

    NASA Technical Reports Server (NTRS)

    Young, Philip R.; Slemp, Wayne S.; Chang, Alice C.

    1993-01-01

    The chemical characterization of several polymeric materials which received 10 months of exposure and 5.8 years of exposure on a Row 9 Long Duration Exposure Facility (LDEF) experiment (A0134) is reported. Specimens include fluorinated ethylene propylene (FEP) teflon film, polysulfone film, and graphite fiber reinforced epoxy amd polysulfone matrix composites. The responses of these materials to the two LEO exposures are compared. The results of infrared, thermal, x-ray photoelectron, and scanning electron microscope analyses are reported. Solution property measurements of various molecular weight parameters are presented for the thermoplastic polysulfone materials. Molecular level effects attributable to exposure that were present in 10-month exposed specimens were not found in 5.8-year exposed specimens. This result suggests that increased atomic oxygen fluence toward the end of the LDEF mission may have eroded away selected environmentally induced changes in surface chemistry for 5.8-year exposure specimens.

  7. [Cardiac arrhythmias in targeted connexin deficient mice: significance for the arrhythmia field].

    PubMed

    Hagendorff, A; Plum, A

    2000-12-01

    Intercellular communication can be mediated by gap junction channels. One channel is composed of two hexameric hemichannels which consist of six polypeptide subunits called connexines (Cx). Three different connexines were documented in the cardiac myocytes: Cx40, Cx43 and Cx45. The labeling by number represents the rounded, molecular mass of the amino acid sequences given in kD. Identical connexons form homotypic channels different connexons can form heterotypic channels. Each channel type has specific properties regarding permeability and electrical conductance. Beside a typical age-dependent alignment of gap junction channels on the surface of the cardiac myocytes, regional distribution of the different connexins is different at distinct parts of the mouse heart. The ventricular working myocardium is characterized by Cx43, whereas Cx40 and Cx45 were not found in this region. In the atria as well as in the conduction system, Cx40 is the most frequently expressed. Cx45 appears to form a border zone between conductive and the surrounding working myocardium. In line with the localization and the conduction properties of distinct homotypic gap junction channels, the Cx43 deficient mouse is suitable for analysis of ventricular arrhythmias and the Cx40 deficient mouse primarily for studies of atrial arrhythmias. Increased ventricular conduction velocity and increased ventricular vulnerability were observed in the presence of a decreased number and density of Cx43 gap junction channels. This observation, however, is controversially discussed. Cx40 deficiency induces an impairment of the sinuatrial, intraatrial and atrioventricular conduction properties and is associated with an increased atrial vulnerability. Transgenic mouse models and new mapping techniques for detection of the electrical wavefront propagation provide new insights into the mechanisms of arrhythmogenesis. Geneticists, clinicians and basic researchers need to collaborate in order to explore the clinical

  8. 5. 8 GHz ophthalmic microwave applicator for treatment of choroidal melanoma

    SciTech Connect

    Finger, P.T.; Packer, S.; Svitra, P.; Paglione, R.W.; Albert, D.M.; Chess, J.

    1983-01-01

    We report on the use of a 5.8 GHz microwave applicator to treat choroidal melanoma (Greene) in rabbits. The physical requirements needed to treat these intraocular tumors are quite different from those encountered elsewhere in the body. From a trans-scleral approach the penetration needed is minimal (5 to 10 mm.). The fibrous sclera is the only structure between the heat source and the tumor. The sclera has a relatively low water content when compared to tumor. This fact in addition to the frequency dependent interactions of tissue and electromagnetic radiation, results in an advantage to the use of the 5.8 GHz microwave device in treating intraocular malignancies.

  9. The design and evaluation of a 5.8 ghz laptop-based radar system

    NASA Astrophysics Data System (ADS)

    Teng, Kevin Chi-Ming

    This project involves design and analysis of a 5.8 GHz laptop-based radar system. The radar system measures Doppler, ranging and forming Synthetic Aperture Radar (SAR) images utilizing Matlab software provided from MIT Open Courseware and performs data acquisition and signal processing. The main purpose of this work is to bring new perspective to the existing radar project by increasing the ISM band frequency from 2.4 GHz to 5.8 GHz and to carry out a series of experiments on the implementation of the radar kit. Demonstrating the radar at higher operating frequency is capable of providing accurate data results in Doppler, ranging and SAR images.

  10. Next Generation Sequencing for the Diagnosis of Cardiac Arrhythmia Syndromes

    PubMed Central

    Lubitz, Steven A.; Ellinor, Patrick T.

    2015-01-01

    Inherited arrhythmia syndromes are collectively associated with substantial morbidity, yet our understanding of the genetic architecture of these conditions remains limited. Recent technological advances in DNA sequencing have led to the commercialization of genetic testing now widely available in clinical practice. In particular, next generation sequencing allows the large-scale and rapid assessment of entire genomes. Although next generation sequencing represents a major technological advance, it has introduced numerous challenges with respect to the interpretation of genetic variation, and has opened a veritable floodgate of biological data of unknown clinical significance to practitioners. In this review, we discuss current genetic testing indications for inherited arrhythmia syndromes, broadly outline characteristics of next generation sequencing techniques, and highlight challenges associated with such testing. We further summarize future directions that will be necessary to address to enable the widespread adoption of next generation sequencing in the routine management of patients with inherited arrhythmia syndromes. PMID:25625719

  11. Electrocardiographic abnormalities and cardiac arrhythmias in chronic obstructive pulmonary disease.

    PubMed

    Goudis, Christos A; Konstantinidis, Athanasios K; Ntalas, Ioannis V; Korantzopoulos, Panagiotis

    2015-11-15

    Chronic obstructive pulmonary disease (COPD) is independently associated with an increased burden of cardiovascular disease. Besides coronary artery disease (CAD) and congestive heart failure (CHF), specific electrocardiographic (ECG) abnormalities and cardiac arrhythmias seem to have a significant impact on cardiovascular prognosis of COPD patients. Disturbances of heart rhythm include premature atrial contractions (PACs), premature ventricular contractions (PVCs), atrial fibrillation (AF), atrial flutter (AFL), multifocal atrial tachycardia (MAT), and ventricular tachycardia (VT). Of note, the identification of ECG abnormalities and the evaluation of the arrhythmic risk may have significant implications in the management and outcome of patients with COPD. This article provides a concise overview of the available data regarding ECG abnormalities and arrhythmias in these patients, including an elaborated description of the underlying arrhythmogenic mechanisms. The clinical impact and prognostic significance of ECG abnormalities and arrhythmias in COPD as well as the appropriate antiarrhythmic therapy and interventions in this setting are also discussed. PMID:26218181

  12. Laboratory Markers of Ventricular Arrhythmia Risk in Renal Failure

    PubMed Central

    2014-01-01

    Sudden cardiac death continues to be a major public health problem. Ventricular arrhythmia is a main cause of sudden cardiac death. The present review addresses the links between renal function tests, several laboratory markers, and ventricular arrhythmia risk in patients with renal disease, undergoing or not hemodialysis or renal transplant, focusing on recent clinical studies. Therapy of hypokalemia, hypocalcemia, and hypomagnesemia should be an emergency and performed simultaneously under electrocardiographic monitoring in patients with renal failure. Serum phosphates and iron, PTH level, renal function, hemoglobin and hematocrit, pH, inflammatory markers, proteinuria and microalbuminuria, and osmolarity should be monitored, besides standard 12-lead ECG, in order to prevent ventricular arrhythmia and sudden cardiac death. PMID:24982887

  13. Psychological Distress and Arrhythmia: Risk Prediction and Potential Modifiers

    PubMed Central

    Peacock, James; Whang, William

    2014-01-01

    The connection between the heart and the brain has long been anecdotally recognized but systematically studied only relatively recently. Cardiac arrhythmias, especially sudden cardiac death, remain a major public health concern and there is mounting evidence that psychological distress plays a critical role as both a predictor of high-risk cardiac substrate and as an inciting trigger. The transient, unpredictable nature of emotions and cardiac arrhythmias have made their study challenging, but evolving technologies in monitoring and imaging along with larger epidemiological data sets have encouraged more sophisticated studies examining this relationship. Here we review the research on psychological distress including anger, depression and anxiety on cardiac arrhythmias, insights into proposed mechanisms, and potential avenues for future research. PMID:23621968

  14. Remediation of heavy metal contaminated sites in the Venice lagoon and conterminous areas (Northern Italy)

    NASA Astrophysics Data System (ADS)

    Bini, Claudio; Wahsha, Mohammad; Fontana, Silvia; Maleci, Laura

    2013-04-01

    The lagoon of Venice and the conterminous land are affected by heavy contamination of anthropogenic origin, and for this reason the whole area has been classified as site of national interest, and must be restored. Heavy metals (As, Cd, Cr, Cu, Hg, Mn, Pb, Sb, Se, Zn) and organic compounds (IPA, PCB, Dioxine) have been identified as the main contaminants at various sites, owing to agriculture and industrial wastes discharged on soils and convoyed to the lagoon. Five case studies of soil remediation are here reported. S. Giuliano is a former palustrine area reclaimed since the 60's with various human transported materials (HTM). In this area, hot spots overpassing the reference limits for residential and green areas have been recorded for Cd, Cu, Pb, Zn and IPA. Campalto is a site bordering the Venice lagoon and subjected to oscillating water level, that enhances metal mobility; diffuse contamination by heavy metals, particularly Pb, has been recorded at this site, utilized since 30 years for military and sport (skate) activities. Marghera is dramatically famous for its numerous factories and for oil refineries that affected the lagoon sediments since the 50's. Sediments proved heavily contaminated by As (up to 137 mgkg-1), Cd (57 mgkg-1), Hg (30mgkg-1), Ni, Pb (700 mgkg-1), Zn (5818 mgkg-1). Murano is a small island where many glass factories (the most famous all over the world) are running since XIII century. Glass is stained with several metals and, moreover, some substances are used to regulate fusion temperature, purity, etc., and therefore the surrounding environment is heavily contaminated by these substances. Mean concentrations of As (429 mgkg-1), Cd (1452 mgkg-1), Pb (749 mgkg-1), Zn (1624 mgkg-1), Se (341 mgkg-1), Sb (74 mgkg-1) widely overpass the reference values for both residential and industrial areas in national guidelines. Molo Serbatoi is a former oil container currently under restoration in the port of Venice. Soil contamination by As, Hg, Zn and

  15. Natural versus anthropogenic subsidence of Venice: investigation of the present occurrence by PSI

    NASA Astrophysics Data System (ADS)

    Tosi, Luigi; Strozzi, Tazio; Teatini, Pietro

    2014-05-01

    We detected land displacements of Venice by Persistent Scatterer Interferometry (PSI) using ERS and ENVISAT C-band and TerraSAR-X and COSMO-SkyMed X-band acquisitions over the periods 1992-2010 and 2008-2011, respectively. PSI provides the cumulative land displacements (natural plus anthropogenic) of the investigated area independently of the radar band. The natural subsidence rate depends on the reference period and, due to the present elevation of Venice with respect to the sea level, it is much more interesting for the city to evaluate the natural displacement over the last few decades, i.e. the present natural land subsidence, than that averaged over geological periods. Concerning anthropogenic land subsidence the contribution due to activities characterized by large scale and long term effects, e.g., that caused by groundwater withdrawals, ended a few decades ago. Today, the anthropogenic component of the land subsidence is only due to local, short-time interventions such as restoration works and inherent deformations of historical structures. By reason of the larger observation period, the C-band sensors were used to quantify the long-term movements, i.e. the subsidence component primarily ascribed to natural processes. The high resolution, short revisiting time X-band satellites reveal a high effectiveness to monitor short-time movements as those induced by human activities. The statistical analysis of the displacement distributions measured by PSI points out that the average rates, i.e. the natural component of the subsidence, are almost equal with the C-band and X-band satellites. Conversely, the standard deviation with X-band acquisitions (1.6 mm/yr) is characterized by a value significantly larger than that detected with C-band images (0.7 mm/yr). The larger X-band variability superposes to a background velocity similar to that given by ERS/ENVISAT. It is reasonable to assume that the difference between the movements provided by ERS/ENVISAT and Terra

  16. Controlled Exposures to Air Pollutants and Risk of Cardiac Arrhythmia

    PubMed Central

    Watts, Simon J.; Hunter, Amanda J.; Shah, Anoop S.V.; Bosson, Jenny A.; Unosson, Jon; Barath, Stefan; Lundbäck, Magnus; Cassee, Flemming R.; Donaldson, Ken; Sandström, Thomas; Blomberg, Anders; Newby, David E.; Mills, Nicholas L.

    2014-01-01

    Background: Epidemiological studies have reported associations between air pollution exposure and increases in cardiovascular morbidity and mortality. Exposure to air pollutants can influence cardiac autonomic tone and reduce heart rate variability, and may increase the risk of cardiac arrhythmias, particularly in susceptible patient groups. Objectives: We investigated the incidence of cardiac arrhythmias during and after controlled exposure to air pollutants in healthy volunteers and patients with coronary heart disease. Methods: We analyzed data from 13 double-blind randomized crossover studies including 282 participants (140 healthy volunteers and 142 patients with stable coronary heart disease) from whom continuous electrocardiograms were available. The incidence of cardiac arrhythmias was recorded for each exposure and study population. Results: There were no increases in any cardiac arrhythmia during or after exposure to dilute diesel exhaust, wood smoke, ozone, concentrated ambient particles, engineered carbon nanoparticles, or high ambient levels of air pollution in either healthy volunteers or patients with coronary heart disease. Conclusions: Acute controlled exposure to air pollutants did not increase the short-term risk of arrhythmia in participants. Research employing these techniques remains crucial in identifying the important pathophysiological pathways involved in the adverse effects of air pollution, and is vital to inform environmental and public health policy decisions. Citation: Langrish JP, Watts SJ, Hunter AJ, Shah AS, Bosson JA, Unosson J, Barath S, Lundbäck M, Cassee FR, Donaldson K, Sandström T, Blomberg A, Newby DE, Mills NL. 2014. Controlled exposures to air pollutants and risk of cardiac arrhythmia. Environ Health Perspect 122:747–753; http://dx.doi.org/10.1289/ehp.1307337 PMID:24667535

  17. Radar-driven High-resolution Hydrometeorological Forecasts of the 26 September 2007 Venice flash flood

    NASA Astrophysics Data System (ADS)

    Massimo Rossa, Andrea; Laudanna Del Guerra, Franco; Borga, Marco; Zanon, Francesco; Settin, Tommaso; Leuenberger, Daniel

    2010-05-01

    Space and time scales of flash floods are such that flash flood forecasting and warning systems depend upon the accurate real-time provision of rainfall information, high-resolution numerical weather prediction (NWP) forecasts and the use of hydrological models. Currently available high-resolution NWP model models can potentially provide warning forecasters information on the future evolution of storms and their internal structure, thereby increasing convective-scale warning lead times. However, it is essential that the model be started with a very accurate representation of on-going convection, which calls for assimilation of high-resolution rainfall data. This study aims to assess the feasibility of using carefully checked radar-derived quantitative precipitation estimates (QPE) for assimilation into NWP and hydrological models. The hydrometeorological modeling chain includes the convection-permitting NWP model COSMO-2 and a hydrologic-hydraulic models built upon the concept of geomorphological transport. Radar rainfall observations are assimilated into the NWP model via the latent heat nudging method. The study is focused on 26 September 2007 extreme flash flood event which impacted the coastal area of north-eastern Italy around Venice. The hydro-meteorological modeling system is implemented over the Dese river, a 90 km2 catchment flowing to the Venice lagoon. The radar rainfall observations are carefully checked for artifacts, including beam attenuation, by means of physics-based correction procedures and comparison with a dense network of raingauges. The impact of the radar QPE in the assimilation cycle of the NWP model is very significant, in that the main individual organized convective systems were successfully introduced into the model state, both in terms of timing and localization. Also, incorrectly localized precipitation in the model reference run without rainfall assimilation was correctly reduced to about the observed levels. On the other hand, the

  18. Risk of land degradation due to saltwater intrusion along the Venice coastland, Italy

    NASA Astrophysics Data System (ADS)

    Teatini, P.; Manoli, G.; Scudiero, E.; Deiana, R.; Perri, M.; Braga, F.; Tosi, L.; Putti, M.; Morari, F.

    2012-12-01

    The southern portion of the Venice coastland includes a very precarious environment. Due to an elevation down to 4 m below msl, the Venice Lagoon and Adriatic Sea proximity, and the encroachment of seawater from the mouth of the river network up to 20 km inland, salt contamination of land and groundwater is a severe problem that is seriously impacting the farmland productivity. An interdisciplinary multi-scale research is ongoing with the aim of understanding the contamination process, quantifying the effect of the saltwater intrusion of the crop production, and proposing possible mitigation strategies. A 25 ha basin cultivated with maize crop and representative of the area has been deeply monitored at various scales ranging from a few square meter plots up to the whole basin. Geophysical surveys, lab testing on soil and water samples, continuous measurements of hydrological parameters, physiological crop parameters, proximal sensing and multi-spectral remote sensing acquisitions, together with precise crop yield distribution were performed and acquired from 2010 to 2012. Geomorphological investigations, seismic and geo-electrical surveys combined with salt concentration measurements in the surficial waterbodies and groundwater (down to 10 m deep) are used to delineate the major pathways of seawater intrusion. Relationships existing between soil, water, crop factors and crop yield were identified, helping to assess plant stress at both the canopy and landscape level. The dataset is now used to set-up a three-dimensional numerical model of saturated/unsaturated water dynamics coupled with a crop-growth model. The model is applied at the basin scale to investigate the effects of water stress and soil contamination on the crop production. Once calibrated on hydrological records (e.g., groundwater levels, capillary pressure, etc.), crop growth, and yield production, the model will be applied to investigate expected scenarios related with the change of natural

  19. Benthic macrofauna changes in areas of Venice lagoon populated by seagrasses or seaweeds.

    PubMed

    Sfriso, A; Birkemeyer, T; Ghetti, P F

    2001-10-01

    Two areas of the Venice lagoon populated by seagrasses (three stations covered by Cymodocea nodosa (Ucria) Asherson, Zostera marina Linnaeus, Zostera noltii Hornemann) or seaweeds (two stations: one covered by Ulva rigida C. Agardh and another at present without seaweed biomass) were monitored by means of six surveys over a year in order to study macrofaunal composition and seasonal changes. The seagrass stations showed a mean species richness (28-30 S m(-2)), individual abundance (1854-4018 N m(-2)) and biomass (22.3-37.7 g m(-2) ash-free-dry-weight, AFDW) ca. 3-8 times higher than those populated by seaweeds (10-15 S m(-2), 494-1395 N m(-2) and 5.6-13.7 g m(-2) AFDW). Differences among seagrass or seaweed stations were much lower. The Ulva-dominated station showed a macrofauna completely different both from the other stations and the communities recorded ca. 30 years ago, before the prolific growth of Ulva. In this station, frequent biomass decompositions and anoxic crises created critical conditions for life favouring organisms with reduced life cycles, younger individuals and the epifaunal species instead of the infaunal ones. In particular, Ulva grazers and scrapers such as Gammarus aequicauda Stock and Gibbula adriatica Philippi were found to be by far the most abundant species, whereas the taxa characteristic of the associations found in the past, in the presence of seagrasses or seaweeds and typical of low eutrophicated environments, appear strongly reduced. Marked differences in the macrophyte dominance and in the bio-physico-chemical variables which characterise the main environmental conditions of the Venice lagoon support the different distribution and composition of macrofaunal communities. Seaweed stations appear mainly governed by the seasonal cycles of these un-rooted macrophytes which, by alternating periods of production and decomposition, are responsible for the drastic reduction of macrofauna biodiversity and biomass. Conversely, seagrass

  20. Saltwater contamination in the Venice Lagoon margin. Effects on soil productivity

    NASA Astrophysics Data System (ADS)

    Teatini, P.; Scudiero, E.; Braga, F.; Piragnolo, D.; Deiana, R.; Manoli, G.; Berti, A.; Morari, F.

    2011-12-01

    The Venice watershed includes a very precarious coastal environment subject to both natural and anthropogenic changes with a significant and economically important fraction of the coastal farmland presently below mean sea level. In the hydrogeological context of the Venice coastland, a large risk of saltwater contamination characterizes the southernmost area because of the geomorphological setting of the coastal plain. Salt contamination is influenced also by the activity of several pumping stations used to keep drained the area, groundwater withdrawals, irrigation and freshwater releases during summer dry months. The impact of salt intrusion from the salty water bodies on soil productivity has been studied in the years 2010-2011. In a 25 ha basin cultivated with maize crop, soil salinity (electrical conductivity 1:2) and the main physical-chemical properties of the soil (e.g. texture, pH, organic carbon and CSC) were measured along the 1.5 m soil profile in 120 positions. Maps of apparent electrical conductivity (ECa) at three different investigation depths (0 - 0.75 m; 0-1.50 m; 0- 6.00 m) were also obtained in April 2010 and April 2011 with a CMD electromagnetic conductivity meter (GF Instruments) associated to a DGPS. During the 2-year period some physiological crop parameters, in particular leaf reflectance (i.e. Spectrascan, Photoresearch) and leaf ions content were monitored across the study area. Moreover, maps of NDVI were obtained by proximal sensing (three dates each year) using an active spectral radiometer (Crop Circle, Holland Scientific) and remote sensing acquiring WorldView-2 satellite images at the end of July 2010 and beginning of July 2011. Finally, maps of the crop yield were obtained at the end of the growing seasons by a yield mapping system mounted on a combine harvester. Relationships existing between soil, crop factors and crop yield were identified applying a multivariate spatial model, helping to assess plant stress at both the canopy

  1. Innovation in the diagnosis and treatment of cardiac arrhythmias.

    PubMed

    Friedman, Paul A; Eldar, Michal; Ovsyshcher, I Eli

    2012-08-01

    The 11th International Dead Sea Symposium on Cardiac Arrhythmias and Device Therapy - the 20th Anniversary of the meeting - was held in Jerusalem, Israel on the 26-29 February 2012. The global meeting was conducted with the goal of providing a venue for a multidisciplinary approach to exchange knowledge in all areas related to arrhythmia care. In addition to presentations of original research and keynote lectures, special educational sessions were offered that included hands-on anatomy training and interesting case presentations. A series of innovations sessions included presentations by start-up companies and inventors, leveraging the venue's entrepreneurial environment. PMID:23030286

  2. Into Adolescence: Enhancing Self-Esteem. A Curriculum for Grades 5-8. Contemporary Health Series.

    ERIC Educational Resources Information Center

    Zevin, Dale; McPherson, Carole

    This book is a 10-lesson module for grades 5-8, designed to increase students' awareness of self-esteem as a dynamic, ever-changing component in their lives. Beginning with a "Full Esteem Ahead" lesson to help students identify high and low self-esteem behaviors, this module gives teachers specific instructional strategies for guiding students…

  3. Into Adolescence: Actions for Wellpower. A Curriculum for Grades 5-8. Contemporary Health Series.

    ERIC Educational Resources Information Center

    Waters, Mae; Hocker, Anita

    This module on wellness includes eight lessons, and is oriented toward middle school students in grades 5-8. Students choose partners to support them in achieving their goals for improving health in several areas. In lesson 1, health and wellness are defined. Students are introduced to a wellness continuum and the physical, mental/emotional, and…

  4. The Columbia River: Its Future and You. Teacher's Manual for Grades 5-8.

    ERIC Educational Resources Information Center

    Frost, Marcia

    Designed as a part of a multidisciplinary set of curricula and educational materials on the Columbia River, this teacher's guide focuses on the many uses of the river and the conflicts arising from those uses. This unit's major purpose is to help students in grades 5-8 to start thinking about how the resources of the Columbia River should be…

  5. Chemistry of 5,8-dihydroxy-[1,4]-naphtoquinone, a key chromophore in aged cellulosics

    Technology Transfer Automated Retrieval System (TEKTRAN)

    5,8-Dihydroxy-[1,4]-naphthoquinone (DHNQ) is one of the key chromophores found in aged cellulosics. Cellulose aging and yellowing as well as bleaching of cellulosic materials are key processes in the pulp and paper industries and have considerable economic importance: the knowledge of the general re...

  6. Earth Science Supplement to the Syllabus, Part 2, Topics 5-8, 1970 Edition. 1974 Reprint.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Bureau of Secondary Curriculum Development.

    This document contains investigation topics 5-8 in the earth science course developed by the University of the State of New York for secondary schools. Topics include energy in earth processes, insulation and the earth's surface, energy exchanges in the atmosphere, moisture and energy budgets, and environmental change. Each topic is preceded by…

  7. C.T.B.S. Testing. Spring 1982 District Report, 5, 8, and 11.

    ERIC Educational Resources Information Center

    O'Neal, Sandra

    Each spring the Comprehensive Tests of Basic Skills (CTBS) are administered to grades 5, 8, and 11 throughout New Mexico as part of the State Department of Education mandated assessment program. This report contains information regarding Albuquerque Public Schools' results on the 1982 CTBS. A new form of the CTBS was selected for testing fifth and…

  8. Histopathology and stress biomarkers in the clam Venerupis philippinarum from the Venice Lagoon (Italy).

    PubMed

    Boscolo Papo, Michele; Bertotto, Daniela; Quaglio, Francesco; Vascellari, Marta; Pascoli, Francesco; Negrato, Elena; Binato, Giovanni; Radaelli, Giuseppe

    2014-07-01

    The aim of this study was to evaluate the histomorphology and the stress response in the bivalve Venerupis philippinarum sampled in four differently polluted sites of the Venice Lagoon (Palude del Monte, Marghera, Ca' Roman and Val di Brenta). This species is often used as bioindicator of environmental pollution since it can bioaccumulate a large variety of pollutants because of its filter feeding. Chemical analyses for heavy metals (Cd, Cu, Hg and Pb) and polycyclic aromatic hydrocarbons (PAHs) were performed on whole soft tissues of V. philippinarum. The histological evaluation of clams revealed the presence of Perkinsus sp. infection in animals from all sites, although a very high prevalence of parasites was evidenced in clams from Ca' Roman. Perkinsus sp. were systemically distributed in the mantle, in the intestine and digestive gland, in gonads and gills. The trophozoites of Perkinsus sp. were found isolated or in cluster surrounded by a heavy hemocitical response. Haemocytes always exhibited an immunopositivity to cytochrome P4501A (CYP1A), heat shock protein 70 (HSP70), 4-hydroxy-2-nonenal (HNE) and nitrotyrosine (NT) antibodies. The digestive gland of animals from Palude del Monte showed the highest malondialdehyde (MDA) concentration, whereas clams from Ca' Roman exhibited the highest quantity of metallothioneins. PMID:24795081

  9. Understanding the association of Escherichia coli with diverse macroalgae in the lagoon of Venice.

    PubMed

    Quero, Grazia M; Fasolato, Luca; Vignaroli, Carla; Luna, Gian Marco

    2015-01-01

    Recent studies provided evidence that the macroalga Cladopohora in lakes hosts associated Escherichia coli, with consequences on the environmental and human health. We expanded these investigations to other macroalgae (Ulva spp., Sargassum muticum and Undaria pinnatifida) widespread in the lagoon of Venice (Italy). Attached E. coli were abundant, accounting up to 3,250 CFU gram(-1) of alga. Macroalgal-associated isolates belonged to all E. coli phylogroups, including pathogenic ones, and to Escherichia cryptic clades. Attached E. coli showed potential to grow even at in situ temperature on macroalgal extracts as only source of carbon and nutrients, and ability to produce biofilm in vitro. The genotypic diversity of the attached isolates was high, with significant differences between algae and the overlying water. Our evidences suggest that attached populations consist of both resident and transient strains, likely resulting from the heterogeneous input of fecal bacteria from the city. We report that cosmopolitan and invasive macroalgae may serve as source of E. coli, including pathogenic genotypes, and that this habitat can potentially support their growth. Considering the global diffusion of the macroalgae here studied, this phenomenon is likely occurring in other coastal cities worldwide and deserves further investigations from either the sanitary and ecological perspectives. PMID:26043415

  10. Understanding the association of Escherichia coli with diverse macroalgae in the lagoon of Venice

    NASA Astrophysics Data System (ADS)

    Quero, Grazia M.; Fasolato, Luca; Vignaroli, Carla; Luna, Gian Marco

    2015-06-01

    Recent studies provided evidence that the macroalga Cladopohora in lakes hosts associated Escherichia coli, with consequences on the environmental and human health. We expanded these investigations to other macroalgae (Ulva spp., Sargassum muticum and Undaria pinnatifida) widespread in the lagoon of Venice (Italy). Attached E. coli were abundant, accounting up to 3,250 CFU gram-1 of alga. Macroalgal-associated isolates belonged to all E. coli phylogroups, including pathogenic ones, and to Escherichia cryptic clades. Attached E. coli showed potential to grow even at in situ temperature on macroalgal extracts as only source of carbon and nutrients, and ability to produce biofilm in vitro. The genotypic diversity of the attached isolates was high, with significant differences between algae and the overlying water. Our evidences suggest that attached populations consist of both resident and transient strains, likely resulting from the heterogeneous input of fecal bacteria from the city. We report that cosmopolitan and invasive macroalgae may serve as source of E. coli, including pathogenic genotypes, and that this habitat can potentially support their growth. Considering the global diffusion of the macroalgae here studied, this phenomenon is likely occurring in other coastal cities worldwide and deserves further investigations from either the sanitary and ecological perspectives.

  11. Road Asphalt Pavements Analyzed by Airborne Thermal Remote Sensing: Preliminary Results of the Venice Highway

    PubMed Central

    Pascucci, Simone; Bassani, Cristiana; Palombo, Angelo; Poscolieri, Maurizio; Cavalli, Rosa

    2008-01-01

    This paper describes a fast procedure for evaluating asphalt pavement surface defects using airborne emissivity data. To develop this procedure, we used airborne multispectral emissivity data covering an urban test area close to Venice (Italy).For this study, we first identify and select the roads' asphalt pavements on Multispectral Infrared Visible Imaging Spectrometer (MIVIS) imagery using a segmentation procedure. Next, since in asphalt pavements the surface defects are strictly related to the decrease of oily components that cause an increase of the abundance of surfacing limestone, the diagnostic absorption emissivity peak at 11.2μm of the limestone was used for retrieving from MIVIS emissivity data the areas exhibiting defects on asphalt pavements surface.The results showed that MIVIS emissivity allows establishing a threshold that points out those asphalt road sites on which a check for a maintenance intervention is required. Therefore, this technique can supply local government authorities an efficient, rapid and repeatable road mapping procedure providing the location of the asphalt pavements to be checked.

  12. Mind the Costs: Rescaling and Multi-Level Environmental Governance in Venice Lagoon

    NASA Astrophysics Data System (ADS)

    Roggero, Matteo; Fritsch, Oliver

    2010-07-01

    Competences over environmental matters are distributed across agencies at different scales on a national-to-local continuum. This article adopts a transaction costs economics perspective in order to explore the question whether, in the light of a particular problem, the scale at which a certain competence is attributed can be reconsidered. Specifically, it tests whether a presumption of least-cost operation concerning an agency at a given scale can hold. By doing so, it investigates whether the rescaling of certain tasks, aiming at solving a scale-related problem, is likely to produce an increase in costs for day-to-day agency operations as compared to the status quo. The article explores such a perspective for the case of Venice Lagoon. The negative aspects of the present arrangement concerning fishery management and morphological remediation are directly linked to the scale of the agencies involved. The analysis suggests that scales have been chosen correctly, at least from the point of view of the costs incurred to the agencies involved. Consequently, a rescaling of those agencies does not represent a viable option.

  13. Temporal distribution of intertidal macrozoobenthic assemblages in a Nanozostera noltii-dominated area (Lagoon of Venice).

    PubMed

    Tagliapietra, D; Pessa, G; Cornello, M; Zitelli, A; Magni, P

    2016-03-01

    We describe the temporal distribution of intertidal macrozoobenthic assemblages in a small marsh pond of the Lagoon of Venice colonized by the seagrass Nanozostera noltii (Hornemman) Tomlinson et Posluzny. Three stations ranging in the degree of N. noltii cover were selected about 100 m apart and sampled 9 times at regular intervals from March 1996 to March 1997. We applied the concepts of resistance and resilience to "natural stress" (e.g. extent of protection from seagrass meadows, exposure of macrozoobenthic assemblages to high temperatures in summer) with the aim to assess the stability of a community along a gradient of seagrass coverage. Results showed that the most structured and taxa-rich macrozoobenthic assemblage occurred at the station covered by a continuous stand of N. noltii, where permanent taxa (i.e. found in 100% of samples) were almost double than those found at the other stations. During the annual cycle, the macrozoobenthic assemblages showed a cyclical pattern, with temporal fluctuations increasing as they moved further away from the seagrass beds. We propose the role of N. noltii offering structural complexity and stability as the more probable explanation to the observed differences between stations in the intertidal assemblages. PMID:26748407

  14. Understanding the association of Escherichia coli with diverse macroalgae in the lagoon of Venice

    PubMed Central

    Quero, Grazia M.; Fasolato, Luca; Vignaroli, Carla; Luna, Gian Marco

    2015-01-01

    Recent studies provided evidence that the macroalga Cladopohora in lakes hosts associated Escherichia coli, with consequences on the environmental and human health. We expanded these investigations to other macroalgae (Ulva spp., Sargassum muticum and Undaria pinnatifida) widespread in the lagoon of Venice (Italy). Attached E. coli were abundant, accounting up to 3,250 CFU gram−1 of alga. Macroalgal-associated isolates belonged to all E. coli phylogroups, including pathogenic ones, and to Escherichia cryptic clades. Attached E. coli showed potential to grow even at in situ temperature on macroalgal extracts as only source of carbon and nutrients, and ability to produce biofilm in vitro. The genotypic diversity of the attached isolates was high, with significant differences between algae and the overlying water. Our evidences suggest that attached populations consist of both resident and transient strains, likely resulting from the heterogeneous input of fecal bacteria from the city. We report that cosmopolitan and invasive macroalgae may serve as source of E. coli, including pathogenic genotypes, and that this habitat can potentially support their growth. Considering the global diffusion of the macroalgae here studied, this phenomenon is likely occurring in other coastal cities worldwide and deserves further investigations from either the sanitary and ecological perspectives. PMID:26043415

  15. A proposed integrated bioindex for the macrofouling biocoenosis of hard substrata in the lagoon of Venice

    NASA Astrophysics Data System (ADS)

    Cima, Francesca; Ballarin, Loriano

    2013-09-01

    Bioindices are often employed to evaluate the ecological status of an unstable habitat such as a lagoon. However, no bioindex to date has considered the macrofouling biocoenosis of hard substrata, which is characterised by a higher biodiversity than that of the benthic communities of soft substrata. We analysed the progression of the hard-substratum biocoenosis at two stations located in the southern basin of the lagoon of Venice using data collected monthly from artificial panels that were immersed continually for a period of one year. Our goal was to develop an integrated specific bioindex, according to the objectives of the Water Framework Directive (WFD) in Europe, that is easy to calculate and provides a useful and immediate value for the ecological status on a logarithmic scale from 1 to 10. The bioindex proposed here takes into account species richness, covering area, and the Q-values of important physico-chemical parameters (e.g., pH, salinity, temperature). To validate the bioindex, our sampling campaign was repeated for an additional year at the two previous stations and a third station in the central basin that had different hydrodynamic features and was subject to greater anthropogenic impact. The ecological status of the third station was "poor-to-moderate", in contrast to the "good" status of the two stations in the southern basin. Seasonal changes in the bioindex values provide useful information on environmental changes because they indicate the moment of an ecological crisis as well as its causes and long-term effects.

  16. Postmortem interval (PMI) determined by study sarcophagous biocenoses: three cases from the province of Venice (Italy).

    PubMed

    Turchetto, M; Lafisca, S; Costantini, G

    2001-08-15

    This paper presents and discusses three cases of cadavers found, unburied, in the province of Venice, Northern Italy. In each case, all insect species playing some role in carrion decay processes, both sarcophagous and their predators, found on or in the bodies, were collected and determined. In one case, many larvae of the black soldier fly, Hermetia illucens L. (Diptera: Stratiomyidae) were found and are reported, for the first time in Italy, as necrophagous. Experimental breeding of some fly species was also carried out in controlled temperature and humidity conditions. In particular, it was of interest to know how the Neotropical black soldier fly modified its life-cycle to adapt to a temperate climate. It was thus possible to establish the rate of larval growth and timing of pupation, emergence, oviposition and hatching in various external conditions. The postmortem interval (PMI) established by identifying the life-cycle stages of dipterofauna were later confirmed in all cases through police investigations and the results of forensic analyses. PMID:11457605

  17. 21 CFR 870.1025 - Arrhythmia detector and alarm (including ST-segment measurement and alarm).

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Arrhythmia detector and alarm (including ST... Diagnostic Devices § 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm). (a) Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to...

  18. 21 CFR 870.1025 - Arrhythmia detector and alarm (including ST-segment measurement and alarm).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Arrhythmia detector and alarm (including ST... Diagnostic Devices § 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm). (a) Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to...

  19. 21 CFR 870.1025 - Arrhythmia detector and alarm (including ST-segment measurement and alarm).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Arrhythmia detector and alarm (including ST... Diagnostic Devices § 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm). (a) Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to...

  20. 21 CFR 870.1025 - Arrhythmia detector and alarm (including ST-segment measurement and alarm).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Arrhythmia detector and alarm (including ST... Diagnostic Devices § 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm). (a) Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to...

  1. 21 CFR 870.1025 - Arrhythmia detector and alarm (including ST-segment measurement and alarm).

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Arrhythmia detector and alarm (including ST... Diagnostic Devices § 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm). (a) Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to...

  2. Chronic Arrhythmias in the Setting of Heterotaxy: Differences between Right and Left Isomerism.

    PubMed

    Loomba, Rohit S; Willes, Richard J; Kovach, Joshua R; Anderson, Robert H

    2016-01-01

    So-called heterotaxy affects lateralization of the thoracic and abdominal organs. Congenital malformations may be present in one of several organ systems. Cardiac involvement includes both structural and conduction abnormalities. Data regarding arrhythmias in heterotaxy come from case reports and small case series. We pooled available data to further characterize arrhythmias in heterotaxy. A systematic review of the literature for manuscripts describing arrhythmias in heterotaxy patients was conducted. Databases including PubMed, EMBASE, and Ovid were searched. Studies describing arrhythmias in patients with heterotaxy were included if they were in English and presented characteristics of the arrhythmias. Arrhythmia characteristics were abstracted and are presented as pooled data. Freedom from arrhythmia by age was then analyzed using Kaplan-Meier analysis. A total of 19 studies with 121 patients were included in the pooled analysis. Those with right isomerism were found to be more likely to have atrial flutter, atrial tachycardia, junctional tachycardia, and ventricular tachycardia. Those with left isomerism were more likely to have atrioventricular block, intraventricular conduction delay, sick sinus syndrome, and atrioventricular nodal reentry tachycardia. Median age of onset for all arrhythmias was 4 years with no difference by specific arrhythmia or isomerism. Those with right and left isomerism are at risk for different arrhythmias but are likely to develop arrhythmias at the same age. Those with left isomerism are more likely to require pacemaker placement due to atrioventricular block. Understanding these differences allows for focused surveillance of development of these arrhythmias. PMID:26219620

  3. Channelopathies - Emerging Trends in The Management of Inherited Arrhythmias

    PubMed Central

    Chockalingam, Priya; Mizusawa, Yuka; Wilde, Arthur A.M.

    2016-01-01

    In spite of their relative rarity, inheritable arrhythmias have come to the forefront as a group of potentially fatal but preventable cause of sudden cardiac death in children and (young) adults. Comprehensive management of inherited arrhythmias includes diagnosing and treating the proband and identifying and protecting affected family members. This has been made possible by the vast advances in the field of molecular biology enabling better understanding of the genetic underpinnings of some of these disease groups, namely congenital long QT syndrome, catecholaminergic polymorphic ventricular tachycardia and Brugada syndrome. The ensuing knowledge of the genotype-phenotype correlations enables us to risk-stratify, prognosticate and treat based on the genetic test results. The various diagnostic modalities currently available to us, including clinical tools and genetic technologies, have to be applied judiciously in order to promptly identify those affected and to spare the emotional burden of a potentially lethal disease in the unaffected individuals. The therapeutic armamentarium of inherited arrhythmias includes pharmacological agents, device therapies and surgical interventions. A treatment strategy keeping in mind the risk profile of the patients, the local availability of drugs and the expertise of the treating personnel is proving effective. While opportunities for research are numerous in this expanding field of medicine, there is also tremendous scope for incorporating the emerging trends in managing patients and families with inherited arrhythmias in the Indian subcontinent. PMID:25852242

  4. Circadian rhythms in cardiac arrhythmias and opportunities for their chronotherapy.

    PubMed

    Portaluppi, Francesco; Hermida, Ramón C

    2007-08-31

    It is now well established that nearly all functions of the body, including those that influence the pharmacokinetics and pharmacodynamics of medications, exhibit significant 24-hour variation. The electrical properties of the heart as well as cardiac arrhythmias also vary as circadian rhythms, even though the suboptimal methods initially used for their investigation slowed their identification and thorough characterization. The application of continuous Holter monitoring of the electrical properties of the heart has revealed 24-hour variation in the occurrence of ventricular premature beats with the peak in events, in diurnally active persons, between 6 a.m. and noon. After the introduction of implantable cardioverter-defibrillators, ventricular tachycardia or fibrillation were also found to peak in the same period of the day. Even defibrillator energy requirements show circadian variation, thus supporting the need for a temporal awareness in the therapeutic approach to arrhythmias. Imbalanced autonomic tone, circulating levels of catecholamines, increased heart rate and blood pressure, all established determinants of cardiac arrhythmias, show circadian variations and underlie the genesis of the circadian pattern of cardiac arrhythmias. Arrhythmogenesis appears to be suppressed during nighttime sleep, and this can influence the evaluation of the efficacy of antiarrhythmic medications in relation to their administration time. Unfortunately, very few studies have been undertaken to assess the proper timing (chronotherapy) of antiarrhythmic medications as means to maximize efficacy and possibly reduce side effects. Further research in this field is warranted and could bring new insight and clinical advantage. PMID:17659808

  5. Potentially fatal arrhythmias in two cases of adult Kawasaki disease.

    PubMed

    Watanabe, Hirofumi; Kato, Masataka; Ayusawa, Mamoru

    2016-03-01

    Fatal arrhythmias in asymptomatic Kawasaki disease patients with normal left ventricular function have rarely been reported. In this study, we report the cases of two adult patients with largely unpredictable sudden cardiac arrest, despite almost-normal left ventricular function even after the diagnosis of presumed Kawasaki disease, as well as consider the mechanisms involved with reference to the literature. PMID:26424562

  6. Diagnosis, treatment and follow up of neonatal arrhythmias

    PubMed Central

    Binnetoğlu, Fatih Köksal; Babaoğlu, Kadir; Altun, Gürkan; Türker, Gülcan

    2014-01-01

    Summary Objective This study aimed to evaluate the aetiology, spectrum, course and outcomes of neonates with arrhythmias observed in a tertiary neonatal intensive care unit from 2007 to 2012. Methods Neonates with rhythm problems were included. The results of electrocardiography (ECG), Holter ECG, echocardiography and biochemical analysis were evaluated. The long-term results of follow up were reviewed. Results Forty-five patients were male (68%) and 21 (32%) were female. Fifty-five patients (83.3%) were term, 11 (16.6%) were preterm, and 34% were diagnosed in the prenatal period. Twenty cases (30.3%) had congenital heart disease. Twenty-three patients (34.8%) were diagnosed during the foetal period. The most common arrhythmias were supraventricular ectopic beats and supraventricular tachycardia (SVT) at 39.3 and 22.7%, respectively. SVT recurred in five patients after the neonatal period. Conclusion Supraventricular ectopic beats and SVT were the most common arrhythmias during the neonatal period. Although the prognosis of arrhythmias in the neonatal period is relatively good, regular monitoring is required. PMID:24844549

  7. Infant Visual Sustained Attention and Respiratory Sinus Arrhythmia.

    ERIC Educational Resources Information Center

    Richards, John E.

    1987-01-01

    Tested the model which posits that heart-rate deceleration and respiratory sinus arrhythmia are indices of infant attention. Infants studied cross-sectionally at 14, 20, and 26 weeks of age were presented with complex patterns on a TV screen which were accompanied by an "interrupting stumulus". (Author/BN)

  8. Electrocardiographic abnormalities and cardiac arrhythmias in structural brain lesions.

    PubMed

    Katsanos, Aristeidis H; Korantzopoulos, Panagiotis; Tsivgoulis, Georgios; Kyritsis, Athanassios P; Kosmidou, Maria; Giannopoulos, Sotirios

    2013-07-31

    Cardiac arrhythmias and electrocardiographic abnormalities are frequently observed after acute cerebrovascular events. The precise mechanism that leads to the development of these arrhythmias is still uncertain, though increasing evidence suggests that it is mainly due to autonomic nervous system dysregulation. In massive brain lesions sympathetic predominance and parasympathetic withdrawal during the first 72 h are associated with the occurrence of severe secondary complications in the first week. Right insular cortex lesions are also related with sympathetic overactivation and with a higher incidence of electrocardiographic abnormalities, mostly QT prolongation, in patients with ischemic stroke. Additionally, female sex and hypokalemia are independent risk factors for severe prolongation of the QT interval which subsequently results in malignant arrhythmias and poor outcome. The prognostic value of repolarization changes commonly seen after aneurysmal subarachnoid hemorrhage, such as ST segment, T wave, and U wave abnormalities, still remains controversial. In patients with traumatic brain injury both intracranial hypertension and cerebral hypoperfusion correlate with low heart rate variability and increased mortality. Given that there are no firm guidelines for the prevention or treatment of the arrhythmias that appear after cerebral incidents this review aims to highlight important issues on this topic. Selected patients with the aforementioned risk factors could benefit from electrocardiographic monitoring, reassessment of the medications that prolong QTc interval, and administration of antiadrenergic agents. Further research is required in order to validate these assumptions and to establish specific therapeutic strategies. PMID:22809542

  9. The Wedensky test predicts malignant ventricular arrhythmias after myocardial infarction

    PubMed Central

    2013-01-01

    Objectives. Better tools are needed for detection of future malignant ventricular arrhythmias post myocardial infarct (MI). Wedensky Modulation (WM) is a new semi-invasive method: A short low-amplitude electrical impulse is applied synchronized to the QRS between a precordial and dorsal thoracic patch, and changes in the following QRS-T are registered. Design. A total of 357 (MI) ICD patients underwent WM testing. QRS-T wavelet analysis provided WM Indexes for the QRS complex (WMI-R) and T wave (WMI-T). Outcome was the time to first occurrence of appropriate device therapy for ventricular arrhythmia. Patients were followed at 6-month intervals for 2 years. Results. No arrhythmia was induced by the testing. Two-year appropriate arrhythmia treatment occurred in 35% (WMI-R positive) versus 25% (WMI-R negative, p = 0.014), and. 45% versus 26% (p = 0.001) for WMI-T positive versus negative. Two-year event rates of WMI-R or WMI-T positive versus WMI-R and WMI-T negative were 36% versus 22% (p = 0.004). In Cox proportional hazard model, the combination of WMI-R and WMI-T was the only statistically significant event predictor (p = 0.003). Conclusion. Potentially life-threatening ventricular arrhythmic events could be predicted by the WM test. In combination with other risk factors WMI may be useful in these patients. PMID:24050376

  10. [Arrhythmias in pregnancy. How and when to treat?].

    PubMed

    Flores, Jorge R Gómez; Márquez, Manlio F

    2007-01-01

    Cardiac arrhythmias can develop during pregnancy. The risk of arrhythmias is relatively higher during labor and delivery. Potential factors that can promote arrhythmias in pregnancy or during labor and delivery, include the direct cardiac electrophysiological effects of hormones, changes in autonomic tone, hemodynamic perturbations, hypokalemia, and underlying heart disease. In this review, the basis for treatment of supraventricular and ventricular tachycardias are described. No drug therapy is usually needed for the management of supraventricular or ventricular premature beats, but potential stimulants, such as smoking, caffeine, and alcohol should be eliminated. In paroxysmal supraventricular tachycardia, vagal stimulation maneuvers should be attempted first. In pregnant women with atrial fibrillation, the goal of treatment is conversion to sinus rhythm by electrical cardioversion. Rate control can be achieved by a cardioselective beta-adrenergic blocker drug and/ or digoxin. Ventricular arrhythmias may occur in the pregnant women, specially when cardiomyopathy, congenital heart disease, valvular heart disease, or mitral valve prolapse exists. Electrical cardioversion or treatment with sotalol may be used (amiodarone is not safe for the fetus). Finally, in women with congenital long QT syndrome, beta-blocker therapy must be continued during pregnancy and postpartum period. PMID:17972373