One of the most devastating complications of coronary artery bypass surgery (CABG) is postoperative stroke. While the etiology of stroke after CABG is multifactorial, atheroemboli generated during aortic manipulation is believed to account for most cerebral embolic events. Manipulation of the aorta during CABG occurs during aortic cannulation, institution and maintenance of cardiopulmonary bypass, and during aortic clamping and unclamping with either a cross-clamp, partial-occluding clamp, or both. One operative strategy to minimize aortic manipulation is to avoid cardiopulmonary bypass altogether by using off-pump techniques (OPCAB). Another method is to avoid the use of aortic clamps and to construct proximal aortocoronary anastomoses with facilitating devices that do not require aortic clamping. The effect of these strategies on reducing cerebral embolic events and the underlying mechanism for this reduction are not well-defined.. This study will test the hypothesis that an off-pump (OPCAB) ...
P29 Introduction: Cerebral embolus monitoring systems suitable for routine clinical use must have the ability to automatically recognise and differentiate between artefacts and emboli. This has to date proven to be an extremely difficult problem to solve. Methods: In this study we present a new advancement with regard to the automatic recognition of cerebral emboli and differentiation from artefacts based on a binary decision tree which includes a completely new parameter. This is the 1/4 Doppler shift for the maximum power reflection of an embolic event at 2.5 MHz insonation frequency compared to 2.0 MHz. A new multifrequency transcranial Doppler system together with this software was used in this study of 2000 artefacts and 100 embolic events in one heart valve patient. The level for event recognition was set at 5db above background Doppler power. The artefacts in 2 healthy controls consisted of 200: tapping the probe, 200: tapping the skull, 200: talking (counting), 200: swallowing, 400: ...
Define Microembolism. Microembolism synonyms, Microembolism pronunciation, Microembolism translation, English dictionary definition of Microembolism. n. 1. Obstruction or occlusion of a blood vessel by an embolus. 2. An embolus. em′bo·lis′mic adj. n 1. the occlusion of a blood vessel by an embolus 2....
The goal of this study was to compare the rate of cerebral microembolization during carotid artery stenting (CAS) with proximal versus distal cerebral protection in patients with high-risk, lipid-rich plaque. Cerebral protection with filters pa
Occlusion of the microvasculature by blood clots, atheromatous fragments, or circulating debris is a frequent phenomenon in most human organs. Emboli are cleared from the microvasculature by hemodynamic pressure and the fibrinolytic system. An alternative mechanism of clearance is angiophagy, in which emboli are engulfed by the endothelium and translocate through the microvascular wall. We report that endothelial lamellipodia surround emboli within hours of occlusion, markedly reducing hemodynamic washout and tissue plasminogen activator-mediated fibrinolysis in mice. Over the next few days, emboli are completely engulfed by the endothelium and extravasated into the perivascular space, leading to vessel recanalization and blood flow reestablishment. We find that this mechanism is not limited to the brain, as previously thought, but also occurs in the heart, retina, kidney, and lung. In the lung, emboli cross into the alveolar space where they are degraded by macrophages, whereas in the kidney, ...
Although inadequate lowering of elevated blood pressure is not unusual in the doctors office, both physician and patient accept such a situation. One reason for this therapeutic failure may be either a true or an apparent therapy-resistance, with the latter being far the more common of the two, and often associated with a multiplicity of causes. Since cerebral complications in particular correlate directly with the level of blood pressure, a search for the underlying cause is always worthwhile for the patient.
VeriSigns chief financial officer resigned last week as the digital certificates firm announced it would take a $160m hit to cover mishandled stock option grants.. The firm blames sloppy record keeping and a laissez-faire attitude to managing stock options for errors which led it to delay filing its papers with the SEC for 2006 and to conduct an audit thats likely to lead to a restatement of its results between 2002 and 2005.. The investigation began in November 2006 when Verisign warned it might have to take a charge of up to $250m to cover the mess.. The resignation of former CFO Dana Evan, whod been with the firm since June 2006, follows the surprise departure of former chief exec Stratton Sclavos in late May. Both senior execs were the recipients of mishandled stock option grants, but theres no evidence of "intentional wrongdoing" on their part or that of the board as a whole.. Sclavos benefited from a generous severance package when he left the firm in May - worth more than $25m, ...
Here we go again with another creative cupcake...This time its a Half-Life Headcrab inspired cupcake thats ready to mess with your brain. Yum!
Did I mess up? Is there anyway to fix it? I`ll try to make a long story as short as possible. There was a girl I loved very much in my senior year of high school (which was last year). I became...... asked under Dating
The main part of the PR formula is your vote. For DIGITAL MESS / Kirill Hopeless to get your vote, click on the arrow near the number ...
my $mess = 1; foreach $i(@array) { if($i , 10) { print Bigger than 10 if $mess; $mess = 0; } } $mess = 1; # In case we want to use it again ...
Before you buy Be a Bombshell Hot Mess, check out 157 Influenster reviews. Danielle C. said Hot mess perfectly describes this. Had no opacity and smeared...
My summer started off with a bang! My glasses were very dirty all of a sudden and no matter how well I cleaned them, I couldnt stand my vision. I got
I took advantage of a Saturday at home to attack the scary pile of half-unpacked boxes that have been cluttering up my living room. Now, this is the still-unfinished part of the house, so its been easy to let these boxes blend in with the rest of the mess, but, like all neglected messes, it…
Not very happy with the rda due to having only one single hole on each post this makes it a pain for big builds and the air flow could of been done a little better I should of paid the extra $30 and got the petri rda. ...
Im 29 years old and was diagnosed with a mild case of PCOS several years back. I got pregnant and gave birth to my Son in August of 2008 (c section).
Jeff On Thu, 2008-04-03 at 19:45 +0200, Patrick Ohly wrote: , Hello, , , did the slightly inflammatory subject catch your attention? Good, please , keep reading... ;-) , , Details can be found in multiple Bugzilla entries, the most important , one apparently being this one: , http://bugzilla.gnome.org/show_bug.cgi?id=301363 , , Let me summarize the current situation: since 2.12, Evolution uses the , hosts timezone information. This is only a partial solution. For events , created by other programs the incomplete and sometimes obsolete , VTIMEZONE information is still used. , , As an example, take the two attached meeting invitations. The 2006 one , is a real stripped down invitation from Outlook, created in 2006 using , the old DST rules. The newer 2008 one uses the current rules. , , When importing 2006 into a local calendar file, the GMT -0600 , (Standard) / GMT -0500 (Daylight) timezone definition is added to the , calendar. When importing 2008, the timezone definition is not ...
WARNING: PLEASE NOTE THAT GOOGLE ADS ARE KEYWORD DRIVEN, SO WE DO NOT CONTROL THE ADS AND WE DO NOT "VOUCH FOR" ANY ADVERTISED PRODUCTS OR SERVICE (in fact, BUYER BEWARE ...
Stress. We all feel it. Today, many of us cope with stress every day as the world around us changes. Relationships, finances, employment, and careers - or just life itself can be stressful at times. When we are stressed, the human body-field gets temporarily distorted from its normal spherical shape.…
Ok, I dont know if Avira Antivir PE Premium is too powerful or not but it found 6 or so suspicious contents which NOD32 didnt, and I deleted them....
Dear, i think I got a virus, I donno how, as I am using Avast Internet Security 2012. However, now When I try to run regedit, the system tells me that it is disabled by administrator, and when try...
Many transgendereds face the double whammy of HIV and a hostile health-care system. But watch out docs--theyre finally fighting back.
The military mess hall is a kingdom unto itself - a place where the food may be suspect, but the mess sergeant is always the king.
Vonage Several issues 1. Intrado is an awful mess of a company I deal with them every day. They cannot even get the proper parts for the equipment they distribute. They are one of a very few wireless 911 ALI database providers and they don t do that very we
Hi everyone. Im Zolea. Back in 1995 I was told Im hypothyroid and would most likely be on medication for it the rest of my life. So far that has been true...
The Be Well Box from Vitacost is an exciting way to try out new products. Starting February 1st, Vitacost is launching this monthly subscription
Parents who constantly find themselves wiping food off the high chair, the table, the walls, the ceiling and even the dog after a meal should take heart. A new study suggests that in making all that mess, their child is learning. ...
Sanskriti Samvad Shrinkhala Cultural Dialogue Series 28 July 2016 10 00 am onwards Auditorium C V Mess Janpath New De...
Reasons why you Should Hire a Post-Construction Cleaning Agency If your home or business has just been remodeled or built and you think you can go right through it, be prepared for a surprise. A mess will be created that needs prompt attention before one settles in. Post-construction cleanup services involve a lot of robustContinue Reading "A Simple Plan:". ...
Sharing articles I find, discussing options you might consider and suggesting what might help. Each person is different, what works for one might really mess up another. So what you do with this info is entirely up to you
Sharing articles I find, discussing options you might consider and suggesting what might help. Each person is different, what works for one might really mess up another. So what you do with this info is entirely up to you
I read that DNP is supposed to not mess up with hormones except for T4 to T3 conversion, according to my research. I finished a 22 days pyramide cycle
Solutions for disorganized, out-of-date content So many of the companies Ive spoken to lately have complained about the content on their Web sites. They say its woefully out of date, growing out of control, and generally a complete mess. Almost unanimously, these companies have chosen to solve the problem by handing it to their IT […]. ...
JOKING,JOKING! =) I have a complete mess on my hands re: my estate planning which I started soon after I found out i was sick. I had a will done, and at the time....
The best baby wipes need to be gentle for babys skin, but tough enough to stand up to the biggest messes. Our hands-on testing uncovered the best.
A real bargain buy! This Beko offers no mess no fuss washing at an amazing price. With a depth of just 45cm, the WM5101W is built for smaller spaces, so its gr.... ...
This lens is a test bed for some new things Im trying. Its therefore very much a work in progress. If it works, it could turn out rather special. Meanwhile, please forgive the mess! :) [Here are a few extra lines, to satisfy the new Squidoo...
I have a problem with spots. My back is in a total mess and they have started to go on my face now. Some are just normal spots but some are big and ...
disorganised mess, does this mean the data will not be covered by the DPA? In a word, no! To be covered by the DPA the data must be specific and ...