简介:Echocardiographyisthemostfrequentlyusedimagingmodalitytodeterminecardiacfunction.Leftventricularejectionfractionthemostwidelyusedparameterforevaluationofsystolicfunction,providesimportantprognosticvalueinclinicalpractice,andformspartoftheevidencebaseformanydecisionsaboutcardiovascularcare.However,ejectionfractionhasseveralsubstantiallimitationsandisinsensitivetosubtlechangesinsystolicfunction.Theassessmentofmyocardialdeformationwithechocardiographyhasbeenstudiedfortwodecades,andisincreasinglyusedintheclinicalsetting.Thistechniquecanpreciselycharacterizethemechanicsofmyocardialcontractionandrelaxation.Themostcommonlyusedparameterisgloballongitudinalstrain,whichismoresensitivethanejectionfractionforthemeasurementofsystolicfunction.Thisreviewfocusesontheprognosticvalueofgloballongitudinalstraininpredictingadverseoutcomesincardiovasculardisease.
简介:以杭州曲院风荷景点为研究对象,以历史文献为线索,结合山水画、版画、照片、测绘图等图像资料,梳理其景观格局变迁历程,分析演变中景物间的联系,并对各时期园林发展情况进行总结。将其发展历程划分为南宋麯院时期、元代至明代衰落时期、清代更址重建时期及中华人民共和国成立至今的公园化时期。认为清康熙年间曲院的迁址与更名是景点发展的重要转折点,这一举动既使古老的景名得以延续,又使景点有了新的内涵和发展空间。园林建筑与环境的营造围绕"曲"这一主题展开,代表人工的"曲院"与代表自然的"风荷"体现了该景点人工建筑与自然景物并重的审美主旨。通过分析整理历史图像资料对于今人了解古代园林变迁有重要帮助。
简介:Objective:Establishnormativedatafortympanicelectrocochleography(TMECochG)parametersinnormalhearingadultswithoutMeniere'sdisease's(MD)symptoms.DescribeTMECochGvariablesthathelptodistinguishnormalfromMDears.Materialandmethods:Weenrolled100subjects(N?200ears),59females,agedbetween19and71yearsfrom09/2010to04/2014.Inclusioncriteria:normalotomicroscopy,hearingthresholds25dBnHLfrom250to4000Hz,normaltympanogram,nosymptomsofMDaccordingtotheAAO-HNS1995criteriaandGibson'sscore<7.Weexcludedsubjectswithdizziness,auralfullnessorothersymptomsofendolymphatichydrops.Thefollowingparameterswereanalyzed:SP/APamplituderatio,SP/AParearatioandthedifferencebetweenAPlatencywithrarefactionandcondensationstimuli.Results:Therewasnosignificantdifferencebetweenrightandleftears(Intraclasscorrelationcoefficient<0.6).SP/APamplituderatiovariedbetween0.084and0.356andSP/AParearatiobetween0.837and1.671(percentiles5and95).TheAPlatencydifferencetorarefactionandcondensationclickswasbetween0.0and0.333ms.Conclusion:NormativedataforTMECochGparameterswereestablishedin100normalhearingsubjectswithoutMD.Thesedatacanbeusedtodistinguishnormalfrompathologicalfindingsandinfollow-upofMDpatients.
简介:Thephysicalmeasuresofmacroscopicseismicintensityhavebeenextensivelystudiedbasedonthenewunderstandingofseismicintensityandthenewanalyticalmethodandnewdatabaseofstronggroundmotion.Newphysicalmeasuresofseismicintensityhavebeenproposed.