Symptomatic second-degree atrioventricular block in a recreational athlete

2021 ◽  
Vol 14 (12) ◽  
pp. e246333
Author(s):  
Manisha Gandhi ◽  
Honey Thomas

This case study provides an example of bradycardia associated with an increase in exercise training in a recreational athlete. Although recognised among high-level endurance athletes, this case demonstrates the potential negative effects of exercise on the heart in a patient participating in the levels of exercise recommended by Public Health England. It adds weight to the ongoing discussion of the incomplete understanding of the level of exercise needed to induce pathological changes in cardiac physiology. We discuss the investigations that led us to our diagnosis, highlighting the importance of a detailed exercise history in patients who present with palpitations and provide a potential explanation of how this phenomenon may have occurred. Currently, bradycardia induced by exercise has been managed through pacemaker insertion or complete cessation of exercise. This report demonstrates effective treatment through a period of exercise cessation and slow reintroduction of exercise training.

2018 ◽  
Vol 1 (2) ◽  
pp. 60-72
Author(s):  
Mansour Safran

This aims to review and analyze the Jordanian experiment in the developmental regional planning field within the decentralized managerial methods, which is considered one of the primary basic provisions for applying and success of this kind of planning. The study shoed that Jordan has passed important steps in the way for implanting the decentralized administration, but these steps are still not enough to established the effective and active regional planning. The study reveled that there are many problems facing the decentralized regional planning in Jordan, despite of the clear goals that this planning is trying to achieve. These problems have resulted from the existing relationship between the decentralized administration process’ dimensions from one side, and between its levels which ranged from weak to medium decentralization from the other side, In spite of the official trends aiming at applying more of the decentralized administrative policies, still high portion of these procedures are theoretical, did not yet find a way to reality. Because any progress or success at the level of applying the decentralized administrative policies doubtless means greater effectiveness and influence on the development regional planning in life of the residents in the kingdom’s different regions. So, it is important to go a head in applying more steps and decentralized administrative procedures, gradually and continuously to guarantee the control over any negative effects that might result from Appling this kind of systems.   © 2018 JASET, International Scholars and Researchers Association


GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 206-212
Author(s):  
Dr. D. Shoba ◽  
Dr. G. Suganthi

Employees and employers are facing issues in work life balance. It has become a difficult domain now, because the work needs have increased due to an increase in work pressure and complexities in handling the technology. As there are drastic changes in the rules and regulations in the work scenario of the aviation industry, it makes work life balance of employees difficult and set more hurdles. Hence there are many distractions and imbalances in the life of women employees in the aviation industry working across all levels. This work pressure is creating high level of hurdles in maintaining a harmonious job and family life, especially for female aviation employees. Data is collected from 50 female crew members working at Cochin International Airport. The objective of this study is to analyze the work life balance of working females of Cochin International Airport and its influence on their personal and specialized lives. The result of the study shows that the management should frame certain policies which will help employees to have the balance among their personal and expert lives.


2008 ◽  
Vol 59 (10) ◽  
Author(s):  
Delia Perju ◽  
Harieta Pirlea ◽  
Gabriela-Alina Brusturean ◽  
Dana Silaghi-Perju ◽  
Sorin Marinescu

The European laws and recently the Romanian ones impose more and more strict norms to the large nitrogen dioxide polluters. They are obligated to continuously improve the installations and products so that they limit and reduce the nitrogen dioxide pollution, because it has negative effects on the human health and environment. In this paper are presented these researches made within a case study for the Timi�oara municipality, regarding the modeling and simulation of the nitrogen dioxide dispersion phenomenon coming from various sources in atmosphere with the help of analytical-experimental methods. The mathematical model resulting from these researches is accurately enough to describe the real situation. This was confirmed by comparing the results obtained based on the model with real experimental values.


Author(s):  
Fabiana Espíndola Ferrer

This chapter is an ethnographic case study of the social integration trajectories of youth living in two stigmatized and poor neighborhoods in Montevideo. It explains the linkages between residential segregation and social inclusion and exclusion patterns in unequal urban neighborhoods. Most empirical neighborhood research on the effects of residential segregation in contexts of high poverty and extreme stigmatization have focused on its negative effects. However, the real mechanisms and mediations influencing the so-called neighborhood effects of residential segregation are still not well understood. Scholars have yet to isolate specific neighborhood effects and their contribution to processes of social inclusion and exclusion. Focusing on the biographical experiences of youth in marginalized neighborhoods, this ethnography demonstrates the relevance of social mediations that modulate both positive and negative residential segregation effects.


2021 ◽  
Vol 13 (6) ◽  
pp. 3246
Author(s):  
Zoe Slattery ◽  
Richard Fenner

Building on the existing literature, this study examines whether specific drivers of forest fragmentation cause particular fragmentation characteristics, and how these characteristics can be linked to their effects on forest-dwelling species. This research uses Landsat remote imaging to examine the changing patterns of forests. It focuses on areas which have undergone a high level of a specific fragmentation driver, in particular either agricultural expansion or commodity-driven deforestation. Seven municipalities in the states of Rondônia and Mato Grosso in Brazil are selected as case study areas, as these states experienced a high level of commodity-driven deforestation and agricultural expansion respectively. Land cover maps of each municipality are created using the Geographical Information System software ArcGIS Spatial Analyst extension. The resulting categorical maps are input into Fragstats fragmentation software to calculate quantifiable fragmentation metrics for each municipality. To determine the effects that these characteristics are likely to cause, this study uses a literature review to determine how species traits affect their responses to forest fragmentation. Results indicate that, in areas that underwent agricultural expansion, the remaining forest patches became more complex in shape with longer edges and lost a large amount of core area. This negatively affects species which are either highly dispersive or specialist to core forest habitat. In areas that underwent commodity-driven deforestation, it was more likely that forest patches would become less aggregated and create disjunct core areas. This negatively affects smaller, sedentary animals which do not naturally travel long distances. This study is significant in that it links individual fragmentation drivers to their landscape characteristics, and in turn uses these to predict effects on species with particular traits. This information will prove useful for forest managers, particularly in the case study municipalities examined in this study, in deciding which species require further protection measures. The methodology could be applied to other drivers of forest fragmentation such as forest fires.


Forests ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 7
Author(s):  
Andreja Đuka ◽  
Zoran Bumber ◽  
Tomislav Poršinsky ◽  
Ivica Papa ◽  
Tibor Pentek

During the seven-year research period, the average annual removal was by 3274 m3 higher than the average annual removal prescribed by the existing management plan (MP). The main reason lies in the high amount of salvage felling volume at 55,238 m3 (38.3%) in both the main and the intermediate felling due to oak dieback. The analysis of forest accessibility took into account the spatial distribution of cutblocks (with ongoing felling operations) and the volume of felled timber for two proposed factors: (1) the position of the cutblock and (2) the position of the removal. Cutblock position factor took into account the spatial position of the felling areas/sites, while removal position factor besides the spatial reference took into account the amount of felled timber (i.e., volume) both concerning forest infrastructure network and forest operations. The analysed relative forest openness by using geo-processing workflows in GIS environment showed four types of opening areas in the studied management unit (MU): single-opened, multiple-opened, unopened and opened areas outside of the management unit. Negative effects of the piece-volume law and low harvesting densities on forest operations are highlighted in this research due to high amount of salvage felling particularly in the intermediate felling by replacing timber volume that should have come from thinnings.


2021 ◽  
Vol 43 (1) ◽  
pp. 1-46
Author(s):  
David Sanan ◽  
Yongwang Zhao ◽  
Shang-Wei Lin ◽  
Liu Yang

To make feasible and scalable the verification of large and complex concurrent systems, it is necessary the use of compositional techniques even at the highest abstraction layers. When focusing on the lowest software abstraction layers, such as the implementation or the machine code, the high level of detail of those layers makes the direct verification of properties very difficult and expensive. It is therefore essential to use techniques allowing to simplify the verification on these layers. One technique to tackle this challenge is top-down verification where by means of simulation properties verified on top layers (representing abstract specifications of a system) are propagated down to the lowest layers (that are an implementation of the top layers). There is no need to say that simulation of concurrent systems implies a greater level of complexity, and having compositional techniques to check simulation between layers is also desirable when seeking for both feasibility and scalability of the refinement verification. In this article, we present CSim 2 a (compositional) rely-guarantee-based framework for the top-down verification of complex concurrent systems in the Isabelle/HOL theorem prover. CSim 2 uses CSimpl, a language with a high degree of expressiveness designed for the specification of concurrent programs. Thanks to its expressibility, CSimpl is able to model many of the features found in real world programming languages like exceptions, assertions, and procedures. CSim 2 provides a framework for the verification of rely-guarantee properties to compositionally reason on CSimpl specifications. Focusing on top-down verification, CSim 2 provides a simulation-based framework for the preservation of CSimpl rely-guarantee properties from specifications to implementations. By using the simulation framework, properties proven on the top layers (abstract specifications) are compositionally propagated down to the lowest layers (source or machine code) in each concurrent component of the system. Finally, we show the usability of CSim 2 by running a case study over two CSimpl specifications of an Arinc-653 communication service. In this case study, we prove a complex property on a specification, and we use CSim 2 to preserve the property on lower abstraction layers.


Water ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 699
Author(s):  
Ruifeng Wang ◽  
Xiong Wu ◽  
Yanliang Zhai ◽  
Yuxuan Su ◽  
Chenhui Liu

Chengde City boasts a wealth of high-quality mineral water resources characterized by a high level of strontium (Sr), a low level of sodium, and low alkalinity. In order to study the mechanism of formation of Sr-bearing mineral water in Chengde and to scientifically guide future mineral water exploration, taking three typical mineral water exploration areas in Chengde as examples, this paper studies the sources of Sr in mineral water and the general rules of its dissolution via a laboratory static leaching experiment and impact experiments, and it provides an analysis of the characteristics of typical rock samples. The research results indicate that the content of Sr in surrounding rock and the characteristics of minerals existing in surrounding rock jointly control the dissolution of Sr in water; that CO2 can promote the formation of mineral water containing Sr; and that temperature increases may boost the dissolution of Sr from carbonate minerals but also inhibit the dissolution of Sr from silicate minerals.


2019 ◽  
Vol 23 (3) ◽  
pp. 317-333
Author(s):  
Alena Pfoser ◽  
Sara de Jong

Artist–academic collaborations are fuelled by increasing institutional pressures to show the impact of academic research. This article departs from the celebratory accounts of collaborative work and pragmatic toolkits for successful partnerships, which are dominant in existing scholarship, arguing for the need to critically interrogate the structural conditions under which collaborations take place. Based on a reflexive case study of a project developed in the context of Tate Exchange, one of the UK’s highest-profile platforms for knowledge exchange, we reveal three sets of (unequal) pressures, which mark artist–academic collaborations in the contemporary neoliberal academy: asymmetric funding and remuneration structures; uneven pressures of audit cultures; acceleration and temporal asymmetries. Innovations at the level of individual projects or partners can only mitigate the negative effects to a limited extent. Instead this article offers a systemic critique of the political economy of artist–academic collaborations and shifts the research agenda to developing a collective response.


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