scholarly journals Reflections from the Book of the Dead: Weighing the Impact of Epicardial Fat on Atrial Fibrillation Vulnerability

Author(s):  
Thomas Bunch
2016 ◽  
Vol 33 (6) ◽  
pp. 821-829 ◽  
Author(s):  
Uğur Canpolat ◽  
Kudret Aytemir ◽  
Hikmet Yorgun ◽  
Serkan Asil ◽  
Muhammed Dural ◽  
...  

Author(s):  
Jens Schlieter

The three decades treated in this chapter can be summarized as a consolidation phase of near-death discourse, transmitted mainly in parapsychology, Theosophy, and Spiritualist–Occult circles. A newly emerging element in near-death visions is the “tunnel” experience. Finally, the chapter highlights the impact of Aldous Huxley—especially his psychedelic drug experiences in combination with his reading of the Tibetan Book of the Dead—for the final configuration of systematized near-death experiences.


2019 ◽  
pp. 65-102
Author(s):  
Sarah Ehlers

This chapter charts the formation of the documentary poetry tradition in the U.S. through a consideration of Muriel Rukeyser’s The Book of the Dead. It demonstrates how Rukeyser pushed the boundaries of genre and media to imagine modes of expression that resisted traditional notions of liberal subjectivity. Drawing on multiple valences of the term alloy, the chapter argues that Rukeyser imagined documentary writing as a complex fusing of elements that speculates on the ontology of the poem itself. The chapter begins with an account of the historical, definitional, and theoretical concerns that have shaped documentary poetry. The chapter’s subsequent analyses of The Book of the Dead consider the impact of industry on subject formation: demonstrating how Rukeyser experimented with literary and visual genres, as well as poetic tropes and themes, to devise alternate modalities of personhood that interface the human with the materials of history and industry. The chapter concludes by showing how Rukeyser’s plans to adapt The Book of the Dead into a documentary film demonstrate a combination of formal and technical resources that illuminate new principles of composition.


EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
V Oudin ◽  
C Marcus ◽  
L Faroux ◽  
M Espinosa ◽  
D Metz ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Aims This study aimed to determine the impact of the volume of epicardial fat on the duration of radiofrequency (RF) energy delivery during the procedure of ablation of atrial fibrillation (AF). Methods The volume of epicardial fat was measured from spiral computerized tomography scan. The primary endpoint was the duration of RF delivery for pulmonary vein isolation (PVI), and the overall total duration of RF application. Secondary endpoint was conversion of AF to sinus rhythm or organisation of the arrhythmia after PVI. Results From March 2015 to May 2018, 222 patients (45,5% with persistent AF) underwent a first RF catheter ablation procedure for AF. The total duration of RF delivery, and the duration of RF delivery specifically for PVI were significantly associated with higher total volume of epicardial fat (p = 0,0002; p = 0,009 respectively), periatrial (p = 0,003; p = 0,045) and periventricular epicardial fat (p = 0,001; p = 0,012). In multivariate analysis, total epicardial fat volume was not significantly associated with total RF delivery duration (p = 0,743). For patients with arrhythmia at the time of the procedure, patients who achieved conversion or organisation of their arrhythmia after PVI had similar levels of total epicardial fat to those whose arrhythmia persisted (65 ± 35,2 vs 74,5 ± 31,2 ml ; p = 0,192). Conclusion We observed a significant relation between total, periatrial, and periventricular epicardial fat, and the duration of RF delivery during ablation of AF. This relation was not significant by multivariate analysis meaning that epicardial fat maybe a marker, but not an independent factor,of ablation complexity.


2020 ◽  
Vol 28 ◽  
Author(s):  
Valeria Visco ◽  
Germano Junior Ferruzzi ◽  
Federico Nicastro ◽  
Nicola Virtuoso ◽  
Albino Carrizzo ◽  
...  

Background: In the real world, medical practice is changing hand in hand with the development of new Artificial Intelligence (AI) systems and problems from different areas have been successfully solved using AI algorithms. Specifically, the use of AI techniques in setting up or building precision medicine is significant in terms of the accuracy of disease discovery and tailored treatment. Moreover, with the use of technology, clinical personnel can deliver a very much efficient healthcare service. Objective: This article reviews AI state-of-the-art in cardiovascular disease management, focusing on diagnostic and therapeutic improvements. Methods: To that end, we conducted a detailed PubMed search on AI application from distinct areas of cardiology: heart failure, arterial hypertension, atrial fibrillation, syncope and cardiovascular rehabilitation. Particularly, to assess the impact of these technologies in clinical decision-making, this research considers technical and medical aspects. Results: On one hand, some devices in heart failure, atrial fibrillation and cardiac rehabilitation represent an inexpensive, not invasive or not very invasive approach to long-term surveillance and management in these areas. On the other hand, the availability of large datasets (big data) is a useful tool to predict the development and outcome of many cardiovascular diseases. In summary, with this new guided therapy, the physician can supply prompt, individualised, and tailored treatment and the patients feel safe as they are continuously monitored, with a significant psychological effect. Conclusion: Soon, tailored patient care via telemonitoring can improve the clinical practice because AI-based systems support cardiologists in daily medical activities, improving disease detection and treatment. However, the physician-patient relationship remains a pivotal step.


1974 ◽  
Vol 4 (4) ◽  
pp. 267-273
Author(s):  
Victor W. Marshall

How does one review a book that both succeeds and fails spectacularly, that breaks new ground and then plants what is probably unfertile seed, that rather pretentiously stakes a claim to a “new area” of inquiry while grossly neglecting related extant work? The Twentieth Century Book of the Dead is a difficult book to read that has frustrated, excited, and stimulated me for enough weeks now that, though I still don't know how to review it, I am motivated to offer some advice to the naive reader which might at least assist him to read it (for it is indeed well worth the effort), and to add some comments of my own.


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