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Prognostic Relevance of Cardiopulmonary Exercise Testing for Patients with Chronic Thromboembolic Pulmonary Hypertension
Abstract: Background: Following acute pulmonary embolism (PE), a relevant number of patients experience decreased exercise capacity which can be associated with disturbed pulmonary perfusion. Cardiopulmonary exercise testing (CPET) shows several patterns typical for disturbed pulmonary perfusion. Research question: We aimed to examine whether CPET can also provide prognostic information in chronic thromboembolic pulmonary hypertension (CTEPH). Study Design and Methods: We performed a multicenter retrospective chart review in Germany between 2002 and 2020. Patients with CTEPH were included if they had ≥6 months of follow-up and complete CPET and hemodynamic data. Symptom-limited CPET was pe...
Glucose and Insulin Levels are Associated with Arterial Stiffness and Concentric Remodeling of the Heart
Abstract: Background Mortality attributable to heart failure remains high. The prevalence of heart failure in patients with diabetes mellitus ranges from 19 to 26%. It is estimated that up to 21.1 million adults in the United States have diagnosed diabetes mellitus and around 80.8 million have impaired fasting glucose. We investigated the associations of fasting glucose (FG) and fasting insulin (FI), the homeostasis model assessment-insulin resistance index (HOMA-IR) and 2-h postload glucose (2HG) and insulin (2HI) with parameters of left ventricular geometry and function and arterial stiffness determined by magnetic resonance imaging in individuals without diagnosed type 2 diabetes. Methods...
Visualization, Visual Analytics and Virtual Reality in Medicine
Visualization, Visual Analytics and Virtual Reality in Medicine: State-of-the-art Techniques and Applications describes important techniques and applications that show an understanding of actual user needs as well as technological possibilities. The book includes user research, for example, task and requirement analysis, visualization design and algorithmic ideas without going into the details of implementation. This reference will be suitable for researchers and students in visualization and visual analytics in medicine and healthcare, medical image analysis scientists and biomedical engineers in general. Visualization and visual analytics have become prevalent in public health and clinical medicine, medical flow visualization, multimodal medical visualization and virtual reality in medical education and rehabilitation. Relevant applications now include digital pathology, virtual anatomy and computer-assisted radiation treatment planning. Combines visualization, virtual reality and analytics Written by leading researchers in the field Gives the latest state-of-the-art techniques and applications
The Making of a Missionary
"The Making of a Missionary" by Loreen Ittermann is her account of God's miraculous hand upon an everyday woman. The stories within these pages are factual accounts of how God Almighty moved through the impossible. You will read stories of Moldavian and Russian mafia encounters, miraculous healings, atheists becoming born-again and preachers, the hungry being fed, God fulfilling major and minor needs and wants, God's love poured into orphans, widows, and everyone in between, and so much more! As her publisher, I found myself laughing, often crying, living in the moment with whomever the story is about, and feeling their emotions. Miss Loreen beautifully and eloquently depicts life becoming a...
SURRENDER(tm) to Passion
Get Off the Roller Coaster! We keep telling ourselves that "Life has its ups and downs" so we create an expectation that some days things look good, other days things look bad. This habit starts early in life and continues to escalate until we're excited and clearly sailing or abyssmally "in the dumps" and ready to throw in the towel. Our personal expectation becomes our blueprint for everything we do and everything around us, so we allow forces outside ourselves to toss our lives around. Whatever the economy, the sales cycle, the season, the weather, the interest rates, the price of oil: we can either give our mood and our personal contentment over to external forces. Stop! Just "Stop!" for a moment and really re-read this page. Is this your life? Do you want this roller coaster to stop? Do you really want to become an unstoppable force of energy, mood, motivation and power? Then you need this information! The book SURRENDER to Passion leads you on a 28-Day journey into what really matters in your life so you can Rekindle Your Passion and Reclaim Your Power. Step up your game and take back control of your life!
Till's traveling ink
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New Work - wie die Digitalisierung die Arbeitswelt verändert
Unsere Welt dreht sich immer schneller. Digitalisierung, Vernetzung und Globalisierung sind Ursachen für einen grundlegenden und strukturellen Wandel in der Arbeitswelt. Unter dem Begriff New Work werden verschiedenste Methoden und Trends zusammengefasst, die in Zusammenhang mit diesem Wandel stehen. Das Buch analysiert daraus resultierende Potenziale und Risiken, indem es sie transparent und übersichtlich darlegt. Es werden Impulse gegeben, um innerbetriebliche Strukturen und Arbeitsweisen auf diese neuen Rahmenbedingungen anzupassen.
