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Both global and regional systolic function are to be checked. Global measures include ejection fraction, stroke volume, end systolic volume. (For measurement of systolic function using M-mode and 2D echocardiography refer to the section on Echocardiography.) In diastolic dysfunction there is generally presence of left ventricular hypertrophy. The transmitral flow is studied by pulsed Doppler. In normals the early filling velocity (E-wave) is larger than the velocity during atrial contraction (A-wave) and the descent is fast. In diastolic dysfunction there are in general 2 types of patterns. When relaxation is impaired the E-wave becomes smaller and its deceleration time is prolonged and the A-wave becomes taller. With restrictive physiology the E-wave becomes taller and the deceleration time is shorter and the A-wave is smaller. There are also abnormalities in the pulmonary venous flow patterns.
Population Regulation The number of individuals in a natural population varies with time. If the size of a population declines too drastically due to some reason, it may becom
Assume that your yard has many tall trees that result in about fifty percent of the yard being shaded and fifty percent of the yard being exposed to full sun. The shaded areas and
Explain about the Glycemic Index (GI)? In the previous sections, we have studied that some carbohydrates are rapidly digested and absorbed, some are digested slowly while some
Management Goals Improve oxygenations and ventilation to restore the person/s Pa 2 O 2 and PaCO 2 , to their previous levels. Understand the underlying cause.
Rabies Rabies is highly prevalent in Africa, India, Asia and parts of Latin America, but the risk to travelers is low. Pre-exposure immunizationagainst rabies is recommended f
Open Heart Surgery These surgeries are done under alternative arrangements to continue oxygenated systemic blood supply, while the heart is operated on (Cardiopulmonary bypas
Neuropsychological assessment of adults A general introduction of the field of neuropsychological assessment and deals specifically with the extensive standard test batteries a
Neurochemistry of Attention Different neurotransmitters systems are implicated in attention. Cholinergic, dopaminergic and serotonergic systems play major roles in neurochemica
Digestion of proteins Digestion of proteins is initiated in the stomach by pepsin. Pepsin acts upon food proteins and converts them to proteoses and peptones whic
Kinds of Ovules Ovules undergo varied degrees of curvature during development. The position of micropyle with respect to the funiculus becomes different and constitutes the b
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