简介:Oneday,theteacherinquiredPeter:“Howmuchisfourminusfour?”Peterwastongue-tied.Theteachergotangryandsaid,“Whatafool!Yousee,ifIputfourcoinsinyourpocket,butthereisaholeinyourpocketandallofthemleakout,nowwhatisleftinyourpocket?”“Thehole,”repliedPeter.WhatIsLeftinYourPocket?!湖北@罗成勇
简介:ChristyBrown,thecelebratedpainterandwriter,overcamethedifficultiesofbeingbornwithcerebralpalsybyusinghisleftfoot,theonlypartofhisbodywhichhecouldusewithrealcontrol.InthisstoryyouwillbecomparingtheopeningofChristy'sautobiographicalnovelwithascenefromthesuccessfulfilmofhisearlylife,“MyLeftFoot”.
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简介:常言道,日久见人心,真正的友谊才经得起时间的考验;不过我们也应该在必要时学会放弃,这才是成熟的表现。beinghavehadthreebestfriends.Weenjoyedaroundtogetheruntilwewalkedacrossthestage,saidgoodbyesaswewenttocollege.Itdidn'teventakeuntilcollegetoseewhowasreallymyfriends;itwaslessthanaweekbeforeIneverheardfromoneofmyso-calledbestfriendseveragain.Andforthis,Icouldnotbemorethankful.
简介:Normalregionalleftventricular(LV)mechanicalcontractionissynchronous,resultinginefficientejection.Abnormalitiesinelectricalactivationormyocardialdiseasesmayaffectthetimingofregionalcontraction,resultingindiscoordinatedordyssynchronouscontraction,whichisinefficient.Thisarticlereviewsvariousapproachestoquantifydyssynchrony,focusingonLVdyssynchrony,thathavebeenprincipallyrelatedtocardiacresynchronizationtherapy(CRT).SeveralattemptshavebeenmadetoimprovepatientselectionforCRTbyuseofechocardiographicdyssynchrony;however,nonehavegainedclinicalacceptance.ThisreviewfocusesonthedifferentreasonsfortheexistenceLVdyssynchrony,thedyssynchronousstrainpatternsindicativeofCRTresponse,andtheprognosticimplicationsofdyssynchrony.Interestinechocardiographicdyssynchronyremainshighbecauseofitsmechanisticandprognosticimportance.Dyssynchronymayoccurfromelectricalornonelectricalcauses.PatientswithawideQRScomplexwhohavebaselinedyssynchronyfromelectricaldelayingeneralhaveafavorableresponsetoCRT,whereaspatientswithnonelectricaldyssynchrony(fromcontractileheterogeneityorscar)atthebaselinehaveaworseprognosis.Newinsightsintothemeaningofmechanicaldyssynchronycontinuetoemerge,andthisarticle
简介:BackgroundAnomalousoriginoftheleftcoronaryarteryfromthepulmonaryarteryisararecongenitalcardiaclesionresultinginmyocardialischemiaeveninfarction,morphologicalimpairmentanddysfunctionofleftventricle,togetherwithmitralregurgitation.Herewewillintroduceourexperienceinthesurgicalrepairofthiskindofcongenitallesionandtheretrospectiveanalysisabouttheimprovementofleftventriculardimensionandmitralregurgitationinearlypostoperativeterm.MethodFromMay1998toJuly2012,38consecutivepatientswithanomalouscoronaryarteryfromthepulmonaryarteryunderwentsurgicalcorrection(33receivedleftcoronaryarteryre-implantation,4leftcoronaryarteryligationorprimaryclosure,1Takeuchiprocedure,and10simultaneousmitralvalveplasty).Leftventriculardimension,mitralregurgitation,andejectionfraction,weremeasuredbycolorDopplerechocardiographypreoperatively,and1monthafterdischarge.ResultsHospitalsurvivalwas94.7%(2in-hospitaldeaths).Tenpaptientswithmorethanmoderatemitralregurgitationreceivedsimultaneousmitralplasty,oneofwhomwasconvertedtomechanicalprostheticvalvereplacement.Mitralvalveannuloplastywasappliedin9casesofcoronaryre-implantationcorrection,3ofwhomalsoreceivedadditionalmitralleafletcleftrepair.Meanwhile8patientsunderwentotherdifferentconcomitantoperations.Echocardiographicresultsforthesurvivals1monthafterdischargeshowedthatleftventricularend-diastolic,endsystolicdimensiondecreasedfrom40.05±5.56mmand28.94±6.21mmto33.07±6.82mm(P<0.01)and23.04±5.87mm(P<0.01)respectively.Theaveragemitralregurgitationgradewasalsoreducedfrom2.36±1.08to1.64±93(P<0.05)inthegroup.AllsurvivalpatientsimprovedclinicallyandNYHAfunctionalclassdecreasedsignificantlyfrom2.37±1.08to2.10±0.54(P<0.05).ConclusionsThesurgicalrepairofanomalousoriginoftheleftcoronaryarteryfromthepulmonaryarteryissafeandeffective,andcange
简介:Acriticaldifferencebetweentherighthemispherehypothesisandvalencehypothesisofemotionprocessingiswhethertheprocessingofhappyfacialexpressionsislateralizedtotherightorlefthemisphere.InthisstudyparticipantsfromaChinesesamplewereaskedtoclassifyhappyorneutralfacialexpressionspresentedeitherbilaterallyinbothvisualfieldsorunilaterallyintheleftvisualfield(LVF)orrightvisualfield(RVF).Theywererequiredtomakethespeededresponsesusingeithertheleftorrighthand.Itwasfoundthatforbothleftandrighthandresponses,happy(andneutral)expressionspresentedintheLVFwereidentifiedfasterthanhappy(andneutral)expressionspresentedintheRVF.BilateralpresentationshowednofurtheradvantageoverLVFpresentation.Moreover,lefthandresponsesweregenerallyfasterthanrighthandresponses,althoughthiseffectwasmorepronouncedforneutralexpression.Thesefindingswereinterpretedassupportingtherighthemispherehypothesis,withhappyexpressionbeingidentifiedinitiallybytherighthemisphere.
简介:Theventricularseptumseparatestherightandleftventriclesandthusispartofbothventricles.Itisdirectedobliquelybackwardtotheright,andcurvedwiththeconvexitytowardtherightventricle;itmustbeemphasizedthatthetotalcardiacseptumhasacomplex,longitudinaltwistanddoesnotlieinanysingleplane.Itsupperandposteriorpart,isthinandfibrous,andistermedthemembranousventricularseptum.Thegreaterportionoftheseptumisthickandmuscularandconstitutesthemuscularventricularseptum.Theventricularseptumconsistsoftwolayers,athinlayerontheRVsideandathickerlayerontheLVside[1].Themajorseptalarteriestendtorunbetweenthesetwolayers.
简介:IntheprocessofChina’srapidindustrializationandurbanization,duetolaboroutflow,alargenumberofchildrenwereleftbehindinruralarea.BeingLongseparatedfromtheirparents,someofthesechildrensufferfrompsychologicalproblemsorevenshowextremebehaviors.Theyaremorevulnerabletoaccidentsorevenunlawfulinfringements.Theseproblemshaveseriouslyaffectedtheir
简介:Thispaperderivestheforceoftheelectromagneticradiationonleft-handedmaterials(LHMs)byadirectapplica-tionoftheLorentzlawofclassicalelectrodynamics.TheexpressionsofradiationforcearegivenforTE-polarisedandTM-polarisedfields.Thenumericalresultsdemonstratethatelectromagneticwavesexertaninverselateralradiationforceoneachedgeofthebeams,thatis,thelateralpressureisexpansiveforTE-polarisedbeamsandcompressiveforTM-polarisedbeams.TheinvestigationoftheradiationforcewillprovideinsightsintothefundamentalpropertiesofLHMsandwillprovidetobetterunderstandingoftheinteractionoflightwithLHMs.