ABSTRACT
Coronary artery development is a sequential and progressively regulated process. However, there are a number of reports available on the disturbance to this temporal process resulting in variations of the artery. In these instances, the function of the coronary arteries was normal in providing blood supply to the heart. The normal and abnormal coronary artery development has been studied using a variety of approaches and the knowledge continues to evolve. The cadaveric specimen was obtained from the “willed body program” for the purpose of student dissection. During the cadaveric dissection of a 94-year old male Caucasian we observed that the left coronary artery arose from the coronary ostium in a cluster of multiple branches. A detailed study of the origin of the left coronary artery showed that there is one ostium from which multiple branches arose. The right coronary artery arose normally from the right coronary ostium. The coronary veins were normal and returned the blood through the coronary sinus to the right atrium. The anomalous finding is discussed in the light of what is already known about the normal coronary artery development and rationalize a possible explanation. We conclude that the abnormal development of the coronary artery is rarely detrimental and provides adequate blood circulation to the heart. However, knowledge of such malformation is important in clinical practice.
ABSTRACT
Background: The coronary artery development is a sequential and progressively regulated process. However,there are number of reports available on the disturbance to this temporal process resulting in variations of theartery. In these instances, the function of the coronary arteries was normal in providing blood supply to theheart. The normal and abnormal coronary artery development has been studied using variety of approaches andthe knowledge continues to evolve.Materials and Methods: The cadaveric specimen was obtained from the “willed body program” for the purpose ofstudent dissection. We report here an anomaly found in a 94-year old Caucasian male died of cerebral arteryinfarction.Results and Observations: We observed that the left coronary artery arose from the coronary ostium in a clusterof multiple branches. The right coronary artery arose normally from the right coronary ostium. Further dissectionshowed the co-dominant nature of the left and right coronary arteries in providing blood supply to the posterioraspect of the heart and the interventricular septum.Conclusions: Knowledge of coronary artery and its disposition is important in clinical practice especially incoronary artery stent placement, coronary artery bypass surgery and coronary sinus catheterization.
ABSTRACT
This article is trying to find out the historical and realistic reasons of the restriction of the process of modernization of traditional Chinese medicine (TCM) from the history of TCM theory and practice of TCM institutional setup and related policies and many other aspects.Then it points out that the TCM in the background of the development of science and technology today is already has the necessary conditions of modernization,but the process can not be succeed overnight,it ought to be a systematic engineering.
ABSTRACT
Apresentamos as características empíricas do modelo EEA para o estudo do desenvolvimento do processo de comunicação mãe-bebê e da emergência do self. Introduzimos as definições, a unidade de análise e sugerimos algumas aplicações. Este modelo integra uma seqüência de três padrões de organização, denominados estabelecimento, extensão e abreviação (EEA). Expomos os conceitos básicos para a compreensão deste modelo (processo, tempo irreversível, historicidade, sistema de relações, indivíduo e "realidade virtual") e as perspectivas teórico-metodológicas que o fundamentam, Sistemas Dinâmicos e Dialogismo, sobretudo na perspectiva de Bakhtin.
We present the empirical characteristics of the EEA model, applied to study the development of the mother-infant communication process and the emergence of the self. We introduce the definitions, unit of analysis, and suggested applications. This model integrates three developmental patterns of organization of the mother-infant communication system: establishment, extension and abbreviation (EEA). We present the basic concepts (process, irreversible time, historicity, system of relationships, individual, and "virtual reality") and the two theoretical-methodological perspectives giving support to the model, Dynamic Systems and Dialogism, principally from Bakhtin's approach.
Subject(s)
Communication , Mother-Child Relations , Human DevelopmentABSTRACT
The new research data and rapid development of psychotropic drugs over the past few years have warranted the development of clinical practice guidelines for managing pervasive developmental disorder(PDD). These guidelines are urgently needed due to the recent changes in social circumstances and clinical situations in Korea. Despite the many limitations and problems surrounding the development of these guidelines, the Korean Academy of Child and Adolescent Psychiatry(KACAP) has decided to develop the Korean Practice Parameters for the Treatment of PDD. The goal, basic principles, organization, and implications of this development project are introduced in this special paper. We expect these practice parameters to be a useful reference not only for child psychiatrists and other healthcare professionals in clinical practice, but also for the autistic patients themselves and their caregivers. The practice parameters shall be revised and improved in the near future.