In patients with diabetes mellitus, cardiovascular disease is the principal cause of mortality and chest pain is the most frequent symptom in patients with stable and acute coronary artery disease. However, there is l...In patients with diabetes mellitus, cardiovascular disease is the principal cause of mortality and chest pain is the most frequent symptom in patients with stable and acute coronary artery disease. However, there is little knowledge concerning the pervasiveness of uncommon presentations in diabetics. The symptomatology of acute coronary syndrome, which comprises both pain and non-pain symptoms, may be affected by traditional risk factors such as age, gender, smoking, hypertension, diabetes, and dyslipidemia. Such atypical symptoms may range from silent myocardial ischemia to a wide spectrum of non-chest pain symptoms. Worldwide, few studies have highlighted this under-investigated subject, and this aspect of ischemic heart disease has also been under-evaluated in the major clinical trials. The results of these studies are highly diverse which makes definitive conclusions regarding the spectrum of atypical presentation of acute and even stable chronic coronay artery disease difficult to confirm. This may have a significant impact on the morbidity and mortality of coronary artery disease in diabetics. In this up-to-date review we will try to analyze the most recent studies on the atypical presentations in both acute and chronic ischemic heart disease which may give some emphasis to this under-investigated topic.展开更多
Brave Heart is a Hollywood film released in 1995. It narrated how a legendary hero in the history of Scotland fighting for freedom and independence by presenting the audience the bloody and violent battle scenes inter...Brave Heart is a Hollywood film released in 1995. It narrated how a legendary hero in the history of Scotland fighting for freedom and independence by presenting the audience the bloody and violent battle scenes interwoven with romantic love. Brave heart was a very wonderful picture, large on romantic love, strong patriotism and vicious betrayal but it avoided presenting the audience in a flat style so many historical scenes. From the technical point of view, it did a fine job of organizing the masses and horses for spectacular battles in the film. Brave Heart is the representative film of swordplay classic. The keynote characters in Brave Heart were analyzed in this paper.展开更多
By analyzing the five female characters in Heart of Darkness,this paper will approach the story from a feminist perspective to examine Marlow,the protagonist's view of women and analyze the underlying reasons.
Ischemic heart disease(IHD) is known as the leading cause of death in both genders. Moreover, significant sex differences were found in cardiac structure, function, pathophysiology, presentation, treatment, and outcom...Ischemic heart disease(IHD) is known as the leading cause of death in both genders. Moreover, significant sex differences were found in cardiac structure, function, pathophysiology, presentation, treatment, and outcome of IHD. The presence of unique risk factors such as exposure to menarche and pregnancy, more anemia, hypertension, and autoimmune disorders in women have recently received attention. Ischemic symptoms are more indefinite and vague in women compared to men as well as a delay in diagnosis, treatment, and worse outcomes compared to men. Women usually receive less evidence-based treatment and intervention, with less concern on preventive health care. Clinical trials primarily recruit male patients and women are underrepresented. Without any correct diagnosis, treatment, and prevention, these problems are accumulated and continue up to older age. Accordingly, with the belief of longer life in women and the increased prevalence of IHD with aging, it will become an important public health problem and concern in the future. This narrative review aimed to provide an overview of some of the differences between the two genders in terms of IHD with paying more attention to practical points.展开更多
Charaterization, in literature, is the presentation of the hero or heroine in order to make them credible to the readers. A book with welldrawn characters is sure to touch its readers. Atticus Finch, an elaboratelypor...Charaterization, in literature, is the presentation of the hero or heroine in order to make them credible to the readers. A book with welldrawn characters is sure to touch its readers. Atticus Finch, an elaboratelyportrayed character in Miss Lee′s book To Kill A Mockingbird is a fineexample. Mainly because of its successful and adroit characterization,展开更多
文摘In patients with diabetes mellitus, cardiovascular disease is the principal cause of mortality and chest pain is the most frequent symptom in patients with stable and acute coronary artery disease. However, there is little knowledge concerning the pervasiveness of uncommon presentations in diabetics. The symptomatology of acute coronary syndrome, which comprises both pain and non-pain symptoms, may be affected by traditional risk factors such as age, gender, smoking, hypertension, diabetes, and dyslipidemia. Such atypical symptoms may range from silent myocardial ischemia to a wide spectrum of non-chest pain symptoms. Worldwide, few studies have highlighted this under-investigated subject, and this aspect of ischemic heart disease has also been under-evaluated in the major clinical trials. The results of these studies are highly diverse which makes definitive conclusions regarding the spectrum of atypical presentation of acute and even stable chronic coronay artery disease difficult to confirm. This may have a significant impact on the morbidity and mortality of coronary artery disease in diabetics. In this up-to-date review we will try to analyze the most recent studies on the atypical presentations in both acute and chronic ischemic heart disease which may give some emphasis to this under-investigated topic.
文摘Brave Heart is a Hollywood film released in 1995. It narrated how a legendary hero in the history of Scotland fighting for freedom and independence by presenting the audience the bloody and violent battle scenes interwoven with romantic love. Brave heart was a very wonderful picture, large on romantic love, strong patriotism and vicious betrayal but it avoided presenting the audience in a flat style so many historical scenes. From the technical point of view, it did a fine job of organizing the masses and horses for spectacular battles in the film. Brave Heart is the representative film of swordplay classic. The keynote characters in Brave Heart were analyzed in this paper.
文摘By analyzing the five female characters in Heart of Darkness,this paper will approach the story from a feminist perspective to examine Marlow,the protagonist's view of women and analyze the underlying reasons.
文摘Ischemic heart disease(IHD) is known as the leading cause of death in both genders. Moreover, significant sex differences were found in cardiac structure, function, pathophysiology, presentation, treatment, and outcome of IHD. The presence of unique risk factors such as exposure to menarche and pregnancy, more anemia, hypertension, and autoimmune disorders in women have recently received attention. Ischemic symptoms are more indefinite and vague in women compared to men as well as a delay in diagnosis, treatment, and worse outcomes compared to men. Women usually receive less evidence-based treatment and intervention, with less concern on preventive health care. Clinical trials primarily recruit male patients and women are underrepresented. Without any correct diagnosis, treatment, and prevention, these problems are accumulated and continue up to older age. Accordingly, with the belief of longer life in women and the increased prevalence of IHD with aging, it will become an important public health problem and concern in the future. This narrative review aimed to provide an overview of some of the differences between the two genders in terms of IHD with paying more attention to practical points.
文摘Charaterization, in literature, is the presentation of the hero or heroine in order to make them credible to the readers. A book with welldrawn characters is sure to touch its readers. Atticus Finch, an elaboratelyportrayed character in Miss Lee′s book To Kill A Mockingbird is a fineexample. Mainly because of its successful and adroit characterization,
