The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform

Eugenio Picano - One of the best experts on this subject based on the ideXlab platform.

  • stress echocardiography a historical perspective
    The American Journal of Medicine, 2003
    Co-Authors: Eugenio Picano
    Abstract:

    This brief history of stress echocardiography presents a good opportunity to trace an intellectual journey, to pay credit to the pioneers of the technique, and to establish a Cultural Framework for future developments. As happens with any scientific innovation, stress echocardiography completed its life cycle by moving from the status of a “promising innovation”, used by a few enthusiastic supporters amid general skepticism, up to the rank of an “established technology” accepted by virtually the whole cardiological community (Fig. 1) — sometimes even overused, with an embarassing lack of common sense tending to transform the technique into a totem — whose responses, taken out of the overall clinical context, may produce more problems than solutions in patient management. The increased acceptance of stress echocardiography by cardiologists is testified to by the exponential growth of the space devoted to it in major journals and at meetings (Fig. 2), but it was not always all roses.

Jose Zamorano - One of the best experts on this subject based on the ideXlab platform.

  • stress echocardiography expert consensus statement executive summary european association of echocardiography eae a registered branch of the esc
    European Heart Journal, 2008
    Co-Authors: Rosa Sicari, D Poldermans, Patrizio Lancellotti, Jensuwe Voigt, Petros Nihoyannopoulos, Arturo Evangelista, J D Kasprzak, Jose Zamorano
    Abstract:

    Stress echocardiography is the combination of echocardiography with a physical, pharmacological, or electrical stress. The diagnostic endpoint for the detection of myocardial ischaemia is the induction of a transient worsening in regional function during stress. Stress echocardiography provides similar diagnostic and prognostic accuracy to radionuclide stress perfusion imaging, but at a substantially lower cost, without environmental impact, and with no biohazards for the patient and the physician. Among different stresses of comparable diagnostic and prognostic accuracy, semisupine exercise is the most used, dobutamine the best test for viability, and dipyridamole the safest and simplest pharmacological stress and the most suitable for combined wall motion coronary flow reserve assessment. The additional clinical benefit of myocardial perfusion contrast echocardiography and myocardial velocity imaging has been inconsistent to date, whereas the possibility of performing coronary flow reserve evaluation of the left anterior descending coronary artery by transthoracic Doppler echocardiography adds another potentially important dimension to stress echocardiography. New emerging fields of application taking advantage of the versatility of the technique are Doppler stress echo in valvular heart disease and in dilated cardiomyopathy. In spite of its dependence on the operator's training, stress echocardiography is today the best (most cost-effective and risk-effective) possible imaging choice to achieve the still elusive target of sustainable cardiac imaging in the field of non-invasive diagnosis of coronary artery disease. In 1935, Tennant and Wiggers1 demonstrated that coronary occlusion immediately resulted in instantaneous abnormality of wall motion. A large body of evidence2–5 recognized for the first time that transient dys-synergy was an early, sensitive, specific marker of transient ischaemia, clearly more accurate than ECG changes and pain. In European clinical practice,6–10 stress echo has been embedded in the legal and Cultural Framework of existing European laws and medical imaging referral guidelines. The …

Kwangkuo Hwang - One of the best experts on this subject based on the ideXlab platform.

  • guilt and shame in chinese culture a cross Cultural Framework from the perspective of morality and identity
    Journal for The Theory of Social Behaviour, 2003
    Co-Authors: Olwen Bedford, Kwangkuo Hwang
    Abstract:

    Olwen Bedford and Kwang-Kuo Hwang, Guilt and Shame in Chinese Culture: A Cross-Cultural Framework from the Perspective of Morality and Identity, pp. 127–144. This article formulates a cross-Cultural Framework for understanding guilt and shame based on a conceptualization of identity and morality in Western and Confucian cultures. First, identity is examined in each culture, and then the relation between identity and morality illuminated. The role of guilt and shame in upholding the boundaries of identity and enforcing the constraints of morality is then discussed from the perspective of each culture. The developed Framework is then applied the emotions of guilt and shame in Chinese culture drawing on previous field research. Implications for future research are discussed.

Cai Xing - One of the best experts on this subject based on the ideXlab platform.

  • be careful where you smile culture shapes judgments of intelligence and honesty of smiling individuals
    Journal of Nonverbal Behavior, 2016
    Co-Authors: Kuba Krys, Melanie C Vauclair, Colin A Capaldi, Vivian Miuchi Lun, Michael Bond, Alejandra Dominguezespinosa, Claudio Vaz Torres, Ottmar V Lipp, Sam L S Manickam, Cai Xing
    Abstract:

    Smiling individuals are usually perceived more favorably than non-smiling ones—they are judged as happier, more attractive, competent, and friendly. These seemingly clear and obvious consequences of smiling are assumed to be Culturally universal, however most of the psychological research is carried out in WEIRD societies (Western, Educated, Industrialized, Rich, and Democratic) and the influence of culture on social perception of nonverbal behavior is still understudied. Here we show that a smiling individual may be judged as less intelligent than the same non-smiling individual in cultures low on the GLOBE’s uncertainty avoidance dimension. Furthermore, we show that corruption at the societal level may undermine the prosocial perception of smiling—in societies with high corruption indicators, trust toward smiling individuals is reduced. This research fosters understanding of the Cultural Framework surrounding nonverbal communication processes and reveals that in some cultures smiling may lead to negative attributions.

Rosa Sicari - One of the best experts on this subject based on the ideXlab platform.

  • stress echocardiography expert consensus statement executive summary european association of echocardiography eae a registered branch of the esc
    European Heart Journal, 2008
    Co-Authors: Rosa Sicari, D Poldermans, Patrizio Lancellotti, Jensuwe Voigt, Petros Nihoyannopoulos, Arturo Evangelista, J D Kasprzak, Jose Zamorano
    Abstract:

    Stress echocardiography is the combination of echocardiography with a physical, pharmacological, or electrical stress. The diagnostic endpoint for the detection of myocardial ischaemia is the induction of a transient worsening in regional function during stress. Stress echocardiography provides similar diagnostic and prognostic accuracy to radionuclide stress perfusion imaging, but at a substantially lower cost, without environmental impact, and with no biohazards for the patient and the physician. Among different stresses of comparable diagnostic and prognostic accuracy, semisupine exercise is the most used, dobutamine the best test for viability, and dipyridamole the safest and simplest pharmacological stress and the most suitable for combined wall motion coronary flow reserve assessment. The additional clinical benefit of myocardial perfusion contrast echocardiography and myocardial velocity imaging has been inconsistent to date, whereas the possibility of performing coronary flow reserve evaluation of the left anterior descending coronary artery by transthoracic Doppler echocardiography adds another potentially important dimension to stress echocardiography. New emerging fields of application taking advantage of the versatility of the technique are Doppler stress echo in valvular heart disease and in dilated cardiomyopathy. In spite of its dependence on the operator's training, stress echocardiography is today the best (most cost-effective and risk-effective) possible imaging choice to achieve the still elusive target of sustainable cardiac imaging in the field of non-invasive diagnosis of coronary artery disease. In 1935, Tennant and Wiggers1 demonstrated that coronary occlusion immediately resulted in instantaneous abnormality of wall motion. A large body of evidence2–5 recognized for the first time that transient dys-synergy was an early, sensitive, specific marker of transient ischaemia, clearly more accurate than ECG changes and pain. In European clinical practice,6–10 stress echo has been embedded in the legal and Cultural Framework of existing European laws and medical imaging referral guidelines. The …