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Boada SEA Eagenda 2020
TheBestof South East Asia 2020 Bangladesh, Brunei, Cambodia, Indonesia, Laos, Malaysia, Maldives, Myanmar, Philippines, Singapore, Sri Lanka, Vietnam FACULTY The American Diabetes Association (ADA) and Novo Nordisk are pleased to invite you to a series of official webinars highlighting the most important education from the American Diabetes Association Scientific Sessions. Mark your calendars now. Athena Philis-Tsimikas, MD Simon Heller, MD Jay H. Shubrook DO FACOFP, FAAFP Derek LeRoith, MD, PhD, FACP Corporate Vice President of the Scripps Whittier Professor of Clinical Diabetes Professor. Primary Care Department Director of Research Diabetes Institute at Scripps Health. Director of University of Sheffield Director of Clinical Research and Diabetes Services Division of Endocrinology, Diabetes Monday, June 22 Community Engagement at Scripps Translational Sheffield, England Touro University California College of Osteopathic and Bone Diseases Icahn School Science Institute. San Diego, California, USA Medicine, Vallejo, California, USA of Medicine, Mount Sinai, New York, USA Webinar 1: 6:00PM-7:30PM Malaysia Time Monday, June 29 Webinar 2: 6:00PM-7:30PM Malaysia Time Monday, July 6 Webinar 3: 6:00PM-7:30PM Malaysia Time Monday, July 13 Webinar 4: 6:00PM-7:30PM Malaysia Time Kenneth Cusi, M.D., Andrew JM Boulton, MD, DSc (Hon), Michelle Magee, MD, MBBCh, Richard E. Pratley, MD F.A.C.P., F.A.C.E. FACP, FICP, FRCP BAO, LRCPSI AdventHealth. Samuel E. Crockett Chair in Diabetes Research. Professor of Medicine President, International Diabetes -
Mount Sinai Health System Appoints New Chief for Division of Endocrinology, Diabetes and Bone Disease
Mount Sinai Health System Appoints New Chief for Division of Endocrinology, Diabetes and Bone Disease mountsinai.org /about-us/newsroom/press-releases/mount-sinai-health-system-appoints-new-chief-for-division- of-endocrinology-diabetes-and-bone-disease New York, NY – May 31, 2017 /Press Release/ –– Andrea Dunaif, MD, an internationally renowned diabetes and women’s health expert, has been appointed the new Chief for the Hilda and J. Lester Gabrilove Division of Endocrinology, Diabetes, and Bone Disease for the Mount Sinai Health System. Dr. Dunaif replaced Derek Leroith, MD, PhD, who has served as interim chief for the last year. In her new role, Dr. Dunaif will build on Mount Sinai’s considerable strengths in research on diabetes, metabolism, and endocrine disorders. Dr. Dunaif also plans to expand Mount Sinai’s comprehensive clinical services for patients with diabetes and other endocrine disorders, including its artificial pancreas program. Dr. Dunaif is an exceptional physician and researcher in the field of diabetes and women’s health,” said Dennis S. Charney, MD, Anne and Joel Ehrenkranz Dean, Icahn School of Medicine at Mount Sinai, and President for Academic Affairs, Mount Sinai Health System. “We look forward to her help in building on our long and distinguished tradition of excellence in research and education in the field of endocrinology, diabetes and bone disease.” Dr. Dunaif comes to Mount Sinai from Northwestern University’s Feinberg School of Medicine, in Chicago, where she is the Charles F. Kettering Professor of Endocrinology and Metabolism and was the Chief of the Division of Endocrinology, Metabolism, and Molecular Medicine for 10 years. -
Valentin Fuster, Md, Phd
VALENTIN FUSTER, MD, PHD Address: The Mount Sinai Medical Center One Gustave L. Levy Place, Box 1030 New York, NY 10029-6574 Date of Birth: January 20, 1943 Place of Birth: Barcelona, Spain Education: 1954-1961 B.S. Colegio Jesuitas, Barcelona, Spain (Baccalaureate) 1961-1967 M.D. Faculty of Medicine, Barcelona University, Barcelona, Spain 1971 Ph.D. University of Edinburgh, Edinburgh, Scotland Postdoctoral Training: Internship, Residencies, and Fellowships: 1967-1968 Internship (Straight Medical), Hospital Clinico, Barcelona, Spain 1968-1971 Research Fellow in Cardiovascular Diseases, Department of Medicine, Royal Infirmary, University of Edinburgh, Edinburgh, Scotland 1971-1972 Resident in Medicine, Mayo Graduate School of Medicine, Rochester, Minnesota Licensure and Certification: 1967 Internal Medicine Licensure, University of Barcelona, Spain 1970 Educational Council for Foreign Medical Graduates 1974 Minnesota State Board of Medical Examiners 1976 Internal Medicine Board Certification 1977 Cardiovascular Diseases Board Certification 1982 New York State Medicine and Surgery 1991 Massachusetts State Medicine and Surgery Military Service: 1966-1968 Spanish Army, Second Lt., Barcelona, Spain; Active Duty - 10 months, February 2006 1 Reserve - 2 years Academic Appointments: 1997- Richard Gorlin, M.D./Heart Research Foundation Professor of Cardiology, Mount Sinai School of Medicine, New York, New York 1994-1997 Arthur M. and Hilda A. Master Professor of Medicine, Mount Sinai School of Medicine, New York, New York 1994 Dean for Academic -
Myocardial Lactate and Pyruvate Metabolism
MYOCARDIAL LACTATE AND PYRUVATE METABOLISM Norman Krasnow, … , Joseph V. Messer, Richard Gorlin J Clin Invest. 1962;41(11):2075-2085. https://doi.org/10.1172/JCI104665. Research Article Find the latest version: https://jci.me/104665/pdf Journal of Clinical Investigation Vol. 41, No. 11, 1962 MYOCARDIAL LACTATE AND PYRUVATE METABOLISM * By NORMAN KRASNOW, WILLIAM A. NEILL, JOSEPH V. MESSER, AND RICHARD GORLIN t (From the Medical Clinics, Peter Bent Brigham Hospital, and Department of Medicine, Harvard Medical School, Boston 15, Mass.) (Submitted for publication May 23, 1962; accepted August 1, 1962) Although the heart has been considered pri- myocardial lactate extraction. Excess lactate has marily an aerobic organ, recent work (1) has re- not been found in normal or diseased human sub- emphasized the possibility that measurement of jects (10-15) at rest except in a few patients oxygen consumption alone may not 1)e adequate with progressive muscular dystrophy (16). None to define the total energy utilization under all con- has been subjected to exercise. ditions. The role of anaerobic metabolism must The purposes of this report are to describe 1) be reviewed. the effects of the stresses of physical exercise and Methods of defining as well as quantifying ischemia on myocardial lactate and pyruvate me- anaerobiosis are currently in dispute. When oxi- tabolism in man and dogs and 2) the role of dation and glycolysis proceed at the same rate, anaerobiosis during these stresses. carbohydrate is oxidized to CO2 and H20. Lac- tate arises whenever the rate of glycolysis exceeds MATERIALS AND METHODS the rate of oxidation. -
Mount Sinai Vascular Surgeons Among First in Nation to Treat Complex Aortic Aneurysm with New Device
A PUBLICATION OF THE MOUNT SINAI HEALTH SYSTEM May 2 - 22, 2016 Mount Sinai Vascular Surgeons Among First in Nation To Treat Complex Aortic Aneurysm With New Device Physicians at The Mount Sinai Hospital were among the first in the nation to implant an investigational device, a fabric and metal mesh tube known as a stent graft, as part of a clinical trial to treat aneurysms located in the thoracic/abdominal area of the aorta. Mount Sinai is one of only six institutions in the nation granted approval by the U.S. Food and Drug Administration to test the safety and initial feasibility of the device in patients. The stent graft is used to strengthen the inner lining of the aorta—the main artery that carries blood from the heart to organs—in patients where the aortic walls have weakened and caused a balloon-type bulge known as an aneurysm to grow. Once implanted, the device serves to direct blood From left: Rami O. Tadros, MD, FACS; James F. McKinsey, MD, FACS; and Michael L. Marin, flow away from the aneurysm, causing MD, FACS, are using a new-generation implantable device to treat complex thoracoabdominal it to shrink in size. If not repaired, the aortic aneurysms. continued on page 2 › Mammograms May Reveal Early Signs of Heart Disease Routine mammograms used for the 70 percent of mammograms with breast early detection of breast cancer may also arterial calcification (BAC) correlated with provide women with an early warning the presence of coronary artery calcium of cardiovascular disease, according to (CAC). Calcium deposits in the coronary a recent study led by Laurie Margolies, arteries can narrow arteries and increase MD, Associate Professor of Radiology at the risk of heart attack. -
In Vivo Quantitation of Regional Cerebral Blood Flow in Glioma and Cerebral Infarction: Validation of the Hipdm SPECT Method
572 In vivo Quantitation of Regional Cerebral Blood Flow in Glioma and Cerebral Infarction: Validation of the HIPDm SPECT Method Burton Drayer ," 2 Ronald Jaszczak,' Allan Friedman,3 Robert Albright,'·2 Hank Kung,4 Kim Greer,' Michael Lischko,' Neil Petry,' and Edward Coleman' todine-123 labeled hydroxyiodopropyldiamine (HIPDm) is a a visual or quantitati ve analysis of brain distribution is sufficient for diffusible indicator with an 85% -90% extraction fraction and defining an abnormality when a focal pathologic process is present, stable retention in the brain for more than 2 hr. Equilibrium an absolute valu e for rCBF is necessary if studies are to be com phase imaging and quantitation using single-photon emission pared in different stages of disease or an analysis is to be made of computed tomographic (SPECT) scanning defined a distribution diffuse, bilaterall y symmetric pathologic processes (e.g., Alzheimer of HIPDm in proportion to regional cerebral blood flow (rCBF). disease, metaboli c encephalopathy). Studies in calves affirmed a close correspondence (r = 0.97) in calculated rCBF between HIPDm and microspheres using the tissue deposition-arterial input function microsphere methodol Materials and Methods ogy. Using this same mathematical analysis in vivo, reproducible Isotope Detection rCBF data within the expected range of normal were obtained on repeated studies in the same nonhuman primate. With a The Duke-Siemens SPECT system [14, 15] con sists of two op diffuse encephalopathy secondary to subarachnoid blood, a posing large-field-of-view (LFOV) gamma scintillation cameras bilaterally symmetric decrease in rCBF was present. A prominent mounted on a rotatabl e gantry with each head rotating through focal decrease in HIPDm accumulation and calculated rCBF was 360 0 in 2- 26 min . -
Artificial Intelligence Platform Screens for Acute Neurological Illnesses 13 August 2018
Artificial intelligence platform screens for acute neurological illnesses 13 August 2018 for detecting a wide range of acute neurologic events and to demonstrate a direct clinical application. Researchers used 37,236 head CT scans to train a deep neural network to identify whether an image contained critical or non-critical findings. The platform was then tested in a blinded, randomized controlled trial in a simulated clinical environment where it triaged head CT scans based on severity. The computer software was tested for how quickly it could recognize and provide notification versus the time it took a radiologist to notice a disease. The average time for the computer algorithm to preprocess an image, run its inference method, and, if necessary, raise an alarm was 150 times shorter than for physicians to read the image. This study used "weakly supervised learning approaches," which built on the research team's Credit: CC0 Public Domain expertise in natural language processing and the Mount Sinai Health System's large clinical datasets. Dr. Oermann says the next phase of this research will entail enhanced computer labeling of CT scans An artificial intelligence platform designed to and a shift to "strongly supervised learning identify a broad range of acute neurological approaches" and novel techniques for increasing illnesses, such as stroke, hemorrhage, and data efficiency. Researchers estimate the goal of re- hydrocephalus, was shown to identify disease in engineering the system with these changes will be CT scans in 1.2 seconds, faster than human accomplished within the next two years. diagnosis, according to a study conducted at the Icahn School of Medicine at Mount Sinai and "The expression 'time is brain' signifies that rapid published today in the journal Nature Medicine. -
Local Cerebral Blood Flow Measured by CT After Stable Xenon Inhalation
213 Local Cerebral Blood Flow Measured by CT After Stable Xenon Inhalation John Stirling Meyer 1 A safe, practical, clinically applicable, noninvasive method for measuring local L. Anne Hayman2 cerebral blood flow (LCBF) using inert xenon (XeS) and a 60 sec CT scanner has been Masahiro Yamamoto 1 developed in the baboon. Direct measurement of expired Xes concentration after short Fumihiko Sakai1 inhalation (4-7 min) of 40% Xes and the use of computer-programmed autoradiographic 1 formulas allow accurate, reproducible measurements of LCBF using serial 60 sec scans Shinji Nakajima 3 of regions as small as 0.04 cm • LCBF measurements are possible with a Single 1 min scan. The method reduces radiation exposure, obviates a costly fourth-generation scanner, avoids anesthetic effects of Xes, and reduces the 30 min/ scan saturation period. It is less expensive than emission tomography and minimizes problems of overlap and Compton scatter inherent in 133Xe and positron-emission blood flow measurements. Regions of zero perfusion are demonstrable in three dimensions. Tissue solubility and partition coefficients, as well as LCBF, are measured in vivo with high resolution and reproducibility so that minor regional changes in physical properties of tissue that alter solubility are measured. These enhance the potential clinical usefulness of CT scanning. Measurement of cerebral blood flow using stable xenon (XeS) computed tom ographic (CT) scanning has been largely confined to animal models for several reasons [1-6]. Anesthetic properties of high concentrations of Xes, expense, high radiation dosage from excessive serial scans, time, and personnel necessary for prolonged studies involving immobilized patients have limited clinical imple mentation. -
Disclosure/Conflict of Interest Statement
Disclosure/Conflict of Interest Statement As a provider accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC), the American College of Cardiology Foundation (ACCF) must ensure balance, independence, objectivity and scientific rigor in all of their directly provided or jointly provided/co-provided educational activities. Planners, presenters, and other contributors, in a position to control the content are required to disclose to the audience all relevant financial relationships he/she and/or his/her spouse or domestic partner may have, occurring within the past 12 months, with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. When an unlabeled use of a commercial product or an investigational use not yet approved for any purpose is discussed during an educational activity, the contributor should disclose that the product is not labeled for the use under discussion or that the product is still investigational. ACCF is committed to providing its learners with high-quality activities and materials that promote improvements and quality in health care and not a specific proprietary business or commercial interest. The intent of this disclosure is not to prevent participation in educational activities by persons with a financial or other relationship, but rather to provide learners with information on which they can make their own determination whether financial interests or relationships may influence the educational activity. ACCF assesses conflicts of interest (COI) with its faculty, planners, managers, staff and other individuals who are in a position to control the content of CME/CNE activities. -
Arteriographie Anatomy and Mechanisms of Myocardial
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector JACC Vol. 9. No.6 1397 June 1987:1397-402 EDITORIALS Arteriographic Anatomy and Mechanisms of Myocardial Ischemia in Unstable Angina JOHN A. AMBROSE, MD, FACC , CRAIG E. HJEMDAHL-MONSEN, MD New York, New York Over the past 20 years, there has been considerable research stable angina; and 3) all ischemic rest pain without evidence into the pathogenesis of myocardial ischemia in unstable of myocardial infarction. angina. Early data (1-3) suggested that transient increases These catagories are not mutually exclusive . The cate in myocardial oxygen demand explained episodes of rest gory of rest pain would include some patients with previ pain in patients with unstable angina and severe coronary ously mild angina and a marked increase in symptoms (cres artery disease. In the 1970s this view changed and the con cendo angina) and also patients with previously severe angina cept of vasospasm became the most favored mechanism to and a slight increase in symptoms. Other proposed classi explain episodes of myocardial ischemia and rest pain, thus fications for unstable angina include the categories of sub changing the emphasis from the demand side to the supply endocardial infarction and postinfarction angina. The natural side of coronary dynamics (4,5). More recently, serial an history of patients with these conditions may be different giographic studies (6,7) have demonstrated that progression from that of patients classified in the preceding categories of coronary artery disease is extremely common in patients (14). More complex classifications have been proposed based with stable angina who are restudied after an episode of on clinical or angiographic criteria , or both (15,16). -
VALENTIN FUSTER, M.D., PH.D. Curriculum Vitae
VALENTIN FUSTER, M.D., PH.D. Curriculum Vitae Address: The Mount Sinai Medical Center One Gustave L. Levy Place, Box 1030 New York, NY 10029-6574 Date of Birth: January 20, 1943 Place of Birth: Barcelona, Spain Education: 1954-1961 B.S. Colegio Jesuitas, Barcelona, Spain (Baccalaureate) 1961-1967 M.D. Faculty of Medicine, Barcelona University, Barcelona, Spain 1971 Ph.D. University of Edinburgh, Edinburgh, Scotland Postdoctoral Training: Internship, Residencies, and Fellowships: 1967-1968 Internship (Straight Medical), Hospital Clinico, Barcelona, Spain 1968-1971 Research Fellow in Cardiovascular Diseases, Department of Medicine, Royal Infirmary, University of Edinburgh, Edinburgh, Scotland 1971-1972 Resident in Medicine, Mayo Graduate School of Medicine, Rochester, Minnesota Licensure and Certification: 1967 Internal Medicine Licensure, University of Barcelona, Spain 1970 Educational Council for Foreign Medical Graduates 1974 Minnesota State Board of Medical Examiners 1976 Internal Medicine Board Certification 1977 Cardiovascular Diseases Board Certification 1982 New York State Medicine and Surgery 1991 Massachusetts State Medicine and Surgery Military Service: 1966-1968 Spanish Army, Second Lt., Barcelona, Spain; Active Duty - 10 months, Reserve - 2 years Academic Appointments: 2009- General Director, CNIC-Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain 2007-2009 Scientific Director, CNIC-Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain 2006- Director, Mount Sinai Heart, , Mount Sinai School of Medicine, New York, New York 1997- Richard Gorlin, M.D./Heart Research Foundation Professor of Cardiology, Mount Sinai School of Medicine, New York, New York 1994-1997 Arthur M. and Hilda A. Master Professor of Medicine, Mount Sinai School of Medicine, New York, New York 1994 Dean for Academic Affairs, Mount Sinai Medical Center, New York, New York 1991-1994 Mallinckrodt Professor of Medicine, Harvard Medical School, Boston, Massachusetts 1 1982-1991 Arthur M. -
Acute Coronary Hemodynamic Response to Cigarette Smoking in Patients with Coronary Artery Disease
JACC Vol. 3, No.4 879 April 1984:879-86 CLINICAL STUDIES Acute Coronary Hemodynamic Response to Cigarette Smoking in Patients With Coronary Artery Disease LLOYD W. KLEIN, MD,* JOHN AMBROSE, MD, FACC, AUGUSTO PICHARD, MD, FACC, JAMES HOLT, MA, RICHARD GORLIN, MD, FACC, LOUIS E. TEICHHOLZ, MD, FACC New York, New York The acute changes in coronary blood flow and coronary group II (p < 0.05). Patients in group IA had a highly resistance that occur in response to cigarette smoking significant increase in coronary resistance as compared have not been accurately determined. To define the fac• with group IB (i 7.0 ± 4.2% versus t 0.9 ± 2.6%) (p tors that affect this response, coronary sinus blood flow < 0.001). Coronary sinus flow tended to decrease ( t 1.2 was measured in 16 patients (group I) with coronary ± 4.6%) in group IA but to increase ( i 3.8 ± 5.1%) artery disease and in 6 patients (group II) without an• in group IB (p = 0.06). giographically detectable coronary disease. Seven pa• It is concluded that smoking increases coronary re• tients (group IA) had severe (2. 75%) proximal left coro• sistance in patients with coronary artery disease. Agreater nary lesions and nine patients (group IB) had significant impact is observed in patients with a severe proximal distal lesions with 50% or less proximal stenoses. Group stenosis than in those with a distal stenosis. It is proposed I had a smaller overall increase ( i 1.6 ± 5.3 %) in coro• that smoking increases coronary artery tone at the site nary sinus blood flow than did group II ( i 7.7 ± 6.1 %) of the stenosis, limiting the coronary flow response pro• (p < 0.05).