Wednesday, November 20, 2019
The Quest For Wisdom Essay Example | Topics and Well Written Essays - 500 words
The Quest For Wisdom - Essay Example For Pieper, the manner of Liesure contemplation is escorted and saturated by an unforced consciousness for religion, the thoughtful dream of the intellectus, which is not lively but inert, or somewhat amenable, the commotion of the spirit in which it envisages that which it sees freedom. Both the ancients considered intellectus as being previously beyond the globe selected to man. And however it belonged to man, although in one intellect superhuman; the simply human by itself could not satisfy man's powers of understanding, for man, of his very temperament, reaches out beyond the globe of the human. For Plato the finest in him is, even though the understanding which is mainly attribute of the human spirit happens in the form of fraction, never the less there is in it a type of contribution in the uncomplicated knowledge which is appropriate to superior beings, of whom it is consequently said that they hold the sense of religious visualization. But for Pieper, the aptitude to detain t he religious conscience in the similar way that our eye captures illumination or our ear sound. And is the noblest form of human existence. But awareness in philosophy is focussed upon the entire of being and begins with a scholarly instinct of being, as such rooted in the wisdom of touch; this is what is identical on both the authors. Plat
Tuesday, November 19, 2019
Why do you wish to study MBA in International Management with Essay
Why do you wish to study MBA in International Management with University of London through Hong Kong University SPACE - Essay Example These aspects have come to earn me much admiration and respect from colleagues, superiors and junior staff alike. For almost 7 years I have worked with a global investment bank, UBS where I worked as Head of Corporate Services while overseeing a team of 60 staff managing all in-house facilities and services. I moved to Regional Travel Management last year and focuses now on corporate travel management. Under this new line of operation my responsibilities have been hugely expanded due to my evident skills and experience in managerial positions to cover regional level. I have taken MBA as a my degree of choice since it will definitely give me the much needed impetus to take my career in management to the next level in terms of knowledge acquisition, expanded scope of thinking as well as better approaches to managerial tasks more so from an international perspective. Through the many years I have worked in management capacity, acquisition of more knowledge and exposure to new management approaches has been proving to be vital tools in overcoming the rapid changes occurring in the global business environment. My interest in having a global outlook in management sparked from the time I entered in UBS where I was bound to think in broader sense than local in order to ensure goals are met as required. I therefore, take my 13 years work experience as a huge boost towards achieving success in the MBA course where I have a wide range of management areas to choose from and more so those suiting my management tasks. I wish to pursue higher levels and positi ons within the management circles and after careful consideration I have seen pursuing the MBA will definitely take me far much closer to achieving this. I have found this to be the opportune moment and as my slogan goes, seize the opportunity while you still have it. I am now more than enthusiastic to bring on board my expertise, abilities, skills and strong commitment in ensuring
Saturday, November 16, 2019
Professional Development of Nurses Essay Example for Free
Professional Development of Nurses Essay In 2008, the Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) to form an initiative on the future of nursing. The RWJF is an independent organization that focuses on healthcare innovations and programs such as childhood obesity, health coverage, and public health. The IOM is a non-government resource that assists the government and private agencies in making informed decisions about healthcare issues (ISNA bulletin, 2011, p. 11). This 2 year study focused on the current state of healthcare, specifically nursing, and provided recommendations to improve the nursing profession and enhance the infrastructure of healthcare. Key points were safety, technology, and interdisciplinary collaboration of practice. The study focused on nursing education, practice, and nursingââ¬â¢s role of leadership (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine [RWJF], 2011). The focus on education was primarily driven to advance the educational system and to further advance nursing care in the changing face of healthcare reforms. The study showed that nurses have a significant impact in healthcare, with more than 3 million members; they are posed to generate a large role in the reform of the healthcare system (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine [RWJF], 2011). The IOM strives to achieve higher levels of education through improved educational systems. Nurses are encouraged to practice to the full extent of their education and training. The IOM initiative is promoting removal of the barriers that are in place regarding scopes of practice for advanced practice nurses and to standardize the scope of practice delineations across state lines. The report recommends support of nursing education and programs expanded to graduate more upper level nurses who will then focus on becoming educators. The goal of the IOM is to have 80% more baccalaureate prepared nurses by 2020. By increasing the number of nursing programs that are now in place and changing those from purely traditional learning to a hybrid of traditional and innovative or online programs more nurses will graduate with higher degrees. Intensifying the traditional curriculum to include interprofessional collaboration, communication, and systems thinking helps to encourage higher level thinking and superior leadership skills. Additionally encouraging nurses to engage in lifelong learning to retain and renew competencies is very important; the competencies should be relative to the knowledge, experience, and practice of the nurse. Another part of the education process is the implementation of nurse residency programs. These programs are important because it takes time and experience for a nurse to become fully prepared to be functional in the acute care setting and these new opportunities will encourage the nurses to stay at the institution. This IOM report has a tremendous impact on nursing practice, particularly in primary care with the focus being on increasing nursing education to provide higher quality care for the patients. Keeping up with facility and national competencies is important to ensure that the nurseââ¬â¢s practice is up to date and current. Improved technology also increases the nurseââ¬â¢s efficiency and the amount of time that the nurse is able to spend with their patients. Additionally, this helps with the education of the patient because when the nurse is able to spend more time with the patient more effective teaching is done. Patient safety is one of the most important parts of nu rsing and by utilizing education as well as technology nurses are able to prevent critical errors and maintain patient safety more effectively. With the new Patient Protection and Affordable Care Act (PPACA) traditional healthcare is evolving to patient centered care delivered in the community rather than in the acute care setting. Advanced practice nurses will have a bigger ââ¬Å"voiceâ⬠in the community and an enormous impact on healthcare. This will impact me in my nursing facility because as I am better educated and up to date on my competencies, my patients are safer, I am utilizing the most recent technology in caring for them, and therefore providing them the best and safest care. The IOM report is describing an ideal world where nurses are significant as leaders, in a partnership with physicians and other healthcare professionals, in redesigning the healthcare system. To accomplish this reform, nurses must be educated as leaders by focusing on communication, professionalism, interprofessional collaboration and decision making (ISNA bulletin, 2011, p. 12). The nurse should be actively involved in identifying problems, collaborating with the physicians to seek solutions, and be committed to providing safe and effective healthcare to the patients and community. Leadership also plays an active role in policy making, institutional model development, and improving work processes. Nurses, with their backgrounds in patient care, have a unique understanding of patient well-being, institutional policies, and flow of the healthcare team which helps them to be on the forefront of change. In closing, the IOM report is a detailed description of recommendations that describe how nurses can and should be actively participating in the healthcare reform. It is time for a change and nurses have the opportunity and responsibility to participate in these transformational changes. Education, leadership, changes in nursing practice, and collaboration of the healthcare team are the keys to change. References Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). Institute of Medicine. [Article]. Retrieved from http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20o Fights, S. D. (2012, March/April). Nurses Lead From Where We Stand: How Can You Impact the Future Of Nursing? [Article]. MEDSURG Nursing, 21(2), 57-58. Retrieved from http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=truedb=a9hAN=74576360site=eds-livescope=siteââ¬Å"Nurses Lead from Where We Stand: How Can You Impact the Future of Nursing? IOM Report on the Future of Nursing: Leading Change, Advancing Health. [Journal article]. (2011, January 11). Med-Surg Matters, 1, 3. Retrieved from http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=truedb=rzhAN=2010978901site=eds-livescope=siteâ⬠IOM Report on the Future of Nursing: Leading Change, Advancing Health. Visioning the future of nursing: analysis of the IOM/RWJ foundation report [independent study]. (2011, august, September, October). Indiana State
Thursday, November 14, 2019
Basketball :: essays research papers
Basketball Basketball is a great game that is one of the most popular in America. In this sport you have to have good aim to shoot, good jumping skills to rebound, you have to be quick, and also have good ball handling skills. In a real game there are only five players on the court, referees, foul outs, and rules like no running with the ball, no fouling, out of bounds and no running over the other teams players on offense. I really enjoy playing this game and I practice a lot outside on my court and play for P.A.L in the winter. I think I am a pretty good player and dream of playing for the NBA one day. Next year I'm going to play varsity for our school instead of wrestling and try my best to help the team win. If I try really hard and practice everyday I could be an extremely good player. I usually play with my friends after school for fun or just to play around and have a good time, practice on my own to practice things I need work on, or practice with my dad and let him give me some pointers. I love watching basketball games on TV and usually watch the Knicks play. Out of all of the 28 teams in the NBA my favorite teams from best to least favorite are the New York Knicks with Patrick Ewing, Larry Johnson, John Starks, Charlie Ward, Chris Childs, Charles Oakly, and Allen Houston. Then I like the Charlotte Hornets with Anthony Mason, Tyrone Bouges, Glenn Rice, Gladie Divac, and Curry. My third favorite team is the Seattle Super Sonics with Shawn Kemp, Gary Payton, Schremph, and Perdue. My fourth and final favorite team is the Orlando Magic with my favorite player Anfernee Hardaway, Horris Grant, and Nick Anderson. My three favorite players in the NBA are: 1)Anfernee Hardaway/ nickname: "Penny" 2)Larry Johnson/nickname: "Grandma" 3)Shawn Kemp/nickname: "Rainman" These players have a lot of talent and I enjoy watching them play. For instance Anfernee is a leader for the team and has good passes, good dribbling, and good shooting skills. While Larry Johnson has good rebounding, pretty good shooting, and good dunking skills. Last but not least Shawn Kemp who has great rebounding and spectacular dunking skills including fancy dunks and great allyoops. I think basketball is a great sport and that it will continue to be
Monday, November 11, 2019
Imperialism Within the Heart of Darkness Essay
A phenomenon, The Heart of Darkness, is a classic novel by Joseph Conrad, who reward individuals with their dark nature. The darkness that the characters face within themselves is the anchor towards the main theme of imperialism. Native Africans, around the early 1900s, were victims of imperialism in the novel. The Europeans saw themselves as prodigies and felt everyone redundant wanted to be like them for they perceived themselves as extraordinary. The Europeans thought so highly of themselves that they wanted to civilize what they perceived the Native Africans to beââ¬âsavages. Ironically, the process of civilization became imperialism, and the Europeans were the definition of savage while the Native Africans perceived themselves as civilized. Conrad strategically evolved this theme with the narrative of his novel and the various tones and symbols he used revolving around imperialism. These literary strategies and devices led readers to understand the secret of the darkness in the European heart, which was European imperialism. Entering the novel, Conrad has the narrator explain: ââ¬Å"It was difficult to realize that his (the Director of Companies) work was not out there in the luminous estuary, but behind him within the brooding gloomâ⬠(Conrad 1). Here, Conradââ¬â¢s use of pathetic fallacy forewarns his audience from the very beginning that the European companies are working in an unlawful matter (Shmoop.com). The Europeans are vague, and the fact they are working within the dark makes them more malicious. This behaviour leads to having an imperialistic nature because in order to have the desire to take over a race, in this case the Native Africans, one needs to already be in tuned with their dark nature. Conrad includes a second narrator, the protagonist to The Heart of Darkness, who makes a remark to the beautiful sunset over the Thames river in London saying: ââ¬Å"ââ¬ËAnd this also,ââ¬â¢ said Marlow suddenly, ââ¬Ëhas been one of the dark places of the earthââ¬â¢Ã¢â¬ (1). For Marlow to reveal a beautiful image of England as being ââ¬Å"one of the dark places of the earthâ⬠(1), tells individuals that the Europeans are morally corrupt (Shmoop.com). For the Europeans to do the morally bankrupt task of ââ¬Ëcivilizingââ¬â¢ the Native Africans, whom they acclaimed them to be the morally corrupt, only infers that the Europeans committed an offence to be proven guilty of the false accusation. The offence being imperialism; to be remarked as morally corrupt suggests that they encountered savage-like behaviours against the Native Africans. Therefore, through the narrative at the very beginning of the novel, one can infer that imperialism evolves as the Europeans are justified to have the dark nature to civilize a nation. Conrad sets the tone by casting a ââ¬Å"mournful gloomâ⬠(Conrad 1) atop London. ââ¬Å"The air was dark above Gravesend and farther back still seems condensed into a mournful gloomâ⬠¦over the biggest, and the greatest, town on earthâ⬠(1). This infers that darkness is bestowed on the purity of the ââ¬Å"greatest town on earthâ⬠(1). Conrad decides to incorporate a mood-shifter to infer that the Europeans are victims to a form of darkness and that negative events will follow. Since their goal in the novel is to civilize the Native Africans, it is forewarned that they will try to civilize them with dark power leading to imperialism. Another area where Conrad sets a dark, gloomy mood would be when Marlow talks about humans being drawn to their madness hidden within their darkest self. ââ¬Å"The fascination of the abominationââ¬âyou know. Imagine the growing regrets, the longing to escape, the powerless disgust, the surrender, the hateâ⬠(1). Marlowââ¬â¢s words bring out the theme of curiosity; the curiosity of what lies within the darkest areas of an individual. This quote states that humans are fascinated with their abomination because they have not yet experienced it; but once they have, they feel powerless and yearn to escape, but the abomination overtakes them. This certain curiosity of evil and darkness is what reigns over Europe. They are so curious of their own darkness that they themselves get lost within it and become the culprits of imperialism. Thus, through the moods and tones Conrad implants at the very beginning of his novel, he brings forth the coming of events which evolve into the realization of imperialism. Conrad uses symbolism in The Heart of Darkness to heighten the approach towards imperialism. For example, the readerââ¬â¢s encounter with the Accountant of the ivory trading Company in the outer region of Africa. Marlow describes him as an elegant dresser: ââ¬Å"â⬠¦I met a white man, in such an unexpected elegance of get-up that in the first moment I took him for a sort of visionâ⬠(16). Here, Marlow enters the beginning of his journey to the heart of Africa, and seeing the Accountant dress beautifully makes him seem like some kind of ââ¬Å"miracleâ⬠(16) since their setting at the particular moment is in contrast. The Accountant symbolizes the Company and its excellence, professionalism, and perfection. Despite the blazing heat and his surroundings of poverty, he always dresses well. This is the professionalism of the Company. The fact he immerses himself within his accounting books represents the Companyââ¬â¢s excellence and perfection. But although he is a man of perfection, the fact that the sight of suffering Native Africans distracts him and causes mistakes in his work, this symbolizes the room for error in the Company. This is an approach towards imperialism because wrong and unjust actions are seen as ââ¬Ëerrorsââ¬â¢ in which the Company is a culprit of. Also, the symbolization of flies and its representation of death heighten the approach to imperialism as well. Ever since the devil is nicknamed, the Lord of the Flies, flies have represented death (Shmoop.com). Flies are seen in parts one and three when slaves, as well as a man named Kurtz, have their life taken away. Since the flies are associated with the devil, this implies that the devil, or the darkness that overcomes Europeans, have a connection with the deaths of human lives. Therefore, Conrad uses different symbols such as the spotless attire of the Accountant and the devilââ¬â¢s flies to inform readers about the imperialistic actions of Europeans. Joseph Conrad uses narrative schemes, sets moods and tones, as well as involves symbolism to approach his major theme of imperialism. He takes readers to the darkness of the human soul, a space which reigns in every single human being. This allows the individuals to take note that they can be greatly influenced by their darkness: creating the ability to carry out unjust behaviours, such as committing imperialistic actions. Therefore, this novel is a great commentary to human error, such as being past culprits of imperialism, and brings awareness to human morality. Works Cited: ââ¬Å"Heart of Darkness.â⬠Shmoop. Shmoop University, n.d. Web. 07 Jan. 2013. .
Saturday, November 9, 2019
Journal Entry
Wing evolution has been a highly debated topic in insects. Wings play a crucial role for insects since they are used to assist with collecting food, migration, fleeing from predators, and many other activities. There are three main theories that have been thoroughly researched to help explain the evolution of wings. These theories include the parental origin of wings, the tracheal gill theory, and the exit-endive theory. The parental origin of wings hypothesis states that wings developed from parental lobes.When insects fell on the ground, nobles first acted like a racquet so the insect can land swiftly on its feet and scurry away from predators. As nobles grew larger they developed from gliders into wings. The main evidence behind this theory is the presence of broad thoracic onto and wing like pornographic lobes on fossils Of Ephemerals, Plenipotentiary and Appropriate that show venation and articulation (Whitfield 324).The tracheal gill hypothesis postulates that wings developed f rom tracheae gills since both were thin, membranous and mobile. Gills first started off for being used for breathing in oxygen, then used as fins to promote locomotion, ND finally modified the spiracles which reduced water loss to permit gliding which eventually turned into flying. Wigglers supported this theory by stating that wings and legs could be found in the thorax if it was originated by exits (Whitfield 325).The exit-endive hypothesis proposes Koala-Peck's theory about wings developed from exits that were found on many leg bases of early insects. Later, it was found that those insects also had endives. This theory was us ported by the fact that wings are originated from a structural feature that already had the necessary muscles, tendons and appendages of insects. This was later proven by the dismissal of Montana's theory that insect's legs are different than other arthropods legs (Whitfield 326). Live that the exit-endive theory seems the most plausible since it is most lik ely that wings emerged from endives and exits since those features were already present in insects. Also this theory has the most support compared to the other two theories and there are not many who oppose this theory. For the tracheal gill hypothesis to be true, the invasion of land would have to happen twice to accommodate for both insects with wings and without wings, Journal Entry On the news there was a story about a new museum being opened up in the American South that depicts the belief in creationism instead of evolution. Basically, this museum depicts human beings being created by God alongside dinosaurs and does not recognize that the Earth is older than 10,000 years old. Many people are protesting the museum because they feel that it perpetuates a religious belief as science and that it cannot be considered truthful and shouldnââ¬â¢t be viewed as a museum. I feel that this article is important because it shows how different religions and cultures can clash and different viewpoints can cause conflict amongst people. This news story, that I saw on CNN, has a central theme revolving around the fact that religion and science can cause conflict in a community. This was very interesting because of the fact this is the first museum to depict creationism as a science and because it is making such an impact in the community, with so many people protesting it because they feel it shouldnââ¬â¢t be marketed as science but as religion. This is important because both religious and non-religious people need to live side by side in our communities and it raises questions about how this can happen in terms of their beliefs about creation versus evolution, and how this aspect can help shape each of us depending on our upbringing and personal beliefs. Journal Entry # 2 The article ââ¬Å"Trial set to begin in Mississippi civil rights-era caseâ⬠by Jerry Mitchell appeared the USA Today on May 24, 2007 and deals with the case of a man who is facing charges for killing two African-American teenagers in 1964. This is an interesting article because it shows how much different our culture is today from the culture of the civil rights-era United States. Back then, white men were not punished for killing blacks, but today our culture and society have changed enough that we can look to make the past right to make a better foundation for the future. In the past few years there has been a push in Mississippi to bring to justice former klansmen and other racists who killed civil rights workers and African-Americans during a time and in a place where discrimination was so abundant that no one would convict them. This case is one of these, and is an interesting look at how the justice system can be corrupt and yet, today, we can try to make things right. This is so important today because of the issue of racism that is still there below the surface in many instances. Journal Entry # 3 The article ââ¬Å"Gold Star wives help a new generation of war widowsâ⬠that appeared on CNN.com on May 26, 2007 is an interesting look at the way that our own suffering can be a basis for helping others in similar situations. The article deals with the social issue of war and how it affects not only the people in the midst of the war but the wives, husbands, and children that are left behind by the men and women who die in the war in Iraq. This article is about a woman named Marie Speer who lost her husband in WWII and how she founded this organization called Gold Star Wives, which was established to help war widows in many various ways, from friendship and compassion, to helping lobby for benefits for the wives and husbands of those lost in the war. This story is applicable to the real world because of how our culture has been affected by the war in Iraq and how society looks at this conflict and the people affected by it. This is interesting because it shows how Americans are coming together and using their own experiences to help others and try to bring them through the pain of loss and grief. This is so important today because of the loss of connection many of us have in relation to each other. For example, many people cannot connect with people of other generations but in this article it shows how a WWII war widow has so much in common with a widow of a soldier in Iraq. It shows how we can all connect with each other on some level, and this is important in a country that lacks that. Journal Entry # 4 On Glenn Beck there was a story about how Rev. Al Sharpton, who had just finished recently lobbying to get Don Imus fired for his racial remarks regarding the Rutgers basketball team, had said something discriminatory about Mitt Romneyââ¬â¢s Mormon religion. This is an important issue because so many people can look at this and see that so many people have underlying racism or discrimination about other peopleââ¬â¢s race, ethnicity, or religion. This is an aspect of our culture that has shaped each of us, depending on where we grew up and who raised us, as well as what our own experiences have shown or taught us. The central theme of this news story is that sometimes we can see discrimination within others more than we can within ourselves and that this needs to be an issue that is raised to each of us when it comes to light. This is very interesting in one aspect because those who thought that the media made too much out of the comments by Imus could say that Sharpton had no right to complain because he then becomes embroiled in his own scandal, but others can look at it from a different perspective and say that comments about race and religion are completely different and shouldnââ¬â¢t be equally compared. This is so important in our politically correct society because it begs an answer to the question about what is discrimination and when does free speech cross the line, and how has society viewed free speech and political correctness. Journal Entry # 5 The article ââ¬Å"The First Stepsâ⬠by Alex Tresniowski, et al, appears in the May 7, 2007 issue of People Magazine and is a look at the healing process that is happening at the Virginia Tech campus in Blacksburg, Virginia following the massacre that killed 33 students in Norris Hall on April 16th. This article is unlike many of the others because instead of dealing with the dark, brooding gunman or all of the mistakes and issues that led up to the shooting, it deals with how the students affected will take steps to heal and help create a better environment for all students on campus. This article was interesting to me because it was not just another doom and gloom article about the tragedy but point out what was being done right by the Virginia Tech students, faculty, and campus administrators to help the college heal. It was interesting to read the stories about these heroes and the terrible trauma that they went through during the massacre. It was also interesting to learn about how the community and society has come together to help create a safer environment at colleges and to help these students through the tragedy. Violence has become such a huge social problem in our society and this issue was made even more glaring by this particular school shooting. The articleââ¬â¢s look at the counseling being offered, the changes in the college, and most especially the way that the community, parents, and students are all reaching out to each other as a means of healing is incredible. It also shows how they are hoping to eliminate loners and outcasts like the shooter by reaching out to their fellow classmates in need. Instead of dwelling on the bad, they are looking for something positive to come out of the tragedy. à à à à à Journal Entry Wing evolution has been a highly debated topic in insects. Wings play a crucial role for insects since they are used to assist with collecting food, migration, fleeing from predators, and many other activities. There are three main theories that have been thoroughly researched to help explain the evolution of wings. These theories include the parental origin of wings, the tracheal gill theory, and the exit-endive theory. The parental origin of wings hypothesis states that wings developed from parental lobes.When insects fell on the ground, nobles first acted like a racquet so the insect can land swiftly on its feet and scurry away from predators. As nobles grew larger they developed from gliders into wings. The main evidence behind this theory is the presence of broad thoracic onto and wing like pornographic lobes on fossils Of Ephemerals, Plenipotentiary and Appropriate that show venation and articulation (Whitfield 324).The tracheal gill hypothesis postulates that wings developed f rom tracheae gills since both were thin, membranous and mobile. Gills first started off for being used for breathing in oxygen, then used as fins to promote locomotion, ND finally modified the spiracles which reduced water loss to permit gliding which eventually turned into flying. Wigglers supported this theory by stating that wings and legs could be found in the thorax if it was originated by exits (Whitfield 325).The exit-endive hypothesis proposes Koala-Peck's theory about wings developed from exits that were found on many leg bases of early insects. Later, it was found that those insects also had endives. This theory was us ported by the fact that wings are originated from a structural feature that already had the necessary muscles, tendons and appendages of insects. This was later proven by the dismissal of Montana's theory that insect's legs are different than other arthropods legs (Whitfield 326). Live that the exit-endive theory seems the most plausible since it is most lik ely that wings emerged from endives and exits since those features were already present in insects. Also this theory has the most support compared to the other two theories and there are not many who oppose this theory. For the tracheal gill hypothesis to be true, the invasion of land would have to happen twice to accommodate for both insects with wings and without wings,
Thursday, November 7, 2019
Effect of atenolol on contractile function Essays
Effect of atenolol on contractile function Essays Effect of atenolol on contractile function Essay Effect of atenolol on contractile function Essay Consequence of Tenormin on contractile map during ischaemia and reperfusion in the rat isolated perfused bosom Purpose:?-blockers are thought to exercise good effects on the ischaemic bosom. We examine the consequence of Tenormin, a selective ?1 adversary, on contractile map at low ( 10à µM ) and high ( 50à µM ) concentrations in the stray rat Black Marias. Methods:Isolated rat Black Marias ( n=8 in each group ) were perfused with Krebs solution for 5-min. They were so perfused with test solution: controls incorporating Krebs, or selective Tenormin ( 10à µM ) or high concentration of Tenormin ( 50à µM ) . After 10-min, the Black Marias were subjected to 30-min of planetary ischaemia ( zero-flow ) followed by reperfusion with the same trial solution as earlier. The starling curves were constructed prior to and after ischemia. Consequences:No important alterations in maximal ischemic contracture and clip to half maximum contracture were seen in Black Marias pre-treated with test solutions. LVEDP was increased by 4-fold in control for Tenormin ( 10à µM ) and by 12-fold in Black Marias treated with control for Tenormin ( 50à µM ) , 5-min after reperfusion, comparing to pre-ischemic values ( P lt ; 0.05 for control for atenolol 10à µM vs. control for atenolol 50à µM ) . No alterations in coronary flow or bosom rate were observed between groups at baseline and during reperfusion. LVEDP was quickly increased from 2.6à ±1.3 mmHg to 28.6à ±9.0 mmHg in control for Tenormin ( 50à µM ) and from 4.0à ±1.6 mmHg to 27.3à ±7.6 mmHg with Tenormin ( 50à µM ) , in the starling curves constructed with 60à µl of increase in the balloon, prior to the ischemia and after reperfusion ( P lt ; 0.05 for pre-ischaemic perfusion vs. post-ischaemic reperfusion ) . Decisions:The present survey shows that Tenormin has no cardioprotective effects on contractile map during ischemia and reperfusion in stray rat Black Marias. Introduction ?-blockers have been widely shown to hold cardioprotective effects on ischaemia and hypoxic Black Marias, including betterment in ventricular map, and ensuing in a reduced mortality rate in ischaemic bosom disease patients ( Wallace et al. , 1998 ) . Although, the exact mechanisms by which cardioprotective agents act are non yet to the full understood, ? blockers are thought to exercise good effects on the ischaemic bosom by take downing myocardial O ingestion as a effect of decreased contractility and bosom rate ( HR ) . The consequence of ?-adrenergic receptor adversary, Tenormin, on the contractile map in the stray bosom is still a controversial subject of research. Several surveies have shown that Tenormin does non protect against ischaemia-reperfusion in a theoretical account of an stray perfused bosom exposed to planetary or no-flow ischemia ( Singh et al. , 1995 ; Harada et al. , 1981 ) . However, on the other terminal of the spectrum there have been studies bespeaking that an ischemic period of longer than 3-4 min induces important release ( 2700pmol/g bosom ) of endogenous catelchoamines ( norepinephrine ) in the stray rate bosom ( Wollenberger and Shabab, 1965 ) . In add-on, an flood of catecholamines during the reperfusion period has besides been reported, which is thought to be a consequence of washout of norepinephrine antecedently released from the sympathetic nervousnesss or due to a reperfsion activated release ( SchSmig et al. , 1984 ; Carlsson et Al 1985 ) . It is suggested that cate cholamines mediates contractility of the cardiac musculus. These agents work by triping ?-adrenergic receptors, taking to the activation of adenylyl cyclase, which so elevates the degrees of a secondary courier camp. Increased camp activates protein kinase A ( PKA ) , which causes increased entry of Ca into the cell, ensuing in positive inotropy ( increased contractility ) in the cardiac musculus. The positive inotropic consequence due to high degrees of endogenous catecholamine should be hence attenuated by the usage of selective concentration of ?1-adrenoceptor adversary, Tenormin. In order to prove the counter consequence of Tenormin, we use a selective concentration of Tenormin ( 10à µM ) on a normal operation rat bosom and in a theoretical account in of 30-min of globally ischemic induced rat bosom followed by 10-min of reperfusion. Since the release of endogenous catecholamines upon ischaemia is controversial, we besides used a high concentration of Tenormin ( 50à µM ) to find counter action of non-selective atenolol dose on receptors other than ?1-adrenoceptors, and to see if it enhances recovery in contractile map upon ischemia. The Langendorff scenes were used in this experiment as it is a widely used readying which provides valuable information on left ventricular systolic and diastolic force per unit areas and their derived functions in Black Marias, subjected to ischemia ( Skrzypiec-Spring et al. , 2007 ) Methods Anaesthesia, bosom deletion and perfusion All experiments were carried out in understanding with the United Kingdom Home Office Guide on the Operation of the Animals ( Scientific Procedures ) Act 1986. Rats ( male Wistar strain ; Sigma chemicals U.K. , 230-280g ; n=8 in each group ) were anaesthetised with Nembutal by an intraperitoneal injection ( 60mg/kg ) . An endovenous injection of Lipo-Hepin ( 300 I.U ) , an decoagulant, was given to forestall the formation of thrombi. Heartss were so excised: foremost, the stop was accessed by a transabdominal scratch and cut carefully to expose the thoracic pit. The thorax was opened by a bilateral scratch along the lower border of the last to first ribs and the pectoral coop was so reflected over the animate being s caput, thereby exposing the bosom. The bosom was so cupped between the fingers ( in order to avoid bruise hurt ) and lifted somewhat before incising the aorta, vena cava and pneumonic vass. To avoid any ischaemic hurt, after deletion, Black Marias were instantly immersed in ice-cold perfusion solution ( 4à °C ) incorporating following composing ( in millimeter ) : NaClA 118.5, NaHCO3 25.0, KCl 3.0, MgSO4 1.2, NaH2PO4 1.2, gluc ose 11.1, CaCl2 1.4, followed by the canulation of the aorta and the bosom was so perfused retrogradely down the aorta, harmonizing to the Langendorff manner ( 1895 ) with a changeless hydrostatic force per unit area equivalent to 100 cmH2O, and perfusion solutions aerated with a gas mixture of 95 % O2 + 5 % CO2, delivered at pH of 7.4 at 37à °C. A changeless temperature 37à °C of the perfusate was maintained with a heat money changer ( Techne Circulators C85-A, UK ) . Perfusion solutions were non recirculated. Measurement of left ventricular force per unit area utilizing intraventricular balloons After remotion of the left atrial extremity, a fluid-filled compliant balloon was attached via a blunt-ended acerate leaf ( 21 gage ) and a catheter to a force per unit area transducer, which was carefully inserted into the left ventricular pit via the mitral valve. The balloon was used to find the contractile activity of the bosom: the measuring of left ventricular systolic ( LVEDP ) and diastolic force per unit areas and ( by difference ) left ventricular developed force per unit area ( LVDP ) and the bosom rate. The balloon was ab initio inflated with H2O from a microsyringe until a developed force per unit area of 100 mmHg was obtained so farther volume was added to bring forth starling curve. The force per unit area transducer was connected to a biological recording system equipped with amplifier ( PowerLab 4/25, AD Instruments ) . Experimental protocol The stableness and duplicability of each readying was monitored by mensurating the baseline contractile map during the first 15-min of aerophilic perfusion. Heartss were perfused for an initial 5-min with a standard Krebs solution, followed by another 10-min perfusion with one of the several trial solutions, which were perfusion solutions incorporating Tenormin ( 10à µM ) , control for Tenormin ( 10à µM ) , atenolol ( 50à µM ) and control for Tenormin ( 50à µM ) . Standard Krebs solution was switched to one of the trial solution in a randomized blinded mode, in order to avoid prejudice. Blinding was achieved by coding the solutions, with the codification unknown to the person. Ethanol ( 0.05 % v/v ) was moving as a drug vehicle for Krebs solution, and added to all the perfusion solutions to extinguish vehicle as a beginning of discrepancy. The relationship between the intraventricular volume and the force per unit area was studied as described by Otto Frank in 1895, the Frank-Starling jurisprudence of the bosom ( Frank et al. , 1895 ) . The balloon was deflated to the nothing volume, prior to the building of starling curves, and so increasingly inflated by adding 0.02ml increases to the balloon ( 30s at each increase ) , until a diastolic force per unit area of 20 mmHg could be observed, during which clip systolic, diastolic, and developed force per unit area, bosom rate and coronary flow were monitored. The balloon was deflated back to zero volume. After baseline experiments, the Black Marias were made globally ischemic ( zero-flow ischemia ) for 30-min by clamping off the aortal flow. During ischemia, Black Marias were immersed in Krebs solution and temperature was recorded with a thermometer. Heartss were so reperfused for 10-min under the same conditions of baseline ; therefore the intraventricular balloon was deflated sufficiently to re-establish a developed force per unit area of 100 mmHg. Another starling curve was so constructed via the same intraventricular balloon method and the appropriate measurings were recorded. Measurement of coronary flow The measuring of coronary flow was performed by mensurating timed volumes of perfusate run outing out of the right atrium. Flow was calculated as ml/min/g of wet tissue, therefore taking into history any differences in weight between single Black Marias. Drugs All the drugs were obtained from Sigma Chemical Co. ( Dorset, UK ) . Atenolol was diluted in Krebs solution, in order to accomplish appropriate concentrations ( 10à µM and 50à µM ) . Statisticss Datas are expressed as meanà ±SEM. Two-tailed t-test was performed presuming two-sample equal discrepancy ( homoscedastic ) . A difference was considered to be statistically important when P lt ; 0.05. Consequences Development of ischaemic contracture during 30 min of planetary Ischemia Maximal ischemic contracture was determined by mensurating the maximal rise in diastolic force per unit area from the baseline point. Time to onset 50 % of the maximum contracture was besides found, which is an accurate step to measure ischemia-induced diastolic disfunction ( Fig.1 ) . Conventional representation of development of ischemic contracture ( during 30 min of planetary ischemia ) for an single hint of Tenormin ( 10à µM ) in the rat isolated bosom. A rapid rise in LVEDP was noticed shortly after the initiation of planetary ischemia. Owing to the fact that volume in the balloon was kept changeless therefore any addition in LVEDP was stand foring contracture of the stray rat bosom. Function during the ischemia was non the Centre of attending here and merely certain effects of the intercessions were noted. There were no important differences, in footings of the maximum contracture and clip to achieve 50 % of maximal contracture, between the two control groups and the comparative values of Tenormin ( 10à µM ) and Tenormin ( 50à µM ) group ( Fig.2 ) . The clip to half-maximal contracture was 20.8à ±4.3 min with a peak contracture of 30.8à ±6.1 mmHg in the Black Marias treated with control for Tenormin ( 10à µM ) . No important consequence of planetary ischaemic on contracture development was seen in Black Marias treated with Tenormin ( 10à µM ) i.e. , the clip to half maximal contracture occurred at 16.0à ±2.7 min and peak contracture at 38à ±7.2 mmHg. This was besides the instance for Black Marias perfused with high concentration of Tenormin ( 50à µM ) , ensuing in peak contracture of 41.3à ±4.5 mmHg and the clip to half maximum contracture of 14.4à ±2.2 min, in comparing to the matching values of control for high concentration in which peak contracture and half-maximal contracture were delayed to 43.0à ±7.6 mmHg and 15.8à ±2.4 min, severally. Consequence of Tenormin ( 10à µM ) and Tenormin ( 50à µM ) on extremum ischaemic contracture development and clip to half-maximal ischemic contracture. Datas are meanà ±S.E.M. There were no important differences between groups. n=8 in each group. Postischaemic profile for: ( a ) terminal diastolic force per unit area, ( B ) developed force per unit area, ( degree Celsius ) bosom rate and ( vitamin D ) coronary flow in stray rate Black Marias treated with Tenormin ( 10à µM ) , control for Tenormin ( 10à µM ) , atenolol ( 50à µM ) and control for Tenormin ( 50à µM ) . Baseline represents values taken 1-min anterior to the ischemia ; 5 and 9 min represents reperfusion clip points after 30-min of planetary ischemia. Valuess are average à ± SEM ; n=8 in each group. *P lt ; 0.05 ( control for atenolol 10à µM vs. control for atenolol 50à µM ) . Postischaemic recovery of terminal diastolic force per unit area, developed force per unit area, bosom rate and coronary flow LVEDP rose by 4-fold in control for Tenormin ( 10à µM ) 5-min after reperfusion comparing with the values before the oncoming of ischemia ( Fig.2 ) . In contrast, a rapid addition by 12-folds was noticed in Black Marias treated with control for Tenormin ( 50à µM ) ( P lt ; 0.05 control for atenolol 10à µM vs. control for atenolol 50à µM ) . LVDP fell down by 21 % and 57 % in Black Marias treated with controls for Tenormin ( 10à µM and 50à µM, severally ) 5-min after the oncoming of reperfusion comparing with the values before the oncoming of ischemia. This clearly shows that post-ischaemic recovery of LVDP was hapless in Black Marias treated with control solutions. The corresponding decrease in LVDP by a little border of 4 % and 13 % in Black Marias treated Tenormin ( 10à µM ) and Tenormin ( 50à µM ) severally, may be a small surprising but such values are non extremely important in comparing to the controls, hence no important betterment in post-ischaemic LVDP recovery is observed. No important alterations in coronary flow were seen between groups at baseline. During reperfusion, no damage in the coronary flow was apparent in the Black Marias treated with Tenormin ( 10à µM ) and high Tenormin ( 50à µM ) in comparing to the comparative values for control groups. Besides, no important difference in the bosom rate was found at the baseline and at the terminal of 10-min reperfusion between any of the groups. With 60à µM of increase in the balloon, there was a significant rise in the diastolic force per unit area for the starling curve taken prior to the oncoming of ischemic in comparing with values taken 30-min after the ischemia, for Black Marias treated with Tenormin ( 50à µM ) , and control for Tenormin ( 50à µM ) . The diastolic force per unit area drastically increased from 2.6à ±1.3 mmHg to 28.6à ±9.0 mmHg ( P lt ; 0.05 ) for Black Marias treated with control for Tenormin ( 50à µM ) and a corresponding rise from 4.0à ±1.6 mmHg to 27.3à ±7.6 mmHg ( P lt ; 0.05 ) in Tenormin ( 50à µM ) treated Black Marias. This clearly indicates a presence of diastolic disfunction. No important rise in diastolic force per unit area was seen in Black Marias treated with control for Tenormin ( 10à µM ) and Tenormin ( 10à µM ) . Relationship between diastolic force per unit areas obtained with 60à µM of increase in the balloon prior to the oncoming of 30 min ischemic and postischaemia in the rat isolated bosom treated perused with the trial solutions. Datas are meanà ±S.E.M. ( *P lt ; 0.05 pre-ischaemic perfusion vs. post-ischaemic reperfusion ) . n=8 in each group. Developed force per unit area dropped down by 21 % and 28 % in Black Marias treated with Tenormin ( 10à µM ) and Tenormin ( 50à µM ) , severally, for the values taken before the oncoming of ischemia and after 30 min of ishaemic period with 60à µM of increase in the balloon. In contrast, a little rise in developed force per unit area by 9 % and 24 % in Black Marias treated with control for Tenormin ( 10à µM ) and control for Tenormin ( 50à µM ) . In both instances, an addition or lessening in developed force per unit area was non extremely important. Discussions A rise in ischaemic contracture was noticed in the current survey, which is thought to be due to depletion of ATP production via glycolytic tract ( anaerobiotic glycolysis ) instead than entire cellular ATP content ( Kingsley et al. , 1991 ) . It is besides believed that an early contracture may hold Ca constituent as intracellular free Ca ions are reported as a cardinal go-between of ischemic hurt ( Tani M. , 1990 ) . In order to understate ischaemic hurt we used a recommended concentration of Ca ( 1.4mmol/L ) in the perfused solutions ( Fiona et al. , 2003 ) . No decrease in the maximal-ischemic contracture was seen in Black Marias pre-treated with atenolol therefore Tenormin did non hold any contraceptive consequence on ischemic contracture development. This was farther apparent by no protraction of the clip to half maximum contracture, in the presence of Tenormin, proposing that ischaemic hurt was non reversed in this instance. An expected ague rise in ventricular diastolic force per unit area and a diminution in developed force per unit area was detected in all ischemic-subjected Black Marias ( Porter T. , 1895 ) . Atenolol did non do important postischaemic recovery in LVPD and LVEDP during reperfusion. Although, Black Marias treated with control for Tenormin ( 50à µM ) had a rapid rise in LVEDP in comparing to the Black Marias treated with control for Tenormin ( 10à µM ) such difference could be due to variableness in the consequences as experiment was carried out in two different yearss and environmental conditions may hold influenced consequences to a certain extent. In add-on, the dependability of consequences is besides questionable as few values could non be taken during the experiments due to an oncoming of ventricular fibrillation taking to inaccurate average values. No major alterations in bosom rate and coronary flow were seen between groups at baseline and 10 min after reperfusion in Black Marias subjected to ischaemia. Changes in coronary flow are usually accompanied by alterations in LVDP ; hence no important alterations in coronary flow confirm the cogency of LVDP step as antecedently described. There was a mark of diastolic disfunction as evident in the starling curve constructed prior to the oncoming of ischemic in comparing to the values taken after reperfusion. This diastolic disfunction further indicates no mediated cardioprotective effects of Tenormin as preconditioning, and reperfusion with Tenormin did non rarefy contractile disfunction. In drumhead the present survey shows that both low ( 10à µM ) and high ( 50à µM ) doses of Tenormin did non hold any cardioprotective effects on ischaemic/reperfusion hurt in stray rat Black Marias. The effectivity of ?-adrenoceptor encirclement in the ischaemic reperfused stray Black Marias has been demonstrated in the past surveies. Lu et al reported that pretreatment with Tenormin did non demo betterment in postischemic recovery in the stray coney Black Marias ( Lu et al. , 1990 ) . They used 10 mg/l of Tenormin in the Black Marias subjected to 25-min ischemia, followed by 30 min of reperfusion. The average functional recovery of aortal flow was merely 6 % in Black Marias treated with a control solution and no important rise in aortal flow recovery could be observed with Tenormin treated Black Marias. In the bosom, ?-adrenergic responses to catecholamines are most normally associated with the activation of ?1-adrenergic receptors. Nevertheless, cardiac musculus besides possesses a important population of ?2-adrenergic receptors ( Brodde. , 1991 ; Kaumann et al. , 1987 ) and a infinitesimal population of a1-adrenoceptors ( Lutz et al. , 2003 ) . In this survey, we used a selective concentration of Tenormin, which has antecedently shown to hinder the positive ionotrophic consequence of catecholamines. The selective concentration of the Tenormin ( 10à µM ) was chosen to be 1 à ± 2 orders of magnitude above its several pA2 ( Borje J. , 1979 ; Kenakin. , 1993 ) . No consequence of selective Tenormin on cardiac recovery was seen, which could be due to two grounds: a ) there was no endogenous release of catecholamine B ) an increased contractility was a consequence of catecholamine moving on receptors other than ?1-adrenoceptors ( ?2 and a1 receptors ) , which are non antagonised by selective concentration of Tenormin. If latter was the instance, should we have observed a recovery in contractile map with higher concentration of Tenormin? Well, no discernible recovery in cardiac map was seen with higher doses of Tenormin ( 50à µM ) . For case, if atenolol ( 50à µM ) was moving on ?2-adrenoreceptors so it would hold caused a diminution in bosom rate, which was non the instance in this survey. It could besides intend that 5-fold higher concentration of Tenormin ( 50à µM ) . used in this survey, was non powerful plenty to move on receptors other than ?1-adrenoceptors ( ?2 or a1 receptors ) . On the footing of our consequences, we conclude that Tenormin did non hold a cardioprotective consequence, which could be due to really low concentration of catecholamines present in the nervus terminations. However, the dependability of our decision is so problematic as there was a batch of variableness in the consequences which made it complicated to construe. Study restrictions Perfusion force per unit area was provided by adding appropriate sum of trial solution to the reservoir. In some instances, reservoir was non topped up and this would hold led to low hydrostatic force per unit area, therefore a low coronary flow the latter is thought to be straight relative to perfusion force per unit area ( Fiona et al. , 2003 ) . It is hence of import to utilize a changeless perfusion force per unit area of 60-100 mmHg utilizing a perfusion force per unit area transducer, connected to a tripartite pat instantly above the aortal cannula ( Fiona et al. , 1999 ) . In this survey we merely controlled temperature of perfusion solution utilizing a heat money changer. Surveies have shown that alterations in tissue temperature are associated with LVDP and bosom rate steps ( Fiona et al. , 2003 ) . A alteration could be made by environing the bosom with a thermostatically controlled water-jacked chamber to keep its temperature at 37.0à ±0.2à °C throughout the experiment. In add-on, Black Marias could besides be maintained at 37à °C during ischaemic period. For better reading of consequences, one could utilize another ?-adrenoceptor adversary, such as propranolol, which acts on both ?1 and ?2-adrenoceptors. This would bespeak drug action on ?2-adrenoceptors, therefore giving us a clearer image of the presence of catecholamines, if any. On the other manus, catecholamine could be added exogenously, in the presence or absence of Tenormin, to detect any differential effects. Other possible betterments include widening the reperfusion clip from 10-min to 1hr, in order to detect farther alterations in cardiac map. Furthermore, the whole experiment could be done in one twenty-four hours clip to minimise influences of environmental conditions. Mentions: 1. Brodde, O.-E. ?1- and ?2-Adrenoceptors in the human bosom: belongingss, map, and changes in chronic bosom failure. Pharmacol. Rev. 43: 203-242, 1991 2. Frank O. Zur Dynamik des Herzmuskels.Z Biol32: 370-437, 1895. 3. Harada S, Ban T, Fujita T, Koshiro A. Negative inotropic effects and the hydrophobicity of beta-adrenergic barricading agents. Arch Int Pharmacodyn 1981 ; 252:262-71. 4. Hein A ; Schmitt, 2003. L. Hein and J.P. Schmitt, a1-Adrenoceptors in the bosom: friend or foe? . J Mol Cell Cardiol 35 ( 2003 ) , pp. 1183-1185. 5. Johansson B. Effectss of Tenormin, metroprolol, and pamatolol on cardiac and vascular ?-adrenoceptorsA in the rat.J Cardiovasc Pharmacol 1979 ; 1:287-98 6. Kaumann, A. J. , and H. Lemoine. ?2-adrenoceptor-mediated positive inotropic consequence of epinephrine in human ventricular myocardium. Quantitative disagreements with binding and adenylate cyclase stimulation. Naunyn Schmiedebergs Arch. Pharmacol. 335: 403-411, 1987 7. KENAKIN, T. ( 1993 ) . Pharmacological Analysis of Drug-Receptor Interaction. pp. 376- 378. New York: Raven Imperativeness 8. Kingsley PB, Sako EY, Yang MQ, Zimmer SD, Ugurbil K, Foker JE, From AH. Ischemic contracture begins when anaerobiotic glycolysis Michigans: a 31P-NMR survey of stray rat Black Marias. Am J Physiol. 1991 ; 261: H469-H478. 9. L. Carlsson, T. Abrahamsson and O. Almgren, Local release of myocardial noradrenaline during acute-ischemia an experimental-study in the stray perfused rat-heart, J. Cardiovasc. Pharm. 7 ( 1985 ) , pp. 791-798. 10. Lu HR, Vandeplassche G, Wouters L, Flameng W, Borgers M. Effects of /3-adrenoceptor adversaries on cardiac map in ischemic-reperfused myocardium of the stray on the job coney bosom. Eur J Pharmacol. 1990 ; 184:65-74. 11. Porter T. On the consequences of ligation of the coronary arterias. J Physiol ( London ) 1895 ; 15:121. 12. Schomig A, Dart AM, Dietz R, Mayer E, KObler W. Release of endogenous catecholamines in the ischaemic myocardium of the rat. Separate A: Locally mediated release. Circ Res 1984 ; 55: 689-701. 13. Singh N, Seneviratne CK, Singal PK. Propranolol protection against ischaemic hurt is accompanied by addition in antioxidant activities without any alteration in messenger RNA. FASEB J 9 ( 1995 ) 14. Skrzypiec-Spring M, Grotthus B, Szelag A, Schulz R, Isolated bosom perfusion harmonizing to Langendorff still feasible in the new millenary, J. Pharmacol. Toxicol. Methods 55 ( 2007 ) , pp. 113-126. 15. Sutherland FJ, Hearse DJ. The stray blood and perfusion fluid perfused bosom. Pharmacol Res 2000 ; 41:613-27. 16. Sutherland, F. , Shattock, M. , Baker, K. , and Hearse, D. 2003a. Mouse isolated perfused bosom: features and cautiousnesss. Clin. Exp. Pharmacol. Physiol. 30: 867-878. 17. Tani M. Mechanisms of Ca2+ overload in reperfused ischaemic myocardium. Annu Rev Physiol 1990 ; 52: 543-59. 18. Wallace A, Layug B, Tateo I, et Al. Contraceptive Tenormin reduces postoperative myocardial ischaemia. McSPI Research Group. Anesthesiology 1998 ; 88: 7-17. 19. Wollenberger and Shabab, 1965. A Wollenberger and L Shabab, Anoxia-induced releases of norepinephrine from isolated perfused bosom. Nature 207 ( 1965 ) , pp. 88-89.
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