114 research outputs found

    Percutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva

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    Mehmet Akif Cakar1, Ersan Tatli2, Bilhan Ozalp2, Huseyin Gunduz11Sakarya Education and Research Hospital, Cardiology Department, Sakarya, Turkey; 2Ada Tip Private Hospital, Cardiology Department, Korucuk, Sakarya, TurkeyAbstract: Anomalous origin of the left main coronary artery from the right sinus of Valsalva is extremely rare when not associated with other congenital cardiac anomalies. In this report we present a patient with a single coronary ostium, with both the left and right coronary artery systems arising from it. The right coronary artery was found to contain a significant flow-limiting lesion that was successfully treated with percutaneous coronary intervention.Keywords: single coronary artery, percutaneous coronary interventio

    Follow-up of Patients with Hyperlipidemia in Policlinic

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    Coronary heart disease is the leading cause of morbidity and mortality in Turkey and one of the most predictive risk factors of coronary disease in Turkish population is the ratio of total/HDL cholesterol. Therefore, adequate treatment of dyslipidemia, particularly with statins is very important with regard to prevention of coronary heart disease. However, lipid-lowering therapy is implemented suboptimally in Turkey. There is much to do for both patients and physicians

    May emergency hypertension be reason of spontaneous coronary artery dissection?

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    Spontaneous coronary artery dissection is an uncommon clinical condition. It has most often been described in healthy peripartum women with no risk factors for atherosclerosis. We present a patient of a 40 year-old man with emergency hypertension. His coronary angiography revealed dissection of the left anterior descending coronary artery which was treated with angioplasty and stenting. We postulate that emergency hypertension may be a reason of spontaneous coronary artery dissection. (C) 2008 Elsevier Ireland Ltd. All rights reserved

    Understanding the Agency of Diversity Managers: A Relational and Multilevel Investigation.

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    PhDThis thesis aims to provide a critical realist account of diversity managers' agency, incorporating a critique of the existing diversity management research. A multilevel and relational analytical framework is offered in order to understand diversity managers' agency. The framework interpreted and operationalised Bourdieu's key concepts, `field', `habitus', `capitals' and `strategies' in the organisational context, for exploring and explaining macro, meso and micro level influences on the agency of diversity managers. The macro-social field of diversity management is mapped out by analysing data from an online national survey completed by diversity managers in the UK, and in-depth interviews with diversity managers of large public and private sector organisations. Then, findings of an extensive case study of Ford Motor Company, which includes company documentation and interviews with the company's diversity managers, are introduced to examine meso-organisational and micro-individual dynamics of diversity managers' agency. The analysis of the findings revealed that the agency of diversity managers is multilayered and complex. Whilst the boundaries of this agency are drawn by the deeply seated structures and mechanisms which are embedded in the fabric of social and organisational lives, diversity managers own varying degrees of social, cultural and symbolic capitals which are potential sources of power and influence, and they utilise strategies in order to activate this potential and widen the scope of their agency. The thesis addresses the limitations in diversity management literature, which are associated with dualisms of agency and structure, and qualitative and quantitative methods. It makes theoretical and methodological contribution by offering original empirical evidence generated through a multi-method strategy and analysing diversity managers' agency at the interplay of agentic and structural dynamics. It also offers policy makers at organisational and national levels a realistic understanding of diversity management processes that may inform design of more effective and progressive policies and initiatives.School of Business and Management Queen Mary University
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