972 resultados para Pinelands National Reserve (N.J.)--Maps.
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Also covers Morristown and surrounding areas.
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Also covers Morristown and surrounding areas.
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Also covers town of Morristown and surrounding areas.
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Scale ca. 1:1,100.
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Scale ca. 1:1,100.
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"*GPO:2008--339-126/80165."
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Relief shown by contours and hachures.
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Shows Smithsonian buildings in red and other principal Mall buildings in gray.
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Relief shown by shading and spot heights.
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"N.M. PIN. 7001 4/3/40."
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Scale ca. 1:250,000.
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This activity book is a fun way to reinforce and enrich every student’s ACE Basin experience ... to instill a stronger awareness and respect for environmentalism and conservation, to broaden their knowledge of this area where they co-exist with a diversity of other life forms, and to encourage them to enjoy the adventure and discovery within Coastal South Carolina. These pages can also be used as coloring pages.
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A prospective randomised controlled clinical trial of treatment decisions informed by invasive functional testing of coronary artery disease severity compared with standard angiography-guided management was implemented in 350 patients with a recent non-ST elevation myocardial infarction (NSTEMI) admitted to 6 hospitals in the National Health Service. The main aims of this study were to examine the utility of both invasive fractional flow reserve (FFR) and non-invasive cardiac magnetic resonance imaging (MRI) amongst patients with a recent diagnosis of NSTEMI. In summary, the findings of this thesis are: (1) the use of FFR combined with intravenous adenosine was feasible and safe amongst patients with NSTEMI and has clinical utility; (2) there was discordance between the visual, angiographic estimation of lesion significance and FFR; (3). The use of FFR led to changes in treatment strategy and an increase in prescription of medical therapy in the short term compared with an angiographically guided strategy; (4) in the incidence of major adverse cardiac events (MACE) at 12 months follow up was similar in the two groups. Cardiac MRI was used in a subset of patients enrolled in two hospitals in the West of Scotland. T1 and T2 mapping methods were used to delineate territories of acute myocardial injury. T1 and T2 mapping were superior when compared with conventional T2-weighted dark blood imaging for estimation of the ischaemic area-at-risk (AAR) with less artifact in NSTEMI. There was poor correlation between the angiographic AAR and MRI methods of AAR estimation in patients with NSTEMI. FFR had a high accuracy at predicting inducible perfusion defects demonstrated on stress perfusion MRI. This thesis describes the largest randomized trial published to date specifically looking at the clinical utility of FFR in the NSTEMI population. We have provided evidence of the diagnostic and clinical utility of FFR in this group of patients and provide evidence to inform larger studies. This thesis also describes the largest ever MRI cohort, including with myocardial stress perfusion assessments, specifically looking at the NSTEMI population. We have demonstrated the diagnostic accuracy of FFR to predict reversible ischaemia as referenced to a non-invasive gold standard with MRI. This thesis has also shown the futility of using dark blood oedema imaging amongst all comer NSTEMI patients when compared to novel T1 and T2 mapping methods.