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Articles 77761 - 77790 of 1739268
Full-Text Articles in Entire DC Network
Leadership Experiences Of African American Women Vice Principals, Shakisha Mccray
Leadership Experiences Of African American Women Vice Principals, Shakisha Mccray
Theses and Dissertations
This qualitative dissertation explores the lived experiences of African American women vice principals, an underrepresented group in educational leadership. There is a need to address the gap in scholarly research that disproportionately focuses on principals and European ethnicity. This study includes the voices and counter-stories of five African American women vice principals. Using critical race theory and Black feminist thought as theoretical frameworks, the study examines how race and gender influence their leadership experiences. Data was collected through interviews and analyzed to identify key themes. The research questions focus on how these vice principals describe their roles and responsibilities and …
Ageing And Occupational Medicine In Indonesia: A Timely Integration For An Inclusive Workforce, Iqbal Mochtar
Ageing And Occupational Medicine In Indonesia: A Timely Integration For An Inclusive Workforce, Iqbal Mochtar
Occupational and Environmental Medicine Journal of Indonesia
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Faktor Yang Berhubungan Dengan Keluhan Heat Strain Pada Pekerja Overhaul Tangki Di Pt. X Kota Balikpapan, Bratarini Hassya Chilwindwi, Iwan Muhamad Ramdan, Dewi Novita Hardianti, Muhammad Sultan, Ida Ayu Indira Dwika Lestari
Faktor Yang Berhubungan Dengan Keluhan Heat Strain Pada Pekerja Overhaul Tangki Di Pt. X Kota Balikpapan, Bratarini Hassya Chilwindwi, Iwan Muhamad Ramdan, Dewi Novita Hardianti, Muhammad Sultan, Ida Ayu Indira Dwika Lestari
National Journal of Occupational Health and Safety
Heat strain is a physiological reaction of the body that functions to release excess heat through sweat output, increased body temperature, heart rate, blood pressure, and weight loss. PT X is a company that operates in the oil and gas sector. The results of the study found that the workload was not appropriate and the incidence of work accidents that occurred due to fatigue. This study was conducted to see the heat strain complaints experienced by tank overhaul workers in the Oil Refinery Area of PT. X Balikpapan City and the associated factors. This research applied quantitative method with analytical …
High- Speed Wireless Interference Separation Based On Photonic Deep Learning Accelerators And Three-Dimensional Image Reconstruction For Medical Applications, Taichu Shi
Theses and Dissertations
This dissertation is centered on fast wideband interference management through advanced photonic signal processing and hybrid communication architectures. The core of this work is based on an optical pulse sampling technique proposed for photonic blind source separation (BSS) to recover wideband signals from their sub-Nyquist samples. With the use of ultra-short optical pulses to obtain statistically representative samples, this method retains important statistical properties of the signals while significantly reducing constraints imposed by analog to digital conversion and digital signal processing. Building on this foundation, we further apply the photonic BSS system within a hybrid free space optical (FSO) and …
Exploring The Effect Of Led-To-Photodetector Spacing On Subcutaneous Photoplethysmography For Continuous Blood Pressure Measurement, Dario Cabal, Brian Nguyen, David B. Green, Kevin Kilgore, Varun Thakkar, Michael J. Fu, Steve J. Majerus
Exploring The Effect Of Led-To-Photodetector Spacing On Subcutaneous Photoplethysmography For Continuous Blood Pressure Measurement, Dario Cabal, Brian Nguyen, David B. Green, Kevin Kilgore, Varun Thakkar, Michael J. Fu, Steve J. Majerus
Student Scholarship
Photoplethysmography (PPG) is widely used to measure heart rate, blood oxygenation, and more recently, blood pressure. Implanted PPG systems offer the possibility to measure similar real-time measures of cardiovascular health, however, the detection method may vary due to a lack of capillary vessels for PPG sensors to observe in muscle tissue. To improve volumetric blood detection in large muscles, without relying on the capillary density of skin, a flexible PPG sensor was developed. The sensor included multiple spacing of illuminating infrared (IR) light emitting diodes (LEDs) and a single IR photodetector. This arrangement was expected to enable detection of blood …
Introduction, Gioia Laura Iannilli, Ossi Naukkarinen, Enrico Glerean
Introduction, Gioia Laura Iannilli, Ossi Naukkarinen, Enrico Glerean
Contemporary Aesthetics (Journal Archive)
No abstract provided.
Preserving Meaning In An Age Of Algorithms And Ai, David L. Hildebrand
Preserving Meaning In An Age Of Algorithms And Ai, David L. Hildebrand
Contemporary Aesthetics (Journal Archive)
New technologies not only surveil and collect data about us, they also change and alter the way we make or preserve meaning, including aesthetic meaning. Accordingly, the ways we consider, research, and educate aesthetics will have to adapt, at least insofar as it keeps a new range of technological dimensions in mind. To help imagine such dimensions, this paper examines the opportunities and challenges of technologies offering new ways of creating things while also nudging and “hypernudging” our actions. Such developments may initially seem trivial but they are changing our relationships with one another and with ourselves. After a brief, …
Human And Ai Perspectives On Academic Aesthetics, Gioia Laura Iannilli, Ossi Naukkarinen
Human And Ai Perspectives On Academic Aesthetics, Gioia Laura Iannilli, Ossi Naukkarinen
Contemporary Aesthetics (Journal Archive)
The purpose of this article is to examine how current AI tools can be used in aesthetics research and teaching. We focus in particular on one theme: how traditional ways of describing the field of aesthetics as a whole could relate to descriptions made with the help of artificial intelligence. Describing the field and its main questions is unavoidable when we teach and research aesthetics; our question is, how can AI be used for that? Starting from a new meta-aesthetic tripartite model of aesthetics that we introduce, we raise a set of questions to pave the way to a more …
Anticipation And Aesthetics After Automation, Tanya Ravn Ag
Anticipation And Aesthetics After Automation, Tanya Ravn Ag
Contemporary Aesthetics (Journal Archive)
This paper explores generative technology’s ongoing aesthetic evolution through the lens of anticipation. It proposes anticipation as an alternative perspective to automation to understand the implications of generative technology in relation to aesthetic production and evolution. By focusing on anticipation, the discussion shifts from merely considering AI’s impact on aesthetics as instrumental to creative production to examining the anticipative behaviors and affective responses these technologies develop, engage, and cultivate through our interactions with them. Understanding generative technology as anticipatory highlights how deeply human and cultural expectations influence the design, recursive adaptation, and future anticipations of AI systems. Viewing our engagements …
Aesthetics In The Age Of Ai: A Methodological Self-Delineation, Anne Virginia Meindl
Aesthetics In The Age Of Ai: A Methodological Self-Delineation, Anne Virginia Meindl
Contemporary Aesthetics (Journal Archive)
Current debates on AI entering aesthetic practices often take on a normative stance by evaluating the artistic status of AI art. This article seeks to develop a different perspective by referring back to the original descriptive meaning of ‘aisthesis’ and also to the origins of aesthetics as discourse on the senses and art. Introducing a Hegelian understanding of the artistic medium—as formally modeling a certain structure of consciousness rather than just as a neutral means of representation—this article provides a methodological starting point of an aesthetically engaged critique of AI’s implicit subject model. Rather than operating with abstract definitions of …
An Agent Or A Tool? Artificial Intelligence, Heidegger’S Robot And The Ignorant’S Toaster, David Holtgrave
An Agent Or A Tool? Artificial Intelligence, Heidegger’S Robot And The Ignorant’S Toaster, David Holtgrave
Contemporary Aesthetics (Journal Archive)
Be it in art, aesthetics, or anywhere in or beyond academia, artificial intelligence, or AI, often is said to do a lot of stuff formerly done by humans. In this essay, I will argue that this line of thinking is to some extent misleading. On my account, it is still humans that do the same stuff, only by different means. Taking its employment and discussion in the arts as an example, I will set up and discuss what I call the ‘agent view’ of AI and show how, for those cases in which we typically attribute agency to AI, this …
The Mimesis Of Difference: A Deleuzian Study Of Generative Ai In Artistic Production, Jakub Mácha
The Mimesis Of Difference: A Deleuzian Study Of Generative Ai In Artistic Production, Jakub Mácha
Contemporary Aesthetics (Journal Archive)
This study uses the traditional concept of mimesis, reframed by Deleuze as a repetition of difference, to investigate art created by large language models (LLMs) or generative pretrained transformers (GPTs). The current rise of artificial intelligence (AI) is intensifying the mimetic repetition of the different. An AI system repeats carefully selected elements from its extensive training dataset. Rearranging these elements introduces differences in the mimetic repetition. Since the training dataset is updated over longer time frames, it is analogous to a static Platonic universe. Once AI can update its static elements with each repetition, it will become the true Dionysian …
Is Generative Ai In Aesthetics Really New?: The Visualist Perspective, Michalle Gal
Is Generative Ai In Aesthetics Really New?: The Visualist Perspective, Michalle Gal
Contemporary Aesthetics (Journal Archive)
The concept of AI in aesthetics is encountering interest as new algorithmic machines now generate visual works alongside philosophical discourse, sparking both enthusiasm and concern. Yet, this idea has deep roots, reflected in longstanding debates within the discipline. These discussions, which are similar to the new ones, have examined issues like the illusion of an image or object’s ontological stability; the nature of function and user control; distinctions between the natural and artificial, authenticity and forgery; the divide between handmade and mass-produced items; the challenges of readymade and indiscernibility in art; and the potential of ekphrasis. As a result, skepticism …
On Deepfakes And Dog Whistles: Thinking Aesthetically About Generative Ai, Maja Bak Herrie
On Deepfakes And Dog Whistles: Thinking Aesthetically About Generative Ai, Maja Bak Herrie
Contemporary Aesthetics (Journal Archive)
This article focuses on the aesthetic dimensions of contemporary media created with generative AI, challenging traditional dichotomies of truth and falsehood, real and fake. It draws upon diverse examples including Samsung’s “Space Zoom” images of the moon, AI-driven political imagery, and the randomized aesthetics of Google’s Gemini. Additionally, it examines two artistic projects by Elisa Giardina Papa and Trevor Paglen. The article argues for an aesthetic analysis that goes beyond debates over authenticity, highlighting instead the inherent complexity and weirdness of these digital artifacts by exploring how AI reshapes perceptions of reality. By invoking, among other things, theories of agnotology, …
Prompting Aesthetic Ideologies Of Generative Text-To-Image Ai, Lotte Philipsen
Prompting Aesthetic Ideologies Of Generative Text-To-Image Ai, Lotte Philipsen
Contemporary Aesthetics (Journal Archive)
In generative AI, text-to-image prompting has gained popularity, which calls for image theoretical attention. This article evokes critical image theory, developed by Norman Bryson and W. J. Thomas Mitchell in the 1980s and 1990s, which offers important, relevant nuances when analyzing contemporary AI image-tools. By investigating specific cases of text-to-image AI through this theoretical filter, the article demonstrates how certain aesthetic ideologies—especially perceptualism, the idea of natural images, and splitting and hierarchization of text and image—govern generative AI.
Beauty And The Bit: Ai-Driven Philosophical Aesthetics, Stefano De Giorgis, Aldo Gangemi
Beauty And The Bit: Ai-Driven Philosophical Aesthetics, Stefano De Giorgis, Aldo Gangemi
Contemporary Aesthetics (Journal Archive)
This paper presents a novel computational framework for formalizing and analyzing philosophical aesthetics discourse through the integration of knowledge representation techniques and large language models (LLMs). The framework introduces a structure based on four elements combining source texts, core ontology, knowledge graphs, and interpretative mappings to systematically capture both explicit content and implicit semantic relationships in aesthetics texts. Through a case study analyzing works by Dewey, Danto, and Sibley, we demonstrate how this approach enables the systematic reverse engineering of aesthetic analytical methods while maintaining semantic stability and interpretative clarity. The framework leverages human expert annotation alongside LLM capabilities to …
Appraiset: Discussions On A New Art Dataset, Thomas Şerban Von Davier, Max Van Kleek, Nigel Shadbolt Frs, Freng, Fbcs
Appraiset: Discussions On A New Art Dataset, Thomas Şerban Von Davier, Max Van Kleek, Nigel Shadbolt Frs, Freng, Fbcs
Contemporary Aesthetics (Journal Archive)
Artificial intelligence (AI) applications in the arts have gained significant attention, particularly with the advent of generative AI. Researchers have explored AI’s capability to create art autonomously or in collaboration with artists, and AI’s role in curating, classifying, and applying aesthetic metrics to artwork. However, the opaque nature of proprietary algorithms used in these applications presents challenges for understanding AI’s influence on aesthetics. To address this, open-source data and code are essential for investigating how AI can develop its own aesthetic language. This paper introduces AppraiSet, an open art dataset containing evaluative metadata designed to support the field of …
Data Mining And Ai Visualization Of Key Terms From U.S. Supreme Court Cases From 1789 To 2022, Kory Blose, Heidi Biggs, Robbie Fraleigh, Luke Meeken, Eduardo Navas
Data Mining And Ai Visualization Of Key Terms From U.S. Supreme Court Cases From 1789 To 2022, Kory Blose, Heidi Biggs, Robbie Fraleigh, Luke Meeken, Eduardo Navas
Contemporary Aesthetics (Journal Archive)
In this paper, we take on the question of the potential risks of AI in aesthetics: What kind of risks does AI pose? To engage with this question, we focus on how generative AI models’ results consist of decontextualized content that does not always correspond with its historical context. From this standpoint, bias and misinterpretation pose major challenges in academic aesthetics because AI can be used both as a tool to make research more specific and precise and also for quick results that avoid in-depth research and on the surface may appear decisive and accurate. We set out to expose …
The Overlooked Impact Of Background Diet And Adherence In Nutrition Trials, Javier I Ottaviani, Hagen Schroeter, Dennis M Bier, John W Erdman, Howard D Sesso, Joann E Manson, Gunter G C Kuhnle
The Overlooked Impact Of Background Diet And Adherence In Nutrition Trials, Javier I Ottaviani, Hagen Schroeter, Dennis M Bier, John W Erdman, Howard D Sesso, Joann E Manson, Gunter G C Kuhnle
Children’s Nutrition Research Center Staff Publications
Randomised controlled trials in nutrition (RCTN) face unique challenges, including the considerable influence of the background diet and the challenge of assuring intervention adherence by participants. The impact of these factors on the outcome of RCTNs has been difficult to quantify, but nutritional biomarkers represent a valuable tool to address these challenges. Using flavanols as a model dietary intervention and a set of recently validated flavanol biomarkers, we here investigated the impact of background diet and adherence on the outcomes of a subcohort of the COcoa Supplement and Multivitamin Outcomes Study (COSMOS, NCT 02422745). We found that 20% of participants …
Quality Improvement Project Educating Nursing Faculty On The Lasater Clinical Judgment Rubric In Simulation, Tiffany Shivers
Quality Improvement Project Educating Nursing Faculty On The Lasater Clinical Judgment Rubric In Simulation, Tiffany Shivers
Doctor of Nursing Practice Projects
This quality improvement project aimed to enhance nursing faculty preparedness in simulation-based education by increasing knowledge and self-efficacy using the Lasater Clinical Judgment Rubric (LCJR). A quasi-experimental, one-group pre-/post-intervention design was used to evaluate outcomes among ten faculty participants. The intervention consisted of an educational session introducing the LCJR and structured debriefing techniques. Data were collected using a knowledge assessment and the General Self-Efficacy Scale. Descriptive statistics and the Wilcoxon Signed-Rank Test were used to analyze changes in scores. Results demonstrated statistically significant improvements in both knowledge (Z = –2.805, p = .005) and self-efficacy (Z = –2.666, p = …
Upcycling Of Polydicyclopentadiene (Pdcpd) Via Dynamic Bonds, Catherine Biju
Upcycling Of Polydicyclopentadiene (Pdcpd) Via Dynamic Bonds, Catherine Biju
Biomedical Engineering ETDs
Thermoset polymers are valued for their exceptional mechanical strength and thermal stability, but suffer from irreversibility due to permanent covalent crosslinks, limiting recyclability. Polydicyclopentadiene (pDCPD), a widely used thermoset, exemplifies this limitation despite its excellent mechanical properties. In this study, we report an upcycling strategy for pDCPD through the incorporation of dynamic imine bonds. The successful integration of imine bonds was confirmed by ¹H NMR spectroscopy. Mechanical testing revealed that the modified pDCPD (pDCPD-imine) exhibits enhanced tensile strength and maintains its performance across multiple reprocessing cycles. Moreover, the dynamic nature of the imine bonds imparts healability to the network. This …
The Influence Of Reference Groups On Branded Apparel Purchases Among Sabah Youth.Pdf, Hajiji Mohammad Ghazali, Desmond Cherng En Lee
The Influence Of Reference Groups On Branded Apparel Purchases Among Sabah Youth.Pdf, Hajiji Mohammad Ghazali, Desmond Cherng En Lee
Jesselton Journal of Educators and Scholars
This study examines the integration of Artificial Intelligence (AI) in higher education, focusing on both its transformative potential and the challenges it introduces for teaching, learning, and institutional operations. As AI technologies such as machine learning, natural language processing, and data analytics become more prevalent, they offer opportunities to personalize learning, enhance administrative efficiency, and support student success. However, the adoption of AI also presents significant barriers, including technological limitations, faculty resistance, ethical concerns, and disparities in access among students and institutions. Using a qualitative research approach and thematic analysis, this research explores the perspectives of administrators, faculty, and students …
An Empirical Study On Lecturers’ Perceptions Of Digital Gender Equality In Malaysia.Pdf, Fung Lan Yong, Louis Yuk Su Chin
An Empirical Study On Lecturers’ Perceptions Of Digital Gender Equality In Malaysia.Pdf, Fung Lan Yong, Louis Yuk Su Chin
Jesselton Journal of Educators and Scholars
The purpose of this study was to examine lecturers’ perceptions of digital gender equality in Malaysia. A Likert-scale questionnaire was designed to measure perceptions of digital gender equality and was administered to 55 lecturers online. Data were analyzed using SPSS 26.0. First, Mann-Whitney U test revealed that there were no significant gender differences in lecturers’ perceptions of digital gender equality, while Kruskal-Wallis H test indicated no significant differences in relation to age and job experience. Wilcoxon signed rank test showed that four items were significant at p < 0.05, while another eight items were significant at p < 0.001. The overall group mean showed that lecturers’ perceptions of digital gender equality were low, indicating that the majority failed to notice the impediments that women face in the digital era. Overall percentages indicated that lecturers held unrealistic views of women’s participation in the digital economy probably because they lacked knowledge on the disproportionate numbers of women who are still living in the agrarian areas. In light of the findings, several recommendations were made to increase digital gender equality in Malaysia.
Evaluating The Impact Of Teacher Evaluation And Education Incentive Systems In Universities.Pdf, Yi He, Fung Lan Yong, Louis Yuk Su Chin
Evaluating The Impact Of Teacher Evaluation And Education Incentive Systems In Universities.Pdf, Yi He, Fung Lan Yong, Louis Yuk Su Chin
Jesselton Journal of Educators and Scholars
This study investigates the effectiveness of teacher evaluation and incentive systems in China higher education, focusing on Fujian Polytechnic Normal University as a case study. Faculty performance and motivation are critical drivers of institutional success, yet existing evaluation and incentive mechanisms often face challenges related to fairness, transparency, and motivational impact. Using a quantitative research design, we collected survey responses from 107 faculty members to assess the perceived effectiveness of evaluation tools (peer reviews, student feedback, self-assessments, and administrative reviews) and incentive structures (financial rewards, professional development, promotions, and recognition awards). Findings indicate that administrative reviews and professional development opportunities …
The Influence Of Coca-Cola Brands On Consumer Purchases In The Beverage Market_ Japan_S Perspective.Pdf, Ryo Nishizaki, Desmond Cherng En Lee, Ahmad Massu Ramli
The Influence Of Coca-Cola Brands On Consumer Purchases In The Beverage Market_ Japan_S Perspective.Pdf, Ryo Nishizaki, Desmond Cherng En Lee, Ahmad Massu Ramli
Jesselton Journal of Educators and Scholars
This study examines the impact of Coca-Cola’s branding on consumer purchasing behavior in Japan’s beverage market. Employing a thematic qualitative approach, the research investigates brand recognition, cultural influences on marketing strategies, product differentiation, and consumer attitudes shaped by cultural values. Findings reveal that Coca-Cola’s global brand awareness combined with localized marketing efforts, including culturally relevant campaigns and health-oriented products, significantly influence Japanese consumer preferences. However, challenges remain due to increasing health consciousness and competitive market dynamics. The study contributes to understanding how multinational brands adapt to culturally distinct markets and offers practical recommendations for enhancing brand engagement in Japan. These …
Digital Transformation In Japanese Companies_ Navigating Cultural Barriers, Leadership, And Innovation In The Era Of Society 5.0.Pdf, Hideto Tsuchiya, Hoong Tat Teh, Sook Han Wong
Digital Transformation In Japanese Companies_ Navigating Cultural Barriers, Leadership, And Innovation In The Era Of Society 5.0.Pdf, Hideto Tsuchiya, Hoong Tat Teh, Sook Han Wong
Jesselton Journal of Educators and Scholars
This article examines the impact of digital transformation in Japanese companies, analyzing how technological, cultural, and organizational factors interact to shape adoption outcomes. Drawing on qualitative thematic analysis of interviews and case studies, the study highlights that while advanced technologies such as AI, cloud computing, and IoT offer significant potential for innovation and operational gains, their integration is often hindered by entrenched hierarchical structures, cultural resistance, and a shortage of digital skills. Government policies, including Society 5.0, have provided impetus for change, particularly among large corporations, yet many small and medium-sized enterprises continue to face challenges related to legacy systems …
Leveraging New Media For Brand Promotion: The Influence Of Influencer Marketing And Personalized Advertising On Consumer Engagement And Trust.Pdf, Qize Cai, Desmond Cherng En Lee, Jiangwei Yang, Chia Seng Lee
Leveraging New Media For Brand Promotion: The Influence Of Influencer Marketing And Personalized Advertising On Consumer Engagement And Trust.Pdf, Qize Cai, Desmond Cherng En Lee, Jiangwei Yang, Chia Seng Lee
Jesselton Journal of Educators and Scholars
This research explores the impact of new media-based commodity marketing on brand promotion. It specifically investigates how different social media content types, digital marketing channels, online advertising formats, and influencer endorsements affect consumer engagement, brand awareness, trust, and purchase intentions. Employing a quantitative methodology, data from 200 respondents were analyzed using structured surveys. Results indicated Instagram as the leading platform for consumer engagement, with visual and user-generated content most effective. Influencer marketing significantly enhanced brand credibility and trust, whereas personalized advertising notably surpassed generic advertisements in effectiveness and consumer satisfaction. The study contributes theoretically to digital marketing literature and provides …
Early Wound Dressing (Soft Gauze/Tape Dressing) Removal After Cesarean Delivery: A Meta-Analysis Of Randomized Trials, Leshae Cenac, Serena Guerra, Alicia Huckaby, Gabriele Saccone, Vincenzo Berghella
Early Wound Dressing (Soft Gauze/Tape Dressing) Removal After Cesarean Delivery: A Meta-Analysis Of Randomized Trials, Leshae Cenac, Serena Guerra, Alicia Huckaby, Gabriele Saccone, Vincenzo Berghella
Department of Obstetrics and Gynecology Faculty Papers
OBJECTIVE: To assess whether removing the wound dressing within 24 hours after a cesarean delivery leads to any negative effects on wound healing and to recommend the best time for dressing removal.
DATA SOURCES: Science Direct, PubMed, Cochrane Library, and Scopus as the electronic databases from their inception until December 2024.
CRITERIA FOR STUDY ELIGIBILITY: Randomized controlled trials (RCTs) were incorporated in the databases, irrespective of their publication language, sample size, publication date, use of blinding, or study setting/location.
STUDY APPRAISAL AND SYNTHESIS METHODS: A systematic review of RCTs was conducted to compare wound outcomes in cesarean delivery patients with …
Intouch Week Of July 14, 2025, New York Medical College
Intouch Week Of July 14, 2025, New York Medical College
InTouch
- The 2025 Issue of Chironian is Available
- Medical Student Patricia Curtin Awarded Prestigious Neurology Research Scholarship
- Dr. Walter L. Jenkins Appointed Division Chief and Program Director of Physical Therapy
- TCDM Launches in Albuquerque
- Faculty Spotlight: From Pupil to Professor: Alumni Lighting the Way at NYMC
Mitral Valve Repair During Cabg Surgery: Navigating The Gray Area Of Moderate Ischemic Mitral Regurgitation, Husam Shadid, Ismael A. Salas De Armas, Marwan F. Jumean
Mitral Valve Repair During Cabg Surgery: Navigating The Gray Area Of Moderate Ischemic Mitral Regurgitation, Husam Shadid, Ismael A. Salas De Armas, Marwan F. Jumean
Journal of Shock and Hemodynamics
Ischemic mitral regurgitation is a consequence of prior myocardial infarction, resulting in regional wall motion abnormalities, leaflet tethering, papillary muscle displacement, and annular dilatation. In patients with multivessel coronary artery disease, approximately 30-50% develop moderate to severe ischemic mitral regurgitation, associated with a threefold increase in the incidence of congestive heart failure and cardiac death. We present a case involving a 66-year-old male with multivessel coronary artery disease, heart failure with reduced ejection fraction (30-35%), and diabetes who was found to have moderate ischemic mitral regurgitation at the time of coronary artery bypass graft surgery. The decision to pursue mitral …