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Topics addressed include professional development discount erectile dysfunction pills order cialis sublingual without a prescription, consultation erectile dysfunction bob discount cialis sublingual 20mg amex, coaching erectile dysfunction otc treatment purchase cialis sublingual 20mg without a prescription, communities of practice erectile dysfunction with new partner generic cialis sublingual 20mg overnight delivery, lesson study, mentoring, reflective supervision and technical assistance. The grant writing process: research, proposal writing, terminology, oral and written techniques, and specific focus. Discover resources and compelling writing skills pertaining to proposal and letters of intent. This course will give a board overview of the technologies commonly used in entrepreneurial, small, and large arts organizations and examines the intersection of technology, management, and the arts. Topics and credit vary; may be repeated for up to 12 credits taken under different topics. Teaches role of fund raising as management function and part of overall strategic intention of arts organizations, presenting fund raising as a multifaceted, team-based process. Introduces George Mason University 2016-2017 Official University Catalog 1920 wide range of arts organizations, working arts administrators, and institutional models through guest lectures, readings, field trips, and analysis of institutional data. Students gain understanding of organizational structures and functions, as well as models for general management. Consideration is given to the functions of art in society in addressing questions: What constitutes good or bad art What encouragements or impediments does our society offer to the creative artist or arts institution Prerequisite(s): Admission to Arts Management program or permission of program director. Students learn about external and internal environments and the interplay among them; discuss marketing fundamentals pertaining to arts audiences; and are introduced to fundamentals of applied marketing media and advertising fundamentals. Board relationships, including volunteers, are essential through all of the stages of a management career. Topics such as exhibition coordination and installation, contracts, artist representation, fine art insurance, exhibition policies, budgets, and marketing are covered, along with the responsibility of educating a diverse public. George Mason University 2016-2017 Official University Catalog 1922 Prerequisite(s): Admission to Arts Management program or permission of program director. Involves laboratory component for teaching software application frequently encountered in fiscal operation of arts organizations. Topics may include cultural understanding, tourism, sponsorship, fund raising and development, logistics of scheduling and contracts, and the relationship to larger venues, marketing and sales, and budgeting. Examines dilemmas that arts organizations face in balancing need for government support and artistic integrity with push and pull of the market. Students partner with faculty member for intensive readings and project in strategy and planning in the arts, fundraising and development, entrepreneurial project work, arts marketing, arts policy and law, or other specialized areas pertinent to arts administration. Augments use of Center of the Arts and active arts environment, both performing and visual, as a learning laboratory. Builds on practical learning and provides internal training as preparation for external internship. Notes: 9 credits taken within the master in arts management program; or permission of program director. Prerequisite(s): Admission to Arts Management program, 15 credit standing; or permission of program director. Notes: 15 credits taken within the master in arts management program; or permission of program director. Students will conceive, develop, and present a forprofit or not-for-profit business plan and strategy; which will include model(s), market overview, management structure, along George Mason University 2016-2017 Official University Catalog 1925 with revenue streams, an acquisition strategy, and technical and information technology strategies. Advanced course focuses on developing financial planning skills, funding strategies, marketing and arts sales. Provides a specific work environment to build on skills developed in the classroom and integrates work experience with specific academic exercises. Students advised to pursue a three-pronged approach toward specialization: electives; internal internship in the same area as concentrated electives; and external internship consistent with specialized course work and internal internship. Provides students with the opportunity to deepen, expand, and demonstrate mastery of one area of arts management expertise. Exploration experiences enable students to locate, use and train others on the range of technologies available as well as design opportunities for constructing unique devices. Presentation and exploration experiences enable students to better use assistive technology in education, work, community, and home environments.

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Echocardiography is also very helpful in determining the causes of enlargement of the left and right ventricles. All such techniques are based on acquiring images of radioactivity emanating from radioactive tracers localized in heart muscle or in the blood pools of the left and right ventricle. Myocardial perfusion imaging is the most commonly performed nuclear cardiology technique, and it is most often employed in conjunction with either exercise or pharmacologic stress intended to produce flow heterogeneity between relatively hypoperfused and normally perfused myocardial regions. The initial uptake of intravenously administered 201 Tl (usually 2 to 3 mCi) is directly proportional to regional myocardial blood flow and to the extraction fraction of 201 Tl by the myocardium. The extraction fraction is an index of the ability of the myocardium to extract the tracer from the blood pool in the first pass through the coronary circulation. After the initial phase of myocardial uptake, there is continuous exchange of myocardial 201 Tl and 201 Tl in the blood pool that recirculates from the systemic compartment. This process of continuous exchange forms the basis of the phenomenon of 201 Tl "redistribution," which is defined as total or partial reversibility. Defects that show no redistribution between the stress and the delayed images are designated as being "persistent" or "non-reversible" and most often represent myocardial scar. However, some "non-reversible" defects at 4 hours will resolve with reinjection of a second dose of 201 Tl in the resting state. Of the various 99m Tc-labeled agents, 99m Tc-sestamibi and 99m Tc-tetrofosmin are the most common. The 140-keV photon energy peak of 99m Tc is optimal for gamma camera imaging and produces higher quality images than those generated using 201 Tl. Because of its short half-life (6 hours), 10 to 15 times larger doses of 99m Tc than of 201 Tl can be administered, yielding superior images in a shorter time period. Experimental and clinical studies have demonstrated that the uptake of 99m Tc-sestamibi is proportional to regional myocardial blood flow, and, like 201 Tl, this agent shows a plateau in myocardial uptake at hyperemic flows. Mild non-reversible defects that represent attenuation artifacts show normal systolic thickening, whereas if such areas represent myocardial scar, abnormal thickening will be observed. The major disadvantage of 99m Tc-sestamibi is its negligible delayed redistribution over time after a single intravenous injection; as a result, separate stress and rest injections must be administered to identify regions of reversible myocardial ischemia. Some laboratories employ dual-isotope rest 201 Tl/stress 99m Tc-sestamibi imaging in which patients undergo 201 Tl imaging at rest and then immediately afterward undergo 99m Tc-sestamibi imaging during stress. Reversibility is identified by comparing the perfusion pattern on the stress 99m Tc-sestamibi images with the pattern on the baseline resting 201 Tl images. Note the uniform uptake of 99m Tc-sestamibi on both the stress and the rest tomograms consistent with homogeneous regional myocardial blood flow. The right two columns show the end-diastolic and end-systolic images acquired during stress and demonstrate uniform systolic thickening in all myocardial segments. The left ventricular cavity size is greater on images acquired during diastole compared with systole, consistent with a normal left ventricular ejection fraction. The "brightness" of the images at end-systole correlates directly with the degree of systolic thickening. The apex is in the center of the map, and the base of the left ventricle is depicted at the outer edge, yielding a two-dimensional representation of three-dimensional image information. Alternatively, regional tracer activity can be expressed as a percent of peak activity, which is normalized to 100%. Images from an individual patient are compared with a normal database for detection of significant perfusion abnormalities. Pharmacologic Stress Imaging Certain patients are unable to exercise to adequate heart rates and workloads on exercise stress testing protocols. In these patients, pharmacologic stress testing using vasodilators such as dipyridamole or adenosine, or inotropic agents such as dobutamine or arbutamine, is an alternative to exercise for detecting physiologically significant coronary artery stenoses. The basis for vasodilator perfusion imaging relates to the concept of coronary flow reserve. When blood flow is maximally increased with an intravenously administered vasodilator, an impairment in the flow reserve capacity in a stenotic artery compared with the large flow increase in a normal non-stenotic vascular bed results in a "relative" inhomogeneity of myocardial perfusion between normal and stenotic beds.

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