Publications by authors named "R A Koene"

Serial section transmission electron microscopy (TEM) has proven to be one of the leading methods for millimeter-scale 3D imaging of brain tissues at nanoscale resolution. It is important to further improve imaging efficiency to acquire larger and more brain volumes. We report here a threefold increase in the speed of TEM by using a beam deflecting mechanism to enable highly efficient acquisition of multiple image tiles (nine) for each motion of the mechanical stage.

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Article Synopsis
  • - Cor triatriatum is a significant cause of heart failure and atrial arrhythmias in young adults
  • - Misdiagnosing this condition can lead to wrong treatments and delays in necessary surgery
  • - Using integrated imaging techniques and teamwork among hospitals and cardiac specialists can improve patient outcomes
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Article Synopsis
  • The study investigates how cardiac electrophysiologists (EPs) perceive obstructive sleep apnea syndrome (OSAS) and its relevance in their practice, finding that 94% view it as a significant concern.
  • A survey of 105 EPs revealed that while many feel inadequately trained to manage OSAS, 58% would be willing to take on this role with proper education.
  • The research highlights barriers like time constraints and referral challenges that prevent EPs from being more involved in OSAS care, suggesting a need for improved training and care models in cardiology.
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Hypertension is one of the most well-established risk factors for atrial fibrillation. Longstanding untreated hypertension leads to structural remodeling and electrophysiologic alterations, causing an atrial myopathy that forms a vulnerable substrate for the development and maintenance of atrial fibrillation. Hypertension-induced hemodynamic, inflammatory, hormonal, and autonomic changes all appear to be important contributing factors.

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Objective: We performed a cross-sectional analysis to determine whether nonsustained ventricular tachycardia (NSVT) and premature ventricular contractions (PVCs) were associated with dementia in a population-based study.

Methods: We included 2,517 (mean age 79 years, 26% Black) participants who wore a 2-week ambulatory continuous ECG recording device in 2016 to 2017. NSVT was defined as a wide-complex tachycardia ≥4 beats with a rate >100 bpm.

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