120-546: Gilbert M. " Broncho Billy " Anderson (born Maxwell Henry Aronson; March 21, 1880 – January 20, 1971) was an American actor, writer, film director, and film producer, who was the first star of the Western film genre. He was a founder and star for Essanay studios. In 1958, he received a special Academy Award for being a pioneer of the film industry . Anderson was born Maxwell Henry Aronson in Little Rock, Arkansas ,
240-411: A blood test for biomarkers (the cardiac protein troponin ). When there is evidence of an MI, it may be classified as an ST elevation myocardial infarction (STEMI) or Non-ST elevation myocardial infarction (NSTEMI) based on the results of an ECG . The phrase "heart attack" is often used non-specifically to refer to myocardial infarction. An MI is different from—but can cause— cardiac arrest , where
360-753: A celebrity comic , Broncho Billy , based on the Hollywood western star. Anderson was honored posthumously in 1998 with his image on a U.S. postage stamp . In 2002, he was inducted into the Western Performers Hall of Fame at the National Cowboy & Western Heritage Museum in Oklahoma City , Oklahoma . For the past nine years, Niles (now part of Fremont ), California, site of the western Essanay Studios, has held an annual "Broncho Billy Silent Film Festival." Anderson has
480-658: A cold sweat , feeling tired , and decreased level of consciousness . About 30% of people have atypical symptoms. Women more often present without chest pain and instead have neck pain, arm pain or feel tired. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure , an irregular heartbeat , cardiogenic shock or cardiac arrest . Most MIs occur due to coronary artery disease . Risk factors include high blood pressure , smoking , diabetes , lack of exercise , obesity , high blood cholesterol , poor diet, and excessive alcohol intake . The complete blockage of
600-475: A coronary artery caused by a rupture of an atherosclerotic plaque is usually the underlying mechanism of an MI. MIs are less commonly caused by coronary artery spasms , which may be due to cocaine , significant emotional stress (often known as Takotsubo syndrome or broken heart syndrome ) and extreme cold, among others. Many tests are helpful to help with diagnosis, including electrocardiograms (ECGs), blood tests and coronary angiography . An ECG, which
720-486: A heart attack , occurs when blood flow decreases or stops in one of the coronary arteries of the heart , causing infarction (tissue death) to the heart muscle . The most common symptom is retrosternal chest pain or discomfort that classically radiates to the left shoulder, arm, or jaw. The pain may occasionally feel like heartburn . This is the dangerous type of Acute coronary syndrome . Other symptoms may include shortness of breath , nausea , feeling faint ,
840-655: A motion pictures star on the Hollywood Walk of Fame at 1651 Vine Street in Hollywood . A Chicago Park District park, not far from the site of the Chicago Essanay Studio lot, was named Broncho Billy Park in his honor. On March 21, 2018, a historical roadside marker was dedicated in Little Rock, Arkansas, across the street from his birthplace, 713 Center Street. The marker was donated by
960-561: A "mythic vision of the plains and deserts of the American West". Specific settings include ranches, small frontier towns, saloons, railways, wilderness, and isolated military forts of the Wild West. Many Westerns use a stock plot of depicting a crime, then showing the pursuit of the wrongdoer, ending in revenge and retribution, which is often dispensed through a shootout or quick draw duel. The Western genre sometimes portrays
1080-474: A benefit of 15 to 45%. Physical activity can reduce the risk of cardiovascular disease, and people at risk are advised to engage in 150 minutes of moderate or 75 minutes of vigorous intensity aerobic exercise a week. Keeping a healthy weight, drinking alcohol within the recommended limits, and quitting smoking reduce the risk of cardiovascular disease. Substituting unsaturated fats such as olive oil and rapeseed oil instead of saturated fats may reduce
1200-717: A cameo role in The Bounty Killer (1965). For the last years of his life, Anderson lived at the Motion Picture & Television Country House and Hospital in Woodland Hills , California. In his later years, his legs were paralyzed as the result of a back injury that occurred while he was making a film. He died of a heart attack in 1971 at the age of 90, at a Braewood sanitarium in South Pasadena , California . In 1918, Albert Levering drew
1320-523: A character "Bronco Billy" in Star Spangled Rhythm (1943) and for depicting the character as a "washed-up and broken-down actor," which he felt reflected badly on him. He asked for $ 900,000, but the outcome of the suit is unknown. In 1958, Anderson received an Honorary Academy Award as a "motion picture pioneer" for his "contributions to the development of motion pictures as entertainment." At age 85, Anderson came out of retirement for
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#17327836188951440-428: A common, and sometimes the only symptom, occurring when damage to the heart limits the output of the left ventricle , with breathlessness arising either from low oxygen in the blood or pulmonary edema . Other less common symptoms include weakness, light-headedness , palpitations , and abnormalities in heart rate or blood pressure . These symptoms are likely induced by a massive surge of catecholamines from
1560-480: A late consequence of Kawasaki disease . Calcium deposits in the coronary arteries can be detected with CT scans . Calcium seen in coronary arteries can provide predictive information beyond that of classical risk factors. High blood levels of the amino acid homocysteine is associated with premature atherosclerosis; whether elevated homocysteine in the normal range is causal is controversial. In people without evident coronary artery disease , possible causes for
1680-431: A myocardial infarction before age 55 years, or a female first-degree relative (mother, sister) less than age 65 increases a person's risk of MI. Genome-wide association studies have found 27 genetic variants that are associated with an increased risk of myocardial infarction. The strongest association of MI has been found with chromosome 9 on the short arm p at locus 21, which contains genes CDKN2A and 2B, although
1800-463: A myocardial infarction increases with older age, low physical activity, and low socioeconomic status . Heart attacks appear to occur more commonly in the morning hours, especially between 6AM and noon. Evidence suggests that heart attacks are at least three times more likely to occur in the morning than in the late evening. Shift work is also associated with a higher risk of MI. One analysis has found an increase in heart attacks immediately following
1920-406: A myocardial infarction. Spasm of coronary arteries, such as Prinzmetal's angina may cause blockage. If impaired blood flow to the heart lasts long enough, it triggers a process called the ischemic cascade ; the heart cells in the territory of the blocked coronary artery die ( infarction ), chiefly through necrosis , and do not grow back. A collagen scar forms in their place. When an artery
2040-543: A myocardial infarction. The flow of blood can be imaged, and contrast dyes may be given to improve image. Other scans using radioactive contrast include SPECT CT-scans using thallium , sestamibi ( MIBI scans ) or tetrofosmin ; or a PET scan using Fludeoxyglucose or rubidium-82 . These nuclear medicine scans can visualize the perfusion of heart muscle. SPECT may also be used to determine viability of tissue, and whether areas of ischemia are inducible. Medical societies and professional guidelines recommend that
2160-481: A number of occasions, famous examples being Support Your Local Sheriff! , Cat Ballou , Mel Brooks 's Blazing Saddles , and Rustler's Rhapsody . George Lucas 's Star Wars films use many elements of a Western, and Lucas has said he intended for Star Wars to revitalize cinematic mythology, a part the Western once held. The Jedi , who take their name from Jidaigeki , are modeled after samurai, showing
2280-637: A person localizes the chest pain by clenching one or both fists over their sternum , has classically been thought to be predictive of cardiac chest pain, although a prospective observational study showed it had a poor positive predictive value . Typically, chest pain because of ischemia, be it unstable angina or myocardial infarction, lessens with the use of nitroglycerin , but nitroglycerin may also relieve chest pain arising from non-cardiac causes. Chest pain may be accompanied by sweating , nausea or vomiting, and fainting , and these symptoms may also occur without any pain at all. Dizziness or lightheadedness
2400-452: A popular art form. Western films commonly feature protagonists such as cowboys, gunslingers, and bounty hunters, who are often depicted as seminomadic wanderers who wear Stetson hats, bandannas , spurs, and buckskins , use revolvers or rifles as everyday tools of survival and as a means to settle disputes using frontier justice. Protagonists ride between dusty towns and cattle ranches on their trusty steeds. The first films that belong to
2520-407: A previous heart attack is also suggestive. The pain associated with MI is usually diffuse, does not change with position, and lasts for more than 20 minutes. It might be described as pressure, tightness, knifelike, tearing, burning sensation (all these are also manifested during other diseases). It could be felt as an unexplained anxiety, and pain might be absent altogether. Levine's sign , in which
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#17327836188952640-560: A rise in biomarkers, a rise in the ST segment , changes in the shape or flipping of T waves , new Q waves , or a new left bundle branch block can be used to diagnose an AMI. In addition, ST elevation can be used to diagnose an ST segment myocardial infarction (STEMI). A rise must be new in V2 and V3 ≥2 mm (0,2 mV) for males or ≥1.5 mm (0.15 mV) for females or ≥1 mm (0.1 mV) in two other adjacent chest or limb leads . ST elevation
2760-409: A series of leads placed on a person's chest that measure electrical activity associated with contraction of the heart muscle. The taking of an ECG is an important part of the workup of an AMI, and ECGs are often not just taken once but may be repeated over minutes to hours, or in response to changes in signs or symptoms. ECG readouts produce a waveform with different labeled features. In addition to
2880-570: A setting, where it tasked players to lead a party of settlers moving westward in a covered wagon from Independence, Missouri to Oregon City, Oregon. The game only grew popular in the 1980s and 1990s as an educational game. The first video game Westerns to engage the mass public arrived in arcade games focused on the gunfighter in Westerns based on depictions in television shows, films and Electro-mechanical games such as Dale Six Shooter (1950), and Sega 's Gun Fight (1970). The first of these games
3000-688: A sheriff in fictional Absaroka County, Wyoming . Originally aired on the A&;E network from 2012 to 2014, it was picked up by Netflix in 2015 until the show's conclusion in 2017. AMC and Vince Gilligan's critically acclaimed Breaking Bad is a much more modern take on the Western genre. Set in New Mexico from 2008 through 2013, it follows Walter White ( Bryan Cranston ), a chemistry teacher diagnosed with Stage III Lung Cancer who cooks and sells crystal meth to provide money for his family after he dies, while slowly growing further and further into
3120-406: A significant effect on blood cholesterol and thus recommendations about its consumption may not be needed. Trans fats do appear to increase risk. Acute and prolonged intake of high quantities of alcoholic drinks (3–4 or more daily) increases the risk of a heart attack. Family history of ischemic heart disease or MI, particularly if one has a male first-degree relative (father, brother) who had
3240-553: Is a morality drama , presenting the conflict between wilderness and civilization . Stories commonly center on the life of a male drifter , cowboy , or gunslinger who rides a horse and is armed with a revolver or rifle . The male characters typically wear broad-brimmed and high-crowned Stetson hats, neckerchief bandannas , vests , and cowboy boots with spurs . While many wear conventional shirts and trousers, alternatives include buckskins and dusters . Women are generally cast in secondary roles as love interests for
3360-589: Is a genre of literature set in the American Old West, most commonly between 1860 and 1900. The first critically recognized Western was The Virginian (1902) by Owen Wister . Other well-known writers of Western fiction include Zane Grey , from the early 1900s, Ernest Haycox , Luke Short , and Louis L'Amour , from the mid 20th century. Many writers better known in other genres, such as Leigh Brackett , Elmore Leonard , and Larry McMurtry , have also written Western novels. The genre's popularity peaked in
3480-601: Is a known risk factor, particularly high low-density lipoprotein , low high-density lipoprotein , and high triglycerides . Many risk factors for myocardial infarction are potentially modifiable, with the most important being tobacco smoking (including secondhand smoke ). Smoking appears to be the cause of about 36% and obesity the cause of 20% of coronary artery disease . Lack of physical activity has been linked to 7–12% of cases. Less common causes include stress-related causes such as job stress , which accounts for about 3% of cases, and chronic high stress levels. There
3600-454: Is a recording of the heart's electrical activity, may confirm an ST elevation MI ( STEMI ), if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB . Treatment of an MI is time-critical. Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen
3720-512: Is a series of seven books that meshes themes of Westerns, high fantasy , science fiction, and horror. The protagonist Roland Deschain is a gunslinger whose image and personality are largely inspired by the Man with No Name from Sergio Leone's films. In addition, the superhero fantasy genre has been described as having been derived from the cowboy hero, only powered up to omnipotence in a primarily urban setting. The Western genre has been parodied on
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3840-443: Is a war film, but its action and characters are Western-like. The character played by Humphrey Bogart in noir films such as Casablanca and To Have and Have Not —an individual bound only by his own private code of honor—has a lot in common with the classic Western hero. In turn, the Western has also explored noir elements, as with films such as Colorado Territory and Pursued . In many of Robert A. Heinlein 's books,
3960-806: Is also an important modifiable risk. Short-term exposure to air pollution such as carbon monoxide , nitrogen dioxide , and sulfur dioxide (but not ozone ) has been associated with MI and other acute cardiovascular events. For sudden cardiac deaths, every increment of 30 units in Pollutant Standards Index correlated with an 8% increased risk of out-of-hospital cardiac arrest on the day of exposure. Extremes of temperature are also associated. A number of acute and chronic infections including Chlamydophila pneumoniae , influenza , Helicobacter pylori , and Porphyromonas gingivalis among others have been linked to atherosclerosis and myocardial infarction. Myocardial infarction can also occur as
4080-499: Is associated with infarction, and may be preceded by changes indicating ischemia, such as ST depression or inversion of the T waves. Abnormalities can help differentiate the location of an infarct, based on the leads that are affected by changes. Early STEMIs may be preceded by peaked T waves. Other ECG abnormalities relating to complications of acute myocardial infarctions may also be evident, such as atrial or ventricular fibrillation . Noninvasive imaging plays an important role in
4200-517: Is blocked, cells lack oxygen , needed to produce ATP in mitochondria . ATP is required for the maintenance of electrolyte balance, particularly through the Na/K ATPase . This leads to an ischemic cascade of intracellular changes, necrosis and apoptosis of affected cells. Cells in the area with the worst blood supply, just below the inner surface of the heart ( endocardium ), are most susceptible to damage. Ischemia first affects this region,
4320-433: Is common and occurs due to reduction in oxygen and blood to the brain. In females, the most common symptoms of myocardial infarction include shortness of breath, weakness, and fatigue . Females are more likely to have unusual or unexplained tiredness and nausea or vomiting as symptoms. Females having heart attacks are more likely to have palpitations, back pain, labored breath, vomiting, and left arm pain than males, although
4440-413: Is maintained predominantly through relatively impersonal institutions such as courtrooms . The popular perception of the Western is a story that centers on the life of a seminomadic wanderer, usually a cowboy or a gunfighter. A showdown or duel at high noon featuring two or more gunfighters is a stereotypical scene in the popular conception of Westerns. In some ways, such protagonists may be considered
4560-477: Is not the only cause of myocardial infarction, but it may exacerbate or contribute to other causes. A myocardial infarction may result from a heart with a limited blood supply subject to increased oxygen demands, such as in fever, a fast heart rate , hyperthyroidism , too few red blood cells in the bloodstream , or low blood pressure . Damage or failure of procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass grafts (CABG) may cause
4680-430: Is one of the most common symptoms of acute myocardial infarction and is often described as a sensation of tightness, pressure, or squeezing. Pain radiates most often to the left arm, but may also radiate to the lower jaw, neck, right arm, back, and upper abdomen . The pain most suggestive of an acute MI, with the highest likelihood ratio , is pain radiating to the right arm and shoulder. Similarly, chest pain similar to
4800-414: Is recommended in those with low oxygen levels or shortness of breath. In a STEMI, treatments attempt to restore blood flow to the heart and include percutaneous coronary intervention (PCI), where the arteries are pushed open and may be stented , or thrombolysis , where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction ( NSTEMI ) are often managed with
4920-412: Is still unable to be distributed to the affected myocardium despite clearing the occlusion—also contributes to myocardial injury. Topical endothelial swelling is one of many factors contributing to this phenomenon. A myocardial infarction, according to current consensus, is defined by elevated cardiac biomarkers with a rising or falling trend and at least one of the following: A myocardial infarction
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5040-757: Is the place to go for music (raucous piano playing), women (often prostitutes ), gambling (draw poker or five-card stud), drinking ( beer , whiskey , or tequila if set in Mexico), brawling, and shooting. In some Westerns, where civilization has arrived, the town has a church, a general store, a bank, and a school; in others, where frontier rules still hold sway, it is, as Sergio Leone said, "where life has no value". Author and screenwriter Frank Gruber identified seven basic plots for Westerns: Gruber said that good writers used dialogue and plot development to develop these basic plots into believable stories. The American Film Institute defines Western films as those "set in
5160-457: Is usually clinically classified as an ST-elevation MI (STEMI) or a non-ST elevation MI (NSTEMI). These are based on ST elevation , a portion of a heartbeat graphically recorded on an ECG . STEMIs make up about 25–40% of myocardial infarctions. A more explicit classification system, based on international consensus in 2012, also exists. This classifies myocardial infarctions into five types: There are many different biomarkers used to determine
5280-412: Is usually punctuated with a Western music score , including American folk music and Spanish / Mexican folk music such as country , Native American music , New Mexico music , and rancheras . Westerns often stress the harshness of the wilderness and frequently set the action in an arid , desolate landscape of deserts and mountains . Often, the vast landscape plays an important role, presenting
5400-445: Is varying evidence about the importance of saturated fat in the development of myocardial infarctions. Eating polyunsaturated fat instead of saturated fats has been shown in studies to be associated with a decreased risk of myocardial infarction, while other studies find little evidence that reducing dietary saturated fat or increasing polyunsaturated fat intake affects heart attack risk. Dietary cholesterol does not appear to have
5520-1342: The Atari 2600 and Gun Fight (1978) for the Bally Astrocade were derivative of Midway's Gun Fight . These early video games featured limited graphical capabilities , which had developers create Westerns to the most easily recognizable and popular tropes of the gunfighter shootouts. Western radio dramas were very popular from the 1930s to the 1960s. There were five types of Western radio dramas during this period: anthology programs, such as Empire Builders and Frontier Fighters ; juvenile adventure programs such as Red Ryder and Hopalong Cassidy ; legend and lore like Red Goose Indian Tales and Cowboy Tom's Round-Up ; adult Westerns like Fort Laramie and Frontier Gentleman ; and soap operas such as Cactus Kate . Some popular shows include The Lone Ranger (first broadcast in 1933), The Cisco Kid (first broadcast in 1942), Dr. Sixgun (first broadcast in 1954), Have Gun–Will Travel (first broadcast in 1958), and Gunsmoke (first broadcast in 1952). Many shows were done live, while others were transcribed. Westerns have been showcased in short-episodic web series. Examples include League of STEAM , Red Bird , and Arkansas Traveler . Within
5640-537: The Grand Canyon , Yosemite , and the giant redwoods , due in part to exhibitors' inability to switch over to widescreen during the Great Depression . After renewed commercial successes in the late 1930s, the popularity of Westerns continued to rise until its peak in the 1950s, when the number of Western films produced outnumbered all other genres combined. The period from 1940 to 1960 has been called
5760-753: The Jewish American Society for Historic Preservation in cooperation with the Niles Essanay Silent Film Museum and Little Rock's First United Methodist Church . Western (genre) The Western is a genre of fiction typically set in the American frontier (commonly referred to as the "Old West" or the "Wild West") between the California Gold Rush of 1849 and the closing of the frontier in 1890, and commonly associated with folk tales of
5880-478: The Longacre Theatre and produced plays, but without permanent success. He then made a brief comeback as a producer with a series of shorts with Stan Laurel , including his first work with Oliver Hardy in A Lucky Dog (filmed in 1919, released in 1921). After a series of failures as a Broadway producer, he retired again after 1920, this time permanently. Anderson sued Paramount Pictures for naming
6000-643: The Western United States , particularly the Southwestern United States , as well as Northern Mexico and Western Canada . The frontier is depicted in Western media as a sparsely populated hostile region patrolled by cowboys , outlaws , sheriffs , and numerous other stock gunslinger characters. Western narratives often concern the gradual attempts to tame the crime-ridden American West using wider themes of justice , freedom, rugged individualism, manifest destiny , and
6120-661: The elderly , in those with diabetes mellitus and after heart transplantation . In people with diabetes, differences in pain threshold , autonomic neuropathy , and psychological factors have been cited as possible explanations for the lack of symptoms. In heart transplantation, the donor heart is not fully innervated by the nervous system of the recipient. The most prominent risk factors for myocardial infarction are older age, actively smoking , high blood pressure , diabetes mellitus , and total cholesterol and high-density lipoprotein levels. Many risk factors of myocardial infarction are shared with coronary artery disease ,
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#17327836188956240-480: The health impact assessment of regional and local plans and policies. Most guidelines recommend combining different preventive strategies. A 2015 Cochrane Review found some evidence that such an approach might help with blood pressure , body mass index and waist circumference . However, there was insufficient evidence to show an effect on mortality or actual cardio-vascular events. Statins , drugs that act to lower blood cholesterol, decrease
6360-522: The single nucleotide polymorphisms that are implicated are within a non-coding region. The majority of these variants are in regions that have not been previously implicated in coronary artery disease. The following genes have an association with MI: PCSK9 , SORT1 , MIA3 , WDR12 , MRAS , PHACTR1 , LPA , TCF21 , MTHFDSL , ZC3HC1 , CDKN2A , 2B , ABO , PDGF0 , APOA5 , MNF1ASM283 , COL4A1 , HHIPC1 , SMAD3 , ADAMTS7 , RAS1 , SMG6 , SNF8 , LDLR , SLC5A3 , MRPS6 , KCNE2 . The risk of having
6480-457: The space opera series Firefly used an explicitly Western theme for its portrayal of frontier worlds. Anime shows such as Cowboy Bebop , Trigun and Outlaw Star have been similar mixes of science-fiction and Western elements. The science fiction Western can be seen as a subgenre of either Westerns or science fiction. Elements of Western films can be found also in some films belonging essentially to other genres. For example, Kelly's Heroes
6600-481: The subendocardial region, and tissue begins to die within 15–30 minutes of loss of blood supply. The dead tissue is surrounded by a zone of potentially reversible ischemia that progresses to become a full-thickness transmural infarct. The initial "wave" of infarction can take place over 3–4 hours. These changes are seen on gross pathology and cannot be predicted by the presence or absence of Q waves on an ECG. The position, size and extent of an infarct depends on
6720-551: The sympathetic nervous system , which occurs in response to pain and, where present, low blood pressure . Loss of consciousness can occur in myocardial infarctions due to inadequate blood flow to the brain and cardiogenic shock , and sudden death , frequently due to the development of ventricular fibrillation . When the brain was without oxygen for too long due to a myocardial infarction, coma and persistent vegetative state can occur. Cardiac arrest, and atypical symptoms such as palpitations , occur more frequently in females,
6840-419: The "Golden Age of the Western". It is epitomized by the work of several prominent directors including Robert Aldrich , Budd Boetticher , Delmer Daves , John Ford , and others. Some of the popular films during this era include Apache (1954), Broken Arrow (1950), and My Darling Clementine (1946). The changing popularity of the Western genre has influenced worldwide pop culture over time. During
6960-432: The 1960s and 1970s, Spaghetti Westerns from Italy became popular worldwide; this was due to the success of Sergio Leone 's storytelling method. After having been previously pronounced dead, a resurgence of Westerns occurred during the 1990s with films such as Dances with Wolves (1990), Unforgiven (1992), and Geronimo (1993), as Westerns once again increased in popularity. When television became popular in
7080-416: The 1960s, due in part to the shuttering of many pulp magazines, the popularity of televised Westerns , and the rise of the spy novel. Readership began to drop off in the mid- to late 1970s and reached a new low in the 2000s. Most bookstores, outside of a few Western states, now only carry a small number of Western novels and short-story collections. Literary forms that share similar themes include stories of
7200-458: The 1970s. These games and drew on the imagery of a mythic West portrayed in stories, films, television shows, and other assorted Western-themed toys. When game developers went to the imaginary West to create new experiences, they often drew consciously or unconsciously from Western stories and films. The 1971 text-based, Mainframe computer game The Oregon Trail was first game to use the West as
7320-582: The American West that [embody] the spirit, the struggle, and the demise of the new frontier ". Originally, these films were called "Wild West dramas", a reference to Wild West shows like Buffalo Bill Cody's . The term "Western", used to describe a narrative film genre, appears to have originated with a July 1912 article in Motion Picture World magazine. Most of the characteristics of Western films were part of 19th-century popular Western fiction , and were firmly in place before film became
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#17327836188957440-570: The American frontier, the gaucho literature of Argentina , and tales of the settlement of the Australian Outback. A number of visual artists focused their work on representations of the American Old West. American West-oriented art is sometimes referred to as "Western Art" by Americans. This relatively new category of art includes paintings, sculptures, and sometimes Native American crafts. Initially, subjects included exploration of
7560-672: The Eastern Bloc, or action films involving the Russian Revolution , the Russian Civil War , and the Basmachi rebellion. Many elements of space-travel series and films borrow extensively from the conventions of the Western genre. This is particularly the case in the space Western subgenre of science fiction. Peter Hyams 's Outland transferred the plot of High Noon to Io, moon of Jupiter. More recently,
7680-524: The Prairie , McCloud , The Life and Times of Grizzly Adams , and the short-lived but highly acclaimed How the West Was Won that originated from a miniseries with the same name. In the 1990s and 2000s, hour-long Westerns and slickly packaged made-for-TV movie Westerns were introduced, such as Lonesome Dove (1989) and Dr. Quinn, Medicine Woman . Also, new elements were once again added to
7800-537: The United States. In the developed world, the risk of death in those who have had a STEMI is about 10%. Rates of MI for a given age have decreased globally between 1990 and 2010. In 2011, an MI was one of the top five most expensive conditions during inpatient hospitalizations in the US, with a cost of about $ 11.5 billion for 612,000 hospital stays. Myocardial infarction (MI) refers to tissue death ( infarction ) of
7920-419: The Western formula, such as the space Western , Firefly , created by Joss Whedon in 2002. Deadwood was a critically acclaimed Western series that aired on HBO from 2004 through 2006. Hell on Wheels , a fictionalized story of the construction of the first transcontinental railroad , aired on AMC for five seasons between 2011 and 2016. Longmire is a Western series that centered on Walt Longmire ,
8040-881: The Western genre are a series of short single reel silents made in 1894 by Edison Studios at their Black Maria studio in West Orange, New Jersey . These featured veterans of Buffalo Bill's Wild West show exhibiting skills acquired by living in the Old West – they included Annie Oakley (shooting) and members of the Sioux (dancing). The earliest known Western narrative film is the British short Kidnapping by Indians , made by Mitchell and Kenyon in Blackburn , England, in 1899. The Great Train Robbery (1903, based on
8160-705: The Western states and cowboy themes. Frederic Remington and Charles M. Russell are two artists who captured the "Wild West" in paintings and sculpture. After the death of Remington Richard Lorenz became the preeminent artist painting in the Western genre. Some art museums, such as the Buffalo Bill Center of the West in Wyoming and the Autry National Center in Los Angeles, feature American Western Art. With anime and manga ,
8280-478: The Wild West and modern technology like cars and cellphones, while also focusing primarily on being a Crime drama makes the show a unique spin on both genres. Walter's reliance on the desert environment makes the Western-feel a pivotal role in the show, and would continue to be used in the spinoff series Better Call Saul . The neo-Western drama Yellowstone was streamed from 2018-2024. Western fiction
8400-432: The acute diagnostic algorithm; however, it can confirm a clinical suspicion of Chronic Coronary Syndrome when the patient's history, physical examination (including cardiac examination ) ECG, and cardiac biomarkers suggest coronary artery disease. Echocardiography , an ultrasound scan of the heart, is able to visualize the heart, its size, shape, and any abnormal motion of the heart walls as they beat that may indicate
8520-409: The affected artery, totality of the blockage, duration of the blockage, the presence of collateral blood vessels , oxygen demand, and success of interventional procedures. Tissue death and myocardial scarring alter the normal conduction pathways of the heart and weaken affected areas. The size and location put a person at risk of abnormal heart rhythms (arrhythmias) or heart block , aneurysm of
8640-418: The biggest hits of the year. Released through United Artists, Stagecoach made John Wayne a mainstream screen star in the wake of a decade of headlining B Westerns. Wayne had been introduced to the screen 10 years earlier as the leading man in director Raoul Walsh 's spectacular widescreen The Big Trail , which failed at the box office in spite of being shot on location across the American West, including
8760-647: The blood thinner heparin , with the additional use of PCI in those at high risk. In people with blockages of multiple coronary arteries and diabetes, coronary artery bypass surgery (CABG) may be recommended rather than angioplasty . After an MI, lifestyle modifications, along with long-term treatment with aspirin, beta blockers and statins , are typically recommended. Worldwide, about 15.9 million myocardial infarctions occurred in 2015. More than 3 million people had an ST elevation MI, and more than 4 million had an NSTEMI. STEMIs occur about twice as often in men as women. About one million people have an MI each year in
8880-618: The classic comics of the late 1940s and early 1950s (namely Kid Colt, Outlaw , Rawhide Kid , and Red Ryder ) or more modern ones as Blueberry ), cartoons, and parodies (such as Cocco Bill and Lucky Luke ). In the 1990s and 2000s, Western comics leaned towards the fantasy , horror and science fiction genres, usually involving supernatural monsters, or Christian iconography as in Preacher . More traditional Western comics are found throughout this period, though (e.g., Jonah Hex and Loveless ). Video game Westerns emerged in
9000-752: The conquest of the wilderness and the subordination of nature in the name of civilization or the confiscation of the territorial rights of the original, Native American, inhabitants of the frontier. The Western depicts a society organized around codes of honor and personal, direct or private justice–"frontier justice"–dispensed by gunfights. These honor codes are often played out through depictions of feuds or individuals seeking personal revenge or retribution against someone who has wronged them (e.g., True Grit has revenge and retribution as its main themes). This Western depiction of personal justice contrasts sharply with justice systems organized around rationalistic, abstract law that exist in cities, in which social order
9120-428: The culture, such as spaghetti Westerns (Italy), meat pie Westerns (Australia), ramen Westerns (Asia), and masala Westerns (India). Being period drama pieces, both the Western and samurai genre influenced each other in style and themes throughout the years. The Magnificent Seven was a remake of Akira Kurosawa 's film Seven Samurai , and A Fistful of Dollars was a remake of Kurosawa's Yojimbo , which itself
9240-405: The diagnosis and characterisation of myocardial infarction. Tests such as chest X-rays can be used to explore and exclude alternate causes of a person's symptoms. Echocardiography may assist in modifying clinical suspicion of ongoing myocardial infarction in patients that can't be ruled out or ruled in following initial ECG and Troponin testing. Myocardial perfusion imaging has no role in
9360-616: The diagnostic accuracy of troponin testing is improving over time. One high-sensitivity cardiac troponin can rule out a heart attack as long as the ECG is normal. Other tests, such as CK-MB or myoglobin , are discouraged. CK-MB is not as specific as troponins for acute myocardial injury, and may be elevated with past cardiac surgery, inflammation or electrical cardioversion; it rises within 4–8 hours and returns to normal within 2–3 days. Copeptin may be useful to rule out MI rapidly when used along with troponin. Electrocardiograms (ECGs) are
9480-407: The earlier British film A Daring Daylight Burglary ), Edwin S. Porter 's film starring Broncho Billy Anderson , is often erroneously cited as the first Western, though George N. Fenin and William K. Everson point out (as mentioned above) that the "Edison company had played with Western material for several years prior to The Great Train Robbery ". Nonetheless, they concur that Porter's film "set
9600-463: The early 1960s, and their replacement by hour-long television shows, increasingly in color. Traditional Westerns died out in the late 1960s as a result of network changes in demographic targeting along with pressure from parental television groups. Future entries in the genre would incorporate elements from other genera, such as crime drama and mystery whodunit elements. Western shows from the 1970s included Hec Ramsey , Kung Fu , Little House on
9720-414: The elderly, those with diabetes, in people who have just had surgery, and in critically ill patients. "Silent" myocardial infarctions can happen without any symptoms at all. These cases can be discovered later on electrocardiograms , using blood enzyme tests, or at autopsy after a person has died. Such silent myocardial infarctions represent between 22 and 64% of all infarctions, and are more common in
9840-520: The film with the first known instance of the pie-the-face gag, Mr. Flip . Anderson acted in over 300 short films. He played a wide variety of characters, but he gained enormous popularity from a series of 148 silent Western shorts and was the first film cowboy star, "Broncho Billy." Many of these were shot in Niles , a small town in Alameda County, California , south-east of San Francisco, where
9960-467: The first time at a vaudeville theater and being overwhelmed by the audience's reaction, he decided to work in the film industry exclusively. He began to write, direct, and act in his own Westerns under the name Gilbert M. Anderson. In 1907 in Chicago , Anderson and George Kirke Spoor founded Essanay Studios ("S and A" for Spoor and Anderson), one of the major early movie studios . In 1909, he directed
10080-426: The genre tends towards the science-fiction Western – e.g., Cowboy Bebop (1998 anime), Trigun (1995–2007 manga), and Outlaw Star (1996–1999 manga). Although contemporary Westerns also appear, such as Koya no Shonen Isamu , a 1971 shonen manga about a boy with a Japanese father and a Native American mother, or El Cazador de la Bruja , a 2007 anime television series set in modern-day Mexico. Part 7 of
10200-637: The greatest support is the Mediterranean diet . Vitamins and mineral supplements are of no proven benefit, and neither are plant stanols or sterols . Public health measures may also act at a population level to reduce the risk of myocardial infarction, for example by reducing unhealthy diets (excessive salt, saturated fat, and trans-fat) including food labeling and marketing requirements as well as requirements for catering and restaurants and stimulating physical activity. This may be part of regional cardiovascular disease prevention programs or through
10320-464: The harshness and isolation of the wilderness, and frequently set the action in an arid, desolate landscape. Western films generally have specific settings, such as isolated ranches, Native American villages, or small frontier towns with a saloon. Oftentimes, these settings appear deserted and without much structure. Apart from the wilderness, the saloon usually emphasizes that this is the Wild West ; it
10440-465: The heart is not contracting at all or so poorly that all vital organs cease to function, thus leading to death. It is also distinct from heart failure , in which the pumping action of the heart is impaired. However, an MI may lead to heart failure. Chest pain that may or may not radiate to other parts of the body is the most typical and significant symptom of myocardial infarction. It might be accompanied by other symptoms such as sweating. Chest pain
10560-410: The heart muscle ( myocardium ) caused by ischemia , the lack of oxygen delivery to myocardial tissue. It is a type of acute coronary syndrome , which describes a sudden or short-term change in symptoms related to blood flow to the heart. Unlike the other type of acute coronary syndrome, unstable angina , a myocardial infarction occurs when there is cell death , which can be estimated by measuring by
10680-441: The heart ventricles , inflammation of the heart wall following infarction, and rupture of the heart wall that can have catastrophic consequences. Injury to the myocardium also occurs during re-perfusion. This might manifest as ventricular arrhythmia. The re-perfusion injury is a consequence of the calcium and sodium uptake from the cardiac cells and the release of oxygen radicals during reperfusion. No-reflow phenomenon—when blood
10800-729: The heart, lungs , gastrointestinal tract , aorta , and other muscles, bones and nerves surrounding the chest. In addition to myocardial infarction, other causes include angina , insufficient blood supply ( ischemia ) to the heart muscles without evidence of cell death, gastroesophageal reflux disease ; pulmonary embolism , tumors of the lungs, pneumonia , rib fracture , costochondritis , heart failure and other musculoskeletal injuries. Rarer severe differential diagnoses include aortic dissection , esophageal rupture , tension pneumothorax , and pericardial effusion causing cardiac tamponade . The chest pain in an MI may mimic heartburn . Causes of sudden-onset breathlessness generally involve
10920-466: The heroes of Westerns frequently rescue damsels in distress . Similarly, the wandering protagonists of Westerns share many characteristics with the ronin in modern Japanese culture. The Western typically takes these elements and uses them to tell simple morality tales, although some notable examples (e.g. the later Westerns of John Ford or Clint Eastwood 's Unforgiven , about an old contract killer ) are more morally ambiguous. Westerns often stress
11040-401: The illicit drug market, eventually turning into a ruthless drug dealer and killer. While the show has scenes in a populated suburban neighborhood and nearby Albuquerque , much of the show takes place in the desert, where Walter often takes his RV car out into the open desert to cook his meth, and most action sequences occur in the desert, similar to old-fashioned Western movies. The clash between
11160-402: The incidence and mortality rates of myocardial infarctions. They are often recommended in those at an elevated risk of cardiovascular diseases. Aspirin has been studied extensively in people considered at increased risk of myocardial infarction. Based on numerous studies in different groups (e.g. people with or without diabetes), there does not appear to be a benefit strong enough to outweigh
11280-717: The influence of Kurosawa. The character Han Solo dressed like an archetypal gunslinger, and the Mos Eisley cantina is much like an Old West saloon. Meanwhile, films such as The Big Lebowski , which plucked actor Sam Elliott out of the Old West and into a Los Angeles bowling alley, and Midnight Cowboy , about a Southern-boy-turned-gigolo in New York (who disappoints a client when he does not measure up to Gary Cooper), transplanted Western themes into modern settings for both purposes of parody and homage. Heart attack A myocardial infarction ( MI ), commonly known as
11400-406: The larger scope of the Western genre, there are several recognized subgenres. Some subgenres, such as spaghetti Westerns , maintain standard Western settings and plots, while others take the Western theme and archetypes into different supergenres, such as neo-Westerns or space Westerns . For a time, Westerns made in countries other than the United States were often labeled by foods associated with
11520-788: The late 1940s and 1950s, Television Westerns quickly became an audience favorite. Beginning with rebroadcasts of existing films, a number of movie cowboys had their own TV shows. As demand for the Western increased, new stories and stars were introduced. A number of long-running TV Westerns became classics in their own right, such as: The Lone Ranger (1949–1957), Death Valley Days (1952–1970), The Life and Legend of Wyatt Earp (1955–1961), Cheyenne (1955–1962), Gunsmoke (1955–1975), Maverick (1957–1962), Have Gun – Will Travel (1957–1963), Wagon Train (1957–1965), The Rifleman (1958–1963), Rawhide (1959–1966), Bonanza (1959–1973), The Virginian (1962–1971), and The Big Valley (1965–1969). The Life and Legend of Wyatt Earp
11640-485: The literary descendants of the knights-errant , who stood at the center of earlier extensive genres such as the Arthurian romances . Like the cowboy or gunfighter of the Western, the knight-errant of the earlier European tales and poetry was wandering from place to place on his horse, fighting villains of various kinds, and bound to no fixed social structures, but only to his own innate code of honor. Like knights-errant,
11760-666: The lungs or heart – including pulmonary edema , pneumonia, allergic reactions and asthma , and pulmonary embolus, acute respiratory distress syndrome and metabolic acidosis . There are many different causes of fatigue, and myocardial infarction is not a common cause. There is a large crossover between the lifestyle and activity recommendations to prevent a myocardial infarction, and those that may be adopted as secondary prevention after an initial myocardial infarction, because of shared risk factors and an aim to reduce atherosclerosis affecting heart vessels. The influenza vaccine also appear to protect against myocardial infarction with
11880-461: The major Hollywood studios rapidly abandoned Westerns, leaving the genre to smaller studios and producers. These smaller organizations churned out countless low-budget features and serials in the 1930s. An exception was The Big Trail, a 1930 American pre-Code Western early widescreen film shot on location across the American West starring 23-year-old John Wayne in his first leading role and directed by Raoul Walsh. The epic film noted for its authenticity
12000-563: The male lead; or in supporting roles as saloon girls, prostitutes or as the wives of pioneers and settlers . The wife character often provides a measure of comic relief . Other recurring characters include Native Americans of various tribes described as Indians or Red Indians, African Americans , Chinese Americans , Spaniards , Mexicans , law enforcement officers , bounty hunters , outlaws , bartenders , merchants , gamblers , soldiers (especially mounted cavalry ), and settlers ( farmers , ranchers , and townsfolk). The ambience
12120-683: The manga series JoJo's Bizarre Adventure is based in the American Western setting. The story follows racers in a transcontinental horse race, the "Steel Ball Run". Golden Kamuy (2014–2022) shifts its setting to the fallout of the Russo-Japanese War , specifically focusing on Hokkaido and Sakhalin , and featuring the Ainu people and other local tribes instead of Native Americans, as well other recognizable Western tropes. Western comics have included serious entries, (such as
12240-610: The myocardial infarction are coronary spasm or coronary artery dissection . The most common cause of a myocardial infarction is the rupture of an atherosclerotic plaque on an artery supplying heart muscle. Plaques can become unstable, rupture, and additionally promote the formation of a blood clot that blocks the artery; this can occur in minutes. Blockage of an artery can lead to tissue death in tissue being supplied by that artery. Atherosclerotic plaques are often present for decades before they result in symptoms. The gradual buildup of cholesterol and fibrous tissue in plaques in
12360-497: The national history and identity of the United States . Native American populations were often portrayed as averse foes or savages . Originating in vaquero heritage and Western fiction , the genre popularized the Western lifestyle , country - Western music , and Western wear globally. Throughout the history of the genre, it has seen popular revivals and been incorporated into various subgenres. The classic Western
12480-457: The nearby Western Pacific Railroad route through Niles Canyon proved to be a very suitable location for the filming of Westerns. Writing, acting, and directing most of these movies, Anderson also found time to direct a series of "Alkali Ike" comedy Westerns starring Augustus Carney . In 1916, Anderson sold his ownership in Essanay and retired from acting. He returned to New York City, bought
12600-432: The pattern—of crime, pursuit, and retribution—for the Western film as a genre". The film's popularity opened the door for Anderson to become the screen's first Western star; he made several hundred Western film shorts. So popular was the genre that he soon faced competition from Tom Mix and William S. Hart . Western films were enormously popular in the silent film era (1894–1927). With the advent of sound in 1927–1928,
12720-419: The physician confirm a person is at high risk for Chronic Coronary Syndrome before conducting diagnostic non-invasive imaging tests to make a diagnosis, as such tests are unlikely to change management and result in increased costs. Patients who have a normal ECG and who are able to exercise, for example, most likely do not merit routine imaging. There are many causes of chest pain , which can originate from
12840-471: The plaque and act to stabilize it. A stable plaque may have a thick fibrous cap with calcification . If there is ongoing inflammation, the cap may be thin or ulcerate. Exposed to the pressure associated with blood flow, plaques, especially those with a thin lining, may rupture and trigger the formation of a blood clot (thrombus). The cholesterol crystals have been associated with plaque rupture through mechanical injury and inflammation. Atherosclerotic disease
12960-487: The presence of cardiac muscle damage. Troponins , measured through a blood test, are considered to be the best, and are preferred because they have greater sensitivity and specificity for measuring injury to the heart muscle than other tests. A rise in troponin occurs within 2–3 hours of injury to the heart muscle, and peaks within 1–2 days. The level of the troponin, as well as a change over time, are useful in measuring and diagnosing or excluding myocardial infarctions, and
13080-512: The primary cause of myocardial infarction, with other risk factors including male sex, low levels of physical activity, a past family history , obesity , and alcohol use . Risk factors for myocardial disease are often included in risk factor stratification scores, such as the Framingham Risk Score . At any given age, men are more at risk than women for the development of cardiovascular disease. High levels of blood cholesterol
13200-486: The risk of myocardial infarction, although there is not universal agreement. Dietary modifications are recommended by some national authorities, with recommendations including increasing the intake of wholegrain starch, reducing sugar intake (particularly of refined sugar), consuming five portions of fruit and vegetables daily, consuming two or more portions of fish per week, and consuming 4–5 portions of unsalted nuts , seeds , or legumes per week. The dietary pattern with
13320-637: The settlement of other planets is depicted in ways explicitly modeled on American settlement of the West. For example, in his Tunnel in the Sky , settlers set out to the planet New Canaan, via an interstellar teleporter portal across the galaxy, in Conestoga wagons , their captain sporting mustaches and a little goatee and riding a Palomino horse—with Heinlein explaining that the colonists would need to survive on their own for some years, so horses are more practical than machines. Stephen King 's The Dark Tower
13440-577: The sixth child of Henry and Esther (Ash) Aronson, both natives of New York. His younger sister was actress and singer Leona Anderson . His family was Jewish , his father's parents having emigrated to the United States from Prussia , and his mother's from the Russian Empire . His family moved to Pine Bluff, Arkansas when he was three years old. He lived in Pine Bluff until he was 8, when he moved with his family to St. Louis, Missouri . When he
13560-399: The start of daylight saving time . Women who use combined oral contraceptive pills have a modestly increased risk of myocardial infarction, especially in the presence of other risk factors. The use of non-steroidal anti inflammatory drugs (NSAIDs), even for as short as a week, increases risk. Endometriosis in women under the age of 40 is an identified risk factor. Air pollution
13680-400: The studies showing these differences had high variability. Females are less likely to report chest pain during a heart attack and more likely to report nausea, jaw pain, neck pain, cough, and fatigue, although these findings are inconsistent across studies. Females with heart attacks also had more indigestion, dizziness , loss of appetite , and loss of consciousness. Shortness of breath is
13800-529: The wall of the coronary arteries or other arteries, typically over decades, is termed atherosclerosis . Atherosclerosis is characterized by progressive inflammation of the walls of the arteries. Inflammatory cells, particularly macrophages , move into affected arterial walls. Over time, they become laden with cholesterol products, particularly LDL , and become foam cells . A cholesterol core forms as foam cells die. In response to growth factors secreted by macrophages, smooth muscle and other cells move into
13920-439: Was Midway 's Gun Fight , an adaptation of Taito 's Western Gun (1975) which featured two players against each other in a duel set on a sparse desert landscape with a few cacti and a moving covered wagon to hide behind. Atari 's Outlaw (1976) followed which explicitly framed the shootouts between "good guys" and "outlaws" also borrowing from gunfighter themes and imagery. Early console games such as Outlaw (1978) for
14040-477: Was 18, he moved to New York City and appeared in vaudeville and the theater, supplementing his income as a photographer's model and newspaper vendor. In 1903, he met Edwin S. Porter , who hired him as an actor and occasional script collaborator. Anderson played the dancing tenderfoot and the train passenger who gets shot and bandit #1 in The Great Train Robbery (1903). Seeing the film for
14160-578: Was a financial failure due to Depression era theatres not willing to invest in widescreen technology. By the late 1930s, the Western film was widely regarded as a pulp genre in Hollywood, but its popularity was dramatically revived in 1939 by major studio productions such as Dodge City starring Errol Flynn , Jesse James with Tyrone Power , Union Pacific with Joel McCrea , Destry Rides Again featuring James Stewart and Marlene Dietrich , and especially John Ford's landmark Western adventure Stagecoach starring John Wayne , which became one of
14280-470: Was inspired by Red Harvest , an American detective novel by Dashiell Hammett . Kurosawa was influenced by American Westerns and was a fan of the genre, most especially John Ford . Despite the Cold War , the Western was a strong influence on Eastern Bloc cinema, which had its own take on the genre, the so-called Red Western or Ostern. Generally, these took two forms: either straight Westerns shot in
14400-515: Was the first Western television series written for adults, premiering four days before Gunsmoke on September 6, 1955. The peak year for television Westerns was 1959, with 26 such shows airing during primetime. At least six of them were connected in some extent to Wyatt Earp : The Life and Legend of Wyatt Earp , Bat Masterson , Tombstone Territory , Broken Arrow , Johnny Ringo , and Gunsmoke . Increasing costs of American television production weeded out most action half-hour series in
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