Digitalis digitalis. As a result of increased contractility, stroke volume is increased. Ultimately, digitalis increases cardiac output (Cardiac Output=Stroke Volume x Heart Rate). This is the mechanism that makes this drug a popular treatment for congestive heart failure, which is characterized by low cardiac output. Digitalis also has a vagal effect on the parasympathetic nervous system, and as such is used in re-entrant cardiac arrhythmias and to slow the ventricular rate during atrial fibrillation. The dependence on the vagal effect means digitalis is not effective when a patient has a high sympathetic nervous system drive, which is the case with acutely
Tyseley Energy from Waste Plant Tyseley Energy from Waste Plant Tyseley Energy Recovery Facility is a waste incineration plant in Birmingham, UK. It is run by Veolia. It was built in 1996 by Veolia to a design by Faulks Perry Culley & Rech. The plant has become a notable building in Birmingham with a lighting scheme that illuminates the plant during the hours of darkness. It was built to comply with the European emissions standards that came into force in 1996. Veolia benefits from Levy Exemption Certificates for the element of energy which is produced from renewable sources. This provides income to the City Council.