64 research outputs found

    The orbit space of groupoids whose CC^*-algebras are GCR

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    Let GG be second countable locally compact Hausdorff groupoid with a continuous Haar system. We remove the assumption of amenability in a theorem by Clark about GCR groupoid CC^*-algebras. We show that if the groupoid CC^*-algebra of GG is GCR then the orbits of GG are locally closed.Comment: 1

    Do Diabetic Patients with Acute Coronary Syndromes Have a Higher Threshold for Ischemic Pain?

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    Background: Data from over 4 decades have reported a higher incidence of silent infarction among patients with diabetes mellitus (DM), but recent publications have shown conflicting results regarding the correlation between DM and presence of pain in patients with acute coronary syndromes (ACS). Objective: Our primary objective was to analyze the association between DM and precordial pain at hospital arrival. Secondary analyses evaluated the association between hyperglycemia and precordial pain at presentation, and the subgroup of patients presenting within 6 hours of symptom onset. Methods: We analyzed a prospectively designed registry of 3,544 patients with ACS admitted to a Coronary Care Unit of a tertiary hospital. We developed multivariable models to adjust for potential confounders. Results: Patients with precordial pain were less likely to have DM (30.3%) than those without pain (34.0%; unadjusted p = 0.029), but this difference was not significant after multivariable adjustment, for the global population (p = 0.84), and for subset of patients that presented within 6 hours from symptom onset (p = 0.51). In contrast, precordial pain was more likely among patients with hyperglycemia (41.2% vs 37.0% without hyperglycemia, p = 0.035) in the overall population and also among those who presented within 6 hours (41.6% vs. 32.3%, p = 0.001). Adjusted models showed an independent association between hyperglycemia and pain at presentation, especially among patients who presented within 6 hours (OR = 1.41, p = 0.008). Conclusion: In this non-selected ACS population, there was no correlation between DM and hospital presentation without precordial pain. Moreover, hyperglycemia correlated significantly with pain at presentation, especially in the population that arrived within 6 hours from symptom onset

    Measurement of left-ventricular volumes using an internal standard

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    When performing equilibrium radionuclide angiocardiography with two successive acquisition views, absolute left-ventricular volumes can be calculated using an 'internal standard' generated by a computer in the left-ventricular cavity. The method is based on the computed ratio of maximum to global activity in the 40°-left-anterior-oblique view after background correction and on the measured depth of the left ventricle in almost-orthogonal, 30°-left-posterior-oblique Fourier first-harmonic images. The method does not require blood sampling or correction for self attenuation. The intra- and interobserver reproducibility is excellent, even in patients with severe impairment of the ventricular-contractility pattern. When compared with a classical method requiring venous-blood counting and an attenuation correction factor, the accuracy of the internalstandard method was fairly good, with a regression coefficient of 0.90. © 1985 Springer-Verlag.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

    Zur Darstellung von Angehörigenpflege und Ehrenamt in lokalen Printmedien : Inhaltsanalytische Untersuchung am Beispiel eines Modellprojekts

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    Bürgerschaftliches Engagement zur Unterstützung pflegender Angehöriger erfährt eine wachsende gesellschaftliche Bedeutung. Gemeindebezogene Hilfsangebote dieser Art sind auf eine kontinuierliche Werbung um ehrenamtliche Helfer und Leistungsnehmer durch die regionale Presse angewiesen. Anhand einer qualitativen Inhaltsanalyse wurden 55 Zeitungsartikel bezüglich der inhaltlichen Darstellung eines solchen Projektes untersucht. Ergebnis der Untersuchung ist die Feststellung, dass pflegende Angehörige und das Ehrenamt in diesem Bereich überwiegend negativ dargestellt werden

    SPET-generated colour-coded polar maps to quantify 99Tcm-MIBI and 123I-BMIPP uptake in chronically dysfunctional myocardium: Comparison with coronary anatomy and wall motion

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    The combined use of 123I-BMIPP and 99Tcm-MIBI SPET imaging has been proposed as an alternative to PET for the non-invasive detection of jeopardized myocardium after a myocardial infarction, a mismatch accurately indicating jeopardized but still viable tissue. In this paper, a new quantitative approach is described, expressing the presence and degree of mismatch as the percentage of the left ventricular surface globally as well as for each major epicardial artery by means of clearly identified colour- coded polar maps. With this method, the relative proportion of normal and scar tissue, each characterized by a specific colour, is measured using thresholds of 99Tcm-MIBI uptake of 60% and 30% of the expected mean normal value respectively, whereas the presence and extent of mismatch between 99Tcm-BMIPP and 99Tcm-MIBI are calculated only between these two thresholds, typically corresponding to a reduction in flow associated with a possible but uncertain post-revascularization recovery. Applied to 15 patients with severely impaired left ventricular function after a myocardial infarction, small intra- and inter-observer differences were noted in the assessment of the relative proportion of normal, mismatched and scar tissue. More specifically, analysing the variability in the calculated percent mismatch, good reproducibility was observed, with intra- and inter-observer correlation coefficients of 0.96 and 0.94 respectively, a mean (±S.D.) intra-observer difference of 0.25 ± 2.0% for the left ventricle globally, 1.65 ± 2.9% for the left anterior descending artery (LAD), -1.56 ± 3.6% for the left circumflex artery (LOX) and -1.24 ± 2.8% for the right coronary artery (RCA) territories, and mean inter-observer variability of 0.91 ± 2.4% for the left ventricle globally, -1.51 ± 3.0% for the LAD, -0.53 ± 2.9% for the LOX and -0.34 ± 3.9% for the RCA territories. Using the second standard deviation of the inter-observer difference as a criterion of significance, a significant mismatch between 99Tcm-BMIPP and 99Tcm-MIBI was noted in 13 arterial territories, corresponding to significant stenoses on coronary angiogram and/or wall motion abnormalities in all cases. These results suggest that this new quantitative method, showing good reproducibility, may constitute a reliable and interesting tool for the non-invasive evaluation of myocardial viability with SPET.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
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