230 research outputs found
Centerscope
Centerscope, formerly Scope, was published by the Boston University Medical Center "to communicate the concern of the Medical Center for the development and maintenance of improved health care in contemporary society.
Supersymmetric vertex algebras
We define and study the structure of SUSY Lie conformal and vertex algebras.
This leads to effective rules for computations with superfields.Comment: 71 page
Zassenhaus conjecture for central extensions of S5
We confirm a conjecture of Zassenhaus about rational conjugacy of torsion units in
integral group rings for a covering group of the symmetric group S5 and for the general linear
group GLĂ°2; 5Ă. The first result, together with others from the literature, settles the conjugacy
question for units of prime-power order in the integral group ring of a finite Frobenius group
Chronic heart block in dogs; a method for producing experimental heart failure
A method is described for the production of chronic atrioventricular block in dogs, by incision of the region of the bundle of His through the open right atrium during temporary caval occlusion. Exercise tolerances, chest x-ray films, electrocardiograms, phonocardiograms, cardiac outputs, intracardiac pressures, femoral pressures, and left ventricular coronary flows were obtained preoperatively and from 1 to 10 months postoperatively. The majority of the animals developed clinical, laboratory, and pathological evidence of congestive heart failure. All animals had generalized myocardial hypertrophy
Dementia-related adverse events in PARADIGM-HF and other trials in heart failure with reduced ejection fraction.
Aims:
Inhibition of neprilysin, an enzyme degrading natriuretic and other vasoactive peptides, is beneficial in heart failure with reduced ejection fraction (HFrEF), as shown in PARADIGM-HF which compared the angiotensin receptorâneprilysin inhibitor (ARNI) sacubitril/valsartan with enalapril. As neprilysin is also one of many enzymes clearing amyloid-ÎČ peptides from the brain, there is a theoretical concern about the long-term effects of sacubitril/valsartan on cognition. Therefore, we have examined dementia-related adverse effects (AEs) in PARADIGM-HF and placed these findings in the context of other recently conducted HFrEF trials.
Methods and results:
In PARADIGM-HF, patients with symptomatic HFrEF were randomized to sacubitril/valsartan 97/103âmg b.i.d. or enalapril 10âmg b.i.d. in a 1:1 ratio. We systematically searched AE reports, coded using the Medical Dictionary for Regulatory Activities (MedDRA), using Standardized MedDRA Queries (SMQs) with âbroadâ and ânarrowâ preferred terms related to dementia. In PARADIGM-HF, 8399 patients aged 18â96 years were randomized and followed for a median of 2.25âyears (up to 4.3âyears). The narrow SMQ search identified 27 dementia-related AEs: 15 (0.36%) on enalapril and 12 (0.29%) on sacubitril/valsartan [hazard ratio (HR) 0.73, 95% confidence interval (CI) 0.33â1.59]. The broad search identified 97 (2.30%) and 104 (2.48%) AEs (HR 1.01, 95% CI 0.75â1.37), respectively. The rates of dementia-related AEs in both treatment groups in PARADIGM-HF were similar to those in three other recent trials in HFrEF.
Conclusion:
We found no evidence that sacubitril/valsartan, compared with enalapril, increased dementia-related AEs, although longer follow-up may be necessary to detect such a signal and more sensitive tools are needed to detect lesser degrees of cognitive impairment. Further studies to address this question are warranted
500 ml of blood loss does not decrease non-invasive tissue oxygen saturation (StO2) as measured by near infrared spectroscopy - A hypothesis generating pilot study in healthy adult women
BACKGROUND: The goal when resuscitating trauma patients is to achieve adequate tissue perfusion. One parameter of tissue perfusion is tissue oxygen saturation (StO2), as measured by near infrared spectroscopy. Using a commercially available device, we investigated whether clinically relevant blood loss of 500 ml in healthy volunteers can be detected by changes in StO2 after a standardized ischemic event.
METHODS: We performed occlusion of the brachial artery for 3 minutes in 20 healthy female blood donors before and after blood donation. StO2 and total oxygenated tissue hemoglobin (O2Hb) were measured continuously at the thenar eminence. 10 healthy volunteers were assessed in the same way, to examine whether repeated vascular occlusion without blood donation exhibits time dependent effects.
RESULTS: Blood donation caused a substantial decrease in systolic blood pressure, but did not affect resting StO2 and O2Hb values. No changes were measured in the blood donor group in the reaction to the vascular occlusion test, but in the control group there was an increase in the O2Hb rate of recovery during the reperfusion phase.
CONCLUSION: StO2 measured at the thenar eminence seems to be insensitive to blood loss of 500 ml in this setting. Probably blood loss greater than this might lead to detectable changes guiding the treating physician. The exact cut off for detectable changes and the time effect on repeated vascular occlusion tests should be explored further. Until now no such data exist
Haloes gone MAD: The Halo-Finder Comparison Project
[abridged] We present a detailed comparison of fundamental dark matter halo
properties retrieved by a substantial number of different halo finders. These
codes span a wide range of techniques including friends-of-friends (FOF),
spherical-overdensity (SO) and phase-space based algorithms. We further
introduce a robust (and publicly available) suite of test scenarios that allows
halo finder developers to compare the performance of their codes against those
presented here. This set includes mock haloes containing various levels and
distributions of substructure at a range of resolutions as well as a
cosmological simulation of the large-scale structure of the universe. All the
halo finding codes tested could successfully recover the spatial location of
our mock haloes. They further returned lists of particles (potentially)
belonging to the object that led to coinciding values for the maximum of the
circular velocity profile and the radius where it is reached. All the finders
based in configuration space struggled to recover substructure that was located
close to the centre of the host halo and the radial dependence of the mass
recovered varies from finder to finder. Those finders based in phase space
could resolve central substructure although they found difficulties in
accurately recovering its properties. Via a resolution study we found that most
of the finders could not reliably recover substructure containing fewer than
30-40 particles. However, also here the phase space finders excelled by
resolving substructure down to 10-20 particles. By comparing the halo finders
using a high resolution cosmological volume we found that they agree remarkably
well on fundamental properties of astrophysical significance (e.g. mass,
position, velocity, and peak of the rotation curve).Comment: 27 interesting pages, 20 beautiful figures, and 4 informative tables
accepted for publication in MNRAS. The high-resolution version of the paper
as well as all the test cases and analysis can be found at the web site
http://popia.ft.uam.es/HaloesGoingMA
The MicroRNA-200 Family Is Upregulated in Endometrial Carcinoma
BACKGROUND: MicroRNAs (miRNAs, miRs) are small non-coding RNAs that negatively regulate gene expression at the post-transcriptional level. MicroRNAs are dysregulated in cancer and may play essential roles in tumorigenesis. Additionally, miRNAs have been shown to have prognostic and diagnostic value in certain types of cancer. The objective of this study was to identify dysregulated miRNAs in endometrioid endometrial adenocarcinoma (EEC) and the precursor lesion, complex atypical hyperplasia (CAH). METHODOLOGY: We compared the expression profiles of 723 human miRNAs from 14 cases of EEC, 10 cases of CAH, and 10 normal proliferative endometria controls using Agilent Human miRNA arrays following RNA extraction from formalin-fixed paraffin-embedded (FFPE) tissues. The expression of 4 dysregulated miRNAs was validated using real time reverse transcription-PCR. RESULTS: Forty-three miRNAs were dysregulated in EEC and CAH compared to normal controls (p<0.05). The entire miR-200 family (miR-200a/b/c, miR-141, and miR-429) was up-regulated in cases of EEC. CONCLUSIONS: This information contributes to the candidate miRNA expression profile that has been generated for EEC and shows that certain miRNAs are dysregulated in the precursor lesion, CAH. These miRNAs in particular may play important roles in tumorigenesis. Examination of miRNAs that are consistently dysregulated in various studies of EEC, like the miR-200 family, will aid in the understanding of the role that miRNAs play in tumorigenesis in this tumour type
Weighted logics for artificial intelligence : an introductory discussion
International audienceBefore presenting the contents of the special issue, we propose a structured introductory overview of a landscape of the weighted logics (in a general sense) that can be found in the Artificial Intelligence literature, highlighting their fundamental differences and their application areas
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