The factor VII activating protease G511E (Marburg) variant and cardiovascular risk

A previous study had shown a strong relationship between a variant in factor VII activating protease (FSAP G511E) and advanced carotid atheroma. In-vitro, the variant has reduced fibrinolytic but normal pro-coagulant activity, which may constitute a prothrombotic state. The current study has addressed risk for coronary heart disease in a prospective study of cardio vascular disorders (Northwick Park Heart Study II). An interactive effect upon risk was found between the 511E allele and elevated levels of cholesterol and triglyceride. Fibrinogen could substitute for triglyceride levels in this risk-interaction analysis. The findings support the proposal that the FSAP 511E allele exacerbates atherosclerosis or its clinical sequelae

Increased plasma markers of oxidative stress are associated with coronary heart disease in males with diabetes mellitus and with 10-year risk in a prospective sample of males

Background: Increased oxidative stress is associated with coronary heart disease (CHD). We examined the association between plasma markers of oxidative stress and CHD in a cross-sectional sample of patients with diabetes and prospective CHD risk in a sample of men predominantly without diabetes. Methods: Plasma total antioxidant status (TAOS) and the ratio of oxidized LDL (Ox-LDL) to LDL-cholesterol (LDL-C) were determined in a cross-section of 761 Caucasian individuals with diabetes (UDACS study). Plasma TAOS was also determined in 310 baseline samples from a 10-year prospective cohort of 3012 healthy males (NPHSII). Results: Within UDACS, males with CHD had lower mean (SD) plasma TAOS [no CHD, 43.4 (13.2)%; CHD, 40.3 (13.8)%; P = 0.04]. The prevalence of CHD was higher in the lowest compared with the upper quartiles (32.7% vs 19.7%; P = 0.004). We observed a significant association between plasma Ox-LDL:LDL-C and CHD status [no CHD vs CHD, 16.9 (3.1) vs 19.3 (5.0) units/mmol; P = 0.04], with the prevalence of CHD being higher among men in the upper compared with lower quartiles (18.4% vs 35.1%; P = 0.003). No association was observed in females. In NPHSII, TAOS was lower in those who developed CHD [35.1 (8.0)% vs 37.1 (7.9)%; P = 0.04]. The odds ratio for CHD in the lowest compared with the upper quartile was 1.91 (95% confidence interval, 0.99–3.70; P = 0.04). This remained unchanged after adjustment for classic risk factors. Conclusions: A cross-sectional and prospective association exists between baseline plasma measures of oxidative stress and CHD risk. The association with prospective CHD risk remained after adjustment for "traditional" risk factors, implying an independent role for oxidative stress in CHD risk

PHASER 2.10 methodology for dependence, importance, and sensitivity: The role of scale factors, confidence factors, and extremes

PHASER (Probabilistic Hybrid Analytical System Evaluation Routine) is a software tool that has the capability of incorporating subjective expert judgment into probabilistic safety analysis (PSA) along with conventional data inputs. An earlier report described the PHASER methodology, but only gave a cursory explanation about how dependence was incorporated in Version 1.10 and about how ``Importance`` and ``Sensitivity`` measures were to be incorporated in Version 2.00. A more detailed description is given in this report. The basic concepts involve scale factors and confidence factors that are associated with the stochastic variability and subjective uncertainty (which are common adjuncts used in PSA), and the safety risk extremes that are crucial to safety assessment. These are all utilized to illustrate methodology for incorporating dependence among analysis variables in generating PSA results, and for Importance and Sensitivity measures associated with the results that help point out where any major sources of safety concern arise and where any major sources of uncertainty reside, respectively

System safety based on a coordinated principle-based theme

In this paper, the authors demonstrate a logical progression for the identification of assets, threats, vulnerabilities, and protective measures, based on a structured approach that incorporates the results of the previous paper. The authors utilize a logical structure for identifying the constituents of the problem, derive appropriate applicable principles, and demonstrate a technique for incorporating the principles into a coordinated safety theme. They also show how to qualitatively assess such generally non-quantifiable items such as safety-component and safety-system response to severe abnormal environments. An illustrative example is followed step-by-step through to a safety system design approach and a safety assessment approach. The general approach is illustrated here through an example, generally representing a test rocket launch scenario, where the concern is the potential for loss of life

Effect of bezafibrate on plasma homocysteine concentration in men with lower extremity arterial disease

No abstract available

Improving analytical understanding through the addition of information: Bayesian and hybrid mathematics approaches

Safety analysts frequently must provide results that are based on sparse (or even no) data. When data (or more data) become available, it is important to utilize the new information optimally in improving the analysis results. Two methods for accomplishing this purpose are Bayesian analysis, where "prior" probability distributions are modified to become "posterior" distributions based on the new data, and hybrid (possibilistic/probabilistic analysis) where possibilistic "membership" portrays the subjectivity involved and the probabilistic analysis is "frequentist." Each of these approaches has interesting features, and it is advantageous to compare and contrast the two. In addition to describing and contrasting these two approaches, we will discuss how features of each can be combined to give new advantages neither offers by itself

The oblique plane deformity in slipped capital femoral epiphysis.

Background Slipped capital femoral epiphysis (SCFE) is commonly treated with in situ pinning. However, a severe slip may not be suitable for in situ pinning because the required screw trajectory is such that it risks perforating the posterior cortex and damaging the remaining blood supply to the capital epiphysis. In such cases, an anteriorly placed screw may also cause impingement. It is also possible to underestimate the severity of the slip using conventional radiographs. The aim of this study was to describe and evaluate a novel method for calculating the true deformity in SCFE and to assess the interobserver and intraobserver reliability of this technique. Methods We selected 20 patients with varying severity of SCFE who presented to our institution. Cross-sectional imaging [either axial computed tomography (CT) scans or magnetic resonance imaging (MRI) scans] and anteroposterior (AP) pelvis radiographs were assessed by four reviewers with varying levels of experience on two occasions. The degree of slip on the axial image and on the AP pelvis radiographs were measured and, from this, the oblique plane deformity was calculated using the method as popularised by Paley. The intraclass correlation coefficient (ICC) was calculated to determine the interobserver and intraobserver reliabilities between and amongst the raters. Results The interobserver reliability for the calculated oblique plane deformity in SCFE ICC was 0.947 [95 % confidence interval (CI) 0.90–0.98] and the intraobserver reliability for the calculated oblique plane deformity of individual raters ranged from 0.81 to 0.94. The deformity in the oblique plane was always greater than the deformity measured in the axial or the coronal plane alone. Conclusion This method for calculating the true deformity in SCFE has excellent interobserver and intraobserver reliability and can be used to guide treatment options. This technique is a reliable and reproducible method for assessing the degree of deformity in SCFE. It may help orthopaedic surgeons with varying degrees of experience to identify which hips are suitable for in situ pinning and those which require surgical dislocation and anatomical reduction, given that plain radiographs in a single plane will underestimate the true deformity in the oblique plane. Level of evidence Level II diagnostic study

4f spin density in the reentrant ferromagnet SmMn2Ge2

The spin contribution to the magnetic moment in SmMn2Ge2 has been measured by magnetic Compton scattering in both the low and high temperature ferromagnetic phases. At low temperature, the Sm site is shown to possess a large 4f spin moment of 3.4 +/- 0.1 Bohr magnetons, aligned antiparallel to the total magnetic moment. At high temperature, the data show conclusively that ordered magnetic moments are present on the samarium site.Comment: 5 pages, 2 figures, transferred from PRL to PRB (Rapid Comm.