The effect of cardiac resynchronization on morbidity and mortality in heart failure

Background: Cardiac resynchronization reduces symptoms and improves left ventricular function in many patients with heart failure due to left ventricular systolic dysfunction and cardiac dyssynchrony. We evaluated its effects on morbidity and mortality. Methods: Patients with New York Heart Association class III or IV heart failure due to left ventricular systolic dysfunction and cardiac dyssynchrony who were receiving standard pharmacologic therapy were randomly assigned to receive medical therapy alone or with cardiac resynchronization. The primary end point was the time to death from any cause or an unplanned hospitalization for a major cardiovascular event. The principal secondary end point was death from any cause. Results: A total of 813 patients were enrolled and followed for a mean of 29.4 months. The primary end point was reached by 159 patients in the cardiac-resynchronization group, as compared with 224 patients in the medical-therapy group (39 percent vs. 55 percent; hazard ratio, 0.63; 95 percent confidence interval, 0.51 to 0.77; P<0.001). There were 82 deaths in the cardiac-resynchronization group, as compared with 120 in the medical-therapy group (20 percent vs. 30 percent; hazard ratio 0.64; 95 percent confidence interval, 0.48 to 0.85; P<0.002). As compared with medical therapy, cardiac resynchronization reduced the interventricular mechanical delay, the end-systolic volume index, and the area of the mitral regurgitant jet; increased the left ventricular ejection fraction; and improved symptoms and the quality of life (P<0.01 for all comparisons). Conclusions: In patients with heart failure and cardiac dyssynchrony, cardiac resynchronization improves symptoms and the quality of life and reduces complications and the risk of death. These benefits are in addition to those afforded by standard pharmacologic therapy. The implantation of a cardiac-resynchronization device should routinely be considered in such patients

Von Referenz-Prominenz und Rezeptions-Differenz. Immanuel Kant in (quasi-)erziehungswissenschaftlichen Lehrbüchern

Der Autor untersucht die heterogene Rezeption Immanuel Kants und nutzt dazu wissenschaftlich-pädagogische bzw. erziehungswissenschaftliche Lehrbücher. Mittels Referenzanalyse in den Zeiträumen 1750-1850 und 1983-2017 zeigt er, wie facettenreich die Verwendungsweisen in den erziehungswissenschaftlichen Themenkomplexen sind und dass sich dennoch eine spezifische Dominanz von Themen in Philosophie, (pädagogischer) Theoriebildung und Anthropologie herausstellen lässt, die sich über die Zeit verschiebt. (DIPF/Orig.

Ethnicity, voter alignment and political party affiliation - an African case: Zambia

Conventional wisdom holds that ethnicity provides the social cleavage for voting behav-iour and party affiliation in Africa. Because this is usually inferred from aggregate data of national election results, it might prove to be an ecological fallacy. The evidence based on individual data from an opinion survey in Zambia suggests that ethnicity matters for voter alignment and even more so for party affiliation, but it is certainly not the only factor. The analysis also points to a number of qualifications which are partly methodology-related. One is that the degree of ethnic voting can differ from one ethno-political group to the other depending on various degrees of ethnic mobilisation. Another is that if smaller eth-nic groups or subgroups do not identify with one particular party, it is difficult to find a significant statistical correlation between party affiliation and ethnicity - but that does not prove that they do not affiliate along ethnic lines.Wahlverhalten und Mitgliedschaft in politischen Parteien Afrikas ist nur wenig untersucht worden. Gewöhnlich wird argumentiert, dass Ethnizität als soziale Konfliktlinie das Wahlverhalten und die Parteienmitgliedschaft strukturiert. Da dieses Argument auf hoch aggregierten Wahldaten beruht, kann hier ein ökologischer Fehlschuss vorliegen. Die vorliegende Analyse beruht deshalb auf individuellen Umfragedaten aus Sambia. Das Ergebnis ist, dass Ethnizität tatsächlich eine Rolle für das Wahlverhalten und die Parteienmitgliedschaft spielt, aber keineswegs den einzigen Erklärungsfaktor darstellt. Die Analyse offenbart zudem eine Reihe von Einschränkungen und Qualifizierungen, die teilweise methodischer Natur sind. Eine ist, dass ethnisches Wahlverhalten und Parteienmitgliedschaft von einer ethnischen Gruppe zur anderen unterschiedlich ist, dass, wenn sich kleinere ethnische Gruppen oder Untergruppen mit keiner Partei identifizieren, es schwierig wird, statistisch signifikante Korrelationen zu finden - was indessen noch nicht beweist, dass Ethnizität keine Rolle spielt

Ghosts in modular representation theory

A ghost over a finite p-group G is a map between modular representations of G which is invisible in Tate cohomology. Motivated by the failure of the generating hypothesis---the statement that ghosts between finite-dimensional G-representations factor through a projective---we define the ghost number of kG to be the smallest integer l such that the composition of any l ghosts between finite-dimensional G-representations factors through a projective. In this paper we study ghosts and the ghost numbers of p-groups. We begin by showing that a weaker version of the generating hypothesis, where the target of the ghost is fixed to be the trivial representation k, holds for all p-groups. We then compute the ghost numbers of all cyclic p-groups and all abelian 2-groups with C_2 as a summand. We obtain bounds on the ghost numbers for abelian p-groups and for all 2-groups which have a cyclic subgroup of index 2. Using these bounds we determine the finite abelian groups which have ghost number at most 2. Our methods involve techniques from group theory, representation theory, triangulated category theory, and constructions motivated from homotopy theory.Comment: 15 pages, final version, to appear in Advances in Mathematics. v4 only makes changes to arxiv meta-data, correcting the abstract and adding a do

Host habitat assessment by a parasitoid using fungal volatiles

BACKGROUND: The preference – performance hypothesis predicts that oviposition preference of insects should correlate with host suitability for offspring development. Therefore, insect females have to be able to assess not only the quality of a given host but also the environmental conditions of the respective host habitat. Chemical cues are a major source of information used by insects for this purpose. Primary infestation of stored grain by stored product pests often favors the intense growth of mold. This can lead to distinct sites of extreme environmental conditions (hot-spots) with increased insect mortality. We studied the influence of mold on chemical orientation, host recognition, and fitness of Lariophagus distinguendus, a parasitoid of beetle larvae developing in stored grain. RESULTS: Volatiles of wheat infested by Aspergillus sydowii and A. versicolor repelled female parasitoids in an olfactometer. Foraging L. distinguendus females are known to be strongly attracted to the odor of larval host feces from the granary weevil Sitophilus granarius, which may adhere in remarkable amounts to the surface of the grains. Feces from moldy weevil cultures elicited neutral responses but parasitoids clearly avoided moldy feces when non-moldy feces were offered simultaneously. The common fungal volatile 1-octen-3-ol was the major component of the odor of larval feces from moldy weevil cultures and repelled female parasitoids at naturally occurring doses. In bioassays investigating host recognition behavior of L. distinguendus, females spent less time on grains containing hosts from moldy weevil cultures and showed less drumming and drilling behavior than on non-moldy controls. L. distinguendus had a clearly reduced fitness on hosts from moldy weevil cultures. CONCLUSION: We conclude that L. distinguendus females use 1-octen-3-ol for host habitat assessment to avoid negative fitness consequences due to secondary mold infestation of host patches. The female response to fungal volatiles is innate, suggesting that host-associated fungi played a crucial role in the evolution of host finding strategies of L. distinguendus. Research on the role of host-associated microorganisms in the chemically mediated orientation of parasitoids is still at the beginning. We expect an increasing recognition of this issue in the future

Cosmic ray propagation with CRPropa 3

Solving the question of the origin of ultra-high energy cosmic rays (UHECRs) requires the development of detailed simulation tools in order to interpret the experimental data and draw conclusions on the UHECR universe. CRPropa is a public Monte Carlo code for the galactic and extragalactic propagation of cosmic ray nuclei above $\sim 10^{17}$ eV, as well as their photon and neutrino secondaries. In this contribution the new algorithms and features of CRPropa 3, the next major release, are presented. CRPropa 3 introduces time-dependent scenarios to include cosmic evolution in the presence of cosmic ray deflections in magnetic fields. The usage of high resolution magnetic fields is facilitated by shared memory parallelism, modulated fields and fields with heterogeneous resolution. Galactic propagation is enabled through the implementation of galactic magnetic field models, as well as an efficient forward propagation technique through transformation matrices. To make use of the large Python ecosystem in astrophysics CRPropa 3 can be steered and extended in Python.Comment: 16th International workshop on Advanced Computing and Analysis Techniques in physics research (ACAT 2014) proceedings, 6 pages, 6 figure

CRPropa 3.0 - a Public Framework for Propagating UHE Cosmic Rays through Galactic and Extragalactic Space

The interpretation of experimental data of ultra-high energy cosmic rays (UHECRs) above 10^17 eV is still under controversial debate. The development and improvement of numerical tools to propagate UHECRs in galactic and extragalactic space is a crucial ingredient to interpret data and to draw conclusions on astrophysical parameters. In this contribution the next major release of the publicly available code CRPropa (3.0) is presented. It reflects a complete redesign of the code structure to facilitate high performance computing and comprises new physical features such as an interface for galactic propagation using lensing techniques and inclusion of cosmological effects in a three-dimensional environment. The performance is benchmarked and first applications are presented.Comment: 4 pages, 3 figures. Proceedings of the 33rd International Cosmic Ray Conference (ICRC), Rio de Janeiro, Brazil, 2-9 July 201

Erziehungswissenschaftliche Wissensgeschichte aus der Distanz, oder: Die Vermessung erziehungswissenschaftlichen "Grundwissens" durch Methoden aus dem Bereich des "distant reading". Ein Werkstattbericht

Der Beitrag thematisiert digitale Verfahren zur historischen Wissens- und Wissenschaftsforschung in der Erziehungswissenschaft. Die Autor*innen befassen sich dafür insbesondere mit computergestützten Anwendungen des Topic Modeling, einem gängigen Verfahren zur automatisierten Inhaltsanalyse. Durch die Möglichkeit des distant reading, so die These des Beitrags, könne neues erziehungswissenschaftliches Wissen auch aus bereits bekannten Quellen und Datenkorpora gewonnen bzw. „neu vermessen“ werden. (DIPF/Orig.

Incidence of childhood leukemia before and after shut down of nuclear power plants in Germany in 2011 : a population-based register study during 2004 to 2019

The association between leukemia and proximity to nuclear-power-plants (NPPs) has been assessed in several countries with inconsistent results. A case-control study from Germany had shown an increased risk for childhood leukemia (diagnoses 1980-2003) near NPPs. Germany began shutting down nuclear reactors in 2011, following the Fukushima disaster. We tested whether the previously observed association between leukemia and proximity to NPP persisted despite the shutdown. We used an ecological study design to investigate the incidence of leukemia during 2004 to 2019 in children aged 0 to 14 years living near NPPs where at least one reactor was shut down in 2011. We defined study and control areas as municipalities whose surface area was at least 75% within 10 km or between 10 and 50 km of NPPs, respectively. We calculated age-standardized rates and incidence rate ratios (IRR) using control-areas as the reference. We also computed standardized incidence ratios (SIR) separately for each NPP using incidence rates of the German population as a reference. IRR decreased from 1.20 (95% confidence interval: 0.81-1.77) in 2004 to 2011 to 1.12 (0.75-1.68) in 2012 to 2019. Analyses of single plants showed an excess of childhood leukemia during 2004 to 2019 for the Unterweser-NPP, based only on three cases, and the Krümmel-NPP (n = 14; SIR: 1.98, 1.17-3.35). We found slightly decreasing of leukemia incidence rate ratios after the shutdown of nuclear reactors in 2011. Due to the small number of cases, risk estimates have large uncertainty. Further research including a longer follow-up is warranted. The consistent excess of incidence cases around Krümmel may require analytical epidemiological analysis