251 research outputs found

    Personality Traits and Cognitive Determinants – An Empirical Investigation of the Use of Smartphone Security Measures

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    In the last years, increasing smartphones’ capabilities have caused a paradigm shift in the way of users’ view and using mobile devices. Although researchers have started to focus on behavioral models to explain and predict human behavior, there is limited empirical research about the influence of smartphone users’ individual differences on the usage of security measures. The aim of this study is to examine the influence of individual differences on cognitive determinants of behavioral intention to use security measures. Individual differences are measured by the Five-Factor Model; cognitive determinants of behavioral intention are adapted from the validated behavioral models theory of planned behavior and technology acceptance model. An explorative, quantitative survey of 435 smartphone users is served as data basis. The results suggest that multiple facets of smartphone user’s personalities significantly affect the cognitive determinants, which indicate the behavioral intention to use security measures. From these findings, practical and theoretical implications for companies, organizations, and researchers are derived and discussed

    Delivery of care for adult patients with congenital heart disease in Europe: Results from the Euro Heart Survey

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    Aims: The increasing number of adults with congenital heart disease (CHD) has prompted the development of recommendations for the management of these patients and for the organization of their healthcare. The aim of this report is to describe the delivery of care in Europe for adults with congenital cardiac anomalies. Methods and results: As part of the Euro Heart Survey on Adult Congenital Heart Disease, we obtained data from 71 voluntarily participating centres that detailed their care practices for these patients. Forty-eight of these centres were specialist centres and 23 were non-specialist centres. We found that only 19% of the specialist centres complied with defined standards for optimal care structure. The criteria that appeared to be most difficult for all centres to achieve were performing 50 congenital heart operations or more per year and involving nurse specialists in the care of these patients. Conclusion: This survey indicated that the provision of care in Europe for adults with congenital

    Assisted Self-Assembly to Target Heterometallic Mn-Nd and Mn-Sm SMMs: Synthesis and Magnetic Characterisation of [Mn7_{7}Ln3_{3}(O)4_{4}(OH)4_{4}(mdea)3_{3}(piv)9_{9}(NO3_{3})3_{3}] (Ln=Nd, Sm, Eu, Gd)**

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    Assisted self-assembly by using a preformed [Mn6_{6}O2_{2}(piv)10_{10}(4-Me-py)2_{2}(pivH)2_{2}] (1) (pivH=pivalic acid) cluster leads to 3 different outcomes of the reaction with Ln(NO3_{3})3_{3} ⋅ xH2_{2}O (Ln=Pr−Ho and Y): Mn7_{7}Ln3_{3} and in some cases the inverse butterfly Mn2_{2}Ln2_{2} for Ln=Pr−Eu, Mn5_{5}Ln4_{4} for Ln=Tb-Ho and in the special case of Gd all three possibilities can form. Whilst the magnetic properties for the Mn5_{5}Ln4_{4} systems show the expected known SMM properties, for Mn7_{7}Ln3_{3} two new examples of Nd- and Sm-containing SMMs have been discovered. in an assisted self-assembly approach starting from the [Mn6_{6}O2_{2}(piv)10_{10}(4-Me-py)2_{2}(pivH)2_{2}] cluster a family of Mn−Ln compounds (Ln=Pr−Yb) was synthesised. The reaction of [Mn6_{6}O2_{2}(piv)10_{10}(4-Me-py)2_{2}(pivH)2_{2}] (1) with N-methyldiethanolamine (mdeaH2_{2}) and Ln(NO3_{3})3_{3} ⋅ 6H2_{2}O in MeCN generally yields two main structure types: for Ln=Tb−Yb a previously reported Mn5_{5}Ln4_{4} motif is obtained, whereas for Ln=Pr−Eu a series of Mn7_{7}Ln3_{3} clusters is obtained. Within this series the GdIII^{III} analogue represents a special case because it shows both structural types as well as a third Mn2_{2}Ln2_{2} inverse butterfly motif. Variation in reaction conditions allows access to different structure types across the whole series. This prompts further studies into the reaction mechanism of this cluster assisted self-assembly approach. For the Mn7_{7}Ln3_{3} analogues reported here variable-temperature magnetic susceptibility measurements suggest that antiferromagnetic interactions between the spin carriers are dominant. Compounds incorporating Ln=NdIII^{III}(2), SmIII^{III}(3) and GdIII^{III} (5) display SMM behaviour. The slow relaxation of the magnetisation for these compounds was confirmed by ac measurements above 1.8 K

    Inorganic Approach to Stabilizing Nanoscale Toroidicity in a Tetraicosanuclear Fe18_{18}Dy6_{6} Single Molecule Magnet

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    Cyclic coordination clusters (CCCs) are proving to provide an extra dimension in terms of exotic magnetic behavior as a result of their finite but cyclized chain structures. The Fe18_{18}Dy6_{6} CCC is a Single Molecule Magnet with the highest nuclearity among Ln containing clusters. The three isostructural compounds [Fe18_{18}Ln6_{6}(μ-OH)6_{6}(ampd)12_{12}(Hampd)12_{12}(PhCO2_{2})24_{24}](NO3_{3})6_{6}·38MeCN for Ln = DyIII^{III} (1), LuIII^{III} (2), or YIII^{III} (3), where H2_{2}^{-}ampd = 2-amino-2-methyl-1,3-propanediol, are reported. These can be described in terms of the cyclization of six {Fe3_{3}Ln(μOH)(ampd)2_{2}(Hampd)2_{2}(PhCO2_{2})4_{4}}+^{+} units with six nitrate counterions to give the neutral cluster. The overall structure consists of two giant Dy3_{3} triangles sandwiching a strongly antiferromagnetically coupled Fe18_{18} ring, leading to a toroidal arrangement of the anisotropy axis of the Dy ions, making this the biggest toroidal arrangement on a molecular level known so far

    How often should we monitor for reliable detection of atrial fibrillation recurrence? Efficiency considerations and implications for study design

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    OBJECTIVE: Although atrial fibrillation (AF) recurrence is unpredictable in terms of onset and duration, current intermittent rhythm monitoring (IRM) diagnostic modalities are short-termed and discontinuous. The aim of the present study was to investigate the necessary IRM frequency required to reliably detect recurrence of various AF recurrence patterns. METHODS: The rhythm histories of 647 patients (mean AF burden: 12±22% of monitored time; 687 patient-years) with implantable continuous monitoring devices were reconstructed and analyzed. With the use of computationally intensive simulation, we evaluated the necessary IRM frequency to reliably detect AF recurrence of various AF phenotypes using IRM of various durations. RESULTS: The IRM frequency required for reliable AF detection depends on the amount and temporal aggregation of the AF recurrence (p<0.0001) as well as the duration of the IRM (p<0.001). Reliable detection (>95% sensitivity) of AF recurrence required higher IRM frequencies (>12 24-hour; >6 7-day; >4 14-day; >3 30-day IRM per year; p<0.0001) than currently recommended. Lower IRM frequencies will under-detect AF recurrence and introduce significant bias in the evaluation of therapeutic interventions. More frequent but of shorter duration, IRMs (24-hour) are significantly more time effective (sensitivity per monitored time) than a fewer number of longer IRM durations (p<0.0001). CONCLUSIONS: Reliable AF recurrence detection requires higher IRM frequencies than currently recommended. Current IRM frequency recommendations will fail to diagnose a significant proportion of patients. Shorter duration but more frequent IRM strategies are significantly more efficient than longer IRM durations. CLINICAL TRIAL REGISTRATION URL: Unique identifier: NCT00806689

    A case of absent right and persistent left superior vena cava

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    BACKGROUND AND PURPOSE: Our case report deals with the importance of detailed echocardiographic examination for differential diagnosis of coronary sinus dilation and development of abnormalities of great thoracic veins. CASE PRESENTATION: A 49-year-old man underwent transthoracic echocardiography for atypical chest pain. A dilated coronary sinus was found and venous contrast echocardiography raised the suspicion of absent right and persistent left superior vena cava. Transesophageal echocardiography showed absence of right superior vena cava. The echocardiographic findings were confirmed by upper venous digital subtraction cavography. CONCLUSION: combination of agenesia of right SVC and isolated persistent left SVC in adult patients is a very rare abnormality. Both clinicians and sonographers should be alerted to the possible presence of this combined venous anomaly. Transthoracic echocardiograpy – including agitated saline infusion to the antecubital vein – is an important diagnostic tool for accurate diagnosis of this congenital thoracic venous malformation

    Evaluation of contraceptive methods in women with congenital heart disease in Germany, Hungary and Japan

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    Aims For women with congenital heart defects (CHD), pregnancy may pose a health risk. Sexually active women with CHD without the desire for own children or for whom pregnancy would imply considerable health risks require adequate counselling regarding appropriate contraception. This study gathers data on the contraceptive behaviour of women with CHD from three different cultural regions. Methods and results 634 women with CHD from Germany, Hungary and Japan were surveyed regarding contraception and contraceptive methods (CM) used. The patients were divided into groups according to different criteria such as pregnancy associated cardiovascular risk or "safety" of the contraceptive methods used. 59% of the study participants had already gained experience with CM. The average age at the first time of use was 18.4 years; the German patients were significantly younger at the first time of using a CM than those from Hungary and Japan. Overall the condom was the method used the most (38%), followed by oral contraceptives (30%) and coitus interruptus (11%). The range of CM used in Japan was much smaller than that in Germany or Hungary. Unsafe contraceptives were currently, or had previously been used, by 29% of the surveyed patients (Germany: 25%, Hungary: 37%, Japan: 32%). Conclusion Most women with CHD use CM. There are differences between the participating countries. Adequate contraceptive counselling of women with CHD requires considering the individual characteristics of each patient, including potential contraindications. For choosing an appropriate CM, both the methods' "safety", as well as the maternal cardiovascular risk, are important. © 2015 Elsevier Ireland Ltd

    Long-term field metal extraction by pelargonium:phytoextraction efficiency in relation to plant maturity

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    The long length of periods required for effective soil remediation via phytoextraction constitutes a weak point that reduces its industrial use. However, these calculated periods are mainly based on short-term and/or hydroponic controlled experiments. Moreover, only a few studies concern more than one metal, although soils are scarcely polluted by only one element.In this scientific context, the phytoextraction of metals and metalloids (Pb, Cd, Zn, Cu,and As) by Pelargonium was measured after a long-term field experiment. Both bulk and rhizosphere soils were analyzed in order to determine the mechanisms involved in soil-root transfer. First, a strong increase in lead phytoextraction was observed with plant maturity, significantly reducing the length of the period required for remediation. Rhizosphere Pb, Zn, Cu, Cd, and As accumulation was observed (compared to bulk soil), indicating metal mobilization by the plant, perhaps in relation to root activity. Moreover, metal phytoextraction and translocation were found to be a function of the metals’ nature. These results, taken altogether, suggest that Pelargonium could be used as a multi-metal hyperaccumulator under multi-metal soil contamination conditions, and they also provide an interesting insight for improving field phytoextraction remediation in terms of the length of time required, promoting this biological technique

    Adult Congenital Heart Disease Investigated with Cardiac Catheterization Over A 20-Year Period

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    BACKGROUND: Recent advances in diagnosis and treatment have increased the life expectancy of patients with congenital heart disease. METHODS: To investigate the prevalence of adult congenital heart disease (ACHD) in a large registry of patients over a 20-year period, we retrospectively assessed data of 14,012 males and 4,461 females who underwent clinically indicated cardiac catheterization from 1984 to 2003. RESULTS: ACHD was recorded in 234 subjects aged from 18 to 66 years, [95 males (40.7%) and 139 females (59.3%)]. Females were more likely to present with ACHD than males (p<0.001). Atrial septal defect was the most common defect (43.3%) followed by partial anomalous pulmonary venous return (12.0%), pulmonary valve stenosis (11.3%) ventricular septal defect (8.0%), coarctation of aorta (5.5%) patent ductus arteriosus (4.0%) and Fallot's tetralogy (3.3%). Atrial septal defect was more common in females (p<0.01), while pulmonary valve stenosis was more frequent in males (p<0.05). No difference across sexes was found in the other forms of ACHD. Females with ACHD were significantly older than males at the time of catheterization (median age 41 years, interquartile range 26 to 53 years vs. median age 35 years, interquartile range 22 to 48 years, p<0.05). CONCLUSIONS: In adulthood ACHD is found more commonly in females and is diagnosed later in life than in males. Atrial septal defect is the most prevalent form of ACHD and occurs most commonly in females
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