Biomarkers Beyond the Natriuretic Peptides for Chronic Heart Failure: Galectin-3 and Soluble ST2.

B-type natriuretic peptide (BNP) and NT-proBNP are widely used plasma biomarkers for the diagnosis of acute decompensated heart failure and prognosis for future cardiac disease. The clinical performance of these tests for management of chronic heart failure is somewhat limited by the markers' high biological variation. Biomarkers such as galectin-3 and soluble ST2 that reflect ongoing remodeling via cardiac fibrosis of the heart may provide complementary information to the natriuretic peptides in the management of chronic heart failure with regards to risk stratification for future adverse cardiac events (death, myocardial infarction, and need for heart transplantation). However, implementation of these biomarkers into routine clinical practice requires documentation that these tests will enable therapeutic decisions that can be made to improve clinical outcomes, and the availability of commercial assays. This report will discuss the need for novel heart failure biomarkers, ideal characteristics of assays, and review and compare the clinical performance of assays for galectin-3 and sST2 for chronic heart failure disease management

Flow behaviour of dielectric liquids in an electric field

A family of 10 silicone oils with electrical conductivity similar to 10(-13) S m(-1) (a regime hitherto systematically unexplored) and viscosities ranging from 1 to 2000mPas have been Subjected to an electrical field of up to 1.5kV mm(-1) during flow from a needle. The flow behaviour of these liquids is investigated experimentally in the flow rate regime 10(-8)-10(-12) m(3) s(-1) and we analyse the results using the Ohnesorge number. Due to the low electrical conductivity and high electrical relaxation time of the silicone oils, only unsteady transient jets were found. The onset of this type of jetting has been defined using current measurements and, in contrast to conducting liquids, the non-dimensional jet diameter increases with increase in Ohnesorge number. The time elapsed between the start and finish of jetting increases with increasing Ohnesorge number

The Bulk Channel in Thermal Gauge Theories

We investigate the thermal correlator of the trace of the energy-momentum tensor in the SU(3) Yang-Mills theory. Our goal is to constrain the spectral function in that channel, whose low-frequency part determines the bulk viscosity. We focus on the thermal modification of the spectral function, $\rho(\omega,T)-\rho(\omega,0)$. Using the operator-product expansion we give the high-frequency behavior of this difference in terms of thermodynamic potentials. We take into account the presence of an exact delta function located at the origin, which had been missed in previous analyses. We then combine the bulk sum rule and a Monte-Carlo evaluation of the Euclidean correlator to determine the intervals of frequency where the spectral density is enhanced or depleted by thermal effects. We find evidence that the thermal spectral density is non-zero for frequencies below the scalar glueball mass $m$ and is significantly depleted for $m\lesssim\omega\lesssim 3m$.Comment: (1+25) pages, 6 figure

Model persamaan differensial dari aliran fluida

Dengan menggunakan Teorema Dasar. dam_ MatemaLika dare. Hukumi Dasar dari Mekanika maka untuk masalah aliran fluida dapat dibawa ke Model PersamAap Differensial•Parsiil

Introduction to Quantum Thermodynamics: History and Prospects

Quantum Thermodynamics is a continuous dialogue between two independent theories: Thermodynamics and Quantum Mechanics. Whenever the two theories addressed the same phenomena new insight has emerged. We follow the dialogue from equilibrium Quantum Thermodynamics and the notion of entropy and entropy inequalities which are the base of the II-law. Dynamical considerations lead to non-equilibrium thermodynamics of quantum Open Systems. The central part played by completely positive maps is discussed leading to the Gorini-Kossakowski-Lindblad-Sudarshan GKLS equation. We address the connection to thermodynamics through the system-bath weak-coupling-limit WCL leading to dynamical versions of the I-law. The dialogue has developed through the analysis of quantum engines and refrigerators. Reciprocating and continuous engines are discussed. The autonomous quantum absorption refrigerator is employed to illustrate the III-law. Finally, we describe some open questions and perspectives

Simulating Tsunami Inundation and Soil Response in a Large Centrifuge.

Tsunamis are rare, extreme events and cause significant damage to coastal infrastructure, which is often exacerbated by soil instability surrounding the structures. Simulating tsunamis in a laboratory setting is important to further understand soil instability induced by tsunami inundation processes. Laboratory simulations are difficult because the scale of such processes is very large, hence dynamic similitude cannot be achieved for small-scale models in traditional water-wave-tank facilities. The ability to control the body force in a centrifuge environment considerably reduces the mismatch in dynamic similitude. We review dynamic similitudes under a centrifuge condition for a fluid domain and a soil domain. A novel centrifuge apparatus specifically designed for exploring the physics of a tsunami-like flow on a soil bed is used to perform experiments. The present 1:40 model represents the equivalent geometric scale of a prototype soil field of 9.6 m deep, 21 m long, and 14.6 m wide. A laboratory facility capable of creating such conditions under the normal gravitational condition does not exist. With the use of a centrifuge, we are now able to simulate and measure tsunami-like loading with sufficiently high water pressure and flow velocities. The pressures and flow velocities in the model are identical to those of the prototype yielding realistic conditions of flow-soil interaction

Online or university education

The meaning is clear: The Student is submitting to the will of the higher authority, for the sake of making more money. Will that behavior also just as easily transfer to the political will of higher authority, to induce the Students to unthinkingly repeat the painful atrocities of the past, because they were not taught them?Higher education, online education, power, history, didactics.

State Medicaid health maintenance organization policies and special-needs children.

Little research has been done to ascertain what enrollment in a health maintenance organization (HMO) may mean for the care of Medicaid recipients who regularly require specialty health services. This article presents the results of a survey of all State Medicaid agencies regarding their policies for enrolling and serving special-needs children in HMOs. The survey revealed that many States have implemented one or more strategies to protect special-needs Medicaid recipients enrolled in HMOs. The survey results suggest, however, that such strategies are too limited in scope to ensure appropriate access to specialty services for all children with special health needs