Does any therapy really work for neurocardiogenic syncope?

Effectiveness of a treatment for neurocardiogenic syncope can be defined in terms of symptom response, quality-of-life, healthcare utilization, treatment side effects and cost-effectiveness. Most trials have focused on syncope recurrence or burden, without assessing quality-of-life formally. Drug and device interventions are characterized by a dearth of randomized controlled trials, with those few of robust design demonstrating little impact on recurrence of syncope. General advice includes hydration, trigger recognition and counter pressure maneuvers to attenuate episodes. Lifestyle recommendations have limited comparative effectiveness evidence, but are favored due to lack of side effects and low cost. The frequency of syncope improves in many patients regardless of the intervention, although ultimate recurrence of syncope remains high. In the minority of patients seeking treatment due to recurrence, midodrine has reasonable supporting evidence for effectiveness with some evidence for beta-blockers in older age patients. Emerging evidence favors pacing in patients with asystole during spontaneous (as opposed to provoked) syncope. Combining long-term implantable cardiac monitoring, tilt and adenosine triphosphate testing may yet accurately define the optimal minority who benefit from pacing. In the remaining majority, pharmacologic and device interventions should be used sparingly until clear benefits are established. Better understanding of patient fears, beliefs and behaviors may help develop cognitive therapies and improve quality-of-life alongside the focus on physical symptoms

Feasibility of self-structured current accessed bubble devices in spacecraft recording systems

The self-structured, current aperture approach to magnetic bubble memory is described. Key results include: (1) demonstration that self-structured bubbles (a lattice of strongly interacting bubbles) will slip by one another in a storage loop at spacings of 2.5 bubble diameters, (2) the ability of self-structured bubbles to move past international fabrication defects (missing apertures) in the propagation conductors (defeat tolerance), and (3) moving bubbles at mobility limited speeds. Milled barriers in the epitaxial garnet are discussed for containment of the bubble lattice. Experimental work on input/output tracks, storage loops, gates, generators, and magneto-resistive detectors for a prototype device are discussed. Potential final device architectures are described with modeling of power consumption, data rates, and access times. Appendices compare the self-structured bubble memory from the device and system perspectives with other non-volatile memory technologies

Effects of fluoxetine on the oral environment of bulimics

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73809/1/j.1399-302X.1993.tb00545.x.pd

Paradoxical impact of socioeconomic factors on outcome of atrial fibrillation in Europe: trends in incidence and mortality from atrial fibrillation

Aims: To understand the changing trends in Atrial Fibrillation (AF) incidence and mortality across Europe from 1990 to 2017, and how socioeconomic factors and sex differences play a role. Methods and Results: We performed a temporal analysis of data from the 2017 Global Burden of Disease Database for 20 countries across Europe using Joinpoint regression analysis. Age-adjusted incidence, mortality and mortality to incidence ratios (MIRs) to approximate case fatality rate are presented. Incidence and mortality trends were heterogenous throughout Europe, with Austria, Denmark and Sweden experiencing peaks in incidence in the middle of the study period. Mortality rates were higher in wealthier countries with the highest being Sweden for both men and women (8.83 and 8.88 per 100,000, respectively) in 2017. MIRs were higher in women in all countries studied, with the disparity increasing the most over time in Germany (43.6% higher in women versus men in 1990 to 74.5% higher in women in 2017). Conclusion: AF incidence and mortality across Europe did not show a general trend, but unique patterns for some nations were observed. Higher mortality rates were observed in wealthier countries, potentially secondary to a survivor effect where patients survive long enough to suffer from AF and its complications. Outcomes for women with AF were worse than men, represented by higher MIRs. This suggests there is widespread healthcare inequality between the sexes across Europe, or that there are biological differences between them in terms of their risk of adverse outcomes from A

PIN1 TREATMENT OF HEPATITIS C INFECTION FOR CURRENT OR FORMER SUBSTANCE ABUSERS IN A COMMUNITY SETTING

We report the use of PbS nanocrystals within a hybrid device that emits 1.2 mu m electroluminescence with an external quantum efficiency of 1.15% corresponding to an internal quantum efficiency of similar to 5%-12% thus demonstrating a viable, low-cost, highly efficient near infrared organic electroluminescent device. Direct generation of the excited state on the nanocrystal result in eliminating competing processes that have previously led to the low reported efficiencies in near-infrared light emitting devices. Furthermore, the emission wavelength can be tuned to cover a wide range of wavelengths including the 1.3-1.5 mu m region without significant change of the efficiency. (c) 2008 American Institute of Physics

Classical versus quantum dynamics of the atomic Josephson junction

We compare the classical (mean-field) dynamics with the quantum dynamics of atomic Bose-Einstein condensates in double-well potentials. The quantum dynamics are computed using a simple scheme based upon the Raman-Nath equations. Two different methods for exciting a non-equilbrium state are considered: an asymmetry between the wells which is suddenly removed, and a periodic time oscillating asymmetry. The first method generates wave packets that lead to collapses and revivals of the expectation values of the macroscopic variables, and we calculate the time scale for these revivals. The second method permits the excitation of a single energy eigenstate of the many-particle system, including Schroedinger cat states. We also discuss a band theory interpretation of the energy level structure of an asymmetric double-well, thereby identifying analogies to Bloch oscillations and Bragg resonances. Both the Bloch and Bragg dynamics are purely quantum and are not contained in the mean-field treatment.Comment: 31 pages, 14 figure

Lieb-Thirring inequalities for geometrically induced bound states

We prove new inequalities of the Lieb-Thirring type on the eigenvalues of Schr\"odinger operators in wave guides with local perturbations. The estimates are optimal in the weak-coupling case. To illustrate their applications, we consider, in particular, a straight strip and a straight circular tube with either mixed boundary conditions or boundary deformations.Comment: LaTeX2e, 14 page