Diagnostic models of the pre-test probability of stable coronary artery disease: A systematic review

A comprehensive search of PubMed and Embase was performed in January 2015 to examine the available literature on validated diagnostic models of the pre-test probability of stable coronary artery disease and to describe the characteristics of the models. Studies that were designed to develop and validate diagnostic models of pre-test probability for stable coronary artery disease were included. Data regarding baseline patient characteristics, procedural characteristics, modeling methods, metrics of model performance, risk of bias, and clinical usefulness were extracted. Ten studies involving the development of 12 models and two studies focusing on external validation were identified. Seven models were validated internally, and seven models were validated externally. Discrimination varied between studies that were validated internally (C statistic 0.66-0.81) and externally (0.49-0.87). Only one study presented reclassification indices. The majority of better performing models included sex, age, symptoms, diabetes, smoking, and hyperlipidemia as variables. Only two diagnostic models evaluated the effects on clinical decision making processes or patient outcomes. Most diagnostic models of the pre-test probability of stable coronary artery disease have had modest success, and very few present data regarding the effects of these models on clinical decision making processes or patient outcomes

Effects of Different Exogenous Substances on the Protein Conformation and in Vitro Digestion Characteristics of Low-salt Tilapia Surimi

The effects of glutamine transaminase (TGase), hydroxypropyl distarch phosphate (HDP), gellan gum and their complex (THG) on the water distribution and protein conformation of low-salt tilapia surimi gel prepared with microwave and ultrasound were analyzed. In addition, the effects of different exogenous substances on the characteristics of low-salt tilapia fish cake were explored through in vitro digestion experiment. The results showed that compared with the control group, THG increased the bound water and immovable water of surimi to 98.71% and 14.75%, respectively, and significantly decreased the free water content (P<0.05). Moreover, THG promoted the transformation of α-helix to β-folding, β-turning and random curling structures. TGase and THG (0.4%) played important roles on gastric emptying rate, protein digestibility and protein hydrolysis degree of low-salt tilapia cake. THG significantly promoted protein decomposition into aggregates with smaller particle size (P<0.05). After the digestion of stomach and duodenum, color of the THG group products was more transparent and clear. And it could be observed by the laser confocal microscope that the red fluorescence highlights of the THG group were significantly reduced, indicating that proteins had been fully digested. Hence, compared with a single exogenous substance, THG not only promoted the binding of water molecules and proteins and induced the change of protein conformation, but also facilitated the exposure of hydrophobic protein groups and the interaction between proteins, and promoted the digestion and absorption of surimi products in the stomach and duodenum. This project provided a theoretical reference for the research on the gel properties of tilapia surimi and the development and application of tilapia fish cake

Superconductivity in a new layered cobalt oxychalcogenide Na6_{6}Co3_{3}Se6_{6}O3_{3} with a 3d5d^{5} triangular lattice

Unconventional superconductivity in bulk materials under ambient pressure is extremely rare among the 3$d$ transition-metal compounds outside the layered cuprates and iron-based family. It is predominantly linked to highly anisotropic electronic properties and quasi-two-dimensional (2D) Fermi surfaces. To date, the only known example of the Co-based exotic superconductor was the hydrated layered cobaltate, Na$_{x}$CoO$_{2}\cdot$ yH$_{2}$O, and its superconductivity is realized in the vicinity of a spin-1/2 Mott state. However, the nature of the superconductivity in these materials is still an active subject of debate, and therefore, finding new class of superconductors will help unravel the mysteries of their unconventional superconductivity. Here we report the discovery of unconventional superconductivity at $\sim$ 6.3 K in our newly synthesized layered compound Na$_{6}$Co$_{3}$Se$_{6}$O$_{3}$, in which the edge-shared CoSe$_{6}$ octahedra form [CoSe$_{2}$] layers with a perfect triangular lattice of Co ions. It is the first 3$d$ transition-metal oxychalcogenide superconductor with distinct structural and chemical characteristics. Despite its relatively low $T_{c}$, material exhibits extremely high superconducting upper critical fields, $\mu_{0}H_{c2}(0)$, which far exceeds the Pauli paramagnetic limit by a factor of 3 - 4. First-principles calculations show that Na$_{6}$Co$_{3}$Se$_{6}$O$_{3}$ is a rare example of negative charge transfer superconductor. This new cobalt oxychalcogenide with a geometrical frustration among Co spins, shows great potential as a highly appealing candidate for the realization of high-$T_{c}$ and/or unconventional superconductivity beyond the well-established Cu- and Fe-based superconductor families, and opened a new field in physics and chemistry of low-dimensional superconductors

Can we early diagnose metabolic syndrome using brachial-ankle pulse wave velocity in community population

BACKGROUND: The prevalence of metabolic syndrome (MetS) increased recently and there was still not a screening index to predict MetS. The aim of this study was to estimate whether brachial-ankle pulse wave velocity (baPWV), a novel marker for systemic arterial stiffness, could predict MetS in Chinese community population. METHODS: A total of 2 191 participants were recruited and underwent medical examination including 1 455 men and 756 women from June 2011 to January 2012. MetS was diagnosed according to the criteria of the International Diabetes Federation (IDF). Multiple Logistic regressions were conducted to explore the risk factors of MetS. Receiver operating characteristic (ROC) curve was performed to estimate the ideal diagnostic cutoff point of baPWV to predict MetS. RESULTS: The mean age was (45.35+/-8.27) years old. In multiple Logistic regression analysis, the gender, baPWV and smoking status were risk factors to MetS after adjusting age, gender, baPWV, walk time and sleeping time. The prevalence of MetS was 17.48% in 30-year age population in Shanghai. There were significant differences (chi(2) = 96.46, P \u3c 0.05) between male and female participants on MetS prevalence. According to the ROC analyses, the ideal cutoff point of baPWV was 1 358.50 cm/s (AUC = 60.20%) to predict MetS among male group and 1 350.00 cm/s (AUC = 70.90%) among female group. CONCLUSION: BaPWV may be considered as a screening marker to predict MetS in community Chinese population and the diagnostic value of 1 350.00 cm/s was more significant for the female group

Rice‐animal co‐culture systems benefit global sustainable intensification

Producing more food with less pollution and greenhouse gas emissions is a grand challenge for the 21st century. Strategies to successfully promote win-win outcomes for both food security and environmental health are not easy to identify. Here we comprehensively assess an ecological rice-animal co-culture system (RAC) (e.g., rice-fish, rice-duck, and rice-crayfish) through a global meta-analysis and identify the potential benefits of global promotion. Compared to traditional monoculture of rice or animal production, the RAC can not only reduce the demand for agricultural land areas, but also increase rice yields (+4%) as well as nitrogen use efficiency of rice (+6%). At the same time, RAC reduces nitrogen losses (−16% runoff and −13% leaching) and methane emissions (−11%), except for rice-fish coculture systems, which are likely to increase methane emissions (+29%). Furthermore, RAC increases the net income of farmers through reducing cost of fertilizer and pesticide input and achieving higher outputs with more marketable products. According to the development stage of different countries, promotion of RAC will thus realize multiple benefits and aid sustainable intensification

Evolution of vegetation and climate variability on the Tibetan Plateau over the past 1.74 million years

The Tibetan Plateau exerts a major influence on Asian climate, but its long-term environmental history remains largely unknown. We present a detailed record of vegetation and climate changes over the past 1.74 million years in a lake sediment core from the Zoige Basin, eastern Tibetan Plateau. Results show three intervals with different orbital- and millennial-scale features superimposed on a stepwise long-term cooling trend. The interval of 1.74–1.54 million years ago is characterized by an insolation-dominated mode with strong ~20,000-year cyclicity and quasi-absent millennial-scale signal. The interval of 1.54–0.62 million years ago represents a transitional insolation-ice mode marked by ~20,000- and ~40,000-year cycles, with superimposed millennial-scale oscillations. The past 620,000 years are characterized by an ice-driven mode with 100,000-year cyclicity and less frequent millennial-scale variability. A pronounced transition occurred 620,000 years ago, as glacial cycles intensified. These new findings reveal how the interaction of low-latitude insolation and high-latitude ice-volume forcing shaped the evolution of the Tibetan Plateau climate.publishedVersio