2,281 research outputs found
Blood rheology, cardiovascular risk factors, and cardiovascular disease: The West of Scotland Coronary Prevention Study
The West of Scotland Coronary Prevention Study (WOSCOPS) showed that pravastatin reduced the risk of coronary heart disease (CHD) events in 6,595 middle-aged hypercholesterolaemic men aged 45-64 years without prior myocardial infarction followed for an average of 4.9 years. We hypothesised prospectively (a) that baseline levels of haemorheological variables were related to baseline and incident CHD and to mortality; and (b) that reduction in lipoproteins by pravastatin would lower plasma and blood viscosity, a potential contributory mechanism to CHD events. We therefore studied plasma and blood viscosity, fibrinogen, haematocrit, and blood cell counts at baseline and 1 year. At baseline, plasma and blood viscosity were related to risk factors, CHD measures, and claudication. On univariate analysis, baseline levels of all rheological variables (except platelet count) were related to incident CHD; CHD mortality; and total mortality. On multivariate analysis including baseline CHD and risk factors, plasma and blood viscosity, haematocrit and white cell count each remained significantly associated with incident CHD; while fibrinogen remained an independent predictor of mortality (all p<0.03). After one year, lipoprotein reduction by pravastatin was associated with significant reductions (about one quarter of a standard deviation) in plasma viscosity (mean difference 0.02 mPa.s, p<0.001) and in blood viscosity (mean difference 0.06 mPa.s, p<0.001), but was not associated with significant changes in other rheological variables. We therefore suggest that pravastatin therapy, which reduces elevated lipoproteins in hypercholesterolaemic men, may lower risks of CHD and mortality partly by lowering plasma and blood viscosity. Further studies are required to test this hypothesis
Submillimeter satellite radiometer first semiannual engineering progress report
Development of 560 GHz fourth harmonic mixer and 140 GHz third harmonic generator for use in radiomete
Long-term impact on healthcare resource utilization of statin treatment, and its cost effectiveness in the primary prevention of cardiovascular disease: a record linkage study
Aims: To assess the impact on healthcare resource utilization, costs, and quality of life over 15 years from 5 years of statin use in men without a history of myocardial infarction in the West of Scotland Coronary Prevention Study (WOSCOPS).<p></p>
Methods: Six thousand five hundred and ninety-five participants aged 45â54 years were randomized to 5 years treatment with pravastatin (40 mg) or placebo. Linkage to routinely collected health records extended follow-up for secondary healthcare resource utilization to 15 years. The following new results are reported: cause-specific first and recurrent cardiovascular hospital admissions including myocardial infarction, heart failure, stroke, coronary revascularization and angiography; non-cardiovascular hospitalization; days in hospital; quality-adjusted life years (QALYs); costs of pravastatin treatment, treatment safety monitoring, and hospital admissions.<p></p>
Results: Five years treatment of 1000 patients with pravastatin (40 mg/day) saved the NHS ÂŁ710 000 (P < 0.001), including the cost of pravastatin and lipid and safety monitoring, and gained 136 QALYs (P = 0.017) over the 15-year period. Benefits per 1000 subjects, attributable to prevention of cardiovascular events, included 163 fewer admissions and a saving of 1836 days in hospital, with fewer admissions for myocardial infarction, stroke, heart failure and coronary revascularization. There was no excess in non-cardiovascular admissions or costs (or in admissions associated with diabetes or its complications) and no evidence of heterogeneity of effect over sub-groups defined by baseline cardiovascular risk.<p></p>
Conclusion: Five years' primary prevention treatment of middle-aged men with a statin significantly reduces healthcare resource utilization, is cost saving, and increases QALYs. Treatment of even younger, lower risk individuals is likely to be cost-effective.<p></p>
Topology and Evolution of Technology Innovation Networks
The web of relations linking technological innovation can be fairly described
in terms of patent citations. The resulting patent citation network provides a
picture of the large-scale organization of innovations and its time evolution.
Here we study the patterns of change of patents registered by the US Patent and
Trademark Office (USPTO). We show that the scaling behavior exhibited by this
network is consistent with a preferential attachment mechanism together with a
Weibull-shaped aging term. Such attachment kernel is shared by scientific
citation networks, thus indicating an universal type of mechanism linking ideas
and designs and their evolution. The implications for evolutionary theory of
innovation are discussed.Comment: 6 pages, 5 figures, submitted to Physical Review
Direct measurement of quantum phase gradients in superfluid 4He flow
We report a new kind of experiment in which we generate a known superfluid
velocity in a straight tube and directly determine the phase difference across
the tube's ends using a superfluid matter wave interferometer. By so doing, we
quantitatively verify the relation between the superfluid velocity and the
phase gradient of the condensate macroscopic wave function. Within the
systematic error of the measurement (~10%) we find v_s=(hbar/m_4)*(grad phi)
Growth and Decay in Life-Like Cellular Automata
We propose a four-way classification of two-dimensional semi-totalistic
cellular automata that is different than Wolfram's, based on two questions with
yes-or-no answers: do there exist patterns that eventually escape any finite
bounding box placed around them? And do there exist patterns that die out
completely? If both of these conditions are true, then a cellular automaton
rule is likely to support spaceships, small patterns that move and that form
the building blocks of many of the more complex patterns that are known for
Life. If one or both of these conditions is not true, then there may still be
phenomena of interest supported by the given cellular automaton rule, but we
will have to look harder for them. Although our classification is very crude,
we argue that it is more objective than Wolfram's (due to the greater ease of
determining a rigorous answer to these questions), more predictive (as we can
classify large groups of rules without observing them individually), and more
accurate in focusing attention on rules likely to support patterns with complex
behavior. We support these assertions by surveying a number of known cellular
automaton rules.Comment: 30 pages, 23 figure
genomeSidekick: A user-friendly epigenomics data analysis tool
Recent advances in epigenomics measurements have resulted in a preponderance of genomic sequencing datasets that require focused analyses to discover mechanisms governing biological processes. In addition, multiple epigenomics experiments are typically performed within the same study, thereby increasing the complexity and difficulty of making meaningful inferences from large datasets. One gap in the sequencing data analysis pipeline is the availability of tools to efficiently browse genomic data for scientists that do not have bioinformatics training. To bridge this gap, we developed genomeSidekick, a graphical user interface written in R that allows researchers to perform bespoke analyses on their transcriptomic and chromatin accessibility or chromatin immunoprecipitation data without the need for command line tools. Importantly, genomeSidekick outputs lists of up- and downregulated genes or chromatin features with differential accessibility or occupancy; visualizes omics data using interactive volcano plots; performs Gene Ontology analyses locally; and queries PubMed for selected gene candidates for further evaluation. Outputs can be saved using the user interface and the code underlying genomeSidekick can be edited for custom analyses. In summary, genomeSidekick brings wet lab scientists and bioinformaticians into a shared fluency with the end goal of driving mechanistic discovery
The Frequency Dependence of Critical-velocity Behavior in Oscillatory Flow of Superfluid Helium-4 Through a 2-micrometer by 2-micrometer Aperture in a Thin Foil
The critical-velocity behavior of oscillatory superfluid Helium-4 flow
through a 2-micrometer by 2-micrometer aperture in a 0.1-micrometer-thick foil
has been studied from 0.36 K to 2.10 K at frequencies from less than 50 Hz up
to above 1880 Hz. The pressure remained less than 0.5 bar. In early runs during
which the frequency remained below 400 Hz, the critical velocity was a
nearly-linearly decreasing function of increasing temperature throughout the
region of temperature studied. In runs at the lowest frequencies, isolated 2 Pi
phase slips could be observed at the onset of dissipation. In runs with
frequencies higher than 400 Hz, downward curvature was observed in the decrease
of critical velocity with increasing temperature. In addition, above 500 Hz an
alteration in supercritical behavior was seen at the lower temperatures,
involving the appearance of large energy-loss events. These irregular events
typically lasted a few tens of half-cycles of oscillation and could involve
hundreds of times more energy loss than would have occurred in a single
complete 2 Pi phase slip at maximum flow. The temperatures at which this
altered behavior was observed rose with frequency, from ~ 0.6 K and below, at
500 Hz, to ~ 1.0 K and below, at 1880 Hz.Comment: 35 pages, 13 figures, prequel to cond-mat/050203
Anomalous modes drive vortex dynamics in confined Bose-Einstein condensates
The dynamics of vortices in trapped Bose-Einstein condensates are
investigated both analytically and numerically. In axially symmetric traps, the
critical rotation frequency for the metastability of an isolated vortex
coincides with the largest vortex precession frequency (or anomalous mode) in
the Bogoliubov excitation spectrum. As the condensate becomes more elongated,
the number of anomalous modes increases. The largest frequency of these modes
exceeds both the thermodynamic critical frequency and the nucleation frequency
at which vortices are created dynamically. Thus, anomalous modes describe not
only the critical rotation frequency for creation of the first vortex in an
elongated condensate but also the vortex precession in a single-component
spherical condensate.Comment: 4 pages revtex, 3 embedded figure
Stability analysis and \mu-synthesis control of brake systems
The concept of friction-induced brake vibrations, commonly known as judder,
is investigated. Judder vibration is based on the class of geometrically
induced or kinematic constraint instability. After presenting the modal
coupling mechanism and the associated dynamic model, a stability analysis as
well as a sensitivity analysis have been conducted in order to identify
physical parameters for a brake design avoiding friction-induced judder
instability. Next, in order to reduce the size of the instability regions in
relation to possible system parameter combinations, robust stability via
\mu-synthesis is applied. By comparing the unstable regions between the initial
and controlled brake system, some general indications emerge and it appears
that robust stability via \mu-synthesis has some effect on the instability of
the brake system
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