Early and long-term outlook of percutaneous coronary intervention for bifurcation lesions in young patients

Coronary artery disease is most common in older patients, but may occur in younger subjects. The outlook of young patients after percutaneous coronary intervention (PCI) of challenging lesion subsets such as coronary bifurcations, is not established. We thus aimed to appraise the early and long-term results of PCI for bifurcations in young patients

How do cardiologists select patients for dual antiplatelet therapy continuation beyond 1 year after a myocardial infarction? Insights from the EYESHOT Post-MI Study

Background: Current guidelines suggest to consider dual antiplatelet therapy (DAPT) continuation for longer than 12 months in selected patients with myocardial infarction (MI). Hypothesis: We sought to assess the criteria used by cardiologists in daily practice to select patients with a history of MI eligible for DAPT continuation beyond 1 year. Methods: We analyzed data from the EYESHOT Post-MI, a prospective, observational, nationwide study aimed to evaluate the management of patients presenting to cardiologists 1 to 3 years from the last MI event. Results: Out of the 1633 post-MI patients enrolled in the study between March and December 2017, 557 (34.1%) were on DAPT at the time of enrolment, and 450 (27.6%) were prescribed DAPT after cardiologist assessment. At multivariate analyses, a percutaneous coronary intervention (PCI) with multiple stents and the presence of peripheral artery disease (PAD) resulted as independent predictors of DAPT continuation, while atrial fibrillation was the only independent predictor of DAPT interruption for patients both at the second and the third year from MI at enrolment and the time of discharge/end of the visit. Conclusions: Risk scores recommended by current guidelines for guiding decisions on DAPT duration are underused and misused in clinical practice. A PCI with multiple stents and a history of PAD resulted as the clinical variables more frequently associated with DAPT continuation beyond 1 year from the index MI

Caracterização de uso e cobertura da terra na Amazônia utilizando imagens duais multitemporais do COSMO-SkyMed

The use of radar imagery is an alternative source of information to support the monitoring of the Amazon region, since the optical images have imaging limitations in tropical areas due to the occurrence of clouds. Therefore, the goal of this study is to analyze the radar images in X-band multi-temporal polarized obtained by COSMO-SkyMed satellite (COnstellation of small Satellites for Mediterranean basin Observation), in the intensity mode, isolated and/or combined with textural information, to thematic characterization of land use/land cover in the Humaitá, Amazonas State region. The methodology used includes: analysis of the dual images obtained during two subsequent acquisitions, in order to explore the potential of the dataset as a quad-pol intensity; extraction of textural attributes from the co-occurrence matrix (Gray Level Co-occurrence Matrix) and subsequent contextual classification; statistical assessment of the thematic performance of the intensity and textural images, isolated and in polarized groups. Within the results achieved, the group formed only by the intensity images presented a better performance if compared to those containing the textural attributes. In this discrimination, the classes involved were forest, alluvial forest, reforestation, savannah, pasture and burned areas, yielding 66% overall accuracy and a Kappa value of 0.55. The results showed that X band images, from COSMO-SkyMed, StripMap mode (Ping-Pong), multi-polarized, presents a moderate potential to characterize and monitor the dynamics of land use/land land cover in the Brazilian Amazon.A utilização de imagens de radar é fonte alternativa de informações para subsidiar o monitoramento da região amazônica, visto que as imagens ópticas têm limitações de imageamento em zonas tropicais face a ocorrência de nuvens. Por conseguinte este trabalho teve como objetivo analisar a capacidade das imagens-radar de banda X multitemporais e polarizadas obtidas pelo satélite COSMO-SkyMed (COnstellation of small Satellites for Mediterranean basin Observation), no modo intensidade, isoladamente e agregados às informações texturais, na caracterização temática de uso e cobertura da terra no município de Humaitá/AM. A metodologia empregada consistiu daanálise das imagens duais obtidas em duas aquisições subsequentes, de forma a explorar a potencialidade do conjunto de dados na forma quad-pol intensidade; extração dos atributos texturais a partir da matriz de coocorrência (Gray Level Co-occurrence Matrix) e posterior classificação contextual; avaliação estatística de desempenho temático das imagens intensidade e texturais, isoladas e em grupos polarizados. Dentre os vários resultados alcançados, foi verificado que o grupo formado somente pelas imagens intensidade apresentou o melhor desempenho, comparado àqueles contendo os atributos texturais. Nesta separabilidade, estavam envolvidas as classes de floresta, floresta aluvial, reflorestamento, savana, pasto e queimada, obtendo-se 66% de acurácia total e valor Kappa de 0,55. Os resultados mostraram que as imagens de banda X do COSMO-SkyMed, modo StripMap (Ping-Pong), multipolarizadas, têm potencial moderado para a caracterização e monitoramento da dinâmica de uso e cobertura da terra na Amazônia brasileira

Investing in CCGT Power Plants: Consequences for Italian Electricity Price

The paper estimates the saving in the electricity price that derives from the recent investment flow in CCGT power plants in Italy. The price of electricity produced by means of natural gas is considered and the impact of the power mix restructuring is evaluated

Exploiting GNSS signals for soil moisture and vegetation biomass retrieval

This paper reviews the simulation tool developed to predict the GNSS-R signal over land (bare soil and vegetation). The tool is presently being used to test the capability to retrieve the main land parameters, namely soil moisture and vegetation biomass. An ongoing research is using the simulations to assess a multistatic concept which aims to take advantage of the combination of GNSS-R and radar backscattering data provided by a SAR or the GNSS receiver itself. Preliminary performance assessments are presented