A comparison of age-standardised event rates for acute and chronic coronary heart disease in metropolitan and regional/remote Victoria: a retrospective cohort study

Abstract Background Acute and chronic coronary heart disease (CHD) pose different burdens on health-care services and require different prevention and treatment strategies. Trends in acute and chronic CHD event rates can guide service implementation. This study evaluated changes in acute and chronic CHD event rates in metropolitan and regional/remote Victoria. Methods Victorian hospital admitted episodes with a principal diagnosis of acute CHD or chronic CHD were identified from 2005 to 2012. Acute and chronic CHD age-standardised event rates were calculated in metropolitan and regional/remote Victoria. Poisson log-link linear regression was used to estimate annual change in acute and chronic CHD event rates. Results Acute CHD age-standardised event rates decreased annually by 2.9 % (95 % CI, −4.3 to −1.4 %) in metropolitan Victoria and 1.7 % (95 % CI, −3.2 to −0.1 %) in regional/remote Victoria. In comparison, chronic CHD age-standardised event rates increased annually by 4.8 % (95 % CI, +3.0 to +6.5 %) in metropolitan Victoria and 3.1 % (95 % CI, +1.3 to +4.9 %) in regional/remote Victoria. On average, age-standardised event rates for regional/remote Victoria were 30.3 % (95 % CI, 23.5 to 37.2 %) higher for acute CHD and 55.3 % (95 % CI, 47.1 to 63.5 %) higher for chronic CHD compared to metropolitan Victoria from 2005 to 2012. Conclusion Annual decreases in acute CHD age-standardised event rates might reflect improvements in primary prevention, while annual increases in chronic CHD age-standardised event rates suggest a need to improve secondary prevention strategies. Consistently higher acute and chronic CHD age-standardised event rates were evident in regional/remote Victoria compared to metropolitan Victoria from 2005 to 2012

Tennis

viii, 136 p.; 22 cm

Tennis : physical education activities series

viii, 96 p.; 20 cm

Análise do desenvolvimento morfológico da blenda polimérica PBT/ABS durante as etapas de mistura por extrusão e moldagem por injeção Analysis of the morphological development of PBT/ABS blends during the extrusion and injection molding processes

O enfoque principal deste trabalho foi observar o desenvolvimento da morfologia de fases da blenda binária PBT/ABS e desta blenda compatibilizada pela adição de um copolímero acrílico reativo, durante a etapa de mistura por extrusão e de moldagem por injeção. A evolução da morfologia das blendas, durante a etapa de mistura, foi analisada através do uso de amostras coletadas de uma extrusora de rosca dupla co-rotacional, com acessório especialmente projetado para coleta in line. A morfologia observada nas amostras obtidas por injeção foi realizada utilizando amostras retiradas de corpos de prova moldados. As amostras obtidas por extrusão e por moldagem por injeção foram posteriormente preparadas através de crio-ultramicrotomia e observadas através de microscopia eletrônica de transmissão (TEM). Uma "Função Dispersão" foi desenvolvida neste trabalho para comparar as diversas morfologias sob diferentes condições de processamento e de compatibilização. A adição de compatibilizante favorece a formação de uma morfologia de domínios de ABS dispersos em PBT, ao longo do canhão da extrusora, e previne satisfatoriamente o fenômeno de coalescência destes domínios durante o processo de moldagem por injeção. A função dispersão foi utilizada principalmente para mostrar a tendência da evolução morfológica e mostrou um bom desempenho para tal.<br>The aim of this work was to observe the development of the phase morphology of the PBT/ABS blends during their extrusion mixing and injection molding steps. The evolution of the blend morphology during the mixing stage was analyzed using a specially designed co-rotational twin-screw extruder with a collecting device located along the barrel. Blend samples were collected in-line along the length of the extruder barrel during the blending process. Blend morphology was also observed from specimens molded through injection molding. All the samples were observed by transmission electron microscopy (TEM). They were prepared by cryo-ultramicrotomy and the rubbery phase of the ABS contained in the blends was stained with osmium tetroxide (OsO4). A special function was established and is proposed to analyze the blend morphology trends through image analysis. In binary blends, the ABS phase showed better dispersion after the mixture passed through the extruder die. However, a coalescence phenomenon was observed during the next molding step. Compatibilized PBT/ABS blends showed better dispersion than binary blends, even after injection molding. The special function used to quantify the dispersion throughout the mixing and molding steps showed an excellent performance

A Taxonomically-verified and Vouchered Checklist of the Vascular Plants of the Republic of Guinea

Abstract The Checklist of the Vascular Plants of the Republic of Guinea (CVPRG) is a specimen-based, expert-validated knowledge product, which provides a concise synthesis and overview of current knowledge on 3901 vascular plant species documented from Guinea (Conakry), West Africa, including their accepted names and synonyms, as well as their distribution and status within Guinea (indigenous or introduced, endemic or not). The CVPRG is generated automatically from the Guinea Collections Database and the Guinea Names Backbone Database, both developed and maintained at the Royal Botanic Gardens, Kew, in collaboration with the staff of the National Herbarium of Guinea. A total of 3505 indigenous vascular plant species are reported of which 3328 are flowering plants (angiosperms); this represents a 26% increase in known indigenous angiosperms since the last floristic overview. Intended as a reference for scientists documenting the diversity and distribution of the Guinea flora, the CVPRG will also inform those seeking to safeguard the rich plant diversity of Guinea and the societal, ecological and economic benefits accruing from these biological resources