Results of Aortocoronary Bypass Surgery for Angina Pectoris

To determine the relative risks and benefits of coronary bypass surgery for angina pectoris, we examined the results in our first consecutive 360 patients operated upon between May 1970 and December 1975. The age range was 27 to 75 years; there were 309 males and 51 females. The patients were classified clinically as having stable angina in 119 cases (33%), unstable angina in 205 cases (57%) and preinfarction angina in 36 cases (10%). Unstable angina was defined as a definite recent increase in severity or frequency of chest pain, angina at rest or nocturnal angina. Preinfarction angina was defined as a syndrome of prolonged angina, poorly controlled by nitrites, occurring at rest with typical ECG changes of ischemia. Such patients underwent observation in the Coronary Intensive Care Unit followed by emergency arteriography and surgery, usually within 24 hours

Black Holes and Causal Structure in Anti-de Sitter Isometric Spacetimes

The observation that the 2+1 dimensional BTZ black hole can be obtained as a quotient space of anti-de Sitter space leads one to ask what causal behaviour other such quotient spaces can display. In this paper we answer this question in 2+1 and 3+1 dimensions when the identification group has one generator. Among other things we find that there does not exist any 3+1 generalization of the rotating BTZ hole. However, the non-rotating generalization exists and exhibits some unexpected properties. For example, it turns out to be non-static and to possess a non-trivial apparent horizon.Comment: LaTeX, 22 pages, 10 postscript figures, uses epsf.te

U.S. adolescent and adult women\u27s experiences accessing and using toilets in schools, workplaces, and public spaces: A multi-site focus group study to inform future research in bladder health

The World Health Organization recognizes access to clean and safe toilets as crucial for public health. This study explored U.S. adolescent and adult cisgender women\u27s lived experiences accessing toilets in schools, workplaces, and public spaces. As part of the Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium, we conducted 44 focus groups with female participants (n = 360; ages 11-93). Focus groups were stratified by age (11-14, 15-17, 18-25, 26-44, 45-64, 65+) and conducted across 7 geographically diverse U.S. sites from July 2017-April 2018. Using a transdisciplinary approach, we conducted conventional qualitative coding informed by our PLUS conceptual framework and used content analysis processes to identify salient themes. Across settings, toilet access was restricted by gatekeepers (i.e., individuals who control access to toilets). In contrast, self-restricting toilet use (deciding not to use the toilet despite biologic need to urinate) was based on internalized norms to prioritize school and job responsibilities over urination. In public spaces, self-restricting use was largely in response to lack of cleanliness. Across the life course, participants perceived gender disparities in the ability to easily access public toilets. Further research is needed to determine if and how these factors impact bladder health across the life course