2,513 research outputs found
Clinical impact of “in-treatment” wall motion abnormalities in hypertensive atients with left ventricular hypertrophy: the LIFE Study.
Electrocardiographic and Echocardiographic Detection of Myocardial Infarction in Patients with Left-Ventricular Hypertrophy: the LIFE Study
Prevalence and Prognostic Significance of Wall-Motion Abnormalities in Adults without Clinically Recognized Cardiovascilar Disease
Optimal energy recovery by means of pumps as turbines (PATs) for improved WDS management
Abstract
In water networks characterized by a significant variation in ground elevations the necessity of pumping water in some areas is complicated by a conflicting requirement to reduce excess pressures in other areas. This and the increasing cost of electricity has led to the use of Pumps-operating-As-Turbines (PATs) devices that can reduce pressure (and leakage) whilst harvesting energy. This paper presents a methodology for optimal water distribution system (WDS) management, driving the optimization by minimizing the surplus pressure at network nodes and the operational pumping costs and maximizing the income generated through energy recovery. The method is based on a highly parallelized Evolutionary Algorithm, employing an hydraulic solver to evaluate hydraulic constraints. Water demands at network nodes are considered as uncertain variables modelled by using a probabilistic approach in order to take into account unknown future demands. The approach is demonstrated in different case studies. Results obtained highlight that the economic benefits of installing PATs for energy recovery in conjunction with a combined pump-scheduling and pressure management regime is especially related to the input network characteristics. Further analysis of the importance of the probabilistic approach and of the influence of the interval time step adopted for the optimization has been evaluated
Safety and Immunogenicity of Conventional Subunit and MF59-adjuvanted Influenza Vaccines in Human Immunodeficiency Virus-1-seropositive Patients
In this study of influenza vaccination, 37 human immunodeficiency virus (HIV)-1-seropositive patients were randomized to receive either a vaccine with a conventional subunit or one adjuvanted with MF59. Blood samples were collected at the time of vaccination, and then 30 and 180 days later, to evaluate immunogenicity, CD4+ T-lymphocyte count and HIV-1 RNA levels. Seroconversion rates against the three viral strains included in the vaccine ranged between 44% and 72% and 53% and 68% for the adjuvanted vaccine and the subunit vaccine, respectively. Other criteria of the European Medicines Evaluation Agency were also met. Vaccination was not associated with serious adverse events. Local and systemic effects were mild and of short duration. CD4+ T-lymphocyte counts and viraemia levels were not negatively affected by vaccination. These results confirmed the safety and immunogenicity of these currently available vaccines in HIV-1-seropositive patients, thus supporting the recommendation for influenza immunization in this high-risk category
Magnetic resonance imaging-guided occult breast lesion localization and simultaneous sentinel lymph node mapping
Background: Radio-guided occult lesion localization is a valid technique for the diagnosis of suspicious non-palpable lesions. Here we determine the feasibility of pre-operative localization of occult suspect non-palpable breast lesions using radio-guided occult lesion localization, as well as for identifying the sentinel lymph node.Methods: This is a descriptive study of data collected retrospectively. Pre-operative mapping of 34 breast lesions in 25 patients suspected of being malignant was performed using conventional imaging methods with a magnetic resonance imaging-guided radiopharmaceutical injection.Results: the mean time required to perform the localization was 25 minutes. After resection of the lesions using a gamma probe, malignancy was confirmed in fifteen patients (60.0%), with nine invasive ductal carcinomas, two invasive lobular carcinomas, and four in situ ductal carcinomas the resection was confirmed by the complete removal of the radioactive material. the pathologic results and images were concordant in all but two cases, which were submitted for new magnetic resonance imaging examinations and surgery that confirmed the malignancies. of the 15 patients with confirmed malignancies, 10 had sentinel lymph node resection. of these, eight were negative for metastases, one had micro-metastases and one had confirmed metastases. Three patients had full axillary node dissection, with metastases found in only one. No side effects were observed with magnetic resonance-guided radiopharmaceutical injection.Conclusions: the sentinel node occult lesion localization technique is a simple, reproducible and effective alternative approach to occult lesions compared to other methods, such as mammotomy and the hook-wire localization technique, for mapping suspect breast lesions and identifying lymph node metastasis.Hosp Sirio Libanes, Magnet Resonance Imaging Dept, BR-01308000 SĂŁo Paulo, BrazilHosp Sirio Libanes, BR-01308000 SĂŁo Paulo, BrazilHosp Sirio Libanes, Mastol Studies Dept, BR-01308000 SĂŁo Paulo, BrazilUniversidade Federal de SĂŁo Paulo, Escola Paulista Med, Discipline Mastol, BR-04023062 SĂŁo Paulo, BrazilHosp Sirio Libanes, Dept Diagnost Imaging, BR-01308000 SĂŁo Paulo, BrazilUniversidade Federal de SĂŁo Paulo, Escola Paulista Med, Discipline Mastol, BR-04023062 SĂŁo Paulo, BrazilWeb of Scienc
Baseline characteristics of patients recruited in the AREA IN-CHF study(antiremodelling effect of aldosterone receptors blockade with canrenone in mild chronic heart failure)
Search for spontaneous muon emission from lead nuclei
We describe a possible search for muonic radioactivity from lead nuclei using
the base elements ("bricks" composed by lead and nuclear emulsion sheets) of
the long-baseline OPERA neutrino experiment. We present the results of a Monte
Carlo simulation concerning the expected event topologies and estimates of the
background events. Using few bricks, we could reach a good sensitivity level.Comment: 12 pages, 4 figure
The mutant p53-ID4 complex controls VEGFA isoforms by recruiting lncRNA MALAT1
The abundant, nuclear-retained, metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) has been associated with a poorly differentiated and aggressive phenotype of mammary carcinomas. This long non-coding RNA (lncRNA) localizes to nuclear speckles, where it interacts with a subset of splicing factors and modulates their activity. In this study, we demonstrate that oncogenic splicing factor SRSF1 bridges MALAT1 to mutant p53 and ID4 proteins in breast cancer cells. Mutant p53 and ID4 delocalize MALAT1 from nuclear speckles and favor its association with chromatin. This enables aberrant recruitment of MALAT1 on VEGFA pre-mRNA and modulation of VEGFA isoforms expression. Interestingly, VEGFA-dependent expression signatures associate with ID4 expression specifically in basal-like breast cancers carrying TP53 mutations. Our results highlight the key role for MALAT1 in control of VEGFA isoforms expression in breast cancer cells expressing gain-of-function mutant p53 and ID4 proteins
- …