Non-Q Wave Myocardial Infarction

Non-Q wave myocardial infarction is a distinct and changing clinical entity characterized by lower initial mortality and a higher rate of reinfarction compared to Q wave infarction. Clinical and pathologic data suggest that the syndrome results from transient or incomplete coronary occlusion resulting in an infarct which is smaller than when Q waves are present. High-risk patients can be identified during hospitalization, allowing for aggressive therapy aimed at revascularization. Relatively few clinical trials have examined initial therapy or secondary prevention in this group of patients. These studies are reviewed and management guidelines suggested

Research Status of Clove, Application of Technology and Development Strategy with Ecological Basic

Clove (Syzygium aromaticum L.Marr and Perr) is a native spice crop of Indonesia. Development of clove estate areas has experienced up and downs fluctuation doe to desease and price fluctuation that cause farmers do not maintenat plant. Hence, it is necessary to perform extensification and intensification. Extensification means development through the expansion, while the intensification means development through the improvement of technology. Results of previous studies include land suitability maps and climate, fertilization technology, cropping pattern, maintenance, nurseries and the search for improved varieties have been done. But has not answered the problems of cloves, especially fluctuations in the yield. Extensification efforts require land suitabilityand climate maps, while intensification requires land/environment based technology. Ecology-based cultivation technologies including varieties, planting, fertilizer, maintenance, cropping pattern, harvest and post harvest should be given attention in order to archive effectively, efficiently and high productivity. The criteria of land and climate suitability, and cultivation technology can be used as guidelines for the development of cloves and as a basis for making a map at operational scale and for determining the appropriate technological package. This paper aims to examine the technological research that has been done and integrate into a form more efficient cultivation technology-based ecology (soil and climate) for use as the direction and strategy of the development of clove in the future

The effect of long-term high-fibre diets in diabetic outpatients

Diets containing large amounts of dietary fibre have been shown to be beneficial in improving diabetic control. We -investigated the practical aspects of administering a high-fibre diet to diabetic outpatients in Cape Town, using readily available, lowcost foodstuffs with a high dietary fibre content. Ten patients were followed up over a period of 9 months, for 3 months of which a high-fibre diet was prescribed. Although only 3 patients approached the projected dietary fibre intake, significant negative correlations were found between the mean plasma glucose changes and the dietary fibre increments (r = -0,704; P < 0,05) and between the mean serum triglyceride changes and the dietary fibre increments (r =-0,741; P < 0,05). These findings suggest that, were it not for poor dietary compliance, a high-fibre diet might result in significant improvement in diabetic control, and that education and motivation are of prime importance when making major changes to patients eating habits

Pemupukan Nitrogen, Fosfor, Dan Kalium Pada Tanaman Akar Wangi

The optimum dosage of N, P, and K fertilizer has not been knownyet and it USAge was still varied. The research aim is to obtain an optimalcomposition of N, P, and K fertilizer that could increase productivity ofvetiver crop. The researsch has been conducted in Sukakarya Village,Garut, from January 2009 to December 2010. The research was arrangedin randomized block design, with 3 replications and N, P, and K fertilizercombination treatments i.e.: (1) Control; (2) 100 kg SP-36 + 75 kg KCl;(3) 100 kg ZA + 75 kg KCl; (4) 100 kg ZA + 50 kg SP-36 + 75 kg KCl;(5) 100 kg ZA + 100 kg SP-36 + 75 kg KCl; (6) 100 kg ZA + 100 kg SP-36 + 150 kg KCl; (7) 100 kg ZA + 100 kg SP-36; (8) 200 kg ZA + 100 kgSP-36 + 75 kg KCl; (9) 200 kg ZA + 100 kg SP-36 + 150 kg KCl.Harvesting was done at 12, 14 and 16 months after planting (MAP). Theresult showed that the dose of 100 kg ZA + 75 kg KCl produced vetiver oil52,59 and 67,78 kg/ha (12 and 14 MAP). Meanwhile the dose of 200 kgZA + 100 kg SP-36 + 75 kg KCl produced 67,76 kg/ha (16 MAP),respectively. vetiverol content were more than 50%

Application fever: Reviewing the causes, costs, and cures for residency application inflation

Over the past decade, the number of residency applications submitted per applicant has nearly doubled. This epidemic of Application Fever is expensive for applicants, burdensome for programs, and ultimately does not improve overall Match outcomes. In this review, we discuss the phenomenon of Application Fever, with a focus on contributing factors and costs of this behavior. Application Fever has its origins in the early 1990s. At that time, the number of residency applicants began to outpace the number of available positions. Because an applicant who applies to more residency programs has a greater probability of securing a residency position than an otherwise equivalent applicant who applies to fewer, overapplication became a dominant strategy and residency applicants began to apply to more residency programs each year. This trend was enhanced and enabled by the introduction of the Electronic Residency Application Service (ERAS). Although Application Fever is a rational decision for applicants, it imposes a substantial evaluative burden on program directors and necessitates the use of convenience screening metrics. We then briefly review potential solutions, including informational strategies, application limits, and marketplace incentives to reduce application numbers. Although a fixed cap on applications would reduce application numbers and facilitate a holistic selection process, greater transparency from residency programs regarding their selection criteria would be required to help applicants choose where to apply. To improve the residency application process for programs and applicants alike, we call upon the medical community to further study Application Fever and carefully consider solutions, including fixed application caps

Improved Anticancer Effect of Magnetite Nanocomposite Formulation of GALLIC Acid (Fe₃O₄-PEG-GA) Against Lung, Breast and Colon Cancer Cells

Lung cancer, breast cancer and colorectal cancer are the most prevalent fatal types of cancers globally. Gallic acid (3,4,5-trihydroxybenzoic acid) is a bioactive compound found in plants and foods, such as white tea, witch hazel and it has been reported to possess anticancer, antioxidant and anti-inflammatory properties. In this study we have redesigned our previously reported anticancer nanocomposite formulation with improved drug loading based on iron oxide magnetite nanoparticles coated with polyethylene glycol and loaded with anticancer drug gallic acid (Fe₃O₄-PEG-GA). The in vitro release profile and percentage drug loading were found to be better than our previously reported formulation. The anticancer activity of pure gallic acid (GA), empty carrier (Fe₃O₄-PEG) nanocarrier and of anticancer nanocomposite (Fe₃O₄-PEG-GA) were screened against human lung cancer cells (A549), human breast cancer cells (MCF-7), human colon cancer cells (HT-29) and normal fibroblast cells (3T3) after incubation of 24, 48 and 72 h using (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) MTT assay. The designed formulation (Fe₃O₄-PEG-GA) showed better anticancer activity than free gallic acid (GA). The results of the in vitro studies are highly encouraging to conduct the in vivo studies

Comparison of Abdominopelvic CT Diagnoses at Academic Teaching Hospitals in Rwanda and the United States

Purpose: The purpose of this study was to compare the disease processes encountered on abdominal and pelvic CT examinations at academic teaching hospitals in Rwanda and the United States and to highlight how these differences may impact a global radiology collaboration. Materials and Methods: In this retrospective study, we included 130 patients (mean 59 +/-17 years, range 20-91, F:M 74:56) who underwent abdominal/pelvic CT examinations between April 1st-12th, 2019. CT examinations were prospectively encountered in clinical work at the Centre Hospitalier Universitaire de Kigali or University Teaching Hospital of Kigali (CHUK) in Kigali, Rwanda, where the radiology report impression, patient age, gender, study indication, CT protocol, and clinical diagnosis were recorded when available. Abdominal/pelvic CT examinations at the Massachusetts General Hospital (MGH) in Boston, Massachusetts, United States were then retrospectively reviewed for the same information. Patient age and gender were compared using Student’s t-test and Chi-square statistic. Frequency of formal recommendations in radiology reports, available comparison of CT examinations, presence of known diagnoses, and intravenous and oral contrast media use were compared using Fisher’s exact test. Diagnostic categories were qualitatively compared. Results: A wide variety of pathology was encountered by abdominal/pelvic CT at both sites of imaging, with qualitative differences observed in cancer types, infectious agents, and how imaging guides care. Patients in Rwanda were older (p=0.0017), more likely to receive intravenous (p \u3c 0.05) and positive oral contrast (p \u3c 0.05) media and less likely to receive a formal recommendation in their radiology report (p \u3c 0.05). Patients in the United States were more likely to have an available prior abdominal/pelvic CT (p \u3c 0.05), to present for follow-up of a known diagnosis (p \u3c 0.05), and to receive a formal recommendation in their radiology report (p \u3c 0.05). Conclusion: Participation in global radiology collaborations is beneficial for radiologists by broadening exposure to pathologies and practice different from their own institution and region

pp-Process simulations with a modified reaction library

We have performed $p$-process simulations with the most recent stellar $(n,\gamma)$ cross sections from the "Karlsruhe Astrophysical Database of Nucleosynthesis in Stars" project (version v0.2, http://nuclear-astrophysics.fzk.de/kadonis). The simulations were carried out with a parametrized supernova type II shock front model (``$\gamma$ process'') of a 25 solar mass star and compared to recently published results. A decrease in the normalized overproduction factor could be attributed to lower cross sections of a significant fraction of seed nuclei located in the Bi and Pb region around the $N$=126 shell closure.Comment: 5 pages, 1 figure Proceedings "Nuclear Physics in Astrophysics NPA-III", Dresden/Germany (2007