8,861 research outputs found

    Prevalence and clinical characteristics of left ventricular dysfunction among elderly patients in general practice setting: cross sectional survey

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    Objective: To assess the prevalence and clinical characteristics of left ventricular dysfunction among elderly patients in the general practice setting by echocardiographic assessment of ventricular function. Design: Cross sectional survey. Setting: Four centre general practice in Poole, Dorset. Subjects: 817 elderly patients aged 70-84 years. Main outcomes: Echocardiographic assessment of left ventricular systolic function including measurement of ejection fraction by biplane summation method where possible, clinical symptoms, and signs of left ventricular dysfunction. Results: The overall prevalence of left ventricular systolic dysfunction was 7.5% (95% confidence interval 5.8% to 9.5%); mild dysfunction (5.0%) was considerably more prevalent than moderate (1.6%) or severe dysfunction (0.7%). Measurement of ejection fraction was possible in 82% of patients (n=667): in patients categorised as having mild, moderate, or severe dysfunction, the mean ejection fraction was 48% (SD 12.0), 38% (8.1), and 26% (7.9) respectively. At all ages the prevalence was much higher in men than in women (odds ratio 5.1, 95% confidence interval 2.6 to 10.1). No clinical symptom or sign was both sensitive and specific. In around half the patients with ventricular dysfunction (52%, 32/61) heart failure had not been previously diagnosed. Conclusions: Unrecognised left ventricular dysfunction is a common problem in elderly patients in the general practice setting. Appropriate treatment with angiotensin converting enzyme inhibitors has the potential to reduce hospitalisation and mortality in these patients, but diagnosis should not be based on clinical history and examination alone. Screening is feasible in general practice, but it should not be implemented until the optimum method of identifying left ventricular dysfunction is clarified, and the cost effectiveness of screening has been shown

    Non-LTE Abundances of Magnesium, Aluminum and Sulfur in OB Stars Near the Solar Circle

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    Non-LTE abundances of magnesium, aluminum and sulfur are derived for a sample of 23 low-v \sin i stars belonging to six northern OB associations of the Galactic disk within 1 kpc of the Sun. The abundances are obtained from the fitting of synthetic line profiles to high resolution spectra. A comparison of our results with HII region abundances indicates good agreement for sulfur while the cepheid abundances are higher. The derived abundances of Mg show good overlap with the cepheid results. The aluminum abundances for OB stars are significantly below the cepheid values. But, the OB star results show a dependence with effective temperature and need further investigation. The high Al abundances in the cepheids could be the result of mixing. A discussion of the oxygen abundance in objects near the solar circle suggests that the current mean galactic oxygen abundance in this region is 8.6-8.7 and in agreement with the recently revised oxygen abundance in the solar photosphere. Meaningful comparisons of the absolute S, Al and Mg abundances in OB stars with the Sun must await a reinvestigation of these elements, as well as the meteoritic reference element Si, with 3D hydrodynamical model atmospheres for the Sun. No abundance gradients are found within the limited range in galactocentric distances in the present study. Such variations would be expected only if there were large metallicity gradients in the disk.Comment: 3 figures, accepted for publication in A&A, needs aa.st

    Plural-wavelength flame detector that discriminates between direct and reflected radiation

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    A flame detector employs a plurality of wavelength selective radiation detectors and a digital signal processor programmed to analyze each of the detector signals, and determine whether radiation is received directly from a small flame source that warrants generation of an alarm. The processor's algorithm employs a normalized cross-correlation analysis of the detector signals to discriminate between radiation received directly from a flame and radiation received from a reflection of a flame to insure that reflections will not trigger an alarm. In addition, the algorithm employs a Fast Fourier Transform (FFT) frequency spectrum analysis of one of the detector signals to discriminate between flames of different sizes. In a specific application, the detector incorporates two infrared (IR) detectors and one ultraviolet (UV) detector for discriminating between a directly sensed small hydrogen flame, and reflections from a large hydrogen flame. The signals generated by each of the detectors are sampled and digitized for analysis by the digital signal processor, preferably 250 times a second. A sliding time window of approximately 30 seconds of detector data is created using FIFO memories

    Systematically Asymmetric Heliospheric Magnetic Field: Evidence for a Quadrupole Mode and Non-axisymmetry with Polarity Flip-flops

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    Recent studies of the heliospheric magnetic field (HMF) have detected interesting, systematic hemispherical and longitudinal asymmetries which have a profound significance for the understanding of solar magnetic fields. The in situ HMF measurements since 1960s show that the heliospheric current sheet (HCS) is systematically shifted (coned) southward during solar minimum times, leading to the concept of a bashful ballerina. While temporary shifts can be considerably larger, the average HCS shift (coning) angle is a few degrees, less than the 7.27.2^{\circ} tilt of the solar rotation axis. Recent solar observations during the last two solar cycles verify these results and show that the magnetic areas in the northern solar hemisphere are larger and their intensity weaker than in the south during long intervals in the late declining to minimum phase. The multipole expansion reveals a strong quadrupole term which is oppositely directed to the dipole term. These results imply that the Sun has a symmetric quadrupole S0 dynamo mode that oscillates in phase with the dominant dipole A0 mode. Moreover, the heliospheric magnetic field has a strong tendency to produce solar tilts that are roughly opposite in longitudinal phase. This implies is a systematic longitudinal asymmetry and leads to a "flip-flop" type behaviour in the dominant HMF sector whose period is about 3.2 years. This agrees very well with the similar flip-flop period found recently in sunspots, as well as with the observed ratio of three between the activity cycle period and the flip-flop period of sun-like stars. Accordingly, these results require that the solar dynamo includes three modes, A0, S0 and a non-axisymmetric mode. Obviously, these results have a great impact on solar modelling.Comment: 13 pages, 4 figures, Solar Physics, Topical Issue of Space Climate Symposium, in pres

    Preliminary interpretation of Titan plasma interaction as observed by the Cassini Plasma Spectrometer: Comparisons with Voyager 1

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    The Cassini Plasma Spectrometer (CAPS) instrument observed the plasma environment at Titan during the Cassini orbiter's TA encounter on October 26, 2004. Titan was in Saturn's magnetosphere during the Voyager 1 flyby and also during the TA encounter. CAPS measurements from this encounter are compared with measurements made by the Voyager 1 Plasma Science Instrument (PLS). The comparisons focus on the composition and nature of ambient and pickup ions. They lead to: A) the major ion components of Saturn's magnetosphere in the vicinity of Titan are H+, H-2(+) and O+/CH4+ ions; B) finite gyroradius effects are apparent in ambient O+ ions as the result of their absorption by Titan's extended atmosphere; C) the principal pickup ions are composed of H+, H-2(+), N+/CH2+, CH4+, and N-2(+); D) the pickup ions are in narrow energy ranges; and E) there is clear evidence of the slowing down of background ions due to pickup ion mass loading

    Algorithm Selection Framework for Cyber Attack Detection

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    The number of cyber threats against both wired and wireless computer systems and other components of the Internet of Things continues to increase annually. In this work, an algorithm selection framework is employed on the NSL-KDD data set and a novel paradigm of machine learning taxonomy is presented. The framework uses a combination of user input and meta-features to select the best algorithm to detect cyber attacks on a network. Performance is compared between a rule-of-thumb strategy and a meta-learning strategy. The framework removes the conjecture of the common trial-and-error algorithm selection method. The framework recommends five algorithms from the taxonomy. Both strategies recommend a high-performing algorithm, though not the best performing. The work demonstrates the close connectedness between algorithm selection and the taxonomy for which it is premised.Comment: 6 pages, 7 figures, 1 table, accepted to WiseML '2
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