Duplication of the alimentary tract: Report of a case

No Abstract

Small whole heart volume predicts cardiovascular events in patients with stable chest pain: insights from the PROMISE trial

Objectives The size of the heart may predict major cardiovascular events (MACE) in patients with stable chest pain. We aimed to evaluate the prognostic value of 3D whole heart volume (WHV) derived from non-contrast cardiac computed tomography (CT). Methods Among participants randomized to the CT arm of the Prospective Multicenter Imaging Study for Evaluation of Chest Pain (PROMISE), we used deep learning to extract WHV, defined as the volume of the pericardial sac. We compared the WHV across categories of cardiovascular risk factors and coronary artery disease (CAD) characteristics and determined the association of WHV with MACE (all-cause death, myocardial infarction, unstable angina; median follow-up: 26 months). Results In the 3798 included patients (60.5 +/- 8.2 years; 51.5% women), the WHV was 351.9 +/- 57.6 cm(3)/m(2). We found smaller WHV in no- or non-obstructive CAD, women, people with diabetes, sedentary lifestyle, and metabolic syndrome. Larger WHV was found in obstructive CAD, men, and increased atherosclerosis cardiovascular disease (ASCVD) risk score (p < 0.05). In a time-to-event analysis, small WHV was associated with over 4.4-fold risk of MACE (HR (per one standard deviation) = 0.221; 95% CI: 0.068-0.721; p = 0.012) independent of ASCVD risk score and CT-derived CAD characteristics. In patients with non-obstructive CAD, but not in those with no- or obstructive CAD, WHV increased the discriminatory capacity of ASCVD and CT-derived CAD characteristics significantly. Conclusions Small WHV may represent a novel imaging marker of MACE in stable chest pain. In particular, WHV may improve risk stratification in patients with non-obstructive CAD, a cohort with an unmet need for better risk stratification

ANALYSIS OF TRANSPORT PHENOMENA IN THE COATING OF FIBERS BY CVD

Inorganic coated fibers produced by chemical vapor deposition find several technological applications. In this CVD process, a fiber core is mounted in a reactor between two electrodes. Reactive gases flow over the substrate and react near or on the fiber surface to form the desired coating. Experience has shown that quality deposition can only be obtained over a small range of the governing parameters : these parameters are, however, difficult to control. In the present study, a mathematical model is developed for the reactor configuration under consideration. The different mass and energy transport mechanism are compared and their influence on the reactor performance is evaluated for horizontal reactor arrangements. Numerical results, showing sharp temperature and concentration gradient close to the fiber surface, suggest that heat and mass transfer in this region are controlled by conduction and diffusion mechanisms. In the bulk region, heat and mass transfer via the convection and conduction/diffusion mechanisms can be of equal importance. Numerical results show how bulk properties are affected by both transversal and longitudinal rolls

Behaviour response of Namaqua Afrikaner, Dorper and South African Mutton Merino lambs towards humans

The response of Namaqua Afrikaner, Dorper and South African Mutton Merino lambs, of approximately four months of age, towards a human being situated between them and their flock mates was studied in an arena test. The objective of the study was to determine whether the unimproved Namaqua Afrikaner, with an arguably shorter history of selection, would react differently to humans in an arena test compared to commercial breeds. A total number of 305 animals, born in 2010 and 2011 and raised under extensive veld conditions, were assessed in a modified arena test when the lambs born in each year were approximately four months old. From the test results it was possible to calculate the following parameters of the behaviour of the sheep: (i) The mean distance from the human operator, (ii) the time a lamb spent in a specific zone situated either close to or far from the human, and (iii) the total number of boundaries crossed, which gives an indication of the total distance travelled by an individual lamb. Other data recorded were the number of bleats and the number of times an animal urinated or defecated. There were no significant sex and birth type differences for any of the behaviour traits. No conclusive breed differences were found for any of the traits describing the behaviour of the lambs, except for the number of bleats. Namaqua Afrikaner lambs bleated significantly (24.0 ± 1.2) more in the three minute testing period than Dorper (8.2 ± 0.9) and South African Mutton Merino lambs (11.9 ± 2.5). Further research is necessary to see if this slight indication of anxiety could be related to other traits such as lamb survival or product quality