Association between mild thyroid dysfunction and clinical outcome in acute coronary syndrome undergoing percutaneous coronary intervention

Background: Thyroid hormones profoundly influence the cardiovascular system, but the effects of mild thyroid dysfunction on the clinical outcome of acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) are not well defined. This study aimed to determine the effect of mild thyroid dysfunction on 12-month prognosis in ACS patients undergoing PCI. Methods: In this prospective cohort study with a 12-month follow-up, 1560 individuals were divided into four groups based on thyroid hormone levels upon admission: euthyroidism (used as a reference group), subclinical hypothyroidism, subclinical hyperthyroidism, and low triiodothyronine syndrome (low T3 syndrome). The outcomes measured were all-cause mortality, cardiac mortality, nonfatal rein­farction, and unplanned repeat revascularization. Results: In this study, the prevalence of mild thyroid dysfunction was 10.8%. Multivariate analysis showed that low T3 syndrome, but not subclinical hypothyroidism or subclinical hyperthyroidism, was associated with a higher rate of all-cause (HR 2.553, 95% CI 1.093–5.964, p = 0.030) and cardiac mortality (HR 2.594, 95% CI 1.026–6.559, p = 0.034), compared with the euthyroidism group. Conclusions: Mild thyroid dysfunction was frequent in patients with ACS undergoing PCI. Low T3 syndrome was the predominant feature and was associated with 12-month adverse outcomes in these patients

Study on the Mechanical Properties and Damage Constitutive Model of Hybrid Fibre- Reinforced EPS Lightweight Aggregate Concrete

The mechanical properties of hybrid fibre (polypropylene and wood)-reinforced expanded polystyrene (EPS) lightweight aggregate concrete was studied under various sand contents. Cubic and prismatic compression tests were carried out, through which the basic mechanical properties and stress-strain curves of the specimens were obtained. Moreover, the microstructures of the fibre-reinforced concrete with different sand proportions were analysed via scanning electron microscopy (SEM). The test results showed that as the sand proportion increased, the cubic compressive strength and prismatic compressive strength of the EPS lightweight aggregate concrete increased. The optimal slump was obtained when the sand ratio was 25%, after which the slump declined. The EPS lightweight aggregate concrete exhibited obvious elastoplastic behaviour during compression, and the corresponding stress-strain curve could be divided into four stages: the elastic stage, strengthening stage, softening stage and collapse platform stage. Moreover, based on the test results and the damage theory and considering the coupling relationship between plasticity and damage, a damage constitutive model was proposed for hybrid fibre-reinforced EPS lightweight aggregate concrete under uniaxial compression

A Novel Family of Cyst Proteins with Epidermal Growth Factor Repeats in Giardia lamblia

The biological goal of Giardia lamblia life cycle is differentiation into a cyst form (encystation) that can survive in the environment and infect a new host. Since cystic stages are key to transmission of parasites, this differentiation may be a target for interruption of the life cycle. Synthesis and assembly of the extracellular cyst wall are the major hallmarks of this important differentiation. During encystation, cyst wall structural proteins are coordinately synthesized and are mainly targeted to the cyst wall. However, only a few such proteins have been identified to date. In this study, we used a combination of bioinformatics and molecular approaches to identify new cyst structural proteins from G. lamblia and found a group of Epidermal Growth Factor (EGF)-like Repeats containing Cyst Proteins (EGFCPs). Interestingly, the levels of EGFCPs proteins increased significantly during encystation, which matches the characteristics of the Giardia cyst wall protein. Further characterization and localization studies suggest that EGFCPs may function like cyst wall proteins, involved in differentiation of G. lamblia trophozoites into cysts. Our results provide valuable information regarding the function of a new group of cyst proteins in parasite differentiation into cysts and help develop ways to interrupt the parasite life cycle

Relationship between low-density lipoprotein levels on admission and 1-year outcome in patients with acute ST-segment-elevation myocardial infarction

AbstractThis study assessed the relationship between low-density lipoprotein cholesterol (LDL-C) levels on admission and the incidence of major adverse cardiovascular events (MACE) in patients with acute ST-segment-elevation myocardial infarction (ASTEMI). Patients with ASTEMI who had a lipid profile tested within 24 hours of symptom onset were enrolled. They were stratified into high and low LDL-C groups according to whether their LDL-C was above (n = 501) or below (n = 575) the median level, respectively. The incidence of MACE, cardiovascular death, non-fatal MI, revascularization, and stroke was compared between the groups at 1 month, 6 months, and 1 year. Survival analysis and Cox proportional hazard analysis were performed. In-hospital use of beta blockers was better in the high than in the low LDL-C group (76.6% vs. 69.7%, p = 0.01). Statin use was significantly higher in the high than in the low LDL-C group during follow-up (86.8% vs. 80.0%, p = 0.003 at1 month; 71.6% vs. 62.4%, p = 0.002 at 6 months; 67.8% vs. 61.2%, p = 0.03 at 1 year). The incidence of MACE on follow-up at 1 month was higher in the low than in the high LDL-C group (12.0% vs. 8.1%, p = 0.04). At 1 year, survival was not significantly different between the groups. Cox proportional hazards analysis indicated that the incidence of MACE was significantly associated with hypertension, current smoking, high-density lipoprotein cholesterol (HDL-C), in-hospital use of beta blockers, and statin use on follow-up (p < 0.01). LDL-C levels on admission in patients with ASTEMI had no significant effect on the 6-month and 1-year incidence of MACE, but the incidence of MACE was significantly higher in the low LDL-C group at 1 month. It would be relevant to further investigate the HDL-C level on admission, in-hospital use of beta blockers, and statin use during follow-up in relation to MACE

RFID-Based Indoor Spatial Query Evaluation with Bayesian Filtering Techniques

People spend a significant amount of time in indoor spaces (e.g., office buildings, subway systems, etc.) in their daily lives. Therefore, it is important to develop efficient indoor spatial query algorithms for supporting various location-based applications. However, indoor spaces differ from outdoor spaces because users have to follow the indoor floor plan for their movements. In addition, positioning in indoor environments is mainly based on sensing devices (e.g., RFID readers) rather than GPS devices. Consequently, we cannot apply existing spatial query evaluation techniques devised for outdoor environments for this new challenge. Because Bayesian filtering techniques can be employed to estimate the state of a system that changes over time using a sequence of noisy measurements made on the system, in this research, we propose the Bayesian filtering-based location inference methods as the basis for evaluating indoor spatial queries with noisy RFID raw data. Furthermore, two novel models, indoor walking graph model and anchor point indexing model, are created for tracking object locations in indoor environments. Based on the inference method and tracking models, we develop innovative indoor range and k nearest neighbor (kNN) query algorithms. We validate our solution through use of both synthetic data and real-world data. Our experimental results show that the proposed algorithms can evaluate indoor spatial queries effectively and efficiently. We open-source the code, data, and floor plan at https://github.com/DataScienceLab18/IndoorToolKit