401 research outputs found
Комплексные соединения галогенидов цинка как потенциальные противораковые препараты
The purpose of this review is to summarize currently available evidence implicating vitamin K in the pathogenesis of vascular calcification (VC), in particular arterial medial calcification. In doing so, we try to provide a rationale for an interventional clinical study testing whether vitamin K supplementation can retard VC or even affect cardiovascular mortality in chronic kidney disease patients. Additionally, we wish to give an overview of the current literature indicating potential adverse effects of long-term vitamin K antagonists in this population
Робочий зошит до конспекту лекцій з дисциплін “Основи побудови мікропроцесорних систем керування”, “Мікропроцесорна техніка”, “Програмні засоби систем керування” для студентів спеціальностей АГ – 8.092501 Автоматизоване управління технологічними процесами; АТ,ME – 8.091401 Системи управління й автоматики; СМ – 8.091501 Комп`ютерні системи та мережі
Дані методичні вказівки призначуються для вивчення апаратних та
програмних засобів мікропроцесорних систем управління (МПС).
У процесі вивчення дисципліни "Мікропроцесорні системи" студенти
вивчають структуру, архітектуру, сигнали та системи команд однокристального
мікроконтролера К1816 ВЕ51.
Розглянуті питання організації паралельного та послідовного вводу-
виводу, оганізація мікропроцесорних контролерів МПК).
Схемні рішення, які приведені у методичних вказівках можуть бути
використані при виконанні курсових і дипломних проектів студентами
спеціальностей "Комп’ютеризовані системи управління і автоматики" (АТ) і
"Автоматизація технологічних процесів гірничих підприємств" (АГ) та
"Комп’ютерні системи та мережі" (СМ)
Software and hardware platform for testing of Automatic Generation Control algorithms
Development and implementation of new Automatic Generation Control (AGC) algorithms requires testing them on a model that adequately simulates primary energetic, information and control processes. In this article an implementation of a test platform based on HRTSim (Hybrid Real Time Simulator) and SCADA CK-2007 (which is widely used by the System Operator of Russia) is proposed. Testing of AGC algorithms on the test platform based on the same SCADA system that is used in operation allows to exclude errors associated with the transfer of AGC algorithms and settings from the test platform to a real power system. A power system including relay protection, automatic control systems and emergency control automatics can be accurately simulated on HRTSim. Besides the information commonly used by conventional AGC systems HRTSim is able to provide a resemblance of Phasor Measurement Unit (PMU) measurements (information about rotor angles, magnitudes and phase angles of currents and voltages etc.). The additional information significantly expands the number of possible AGC algorithms so the test platform is useful in modern AGC system developing. The obtained test results confirm that the proposed system is applicable for the tasks mentioned above
Impact of an interatrial shunt device on survival and heart failure hospitalization in patients with preserved ejection fraction
Aims:
Impaired left ventricular diastolic function leading to elevated left atrial pressures, particularly during exertion, is a key driver of symptoms and outcomes in heart failure with preserved ejection fraction (HFpEF). Insertion of an interatrial shunt device (IASD) to reduce left atrial pressure in HFpEF has been shown to be associated with short‐term haemodynamic and symptomatic benefit. We aimed to investigate the potential effects of IASD placement on HFpEF survival and heart failure hospitalization (HFH).
Methods and results:
Heart failure with preserved ejection fraction patients participating in the Reduce Elevated Left Atrial Pressure in Patients with Heart Failure study (Corvia Medical) of an IASD were followed for a median duration of 739 days. The theoretical impact of IASD implantation on HFpEF mortality was investigated by comparing the observed survival of the study cohort with the survival predicted from baseline data using the Meta‐analysis Global Group in Chronic Heart Failure heart failure risk survival score. Baseline and post‐IASD implant parameters associated with HFH were also investigated. Based upon the individual baseline demographic and cardiovascular profile of the study cohort, the Meta‐analysis Global Group in Chronic Heart Failure score‐predicted mortality was 10.2/100 pt years. The observed mortality rate of the IASD‐treated cohort was 3.4/100 pt years, representing a 33% lower rate (P = 0.02). By Kaplan–Meier analysis, the observed survival in IASD patients was greater than predicted (P = 0.014). Baseline parameters were not predictive of future HFH events; however, poorer exercise tolerance and a higher workload‐corrected exercise pulmonary capillary wedge pressure at the 6 months post‐IASD study were associated with HFH.
Conclusions:
The current study suggests IASD implantation may be associated with a reduction in mortality in HFpEF. Large‐scale ongoing randomized studies are required to confirm the potential benefit of this therapy
Технологическое обоснование и прогнозирование применения кислотных обработок призабойной зоны пластов на месторождениях Западной Сибири
Объектом исследования является призабойная зона терригенного и карбонатного пласта, на которых применяется кислотная обработка. Цель работы – технологическое обоснование и анализ применения кислотных обработок призабойной зоны пластов на месторождениях Западной Сибири. В результате исследования было обосновано применение кислотных обработок призабойной зоны пласта, даны рекомендации по избирательному выбору подходящей технологии и оптимального кислотного состава, предоставлена обобщённый процесс принятия решений, для достижения максимальной эффективности.The object of the study is the bottomhole zone of the terrigenous and carbonate formation, which use acid treatment. The purpose of the work is the technological substantiation and analysis of the use of acid treatments in the bottomhole formation zone in the fields of Western Siberia. As a result of the study, the use of acid treatments in the bottomhole formation zone was substantiated, recommendations were given on the selection of the appropriate technology and the optimal acid composition, a generalized decision-making process was provided to achieve maximum efficiency
One-year outcomes after transcatheter insertion of an interatrial shunt device for the management of heart failure with preserved ejection fraction
Background—Heart failure with preserved ejection fraction has a complex pathophysiology and remains a therapeutic challenge. Elevated left atrial pressure, particularly during exercise, is a key contributor to morbidity and mortality. Preliminary analyses have demonstrated that a novel interatrial septal shunt device that allows shunting to reduce the left atrial pressure provides clinical and hemodynamic benefit at 6 months. Given the chronicity of heart failure with preserved ejection fraction, evidence of longer-term benefit is required.
Methods and Results—Patients (n=64) with left ventricular ejection fraction ≥40%, New York Heart Association class II–IV, elevated pulmonary capillary wedge pressure (≥15 mm Hg at rest or ≥25 mm Hg during supine bicycle exercise) participated in the open-label study of the interatrial septal shunt device. One year after interatrial septal shunt device implantation, there were sustained improvements in New York Heart Association class (P<0.001), quality of life (Minnesota Living with Heart Failure score, P<0.001), and 6-minute walk distance (P<0.01). Echocardiography showed a small, stable reduction in left ventricular end-diastolic volume index (P<0.001), with a concomitant small stable increase in the right ventricular end-diastolic volume index (P<0.001). Invasive hemodynamic studies performed in a subset of patients demonstrated a sustained reduction in the workload corrected exercise pulmonary capillary wedge pressure (P<0.01). Survival at 1 year was 95%, and there was no evidence of device-related complications.
Conclusions—These results provide evidence of safety and sustained clinical benefit in heart failure with preserved ejection fraction patients 1 year after interatrial septal shunt device implantation. Randomized, blinded studies are underway to confirm these observations
Совершенствование механизмов взаимодействия с подрядными организациями в вопросах производственной безопасности
Данная работы посвящена разработке механизмов взаимодействия с подрядными организациями в вопросах производственной безопасности. Объектом исследования являются механизмы взаимодействия с подрядными организациями.This work is devoted to the development of mechanisms of interaction with contractors in matters of industrial safety
Absolute treatment effects of novel antidiabetic drugs on a composite renal outcome: meta-analysis of digitalized individual patient data
Background: Absolute treatment benefits—expressed as numbers needed to treat—of the glucose lowering and cardiovascular drugs, glucagon-like peptide-1 (GLP-1) receptor agonists and sodium-glucose transporter 2 (SGLT2) inhibitors on renal outcomes remain uncertain. With the present meta-analysis of digitalized individual patient data, we aimed to display and compare numbers needed to treat of both drugs on a composite renal outcome. Methods: From Kaplan–Meier plots of major cardiovascular outcome trials of GLP-1 receptor agonists and SGLT2 inhibitors vs. placebo, we digitalized individual patient time-to-event information on composite renal outcomes with WebPlotDigitizer 4.2; numbers needed to treat from individual cardiovascular outcome trials were estimated using parametric Weibull regression models and compared to original data. Random-effects meta-analysis generated meta-numbers needed to treat with 95% confidence intervals (CI). Results: Twelve cardiovascular outcome trials (three for GLP-1 receptor agonists, nine for SGLT2 inhibitors) comprising 90,865 participants were included. Eight trials were conducted in primary type 2 diabetes populations, two in a primary heart failure and two in a primary chronic kidney disease population. Mean estimated glomerular filtration rate at baseline ranged between 37.3 and 85.3 ml/min/1.73 m2. Meta-analyses estimated meta-numbers needed to treat of 85 (95% CI 60; 145) for GLP-1 receptor agonists and 104 (95% CI 81; 147) for SGLT2 inhibitors for the composite renal outcome at the overall median follow-up time of 36 months. Conclusion: The present meta-analysis of digitalized individual patient data revealed moderate and similar absolute treatment benefits of GLP-1 receptor agonists and SGLT2 inhibitors compared to placebo for a composite renal outcome. Graphical Abstract
Совершенствование техники и технологии заканчивания скважин (зарубежный опыт)
Нефтяная и газовая промышленность России на современном этапе их развития сталкиваются с рядом сложных проблем, успешное решение которых возможно на пути радикальных изменений в технике, технологии и методах организации производственных операций. В условиях растущей конкуренции на мировых рынках и прогрессивного истощения ресурсной базы все более актуальными становятся вопросы использования передовых достижений мировой нефтяной и газовой промышленности в системах и методах разработки месторождений и переработки углеводородного сырья.At the present stage of its development,Russian oil and gas industry faces a number of difficult problems, the successful solution of which is possible by a radical changes in engineering, technologies and methods of organizing production operations. In today's growing competition in the World markets and the progressive deterioration of the resource base, the use of advanced achievements of the global oil and gas industry in the systems and methods of field development and hydrocarbon processing is becoming increasingly important
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