874 research outputs found
Feasibility of adjusting paced left ventricular activation by manipulating stimulus strength
Effect of the space environment on materials flown on the EURECA/TICCE-HVI experiment
The primary benefit of accurately quantifying and characterizing the space environmental effects on materials is longer instrument and spacecraft life. Knowledge of the limits of materials allows the designer to optimize the spacecraft design so that the required life is achieved. Materials such as radiator coatings that have excellent durability result in the design of smaller radiators than a radiator coated with a lower durability coating. This may reduce the weight of the spacecraft due to a more optimum design. Another benefit of characterizing materials is the quantification of outgassing properties. Spacecraft which have ultraviolet or visible sensor payloads are susceptible to contamination by outgassed volatile materials. Materials with known outgassing characteristics can be restricted in these spacecraft. Finally, good data on material characteristics improves the ability of analytical models to predict material performance. A flight experiment was conducted on the European Space Agency's European Retrievable Carrier (EuReCa) as part of the Timeband Capture Cell Experiment (TICCE). Our main objective was to gather additional data on the dust and debris environments, with the focus on understanding growth as a function of size (mass) for hypervelocity particles 1E-06 cm and larger. In addition to enumerating particle impacts, hypervelocity particles were to be captured and returned intact. Measurements were performed post-flight to determine the flux density, diameters, and subsequent effects on various optical, thermal control and structural materials. In addition to these principal measurements, the experiment also provided a structure and sample holders for the exposure of passive material samples to the space environment, e.g., the effects of thermal cycling, atomic oxygen, etc. Preliminary results are presented, including the techniques used for intact capture of particles
Scaling device for photographic images
A scaling device projects a known optical pattern into the field of view of a camera, which can be employed as a reference scale in a resulting photograph of a remote object, for example. The device comprises an optical beam projector that projects two or more spaced, parallel optical beams onto a surface of a remotely located object to be photographed. The resulting beam spots or lines on the object are spaced from one another by a known, predetermined distance. As a result, the size of other objects or features in the photograph can be determined through comparison of their size to the known distance between the beam spots. Preferably, the device is a small, battery-powered device that can be attached to a camera and employs one or more laser light sources and associated optics to generate the parallel light beams. In a first embodiment of the invention, a single laser light source is employed, but multiple parallel beams are generated thereby through use of beam splitting optics. In another embodiment, multiple individual laser light sources are employed that are mounted in the device parallel to one another to generate the multiple parallel beams
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Diversification of bacterial genome content through distinct mechanisms over different timescales
Bacterial populations often consist of multiple co-circulating lineages. Determining how such population structures arise requires understanding what drives bacterial diversification. Using 616 systematically sampled genomes, we show that Streptococcus pneumoniae lineages are typically characterized by combinations of infrequently transferred stable genomic islands: those moving primarily through transformation, along with integrative and conjugative elements and phage-related chromosomal islands. The only lineage containing extensive unique sequence corresponds to a set of atypical unencapsulated isolates that may represent a distinct species. However, prophage content is highly variable even within lineages, suggesting frequent horizontal transmission that would necessitate rapidly diversifying anti-phage mechanisms to prevent these viruses sweeping through populations. Correspondingly, two loci encoding Type I restriction-modification systems able to change their specificity over short timescales through intragenomic recombination are ubiquitous across the collection. Hence short-term pneumococcal variation is characterized by movement of phage and intragenomic rearrangements, with the slower transfer of stable loci distinguishing lineages
Resetting of ventricular tachycardia: Implications for localizing the area of slow conduction
AbstractAnalysis of local endocardial electrograms recorded during reentrant ventricular tachycardia does not provide direct information as to the participation of the recording site in the tachycardia circuit. To determine if programmed electrical stimulation at the recording site can assist in localizing areas of slow conduction that are participating in the tachycardia circuit, seven patients with sustained monomorphic ventricular tachycardia were studied. The cardiac cycle was scanned with single stimuli delivered during ventricular tachycardia at multiple endocardial sites.In four patients, an endocardial site was identified at which stimuli advanced the tachycardia with marked conduction delay and without alteration of the ventricular activation sequence, as indicated by a lack of change in the configuration of the QRS complex and endocardial electrograms distant from the stimulation site. This finding was seen only during stimulation at sites displaying abnormal electrograms and is consistent with premature depolarization of an area of slow conduction within the tachycardia focus by stimuli delivered at or near that area. Attempted endocardial catheter ablation at or adjacent to these sites in three patients was followed by persistent noninducibility of ventricular tachycardia in one patient, marked modification of the configuration and cycle length of inducible tachycardia in one patient and transient noninducibility of tachycardia in one patient.Programmed electrical stimulation during ventricular tachycardia at sites with abnormal electrograms may provide information about the proximity of the stimulation site to the tachycardia circuit
Ablation of ischemic ventricular tachycardia: evidence, techniques, results, and future directions
PURPOSE OF REVIEW
This article summarizes current understanding of the arrhythmia substrate and effect of catheter ablation for infarct-related ventricular tachycardia, focusing on recent findings.
RECENT FINDINGS
Clinical studies support the use of catheter ablation earlier in the course of ischemic disease with moderate success in reducing arrhythmia recurrence and shocks from implantable defibrillators, although mortality remains unchanged. Ablation can be lifesaving for patients presenting with electrical storm. Advanced mapping systems with image integration facilitate identification of potential substrate, and several different approaches to manage hemodynamically unstable ventricular tachycardia have emerged. Novel ablation techniques that allow deeper lesion formation are in development.
SUMMARY
Catheter ablation is an important therapeutic option for preventing or reducing episodes of ventricular tachycardia in patients with ischemic cardiomyopathy. Present technologies allow successful ablation in the majority of patients, even when the arrhythmia is hemodynamically unstable. Failure of the procedure is often because of anatomic challenges that will hopefully be addressed with technological progress
Semiquantal dynamics of fluctuations: Ostensible quantum chaos
The time-dependent variational principle using generalized Gaussian trial
functions yields a finite dimensional approximation to the full quantum
dynamics and is used in many disciplines. It is shown how these 'semi-quantum'
dynamics may be derived via the Ehrenfest theorem and recast as an extended
classical gradient system with the fluctuation variables coupled to the average
variables. An extended potential is constructed for a one-dimensional system.
The semiquantal behavior is shown to be chaotic even though the system has
regular classical behavior and the quantum behavior had been assumed regular.Comment: 9 pages, TeX, 2 figures (not attached; hard copies available
immediately on request). To appear in Physical Review Letter
Interventions to improve perinatal outcomes among migrant women in high-income countries: a systematic review protocol
INTRODUCTION: Women who are migrants and who are pregnant or postpartum are at high risk of poorer perinatal outcomes compared with host country populations due to experiencing numerous additional stressors including social exclusion and language barriers. High-income countries (HICs) host many migrants, including forced migrants who may face additional challenges in the peripartum period. Although HICs' maternity care systems are often well developed, they are not routinely tailored to the needs of migrant women. The primary objective will be to determine what interventions exist to improve perinatal outcomes for migrant women in HICs. The secondary objective will be to explore the effectiveness of these interventions by exploring the impact on perinatal outcomes. The main outcomes of interest will be rates of preterm birth, birth weight, and number of antenatal or postnatal appointments attended. METHODS AND ANALYSIS: This protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Protocols guidelines. EMBASE, EMCARE, MEDLINE and PsycINFO, CENTRAL, Scopus, CINAHL Plus, and Web of Science, as well as grey literature sources will be searched from inception up to December 2022. We will include randomised controlled trials, quasi-experimental and interventional studies of interventions, which aim to improve perinatal outcomes in any HIC. There will be no language restrictions. We will exclude studies presenting only qualitative outcomes and those including mixed populations of migrant and non-migrant women. Screening and data extraction will be completed by two independent reviewers and risk of bias will be assessed using the Quality Assessment Tool for Quantitative Studies. If a collection of suitably comparable outcomes is retrieved, we will perform meta-analysis applying a random effects model. Presentation of results will comply with guidelines in the Cochrane Handbook of Systematic Reviews of Interventions and the PRISMA statement. ETHICS AND DISSEMINATION: Ethical approval is not required. Results will be submitted for peer-reviewed publication and presented at national and international conferences. The findings will inform the work of the Lancet Migration European Hub. PROSPERO REGISTRATION NUMBER: CRD42022380678
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