Clinical Features of Acute Myocardial Infarction in Elderly Patients

The aim of this study was to clarify the prevalence of coronary risk factors in order to characterize the prognostic factors in elderly patients and to also identify any factors beneficial for the prevention of further cardiac events and death. We studied 888 patients with ST-elevation acute myocardial infarction who were admitted within 48h of symptom onset. The patients were divided into 3 groups according to age for comparison of variables:a younger group (n＝99) aged＜50, a middle-aged group (n＝435)＞51 years but＜70 years and an elderly group (n＝354) aged＞71 years. The elderly group had higher rates of female gender, pulmonary congestion, in-hospital mortality, and atrial fibrillation and a higher plasma concentration of high-sensitivity CRP (hs-CRP) (p＜0.05). Hypertension, diabetes mellitus, and dyslipidemia were more common in the middle-aged group (p＜0.05). The prevalence of smokers and the plasma level of total cholesterol, LDL-cholesterol and triglycerides were lower in the elderly group (p＜0.05). The grade of collateral circulation was highest in the elderly group, but the success rate of reperfusion therapy was lowest. Multiple regression analysis showed that age, pulmonary congestion, CKD and hs-CRP were predictors of in-hospital mortality.This investigation indicated that elderly patients with acute myocardial infarction have different clinical characteristics than younger patients. A specific algorithm might be needed in elderly patients, and could use hs-CRP, eGFR and atrial fibrillation as factors

Sex Difference of In-hospital Mortality in Patients with Acute Myocardial Infarction

Factors contributing to the sex difference of in-hospital mortality after acute myocardial infarction (MI) are still unknown. We compared the clinical characteristics on admission and in-hospital outcome of consecutive 1,354 patients with acute MI between the 2 sexes. Age on admission was about 7 years older in women than in men. In-hospital death was significantly more frequent in women. Pulmonary congestion and hypertension were more likely in women with higher serum levels of total cholesterol and LDL cholesterol. A higher prevalence of current smoking and inferior wall involvement and lower serum HDL cholesterol level were observed in man. After adjusting for age, adverse in-hospital mortality for women was observed in both younger and older patients. Multivariate logistic regression analysis demonstrated that age, location of infarction, recanalization and serum C-reactive protein (CRP) concentration were independent predictors for in-hospital mortality for overall patients, while age and recanalization were independent predictors for male gender, and pulmonary congestion and serum CRP concentration were independent predictors for female gender. In-hospital outcome after acute MI was worse in women. A multivariate logistic regression model revealed that the sexually different factors affected in-hospital mortality in females

A Single-Key Attack on 6-Round KASUMI

KASUMI is a block cipher used in the confidentiality and integrity algorithms of the 3GPP (3rd Generation Partnership Project) mobile communications. In 2010, a related-key attack on full KASUMI was reported. The attack was very powerful and worked in practical complexity. However the attack was not a direct threat to full KASUMI because of the impractical assumptions related to the attack. Therefore, this paper concentrates on single-key attacks considered to be practical attacks. This paper proposes a single-key attack on 6-round KASUMI. The attack, which applies a technique of higher order differential attacks, requires 2^{60.8} data and 2^{65.4} encryption time. To the best of our knowledge, the attack reported in this paper is the most powerful single-key attack against reduced-round KASUMI in terms of time complexity

Postprandial Hypotension due to a Lack of Sympathetic Compensation in Patients with Diabetes Mellitus.

Postprandial hypotension is an important hemodynamic abnormality in diabetes mellitus, but few reports are available on the relationship between autonomic dysfunction and postprandial hypotension. Ten diabetic patients and 10 healthy volunteers were recruited for this study. Postural blood pressure and heart rate changes were measured before lunch, and then the hemodynamic responses to a standardized meal were investigated. Holter electrocardiogram (ECG) monitoring was conducted for assessing spectral powers and time-domain parameters of RR variations. Postural changes from the supine to the upright position decreased the systolic blood pressure of the diabetics from 133(+-)16 to 107(+-)20 mmHg (p<0.01), but did not decrease the systolic blood pressure of the controls. The heart rate remained constant in the diabetics but was increased in the controls. Food ingestion decreased systolic blood pressure in the diabetics, with a maximum reduction of 25(+-)5 mmHg. This decrease was not associated with any changes in the ratio of low frequency to high frequency, and yet the heart rate remained almost constant. Indexes involving parasympathetic tone were not affected. Food ingestion did not affect blood pressure in the control group. These findings suggest that lack of compensatory sympathetic activation is a factor contributing to postprandial hypotension in diabetics, and that parasympathetic drive does not make a significant contribution to this condition

Observation of Simultaneous Oscillation of Multiple Modes in a CW 300 GHz Gyrotron

Multi-mode oscillation was observed in a 300 GHz fully CW gyrotron. It has been developed and installed in the Research Center for Development of Far-Infrared Region, University of Fukui as a power source of a submillimeter-wave material processing system. This gyrotron delivers 1.75 kW/CW at maximum. The radiation pattern is a Gaussian beam when the magnetic field strength Bc at the cavity is properly adjusted. However, within a range of Bc values, simultaneous oscillation of competing modes is observed, manifesting in radiation of the output power in multiple directions

Prognostic significance of right bundle branch block in patients with acute inferior myocardial infarction

There is little information available concerning the influence of right bundle branch block (RBBB) on the prognosis of patients with inferior myocardial infarction (MI). In this study we evaluated the influence of RBBB on the short-term prognosis of patients with inferior MI. Our study subjects were 1,265 hospitalized patients with Q wave MI. Patients were divided into 4 groups based on the presence or absence of RBBB and on the location of the infarction. RBBB was classified into 4 categories according to the timing of its appearance and its duration as new permanent, transient, old and age indeterminate. In-hospital death and pulmonary congestion were observed more frequently in patients with RBBB than in those without RBBB. Moreover, in inferior MI as in anterior MI, in-hospital death and pulmonary congestion occurred more frequently in new permanent RBBB patients than in patients with other types of RBBB. Multivariate regression analysis reveals that new permanent RBBB was a strong independent predictor for an adverse short-term prognosis in patients with inferior MI, as well as in patients with anterior MI. New permanent RBBB during inferior MI is a strong independent predictor for increased in-hospital mortality, regardless of the infarction location.</p

formation of a laminar electron flow for 300GHz high-power pulsed gyrotron

This paper describes the design of a triode magnetron injection gun for use in a 200 kW, 300 GHz gyrotron. As power and frequency increase, the performance of the gyrotron becomes quite sensitive to the quality of the electron beam. Formation of a laminar electron flow is essential for the realization of a high quality beam with a small velocity spread. In this study, a new method is developed for a quantitative evaluation of the laminarity and is applied to optimize the electrode design. The laminarity depends not only on conventional design parameters such as the cathode slant angle but also on the spatial distribution of the electric field along the beam trajectory. In the optimized design, the velocity pitch factors, a, larger than 1.2 are obtained at 65 kV, 10A with spreads, Da, less than 5%

Non-equilibrium Fluctuation Relations in a Quantum Coherent Conductor

We experimentally demonstrate the validity of non-equilibrium fluctuation relations by using a quantum coherent conductor. In equilibrium the fluctuation-dissipation relation leads to the correlation between current and current noise at the conductor, namely, Johnson-Nyqusit relation. When the conductor is voltage-biased so that the non-linear regime is entered, the fluctuation theorem has predicted similar non-equilibrium fluctuation relations, which hold true even when the Onsager-Casmir relations are broken in magnetic fields. Our experiments qualitatively validate the predictions as the first evidence of this theorem in the non-equilibrium quantum regime. In the appendix, we give simple deduction of the higher order correlations between the current and the current noise based on the fluctuation theorem.Comment: 4 pages, 4 figures with 1-page appendix

Unveiling structural disorders in honeycomb layered oxide: Na2Ni2TeO6

Honeycomb layered oxides have garnered tremendous research interest in a wide swath of disciplines owing not only to the myriad physicochemical properties they exhibit, but also their rich crystal structural versatility. Herein, a comprehensive crystallographic study of a sodium-based Na2Ni2TeO6 honeycomb layered oxide has been performed using atomic-resolution transmission electron microscopy, elucidating a plethora of atomic arrangement (stacking) disorders in the pristine material. Stacking disorders in the arrangement of honeycomb metal slab layers (stacking faults) occur predominantly perpendicular to the slabs with long-range coherence length and enlisting edge dislocations in some domains. Moreover, the periodic arrangement of the distribution of alkali atoms is altered by the occurrence of stacking faults. The multitude of disorders innate in Na2Ni2TeO6 envisage broad implications in the functionalities of related honeycomb layered oxide materials and hold promise in bolstering renewed interest in their material science.Correction published, see: https://doi.org/10.1016/j.mtla.2021.10110