242 research outputs found
Thin Fisher Zeroes
Biskup et al. [Phys. Rev. Lett. 84 (2000) 4794] have recently suggested that
the loci of partition function zeroes can profitably be regarded as phase
boundaries in the complex temperature or field planes.
We obtain the Fisher zeroes for Ising and Potts models on non-planar
(``thin'') regular random graphs using this approach, and note that the locus
of Fisher zeroes on a Bethe lattice is identical to the corresponding random
graph. Since the number of states appears as a parameter in the Potts solution
the limiting locus of chromatic zeroes is also accessible.Comment: 10 pages, 4 figure
Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial Appendage
The prevalence of atrial fibrillation (AF) is increasing in parallel with an ageing population leading to increased morbidity and mortality. The most feared complication of AF is stroke, with the arrhythmia being responsible for up to 20% of all ischemic strokes. An important contributor to this increased risk of stroke is the left atrial appendage (LAA). A combination of the LAA's unique geometry and atrial fibrillation leads to low blood flow velocity and stasis, which are precursors to thrombus formation. It has been hypothesized for over half a century that excision of the LAA would lead to a reduction in the incidence of stroke. It has only been in the last 20–25 years that the knowledge and technology has been available to safely carry out such a procedure. We now have a number of viable techniques, both surgical and percutaneous, which will be covered in this paper
Improving the Utility of Coronary Angiography: The Use of Adjuvant Imaging and Physiological Assessment
An approach to assess potential environmental mercury release, food web bioaccumulation, and human dietary methylmercury uptake from decommissioning offshore oil and gas infrastructure
Open Access via the Elsevier Agreement Funding This research was funded by the National Decommissioning Centre through University of Aberdeen. Astley Hastings and Rebecca von Hellfeld are further funded by the UK Research and Innovation Energy Programme under grant number EP/S029575/1. Christoph Gade is funded by UK National Decommissioning Centre. We also acknowledge the in-kind support from the Net Zero Technology Centre. CRediT authorship contribution statement Rebecca von Hellfeld: Conceptualization; Data curation; Formal analysis; Investigation; Methodology; Software; Validation; Visualization; Roles/Writing - original draft; Writing - review & editing. Christoph Gade: Methodology; Roles/Writing - original draft; Writing - review & editing. Darren J. Koppel: Conceptualization; Investigation; Validation; Visualization; Writing - review & editing. William J. Walters: Formal analysis; Methodology; Software. Fenny Kho: Conceptualization; Writing - review & editing. Astley Hastings: Conceptualization; Funding acquisition; Investigation; Methodology; Project administration; Resources; Supervision; Writing - review & editing.Peer reviewe
TCT-774 Safety and Performance of the EnligHTN™ Renal Denervation System in Patients with Drug-resistant Hypertension: Pooled analyses from the EnligHTN I, II and III trials
Extensive recombination detected among beak and feather disease virus isolates from breeding facilities in Poland
Beak and feather disease virus (BFDV) causes the highly contagious, in some cases fatal,
psittacine beak and feather disease in parrots. The European continent has no native parrots, yet
in the past has been one of the world’s biggest importers of wild-caught exotic parrot species.
Following the banning of this practice in 2007, the demand for exotic pet parrots has largely been
met by established European breeding facilities, which can also supply buyers outside Europe.
However, the years of unregulated importation have provided numerous opportunities for BFDV to
enter Europe, meaning the likelihood of birds within captive breeding facilities being BFDV
positive is high. This study examined the BFDV status of such facilities in Poland, a country
previously shown to have BFDV among captive birds. A total of 209 birds from over 50 captive
breeding facilities across Poland were tested, and 43 birds from 18 different facilities tested
positive for BFDV. The full BFDV genomes from these 43 positive birds were determined, and
phylogenetic analysis revealed that these samples harboured a relatively high degree of diversity
and that they were highly recombinant. It is evident that there have been multiple introductions of
BFDV into Poland over a long period of time, and the close association of different species of
birds in the captive environment has probably facilitated the evolution of new BFDV strains
through recombination.Web of Scienc
Reperfusion after Fibrinolytic Therapy (RAFT) : an open-label, multi-centre, randomised controlled trial of bivalirudin versus heparin in rescue percutaneous coronary intervention
Background The safety and efficacy profile of bivalirudin has not been examined in a randomised controlled trial of patients undergoing rescue PCI. Objectives We conducted an open-label, multi-centre, randomised controlled trial to compare bivalirudin with heparin ± glycoprotein IIb/IIIa inhibitors (GPIs) in patients undergoing rescue PCI. Methods Between 2010–2015, we randomly assigned 83 patients undergoing rescue PCI to bivalirudin (n = 42) or heparin ± GPIs (n = 41). The primary safety endpoint was any ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) bleeding at 90 days. The primary efficacy endpoint was infarct size measured by peak troponin levels as a multiple of the local upper reference limit (Tn/URL). Secondary endpoints included periprocedural change in haemoglobin adjusted for red cells transfused, TIMI (Thrombolysis in Myocardial Infarction) bleeding, ST-segment recovery and infarct size determined by the Selvester QRS score. Results The trial was terminated due to slow recruitment and futility after an interim analysis of 83 patients. The primary safety endpoint occurred in 6 (14%) patients in the bivalirudin group (4.8% GPIs) and 3 (7.3%) in the heparin ± GPIs group (54% GPIs) (risk ratio, 1.95, 95% confidence interval [CI], 0.52–7.3, P = 0.48). Infarct size was similar between the two groups (mean Tn/URL, 730 [±675] for bivalirudin, versus 984 [±1585] for heparin ± GPIs, difference, 254, 95% CI, -283-794, P = 0.86). There was a smaller decrease in the periprocedural haemoglobin level with bivalirudin than heparin ± GPIs (-7.5% [±15] versus -14% [±17], difference, -6.5%, 95% CI, -0.83–14, P = 0.0067). The rate of complete (≥70%) ST-segment recovery post-PCI was higher in patients randomised to heparin ± GPIs compared with bivalirudin. Conclusions Whether bivalirudin compared with heparin ± GPI reduces bleeding in rescue PCI could not be determined. Slow recruitment and futility in the context of lower-than-expected bleeding event rates led to the termination of this trial (ANZCTR.org.au, ACTRN12610000152022)
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
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