1,276,584 research outputs found

    HUBUNGAN ANTARA HIPERTENSI DAN HIPERTROFI VENTRIKEL KIRI PADA PASIEN LANSIA DENGAN ATRIAL FIBRILASI

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    Latar belakang:Atrial fibrilasi (AF) didefinisikan sebagai irama jantung yang abnormal dengan aktivitas listrik jantung yang cepat dan tidak beraturan. Atrial fibrilasi dapat disebabkan oleh kelainan struktur jantung. Salah satu penyebab kelainan struktur jantung adalah hipertensi lama.Hipertensi yang berkepanjangan dan tidak terkendali dapat mengubah struktur miokard, pembuluh darah dan sistem konduksi jantung. Perubahan-perubahan ini dapat mengakibatkan kelainan, salah satunya hipertrofi ventrikel kiri. Tujuan: Mengetahui hubungan antara hipertensi dan hipertrofi ventrikel kiri pada pasien lansia dengan atrial fibrilasi. Metode: Data rekam medis yang dipilih berdasarkan kriteria inklusi yaitu pasien lansia dengan atrial fibrilasi yang menderita hipertensi dan atau hipertrofi ventrikel kiri.Data disajikan secara deskriptif kemudian dianalisis dengan metode Chi Square atau uji FisherExactbila syarat metode Chi Square tidak terpenuhi untuk mengetahui hubungan antara hipertensi dan hipertrofi ventrikel kiri. Hasil:Dari data yang didapatkan pada 105 sampel pada pasien lansia (> 60 tahun) dengan atrial fibrilasi di RSUP Dr. Kariadi Semarang periode 2013 tercatat 67 (63,80%) pasien menderita hipertensi, 36 (34,28%) pasien menderita hipertrofi ventrikel kiri, dan 2 (1,90%) pasien menderita hipertensi dan atau hipertrofi ventrikel kiri. Selanjutnya tidak didapatkan adanya hubungan yang bermakna antara hipertensi dan hipertrofi ventrikel kiripada pasien lansia dengan atrial fibrilasi (p=0,204). Kesimpulan:Pada penelitian ini didapatkan adanya hubungan yang tidak bermakna antara hipertensi dan hipertrofi ventrikel kiri pada pasien lansia dengan atrial fibrilasidan didapatkan prosentase pada lansia dengan atrial fibrilasi yang menderita hipertensi lebih tinggi dari padahipertrofi ventrikel kiri. Kata kunci:Hipertensi, hipertrofi ventrikel kiri, atrial fibrilasi pada lansia

    'Word from the street' : when non-electoral representative claims meet electoral representation in the United Kingdom

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    Taking the specific case of street protests in the UK – the ‘word from the street’– this article examines recent (re)conceptualizations of political representation, most particularly Saward’s notion of ‘representative claim’. The specific example of nonelectoral claims articulated by protestors and demonstrators in the UK is used to illustrate: the processes of making, constituting, evaluating and accepting claims for and by constituencies and audiences; and the continuing distinctiveness of claims based upon electoral representation. Two basic questions structure the analysis: first, why would the political representative claims of elected representatives trump the nonelectoral claims of mass demonstrators and, second, in what ways does the ‘perceived legitimacy’ of the former differ from the latter

    Book Review: The British Press

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    Book Review of The British Press by Mick Temple. Setting out with a conventional rehearsal of how the press has come to be the way it is, Temple discusses the popularisation of news and information from Gutenberg onwards. Most usefully, Temple highlights the nuances to emerge from the nineteen‐forties, when the press became newly radicalised, saw retreats in sales and a loss of discursive control to broadcasting, and became instrumental in a broader "decline of deference". Other chapters offer clear and accessible accounts of the various approaches to analysing news, the production environment of post‐Wapping, strategies of censorship both formal and informal, and the rise of public relations

    Rénovation complÚte d'une microcentrale électrique existante: étude de faisabilité

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    Le domaine viticole de Beudon possĂšde une usine hydroĂ©lectrique. Cette derniĂšre pourrait bĂ©nĂ©ficier d’une importante amĂ©lioration de sa capacitĂ© de production d’énergie Ă©lectrique annuelle grĂące Ă  une rĂ©novation complĂšte de ses composants. Le but de ce projet Ă©tait de rĂ©aliser une Ă©tude de faisabilitĂ© tenant compte des aspects techniques et financiers. Dans un premier temps, la collecte de tous les documents disponibles (anciens et rĂ©cents) a Ă©tĂ© cruciale pour le bon dĂ©roulement du projet. Ensuite, je me suis concentrĂ© sur la spĂ©cification des paramĂštres nĂ©cessaires aux dimensionnements des turbines hydrauliques (dimensionnement confiĂ© Ă  Mhylab), des alternateurs ainsi que de l’ingĂ©nierie civile. AprĂšs avoir dimensionnĂ© toutes les parties principales de l’amĂ©nagement hydroĂ©lectrique, je suis passĂ© Ă  la projection des coĂ»ts totaux d’une rĂ©novation entiĂšre de l’usine, avec l’appui des professionnels des branches respectives. Ils ont su me fournir des offres dĂ©taillĂ©es selon mes besoins et mes dimensionnements

    The Multiplication on BP

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    BP is an E_4 ring spectrum. The E_4 structure is unique up to automorphism

    Superficieibacter electus gen. nov., sp. nov., an extended-spectrum ÎČ-lactamase possessing member of the enterobacteriaceae family, isolated from Intensive Care Unit surfaces

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    <p>Two Gram-negative bacilli strains, designated BP-1(T) and BP-2, were recovered from two different Intensive Care Unit surfaces during a longitudinal survey in Pakistan. Both strains were unidentified using the bioMerieux VITEK MS IVD v2.3.3 and Bruker BioTyper MALDI-TOF mass spectrometry platforms. To more precisely determine the taxonomic identity of BP-1(T) and BP-2, we employed a biochemical and phylogenomic approach. The 16S rRNA gene sequence of strain BP-1(T) had the highest identity to Citrobacter farmeri CDC 2991-81(T) (98.63%) Citrobacter amalonaticus CECT 863(T) (98.56%), Citrobacter sedlakii NBRC 105722(T) (97.74%) and Citrobacter rodentium NBRC 105723(T) (97.74%). The biochemical utilization scheme of BP-1(T) using the Analytic Profile Index for Enterobacteriaceae (API20E) indicated its enzymatic functions are unique within the Enterobacteriaceae but most closely resemble Kluyvera spp., Enterobacter cloacae and Citrobacter koseri/farmeri. Phylogenomic analysis of the shared genes between BP-1(T), BP-2 and type strains from Kluyvera, Citrobacter, Escherichia, Salmonella, Kosakonia, Siccibacter and Shigella indicate that BP-1(T) and BP-2 isolates form a distinct branch from these genera. Average Nucleotide Identity analysis indicates that BP-1(T) and BP-2 are the same species. The biochemical and phylogenomic analysis indicate strains BP-1(T) and BP-2 represent a novel species from a new genus within the Enterobacteriaceae family, for which the name Superficieibacter electus gen. nov., sp. nov., is proposed. The type strain is BP-1(T) (= ATCC BAA-2937, = NBRC 113412).</p

    How common is isolated nocturnal hypertension?

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    The growing use of methods to measure blood pressure (BP) under everyday life conditions in ‘out-of-office’ settings, through either 24-h ambulatory BP monitoring (ABPM) or home BP monitoring (HBPM), for defining BP status has led to identification of four specific hypertension phenotypes, characterized by variable agreement or disagreement between office BP (OBP) and out-of-office BP: true normotension (normal office and out-of-office BP), sustained hypertension (both elevated office and out-of-office BP), masked hypertension (normal office BP and out-of-office BP), and white-coat hypertension (WCH), when OBP is elevated, but out-of-office BP levels are within normal limits. The term ‘white-coat hypertension’ is probably a misnomer and a misconception, because it does not necessarily reflect, or at most partially, an alerting reaction or white-coat effect. However, the suggestion to use the term ‘isolated office hypertension’ instead of the more appealing ‘white coat hypertension’ has not gained popularity in clinical practice
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