Objectives
To assess the Usefulness of oral anticoagulation therapy (OAT) in patients with coronary artery aneurysm (CAA).
Background
Data on the most adequate antithrombotic CAA management is ...lacking.
Methods
Patients included in CAAR (Coronary Artery Aneurysm Registry, Clinical Trials.gov: NCT02563626) were selected. Patients were divided in OAT and non‐OAT groups, according to anticoagulation status at discharge and 2:1 propensity score matching with replacement was performed. The primary endpoint of the analysis was a composite and mutual exclusive endpoint of myocardial infarction, unstable angina (UA), and aneurysm thrombosis (coronary ischemic endpoint). Net adverse clinical events, major adverse cardiovascular events, their single components, cardiovascular death, re‐hospitalizations for heart failure, stroke, aneurysm thrombosis, and bleeding were the secondary ones.
Results
One thousand three hundred thirty‐one patients were discharged without OAT and 211 with OAT. In the propensity‐matched sample (390 patients in the non‐OAT group, 195 patients in the OAT group), after 3 years of median follow‐up (interquartile range 1–6 years), the rate of the primary endpoint (coronary ischemic endpoint) was significantly less in the OAT group as compared to non‐OAT group (8.7 vs. 17.2%, respectively; p = .01), driven by a significant reduction in UA (4.6 vs. 10%, p < .01) and aneurysm thrombosis (0 vs. 3.1%, p = .03), along with a non‐significant reduction in MI (4.1 vs. 7.7%, p = .13). A non‐significant increase in bleedings, mainly BARC type 1 (55%), was found in the OAT‐group (10.3% in the non‐OAT vs. 6.2% in the OAT group, p = .08).
Conclusion
OAT decreases the composite endpoint of UA, myocardial infarction, and aneurysm thrombosis in patients with CAA, despite a non‐significant higher risk of bleeding.
Under real-time or day-ahead pool-based electricity markets, the implementation of the distribution loss allocation procedures implies an access-pricing framework based on half- hour or hour ...locational prices. For each consumer and distributed generator it is required to apply an additional charge in the energy price in order to cover the cost of active losses. Since every allocation procedure modifies the locational prices in a different way, the initial market equilibrium point is altered and some form of cross-subsidies appears among market agents affecting the net social welfare and the network remuneration. The regulator should address the economical impact of each allocation method in order to ensure a non-discriminatory access to the network and guarantee revenue reconciliation of losses. This paper contributes to regulator assessment introducing a novel analysis of the impact of each loss allocation procedure based on the social welfare theory and explicitly considering the price elasticity of demand. The methodology was tested in two distribution test systems.
Data are lacking on the characteristics of atrial activity in centenarians, including interatrial block (IAB).
The aim of this study was to describe the prevalence of IAB and auricular arrhythmias in ...subjects older than 100 years and to elucidate their clinical implications.
We studied 80 centenarians (mean age 101.4 ± 1.5 years; 21 men) with follow-ups of 6-34 months. Of these 80 centenarians, 71 subjects (88.8%) underwent echocardiography. The control group comprised 269 septuagenarians.
A total of 23 subjects (28.8%) had normal P wave, 16 (20%) had partial IAB, 21 (26%) had advanced IAB, and 20 (25.0%) had atrial fibrillation/flutter. The IAB groups exhibited premature atrial beats more frequently than did the normal P wave group (35.1% vs 17.4%; P < .001); also, other measurements in the IAB groups frequently fell between values observed in the normal P wave and the atrial fibrillation/flutter groups. These measurements included sex preponderance, mental status and dementia, perceived health status, significant mitral regurgitation, and mortality. The IAB group had a higher previous stroke rate (24.3%) than did other groups. Compared with septuagenarians, centenarians less frequently presented a normal P wave (28.8% vs 53.5%) and more frequently presented advanced IAB (26.3% vs 8.2%), atrial fibrillation/flutter (25.0% vs 10.0%), and premature atrial beats (28.3 vs 7.0%) (P < .01).
Relatively few centenarians (<30%) had a normal P wave, and nearly half had IAB. Our data suggested that IAB, particularly advanced IAB, is a pre-atrial fibrillation condition associated with premature atrial beats. Atrial arrhythmias and IAB occurred more frequently in centenarians than in septuagenarians.
The Dengue (DENV) and zika (ZIKV) virus infections are currently a public health concern. At present, there is no treatment or a safe and effective vaccine for these viruses. Hence, the development ...of new strategies as host-directed therapy is required. In this sense, Metformin (MET), an FDA-approved drug used for the treatment of type 2 diabetes, has shown an anti-DENV effect in vitro by activating AMPK and reducing HMGCR activity. In this study, MET treatment was evaluated during in vitro and in vivo ZIKV infection and compared to MET treatment during DENV infection. Our results demonstrated that MET has a broad in vitro antiviral spectrum. MET inhibited ZIKV infection in different cell lines, but it was most effective in inhibiting DENV and yellow fever virus (YFV) infection in Huh-7 cells. However, the drug failed to protect against ZIKV infection when AG129 immunodeficient mice were used as in vivo model. Interestingly, MET increased DENV-infected male mice's survival time, reducing the severe signs of the disease. Together, these findings indicate that, although MET was an effective antiviral agent to inhibit in vitro and in vivo DENV infection, it could only inhibit in vitro ZIKV infection.
Aim In the face of global environmental change, identifying the factors that shape the ecological niches of species and understanding the mechanisms behind them can help to draft effective ...conservation plans. The differences in the ecological factors that shape species distributions may then help to highlight differences between closely related taxa. We investigate the applicability of ecological niche modelling and the comparison of species distributions in ecological niche space to detect areas with priority for biodiversity conservation and to analyse differences in the ecological niche spaces used by closely related taxa. Location United States of America, Mexico and Central America. Methods We apply ordination and ecological niche modelling techniques to assess the main environmental drivers of the distribution of Mexican white pines (Pinus: Pinaceae). Furthermore, we assess the similarities and differences of the ecological niches occupied by closely related taxa. We analyse whether Mexican white pines occupy similar or equivalent ecological niches. Results All the studied taxa presented different responses to the environmental factors, resulting in a unique combination of niche conditions. Our stacked habitat suitability maps highlighted regions in southern Mexico and northern Central America as highly suitable for most species and thus with high conservation value. By quantitatively assessing the niche overlap, similarity and equivalency of Mexican white pines, our results prove that the distribution of one species cannot be implied by the distribution of another, even if these taxa are considered closely related. Main conclusions The fact that each Mexican white pine is constrained by a unique set of environmental conditions, and thus, their non-equivalence of ecological niches has direct implications for conservation as this highlights the inadequacy of one-fits all type of conservation measure.
Studies of exposure to petroleum (crude oil/fuel) often involve monitoring benzene, toluene, ethylbenzene, xylenes (BTEX), and styrene (BTEXS) because of their toxicity and gas-phase prevalence, ...where exposure is typically by inhalation. However, BTEXS levels in the general U.S. population are primarily from exposure to tobacco smoke, where smokers have blood levels on average up to eight times higher than nonsmokers. This work describes a method using partition theory and artificial neural network (ANN) pattern recognition to classify exposure source based on relative BTEXS and 2,5-dimethylfuran blood levels. A method using surrogate signatures to train the ANN was validated by comparing blood levels among cigarette smokers from the National Health and Nutrition Examination Survey (NHANES) with BTEXS and 2,5-dimethylfuran signatures derived from the smoke of machine-smoked cigarettes. Classification agreement for an ANN model trained with relative VOC levels was up to 99.8% for nonsmokers and 100.0% for smokers. As such, because there is limited blood level data on individuals exposed to crude oil/fuel, only surrogate signatures derived from crude oil and fuel were used for training the ANN. For the 2007–2008 NHANES data, the ANN model assigned 7 out of 1998 specimens (0.35%) and for the 2013–2014 NHANES data 12 out of 2906 specimens (0.41%) to the crude oil/fuel signature category.
The extent to which pre-Columbian societies altered Amazonian landscapes is hotly debated. We performed a basin-wide analysis of pre-Columbian impacts on Amazonian forests by overlaying known ...archaeological sites in Amazonia with the distributions and abundances of 85 woody species domesticated by pre-Columbian peoples. Domesticated species are five times more likely than nondomesticated species to be hyperdominant. Across the basin, the relative abundance and richness of domesticated species increase in forests on and around archaeological sites. In southwestern and eastern Amazonia, distance to archaeological sites strongly influences the relative abundance and richness of domesticated species. Our analyses indicate that modern tree communities in Amazonia are structured to an important extent by a long history of plant domestication by Amazonian peoples.
The electronic band structure of a material can acquire interesting topological properties in the presence of a magnetic field or as a result of the spin-orbit coupling1, 2, 3. We study graphene on ...Ir, with Pb monolayer islands intercalated between the graphene sheet and the Ir surface. Although the graphene layer is structurally unaffected by the presence of the Pb islands, its electronic properties change markedly, with regularly spaced resonances appearing. We interpret these resonances as the effect of a strong and spatially modulated spin-orbit coupling, induced in graphene by the Pb monolayer. As well as confined electronic states, the electronic spectrum has a series of gaps with non-trivial topological properties, resembling a realization of the quantum spin Hall effect proposed by Bernevig and Zhang4.
This work compares the synthesis, heating capability, cellular internalization and thermoablation capacity of two different types of anisotropic gold nanoparticles: gold nanorods (NRs) and nanoprisms ...(NPrs).
Both particles possess surface plasmon resonance absorption bands in the near-IR, and their heating efficiency upon irradiation with a continuous near-IR laser (1064 nm) was evaluated. The cellular internalization, location and toxicity of these PEG-stabilized NPrs and NRs were then assessed in the Vero cell line by transmission electron microscopy and inductively coupled plasma mass spectrometry analysis, and their ability to induce cell death upon laser irradiation was then evaluated and compared.
Although both nanoparticles are highly efficient photothermal converters, NRs possessed a more efficient heating capability, yet the in vitro thermoablation studies clearly demonstrated that NPrs were more effective at inducing cell death through photothermal ablation due to their greater cellular internalization.
A main global challenge is finding an alternative material for cement, which is a major source of pollution to the environment because it emits greenhouse gases. Investigators play a significant role ...in global waste disposal by developing appropriate methods for its effective utilization. Geopolymers are one of the best options for reusing all industrial wastes containing aluminosilicate and the best alternative materials for concrete applications. Waste wood ash (WWA) is used with other waste materials in geopolymer production and is found in pulp and paper, wood-burning industrial facilities, and wood-fired plants. On the other hand, the WWA manufacturing industry necessitates the acquisition of large tracts of land in rural areas, while some industries use incinerators to burn wood waste, which contributes to air pollution, a significant environmental problem. This review paper offers a comprehensive review of the current utilization of WWA with the partial replacement with other mineral materials, such as fly ash, as a base for geopolymer concrete and mortar production. A review of the usage of waste wood ash in the construction sector is offered, and development tendencies are assessed about mechanical, durability, and microstructural characteristics. The impacts of waste wood ash as a pozzolanic base for eco-concreting usages are summarized. According to the findings, incorporating WWA into concrete is useful to sustainable progress and waste reduction as the WWA mostly behaves as a filler in filling action and moderate amounts of WWA offer a fairly higher compressive strength to concrete. A detail study on the source of WWA on concrete mineralogy and properties must be performed to fill the potential research gap.
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