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Sample records for city heart study

  1. Hypercholesterolaemia and risk of coronary heart disease in the elderly: impact of age: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Iversen, Allan; Jensen, Jan Skov; Scharling, Henrik

    2008-01-01

    CHD decreases with age in a healthy population. METHODS: Within the Copenhagen City Heart Study in 1981-1983, 4647 men and 5829 women, aged 40-93 years, underwent a cardiovascular health examination including measurement of plasma-cholesterol. The cohort was followed with respect to incident CHD until......BACKGROUND: Population and interventional studies have shown that high plasma-cholesterol is a risk factor of coronary heart disease (CHD). However, in most of the studies elderly people were excluded. AIM: This paper assesses whether the effect of total plasma-cholesterol on the risk of incident...

  2. Self-reported stress and risk of stroke: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Truelsen, Thomas; Nielsen, Naja; Boysen, Gudrun;

    2003-01-01

    the association between self-reported stress frequency and intensity and risk of stroke. METHODS: Data from the second examination, 1981 to 1983, of participants in the Copenhagen City Heart Study were analyzed with Cox regression after a mean of 13 years of follow-up. A total of 5604 men and 6970 women were...

  3. Alcohol consumption and risk of atrial fibrillation in men and women: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Mukamal, KJ; Tolstrup, JS; Friberg, J;

    2005-01-01

    and incident atrial fibrillation among 16,415 women and men enrolled in the Copenhagen City Heart Study. We ascertained use of beer, wine, and spirits individually at up to 3 study visits with a structured questionnaire. We identified cases of atrial fibrillation by routine study ECGs and a validated...... not attenuate the association (hazard ratio 1.63; 95% CI 1.15 to 2.31). CONCLUSIONS: Heavy alcohol consumption is associated with a higher risk of atrial fibrillation, at least among men. This relationship does not appear to be related to the adverse effects of heavy drinking on coronary heart disease or blood...

  4. Association of chronic mucus hypersecretion with FEV1 decline and chronic obstructive pulmonary disease morbidity. Copenhagen City Heart Study Group

    DEFF Research Database (Denmark)

    Vestbo, J; Prescott, E; Lange, P

    1996-01-01

    The aim of this study was to examine the association between chronic mucus hypersecretion, and FEV1 decline, and subsequent hospitalization from chronic obstructive pulmonary disease (COPD). We used data from The Copenhagen City Heart Study on 5,354 women and 4,081 men 30 to 79 yr of age with ass......The aim of this study was to examine the association between chronic mucus hypersecretion, and FEV1 decline, and subsequent hospitalization from chronic obstructive pulmonary disease (COPD). We used data from The Copenhagen City Heart Study on 5,354 women and 4,081 men 30 to 79 yr of age...

  5. Tissue Doppler echocardiography in persons with hypertension, diabetes, or ischaemic heart disease: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Mogelvang, Rasmus; Sogaard, Peter; Pedersen, Sune A

    2009-01-01

    AIMS: To test the hypothesis that echocardiographic tissue Doppler imaging (TDI) reveals reduced myocardial function in hypertension, diabetes, and ischaemic heart disease (IHD) in the general population. METHODS AND RESULTS: Within a large, community-based population study, cardiac function.......001] compared with controls [n = 533; LD 11.4 (+/-SD 2.0 mm); E/e' 9.0 (x/SD 1.3)]. This pattern remained significant after adjusting for age, sex, body mass index, heart rate, and the results of conventional echocardiography. CONCLUSION: In the general population, persons with hypertension, diabetes, or IHD...

  6. Long-Term Survival after Stroke: 30 Years of Follow-Up in a Cohort, the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Boysen, G.; Marott, J.L.; Gronbaek, M.

    2009-01-01

    died before the end of 2007. The National Register of Causes of Death provided cause of death. Survival in stroke patients was compared with survival in participants in the Copenhagen City Heart Study who did not suffer a stroke, and with survival in the general Danish population. Cox regression...... in the Copenhagen City Heart Study who experienced a first-ever stroke from 1978 to the end of 2001 were followed to the end of 2007. Stroke events were validated using the World Health Organization's definition of stroke. Linkage to the Danish Civil Registration System enabled identification of participants who......-stroke controls. Long-term survival improved steadily over time. Life expectancy after stroke increased up to 4 years from 1978 to the end of 2001, exceeding the increase of life expectancy in the general population. Slightly longer survival was found in women than in men when adjusted for age at stroke onset...

  7. Hip dysplasia and osteoarthrosis: a survey of 4151 subjects from the Osteoarthrosis Substudy of the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig; Søballe, K

    2005-01-01

    Acta Orthop. 2005 Apr;76(2):149-58. Related Articles, Links Hip dysplasia and osteoarthrosis: a survey of 4151 subjects from the Osteoarthrosis Substudy of the Copenhagen City Heart Study. Jacobsen S, Sonne-Holm S, Soballe K, Gebuhr P, Lund B. Department of Orthopaedic Surgery, Copenhagen...... in the general population. The assumption that HD is an etiological factor in the development of hip OA was confirmed. PMID: 16097538 [PubMed - indexed for MEDLINE]...

  8. Social gradient in the metabolic syndrome not explained by psychosocial and behavioural factors: evidence from the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Prescott, Eva; Godtfredsen, Nina; Osler, Merete

    2007-01-01

    BACKGROUND: Psychosocial stressors may mediate the effect of social status on the metabolic syndrome (MS). The paper explores this hypothesis in a random sample of the general population. DESIGN: A total of 3462 women and 2576 men aged 20-97 years from the Copenhagen City Heart Study. METHODS......: An MS index was defined from the seven components: waist-hip ratio, high-density lipoprotein (HDL)-cholesterol, triglycerides, systolic blood pressure (SBP), blood glucose, C-reactive protein (CRP) and fibrinogen. Social status was measured by educational level. Psychosocial factors included fatigue...

  9. Combined analysis of six lipoprotein lipase genetic variants on triglycerides, high-density lipoprotein, and ischemic heart disease: cross-sectional, prospective, and case-control studies from the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Wittrup, HH; Andersen, RV; Tybjærg-Hansen, A

    2006-01-01

    . SETTING: The study was performed in the Danish general population (the Copenhagen City Heart Study). PARTICIPANTS: IHD was angina pectoris or myocardial infarction. MAIN OUTCOME MEASURES: Triglycerides, HDL, and IHD were the main outcome measures. RESULTS: Cross-sectionally, triglycerides varied...

  10. Alcohol consumption and risk of atrial fibrillation in men and women: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Mukamal, Kenneth J; Tolstrup, Janne S; Friberg, Jens

    2005-01-01

    BACKGROUND: The relationship of the full range of alcohol consumption with risk of incident atrial fibrillation has been inconsistent in previous, mainly case-control studies. METHODS AND RESULTS: In a prospective cohort study, we studied the association between self-reported alcohol use...... not attenuate the association (hazard ratio 1.63; 95% CI 1.15 to 2.31). CONCLUSIONS: Heavy alcohol consumption is associated with a higher risk of atrial fibrillation, at least among men. This relationship does not appear to be related to the adverse effects of heavy drinking on coronary heart disease or blood...... nationwide registry of all hospitalizations. A total of 1071 cases occurred during follow-up. Among both women and men, alcohol consumption throughout the moderate range was not associated with risk of atrial fibrillation. However, consumption of 35 or more drinks per week among men was associated...

  11. Long-term prognosis of asthma, chronic obstructive pulmonary disease, and asthma-chronic obstructive pulmonary disease overlap in the Copenhagen City Heart study

    DEFF Research Database (Denmark)

    Lange, Peter; Çolak, Yunus; Ingebrigtsen, Truls Sylvan

    2016-01-01

    focus on individuals with asthma-COPD overlap. METHODS: We assigned participants from the Copenhagen City Heart Study into six subgroups: healthy never-smokers, ever-smokers without asthma and COPD, those with asthma with low cumulated smoking exposure and no airflow limitation, those with COPD, those...... mixed-effects model. FINDINGS: We included 8382 participants from the Copenhagen City Heart Study in our study: 2199 never-smokers, 5435 ever-smokers, 158 with asthma, 320 with COPD, 68 with asthma-COPD overlap with early-onset asthma, and 202 with asthma-COPD overlap with late-onset asthma...

  12. Extreme lipoprotein(a) levels and risk of myocardial infarction in the general population: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Kamstrup, P.R.; Benn, M.; Tybjaerg-Hansen, A.

    2008-01-01

    estimates. METHODS AND RESULTS: We examined 9330 men and women from the general population in the Copenhagen City Heart Study. During 10 years of follow-up, 498 participants developed MI. In women, multifactorially adjusted hazard ratios for MI for elevated lipoprotein(a) levels were 1.1 (95% CI, 0.6 to 1...... bias, and lack of absolute risk estimates in the general population. We tested the hypothesis that extreme lipoprotein(a) levels predict MI in the general population, measuring levels shortly after sampling, correcting for regression dilution bias, and calculating hazard ratios and absolute risk...... observed a stepwise increase in risk of MI with increasing levels of lipoprotein(a), with no evidence of a threshold effect. Extreme lipoprotein(a) levels predict a 3- to 4-fold increase in risk of MI in the general population and absolute 10-year risks of 20% and 35% in high-risk women and men...

  13. Comparison of the impact of atrial fibrillation on the risk of stroke and cardiovascular death in women versus men (The Copenhagen City Heart Study)

    DEFF Research Database (Denmark)

    Friberg, Jens; Scharling, Henrik; Gadsbøll, Niels

    2004-01-01

    The Copenhagen City Heart Study is a population-based cohort study. Using baseline data from 3 cohort examinations (1976 to 1978, 1981 to 1983, and 1991 to 1994), we analyzed the gender-specific effect of atrial fibrillation (AF) on the risk of stroke and cardiovascular death during 5 years...

  14. The relationship of hip joint space to self reported hip pain. A survey of 4.151 subjects of the Copenhagen City Heart Study: the Osteoarthritis Substudy

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig; Søballe, Kjeld;

    2004-01-01

    OBJECTIVES: (1) To evaluate the effect of pelvic orientation on measurements of hip joint space widths (JSW) in cadaver pelvic radiographs, thereby validating the pelvic radiographs of the Copenhagen City Heart Study: The Osteoarthritis Substudy (CCHS III) cohort of 4.152 subjects, and (2) to inv...

  15. Long-term physical activity in leisure time and mortality from coronary heart disease, stroke, respiratory diseases, and cancer. The Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Schnohr, Peter; Lange, Peter; Scharling, Henrik

    2006-01-01

    BACKGROUND: The purpose of this study was to describe the associations between different levels of long-term physical activity in leisure time and subsequent causes of deaths. DESIGN: The Copenhagen City Heart Study is a prospective cardiovascular population study of 19 329 men and women aged 20......-93 in 1976. Physical activity in leisure time was estimated at the examinations in 1976-78 and 1981-83. This analysis consists of 2136 healthy men and 2758 women aged 20-79 years, with unchanged physical activity at the two examinations, and with all covariates included in the multivariate analyses: smoking......, for moderate physical activity 0.71 (0.51, 0.99) and for high 0.56 (0.38, 0.82). For cancer, moderate activity 0.77 (0.61, 0.97) and high activity 0.73 (0.56, 0.95) and for all-cause mortality, moderate 0.78 (0.68, 0.89) and high 0.75 (0.64, 0.87) for both sexes combined. Using Kaplan-Meier plots we calculated...

  16. Long-term physical activity in leisure time and mortality from coronary heart disease, stroke, respiratory diseases, and cancer. The Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Schnohr, Peter; Lange, Peter; Scharling, Henrik

    2006-01-01

    , for moderate physical activity 0.71 (0.51, 0.99) and for high 0.56 (0.38, 0.82). For cancer, moderate activity 0.77 (0.61, 0.97) and high activity 0.73 (0.56, 0.95) and for all-cause mortality, moderate 0.78 (0.68, 0.89) and high 0.75 (0.64, 0.87) for both sexes combined. Using Kaplan-Meier plots we calculated......BACKGROUND: The purpose of this study was to describe the associations between different levels of long-term physical activity in leisure time and subsequent causes of deaths. DESIGN: The Copenhagen City Heart Study is a prospective cardiovascular population study of 19 329 men and women aged 20......-93 in 1976. Physical activity in leisure time was estimated at the examinations in 1976-78 and 1981-83. This analysis consists of 2136 healthy men and 2758 women aged 20-79 years, with unchanged physical activity at the two examinations, and with all covariates included in the multivariate analyses: smoking...

  17. Amount and type of alcohol and periodontitis in the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Kongstad, Johanne; Hvidtfeldt, Ulla Arthur; Grønbaek, Morten

    2008-01-01

    The aim of this study was to study the association between alcohol consumption and periodontitis assessed as clinical attachment loss (CAL) and bleeding on probing (BOP) in a cross-sectional design.......The aim of this study was to study the association between alcohol consumption and periodontitis assessed as clinical attachment loss (CAL) and bleeding on probing (BOP) in a cross-sectional design....

  18. Stroke case fatality in Denmark from 1977 to 1992: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Truelsen, Thomas; Grønbaek, Morten; Schnohr, Peter

    2012-01-01

    Stroke mortality rates have decreased in Denmark but little is known about the reasons for these changes. One possible explanation is decreased case-fatality, and the aim of the present investigation was to study trends in case-fatality for first-ever stroke in a large population-based cohort study...

  19. The relationship between body mass index and periodontitis in the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Kongstad, Johanne; Hvidtfeldt, Ulla A; Grønbaek, Morten

    2009-01-01

    Obesity is hypothesized to involve immunoinflammatory alterations, and the condition has been related to increased susceptibility to periodontitis. The present study analyzed the association between overweight/obesity and periodontitis assessed as clinical attachment loss (AL) and bleeding...

  20. Sex-specific increase in the prevalence of atrial fibrillation (The Copenhagen City Heart Study)

    DEFF Research Database (Denmark)

    Friberg, Jens; Scharling, Henrik; Gadsbøll, Niels

    2003-01-01

    Atrial fibrillation (AF) is the most frequently encountered cardiac arrhythmia. It is a risk factor for stroke and premature death. We studied the temporal changes in the prevalence of AF from 1976 to 1994 in a random population aged 50 to 89 years. The prevalence of AF, diagnosed from electrocar......Atrial fibrillation (AF) is the most frequently encountered cardiac arrhythmia. It is a risk factor for stroke and premature death. We studied the temporal changes in the prevalence of AF from 1976 to 1994 in a random population aged 50 to 89 years. The prevalence of AF, diagnosed from...

  1. Markers of inflammation and hemodynamic measurements in obesity: Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Asferg, Camilla; Asferg, Camilla Lundegaard; Jensen, Jan S

    2009-01-01

    was to investigate the relationship between two markers of inflammation, C-reactive protein (CRP) and fibrinogen, and blood pressure (BP) and other hemodynamic variables in obese subjects. METHODS: From a large cardiovascular study based in the general population, we selected subjects with a body mass index (BMI...

  2. Sex-specific increase in the prevalence of atrial fibrillation (The Copenhagen City Heart Study)

    DEFF Research Database (Denmark)

    Friberg, Jens; Scharling, Henrik; Gadsbøll, Niels;

    2003-01-01

    Atrial fibrillation (AF) is the most frequently encountered cardiac arrhythmia. It is a risk factor for stroke and premature death. We studied the temporal changes in the prevalence of AF from 1976 to 1994 in a random population aged 50 to 89 years. The prevalence of AF, diagnosed from...

  3. Reduced lung function and risk of atrial fibrillation in the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Buch, P; Friberg, J; Scharling, H

    2003-01-01

    Chronic obstructive pulmonary disease has been associated with a high frequency of arrhythmias. Few studies have analysed the role of reduced lung function in predicting atrial fibrillation (AF). The aim of the present study was to investigate the relationship between forced expiratory volume......-80% of predicted compared with FEV1 > or = 80% after adjustment for sex, age, smoking, blood pressure, diabetes and body mass index. The risk of AF hospitalisation was 1.3-times higher for FEV1 between 60-80% and 1.8-times higher for FEV1 or = 80%, when additional adjustment was made...... for education, treatment with diuretics and chest pain at activity. The authors conclude that reduced lung function is an independent predictor for incident atrial fibrillation....

  4. Vital exhaustion as a risk factor for ischaemic heart disease and all-cause mortality in a community sample. A prospective study of 4084 men and 5479 women in the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Prescott, Eva; Holst, Claus; Grønbaek, Morten

    2003-01-01

    for biological, behavioural, and socioeconomic risk factors did not substantially affect the association for IHD but attenuated the association with all-cause mortality. CONCLUSIONS: Measures of fatigue and depression were common symptoms in this population sample and convey increased risk of IHD and of all-cause......BACKGROUND: Vital exhaustion, a psychological measure characterized by fatigue and depressive symptoms, has been suggested to be an independent risk factor for ischaemic heart disease (IHD) but the generality of the phenomenon remains in question. The aim of this study is to describe prevalence...... of these symptoms in a community sample and determine whether they prospectively predict increased risk of IHD and all-cause mortality in men and women. METHODS: The study base was 4084 men and 5479 women aged 20-98 free of IHD examined in 1991-1993 in the Copenhagen City Heart Study. Events were ascertained...

  5. Lung function and risk of fatal and non-fatal stroke. The Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Truelsen, T; Prescott, E; Lange, P;

    2001-01-01

    adjustment for potential confounders: sex, age, smoking, inhalation, body mass index, systolic blood pressure, triglycerides, physical activity in leisure time, education, diabetes mellitus, and antihypertensive treatment. RESULTS: We found an inverse association between FEV1 and risk of first-time stroke....... For each 10% decrease in FEV1 in percentage of expected, the relative risk (RR) increased 1.05 (95% CI : 1.00-1.09, P = 0.03). This represents an approximately 30% higher risk of stroke in the group of people with the lowest lung function as compared to the group with the highest lung function...... function groups. CONCLUSIONS: This study shows that reduced lung function measured in percentage of predicted FEV1 is a predictor of first-time stroke and fatal stroke independent of smoking and inhalation. The high risk of fatal first-ever stroke in the group of people with low lung function may...

  6. Nonfasting cholesterol and triglycerides and association with risk of myocardial infarction and total mortality: the Copenhagen City Heart Study with 31 years of follow-up

    DEFF Research Database (Denmark)

    Langsted, A; Freiberg, J J; Tybjaerg-Hansen, A

    2011-01-01

    and total mortality: the Copenhagen City Heart Study with 31 years of follow-up. J Intern Med 2010; doi: 10.1111/j.1365-2796.2010.02333.x. Objectives. We compared the ability of very high levels of nonfasting cholesterol and triglycerides to predict risk of myocardial infarction and total mortality. Design....... Prospective study from 1976 to 1978 until 2007. Setting. Danish general population. Participants. Randomly selected population of 7581 women and 6391 men, of whom 768 and 1151 developed myocardial infarction and 4398 and 4416 died, respectively. Participation rate was 72%, and follow-up was 100% complete...

  7. Fibrinogen and albumin levels and risk of atrial fibrillation in men and women (the Copenhagen City Heart Study)

    DEFF Research Database (Denmark)

    Mukamal, KJ; Tolstrup, JS; Friberg, J

    2006-01-01

    .47, 95% CI 0.28 to 0.77) but not among men (hazard ratio 1.01, 95% CI 0.56 to 1.84). Additional adjustment for cases of coronary heart disease, congestive heart failure, and stroke that occurred during follow-up did not attenuate these associations. In conclusion, higher levels of fibrinogen and lower...... Heart Study. We measured plasma fibrinogen and serum albumin levels at a study visit from 1991 to 1994. We identified 286 subsequent cases of AF during a mean of 7.5 years of follow-up by a validated nationwide registry of all hospitalizations. The fibrinogen levels at baseline were associated...... with a higher risk of AF, with a multivariate-adjusted hazard ratio for the highest versus lowest quartiles of 1.98 (95% confidence interval [CI] 0.94 to 4.17) among men and 2.14 (95% CI 1.15 to 3.96) among women. The albumin levels were inversely associated with the risk of AF among women (hazard ratio 0...

  8. Fibrinogen and albumin levels and risk of atrial fibrillation in men and women (the Copenhagen City Heart Study)

    DEFF Research Database (Denmark)

    Mukamal, Kenneth Jay; Tolstrup, Janne Schurmann; Friberg, Jens

    2006-01-01

    Cross-sectional and limited prospective evidence has suggested that inflammatory markers may predict for the risk of atrial fibrillation (AF). In a prospective cohort study, we studied the risk of incident AF among 8,870 women and men free of cardiovascular disease enrolled in the Copenhagen City...... levels of albumin were prospectively associated with a higher risk of AF, even accounting for their relation with the risk of cardiovascular disease. These findings support the hypothesis that inflammation contributes to the etiology of AF.......Cross-sectional and limited prospective evidence has suggested that inflammatory markers may predict for the risk of atrial fibrillation (AF). In a prospective cohort study, we studied the risk of incident AF among 8,870 women and men free of cardiovascular disease enrolled in the Copenhagen City...... with a higher risk of AF, with a multivariate-adjusted hazard ratio for the highest versus lowest quartiles of 1.98 (95% confidence interval [CI] 0.94 to 4.17) among men and 2.14 (95% CI 1.15 to 3.96) among women. The albumin levels were inversely associated with the risk of AF among women (hazard ratio 0...

  9. Population blood pressure and low to moderate alcohol intake in an untreated population followed over 20years. Copenhagen City heart study

    DEFF Research Database (Denmark)

    Andersen, Ulla Overgaard; Jensen, Gorm Boje

    2011-01-01

    make out the majority of the population. The Copenhagen City Heart Study is a prospective longitudinal epidemiological study. The untreated study population was followed over 20years. Specially trained technicians using a blinded sphygmomanometer measured BP once with the subject in the sitting......The aim of this study is to evaluate whether a changing population alcohol intake is capable of setting off a shift in the blood pressure distribution in the untreated part of a population. The focus is on subjects with an alcohol intake well below the limits of alcoholism because these subjects...... position. The BP measurement was fully standardised and the measurement method was unchanged throughout the observation period. A questionnaire concerning drinking habits was completed by the participants and double-checked by the technicians. The results were a decreasing population systolic BP...

  10. Trends and determinant factors for population blood pressure with 25 years of follow-up: results from the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Andersen, Ulla Overgaard; Jensen, Gorm B

    2010-01-01

    OBJECTIVE: This study aimed to evaluate within-population trends in population blood pressure (BP) over 25 years and to identify important determinants for a changing population BP. DESIGN: Copenhagen City Heart Study is a prospective longitudinal epidemiological study. The study population (15 508...... checked by the technicians. RESULTS: After an initial increase, population systolic BP (SBP) decreased. All risk factors were tested in the longitudinal model by means of a residual likelihood ratio test. The final model included sex, age and body mass index as significant factors and covariates. Two....... Diastolic BP (DBP) increased to a peak value in survey 3 and hereafter decreased. CONCLUSION: SBP decreased. body mass index, sex and age have an effect on population BP. A decreasing trend in SBP among new entrants is responsible for (part of) the observed decrease in population SBP. The decreasing SBP...

  11. The relationship of hip joint space to self reported hip pain. A survey of 4.151 subjects of the Copenhagen City Heart Study: the Osteoarthritis Substudy

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig; Søballe, Kjeld;

    2004-01-01

    degrees). At each 3 degrees increment an anteroposterior radiograph was recorded. Measurements of JSW were performed. (2) Self reported recurrent pain in or around the hip joint during 12 months prior to baseline examinations, and minimum JSW in pelvic radiographs of the cohort were registered......OBJECTIVES: (1) To evaluate the effect of pelvic orientation on measurements of hip joint space widths (JSW) in cadaver pelvic radiographs, thereby validating the pelvic radiographs of the Copenhagen City Heart Study: The Osteoarthritis Substudy (CCHS III) cohort of 4.152 subjects, and (2......) to investigate the relationship between minimal JSW and self reported hip pain of the cohort. METHODS: (1) Cadaver pelves and proximal femora of one male and one female donor were mounted in holding devices permitting independent rotation (total arc of 42 degrees), and inclination/reclination (total arc of 24...

  12. Resting heart rate is associated with cardiovascular and all-cause mortality after adjusting for inflammatory markers: The Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Jensen, Magnus Thorsten; Marott, Jacob L; Allin, Kristine H

    2012-01-01

    Aims: To investigate the association between resting heart rate (RHR) and markers of chronic low-grade inflammation. Also, to examine whether elevated resting heart rate is independently associated with cardiovascular and all-cause mortality in the general population, or whether elevated RHR...... is merely a marker of chronic low-grade inflammation. Methods and results: A group of 6518 healthy subjects from the the Danish general population were followed for 18 years during which 1924 deaths occurred. Subjects underwent assessment of baseline RHR, conventional cardiovascular risk factors, high...

  13. Jungle in the heart of the city

    Science.gov (United States)

    Kolodziejska, Magdalena; Czerniak-Czyzniak, Marta

    2015-04-01

    Lessons of nature can be an interesting adventure for students if we allow them to actively participate in such activities. Students must engage in educational activities but thanks to them they also better absorb more knowledge and abilities. These types of activities also require proper preparation of the teacher, who should first get to know the area and next prepare a plan for the trip and also define objectives, tasks and issues that confront students. By providing such training for teachers, you can show various methods and forms of work, which allow to use the resources of the local environment. The area of the Vistula River is such an amazing place in Warsaw (capital of Poland). The phenomenon of this place is its wildness in the heart of the city. Fortunately, urbanization has not destroyed its wildness. Teachers are encouraged to use these unique resources in working with students. During the training they receive information and tools that help them to carry out such activities. Outdoor activities give possibility for cross subjects integration that is essential in modern teaching because in this place the content of different subjects complement each other. During these classes students gain not only the theoretical knowledge but also a comprehensive knowledge and intelligently learn the world around us and experience the processes occurring in the natural environment and cultural heritage. Interesting outdoor activities affect the growth of motivation of young people and affect their interest in natural subjects. During outdoor activities they observe the processes and phenomena in the natural place of their occurrence. Such activities can be treated both as providing the general overview for certain topics as well as its deepening. Students during an outdoor activity acquire abilities and improve practical skills. Also important is the ability to pursue educational goals. Observing the environment, students learn the culture of communing with nature

  14. Glycated haemoglobin and the risk of cardiovascular disease, diabetes and all-cause mortality in the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Eskesen, K; Jensen, M T; Galatius, S;

    2013-01-01

    Individuals with diabetes mellitus (DM) have a considerably elevated risk of developing serious health problems including cardiovascular disease (CVD). Long-term elevated levels of blood glucose in nondiabetic individuals may also be associated with increased risk of CVD. The aim of this study...... was to investigate the relationships between glycated haemoglobin A(1c) (HbA(1c) ) and CVD, DM and all-cause mortality....

  15. Morbidity and Mortality in 7,684 Women According to Personal Hair Dye Use: The Copenhagen City Heart Study followed for 37 Years

    Science.gov (United States)

    2016-01-01

    Background Permanent hair dye contains aromatic amines which are carcinogenic, and can cause allergic skin reactions. In the long term personal use of hair dye might therefore influence both morbidity and mortality. Objectives We tested the hypothesis that personal use of hair dye in women is associated with increased morbidity and mortality in the general population. Methods We included 7,684 women from the Copenhagen City Heart Study with information on the use of personal hair dye. We assessed the risk of cancer, skin diseases, other morbidities, and mortality during a median follow-up of 27 years (range 0–37). Results The multivariable adjusted hazard ratio for malignant melanoma in women with versus without personal use of hair dye was 2.07 (95% confidence interval 1.25–3.42). There was no increased risk of other cancer types. For other skin diseases and other major causes of morbidity we found no differences between the two groups, except for a minor excess of digestive diseases and increased risk of Parkinson’s disease among women using hair dye. Finally, we found no difference in all-cause mortality comparing women using personal hair dye or not. After correction for multiple comparisons, none of the results remained significant. However, in sensitivity analysis the excess risk of malignant melanoma remained increased with a hazard ratio of 2.58 (95%CI 1.33–5.03) among users of personal hair dye. Conclusions Personal use of hair dye does not have major influences on morbidity and mortality. Our finding of a 2-fold risk of malignant melanoma in women using hair dye is hypothesis generating. PMID:26986063

  16. Prioritizing action on health inequities in cities: An evaluation of Urban Health Equity Assessment and Response Tool (Urban HEART) in 15 cities from Asia and Africa.

    Science.gov (United States)

    Prasad, Amit; Kano, Megumi; Dagg, Kendra Ann-Masako; Mori, Hanako; Senkoro, Hawa Hamisi; Ardakani, Mohammad Assai; Elfeky, Samar; Good, Suvajee; Engelhardt, Katrin; Ross, Alex; Armada, Francisco

    2015-11-01

    Following the recommendations of the Commission on Social Determinants of Health (2008), the World Health Organization (WHO) developed the Urban Health Equity Assessment and Response Tool (HEART) to support local stakeholders in identifying and planning action on health inequities. The objective of this report is to analyze the experiences of cities in implementing Urban HEART in order to inform how the future development of the tool could support local stakeholders better in addressing health inequities. The study method is documentary analysis from independent evaluations and city implementation reports submitted to WHO. Independent evaluations were conducted in 2011-12 on Urban HEART piloting in 15 cities from seven countries in Asia and Africa: Indonesia, Iran, Kenya, Mongolia, Philippines, Sri Lanka, and Vietnam. Local or national health departments led Urban HEART piloting in 12 of the 15 cities. Other stakeholders commonly engaged included the city council, budget and planning departments, education sector, urban planning department, and the Mayor's office. Ten of the 12 core indicators recommended in Urban HEART were collected by at least 10 of the 15 cities. Improving access to safe water and sanitation was a priority equity-oriented intervention in 12 of the 15 cities, while unemployment was addressed in seven cities. Cities who piloted Urban HEART displayed confidence in its potential by sustaining or scaling up its use within their countries. Engagement of a wider group of stakeholders was more likely to lead to actions for improving health equity. Indicators that were collected were more likely to be acted upon. Quality of data for neighbourhoods within cities was one of the major issues. As local governments and stakeholders around the world gain greater control of decisions regarding their health, Urban HEART could prove to be a valuable tool in helping them pursue the goal of health equity.

  17. Smoking Thickens Heart Wall, Leading to Heart Failure: Study

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_160932.html Smoking Thickens Heart Wall, Leading to Heart Failure: Study ... 13, 2016 TUESDAY, Sept. 13, 2016 (HealthDay News) -- Smoking leads to heart failure by causing thickened heart ...

  18. Methylenetetrahydrofolate reductase polymorphism (C677T), hyperhomocysteinemia, and risk of ischemic cardiovascular disease and venous thromboembolism: prospective and case-control studies from the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Frederiksen, Jeppe; Juul, Klaus; Grande, Peer

    2004-01-01

    ) and 19% in ICD/VTE cases versus controls (P 1.0. Furthermore, MTHFR C677T homozygosity was not associated with increased risk of ICD or VTE in subgroups after stratification...... for sex, age, cholesterol, high-density lipoprotein cholesterol, lipoprotein(a), fibrinogen, triglycerides, body mass index, smoking, diabetes mellitus, hypertension, and factor V Leiden genotype. Finally, in case-control studies odds ratios for ischemic heart disease and ischemic cerebrovascular disease...... in homozygotes versus noncarriers did not differ from 1.0. In conclusion, MTHFR C677T homozygosity with hyperhomocysteinemia is not associated with ICD or VTE; however, ICD/VTE is associated with hyperhomocysteinemia. Therefore, ICD and VTE may cause hyperhomocysteinemia, rather than vice versa....

  19. ST-segment deviation during 24-hour ambulatory electrocardiographic monitoring and exercise stress test in healthy male subjects 51 to 75 years of age: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Vaage-Nilsen, M; Rasmussen, Verner; Sørum, C

    1999-01-01

    discovered ST-segment deviation in asymptomatic healthy persons. METHODS AND RESULTS: The occurrence of ST-segment deviation was studied in a population of 63 clinically healthy male subjects 51 to 75 years of age, with the use of 24-hour Holter monitoring and exercise stress testing. The subjects were...... recruited from the Copenhagen City Heart Study and were without cardiovascular risk factors, chronic diseases, or medication and without cardiovascular events during 5 to 12 years before and 3 to 5 years after admission. The specificity, that is, the probability of displaying a negative test result...

  20. Prediction of type 2 diabetes using simple measures of insulin resistance: combined results from the San Antonio Heart Study, the Mexico City Diabetes Study, and the Insulin Resistance Atherosclerosis Study.

    Science.gov (United States)

    Hanley, Anthony J G; Williams, Ken; Gonzalez, Clicerio; D'Agostino, Ralph B; Wagenknecht, Lynne E; Stern, Michael P; Haffner, Steven M

    2003-02-01

    To determine and formally compare the ability of simple indexes of insulin resistance (IR) to predict type 2 diabetes, we used combined prospective data from the San Antonio Heart Study, the Mexico City Diabetes Study, and the Insulin Resistance Atherosclerosis Study, which include well-characterized cohorts of non-Hispanic white, African-American, Hispanic American, and Mexican subjects with 5-8 years of follow-up. Poisson regression was used to assess the ability of each candidate index to predict incident diabetes at the follow-up examination (343 of 3,574 subjects developed diabetes). The areas under the receiver operator characteristic (AROC) curves for each index were calculated and statistically compared. In pooled analysis, Gutt et al.'s insulin sensitivity index at 0 and 120 min (ISI(0,120)) displayed the largest AROC (78.5%). This index was significantly more predictive (P < 0.0001) than a large group of indexes (including those by Belfiore, Avignon, Katz, and Stumvoll) that had AROC curves between 66 and 74%. These findings were essentially similar both after adjustment for covariates and when analyses were conducted separately by glucose tolerance status and ethnicity/study subgroups. In conclusion, we found substantial differences between published IR indexes in the prediction of diabetes, with ISI(0,120) consistently showing the strongest prediction. This index may reflect other aspects of diabetes pathogenesis in addition to IR, which might explain its strong predictive abilities despite its moderate correlation with direct measures of IR.

  1. Methylenetetrahydrofolate reductase polymorphism (C677T), hyperhomocysteinemia, and risk of ischemic cardiovascular disease and venous thromboembolism: prospective and case-control studies from the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Frederiksen, Jeppe; Juul, Klaus; Grande, Peer

    2004-01-01

    from the general population were followed for 23 years. Second, 2125 whites with ischemic heart disease and 836 whites with ischemic cerebrovascular disease were compared with 7568 controls from the general population. Plasma homocysteine was elevated 25% in homozygotes versus noncarriers (P

  2. Social Studies: Cities in Crisis.

    Science.gov (United States)

    Faulkner, Brenda F.

    This elective quinmester program for grades 10 through 12 focuses upon the study of urban problems. Students analyze city problems taking into consideration ecology, city planning, model cities, and other factors in an attempt to provide creative solutions. The course is arranged into seven sections. Student activities are to: 1) discuss the…

  3. Is the demand-control model still a usefull tool to assess work-related psychosocial risk for ischemic heart disease? Results from 14 year follow up in the Copenhagen City Heart study

    DEFF Research Database (Denmark)

    Netterstrøm, Bo; Kristensen, Tage S; Jensen, Gorm;

    2010-01-01

    To test the usefulness of the Demand-Control Model as predictor for ischemic heart disease (IHD).......To test the usefulness of the Demand-Control Model as predictor for ischemic heart disease (IHD)....

  4. Association of the waist-to-height ratio with cardiovascular risk factors in children and adolescents: The three cities heart study

    Directory of Open Access Journals (Sweden)

    Robespierre C Ribeiro

    2010-01-01

    Full Text Available Objectives: To determine the best anthropometric index in rela-tion to cardiovascular disease risk factors among children and adolescents. Methods: This cross-sectional school-based study was conducted among a random sample of 3179 students, aged 6 to 18 years, in three large cities in Brazil. Results: The prevalence of overweight and obesity was 10% and 5%, respectively. In relation to the students in the lower quartile (Q1 of the distribution of subscapular skinfold, the students in the upper quartile (Q4 presented a 2.0 times higher risk (odds ratio of having elevated total cholesterol levels. Overweight and obese students had a 3.3 times higher risk of having elevated sys-tolic blood pressure, and a 1.9 times higher risk of elevated diastolic blood pressure than other students. The less active students presented a 1.58 times higher risk of having waist-to-height ratio (WHtR above the upper tertile (Q3. WHtR mean values was 0.46 (SE 0.00 presented the largest area under the curve (AUC [0.613 (CI995%:0.578-0.647] for high total cholesterol levels, [0.546 (CI995%: 0.515-0.578] for low HDL-C levels, and [0.614 (CI95%: 0.577-0.651] for high LDL-C levels, while body mass index presented the largest AUC [0.669 (CI95%: 0.64-0.699] for increased diastolic blood pressure followed by the waist circum-ference for increased systolic blood pressure [0.761 (CI95%: 0.735-0.787]. Conclusions: WHtR is considered as a simple and accurate anthropometric parameter that identifies youth with cardiovascular risk factors. In this study, WHtR above 0.44 was indicative of risk factors in children and adolescents. These findings can be applied in future preventive strategies against CVDs, and screening pro-grams.

  5. Vital exhaustion increases the risk of ischemic stroke in women but not in men: results from the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Kornerup, Henriette; Marott, Jacob Louis; Schnohr, Peter;

    2010-01-01

    Several studies have indicated an association between depression and the development of stroke, but few studies have focused on gender differences, although both depression and stroke are more common in women than in men. The aim of the present study was to describe whether vital exhaustion, a me...

  6. The distribution and inter-relationships of radiologic features of osteoarthrosis of the hip. A survey of 4151 subjects of the Copenhagen City Heart Study: the Osteoarthrosis Substudy

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig; Søballe, Kjeld

    2004-01-01

    OBJECTIVE: The aims of this study were to investigate the influence of sex, age and individual physical and occupational factors on the distribution of radiographic features of hip joint osteoarthritis (OA), and to determine the inter-relationships between the primary radiographic OA discriminato...

  7. Urinary albumin excretion in a population based sample of 1011 middle aged non-diabetic subjects. The Copenhagen City Heart Study Group

    DEFF Research Database (Denmark)

    Jensen, J S; Feldt-Rasmussen, B; Borch-Johnsen, K

    1993-01-01

    in the non-diabetic population. Among 1011 30-70-year-old subjects without diabetes mellitus or urinary tract infection, who were invited to participate in a population based epidemiological study, the albumin concentration was measured in an overnight urine sample. The measurement was performed by an ELISA...

  8. Relation of Serum Adiponectin Levels to Number of Traditional Atherosclerotic Risk Factors and All-Cause Mortality and Major Adverse Cardiovascular Events (from the Copenhagen City Heart Study)

    DEFF Research Database (Denmark)

    Lindberg, Soren; Mogelvang, Rasmus; Pedersen, Sune H;

    2013-01-01

    Adiponectin exerts anti-inflammatory and antiatherogenic effects and appears to protect against arteriosclerosis. Accordingly, an association between low concentrations of plasma adiponectin and cardiovascular (CV) disease has been demonstrated in several studies. In contrast, elevated plasma...... or nonfatal myocardial infarction or ischemic stroke (n = 502). High adiponectin was inversely associated with an increasing number of traditional CV risk factors (p...

  9. Body mass, fat-free body mass, and prognosis in patients with chronic obstructive pulmonary disease from a random population sample: findings from the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Vestbo, Jørgen; Prescott, Eva; Almdal, Thomas Peter

    2006-01-01

    Rationale: Low body mass index (BMI) is a marker of poor prognosis in chronic obstructive pulmonary disease (COPD). In the general population the harmful effect of low BMI is due to the deleterious effects of a low fat free mass index (FFMI, fat free mass/weight(2)). Objectives: We explored...... distribution of low FFMI and its association with prognosis in a population based cohort of COPD patients. Methods: We used data on 1,898 COPD patients identified in a population-based epidemiological study in Copenhagen. Fat free mass was measured using bioelectrical impedance analysis. Patients were followed...... the lowest FFMI 10(th) percentile of the general population. BMI and FFMI were significant predictors of mortality, independent of relevant covariates. Being in the lowest FFMI 10(th) percentile of the general population was associated with a hazard ratio of 1.5 (95% confidence interval 1.2-1.8) for overall...

  10. Stress and life dissatisfaction are inversely associated with jogging and other types of physical activity in leisure time--The Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Schnohr, P; Kristensen, T S; Prescott, E

    2005-01-01

    for pooled data. The odds ratios (ORs) are presented as adjusted for sex, age, body mass index, smoking, alcohol consumption, education and income. With increasing physical activity in leisure time, there was a decrease in high level of stress, between sedentary persons and joggers, OR=0.30 (95% confidence......The associations between physical activity in leisure time with special focus on jogging and the level of mental stress and life dissatisfaction were studied in 12 028 randomly selected men and women aged 20-79 years. The associations were similar in men and women; thus, results are given...... interval (CI) from 0.16 to 0.56). With increasing physical activity there was also a decrease in life dissatisfaction, between sedentary persons and joggers, OR=0.30 (95% CI from 0.18 to 0.52). Although there was a dose-response effect between physical activity and psychosocial well-being the most...

  11. Stress and life dissatisfaction are inversely associated with jogging and other types of physical activity in leisure time--The Copenhagen City Heart Study.

    Science.gov (United States)

    Schnohr, P; Kristensen, T S; Prescott, E; Scharling, H

    2005-04-01

    The associations between physical activity in leisure time with special focus on jogging and the level of mental stress and life dissatisfaction were studied in 12 028 randomly selected men and women aged 20-79 years. The associations were similar in men and women; thus, results are given for pooled data. The odds ratios (ORs) are presented as adjusted for sex, age, body mass index, smoking, alcohol consumption, education and income. With increasing physical activity in leisure time, there was a decrease in high level of stress, between sedentary persons and joggers, OR=0.30 (95% confidence interval (CI) from 0.16 to 0.56). With increasing physical activity there was also a decrease in life dissatisfaction, between sedentary persons and joggers, OR=0.30 (95% CI from 0.18 to 0.52). Although there was a dose-response effect between physical activity and psychosocial well-being the most pronounced difference with regard to the level of stress and dissatisfaction was seen between the group with low and the group with moderate physical activity, e.g., 2-4 h of walking per week. In conclusion, we recommend that increased well-being should be a key argument in future campaigns for increased leisure-time physical activity.

  12. Radiographic case definitions and prevalence of osteoarthrosis of the hip: a survey of 4 151 subjects in the Osteoarthritis Substudy of the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig; Søballe, Kjeld

    2004-01-01

    BACKGROUND: The diagnosis of osteoarthrosis (OA) is founded on radiographic evidence of joint degeneration and characteristic subjective symptoms. Due to the lack of consensus radiographic case definitions, the prevalence and incidence of OA reported in the literature varies. The aims of the curr......BACKGROUND: The diagnosis of osteoarthrosis (OA) is founded on radiographic evidence of joint degeneration and characteristic subjective symptoms. Due to the lack of consensus radiographic case definitions, the prevalence and incidence of OA reported in the literature varies. The aims...... of the current study were to establish an accurate and workable radiographic definition of OA in hip joints and to examine the association of OA (thus defined) with self-reported pain. METHODS: Radiographic features of hip OA were classified in pelvic radiographs of 3 807 subjects (1448 males and 2 359 females......: Formation of cysts, osteophytes and subchondral sclerosis was significantly more frequent in men. Average minimum JSW was narrower in women than in men (p life, but progressively more so in women. Women reported hip pain more...

  13. Study on Classification of City Poster

    Institute of Scientific and Technical Information of China (English)

    Zhang Peizhi

    2015-01-01

    This paper takes the city poster design as the research object, analysis of 2007 to 2014 World each main city posters to convey the theme and types. This paper studies on city image poster as samples, the literatures relevant to"literature survey"collec-tion, sorting, and use"content analysis on the classification of samples for method", the 700 sample cluster analysis, to explore the form and pattern of city image poster convey. The main results are:city image poster style can be divided into four types of"cultural diversity transmission type","inner emotional exchange type","sensory impressions spread type","the city appearance display type".

  14. Toronto Heart Attack Collaborative: an administrative model that facilitated a successful city-wide integration initiative.

    Science.gov (United States)

    Young, Justin; McLellan, Barry; Escaf, Marnie; Dzavik, Vladimir; Michaud, Susan; Newton, Janet; Newman, Erone

    2014-01-01

    This article provides a description of the administrative model that enabled a city-wide integration effort between Greater Toronto Area hospitals and Toronto Emergency Medical Services in the care of patients within the city of Toronto with ST elevation myocardial infarction (STEMI). This administrative structure, known as the Toronto Heart Attack Collaborative (THAC), enabled universal 24/7 access to primary percutaneous coronary intervention within Toronto, improving patient efficacy and outcomes. The lessons and administrative enablers from this experience may be useful for regions that are embarking on multi-centre integration efforts. This article presents a five-year perspective on the THAC integration effort.

  15. Ambient air pollution and hospitalization for congestive heart failure among elderly people in seven large US cities; Pollution atmospherique ambiante et hospitalisations pour insuffisance cardiaque congestive chez les personnes agees dans sept grandes villes des Etats-Unis

    Energy Technology Data Exchange (ETDEWEB)

    Morris, R.D.; Naumova, E.N.; Munasinghe, R.L.M.

    2001-01-01

    The aim of this study is the temporal associations between the urban atmospheric pollution, in particular the carbon monoxide, and the hospitalization for congestive heart failure in elderly people, in seven large US cities. (A.L.B.)

  16. CLINICAL STUDY OF HEART DISEASE COMPLICATING PREGNANCY

    Directory of Open Access Journals (Sweden)

    Richa

    2014-07-01

    Full Text Available Introduction-Heart disease complicating pregnancy is considered as a high risk situation. Increased cardiac demands during the course of pregnancy potentially increase morbidity and mortality in women with underlying heart disease. AIM: To determine maternal and fetal outcome in women with heart disease complicating pregnancy, To emphasize on proper protocol for managing pregnancy complicated by heart disease, To correlate the time of booking & NYHA grading with maternal & fetal outcome. Risk of adverse outcome is more in rural population as compared to its urban counterpart. METHOD: A prospective clinical study of 25 cases of pregnancy complicated by heart disease, reporting to tertiary care hospital for delivery, was carried out to find out the incidence and maternal and fetal outcome. RESULTS: The incidence of heart disease in pregnancy in the present study was 0.6%. Most of the women (91% belonged to low socioeconomic class in the rural population. Rheumatic heart lesions constituted 77% of the cases. Mitral stenosis was the commonest lesion in 40% of cases. Ten (40% women delivered spontaneously vaginally at term. Cesarean section was performed in 14 cases (56%. There were 5 maternal deaths. There were no perinatal deaths. CONCLUSION: Early diagnosis of heart disease, regular antenatal check-up, institutional delivery, limiting family size can reduce the maternal and perinatal mortality and morbidity associated with heart disease

  17. Study Abroad and the City: Mapping Urban Identity

    Science.gov (United States)

    Blair, Scott

    2011-01-01

    Study abroad by U.S. students, despite recent growth into non-western and rural destinations, often remains focused on cities, often very large and highly urbanized ones. While the destination cities for study abroad are located across the globe, European cities remain predominant, and thus, this article focuses on study abroad in one city. The…

  18. How to Study the City on Instagram.

    Science.gov (United States)

    Boy, John D; Uitermark, Justus

    2016-01-01

    We introduce Instagram as a data source for use by scholars in urban studies and neighboring disciplines and propose ways to operationalize key concepts in the study of cities. These data can help shed light on segregation, the formation of subcultures, strategies of distinction, and status hierarchies in the city. Drawing on two datasets of geotagged Instagram posts from Amsterdam and Copenhagen collected over a twelve-week period, we present a proof of concept for how to explore and visualize sociospatial patterns and divisions in these two cities. We take advantage of both the social and the geographic aspects of the data, using network analysis to identify distinct groups of users and metrics of unevenness and diversity to identify socio-spatial divisions. We also discuss some of the limitations of these data and methods and suggest ways in which they can complement established quantitative and qualitative approaches in urban scholarship.

  19. How to Study the City on Instagram.

    Directory of Open Access Journals (Sweden)

    John D Boy

    Full Text Available We introduce Instagram as a data source for use by scholars in urban studies and neighboring disciplines and propose ways to operationalize key concepts in the study of cities. These data can help shed light on segregation, the formation of subcultures, strategies of distinction, and status hierarchies in the city. Drawing on two datasets of geotagged Instagram posts from Amsterdam and Copenhagen collected over a twelve-week period, we present a proof of concept for how to explore and visualize sociospatial patterns and divisions in these two cities. We take advantage of both the social and the geographic aspects of the data, using network analysis to identify distinct groups of users and metrics of unevenness and diversity to identify socio-spatial divisions. We also discuss some of the limitations of these data and methods and suggest ways in which they can complement established quantitative and qualitative approaches in urban scholarship.

  20. How to study the city on Instagram

    NARCIS (Netherlands)

    Boy, J.D.; Uitermark, J.

    2016-01-01

    We introduce Instagram as a data source for use by scholars in urban studies and neighboring disciplines and propose ways to operationalize key concepts in the study of cities. These data can help shed light on segregation, the formation of subcultures, strategies of distinction, and status hierarch

  1. How to study the city on instagram

    NARCIS (Netherlands)

    Boy, J.D. (John D.); J.L. Uitermark (Justus)

    2016-01-01

    textabstractWe introduce Instagram as a data source for use by scholars in urban studies and neighboring disciplines and propose ways to operationalize key concepts in the study of cities. These data can help shed light on segregation, the formation of subcultures, strategies of distinction, and sta

  2. Psychosocial risk factors and heart failure hospitalization: a prospective cohort study

    DEFF Research Database (Denmark)

    Rod, Naja Hulvej; Andersen, Ingelise; Prescott, Eva

    2011-01-01

    ,670 participants of the Copenhagen City Heart Study (Denmark) were asked comprehensive questions on major life events, work-related stress, social network, vital exhaustion, and sleep medication and were followed in nationwide registries until 2007, with less than 0.2% loss to follow-up. Almost one...

  3. Climate Change Management Approaches of Cities: A Comparative Study Between Globally Leading and Turkish Metropolitan Cities

    Directory of Open Access Journals (Sweden)

    Solmaz Filiz Karabag

    2011-05-01

    Full Text Available Many studies have focused on climate change policies and action at the national level, but few have studied policies and action at the city level, especially cities in emerging economies. To address this gap, the present study analyzes the management strategies globally leading cities have developed to address climate change and related issues and compares them with the city strategies of one rapidly urbanizing emerging economy, Turkey. In the analysis, the strategic plans of five leading global cities are compared with those of sixteen Turkish cities. While the leading global cities have specific managerial approaches to mitigate climate change, none of the Turkish cities exhibits any comprehensive approach. Furthermore, while leading global cities modify urban services to reduce greenhouse gas (GHG emissions, few Turkish cities adjust any services to address this challenge. Some Turkish cities propose an increased use of renewable energy sources and modification in their transportation system, but the focus in these plans is the current daily needs of their inhabitants. The findings of this study suggest several climate change strategies both for Turkish cities and cities in other developing countries.

  4. Pasadena City College SIGI Project. Research Study.

    Science.gov (United States)

    Risser, John J.; Tulley, John E.

    A research study at Pasadena City College in 1975-76 evaluated a computer based career guidance program, SIGI (System of Interactive Guidance and Information), designed by Educational Testing Service to assist community college students in improving their ability to make career decisions. Students identified as desiring aid in career guidance were…

  5. Leonardo da Vinci's studies of the heart.

    Science.gov (United States)

    Shoja, Mohammadali M; Agutter, Paul S; Loukas, Marios; Benninger, Brion; Shokouhi, Ghaffar; Namdar, Husain; Ghabili, Kamyar; Khalili, Majid; Tubbs, R Shane

    2013-08-20

    Leonardo da Vinci's detailed drawings are justly celebrated; however, less well known are his accounts of the structures and functions of the organs. In this paper, we focus on his illustrations of the heart, his conjectures about heart and blood vessel function, his experiments on model systems to test those conjectures, and his unprecedented conclusions about the way in which the cardiovascular system operates. In particular, da Vinci seems to have been the first to recognize that the heart is a muscle and that systole is the active phase of the pump. He also seems to have understood the functions of the auricles and pulmonary veins, identified the relationship between the cardiac cycle and the pulse, and explained the hemodynamic mechanism of valve opening and closure. He also described anatomical variations and changes in structure and function that occurred with age. We outline da Vinci's varied career and suggest ways in which his personality, experience, skills and intellectual heritage contributed to these advances in understanding. We also consider his influence on later studies in anatomy and physiology.

  6. Observed Prevalence of Congenital Heart Defects From a Surveillance Study in China

    Science.gov (United States)

    Zhang, Yali; Riehle-Colarusso, Tiffany; Correa, Adolfo; Li, Song; Feng, Xinheng; Gindler, Jacqueline; Lin, Hui; Webb, Catherine; Li, Wei; Trines, Jean; Berry, Robert J.; Yeung, Lorraine; Luo, Ying; Jiang, Meifang; Chen, Hua; Sun, Xiamei; Li, Zhu

    2015-01-01

    Objectives The purpose of this study was to estimate the prevalence of major and minor congenital heart defects among fetuses and neonates using sonography in a general population of 4 areas surrounding Shanghai, China. Methods Pregnant women were recruited between April 2004 and December 2005 in Jiaxing City, Suzhou City, Changshu County, and Haining County. All participants could have 3 sonographic examinations performed by specially trained physicians regardless of medical indication: a fetal sonographic screen and fetal echocardiography between 20 and 28 weeks’ gestation and neonatal echocardiography. Diagnoses of congenital heart defects were made on the basis of review of all available scans by an international group of experts in pediatric cardiology. Prevalence rates were calculated per 1000 births. Results Among 4006 scanned fetuses and neonates, there were 75 congenital heart defects, including 12 major defects. The observed prevalence for all congenital heart defects was 18.7 (95% confidence interval, 14.8–23.5) per 1000 births, and the prevalence for major defects was 3.0 (95% confidence interval, 1.6–5.2) per 1000 births. The most common defects were ventricular septal defects (n = 47 [62.7%]), atrial septal defects (n = 14 [18.7%]), tetralogy of Fallot (n = 4 [5.3%]), and hypoplastic left heart syndrome (n = 3 [4.0%]). Conclusions The prevalence of all congenital heart defects in the 4 areas of China studied was higher than that reported in other countries, with ventricular septal defects being the most frequent defects. Our data likely reflect a better estimate of the total prevalence of congenital heart defects in China than reported previously. PMID:21705732

  7. Study on Public Interest in City Planning

    Institute of Scientific and Technical Information of China (English)

    付樯; 周立军

    2014-01-01

    Public interest is the key point of city planning, which has a significant effect on the level of city planning. This paper discussed the public interest in city planning, which is advantageous to improve the level of city planning.%公共利益是城市规划的关键点,对城市规划水平有重要作用。本文探讨了城市规划中的公共利益,有利于城市规划水平的提高。

  8. Study of City Landscape Heritage Using Lidar Data and 3d-City Models

    Science.gov (United States)

    Rubinowicz, P.; Czynska, K.

    2015-04-01

    In contemporary town planning protection of urban landscape is a significant issue. It regards especially those cities, where urban structures are the result of ages of evolution and layering of historical development process. Specific panoramas and other strategic views with historic city dominants can be an important part of the cultural heritage and genius loci. Other hand, protection of such expositions introduces limitations for future based city development. Digital Earth observation techniques creates new possibilities for more accurate urban studies, monitoring of urbanization processes and measuring of city landscape parameters. The paper examines possibilities of application of Lidar data and digital 3D-city models for: a) evaluation of strategic city views, b) mapping landscape absorption limits, and c) determination protection zones, where the urbanization and buildings height should be limited. In reference to this goal, the paper introduces a method of computational analysis of the city landscape called Visual Protection Surface (VPS). The method allows to emulate a virtual surface above the city including protection of a selected strategic views. The surface defines maximum height of buildings in such a way, that no new facility can be seen in any of selected views. The research includes also analyses of the quality of simulations according the form and precision of the input data: airborne Lidar / DSM model and more advanced 3D-city models (incl. semantic of the geometry, like in CityGML format). The outcome can be a support for professional planning of tall building development. Application of VPS method have been prepared by a computer program developed by the authors (C++). Simulations were carried out on an example of the city of Dresden.

  9. STUDY ON THE RELATIONSHIP AMONG THE HEART MERIDIAN,CARDIAC REFERRED PAIN AND THE HEART

    Institute of Scientific and Technical Information of China (English)

    RONGPeijing; ZHUBing

    2002-01-01

    Purpose:The referred pain of the somatic structure,a response of the visceralgia,is often seen in clinic.But ist underlying mechanisms are poorly understood.It is interested that cardiac referred pain ofter appears along the running course of the Heart Meridian(HM),while acupuncture of the acupoints of HM can effectively relieve cardiac pain.In the present study,the neural basis of the relationship among the HM,cardiac referred pain and the heart is investigated by using tri-labeling technique.Methods:Wistar rats are used in the present study.Three fluorescent dyes,fast blue(FB),propidium lodide(PI) and bibenzimide(Bb)are respectively injected into the pericardial sac,the left and right medial-middle band (HM) or lateral sides[rung Meridian(LM),used for control] of the rat forearms.Results:Examination of the sections of the dorsal ganglions shows that more doubly labeled neurons are found in the ipsilateral dorsal root ganglions of C8-T3 nerve segments from HM and the heart,while fewer double-labeled neurons found from LM and the heart.The facts provide direct evidence for existence of dichotomizing fibers of the ganglion neurons.There exists a relative specific connection between the HM and the heart.It also provides a morphological explanation for cardiogenic referred pain and for the specific interrelation between the heart Meridian and the heart of traditional Chinese medicine.

  10. Genome-wide association studies and resting heart rate

    DEFF Research Database (Denmark)

    Oskari Kilpeläinen, Tuomas

    2016-01-01

    Genome-wide association studies (GWASs) have revolutionized the search for genetic variants regulating resting heart rate. In the last 10 years, GWASs have led to the identification of at least 21 novel heart rate loci. These discoveries have provided valuable insights into the mechanisms...... and pathways that regulate heart rate and link heart rate to cardiovascular morbidity and mortality. GWASs capture majority of genetic variation in a population sample by utilizing high-throughput genotyping chips measuring genotypes for up to several millions of SNPs across the genome in thousands...... of individuals. This allows the identification of the strongest heart rate associated signals at genome-wide level. While GWASs provide robust statistical evidence of the association of a given genetic locus with heart rate, they are only the starting point for detailed follow-up studies to locate the causal...

  11. Isolated heart models: cardiovascular system studies and technological advances.

    Science.gov (United States)

    Olejnickova, Veronika; Novakova, Marie; Provaznik, Ivo

    2015-07-01

    Isolated heart model is a relevant tool for cardiovascular system studies. It represents a highly reproducible model for studying broad spectrum of biochemical, physiological, morphological, and pharmaceutical parameters, including analysis of intrinsic heart mechanics, metabolism, and coronary vascular response. Results obtained in this model are under no influence of other organ systems, plasma concentration of hormones or ions and influence of autonomic nervous system. The review describes various isolated heart models, the modes of heart perfusion, and advantages and limitations of various experimental setups. It reports the improvements of perfusion setup according to Langendorff introduced by the authors.

  12. Heart of darkness: a symbolic study Heart of darkness: a symbolic study

    Directory of Open Access Journals (Sweden)

    Reynaldo Gonçalves

    2008-04-01

    Full Text Available In this paper, I intend to conduct a study of the symbolic meaning of Joseph Conrad's Heart of Darkness by isolating and interpreting a net of symbols, which is very deftly manipulated by its author for the creation of a short, but superb, artistic expression of his appraisal of man's option for a tragic existence. In the process of this essay I shall examine the following symbolic elements: setting and characters. I shall endeavor to establish meanings for the river, forest, town, etc. As to characters, I shall concentrate on Kurtz's, but I shall also point out important differences and similarities between his character and those of the savages, of Marlow and of the Intended. I shall use other texts written by Conrad in order to supply further evidence for interpretations offered to elements of Heart of Darkness. In this paper, I intend to conduct a study of the symbolic meaning of Joseph Conrad's Heart of Darkness by isolating and interpreting a net of symbols, which is very deftly manipulated by its author for the creation of a short, but superb, artistic expression of his appraisal of man's option for a tragic existence. In the process of this essay I shall examine the following symbolic elements: setting and characters. I shall endeavor to establish meanings for the river, forest, town, etc. As to characters, I shall concentrate on Kurtz's, but I shall also point out important differences and similarities between his character and those of the savages, of Marlow and of the Intended. I shall use other texts written by Conrad in order to supply further evidence for interpretations offered to elements of Heart of Darkness.

  13. ST-segment deviation during 24-hour ambulatory electrocardiographic monitoring and exercise stress test in healthy male subjects 51 to 75 years of age: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Vaage-Nilsen, M; Rasmussen, Verner; Sørum, C

    1999-01-01

    or descending ST-segment depression of >/=0.15 mV during Holter monitoring or at the exercise test, respectively. Furthermore, the specificity was 0.95 when a horizontal or downsloping ST-segment depression of 0.1 mV was displayed in both the Holter and exercise electrocardiographic recording system......BACKGROUND: Although ST-segment deviation has been evaluated and used during many years both on continuous electrocardiographic Holter monitoring and during exercise stress testing, considerable controversy still remains concerning the prevalence and diagnostic significance of fortuitously...... discovered ST-segment deviation in asymptomatic healthy persons. METHODS AND RESULTS: The occurrence of ST-segment deviation was studied in a population of 63 clinically healthy male subjects 51 to 75 years of age, with the use of 24-hour Holter monitoring and exercise stress testing. The subjects were...

  14. Importance of light smoking and inhalation habits on risk of myocardial infarction and all cause mortality. A 22 year follow up of 12 149 men and women in The Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Prescott, E; Scharling, H; Osler, M

    2002-01-01

    . After adjusting for major cardiovascular risk factors there was a dose-response relation between smoking with and without inhaling and both MI and all cause mortality. Among inhaling smokers significantly increased risks were found in women at a consumption of only 3-5 grams of tobacco per day...... with higher RR found in women than in men. The study emphasises the importance of recognising that even very limited tobacco consumption has detrimental health effects........30)). The RR associated with smoking were significantly higher in women than in men for both MI and all cause mortality. CONCLUSIONS: Smoking as little as 3-5 grams of tobacco per day or not inhaling the smoke was shown to carry a significantly increased risk of developing MI and of all cause mortality...

  15. Associations of heart failure with sleep quality: The rotterdam study

    NARCIS (Netherlands)

    L.A. Zuurbier (Lisette); A.I. Luik (Annemarie); M.J.G. Leening (Maarten); A. Hofman (Albert); R. Freak-Poli (Rosanne); O.H. Franco (Oscar); B.H. Stricker; H.W. Tiemeier (Henning)

    2015-01-01

    textabstractStudy Objectives: The prevalence of sleep disturbances and heart failure increases with age. We aimed to evaluate the associations of incident heart failure and cardiac dysfunction with changes in sleep quality. Methods: This prospective population-based study was conducted in the Rotter

  16. STUDY ON THE RELATIONSHIP AMONG THE HEART MERIDIAN,CARDIAC REFERRED PAIN AND THE HEART

    Institute of Scientific and Technical Information of China (English)

    RONG Peijing; ZHU Bing

    2002-01-01

    @@ Purpose: The referred pain of the somatic structure, a response of the visceralgia, is often seen in clinic. But its underlying mechanisms are poorly understood. It is interested that cardiac referred pain often appears along the running course of the Heart Meridian (HM), while acupuncture of the acupoints of HM can effectively relieve cardiac pain. In the present study, the neural basis of the relationship among the HM, cardiac referred pain and the heart is investigated by using tri-labeling technique.

  17. Strategic Planning Approaches for Creating Resilient Cities: A Case Study on Hangzhou City

    Institute of Scientific and Technical Information of China (English)

    Liu; Dan; Hua; Chen

    2015-01-01

    In the twenty-first century, the population in China will be increasingly urbanized – focusing the sustainability challenge on cities and raising new challenges to address the urban resilience capacity. During the past two decades, China’s urban policies are state institution-directed, growth-oriented, and land-based, imposing unprecedented challenges on sustainability. Strengthening the capacity of cities to manage resilience appears to be a key factor for cities to effectively pursue sustainable development. The aim of this paper is to explore strategic planning approaches for creating resilient cities in China through a study on Hangzhou City in an integrated framework. Firstly, the paper gives a systematic insight into the structure of Hangzhou City. Secondly, the development trajectory of the urban system is analyzed to understand how the past has shaped the present and to get a broader perspective on its evolution. Thirdly, scenario planning is conducted to explore the adaptive capacity of Hangzhou City under different future conditions. At last, having analyzed the past, present, and future of the urban system, the paper discusses the strategies for resilient planning, which helps to identify factors and trends that might enhance or inhabit the adaptability.

  18. Trends in stroke incidence. The Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Truelsen, T; Prescott, E; Grønbaek, M;

    1997-01-01

    at least one of the two first examinations as well as the total cohort including nonresponders. Subjects between 45 and 84 years of age were followed from March 1, 1976 until March 1, 1993. Changes in age-specific stroke incidence were calculated by means of Poisson regression analysis. RESULTS......: For subjects aged 45 to 64 years, no significant trends were observed, with an annual incidence rate ratio of 1.00 (95% confidence interval [CI], 0.97 to 1.03) and 1.04 (95% CI, 0.99 to 1.08) for men and women, respectively. In subjects aged 65 to 84 years a significant decrease in stroke incidence was found...... there has been a decline in incidence of stroke in men and women aged 65 to 84 years that was significant only in men, whereas no changes were found for persons aged 45 to 64 years....

  19. Assessing Landscape Ecological Risk in a Mining City: A Case Study in Liaoyuan City, China

    OpenAIRE

    2015-01-01

    Landscape ecological risk assessment can effectively identify key elements for landscape sustainability, which directly improves human wellbeing. However, previous research has tended to apply risk probability, measured by overlaying landscape metrics to evaluate risk, generally lacking a quantitative assessment of loss and uncertainty of risk. This study, taking Liaoyuan City as a case area, explores landscape ecological risk assessment associated with mining cities, based on probability of ...

  20. Study the relationship between adiponectin and coronary heart disease

    Institute of Scientific and Technical Information of China (English)

    Xue-Hui Yang; Li-Xin Zhao; Yan-Hong Lu; Xiao-Jun Li; Jun Shi

    2015-01-01

    Objective: To study whether adiponectin in serum of patients with coronary heart disease is reduced, and compare with the test results in total cholesterol (TC), Triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), blood glucose (GLU), C-reactive protein (CRP). Method: We selected 80 cases of coronary heart disease patients as the experimental group, 50 healthy subjects as control group. The coronary heart disease group compared with the control group, we know the changes of adiponectin in coronary heart disease group and compared coronary heart disease group with control group in test results of blood lipid, blood glucose, C-reactive protein. Results: Adiponectin in coronary heart disease group was (0.47±0.09) mg/L, which decreased significantly comparing to control group’s level (t=-18.4, P<0.001), HDL-C in coronary heart disease group was (1.24±0.04) mmol/L, which decreased significantly comparing to control group’s level (t=-27.67, P<0.001). The difference was statistically significant (P<0.05). Conclusion: The level’s adiponectin in patients of coronary heart disease dropped, which lead to hypoadiponectinemia, Hypoadiponectinemia may be one of the risk factors of coronary heart disease.

  1. Place of Convergence, Capital of Myth, and City Chasing Sea:A Study on Urban Identity of Lianyungang City

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    As one of the series of studies on the City Master Plan of Lianyungang (2008-2030), the study on the urban identity of Lianyungang City summarizes the context and the theories of urban identity, analyzes the basic components, influential factors, and current situations of urban identity of Lianyungang, clarifies the objectives of shaping the urban identity of the city, and puts forward a series of elements that are important for strengthening the urban identity of the city, such as city brands, city events, and perception spaces, etc. This paper is a synthesis of this study.

  2. [Broader indication for treatment with statins; the 'heart protection study'

    NARCIS (Netherlands)

    Stalenhoef, A.F.H.; Stuyt, P.M.J.

    2002-01-01

    The introduction of statins has been a breakthrough in the treatment of hypercholesterolaemia. Statins are safe and effective in reducing the risk of coronary heart disease in the general population. The 'Heart protection study' has provided evidence for the benefit of statin treatment in much broad

  3. Urban air pollution, study of Mexico City

    Energy Technology Data Exchange (ETDEWEB)

    Bauer, M. [PUE-UNAM (Mexico); Guzman, F. [Inst. Mexicano del Petroleo (Mexico); Navarro, B. [Univ. Autonoma Metropolitana (Mexico)

    1996-12-01

    The Metropolitan Area of Mexico City (MAMC) is an outstanding case of a fast urban development with lagging, and thus insufficient, massive transportation facilities. This has given rise to a distorted transportation system that accounts for most of the air pollution problem of the city and constitutes a drag on economic development. In this paper, we first describe the MAMC geographical conditions, its growth in physical and economic terms, its transportation system, the ensuring air pollution problems together with some of the mitigation actions undertaken. Afterwards the results of a survey of the displacements of individuals within the city and the time spent on these are presented, to then draw some considerations on the negative economic impact it represents. (EG)

  4. City of Chicago Brownfield case study

    Energy Technology Data Exchange (ETDEWEB)

    Gordon, K.J. [City of Chicago, IL (United States). Dept. of Environment; Anderson, S.W.; Albano, J.M. [Black and Veatch Waste Science, Inc., Chicago, IL (United States)

    1995-12-31

    Dealing with complex environmental issues frequently inhibits redevelopment of industrial sites in urban settings. In 1993, the City of Chicago (City) Department of Planning and Development, Department of Buildings, and Mayor`s Office joined the Department of Environment to investigate reuse of former industrial/commercial properties (brownfields) suspected of environmental or industrial contamination. The collective result is the Brownfield Program, a three-pronged initiative: Brownfield Pilot Program, Brownfield Forum, and Brownfield Research. Black and Veatch Waste Science, Inc. (Waste Science) carried the Brownfield Program forward by performing a Phase 1 environmental site assessment for the City on one of five pilot sites. Waste Science subsequently completed a Phase 2 environmental site assessment and Phase 3 site remediation at the site. Waste oil and PCB-contaminated soil was removed.

  5. Characteristics and outcomes for right heart endocarditis: six-year cohort study.

    Science.gov (United States)

    Wang, Tom Kai Ming; Oh, Timothy; Voss, Jamie; Pemberton, James

    2014-07-01

    Right heart endocarditis makes up 5-10% of all infective endocarditis involving valvular, congenital and artificial structures. Given the limited literature in this area, we reviewed the characteristics, management and outcomes of this condition in this retrospective cohort study. Thirty-five patients with right heart endocarditis admitted to Auckland City Hospital during 2005-2010 were followed-up for 3.4+/-2.5 years. In-hospital mortality was 11.4% (4), all occurring in those treated medically (20.0% (4) vs 0.0% (0), P=0.119). Surgical intervention was independently associated with reduced long-term mortality (HR 0.078, 95%CI 0.010-0.609, P=0.015) in multivariate analysis, while concurrent left heart endocarditis predicted both in-hospital mortality (HR 11.0, 95%CI 1.18-102, P=0.027) and long-term mortality (HR 3.20, 95%CI 1.03-9.92, P=0.044). Our study showed that surgical intervention and concomitant left heart endocarditis are positive and negative prognostic factors for outcomes after right heart endocarditis.

  6. The Heart of the City: Continuity and Complexity of an urban design concept

    NARCIS (Netherlands)

    Zuccaro Marchi , L.

    2013-01-01

    The “Heart of the City” theme is proposed by the MARS group as title of the 8th Congrès Internationaux d’Architecture Moderne (CIAM), held in Hoddesdon, England, from the 7th to the 14th of July 1951. Two opposite urban conditions are considered by Sert, President of CIAM, as main issues which the H

  7. Body Cooling Little Help to Kids When Heart Stops: Study

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_163215.html Body Cooling Little Help to Kids When Heart Stops: Study ... 2017 TUESDAY, Jan. 24, 2017 (HealthDay News) -- Body cooling offers no advantage over normal temperature control in ...

  8. Study Ties Alcohol Abuse to Increased Heart Risks

    Science.gov (United States)

    ... medlineplus.gov/news/fullstory_162836.html Study Ties Alcohol Abuse to Increased Heart Risks Association similar to that ... 2009. About 2 percent had been diagnosed with alcohol abuse. The researchers adjusted statistics so they wouldn't ...

  9. Level of education and risk of heart failure: a prospective cohort study with echocardiography evaluation

    DEFF Research Database (Denmark)

    Mogelvang, Rasmus; Heitmann, Merete; Prescott, Eva;

    2011-01-01

    Aims With increasing socioeconomic disparity in cardiovascular risk factors, there is a need to assess the role of socioeconomic factors in chronic heart failure (CHF) and to what extent this is caused by modifiable risk factors. Methods and results In a prospective cohort of 18 616 men and women...... without known myocardial infarction or CHF examined in 1976–78, 1981–83, 1991–94, and 2001–03 in the Copenhagen City Heart Study, we studied the effect of education on CHF incidence. During a median follow-up of 21 years (range 0–31), 2190 participants were admitted to hospital for CHF. Age......-adjusted hazard ratio (HR) for intermediary (8–10 years) and high level of education (>10 years) with low (

  10. Adherence to self-care in patients with heart failure in the HeartCycle study

    Directory of Open Access Journals (Sweden)

    Stut W

    2015-08-01

    Full Text Available Wim Stut,1 Carolyn Deighan,2 John G Cleland,3 Tiny Jaarsma4 1Philips Research Europe, Eindhoven, the Netherlands; 2The Heart Manual Department, NHS Lothian, Edinburgh, UK; 3National Heart and Lung Institute, Royal Brompton and Harefield Hospitals Imperial College, London, UK; 4Department of Social and Welfare studies, Faculty of Health Sciences, Linköping University, Linköping, Sweden Purpose: The purpose of this study was to evaluate a novel online education and coaching program to promote self-care among patients with heart failure. In this program, education and coaching content is automatically tailored to the knowledge and behavior of the patient. Patients and methods: The evaluation of the program took place within the scope of the HeartCycle study. This multi-center, observational study examined the ability of a third generation telehealth system to enhance the management of patients recently (<60 days admitted to the hospital for worsening heart failure or outpatients with persistent New York Heart Association (NYHA Functional Classification III/IV symptoms. Self-reported self-care behavior was assessed at baseline and study-end by means of the 9-item European Heart Failure Self-care Behavior scale. Adherence to daily weighing, blood pressure monitoring, and reporting of symptoms was determined by analyzing the system’s database. Results: Of 123 patients enrolled, the mean age was 66±12 years, 66% were in NYHA III and 79% were men. Self-reported self-care behavior scores (n=101 improved during the study for daily weighing, low-salt diet, physical activity (P<0.001, and fluid restriction (P<0.05. Average adherence (n=120 to measuring weight was 90%±16%, to measuring blood pressure was 89%±17% and to symptom reporting was 66%±32%. Conclusion: Self-reported self-care behavior scores improved significantly during the period of observation, and the objective evidence of adherence to daily weight and blood pressure measurements was

  11. Image based 3D city modeling : Comparative study

    Science.gov (United States)

    Singh, S. P.; Jain, K.; Mandla, V. R.

    2014-06-01

    3D city model is a digital representation of the Earth's surface and it's related objects such as building, tree, vegetation, and some manmade feature belonging to urban area. The demand of 3D city modeling is increasing rapidly for various engineering and non-engineering applications. Generally four main image based approaches were used for virtual 3D city models generation. In first approach, researchers were used Sketch based modeling, second method is Procedural grammar based modeling, third approach is Close range photogrammetry based modeling and fourth approach is mainly based on Computer Vision techniques. SketchUp, CityEngine, Photomodeler and Agisoft Photoscan are the main softwares to represent these approaches respectively. These softwares have different approaches & methods suitable for image based 3D city modeling. Literature study shows that till date, there is no complete such type of comparative study available to create complete 3D city model by using images. This paper gives a comparative assessment of these four image based 3D modeling approaches. This comparative study is mainly based on data acquisition methods, data processing techniques and output 3D model products. For this research work, study area is the campus of civil engineering department, Indian Institute of Technology, Roorkee (India). This 3D campus acts as a prototype for city. This study also explains various governing parameters, factors and work experiences. This research work also gives a brief introduction, strengths and weakness of these four image based techniques. Some personal comment is also given as what can do or what can't do from these softwares. At the last, this study shows; it concluded that, each and every software has some advantages and limitations. Choice of software depends on user requirements of 3D project. For normal visualization project, SketchUp software is a good option. For 3D documentation record, Photomodeler gives good result. For Large city

  12. Assessing Landscape Ecological Risk in a Mining City: A Case Study in Liaoyuan City, China

    Directory of Open Access Journals (Sweden)

    Jian Peng

    2015-06-01

    Full Text Available Landscape ecological risk assessment can effectively identify key elements for landscape sustainability, which directly improves human wellbeing. However, previous research has tended to apply risk probability, measured by overlaying landscape metrics to evaluate risk, generally lacking a quantitative assessment of loss and uncertainty of risk. This study, taking Liaoyuan City as a case area, explores landscape ecological risk assessment associated with mining cities, based on probability of risk and potential ecological loss. The assessment results show landscape ecological risk is lower in highly urbanized areas than those rural areas, suggesting that not only cities but also natural and semi-natural areas contribute to overall landscape-scale ecological risk. Our comparison of potential ecological risk in 58 watersheds in the region shows that ecological loss are moderate or high in the 10 high-risk watersheds. The 35 moderate-risk watersheds contain a large proportion of farmland, and the 13 low-risk watersheds are mainly distributed in flat terrain areas. Our uncertainty analyses result in a close range between simulated and calculated values, suggesting that our model is generally applicable. Our analysis has good potential in the fields of resource development, landscape planning and ecological restoration, and provides a quantitative method for achieving landscape sustainability in a mining city.

  13. Heart rate distribution and predictors of resting heart rate after initiation of beta-blocker treatment in patients with coronary artery disease: REsults of Sympathetic Evaluation And Research of China(RESEARCH) study

    Institute of Scientific and Technical Information of China (English)

    ZHAO Ying-xin; LI Yue-ping; GAO Fei; MA Han-ying; WANG Zhi-jian; HAN Hong-ya; SHEN Hua

    2013-01-01

    Background The importance of heart rate as secondary prevention strategies for patients with coronary artery disease (CAD) is emphasized by multiple guidelines.However,limited information is available on the heart rate distribution and the change patterns of resting heart rate when initiating beta-blocker therapy among Chinese patients with CAD.Methods The REsults of Sympathetic Evaluation And Research of China (RESEARCH) study is a multi-centre,prospective,observational study involving 147 centers in 23 cities across China.All eligible beta-blocker naive patients were prescribed with metroprolol succinate.Initial dosage and target heart rate were selected at the discretion of their physicians in charge according to their usual institutional practice.The heart rate distribution and the change patterns of resting heart rate after initiation of beta-blocker therapy were observed.Results The majority of patients (63.6%) were prescribed with 47.5 mg metroprolol succinate.At baseline,there were only 17.4% of patients whose heart rate was less than 70 beats per minute,and the proportion reached 42.5% and 79.1%,one month and two months after initiation of beta-blockers,respectively.Multivariate linear regression analysis showed that baseline heart rate (B=0.900,SE=0.006,t=141.787,P<0.0001) and the dosage (B=-0.007,SE=0.002,t=-3.242,P=0.001) were independent predictors of resting heart rate 2 months after beta-blocker therapy.Conclusions Resting heart rate is not optimally controlled in a broadly representative cohort of Chinese outpatients with CAD even after initiation of β-blocker therapy,and baseline heart rate and the dosage of beta-blocker are both independent predictors of resting heart rate after β-blocker therapy.

  14. A comparison of mortality rates in three prospective studies from Copenhagen with mortality rates in the central part of the city, and the entire country. Copenhagen Center for Prospective Population Studies

    DEFF Research Database (Denmark)

    Andersen, Lars Bo; Vestbo, Jørgen; Juel, Knud

    1998-01-01

    in the Copenhagen City Heart Study, whereas mortality rates in the Glostrup Population Studies were similar to rates for the whole country. The mortality rates among participants were lower than in the whole sample, and differences existed in relation to region and selection criteria of the cohorts. The Copenhagen...... Male Study, where only employed men were included, showed the lowest mortality rates, and higher rates were found in the study from the central part of the City (the Copenhagen City Heart Study) compared to the study from the suburbs (the Glostrup Population Studies). The difference between mortality...... rates in the cohorts and in Copenhagen City decreased with increasing age. The SMR converged towards 1.00 with increasing observation time. In conclusion, high participation rates were found in all three studies, resulting in SMR values for participants only slightly lower than in the source population...

  15. Prospective studies on diet and coronary heart disease

    NARCIS (Netherlands)

    Oomen, C.M.

    2001-01-01

    In this thesis, the results of prospective studies on fatty acids, B-vitamins and arginine and the occurrence of coronary heart disease have been described. The results presented are mainly based on the Zutphen Elderly Study. In this study of 939 men aged 64-84 years, detailed information was availa

  16. Turkish Heart Study: lipids, lipoproteins, and apolipoproteins.

    Science.gov (United States)

    Mahley, R W; Palaoğlu, K E; Atak, Z; Dawson-Pepin, J; Langlois, A M; Cheung, V; Onat, H; Fulks, P; Mahley, L L; Vakar, F

    1995-04-01

    We examined the plasma lipids, lipoproteins, and selected apolipoproteins in approximately 9,000 men and women from six different regions of Turkey with markedly different diets, ranging from an Aegean coast diet high in olive oil (plasma cholesteryl ester fatty acids enriched in monounsaturated fatty acids) to an inland Anatolian diet high in meat and dairy products (plasma cholesteryl esters enriched in saturated fatty acids). The rural population consuming an olive oil-rich diet had the lowest plasma cholesterol levels (men, 149 mg/dl; women, 150 mg/dl). The urban populations of Istanbul and Adana had higher plasma cholesterol levels (men, 202 and 184 mg/dl, respectively; women, 181 and 190 mg/dl, respectively). Affluent men had the highest cholesterol levels (207 mg/dl). The low density lipoprotein (LDL) cholesterol levels tended to parallel the total cholesterol levels (highest for Istanbul men at 136 mg/dl and lowest for Aegean coast men and women at approximately 100 mg/dl). Strikingly, the Turkish people were found to have very low levels of high density lipoprotein (HDL) cholesterol (HDL-C) (mean values for all six regions: men, 34-38 mg/dl; women, 37-45 mg/dl) and total cholesterol/HDL-C ratios that were high (mean values for all six regions: men, 4.5-5.5; women, 3.9-5.0). The low HDL-C levels appear to be caused, at least in part, by a genetic factor. Triglyceride levels also tended to be high in Turkish men (approximately 120-150 mg/dl) and women (approximately 90-110 mg/dl). Thus, even though the total plasma cholesterol levels are not excessively elevated in comparison to those in other populations, the presence of low HDL-C or low HDL-C coupled with mildly elevated triglyceride levels may represent a significant risk factor for heart disease in the Turkish population. Affluence and higher education were associated with higher cholesterol levels. Lack of physical activity, smoking, and alcohol consumption also tended to be associated with a

  17. Frequency and changes in trends of leading risk factors of coronary heart disease in women in the city of Novi Sad during a 20-year period

    Directory of Open Access Journals (Sweden)

    Rakić Dušica

    2012-01-01

    Full Text Available Backround/Aim. From 1984 to 2004 the city of Novi Sad participated through its Health Center “Novi Sad” in the international Multinational MONItoring of Trends and Determinants in CArdiovascular Disease (MONICA project, as one of the 38 research centers in 21 countries around the world. The aim of this study was to determine frequency and changes of trends in leading risk factors of coronary heart disease (CHD and to analyze the previous trend of movement of coronary event in women in Novi Sad during a 20- year period. Methods. In 2004, the fourth survey within MONICA project was conducted in the city of Novi Sad. The representative sample included 1,041 women between the age of 25 and 74. The prevalence of risk factors in CHD such as smoking, high blood pressure, elevated blood cholesterol, elevated blood glucose and obesity was determined. Also, indicators of risk factors and rates of coronary events in women were compared with the results from MONICA project obtained in previous three screens, as well as with the results from other research centres. χ2-test, linear trend and correlartion coefficient were used in statistical analysis of results obtained. Results. It was observed that during a 20-year period covered by the study, the prevalence of the leading risk factors for the development of CHD in the surveyed women was significantly increasing and in positive correlation with the values of linear trend. Also, the increase of morbidity rates and mortality rates of coronary event were in positive correlation. The decrease was only recorded in the period from 1985-1989 (the implementation of the intervention programme. Conclusion. Upon analysing the increase in prevalence of leading risk factors of CHD and significant increase in the rates of coronary event, we can conclude that health status of women in Novi Sad during a 20-year period was deteriorating.

  18. Thromboembolism and mechanical heart valves : A randomized study revisited

    NARCIS (Netherlands)

    Kuntze, CEE; Blackstone, EH; Ebels, T

    1998-01-01

    Background. This study was designed to revise and substantiate previous inferences, based on short-term follow-up, about differences in the incidence of anticoagulant-related events after heart valve replacement among patients who had been randomly assigned to receive either a Bjork-Shiley, Edwards-

  19. Design of the RELAXin in Acute Heart Failure Study

    NARCIS (Netherlands)

    Ponikowski, Piotr; Metra, Marco; Teerlink, John R.; Unemori, Elaine; Felker, G. Michael; Voors, Adriaan A.; Filippatos, Gerasimos; Greenberg, Barry; Teichman, Sam L.; Severin, Thomas; Mueller-Velten, Guenther; Cotter, Gad; Davison, Beth A.

    2012-01-01

    Background Acute heart failure (AHF) remains a major public health burden with a high prevalence and poor prognosis. Relaxin is a naturally occurring peptide hormone that increases cardiac output, arterial compliance, and renal blood flow during pregnancy. The RELAX-AHF-1 study will evaluate the eff

  20. Urban ergonomics: an ongoing study of city signs and maps.

    Science.gov (United States)

    Alves, Patricia; Arezes, Pedro

    2012-01-01

    The purpose of this study is to assess whether the existing signals in three European cities were developed according usability principles and ergonomic aspects for the citizen. City maps and signals will be tested using efficiency, effectiveness and user's satisfaction criteria. Among the urban areas are the center of Paris-FR, assumed to be well signalized, the historical center of Guimarães-PT and Chorweiler, Cologne-DE, a residential neighborhood of modern urbanism characterized by the extensive use of vegetation, the landscape homogeneity, and, consequently, by the difficult navigation.

  1. Worsening Heart Failure Following Admission for Acute Heart Failure A Pooled Analysis of the PROTECT and RELAX-AHF Studies

    NARCIS (Netherlands)

    Davison, Beth A.; Metra, Marco; Cotter, Gad; Massie, Barry M.; Cleland, John G. F.; Dittrich, Howard C.; Edwards, Christopher; Filippatos, Gerasimos; Givertz, Michael M.; Greenberg, Barry; Ponikowski, Piotr; Voors, Adriaan A.; O'Connor, Christopher M.; Teerlink, John R.

    2015-01-01

    OBJECTIVES These studies conducted analyses to examine patient characteristics and outcomes associated with worsening heart failure (WHF). BACKGROUND WHF during an admission for acute heart failure (AHF) represents treatment failure and is a potential therapeutic target for clinical trials of AHF. M

  2. In-vitro calcification study of polyurethane heart valves.

    Science.gov (United States)

    Boloori Zadeh, Parnian; Corbett, Scott C; Nayeb-Hashemi, Hamid

    2014-02-01

    Tri-leaflet polyurethane heart valves have been considered as a potential candidate in heart valve replacement surgeries. In this study, polyurethane (Angioflex(®)) heart valve prostheses were fabricated using a solvent-casting method to evaluate their calcification resistance. These valves were subjected to accelerated life testing (continuous opening and closing of the leaflets) in a synthetic calcification solution. Results showed that Angioflex(®) could be considered as a potential material for fabricating prosthetic heart valves with possibly a higher calcification resistance compared to tissue valves. In addition, calcification resistance of bisphosphonate-modified Angioflex(®) valves was also evaluated. Bisphosphonates are considered to enhance the calcification resistance of polymers once covalently bonded to the bulk of the material. However, our in-vitro results showed that bisphosphonate-modified Angioflex(®) valves did not improve the calcification resistance of Angioflex(®) compared to its untreated counterparts. The results also showed that cyclic loading of the valves' leaflets resulted in formation of numerous cracks on the calcified surface, which were not present when calcification study did not involve mechanical loading. Further study of these cracks did not result in enough evidence to conclude whether these cracks have penetrated to the polymeric surface.

  3. Pasadena City College SIGI Project Research Design. Pilot Study.

    Science.gov (United States)

    Risser, John J.; Tulley, John E.

    A pilot study evaluation of SIGI (System of Interactive Guidance and Information) at Pasadena City College in 1974-75 tested the effectiveness of an experimental research design for an expanded field test of the system the following year. (SIGI is a computer based career guidance program designed by Educational Testing Service to assist community…

  4. Heart rate awareness in patients with chronic stable heart failure. A multi-center observational study.

    LENUS (Irish Health Repository)

    Moran, D

    2014-08-23

    We assessed adherence to European Society of Cardiology heart rate guidelines (i.e. heart rates less than 70bpm) in patients with chronic stable heart failure. We also investigated the percent of patients on target doses of rate controlling drugs.

  5. Integrated Sustainability Monitoring of 58 EU-Cities : A Study of European Green Capital Award Applicant Cities

    NARCIS (Netherlands)

    Zoeteman, B.C.J.; Van der Zande, M.; Smeets, R.

    2015-01-01

    This paper is the result of a monitoring study of Telos, Tilburg University, the Netherlands, including 58 European Green Capital Award (GCA) applicant cities. Its purpose is to investigate (causes of) differences in sustainability performance between EU cities and possible interlink ages between th

  6. Study on Promotion of City Public Security and Improvement of City Planning

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>1. Problems existing in city publicsecurity The city public security (CPS) refers tothe security guarantee provided and led by governments for the people, property,as well as important lifeline systems of

  7. Consent for Genetic Research in the Framingham Heart Study

    OpenAIRE

    2010-01-01

    Extensive efforts have been aimed at understanding the genetic underpinnings of complex diseases that affect humans. Numerous genome-wide association studies have assessed the association of genes with human disease; including the Framingham Heart Study (FHS), which genotyped 550,000 SNPs in 9,000 participants. The success of such efforts requires high rates of consent by participants, which is dependent on ethical oversight, communications, and trust between research participants and investi...

  8. Engineered heart tissue: a novel tool to study the ischemic changes of the heart in vitro.

    Directory of Open Access Journals (Sweden)

    Rajesh G Katare

    Full Text Available BACKGROUND: Understanding the basic mechanisms and prevention of any disease pattern lies mainly on development of a successful experimental model. Recently, engineered heart tissue (EHT has been demonstrated to be a useful tool in experimental transplantation. Here, we demonstrate a novel function for the spontaneously contracting EHT as an experimental model in studying the acute ischemia-induced changes in vitro. METHODOLOGY/PRINCIPAL FINDINGS: EHT was constructed by mixing cardiomyocytes isolated from the neonatal rats and cultured in a ring-shaped scaffold for five days. This was followed by mechanical stretching of the EHT for another one week under incubation. Fully developed EHT was subjected to hypoxia with 1% O(2 for 6 hours after treating them with cell protective agents such as cyclosporine A (CsA and acetylcholine (ACh. During culture, EHT started to show spontaneous contractions that became more synchronous following mechanical stretching. This was confirmed by the increased expression of gap junctional protein connexin 43 and improved action potential recordings using an optical mapping system after mechanical stretching. When subjected to hypoxia, EHT demonstrated conduction defects, dephosphorylation of connexin-43, and down-regulation of cell survival proteins identical to the adult heart. These effects were inhibited by treating the EHT with cell protective agents. CONCLUSIONS/SIGNIFICANCE: Under hypoxic conditions, the EHT responds similarly to the adult myocardium, thus making EHT a promising material for the study of cardiac functions in vitro.

  9. STUDY OF WASTE IN THE CITY OF ITABUNA-BA

    Directory of Open Access Journals (Sweden)

    Josessira Galy Farias Barreto

    2013-09-01

    Full Text Available In Brazil the expansion of cities eventually endanger the quality of life and the environment, as occurred without adequate urban and environmental planning which contributed to the increased generation of construction waste. With this research we intended to contribute to the analysis of impacts to the environment and quality of life that cause construction waste in city Itabuna. This study consists of a field survey of exploratory and descriptive nature, aimed at identifying areas of irregular deposition and discarded materials for the construction industry as well as scoring alternatives to minimize the impacts resulting from irregular depositions. It was found that although the recycling of construction and demolition waste are a favorable solution to mitigate environmental impacts due to irregular depositions in the city, there is a need to highlight the importance of education, in order to clarify and teach the public how deal with RCD's about the generation, deposition, transport and disposal, making a structured and efficient within the actions of the government, for change of habit and culture in the city of Itabuna regarding these types of waste and its implications.

  10. Coronary heart disease clinical manifestation and risk factors in Japanese immigrants and their descendents in the city of São Paulo

    Directory of Open Access Journals (Sweden)

    Amato Reynaldo Vicente

    2003-01-01

    Full Text Available OBJECTIVE: To assess whether a difference exists in coronary heart disease clinical manifestations and the prevalence of risk factors between Japanese immigrants and their descendents in the city of São Paulo. METHODS: Retrospective analysis of coronary artery disease clinical manifestations and the prevalence of risk factors, comparing 128 Japanese immigrants (Japanese group with 304 Japanese descendents (Nisei group. RESULTS: The initial manifestation of the disease was earlier in the Nisei group (mean = 53 years, a difference of 12 years when compared with that in the Japanese group (mean = 65 years (P<0.001. Myocardial infarction was the first manifestation in both groups (P = 0.83. The following parameters were independently associated with early coronary events: smoking (OR = 2.25; 95% CI = 1.35-3.77; P<0.002; Nisei group (OR = 10.22; 95% CI = 5.64-18.5; P<0.001; and female sex (OR = 5.04; 95% CI = 2.66-9.52; P<0.001. CONCLUSION: The clinical presentation of coronary heart disease in the Japanese and their descendents in the city of São Paulo was similar, but coronary heart disease onset occurred approximately 12 years earlier in the Nisei group than in the Japanese group.

  11. Studies of Genes Involved in Congenital Heart Disease

    Directory of Open Access Journals (Sweden)

    Tushar K. Ghosh

    2014-05-01

    Full Text Available Congenital heart disease (CHD affects the intricate structure and function of the heart and is one of the leading causes of death in newborns. The genetic basis of CHD is beginning to emerge. Our laboratory has been engaged in identifying mutations in genes linked to CHD both in families and in sporadic cases. Over the last two decades, we have employed linkage analysis, targeted gene sequencing and genome wide association studies to identify genes involved in CHDs. Cardiac specific genes that encode transcription factors and sarcomeric proteins have been identified and linked to CHD. Functional analysis of the relevant mutant proteins has established the molecular mechanisms of CHDs in our studies.

  12. STUDY OF AQUATIC ANGIOSPERMIC PLANTS OF ANAND CITY, GUJARAT, INDIA

    Directory of Open Access Journals (Sweden)

    K. R. PATEL1 AND N. K. PATEL2

    2014-06-01

    Full Text Available The present study deals with the taxonomic study of Aquatic Angiosperms growing throughout the Anand city. The plants are listed along with their brief taxonomic account of each species with current nomenclature, vernacular name, family and uses. The  collected plants are systematically observed during present work, During my study I observed various aquatic angiospermic plants such as   Ceratophyllum demersum, Colocasia esculenta, Eichhornia crassipes, Ipomoea aquatica, Nymphoides indicum, Ludwigia repens, Polygonum orientale, Typha elephantina, Lemna perpusilla, Spirodella polyrrhiza, Xanthium indicum, Phyllanthus reticulatus, Cynodon dactylon, Hydrilla verticillata were very common. Whereas Nymphaea nouchali, Polygonum barbatum, Scirpus articulatus were very rare in the study area.

  13. Place Marketing. Cluj-Napoca City Case Study

    Directory of Open Access Journals (Sweden)

    Dan Tudor LAZĂR

    2007-06-01

    Full Text Available Recently, places have become like businesses. Forces such as globalization and the new 21st century technology lead to the mobility of the resources. In this newly created situation places found themselves in a position of competing with each other. In order to face this competition places incorporate new concepts such as “marketing” into their development strategies. Concepts such as ‘place competition’, ‘distinguish and competitive advantages of the place’, ‘the brand of the place’ and ‘co-branding’ are key aspects discussed in this paper regarding the case of Cluj-Napoca. In this study we focus on elaborating this key aspects of place marketing from the citizens’ perception. We asked the citizens about their perception concerning: the most representative city brands, the importance of these brands in promoting the city’s image, the differences between their city and others and their perception towards the existence of place competition.

  14. Zero emission city. Preliminary study; Null-Emissions-Stadt. Sondierungsstudie

    Energy Technology Data Exchange (ETDEWEB)

    Diefenbach, N.; Enseling, A.; Werner, P.; Flade, A.; Greiff, R.; Hennings, D.; Muehlich, E.; Wullkopf, U.; Sturm, P.; Kieslich, W.; Born, R.; Grossklos, M.; Hatteh, R.; Mueller, K.; Ratschow, A.; Valouch-Fornoff, C.

    2002-10-01

    The idea of a 'zero emission city' is investigated by the Institut Wohnen und Umwelt on behalf of the Federal Minister of Education and Research. After describing the current situation and defining the key parameters of a 'zero emission city', settlement structures, power supply, production processes and transportation are analyzed and linked with the communal action level to obtain a framework for research, activities and actions. The study ends with recommendations for a research programme 'zero emission city'. (orig.) [German] Die von den Staedten der Industrielaender ausgehenden Emissionen stellen im Hinblick auf die globalen Belastungen wie z.B. Treibhauseffekt, Ozonabbau und Versauerung das Hauptproblem dar. Aus diesem Grunde bietet es sich an, den Gedanken der 'Null-Emissions-Stadt', der Vision einer moeglichst emissionsfreien Stadt, aufzugreifen und auf seine Tragfaehigkeit fuer innovative Handlungsmodelle forschungsstrategisch zu ueberpruefen. Das Bundesministerium fuer Bildung und Forschung hat das Institut Wohnen und Umwelt beauftragt, in einer Sondierungsstudie dieser Fragestellung nachzugehen. Nach der Festlegung der Ausgangsbedingungen und Eckpunkte der Vision 'Null-Emissions-Stadt' und der Analyse der vier Handlungsfelder Siedlungsstrukturen, Energieversorgung, Produktionsprozesse (Kreislaufwirtschaft) und Verkehr werden diese aufgegriffen und mit der kommunalen Handlungsebene verknuepft und zu einem Forschungs-, Handlungs- und moeglichen Aktionsrahmen zusammengefuegt. Die Studie schliesst mit Hinweisen fuer die Gestaltung eines Forschungsprogramms 'Null-Emissions-Stadt'. (orig.)

  15. Developing Carbon Budgets for Cities: Phoenix as a Case Study

    Science.gov (United States)

    McHale, M. R.; Baker, L. A.; Koerner, B. A.; Grimm, N. B.

    2008-12-01

    Studies have shown that cities can alter regional carbon dynamics through changing ecosystem productivity, overall carbon cycling rate, and total carbon storage in vegetation and soils. Furthermore, people in urban regions import a large amount of carbon in food and fuel, as well as release an exceptional amount of CO2 into the atmosphere. Numerous studies have attempted to quantify some sources and sinks of carbon in urban areas, although a complete carbon budget for a city that accounts for total inputs, outputs, and storage within the ecosystem has yet to be fully accomplished. One challenge is associated with attaining the data necessary to accurately account for all carbon dynamics in these heterogeneous and complex ecosystems. Our goal was to estimate a budget for the Phoenix metropolitan area while developing methodology to calculate carbon dynamics in urban systems that can be applied to cities across the US. Only with comparable carbon budgets for multiple cities will we finally begin to understand the influence of urbanization on carbon dynamics. Our analysis shows when calculating certain variables like transportation emissions, results can vary radically (up to 250%) depending on the data source and methodology implemented (i.e. bottom-up vs. top-down). A common assumption is that productivity and carbon storage will increase with urbanization in arid systems due to water and nutrient inputs, as well as changes in vegetation structure; however, our results indicated that this may not actually be the case in Phoenix where a large number of residents design landscapes to conserve water. Even if all urban expansion was dedicated to landscapes designed for carbon sequestration and storage, vegetation and soils will unlikely have a large effect on the C budget without significant changes in transportation and lifestyle choices.

  16. Early complications of stenting in patients with congenital heart disease : a multicentre study

    NARCIS (Netherlands)

    van Gameren, Menno; Witsenburg, Maarten; Takkenberg, Johanna J. M.; Boshoff, Derize; Mertens, Luc; van Oort, Anton M.; de Wolf, DanieL; Freund, Matthias; Sreeram, Narayanswani; Bokenkamp, Regina; Talsma, Melle D.; Gewillig, Marc

    2006-01-01

    Aims Stenting has become an established interventional cardiology procedure for congenital heart disease. Although most stent procedures are completed successfully, complications may occur. This multicentre study evaluated early complications after stenting in patients with congenital heart disease,

  17. Using Aerial Photography to Study Mexico City: The El Caballito

    Directory of Open Access Journals (Sweden)

    Lourdes Roca

    2015-03-01

    Full Text Available This article describes potential lines of research using aerial photographs, focusing particularly on the study of urban areas. The specific case considered is that of Mexico City. After presenting an overview of aerial photography in Mexico, we review the potential of this type of record as a primary source for research. The visual corpus analyzed is composed of about 30 aerial photographs taken between 1932 and 1978. They portray the urban space that is our object of investigation: a downtown intersection in Mexico City, known as el crucero de El Caballito (“the little horse intersection” because an equestrian statue of Carlos IV stood there for nearly 150 years. We examine the collection of photographs taken at this site in order to demonstrate the methodological implications of working with aerial photographs of cities. The backdrop to this proposal is work on documentation, cataloguing and dissemination undertaken at the Laboratorio Audiovisual de Investigación Social (Audiovisual Laboratory for Social Research at the Instituto Mora.

  18. Charting a roadmap for heart failure biomarker studies.

    Science.gov (United States)

    Ahmad, Tariq; Fiuzat, Mona; Pencina, Michael J; Geller, Nancy L; Zannad, Faiez; Cleland, John G F; Snider, James V; Blankenberg, Stephan; Adams, Kirkwood F; Redberg, Rita F; Kim, Jae B; Mascette, Alice; Mentz, Robert J; O'Connor, Christopher M; Felker, G Michael; Januzzi, James L

    2014-10-01

    Heart failure is a syndrome with a pathophysiological basis that can be traced to dysfunction in several interconnected molecular pathways. Identification of biomarkers of heart failure that allow measurement of the disease on a molecular level has resulted in enthusiasm for their use in prognostication and selection of appropriate therapies. However, despite considerable amounts of information available on numerous biomarkers, inconsistent research methodologies and lack of clinical correlations have made bench-to-bedside translations rare and left the literature with countless publications of varied quality. There is a need for a systematic and collaborative approach aimed at definitively studying the clinical benefits of novel biomarkers. In this review, on the basis of input from academia, industry, and governmental agencies, we propose a systematized approach based on adherence to specific quality measures for studies looking to augment current prediction model or use biomarkers to tailor therapeutics. We suggest that study quality, rather than results, should determine publication and propose a system for grading biomarker studies. We outline the need for collaboration between clinical investigators and statisticians to introduce more advanced statistical methodologies into the field of biomarkers that would allow for data from a large number of variables to be distilled into clinically actionable information. Lastly, we propose the creation of a heart failure biomarker consortium that would allow for a comprehensive list of biomarkers to be concomitantly analyzed in a pooled sample of randomized clinical trials and hypotheses to be generated for testing in biomarker-guided trials. Such a consortium could collaborate in sharing samples to identify biomarkers, undertake meta-analyses on completed trials, and spearhead clinical trials to test the clinical utility of new biomarkers.

  19. Providing a Model for Measuring the Sustainable Development in Cities (Case Study: Mashhad city

    Directory of Open Access Journals (Sweden)

    Shadi Javaher Ghalam

    2013-10-01

    Full Text Available This applied study collects descriptive information by Delphi survey method as well as investigating in the field of significant correlation or lack of correlation of main hypotheses which have also the sub-hypotheses. The Main hypothesis is to have a significant correlation between the indicators of urbanization in Mashhad city and the sustainable development. Statistical sampling is done randomly and by using Cochran's formula. In this study, Kolmogorov and Smirnov test has been used in order to determine significant correlation between the independent and dependent variables and also the sub-hypotheses test by Pearson correlation coefficient method has been used. Moreover, in this study the factor analysis based on new and advanced method of structural equation (Partial Least Squares PLS has been used in order to analyze and investigate the important coefficients and factors, estimate the coefficients of independent variables and even determine the effectiveness of each of the independent variables on each other. As a result of this research a significant correlation between the urbanization indicators and sustainable development is calculated and finally the suggestions are provided in order to continue and develop this study.

  20. Comparative study on cerebral injury after open heart surgery in patients with congenital and rheumatic heart disease

    Institute of Scientific and Technical Information of China (English)

    WANG Yong; XIAO Ying-bin; CHEN Lin; ZHONG Qian-jin; WANG Xue-feng

    2005-01-01

    Objective: To comparatively study the different effects of open heart surgery on brain tissues of patients with congenital and rheumatic heart disease. Methods: Forty patients with congenital heart disease (CHD, CHD group, n=20) or rheumatic heart disease (RHD, RHD group, n=20) underwent on-pump (cardiopulmonary bypass, CPB) heart-beating open heart surgery. Blood samples before CPB, and 20 minutes, 1 hour, 24 hours and 7 days after CPB were collected, and the levels of neuron-specific enolase (NSE) and protein S-100b in the plasma were determined with enzyme-linked immunoadsorbent assay (ELISA), respectively. All the patients were examined with electroencephalogram (EEG) before and 1 week after operation. The changes of NSE, S-100b and EEG compared to verify the difference of postoperative cerebral injury between CHD cases and RHD cases. Results: The plasma level of S-100b increased significantly 20 minutes after CPB and was still higher than the preoperative level at 24 hours after operation in both groups (P<0.01). The plasma level of NSE increased more significantly in the CHD group than in the RHD group 20 minutes after CPB and it returned to the normal level 24 hours after CPB in the CHD group but remained at a high level in the RHD group (P<0.01). The levels of NSE and S-100b returned to the normal levels on the 7th day after CPB. Abnormal EEG was found in 75% of the patients in the CHD group and 60% in the RHD group. Conclusions: On-pump heart-beating open heart surgery can cause certain cerebral injury in the patients with CHD or RHD. The injury was more severe and recovered more quickly in the CHD group than in the RHD group.

  1. A Pathological Study of the Epidemiology of Atherosclerosis in Mexico City

    Directory of Open Access Journals (Sweden)

    Joel Rodríguez-Saldaña

    2014-01-01

    Full Text Available Objective. To examine the frequency and patterns of association of cardiovascular risk factors with atherosclerosis in five different arterial territories at post-mortem in Mexico City. Methods. We obtained five arterial territories arteries (circle of Willis, coronary, carotid, renal, and aorta of 185 men and women 0 to 90 years of age who underwent autopsy at the Medical Forensic Service of Mexico City. We determined the prevalence and extent of atherosclerotic lesions by histopathology according to the classification of the American Heart Association as early (types I–III and advanced (types IV–VI, and according to the degree of stenosis and correlated with cardiovascular risk factors. Results. Atherosclerotic lesions were identified in at least one arterial territory in 181 subjects (97.8%, with involvement of two ore more territories in 178 subjects (92.2%. Advanced lesions were observed in 36% and 67% of subjects under 15 and between 16 and 35 years, respectively. Any degree of atherosclerosis was associated with the presence of diabetes mellitus, hypertension, overweight, obesity, and smoking, and to a greater extent with the presence of two or more risk factors (P<0.001. However, emerging and advanced athersoclerosis was observed in 53% and 20% people with no risk factors. Conclusions. The study shows a high prevalence of atherosclerosis in all age groups and both sexes. There is considerable development of atherosclerotic disease in subjects without known risk factors.

  2. Lifestyle modification with diet and exercise in obese patients with heart failure - A pilot study

    Science.gov (United States)

    There is a paucity of data regarding intentional weight loss in obese heart failure patients. This study sought to ascertain the safety and effectiveness of a lifestyle modification program in patients with systolic heart failure and metabolic syndrome. Patients (n=20) with systolic heart failure (e...

  3. Cities, Towns and Villages, Published in 2010, 1:12000 (1in=1000ft) scale, Heart of Georgia Altamaha RC.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Cities, Towns and Villages dataset, published at 1:12000 (1in=1000ft) scale, was produced all or in part from Published Reports/Deeds information as of 2010....

  4. A Study of Eimeria Species in Sheep in Mosul City

    Directory of Open Access Journals (Sweden)

    M. H. Hasan

    2012-01-01

    Full Text Available The study was conducted to diagnose and study species of Eimeria in sheep in Mosul city from beginning of September2009 to end May 2010, as well as to determine the percentage and intensity of infection of Eimeria species. Five hundredfecal samples of sheep with different ages were collected from different areas of the Mosul city. The results showed that totalpercentage of Emeria infection was 63.6%. The variations in percentage of infection were recorded according to month ofstudy. Highest percentage was recorded in March being 89.2% and the lowest in September 25.9%. The species E. ovinarecorded the highest infection rate 86.7%, while the species E. granulosa represented lowest infection rate 10%. Moreover theintensity of infection was higher in young ages and lower in adult. The results were detected that indoor sheep infection withhigh parasitic infection 69.9% whereas outdoor animals have an infection rate 25.3%. The morphological characters of oocystswere varied according to species of Eimeria has been studied. Fifty of intestinal and abomasal samples from both slaughteredin shops butchery in Mosul city and dead animals were examined to detect Eimeria infection, and results show that infectionpercentage was 56.4% in intestine of slaughtered animals and 36.3% in dead animal. Moreover no infection of Eimeria weredetected in abomasums in both slaughtered and dead animals. The oocysts of (E. parva, E.pallida and E. ovinoidalis detectedat more than 5000 oocysts per gram of intestinal contents. The intestinal secraping stained with Giemsa stain reveals thepresence of different developmental stages of parasites in wall of intestine. The histopathological sections of intestine revealedthe different pathological changes concerning of Eimeria infection.

  5. Study on Global Warming and Fuel Conservation in Surat City

    Directory of Open Access Journals (Sweden)

    Neha Bansal, Hormaz Garda, Ghanshyam Padmani

    2010-06-01

    Full Text Available The study reveals that though middle and upper middle class of people in Surat city are aware of global warming, contributory reasons and containment measures, yet remain insensitive in terms of practices. The paper points to the need to increase their collective consciousness and responsiveness to this issue through intense awareness campaigns and rallies to promote measures as pooling of vehicles, cycling, hybrid cars and efficient rapid public transport systems through institution of measures at individual, community and government levels to ameliorate hindrances to the adoption of environment friendly practices as reported in the observations.

  6. Anthropological Approaches to the Study of Housing Areas: Lessons from Oaxaca City, Mexico.

    Science.gov (United States)

    Murphy, Arthur D.

    The anthropological study of the city's role in the evolution of human systems requires the use of both macro and micro levels of analysis. From the macro perspective, the city is viewed as part of a wider complex society, while from the micro point of view, the city provides the context for understanding specific human institutions or processes…

  7. Study on Visualization of Virtual City Model Based on Internet

    Institute of Scientific and Technical Information of China (English)

    JIN Baoxuan; BIAN Fuling; ZUO Xiaoqing; WANG Fangxiong

    2005-01-01

    With the rapid development of computer graphics, distributed-computing and Internet, it is possible to achieve Internet-based virtual city.This paper dwells on the method of the terrain and its feature modeling and complex entity modeling in the virtual city.Then, discusses the method for Internet-based virtual city 3D visualization and the design of the Browser/Server architecture of the system of virtual city in the network environment.Finally, Java and Java 3D are used to show an experiment example, and the related conclusion about Internet-based virtual city 3D displaying and the client-side interactive operation is given.

  8. Building Collaborative Health Promotion Partnerships: The Jackson Heart Study

    Directory of Open Access Journals (Sweden)

    Clifton C. Addison

    2015-12-01

    Full Text Available Building Collaborative Health Promotion Partnerships: The Jackson Heart Study. Background: Building a collaborative health promotion partnership that effectively employs principles of community-based participatory research (CBPR involves many dimensions. To ensure that changes would be long-lasting, it is imperative that partnerships be configured to include groups of diverse community representatives who can develop a vision for long-term change. This project sought to enumerate processes used by the Jackson Heart Study (JHS Community Outreach Center (CORC to create strong, viable partnerships that produce lasting change. Methods: JHS CORC joined with community representatives to initiate programs that evolved into comprehensive strategies for addressing health disparities and the high prevalence of cardiovascular disease (CVD. This collaboration was made possible by first promoting an understanding of the need for combined effort, the desire to interact with other community partners, and the vision to establish an effective governance structure. Results: The partnership between JHS CORC and the community has empowered and inspired community members to provide leadership to other health promotion projects. Conclusion: Academic institutions must reach out to local community groups and together address local health issues that affect the community. When a community understands the need for change to respond to negative health conditions, formalizing this type of collaboration is a step in the right direction.

  9. Implementation Of The Local Minimum Wage In Malang City (A Case Study in Malang City 2014

    Directory of Open Access Journals (Sweden)

    Dhea Candra Dewi Candra Dewi

    2015-04-01

    Full Text Available Wage system in a framework of how wages set and defined in order to improve the welfare of worker. The Indonesian government attempt to set a minimum wage in accordance with the eligibility standard of living. The study intend to analize the policy of Local Minimum Wage in Malang City in 2014, its implementation and constraining factors of those Local Minimum Wages. The research uses interactive model analysis as introduced by Miles and Hubermann [6] that consist of data collection, data reduction, data display, and conclusion. Constraining factors seen at the respond given by relevant actors to the policy such as employer organizations, worker unions, wage councils, and local government. Firstly, company as employer organization does not use wage scale system as suggested by the policy. Secondly, lack of communication forum between company and worker union sounds very high. Thirdly, inability of small and big companies to pay minimum standard wages. Lastly, disagreement and different opinion about wage scale applied between local wage council, employer organization and workers union that often occurs in tripartite communication forum.     Keywords: Employers Organization, Local Minimum Wage, Local Wage Council, Policy Implementation, Tripartite Communication forum, Workers Union.

  10. Living with an unfixable heart: a qualitative study exploring the experience of living with advanced heart failure.

    LENUS (Irish Health Repository)

    Ryan, Marie

    2012-02-01

    BACKGROUND: Nurses working with patients with advanced heart failure need knowledge that will help us to help patients cope with their situations of chronic illness. However, our knowledge bank is deficient due to the scarcity of inquiry that takes the affected person\\'s point of view as its central focus. AIM: The aim of this study was to describe patients\\' experiences of living with advanced heart failure. METHODS: The study sample (N=9) consisted of male (N=6) and female (N=3) patients with advanced (NYHA classes III-IV) heart failure. The design was qualitative and open unstructured interviews were audio-taped and transcribed verbatim during 2006. RESULTS: Four main themes emerged: Living in the Shadow of Fear; Running on Empty; Living a Restricted life; and Battling the System. The experience of living with advanced heart failure was described as a fearful and tired sort of living characterised by escalating impotence and dependence. CONCLUSIONS: The findings suggest that there may be an illogical but enduring ethos of \\'cure\\' pervading health care worker\\'s attitudes to advanced heart failure care. This mindset might be working to hinder the application of additional or alternative therapies, which might better palliate the physical and psychosocial distress of patients.

  11. Spatial registration of echocardiographic and positron emission tomographic heart studies

    Energy Technology Data Exchange (ETDEWEB)

    Savi, A. [INB CNR, Inst. H.S. Raffaele, Univ. of Milan (Italy); Gilardi, M.C. [INB CNR, Inst. H.S. Raffaele, Univ. of Milan (Italy); Rizzo, G. [INB CNR, Inst. H.S. Raffaele, Univ. of Milan (Italy); Pepi, M. [Centro Cardiologico, Fondazione I. Monzino, Milan (Italy); Landoni, C. [INB CNR, Inst. H.S. Raffaele, Univ. of Milan (Italy); Rossetti, C. [INB CNR, Inst. H.S. Raffaele, Univ. of Milan (Italy); Lucignani, G. [INB CNR, Inst. H.S. Raffaele, Univ. of Milan (Italy); Bartorelli, A. [Centro Cardiologico, Fondazione I. Monzino, Milan (Italy); Fazio, F. [INB CNR, Inst. H.S. Raffaele, Univ. of Milan (Italy)

    1995-03-01

    A method has been developed to match corresponding heart regions from functional echocardiographic (Echo) and metabolic fluorine-18-fluoro-2-deoxy-D-glucose ([18F]FDG) positron emission tomography (PET) studies in individual patients. Echo and PET images are spatially correlated by determining homologous anatomical landmarks (the two papillary muscles and the inferior junction of the right ventricle), identifiable in images obtained by both acquisition modalities. Echo-PET image registration is first performed in the plane identified by the three landmarks, using a rigid rotate-translate scale model. The registration parameters are then used to transform the whole PET volume. This allows a consistent Echo-PET regional analysis, according to a segmental subdivision of the heart. The technique was tested on patients. The overlay of Echo and PET registered images proved the reliability of realignment of the three markers and a good spatial correlation of myocardial walls. This approach to image registration could be applied to other acquisition modalities (such as magnetic resonance imaging and single-photon emission tomography), provided that the three anatomical landmarks are visualized. (orig.)

  12. Shifting corporate geographies in global cities of the South: Mexico City and Johannesburg as case studie

    Directory of Open Access Journals (Sweden)

    Parnreiter, Christof

    2013-09-01

    Full Text Available Global city research links the expansion of advanced producer services in major cities to the internationalisation of real estate markets as well as to the spread of (mainly high-rise office complexes. This research, however, has based its findings mainly on cases of the Global North. This paper examines, based on Grant and Nijman’s (2002 suggestion that the “internal spatial organisation of gateway cities in the less-developed world” reflects “the city’s role in the global political economy”, which patterns occur in two metropoles of the Global South. In addition to this, the analysis focuses especially on the driving forces behind the changes in corporate geographies. The analysis is placed in Mexico City and Johannesburg and based on real estate market data (offices as well as background documents on urban development. The outcome shows that in these cities, local transformation processes of the real estate market and office space location are indeed considerably shaped by global market dynamics. However, the findings also indicate that there is no clear scale dependence of the territorial form. In order to comprehensively understand the changes in the corporate geographies therefore, it is necessary to direct more attention to local and national dynamics. The restructuring of the built environment in both cities can only be grasped fully by considering the particular role of local and national governments. This additional entry point to an understanding of shifting corporate geographies helps to put recent dynamics of global capitalism and politics of urban neoliberalism in perspective.

  13. Megacity Radiative Forcing: A Mexico City Case Study

    Science.gov (United States)

    Dubey, M.; Olsen, S.; Mazzoleni, C.; Chylek, P.; Zhang, Y.; Randerson, J. T.; Horowitz, L.

    2007-05-01

    We assess the radiative forcing of the largest megacity in North America, Mexico City. While particular aspects of the regional environmental impacts of cities on their surroundings have been thoroughly investigated, e.g., air quality and acid rain, relatively little effort has been focused on the net radiative impact of a megacity on global climate. The range of radiative impacts from a megacity covers many spatial and temporal scales from short-term regional-scale effects due to aerosols and relatively short-lived gases (ozone) to long-term global-scale impacts due to longer-lived trace gases (e.g., carbon dioxide, methane). In this study we combine chemistry-transport model simulations from the Model for Ozone And Related Chemical Tracers (MOZART-2) with in situ and satellite observations from the Aerosol Robotic Network (AERONET) and the Moderate Resolution Imaging Spectroradiometer (MODIS) to calculate the global radiative forcing of megacity emissions. We also explore the radiative impact of various emission control strategies that focus on improving regional air quality. Our results suggest that the warming by greenhouse gases like carbon dioxide and ozone can be moderated or exacerbated by aerosols depending on their optical properties. As the size and number of megacities increase and clean air regulations are implemented, metrics such as the net radiative forcing may become increasingly important in comparing the impact of urban centers and assessing the trade-offs between improving local air quality and minimizing global radiative impacts.

  14. Study of electromagnetic radiation pollution in an Indian city.

    Science.gov (United States)

    Dhami, A K

    2012-11-01

    Electromagnetic radiation emitted by cell phone towers is a form of environmental pollution and is a new health hazard, especially to children and patients. The present studies were taken to estimate the microwave/RF pollution by measuring radiation power densities near schools and hospitals of Chandigarh city in India. The cell phone radiations were measured using a handheld portable power density meter TES 593 and specific absorption rates were estimated from the measured values. These values of electromagnetic radiation in the environment were compared with the levels at which biological system of humans and animals starts getting affected. The values were also compared with the international exposure limits set by the International Commission on Non-Ionizing Radiation Protection (ICNIRP). The highest measured power density was 11.48 mW/m(2) which is 1,148% of the biological limit. The results indicated that the exposure levels in the city were below the ICNIRP limit, but much above the biological limit.

  15. Exploring adaptation pathways in terms of flood risk management at a city scale – a case study for Shanghai city

    Directory of Open Access Journals (Sweden)

    Ke Qian

    2016-01-01

    Full Text Available Cities are vulnerable to flooding and historical events, for instance Hurricane Sandy in 2012, have showed that losses in the cities are costly. In the context of climate change and socio-economic development, future flood risk will inevitably rise; adaptive measures, for instance upgrading of sea dikes and floodwalls, improving drainage systems and implementing green infrastructures, are proposed under the changing environment in the cities. A question of when to implement what measures in the cities over time is then brought up. The approach of dynamic adaptive policy pathways is applied to formulate adaptation pathways for a case study of Shanghai to explore the optimal investment strategy in context of deep uncertainties. Adaptation concept is not only aiming to achieve optimal strategy but also to determine when to implement the measures. The adaptation pathways for three types of floods (coastal flood, river flood and pluvial flood in Shanghai were formulated through a preliminary qualitative analysis. This could provide an insight to the long-term feasibility of adaptive flood risk strategies. This research could provide a rational indication for policy/decision makers on future adaptation strategy at the city scale.

  16. MORPHOLOGICAL STUDY OF CORONARY SINUS IN HUMAN CADAVERIC HEARTS

    Directory of Open Access Journals (Sweden)

    R. Manoranjitham

    2015-09-01

    Full Text Available Background: The coronary sinus is a dilated venous channel opening into the right atrium of the heart. The coronary venous system has gained importance in recent years for electrophysiological procedures like arrhythmia ablation, biventricular pacing and implantation of cardiac pacemakers. The present study aims to study the formation and tributaries of coronary sinus and also the morphology of thebesian valve. Materials and Methods: 30 formalin fixed cadaveric hearts available in the department of Anatomy, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil nadu, was used for the study. The formation and tributaries of coronary sinus were noted. The length of coronary sinus in millimeters was measured from the union of great cardiac vein and left marginal vein upto the opening of the coronary sinus in the right atrium with vernier calipers. The width of the coronary ostium in the right atrium was measured in millimeters with vernier calipers. Results: In 93.33% specimens the coronary sinus was formed by the union of great cardiac vein and left marginal vein. In 3.33% specimens it was formed by the union of great cardiac vein and posterior vein of left ventricle, and in 3.33% specimens it was formed by the union of great cardiac vein and oblique vein of left atrium. The left marginal vein was absent in 2 specimens and small cardiac vein was absent in 1 specimen. The mean length of coronary sinus was 54.98 + 12.2mm. The mean width of coronary sinus ostium was 9.35 + 3.24mm. The Thebesian valve was present in 93.33% specimens and it was semilunar in shape. Conclusion: The knowledge of coronary sinus anatomy will be helpful during electrophysiological procedures.

  17. Home-based exercise rehabilitation in addition to specialist heart failure nurse care: design, rationale and recruitment to the Birmingham Rehabilitation Uptake Maximisation study for patients with congestive heart failure (BRUM-CHF: a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Ingram Jackie T

    2007-03-01

    Full Text Available Abstract Background Exercise has been shown to be beneficial for selected patients with heart failure, but questions remain over its effectiveness, cost-effectiveness and uptake in a real world setting. This paper describes the design, rationale and recruitment for a randomised controlled trial that will explore the effectiveness and uptake of a predominantly home-based exercise rehabilitation programme, as well as its cost-effectiveness and patient acceptability. Methods/design Randomised controlled trial comparing specialist heart failure nurse care plus a nurse-led predominantly home-based exercise intervention against specialist heart failure nurse care alone in a multiethnic city population, served by two NHS Trusts and one primary care setting, in the United Kingdom. 169 English speaking patients with stable heart failure, defined as systolic impairment (ejection fraction ≤ 40%. with one or more hospital admissions with clinical heart failure or New York Heart Association (NYHA II/III within previous 24-months were recruited. Main outcome measures at 1 year: Minnesota Living with Heart Failure Questionnaire, incremental shuttle walk test, death or admission with heart failure or myocardial infarction, health care utilisation and costs. Interviews with purposive samples of patients to gain qualitative information about acceptability and adherence to exercise, views about their treatment, self-management of their heart failure and reasons why some patients declined to participate. The records of 1639 patients managed by specialist heart failure services were screened, of which 997 (61% were ineligible, due to ejection fraction>40%, current NYHA IV, no admission or NYHA II or more within the previous 2 years, or serious co-morbidities preventing physical activity. 642 patients were contacted: 289 (45% declined to participate, 183 (39% had an exclusion criterion and 169 (26% agreed to randomisation. Discussion Due to safety considerations

  18. Association of Helicobacter pylori infection with lipid profiles: The Persian Gulf Healthy Heart Study

    Directory of Open Access Journals (Sweden)

    Hussain Darabi

    2014-10-01

    Full Text Available Background: Helicobacter pylori (H.pylori infection may contribute to the development of extra-gastrointestinal manifestations like cardiovascular diseases. Detection of Helicobacter pylori in Athrosclerotic plaques is a strong evidence for this association which may play a role in pathogenesis of atherosclerosis with classic cardiovascular risk factor such as hypertension and lipid profile. The aim of this study was to explore the influence of H. pylori infection on lipid profiles in a large community- based study. Material and Methods: A total of 1754 (50.8% Female & 49.2% male subjects (age >25 years old were selected randomely from Monica Healthy Heart Study project. H. pylori status was determined by IgG ELISA method. Subjects with titers > 30 Iu/ml were cansidered seropositive. Data were analazed by using statistical software Spss version 18 and probability values 0.05 Conclusion: According to this large – scale population- based study in large northern cities of Persian Gulf, there was no significant association between H.pylori IgG seropositivity and lipid profiles in both men and women.

  19. Study on Rural Residential Land in Chizhou City

    Institute of Scientific and Technical Information of China (English)

    Lulu; HUANG; Zhongxiang; YU

    2013-01-01

    On the basis of the analysis of current situation and problems of rural residential land in Chizhou City, we offer rewarding thinking for improving the effective use of rural residential land and building a better countryside, in view of the characteristics of the topography and socio-economic development in different regions of this city.

  20. Transient global amnesia and neurological events: the Framingham Heart Study

    Directory of Open Access Journals (Sweden)

    Jose Rafael Romero

    2013-05-01

    Full Text Available Background/ objective: Transient global amnesia (TGA is a temporary amnestic syndrome characterized by lack of other focal neurological deficits. Cerebrovascular disease, migraine and seizures have been suggested as underlying mechanisms. TGA may be a risk factor for cerebrovascular or other neurological events. We studied the relation of TGA, vascular risk factors, brain magnetic resonance imaging (MRI indices of subclinical ischemia and neurological events in a community-based sample. Design/setting: A total of 12 TGA cases were ascertained using standard criteria by experienced neurologists, and matched to 41 stroke- and seizure-free controls. Vascular risk factors, brain MRI findings, and subsequent cerebrovascular or seizure events were compared in cases and controls. Participants: Framingham Heart Study (FHS original and offspring cohort participants were included.Results: No significant differences between the groups were observed in the prevalence of vascular risk factors, or brain MRI measures. Few incident stroke/transient ischemic attacks (TIA (1 event among the cases and 4 in controls or subsequent seizures occurred in either group. Head CT during the acute event (n=11 and brain MRI (n=7 were negative for acute abnormalities. Electroencephalograms (EEG (n=5 were negative for epileptiform activity. Extracranial vascular studies were negative for significant stenosis in all cases.Conclusions: In our community-based study TGA was not related to traditional vascular risk factors, or cerebrovascular disease. However, our study is limited by small sample size and power, and larger studies are required to exclude an association.

  1. A longitudinal study of resting heart rate and violent criminality in more than 700000 men

    OpenAIRE

    Latvala, A.; Kuja-Halkola, R; Almqvist, C.; Larsson, H.; Lichtenstein, P

    2015-01-01

    IMPORTANCE Low resting heart rate is a well-replicated physiological correlate of aggressive and antisocial behavior in children and adolescents, but whether low resting heart rate increases the risk of violence and other antisocial and risk-taking behaviors in adulthood has not been studied in representative samples. OBJECTIVE To study the predictive association of resting heart rate with violent and nonviolent criminality and with fatal and nonfatal injuries owing to assaul...

  2. Urban sustainable development (Case study Darreh Shahr city

    Directory of Open Access Journals (Sweden)

    Azim Ali Shaei

    2014-07-01

    Full Text Available Appraisement and report of cities sustainable development have started in some counties especially in the developed countries,for some years and their main goal is investigating the sustainability or unsustainability of development of cities. According to the investigation of varying parts ofcity and its comparison with country average, it is found that most of socialeconomic and environmental indices are low in comparison with the average valueof the country. Keeping the livestock, low per capita of green area, problems of potable water, weakness of thegarbage collection system, incompetence in wastewater disposal, constructions,air pollution, urban traffic and etc. are the problems of this city making unstable environmental, social and economic conditions of Dahreshar city. Basedon the lack of clarification of all aspects of a sustainable city andimpossibility of presenting the definite solutions to achieve the sustainablecity, there are some solutions to achieve the urban sustainable development ofDahreshar city such as: Increasing urban use density, reduction of reliance oncars in transportation (especially personal cars, modification of citymanagement system, protection and renovation of natural systems around city,reduction of resources consumption to decline the pollutions. It seems that thebasic cause of unsustainability of Dahreshar is dedicated to weakness of citymanagement, and urban management review if presented for its solution (e.g. definiteauthority, plans, goals and executive methods and etc.

  3. Divorce and death: forty years of the Charleston Heart Study.

    Science.gov (United States)

    Sbarra, David A; Nietert, Paul J

    2009-01-01

    Forty years of follow-up data from the Charleston Heart Study (CHS) were used to examine the risk for early mortality associated with marital separation or divorce in a sample of more than 1,300 adults assessed on several occasions between 1960 and 2000. Participants who were separated or divorced at the start of the study evidenced significantly elevated rates of early mortality, and these results held after adjusting for baseline health status and other demographic variables. Being separated or divorced throughout the CHS follow-up window was one of the strongest predictors of early mortality. However, the excess mortality risk associated with separation or divorce was completely eliminated when participants who had ever experienced a marital separation or divorce during the study were compared with all other participants. These findings suggest that a key predictor of early death is the amount of time people live as separated or divorced. It is possible that the mortality risk conferred by marital dissolution is due to dimensions of personality that predict divorce as well as a decreased likelihood of future remarriage.

  4. City Branding : The effects of hosting sporting events: An empirical study of Singapore

    OpenAIRE

    Hansen, Matthew; Lee, Yen Wiee

    2010-01-01

    There is a growing amount of literature that investigates the various strategies and effects of city branding, but only a limited amount of research has been carried out pertaining to how sporting events can be used as a tool for city branding in a real world setting. By conducting an empirical study of Singapore, this study aims to contribute to the ongoing discussion on city branding by identifying how evaluations of a city differ for certain dimensions of its overall brand when it hosts di...

  5. Image and Reputation of Yalova City: A Study on Yalova University Students

    Directory of Open Access Journals (Sweden)

    Cevdet Kızıl

    2015-11-01

    Full Text Available Recently, the image of a country and city has become a core competitive asset for the government and local authorities and this core competitive asset plays a critical role for domestic and foreign tourists, businessmen, residents of the city, neighbouring cities, investors, entrepreneurs and also the university students. Based on the competitive asset of city image and reputation, the perception needs an effort from a marketing perspective in order to improve the strategies for enhancing quality of life. The aim of this research is to evaluate the city image of Yalova from the eye of Yalova university students. For this purpose, image perception of students on the advantages of city, abstract image elements and residents of the city have been investiageted. The data of research have been collected through the questionnaire methodology. This study is run on 200 students as the research sample. In light of the results of the survey, the overall image perception of students about Yalova city and its residents are determined to be at medium level. Location of Yalova has a very positive perception, while intercity transportation, nature and weather conditions have a positive perception. The city is considered as peaceful, safe and clean, but expensive. Residents of Yalova are evaluated as peaceful. It is also found that, infrastructures and superstructures enhancing the Yalova city image should be improved.

  6. Engineering seismological studies in and around Zagazig city, Sharkia, Egypt

    Directory of Open Access Journals (Sweden)

    M. El-Eraki

    2012-12-01

    Full Text Available The aim of this paper is to study the ground vibrations using Nakamura technique to evaluate the relation between the ground conditions and the earthquake characteristics. Microtremor measurements were carried out at 55 sites in and around Zagazig city. The signals were processed using horizontal to vertical spectral ratio (HVSR technique to estimate the fundamental frequencies of the soil deposits and its corresponding H/V amplitude. Seismic measurements were acquired at nine sites for recording the surface waves. The recorded waveforms were processed using the multi-channel analysis of surface waves (MASW method to infer the shear wave velocity profile. The obtained fundamental frequencies were found to be ranging from 0.7 to 1.7 Hz and the maximum H/V amplitude reached 6.4. These results together with the average shear wave velocity in the surface layers were used for the estimation of the thickness of the upper most soft cover layers (depth to bedrock. The sediment thickness generally increases at the northeastern and southwestern parts of the area which is in good agreement with the local geological structure. The results of this work showed the zones of higher potential damage in the event of an earthquake in the study area.

  7. Electric Power Demand Forecasting: A Case Study of Lucknow City

    Directory of Open Access Journals (Sweden)

    A.K. Bhardwaj and R.C. Bansal

    2011-03-01

    Full Text Available The study of forecasting identifies the urgent need for special attention in evolving effective energy policies to alleviate an energy famine in the near future. Since power demand is increasing day by day in entire world and it is also one of the fundamental infrastructure input for the development, its prospects and availability sets significant constraints on the socio-economic growth of every person as well as every country. A care full long-term power plan is imperative for the development of power sector. This need assumes more importance in the state of Uttar Pradesh where the demand for electrical energy is growing at a rapid pace. This study analyses the requirement of electricity with respect to the future population for the major forms of energy in the Lucknow city in Uttar Pradesh state of India. A model consisting of significant key energy indicators have been used for the estimation. Model wherever required refined in the second stage to remove the effect of auto-correlation. The accuracy of the model has been checked using standard statistical techniques and validated against the past data by testing for ‘expost’ forecast accuracy.

  8. An International Review of Eco-City Theory, Indicators, and Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Nan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Williams, Christopher [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2013-03-01

    This report is intended to answer the question: “What international experiences with ‘eco-cities’ can help the central Chinese government evaluate the performance of Chinese cities that pursue ‘lowcarbon’ urban development?” To answer this question, we reviewed the literature on eco-cities and closely related concepts, surveyed performance indicators used to evaluate sustainable urban development around the world, and compiled case studies of exceptional eco- and sustainable cities.

  9. THE STUDY OF PREVALENCE AND CLINICAL PROFILE OF VALVULAR HEART DISEASES IN A TEACHING HOSPITAL

    Directory of Open Access Journals (Sweden)

    Radha Krishnan

    2015-04-01

    Full Text Available Valvular heart disease is still a common causes of mortality and morbidity in India and rheumatic heart disease is still far more frequent. AIMS AND OBJECTIVES: To study the prevalence and clinical profile of rheumatic and non - rheumatic valvular heart dise ase in patients attending to Government General Hospital, Kakinada. MATERIALS AND METHODS: 100 Adult patients with valvular abnormalities attending to the Medicine and Cardiology Units of Government General Hospital, Kakinada from Nov 2011 - May 2013 were studied. C linical history including various symptoms, past history of rheumatic fever, followed by systemic examination was done. A detailed cardiovascular examination with relevant investigations and evaluation was done. OBSERVATIONS AND RESULTS: The most common cause of acquired valvular heart disease is Rheumatic Heart Disease. Mitral valve involvement is the most common valve involvement with Mitral regurgitation as the most common valvular lesion. Mitral stenosis is the most common valvular lesion amon g rheumatic valvular heart disease. The most common complaint is breathlessness and the most common complication is Congestive heart failure. Multi valvular lesion is the most common valve involvement in patients presenting with congestive heart failure an d infective endocarditis. Patients having atrial fibrillation are noted to have mitral stenosis more commonly. Mitral stenosis is the valve abnormality commonly noted in patients presenting with haemoptysis, respiratory tract infection and chorea. Left sid ed hemiplegia is common in patients with acquired valvular heart disease. CONCLUSIONS: Though the incidencen of rheumatic valvular disease is decreased in modern era, still continuing in our country. The analysis of the present study gives us insight into the various types of presentation of acquired valvular heart disease and to increase awareness besides early detection of valvular diseases clinically. It also helps in planning of

  10. [Histoautoradiographic study of the heart in experimental myocardial ischemia].

    Science.gov (United States)

    Makhova, A N; Shliapnikov, V N

    1979-01-01

    Autoradiographic examinations of the heart muscle in experimental myocardial necroses using 3H-thymidine, revealed a high DNA synthesis in the connective tissue cells in the zone of necrosis in the acute period of infarction and its subsequent decrease. Deviations from this regularity were observed when relapses of necrosis developed. The activation of DNA synthesis occurred to a lesser extent in stromal cells of the periinfarction and remote zones of the heart. Muscle cells incorporated 3H-thymidine extremely rarely. When myocardial infarction was combined with aterosclerosis, relapses of necrosis occurred frequently, and morphological changes in many arteries and veins were accompanied by 3H-thymidine incorporation into the nuclei of the endothelium, smooth cells and adventitial cells. Inhibition of DNA synthesis in connective tissue cells of various heart zones was observed in cases of combined myocardial infarction and aterosclerosis and hypertension.

  11. Studies on the Relationship between the Embryonic Heart Development and the Amnion Folding in Chick

    Directory of Open Access Journals (Sweden)

    Yongqing Li

    2006-01-01

    Full Text Available As a model animal for developmental biology, chick embryo is easy to control and observe during embryo development period and therefore it is widely used in the study of cardiac development. The application of proteomics has opened the door for large-scale studies to dissect both protein expression, regulation and function during chick heart developing stages. The proteomics study requires to quickly separate a large number of chick heart samples with the same developing stage. However, the traditional morphological standards based on Hamburger-Hamilton and Witschi stages are difficult to fulfill this requirement. Herein, we suppose a new standard for distinguishing chick heart morphology in different developing stages based on the relationship between the embryonic heart development and the amnion folding in chick. Based on this standard, we can accelerate the speed of embryonic heart sample separation and guarantee the quantity and quality of the sample more reliably.

  12. 都匀城区冠心病危险因素分析%Risk factors of coronary heart disease in urban areas of Duyun City

    Institute of Scientific and Technical Information of China (English)

    王敏

    2016-01-01

    目的:探讨都匀城区冠心病危险因素及其聚集状况,为都匀城区冠心病的防治提供依据。方法:将956名健康体检人群分为非冠心病组和冠心病组,记录一般资料,同时进行身高、体重、血压等体格检查测量,计算体重指数(BMI);采空腹静脉血检查血脂、血糖、血尿酸,并进行生活方式调查。结果:冠心病组年龄、男性、肥胖、吸烟、大量饮酒、高血压、糖尿病、SBP、DBP、FBG、TC、TG、LDL 、HDL、UA 与非冠心病组比较,均有统计学意义(P <0.05);相关性分析显示,冠心病与 SBP、FBG、TC、TG、LDL、UA 呈正相关,与 HDL 呈负相关;132例冠心病患者危险因素聚集1种占6.06%(8/132)、2种9.09%(12/132)、3种13.64%(18/132)、4种16.67%(23/132)、5种34.09%(45/132)和≥6种19.69%(26/132),以有5种者危险因素聚集者最高。<60岁1种、3种、4种、5种和≥6种危险因素聚集程度与≥60岁比较,差异均有统计学意义(P<0.05),而<60岁2种危险因素聚集程度与≥60岁比较,差异无统计学意义(P >0.05)。结论:都匀城区冠心病最主要危险因素是血脂异常、高血压、肥胖、大量饮酒、吸烟等,冠心病的发生与都匀城区人群的不良饮食生活有关有关。%Objective:To investigate the risk factors of coronary heart disease and its aggregation in Duyun City,so as to provide an evidence for the prevention and treatment of coronary heart disease in Duyun city.Methods:A total of 956 health examination people were divided into CHD group and non CHD group. The general data was recorded,and the height,weight,and blood pressure,calculated body mass index (BMI)were measured.In addition,fasting venous blood check blood lipids,blood glucose,and blood uric acid were determined,and lifestyle survey was carried out.Results:There were statistical

  13. Effect of repeated intracoronary injection of bone marrow cells in patients with ischaemic heart failure the Danish stem cell study - congestive heart failure trial (DanCell-CHF)

    DEFF Research Database (Denmark)

    Diederichsen, A.C.; Møller, Jacob Eifer; Thayssen, P.;

    2008-01-01

    BACKGROUND: It has been suggested that myocardial regeneration may be achieved by a single intracoronary bone marrow derived stem cell infusion in selected patients with ischaemic heart disease. The effect is uncertain in patients with chronic ischaemic heart failure and it is not known whether...... repeated infusions would have additional positive effects. AIMS: To assess whether two treatments of intracoronary infusion of bone marrow stem cells, administered 4 months apart, could improve left ventricular (LV) systolic function in patients with chronic ischaemic heart failure. METHODS: The study......, NYHA class improved (pstem cell treatment in patients with chronic ischaemic heart failure Udgivelsesdato: 2008/7...

  14. Diagnostic Utility of ANG in Coronary Heart Disease Complicating Chronic Heart Failure: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Peng Yu

    2016-01-01

    Full Text Available Angiogenin (ANG has been shown to be elevated in several cardiovascular diseases. To detect its levels and diagnostic capacity in coronary heart disease (CHD patients complicating chronic heart failure (CHF, we performed this cross-sectional study and enrolled 616 CHD patients and 53 healthy controls. According to complicating CHF or not, the patients were divided into CHF group (n=203 and CHD disease controls (n=413, in which the CHF group was subdivided as heart failure with reduced ejection fraction (HFrEF group or heart failure with preserved ejection fraction (HFpEF group on the basis of left ventricular ejection fraction (LVEF, or as different NYHA class group. Their plasma ANG levels were detected using enzyme-linked immunosorbent assay (ELISA. Plasma ANG was 342.8 (IQR [273.9,432.9], 304.5 (IQR [254.0,370.5], and 279.7 (IQR [214.4,344.0] ng/mL in the CHF group, CHD disease controls, and healthy controls, respectively, significantly higher in the CHF group compared with the others. Furthermore, among CHF group, ANG is dramatically higher in the HFrEF patients compared with the HFpEF patients. As for the diagnostic capacity of ANG, the area under the receiver operating characteristic curve was 0.71 (95% CI 0.63–0.78. We concluded that plasma ANG is elevated in CHD complicating CHF patients and may be a moderate discriminator of CHF from CHD or the healthy.

  15. Diagnostic Utility of ANG in Coronary Heart Disease Complicating Chronic Heart Failure: A Cross-Sectional Study

    Science.gov (United States)

    Liu, Ming; Yang, Xue; Yu, Ying; Zhao, Ji; Zhang, Lei; Tong, Rui; Zou, Yunzeng; Ge, Junbo

    2016-01-01

    Angiogenin (ANG) has been shown to be elevated in several cardiovascular diseases. To detect its levels and diagnostic capacity in coronary heart disease (CHD) patients complicating chronic heart failure (CHF), we performed this cross-sectional study and enrolled 616 CHD patients and 53 healthy controls. According to complicating CHF or not, the patients were divided into CHF group (n = 203) and CHD disease controls (n = 413), in which the CHF group was subdivided as heart failure with reduced ejection fraction (HFrEF) group or heart failure with preserved ejection fraction (HFpEF) group on the basis of left ventricular ejection fraction (LVEF), or as different NYHA class group. Their plasma ANG levels were detected using enzyme-linked immunosorbent assay (ELISA). Plasma ANG was 342.8 (IQR [273.9,432.9]), 304.5 (IQR [254.0,370.5]), and 279.7 (IQR [214.4,344.0]) ng/mL in the CHF group, CHD disease controls, and healthy controls, respectively, significantly higher in the CHF group compared with the others. Furthermore, among CHF group, ANG is dramatically higher in the HFrEF patients compared with the HFpEF patients. As for the diagnostic capacity of ANG, the area under the receiver operating characteristic curve was 0.71 (95% CI 0.63–0.78). We concluded that plasma ANG is elevated in CHD complicating CHF patients and may be a moderate discriminator of CHF from CHD or the healthy. PMID:27872509

  16. Study of Basic Farmland Protection in Huainan City

    Institute of Scientific and Technical Information of China (English)

    Xinyuan; LU; Zhongxiang; YU

    2015-01-01

    Farmland is the primary resource for food production,related to food security and people’s livelihood.The basic farmland is the essence of farmland,and it is necessary to improve the quality of farmland and strengthen the basic farmland protection in order to enhance comprehensive agricultural production capacity.Currently,the contradiction between urban development and farmland protection has been inevitable,and Huainan City is now in the period of rapid development of urbanization.How to better solve the contradiction between urbanization and farmland protection to promote sound and rapid economic development,is an important issue currently facing Huainan City.

  17. Methods for Retrospective Geocoding in Population Studies: The Jackson Heart Study

    OpenAIRE

    Robinson, Jennifer C.; Wyatt, Sharon B; Hickson, Demarc; Gwinn, Danielle; Faruque, Fazlay; Sims, Mario; Sarpong, Daniel; Taylor, Herman A.

    2009-01-01

    The increasing use of geographic information systems (GIS) in epidemiological population studies requires careful attention to the methods employed in accomplishing geocoding and creating a GIS. Studies have provided limited details, hampering the ability to assess validity of spatial data. The purpose of this paper is to describe the multiphase geocoding methods used to retrospectively create a GIS in the Jackson Heart Study (JHS). We used baseline data from 5,302 participants enrolled in th...

  18. Comorbid Depression and Heart Failure: A Community Cohort Study.

    Directory of Open Access Journals (Sweden)

    Bhautesh Dinesh Jani

    Full Text Available To examine the association between depression and clinical outcomes in heart failure (HF in a community cohort.HF patients in Minnesota, United States completed depression screening using the 9-item Patient Health Questionnaire (PHQ-9 between 1st Oct 2007 and 1st Dec 2011; patients with PHQ-9≥5 were labelled "depressed". We calculated the risk of death and first hospitalization within 2 years using Cox regression. Results were adjusted for 10 commonly used prognostic factors (age, sex, systolic blood pressure, estimated glomerular filtration rate, serum sodium, ejection fraction, blood urea nitrogen, brain natriuretic peptide, presence of diabetes and ischaemic aetiology. Area under the curve (AUC, integrated discrimination improvement (IDI and net reclassification improvement (NRI compared depression as a predictor against the aforementioned factors.425 patients (mean age 74, 57.6% males were included in the study; 179 (42.1% had PHQ-9≥5. The adjusted hazard ratio of death was 2.02 (95% CI 1.34-3.04 and of hospitalization was 1.42 (95% CI 1.13-1.80 for those with compared to those without depression. Adding depression to the models did not appreciably change the AUC but led to statistically significant improvements in both the IDI (p = 0.001 and p = 0.005 for death and hospitalization, respectively and NRI (for death and hospitalization, 35% (p = 0.002 and 27% (p = 0.007 were reclassified correctly, respectively.Depression is frequent among community patients with HF and associated with increased risk of hospitalizations and death. Risk prediction for death and hospitalizations in HF patients can be improved by considering depression.

  19. Effect of heart rate on the hemodynamics of bileaflet mechanical heart valves' prostheses (St. Jude Medical) in the aortic position and in the opening phase: A computational study.

    Science.gov (United States)

    Jahandardoost, Mehdi; Fradet, Guy; Mohammadi, Hadi

    2016-03-01

    To date, to the best of the authors' knowledge, in almost all of the studies performed around the hemodynamics of bileaflet mechanical heart valves, a heart rate of 70-72 beats/min has been considered. In fact, the heart rate of ~72 beats/min does not represent the entire normal physiological conditions under which the aortic or prosthetic valves function. The heart rates of 120 or 50 beats/min may lead to hemodynamic complications, such as plaque formation and/or thromboembolism in patients. In this study, the hemodynamic performance of the bileaflet mechanical heart valves in a wide range of normal and physiological heart rates, that is, 60-150 beats/min, was studied in the opening phase. The model considered in this study was a St. Jude Medical bileaflet mechanical heart valve with the inner diameter of 27 mm in the aortic position. The hemodynamics of the native valve and the St. Jude Medical valve were studied in a variety of heart rates in the opening phase and the results were carefully compared. The results indicate that peak values of the velocity profile downstream of the valve increase as heart rate increases, as well as the location of the maximum velocity changes with heart rate in the St. Jude Medical valve model. Also, the maximum values of shear stress and wall shear stresses downstream of the valve are proportional to heart rate in both models. Interestingly, the maximum shear stress and wall shear stress values in both models are in the same range when heart rate is valve model when heart rate is >90 beats/min (up to ~40% growth compared to that of the native valve). The findings of this study may be of importance in the hemodynamic performance of bileaflet mechanical heart valves. They may also play an important role in design improvement of conventional prosthetic heart valves and the design of the next generation of prosthetic valves, such as percutaneous valves.

  20. THE SOCIAL ORIGINS OF THE NEW BOURGEOISE IN THE ALGERIAN CITIES - AN EXPLORATORY STUDY IN THE CITY OF MAGHNIA

    Directory of Open Access Journals (Sweden)

    Dalila LALAOUNA

    2016-12-01

    Full Text Available The Algerian society has experienced economic, polical and social changes, which have affected its structure and its Castes in general . Therefore , the question of the new bourgeoisie in the Algerian cities is about a specificity which accentuates the problematic character that raises the question; in addition to the difficulty on the theoretical plan within the sociological legacy and the definition of the procedure . It is difficult for us to define the nature of the social structure that we are looking for , because it is an attempt to present a map of social caste. it seems to be an attempt full of risks, and in the light of these data ,our research focuses on the issue of the origins and social contexts of the New bourgeoisie in the city of Maghnia , and on the degrees of the conscience of those who belong to them. However our approach will focus first on the study of practice that we have performed (on the ground, then on certain works of the audit. Our research will also focus on this social category in the Algerian cities, since the phenomenon of bourgeoisie is governed by by vague and unclear norms which contain a lot of uncertainty.

  1. A STUDY ON CLINICAL AND AETIOLOGICAL PROFILE OF HEART FAILURE AT KBN TEACHING AND GENERAL HOSPITAL

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    Chandrakala Guruprasad Yelwanti

    2016-10-01

    Full Text Available BACKGROUND The heart failure is a worldwide health problem with ever increasing proportion and is a major health problem in elderly persons. It has many aetiological factors. It is one of the most frequently encountered illnesses in day-to-day practice and most common cause of death in patients with cardiac disease. This study was done to determine the age and sex distribution and to evaluate clinical features and aetiological factors in patients admitted with heart failure at Khaja Banda Nawaz Teaching and General Hospital, Gulbarga, on the basis of clinical assessment, electrocardiography and echocardiography. MATERIALS AND METHODS A prospective study was done in Department of General Medicine at Khaja Banda Nawaz Teaching and General Hospital, Gulbarga, from January 2015 to June 2016 on patients with heart failure to determine the clinical and aetiological profile. A total of 100 cases above the age of 20 years were included in the study. The patients below the age of 20 years and known cases of congenital heart disease were excluded. RESULTS Out of 100 patients, the heart failure was seen more commonly in men than in women between the age groups of 46-65 years of age. Breathlessness was the most common presentation followed by pedal oedema, orthopnoea, etc. In our study, the primary aetiology for heart failure was found to be coronary artery disease (47% followed by dilated cardiomyopathy (20%, hypertension (14%, rheumatic heart disease (7%, anaemia (6%, cor pulmonale (4% and others (2%. Dyslipidaemia was the common risk factor followed by obesity and smoking. CONCLUSION The heart failure commonly occurs in elderly people and the incidence was higher in men than in women. The commonest presentation was breathlessness followed by pedal oedema. The commonest cause of heart failure was coronary artery disease followed by dilated cardiomyopathy and then hypertension combined with ischaemic heart disease.

  2. Family Planning for Inner-City Adolescent Males: Pilot Study.

    Science.gov (United States)

    Reis, Janet; And Others

    1987-01-01

    Describes a pilot family planning program in an inner-city pediatric practice. Male adolescents were more likely to accept contraceptives if the provider first raised the topic of birth control to them. Identified a desire for anonymity/confidentiality and embarrassment or discomfort as the key reasons for not seeking contraceptives. Emphasizes…

  3. A genome-wide association study of pulmonary function measures in the Framingham Heart Study.

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    Jemma B Wilk

    2009-03-01

    Full Text Available The ratio of forced expiratory volume in one second to forced vital capacity (FEV(1/FVC is a measure used to diagnose airflow obstruction and is highly heritable. We performed a genome-wide association study in 7,691 Framingham Heart Study participants to identify single-nucleotide polymorphisms (SNPs associated with the FEV(1/FVC ratio, analyzed as a percent of the predicted value. Identified SNPs were examined in an independent set of 835 Family Heart Study participants enriched for airflow obstruction. Four SNPs in tight linkage disequilibrium on chromosome 4q31 were associated with the percent predicted FEV(1/FVC ratio with p-values of genome-wide significance in the Framingham sample (best p-value = 3.6e-09. One of the four chromosome 4q31 SNPs (rs13147758; p-value 2.3e-08 in Framingham was genotyped in the Family Heart Study and produced evidence of association with the same phenotype, percent predicted FEV(1/FVC (p-value = 2.0e-04. The effect estimates for association in the Framingham and Family Heart studies were in the same direction, with the minor allele (G associated with higher FEV(1/FVC ratio levels. Results from the Family Heart Study demonstrated that the association extended to FEV(1 and dichotomous airflow obstruction phenotypes, particularly among smokers. The SNP rs13147758 was associated with the percent predicted FEV(1/FVC ratio in independent samples from the Framingham and Family Heart Studies producing a combined p-value of 8.3e-11, and this region of chromosome 4 around 145.68 megabases was associated with COPD in three additional populations reported in the accompanying manuscript. The associated SNPs do not lie within a gene transcript but are near the hedgehog-interacting protein (HHIP gene and several expressed sequence tags cloned from fetal lung. Though it is unclear what gene or regulatory effect explains the association, the region warrants further investigation.

  4. Study on Asia's growing cities: Republic of Korea.

    Science.gov (United States)

    1981-01-01

    Focus in this discussion of migration and urbanization in Korea is on the following: historical perspective, implications of urban growth, urbanization trends and population distribution, patterns of migration, socioeconomic differences, and population redistribution policies. Korea is one of the most densely populated countries in Asia. Attempts to deal successfully with this phenomenon have met with varying degrees of success. Population concentration in the capital region continues to be a problem and has resulted in acute housing shortages, rapidly rising land prices, and on encroachment of urban land use into prime agricultural land surrounding the Seoul metropolitan region. Between 1955-1975 the population of Seoul increased from 1.6 million to 6.9 million for the capital city proper and to 9.4 million for its metropolitan region, including 5 satellite cities. This fringe spillover began in the late 1960s. The metropolitan area, comprising 4 cities around the fast growing city of Busan in the south, was formed in the mid-1970s with 3.2 million people. At this time major policy concerns center on the demographic phenomenon of continued concentrations in the Seoul and Busan regions. Problem issues which persist include nonfarm polarization, regional imbalance, diverging intra-sectoral incomes, and the aging rural labor force. Despite its nearness to the demilitarized zone, Seoul was and continues to be the focal point of economic and educational opportunity. The early 1960s brought little variation in migration and urbanization trends. In 1961 family planning and planned economic development were initiated but their impact came several years later. The overall urban growth rate dropped from 5.4 to 4.6% in the 1960-1966 period, and Seoul's pace of expansion slowed down to an annual average of 6.5%. Yet, the capital continued its urbanizing dominance. By 1975 Korea had 3 cities with a population of over 3 million: Seoul, Busan, and Daegu. In 1975 48.4% of the

  5. Modeling study of the failing heart and its interaction with an implantable rotary blood pump.

    Science.gov (United States)

    Ramachandran, Deepa P; Luo, Chuan; Ma, Tony S; Clark, John W

    2011-01-01

    The effectiveness of clinical diagnosis and treatment of heart failure is a direct function of clinical signs that can be measured in a patient within cost and safety constraints. Large-scale mathematical modeling can be a key tool in revealing important, measurable clinical signs of heart failure, furthering medical understanding and development of treatment. In the first part of this study we have created two models of left heart failure--diastolic and systolic, using our human cardiovascular-respiratory system (H-CRS) model, and we present a comparison of the two types with emphasis on novel and differentiating clinical signs, such as tricuspid flow and septal motion. In the event of compromised left ventricular performance, mechanical left ventricular assist devices (LVAD) are often implanted to augment or completely replace the pumping action of the left ventricle (LV). One such type is the implantable rotary blood pump (iRBP). Several design issues related to the iRBP are difficult to study experimentally due to procedure complexity and limitations in animal models of heart failure [2]. Therefore, modeling has become a key tool in iRBP development. In the second part of this study, we have introduced an iRBP model based on [1]-[2] in the systolic failing heart to study the interactions. We consider optimal motor settings for different levels of LV assistance, the effects of the iRBP on the right heart, septum, and pulmonary circulation. Our model results align with those reported in [1]-[2]. Improvement in cardiac output, pulmonary congestion, and heart work are seen with the iRBP. We observe lowered septal assistance to RV and LV ejection with increasing pump speeds, elevating right ventricular (RV) work, reducing LVET, and causing ventricular mechanical dyssynchrony in ejection. These results suggest right heart compromise via the septum's reduced role with the introduction of an iRBP. This work emphasizes the critical role of modeling in heart failure and

  6. Spatial Planning and High-tech Development A comparative study of Eindhoven city-region, the Netherlands and Hsinchu City-region, Taiwan

    Directory of Open Access Journals (Sweden)

    Wei-Ju Huang

    2013-08-01

    Full Text Available High-tech development—which lies at the very heart of the processes of economic growth—has been recognised by many developed and developing countries as a strategic instrument to enhance and sustain their competitiveness in the global economic network. Although the concept of high-tech development differs between countries, many share the underlying assumption that the core of high-tech development is to create a sound environment where innovation thrives. This ideology implies a definite spatial dimension. As a result, various spatial strategies have been formulated and implemented to support high-tech development. This has had intentional and unintentional effects on the economy, society and space.Numerous studies have been devoted to exploring, analysing and theorising this global phenomenon. However, there has been less attention given to the role spatial planning may play in the process of high-tech development and to the factors that shape the spatial planning approaches to high-tech development in a particular place. The major objectives of this research are to advance the knowledge of the role of spatial planning in the process of high-tech development, and to establish an analytical framework that helps reveal the major institutional factors that shape spatial planning mechanisms for dealing with the spatial issues of high-tech development in different places. This contributes to the field of high-tech spatial policies transfer and lesson-drawing.In order to explore the major factors that shape the practices of spatial planning in hightech development, a comparative approach is applied in this research. The Eindhoven city-region in the Netherlands and the Hsinchu city-region in Taiwan are selected as case study areas. Both city-regions can be recognised as success stories of high-tech development not only on a national scale but also on a global scale, despite the fact that they apply different approaches. In the Eindhoven city

  7. High-Dose Vitamin D Failed to Curb Heart Disease in Study

    Science.gov (United States)

    ... medlineplus.gov/news/fullstory_164472.html High-Dose Vitamin D Failed to Curb Heart Disease in Study ... 5, 2017 (HealthDay News) -- Taking high doses of vitamin D once a month won't lower your ...

  8. Clinical characteristics and outcome of heart failure and captagon amphetamine use: An observational prospective study

    Directory of Open Access Journals (Sweden)

    Abdelfatah A. Elasfar

    2014-03-01

    Conclusios: Captagon use was found to be an independent risk factor of death and other morbidities in patients presented with cardiomyopathy and acute heart failure. Our study underscores the importance of improving education concerning the cardiac risks of captagon use.

  9. Diurnal variations in arousal: a naturalistic heart rate study in children with ADHD.

    Science.gov (United States)

    Imeraj, Lindita; Antrop, Inge; Roeyers, Herbert; Deschepper, Ellen; Bal, Sarah; Deboutte, Dirk

    2011-08-01

    Previous studies suggest an altered circadian regulation of arousal in children with attention-deficit hyperactivity disorder (ADHD) as measured by activity, circadian preference, and sleep-wake patterns. Although heart rate is an important measure to evaluate arousal profiles, to date it is unknown whether 24-h heart rate patterns differentiate between children with and without ADHD. In this study, 24-h heart rate data were collected in 30 non-medicated children with ADHD (aged 6-11) and 30 sex-, class-, and age-matched normal controls in their naturalistic home and school setting, during 5 days. Simultaneously, 24-h activity patterns were registered. Confounding effects of demographic variables (e.g., age, sex, BMI, pubertal stage) and comorbid internalizing and externalizing problems on heart rate levels were additionally assessed. Longitudinal analysis showed that heart rate levels were overall higher in the ADHD group (p children with ADHD showed higher activity levels during daytime (especially early afternoon), but not during nighttime (p children with ADHD as compared to controls, with higher heart rate levels in the ADHD group. Nighttime tachycardia in this group could not be explained by nighttime activity levels or comorbid externalizing/internalizing problems. Further research on autonomic functioning in ADHD is recommended because of the major impact of higher resting heart rate on health outcomes.

  10. One year follow-up of the multi-centre European PARTNER transcatheter heart valve study

    Science.gov (United States)

    Lefèvre, Thierry; Kappetein, Ari Pieter; Wolner, Ernst; Nataf, Patrick; Thomas, Martyn; Schächinger, Volker; De Bruyne, Bernard; Eltchaninoff, Hélène; Thielmann, Matthias; Himbert, Dominique; Romano, Mauro; Serruys, Patrick; Wimmer-Greinecker, Gerhard

    2011-01-01

    Background Transcatheter aortic valve implantation (TAVI) has emerged as a new therapeutic option in high-risk patients with severe aortic stenosis. Aims PARTNER EU is the first study to evaluate prospectively the procedural and mid-term outcomes of transfemoral (TF) or transapical (TA) implantation of the Edwards SAPIEN® valve involving a multi-disciplinary approach. Methods and results Primary safety endpoints were 30 days and 6 months mortality. Primary efficacy endpoints were haemodynamic and functional improvement at 12 months. One hundred and thirty patients (61 TF, 69 TA), aged 82.1 ± 5.5 years were included. TA patients had higher logistic EuroSCORE (33.8 vs. 25.7%, P = 0.0005) and more peripheral disease (49.3 vs. 16.4%, P< 0.0001). Procedures were aborted in four TA (5.8%) and six TF cases (9.8%). Valve implantation was successful in the remaining patients in 95.4 and 96.4%, respectively. Thirty days and 6 months survival were 81.2 and 58.0% (TA) and 91.8 and 90.2% (TF). In both groups, mean aortic gradient decreased from 46.9 ± 18.1 to 10.9 ± 5.4 mmHg 6 months post-TAVI. In total, 78.1 and 84.8% of patients experienced significant improvement in New York Heart Association (NYHA) class, whereas 73.9 and 72.7% had improved Kansas City Cardiomyopathy Questionnaire (KCCQ) scores in TA and TF cohorts, respectively. Conclusion This first team-based multi-centre European TAVI registry shows promising results in high-risk patients treated by TF or TA delivery. Survival rates differ significantly between TF and TA groups and probably reflect the higher risk profile of the TA cohort. Optimal patient screening, approach selection, and device refinement may improve outcomes. PMID:21075775

  11. 通辽市蒙古族人群血尿酸与冠心病的相关性研究%Analysis on Relationship Between Blood Uric Acid and Coronary Heart Disease in Tongliao City of Mongolians

    Institute of Scientific and Technical Information of China (English)

    马卓; 孙洪涛

    2015-01-01

    目的:探讨通辽市蒙古族人群血尿酸水平与冠状动脉粥样硬化性心脏病(Coronary atheroscle-rotic heart disease ,CHD)的关系。分析高血尿酸水平是否为蒙古族冠心病患者的独立危险因素。方法选择100例行冠状动脉造影的病人,对其血尿酸(UA )、血糖、总胆固醇(TC )、甘油三酯、高密度脂蛋白(HDL )、低密度脂蛋白(LDL )进行统计分析。结果经双变量双水平Pearson相关分析,发现患者的血尿酸水平与冠心病呈显著正相关,Pearson相关系数 r=0.806( P<0.001)。年龄、吸烟、总胆固醇、甘油三酯、低密度脂蛋白与冠心病有正相关性,高密度脂蛋白、女性与冠心病有负相关性,而与排除糖尿病的血糖之间无相关性。(ACC/AHA )评分与危险因素的logistic回归分析,显示通辽市蒙古族的血尿酸是冠心病发生的独立预测因素(F值为23.607,P<0.001),有显著差异性。结论高尿酸水平是通辽市蒙古族冠心病的重要的独立危险因素。%Objective To investigate the relationship between blood uric acid level of patients in Tongliao city of Mongolians and coronary heart disease (Coronary atherosclerotic heart disease ,referred to as CHD ) .And to assess if high level of uric acid is an independent risk factor for the Monogolians patients with CHD .Methods In this study ,1 0 0 patients underwent coronary angiography were included .Detailed information including blood uric acid (UA) ,blood glucose ,total cholesterol (TC) ,triglyceride ,high-density lipoprotein (HDL ) , low -density lipoprotein (LDL ) was used for statistical analysis .Results The double level Pearson bivariate correlation analysis showed that blood uric acid level of patients was significantly positive correlated with CHD , Pearson correlation coefficient r=0 .8 0 6 (P<0 .0 0 1 ) .There was a positive correlation between age ,smoking , cholesterol ,triglyceride

  12. City of Klamath Falls, Oregon Geothermal Power Plant Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    Brian Brown, PE; Stephen Anderson, PE, Bety Riley

    2011-07-31

    The purpose of the Klamath Falls project is to demonstrate the effectiveness of a combined thermal distribution system and power generation facility. The city of Klamath Falls operates a geothermal district heating system which would appear to be an attractive opportunity to install a power generation system. Since the two wells have operated reliably and consistently over many years, no new sources or resource exploration would be necessary. It appears that it will cost more to construct, operate, maintain and amortize a proposed geothermal facility than the long?term value of the power it would produce. The success of a future project will be determined by whether utility power production costs will remain low and whether costs of construction, operations, or financing may be reduced. There are areas that it would be possible to reduce construction cost. More detailed design could enable the city to obtain more precise quotes for components and construction, resulting in reduction in contingency projections. The current level of the contingency for uncertainty of costs is between $200,000 and $300,000. Another key issue with this project appears to be operation cost. While it is expected that only minimal routine monitoring and operating expenses will occur, the cost of water supply and waste water disposal represents nearly one quarter of the value of the power. If the cost of water alone could be reduced, the project could become viable. In addition, the projected cost of insurance may be lower than estimated under a city?wide policy. No provisions have been made for utilization of federal tax incentives. If a transaction with a third-party owner/taxpayer were to be negotiated, perhaps the net cost of ownership could be reduced. It is recommended that these options be investigated to determine if the costs and benefits could be brought together. The project has good potential, but like many alternative energy projects today, they only work economically if the

  13. Study of Muncipal Solid Waste Management Scenario of Kadapa City

    Directory of Open Access Journals (Sweden)

    Dr.P.Hari Prasad

    2015-05-01

    Full Text Available Municipal Solid Waste management constitutes a serious problem in many third world cities. Most cities do not collect the totality of wastes generated and of the wastes collected, only a fraction received proper disposal. The insufficient collection and inappropriate disposal of solid wastes represent a source of water, land and air pollution and poses risks to human health and the environment. Over the next several decades globalization, rapid urbanization and economic growth in the developing world tend to further deteriorate this situation. Items that we no longer need or don’t have any further use are falling in the category of waste and we tend to throw them away. In early days people were not facing such big problems of disposals because of availability of space and natural materials but now a day’s congestion in cities and use of non-biodegradable materials in our day life create many problems. It is directly deals with our hygiene and psychology. So, proper management of solid waste has become unavoidable. Two decades of economic growth since 1990 has changed the composition of India wastes. The quantity of MSW generated in India is increasing rapidly due to increasing population and change in lifestyles. Land is scarce and public health and environment resources are precious. The current SWM crisis in India should be approached holistically; while planning for long term solutions, focus on the solving the present problems should maintained. Solid waste Management, its impacts on public health and environment and prospects for the future should further researched. The findings should be disseminated into the public knowledge domain more effectively. The present paper deals with various topics related with solid waste such as it quantity, performance of solid waste management in Kadapa Municipal Corporation, future generation trends in KMC, deficiencies in the present Municipal Solid Waste management system and also keys to reduce it

  14. Study on Braking Energy Regeneration System for City Bus

    Institute of Scientific and Technical Information of China (English)

    ZOU Zheng-yao; CHEN Ru-wen; YANG Xue-mei; LIU Gou-bing; JIN Jia-jun

    2011-01-01

    Braking of the urban vehicles of public service wastes a large number of engine energy in the condition of starting and stopping frequently. Aiming at the problem, an electro-mechanical braking energy regeneration system was proposed which adopted a high-speed flywheel and a battery to recover the braking energy and achieve the secondary traction for the auxiliary start function. The system strategy was designed and the braking simulation was processed to validate its feasibility. The experiment results show that the system can effectively recover the braking energy, improve the starting performance of the city bus and it can be applied to the engineering.

  15. Case study: City of Industry landfill gas recovery operation

    Energy Technology Data Exchange (ETDEWEB)

    None

    1981-11-01

    Development of civic, recreation, and conservation facilities throughout a 150-acre site which had been used for waste disposal from 1951 to 1970 is described. The history of the landfill site, the geology of the site, and a test well program to assess the feasibility of recoverying landfill gas economically from the site are discussed. Based on results of the test well program, the City of Industry authorized the design and installation of a full-scale landfill gas recovery system. Design, construction, and operation of the system are described. The landfill gas system provides fuel for use in boilers to meet space heating and hot water demands for site development (MCW)

  16. Study on City Environment, Safety and Health from the Viewpoint of Ecological Risks

    Institute of Scientific and Technical Information of China (English)

    YIN Qian-liang

    2011-01-01

    Urban ecological risk analysis is a relatively new study field.Rapid industrial moderni ation and urbanization have significantly improved the living standards of the city.However, as environmental, safety and health issues are causing widespread concern, these problems have potential serious threat on ecosystems and human health.So how to solve many problems arising from city has become a key to sustainable development of human civilization.The present article analyzed the major problems that the city confronts and pointed out the main measures from the aspects of urban environment, safety and health.

  17. Renal Hemodynamic Effects of Serelaxin in Patients With Chronic Heart Failure A Randomized, Placebo-Controlled Study

    NARCIS (Netherlands)

    Voors, Adriaan A.; Dahlke, Marion; Meyer, Sven; Stepinska, Janina; Gottlieb, Stephen S.; Jones, Andrew; Zhang, Yiming; Laurent, Didier; Slart, Riemer H. J. A.; Navis, Gerjan J.

    2014-01-01

    Background-Serelaxin is a promising therapy for acute heart failure. The renal hemodynamic effects of serelaxin in patients with chronic heart failure are unknown. Methods and Results-In this double-blind, randomized, placebo-controlled, multicenter study, patients with New York Heart Association Cl

  18. Community-based case-control study of childhood stroke risk associated with congenital heart disease

    OpenAIRE

    Fox, CK; Sidney, S.; Fullerton, HJ

    2015-01-01

    © 2015 American Heart Association, Inc. BACKGROUND AND PURPOSE - : A better understanding of the stroke risk factors in children with congenital heart disease (CHD) could inform stroke prevention strategies. We analyzed pediatric stroke associated with CHD in a large community-based case-control study. METHODS - : From 2.5 million children (aged 30-fold (odds ratio, 31; confidence interval 4-241) increased risk of stroke in children with CHD when compared with controls. After excluding periop...

  19. Cross Innovation approach and the creative industries: a case study in the city of Lisbon, Portugal

    Directory of Open Access Journals (Sweden)

    Janaina Mendes Oliveira

    2016-04-01

    Full Text Available Given the cultural diversity of Europe, and the inextricable link between culture and creativity, creative industries also represent a great asset and a source of global competitive advantage. In this regard the EU launched the project Cross Innovation, aimed at identifying and sharing innovative experiences among the participating cities, and more specifically seeking to identify how the creative industries can interact with other industries in other sectors. This project was taken part by 11 European cities such as Amsterdam, Berlin, Birmingham, Stockholm, Linz, Lisbon, Pilsen, Vilnius, Warsaw, Rome and Tallinn. The purpose of this article is to describe the process performed in Europe and show that this can be used by other cities and even other regions to leverage the innovation process using the potential of the creative industry. It was utilized a documentary research on the project (reports, websites, documents submitted by respondents and there was performed a field study, with personal interviews with those responsible for the agencies involved in the project (Town Hall, University of Lisbon, companies, including others in one of the participant cities: the city of Lisbon, in Portugal. When researching the results of this project, specifically in the city of Lisbon, it is seen that there was learning in the sense of how the city can arrange a mediation policy from this process of rapprochement between the sectors of the economy of a region and Creative Industries, and the results in terms of knowledge generation are visible.

  20. The Bumpy Road toward Low-Energy Urban Mobility: Case Studies from Two UK Cities

    Directory of Open Access Journals (Sweden)

    Tim Schwanen

    2015-06-01

    Full Text Available Cities are increasingly seen as the places where innovations that can trigger a sociotechnical transition toward urban mobility are emerging and maturing. Processes such as peak car, rail renaissance and cycling boom manifest themselves particularly in cities, and success stories of cities experimenting with specific types of low-energy mobility abound in the academic literature. Nonetheless, innovation is known to be a precarious process requiring favorable circumstances. Using document analysis and in-depth interviews, this study examines the nature of low-energy innovation in the everyday mobility of people in two UK cities with favorable conditions for a transition away from fossil fuels—Brighton and Oxford. It shows that clear differences exist between the two cities in the sorts of innovation that emerge and diffuse as a result of path dependencies, local politics, and financial support from supra-local governments and agencies. While low-energy mobility currently has substantial momentum in both cities, the majority of low-carbon innovations in urban mobility are incremental rather than radical in nature, and their future is often imbued with uncertainty. The autonomy of small- and medium-sized cities as agents in bringing about transformational change toward low-energy urban mobility should not be overestimated.

  1. Strategies to reduce the harmful effects of extreme heat events: a four-city study.

    Science.gov (United States)

    White-Newsome, Jalonne L; McCormick, Sabrina; Sampson, Natalie; Buxton, Miatta A; O'Neill, Marie S; Gronlund, Carina J; Catalano, Linda; Conlon, Kathryn C; Parker, Edith A

    2014-02-13

    Extreme heat events (EHEs) are becoming more intense, more frequent and longer lasting in the 21st century. These events can disproportionately impact the health of low-income, minority, and urban populations. To better understand heat-related intervention strategies used by four U.S. cities, we conducted 73 semi-structured interviews with government and non-governmental organization leaders representing public health, general social services, emergency management, meteorology, and the environmental planning sectors in Detroit, MI; New York City, NY; Philadelphia, PA and Phoenix, AZ-cities selected for their diverse demographics, climates, and climate adaptation strategies. We identified activities these leaders used to reduce the harmful effects of heat for residents in their city, as well as the obstacles they faced and the approaches they used to evaluate these efforts. Local leaders provided a description of how local context (e.g., climate, governance and city structure) impacted heat preparedness. Despite the differences among study cities, political will and resource access were critical to driving heat-health related programming. Upon completion of our interviews, we convened leaders in each city to discuss these findings and their ongoing efforts through day-long workshops. Our findings and the recommendations that emerged from these workshops could inform other local or national efforts towards preventing heat-related morbidity and mortality.

  2. Strategies to Reduce the Harmful Effects of Extreme Heat Events: A Four-City Study

    Directory of Open Access Journals (Sweden)

    Jalonne L. White-Newsome

    2014-02-01

    Full Text Available Extreme heat events (EHEs are becoming more intense, more frequent and longer lasting in the 21st century. These events can disproportionately impact the health of low-income, minority, and urban populations. To better understand heat-related intervention strategies used by four U.S. cities, we conducted 73 semi-structured interviews with government and non-governmental organization leaders representing public health, general social services, emergency management, meteorology, and the environmental planning sectors in Detroit, MI; New York City, NY; Philadelphia, PA and Phoenix, AZ—cities selected for their diverse demographics, climates, and climate adaptation strategies. We identified activities these leaders used to reduce the harmful effects of heat for residents in their city, as well as the obstacles they faced and the approaches they used to evaluate these efforts. Local leaders provided a description of how local context (e.g., climate, governance and city structure impacted heat preparedness. Despite the differences among study cities, political will and resource access were critical to driving heat-health related programming. Upon completion of our interviews, we convened leaders in each city to discuss these findings and their ongoing efforts through day-long workshops. Our findings and the recommendations that emerged from these workshops could inform other local or national efforts towards preventing heat-related morbidity and mortality.

  3. SUSTAINABLE EVENT TOURISM: CASE STUDY CITY OF PULA, CROATIA

    Directory of Open Access Journals (Sweden)

    Jasmina Grzinic

    2014-06-01

    Full Text Available Modern tourism expands through cultural experience, which is reflected in economic, ecological and socio-cultural effects on destinations. Event tourism is a growing market segment and represents a challenge for all destination stakeholders. As the largest town in the Croatian part of Istria, the City of Pula represents a valid basis for the development of event tourism due to its coastal geography and rich cultural and historical heritage from antique, medieval and new age periods. The festival and event organisers in Pula use historical and cultural themes in order to develop annual attractions by which they draw in tourists and brand the destination. In this paper, the hypothesis is set on the lack of benefits from event organisation in the destination (the City of Pula in the ecological, economic and socio-cultural senses. In resolving of research problems with authorised representatives of local boards Arena, Monte Zaro and Stinjan, standardised, semi-structured and problem-centred interviews were conducted for the purposes of contribution to research relative to sustainability and responsibility of events in tourism.

  4. Defective support network: a major obstacle to coping for patients with heart failure: a qualitative study

    Directory of Open Access Journals (Sweden)

    Parvin Mangolian Shahrbabaki

    2016-04-01

    Full Text Available Background: Heart failure as a chronic disease poses many challenges for a patient in his or her everyday life. Support in various aspects of life positively affects coping strategies and influences the well-being and health outcomes of heart failure patients. Inadequate support may lead to a worsening of symptoms, increased hospital readmissions, psychological disorders, and a reduced quality of life. Objective: This study explored obstacles to coping related to support for heart failure patients as viewed by the patients themselves and their family members and caregivers. Design: This qualitative study was conducted using content analysis. The 20 Iranian participants included 11 patients with heart failure, three cardiologists, three nurses, and three family members of heart failure patients selected through purposive sampling. Data were collected through semi-structured interviews and analyzed using the Lundman and Graneheim qualitative content analysis method. Results: During data analysis, ‘defective support network’ developed as the main theme along with four other categories of ‘inadequate family performance’, ‘inadequate support by the healthcare team’, ‘distorted societal social support’, and ‘inadequate welfare support’. Conclusion: The findings of the current study can assist health authorities and planners in identifying the needs of patients with heart failure so as to focus and plan on facilitating their coping as much as possible by obviating the existing obstacles.

  5. COLONIAL AND TRADITIONAL URBAN SPACE IN JAVA: A MORPHOLOGICAL STUDY OF TEN CITIES

    Directory of Open Access Journals (Sweden)

    SUNARYO Rony Gunawan

    2013-12-01

    Full Text Available Most of morphological studies of cities in Java tended to place the elements of traditional urban space – such as Alun-alun, Mosque, Palace and Market – as the main elements of city. Other elements such as the colonial urban space –  Resident Office, Fort, Church, Park and so on – are often considered separately or placed as a complementary part. Through a morphological study  by exploring ten cities in Java, I found both elements of traditional and colonial urban space were set in a unique and various pattern. There are some findings indicating that the elements of colonial urban space significantly influence the city structure as well as those of the traditional ones. Therefore, understanding the urban space form in Java should include and put elements of both of traditional and colonial urban space as an integral part.

  6. Sensitivity analysis of the boundary layer height on idealised cities (model study)

    Energy Technology Data Exchange (ETDEWEB)

    Schayes, G. [Univ. of Louvain, Louvain-la-Neuve (Belgium); Grossi, P. [Joint Research Center, Ispra (Italy)

    1997-10-01

    The behaviour of the typical diurnal variation of the atmospheric boundary layer (ABL) over cities is a complex function of very numerous environmental parameters. Two types of geographical situations have been retained: (i) inland city only surrounded by uniform fields, (ii) coastal city, thus influenced by the sea/land breeze effect. We have used the three-dimensional Thermal Vorticity-mode Mesoscale (TVM) model developed jointly by the UCL (Belgium) and JRC (Italy). In this study it has been used in 2-D mode allowing to perform many sensitivity runs. This implies that a kind of infinitely wide city has been effectively stimulated, but this does not affect the conclusions for the ABL height. The sensibility study has been performed for two turbulence closure schemes, for various assumptions for the ABL height definition in the model, and for a selected parameter, the soil water content. (LN)

  7. URBAN GROWTH SCENARIOS OF A FUTURE MEGA CITY: CASE STUDY AHMEDABAD

    Directory of Open Access Journals (Sweden)

    A. Lehner

    2016-06-01

    Full Text Available The study of urban areas and their development focuses on cities, their physical and demographic expansion and the tensions and impacts that go along with urban growth. Especially in developing countries and emerging national economies like India, consistent and up to date information or other planning relevant data all too often is not available. With its Smart Cities Mission, the Indian government places great importance on the future developments of Indian urban areas and pays tribute to the large-scale rural to urban migration. The potentials of urban remote sensing and its contribution to urban planning are discussed and related to the Indian Smart Cities Mission. A case study is presented showing urban remote sensing based information products for the city of Ahmedabad. Resulting urban growth scenarios are presented, hotspots identified and future action alternatives proposed.

  8. Urban Growth Scenarios of a Future MEGA City: Case Study Ahmedabad

    Science.gov (United States)

    Lehner, A.; Kraus, V.; Steinnocher, K.

    2016-06-01

    The study of urban areas and their development focuses on cities, their physical and demographic expansion and the tensions and impacts that go along with urban growth. Especially in developing countries and emerging national economies like India, consistent and up to date information or other planning relevant data all too often is not available. With its Smart Cities Mission, the Indian government places great importance on the future developments of Indian urban areas and pays tribute to the large-scale rural to urban migration. The potentials of urban remote sensing and its contribution to urban planning are discussed and related to the Indian Smart Cities Mission. A case study is presented showing urban remote sensing based information products for the city of Ahmedabad. Resulting urban growth scenarios are presented, hotspots identified and future action alternatives proposed.

  9. QUALITATIVE AND QUANTITATIVE STUDY OF MUNICIPAL SOLID WASTE IN AHWAZ CITY; WITH EMPHASIS ON HOSPITAL WASTES

    OpenAIRE

    Gh. Omrani; A.R. Mesdaghinia; A.E. Amoui

    1998-01-01

    Qualitative and quantitative analyses of hospital and municipal solid waste are necessary for selecting the best and most appropriate method of health care collection, storage, transportation and disposal of this kind of wastes. Quantitative and qualitative analyses of hospital and municipal wastes have been studied in Ahwaz city during spring 1996. The amount of solid wastes in five regions of the city was 560,000 Kg perday (0.648 Kg per capita). Also, the rate of waste production in 6 hospi...

  10. Protein supplements consumption: a comparative study between the city centre and the suburbs of Palermo, Italy

    OpenAIRE

    Bianco, A.; Mammina, C.; Thomas, E.; Ciulla, F.; Pupella, U; Gagliardo, F; Bellafiore, M; G. Battaglia; Paoli, A.; Palma, A.

    2014-01-01

    Background Protein supplements are extensively used among commercial gym users and athletes. Although demographic information amongst such consumption has been poorly investigated. The aim of this study is to compare protein supplement consumption in commercial gym users, both from the city centre and the suburbs of Palermo, Italy. Methods A face-to-face questionnaire has been administered to 561 subjects. 207 from the city centre (CC) and 354 from the suburbs (SB) of Palermo, Italy. Protein ...

  11. Living with the world heritage. An ethnographic study of the ancient city of Nessebar, Bulgaria

    OpenAIRE

    Luleva Ana

    2015-01-01

    Since the mid-1950s the Ancient city of Nessebar has had the status of national cultural heritage; in 1983 it was inscribed in the World heritage list of UNESCO. The article makes an attempt to study the regimes of using of and living in the city - world cultural heritage in two different political and economic contexts. The pressure of the tourism industry on the value, which was visible even in the years of the late state socialism, became irresistible af...

  12. The effect of competition on heart rate during kart driving: A field study

    Directory of Open Access Journals (Sweden)

    Yamakoshi Takehiro

    2011-09-01

    Full Text Available Abstract Background Both the act of competing, which can create a kind of mental stress, and participation in motor sports, which induces physical stress from intense g-forces, are known to increase heart rate dramatically. However, little is known about the specific effect of competition on heart rate during motor sports, particularly during four-wheel car driving. The goal of this preliminary study, therefore, was to investigate whether competition increases heart rate under such situations. Findings The participants drove an entry-level formula kart during two competitive races and during solo driving against the clock while heart rate and g-forces were measured. Analyses showed that heart rate values during the races (168.8 beats/min were significantly higher than those during solo driving (140.9 beats/min and rest (75.1 beats/min. Conclusions The results of this preliminary study indicate that competition heightens heart rate during four-wheel car driving. Kart drivers should be concerned about maintaining good health and developing physical strength.

  13. General practitioners' reasoning when considering the diagnosis heart failure: a think-aloud study

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    Bring Johan

    2005-01-01

    Full Text Available Abstract Background Diagnosing chronic heart failure is difficult, especially in mild cases or early in the course of the disease, and guidelines are not easily implemented in everyday practice. The aim of this study was to investigate general practitioners' diagnostic reasoning about patients with suspected chronic heart failure in comparison with recommendations in European guidelines. Methods Think-aloud technique was used. Fifteen general practitioners reasoned about six case vignettes, representing authentic patients with suspected chronic heart failure. Information about each case was added successively in five steps. The general practitioners said their thoughts aloud while reasoning about the probability of the patient having chronic heart failure, and tried to decide about the diagnosis. Arguments for and against chronic heart failure were analysed and compared to recommendations in guidelines. Results Information about ejection fraction was the most frequent diagnostic argument, followed by information about cardiac enlargement or pulmonary congestion on chest X-ray. However, in a third of the judgement situations, no information about echocardiography was utilized in the general practitioners' diagnostic reasoning. Only three of the 15 doctors used information about a normal electrocardiography as an argument against chronic heart failure. Information about other cardio-vascular diseases was frequently used as a diagnostic argument. Conclusions The clinical information was not utilized to the extent recommended in guidelines. Some implications of our study are that 1 general practitioners need more information about how to utilize echocardiography when diagnosing chronic heart failure, 2 guidelines ought to give more importance to information about other cardio-vascular diseases in the diagnostic reasoning, and 3 guidelines ought to treat the topic of diastolic heart failure in a clearer way.

  14. Associations between green space and health in English cities: an ecological, cross-sectional study.

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    Honor Bixby

    Full Text Available Green space has been identified as a modifiable feature of the urban environment and associations with physiological and psychological health have been reported at the local level. This study aims to assess whether these associations between health and green space are transferable to a larger scale, with English cities as the unit of analysis. We used an ecological, cross-sectional study design. We classified satellite-based land cover data to quantify green space coverage for the 50 largest cities in England. We assessed associations between city green space coverage with risk of death from all causes, cardiovascular disease, lung cancer and suicide between 2002 and 2009 using Poisson regression with random effect. After adjustment for age, income deprivation and air pollution, we found that at the city level the risk of death from all causes and a priori selected causes, for men and women, did not significantly differ between the greenest and least green cities. These findings suggest that the local health effects of urban green space observed at the neighbourhood level in some studies do not transfer to the city level. Further work is needed to establish how urban residents interact with local green space, in order to ascertain the most relevant measures of green space.

  15. STUDY ON SPATIAL LANDSCAPE PATTERN OF YANTAI CITY BASED ON RS AND GIS

    Institute of Scientific and Technical Information of China (English)

    WU Quan-yuan

    2003-01-01

    Influenced by artificial factors, landscape pattern of Yantai City, Shandong Province changes continu-ously. Revealing its landscape pattern and its changing process has a practical significance for the urban development and layout. Zhifu District, Development Zone, Laishan District and Fushan District in Yantai City were selected to study the landscape pattern. Remote sensing technology was used to obtain landscape information of different peri-ods. Under the support of Geographic Information System (GIS), the spatial landscape pattern of Yantai City was an-alyzed and simulated by using various special quantitative analysis models. The analysis shows that built-up area lies in the center of Yantai City, the outside is vegetable land, irrigated land, dry land, garden land and woodland.

  16. Looking at public spaces in contemporary Rome: an anthropological perspective on the study of cities

    Directory of Open Access Journals (Sweden)

    Monica Postiglione

    2013-01-01

    Full Text Available Through the presentation of two case studies this paper aims to engage the theoretical debate on the persistence of public space in the contemporary city, and focuses the attention on the way people practice these spaces and on the policies which are regulating their uses. Starting from the description of different ways in which some urban spaces in Rome (Italy are used by two different communities of people, one mainly composed by immigrants and the other by young city users, and the diverse ways in which their different practices are seen and tolerated, the aim of this paper is to reflect on public spaces. Observing how city users practice public spaces, and analysing the way in which these practices are considered, are particularly exciting perspectives that can offer an interesting vision of the spatial and social reality of the city and of hegemonic relations which govern it.

  17. Surface Albedo in Cities: Case Study in Sapporo and Tokyo, Japan

    Science.gov (United States)

    Sugawara, Hirofumi; Takamura, Tamio

    2014-12-01

    The surface albedo of two large cities in Japan was measured using a pyranometer mounted on a helicopter to avoid the bidirectional reflectance distribution. The daytime albedo was 0.12 in the cities, which was less than that of a nearby forest (0.16). The albedo was dependent on building structure in the cities; the albedo was lower in areas with more buildings, and decreased as the aspect ratio of street canyons increased. There are two reasons for this dependency: the multiple reflection of radiation in the building canopy, as has been shown in many previous studies, and the sparse vegetation in urban areas. These two factors concurrently determine the albedo in a real city, where the vegetation amount decreases as the plan roof ratio increases.

  18. Industrial symbiosis as a countermeasure for resource dependent city: a case study of Guiyang, China

    DEFF Research Database (Denmark)

    Li, Hong; Dong, Liang; Ren, Jingzheng

    2015-01-01

    of sustainability and economy transition solutions become more and more important. Under this condition, this study aims to conduct a comprehensive review on the major projects for a more sustainable future in China's national resource dependent cities and propose a countermeasure for the sustainability transition...... based on the industrial symbiosis concept. Firstly, an investigation on the panoramic view, challenges, transiting policies of China's resource dependent cities' project has been carried out. Subsequently, Guiyang city in Guizhou province of China, as a typical resource dependent city, has been chosen...... as example of industrial and regional symbiosis focusing on the integration and symbiosis of coal, electricity, aluminum, phosphor chemical, iron/steel industry and urban. Then, a quantitative assessment on the environmental benefits has been conducted based on material flow analysis approach. Results...

  19. Reduced Dietary Sodium Intake Increases Heart Rate. A Meta-Analysis of 63 Randomized Controlled Trials Including 72 Study Populations

    DEFF Research Database (Denmark)

    Graudal, Niels A; Hubeck-Graudal, Thorbjørn; Jürgens, Gesche

    2016-01-01

    Reduced dietary sodium intake (sodium reduction) increases heart rate in some studies of animals and humans. As heart rate is independently associated with the development of heart failure and increased risk of premature death a potential increase in heart rate could be a harmful side......-effect of sodium reduction. The purpose of the present meta-analysis was to investigate the effect of sodium reduction on heart rate. Relevant studies were retrieved from an updated pool of 176 randomized controlled trials (RCTs) published in the period 1973-2014. Sixty-three of the RCTs including 72 study...... populations reported data on heart rate. In a meta-analysis of these data sodium reduction increased heart rate with 1.65 beats per minute [95% CI: 1.19, 2.11], p sodium reduction...

  20. A STUDY ON THE INTRODUCTION OF BUS RAPID TRANSIT SYSTEM IN ASIAN DEVELOPING CITIES

    Directory of Open Access Journals (Sweden)

    Thaned SATIENNAM

    2006-01-01

    Full Text Available Bus Rapid Transit (BRT has increasingly become an attractive urban transit alternative in many Asian developing cities due to its cost-effective and flexible implementation. However, it still seems to be difficult to introduce BRT to these cities because almost all of their city structures have been developed under solely a road transport development city plan and weakness of land use control gives rise to many problems, such as urban sprawl, traffic congestion, and air pollution. The purpose of this study was to introduce several strategies to support BRT implementation in Asian developing cities, such as a strategy to appropriately integrate the paratransit system into BRT system as being a feeder along a BRT corridor to supply demand. These proposed strategies were evaluated by applying demand forecasting and emission models to the BRT project plan of Bangkok Metropolitan Administration (BMA in Thailand. It was demonstrated that the proposed strategies could effectively improve the BRT ridership, traffic conditions, and air pollution emission of the entire system in Bangkok. This study could be further extended to include strategy recommendation if a BRT system were to be introduced to other Asian developing cities.

  1. The Framingham Heart Study, on its way to becoming the gold standard for Cardiovascular Genetic Epidemiology?

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    Jaquish Cashell E

    2007-10-01

    Full Text Available Abstract The Framingham Heart Study, founded in 1948 to examine the epidemiology of cardiovascular disease in a small town outside of Boston, has become the worldwide standard for cardiovascular epidemiology. It is among the longest running, most comprehensively characterized multi-generational studies in the world. Such seminal findings as the effects of smoking and high cholesterol on heart disease came from the Framingham Heart Study. At the time of publication these were novel cardiovascular disease (CVD risk factors, now they are the basis of treatment and prevention in the US. Is the Framingham study now on it's way to becoming the gold standard for genetic epidemiology of CVD? Will the novel genetic findings of today become the health care standards of tomorrow? The accompanying articles summarizing the results of genome-wide association studies (GWAS give the reader a first glimpse into the possibilities.

  2. A Hospital-Based Study on Causes Peculiar to Heart Failure

    Directory of Open Access Journals (Sweden)

    Muhammad Hafizullah

    2009-03-01

    Full Text Available Background: We sought to determine the frequency of the risk factors for congestive cardiac failure (CCF in a tertiary care hospital in Peshawar, Pakistan. Methods: This retrospective, observational study was conducted in the department of cardiology, Postgraduate Medical Institute, Lady Reading Hospital Peshawar, from March 2005 to September 2007. Relevant information regarding the risk factors of CCF was recorded on questionnaires, devised in accordance with the objectives of the study. Results: This study recruited 1019 patients with an established diagnosis of CCF on the basis of clinical findings and pertinent investigations. The study population comprised 583 (57.12% men and 436 (42.78% women. The patients’ age ranged from 6 years to 82 years with a mean age of 48.5 years and a mode of age of 45 years. The distribution of the causative factors of CCF was as follows: ischemic heart disease in 38.56%; hypertension in 26.30%; dilated cardiomyopathies in 10.10%; obstructive and restrictive cardiomyopathies in 5.39%; valvular heart diseases in 9.32%; congenital heart diseases like ventricular septal defects and atrial septal defects in 4.41% and 0.58%, respectively; constrictive pericarditis in 1.07%; pericardial effusion in 0.68%; chronic obstructive pulmonary disease and pulmonary hypertension in 1.47%; thyrotoxicosis in 0.68%; complete heart block in 0.29%; and Paget’s disease in 0.09% of the cases.Conclusion: Ischemic heart disease, hypertension, cardiomyopathy, valvular heart disease, and congenital heart disease were the major contributors to CCF in our patients.

  3. Urban sustainable energy development: A case study of the city of Philadelphia

    Science.gov (United States)

    Argyriou, Iraklis

    This study explores the role of cities in sustainable energy development through a governance-informed analysis. Despite the leading position of municipalities in energy sustainability, cities have been mostly conceptualized as sites where energy development is shaped by external policy scales, i.e. the national level. A growing body of research, however, critiques this analytical perspective, and seeks to better understand the type of factors and dynamics that influence energy sustainability within a multi-level policy context for urban energy. Given that particular circumstances are applicable across cities, a context-specific analysis can provide insight regarding how sustainable energy development takes place in urban areas. In applying such an analytical perspective on urban energy sustainability, this study undertakes a qualitative case study analysis for the city of Philadelphia, Pennsylvania, by looking at four key local policy initiatives relevant to building energy efficiency and solar electricity development at the municipal government and city-wide level. The evaluation of the initiatives suggests that renewable electricity use has increased substantially in the city over the last years but the installed capacity of local renewable electricity systems, including solar photovoltaics, is low. On the other hand, although the city has made little progress in meeting its building energy efficiency targets, more comprehensive action is taken in this area. The study finds that the above outcomes have been shaped mainly by four factors. The first is the city government's incremental policy approach aiming to develop a facilitative context for local action. The second is the role that a diverse set of stakeholders have in local sustainable energy development. The third is the constraints that systemic policy barriers create for solar power development. The fourth is the ways through which the relevant multi-level policy environment structures the city

  4. Reduced Dietary Sodium Intake Increases Heart Rate. A Meta-Analysis of 63 Randomized Controlled Trials Including 72 Study Populations

    DEFF Research Database (Denmark)

    Graudal, Niels A; Hubeck-Graudal, Thorbjørn; Jürgens, Gesche

    2016-01-01

    Reduced dietary sodium intake (sodium reduction) increases heart rate in some studies of animals and humans. As heart rate is independently associated with the development of heart failure and increased risk of premature death a potential increase in heart rate could be a harmful side...... increases heart rate by as much (2.4%) as it decreases blood pressure (2.5%). This side-effect, which may cause harmful health effects, contributes to the need for a revision of the present dietary guidelines....

  5. C-reactive protein and all-cause mortality--the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Zacho, Jeppe; Tybjærg-Hansen, Anne; Nordestgaard, Børge G

    2010-01-01

    We tested whether elevated levels of C-reactive protein is robustly and causally associated with all-cause mortality.......We tested whether elevated levels of C-reactive protein is robustly and causally associated with all-cause mortality....

  6. Leptin, not adiponectin, predicts hypertension in the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Asferg, Camilla Lundegaard; Møgelvang, Rasmus; Flyvbjerg, Allan;

    2010-01-01

    blood pressure (DBP) > or = 90 mm Hg, or use of antihypertensive medication. Using logistic regression analysis, adjusting for age, sex, estimated glomerular filtration rate, triglycerides, high-density lipoprotein cholesterol (HDL-C), fibrinogen, and glucose, and with leptin and adiponectin included...

  7. FEASIBILITY STUDY FOR POTASSIUM IODIDE (KI) DISTRIBUTION IN NEW YORK CITY.

    Energy Technology Data Exchange (ETDEWEB)

    MOSS, STEVEN

    2005-04-29

    The New York City Department of Health and Mental Hygiene (DOHMH), Bureau of Environmental Science and Engineering, Office of Radiological Health (ORH) [as the primary local technical consultant in the event of a radiological or nuclear incident within the boundaries of New York City] requested the assistance of Brookhaven National Laboratory (BNL) with the development of a Feasibility Study for Potassium Iodide (KI) distribution in the unlikely event of a significant release of radioactive iodine in or near New York City. Brookhaven National Laboratory had previously provided support for New York City with the development of the radiological/nuclear portions of its All Hazards Emergency Response Plans. The work is funded by Medical and Health Research Association (MHRA) of New York City, Inc., under a work grant by the Federal Centers for Disease Control (CDC) for Public Health Preparedness and Response for Bioterrorism. This report is part of the result of that effort. The conclusions of this report are that: (1) There is no credible radiological scenario that would prompt the need for large segments of the general population of New York City to take KI as a result of a projected plume exposure to radioiodine reaching even the lowest threshold of 5 rem to the thyroid; and (2) KI should be stockpiled in amounts and locations sufficient for use by first responders/emergency responders in response to any localized release of radioiodine.

  8. Study Utility Vehicle Makassar City Transport a HighErgonomics

    Directory of Open Access Journals (Sweden)

    Ahmad Hanafie

    2015-09-01

    Full Text Available The development of technology during this was to meet the man, but it should be men must be spoilt, But if it turns out that all that did not make people feel safe, comfortable, healthy and easy, but the planning process, decision-making and developments have experienced a deviation orientation. Public transport Transportation in the Makassar city should be made with implementing aspects promotes ergonomic comfort, but it does not apply in means of transportation to the public. Issues for public vehicles on access up and down not in accordance with The aim of the research vehicle users. is to phrases dimensions body which have an effect on to utility vehicle, to examine the public vehicles that high-promotes ergonomic comfort. The method assessment is the measurement dimensions body to the passengers as well as the use questionnaires and analyzed in a holistic approach ergonomics. Results of research high security tools to public vehicles that high-security vehicle users generally by body dimensions as a powerful than Knee-and-a-half was knee, long your feet, and your elbow kelantai. While utilities yangbernilai ergonomics was the first and second around 24.76 cm and 49.53 cm, wide around 24.25 cm and was hangar 104, 78 cm.

  9. Study on evaluation of cities' ability reducing earthquake disasters

    Institute of Scientific and Technical Information of China (English)

    张风华; 谢礼立; 范立础

    2004-01-01

    Cities′ ability reducing earthquake disasters is a complex system involving numerous factors, moreover the re-search on evaluating cities′ ability reducing earthquake disasters relates to multi-subject, such as earthquake sci-ence, social science, economical science and so on. In this paper, firstly, the conception of cities′ ability reducingearthquake disasters is presented, and the ability could be evaluated with three basic elements - the possible seis-mic casualty and economic loss during the future earthquakes that are likely to occur in the city and its surround-ings and time required for recovery after earthquake; based upon these three basic elements, a framework, whichconsists of six main components, for evaluating city′s ability reducing earthquake disasters is proposed; then thestatistical relations between the index system and the ratio of seismic casualty, the ratio of economic loss and re-covery time are gained utilizing the cities′ prediction results of earthquake disasters which were made during theninth five-year plan; at last, the method defining the comprehensive index of cities′ ability reducing earthquakedisasters is presented. Thus the relatively comprehensive theory frame is set up. The frame can evaluate cities′ability reducing earthquake disasters absolutely and quantitatively and consequently instruct the decision-makingon reducing cities′ earthquake disasters loss.

  10. Therapeutic patient education in heart failure: do studies provide sufficient information about the educational programme?

    Science.gov (United States)

    Albano, Maria Grazia; Jourdain, Patrick; De Andrade, Vincent; Domenke, Aukse; Desnos, Michel; d'Ivernois, Jean-François

    2014-05-01

    Therapeutic patient education programmes on heart failure have been widely proposed for many years for heart failure patients, but their efficiency remains questionable, partly because most articles lack a precise programme description, which makes comparative analysis of the studies difficult. To analyse the degree of precision in describing therapeutic patient education programmes in recent randomized controlled trials. Three major recent recommendations on therapeutic patient education in heart failure inspired us to compile a list of 23 relevant items that an 'ideal' description of a therapeutic patient education programme should contain. To discover the extent to which recent studies into therapeutic patient education in heart failure included these items, we analysed 19 randomized controlled trials among 448 articles published in this field from 2005 to 2012. The major elements required to describe a therapeutic patient education programme were present, but some other very important pieces of information were missing in most of the studies we analysed: the patient's educational needs, health literacy, projects, expectations regarding therapeutic patient education and psychosocial status; the educational methodology used; outcomes evaluation; and follow-up strategies. Research into how therapeutic patient education can help heart failure patients will be improved if more precise descriptions of patients, educational methodology and evaluation protocols are given by authors, ideally in a standardized format.

  11. Experiences of Patients Living With Heart Failure: A Descriptive Qualitative Study.

    Science.gov (United States)

    Seah, Alvin Chuen Wei; Tan, Khoon Kiat; Huang Gan, Juvena Chew; Wang, Wenru

    2016-07-01

    The purpose of this study was to explore the experiences, needs, and coping strategies of patients living with heart failure in Singapore. A descriptive qualitative design was used. A purposive sample of 15 informants was recruited from two cardiology wards of a tertiary public hospital in Singapore. Individual face-to-face interviews were conducted with a semistructured interview guideline that was developed based on a review of the literature and a pilot study. Content analysis was adopted to analyze the data, and four main categories were identified: perceived causes, manifestations, and prognosis; enduring emotions; managing the condition; and needs from health care professionals. The informants were overwhelmed with the experience of living with heart failure due to the disruptive and uncertain nature of the condition. This study offers health care professionals practical and useful suggestions when providing holistic care for patients with heart failure.

  12. NMR Study of Damage on Isolated Perfused Rat Heart Exposed to Ischemia and Hypoxia

    Institute of Scientific and Technical Information of China (English)

    罗雪春; 闫永彬; 张日清; 王小寅; 范礼理

    2001-01-01

    Myocardial ischemia is the most common and primary cause of myocardium damage. Numerous conventional techniques and methods have been developed for ischemia and reperfusion studies. However, because of damage to the heart sample, most of these techniques can not be used to continuously monitor the full dynamic course of the myocardial metabolic pathway. The nuclear magnetic resonnance (NMR) surface coil technique, which overcomes the limitations of conventional instrumentation, can be used to quantitatively study every stage of the perfused heart (especially after perfusion stoppage) continuously, dynamically, and without damage under normal or designed physiological conditions at the molecular level. In this paper, 31p-NMR was used to study the effects of ischemia and hypoxia on isolated perfused hearts. The results show that complete hypoxia caused more severe functional damage to the myocardial cells than complete ischemia.

  13. Relationship of Transportation Noise and Annoyance for Two Metropolitan Cities in Korea: Population Based Study.

    Science.gov (United States)

    Sung, Joo Hyun; Lee, Jiho; Park, Sang Jin; Sim, Chang Sun

    2016-01-01

    Transportation noise is known to have negative impact on both public health and life quality. This study evaluated the relationship between transportation noise and annoyance levels, and also the difference of annoyance levels in two metropolitan cities based on epidemiologic surveys. Two thousand adult subjects living in Seoul and Ulsan were enrolled by stratified random sampling on the basis of noise maps from July 2015 to January 2016. Individual annoyance in accordance with transportation noise levels in two metropolitan cities were surveyed using an 11-point visual analog scale questionnaire. The results show that transportation noise level was significantly correlated with annoyance in both cities. Logistic regression analysis revealed that the risk of being 'highly annoyed' increased with noise level (Ldn, day-night average sound level) in both cities. After adjusting for age, residence period, sociodemographic factors (sex, education, marriage, income, alcohol, smoking, and exercise) and noise sensitivity, the risk of being 'highly annoyed' was increased with noise levels in both cities. In comparison to those of areas with noise levels below 55 dBA, the adjusted odds ratios of 'highly annoyed' for areas with 55-65 dBA and over 65 dBA were 2.056 (95% confidence interval [CI] 1.225-3.450), 3.519 (95% CI 1.982-6.246) in Seoul and 1.022 (95% CI 0.585-1.785), 1.704 (95% CI 1.005-2.889) in Ulsan, respectively. Based on the results of a population study, we showed that transportation noise levels were significantly associated with annoyance in adults. However, there were some differences between the two cities. In this study, there were differences in transportation noise between the two cities. Seoul has complex noise (traffic and aircraft), compared to single road traffic noise in Ulsan. Therefore, single and complex transportation noise may have different effects on annoyance levels.

  14. Heart rate changes during partial seizures: A study amongst Singaporean patients

    Directory of Open Access Journals (Sweden)

    Lim Shih-Hui

    2001-09-01

    Full Text Available Abstract Introduction Studies in Europe and America showed that tachycardia, less often bradycardia, frequently accompanied partial seizures in Caucasian patients. We determine frequency, magnitude and type of ictal heart rate changes during partial seizures in non-Caucasian patients in Singapore. Methods Partial seizures recorded during routine EEGs performed in a tertiary hospital between 1995 and 1999 were retrospectively reviewed. All routine EEGs had simultaneous ECG recording. Heart rate before and during seizures was determined and correlated with epileptogenic focus. Differences in heart rate before and during seizures were grouped into 4 types: (1 >10% decrease; (2 -10 to +20% change; (3 20–50% increase; (3 >50% increase. Results Of the total of 37 partial seizures, 18 were left hemisphere (LH, 13 were right hemisphere (RH and 6 were bilateral (BL in onset. 51% of all seizures showed no significant change in heart rate (type 2, 22% had moderate sinus tachycardia (type 3, 11% showed severe sinus tachycardia (type 4, while 16% had sinus bradycardia (type 1. Asystole was recorded in one seizure. Apart from having more tachycardia in bilateral onset seizures, there was no correlation between side of ictal discharge and heart rate response. Compared to Caucasian patients, sinus tachycardia was considerably less frequent. Frequency of bradycardia was similar to those recorded in the literature. Conclusions Significant heart rate changes during partial seizures were seen in half of Singaporean patients. Although sinus tachycardia was the most common heart rate change, the frequency was considerably lower compared to Caucasian patients. This might be due to methodological and ethnic differences. Rates of bradycardia are similar to those recorded in the literature.

  15. Proliferation concerns in the Russian closed nuclear weapons complex cities : a study of regional migration behavior.

    Energy Technology Data Exchange (ETDEWEB)

    Flores, Kristen Lee

    2004-07-01

    The collapse of the Soviet Union in 1991 left the legacy of the USSR weapons complex with an estimated 50 nuclear, chemical, and biological weapons cities containing facilities responsible for research, production, maintenance, and destruction of the weapons stockpile. The Russian Federation acquired ten such previously secret, closed nuclear weapons complex cities. Unfortunately, a lack of government funding to support these facilities resulted in non-payment of salaries to employees and even plant closures, which led to an international fear of weapons material and knowledge proliferation. This dissertation analyzes migration in 33 regions of the Russian Federation, six of which contain the ten closed nuclear weapons complex cities. This study finds that the presence of a closed nuclear city does not significantly influence migration. However, the factors that do influence migration are statistically different in regions containing closed nuclear cities compared to regions without closed nuclear cities. Further, these results show that the net rate of migration has changed across the years since the break up of the Soviet Union, and that the push and pull factors for migration have changed across time. Specifically, personal and residential factors had a significant impact on migration immediately following the collapse of the Soviet Union, but economic infrastructure and societal factors became significant in later years. Two significant policy conclusions are derived from this research. First, higher levels of income are found to increase outmigration from regions, implying that programs designed to prevent migration by increasing incomes for closed city residents may be counter-productive. Second, this study finds that programs designed to increase capital and build infrastructure in the new Russian Federation will be more effective for employing scientists and engineers from the weapons complex, and consequently reduce the potential for emigration of

  16. [Pharmacotherapy of patients with chronic heart failure. Analysis of multicenter international studies].

    Science.gov (United States)

    Chekman, I S

    2008-01-01

    Leterature data and own investigations are summarized in the article. New experimental facts about mechanism of action of cardiac glycosides (especially digoxin) were obtained last year. It was shown that in human organism there are endogenous cardiosteroids (digitalis-like substances, endogenous oubain and other). They are in different organs (adrenal glands, hypothalamus, pituitary gland) and have influence on different organs and systems. Indications, contraindications, side effects, interactions with other drugs have been studied by cardiologists. Results of international multicentere studies demonstrate high efficacy of digoxin in treatment of chronic heart failure caused by compromised contractile activity of myocardium, atrium fibrillation and is used for controlling number of heart contractions and supraventricular paroxysmal tachycardia. More than 200 years history of scientific researches and clinical use of cardiac glycosides show that this group of medicine may be applied in a combine pharmacotherapy of chronic heart failure together with antihypertensive drugs.

  17. The contribution of observational studies to the knowledge of drug effectiveness in heart failure

    NARCIS (Netherlands)

    Dobre, Daniela; van Veldhuisen, Dirk J.; deJongste, Mike J. L.; van Sonderen, Eric; Klungel, Olaf H.; Sanderman, Robbert; Ranchor, Adelita V.; Haaijer-Ruskamp, Flora M.

    2007-01-01

    Randomized controlled trials (RCTs) are the golden standard for the assessment of drug efficacy. Little is known about the add-on value of observational studies in heart failure (HF). We aimed to assess the contribution of observational studies to actual knowledge regarding the effectiveness of angi

  18. Metabolomic Profiling in Relation to New-Onset Atrial Fibrillation (from the Framingham Heart Study)

    NARCIS (Netherlands)

    Ko, Darae; Riles, Eric M.; Marcos, Ernaldo G.; Magnani, Jared W.; Lubitz, Steven A.; Lin, Honghuang; Long, Michelle T.; Schnabel, Renate B.; McManus, David D.; Ellinor, Patrick T.; Ramachandran, Vasan S.; Wang, Thomas J.; Gerszten, Robert E.; Benjamin, Emelia J.; Yin, Xiaoyan; Rienstra, Michiel

    2016-01-01

    Previous studies have shown several metabolic biomarkers to be associated with prevalent and incident atrial fibrillation (AF), but the results have not been replicated.. We investigated metabolite profiles of 2,458 European ancestry participants from the Framingham Heart Study without AF at the ind

  19. Cognition and Incident Coronary Heart Disease in Late Midlife: The Whitehall II Study

    Science.gov (United States)

    Singh-Manoux, Archana; Sabia, Severine; Kivimaki, Mika; Shipley, Martin J.; Ferrie, Jane E.; Marmot, Michael G.

    2009-01-01

    The purpose of this study was to investigate whether cognitive function in midlife predicts incident coronary heart disease (CHD), followed up over 6 years. Data on 5292 (28% women, mean age 55) individuals free from CHD at baseline were drawn from the British Whitehall II study. We used Cox regression to model the association between cognition…

  20. Feasibility study of rainwater harvesting system in Sylhet City.

    Science.gov (United States)

    Alam, R; Munna, G; Chowdhury, M A I; Sarkar, M S K A; Ahmed, M; Rahman, M T; Jesmin, F; Toimoor, M A

    2012-01-01

    In rural areas in Bangladesh, groundwater is the principal source of water supply. This underground water is available in considerable amount in shallow aquifers. It is free from pathogenic microorganisms and hence water-borne diseases. In plain lands, other than hilly areas, water supply to 97% rural population comes from tube-wells, which is regarded to be a phenomenal achievement in preserving public health. Besides, a dependable water supply system all throughout the country is offset by two factors: (a) high salinity in surface plus groundwater in coastal areas; (b) want of suitable groundwater aquifers in hilly areas and the high cost of setting up tube-wells due to deep underground water table and stony layers. However, presence of arsenic in underground water now poses a serious threat to the success once made in water supply by setting up of manually operated tube-wells in the village areas-the achievement is now on the brink of total collapse. In about 61 districts out of 64, presence of arsenic exceeds a quantity of 0.05 mg/1, a permissible limit as per Bangladeshi water quality standard. Harvesting rainwater can be a pragmatic solution to this problem, which is common in many places in Sylhet especially in the hilly areas on the north eastern part of the city. This can be an alternative source of drinking water because of availability of rainwater from March to October. Heavy rain occurs from end of May till mid September, which is commonly known as the rainy season. This paper focuses on the possibility of harvesting rainwater in rural communities and thickly populated urban areas of Sylhet. It also demonstrates the scopes of harvesting rainwater using simple and low-cost technology. With setting up of a carefully planned rainwater storage tank, a family can have all of its drinking water from rain. Planned use of rainwater through rainwater harvesting in the roof catchments may fulfill the entire annual domestic water demand of a family in the rural

  1. Effects of Nesiritide and Predictors of Urine Output in Acute Decompensated Heart Failure Results From ASCEND-HF (Acute Study of Clinical Effectiveness of Nesiritide and Decompensated Heart Failure)

    NARCIS (Netherlands)

    Gottlieb, Stephen S.; Stebbins, Amanda; Voors, Adriaan A.; Hasselblad, Vic; Ezekowitz, Justin A.; Califf, Robert M.; O'Connor, Christopher M.; Starling, Randall C.; Hernandez, Adrian F.

    2013-01-01

    Objectives This study sought to determine if nesiritide increases diuresis in congestive heart failure patients. Background In the ASCEND-HF (Acute Study of Clinical Effectiveness of Nesiritide and Decompensated Heart Failure), 7,141 patients hospitalized with acute decompensated heart failure (ADHF

  2. Functional Study of the Heart using MRI and Multi-slice CT (MSCT

    Directory of Open Access Journals (Sweden)

    "Sh. Akhlaghpour

    2005-08-01

    Full Text Available Introduction & Background: By using newer imaging techniques (MRI and MSCT, it is possible to perform functional studies of the heart including, wall mo-tion, chamber volume evaluation, and myocardial mass and wall thickness. While MRI had recently been introduced as the gold standard method for the morphological and functional studies of the heart, recent advances in the number of detectors, rotation time, and reconstruction protocols made Multislice CT (MSCT another new application for functional studies of the heart too. Ordinary raw data for coro-nary CT angiography is sufficient for these functional studies. Apart from the point that which technique is to be used to get a standard and reproducible meas-urement, a proper imaging strategy is necessary. To use MSCT, various softwares are available for these studies. By the use of these two modalities, valvular evaluations are also possible as addressed in many recent publications. In this article the strategy for functional study of the heart is presented and some case studies are also discussed.

  3. Study on Wujiaqu city construction%对五家渠城市建设的研究

    Institute of Scientific and Technical Information of China (English)

    李海义

    2015-01-01

    Starting from two aspects of city development frame and old city development,the article interprets Wujiaqu city development,and studies city development regions and major development section,with a view to improve city image,perfect city functions,change Wujiaqu city image and promote its fast development as well.%从城市发展框架和旧城发展两方面着手,对五家渠市的城市发展进行了解读,研判了城市发展的重点地区和重点发展地段,以提升城市形象、完善城市功能,实现五家渠市城市面貌的焕然一新,促进城市又好又快的发展。

  4. On Asian City Study%谈亚洲城市研究

    Institute of Scientific and Technical Information of China (English)

    伍江; 王才强; 沙永杰

    2012-01-01

    As an opening introduction of the series of Asian City Study, this article analyzes briefly about the needs and aims of Asian city study, and by looking at Shanghai and Singapore in Asian context, raises new issues of urban planning and design confronted by Asian cities under current Asian urbanization background.%本文是"亚洲城市研究"专栏的开场文章——说明亚洲城市研究对上海和其他中国城市,以及对亚洲其他国家城市的意义,通过简要分析两个典型亚洲城市,上海和新加坡的发展经验与面临的挑战,提出城市规划和设计领域面临的一系列新问题。

  5. Analyzing the Roles, Activities, and Skills of Learning Technologists: A Case Study from City University London

    Science.gov (United States)

    Fox, Olivia; Sumner, Neal

    2014-01-01

    This article reports on a case study carried out at City University London into the role of learning technologists. The article examines how the role developed by providing points of comparison with a report on the career development of learning technology staff in UK universities in 2001. This case study identified that learning technologists…

  6. A pathological study of the epidemiology of atherosclerosis in Mexico city.

    Science.gov (United States)

    Rodríguez-Saldaña, Joel; Rodriguez-Flores, Marcela; Cantú-Brito, Carlos; Aguirre-Garcia, Jesús

    2014-01-01

    Objective. To examine the frequency and patterns of association of cardiovascular risk factors with atherosclerosis in five different arterial territories at post-mortem in Mexico City. Methods. We obtained five arterial territories arteries (circle of Willis, coronary, carotid, renal, and aorta) of 185 men and women 0 to 90 years of age who underwent autopsy at the Medical Forensic Service of Mexico City. We determined the prevalence and extent of atherosclerotic lesions by histopathology according to the classification of the American Heart Association as early (types I-III) and advanced (types IV-VI), and according to the degree of stenosis and correlated with cardiovascular risk factors. Results. Atherosclerotic lesions were identified in at least one arterial territory in 181 subjects (97.8%), with involvement of two ore more territories in 178 subjects (92.2%). Advanced lesions were observed in 36% and 67% of subjects under 15 and between 16 and 35 years, respectively. Any degree of atherosclerosis was associated with the presence of diabetes mellitus, hypertension, overweight, obesity, and smoking, and to a greater extent with the presence of two or more risk factors (P atherosclerosis in all age groups and both sexes. There is considerable development of atherosclerotic disease in subjects without known risk factors.

  7. Bogalusa Heart Study: a long-term community study of a rural biracial (Black/White) population.

    Science.gov (United States)

    Berenson, G S

    2001-11-01

    The Bogalusa Heart Study, a long-term population study with a continued relationship with a community, addresses the problem of capacity building in minority health research. The study was originally funded as a Specialized Center of Research-Arteriosclerosis (SCOR-A) by the National Heart Lung and Blood Institute (NHLBI). These centers were to conduct research on atherosclerosis, coronary artery disease (CAD), hypertension, diabetes mellitus, and complications of cardiovascular-renal disease as the major causes of deaths in the United States. From earlier research on atherosclerosis, we became interested in the underlying characteristics in early life that would eventually lead to clinical morbidity and mortality from heart disease. An observation at autopsy showed the degree of atherosclerotic involvement in human aortas, from young to older individuals (Figure 1). For example, at age 40 years, marked individual variability occurred in the severity and involvement with atherosclerotic disease. Some individuals showed very little disease, while almost 70% of the surface was diseased in others. Further studies on arterial wall matrix showed aortas from young individuals varied with the extent of disease and its chemical composition. This background stimulated an interest in studying children for early clinical evidence of major adult heart diseases. The Bogalusa Heart Study was begun in 1972 as an epidemiology study of cardiovascular risk factors in children and adolescents; it eventually evolved into observations of young adults. Bogalusa, LA, is a biracial (black/white) rural community 70 miles north of New Orleans, comparable to many other communities in southeastern United States.

  8. Access to health in city slum dwellers: The case of Sodom and Gomorrah in Accra, Ghana

    OpenAIRE

    Frances E. Owusu-Ansah; Harry Tagbor; Mabel Afi Togbe

    2016-01-01

    Background: Rapid rural-urban migration of people to cities is a reality around the globe that has increased city slum dwellers. Sodom and Gomorrah is a city slum located in the heart of Accra, Ghana. Like other slums, it lacks basic amenities necessary for dwellers’ quality of life. This study describes residents’ access to health and factors associated with the use of healthcarefacilities.Methods: Questionnaires were administered in systematically selected shacks across the entire slum. Dat...

  9. A Comparative Study of Anomaly Detection Techniques for Smart City Wireless Sensor Networks.

    Science.gov (United States)

    Garcia-Font, Victor; Garrigues, Carles; Rifà-Pous, Helena

    2016-06-13

    In many countries around the world, smart cities are becoming a reality. These cities contribute to improving citizens' quality of life by providing services that are normally based on data extracted from wireless sensor networks (WSN) and other elements of the Internet of Things. Additionally, public administration uses these smart city data to increase its efficiency, to reduce costs and to provide additional services. However, the information received at smart city data centers is not always accurate, because WSNs are sometimes prone to error and are exposed to physical and computer attacks. In this article, we use real data from the smart city of Barcelona to simulate WSNs and implement typical attacks. Then, we compare frequently used anomaly detection techniques to disclose these attacks. We evaluate the algorithms under different requirements on the available network status information. As a result of this study, we conclude that one-class Support Vector Machines is the most appropriate technique. We achieve a true positive rate at least 56% higher than the rates achieved with the other compared techniques in a scenario with a maximum false positive rate of 5% and a 26% higher in a scenario with a false positive rate of 15%.

  10. Non equilibrium thermodynamics and the city: a new approach to urban studies.

    Science.gov (United States)

    Pulselli, Riccardo Maria; Ciampalini, Francesca; Galli, Alessandro; Pulselli, Federico Maria

    2006-01-01

    A city can be conceived as a complex self-adaptive system. The multiple interactions among its structural elements and dynamic agents, its organization on multiple time-space scales, its exchanges with the external context, its irreversible dynamics, are signs of complexity. Some concepts from the evolutionary thermodynamics, such us the theory of dissipative structures, could be extended to the city in order to investigate its behaviour. This theoretical framework suggests to analyze the city in terms of entropy and negentropy production. An emergy analysis (spelled with an "m") of an urban region is presented in order to investigate how cities maintain their organization (and decrease their entropy) by virtue of constant energy inflows from the external environment. As a result, a non-homogeneous spatial pattern of emergy density is shown as an attempt to investigate the multiple relations and energy exchanges that take place in an urban region. This approach to urban studies introduces a new energy-based vision to understand cities.

  11. A Comparative Study of Anomaly Detection Techniques for Smart City Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Victor Garcia-Font

    2016-06-01

    Full Text Available In many countries around the world, smart cities are becoming a reality. These cities contribute to improving citizens’ quality of life by providing services that are normally based on data extracted from wireless sensor networks (WSN and other elements of the Internet of Things. Additionally, public administration uses these smart city data to increase its efficiency, to reduce costs and to provide additional services. However, the information received at smart city data centers is not always accurate, because WSNs are sometimes prone to error and are exposed to physical and computer attacks. In this article, we use real data from the smart city of Barcelona to simulate WSNs and implement typical attacks. Then, we compare frequently used anomaly detection techniques to disclose these attacks. We evaluate the algorithms under different requirements on the available network status information. As a result of this study, we conclude that one-class Support Vector Machines is the most appropriate technique. We achieve a true positive rate at least 56% higher than the rates achieved with the other compared techniques in a scenario with a maximum false positive rate of 5% and a 26% higher in a scenario with a false positive rate of 15%.

  12. Profile and risk factors for congenital heart defects: A study in a tertiary care hospital

    Science.gov (United States)

    Abqari, Shaad; Gupta, Akash; Shahab, Tabassum; Rabbani, MU; Ali, S Manazir; Firdaus, Uzma

    2016-01-01

    Introduction: Congenital heart defects (CHDs) are an important cause of mortality and morbidity in children representing a major global health burden. It is thus important to determine their prevalence and spectrum and identify risk factors associated with the development of heart defects. Materials and Methods: A case-control study was carried out in the Department of Pediatrics and Center of Cardiology, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India, from February 2014 to August 2015. All patients referred with complaints or clinical examination suggestive of CHDs were further evaluated with echocardiography. On Echocardiography, patients having CHDs were included as cases and those having a normal echocardiographic study were included as controls. Healthy controls were also included. 400 cases and 400 controls were thus identified; preterms having patent ductus arteriosus and patent foramen ovale and those with acquired heart defects were excluded. Risk factors among cases and controls were further studied. Results: Acyanotic heart defects were 290 (72.50%) of the total heart defects, whereas the contribution of cyanotic heart defects was 110 (27.50%). Out of all CHDs, ventricular septal defect was the most common lesion with contribution of 152 (38%) cases, whereas among the cyanotic heart defects, Tetralogy of Fallot was the most common lesion (18% of total cases). Out of the total 400 cases, 261 were males (65.25%). On univariate analysis, paternal age (odds ratio, OR, 2.01), bad obstetric history (OR, 2.65), antenatal febrile illness (OR, 4.12), and advanced maternal age (OR, 3.28) were found to increase the risk of CHD whereas intake of multivitamin (OR, 3.02) was found to be protective. The risk factors were further analyzed with multivariate logistic regression analysis and all the above factors were found to be significantly associated. Conclusion: We noted that the profile of CHD in our population was similar

  13. Predictors of arrhythmic sudden cardiac death in heart failure patients in the CARE-HF study

    DEFF Research Database (Denmark)

    Uretsky, B.; Cleland, J.G.F.; Freemantle, N.

    2006-01-01

    Topic(s):Rsynchronisation therapy   Cardiac resynchronization therapy (CRT) has become an important modality to improve symptoms, exercise performance, and survival in patients with severe heart failure and left ventricular dyssynchrony. The CARE-HF study showed that CRT reduced mortality in syst...

  14. Adiponectin: an independent risk factor for coronary heart disease in men in the Framingham Offspring Study

    Science.gov (United States)

    Our aim was to determine whether plasma adiponectin levels were an independent predictor of coronary heart disease (CHD) risk. Plasma adiponectin levels were measured in 3,188 male and female participants from cycle 6 of the Framingham Offspring Study (mean age: 57 years in both men and women; BMI:...

  15. Prevalence of heart failure and left ventricular dysfunction in the general population; The Rotterdam Study

    NARCIS (Netherlands)

    A. Mosterd (Arend); A.W. Hoes (Arno); M.C. de Bruyne (Martine); D.T. Linker (David); D.E. Grobbee (Diederick); J.W. Deckers (Jaap); A. Hofman (Albert)

    1999-01-01

    textabstractAIMS: To determine the prevalence of heart failure and symptomatic as well as asymptomatic left ventricular systolic dysfunction in the general population. METHODS AND RESULTS: In 5540 participants of the Rotterdam Study (age 68.9+/-8.7 years, 2251 men) aged

  16. Foundations for Health Promotion with Youth: A Review of Observations from the Bogalusa Heart Study.

    Science.gov (United States)

    Nicklas, Theresa; And Others

    1995-01-01

    Presents findings from the Bogalusa Heart Study that describe the early natural history of coronary artery disease and hypertensive cardiovascular disease, noting the benefits of early, regular, comprehensive school health education. A discussion of cholesterol, hypertension, diabetes, obesity, smoking, oral contraception, drinking, and diet…

  17. A longitudinal study in youth of heart rate variability at rest and in response to stress

    NARCIS (Netherlands)

    Li, Zhibin; Snieder, Harold; Su, Shaoyong; Ding, Xiuhua; Thayer, Julian F.; Treiber, Frank A.; Wang, Xiaoling

    2009-01-01

    Background: Few longitudinal studies have examined ethnic and sex differences, predictors and tracking stabilities of heart rate variability (HRV) at rest and in response to stress in youths and young adults. Methods: Two evaluations were performed approximately 1.5 years apart on 399 youths and you

  18. Troponin I in acute decompensated heart failure : insights from the ASCEND-HF study

    NARCIS (Netherlands)

    Felker, G. Michael; Hasselblad, Vic; Tang, W. H. Wilson; Hernandez, Adrian F.; Armstrong, Paul W.; Fonarow, Gregg C.; Voors, Adriaan A.; Metra, Marco; McMurray, John J. V.; Butler, Javed; Heizer, Gretchen M.; Dickstein, Kenneth; Massie, Barry M.; Atar, Dan; Troughton, Richard W.; Anker, Stefan D.; Califf, Robert M.; Starling, Randall C.; O'Connor, Christopher M.

    2012-01-01

    We examined the prognostic importance of cardiac troponin I (cTnI) in a cohort of patients enrolled in the ASCEND-HF study of nesiritide in acute decompensated heart failure (ADHF). Circulating troponins are a prognostic marker in patients with ADHF. Contemporary assays with greater sensitivity requ

  19. Semantic Framework of Internet of Things for Smart Cities: Case Studies.

    Science.gov (United States)

    Zhang, Ningyu; Chen, Huajun; Chen, Xi; Chen, Jiaoyan

    2016-09-14

    In recent years, the advancement of sensor technology has led to the generation of heterogeneous Internet-of-Things (IoT) data by smart cities. Thus, the development and deployment of various aspects of IoT-based applications are necessary to mine the potential value of data to the benefit of people and their lives. However, the variety, volume, heterogeneity, and real-time nature of data obtained from smart cities pose considerable challenges. In this paper, we propose a semantic framework that integrates the IoT with machine learning for smart cities. The proposed framework retrieves and models urban data for certain kinds of IoT applications based on semantic and machine-learning technologies. Moreover, we propose two case studies: pollution detection from vehicles and traffic pattern detection. The experimental results show that our system is scalable and capable of accommodating a large number of urban regions with different types of IoT applications.

  20. Geothermal resource, engineering and economic feasibility study for the City of Ouray, Colorado. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, R.T.; Raskin, R.; Zocholl, J.R.

    1982-07-31

    A geothermal energy feasibility study has been performed for the City of Ouray, Colorado, to determine the potential economic development opportunities to the City. The resource assessment indicates the resource to be associated with the Ouray fault zone, the Leadville limestone formation, the high thermal gradient in the area of the San Juan mountains, and the recharge from precipitation in the adjacent mountains. Four engineering designs of alternative sizes, costs, applications, and years of start-up have been defined to offer the City a range of development scales. Life cycle cost analyses have been conducted for cases of both public and private ownership. All systems are found to be feasible on both economic and technical grounds. 49 refs., 8 figs.

  1. Semantic Framework of Internet of Things for Smart Cities: Case Studies

    Science.gov (United States)

    Zhang, Ningyu; Chen, Huajun; Chen, Xi; Chen, Jiaoyan

    2016-01-01

    In recent years, the advancement of sensor technology has led to the generation of heterogeneous Internet-of-Things (IoT) data by smart cities. Thus, the development and deployment of various aspects of IoT-based applications are necessary to mine the potential value of data to the benefit of people and their lives. However, the variety, volume, heterogeneity, and real-time nature of data obtained from smart cities pose considerable challenges. In this paper, we propose a semantic framework that integrates the IoT with machine learning for smart cities. The proposed framework retrieves and models urban data for certain kinds of IoT applications based on semantic and machine-learning technologies. Moreover, we propose two case studies: pollution detection from vehicles and traffic pattern detection. The experimental results show that our system is scalable and capable of accommodating a large number of urban regions with different types of IoT applications. PMID:27649185

  2. A Study of Current Land Use in the Urban Area of Ma’anshan City

    Institute of Scientific and Technical Information of China (English)

    Ning ZHANG; Zhongxiang YU

    2016-01-01

    With the acceleration of urbanization,urban development poses a growing demand for land.China’s national conditions of a large population with relatively little arable land require us to intensively use land,and more and more departments have been aware of the importance of intensive urban land use.The study on the current land use in the urban area of Ma’anshan City,is not only conducive to adjustment of land use layout and structure as well as urban ecological construction,but also of guiding significance to the economical and intensive land use in Ma’anshan City.This paper first describes the natural,social and economic situation of Ma’anshan’s urban area,then analyzes the land use structure,layout and problems,and finally puts forth the recommendations for improving current land use situation in the urban area of Ma’anshan City.

  3. The role of local government in redressing neighbourhood disadvantage: A case study from Penrith City Council

    Directory of Open Access Journals (Sweden)

    Jason Prior

    2008-04-01

    Full Text Available The concentration of disadvantage in specific neighbourhoods is a widespread characteristic of many Australian cities. A broad range of policies and programs which utilize integrated forms of governance have been designed and implemented to redress this. Within the state of New South Wales, Australia, local governments have been identified as being amongst the most effective drivers for these integrated governance approaches. Utilizing a case study of the Penrith Neighbourhood Renewal Program, this paper explores recent attempts by Penrith City Council to develop a framework to redress neighbourhood disadvantage, firstly by establishing an integrated governance framework for the program, and secondly by transforming the council’s operational structure.

  4. Study on hemodynamic status in congenital heart disease. 2. Volume study and amplitude study by radionuclide angiocardiography

    Energy Technology Data Exchange (ETDEWEB)

    Hamada, Rousei; Nonaka, Zenji; Kan, Zuishou

    1987-01-01

    Hemodynamic characteristics of congenital heart disease with left to right shunt were studied by gated blood-pool studies in 45 children with congenital heart disease (19 cases of atrial septal defect: ASD, 20 cases of ventricular septal defect: VSD, and 16 cases of patent ductus arteriosus: PDA) and 20 cases with normal cardiac function as a control group. Volume ratio (VR) was culculated as the ratio of right/left ventricular radioactivity counts. Amplitude ratio (AR) was culculated as the ratio of right/left ventricular mean amplitudes. In control group VR was 0.96 +- 0.16 (mean value +- standard deviation), and AR was 0.63 +- 0.10. In ASD group VR was 1.50 +- 0.32, and AR was 0.75 +- 0.14. In VSD group VR was 0.64 +- 0.14, and AR was 0.52 +- 0.11. In PDA group VR was 0.42 +- 0.13, and AR was 0.52 +- 0.11. Statistical analyses showed that there were significant differences among four groups about VR and AR respectively. In conclusion, radionuclide angiocardiography is noninvasive and valuable for hemodyanmic studies of children with congenital heart disease, especially for differential diagnoses among them.

  5. Benefits of exercise training in the treatment of heart failure: study with a control group

    Directory of Open Access Journals (Sweden)

    Silva Mário Sérgio Vaz da

    2002-01-01

    Full Text Available OBJECTIVE: Exercise training programs have been proposed as adjuncts to treatment of heart failure. The effects of a 3-month-exercise-training-program with 3 exercise sessions per week were assessed in patients with stable systolic chronic heart failure. METHODS: We studied 24 patients with final left ventricle diastolic diameter of 70±10mm and left ventricular ejection fraction of 37±4%. Mean age was 52±16 years. Twelve patients were assigned to an exercise training group (G1, and 12 patients were assigned to a control group (G2. Patients underwent treadmill testing, before and after exercise training, to assess distance walked, heart rate, systolic blood pressure, and double product. RESULTS: In G2 group, before and after 3 months, we observed, respectively distance walked, 623±553 and 561± 460m (ns; peak heart rate, 142±23 and 146± 33b/min (ns; systolic blood pressure, 154±36 and 164±26 mmHg (ns; and double product, 22211± 6454 and 24293±7373 (ns. In G1 group, before and after exercise, we observed: distance walked, 615±394 and 970± 537m (p<0.003 peak heart rate, 143±24 and 143±29b/min (ns; systolic blood pressure, 136±33 and 133±24 mmHg (ns; and double product, 19907± 7323 and 19115±5776, respectively. Comparing the groups, a significant difference existed regarding the variation in the double product, and in distance walked. CONCLUSION: Exercise training programs in patients with heart failure can bring about an improvement in physical capacity.

  6. Physical fitness and telomere length in patients with coronary heart disease: findings from the Heart and Soul Study.

    Directory of Open Access Journals (Sweden)

    Jeffrey Krauss

    Full Text Available BACKGROUND: Short telomere length (TL is an independent predictor of mortality in patients with coronary heart disease (CHD. However, the relationship between physical fitness and TL has not been explored in these patients. METHODS: In a cross sectional study of 944 outpatients with stable CHD, we performed exercise treadmill testing, assessed self-reported physical activity, and measured leukocyte TL using a quantitative PCR assay. We used generalized linear models to calculate mean TL (T/S ratio, and logistic regression models to compare the proportion of patients with short TL (defined as the lowest quartile, among participants with low, medium and high physical fitness, based on metabolic equivalent tasks achieved (METs. RESULTS: 229 participants had low physical fitness (7 METS. Mean ± T/S ratio ranged from 0.86±0.21 (5349±3781 base pairs in those with low physical fitness to 0.95±0.23 (5566±3829 base pairs in those with high physical fitness (p<.001. This association remained strong after adjustment for numerous patient characteristics, including measures of cardiac disease severity and physical inactivity (p = 0.005. Compared with participants with high physical fitness, those with low physical fitness had 2-fold greater odds of having TL in the lowest quartile (OR 2.39, 95% CI 1.60-3.55; p<.001. This association was similar after multivariable adjustment (OR 1.94, 95%CI, 1.18-3.20; p = 0.009. Self-reported physical inactivity was associated with shorter TL in unadjusted analyses, but not after multivariable adjustment. CONCLUSIONS: We found that worse objectively-assessed physical fitness is associated with shorter leukocyte telomere length in patients with CHD. The clinical implications of this association deserve further study.

  7. Heart rate variability and particulate exposure in vehicle maintenance workers: a pilot study.

    Science.gov (United States)

    Eninger, Robert M; Rosenthal, Frank S

    2004-08-01

    The association between occupational exposure to PM(2.5) and heart rate variability was investigated in a repeated measures, longitudinal study of vehicle maintenance workers occupationally exposed to automobile emissions. Five subjects were monitored for occupational exposure to fine particulate matter (PM(2.5)) on 6 workdays using an aerosol photometer, validated with side-by-side sampling with a gravimetric method. End-of-day heart rate variability statistics were derived using short-term electrocardiogram recordings for each participant. Workplace carbon monoxide and outdoor, ambient fine particulate matter were also monitored. Regression statistics were used to investigate associations between same-day PM(2.5) levels and heart rate variability statistics using mixed-effects multiple regression of pooled data. No statistically significant associations were observed between occupational PM(2.5) and measures of heart rate variability. A statistically significant increase in total spectral power was associated with ambient PM(2.5) (p < 0.05). The data suggest a threshold below which no degradation in cardiac autonomic control of healthy workers occurs when challenged by occupational PM(2.5) exposure. This study was limited in population, exposure level, and type of particulate exposures. Additional studies are recommended on broader occupational populations.

  8. A Qualitative Study of Smoking Behaviors among Newly Released Justice-Involved Men and Women in New York City.

    Science.gov (United States)

    Valera, Pamela; Bachman, Lauren; Rucker, A Justin

    2016-05-01

    Long-term effects of cigarette smoking result in an estimated 443,000 deaths each year, including approximately 49,400 deaths due to exposure to secondhand smoke. Tobacco is a major risk factor for a variety of chronic health problems, including certain cancers and heart disease. In this article, authors present qualitative findings derived from individual interviews with men and women who were incarcerated in New York state and New York City. Participants were 60 racially and ethnically diverse men and women ages 21 through 60 (M = 46.42, SD = 6.88). Of the participants interviewed, 91.7 percent released from a smoke-free correctional facility resumed cigarette smoking and 8.3 percent remained abstinent. Daily consumption ranged from smoking four cigarettes to 60 cigarettes. The four themes that emerged from the study were (1) lifetime exposure to cigarette smoking influences smoking behavior; (2) cigarettes help relieve stress and are pleasurable; (3) there is a relationship between access, availability, and relapse; and (4) smoking cessation strategies are available. Negative influences from participants' families and peers, stressful housing situations, and mandated programs emerged from this study as key challenges to abstaining from smoking cigarettes. Involving family members and partners in smoking cessation interventions could influence newly released justice-involved men and women not to resume cigarette smoking and possibly maintain long-term abstinence.

  9. Vertical Cities of the Future: Implications for the Study and Teaching of Urban Geography

    Science.gov (United States)

    Berger, Michael L.

    1974-01-01

    The implications of a vertical city, of which the John Hancock Center in Chicago is a prototype, should be considered by teachers of urban studies. Questions clustering around nine discussion areas indicate the kinds of expanded, critical, and interdisciplinary thinking that planning and teaching for the future require. (JH)

  10. Review of The Theoretical and Empirical Study on the Interest Conflict Between City Groups

    Institute of Scientific and Technical Information of China (English)

    Guo; Zeguang; Qian; Fang

    2016-01-01

    The Theoretical and Empirical Study on the Interest Conflict Between City Groups Author:Miao Jianjun Year:2014Publisher:Economy&Management Publishing House ISBN:9787509629482(240 pages,in Chinese)Since the application of the strategy"Rising of Central China,"provinces in China’s central region consecutively released their development

  11. GROUNDWATER QUALITY ASSESSMENT FOR DRINKING PURPOSES USING GIS MODELLING (CASE STUDY: CITY OF TABRIZ

    Directory of Open Access Journals (Sweden)

    M. Jeihouni

    2014-10-01

    Full Text Available Tabriz is the largest industrial city in North West of Iran and it is developing rapidly. A large proportion of water requirements for this city are supplied from dams. In this research, groundwater quality assessed through sampling 70 wells in Tabriz and its rural areas. The purposes of this study are: (1 specifying spatial distribution of groundwater quality parameters such as Chloride, Electrical Conductivity (EC, pH, hardness and sulphate (2 mapping groundwater quality for drinking purpose by employing Analytic Hierarchy Process (AHP method in the study area using GIS and Geosatistics. We utilized an interpolation technique of ordinary kriging for generating thematic map of each parameter. The final map indicates that the groundwater quality esaeicni from North to South and from West to East of the study area. The areas located in Center, South and South West of the study area have the optimum quality for drinking purposes which are the best locations to drill wells for supplying water demands of Tabriz city. In critical conditions, the groundwater quality map as a result of this research can be taken into account by East Azerbaijan Regional Water Company as decision support system to drill new wells or selecting existing wells to supply drinking water to Tabriz city.

  12. Abusive Head Trauma at a Tertiary Care Children's Hospital in Mexico City. A Preliminary Study

    Science.gov (United States)

    Diaz-Olavarrieta, Claudia; Garcia-Pina, Corina A.; Loredo-Abdala, Arturo; Paz, Francisco; Garcia, Sandra G.; Schilmann, Astrid

    2011-01-01

    Objectives: Determine the prevalence, clinical signs and symptoms, and demographic and family characteristics of children attending a tertiary care hospital in Mexico City, Mexico, to illustrate the characteristics of abusive head trauma among this population. Methods: This is a cross-sectional descriptive study of infants and children under 5,…

  13. Joint impact of rainfall and tidal level on flood risk in a coastal city with a complex river network: a case study for Fuzhou city, China

    Directory of Open Access Journals (Sweden)

    J. J. Lian

    2012-06-01

    Full Text Available Coastal cities are particularly vulnerable to flood under the combined effect of multivariable variables, such as heavy rainfall, high sea level and large waves. For better assessment and management of flood risk the combined effect and joint probability should be considered. This paper aims to study the joint impact of rainfall and tidal level on flood risk by estimating the combined risk degree of flood and the joint flood probability. The area of case study is a typical coastal city in China, which has a complex river system. The flood in this city is mainly caused by inundation of river system. In this paper, the combined risk degree of flood is assessed by analyzing the behavior of the complex river network of the city under the combined effect of rainfall and tidal level with diverse return periods. The hydraulic model of the complex drainage network is established using HEC-RAS and verified by comparing the simulation results with the observed data during Typhoon "Longwang". The joint distribution and combined risk probability of rainfall and tidal level are estimated using the optimal copula function. The work carried out in this paper would facilitate assessment of flood risk significantly, which can be referred for the similar cities.

  14. NT-proBNP and exercise capacity in adult patients with congenital heart disease and a prosthetic valve : a multicentre PROSTAVA study

    NARCIS (Netherlands)

    Schoonbeek, R C; Pieper, P G; van Slooten, Y J; Freling, H G; Sieswerda, G T; van Dijk, A. P. J.; Jongbloed, M R M; Post, M. C.; Bouma, B. J.; Berger, R M F; Ebels, T; van Melle, J P

    2016-01-01

    OBJECTIVES: N-terminal B‑type natriuretic peptide (NT-proBNP) is an important biomarker for the detection of heart failure. Adults with congenital heart disease (ACHD) and a prosthetic heart valve are at risk for heart failure. This study aimed to determine the value of NT-proBNP in ACHD patients wi

  15. Heart Health - Brave Heart

    Science.gov (United States)

    ... Robert's (left) three heart attacks, he and his wife Sue began volunteering for The Mended Hearts, a ... arrest. "It scared the heck out of my wife," Robert remembers. He was operated on and doctors ...

  16. Sugar Companies Shifted Focus to Fat as Heart Harm: Study

    Science.gov (United States)

    ... sugar increased, a trade group for the sugar industry -- the Sugar Research Foundation -- commissioned a research review by Harvard ... also served on scientific advisory boards for the sugar industry, the authors of the new study said. Besides ...

  17. Barriers and facilitators to palliative care of patients with chronic heart failure in Germany: a study protocol

    Directory of Open Access Journals (Sweden)

    Stefan Köberich

    2015-07-01

    Full Text Available Background. Despite its high prevalence, similar symptoms and symptom burden, people suffering from chronic heart failure receive less palliative care than patients with malignant diseases. Internationally, numerous barriers to palliative care of patients with chronic heart failure are known, however, there are no credible data regarding barriers and facilitators to palliative care of people suffering from chronic heart failure available for Germany. Design and Methods. Tripartite study. First part of this study evaluates health care providers’ (physicians and nurses perceived barriers and facilitators to palliative care of patients with chronic heart failure using a qualitative approach. At least 18 persons will be interviewed. In the second part, based on the results of part one, a questionnaire about barriers and facilitators to palliative care of patients with chronic heart failure will be designed and applied to at least 150 physicians and nurses. In the last part a classic Delphi method will be used to develop specific measures to improve the palliative care for chronic heart failure patients. Expected Impact for Public Health. The results of this study will help to understand why patients with heart failure are seldom referred to palliative care and will provide solutions to overcome these barriers. Developed solutions will be the first step to improve palliative care in patients with heart failure in Germany. In addition, the results will help health care providers in other countries to take action to improve palliative care situations for heart failure patients.

  18. A case-control study of determinants for the occurrence of gouty arthritis in heart failure patients

    NARCIS (Netherlands)

    Hueskes, B.A.; Willems, F.F.; Leen, A.C.; Ninaber, P.A.; Westra, R.; Mantel-Teeuwisse, A.K.; Janssens, H.; Lisdonk, E.H. van de; Roovers, E.A.; Janssen, M.

    2012-01-01

    AIMS: Gouty arthritis is a frequent and disabling complication in heart failure patients. This study aimed to investigate which factors are associated with the occurrence of gouty arthritis in these patients. METHODS AND RESULTS: A case-control study was performed in heart failure patients (February

  19. New York City Energy-Water Integrated Planning: A Pilot Study

    Energy Technology Data Exchange (ETDEWEB)

    Bhatt,V.; Crosson, K. M.; Horak, W.; Reisman, A.

    2008-12-16

    The New York City Energy-Water Integrated Planning Pilot Study is one of several projects funded by Sandia National Laboratories under the U.S. Department of Energy Energy-Water Nexus Program. These projects are intended to clarify some key issues and research needs identified during the Energy-Water Nexus Roadmapping activities. The objectives of the New York City Pilot Project are twofold: to identify energy-water nexus issues in an established urban area in conjunction with a group of key stakeholders and to define and apply an integrated energy and water decision support tool, as proof-of-concept, to one or more of these issues. During the course of this study, the Brookhaven National Laboratory project team worked very closely with members of a Pilot Project Steering Committee. The Steering Committee members brought a breadth of experience across the energy, water and climate disciplines, and all are well versed in the particular issues faced by an urban environment, and by New York City in particular. The first task was to identify energy-water issues of importance to New York City. This exercise was followed by discussion of the qualities and capabilities that an ideal decision support tool should display to address these issues. The decision was made to start with an existing energy model, the New York City version of the MARKAL model, developed originally at BNL and now used globally by many groups for energy analysis. MARKAL has the virtue of being well-vetted, transparent, and capable of calculating 'material' flows, such as water use by the energy system and energy requirements of water technology. The Steering Committee members defined five scenarios of interest, representing a broad spectrum of New York City energy-water issues. Brookhaven National Laboratory researchers developed a model framework (Water-MARKAL) at the desired level of detail to address the scenarios, and then attempted to gather the New York City-specific information

  20. Study on Spatial Evolution of Producer Service in Hangzhou City

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    <正>1. Recent development in the study on producer serviceThe producer service refers to the service provided for production and business activities, instead of for individual consumers. As the mid-term input service, it

  1. Pedestrian Planning in City Centers: a Study of Guimarães and Braga

    Directory of Open Access Journals (Sweden)

    Khan Rubayet Rahaman

    2010-04-01

    Full Text Available People are walking in cities for different reasons. Some walkers walk for going to work, some are walking for shopping and some are for leisure during day and night hours. Medium sized cities like Braga and Guimarães in Portugal are depending on car for even shorter trips up to 2 kilometers. However, the walkways are allowing people to walk in convenient and safe way including late night environment. The pedestrians feel troublesome to walk on the footpaths because of illegal parking and discontinuation of walkways. Municipality transport plans and master plans do not incorporate pedestrians as a major component. But this egress mode of transportation is very important in medium sized city centers like Guimarães and Braga for the people to enjoy city centers’ activities. This paper focuses on the types of walkers who use the walkways on a regular basis. Usually, people are feeling comfortable to walk when they go to clubs and bars in a group in these small cities especially after work. This paper again tries to focus the varieties of problems on walkways and to present policies that can improve the situation. Municipal master plan and transportation plan have been studied carefully to see the provisions of pedestrian planning options. Field surveys have been conducted both in form of questionnaire and observation during the end of 2009 and results show different patterns of pedestrian behavior as well as evidence that people get different experiences with problems while walking on the walkways in both surveyed towns. Considering the issues of sustainable mobility, this paper also tries to suggest policies to motivate more people to walk especially in the medium-sized cities of Portugal.

  2. Risk of Coronary Heart Disease among HIV-Infected Patients: A Multicenter Study in Brazil

    Directory of Open Access Journals (Sweden)

    Sandra C. Fuchs

    2013-01-01

    Full Text Available Cardiovascular disease has emerged as a crescent problem among HIV-infected population. This study aimed to determine the 10-year risk of coronary heart disease using the Framingham risk score among HIV-infected patients from three regions of Brazil. This is a pooled analysis of three cohort studies, which enrolled 3,829 individuals, 59% were men, 66% had white skin color, and mean age 39.0 ± 9.9 years. Comparisons among regions showed that there were marked differences in demographic, socioeconomic, clinical, and HIV-related characteristics. Prevalence of Framingham score ≥10 was 4.5% in the Southern, 4.2% in the Midwest, and 3.9% in the Northeast of Brazil. The Framingham score ≥10 was similar between regions for males, patients aged ≥60 years, with obesity, central obesity, hypertension, and diabetes mellitus. Women were three times more likely to have coronary heart disease in 10 years than men. Hypertension and diabetes increased more than four times the risk of coronary heart disease, followed by central obesity, obesity, and prehypertension. The use of antiretroviral agents and time since HIV diagnosis were not risk factors for coronary artery disease in 10 years. In conclusion, hypertension and diabetes are the strongest independent predictors of 10-year risk of coronary heart disease among HIV-infected population.

  3. Opportunistic mobile air pollution monitoring: A case study with city wardens in Antwerp

    Science.gov (United States)

    Van den Bossche, Joris; Theunis, Jan; Elen, Bart; Peters, Jan; Botteldooren, Dick; De Baets, Bernard

    2016-09-01

    The goal of this paper is to explore the potential of opportunistic mobile monitoring to map the exposure to air pollution in the urban environment at a high spatial resolution. Opportunistic mobile monitoring makes use of existing mobile infrastructure or people's common daily routines to move measurement devices around. Opportunistic mobile monitoring can also play a crucial role in participatory monitoring campaigns as a typical way to gather data. A case study to measure black carbon was set up in Antwerp, Belgium, with the collaboration of city employees (city wardens). The Antwerp city wardens are outdoors for a large part of the day on surveillance tours by bicycle or on foot, and gathered a total of 393 h of measurements. The data collection is unstructured both in space and time, leading to sampling bias. A temporal adjustment can only partly counteract this bias. Although a high spatial coverage was obtained, there is still a rather large uncertainty on the average concentration levels at a spatial resolution of 50 m due to a limited number of measurements and sampling bias. Despite of this uncertainty, large spatial patterns within the city are clearly captured. This study illustrates the potential of campaigns with unstructured opportunistic mobile monitoring, including participatory monitoring campaigns. The results demonstrate that such an approach can indeed be used to identify broad spatial trends over a wider area, enabling applications including hotspot identification, personal exposure studies, regression mapping, etc. But, they also emphasize the need for repeated measurements and careful processing and interpretation of the data.

  4. Heart failure

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    2008275 Relationship of calcineure in mRNA level in peripheral blood and cardiac muscle of patients with heart failure.WANG Mengmeng(王萌萌),et al.Dept Cardiol,Shandong Prov Hosp,Shandong Univ,Jinan 250021.Chin Cir J 2008;23(2):113-116.Objective To study the relationship of calcineurin mRNA level between peripheral lymphocytes and cardiac muscles of patients with chronic heart failure.Methods

  5. Diabetes and Cardiovascular Disease: Original Insights from the Framingham Heart Study

    OpenAIRE

    Qazi, Mohammad U.; Malik, Shaista

    2013-01-01

    The role of diabetes in the pathogenesis of cardiovascular disease (CVD) was unclear until 1979 when Kannel et al used data from the Framingham Heart Study (FHS) to identify diabetes as a major cardiovascular risk factor. It was also one of the first studies to demonstrate the higher risk of CVD in women with diabetes compared to men with diabetes. Since then, multiple studies have been done to recognize and curtail cardiovascular risk factors such as smoking, obesity, hypertension, hyperlipi...

  6. Studies of citric acid metabolism in heart muscle

    NARCIS (Netherlands)

    Meduski, J.W.

    1950-01-01

    1. The pentabromoacetone method for the determination of citric acid was studied; a modification of the procedure of Natelson, Lugovoy and Pincus was used. 2. Two tissue preparations were obtained. The first by washing with water, the second by washing with water and then with 0.5% sodium bicarbo

  7. Vitamin D biology and heart failure : Clinical and experimental studies

    NARCIS (Netherlands)

    Meems, Laura

    2015-01-01

    In the last decade, vitamin D biology has been studied more extensively than ever before.. The use of vitamin D supplements is common, and so is determination of plasma vitamin D status. Besides its role in bone homeostasis, vitamin D is thought to be an important player in the development and treat

  8. Positive Affect and Survival in Patients With Stable Coronary Heart Disease : Findings From the Heart and Soul Study

    NARCIS (Netherlands)

    Hoen, Petra W.; Denollet, Johan; de Jonge, Peter; Whooley, Mary A.

    2013-01-01

    Objective: Positive affect can improve survival, but the mechanisms responsible for this association are unknown. We sought to evaluate the association between positive affect and mortality in patients with stable coronary heart disease and to determine biological and behavioral factors that might e

  9. Insulin sensitivity and clustering of coronary heart disease risk factors in young adults. The Northern Ireland Young Hearts Study

    DEFF Research Database (Denmark)

    Andersen, Lars Bo; Boreham, Colin A.G.; Young, Ian S.;

    2006-01-01

    Background. Coronary heart disease (CHD) is usually associated with "clustering" of risk factors. Insulin resistance may cause deleterious changes in several CHD risk factors and is of potential interest in the aetiology of clustered risk. We analyzed how glucose and insulin variables were associ...

  10. Depression and Leukocyte Telomere Length in Patients With Coronary Heart Disease : Data From The Heart and Soul Study

    NARCIS (Netherlands)

    Hoen, Petra W.; de Jonge, Peter; Na, Bee Ya; Farzaneh-Far, Ramin; Epel, Elissa; Lin, Jue; Blackburn, Elizabeth; Whooley, Mary A.

    2011-01-01

    Objective: Shortened telomere length has been associated with mortality in patients with coronary heart disease (CHD) and is considered as an emerging marker of biologic age. Whether depression is associated with telomere length or trajectory has not been evaluated in patients with CHD. Methods: In

  11. 500 Cities: City Boundaries

    Data.gov (United States)

    U.S. Department of Health & Human Services — This city boundary shapefile was extracted from Esri Data and Maps for ArcGIS 2014 - U.S. Populated Place Areas. This shapefile can be joined to 500 Cities...

  12. A reconnaissance study of radon concentrations in Hamadan city, Iran

    Science.gov (United States)

    Gillmore, G. K.; Jabarivasal, N.

    2010-04-01

    This paper presents results of a reconnaissance study that used CR-39 alpha track-etch detectors to measure radon concentrations in dwellings in Hamadan, western Iran, significantly, built on permeable alluvial fan deposits. The indoor radon levels recorded varied from 4 (i.e. below the lower limit of detection for the method) to 364 Bq/m3 with a mean value of 108 Bq/m3 which is 2.5 times the average global population-weighted indoor radon concentration - these data augment the very few published studies on indoor radon levels in Iran. The maximum radon concentration in Hamadan occurs during the winter period (January to March) with lower concentrations during the autumn. The effective dose equivalent to the population in Hamadan is estimated from this study to be in the region of 2.7 mSv/y, which is above the guidelines for dose to a member of the public of 1 mSv/y suggested by the International Commission on Radiological Protection (ICRP) in 1993. This study supports other work in a number of countries that indicates such permeable "surficial" deposits as being of intermediate to high radon potential. In western Iran, the presence of hammered clay floors, the widespread presence of excavated qanats, the textural properties of surficial deposits and human behaviour intended to cope with winds are likely to be important factors influencing radon concentrations in older buildings.

  13. A reconnaissance study of radon concentrations in Hamadan city, Iran

    Directory of Open Access Journals (Sweden)

    G. K. Gillmore

    2010-04-01

    Full Text Available This paper presents results of a reconnaissance study that used CR-39 alpha track-etch detectors to measure radon concentrations in dwellings in Hamadan, western Iran, significantly, built on permeable alluvial fan deposits. The indoor radon levels recorded varied from 4 (i.e. below the lower limit of detection for the method to 364 Bq/m3 with a mean value of 108 Bq/m3 which is 2.5 times the average global population-weighted indoor radon concentration – these data augment the very few published studies on indoor radon levels in Iran. The maximum radon concentration in Hamadan occurs during the winter period (January to March with lower concentrations during the autumn. The effective dose equivalent to the population in Hamadan is estimated from this study to be in the region of 2.7 mSv/y, which is above the guidelines for dose to a member of the public of 1 mSv/y suggested by the International Commission on Radiological Protection (ICRP in 1993. This study supports other work in a number of countries that indicates such permeable "surficial" deposits as being of intermediate to high radon potential. In western Iran, the presence of hammered clay floors, the widespread presence of excavated qanats, the textural properties of surficial deposits and human behaviour intended to cope with winds are likely to be important factors influencing radon concentrations in older buildings.

  14. Heart rate variability biofeedback as a method for assessing baroreflex function: a preliminary study of resonance in the cardiovascular system.

    Science.gov (United States)

    Vaschillo, Evgeny; Lehrer, Paul; Rishe, Naphtali; Konstantinov, Mikhail

    2002-03-01

    This study describes the use of a biofeedback method for the noninvasive study of baroreflex mechanisms. Five previously untrained healthy male participants learned to control oscillations in heart rate using biofeedback training to modify their heart rate variability at specific frequencies. They were instructed to match computer-generated sinusoidal oscillations with oscillations in heart rate at seven frequencies within the range of 0.01-0.14 Hz. All participants successfully produced high-amplitude target-frequency oscillations in both heart rate and blood pressure. Stable and predictable transfer functions between heart rate and blood pressure were obtained in all participants. The highest oscillation amplitudes were produced in the range of 0.055-0.11 Hz for heart rate and 0.02-0.055 Hz for blood pressure. Transfer functions were calculated among sinusoidal oscillations in the target stimuli, heart rate, blood pressure, and respiration for frequencies at which subjects received training. High and low target-frequency oscillation amplitudes at specific frequencies could be explained by resonance among various oscillatory processes in the cardiovascular system. The exact resonant frequencies differed among individuals. Changes in heart rate oscillations could not be completely explained by changes in breathing. The biofeedback method also allowed us to quantity characteristics of inertia, delay, and speed sensitivity in baroreflex system. We discuss the implications of these findings for using heart rate variability biofeedback as an aid in diagnosing various autonomic and cardiovascular system disorders and as a method for treating these disorders.

  15. Rethinking urban space in cities - A study of parks in Hyderabad, India

    Science.gov (United States)

    Shrinagesh, B.; Markandey, Kalpana

    2016-06-01

    Urban areas being economically diversified attract large streams of migrants making for a burgeoning population. This is more prevalent in the developing countries. The concomitants of this are high density, heavy traffic movement and increased pollution levels. To reduce the stressful life of city dwellers it is important to have open spaces, where one can pursue leisure time activities a few removes from clutter. A public space is a space that is generally open and accessible to people. Roads, public parks, libraries etc, are typically considered public space. The term ‘public space’ is also often misconstrued to mean other things such as ‘gathering place’, which is an element of the larger concept of social space. Hyderabad, the historical city is the capital of Telangana, India and extends from longitude 78o23’ to 78o33’E and latitude of 17o17’ to 17o31’N. It is the second largest city in terms of area and fifth largest in terms of population. It is one of the fastest growing cities in India. There is a huge influx of people from other states in search of better opportunities. The main objectives of the study are; to study the sprawl and changing demographic structure of the city of Hyderabad, to study the accessibility of parks, to study the need for the emergence of a local public sphere. The data base will be mainly on secondary data collected from various government sources. A primary survey will be conducted based on a structured questionnaire. GIS and other mapping techniques will be applied to analyse the data.

  16. A reconnaissance study of radon concentration in Hamadan city, Iran.

    Science.gov (United States)

    Gillmore, G. K.; Jabari Vasal, Naghi

    2009-04-01

    This paper presents results of a reconnaissance study that used CR-39 alpha track-etch detectors to measure radon concentrations in dwellings in Hamadan, western Iran, significantly, built on permeable alluvial fan deposits. The indoor radon levels recorded varied from 4 to 364 Bq/m3 with a mean value of 107.87 Bq/m3 which is 2.5 times the average global population-weighted indoor radon concentration - these data augment the very few published studies on indoor radon levels in Iran. The maximum radon concentration in Hamadan occurs during the winter period (January to March) with lower concentrations during the autumn. The effective dose equivalent to the population in Hamadan is estimated from this reconnaissance study to be in the region of 2.7 mSv/y, which is above the guidelines for dose to a member of the public of 1 mSv/y suggested by the International Commission on Radiological Protection (ICRP) in 1993, although further work is required to confirm these results. This study supports other work in a number of countries that indicates such permeable 'surficial' deposits as being of intermediate to high radon potential. In western Iran, the presence of hammered clay floors, the widespread presence of excavated qanats to distribute water underground, the textural properties of surficial deposits and human behaviour intended to cope with winds are likely to be important factors influencing radon concentrations in older buildings. Keywords: Radon; health; dwellings; clay floors; alluvial fan; surficial geology; Hamadan; Iran

  17. Kids in the city study: research design and methodology

    Directory of Open Access Journals (Sweden)

    Kaiwai Hector

    2011-07-01

    Full Text Available Abstract Background Physical activity is essential for optimal physical and psychological health but substantial declines in children's activity levels have occurred in New Zealand and internationally. Children's independent mobility (i.e., outdoor play and traveling to destinations unsupervised, an integral component of physical activity in childhood, has also declined radically in recent decades. Safety-conscious parenting practices, car reliance and auto-centric urban design have converged to produce children living increasingly sedentary lives. This research investigates how urban neighborhood environments can support or enable or restrict children's independent mobility, thereby influencing physical activity accumulation and participation in daily life. Methods/Design The study is located in six Auckland, New Zealand neighborhoods, diverse in terms of urban design attributes, particularly residential density. Participants comprise 160 children aged 9-11 years and their parents/caregivers. Objective measures (global positioning systems, accelerometers, geographical information systems, observational audits assessed children's independent mobility and physical activity, neighborhood infrastructure, and streetscape attributes. Parent and child neighborhood perceptions and experiences were assessed using qualitative research methods. Discussion This study is one of the first internationally to examine the association of specific urban design attributes with child independent mobility. Using robust, appropriate, and best practice objective measures, this study provides robust epidemiological information regarding the relationships between the built environment and health outcomes for this population.

  18. Living with the world heritage. An ethnographic study of the ancient city of Nessebar, Bulgaria

    Directory of Open Access Journals (Sweden)

    Luleva Ana

    2015-01-01

    Full Text Available Since the mid-1950s the Ancient city of Nessebar has had the status of national cultural heritage; in 1983 it was inscribed in the World heritage list of UNESCO. The article makes an attempt to study the regimes of using of and living in the city - world cultural heritage in two different political and economic contexts. The pressure of the tourism industry on the value, which was visible even in the years of the late state socialism, became irresistible after 1989 in the context of the liberalised market economy, the interests of the private investors and the accepted as part of the "normal" market order corrupt practices of the institutions that are responsible for the safeguarding and management of the cultural heritage. The ethnographic study argues that intertwined in a Gordian knot around the central question for the residents of the ancient city of Nessebar, viz. the occupation of the city, which has been declared a world heritage site, are issues like trust and distrust in the institutions, the experience of abiding by formal and informal rules for operation with private property, the notions of social justice, local identity, the use of the cultural heritage as symbolic capital by different social actors and its transformation into economic one, with the conflicting interconnection between tourist industry and cultural heritage.

  19. A Case Study on Municipal Solid Waste Management in Salt Lake City

    Directory of Open Access Journals (Sweden)

    S K Maity

    2011-08-01

    Full Text Available Solid waste management is an important social problem throughout the world. In India it takes the shape of alarming dimension which has to be addressed urgently. It includes the collection and disposal ofgarbage, or municipal solid waste, compounded by increasing consumption levels. Among the solid waste generated in Indian cities, Kolkata’s position is second. Bidhannagar or Salt Lake City is a planned satellite township in Kolkata. The problem of municipal solid waste management (MSWM also exists in the urban environment of Salt Lake. Therefore the present study was taken to find out the problems and prospects of Municipal solid waste in this city. A detailed investigation was made comprising the methods of practices associated with sources, quantity generated, collection, transportation, storage, treatment and disposal of Municipal solid waste in Salt Lake City. The relevant data of SWM in Salt Lake was obtained throughquestionnaire, individual field visit, interacting with people and bona fide record of Salt Lake Municipal Corporation. After this case study, it was found that there are several lacunas in existing system of SWM in Salt Lake as comparing with Municipal Solid Waste (Management & Handling Rules 2000.

  20. Studying Effective Factors on Increase of Tourism Sustainability in the City of Lahijan

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    Sharareh Seidgar Ghanbar

    2016-03-01

    Full Text Available This study by using descriptive - analytical method and through library and documentary studies, field observations and questionnaire has tried to investigate effective factors on increase of tourism sustainability in the city of Lahijan. Its main purpose is studying environmental effective factors to increase tourism sustainability, and research results are as follows. Lahijan tourist attractions, according to the special geographical situation of this region has been various, and natural factors of tourism sustainability and staying in this city include Amirkalayeh Wetland, Satan’s Hill(Sheitan Koh, Haji Abad Pool, Sustan Pool, At'ah Kuh, natural caves, rivers, natural dams and pools, and beautiful beaches, and tea gardens, teapot national park , Baam-e-Sabz, Lahijan Gondola. Human factors of tourism sustainability in this city are Sheikh Zahed Gilani's Shrine, Iran's National Tea Museum (Kashef- al-Saltaneh Tomb, Bulvar, Agricultural Stations etc. The results of questionnaire and author's field studies have shown that more than 60 percent of respondents have suggested very high satisfaction on traveling Lahijan, and have expressed the way of familiarity with this city their friends, family and advertising. They also have encouraged their friends and relatives to travel this region and believe tourism potential in this city are very much. There are factors in this city that have result in short-term tourism sustainability which are: lack of affordable residential units and lack informing tourist attraction, insufficient afford to stay in residential units, and lack of appropriate tourism infrastructure. Respondent also have stated that the main reason of poor tourism in this city are lack of official support and lack of awareness about the region. The majority of respondents believe that effective factors to increase tourism sustainability in Lahijan are suitable landscapes of residences, variety of tourist ttractions in their residence

  1. Dietary magnesium intake and coronary heart disease risk: A study from Serbia

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    Slavica Stevanović

    2011-08-01

    Full Text Available Aim To assess the relationship between dietary magnesium intakeand the risk of coronary heart disease (CHD. Methods A conducted case-control study included 290 randomly selected cases (mean age 59.98 +/- 10.03 years with first event of an acute coronary syndrome and 290 selected controls paired by sex, age and region (mean age 59.43 +/- 10.10 years admitted to the same hospitals without any suspicion of coronary disease. A diet was assessed by an interviewer-administered semi-quantitative food frequency questionnaire, and magnesium intake was derived from the nutrient database. Results Subjects with coronary heart disease had significantly lower intake of foods containing high levels of magnesium like whole grain (p<0.0001, legumes (p<0.05 and nuts (p<0.05. Lower dietary magnesium intake was found to be positively associated with risk of coronary heart disease (0.027. Conclusion Our findings suggest that dietary intake of magnesium was associated with reduced risk of coronary heart disease among Serbian population.

  2. A comparative study of contractility of the heart ventricle in some ectothermic vertebrates

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    Sergey Kharin

    2009-07-01

    Full Text Available The purpose of this study was to analyze contractility of the heart ventricle in selected reptilian and amphibian species having the same ventricular excitation pattern. Systolic time intervals and indices of contractility of the heart ventricle were measured in anaesthetized frogs, snakes, and tortoises by use of polycardiography. The electromechanical delay was significantly shorter in tortoises compared with the other two species. The isovolumetric contraction time in frogs was approximately twofold longer than in reptiles. The pre-ejection period was the longest in frogs and the shortest in tortoises, whereas snakes were intermediate. The ejection time was slightly longer in tortoises compared with the other two species. The greatest isovolumetric contraction index and the smallest myocardial tension index corresponded to the frog and tortoise heart ventricle, respectively. The intrasystolic index in tortoises was significantly greater than in frogs, whereas quite similar to that in snakes. The frog ventricle had lower contractility compared with the reptilian one. Although ventricular contractility tended to be lower in snakes compared with tortoises, this difference was not statistically significant. Possible causes for these differences are discussed. We suppose a large variety in ventricular contractility among amphibian and reptilian species having the same ventricular activation pattern. This variety may be conditioned by heart anatomy, intracardiac shunting, lifestyles, and habitats. It can only be hypothesized that on the average, ventricular contractility is higher in reptiles compared with amphibians and in chelonians compared with snakes.

  3. [Study of cytotoxicity of bioprosthetic heart valve material and its store solution].

    Science.gov (United States)

    Cheng, S; Shi, Y; Liang, W; Li, W

    1999-09-01

    This study compared the cytotoxicities of bioprosthetic heart valve materials crosslinked by glutaraldehyde, stored in 4% formaldehyde or Hank's solution. Human embryonic pulmonary fibroblasts or L-929 cell culture in vitro were used. Cell proliferative inhibition index(CP II) was calculated for bioprosthetic heart valve materials using different store methods in different rinse periods(before, 10 days, 20 days, 30 days). The results demonstrate: (1) bioprosthetic heart valve materials stored in 4% formaldehyde or in Hank's solution both have significant cytotoxicity, and the longer the rinse time continues, the lower the cytotoxicity declines; (2) HEL cell is more sensitive than L-929 cell in detecting the cytotoxicity of toxic biomaterials but for weak toxic biomaterials the two cell lines are not significanth different; (3) formatldehyde solution increases the cytotoxicity of biomaterials stored in it, but the enhanced cytotoxicity can be easily relieved by rinse. The authors conclude that bioprosthetic heart valve materials have long term significant cytotoxicity and the biomaterial cytotoxicity test using human fibroblasts is more sensitive and precise than other tests.

  4. Depression in primary care patients with coronary heart disease: baseline findings from the UPBEAT UK study.

    Directory of Open Access Journals (Sweden)

    Paul Walters

    Full Text Available An association between depression and coronary heart disease is now accepted but there has been little primary care research on this topic. The UPBEAT-UK studies are centred on a cohort of primary patients with coronary heart disease assessed every six months for up to four years. The aim of this research was to determine the prevalence and associations of depression in this cohort at baseline.Participants with coronary heart disease were recruited from general practice registers and assessed for cardiac symptoms, depression, quality of life and social problems.803 people participated. 42% had a documented history of myocardial infarction, 54% a diagnosis of ischaemic heart disease or angina. 44% still experienced chest pain. 7% had an ICD-10 defined depressive disorder. Factors independently associated with this diagnosis were problems living alone (OR 5.49, 95% CI 2.11-13.30, problems carrying out usual activities (OR 3.71, 95% CI 1.93-7.14, experiencing chest pain (OR 3.27, 95% CI 1.58-6.76, other pains or discomfort (OR 3.39, 95% CI 1.42-8.10, younger age (OR 0.95 per year 95% CI 0.92-0.98.Problems living alone, chest pain and disability are important predictors of depression in this population.

  5. Primary care REFerral for EchocaRdiogram (REFER) in heart failure: a diagnostic accuracy study

    Science.gov (United States)

    Taylor, Clare J; Roalfe, Andrea K; Iles, Rachel; Hobbs, FD Richard; Barton, P; Deeks, J; McCahon, D; Cowie, MR; Sutton, G; Davis, RC; Mant, J; McDonagh, T; Tait, L

    2017-01-01

    Background Symptoms of breathlessness, fatigue, and ankle swelling are common in general practice but deciding which patients are likely to have heart failure is challenging. Aim To evaluate the performance of a clinical decision rule (CDR), with or without N-Terminal pro-B type natriuretic peptide (NT-proBNP) assay, for identifying heart failure. Design and setting Prospective, observational, diagnostic validation study of patients aged >55 years, presenting with shortness of breath, lethargy, or ankle oedema, from 28 general practices in England. Method The outcome was test performance of the CDR and natriuretic peptide test in determining a diagnosis of heart failure. The reference standard was an expert consensus panel of three cardiologists. Results Three hundred and four participants were recruited, with 104 (34.2%; 95% confidence interval [CI] = 28.9 to 39.8) having a confirmed diagnosis of heart failure. The CDR+NT-proBNP had a sensitivity of 90.4% (95% CI = 83.0 to 95.3) and specificity 45.5% (95% CI = 38.5 to 52.7). NT-proBNP level alone with a cut-off need to be revised. PMID:27919937

  6. Association of psychological risk factors and acute myocardial infarction in China: the INTER-HEART China study

    Institute of Scientific and Technical Information of China (English)

    XU Tao; LI Wei; Koon Teo; WANG Xing-yu; LIU Li-sheng; Salim Yusuf

    2011-01-01

    Background Most data about psychological factors relating to acute myocardial infarction (AMI) were obtained from studies carried out in western countries. Results from small descriptive cross-sectional studies in China were inconclusive. The aim of this study was to explore possible associations between psychological risk factors and AMI among the Chinese population with a large-scale case-control study.Methods This study was part of the INTER-HEART China study, itself part of the large international INTER-HEART study of cardiovascular risk factors. In this case-control study, 2909 cases and 2947 controls were recruited from 17 cities.Psychological stress, negative life events, depression and controllability of life circumstances were assessed.Results Cases reported more psychological stress at home or work and odds ratios (ORs) were 3.2 (95% CI 2.1-4.9)for permanent stress and 2.1 (95% CI 1.5-2.8) for several periods of stress respectively. More cases experienced depression compared with controls (19.6% vs. 9.3%) and ORs were 2.2 (95% CI 1.9-2.6). Subjects with 1, 2 and 3 or more depressive symptoms had increased risk of AMI by 2.1, 2.2 and 2.6 fold, respectively, i.e., more depressive symptoms were associated with higher risks of AMI (P for trend <0.0001). Women had a greater risk of AMI from depression (OR 3.0, 95% CI 2.2-4.0) compared to men (OR 2.0, 95% CI 1.6-2.4), P for interaction =0.0364. Negative life events in subjects were associated with increased risk of AMI, OR 1.7 (95% CI 1.4-2.0) for one event and 1.8 (95% CI 1.3-2.4) for two or more events. High levels of controllability of life circumstances reduced the risk for AMI (OR 0.8, 95%CI 0.7-1 .0).Conclusions Several psychological factors were closely associated with increased AMI risk among Chinese population.Psychological stress had a greater AMI risk in men but depression was more significant among women.

  7. Association Between Toxoplasma gondii Exposure and Heart Disease: A Case-Control Study

    Science.gov (United States)

    Alvarado-Esquivel, Cosme; Salcedo-Jaquez, Misael; Sanchez-Anguiano, Luis Francisco; Hernandez-Tinoco, Jesus; Rabago-Sanchez, Elizabeth; Beristain-Garcia, Isabel; Liesenfeld, Oliver; Estrada-Martinez, Sergio; Perez-Alamos, Alma Rosa; Alvarado-Soto, Ediyair

    2016-01-01

    Background The parasite Toxoplasma gondii causes infections all around the world. Infections with T. gondii are systemic and the parasite can persist in the heart muscle. Very little is known about the impact of T. gondii on patients with heart disease. We determined the association between T. gondii exposure and patients suffering from heart diseases attending in a public hospital in Durango, Mexico; the association of T. gondii exposure with socio-demographic, behavioral, and clinical characteristics of these patients was also investigated. Methods Through a case-control study, we examined the seroprevalence of anti-T. gondii IgG and IgM antibodies in 400 patients with heart diseases and 400 age- and gender-matched controls using enzyme-linked immunoassays. In addition, we analyzed the association of patient characteristics as determined by a standardized questionnaire with T. gondii exposure by bivariate and multivariate analyses. Results Fifty-five (13.8%) of 400 patients and 32 (8.0%) of 400 controls had anti-T. gondii IgG antibodies (odds ratio (OR) = 1.83; 95% confidence interval (CI): 1.15 - 2.90; P = 0.01). High anti-T. gondii IgG levels (> 150 IU/mL) were found in 28 (50.9%) of the 55 positive cases and in 14 (43.8%) of the 32 positive controls (P = 0.51). Anti-T. gondii IgM antibodies were found in 13 (23.6%) of the 55 anti-T. gondii IgG positive patients and in 19 (59.4%) of 32 anti-T. gondii IgG positive controls (OR = 0.21; 95% CI: 0.08 - 0.54; P = 0.0008). Multivariate analysis showed that T. gondii exposure was positively associated with being born out of Durango State (OR = 2.93; 95% CI: 1.40 - 6.13; P = 0.004), and with consumption of alcohol (OR = 2.04; 95% CI: 1.01 - 4.12; P = 0.04). Conclusions Results obtained in this study indicate that T. gondii infection is associated with heart disease, and suggest that heart disease might be related with a chronic infection. This is the first report of an association of T. gondii exposure with alcohol

  8. Congenital Heart Diseases in the Newborns of Diabetic Mothers: an Echocardiographic Study

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    S Rahimpour

    2011-10-01

    Full Text Available Introduction: Despite the discovery of insulin and current improvement in diabetics care, congenital malformations in diabetics are still more frequent than in the general population. The aim of this study was to identify congenital heart dieases (CHD in the newborns of diabetic mothers (IDMS. Methods: In our prospective study, color doppler echocardiography was performed in 75 consecutive full- term newborns of diabetic mothers by GE Vivid3 echocardiographic device. Newborns were classified into two subgroups according to the type of the mothers’ diabetes: pre-gestational and gestational. They were also those were classified into three subgroups according to their birth weight: appropriate, large and small for gestational age. Data analysis was made by Fisher exact test and Chi-Square test. Results: Forty nine (65% and thirty six (35% of subjects were infants of gestational (IGDM and pre-gestational diabetic mothers (IPDM, respectively. Fifty five Newborns (73% were apropriate, fourteen (19% were large and six (8% were small for gestational age. The most common echocardiographic findings included: patent ductus arteriosus (PDA: 54.7%, hypertrophic cardiomyopathy (HCMP: 24%, ventricular septal defect (VSD: 4%, atrial septal defect (ASD: 2.7%, transposition of great arteries (TGA: 1.3% and coarctation of the Aorta (COA: 1.3%. Overall incidence of congenital heart diseases was 9.3 after exclusion of PDA and HCMP cases. The incidence of congenital heart diseases was higher in macrosomic than nonmacrosomic infants of diabetic mothers (P<0.001. Congenital heart diseases were more common in infants of pre-gestational than gestational diabetic mothers (P=0.004. Conclusion: Our results showed that diabetic mothers are at increased risk of giving birth to a newborn with congenital heart disease, and transthoracic echocardiography is recommended for all infants of diabetic mothers.

  9. Fundamental and clinical studies on imaging of adrenergic nervous system of the heart, using radioiodinated metaiodobenzylguanidine

    Energy Technology Data Exchange (ETDEWEB)

    Matsunari, Ichiro (Kanazawa Univ. (Japan). School of Medicine)

    1991-04-01

    The purpose of this study was to investigate the myocardial distribution of radioiodonated metaiodobenzylguanidine (MIBG) in normal and reserpinized rats and to evaluate myocardial adrenergic innervation and function in patients with hypertrophic cardiomyopathy (HCM). The distribution of MIBG in the rat heart was higher in the right ventricle, basal segment and epicardial segment, which is mostly compatible with previous reports on the distribution and uptake of norepinephrine in the heart. The increased uptake of MIBG in the epicardial segment was a new finding, which seemed to indicate the difference of innervation between the epicardial and endocardial segments of the left ventricle in the rat heart. The uptake of MIBG was decreased in the reserpinized rats by 64% compared with that of the control, indicating there was MIBG uptake into intra-ventricular sites. Dual isotope autoradiogram also showed a decreased uptake of MIBG into the endocardium. The dual isotope autoradiogram revealed a significant decrease of MIBG uptake and a homogeneous distribution of {sup 201}Tl in the denervated myocardium, induced by phenol application. Single photon emission computerized tomography (SPECT) with {sup 123}I-MIBG and {sup 201}Tl was performed in 29 patients with HCM. In the visual evaluation of the SPECT images, the {sup 123}I-MIBG uptake was substantially lower than the {sup 201}Tl uptake in the hypertrophied septum in the early (20 minutes after infection) image in 48% of the HCM patients, suggesting less extraneuronal uptake in the human heart than in the rat heart. The septal {sup 123}I-MIBG/{sup 201}Tl uptake ratio at 20 minutes and 3 hours after injection inversely related with the septal thickness (R=-0.49 and R=-0.53). Significant positive correlation was observed between the septal MIBG clearance and the septal thickness (R=0.51). The MIBG clearance and uptake in conjunction with the {sup 201}Tl study seemed to reflect the severity of hypertrophy in HCM. (J.P.N.).

  10. Methylome-wide Association Study of Atrial Fibrillation in Framingham Heart Study

    Science.gov (United States)

    Lin, Honghuang; Yin, Xiaoyan; Xie, Zhijun; Lunetta, Kathryn L.; Lubitz, Steven A.; Larson, Martin G.; Ko, Darae; Magnani, Jared W.; Mendelson, Michael M.; Liu, Chunyu; McManus, David D.; Levy, Daniel; Ellinor, Patrick T.; Benjamin, Emelia J.

    2017-01-01

    Atrial fibrillation (AF) is the most common cardiac arrhythmia, but little is known about the molecular mechanisms associated with AF arrhythmogenesis. DNA methylation is an important epigenetic mechanism that regulates gene expression and downstream biological processes. We hypothesize that DNA methylation might play an important role in the susceptibility to develop AF. A total of 2,639 participants from the Offspring Cohort of Framingham Heart Study were enrolled in the current study. These participants included 183 participants with prevalent AF and 220 with incident AF during up to 9 years follow up. Genome-wide methylation was profiled using the Illumina Infinium HumanMethylation450 BeadChip on blood-derived DNA collected during the eighth examination cycle (2005–2008). Two CpG sites were significantly associated with prevalent AF, and five CpGs were associated with incident AF after correction for multiple testing (FDR < 0.05). Fourteen previously reported genome-wide significant AF-related SNP were each associated with at least one CpG site; the most significant association was rs6490029 at the CUX2 locus and cg10833066 (P = 9.5 × 10−279). In summary, we performed genome-wide methylation profiling in a community-based cohort and identified seven methylation signatures associated with AF. Our study suggests that DNA methylation might play an important role in AF arrhythmogenesis. PMID:28067321

  11. Long-term remote sensing monitoring coal mining activity in resource-based cities: a case study of Qitaihe City, Northeastern China

    Science.gov (United States)

    Liu, L.; Zhou, J. S.

    2017-01-01

    Mining activity has strongly impacted the sustainable socioeconomic development of resource-based cities. The systematic monitoring of the change in mining activity can provide evidence for the transition and future development of resource-based cities. This paper chose Qitaihe, one of the four coal mining cities in northeastern China as the study area. Remote sensing and Geographical Information Systems (GIS) technique, as well as methods on landscape pattern analysis were used to study the evolution of mining activity from 4 different periods over 58 years’ time. Results showed that the area of land used in mining increased by about six times during the study period with cultivated land the main type that contributed to this increase. Mining activity showed an eastward trend, developing from one concentration circle to four circles, from a disordered system to a relatively integrated system. It was also suggested that differentiated policies should be adopted in different mining circles. This study also provides a framework for future city planning and sustainable development.

  12. Heart failure patients' experiences with continuity of care and its relation to medication adherence: a cross-sectional study

    NARCIS (Netherlands)

    Uijen, A.A.; Bosch, M.; Bosch, W.J. van den; Bor, H.; Wensing, M.J.P.; Schers, H.J.

    2012-01-01

    ABSTRACT: BACKGROUND: A growing number of health care providers are nowadays involved in heart failure care. This could lead to discontinuity and fragmentation of care, thus reducing trust and hence poorer medication adherence. This study aims to explore heart failure patients' experiences with cont

  13. Use of quinine and mortality-risk in patients with heart failure--a Danish nationwide observational study

    DEFF Research Database (Denmark)

    Gjesing, Anne; Gislason, Gunnar H; Christensen, Stefan B;

    2015-01-01

    PURPOSE: Leg cramps are common in patients with heart failure. Quinine is frequently prescribed in low doses to these patients, but safety of this practice is unknown. We studied the outcomes associated with use of quinine in a nationwide cohort of patients with heart failure. METHODS: Through in...

  14. A Study on the Implementation of Visualization for a Virtual City

    Institute of Scientific and Technical Information of China (English)

    ZHENG Long; ZHOU Jing-lun; LIU Xi-chun; ZHENG Min

    2006-01-01

    With the development in network communication, the research and application of "virtual city" has become an important discussion item. The crucial point lies on how to set up a virtual visual model of city on Internet; it is the organic integration of computer science, information science, geosciences and system science. This text summarizes the basic conception of "digital earth/the virtual fictitious city", and probes into the technology of combining with Web on the basis of 2DVR, 3DVR and GIS. It develops the new emulation mode of the virtual urban system and key technology while developing the scheme wholly. This paper offers the interactive methods of the virtual world and outside world. The method of using the panorama, three dimensional model and active server pages technology to realize interactive network virtual city roam is studied and a running example is given. Using the system we can offer the visual brand-new technical support for urban planning, traffic for tourism, etc.

  15. An Application Domain Extension to CityGML for immovable property taxation: A Turkish case study

    Science.gov (United States)

    Çağdaş, Volkan

    2013-04-01

    It is generally acknowledged that immovable property taxes are one of the main revenue sources for local government. The literature emphasizes that the administration of property taxes needs well-developed inventories or registers that provide complete and accurate records of the taxed properties and their legal-economic attributes. This requirement is generally fulfilled by Spatial Data Infrastructures (SDIs) in which the coordinate exchange and sharing of geo-spatial data is provided by separate registers/information systems such as: cadastral systems, building and address registers. Recently, the Open Geospatial Consortium presented a core component of a 3D SDI in the form of an international domain standard for representing, storing and exchanging 3D city models. The CityGML allows the semantic and 3D geometrical representation of physical objects but does not deal with the legal and administrative aspects of the city objects which are required for the process of property taxation. This paper outlines the development of an Application Domain Extension (ADE) for the immovable property taxation domain that expands the CityGML data model with the legal and administrative concepts defined in Turkish Law. The study shows that this ADE could be a 3D national data model for municipal information systems and facilitate a more efficient taxation process, as well as providing data for urban planning, facility management and other municipal services.

  16. Analysis on death status of pregnant women with heart disease in Shanghai city from 1991 to 2010%上海市1991~2010年妊娠合并心脏病死亡情况分析

    Institute of Scientific and Technical Information of China (English)

    张蕾; 杜莉; 秦敏; 朱丽萍

    2012-01-01

    目的:探讨妊娠合并心脏病孕产妇在系统保健管理中的经验和教训,为进一步降低孕产妇死亡率提供科学依据.方法:对上海市1991 ~2010年52例妊娠合并心脏病死亡的临床资料、死亡个案和评审结果进行回顾性分析.结果:①1991~ 2000年全市妊娠合并心脏病死亡占孕产妇死亡总数的7.02%,2001 ~ 2010年呈现逐步上升趋势.②妊娠合并心脏病死亡以先天性心脏病最高(15例,28.8%),其次是风湿性心脏病(7例,13.5%)、重度肺动脉高压和围产期心肌病(各6例、分别占11.5%).③妊娠合并心脏病死亡孕产妇普遍保健意识较差,其中进行治疗、定期随访的仅17例(32.7%);8例已明确告知不宜妊娠仍坚持怀孕.④各临床科室对妊娠合并心脏病的重视度不够,全程监护评估和规范治疗欠缺.结论:提高育龄妇女的孕前和产前保健意识,对妊娠合并心脏病做到早诊断和早治疗;同时临床各科医务人员也应提高对妊娠合并心脏病的诊断和监护水平,进行孕期全程动态评估,从而改善妊娠结局.%Objective; To explore the experiences of system health management for pregnant women with heart disease, provide scientific basis for further reducing maternal mortality. Methods; The clinical data, death case, and evaluation results of 52 pregnant women with heart disease in Shanghai city from 1991 to 2010 were analyzed retrospectively. Results; Among the maternal deaths, 7. 02% of them were found with pregnancy combined with heart disease in Shanghai city from 1991 to 2000, and the proportion showed an gradual increasing trend from 2001 to 2010. Among the pregnant women with heart disease, the proportion of pregnant women with congenital heart disease was the highest (15 cases, 28.8%), followed by rheumatic heart disease (7 cases, 13.5%), severe pulmonary hypertension (6 cases, 11.5%), and peripartum cardiomyopathy (6 cases, 11. 5% ) . The health awareness of

  17. Study of distribution and factors affecting syphilis epidemic among inner-city minorities of Baltimore.

    Science.gov (United States)

    Williams, P B; Ekundayo, O

    2001-11-01

    Disparities in health and medical conditions among ethnic and racial groups have been repeatedly documented. These inequalities, which have been noted in the recent past, include health outcomes such as quality of life and mortality, process, accessibility and appropriateness of care, and the prevalence of certain degenerative conditions and infectious diseases. Syphilis, a sexually transmitted disease (STD) which seemed to have disappeared or had been controlled over the years, has now re-emerged as a major public health problem in many rural, urban and suburban communities. Progression of the current rate of syphilis, which erupted in Baltimore during the later part of 1994, has continued unabated, most especially among the ethnic minorities, despite efforts of the Baltimore City Health Department and Maryland Department of Health and Mental Hygiene to control the epidemic. With the current incidence rates of 270 per 100 000 live births for congenital syphilis and 99.3 per 100 000 population for primary, secondary and latent syphilis (96% of the cases being in the non-white population), Baltimore becomes the city with the highest number of syphilis cases in the nation, surpassing the national average of 2.6 cases per 100 000 population. This study, which utilizes a combination of retrospective and questionnaire-oriented approach, was designed to assess factors that influenced the high incidence of syphilis among Baltimore inner-city dwellers between 1994 and 1998. Data for the study included syphilis reports from private physicians, the Baltimore City Health Department, STD clinics, the Center for Disease Control (CDC), and ethnographic interviews. Factors favoring the distribution and infectivity of the disease among the inner-city dwellers include greater poverty, high level of communication gaps between providers and a cross-section of minority inner-city dwellers, exchange of sex for crack cocaine, lower educational background, and inadequate and

  18. Study on ultrasound evaluation of carotid atherosclerosis and its predicting value for coronary heart disease

    Institute of Scientific and Technical Information of China (English)

    Peng-Hui Jian; Li-Fen Xu; Tie-Jun Zhang

    2016-01-01

    Objective:To study the ultrasound features of carotid atherosclerosis and its predicting value for coronary heart disease.Methods: A total of 55 cases of patients with coronary heart disease were selected as coronary heart disease group, 55 cases of healthy subjects were selected as control group, carotid artery ultrasound was used to detect intima-media thickness and judge the degree of coronary artery lesion, and plasma was collected to detect blood lipid metabolism indicators (FFA, LDL-C and HDL-C) and inflammation indicators (CCL21, CCR7, sCD40L, MFG-E8 and IL-10). Results:Carotid artery IMT of CHD group was significantly higher than that of control group, and the more the number of coronary artery lesions, the higher the IMT; plasma FFA, LDL-C, CCL21, CCR7 and sCD40L content of CHD group were higher than those of control group, and HDL-C, MFG-E8 and IL-10 content as well as HDL-C/LDL-C ratio were lower than those of control group; blood lipid metabolism indicators and inflammation indicators of coronary heart disease patients with different IMT were different, and the thicker the IMT, the higher the plasma FFA, LDL-C, CCL21, CCR7 and sCD40L content, the lower the HDL-C, MFG-E8 and IL-10 content as well as HDL-C/LDL-C ratio. Conclusion:Carotid artery IMT of patients with coronary heart disease significantly thickens and can assess the number of coronary artery lesions, blood lipid metabolism and degree of inflammation.

  19. Electrophysiological and structural remodeling in heart failure modulate arrhythmogenesis. 2D simulation study.

    Directory of Open Access Journals (Sweden)

    Juan F Gomez

    Full Text Available Heart failure is operationally defined as the inability of the heart to maintain blood flow to meet the needs of the body and it is the final common pathway of various cardiac pathologies. Electrophysiological remodeling, intercellular uncoupling and a pro-fibrotic response have been identified as major arrhythmogenic factors in heart failure.In this study we investigate vulnerability to reentry under heart failure conditions by incorporating established electrophysiological and anatomical remodeling using computer simulations.The electrical activity of human transmural ventricular tissue (5 cm × 5 cm was simulated using the human ventricular action potential model Grandi et al. under control and heart failure conditions. The MacCannell et al. model was used to model fibroblast electrical activity, and their electrotonic interactions with myocytes. Selected degrees of diffuse fibrosis and variations in intercellular coupling were considered and the vulnerable window (VW for reentry was evaluated following cross-field stimulation.No reentry was observed in normal conditions or in the presence of HF ionic remodeling. However, defined amount of fibrosis and/or cellular uncoupling were sufficient to elicit reentrant activity. Under conditions where reentry was generated, HF electrophysiological remodeling did not alter the width of the VW. However, intermediate fibrosis and cellular uncoupling significantly widened the VW. In addition, biphasic behavior was observed, as very high fibrotic content or very low tissue conductivity hampered the development of reentry. Detailed phase analysis of reentry dynamics revealed an increase of phase singularities with progressive fibrotic components.Structural remodeling is a key factor in the genesis of vulnerability to reentry. A range of intermediate levels of fibrosis and intercellular uncoupling can combine to favor reentrant activity.

  20. Original article What does it mean to live after heart transplantation? The lived experience of heart transplant recipients. A qualitative study

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    Anna Cierpka

    2015-03-01

    Full Text Available Background Despite significant improvements in physical state after heart transplantation, the majority of adult patients struggle with continuous psychological distress. The aim of the study was to explore the lived experiences of adult heart transplant recipients in order to understand the inner background of these difficulties. Participants and procedure Unstructured, in-depth interviews, based on the Life Story Interview of D. P. McAdams, were performed with 8 adults, aged between 50 and 60 years, who had undergone heart transplantation a year before the research was conducted. Interviews were tape recorded and transcribed verbatim. Data were analysed using narrative methods. Results The central themes of the patients’ lived experience were the illness itself and the feeling of being very different from others and from oneself remembered in the past – the times before the transplantation. The experienced discordance between their inner world and the expectations to get better presented by other people (the family, health care workers, etc. implies that these patients struggle with others’ lack of understanding and therefore suffer from a lack of effective psychological support. Conclusions This study shows that the life stories of patients after heart transplantation are in fact stories of their illness and the consequences it brought. It seems important to take this into consideration when constructing rehabilitation programmes for these patients in order to offer them the most effective support possible.

  1. The relation of ambulatory heart rate with all-cause mortality among middle-aged men: a prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Mette Korshøj

    Full Text Available The aim of this study was to investigate the association between average 24-hour ambulatory heart rate and all-cause mortality, while adjusting for resting clinical heart rate, cardiorespiratory fitness, occupational and leisure time physical activity as well as classical risk factors. A group of 439 middle-aged male workers free of baseline coronary heart disease from the Belgian Physical Fitness Study was included in the analysis. Data were collected by questionnaires and clinical examinations from 1976 to 1978. All-cause mortality was collected from the national mortality registration with a mean follow-up period of 16.5 years, with a total of 48 events. After adjustment for all before mentioned confounders in a Cox proportional hazards regression analysis, a significant increased risk for all-cause mortality was found among the tertile of workers with highest average ambulatory heart rate compared to the tertile with lowest ambulatory heart rate (Hazard ratio = 3.21, 95% confidence interval: 1.22-8.44. No significant independent association was found between resting clinic heart rate and all-cause mortality. The study indicates that average 24-hour ambulatory heart rate is a strong predictor of all-cause mortality independent from resting clinic heart rate, cardiorespiratory fitness, occupational and leisure time physical activity and other classical risk factors among healthy middle-aged workers.

  2. Reduced Dietary Sodium Intake Increases Heart Rate. A Meta-Analysis of 63 Randomized Controlled Trials Including 72 Study Populations.

    Science.gov (United States)

    Graudal, Niels A; Hubeck-Graudal, Thorbjørn; Jürgens, Gesche

    2016-01-01

    Reduced dietary sodium intake (sodium reduction) increases heart rate in some studies of animals and humans. As heart rate is independently associated with the development of heart failure and increased risk of premature death a potential increase in heart rate could be a harmful side-effect of sodium reduction. The purpose of the present meta-analysis was to investigate the effect of sodium reduction on heart rate. Relevant studies were retrieved from an updated pool of 176 randomized controlled trials (RCTs) published in the period 1973-2014. Sixty-three of the RCTs including 72 study populations reported data on heart rate. In a meta-analysis of these data sodium reduction increased heart rate with 1.65 beats per minute [95% CI: 1.19, 2.11], p sodium reduction increases heart rate by as much (2.4%) as it decreases blood pressure (2.5%). This side-effect, which may cause harmful health effects, contributes to the need for a revision of the present dietary guidelines.

  3. Use of illicit stimulant drugs in Finland: a wastewater study in ten major cities.

    Science.gov (United States)

    Kankaanpää, Aino; Ariniemi, Kari; Heinonen, Mari; Kuoppasalmi, Kimmo; Gunnar, Teemu

    2014-07-15

    Estimations of drug use at the national level are generally based on various sources of information, such as drug seizures, socio-scientific studies, toxicological data and hospital records. Nevertheless, all of these approaches have limitations that cannot be overcome, even if conclusions are drawn from combined data retrieved from different sources. Drug epidemiology through wastewater analysis has the potential to provide unique perspectives, internationally comparable data, and up-to-date information on the use of both traditional illicit drugs and new psychoactive substances (NPSs). In Finland, no large-scale studies on regional illicit drug consumption, based on a wastewater approach, have been reported. In this study, 24-h influent composite samples were collected during two 1-week study periods from ten different wastewater treatment plants in May and November-December 2012. The cities included in the study represent the geographical areas throughout Finland and cover 40% of the Finnish population. The samples were analyzed with an in-house validated, ultra high-performance liquid-chromatography mass spectrometric (UHPLC-MS/MS) method for various common illicit drugs and some NPS type stimulant drugs. The results were also compared with available statistics, information on drug seizures and laboratory-confirmed toxicological data, as well as other studies available based on wastewater analysis. The data show that illicit stimulant drug use is more common in the larger cities of Southern Finland. Amphetamine was the most commonly used drug in all 10 cities during both collection periods (excluding the collection period in May in Lappeenranta). Cocaine consumption remains very low in Finland in comparison to other European countries; it was concentrated in the biggest cities in Southern Finland. This study shows interesting temporal and spatial differences in drug use in Finland, as well as the possibilities of using wastewater analytics to reveal local

  4. Providing a Model for Successful Implementation of Customer Relationship Management (Case Study: Zahedan Industrial City

    Directory of Open Access Journals (Sweden)

    Amin-Reza Kamalian

    2013-05-01

    Full Text Available This study presents a model for Successful Implementation of Customer Relationship Management (CRM for small and medium-sized enterprises (SMEs in Zahedan industrial city. Having extensive theoretical study, the factors influencing the success of customer relationship management were identified. Using a standard questionnaire with reliability of 96.2 percent (Cronbach's alpha coefficient, existing and desired situations of these factors were compared by experts' point of view. Research population consists of industrialists and professionals in Zahedan industrial city. Because of small population size, data obtained by the entire population; i.e. 54 companies. This applied study is in descriptive-analytical type. Data analysis was performed using SPSS software. Results indicated that all factors affecting the success of implementing customer relationship management, except technology, are used in these companies.

  5. Multi-hazard risk assessment using GIS in urban areas: a case study for the city of Turrialba, Costa Rica

    NARCIS (Netherlands)

    Westen, van Cees J.; Montoya, Lorena; Boerboom, Luc; Badilla Coto, Elena

    2002-01-01

    In the framework of the UNESCO sponsored project on “Capacity Building for Natural Disaster Reduction” a case study was carried out on multi-hazard risk assessment of the city of Turrialba, located in the central part of Costa Rica. The city with a population of 33,000 people is located in an area,

  6. Is Climate Chang Responsible to Recent Urban Flooding in Devloping Cities in Africa? A Case study of Addis Ababa City, Ethiopia

    Science.gov (United States)

    Moges, Semu; Raschid-Sally, Liqa; Gebremichael, Mekonnen

    2013-04-01

    Cities in Africa show extraordinary expansion of the built environment and imperviousness of the surface condition. Addis Ababa is a case in point, where over the priod of 1984 to 2002, the city asphalted area has increased from 4.72 sq.km (1984) to 27.7 sq.km (2002). Similarly the paved area has expanded five fold from the original 11.1 sq.km, whilst the built environment expanded from 60.1 to 212.7 sq.km. Using hydrological modeling, we demonstrated due to the surface condition change, runoff generation potential has shown significant increase from 28% (in 1984) to 45% (in 2002), showing over 60% change in the runoff volume. The changing condition of the surface is increasing anabtedly, worsening the flooding condition. Similarly, climate change study shows likely increase of precipitation in and around Addis Ababa by about 13 to 17% and comparative increase in flooding. Unlike many cities in Europe, cities in developing countries are confronted with impact emanating from climate change as well as surface condition change. The impact of flooding caused due to the expansion of built environment is found to be more significant in the short term that the climate change, however, the climate change may dominate the long term future of flooding pattern as cities mature towards 2050. Therefore, It is important to view the impacts expansion of built environment and climate change in tandem in future time horizon since the dominance of the impact is different in different temporal scale. In the case of Addis Ababa, we strongly present the following four suggesions: i) the city adminstration re-estabilish the abandoned flood and drainage department of the city as the main flood regulatory and management body working in tandem with Addis Ababa Roads Authority, Water Supply and Sanitation Authority and Urban Planning Authority; ii) The old design guidlines for palnning and design of urban drainage system is not working any more (assumed stationarity condition), we suggest

  7. Experimental and clinical studies of fast three-dimensional MR imaging of the heart

    Energy Technology Data Exchange (ETDEWEB)

    Sato, Shuhei [Okayama Univ. (Japan). School of Medicine

    1999-07-01

    MRI has been utilized since its inception to study the anatomy and physiology of the heart. However, the sensitivity of MRI to motion has always posed a major challenge in imaging this organ. The purpose of this study was to develop a 3D MP-RAGE technique for the heart, and to apply it clinically. In the experimental study, data acquisition timing was discussed by normal volunteers. Changes in magnetization recovery time affected imaging contrast very little in the phantom study. Fourteen adults and 21 children were examined. In the adults, MP-RAGE images were rated as high in quality in the visual estimation. In the quantitative estimation, the images provided almost the same anatomical information as those of cine MRI. In the children, MP-RAGE was useful for cases of partial anomalous pulmonary venous drainage, particularly in the evaluation of abnormal pulmonary veins. The 3D MP-RAGE technique was useful in imaging the heart because it was possible to obtain continuous views in the same cardiac cycle and to reconstruct views from any direction after the examination. (author)

  8. Pulsatile flow in the aorta of the LVAD supported heart studied using particle image velocimetry

    Science.gov (United States)

    Moyedi, Zahra

    Currently many patients die because of the end-stage heart failure, mainly due to the reduced number of donor heart transplant organs. Studies show that a permanent left ventricular assist device (LVAD), a battery driven pump which is surgically implanted, increased the survival rate of patients with end-stage heart failure and improved considerably their quality of life. The inlet conduit of the LVAD is attached to the left ventricle and the outflow conduit anastomosed to the ascending aorta. The purpose of LVAD support is to help a weakened heart to pump blood to the rest of the body. However LVAD can cause some alterations of the natural blood flow. When your blood comes in contact with something that isn't a natural part of your body blood clots can occur and disrupt blood flow. Aortic valve integrity is vital for optimal support of left ventricular assist LVAD. Due to the existence of high continuous transvalvular pressure on the aortic valve, the opening frequency of the valve is reduced. To prevent the development of aortic insufficiency, aortic valve closure during LVAD implantation has been performed. However, the closed aortic valve reduces wash out of the aortic root, which causes blood stagnation and potential thrombus formation. So for this reason, there is a need to minimize the risks of occurring blood clot, by having more knowledge about the flow structure in the aorta during LVAD use. The current study focuses on measuring the flow field in the aorta of the LVAD assisted heart with two different types of aortic valve (Flat and Finned) using the SDSU cardiac simulator. The pulsatile pump that mimics the natural pulsing action of the heart also added to the system. The flow field is visualized using Particle Image Velocimetry (PIV). Furthermore, The fluid mechanics of aorta has been studied when LVAD conduit attached to two different locations (proximal and distal to the aortic valve) with pump speeds of 8,000 to 10,000 revolutions per minute (RPM

  9. Groundwater Quality Assessment Using Averaged Water Quality Index: A Case Study of Lahore City, Punjab, Pakistan

    Science.gov (United States)

    Umair Shahid, Syed; Iqbal, Javed

    2016-10-01

    Water quality is considered as a major issue in mega cities of developing countries. The city of Lahore has over 10 million populations with the highest population density in the Punjab Province, Pakistan. Groundwater is the main source of drinking water in Lahore. The groundwater quality should be regularly monitored to cope up with drinking water quality issues. The water quality index (WQI), previously used in many studies was usually based on one-year data to analyze the water quality situation of the study area. However, the results obtained from the data, based on single observation from different points may have distortion. This might have occurred due to the inclusion of multiple types of errors induced in the data as a result of improper sampling design, lack of expertise in terms of both sampling method and sample testing, instrumental and human errors, etc. Therefore, the study evaluated the groundwater physicochemical parameters (turbidity, pH, total dissolved solids, hardness, chlorides, alkalinity and calcium) for three years. The averaged water quality index (AWQI) was computed using ArcGIS 10.3 model builder. The AWQI map indicated that the water quality in the study area was generally good except in few places like Anarkali, Baghbanpura, Allama Iqbal Town, Mughalpura and Mozang due to relatively higher turbidity levels. The results of this study can be used for decision making regarding provision of clean drinking water to the city of Lahore. Moreover, the methodology adopted in this study can be implemented in other mega cities as well to monitor groundwater quality.

  10. Methods for retrospective geocoding in population studies: the Jackson Heart Study.

    Science.gov (United States)

    Robinson, Jennifer C; Wyatt, Sharon B; Hickson, DeMarc; Gwinn, Danielle; Faruque, Fazlay; Sims, Mario; Sarpong, Daniel; Taylor, Herman A

    2010-01-01

    The increasing use of geographic information systems (GIS) in epidemiological population studies requires careful attention to the methods employed in accomplishing geocoding and creating a GIS. Studies have provided limited details,hampering the ability to assess validity of spatial data. The purpose of this paper is to describe the multiphase geocoding methods used to retrospectively create a GIS in the Jackson Heart Study (JHS). We used baseline data from 5,302 participants enrolled in the JHS between 2000 and 2004 in a multiphase process to accomplish geocoding2 years after participant enrollment. After initial deletion of ungeocodable addresses(n=52), 96% were geocoded using ArcGIS. An interactive method using data abstraction from participant records, use of additional maps and street reference files,and verification of existence of address, yielded successful geocoding of all but 13 addresses. Overall, nearly 99% (n=5,237) of the JHS cohort was geocoded retrospectively using the multiple strategies for improving and locating geocodable addresses. Geocoding validation procedures revealed highly accurate and reliable geographic data. Using the methods and protocol developed provided a reliable spatial database that can be used for further investigation of spatial epidemiology. Baseline results were used to describe participants by select geographic indicators, including residence in urban or rural areas, as well as to validate the effectiveness of the study's sampling plan. Further, our results indicate that retrospectively developing a reliable GIS for a large, epidemiological study is feasible. This paper describes some of the challenges in retrospectively creating a GIS and provides practical tips that enhanced the success.

  11. Overweight, resting heart rate, and prediabetes/diabetes: A population-based prospective cohort study among Inner Mongolians in China.

    Science.gov (United States)

    Zhang, Shao Yan; Wu, Jia Hui; Zhou, Jing Wen; Liang, Zhu; Qiu, Qiao Yan; Xu, Tian; Zhang, Ming Zhi; Zhong, Chong Ke; Jiang, Wei; Zhang, Yong Hong

    2016-03-31

    We aimed to investigate the cumulative effect of overweight and resting heart rate on prediabetes/diabetes incidence in an 10-year follow-up study in Inner Mongolians. Among 1729 participants who were free from prediabetes and diabetes at baseline, 503 and 155 subjects developed prediabetes and diabetes, respectively. We categorized the participants into 4 subgroups according to overweight and resting heart rate status. The multivariate-adjusted OR (95% CI) in normal weight with heart rate ≥80 bpm, overweight with heart rate overweight with heart rate ≥80 bpm were 1.24 (0.95-1.61), 1.83 (1.29-2.61), 2.20 (1.41-3.45) for prediabetes and 1.52 (0.97-2.40), 3.64 (2.21-6.01), 4.61 (2.47-8.61) for diabetes, respectively, compared with normal weight with heart rate overweight and resting heart rate, along with conventional factors (AUC = 0.751), was significantly (P = 0.003) larger than the one containing only conventional factors (AUC = 0.707). Our study indicated that overweight was an independent risk factor of prediabetes and diabetes, and overweight with faster resting heart rate might further increase the risk of prediabetes and diabetes.

  12. Indirect narration : a case study of Conrad's Heart of darkness and Fitzgerald's The Great Gatsby

    Directory of Open Access Journals (Sweden)

    Majda Šavle

    2007-12-01

    Full Text Available Joseph Conrad's narrative style bas influenced many writers, including F. Scott Fitzgerald. The objective of my study on verbs used in discourse in Conrad's Heart of Darkness and Fitzgerald's The Great Gatsby was to confirm  the speculation  that besides Conrad's innovative technique of indirect narration there were other techniques (such as careful selection of imagistic detail Fitzgerald learned from Conrad.

  13. Morphological study of human heart and placenta in the first trimester of prenatal period of ontogenesis

    OpenAIRE

    Abdul-Ogly L.V.

    2008-01-01

    Probability of abnormal development is high in certain periods when the increased sensitiveness of embryo and fetus takes place. Influence of damaging factors as maternal infection and, consequently, fetal infection is a reason of abnormal development. Morphological characteristics of heart and placenta were studied during the first trimester of prenatal period of ontogenesis. 17 embryos, fetuses and placenta of 4-12 weeks were used. Abortions were made according to medical statements or mate...

  14. Central Nervous System Changes in Pediatric Heart Failure: A Volumetric Study

    OpenAIRE

    Menteer, Jondavid; Macey, Paul M.; Woo, Mary A.; Panigrahy, Ashok; Harper, Ronald M.

    2010-01-01

    Autonomic dysfunction, mood disturbances, and memory deficits appear in pediatric and adult heart failure (HF). Brain areas controlling these functions show injury in adult HF patients, many of whom have comorbid cerebrovascular disease. We examined whether similar brain pathology develops in pediatric subjects without such comorbidities. In this study, high-resolution T1 brain magnetic resonance images were collected from seven severe HF subjects age (age 8–18 years [mean 13]; left ventricul...

  15. Caffeine and Heart Disease

    Science.gov (United States)

    ... Healthy Workplace Food and Beverage Toolkit Caffeine and Heart Disease Updated:Aug 17,2015 Caffeine has many metabolic ... high caffeine intake increases the risk of coronary heart disease is still under study. Many studies have been ...

  16. Epidemiological Study of Ascariasis in Hamadan City , West of Iran, 2001

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    M. Fallah

    2004-04-01

    Full Text Available Ascaris lumbricoides is the most common intestinal parasite in the world. Various studies has indicated the high prevalence of this parasite in Iran, specially in the west parts of Iran. The epidemiological study of intestinal parasitic infection is prerequisite for planning of control programs. The Hamadan province is one of the most tourist attraction regions of Iran and providing a safe environment for travelers is the main aim of regional authorities. A mass chemotherapy for Ascariasis performed in rural areas of Hamadan province for a five years period but, no any intervention was done for control of this parasite in the Hamadan city. Therefore, an epidemiological study of Ascariasis in this town was necessary. A cross sectional study carried out by cluster random sampling in Hamadan and 580 stool specimens collected from different parts of city. The stools were examined by formalin ether concentration technique for ova and parasites and intensity of infection was determined by quantitative modified Stoll method. Mean infection rate of Ascariasis was 19.5%. The Farhangian suburb (northern part had higher infection rate than other parts(28.5% and central parts of city showed lower infection rate(12.7%. The highest infection rate were found in the 31-40 years age group (33.8% and in the females(23.9%.In view of intensity, 59.3% of infections were moderate and 48.3% had low intensity. No any high intensity were found. Mean egg per gram(epg were 7129 and 48.7% of eggs were infertile. This study indicated that , prevalence of Ascaris in Hamadan city is considerable at present and a suitable intervention, like health education and selective chemotherapy is necessary to decrease the infection.

  17. Facilitators and Threats to the Patient Dignity in Hospitalized Patients with Heart Diseases: A Qualitative Study

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    Fariba Borhani

    2016-01-01

    Full Text Available Background: Patient’s dignity is an important issue which is highlighted in nursing It is an issue that is highly dependent on context and culture. Heart disease is the most common disease in Iran and the world. Identification of facilitator and threatening patient dignity in heart patients is vital. This study aimed to explore facilitator and threatening patient dignity in hospitalized patients with heart disease. Methods: This qualitative content analysis study was performed in 2014 in Kerman, Iran. 20 patients admitted to coronary care units and 5 personnel were selected using purposeful sampling in semi-structured and in depth interviews. Researchers also used documentation and field notes until data saturation. Qualitative data analysis was done constantly and simultaneously with data collection Results: Three central themes emerged: a Care context which includes human environment and physical environment, b Holistic safe care including meeting the needs of patients both in the hospital and after discharge, c Creating a sense of security and an effective relationship between patient and nurse, including a respectful relationship and account the family in health team. Conclusion: The results of this study showed that care context is important for patient dignity as well as physical environment and safe holistic care.

  18. In vivo carbon-13 nuclear magnetic resonance studies of heart metabolism.

    Science.gov (United States)

    Neurohr, K J; Barrett, E J; Shulman, R G

    1983-03-01

    Guinea pig heart metabolism was studied in vivo by 13C NMR at 20.18 MHz. High-quality proton-decoupled 13C NMR spectra with excellent signal-to-noise ratios and resolution could be obtained in 6 min. Natural-abundance spectra showed resonances that could be assigned to fatty acids, but glycogen was not seen. During intravenous infusion of D-[1-13C]glucose and insulin, the time course of myocardial glycogen synthesis was followed serially for up to 4 hr. Anoxia resulted in degradation of the labeled glycogen within 6 min and appearance of 13C label in lactic acid. Infusion of sodium [2-13C]acetate resulted in incorporation of label into the C-4, C-2, and C-3 positions of glutamate and glutamine, reflecting "scrambling" of the label expected from tricarboxylic acid cycle activity. Examination of the 31P NMR spectrum of the guinea pig heart in vivo demonstrated no change in the high-energy phosphates during the time periods of the 13C NMR experiments. Our studies indicate that 13C NMR is a unique non-destructive tool for the study of heart metabolism in vivo.

  19. A CORRELATION STUDY BETWEEN CONVENTIONAL LIPID PARAMETERS AND HS - CRP IN CORONARY HEART DISEASE

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    Rangaswamy

    2015-05-01

    Full Text Available BACKGROUND: Coronary heart disease (CHD is the most common form of heart disease. Changes in lifestyle, decreased physical activity, dietary modifications etc., in indian population is considered to be the major risk factor. By 2020 it is estimated that it will be th e major cause of death in the world. High sensitivity CRP (hs - CRP test measures very small amounts of CRP in the blood and is helpful even in healthy individuals to assess their potential risk for heart ailments. The hs - CRP levels are directly proportiona l to extent source of CHD which indicates that the hs - CRP has positive correlation with the disease burden. Hence the present study was undertaken. MATERIAL AND METHODS: The study was done by taking two groups controls and cases between the ages 25 - 60 year s. Fasting blood samples were collected and analysed for estimation of triglycerides, cholesterol, LDL - cholesterol, HDL - cholesterol and hs - crp levels. RESULT: Serum levels of cholesterol, TG, LDL - C, and hs - CRP (p - value 0.0001 were significantly increased and HDL - C (p - value 0.0002 was significantly decreased in cases as compared to healthy controls. CONCLUSION: It is seen that hs - CRP level is significantly elevated in cases (MI patients than the normal controls. So the present study shows a significant a nd positive correlation with conventional lipid profile parameters.

  20. Understanding Human Perception of Building Categories in Virtual 3d Cities - a User Study

    Science.gov (United States)

    Tutzauer, P.; Becker, S.; Niese, T.; Deussen, O.; Fritsch, D.

    2016-06-01

    Virtual 3D cities are becoming increasingly important as a means of visually communicating diverse urban-related information. To get a deeper understanding of a human's cognitive experience of virtual 3D cities, this paper presents a user study on the human ability to perceive building categories (e.g. residential home, office building, building with shops etc.) from geometric 3D building representations. The study reveals various dependencies between geometric properties of the 3D representations and the perceptibility of the building categories. Knowledge about which geometries are relevant, helpful or obstructive for perceiving a specific building category is derived. The importance and usability of such knowledge is demonstrated based on a perception-guided 3D building abstraction process.

  1. Explaining Critical Success Factors for CRM Strategy (Case Study: SMEs in Zahedan Industrial City

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    Amin Reza Kamalian

    2013-05-01

    Full Text Available This study explains critical success factors (CSFs for Customer Relationship Management (CRM strategy in Small and Medium-sized Enterprises (SMEs located in Zahedan industrial city. Research population consists of industrialists and professionals in Zahedan industrial city. Because of small population size, data obtained by the entire population; i.e. 54 companies. In order to measure variables, two researcher-made questionnaires for CRM strategy and CSFs were used. Form validity and content validity of questionnaires were confirmed by experts and confirmatory factor analysis test, respectively. The reliability of both questionnaires was proved by Cronbach's alpha coefficient which was higher than 0.7. This study is a correlation-type. Structural equation with AMOS 18 software was used to test research hypothesis. Results of path analysis and structural equation modeling indicated appropriate goodness of fit for research model. They also showed that people, process, technology and culture (CSFs have a significant positive impact on CRM strategies.

  2. Equilibrium-oriented housing supply: A case study of Chengdu City, China

    Directory of Open Access Journals (Sweden)

    He Ge

    2013-01-01

    Full Text Available There is a growing concern regarding housing supply management because of soaring housing prices consequent to recent market failure in China. This study is aimed at presenting an equilibrium-oriented housing supply management model that integrates housing supply and demand with time lag and reasonable vacancy area. For validity test of the model, Chengdu City was selected as a sample. The study establishes the feasibility of this model by demonstrating that optimized housing supply can narrow the gap between housing supply and demand. The implication of this finding is that planning of housing supply is an important management tool and that in applying this tool, local government should intervene in housing market to ensure scientific consideration of city's development position, economic growth and housing demand.

  3. Assessment and analysis of indices of urban sustainable development in small cities (case study of Soran

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    Bahram Irandegani

    2015-06-01

    Full Text Available density and villagers migrate to the cities attention and emphasis was planning to strengthen and grow small towns. The study by researchers in different countries shows that small towns are one of the most successful examples of settlement in the area of sustainable development. Soran and the social and physical areas of urban sustainability indicators in urban areas is presented. The research method of this study is survey method and the data has been obtained from the questionnaire. The results of findings show that in terms of urban sustainability indices, the city of Soran has not a desirable situation in relation to the medium of urban system but it is in the same state in terms of more social, economic and physical indices in relation to urban system of country which it is noticeable clearly.

  4. Potential of Hybrid Computational Phantoms for Retrospective Heart Dosimetry After Breast Radiation Therapy: A Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    Moignier, Alexandra, E-mail: alexandra.moignier@irsn.fr [Institut de Radioprotection et de Surete Nucleaire, Fontenay-aux-Roses (France); Derreumaux, Sylvie; Broggio, David; Beurrier, Julien [Institut de Radioprotection et de Surete Nucleaire, Fontenay-aux-Roses (France); Chea, Michel; Boisserie, Gilbert [Groupe Hospitalier Pitie Salpetriere, Service de Radiotherapie, Paris (France); Franck, Didier; Aubert, Bernard [Institut de Radioprotection et de Surete Nucleaire, Fontenay-aux-Roses (France); Mazeron, Jean-Jacques [Groupe Hospitalier Pitie Salpetriere, Service de Radiotherapie, Paris (France)

    2013-02-01

    Purpose: Current retrospective cardiovascular dosimetry studies are based on a representative patient or simple mathematic phantoms. Here, a process of patient modeling was developed to personalize the anatomy of the thorax and to include a heart model with coronary arteries. Methods and Materials: The patient models were hybrid computational phantoms (HCPs) with an inserted detailed heart model. A computed tomography (CT) acquisition (pseudo-CT) was derived from HCP and imported into a treatment planning system where treatment conditions were reproduced. Six current patients were selected: 3 were modeled from their CT images (A patients) and the others were modelled from 2 orthogonal radiographs (B patients). The method performance and limitation were investigated by quantitative comparison between the initial CT and the pseudo-CT, namely, the morphology and the dose calculation were compared. For the B patients, a comparison with 2 kinds of representative patients was also conducted. Finally, dose assessment was focused on the whole coronary artery tree and the left anterior descending coronary. Results: When 3-dimensional anatomic information was available, the dose calculations performed on the initial CT and the pseudo-CT were in good agreement. For the B patients, comparison of doses derived from HCP and representative patients showed that the HCP doses were either better or equivalent. In the left breast radiation therapy context and for the studied cases, coronary mean doses were at least 5-fold higher than heart mean doses. Conclusions: For retrospective dose studies, it is suggested that HCP offers a better surrogate, in terms of dose accuracy, than representative patients. The use of a detailed heart model eliminates the problem of identifying the coronaries on the patient's CT.

  5. Future of Allotment Gardens in the Context of City Spatial Policy – A Case Study of Poznań

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    Poniży Lidia

    2017-03-01

    Full Text Available Multifunctional allotment gardens are an important part of the green infrastructure of cities. In spite of this, they are given little attention in the plans and policies of cities. One of the major threats to the existence of allotment gardens within the spatial structure of cities is the pressure of investment, which results from an underestimation of the role of gardens. The task of preserving allotment gardens in the ecosystems of cities rests with the local spatial planning. Urban spatial policy towards allotment gardening is exemplified by the case study of Poznan. The bases for the analysis include the study of the conditions and directions of spatial planning, as the spatial policy document that sets forth the city and local spatial development plans, which are Acts of local laws.

  6. Characterization and Aerobic Biological Treatment of MSW: A Case Study of Hyderabad City

    OpenAIRE

    Muhammad Safar Korai; Rasool Bux Mahar; Abdul Razaque Sahito

    2014-01-01

    This study was conducted to assess the MSW (Municipal Solid Waste) generated in Hyderabad city for its suitability to make compost product through AB (Aerobic Biological) treatment. Assessment of MSW regarding its generation rate, quantification and characterization decides its suitability for composting process. Three AB treatment reactors R1 (natural air circulation and manually mixed reactor), R2 (compressed air circulation and manually mixed reactor) and R3 (compressed air circulation and...

  7. Competitive service centers location in the cities with aim to reduce traffic (Case study: Health centers location in the city if Isfahan

    Directory of Open Access Journals (Sweden)

    Hamid Moradi

    2011-03-01

    Full Text Available Abstract   Distribution of goods and services in cities is of utmost importance. Selecting appropriate venues for different service centers in a city not only enables the citizens to access these services much more easily, but also reduces the traffic load caused by trips made to reach them. Unfortunately, the lack of a correct urban planning has led to inappropriate formation of many cities around the world in terms of the locations assumed for different service centers. Since the private sector has been given the responsibility to construct most of these centers, changing their current locations may be restricted due to legal obligations. Therefore, it seems necessary for the government to construct new service centers with high competitive facilities to attract customers and to compete with those built by the private sector. In this paper, the selection of appropriate locations to construct new service centers has been studied. Such locations have been selected in a way to fulfill goals such as rapid and easy accessibility for the customers and reduction of traffic drawbacks caused by the related trips. In this regard, a model for service centers with restricted capacity has been designed and a parallel simulated annealing algorithm has been proposed to solve it. Finally, the proposed algorithm has been utilized to locate the health centers around the city of Isfahan and its efficiency has been investigated. The findings highlight the accuracy and speed of the proposed algorithm in location of the health centers of Isfahan.

  8. Strategic Study on Integration of Port and City Development in Rizhao

    Institute of Scientific and Technical Information of China (English)

    Hou Chengjun; Zhao Gaozheng

    2007-01-01

    agglomeration of the Yangtze Delta(UAYD),one of the most developed regions of China,has witnessed an increasing prevalence in building ecological cities when the ecological cities are pursued by many modem cities,and great achievements have been made in this regard.It is inevitable,however,that certain problems exist during the construction of ecological city,which include but not limited to non-harmonious development of urbancomplex ecosystem,and the difficulty in quantifying eco-city construction or incomplete quantification in assessing the construction of present and future eco-city.Based onthe analysis onsocial-economic conditions and regional conditions of the UAYD.this paper attempts to Set up an index system of eco-cities combining witth local characteristics.and to adopt the indices of eco-city,urban harmony,and eco-city colligate to evaluate the ecological level,urban harmonious development and eco-city construction of cities within the UAYD.Results indicate that among 15 cities in UAYD,Suzhou City ranks the highest in terms of eco-city construction,whereas Nantong ranks relatively lower,sustainable eco-city construction is possible only when cities are developed in every respect of harmony.

  9. Frequency of angina pectoris and secondary events in patients with stable coronary heart disease (from the Heart and Soul Study).

    Science.gov (United States)

    Beatty, Alexis L; Spertus, John A; Whooley, Mary A

    2014-10-01

    The extent to which angina pectoris (AP) predicts secondary cardiovascular events beyond independent of measures of disease severity is unknown. We evaluated the association between AP frequency and secondary events in patients with stable coronary heart disease (CHD). We administered the Seattle Angina Questionnaire to 1,023 participants with stable CHD enrolled from September 2000 to December 2002 and followed for a median of 8.9 years. We used Cox proportional hazards to evaluate the association of AP frequency with death and subsequent hospitalization for AP, revascularization, myocardial infarction (MI), or heart failure. At enrollment, 633 (62%) participants reported no AP, 279 (27%) reported monthly AP, and 111 (11%) reported daily or weekly AP. During follow-up, 396 participants died, 204 were hospitalized for AP, 194 for revascularization, 140 for MI, and 188 for heart failure. Compared with participants without AP, participants with daily or weekly AP were more likely to be hospitalized for AP (hazard ratio [HR] 3.3; 95% confidence interval [CI] 2.3 to 4.7; p<0.001), revascularization (HR 2.0; 95% CI 1.3 to 2.9; p=0.001), or heart failure (HR 1.6; 95% CI 1.0 to 2.5; p=0.03) and more likely to die (HR 1.5; 95% CI 1.1 to 2.0; p=0.01). AP was not independently associated with MI (HR 1.3; 95% CI 0.8 to 2.3; p=0.29). After adjusting for demographics, co-morbidities, treadmill exercise capacity, ejection fraction, and inducible ischemia, frequency of AP remained independently associated with hospitalization for AP (HR 2.4; 95% CI 1.6 to 3.6; p<0.001), revascularization (HR 1.7; 95% CI 1.1 to 2.7; p=0.02), and death (HR 1.4; 95% CI 1.0 to 2.0; p=0.045). In conclusion, in outpatients with stable CHD, AP frequency predicts higher rates of secondary cardiovascular events and death, independent of objective measures of disease severity.

  10. Cardiopulmonary Toxicity Induced by Ambient Particulate Matter (BI City Concentrated Ambient Particle Study)

    Energy Technology Data Exchange (ETDEWEB)

    Annette Rohr; James Wagner Masako Morishita; Gerald Keeler; Jack Harkema

    2010-06-30

    Alterations in heart rate variability (HRV) have been reported in rodents exposed to concentrated ambient particles (CAPs) from different regions of the United States. The goal of this study was to compare alterations in cardiac function induced by CAPs in two distinct regional atmospheres. AirCARE 1, a mobile laboratory with an EPA/Harvard fine particle (particulate matter <2.5 {micro}m; PM{sub 2.5}) concentrator was located in urban Detroit, MI, where the PM mixture is heavily influenced by motor vehicles, and in Steubenville, OH, where PM is derived primarily from long-range transport and transformation of power plant emissions, as well as from local industrial operations. Each city was studied during both winter and summer months, for a total of four sampling periods. Spontaneously hypertensive rats instrumented for electrocardiogram (ECG) telemetry were exposed to CAPs 8 h/day for 13 consecutive days during each sampling period. Heart rate (HR), and indices of HRV (standard deviation of the average normal-to-normal intervals [SDNN]; square root of the mean squared difference of successive normal-to-normal intervals [rMSSD]), were calculated for 30-minute intervals during exposures. A large suite of PM components, including nitrate, sulfate, elemental and organic carbon, and trace elements, were monitored in CAPs and ambient air. In addition, a unique sampler, the Semi-Continuous Elements in Air Sampler (SEAS) was employed to obtain every-30-minute measurements of trace elements. Positive matrix factorization (PMF) methods were applied to estimate source contributions to PM{sub 2.5}. Mixed modeling techniques were employed to determine associations between pollutants/CAPs components and HR and HRV metrics. Mean CAPs concentrations in Detroit were 518 and 357 {micro}g/m{sup 3} (summer and winter, respectively) and 487 and 252 {micro}g/m{sup 3} in Steubenville. In Detroit, significant reductions in SDNN were observed in the summer in association with cement

  11. Cardiopulmonary Toxicity Induced by Ambient Particulate Matter (BI City Concentrated Ambient Particle Study)

    Energy Technology Data Exchange (ETDEWEB)

    Annette Rohr; James Wagner Masako Morishita; Gerald Keeler; Jack Harkema

    2010-06-30

    Alterations in heart rate variability (HRV) have been reported in rodents exposed to concentrated ambient particles (CAPs) from different regions of the United States. The goal of this study was to compare alterations in cardiac function induced by CAPs in two distinct regional atmospheres. AirCARE 1, a mobile laboratory with an EPA/Harvard fine particle (particulate matter <2.5 {micro}m; PM{sub 2.5}) concentrator was located in urban Detroit, MI, where the PM mixture is heavily influenced by motor vehicles, and in Steubenville, OH, where PM is derived primarily from long-range transport and transformation of power plant emissions, as well as from local industrial operations. Each city was studied during both winter and summer months, for a total of four sampling periods. Spontaneously hypertensive rats instrumented for electrocardiogram (ECG) telemetry were exposed to CAPs 8 h/day for 13 consecutive days during each sampling period. Heart rate (HR), and indices of HRV (standard deviation of the average normal-to-normal intervals [SDNN]; square root of the mean squared difference of successive normal-to-normal intervals [rMSSD]), were calculated for 30-minute intervals during exposures. A large suite of PM components, including nitrate, sulfate, elemental and organic carbon, and trace elements, were monitored in CAPs and ambient air. In addition, a unique sampler, the Semi-Continuous Elements in Air Sampler (SEAS) was employed to obtain every-30-minute measurements of trace elements. Positive matrix factorization (PMF) methods were applied to estimate source contributions to PM{sub 2.5}. Mixed modeling techniques were employed to determine associations between pollutants/CAPs components and HR and HRV metrics. Mean CAPs concentrations in Detroit were 518 and 357 {micro}g/m{sup 3} (summer and winter, respectively) and 487 and 252 {micro}g/m{sup 3} in Steubenville. In Detroit, significant reductions in SDNN were observed in the summer in association with cement

  12. Individually Coded Telemetry: a Tool for Studying Heart Rate and Behaviour in Reindeer Calves

    Directory of Open Access Journals (Sweden)

    Pudas T

    2002-09-01

    Full Text Available The aim of the study was to test the performance of a silver wire modified version of the coded telemetric heart rate monitor Polar Vantage NV™ (PVNV and to measure heart rate (HR in a group of captive reindeer calves during different behaviour. The technical performance of PVNV HR monitors was tested in cold conditions (-30°C using a pulse generator and the correlation between generated pulse and PVNV values was high (r = 0.9957. The accuracy was tested by comparing the HR obtained with the PVNV monitor with the standard ECG, and the correlation was significant (r = 0.9965. Both circadian HR and HR related to behavioural pattern were recorded. A circadian rhythm was observed in the HR in reindeer with a minimum during night and early morning hours and maximum at noon and during the afternoon, the average HR of the reindeer calves studied being 42.5 beats/min in February. The behaviour was recorded by focal individual observations and the data was synchronized with the output of the HR monitors. Running differed from all other behavioural categories in HR. Inter-individual differences were seen expressing individual responses to external and internal stimuli. The silver wire modified Polar Vantage NV™ provides a suitable and reliable tool for measuring heart rate in reindeer, also in natural conditions.

  13. Energy Feedback at the City-Wide Scale A comparison to building scale studies

    Science.gov (United States)

    Carter, Richard Allan

    Climate change is a growing concern throughout the world. In the United States, leadership has so far failed to establish targeted reductions and agreement on mitigation strategies. Despite this, many large cities are taking on the challenge of measuring their emissions, establishing targeted reductions, and defining strategies for mitigation in the form of Climate Action Plans. Reporting of greenhouse gas (GHG) emissions by these cities is usually based on a one-time, annual calculation. Many studies have been conducted on the impact of providing energy use data or feedback to households, and in some cases, institutional or commercial businesses. In most of those studies, the act of providing feedback has resulted in a reduction of energy use, ranging from 2% to 15%, depending upon the features of the feedback. Many of these studies included only electric use. Studies where all energy use was reported are more accurate representations of GHG emissions. GHG emissions and energy use are not the same, depending on the fuel source and in the case of this paper, the focus is on reducing energy use. This research documents the characteristics of the feedback provided in those studies in order to determine which are most effective and should be considered for application to the community-wide scale. Eleven studies, including five primary and six secondary research papers, were reviewed and analyzed for the features of the feedback. Trends were established and evaluated with respect to their effectiveness and potential for use at the community-wide scale. This paper concludes that additional research is required to determine if the use of energy feedback at the city scale could result in savings similar to those observed at the household scale. This additional research could take advantage of the features assessed here in order to be more effective and to implement the features that are best able to scale up. Further research is needed to determine whether combining city

  14. Clinical and hematological study of Trypanosoma brucei and Trypanosoma congolense in cattle in Mosul City, Iraq

    Directory of Open Access Journals (Sweden)

    Al-Badrani, B. A

    2012-03-01

    Full Text Available An out-break of trypanosomosis was reported and subsequently investigated in Mosul city, Iraq. Twenty seven blood samples were received at the Clinical pathology Laboratory of Veterinary Teaching Hospital, University of Mosul, from fifteen cows (2-5 years old and twelve calves (10-12 months old of different farms located around Mosul city. Clinical signs of the infected animals revealed fever, progressive weight loss, anemia, and frequent recumbent position. Identification of trypanosome species were based on their motility using morphological differentiation on Giemsa or Leishman stained that showed trypomastigot which can be classified according to the biometrical data into T. brucei and T. congolense. A decreased was also observed in some blood parameters. To our knowledge, this is the first record of T. brucei and T. congolense infection in cattle. This study also suggested that trypanosomosis is associated with introduction of exotic breeds of cattle into Mosul, Iraq.

  15. New-generation Migrant Workers’ Urban Adaptation: A Case Study of Jianggan District in Hangzhou City

    Institute of Scientific and Technical Information of China (English)

    Fei; SU; Bo; LI; Jianyi; HUANG; Zhimei; LI; Jiamiao; ZENG

    2015-01-01

    New-generation migrant workers are the " elite" among migrant workers,and whether they can really adapt to the city is one of the real problems to be urgently solved during China’s new urbanization,related to the success of new urbanization construction. From the perspective of livelihood capital,this paper uses the measuring indicators in line with the new-generation migrant workers’ livelihood characteristics,to analyze the typical characteristics and causes of new-generation migrant workers’ urban adaptation in Jianggan District of Hangzhou City based on field survey data. In the study,it is found that the new-generation migrant workers’ urban adaptation characteristics are focused on life adaptation,work adaptation and cultural adaptation,but the adaptation in the three areas is not good and there is a big room for improvement.

  16. DIETARY SODIUM INTAKE IN A SAMPLE OF ADULT MALE POPULATION IN SOUTHERN ITALY.Results of the Olivetti Heart Study

    OpenAIRE

    Strazzullo, P; Venezia, Antonella; Barba, Gianvincenzo; Russo, Ornella; Capasso, Clemente; De Luca, Viviana; Farinaro, Eduardo; Cappuccio, Francesco P; Galletti, Ferruccio; Rossi, Giovanni

    2010-01-01

    Abstract Objective: To assess dietary habitual sodium intake, the association between daily sodium intake and anthropometric indices, food habits and hypertension in the sample of adult male population participating in the Olivetti Heart Study. Design, Setting and Participants: The study population was composed of 940 men participating in the 2002-04 follow-up examination of the Olivetti Heart Study. Blood pressure, anthropometric indices, biochemical parameters and sodium excre...

  17. Improving the City-scale Emission Inventory of Anthropogenic Air Pollutants: A Case Study of Nanjing

    Science.gov (United States)

    Qiu, L.; Zhao, Y.; Xu, R.; Xie, F.; Wang, H.; Qin, H.; Wu, X.; Zhang, J.

    2014-12-01

    To evaluate the improvement of city-scale emission inventory, a high-resolution emission inventory of air pollutants for Nanjing is first developed combining detailed source information, and then justified through quantitative analysis with observations. The best available domestic emission factors and unit-/facility-based activity level data were compiled based on a thorough field survey on major emission sources. Totally 1089 individual emission sources were identified as point sources and all the emission-related parameters including burner type, combustion technology, fuel quality, and removal efficiency of pollution control devices, are carefully investigated and analyzed. Some new data such as detailed information of city fueling-gas stations, construction sites, monthly activity level, data from continuous emission monitoring systems and traffic flow information were combined to improve spatiotemporal distribution of this inventory. For SO2, NOX and CO, good spatial correlations were found between ground observation (9 state controlling air sampling sites in Nanjing) and city-scale emission inventory (R2=0.34, 0.38 and 0.74, respectively). For TSP, PM10 and PM2.5, however, poorer correlation was found due to relatively weaker accuracy in emission estimation and spatial distribution of road dust. The mixing ratios between specific pollutants including OC/EC, BC/CO and CO2/CO, are well correlated between those from ground observation and emission. Compared to MEIC (Multi-resolution Emission Inventory for China), there is a better spatial consistence between this city-scale emission inventory and NO2 measured by OMI (Ozone Monitoring Instrument). In particular, the city-scale emission inventory still correlated well with satellite observations (R2=0.28) while the regional emission inventory showed little correlation with satellite observations (R2=0.09) when grids containing power plants are excluded. It thus confirms the improvement of city-scale emission

  18. Deterministic Seismic Hazard Assessment at Bed Rock Level: Case Study for the City of Bhubaneswar, India

    Directory of Open Access Journals (Sweden)

    Sukanti Rout

    2015-04-01

    Full Text Available In this study an updated deterministic seismic hazard contour map of Bhubaneswar (20°12'0"N to 20°23'0"N latitude and 85°44'0"E to 85° 54'0"E longitude one of the major city of India with tourist importance, has been prepared in the form of spectral acceleration values. For assessing the seismic hazard, the study area has been divided into small grids of size 30˝×30˝ (approximately 1.0 km×1.0 km, and the hazard parameters in terms of spectral acceleration at bedrock level, PGA are calculated as the center of each of these grid cells by considering the regional Seismo-tectonic activity within 400 km radius around the city center. The maximum credible earthquake in terms of moment magnitude of 7.2 has been used for calculation of hazard parameter, results in PGA value of 0.017g towards the northeast side of the city and the corresponding maximum spectral acceleration as 0.0501g for a predominant period of 0.05s at bedrock level.

  19. Household hazardous waste quantification, characterization and management in China's cities: a case study of Suzhou.

    Science.gov (United States)

    Gu, Binxian; Zhu, Weimo; Wang, Haikun; Zhang, Rongrong; Liu, Miaomiao; Chen, Yangqing; Wu, Yi; Yang, Xiayu; He, Sheng; Cheng, Rong; Yang, Jie; Bi, Jun

    2014-11-01

    A four-stage systematic tracking survey of 240 households was conducted from the summer of 2011 to the spring of 2012 in a Chinese city of Suzhou to determine the characteristics of household hazardous waste (HHW) generated by the city. Factor analysis and a regression model were used to study the major driving forces of HHW generation. The results indicate that the rate of HHW generation was 6.16 (0.16-31.74, 95% CI) g/person/day, which accounted for 2.23% of the household solid waste stream. The major waste categories contributing to total HHW were home cleaning products (21.33%), medicines (17.67%) and personal care products (15.19%). Packaging and containers (one-way) and products (single-use) accounted for over 80% of total HHW generation, implying a considerable potential to mitigate HHW generation by changing the packaging design and materials used by manufacturing enterprises. Strong correlations were observed between HHW generation (g/person/day) and the driving forces group of "household structure" and "consumer preferences" (among which the educational level of the household financial manager has the greatest impact). Furthermore, the HHW generation stream in Suzhou suggested the influence of another set of variables, such as local customs and culture, consumption patterns, and urban residential life-style. This study emphasizes that HHW should be categorized at its source (residential households) as an important step toward controlling the HHW hazards of Chinese cities.

  20. Scenario prediction of emerging coastal city using CA modeling under different environmental conditions: a case study of Lingang New City, China.

    Science.gov (United States)

    Feng, Yongjiu; Liu, Yan

    2016-09-01

    The world's coastal regions are experiencing rapid urbanization coupled with increased risk of ecological damage and storm surge related to global climate and sea level rising. This urban development issue is particularly important in China, where many emerging coastal cities are being developed. Lingang New City, southeast of Shanghai, is an excellent example of a coastal city that is increasingly vulnerable to environmental change. Sustainable urban development requires planning that classifies and allocates coastal lands using objective procedures that incorporate changing environmental conditions. In this paper, we applied cellular automata (CA) modeling based on self-adaptive genetic algorithm (SAGA) to predict future scenarios and explore sustainable urban development options for Lingang. The CA model was calibrated using the 2005 initial status, 2015 final status, and a set of spatial variables. We implemented specific ecological and environmental conditions as spatial constraints for the model and predicted four 2030 scenarios: (a) an urban planning-oriented Plan Scenario; (b) an ecosystem protection-oriented Eco Scenario; (c) a storm surge-affected Storm Scenario; and (d) a scenario incorporating both ecosystem protection and the effects of storm surge, called the Ecostorm Scenario. The Plan Scenario has been taken as the baseline, with the Lingang urban area increasing from 45.8 km(2) in 2015 to 66.8 km(2) in 2030, accounting for 23.9 % of the entire study area. The simulated urban land size of the Plan Scenario in 2030 was taken as the target to accommodate the projected population increase in this city, which was then applied in the remaining three development scenarios. We used CA modeling to reallocate the urban cells to other unconstrained areas in response to changing spatial constraints. Our predictions should be helpful not only in assessing and adjusting the urban planning schemes for Lingang but also for evaluating urban planning in coastal

  1. The Jackson Heart KIDS Pilot Study: Theory-Informed Recruitment in an African American Population.

    Science.gov (United States)

    Beech, Bettina M; Bruce, Marino A; Crump, Mary E; Hamilton, Gina E

    2017-04-01

    Recruitment for large cohort studies is typically challenging, particularly when the pool of potential participants is limited to the descendants of individuals enrolled in a larger, longitudinal "parent" study. The increasing complexity of family structures and dynamics can present challenges for recruitment in offspring. Few best practices exist to guide effective and efficient empirical approaches to participant recruitment. Social and behavioral theories can provide insight into social and cultural contexts influencing individual decision-making and facilitate the development strategies for effective diffusion and marketing of an offspring cohort study. The purpose of this study was to describe the theory-informed recruitment approaches employed by the Jackson Heart KIDS Pilot Study (JHKS), a prospective offspring feasibility study of 200 African American children and grandchildren of the Jackson Heart Study (JHS)-the largest prospective cohort study examining cardiovascular disease among African American adults. Participant recruitment in the JHKS was founded on concepts from three theoretical perspectives-the Diffusion of Innovation Theory, Strength of Weak Ties, and Marketing Theory. Tailored recruitment strategies grounded in participatory strategies allowed us to exceed enrollment goals for JHKS Pilot Study and develop a framework for a statewide study of African American adolescents.

  2. Violence in Advertisements in New York City Subway Stations: A Pilot Study.

    Science.gov (United States)

    Basch, Corey H; Fullwood, M D; LeBlanc, Michael

    2016-04-01

    Violence has become a public health concern in the United States. Violent visually stimulating content encompasses various techniques such as fear, humor, shock, or violence, to stimulate a response or appeal toward awareness of human emotion. Exposing impressionable youth to violent advertisements can be particularly problematic. This is especially true in places like New York City where violent crime is a prevalent problem. With annual ridership reaching over 1.7 billion in 2014, the New York City subway system is abundant with advertisements. The purpose of this pilot study was to determine the frequency and type of violent advertising on the Lexington Avenue/East Side Line in New York City, running through the Bronx and Manhattan to represent the lower and higher median income earning boroughs. There were no statistically different findings in median household income at site of station by number of ads or source of violent. Destruction was the most common form of violence (n = 32, 42.7 %) followed by intent to strike (n = 18, 24 %), showing a weapon (n = 15, 20 %) and horror (n = 10, 13.3 %). Most ads (n = 46, 61.3 %) were found in stations heading uptown toward and through the Bronx, the borough where median household income is lowest, whereas 29 (38.7 %) were found in stations heading downtown. Future studies could focus on additional boroughs and subways lines, and could be collected at multiple points in time to determine of how prevalent violent advertising is throughout New York City and at different time frames.

  3. Can Destination Therapy be implemented in children with heart failure? A study of provider perceptions.

    Science.gov (United States)

    Char, Danton S; Lee, Sandra S-J; Ikoku, Alvan A; Rosenthal, David; Magnus, David

    2016-09-01

    DT is an established final therapeutic choice in adult patients with severe heart failure who do not meet criteria for cardiac transplantation. Patients are given VADs, without the prospect of care escalation to transplantation. VADs are now established therapy for children and are currently used as a bridge until transplantation can be performed or heart failure improves. For children who present in severe heart failure but do not meet transplantation criteria, the question has emerged whether DT can be offered. This qualitative study aimed to elicit the perspectives of early adopters of DT at one of the few institutions where DT has been provided for children. Responses were recorded and coded and themes extracted using grounded theory. Interviewees discussed: envisioning of the DT candidate; approach to evaluation for DT; contraindications to choosing DT; and concerns about choosing DT. Providers articulated two frameworks for conceptualizing DT: as a long bridge through resolution of problems that would initially contraindicate transplantation or, alternatively, as a true destination instead of transplantation. True destination, however, may not be the lasting concept for long-term VAD use in children given improvement in prognosis for current medical contraindications and improving VAD technology.

  4. Acute electromyostimulation decreases muscle sympathetic nerve activity in patients with advanced chronic heart failure (EMSICA Study.

    Directory of Open Access Journals (Sweden)

    Marc Labrunée

    Full Text Available BACKGROUND: Muscle passive contraction of lower limb by neuromuscular electrostimulation (NMES is frequently used in chronic heart failure (CHF patients but no data are available concerning its action on sympathetic activity. However, Transcutaneous Electrical Nerve Stimulation (TENS is able to improve baroreflex in CHF. The primary aim of the present study was to investigate the acute effect of TENS and NMES compared to Sham stimulation on sympathetic overactivity as assessed by Muscle Sympathetic Nerve Activity (MSNA. METHODS: We performed a serie of two parallel, randomized, double blinded and sham controlled protocols in twenty-two CHF patients in New York Heart Association (NYHA Class III. Half of them performed stimulation by TENS, and the others tested NMES. RESULTS: Compare to Sham stimulation, both TENS and NMES are able to reduce MSNA (63.5 ± 3.5 vs 69.7 ± 3.1 bursts / min, p < 0.01 after TENS and 51.6 ± 3.3 vs 56.7 ± 3.3 bursts / min, p < 0, 01 after NMES. No variation of blood pressure, heart rate or respiratory parameters was observed after stimulation. CONCLUSION: The results suggest that sensory stimulation of lower limbs by electrical device, either TENS or NMES, could inhibit sympathetic outflow directed to legs in CHF patients. These properties could benefits CHF patients and pave the way for a new non-pharmacological approach of CHF.

  5. The Congenital Heart Disease Genetic Network Study: rationale, design, and early results.

    Science.gov (United States)

    Gelb, Bruce; Brueckner, Martina; Chung, Wendy; Goldmuntz, Elizabeth; Kaltman, Jonathan; Kaski, Juan Pablo; Kim, Richard; Kline, Jennie; Mercer-Rosa, Laura; Porter, George; Roberts, Amy; Rosenberg, Ellen; Seiden, Howard; Seidman, Christine; Sleeper, Lynn; Tennstedt, Sharon; Kaltman, Jonathan; Schramm, Charlene; Burns, Kristin; Pearson, Gail; Rosenberg, Ellen

    2013-02-15

    Congenital heart defects (CHD) are the leading cause of infant mortality among birth defects, and later morbidities and premature mortality remain problematic. Although genetic factors contribute significantly to cause CHD, specific genetic lesions are unknown for most patients. The National Heart, Lung, and Blood Institute-funded Pediatric Cardiac Genomics Consortium established the Congenital Heart Disease Genetic Network Study to investigate relationships between genetic factors, clinical features, and outcomes in CHD. The Pediatric Cardiac Genomics Consortium comprises 6 main and 4 satellite sites at which subjects are recruited, and medical data and biospecimens (blood, saliva, cardiovascular tissue) are collected. Core infrastructure includes an administrative/data-coordinating center, biorepository, data hub, and core laboratories (genotyping, whole-exome sequencing, candidate gene evaluation, and variant confirmation). Eligibility includes all forms of CHD. Annual follow-up is obtained for probands age is 5.5 years. The one third enrolled at age <1 year are contacted annually for follow-up information. The distribution of CHD favors more complex lesions. Approximately, 11% of probands have a genetic diagnosis. Adequate DNA is available from 97% and 91% of blood and saliva samples, respectively. Genomic analyses of probands with heterotaxy, atrial septal defects, conotruncal, and left ventricular outflow tract obstructive lesions are underway. The scientific community's use of Pediatric Cardiac Genomics Consortium resources is welcome.

  6. Relation of ventricular premature complexes to heart failure (from the Atherosclerosis Risk In Communities [ARIC] Study).

    Science.gov (United States)

    Agarwal, Sunil K; Simpson, Ross J; Rautaharju, Pentti; Alonso, Alvaro; Shahar, Eyal; Massing, Mark; Saba, Samir; Heiss, Gerardo

    2012-01-01

    Analogous to rapid ventricular pacing, frequent ventricular premature complexes (VPCs) can predispose over time to cardiomyopathy and subsequent heart failure (HF). We examined the association of frequent VPCs with HF incidence in a population-based cohort, free of HF and coronary heart disease at baseline. At study baseline (1987 to 1989), ≥1 VPC on a 2-minute rhythm electrocardiographic strip was seen in 5.5% (739 of 13,486) of the middle-age (45 to 64 years old at baseline) white and black, men and women of the Atherosclerosis Risk In Communities cohort. Incident HF was defined as the first appearance of International Classification of Diseases code 428.x in the hospital discharge record or death certificate through 2005. During an average follow-up of 15.6 years, incident HF was seen in 10% the participants (19.4% of those with VPCs vs 9.4% of those without). The age-, race-, and gender-adjusted hazard ratio of HF for VPCs was 1.89 (95% confidence interval 1.59 to 2.24). After multivariable adjustment for potential confounders, the hazard ratio of HF for those with any VPC versus no VPC was 1.63 (95% confidence interval 1.36 to 1.96). After additional adjustment for incident coronary heart disease as a time-varying covariate, the hazard ratio was 1.71 (95% confidence interval 1.42 to 2.08). Those with a greater frequency of VPCs or complex VPCs had similar rates of HF compared to those with a single VPC and all had rates greater than those with no VPC. In conclusion, in this large population-based cohort, the presence of VPCs was associated with incident HF, independent of incident coronary heart disease.

  7. Sex differences and heritability of two indices of heart rate dynamics: a twin study.

    Science.gov (United States)

    Snieder, Harold; van Doornen, Lorenz J P; Boomsma, Dorret I; Thayer, Julian F

    2007-04-01

    We investigated whether women show larger heart rate variability (HRV) than men after controlling for a large number of health-related covariates, using two indices of HRV, namely respiratory sinus arrhythmia (RSA) and approximate entropy (ApEn). In a twin design, the heritability of both indices was examined. The covariation between RSA and ApEn, a measure of heart rate dynamics derived from nonlinear dynamical systems theory, was decomposed into genetic and environmental components. Subjects were 196 male and 210 female middle-aged twins. Females showed larger HRV than men before (ApEn: p RSA: p = .052) and after adjustment for covariates (ApEn: p RSA: p = .015). This sex difference was confirmed by significant intrapair differences in the opposite-sex twin pairs for both ApEn (p RSA (p = .03). In addition to sex, only heart period and age (both p RSA was also influenced by respiration rate and smoking (both p RSA and ApEn, respectively. Oral contraceptive use and menopausal status had no effect on HRV. Genetic model fitting yielded moderate heritability estimates for RSA (30%) and ApEn (40%) for both males and females. The correlation between RSA and ApEn (r = .60) could be attributed to genetic factors (48%), environmental factors (36%) and age (16%). The present study found support for a gender difference in HRV with women having greater HRV than men even after controlling for a large number of potential confounders. Indices of heart rate dynamics derived from nonlinear dynamical systems theory are moderately heritable and may be more sensitive than traditional indices of HRV to reveal subtle sex differences with important implications for health and disease.

  8. Elastic extracellular matrix of the embryonic chick heart: an immunohistological study using laser confocal microscopy.

    Science.gov (United States)

    Hurle, J M; Kitten, G T; Sakai, L Y; Volpin, D; Solursh, M

    1994-08-01

    The "elastic matrix" constitutes a specialized component of the extracellular matrix which confers resiliency to tissues and organs subjected to repeated deformations. The role of the elastic matrix in living organisms appears to be of key importance since diseases characterized by expression of defective inherited genes which encode components of the elastic matrix lead to premature death. While the elastic matrix of adult organs has received a great deal of attention, little is known about when it first appears in embryonic tissues or its possible role in developing organs. In the present study we have performed an immunohistochemical study of the distribution of elastin and three additional components often associated with elastic matrices in adult tissues (i.e., fibrillin, emilin, and type VI collagen) during the development of the chicken embryonic heart. The three-dimensional arrangement of these components was established through the observation of whole-amount specimens with scanning laser confocal microscopy. Our results revealed three different periods of heart development regarding the composition of the elastic matrix. Prior to stage 21 the embryonic heart lacks elastin but exhibits a matrix scaffold of fibrillin and emilin associated with the endocardium and the developing cardiac jelly. Between stages 22 and 29 the heart shows a transient elastic scaffold in the outflow tract which contains elastin, fibrillin, and emilin. Elastin-positive fibrillar material is also observed during these stages in the base of the atrioventricular cushion adjacent to the myocardial wall. In addition, emilin-positive material appears to be associated with the zones of formation of ventricular trabeculae. Collagen type VI was not detected during these early stages. From stage 30 to stage 40 a progressive modification of the pattern of distribution of elastin, fibrillin, emilin, and collagen type VI is observed in association with the formation of the definitive four

  9. Study and Constructive Analysis of Deinze’s New City Hall

    OpenAIRE

    LATORRE ZAPLANA, LUIS

    2015-01-01

    [EN] This bachelor’s thesis develops the analysis of the construction works of the New City Hall in Deinze, Belgium. The study includes the organizational plan, the sections of the building general plant, the development of some of the constructive details, a detailed technical study of insulating elements, a comparative study between prefabricated columns and "in situ" built columns and the scheduling of tasks in a Gantt chart. [ES] En este TFG se desarrolla el análisis de las obras de co...

  10. Studies on heart development in normal and cardiac mutant axolotls, Ambystoma Mexicanum, using cellular and molecular biology

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    @@ The Mexican axolotl (Ambystoma mexicanum) provides and excellent model for studying heart development since it carries a simple recessive cardiac lethal mutation that results in a failure of mutant embryonic myocardium to contract.

  11. Sustainable Cities

    DEFF Research Database (Denmark)

    Georg, Susse; Garza de Linde, Gabriela Lucía

    /assessment tool. The context for our study is urban regeneration in one Danish city, which had been suffering from industrial decline and which is currently investing in establishing a “sustainable city”. Based on this case study we explore how the insights and inspiration evoked in working with the tool...

  12. COMPARATIVE STUDY OF HEART FAILURE WITH PRESERVED EJECTION FRACTION VERSUS DECREASED EJECTION FRACTION

    Directory of Open Access Journals (Sweden)

    Chandrashekar

    2015-03-01

    Full Text Available BACKGROUND AND OBJECTIVES : To study the socio demographic profile , risk factors , clinical presentation and comorbidies in patients with heart failure. To compare the socio demographic profile , risk factors , clinical presentation and comorbidities in patients with Heart failure with normal ejection fraction (HFnEF and Heart failure with reduced ejection fraction (HFrEF. METHODS: The primary study population consisted of 100 cases of adult men and women aged more than 18 years with symptoms of Hea rt failure diagnosed by Framingham’s criteria . The study population was selected from inpatients and outpatients attending Department of Medicine of KIMS hospital between January to December 2012. The study was a hospital based observatory and comparative study. RESULTS: Out of 100 cases included in our study 50% cases had HFrEF & 50% cases had HFnEF as confirmed by echocardiographic parameters. There was no statistically significant difference between the two groups with respect to age and sex. However the re were significant statistical significant differences between the groups with respect to clinical features , risk factors and co morbidities. Clinical features like oedema , hepatomegaly and rales were common in HFrEF group (P<0.05. Also LVESD & LVEDD wer e increased in patients with HFrEF. Risk factors like prior MI/IHD were more common in patients with HfrEF (P<0.05 . History of hypertension and left ventricular hypertrophy were common in patients with HFnEF (P< 0.05. Among the comorbidities: IHD Conduct ion abnormalities were common in HFrEF group. Pericardial effusion was more common in HFnEFgroup.

  13. Risk Factors of Congenital Heart Diseases: A Case-Control Study in Northwest Iran

    Directory of Open Access Journals (Sweden)

    Naghavi-Behzad Mohammad

    2013-03-01

    Full Text Available Introduction: Congenital heart diseases are of immense importance and also a high prevalence. Contributing factors to developing these defects have not been abundantly studied. Therefore, the current study was conducted aiming at determining the effective factors on Congenital Heart Disease (CHD in newborn infants of Northwest Iran. Methods: A case-control study was carried out in North-West of Iran from 2002 to 2012 and a total of 473 infants entered the study. Required data were obtained through check lists completed by the information of hospital records and interview with mothers of 267 newborn infants with CHD together with medical records of mothers as the case group, and 206 medical records of healthy infants at the same period all together with those of their mothers as the control group. The obtained data were statistically analyzed using descriptive statistical methods, T-test, Spearman’s correlation coefficient, and Multi-variable Logistic Regression Model (OR with 95% CI, using SPSS.19. In the present study, P value less than 0.05 was considered statistically significant. Results: Based on the results of univariable analyses, the number of previous cesarean sections, past medical history of diseases, gestational age (GA, fetal weight at birth, diastolic blood pressure, fetal heart rate, pulse rate, fetal hemoglobin and hematocrit levels, and fetal head circumference at birth have significant relationship with incidence of congenital abnormalities (P<0.05. Family history, past cesarean sections history, past medical history and GA had significant relationship with CHD incidence. Conclusion: Based on the results of present study, in order to control and reduce the cases of CHD, it is crucial to make proper decisions and implement policies for reducing cesarean cases, lowering consanguineous marriages, providing proper pre-marriage counseling, prompt treatment of mothers’ illnesses, improving pregnancy health care and mothers

  14. Semantic Framework of Internet of Things for Smart Cities: Case Studies

    Directory of Open Access Journals (Sweden)

    Ningyu Zhang

    2016-09-01

    Full Text Available In recent years, the advancement of sensor technology has led to the generation of heterogeneous Internet-of-Things (IoT data by smart cities. Thus, the development and deployment of various aspects of IoT-based applications are necessary to mine the potential value of data to the benefit of people and their lives. However, the variety, volume, heterogeneity, and real-time nature of data obtained from smart cities pose considerable challenges. In this paper, we propose a semantic framework that integrates the IoT with machine learning for smart cities. The proposed framework retrieves and models urban data for certain kinds of IoT applications based on semantic and machine-learning technologies. Moreover, we propose two case studies: pollution detection from vehicles and traffic pattern detection. The experimental results show that our system is scalable and capable of accommodating a large number of urban regions with different types of IoT applications.

  15. A Study of Aerosols Transportation around City Boundary in the Fog Weather

    Science.gov (United States)

    Ding, J.; Li, J. H.; Liu, Y.; Zhang, B. L.; Wang, Q. T.

    2011-09-01

    The structure of city surface seriously affects transport and diffusion of pollutant aerosol particles in the fog weather. So dynamic model population balance model (PBM) of aerosol particles and multiphase-coupled flow model were established to describe the fluid-particle system of fog. Based on the Eulerian-Lagrangian method and Multi-Monte Carlo method, a study of aerosols transportation around city boundary was conducted. The computed results show a part of aerosols change into droplets during the formation of fog, and the average sizes of aerosols, droplets are about 0.032 7 μm and 28.7 μm with time evolution to 60 min. For the development of fog, with time of 60 min and wind of 2 m/s, the number of aerosol is down to 84.5% of initial value, and the average particle size is down to 22.1 μm accordingly. During the dissipation of fog, the numbers of aerosol and fog droplet are decreased to the 1.65% and 0.016 5% of initial value. As wind speed rising, the turbulent motion strength of particles is increased. Eventually, the droplets have almost disappeared, and a small number of aerosols are still suspended in the atmosphere. The computed results reflect the transport and dynamic characteristics for respirable aerosols around city boundary during three stages of fog.

  16. The study on LUCC and its human drive factors in Quanzhou City

    Science.gov (United States)

    Zhuang, JianShun; Zhong, KaiWen; Zhang, JinQian; Chen, SongLin

    2008-10-01

    Based on the 1988 and 2000 remote sensing data and the "3S" technology, we not only attempt to analyze the dynamic change form the structure of quantity and spatial change of Land Use in Quanzhou City, but also use the representatively correlation method to explain the interrelation between this change of Land Use and the social economic factors, by the CANCORR program of SPSS. Furthermore, according to the viewpoint of Humanism, we try to find out the function of the social power factors, the social culture factors which conclude natural view, axiology, dietetically custom, habitation fashion and consumed tropism .etc and the developing industries of local color on the Land Use change. From this research, the result show: 1) the structure of quantity of Land Use change remarkably from county to county, the most reducing quantity of paddy field, dry land and garden plot are separately the county of DeHua, HuiAn and NanAn. And the most driver factor is the developing industries of local color; 2) the type change of Land Use caused by the production value of extractive industry, light industry and the third industry, basic contracture investment, output of tea and fruit, convenient extent of road and income of per farmer and so on in Quanzhou City between 1988 and 2000. In a word, the dynamic change of Land Use impact by more factors we have mentioned, and it's extend is more and more multistage, especially in Quanzhou City. As we study, the dynamic change of Land Use is enslaved to human factors in Quanzhou City.

  17. Reverse logistics system and recycling potential at a landfill: A case study from Kampala City

    Energy Technology Data Exchange (ETDEWEB)

    Kinobe, J.R., E-mail: joel.kinobe@slu.se [Department of Energy and Technology, Swedish University of Agricultural Sciences, P.O. Box 7032, SE-750 07 Uppsala (Sweden); Department of Civil and Environmental Engineering, Makerere University College of Engineering, Design, Art and Technology (CEDAT), P.O. Box 7062, Kampala (Uganda); Gebresenbet, G. [Department of Energy and Technology, Swedish University of Agricultural Sciences, P.O. Box 7032, SE-750 07 Uppsala (Sweden); Niwagaba, C.B. [Department of Civil and Environmental Engineering, Makerere University College of Engineering, Design, Art and Technology (CEDAT), P.O. Box 7062, Kampala (Uganda); Vinnerås, B. [Department of Energy and Technology, Swedish University of Agricultural Sciences, P.O. Box 7032, SE-750 07 Uppsala (Sweden)

    2015-08-15

    Highlights: • Quantifies the different waste streams delivered at the landfill. • Evaluates the amount of potential waste products that enters into the reverse cycle. • Drawing out the reverse logistics activities from Kampala City to Kiteezi landfill. • Identify the storage, collection and transportation mechanisms of products to the various destinations; and finally. • The study suggests efficient measures to improve reverse logistics system. - Abstract: The rapid growing population and high urbanisation rates in Sub-Saharan Africa has caused enormous pressure on collection services of the generated waste in the urban areas. This has put a burden on landfilling, which is the major waste disposal method. Waste reduction, re-use and recycling opportunities exist but are not fully utilized. The common items that are re-used and re-cycled are plastics, paper, aluminum, glass, steel, cardboard, and yard waste. This paper develops an overview of reverse logistics at Kiteezi landfill, the only officially recognised waste disposal facility for Kampala City. The paper analyses, in details the collection, re-processing, re-distribution and final markets of these products into a reversed supply chain network. Only 14% of the products at Kiteezi landfill are channeled into the reverse chain while 63% could be included in the distribution chain but are left out and disposed of while the remaining 23% is buried. This is because of the low processing power available, lack of market value, lack of knowledge and limited value addition activities to the products. This paper proposes possible strategies of efficient and effective reverse logistics development, applicable to Kampala City and other similar cities.

  18. Analysis of Renal Artery Stenosis in Patients with Heart Failure: A RASHEF Study

    Institute of Scientific and Technical Information of China (English)

    Bin Zheng; Qin Ma; Li-Hong Zheng; Qiang Yong; Yi-Hua He; Jing-Hua Liu

    2015-01-01

    Background:Previous data are controversial about the association of renal artery stenosis (RAS) with clinical outcome in patients with heart failure.Definition of RAS in previous studies might not be appropriate.By definition of RAS with renal duplex sonography,we investigated the association of RAS with clinical outcome in patients with heart failure.Methods:In this retrospective study,we identified 164 patients with heart failure (New York Heart Association classification ≥Ⅱ;left ventricular ejection fraction <50%) who had received renal duplex sonography during hospital stay.RAS was defined as renal-aortic ratio ≥3.5 or a peak systolic velocity ≥200 cm/s (or both),or occlusion of the renal artery.Categorical data of patients were compared using the Chi-square test or Fisher's exact test.Cox proportional hazards regression modeling technique was used to investigate the prognostic significance of possible predictors.Results:Finally,143 patients were enrolled.Median follow-up time was 32 months (1-53 months).Twenty-two patients were diagnosed as RAS by renal duplex sonography,including 13 unilateral RAS (3 left RAS,10 right RAS) and 9 bilateral RAS.There were more all-cause mortality and cardiovascular death in patients with RAS than patients without RAS.By multivariate analysis,RAS was a significant predictor for all-cause death and cardiovascular death (hazard ratio [HR] =4.155,95% confidence interval [CI]:1.546-11.164,P =0.005;and HR =3.483,95% CI:1.200-10.104,P =0.022,respectively).As for composite endpoint events,including death,nonfatal myocardial infarction,ischemic stroke or intracranial hemorrhage,rehospitalization for cardiac failure,and renal replacement therapy,only angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker was significant predictor.RAS was not a significant predictor for composite endpoint events.Conclusions:Our data suggested that RAS is associated with a poorer clinical outcome in patients with heart

  19. On Translation of Chinese City Public Signs from the Perspective of Rele-vance Theory-A Case Study of Guangzhou City Public Signs

    Institute of Scientific and Technical Information of China (English)

    NIE Yu-jie

    2016-01-01

    This thesis analyzes Guangzhou city public sign language translations from the standpoint of Sperber and Wilson’s Rel-evance Theory and Gutt’s translation approach. In the case study, authentic examples are transcribed and examined according to principle or viewpoints of Relevance Theoretical Translation Approach —“optimal relevance”,“implicature and explicature”,“to make intention and expectation meet”. Tentative suggestions are made to discuss a possible better translation.

  20. Heart rate monitoring on the stroke unit. What does heart beat tell about prognosis? An observational study

    Directory of Open Access Journals (Sweden)

    Stypmann Jörg

    2011-04-01

    Full Text Available Abstract Background Guidelines recommend maintaining the heart rate (HR of acute stroke patients within physiological limits; data on the frequency and predictors of significant deviations from these limits are scarce. Methods Demographical data, stroke risk factors, NIH stroke scale score, lesion size and location, and ECG parameters were prospectively assessed in 256 patients with ischemic stroke. Patients were continuously monitored for at least 24 hours on a certified stroke unit. Tachycardia (HR ≥120 bpm and bradycardia (HR Results HR ≥120 bpm occurred in 39 patients (15%. Stroke severity (larger lesion size/higher NIHSS-score on admission, atrial fibrillation and HR on admission predicted its occurrence. HR Conclusions Significant tachycardia and bradycardia are frequent phenomena in acute stroke; however they do not independently predict clinical course or outcome. Continuous monitoring allows detecting rhythm disturbances in stroke patients and allows deciding whether urgent medical treatment is necessary.

  1. Bridging the gap in heart failure prevention: rationale and design of the Nurse-led Intervention for Less Chronic Heart Failure (NIL-CHF) Study

    DEFF Research Database (Denmark)

    Carrington, Melinda J; Stewart, Simon; de Courten, Barbora

    2010-01-01

    AIMS: The primary objective of the Nurse-led Intervention for Less Chronic Heart Failure (NIL-CHF) Study is to develop a programme of care that cost-effectively prevents the development of chronic heart failure (CHF). Methods NIL-CHF is a randomized controlled trial of a hybrid, home- and clinic......-based, nurse-led multidisciplinary intervention targeting hospitalized patients at risk of developing CHF. A target of 750 patients aged >/=45 years will be exposed to usual post-discharge care or the NIL-CHF intervention. The composite primary endpoint is all-cause mortality or CHF-related admission during 3......-5 years of follow-up. After 12 months recruitment, approximately 300 eligible patients (40% of target) have been randomized. Overall, 73% are male and the mean age is 65 +/- 10 years. The most common antecedents for CHF thus far are hypertension (70%, 95% CI, 64-75%), coronary artery disease (51%, 95% CI...

  2. A case-control study of bladder cancer using city directories as a source of occupational data.

    Science.gov (United States)

    Steenland, K; Burnett, C; Osorio, A M

    1987-08-01

    Commercial city directories, currently produced in 1,250 United States cities, potentially provide yearly information on occupation and employer for all city residents over age 18 years. To investigate the usefulness of these occupational data, the authors have conducted a case-control study of male bladder cancer mortality in Hamilton County, Ohio (which includes Cincinnati). A total of 731 bladder cancer cases who died during 1960-1982 were matched on age, sex, race, date-of-death, and residence at death to two controls per case. Risks of bladder cancer death were calculated by occupation, industry, and specific employer, using both city directories (multiple statements) and death certificates (single statement). Four companies showed a significant excess bladder cancer risk when using city directories. Only one would have been identified using death certificates, which ask for usual lifetime type of industry rather than a specific company name. Using city directories, significant positive associations were found between bladder cancer and occupation as an engineer, tailor, carpenter, furnace operator, blending machine operator, chemist, pressing machine operator, house cleaner, or salesman. For industry, the authors found significant positive associations for the textile, chemical, grain mill, foundry, petroleum, building service, entertainment, and advertising industries. A significant increase in risk for those with 20 or more years of employment was seen for those employed as truck drivers and furnace operators, or those employed in the railroad industry. A check of the validity of city directory data indicated that 77 per cent of the listings agreed with Social Security earnings reports for employer in any given year. One limitation of Hamilton County city directory data was the fairly large number of yearly listings without any occupational data (15 per cent for occupation, 36 per cent for employer). While city directory data do provide work history over

  3. Long-Term Nationwide Follow-Up Study of Simple Congenital Heart Disease Diagnosed in Otherwise Healthy Children

    DEFF Research Database (Denmark)

    Videbæk, Jørgen; Laursen, Henning Bækgaard; Olsen, Morten;

    2016-01-01

    BACKGROUND: Systematic follow-up is currently not recommended for patients with simple congenital heart disease; however, only a few data exist on the long-term prognosis of simple congenital heart disease. METHODS AND RESULTS: We undertook a nationwide follow-up study of a cohort of 1241 simple...... congenital heart disease patients, diagnosed from 1963 through 1973, in otherwise healthy children and alive at 15 years of age. We identified 10 age- and sex-matched general population controls per patient. We followed the study population through Danish public registries from the age of 15 years up...... with simple congenital heart disease in the 1960s have substantially increased long-term mortality and cardiac morbidity compared with the general population. Further studies on the effectiveness of systematic medical follow-up programs appear warranted....

  4. A STUDY OF CLINICAL PROFILE OF ISCHEMIC HEART DISEASE AMONG SOUTH INDIAN WOMEN IN A TERTIARY CARE CENTRE

    Directory of Open Access Journals (Sweden)

    Lokesh

    2015-05-01

    Full Text Available INTRODUCTION : Our study was done to study in detail the clinical profile of cases admitted with ischemic heart diseases in women at ICCU VIMS Bellary . Objectives : are. (1 To study the clinical profile of ischemic heart diseases in women. ( 2 To identify the influence of well - defined risk factors in wome n with ischemic heart diseases. (3 To identify if there are any risk factors specific to wom en with ischemic heart diseases. MATERIAL AND METHODS : Ours is a clinical , prospective , observational and open study. The study subjects were women admitted in Intensive Coronary Care Unit of Vijayanagara institute of medical sciences hospital , Bellary with signs and symptoms suggestive of ischemic heart diseases. After obtaining a detailed history and clinical examinati on the patients were subjected to relevant investigations. The complete data was collected in specially designed case recording form and transferred into a Master chart which is then subjected to statistical analysis. RESULTS AND DISCUSSION : We studied 100 cases of ischemic heart diseases in women , out of which 82 patients presented with Acute MI , 14 patients with Unstable angina and 4 patients with stable angina , most of which were observed in post - menopausal women. Prognosis was good in patients who recei ved intensive care within 6 hours of onset of symptoms. Chest pain was the most common symptom of presentation. CONCLUSION : Our study had highlighted the fact that ischemic heart disease no longer remains gender neutral and has been found to be a principle killer in women and they suffer from IHD on account of preventable diseases like hypertension , diabetes mellitus , obesity. KEYWORDS : Ischemic heart disease ; Hypertension ; Acute MI ; Unstable angina.

  5. Heart Rate Variability and Wavelet-based Studies on ECG Signals from Smokers and Non-smokers

    Science.gov (United States)

    Pal, K.; Goel, R.; Champaty, B.; Samantray, S.; Tibarewala, D. N.

    2013-12-01

    The current study deals with the heart rate variability (HRV) and wavelet-based ECG signal analysis of smokers and non-smokers. The results of HRV indicated dominance towards the sympathetic nervous system activity in smokers. The heart rate was found to be higher in case of smokers as compared to non-smokers ( p 90 % was achieved. The wavelet decomposition of the ECG signal was done using the Daubechies (db 6) wavelet family. No difference was observed between the smokers and non-smokers which apparently suggested that smoking does not affect the conduction pathway of heart.

  6. Valuation of Forest Ecosystem Services and Benefit Sharing:A Case Study of Qingdao City, China

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The forest ecosystem goods and services and the natural capital stocks that produce them make great contribution to national economy and human welfare both directly and indirectly. This paper evaluates the economic value of natural capital stock and the annual output flow of forest ecosystem goods and services taking Qingdao City and its eight districts as case study. The results of the valuation study showed, that the stock value of forest natural capital of Qingdao was RMB 13.46 billion at the end of 2007...

  7. Understanding Situated Social Interactions: A Case Study of Public Places in the City

    DEFF Research Database (Denmark)

    Paay, Jeni; Kjeldskov, Jesper

    2008-01-01

    of a physical place providing an understanding of peoples’ situated social interactions in public places of the city derived through a grounded analysis of small groups of friends socialising out on the town. Informed by this, we describe the design and evaluation of a mobile prototype system facilitating...... these and their situated interactions. In response, this paper addresses the challenge of informing design of mobile services for fostering social connections by using the concept of place for studying and understanding peoples’ social activities in a public built environment. We present a case study of social experience...

  8. Engineered heart tissues and induced pluripotent stem cells: Macro- and microstructures for disease modeling, drug screening, and translational studies.

    Science.gov (United States)

    Tzatzalos, Evangeline; Abilez, Oscar J; Shukla, Praveen; Wu, Joseph C

    2016-01-15

    Engineered heart tissue has emerged as a personalized platform for drug screening. With the advent of induced pluripotent stem cell (iPSC) technology, patient-specific stem cells can be developed and expanded into an indefinite source of cells. Subsequent developments in cardiovascular biology have led to efficient differentiation of cardiomyocytes, the force-producing cells of the heart. iPSC-derived cardiomyocytes (iPSC-CMs) have provided potentially limitless quantities of well-characterized, healthy, and disease-specific CMs, which in turn has enabled and driven the generation and scale-up of human physiological and disease-relevant engineered heart tissues. The combined technologies of engineered heart tissue and iPSC-CMs are being used to study diseases and to test drugs, and in the process, have advanced the field of cardiovascular tissue engineering into the field of precision medicine. In this review, we will discuss current developments in engineered heart tissue, including iPSC-CMs as a novel cell source. We examine new research directions that have improved the function of engineered heart tissue by using mechanical or electrical conditioning or the incorporation of non-cardiomyocyte stromal cells. Finally, we discuss how engineered heart tissue can evolve into a powerful tool for therapeutic drug testing.

  9. Pharmacodynamics and pharmacokinetics of oral levosimendan and its metabolites in patients with severe congestive heart failure: a dosing interval study.

    Science.gov (United States)

    Põder, Pentti; Eha, Jaan; Sundberg, Stig; Antila, Saila; Heinpalu, Marika; Loogna, Imbrit; Planken, Ulle; Rantanen, Satu; Lehtonen, Lasse

    2004-10-01

    The objective of this study was to explore the pharmacodynamics and pharmacokinetics of oral levosimendan in patients with severe congestive heart failure. This was a randomized, parallel-group, double-blind, placebo-controlled trial. Oral levosimendan 2 to 8 mg daily or placebo was administered to 25 patients with New York Heart Association class III-IV congestive heart failure for 4 weeks. Pharmacodynamic variables consisted of heart rate-corrected electromechanical systole, heart rate, and systolic and diastolic blood pressure. The pharmacokinetics of levosimendan and its metabolites, OR-1855 and OR-1896, was assessed. The 4- to 8-mg daily doses of oral levosimendan showed moderate inotropic effects. Blood pressure remained unchanged with all doses. A moderate increase in heart rate was observed except with the 2-mg dose. Pharmacokinetic parameters of the metabolites increased linearly with the dose (P < or = .002 for Cmax and AUC0-8h for both treatment groups). It was concluded that oral levosimendan has inotropic and chronotropic effects in patients with severe congestive heart failure. Plasma concentrations of its metabolites increase dose dependently.

  10. Soft Cities

    DEFF Research Database (Denmark)

    Brix, Anders; Yoneda, Akira; Nakamura, Kiyoshi

    2015-01-01

    This paper presents a project exploring sustainable ways of urban living. The project renders a scenario comprised of an array of simple conversions of existing urban spaces and buildings, in the attempt to tie strategies ranging from urban planning to interior design into a coherent vision...... of a sustainable future. The project is the result of a joint research study between Denmark and Japan. Taking as its example the city of Kyoto, the project investigates some possible strategies on how cities more generally may be transformed into liveable, healthy and ecologically sensible environments....

  11. A prospective population study of resting heart rate and peak oxygen uptake (the HUNT Study, Norway.

    Directory of Open Access Journals (Sweden)

    Javaid Nauman

    Full Text Available OBJECTIVES: We assessed the prospective association of resting heart rate (RHR at baseline with peak oxygen uptake (VO(2peak 23 years later, and evaluated whether physical activity (PA could modify this association. BACKGROUND: Both RHR and VO(2peak are strong and independent predictors of cardiovascular morbidity and mortality. However, the association of RHR with VO(2peak and modifying effect of PA have not been prospectively assessed in population studies. METHODS: In 807 men and 810 women free from cardiovascular disease both at baseline (1984-86 and follow-up 23 years later, RHR was recorded at both occasions, and VO(2peak was measured by ergospirometry at follow-up. We used Generalized Linear Models to assess the association of baseline RHR with VO(2peak, and to study combined effects of RHR and self-reported PA on later VO(2peak. RESULTS: There was an inverse association of RHR at baseline with VO(2peak (p<0.01. Men and women with baseline RHR greater than 80 bpm had 4.6 mL.kg(-1.min(-1 (95% confidence interval [CI], 2.8 to 6.3 and 1.4 mL.kg(-1.min(-1 (95% CI, -0.4 to 3.1 lower VO(2peak at follow-up compared with men and women with RHR below 60 bpm at baseline. We found a linear association of change in RHR with VO(2peak (p=0.03, suggesting that a decrease in RHR over time is likely to be beneficial for cardiovascular fitness. Participants with low RHR and high PA at baseline had higher VO(2peak than inactive people with relatively high RHR. However, among participants with relatively high RHR and high PA at baseline, VO(2peak was similar to inactive people with relatively low RHR. CONCLUSION: RHR is an important predictor of VO(2peak, and serial assessments of RHR may provide useful and inexpensive information on cardiovascular fitness. The results suggest that high levels of PA may compensate for the lower VO(2peak associated with a high RHR.

  12. Carbohydrate-deficient transferrin--a valid marker of alcoholism in population studies? Results from the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Grønbaek, M; Becker, U; Henriksen, Jens Henrik Sahl

    1995-01-01

    Carbohydrate-deficient transferrin (CDT) was analyzed by a modified radioimmunoassay test in a random population sample of 400 individuals, and results were compared with reported alcohol intake derived from a structured questionnaire. Among the 180 men, the test was found to be acceptable...

  13. AN ANATOMICAL STUDY OF CORONARY ARTERY DOMINANCE IN HUMAN CADAVERIC HEARTS

    Directory of Open Access Journals (Sweden)

    Natasha

    2015-07-01

    Full Text Available CONTEXT: With ever increasing incidence of coronary heart disease, a thorough study of the coronary arteries is the need of time. AIM: The aim of the present study is to evaluate the coronary dominance pattern which will help the cardiac physicians and surgeons for better diagnosis and management of coronary arte ry disease. MATERIALS AND METHODS: The study undertaken in the Department of Anatomy, Assam Medical College included 75 perinatal and 15 adult cadaveric human hearts which were preserved in 10% formaldehyde solution after simple dissecting procedure and the dominance was noted. RESULTS: In the present study, out of total of 90 cases the right coronary dominance was found to be present in 58 cases (64.44%.This included 34(60.71% males and 24(70.59% females. Total cases of left coronary dominance were fo und to be 22(24.45%. Among these, 15(26.79% were males and 7(20.59% were females. Finally 10(11.11% co - dominant cases were found, of which 7 cases (12.50% were males and 3 cases (8.82% were females. CONCLUSION : Thus the study revealed that most of th e cases were having right coronary predominance. KEYWORDS : Coronary arteries, Dominance .

  14. Obesity, mortality and cardiovascular disease in the Münster Heart Study (PROCAM).

    Science.gov (United States)

    Schulte, H; Cullen, P; Assmann, G

    1999-05-01

    In the Münster Heart Study (PROCAM), 16,288 men aged 40.6 +/- 11.3 years (mean +/- S.D.) and 7328 women aged 36.0 +/- 12.3 years were enrolled between 1979 and 1991. Mean body mass indices (BMIs) were 25.6 +/- 3.3 and 23.8 +/- 4.1 kg/m2 in men and women, respectively. There was a graded and continuous positive interaction in both men and women between BMI, age and serum total cholesterol, low density lipoprotein (LDL) cholesterol, and blood pressure (both systolic and diastolic). High density lipoprotein (HDL) cholesterol tended to increase with age, but decreased in graded fashion with increases in BMI in both sexes. Triglyceride increased with BMI in both sexes and with age in women, but decreased in the older age groups of overweight and obese men. Though fasting blood glucose increased with age and BMI in both sexes, the increase was more marked in women. Among the 10,856 men aged 36-65 years at study entry, 313 deaths occurred within a follow-up period of 7.1 +/- 2.4 years. Among these men, increased mortality was seen at high BMIs in both smokers and non-smokers and was caused by coronary heart disease (CHD). Increased mortality at low BMI was seen in smokers but not in non-smokers and was due to an increase in cancer deaths. The BMI-associated increase in CHD death was completely accounted for by the factors contained in the Münster Heart Study (PROCAM) risk algorithm, indicating that the effect of overweight and obesity on CHD is mediated via other risk factors.

  15. Social Experiments in Tokyo Metropolitan Area Convection Study for Extreme Weather Resilient Cities(TOMACS)

    Science.gov (United States)

    Tsuyoshi, Nakatani; Nakamura, Isao; MIsumi, Ryohei; Shoji, Yoshinori

    2015-04-01

    Introduction TOMACS research project has been started since 2010 July in order to develop the elementary technologies which are required for the adaptation of societies to future global warming impacts that cannot be avoided by the reduction of greenhouse gases. In collaboration with related government institutions, local governments, private companies, and residents, more than 25 organizations and over 100 people are participated. TOMACS consists of the following three research themes: Theme 1: Studies on extreme weather with dense meteorological observations Theme 2: Development of the extreme weather early detection and prediction system Theme 3: Social experiments on extreme weather resilient cities Theme 1 aims to understand the initiation, development, and dissipation processes of convective precipitation in order to clarify the mechanism of localized heavy rainfall which are potential causes of flooding and landslides. Theme 2 aims to establish the monitoring and prediction system of extreme phenomena which can process real-time data from dense meteorological observation networks, advanced X-band radar network systems and predict localized heavy rainfalls and strong winds. Through social experiments, theme 3 aims to establish a method to use information obtained by the monitoring system of extreme phenomena to disaster prevention operations in order to prevent disasters and reduce damage. Social Experiments Toyo University is the core university for the social experiments accomplishment. And following organizations are participating in this research theme: NIED, the Tokyo Metropolitan Research Institute for Environmental Protection (TMRIEP), University of Tokyo, Tokyo Fire Department (TFD), Edogawa Ward in Tokyo, Yokohama City, Fujisawa City and Minamiashigara City in Kanagawa, East Japan Railway Company, Central Japan Railway Company, Obayashi Corporation, and Certified and Accredited Meteorologists of Japan(CAMJ). The social experiments have carried out

  16. Intra-city Differences in Cardiac Expression of Inflammatory Genes and Inflammasomes in Young Urbanites: A Pilot Study

    OpenAIRE

    Villarreal-Calderon, Rodolfo; Dale, Gary; Delgado-Chávez, Ricardo; Torres-Jardón, Ricardo; Zhu, Hongtu; Herritt, Lou; Gónzalez-Maciel, Angelica; Reynoso-Robles, Rafael; Yuan, Ying; Wang, Jiaping; Solorio-López, Edelmira; Medina-Cortina, Humberto; Calderón-Garcidueñas, Lilian

    2012-01-01

    Southwest Mexico City (SWMC) air pollution is characterized by high concentrations of ozone and particulate matter < 10 μm (PM10) containing lipopolysaccharides while in the North PM2.5 is high. These intra-city differences are likely accounting for higher CD14 and IL-1β in SWMC v NMC mice myocardial expression. This pilot study was designed to investigate whether similar intra-city differences exist in the levels of myocardial inflammatory genes in young people. Inflammatory mediator genes a...

  17. Elevated Heart Rate is Associated with Cardiac Denervation in Patients with Heart Failure: A 123-Iodine-MIBG Myocardial Scintigraphy Study

    Science.gov (United States)

    Villacorta, Aline Sterque; Villacorta, Humberto; de Souza, Jenne Serrão; Teixeira, José Antônio Caldas; Muradas, Maria Clara S. S. S.; Alves, Christiane Rodrigues; Precht, Bernardo Campanário; Porto, Pilar; Ubaldo, Letícia; Mesquita, Cláudio Tinoco; da Nóbrega, Antônio Cláudio Lucas

    2016-01-01

    Background In the Systolic Heart Failure Treatment With the If Inhibitor Ivabradine Trial (SHIFT), heart rate (HR) reduction with ivabradine was associated with improved survival and reduced hospitalizations in patients with heart failure (HF). The mechanisms by which elevated HR increases mortality are not fully understood. Objective To assess the relationship of baseline HR with clinical, neurohormonal and cardiac sympathetic activity in patients with chronic HF and elevated HR. Method Patients with chronic HF who were in sinus rhythm and had resting HR>70 bpm despite optimal medical treatment were included in a randomized, double-blind study comparing ivabradine versus pyridostigmine. This report refers to the baseline data of 16 initial patients. Baseline HR (before randomization to one of the drugs) was assessed, and patients were classified into two groups, with HR below or above mean values. Cardiac sympathetic activity was assessed by 123-iodine-metaiodobenzylguanidine myocardial scintigraphy. Results Mean HR was 83.5±11.5 bpm (range 72 to 104), and seven (43.7%) patients had HR above the mean. These patients had lower 6-min walk distance (292.3±93 vs 465.2±97.1 m, p=0.0029), higher values of N-Terminal-proBNP (median 708.4 vs 76.1, p=0.035) and lower late heart/mediastinum rate, indicating cardiac denervation (1.48±0.12 vs 1.74±0.09, p<0.001). Conclusion Elevated resting HR in patients with HF under optimal medical treatment was associated with cardiac denervation, worse functional capacity, and neurohormonal activation. PMID:27982270

  18. Elevated Heart Rate is Associated with Cardiac Denervation in Patients with Heart Failure: A 123-Iodine-MIBG Myocardial Scintigraphy Study

    Directory of Open Access Journals (Sweden)

    Aline Sterque Villacorta

    Full Text Available Abstract Background: In the Systolic Heart Failure Treatment With the If Inhibitor Ivabradine Trial (SHIFT, heart rate (HR reduction with ivabradine was associated with improved survival and reduced hospitalizations in patients with heart failure (HF. The mechanisms by which elevated HR increases mortality are not fully understood. Objective: To assess the relationship of baseline HR with clinical, neurohormonal and cardiac sympathetic activity in patients with chronic HF and elevated HR. Method: Patients with chronic HF who were in sinus rhythm and had resting HR>70 bpm despite optimal medical treatment were included in a randomized, double-blind study comparing ivabradine versus pyridostigmine. This report refers to the baseline data of 16 initial patients. Baseline HR (before randomization to one of the drugs was assessed, and patients were classified into two groups, with HR below or above mean values. Cardiac sympathetic activity was assessed by 123-iodine-metaiodobenzylguanidine myocardial scintigraphy. Results: Mean HR was 83.5±11.5 bpm (range 72 to 104, and seven (43.7% patients had HR above the mean. These patients had lower 6-min walk distance (292.3±93 vs 465.2±97.1 m, p=0.0029, higher values of N-Terminal-proBNP (median 708.4 vs 76.1, p=0.035 and lower late heart/mediastinum rate, indicating cardiac denervation (1.48±0.12 vs 1.74±0.09, p<0.001. Conclusion: Elevated resting HR in patients with HF under optimal medical treatment was associated with cardiac denervation, worse functional capacity, and neurohormonal activation.

  19. How do patients at risk portray candidates for coronary heart disease? A qualitative interview study

    DEFF Research Database (Denmark)

    Frich, J.C.; Malterud, K.; Fugelli, P.

    2007-01-01

    OBJECTIVE: To explore how patients at risk of coronary heart disease (CHD) portray candidates for CHD. DESIGN: Qualitative interview study. SETTING: Norway. SUBJECTS: A total of 20 men and 20 women diagnosed with heterozygous familial hypercholesterolemia (FH) recruited through a lipid clinic. MAIN...... the coronary candidate as someone who was different from themselves. Among those who mentioned gender, all presented the candidate as a man. Some women said that they had to reconcile themselves to being at risk of CHD, since they at first had conceived CHD as a man's disease. While some participants...

  20. ORIGINAL ARTICLE: Case Control Study To Assess Association Between Periodontal Infection And Coronary Heart Disease

    Directory of Open Access Journals (Sweden)

    Jyoti Mohitey

    2012-07-01

    Full Text Available Background: Coronary heart disease is the leading cause of adult mortality and morbidity throughout the world. Well known risk factors independently or combined are involved in both atherosclerosis and myocardial infarction. Recent data have shown that viral and bacterial infections may also contribute to acute thromboembolic events; hence a case control study was carried out. Aims and Objective: To investigate the possible association between periodontal health and coronary artery disease, in patients with Acute Myocardial Infarction (AMI and Coronary Heart Disease (CHD. Material and Methods: 150 patients, 75 with AMI and 75 with CHD were included in the study. Data on hypertension, diabetes, smoking status and alcohol consumption were recorded. AMI patients were clinically examined 3-4 days after admission to the coronary care unit. Clinical examination of CHD patients was carried out during the hospital stay. All teeth excluding third molars were studied and clinical data were recorded regarding Plaque Index, Simplified Oral Hygiene Index, Gingival Index, Gingival Bleeding Index, Probing Depth and Clinical Attachment Loss. Results: Percentage of sites exhibiting bleeding on probing and the number of sites with more probing depth were significantly higher among AMI patients than those with CHD (P=0.05 and p=0.001 respectively.There was abundant plaque and debris around all tooth surfaces in AMI patients (p=0.001. Conclusion: Overall result of this case control study showed an association between periodontitis and acute myocardial infarction.

  1. [Heart disorders secondary to cerebral ischemic infarct. A clinical study of 20 patients and diagnostico-therapeutic considerations].

    Science.gov (United States)

    Cosentino, F; Salvati, M; Artizzu, S; Caruso, R; Fiorenza, F; Ramundo, E O; Cosentino, F

    1990-01-01

    The role of heart disorders in the onset of stroke has been examined in depth, but scarce attention has been paid to the relationship between cerebral ischemic stroke and subsequent heart disorders. The paper reports the results of a study of this relationship. The present state of knowledge is outlined together with the possible risk factors which might be useful in constructing a suitable therapeutic-prophylactic protocol to reduce the cardiological risks of "acute" neurosurgical treatment.

  2. Seroepidemiology of Toxoplasma gondii in pregnant women in Aguascalientes City, Mexico: a cross-sectional study

    Science.gov (United States)

    Alvarado-Esquivel, Cosme; Terrones-Saldívar, María del Carmen; Hernández-Tinoco, Jesús; Muñoz-Terrones, María Daniela Enriqueta; Gallegos-González, Roberto Oswaldo; Sánchez-Anguiano, Luis Francisco; Reyes-Robles, Martha Elena; Jaramillo-Juárez, Fernando; Liesenfeld, Oliver; Estrada-Martínez, Sergio

    2016-01-01

    Objectives We determined the seroprevalence and correlates of Toxoplasma gondii infection in pregnant women in Aguascalientes City, Mexico. Design A cross-sectional survey. Setting Pregnant women were enrolled in the central Mexican city of Aguascalientes. Participants We studied 338 pregnant women who attended prenatal care in 3 public health centres. Primary and secondary outcome measures Women were examined for IgG/IgM antibodies to T. gondii by using commercially available enzyme immunoassays, and an avidity test. Multiple analyses were used to determine the association of T. gondii seropositivity with the characteristics of the pregnant women. Results Of the 338 pregnant women studied, 21 (6.2%) had IgG antibodies to T. gondii, and 1 (4.8%) of them was also positive for IgM antibodies to T. gondii. Avidity of IgG antibodies to T. gondii was high in the IgM-positive sample. Logistic regression analysis of sociodemographic, behavioural and housing variables showed that T. gondii seropositivity was associated with white ethnicity (OR=149.4; 95% CI 10.8 to 2054.1; p<0.01), not washing hands before eating (OR=6.41; 95% CI 1.73 to 23.6; p=0.005) and use of latrine (OR=37.6; 95% CI 4.63 to 306.31; p=0.001). Conclusions Results demonstrate that pregnant women in Aguascalientes City have a low seroprevalence of T. gondii infection. However, this low prevalence indicates that most pregnant women are at risk for a primary infection. Factors associated with T. gondii exposure found in this study, including food hygiene, may be useful to determine preventive measures against T. gondii infection and its sequelae. PMID:27371556

  3. Molecular epidemiological study of cutaneous leishmaniasis in the focus of bushehr city, southwestern iran.

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Yaghoobi-Ershadi

    2013-12-01

    Full Text Available Cutaneous leishmaniasis (CL represents the most frequent vector borne parasitoses in Iran. The objective of this study was to determine the epidemiological features of CL including human infection and the reservoir host in the city of Bushehr, Bushehr Province, Iran during 2010-2011.Studies on human infection was carried out on 2962 school children aged 7-14 years old from 60 primary schools and among 400 households with a total population of 1568 in four infected districts of the city in December 2010. Serosity materials from patients on glass slides were collected for molecular identification of causative agent. Rodents were caught by Sherman traps and examined for identification of the parasite.Prevalence of scars and ulcers among the inhabitants were 5.86% and 0.12% respectively. Molecular study indicated the presence of two coexisting species: Leishmania major and L. tropica among patients. The scar rate was 1.24% but no ulcers were seen among the students. Nineteen rodents were caught and identified as Tatera indica (47.4% and Rattus norvegicus (52.6%. Specimens from 7 T. indica and 9 R. norvegicus were examined by two techniques, microscopic examination and nested-PCR. Out of 7 T. indica, 14.3% were infected with L. major and 42.9% with L. turanica by nested-PCR. Out of 9 R. norvegicus 22.2% were infected with L. turanica and 11.1% with L. gerbilli.Based on this survey L. major and L. tropica are the causative agents of the disease among patients and T. indica plays a predominant role in the dissemination of L. major in the city.

  4. Knowledge and Practice of Personal Hygiene and Sanitation: A Study in Selected Slums of Dhaka City

    Directory of Open Access Journals (Sweden)

    Shayela Farah

    2015-07-01

    Full Text Available Background: : Slum dwellers are likely to be among the most deprived people in urban areas. Poor hygiene practices and inadequate sanitary conditions play major roles in the increased burden of communicable diseases within developing countries like ours. Objective: To assess the knowledge and practice about personal hygiene and environmental sanitation in selected slums of Dhaka city. Materials and method: This cross sectional study was conducted in purposively selected urban slum areas of Moghbazar slum, Bashabo slum and T&T slum of Dhaka city during February 2014 to April 2014. Convenient sampling technique was applied. Semi-structured pre-tested questionnaire was used and face to face interview was conducted. Total 475 subjects, irrespective of age and sex, were included in this study. Results: Out of 475 respondents, more than fifty percent slum dwellers resided in tin shaded room while 21.7% in ‘kacha’ houses. Sixty six percent of the respondents used to drink water from tube-well and 24% used supplied water provided by the city corporation. The study revealed that near 59% of the respondents used sanitary latrine. About 67% slum dwellers regularly practiced hand washing before taking meal and 59.2% respondents used soap after defecation. About fifty percent respondents brushed their teeth regularly with tooth paste. Regarding personal cleanliness, 81% subjects took bath regularly while 78% washed clothes irregularly. A statistically significant relation was found between washing of hands before meal (p=0.001, washing of hands after defecation (p=0.02, tooth brushing (p=0.001, bathing (p=0.009, washing of cloths (p=0.001, use of footwear (p=0.63 with knowledge of personal hygiene of the slum dwellers. Conclusion: Continuous community hygiene education along with adequate access to water supply and sanitation improves hygiene behaviour and policy makers and health care providers should have definite strategy and implementation.

  5. Prevalence of hypothyroidism in adults: An epidemiological study in eight cities of India

    Directory of Open Access Journals (Sweden)

    Ambika Gopalakrishnan Unnikrishnan

    2013-01-01

    Full Text Available Background: Hypothyroidism is believed to be a common health issue in India, as it is worldwide. However, there is a paucity of data on the prevalence of hypothyroidism in adult population of India. Materials and Methods: A cross-sectional, multi-centre, epidemiological study was conducted in eight major cities (Bangalore, Chennai, Delhi, Goa, Mumbai, Hyderabad, Ahmedabad and Kolkata of India to study the prevalence of hypothyroidism among adult population. Thyroid abnormalities were diagnosed on the basis of laboratory results (serum FT3, FT4 and Thyroid Stimulating Hormone [TSH]. Patients with history of hypothyroidism and receiving levothyroxine therapy or those with serum free T4 5.50 μU/ml, were categorized as hypothyroid. The prevalence of self reported and undetected hypothyroidism, and anti-thyroid peroxidase (anti-TPO antibody positivity was assessed. Results: A total of 5376 adult male or non-pregnant female participants ³18 years of age were enrolled, of which 5360 (mean age: 46 ± 14.68 years; 53.70% females were evaluated. The overall prevalence of hypothyroidism was 10.95% (n = 587, 95% CI, 10.11-11.78 of which 7.48% (n = 401 patients self reported the condition, whereas 3.47% (n = 186 were previously undetected. Inland cities showed a higher prevalence of hypothyroidism as compared to coastal cities. A significantly higher ( P 5.50 μIU/ml. Anti - TPO antibodies suggesting autoimmunity were detected in 21.85% (n = 1171 patients. Conclusion: The prevalence of hypothyroidism was high, affecting approximately one in 10 adults in the study population. Female gender and older age were found to have significant association with hypothyroidism. Subclinical hypothyroidism and anti-TPO antibody positivity were the other common observations.

  6. Study of Model of Grey Decision Making to Choose Leading Industry of Cities

    Institute of Scientific and Technical Information of China (English)

    JinglongZhang; GuangyongChen; WeiGuo; GangXie

    2004-01-01

    The Leading industry influences the economic development of one city. This paper establishes a decision factor system of choosing leading industry of cities, applies related decision theory in Grey System and invents the procedure of choosing leading industry, which achieved a good practical effect. Afterwards, the city Tianmen acclaims the dress industry as Leading Industry in its "The Tenth Five-Year Plan for Economic and Social Development of City TianMen".

  7. Urban Planning in riverfront areas. A case study of a mediterranean city: Terrassa (Catalonia, NE Spain)

    OpenAIRE

    2015-01-01

    Since 1980, Spain has introduced urban regeneration plans in various cities with the aim of integrating the river environment into the urban system. This process has proved most challenging in cities whose rivers present extreme features, as is the case with Terrassa (Catalonia, NE Spain), a medium-sized city (215,000 inhabitants in 2013) whose three river courses are prone to flash flooding. Through the critical analysis of urban planning undertaken in the city from the fifties to the presen...

  8. The Danish Heart Registry

    DEFF Research Database (Denmark)

    Özcan, Cengiz; Juel, Knud; Lassen, Jens Flensted

    2016-01-01

    AIM: The Danish Heart Registry (DHR) seeks to monitor nationwide activity and quality of invasive diagnostic and treatment strategies in patients with ischemic heart disease as well as valvular heart disease and to provide data for research. STUDY POPULATION: All adult (≥15 years) patients...

  9. Joint impact of rainfall and tidal level on flood risk in a coastal city with a complex river network: a case study of Fuzhou City, China

    Directory of Open Access Journals (Sweden)

    J. J. Lian

    2013-02-01

    Full Text Available Coastal cities are particularly vulnerable to flood under multivariable conditions, such as heavy precipitation, high sea levels, and storms. The combined effect of multiple sources and the joint probability of extremes should be considered to assess and manage flood risk better. This paper aims to study the combined effect of rainfall and the tidal level of the receiving water body on flood probability and severity in Fuzhou City, which has a complex river network. Flood severity under a range of precipitation intensities, with return periods (RPs of 5 yr to 100 yr, and tidal levels was assessed through a hydrodynamic model verified by data observed during Typhoon Longwang in 2005. According to the percentages of the river network where flooding occurred, the threshold conditions for flood severity were estimated in two scenarios: with and without working pumps. In Fuzhou City, working pumps efficiently reduce flood risk from precipitation within a 20-yr RP. However, the pumps may not work efficiently when rainfall exceeds a 100-yr RP because of the limited conveyance capacity of the river network. Joint risk probability was estimated through the optimal copula. The joint probability of rainfall and tidal level both exceeding their threshold values is very low, and the greatest threat in Fuzhou comes from heavy rainfall. However, the tidal level poses an extra risk of flood. Given that this extra risk is ignored in the design of flood defense in Fuzhou, flood frequency and severity may be higher than understood during design.

  10. The Use of Vegetation for Social Housing Renovation: a case study in the city of Palermo

    DEFF Research Database (Denmark)

    Pastore, L.; Corrao, R.; Heiselberg, Per

    2013-01-01

    The paper shows the first results of a research carried out at the University of Palermo, which aims to indentify sustainable strategies for the renovation of social housing in the Mediterranean Basin, with focuson the use of vegetation as strategy for the enhancement of urban microclimate...... and thermal comfort. To achieve these goals the social housing complex of Medaglie d’Oro in the city of Palermo was chosen as case study in order to carry out some analyses for the assessment of outdoor comfort parameters of the area. By means of numerical simulations performed with the software ENVI...

  11. Study on particulate pollution in cities of China and evaluation of protective measurements

    Institute of Scientific and Technical Information of China (English)

    SHENHenggen; YANGLei; WANGHuaying; LIUGang

    2003-01-01

    By studying the air quality in the public traffic area of Shanghai, the harm to people''s health caused by particulate pollution in Chinese cities has been evaluated. In addition, two devices were developed to test the performance of protective mask against ambient aerosol, and the efficiency of recycle filtedng of the air-condition was contrastive tested with the new filtration material. The results show that these protective measures need to be improved because that filtering efficiency of protective mask and air-condition in miniature is too low to filter superfine particles in ambient air.

  12. Informal public transport modes in India: A case study of five city regions

    Directory of Open Access Journals (Sweden)

    Megha Kumar

    2016-03-01

    The paper highlights that these systems bridge a large transport supply gap and play an important role in Indian cities. The modes may follow some illegitimate practices, but they do it to become profitable, which in turn helps them provide the much-needed mobility services. The study also shows that these systems are not as unsafe and polluting as people often perceive them to be. However, there is significant room for improvements in terms of vehicle efficiency and compliance with regulatory provisions related to public transport.

  13. [The results of complex social and ecologic study in the city of Ufa].

    Science.gov (United States)

    Zakharov, I D; Magasumov, A M; Simonova, N I; Eĭdel'man, Ia L; Simenido, Iu V

    1997-01-01

    The authors present results of social and ecologic study carried out in Ufa. The results describe the course of ecologically important processes and phenomena in correlation with the public subjective understanding. Public health is influenced by hygienic parameters of food and water quality as well as a complex of social, economic and psychologic factors. Weak correlation between those parameters and ambient air pollution necessitates more accurate approach to ecologic mapping of cities and to manipulation with data on lower atmosphere pollution with chemical hazards.

  14. A heat robust city : case study designs for two neighbourhoods in the Netherlands

    NARCIS (Netherlands)

    Kleerekoper, L.; Van den Dobbelsteen, A.A.J.F.; Van Dorst, M.J.; Hordijk, G.J.

    2011-01-01

    Urban Heat Islands in cities in the Netherlands are likely to increase due to a predicted climate change and the continuously increasing expansion and densification of cities, In contrast to rural areas cities are warmer because their paved surfaces retain heat, buildings block cooling winds and the

  15. Implementing a Graduate Certificate Program in Cardiovascular Epidemiology: The Jackson Heart Study

    Directory of Open Access Journals (Sweden)

    Brenda W. Campbell Jenkins

    2015-12-01

    Full Text Available The Jackson Heart Study (JHS is committed to providing opportunities for expanding the understanding of the epidemiology, diagnosis, prevention, and treatment of cardiovascular diseases. The JHS Graduate Training and Education Center (GTEC has initiated the Daniel Hale Williams Scholar (DHWS program where students are afforded the opportunity to interact with epidemiologists and other biomedical scientists to learn to identify, predict, and prevent cardiovascular disease using the Jackson Heart Study data. This study describes the structured programs developed by JHS GTEC seeking to alleviate the shortage of trained professionals in cardiovascular epidemiology by training graduate students while they complete their academic degrees. The DHWS program provides: (1 an enrichment curriculum; (2 a learning community; (3 quarterly seminars; and (4 a Summer Institute. Students attend enrichment activities comprising: (1 Applied Biostatistics; (2 Cardiovascular Disease Epidemiology; (3 Social Epidemiology; (4 Emerging Topics; and (5 Research Writing. Training focuses on developing proficiency in cardiovascular health knowledge. The DHWS program is a unique strategy for incorporating rigorous academic and career-focused training to graduate students and has enabled the acquisition of competencies needed to impact cardiovascular disease management programs.

  16. Implementing a Graduate Certificate Program in Cardiovascular Epidemiology: The Jackson Heart Study.

    Science.gov (United States)

    Campbell Jenkins, Brenda W; Addison, Clifton; Wilson, Gregory; Young, Lavon; Fields, Regina; Woodberry, Clevette; Payton, Marinelle

    2015-12-22

    The Jackson Heart Study (JHS) is committed to providing opportunities for expanding the understanding of the epidemiology, diagnosis, prevention, and treatment of cardiovascular diseases. The JHS Graduate Training and Education Center (GTEC) has initiated the Daniel Hale Williams Scholar (DHWS) program where students are afforded the opportunity to interact with epidemiologists and other biomedical scientists to learn to identify, predict, and prevent cardiovascular disease using the Jackson Heart Study data. This study describes the structured programs developed by JHS GTEC seeking to alleviate the shortage of trained professionals in cardiovascular epidemiology by training graduate students while they complete their academic degrees. The DHWS program provides: (1) an enrichment curriculum; (2) a learning community; (3) quarterly seminars; and (4) a Summer Institute. Students attend enrichment activities comprising: (1) Applied Biostatistics; (2) Cardiovascular Disease Epidemiology; (3) Social Epidemiology; (4) Emerging Topics; and (5) Research Writing. Training focuses on developing proficiency in cardiovascular health knowledge. The DHWS program is a unique strategy for incorporating rigorous academic and career-focused training to graduate students and has enabled the acquisition of competencies needed to impact cardiovascular disease management programs.

  17. Studies on assessment of traffic noise level in Aurangabad city, India

    Directory of Open Access Journals (Sweden)

    B J Bhosale

    2010-01-01

    Full Text Available With the rapid rate of urbanization of Aurangabad city due to the expanding industrialization, the problem of noise pollution has become a concern for urban dwellers and government authority too. Noise pollution due to vehicular traffic is one of the growing environmental problems of urban centers. The study deals with the assessment of traffic noise levels in Aurangabad city. With respect to the total number of vehicles passing the road in unit time, which was surveyed by direct count method, six different sites from Aurangabad city, viz., Nagar Naka, Kranti Chowk, CIDCO bus stand, Railway station area, Dhoot Hospital and Baba petrol pump were selected to study the vehicular noise level. Noise measurements were carried out at these six locations on both working day and holiday during the peak traffic hours, i.e. 8:00 a.m. - 11:a.m., 1:00 p.m. - 4:00 p.m. and 5:00 p.m. - 8:00 p.m., in the morning, afternoon and evening sessions, respectively, after 5 minutes time interval. The noise level was monitored using noise level meter. The results obtained from this investigation showed that the Nagar Naka, Kranti chowk and CIDCO bus stand area have dense traffic zones when compared with the Railway station area, Dhoot Hospital and Baba petrol pump. The minimum and the maximum noise levels are 74 and 86 dB, respectively, on working day and 70 and 81 dB, respectively, on holiday. The measured noise level values exceed the prescribed noise level.

  18. Malnutrition among 3 to 5 Years Old Children in Baghdad City, Iraq: A Cross-sectional Study

    OpenAIRE

    Ghazi, Hasanain Faisal; Mustafa, Jamsiah; Aljunid, Syed; Isa, Zaleha Md; AbdalQader, Mohammed A

    2013-01-01

    The unstable geopolitical situation in Iraq since 2003 still affects the health of people, especially children. Several factors may indirectly affect a child's nutritional status. The main aim of this study was to identify factors contributing to malnutrition among 3 to 5 years old children in Baghdad city, Iraq. Two hundred twenty children aged 3 to 5 years were chosen randomly from four kindergartens in Baghdad city according to the cross-sectional design. The nutritional status of the chil...

  19. QUALITY OF LIFE IN PATIENTS HOSPITALIZED WITH HEART FAILURE: A NOVEL TWO QUESTIONNAIRE STUDY

    Directory of Open Access Journals (Sweden)

    Z. N. Hatmi

    2007-09-01

    Full Text Available Heart failure (HF is a common disease with high health care costs and high mortality rate Knowledge of the health-related quality of life (QOL outcomes of HF may guide decision making and be useful in assessing new therapies for population. Yet little is known about QOL of HF patients in Iran. Objectives: To assess health related QOL of patients with HF with two different instrument and to correlate these two measures and to assess the role of relevant factors. Analytic cross sectional study was conducted involving 230 adult patients hospitalized with HF, demographic data and health -related quality of life were determined by interview; for assessing of quality of life was used SF-36 and Minnesota questionnaires. Simple random sampling from ward patients list choose patients. Patients had no other man diseases that affected their quality of life. Results: 118 female (53.3% and 112 male (48.7% with mean age of 51.4 +/-13.18 were collected. 61 patients (26.5% were smoker and 100 patients (43.5% had positive familial hearth disease history. Quality of life in some subscale: Physical functioning, Role physical and vitality, and Minnesota scare affected from patients age. Male patients had better quality of life than female in Minnesota scale and physical functioning, body pain, general health, vitality and emotional well-being. Duration of diagnosis affected Minnesota scale and role physical. Positive familial heart disease history affected physical functioning. Iranian patients have worse quality of life than other patients. This shows patients age, sex, duration of diagnosis, smoking and positive familial hearth disease history affected quality of life in heart failure patients.

  20. Nesiritide, Renal Function, and Associated Outcomes During Hospitalization for Acute Decompensated Heart Failure Results From the Acute Study of Clinical Effectiveness of Nesiritide and Decompensated Heart Failure (ASCEND-HF)

    NARCIS (Netherlands)

    van Deursen, Vincent M.; Hernandez, Adrian F.; Stebbins, Amanda; Hasselblad, Vic; Ezekowitz, Justin A.; Califf, Robert M.; Gottlieb, Stephen S.; O'Connor, Christopher M.; Starling, Randall C.; Tang, W. H. Wilson; McMurray, John J.; Dickstein, Kenneth; Voors, Adriaan A.

    2014-01-01

    Background-Contradictory results have been reported on the effects of nesiritide on renal function in patients with acute decompensated heart failure. We studied the effects of nesiritide on renal function during hospitalization for acute decompensated heart failure and associated outcomes. Methods

  1. URBAN GROWTH MODELING USING AN ARTIFICIAL NEURAL NETWORK A CASE STUDY OF SANANDAJ CITY, IRAN

    Directory of Open Access Journals (Sweden)

    S. Mohammady

    2014-10-01

    Full Text Available Land use activity is a major issue and challenge for town and country planners. Modelling and managing urban growth is a complex problem. Cities are now recognized as complex, non-linear and dynamic process systems. The design of a system that can handle these complexities is a challenging prospect. Local governments that implement urban growth models need to estimate the amount of urban land required in the future given anticipated growth of housing, business, recreation and other urban uses within the boundary. There are so many negative implications related with the type of inappropriate urban development such as increased traffic and demand for mobility, reduced landscape attractively, land use fragmentation, loss of biodiversity and alterations of the hydrological cycle. The aim of this study is to use the Artificial Neural Network (ANN to make a powerful tool for simulating urban growth patterns. Our study area is Sanandaj city located in the west of Iran. Landsat imageries acquired at 2000 and 2006 are used. Dataset were used include distance to principle roads, distance to residential areas, elevation, slope, distance to green spaces and distance to region centers. In this study an appropriate methodology for urban growth modelling using satellite remotely sensed data is presented and evaluated. Percent Correct Match (PCM and Figure of Merit were used to evaluate ANN results.

  2. Functionally assessing the sustainability of regional ecosystem services:a case study of Hohhot City

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    "The value of the world’s ecosystem services and natural capital" by R.Costanza et al.in 1997 is generally regarded as a monument to the research of valuing ecosystem services.However,the classification of ecosystem services,the method of various services summation,and the purpose for static global value had many criticisms.Based on a summary of these criticisms and suggestions,further study direction—on the sustainability of ecosystem services—is presented.The two basis indicators in ecology—productivity and biodiversity,respectively characterize the ability of producing and self-organizing—not only represent the internal function of ecosystem,but also can be proportioned to its external function of supporting and providing for human life.Theoretically,the two indicators combined could physically assess the sustainability of ecosystem services based on the traditional procedure of Costanza’s.The case study of Hohhot City in 1995-2005 shows that the new model reflects the changes of ecosystem services at spatial and temporal scale,and the functionally adjusted assessment shows the sustainability of Hohhot City became gradually stronger during the study decade.But due to the enormous value per unit of water ecosystem,the minimal loss of water area leads to the final result being opposite to the processing analysis,which gives a clue to the further experimental testing research.

  3. An Electromechanical Left Ventricular Wedge Model to Study the Effects of Deformation on Repolarization during Heart Failure

    Directory of Open Access Journals (Sweden)

    B. M. Rocha

    2015-01-01

    Full Text Available Heart failure is a major and costly problem in public health, which, in certain cases, may lead to death. The failing heart undergo a series of electrical and structural changes that provide the underlying basis for disturbances like arrhythmias. Computer models of coupled electrical and mechanical activities of the heart can be used to advance our understanding of the complex feedback mechanisms involved. In this context, there is a lack of studies that consider heart failure remodeling using strongly coupled electromechanics. We present a strongly coupled electromechanical model to study the effects of deformation on a human left ventricle wedge considering normal and hypertrophic heart failure conditions. We demonstrate through a series of simulations that when a strongly coupled electromechanical model is used, deformation results in the thickening of the ventricular wall that in turn increases transmural dispersion of repolarization. These effects were analyzed in both normal and failing heart conditions. We also present transmural electrograms obtained from these simulations. Our results suggest that the waveform of electrograms, particularly the T-wave, is influenced by cardiac contraction on both normal and pathological conditions.

  4. Study on Residential Water Use in North China: Analysis of Nationwide Statistical Data and Case Study of Taiyuan City

    Institute of Scientific and Technical Information of China (English)

    Han Ji; Zhang Haiping; Imura Hidefumi

    2006-01-01

    Residential water use is gradually becoming the focus in China's municipal water supply planning and management in recent years. Little is known, however, about the residential water use in modem China due to the transition of economy and enhancement of management on water conservation. In order to better understand the characteristics of residential water use in North China, a model for identifying the determinants of residential water use was established and analyzed by using panel data and cross-section data methodologies. Then Taiyuan city, the capital city of Shanxi Province in Northern China was selected as a case study. Both the analyses and field investigation indicate that the relatively slow increase of residential water use in recent years may result from the implementation of strict laws and regulations on water conservation. And through the investigation,first-hand information about water consumption pattern, water reuse/conservation, people's attitude toward water quantity and quality, etc. have been obtained.

  5. Heart Disease

    Science.gov (United States)

    ... daily aspirin to prevent heart attack? Does taking birth control pills increase my risk for heart disease? Does using ... tells you to. Return to top Does taking birth control pills increase my risk for heart disease? Taking birth ...

  6. A 3D velocimetry study of the flow through prosthetic heart valves

    Science.gov (United States)

    Ledesma, R.; Zenit, R.; Pulos, G.; Sanchez, E.; Juarez, A.

    2006-11-01

    Blood damage commonly appears in medical valve prothesis. It is a mayor concern for the designers and surgeons. It is well known that this damage and other complications result from the modified fluid dynamics through the replacement valve. To evaluate the performance of prosthetic heart valves, it is necessary to study the flow through them. To conduct this study , we have built a flow channel that emulates cardiac conditions and allows optical access such that a 3D-PIV velocimetry system could be used. The experiments are aimed to reconstruct the downstream structure of the flow through a mechanical and a bio-material tricuspid heart valve prothesis. Preliminary results show that the observed coherent structures can be related with haemolysis and trombosis, illnesses commonly found in valve prothesis recipients. The mean flow, the levels of strain rate and the turbulence intensity generated by the valves can also be directly related to blood damage. In general, bio-material made valves tend to reduce these complications.

  7. Ischaemic Heart Disease: Accuracy of the Prehospital Diagnosis—A Retrospective Study

    Directory of Open Access Journals (Sweden)

    Louise Houlberg Hansen

    2013-01-01

    Full Text Available Purpose. Correct prehospital diagnosis of ischaemic heart disease (IHD may accelerate and improve the treatment. We sought to evaluate the accuracy of prehospital diagnoses of ischemic heart diseases assigned by physicians. Methods. The Mobile Emergency Care Unit (MECU in Odense, Denmark, services a population of 260.000. All admissions in 2009 concerning patients diagnosed in the IHD category were assessed. Outcome and diagnosis of each patient were manually validated in accordance to the final diagnosis established following admission to hospital, using the discharge summary from the relevant department as reference. Results. 428 MECU runs with a prehospital diagnosis of IHD were registered. 422 of these were included in the study and 354 of those patients were suitable for this analysis. 73,4% of the patients hospitalized with a prehospital diagnosis of IHD were initially admitted to the relevant ward. Of these patients, 40,0% had their preliminary diagnosis of IHD confirmed. 14,1% of all patients admitted to the hospital were diagnosed with nonheart conditions. Preliminary diagnoses of STEMI had an accuracy of 87,5%. Conclusions. The preliminary IHD diagnoses assigned by the MECU physicians were acceptable. In case of STEMI patients the diagnostic accuracy was excellent. In this study there was an apparent overtriage.

  8. The Association between Work-Related Rumination and Heart Rate Variability: A Field Study

    Science.gov (United States)

    Cropley, Mark; Plans, David; Morelli, Davide; Sütterlin, Stefan; Inceoglu, Ilke; Thomas, Geoff; Chu, Chris

    2017-01-01

    The objective of this study was to examine the association between perseverative cognition in the form of work-related rumination, and heart rate variability (HRV). We tested the hypothesis that high ruminators would show lower vagally mediated HRV relative to low ruminators during their leisure time. Individuals were classified as being low (n = 17) or high ruminators (n = 19), using the affective scale on the work-related rumination measure. HRV was assessed using a wrist sensor band (Microsoft Band 2). HRV was sampled between 8 pm and 10 pm over three workday evenings (Monday to Wednesday) while individuals carried out their normal evening routines. Compared to the low ruminators, high affective ruminators demonstrated lower HRV in the form of root mean square successive differences (RMSSDs), relative to the low ruminators, indicating lower parasympathetic activity. There was no significant difference in heart rate, or activity levels between the two groups during the recording periods. The current findings of this study may have implications for the design and delivery of interventions to help individuals unwind post work and to manage stress more effectively. Limitations and implications for future research are discussed. PMID:28197087

  9. Urban Growth Modeling Using Anfis Algorithm: a Case Study for Sanandaj City, Iran

    Science.gov (United States)

    Mohammady, S.; Delavar, M. R.; Pijanowski, B. C.

    2013-10-01

    not easy to obtain the optimal structure. Since, in this type of fuzzy logic, neural network has been used, therefore, by using a learning algorithm the parameters have been changed until reach the optimal solution. Adaptive Neuro Fuzzy Inference System (ANFIS) computing due to ability to understand nonlinear structures is a popular framework for solving complex problems. Fusion of ANN and FIS has attracted the growing interest of researchers in various scientific and engineering areas due to the growing need of adaptive intelligent systems to solve the real world problems. In this research, an ANFIS method has been developed for modeling land use change and interpreting the relationship between the drivers of urbanization. Our study area is the city of Sanandaj located in the west of Iran. Landsat images acquired in 2000 and 2006 have been used for model development and calibration. The parameters used in this study include distance to major roads, distance to residential regions, elevation, number of urban pixels in a 3 by 3 neighborhood and distance to green space. Percent Correct Match (PCM) and Figure of Merit were used to assess model goodness of fit were 93.77% and 64.30%, respectively.

  10. URBAN GROWTH MODELING USING ANFIS ALGORITHM: A CASE STUDY FOR SANANDAJ CITY, IRAN

    Directory of Open Access Journals (Sweden)

    S. Mohammady

    2013-10-01

    , however, it is not easy to obtain the optimal structure. Since, in this type of fuzzy logic, neural network has been used, therefore, by using a learning algorithm the parameters have been changed until reach the optimal solution. Adaptive Neuro Fuzzy Inference System (ANFIS computing due to ability to understand nonlinear structures is a popular framework for solving complex problems. Fusion of ANN and FIS has attracted the growing interest of researchers in various scientific and engineering areas due to the growing need of adaptive intelligent systems to solve the real world problems. In this research, an ANFIS method has been developed for modeling land use change and interpreting the relationship between the drivers of urbanization. Our study area is the city of Sanandaj located in the west of Iran. Landsat images acquired in 2000 and 2006 have been used for model development and calibration. The parameters used in this study include distance to major roads, distance to residential regions, elevation, number of urban pixels in a 3 by 3 neighborhood and distance to green space. Percent Correct Match (PCM and Figure of Merit were used to assess model goodness of fit were 93.77% and 64.30%, respectively.

  11. A Climate Change Vulnerability Index and Case Study in a Brazilian Coastal City

    Directory of Open Access Journals (Sweden)

    Vitor Baccarin Zanetti

    2016-08-01

    Full Text Available Coastal areas are highly susceptible to the effects of climate change, particularly to sea-level rise and extreme rainfall events, resulting in increased social and environmental vulnerabilities. In this context, the need for predictive planning instruments, especially in densely populated coastal areas, is a critical management priority. A number of indexes has been developed to assess coastal vulnerability. However, coastal vulnerability indexes are yet to simultaneously consider inland (e.g., landslides and flooding and ocean (sea-level rise and coastal erosion hazards in conjunction. To help fill this gap, we developed the Socio-Environmental Vulnerability Index for Coastal Areas. The proposed index is a diagnostic tool to assess the socio-environmental vulnerability of coastal regions in the context of climate change. Applied to the city of Santos, a coastal municipality in São Paulo state, Brazil, the index revealed that most of the city are in areas highly vulnerable to sea-level rise and floods related to extreme rainfall events. Findings show that, in fact, approximately 70% of the area of Santos (27.5 km2 consists of high vulnerability areas mostly located close to urban drainage channels, residential, and other built-in areas. Another 0.12% (0.05 km2 were classified as very high vulnerability areas compromising port and industrial infrastructure. These results highlights the susceptibility of the urban insular area of Santos to climatic change hazards. This study might prove relevant to support local decision-makers in preparing adaptation plans and responding to climate-related risks in vulnerable coastal cities.

  12. High seroprevalence of Toxoplasma gondii infection in inmates: A case control study in Durango City, Mexico

    Science.gov (United States)

    Hernández-Tinoco, J.; Sánchez-Anguiano, L. F.; Ramos-Nevárez, A.; Cerrillo-Soto, S. M.; Sáenz-Soto, L.; Liesenfeld, O.

    2014-01-01

    Purpose The seroprevalence of infection with the parasite Toxoplasma gondii and the association with risk factors has not been determined in inmates. Through a case-control study, 166 inmates from a state correctional facility in Durango City, Mexico and 166 age- and gender-matched non-incarcerated subjects were examined for the presence of anti-T. gondii IgG and IgM antibodies using enzyme-linked immunoassays. Results Seroprevalence of anti-T. gondii IgG antibodies was higher in inmates (35, 21.1%) than in controls (14, 8.4%) (OR = 2.90; 95% CI: 1.43–5.94; P = 0.001). Anti-T. gondii IgM antibodies were detected in two (1.2%) inmates and in seven (4.2%) controls (P = 0.17). Multivariate analysis of socio-demographic, incarceration, and behavioral characteristics of inmates revealed that T. gondii seropositivity was associated with being born out of Durango State (OR = 3.91; 95% CI: 1.29–11.79; P = 0.01). In addition, T. gondii seroprevalence was higher (P = 0.03) in inmates that had suffered from injuries (17/56: 30.4%) than those without such history (18/110: 16.4%). Conclusions The seroprevalence of T. gondii infection in inmates in Durango City is higher than the seroprevalences found in the general population in the same city, indicating that inmates may represent a new risk group for T. gondii infection. Further research on T. gondii infection in inmates is needed. PMID:24678408

  13. City information and communication networks as means of incrising participation: Case study of municipality of Inđija, Serbia

    Directory of Open Access Journals (Sweden)

    Brković Matija

    2013-01-01

    Full Text Available City information and communication networks are specific form of local online communities, designed for inhabitants of particular city, its administration, municipality service providers, investors, tourists, as well as any others interested party. This paper studies the potential of such networks to assist public participation in city planning and management. It explores the benefits and potential pitfalls of using such technologies. In addition, the paper will present and analyze the city information and communication network created and used by the municipality of Inđija. In 2002, the municipality made a strategic development plan, in which the improvement of local administration was among the first priorities. The administration started the installation of an integrated information system right away - essentially creating e-government platform - in order to enable all citizens to participate in solving local problems, as well as to facilitate their day-today communication with the local administration.

  14. Gaining a better understanding of respiratory health inequalities among cities: An ecological case study on elderly males in the larger French cities

    Science.gov (United States)

    2013-01-01

    Background In recent years, there have been a growing number of studies on spatial inequalities in health covering a variety of scales, from small areas to metropolitan areas or regions, and for various health outcomes. However, few investigations have compared health status between cities with a view to gaining a better understanding of the relationships between such inequalities and the social, economic and physical characteristics. This paper focuses on disparities in respiratory health among the 55 largest French cities. The aim is to explore the relationships between inter-urban health patterns, city characteristics and regional context, and to determine how far a city’s health status relates to the features observed on different geographical scales. Methods We used health data describing hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) as a proxy for respiratory health, and the total number of hospitalizations (overall) as a proxy for general health. This last indicator was used as a benchmark. A large set of indicators relating to socioeconomic, physical and amenity aspects of the cities (urban units) was also constructed. Data were analyzed using linear correlations and multiple linear regression models. Results The results suggest that socioeconomic characteristics are major discriminators for inequalities in respiratory health status among urban units. Indeed, once combined to socioeconomic characteristics, only a climate indicator remained significant among the physical indicators. It appeared that the pollution indicators which were significantly correlated with COPD hospitalization rates loosed significance when associated to the socio-economic indicators in a multiple regression. The analysis showed that among the socio-economic indicators, an employment indicator derived at the regional scale, and two indicators reflecting the unequal intra-urban spatial distribution of population according to their education, were the most

  15. Smart Cities Will Need Chemistry

    Directory of Open Access Journals (Sweden)

    Alexandru WOINAROSCHY

    2016-06-01

    Full Text Available A smart city is a sustainable and efficient urban centre that provides a high quality of life to its inhabitants through optimal management of its resources. Chemical industry has a key role to play in the sustainable evolution of the smart cities. Additionally, chemistry is at the heart of all modern industries, including electronics, information technology, biotechnology and nano-technology. Chemistry can make the smart cities project more sustainable, more energy efficient and more cost effective. There are six broad critical elements of any smart city: water management systems; infrastructure; transportation; energy; waste management and raw materials consumption. In all these elements chemistry and chemical engineering are deeply involved.

  16. Surveillance of acute respiratory infections among outpatients: A pilot study in Isfahan city

    Directory of Open Access Journals (Sweden)

    Abbasali Javadi

    2015-01-01

    Full Text Available Background: Considering that there was not any regional survey in Isfahan, Iran regarding the epidemiology of acute respiratory tract infections (ARTI in different age groups of general population, the aim of this study was to determine the epidemiologic feature of ARTIs in Isfahan using multiplex polymerase chain reaction (PCR method. Materials and Methods: In this cross-sectional study, patients aged 15 years old. Rhinovirus was the most common cause of ARTI in patients aged 50 years. Influenza virus B was the most common cause of ARTI in patients aged 5-50 years. Conclusion: Our study provides baseline information on the epidemiologic and clinical feature of outpatients with ARTIs in Isfahan city. Though our findings in this pilot study could be helpful in diagnosis, treatment, and prevention of ARTI, planning preventive interventional.

  17. Critical Service Encounters: Employee’s Viewpoint a Study on Transport Services in Dhaka City

    Directory of Open Access Journals (Sweden)

    S.S.M. Sadrul Huda

    2009-09-01

    Full Text Available The purpose of the study is to evaluate critical service encounter or the critical moment of truth andthe customer behavior in the case of bus services in Dhaka City, Bangladesh. The scope of the study is thefrontline employees of different transport (bus service industries of Dhaka City. Data were collected using thecritical incident technique (CIT, through structured, open-ended questionnaires. The results were then contentanalyzed to examine employee’s perspective of critical service encounters of bus service. The research wasconducted over 50 sample units (employees of different bus service provider using the convenience samplingtechnique. Finally, the qualitative data was put into quantitative analyses. The most notable finding of thisresearch is that problematic customers are the root cause for mass dissatisfaction. Then employee response toservice delivery system failures, employee response to customer needs and requests and finally, unpromptedand unsolicited employee actions are respectively the critical factor for the dissatisfaction for the user of thebus service in Bangladesh. In conclusion, it can be concluded that both the behavior of the problematiccustomers as well as employee response to customer needs and requests are the primary challenges for thetransport (bus industry and these issues need to be addressed carefully.

  18. Clinical evaluation of magnetic resonance imaging in coronary heart disease: The CE-MARC study

    Directory of Open Access Journals (Sweden)

    Sculpher Mark

    2009-07-01

    Full Text Available Abstract Background Several investigations are currently available to establish the diagnosis of coronary heart disease (CHD. Of these, cardiovascular magnetic resonance (CMR offers the greatest information from a single test, allowing the assessment of myocardial function, perfusion, viability and coronary artery anatomy. However, data from large scale studies that prospectively evaluate the diagnostic accuracy of multi-parametric CMR for the detection of CHD in unselected populations are lacking, and there are few data on the performance of CMR compared with current diagnostic tests, its prognostic value and cost-effectiveness. Methods/design This is a prospective diagnostic accuracy cohort study of 750 patients referred to a cardiologist with suspected CHD. Exercise tolerance testing (ETT will be preformed if patients are physically able. Recruited patients will then undergo CMR and single photon emission tomography (SPECT followed in all patients by invasive X-ray coronary angiography. The order of the CMR and SPECT tests will be randomised. The CMR study will comprise rest and adenosine stress perfusion, cine imaging, late gadolinium enhancement and whole-heart MR coronary angiography. SPECT will use a gated stress/rest protocol. The primary objective of the study is to determine the diagnostic accuracy of CMR in detecting significant coronary stenosis, as defined by X-ray coronary angiography. Secondary objectives include an assessment of the prognostic value of CMR imaging, a comparison of its diagnostic accuracy against SPECT and ETT, and an assessment of cost-effectiveness. Discussion The CE-MARC study is a prospective, diagnostic accuracy cohort study of 750 patients assessing the performance of a multi-parametric CMR study in detecting CHD using invasive X-ray coronary angiography as the reference standard and comparing it with ETT and SPECT. Trial Registration Current Controlled Trials ISRCTN77246133

  19. Depressive Symptoms, Health Behaviors, and Subsequent Inflammation in Patients With Coronary Heart Disease : Prospective Findings From the Heart and Soul Study

    NARCIS (Netherlands)

    Duivis, Hester E.; de Jonge, Peter; Penninx, Brenda W.; Na, Bee Ya; Cohen, Beth E.; Whooley, Mary A.

    2011-01-01

    Objective: Depression has been associated with inflammation in patients with coronary heart disease. However, it is uncertain whether depressive symptoms lead to inflammation or vice versa. Method: The authors evaluated 667 outpatients with established coronary heart disease from the Heart and Soul

  20. Diabetes, Glycemic Control, and New-Onset Heart Failure in Patients With Stable Coronary Artery Disease Data from the Heart and Soul Study

    NARCIS (Netherlands)

    van Melle, Joost P.; Bot, Marisica; De Jonge, Peter; De Boer, Rudolf A.; van Veldhuisen, Dirk J.; Whooley, Mary A.

    2010-01-01

    OBJECTIVE- Diabetes is a predictor of both coronary artery disease (CAD) and heart failure. It is unknown to what extent the association between diabetes and heart failure is influenced by other risk factors for heart failure. RESEARCH DESIGN AND METHODS- We evaluated the association of diabetes and

  1. Diabetes, glycemic control, and new-onset heart failure in patients with stable coronary artery disease : data from the heart and soul study

    NARCIS (Netherlands)

    van Melle, J.P.; Bot, M.; de Jonge, P.; de Boer, R.A.; van Veldhuisen, D.J.; Whooley, M.A.

    2010-01-01

    OBJECTIVE Diabetes is a predictor of both coronary artery disease (CAD) and heart failure. It is unknown to what extent the association between diabetes and heart failure is influenced by other risk factors for heart failure. RESEARCH DESIGN AND METHODS We evaluated the association of diabetes and A

  2. City 2020+

    Science.gov (United States)

    Schneider, C.; Buttstädt, M.; Merbitz, H.; Sachsen, T.; Ketzler, G.; Michael, S.; Klemme, M.; Dott, W.; Selle, K.; Hofmeister, H.

    2010-09-01

    This research initiative CITY 2020+ assesses the risks and opportunities for residents in urban built environments under projected demographic and climate change for the year 2020 and beyond, using the City of Aachen as a case study. CITY 2020+ develops scenarios, options and tools for planning and developing sustainable future city structures. We investigate how urban environment, political structure and residential behavior can best be adapted, with attention to the interactions among structural, political, and sociological configurations and with their consequences on human health. Demographers project that in the EU-25-States by 2050, approximately 30% of the population will be over age 65. Also by 2050, average tem¬peratures are projected to rise by 1 to 2 K. Combined, Europe can expect enhanced thermal stress and higher levels of particulate matter. CITY 2020+ amongst other sub-projects includes research project dealing with (1) a micro-scale assessment of blockages to low-level cold-air drainage flow into the city centre by vegetation and building structures, (2) a detailed analysis of the change of probability density functions related to the occurrence of heat waves during summer and the spatial and temporal structure of the urban heat island (UHI) (3) a meso-scale analysis of particulate matter (PM) concentrations depending on topography, local meteorological conditions and synoptic-scale weather patterns. First results will be presented specifically from sub-projects related to vegetation barriers within cold air drainage, the assessment of the UHI and the temporal and spatial pattern of PM loadings in the city centre. The analysis of the cold air drainage flow is investigated in two consecutive years with a clearing of vegetation stands in the beginning of the second year early in 2010. The spatial pattern of the UHI and its possible enhancement by climate change is addressed employing a unique setup using GPS devices and temperature probes fixed to

  3. From mobile phone data to the spatial structure of cities

    CERN Document Server

    Louail, Thomas; Cantú, Oliva García; Picornell, Miguel; Herranz, Ricardo; Frias-Martinez, Enrique; Ramasco, José J; Barthelemy, Marc

    2014-01-01

    Pervasive infrastructures, such as cell phone networks, enable to capture large amounts of human behavioral data but also provide information about the structure of cities and their dynamical properties. In this article, we focus on these last aspects by studying phone data recorded during 55 days in 31 Spanish metropolitan areas. We first define an urban dilatation index which measures how the average distance between individuals evolves during the day, allowing us to highlight different types of city structure. We then focus on hotspots, the most crowded places in the city. We propose a parameter free method to detect them and to test the robustness of our results. The number of these hotspots scales sublinearly with the population size, a result in agreement with previous theoretical arguments and measures on employment datasets. We study the lifetime of these hotspots and show in particular that the hierarchy of permanent ones, which constitute the "heart" of the city, is very stable whatever the size of ...

  4. Psychosocial work environment and risk of ischaemic heart disease in women: the Danish Nurse Cohort Study

    DEFF Research Database (Denmark)

    Allesøe, Karen; Hundrup, Yrsa Andersen; Thomsen, Jane Frølund

    2010-01-01

    OBJECTIVES: To investigate the effect of work pressure and job influence on the development of ischaemic heart disease (IHD) in women. METHODS: The effect of work pressure and job influence on the 15-year incidence of IHD in women participating in the Danish Nurse Cohort Study was prospectively...... studied. A total of 12 116 participants, aged 45-64 years, were examined in 1993 using a questionnaire and were followed by individual linkage in the National Register of Hospital Discharges to the beginning of 2008. Work pressure, job influence, occupational characteristics, demographic factors and known......: In this study we find that work pressure that is too high is a significant risk factor for IHD in younger female employees (results should be taken into account in the planning of primary prevention....

  5. A study of cholesterol/phospholipid ratio and triene/tetraene ratio in coronary heart disease

    Directory of Open Access Journals (Sweden)

    Tanksale K

    1978-01-01

    Full Text Available The biochemical assessment of coronary heart diseases (CHD is done by studying serum lipids. This is usually done to under-stand the pathogenesis o f atherosclerosis which is the cause o f CHD. Indoor patients suffering from CHD were studied for their serum cholesterol, phospholipids, total fatty acids and polyunsaturated fatty acids (PUFA. Cholesterol/phospholipid and triene/tetraene ratios were calculated. It was observed that there was no significant difference in any of the parameters studied on the basis of dietary habit or body size. It was further observed on the basis of triene/tetraene ratio that the patients were ingesting adequate amounts of linoleate, there were high levels of cholesterol, phospholipids and c/p ratio in all the groups. This paradox may be due to disturbed PUFA metabolism and particularly of linoleate so that there is no influence o f linoleate on cholesterol and phospholipid synthesis.

  6. Cardiac remodeling as a consequence of atrial fibrillation: An anatomical study of perfusion-fixed human heart specimens

    Institute of Scientific and Technical Information of China (English)

    Christopher D Rolfes; Stephen A Howard; Ryan P Goff; Paul A Iaizzo

    2011-01-01

    Background Atrial fibrillation(AF)causes a continuum of atrial anatomical remodeling.Methods Using a library of perfusion-fixed human hearts,specimens with AF were compared to controls.During this preliminary assessment study,direct measurements were taken of atrial volume,pulmonary vein(PV)circumference,and left atrial(LA)wall thicknesses.Results Hearts with AF typically had larger atrial volumes,as well as a much larger variation in volume compared to controls(range of 59.6-227.1 mL in AF hearts compared to 65.1-115.9 mL in controls).For all hearts,right PVs were larger than left PVs(mean: 171.4±84.6 mm' for right and 118.2±50.1 mm2 for left P<0.005).LA wall thicknesses ranged from 0.7 mm to 3.1 min for both AF and control hearts.Conclusions Hearts with AF had a large range of sizes which is consistent with the progression of atrial remodeling during AF.The large range of thicknesses will influence the amount of energy needed to create transmural lesions during ablation procedures.

  7. The Study of Environmental Crisis and Local Distribution of Green Space in Tehran City

    Directory of Open Access Journals (Sweden)

    K. zayyari

    2012-01-01

    green area per capita. As a result, population density and economic factors have tacked quality of life and mental and spiritual health of the citizens. This is to say that knowledge about quality and quantity of such spaces for each district is an important factor in urban planning. The main concern regarding living environment is lack of natural air ventilation, stability of contaminant elements, arid weather and dusts, noise pollution, lack of enough leisure facilities, ugly face of city, and damages to natural ecosystems. In this regard, development of green areas and planting trees are promising solutions.3-DiscussionTehran city managed 72433389m2 green areas in 2006 parks, artificial forests, squares and boulevards and sidewalks. Green area per capita in Tehran is 9.2m2. However, this figure varies between different areas (within the scope of this study, this figure is 12m2. In general, 50% of land area is dedicated to living spaces, 25% to roads and access passages, 15% to sport and green area facilities and 10% to other usages and services. Green area portion in Tehran urban planning is 10% and ratio of green area to neighborhoods is 12.2%. Therefore, there is a lack of green area to meet the standards. In general, factors under consideration regarding green areas are divided into negative factors (variety of pollutions, civil development operation, increase in population density and increase of demand for green area and positive factors (green belt of the city, development of parks, squares and sidewalks. As ascertained by the surveys, dist. 18 enjoys highest rate of green area per capita and dist. 7 and 10 are at the bottom of the list. Dist. 19 has the largest green area portion (37% and dist. 9 the smallest portion (4%. As statistics show, green area development is not consistent with population density. Between 1996-2006, the city developed for 1.4%. With this rate, Tehran will be home to a population of 8987124 in 2016. This population needs 10784548m2 of

  8. Source apportionment of particulate matter in a South Asian Mega City: A case study of Karachi

    Science.gov (United States)

    Shahid, imran

    2016-04-01

    Pakistan is facing unabated air pollution as a major issue and its cities are more vulnerable as compared to urban centers in the developed world. During the last few decades, there has been a rapid increase in population, urbanization, industrialization, transportation and other human activities. In year June 2015 heat wave in largest South Asian mega city Karachi more than 1500 people died in one week. Unfortunately no air quality monitoring system is operation in any city of Pakistan. There is a sharp increase in both the variety and quantity of air pollutants and their corresponding sources. In this study contributions of different sources to particulate matter concentration has estimated in urban area of Karachi. Carbonaceous species (elemental carbon, organic carbon, carbonate carbon), soluble ions (Ca++, Mg++, Na+, K+, NH4+, Cl-, NO3-, SO4--), saccharides (levoglucosan, galactosan, mannosan, sucrose, fructose, glucose, arabitol and mannitol) were measured in atmospheric fine (PM2.5) and coarse (PM10) particles collected under pre-monsoon conditions (March - April 2009) at an urban site in Karachi (Pakistan). Average concentrations of PM2.5 were 75μg/m3 and of PM10 437μg/m3. The large difference between PM10 and PM2.5 originated predominantly from mineral dust. "Calcareous dust" and „siliceous dust" were the overall dominating material in PM, with 46% contribution to PM2.5 and 78% to PM10-2.5. 20 Combustion particles and secondary organics (EC+OM) comprised 23% of PM2.5 and 6% of PM10-2.5. EC, as well as OC ambient levels were higher (59% and 56%) in PM10-2.5 than in 22 PM2.5. Biomass burning contributed about 3% to PM2.5, and had a share of about 13% of "EC+OM" in PM2.5. The impact of bioaerosol (fungal spores) was minor and had a share of 1 and 2% of the OC in the PM2.5 and PM10-2.5 size fractions. Of secondary inorganic constituents (NH4)2SO4 contributes 4.4% to PM2.5 and no detectable quantity to PM10-2.5. The sea salt contribution is about 2% both to

  9. Clinical evaluation of the centrifugal pump in open heart surgery: a comparative study of different pumps.

    Science.gov (United States)

    Takarabe, K; Yoshikai, M; Murayama, J; Hamada, M; Ito, T

    1997-07-01

    The centrifugal pump is now widely used in open heart surgery for its clinical benefits related to the blood elements and the coagulation system. The purpose of this study was to compare the clinical performances of and the outcomes offered by 4 types of centrifugal pumps. For each pump, we investigated the effects on the blood elements, coagulation system, complements, and immunoglobulins during open heart surgery. Four types of centrifugal pumps were used: the HPM-15 (Nikkiso Co.), the Capiox (Terumo Co.), the Lifestream (St. Jude Medical Co.), and the BP-80 (Medtronic, BioMedicus Co.). The platelet count, lactate dehydrogenase (LDH), antithrombin III (AT III), thrombin-antithrombin complex (TAT), complements (C3, C4, and CH50), and immunoglobulins (IgG, IgA, and IgM) were measured before and after cardiopulmonary bypass (CPB). The platelet count was decreased more significantly by the HPM-15 than by any of the other pumps. The other parameters showed no difference among the 4 pumps. In clinical use, each of the 4 types of centrifugal pumps was safe.

  10. Social network diversity and risks of ischemic heart disease and total mortality

    DEFF Research Database (Denmark)

    Barefoot, John C; Grønbaek, Morten; Jensen, Gorm

    2005-01-01

    Measures of various types of social contacts were used as predictors of ischemic heart disease events and total mortality in an age-stratified random sample of 9,573 adults enrolled in the Copenhagen City Heart Study (Copenhagen, Denmark). Baseline examinations were conducted in 1991-1994, and pa.......82 (95% CI: 0.67, 1.00). These data suggest that health benefits are derived from the diversity of social roles, especially those involving intimate relationships....

  11. AB TEMPORAL TRIP GENERATION MODELLING FOR PRIMARY ACTIVITIES: A CASE STUDY OF FAST GROWING METROPOLITAN CITY

    Directory of Open Access Journals (Sweden)

    Bhimaji K. Katti

    2015-06-01

    Full Text Available Transportation planning for any city evolves on the basis of complex interplay between urban activity, transport and land use system to result in varied travel patterns. Travel pattern can be defined at micro level to include individual journey departure and arrival time, journey duration and distances to make way for temporal trip generation and distribution from specific area. Trip generation is the first step of four stages of travel forecasting analysis mostly followed all over the world. Traditionally, it is focused on the prediction of aggregate trip generation by a household rather than the choice of individual activity participation. However, spatial and temporal activity domains are equally important in forecasting process and strategic urban transportation planning. The present paper attempts to develop Activity Based (AB Temporal Trip Generation Models (ABTGM for primary activities to cover work and educational trips considering fast growing Surat city of Gujarat, India as study area. Home interview surveys are carried to provide household and socioeconomic characteristics and the activity travel diary information to focus on the activity based tours rather the trips.

  12. Urban Growth Modelling with Artificial Neural Network and Logistic Regression. Case Study: Sanandaj City, Iran

    Directory of Open Access Journals (Sweden)

    SASSAN MOHAMMADY

    2013-01-01

    Full Text Available Cities have shown remarkable growth due to attraction, economic, social and facilities centralization in the past few decades. Population and urban expansion especially in developing countries, led to lack of resources, land use change from appropriate agricultural land to urban land use and marginalization. Under these circumstances, land use activity is a major issue and challenge for town and country planners. Different approaches have been attempted in urban expansion modelling. Artificial Neural network (ANN models are among knowledge-based models which have been used for urban growth modelling. ANNs are powerful tools that use a machine learning approach to quantify and model complex behaviour and patterns. In this research, ANN and logistic regression have been employed for interpreting urban growth modelling. Our case study is Sanandaj city and we used Landsat TM and ETM+ imageries acquired at 2000 and 2006. The dataset used includes distance to main roads, distance to the residence region, elevation, slope, and distance to green space. Percent Area Match (PAM obtained from modelling of these changes with ANN is equal to 90.47% and the accuracy achieved for urban growth modelling with Logistic Regression (LR is equal to 88.91%. Percent Correct Match (PCM and Figure of Merit for ANN method were 91.33% and 59.07% and then for LR were 90.84% and 57.07%, respectively.

  13. QUALITATIVE AND QUANTITATIVE STUDY OF MUNICIPAL SOLID WASTE IN AHWAZ CITY; WITH EMPHASIS ON HOSPITAL WASTES

    Directory of Open Access Journals (Sweden)

    Gh. Omrani

    1998-09-01

    Full Text Available Qualitative and quantitative analyses of hospital and municipal solid waste are necessary for selecting the best and most appropriate method of health care collection, storage, transportation and disposal of this kind of wastes. Quantitative and qualitative analyses of hospital and municipal wastes have been studied in Ahwaz city during spring 1996. The amount of solid wastes in five regions of the city was 560,000 Kg perday (0.648 Kg per capita. Also, the rate of waste production in 6 hospitals of Ahwaz was 2.54 Kg per bed. The average density of hospital and municipal solid wastes were 443 and 284.5 Kg/m3 respectively. Physical contents of municipal and hospital solid wastes were also investigated. The results were as follows Plastic & rubber (%7.7 , %16.57 ; wood and paper (%11.3, %14.35; textiles (%5.32, %13.76 ; metals (%4.7 , %9.48 ; glass (%4.26 , %4.12. Also degradable materials in hospital and municipal wastes were %29.38 and %64.24 of total sample waste, respectively.

  14. Status, Potentials and Constraints of Green Infrastructure of Malaysia: Case Study of Kuala Lumpur City

    Institute of Scientific and Technical Information of China (English)

    AMATRAMSAY; ADNANM

    2005-01-01

    Green infrastructure is classic public goods which can be utilized by everybody simultaneously at any time of the day. Green infrastructure which is the interconnected system of green spaces that conserves natural ecosystem values and functions, sustains clean air and water, not only provide a pleasant and natural environment but also contribute to improving quality of life in urban areas. In other words green infrastructure is the community's natural life support system and the ecological framework needed for environmental and economic sustainability in urban areas. Within this context, this paper offers an overview of green infrastructure development in Malaysia, its status, constraint, potential and future directions. The case study of Kuala Lumpur city, which is one of the fastest growing cities in the country, highlights the scenario of urban areas development in Malaysia. This includes the role played by the government agencies and non-government organizations in developing and promoting forest areas as public parks. The provisions of recreational and educational facilities in the parks as well as the protection measures of the resources undertaken by relevant authorities are also discussed. This paper also highlights the response of the public to the opportunities being provided in these areas for recreation and education purposes.

  15. Context-dependent associations between variation in risk of ischemic heart disease and variation in the 5' promoter region of the apolipoprotein E gene in Danish women

    DEFF Research Database (Denmark)

    Stengård, Jari H; Dyson, Greg; Frikke-Schmidt, Ruth;

    2010-01-01

    and triglycerides. We addressed whether these genotypes improve the prediction of ischemic heart disease (IHD) in subsamples of individuals defined by traditional risk factors and the genotypes defined by the epsilon(2), epsilon(3), and epsilon(4) alleles in exon 4 of the apolipoprotein E gene. METHODS AND RESULTS......: In a sample of 3686 female and 2772 male participants of the Copenhagen City Heart Study who were free of IHD events, 576 individuals (257 women, 7.0% and 319 men, 11.5%) were diagnosed as having developed IHD in 6.5 years of follow-up. Using a stepwise Patient Rule-Induction Method modeling strategy...... of traditional risk factors in Copenhagen City Heart Study female participants. We discuss the use of these genotypes in medical risk assessment of IHD in the population represented by the Copenhagen City Heart Study....

  16. Impact of urbanization on hydrological responses: a case study in Dongguan City in the Pearl River Delta Area

    Science.gov (United States)

    Zhang, H.; Chen, Y.

    2015-12-01

    China has observed rapid urbanization in the past decades, and the cities in the Pearl River Delta Area have experienced the rapidest urbanization, which caused fundamental impact on the hydrological responses. This paper studies this impact of Dongguan City, a typical city in the Pearl River Delta Area. Historic remote sensing imagery (acquired in 1979, 1989, 2000, 2006 and 2013) were first processed by using the support vector machines (SVM) method to extract the LULC data and impervious surface fraction data, and the urbanization pattern of Dongguan City is analysis. Then, a distributed hydrological model, the Liuxihe model is employed to simulated the hydrological processes of Hanxihe catchment in Dongguan City in 1979, 1989, 2000, 2006 and 2013 respectively, and the impact of change in impervious surface cover on the flood was assessed. The results show that the urbanized area in Dongguan City has increased more than 52% from 1979 to 2013 and the peak flow has increased more than two times from 1979 to 2013.

  17. Multi-wave cohort study of sedentary work and risk of ischemic heart disease

    DEFF Research Database (Denmark)

    Møller, Simone Visbjerg; Hannerz, Harald; Hansen, Aase Marie

    2016-01-01

    OBJECTIVES: This study aimed to investigate whether sedentary work is a distinct risk factor for ischemic heart disease (IHD) when the effect of occupational sitting is disentangled from that of occupational physical activity. METHODS: Data on occupational sitting time and several covariates were...... status, no difference in risk of IHD was observed between sedentary and non-sedentary employees [hazard ratio (HR) 0.95, 95% confidence interval (95% CI) 0.78-1.16]. During 44 949 and 42 456 person-years of follow-up among men and and women, respectively, 1263 men and 1364 women purchased IHD......-related medication. No differences in risk were observed between sedentary and non-sedentary participants, either for men or women. A dose-response relationship between occupational sitting time and the risk of IHD was also not detected. CONCLUSIONS: This study could not confirm the hypothesis that sedentary work...

  18. Ventricular function during the acute rejection of heterotopic transplanted heart: Gated blood pool studies

    Energy Technology Data Exchange (ETDEWEB)

    Valette, H.; Bourguignon, M.H.; Desruennes, M.; Merlet, P.; Le Guludec, D. (Hopital de Bicetre, 94 - Le Kremlin-Bicetre (France). Lab. d' Explorations Cardiovasculaires CEA, 91 - Orsay (France). Service Hospitalier Frederic Joliot); Gregoire, M.C.; Agostini, D.; Rigaud, M.; Gandjbakhch, I.; Cabrol, A.; Cabrol, C. (Hopital La Pitie, 75 - Paris (France)); Syrota, A. (Hopital A. Pare, 92 - Boulogne (France))

    1991-11-01

    Twenty patients who had undergone a heterotopic heart transplant were studied prospectively to determine the relationship between rejection and ventricular dysfunction assessed from gated blood pool studies. A fully automated method for detecting ventricular edges was implemented; its success rate for the grafted left and right ventricles was 94% and 77%, respectively. The parameters, peak ejection and filling rates, were calculated pixel per pixel using a two-harmonic Fourier algorithm and then averaged over the ventricular region of interest. Peak filling and ejection rates were closely related with the severity of the rejection, while the left ventricular ejection fraction was not. Peak filling rates of both ventricles were the indices closely related to the presence of moderate rejection. Despite the low number of patients, these data suggested that gated blood pool derived indices of ventricular function are associated with ventricular dysfunction resulting from myocarditis rejection. Radionuclide ventriculography provides parametric data which are accurate and reliable for the diagnosis of rejection. (orig.).

  19. Self-reported prevalence of childhood allergic diseases in three cities of China: a multicenter study

    Directory of Open Access Journals (Sweden)

    Zhao Jing

    2010-09-01

    Full Text Available Abstract Background Several studies conducted during the 1990s indicated that childhood allergic diseases were increasing worldwide, but more recent investigations in some Western countries have suggested that the trend is stabilizing or may even be reversing. However, few data are available on the current status of allergic disease prevalence in Chinese children. The aim of the present study was to investigate the prevalence rates of asthma, allergic rhinitis, and eczema in children of three major cities of China, to determine the status of allergic diseases among Chinese children generally, and to evaluate the prevalence of allergic diseases in children of different ages. Methods We conducted a cross-sectional survey between October 2008 and May 2009 in three major cities of China (Beijing, Chongqing, and Guangzhou to evaluate the prevalence rates of childhood allergic diseases including asthma, allergic rhinitis, and eczema, using a questionnaire of the International Study of Asthma and Allergies in Childhood (ISAAC group. A total of 24,290 children aged 0-14 years were interviewed, using a multi-stage sampling method. To acquire data on children aged 3-14 years, we visited schools and kindergartens. To access children too young to attend school or kindergarten, we extended our survey to community health service centers. Each questionnaire was completed by a parent or guardian of a child after an informed consent form was signed. Results Of the 24,290 children in our study, 12,908 (53.14% were males and 11,382 (46.86% females; 10,372 (42.70% were from Beijing, 9,846 (40.53% from Chongqing, and 4,072 (16.77% from Guangzhou. Our survey indicated that in Beijing, Chongqing, and Guangzhou, the prevalence rates of asthma were 3.15%, 7.45%, and 2.09%, respectively; the rates of allergic rhinitis were 14.46%, 20.42%, and 7.83%; and the rates of eczema were 20.64%, 10.02%, and 7.22%. The prevalence of allergic diseases varied with age. Asthma was

  20. The Danish Heart Registry

    DEFF Research Database (Denmark)

    Özcan, Cengiz; Juel, Knud; Flensted Lassen, Jens;

    2016-01-01

    AIM: The Danish Heart Registry (DHR) seeks to monitor nationwide activity and quality of invasive diagnostic and treatment strategies in patients with ischemic heart disease as well as valvular heart disease and to provide data for research. STUDY POPULATION: All adult (≥15 years) patients...... undergoing coronary angiography (CAG), percutaneous coronary intervention (PCI), coronary artery bypass grafting, and heart valve surgery performed across all Danish hospitals were included. MAIN VARIABLES: The DHR contains a subset of the data stored in the Eastern and Western Denmark Heart Registries (EDHR...

  1. Influence of the heart rate on mean circumferential shortening velocity: echocardiographic study of 183 normal subjects.

    Science.gov (United States)

    Mangiarotti, R; Martinotti, R; Monzani, V; Sardella, F; Pierini, A; Pastori, M; Randazzo, A

    1986-01-01

    Echocardiography was used to explore the influence of independent variables (age, body surface area and heart rate) on the mean circumferential shortening velocity (MVCF) in 183 healthy subjects. Multiple stepwise regression analysis shows that heart rate is the only variable of the three just mentioned that influences MVCF. A regression equation is evolved and proposed as an index of MVCF correction for varying heart rates.

  2. Early pregnancy exposure to antihistamines and risk of congenital heart defects : results of two case-control studies

    NARCIS (Netherlands)

    Smedts, Huberdina P. M.; de Jonge, Linda; Bandola, Sarah J. G.; Baardman, Marlies E.; Bakker, Marian K.; Stricker, Bruno H. C.; Steegers-Theunissen, Regine P. M.

    2014-01-01

    UNLABELLED: We aimed to study the association between use of antihistamines in early pregnancy and congenital heart defects (CHD) in the offspring. DESIGN: Two case-control studies. SETTING: HAVEN study, Erasmus MC, University Medical Centre, Rotterdam, and Eurocat Northern Netherlands (NNL), Univer

  3. Anaemia and long term mortality in heart failure patients: a retrospective study

    DEFF Research Database (Denmark)

    Charlot, Mette; Torp-Pedersen, Christian; Valeur, Nana;

    2010-01-01

    Anaemia has been demonstrated as a risk factor in patients with heart failure over periods of a few years, but long term data are not available. We examined the long-term risk of anaemia in heart failure patients during 15 years of follow-up.......Anaemia has been demonstrated as a risk factor in patients with heart failure over periods of a few years, but long term data are not available. We examined the long-term risk of anaemia in heart failure patients during 15 years of follow-up....

  4. [Study on treatment of irritable bowel syndrome: based on relationship between heart and intestines].

    Science.gov (United States)

    Wang, Su-Na; Wang, Zu-Hong; Xie, Su-Juan; Han, Li-Bing; Yi, Rong

    2010-11-01

    The article puts forward the treatment of irritable bowel syndrome through regulating heart vitality since it is held that the pathological factors of the disease lay in dysfunction of heart and intestines as well as disorder of qi circulation. At the same time, the internal-external relationship between the heart the small intestine is discussed from the theory of Brain-gut Axis in modern medicine, which provides theoretical base of modern medicine for the treatment of irritable bowel syndrome through regulation of the heart functions.

  5. Prevalence and correlates of coronary heart disease: first population-based study in Lebanon

    Directory of Open Access Journals (Sweden)

    Zeidan RK

    2016-03-01

    Full Text Available Rouba Karen Zeidan,1 Rita Farah,2 Mirna N Chahine,3 Roland Asmar,3 Hassan Hosseini,4,5 Pascale Salameh,6,7 Atul Pathak8 1Doctoral School of Biology Health and Biotechnologies, Toulouse III University, Toulouse, 2Doctoral School of Life and Health Sciences, Paris-Est University, Creteil, France; 3Foundation-Medical Research Institutes, F-MRI®, Beirut, Lebanon; 4Department of Neurology, Henri Mondor Hospital AP-HP, 5EA 4391, Nerve Excitability and Therapeutics, Université Paris-Est, Creteil, France; 6School of Pharmacy, Lebanese American University, Byblos, 7Laboratory of Clinical and Epidemiology Research, Faculty of Pharmacy, Lebanese University, Hadath, Lebanon; 8Department of Cardiovascular Medicine, Hypertension, Risk Factors and Heart Failure Unit, Clinique Pasteur, Toulouse, France Background: Lebanon is experiencing a growing epidemic of coronary heart diseases (CHDs, as most low- and middle-income countries currently are. However, this growth can be attenuated if effective preventive strategies are adopted. Purpose: To provide the first national population-based prevalence of CHD and to describe the profile of Lebanese adults with prevalent CHD. Methods: We carried out a cross-sectional study using a multistage cluster sample across Lebanon. We interviewed residents aged 40 years and older using a questionnaire that captured the presence of CHDs and their risk factors (RFs. Results: Our study showed that 13.4% of the Lebanese population aged ≥40 years suffer from a prevalent CHD. CHD seemed to appear more prematurely than in developed countries, and males seemed to be more subject to CHD than females until a certain age. CHD was associated with older age, male sex, a lower economic situation, hypercholesterolemia, hypertension, having a family history of premature cardiovascular diseases, and suffering from diabetes. However, smoking and waist circumference did not seem to have an independent effect on CHD, but rather an effect

  6. Water reclamation and intersectoral water transfer between agriculture and cities--a FAO economic wastewater study.

    Science.gov (United States)

    Heinz, Ingo; Salgot, Miquel; Koo-Oshima, Sasha

    2011-01-01

    Cost-benefit studies on replacing conventional agricultural water resources with reclaimed water in favour of cities are still rare. Some results of a study under auspices of the Food and Agriculture Organisation (FAO) are presented. By means of an illustrative example at Lobregat River basin in Spain, it could be proved that reclaimed water reuse and intersectoral water transfer can result in economic and environmental benefits at the watershed level. The agricultural community faces cost savings in water pumping and fertilising, increases in yields and incomes; the municipality benefits from additional water resources released by farmers. Farmers should be encouraged to participate by implementing adequate economic incentives. Charging farmers with the full cost of water reclamation may discourage farmers from joining water exchange projects. Particularly in regions with water scarcity, investments in reclaimed water reuse and water exchange arrangements usually pay back and are profitable in the long term.

  7. A CORRELATION AND REGRESSION STUDY ON THE GROUNDWATER QUALITY IN ALIGARH CITY, UTTAR PRADESH

    Directory of Open Access Journals (Sweden)

    Ummatul Fatima

    2015-07-01

    Full Text Available Ground water is the vital source of sustenance and survival of every living organism. The present study aimed at a statistical regression analysis of Groundwater at 16 locations of Aligarh city, Uttar Pradesh. A correlation study has been carried out amongst all possible pairs of 15 physico-chemical parameters viz., pH, total acidity, phenolphthalein alkalinity, total alkalinity, total hardness, calcium, magnesium, dissolved oxygen, chemical oxygen demand, turbidity, electrical conductivity, total solid, total dissolved solid, total suspended solid and chloride to assess groundwater quality. The correlation analysis provides an excellent tool for the prediction of parameter values within reasonable degree of accuracy. The existence of strong correlation between Total Hardness & Magnesium and Total Dissolved Solid & Total Solid are ascertained. The analysis reveals that the groundwater of the area needs some treatment before consumption and it also needs to be protected from the perils of contamination.

  8. Perceptions of mental illness in Mexico: a descriptive study in the city of Chihuahua.

    Science.gov (United States)

    Parra, F

    1987-01-01

    This work is a study of perceptions toward mental illness among respondents from the city of Chihuahua in Mexico. A non-probability sample of forty-seven respondents was taken during a two-week stay in the summer of 1985. To tap respondents' perceptions of mental illness, vignettes characterizing people normally thought to have symptoms of mental illness were employed. The study reveals that men and women perceive mental illness differently. In three out of four vignettes, women perceive mental disorder than men. It is argued that the reason for the disparity in perceptions between the sexes is the result of the sexual differentiation that exists in Mexico. With regard to whom the respondents would refer the person for help, the majority of the respondents recommended that, whether or not the person in the vignette is characterized as mentally ill or simply "sick", the person should seek professional help.

  9. ~(15)N Isotope Used for Study of Groundwater Nitrogen Pollution in Shijiazhuang City, China

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    Shijiazhuang City is the capital of Hebei province, China. Groundwater is the major water supply source for living and industry need of the city. Due to a rapid increase of population and development of industry and agriculture, a series of groundwater environmental problems are created. In the paper, the situation of groundwater pollution in Shijiazhuang city is reported. Based on the groundwater chemical data and ~(15)N measurement results both on groundwater and soils, the reason of groundwater nitra...

  10. Government and Social Media: A Case Study of 31 Informational World Cities

    CERN Document Server

    Mainka, Agnes; Stock, Wolfgang G; Peters, Isabella

    2014-01-01

    Social media platforms are increasingly being used by governments to foster user interaction. Particularly in cities with enhanced ICT infrastructures (i.e., Informational World Cities) and high internet penetration rates, social media platforms are valuable tools for reaching high numbers of citizens. This empirical investigation of 31 Informational World Cities will provide an overview of social media services used for governmental purposes, of their popularity among governments, and of their usage intensity in broadcasting information online.

  11. The stem-cell application in ischemic heart disease: Basic principles, specifics and practical experience from clinical studies

    Directory of Open Access Journals (Sweden)

    Banović Marko

    2015-01-01

    Full Text Available Longer life duration, different clinical presentations of coronary disease, as well as high incidence of comorbidity in patients with ischemic heart disease have led to an increase in the incidence of ischemic heart failure. Despite numerous and new treatment methods that act on different pathophysiological mechanisms that cause heart failure, and whose aim is to slowdown or stop the progression of this devastating disease, morbidity and mortality in these patients remain high. These facts have firstly led to the introduction of the experimental, and then clinical studies with the application of stem cells in patients with ischemic heart disease. Previous studies have shown that the application of stem cells is a feasible and safe method in patients with acute coronary syndrome, as well as in patients with chronic ischemic cardiomyopathy, but the efficacy of these methods in both of the abovementioned clinical syndromes has yet to be established. This review paper outlines the basic principles of treatment of ischemic heart disease with stem cells, as well as the experience and knowledge gained in previous clinical studies.

  12. Heart rate response to breathing

    DEFF Research Database (Denmark)

    Mehlsen, J; Pagh, K; Nielsen, J S

    1987-01-01

    Heart rate responses to stepwise and periodic changes in lung volume were studied in seven young healthy males. Stepwise inspiration and expiration both resulted in an increase in heart rate followed by a rapid decrease in heart rate. The fastest heart rate was reached in 1.6 +/- 0.5 s and in 3.6...

  13. Heart Diseases

    Science.gov (United States)

    ... you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the U.S. ... of disability. There are many different forms of heart disease. The most common cause of heart disease is ...

  14. Heart Transplantation

    Science.gov (United States)

    A heart transplant removes a damaged or diseased heart and replaces it with a healthy one. The healthy heart comes from a donor who has died. It is the last resort for people with heart failure when all other treatments have failed. The ...

  15. A New Model to Perform Electrophysiological Studies in the Early Embryonic Mouse Heart

    Directory of Open Access Journals (Sweden)

    Anna Kornblum

    2013-07-01

    Full Text Available Background: The first electrocardiograms (ECGs have been recorded with a capillary electrometer in the late 19th century by John Burdon Sanderson and Augustus Waller. In 1903 Willem Einthoven used the much more sensitive string galvanometer and was awarded Nobel Price in Medicine for this discovery. Though the physical principles of that era are still in use, there have been many advances but also challenges in cardiac electrophysiology over the last decades. One challenge is to record electrocardiograms of rather small animals such as mice and even smaller organisms such as their embryos. As mice belong to the most routinely used laboratory animals it is important to better understand their physiology and specific diseases. We therefore aimed to study whether it is feasible to measure electrical activities of embryonic mouse hearts. Methods and Results: For our studies we used substrate-integrated Microelectrode Arrays combined with newly developed stimulation electrodes to perform electrophysiological studies in these hearts. The system enabled us to perform ECG-like recordings with atrio-ventricular (anterograde and ventriculo-atrial (retrograde stimulation. The functional separation of atria and ventricles, indicated by a stable atrio-ventricular conduction time, occurred clearly earlier than the morphological separation. Electrical stimulation induced a reversible prolongation of the anterograde and retrograde conduction up to atrio-ventricular conduction blocks at higher frequencies. Conclusion: These results yield new insight into functional aspects of murine cardiac development, and may help as a new diagnostic tool to uncover the functional and electrophysiological background of embryonic cardiac phenotypes of genetically altered mice.

  16. Chocolate consumption and prevalence of metabolic syndrome in the NHLBI Family Heart Study

    Science.gov (United States)

    Tokede, Oluwabunmi A.; Ellison, Curtis R.; Pankow, James S.; North, Kari E.; Hunt, Steven C.; Kraja, Aldi T.; Arnett, Donna K.; Djoussé, Luc

    2014-01-01

    SUMMARY Background & aims Previous studies have suggested that cocoa products, which are rich sources of flavonoids, may lower blood pressure, serum cholesterol, fasting blood glucose and improve endothelial function. However, it is unclear whether consumption of cocoa products including chocolate influences the risk of metabolic syndrome (MetS). In a cross-sectional design, we sought to examine the association between chocolate consumption and the prevalence of MetS. Methods We studied 4098 participants from the National Heart, Lung, and Blood Institute (NHLBI) Family Heart Study aged 25–93 years. Chocolate consumption was assessed using a semi-quantitative food-frequency questionnaire. MetS was defined using the NCEP III criteria. Generalized estimating equations were used to estimate prevalence odds ratios of MetS according to frequency of chocolate intake. Results Of the 4098 participants (mean age 51.7 y) included in the analyses, 2206 (53.8%) were female. The prevalence of metabolic syndrome in our population was 30.2%. Compared with those who did not consume any chocolate, multivariate adjusted odds ratios (95% CI) for MetS were 1.26 (0.94, 1.69), 1.15 (0.85, 1.55), and 0.99 (0.66, 1.51) among women who reported chocolate consumption of 1–3 times/ month, 1–4 times/week, and 5+ times/week, respectively. Corresponding values for men were: 1.13 (0.82, 1.57), 1.02 (0.74, 1.39), and 1.21 (0.79, 1.85). Conclusion These data do not support an association between chocolate intake and the prevalence of MetS in US adult men and women. PMID:25126517

  17. Heart failure in a cohort of patients with chronic kidney disease: the GCKD study.

    Directory of Open Access Journals (Sweden)

    Hanna Beck

    Full Text Available Chronic kidney disease (CKD is a risk factor for development and progression of heart failure (HF. CKD and HF share common risk factors, but few data exist on the prevalence, signs and symptoms as well as correlates of HF in populations with CKD of moderate severity. We therefore aimed to examine the prevalence and correlates of HF in the German Chronic Kidney Disease (GCKD study, a large observational prospective study.We analyzed data from 5,015 GCKD patients aged 18-74 years with an estimated glomerular filtration rate (eGFR of 500 mg/d. We evaluated a definition of HF based on the Gothenburg score, a clinical HF score used in epidemiological studies (Gothenburg HF, and self-reported HF. Factors associated with HF were identified using multivariable adjusted logistic regression. The prevalence of Gothenburg HF was 43% (ranging from 24% in those with eGFR >90 to 59% in those with eGFR<30 ml/min/1.73m2. The corresponding estimate for self-reported HF was 18% (range 5%-24%. Lower eGFR was significantly and independently associated with the Gothenburg definition of HF (p-trend <0.001. Additional significantly associated correlates included older age, female gender, higher BMI, hypertension, diabetes mellitus, valvular heart disease, anemia, sleep apnea, and lower educational status.The burden of self-reported and Gothenburg HF among patients with CKD is high. The proportion of patients who meet the criteria for Gothenburg HF in a European cohort of patients with moderate CKD is more than twice as high as the prevalence of self-reported HF. However, because of the shared signs, symptoms and medications of HF and CKD, the Gothenburg score cannot be used to reliably define HF in CKD patients. Our results emphasize the need for early screening for HF in patients with CKD.

  18. THE ROLE OF PHYSICAL THERAPY IN DIMINISHING THE EFFECTS OF THE CONGENITAL HEART DEFECT - CASE STUDY

    Directory of Open Access Journals (Sweden)

    Croitoru Ramona

    2014-03-01

    Full Text Available In ROMANIA, fetal abnormalities are the cause of 20-30% of infant mortality, being second only to prematurity - 53% in 2005. The restriction of the fetal growth represents the main cause for intrauterine fetal death (60-70%, and the second cause of neonatal deaths - 41%. Perinatal mortality is caused by 6 obstetrical complications: prematurity, multiple pregnancy, pregnancy-induced hypertension, uteroplacental apoplexy, placenta praevia, pelvic presentation. The termination of pregnancy for prenatally diagnosed fetal abnormalities is excluded from the perinatal mortality statistics, according to the epidemiological information. The motivation for choosing a physical therapy intervention in the case of the pediatric congenital heart defect is represented by its number of pediatric cases, and by the problems confronted by the medical teams, the professional literature not being always very clear about the situations encountered in the everyday practice. As the number of congenital heart and blood vessels defects is the highest among pediatric cardiovascular pathologies, they represent a field of maximum interest for rehabilitation in pediatric cardiology.Several modern medicine studies show that physical therapy plays an important role in the rehabilitation of cardiovascular patients.Starting from several cases we researched in relation to our theme, but also from the consulted professional literature, we chose this theme to highlight the importance of this malformative syndrome, and the difficulties that can appear during functional rehabilitation.In conclusion, the results obtained after conducting this study allow us to say that our hypotheses, stating that through a correct and complete assessment of the motor potential one can intervene, using physical therapy means, to reestablish a lost function, and by selecting correctly the means and methods based on the extremely complex diagnosis of the case study, one can contribute to the improvement

  19. Study on the Construction and Application of 3D Geographic Information Services for the Smart City

    Science.gov (United States)

    Mao, W.-Q.

    2014-04-01

    Smart City, whose main characteristics are intelligence and interconnection capability, has become an important goal of some cities' development. This paper, based on urban three-dimensional geographic information characteristics, analyses 3D geographic information requirements in the Smart City construction and development process, proposes construction and management methods for 3D geographic information. Furthermore, this paper takes Shanghai Geographic Information Public Service Platform as an example, discusses 3D geographic information application in multiple fields, and proves that it is an effective ways to promote Intelligent City construction.

  20. Effects of Urbanization Expansion on Landscape Pattern and Region Ecological Risk in Chinese Coastal City: A Case Study of Yantai City

    Directory of Open Access Journals (Sweden)

    Di Zhou

    2014-01-01

    Full Text Available Applied with remote sensing, GIS, and mathematical statistics, the spatial-temporal evolution characteristics of urbanization expansion of Yantai city from 1974 to 2009 was studied. Based on landscape pattern metrics and ecological risk index, the landscape ecological risk from the landscape pattern dynamics was evaluated. The results showed that the area of urban land increased by 189.77 km2 with average expansion area of 5.42 km2 y−1 from 1974 to 2009. The urbanization intensity index during 2004–2009 was 3.92 times of that during 1974–1990. The land use types of urban land and farmland changed greatly. The changes of landscape pattern metrics for land use patterns indicated that the intensity of human activities had strengthened gradually in study period. The landscape ecological risk pattern of Yantai city shaped half-round rings along the coastline. The ecological risk index decreased with increase of the distance to the coastline. The ratio of high ecological risk to subhigh ecological risk zones in 2009 was 2.23 times of that in 1990. The significant linear relationship of urbanization intensity index and regional ecological risk indicated that the anthropological economic activities were decisive factors for sustainable development of costal ecological environment.

  1. Mobile biofeedback of heart rate variability in patients with diabetic polyneuropathy: a preliminary study.

    Science.gov (United States)

    Druschky, Katrin; Druschky, Achim

    2015-09-01

    Biofeedback of heart rate variability (HRV) was applied to patients with diabetic polyneuropathy using a new mobile device allowing regularly scheduled self-measurements without the need of visits to a special autonomic laboratory. Prolonged generation of data over an eight-week period facilitated more precise investigation of cardiac autonomic function and assessment of positive and negative trends of HRV parameters over time. Statistical regression analyses revealed significant trends in 11 of 17 patients, while no significant differences were observed when comparing autonomic screening by short-term HRV and respiratory sinus arrhythmia at baseline and after the 8 weeks training period. Four patients showed positive trends of HRV parameters despite the expected progression of cardiac autonomic dysfunction over time. Patient compliance was above 50% in all but two patients. The results of this preliminary study indicate a good practicality of the handheld device and suggest a potential positive effect on cardiac autonomic neuropathy in patients with type 2 diabetes.

  2. Coronary heart disease and associated risk factors in Qazvin: a population-based study.

    Science.gov (United States)

    Fakhrzadeh, H; Bandarian, F; Adibi, H; Samavat, T; Malekafzali, H; Hodjatzadeh, E; Larijani, B

    2008-01-01

    In a cross-sectional study in Qazvin, Islamic Republic of Iran, 846 residents (425 men and 421 women) aged > or = 25 years were assessed for coronary heart disease and its associated risk factors comparing ischaemic and non-ischaemic groups. The age-adjusted prevalence of possible myocardial infarction, ischaemic ECG changes and angina pectoris were 4.2%, 36.8% and 2.2% respectively. There was no difference in the mean systolic and diastolic blood pressure and body mass index between ischaemic and non-ischaemic groups. There was a significant association between possible myocardial infarction and hypertension, type 2 diabetes, and smoking in women. There was also a significant association between ischaemic ECG changes and waist-hip ratio in women and between ischaemic ECG changes and hypertension in men.

  3. Dietary intakes of macronutrients among Mexican Americans and Anglo Americans: the San Antonio heart study.

    Science.gov (United States)

    Haffner, S M; Knapp, J A; Hazuda, H P; Stern, M P; Young, E A

    1985-12-01

    Twenty-four-hour dietary recalls were obtained on 1254 Mexican Americans (MA) and 916 Anglo Americans (AA), aged 25 to 64, as part of the San Antonio heart study, a population-based survey of cardiovascular risk factors from 1979 to 1982. In order to separate the effects of ethnicity from those of socioeconomic status (SES), we sampled subjects in three distinct neighborhoods: a low income MA neighborhood (barrio), a middle income neighborhood, and an upper income, predominantly Anglo, neighborhood. Intakes of protein, fat, and carbohydrate were similar to those found in other dietary surveys (NHANES, LRC). MA females living in the barrio consumed more cholesterol than either Anglos or MAs living in the other two neighborhoods. In MA males, the rise in the Hegsted Score with increasing SES paralleled the rise in LDL cholesterol with rising SES reported previously by our group. Females consumed a less atherogenic diet than males.

  4. Autonomic dysfunction in HIV patients on antiretroviral therapy: studies of heart rate variability

    DEFF Research Database (Denmark)

    Lebech, Anne-Mette; Kristoffersen, Ulrik Sloth; Mehlsen, Jesper;

    2007-01-01

    BACKGROUND: The presence of autonomic dysfunction in HIV patients is largely unknown. Early studies found autonomic dysfunction in patients with AIDS. Introduction of highly active antiretroviral combination therapy (ART) has dramatically changed the course of the disease and improved prognosis...... and decreased morbidity. At present it is not known whether introduction of ART also has decreased autonomic dysfunction. AIM: To evaluate whether autonomic dysfunction is present in an ART-treated HIV population. METHODS: HIV patients receiving ART for at least 3 years (n = 16) and an age-matched control group...... guidelines and data reported as median (interquartile range). RESULTS: The resting heart rate was higher in HIV patients compared with controls [69 (62-74) versus 57 (52-60); PHIV group compared with the controls...

  5. Epidemiologic behavior of obesity in the Maracaibo City metabolic syndrome prevalence study.

    Directory of Open Access Journals (Sweden)

    Valmore Bermúdez

    Full Text Available INTRODUCTION: Obesity is a worldwide public health issue. Since the epidemiological behaviour of this disease is not well established in our country, the purpose of this study was to determinate its prevalence in the Maracaibo City, Zulia State- Venezuela. MATERIALS AND METHODS: A cross-sectional study was undertaken using the data set from the Maracaibo City Metabolic Syndrome Prevalence Study. The sample consists of 2108 individuals from both genders and randomly selected: 1119 (53.09% women and 989 (46.91% men. The participants were interrogated for a complete clinical history and anthropometric measurements. To classify obesity, the WHO criteria for Body Mass Index (BMI, and Waist Circumference (WC from the IDF/NHLBI/AHA/WHF/IAS/IASO-2009 (IDF-2009 and ATPIII statements were applied. RESULTS: For BMI, obesity had an overall prevalence of 33.3% (n = 701, and according to gender women had 32.4% (n = 363 and men had 34.2% (n = 338. Overweight had a prevalence of 34.8% (n = 733, Normal weight had 29.8% (n = 629, and Underweight had 2.1% (n = 45. Adding Obesity and Overweight results, the prevalence of elevated BMI (>25 Kg/m(2 was 68.1%. Using the IDF-2009 WC's cut-off, Obesity had 74.2% prevalence, compared to 51.7% using the ATPIII parameters. CONCLUSIONS: These results show a high prevalence of abdominal obesity in our locality defined by the WHO, IDF-2009 and ATPIII criteria, which were not designed for Latin-American populations. We suggest further investigation to estimate the proper values according to ethnicity, genetic background and sociocultural aspects.

  6. Aerobiological and phenological study of Pistacia in Córdoba city (Spain).

    Science.gov (United States)

    Velasco-Jiménez, María José; Arenas, Manuel; Alcázar, Purificación; Galán, Carmen; Domínguez-Vilches, Eugenio

    2015-02-01

    Pistacia species grow in temperate regions, and are widespread in the Mediterranean area. Two species can be found in the Iberian Peninsula: Pistacia lentiscus L. and Pistacia terebinthus L. Airborne pollen from these species, recorded in some Spanish provinces, is regarded by some authors as potentially allergenic, and therefore should be of particular interest, given that these species are actually being introduced as ornamentals in parks and gardens. This paper deals with a study of daily and seasonal Pistacia airborne pollen counts in Córdoba city, analysed in parallel with field flowering phenology data. The study was carried out in Córdoba, using a volumetric Hirst-type sampler in accordance with Spanish Aerobiology Network guidelines. Phenological monitoring was performed weekly from January to May at 7 sites in the mountain areas north of Córdoba city. The Pistacia pollen season lasted an average of 41 days, from mid-March to end of April. Higher pollen counts were recorded in evening hours. The pollen index increased over the study period, and the pollen season coincided with phenological observations. Some airborne pollen grains were recorded once flowering had finished, due to re-suspension or transport from other locations. Pistacia pollen counts in Córdoba were low, but sufficient to identify seasonal and daily patterns. This pollen type should be taken into account in pollen calendars, in order to fully inform potential allergy-sufferers. The number of trees introduced as ornamentals should be carefully controlled, since widespread planting could increase airborne pollen levels.

  7. Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study

    Directory of Open Access Journals (Sweden)

    Mauro Felippe Felix Mediano

    2016-06-01

    Full Text Available Abstract: INTRODUCTION: The benefit of a cardiac rehabilitation (CR program for patients with Chagas heart failure (CHF remains unclear. Therefore, we aimed to investigate the effects of CR for CHF patients. METHODS: A single-arm pilot study, including 12 patients with CHF, was performed. Patients participated in an 8-month physical exercise intervention, comprising aerobic, strength, and stretching exercises (3 times per week, 60 minutes per session. Nutritional and pharmaceutical counseling were also performed. Functional capacity (cardiopulmonary exercise test, muscle respiratory strength (manovacuometry, and body composition (anthropometry and skinfolds were evaluated at baseline, and after 4 and 8 months of intervention. Cardiac function (echocardiography, biomarkers (lipid profile, glucose, and glycated hemoglobin and quality of life (Minnesota Living with Heart Failure Questionnaire were assessed at baseline and at the end of the intervention. RESULTS: Seven of 12 patients included in the study completed the 8-month follow-up period. Only 2 moderate adverse events occurred during the exercise training. Functional capacity improved after 4 months of CR, while left ventricular ejection fraction (LVEF and respiratory strength improved after 8 months. Patients with right ventricular (RV dysfunction at baseline exhibited an improvement in functional capacity after 4 months, and improvements in left ventricular (LV diastolic pressure, respiratory strength, and quality of life at the end of follow-up. Conversely, those with normal baseline RV function demonstrated LVEF increases that were not observed in patients with RV dysfunction. CONCLUSIONS: CR was feasible, safe, and has important clinical benefits for patients with CHF, specifically for cardiac function and muscle respiratory strength.

  8. The contribution of urban green spaces to the improvement of environment in cities: Case study of Chania, Greece

    Energy Technology Data Exchange (ETDEWEB)

    Georgi, Julia N.; Dimitriou, Dimos [Hellenic Open University, P.O. Box 13680, 103 10 Athens (Greece)

    2010-06-15

    This paper investigates how vegetation, mainly through evapotranspiration, affects the improvement of microclimatic conditions in urban areas and, more specifically, it examines the case for the city of Chania in Crete. The objectives of this study are to examine the bioclimatic role of green areas in urban sites as they affect the thermal comfort of residents, and to study the cross-correlation of factors that participate in this process. To achieve these objectives, we have examined the parameters that contribute to the microclimate of a space and consider how it is influenced by vegetation. In addition, we have analyzed the effect of vegetation with respect to evapotranspiration, and have recorded the existing vegetation of Chania city and the relationship with the geomorphologic and urban characteristics of the city. This has involved calculating the evapotranspiration of various plant species, and collecting measurements at various places in Chania. These studies are designed to determine the cause of the changes of thermal comfort in different parts of the city, and to examine the differentiation of thermal comfort that is observed between different plant species with respect to the evapotranspiration measure that has been calculated for each of them. The intention of this work is to aid efforts to improve the environment of Chania through better planning and the appropriate choice of the species used for planting open spaces. Finally, it is hoped that the results of this work will be of use in planning the environments of spaces in other cities that have similar characteristics. (author)

  9. Image city

    DEFF Research Database (Denmark)

    2003-01-01

    Image city exhibition explores a condition of mediation, through a focus on image and sound narratives with a point of departure on a number of Asian cities.......Image city exhibition explores a condition of mediation, through a focus on image and sound narratives with a point of departure on a number of Asian cities....

  10. Depressive symptoms and white blood cell count in coronary heart disease patients : Prospective findings from the Heart and Soul Study

    NARCIS (Netherlands)

    Duivis, Hester E.; Kupper, Nina; Penninx, Brenda W.; Na, Beeya; de Jonge, Peter; Whooley, Mary A.

    2013-01-01

    Background: Depression has been associated with elevated white blood cell (WBC) count - indicative of systemic inflammation - in cross-sectional studies, but no longitudinal study has evaluated whether depressive symptoms predict subsequent WBC count or vice versa. We sought to evaluate the bidirect

  11. In situ Raman study of redox state changes of mitochondrial cytochromes in a perfused rat heart

    DEFF Research Database (Denmark)

    Brazhe, Nadezda; Treiman, Marek; Faricelli, Barbara;

    2013-01-01

    surface of the isolated heart at normal and hypoxic conditions. Raman spectra of the heart under normal pO2 demonstrate unique peaks attributable to reduced c-and b-type cytochromes and oxymyoglobin (oMb). The cytochrome peaks decreased in intensity upon FCCP treatment, as predicted from uncoupling...

  12. Drug therapy in heart failure : studies on prescribing, drug induced problems and compliance

    NARCIS (Netherlands)

    Bouvy, M.L.

    2003-01-01

    Due to the ageing of the population and increased survival of patients with acute coronary artery disease, an ‘epidemic’ of heart failure is emerging, illustrated by increasing rates of hospitalisations for heart failure and resulting in a considerable increase in the cost of care for these patients

  13. The Study of Chlamydia Pneumoniae DNA in the Peripheral Blood Mononuclear Cell of Coronary Heart Disease

    Institute of Scientific and Technical Information of China (English)

    Li Tao; Xu Xiang Guang; Zhang Guo Liang; Fang Weihua

    2004-01-01

    Objectives To detection of chlamydia pneumoniae (Cpn) DNA in the circulating mononuclear cell fractions of coronary heart disease and to investigate the association between infection with chlamydia pneumoniae and coronary heart disease (CHD) and prospectively whether blood -based nested polymerase chain reaction ( nPCR ) is useful in identifying Cpn infection. Methods The peripheral blood mononuclear cell (PBMC) Cpn DNA was examined using nPCR technique and confirmed by electrophoresis in 150 patients with CHD. Select 55 patients with clinical suspected CHD but angiography result are normal as control group (CG). Then we conducted a prospective , randomized, double - blind, placebo -controlled study of 6 months of azithromycin and placebo treatment in CHD group. Patients with Cpn DNA positive were then randomized to receive azithromycin or placebo. After treatment blood sample were collected for repeated measurement . Results Chlamydia pneumoniae DNA was detected in 49(32.7% ) of 150persons with CHD and in 1 ( 1.8% ) of 55 persons with control group,odds ratio 26.2, 95% confidence interva13.52 - 194.98. The positivity rates of nPCR in CHD groups were higher than those in control group. 16 cases (29. 1% ) in latent coronary heart diseases(LCHD) group , 19 cases (39.6%) in unstable angina(UAP) group ,and 14 cases (29.9%) in acute myocardial infarction (AMI)group were Cpn positive by nPCR. There were no significant difference among in AMIUAP and LCHD group. There were significiant difference in Cpn DNA negative rates after the azithromycin and the placebo treatment. Conclusions Chlamydia pneumoniae is present in PBMC of a significant proportion of persons with CHD. The potential role of chlamydia pneumoniae in coronary atherosclerosis may therefore be more related to acceleration of disease or systemic effects by persistent infection than to sudden initiation of progressive coronary artery disease by acute infection. The detection of Cpn DNA in PBMC with nPCR may be

  14. Study on Spatial Spillover Effects of Infrastructures Investment: A Case Study on Cities along Shanghai-Kunming Railway Line

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Using the economic development of regions and cities along the Shanghai-Kunming railway line as an example, the paper carries out an empirical study on the spatial spillover effects of infrastructure investment in China. It has been found that the infrastructure investment along Shang-Kunming line not only produces positive spatial spillover effects, such as promoting the region’s transportation capacity, expanding trading volume, adjusting industrial structure, and facilitating economic development, but also leads to certain negative spatial spillover effects like unbalanced flow of production elements among the region, and unbalanced economic growth.

  15. Groundwater Potential Assessment Using Geographic Information Systems and Ahp Method (case Study: Baft City, Kerman, Iran)

    Science.gov (United States)

    Zeinolabedini, M.; Esmaeily, A.

    2015-12-01

    The purpose of the present study is to use Geographical Information Systems (GISs) for determining the best areas having ground water potential in Baft city. To achieve this objective, parameters such as precipitation, slope, fault, vegetation, land cover and lithology were used. Regarding different weight of these parameters effect, Analytic Hierarchy Process (AHP) was used. After developing informational layers in GIS and weighing each of them, a model was developed. The final map of ground waters potential was calculated through the above-mentioned model. Through applying our developed model four areas having high, average, low potential and without required potential distinguished. Results of this research indicated that 0.74, 41.23 and 45.63 percent of the area had high, average and low potential, respectively. Moreover, 12.38% of this area had no potential. Obtained results can be useful in management plans of ground water resources and preventing excessive exploitation.

  16. Study of the radiological doses and hazard indices in soil samples from Karbala city, Iraq

    CERN Document Server

    Al-Kaabi, Mohammed Abdulhussain

    2015-01-01

    The radiological doses and hazard indices of natural radionuclides $^{238}$U,$^{232}$Th and $^{40} $K in soil samples from Kerbala city were evaluated using gamma-ray spectroscopy system using NaI(Tl) ${"1.5\\times 2"}$ detector in low-background with 24 hour. The average values of absorbed gamma-ray dose rate, annual effective dose equivalent and annual gonadal dose equivalent were found to be 90.83$\\pm$2.00 nGy/h, 111.89$\\pm$2.46 $\\mu$Sv/y and 640.85$\\pm$15.44 $\\mu$Sv/y respectively. The average values of gamma representative level index and external hazard index resulting from natural radionuclides for all samples in the study area were 1.43$\\pm$0.031 and 0.53$\\pm$0.011 respectively. The obtained results in current work were compared with other results for different countries.

  17. Offering solutions of sustainable urban tourism by the use of SWOT model, case study Isfahan city

    Directory of Open Access Journals (Sweden)

    Monireh Roustazadeh Sheikh Yousefi

    2014-08-01

    Full Text Available Tourism phenomenon has been spread world wildtoday. It's because of technological innovation development and overallcapitalism expansion in current age. Tourism in this situation has caused humanbeing relocation and mobility and in worldwide level, has created concept ofrelationship with other cultures in different locations, as socio-geographicalphenomenon. In this case cities includes important scientific, recreational,sport, shrine, historical, culture, medical, centers, etc., in addition to thiscases, also utilities natural attraction, etc., can play vole as touristic cityin the center of the country. in this research discursive- analysis method hasbeen used for collecting data and proceed to identify tourism potentials ,abilities, limitations and inadequacy of Isfahan by documental and librarydeliberations and field studies, SWOT model has been used for analyzing data.Then, offering solutions for sustainable urban development and eventuallymovement toward tourism development have been emphasized on.

  18. What Causes Haze Pollution? An Empirical Study of PM2.5 Concentrations in Chinese Cities

    Directory of Open Access Journals (Sweden)

    Jiannan Wu

    2016-01-01

    Full Text Available In recent years, many areas of China have suffered from serious haze pollution, which greatly affects human health and daily life. It is of policy importance to understand the factors that influence the spatial concentration of PM2.5. Based on data from 74 cities with PM2.5 monitoring stations in 2013 and 2014, this study presents the overall haze situation in China and explores the determinants of PM2.5 using a random-effects model, as well as a set of OLS regressions. The results indicate that PM2.5 is significantly correlated with the industrial proportion, the number of motor vehicles, and household gas consumption, while public financial expenditure on energy saving and environmental protection does not show statistically significant effects. The analysis implies that China should adjust its economic structure and optimizes environmental governance to effectively respond to haze pollution.

  19. Geographically explicit urban land use change scenarios for Mega cities: a case study in Tokyo

    Science.gov (United States)

    Yamagata, Y.; Bagan, H.; Seya, H.; Nakamichi, K.

    2010-12-01

    In preparation for the IPCC 5th assessment report, the international modeling community is developing four Representative Concentration Paths employing the scenarios developed by four different Integrated Assessment Models. These RCPs will be employed as an input to climate models, such as Earth System Models. In these days, the importance of assessment of not only global but also local (city/zone level) impacts of global change has gradually been recognized, thereby downscaling climate models are one of the urgent problems to be solved. Needless to say, reliable downscaling requires spatially high resolution land use change scenarios. So far, there has been proposed a lot of methods for constructing land use change scenarios with considering economic behavior of human, such as agent-based model (e.g., Parker et al., 2001), and land use transport (LUT) model (e.g., Anas and Liu, 2007). The latter approach in particular has widely been applied to actual urban/transport policy; hence modeling the interaction between them is very important for creating reliable land use change scenarios. However, the LUT models are usually built based on the zones of cities/municipalities whose spatial resolutions are too low to derive sensible parameters of the climate models. Moreover, almost all of the works which attempt to build spatially high resolution LUT model employs very small regions as the study area. The objective of this research is deriving various input parameters to climate models such as population density, fractional green vegetation cover, and anthropogenic heat emission with spatially high resolution land use change scenarios constructed with LUT model. The study area of this research is Tokyo metropolitan area, which is the largest urban area in the world (United Nations., 2010). Firstly, this study employs very high ground resolution zones composed of micro districts around 1km2. Secondly, the research attempt to combine remote sensing techniques and LUT models

  20. Literature-based genetic risk scores for coronary heart disease : the Cardiovascular Registry Maastricht (CAREMA) Prospective Cohort Study

    NARCIS (Netherlands)

    Vaathorst, A.A.; Lu Yingchang (Kevin), Y.; Heijmans, B.T.; Dolle, M.E.; Bohringer, S.; Putter, de H.; Imholz, S.; Merry, A.H.; Greevenbroek, M.M.; Jukema, J.W.; Gorgels, A.P.; Brandt, van den P.A.; Muller, M.R.; Schouten, L.J.; Feskens, E.J.M.; Boer, J.M.A.; Slagboom, P.E.

    2012-01-01

    Background-Genome-wide association studies (GWAS) have identified many single-nucleotide polymorphisms (SNPs) associated with coronary heart disease (CHD) or CHD risk factors (RF). Using a case-cohort study within the prospective Cardiovascular Registry Maastricht (CAREMA) cohort, we tested if genet

  1. The Potentially Modifiable Burden of Incident Heart Failure Due to Obesity: The Atherosclerosis Risk in Communities Study

    OpenAIRE

    Loehr, Laura R; Rosamond, Wayne D.; Poole, Charles; McNeill, Ann Marie; Chang, Patricia P.; Deswal, Anita; Aaron R. Folsom; Heiss, Gerardo

    2010-01-01

    The authors estimated the generalized impact fraction (GIF) for heart failure (HF) related to obesity, representing the proportion of incident HF events that could be prevented from reductions in obesity and/or overweight. The Atherosclerosis Risk in Communities Study is a biracial population-based cohort study of persons aged 45–64 years from 4 US communities with a median 14 ye...

  2. First-Trimester Use of Paroxetine and Congenital Heart Defects : A Population-Based Case-Control Study

    NARCIS (Netherlands)

    Bakker, Marian K.; Kerstjens-Frederikse, Wilhelmina S.; Buys, Charles H. C. M.; de Walle, Hermien E. K.; de Jong-van den Berg, Lolkje T. W.

    2010-01-01

    BACKGROUND: There is a need for case-control studies of the effect of paroxetine on the occurrence of specific heart defects. METHODS: We performed a case-control study with data from a population-based birth defects registry in the Netherlands. All the children born between 1997 and 2006 were selec

  3. Low Lymphocyte Ratio as a Novel Prognostic Factor in Acute Heart Failure : Results from the Pre-RELAX-AHF Study

    NARCIS (Netherlands)

    Milo-Cotter, Olga; Teerlink, John R.; Metra, Marco; Felker, G. Michael; Ponikowski, Piotr; Voors, Adriaan A.; Edwards, Christopher; Weatherley, Beth Davison; Greenberg, Barry; Filippatos, Gerassimos; Unemori, Elaine; Teichman, Sam L.; Cotter, Gad

    2010-01-01

    Background: Previous studies have suggested that a lower lymphocyte ratio (Ly%) in the white blood cell (WBC) differential count is related to worse outcomes in patients with acute heart failure (AHF) and other cardiovascular disorders. Methods: In the Pre-RELAX-AHF study, 234 patients with AHF, sys

  4. Cell-cell interaction in blood flow in patients with coronary heart disease (in vitro study)

    Science.gov (United States)

    Malinova, Lidia I.; Simonenko, Georgy V.; Denisova, Tatyana P.; Tuchin, Valery V.

    2007-02-01

    Blood cell-cell and cell-vessel wall interactions are one of the key patterns in blood and vascular pathophysiology. We have chosen the method of reconstruction of pulsative blood flow in vitro in the experimental set. Blood flow structure was studied by PC integrated video camera with following slide by slide analysis. Studied flow was of constant volumetric blood flow velocity (1 ml/h). Diameter of tube in use was comparable with coronary arteries diameter. Glucose solution and unfractured heparin were used as the nonspecial irritants of studied flow. Erythrocytes space structure in flow differs in all groups of patients in our study (men with stable angina pectoris (SAP), myocardial infarction (MI) and practically healthy men (PHM). Intensity of erythrocytes aggregate formation was maximal in patients with SAP, but time of their "construction/deconstruction" at glucose injection was minimal. Phenomena of primary clotting formation in patients with SAP of high function class was reconstructed under experimental conditions. Heparin injection (10 000 ED) increased linear blood flow velocity both in patients with SAP, MI and PHP but modulated the cell profile in the flow. Received data correspond with results of animal model studies and noninvasive blood flow studies in human. Results of our study reveal differences in blood flow structure in patients with coronary heart disease and PHP under irritating conditions as the possible framework of metabolic model of coronary blood flow destabilization.

  5. Spatial Planning in Perspective of Good Governance (A Study on Analysis of Spatial Planning in Batu City as a Tourism City

    Directory of Open Access Journals (Sweden)

    Retno Wulan Sekarsari

    2014-01-01

    Full Text Available Spatial planning is an effort to improve the welfare of the community and to ensure environmental sustainability by taking into account the comparative advantages in an area and minimizing the development gap by reducing slums, and poor and underdeveloped areas. Regional Spatial Planning Policy is a kind of policy product to control the level of environmental damage and the disorganized development and growth in a city or regency. The role of Batu City Government is to realize Batu City space that is safe, comfortable, productive and sustainable as a superior agropolitan city and tourism city in East Java Province. This article utilized Good Governance Perspective and System Theory to analyze the formulation of Regional Spatial Planning Policy in Batu City. This article firstly explained about tourism development, and secondly described the authority and responsibility of stakeholders in spatial planning formulation. The third part clarified good governance perspective on spatial planning in Batu City and analyzed supporting and inhibiting factors in spatial planning formulation in Batu City. The findings showed that only some actors and factors had strong influence over the formulation of Regional Spatial Planning Policy. Keywords: Good Governace, Governace Perspective, Spatial Planning, Tourism City, Batu City

  6. Investigating audiences’ attitudes towards local radio programs: A case study of city of Esfahan

    Directory of Open Access Journals (Sweden)

    Faezeh Taghipour

    2013-02-01

    Full Text Available For almost a century, radio stations have been some primary sources for presenting arts, entertainment, news, etc. and the primary concern on many studies is to understand audience attitude on this media. This paper attempts to investigate audience attitude on radio programs broadcasted in city of Esfahan, Iran. The proposed study selects random sample of 600 out of 1,745,428 residence of this city where 345 people actively were listening to these programs, actively. All questions were designed in Likert scale and Cronbach alpha was 0.941, which was well above the desirable level and validated the survey. According our survey, the most popular part of radio programs was associated with news where 78.3% of the audiences were listening to these programs. According to our survey, audiences were mostly satisfied with family oriented programs and the mean score was 4.05. The other observation indicates that people have good attitude towards educational guidance programs (mean=3.37 and programs related to people and officials (mean=3.41. The results of Freedman test with Chi-Square value of 52.507 determines that there is meaningful difference among different components (mean difference = -0.23 and P-value =0.022. We have also performed an investigation to find out whether there is any difference between different components of this survey in terms of participants’ personal characteristics such as age, gender, educational background and job. Our survey only confirms the mean difference in terms of job specifications and other personal characteristics did not have any impact on people’s attitude. The other observation in our survey indicates that there is a difference between students and people with no job or housekeeper on their attitudes towards educational programs.

  7. Cardiovascular disease, risk factors and heart rate variability in the elderly general population: Design and objectives of the CARdiovascular disease, Living and Ageing in Halle (CARLA Study

    Directory of Open Access Journals (Sweden)

    Kuss Oliver

    2005-11-01

    Full Text Available Abstract Background The increasing burden of cardiovascular diseases (CVD in the ageing population of industrialized nations requires an intensive search for means of reducing this epidemic. In order to improve prevention, detection, therapy and prognosis of cardiovascular diseases on the population level in Eastern Germany, it is necessary to examine reasons for the East-West gradient of CVD morbidity and mortality, potential causal mechanisms and prognostic factors in the elderly. Psychosocial and nutritional factors have previously been discussed as possible causes for the unexplained part of the East-West gradient. A reduced heart rate variability appears to be associated with cardiovascular disease as well as with psychosocial and other cardiovascular risk factors and decreases with age. Nevertheless, there is a lack of population-based data to examine the role of heart rate variability and its interaction with psychosocial and nutritional factors regarding the effect on cardiovascular disease in the ageing population. There also is a paucity of epidemiological data describing the health situation in Eastern Germany. Therefore, we conduct a population-based study to examine the distribution of CVD, heart rate variability and CVD risk factors and their associations in an elderly East German population. This paper describes the design and objectives of the CARLA Study. Methods/design For this study, a random sample of 45–80 year-old inhabitants of the city of Halle (Saale in Eastern Germany was drawn from the population registry. By the end of the baseline examination (2002–2005, 1750 study participants will have been examined. A multi-step recruitment strategy aims at achieving a 70 % response rate. Detailed information is collected on own and family medical history, socioeconomic, psychosocial, behavioural and biomedical factors. Medical examinations include anthropometric measures, blood pressure of arm and ankle, a 10-second and a 20

  8. Measuring spatial accessibility of urban parks: a case study of Qingdao City, China

    Science.gov (United States)

    Yin, Haiwei; Song, Yongjun; Kong, Fanhua; Qi, Yi

    2007-06-01

    Urban parks are the important recreation site for citizens, viewed as basal green infrastructure and crucial amenities in urban areas, and usually perform important ecological and socio-economic functions. With socio-economic development, Chinese people and governments pay much more attention to urban green spaces, especially urban parks, and more and more citizens have the desire for contact with nature, and are willing to live and work close to urban parks. Consequently, governments plan to optimize urban parks allocation in order to meet citizens' increasing needs. Quantification of accessibility of urban parks is a prerequisite to appraise and allocate them with equity as a tool for decision-making in planning. In this paper, supported by Remote Sensing and GIS, the accessibility of urban parks based on high resolution data was analyzed with minimum nearest distance method at the house level and container method at block groups scale, through a case study of Qingdao city, China. The distances between houses (origins) and urban parks (destinations) are measured as the Euclidian (straight-line) distance. Four levels of access, very good, good, poor and very poor, were classified based on the distance between residence and the nearest urban park, and the area of urban park per capita. Results demonstrate that the spatial patterns of accessibility are consentaneous on the whole by using two different methods, for the spatial pattern is relation to the distribution of urban parks. However, the accurateness in results is quite different. The accessibility of urban parks acquired by the minimum nearest distance method is more accurate and appropriate than under the container method. The results calculated with the container measure show that 58.07 % of block groups have very poor or poor access level, which means the accessibility of urban parks is not good in Qingdao city as a whole. In addition, the spatial pattern of the accessibility is not equipoise. The southern

  9. Step out the Paradox of Livable City Studies:Conceptual Model and Path Choice

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Based on a comparative analysis on the concepts and standards of livable city in China and abroad,the paper creates a conceptual model and a fundamental formula for livable city development with economic development as the foundation,and the social and cultural conditions,the ecological status,and the city governance as three pillars,so as to provide a theoretical explanation for the two paradoxes of livable city.The paper suggests that China should choose Path C,which combines economic development with city livability.It also analyzes the development rules of livable city under Path C,and talks about the fundamental ideas of livable city construction under the current circumstances in China.In the end,the paper puts forward related planning strategies in terms of spatial structure,ecological environment,cultural construction,transportation system,and housing system,in order to establish a livable city development model that is suitable for China’s practical conditions.

  10. The city in the information and communication technology age: a comparative study on path dependecy

    NARCIS (Netherlands)

    Jonkhoff, Wouter; Nijkamp, Peter

    2001-01-01

    The role of the city in the modem electronic age is rapidly changing. Cities are no longer closed islands of local opportunities, but are open nodalpoints in a global network environment. The Information and Communication Technology (ICT) has lifted the traditional physical - geographicalconstraints

  11. Studies on the Development of Walnut Industry in Shangluo City Based on SWOT

    Institute of Scientific and Technical Information of China (English)

    Yan; ZHANG; Xikun; HONG

    2014-01-01

    The walnut industry in Shangluo City is evaluated based on SWOT. The internal advantage,disadvantage,external opportunities and threats to the walnut industry are found out. In the end,suggestions towards the development of walnut industry in Shangluo City are put forward.

  12. A comparative study of Beijing and three global cities:A perspective on urban livability

    Institute of Scientific and Technical Information of China (English)

    Jiao WANG; Meirong SU; Bin CHEN; Shaoqing CHEN; Chen LIANG

    2011-01-01

    A so-called global city that plays an important role in regional and global economic,political and cultural development should perform well in terms of its livability.The livability level of Beijing was compared with those of three acknowledged global cities,i.e.,New York City,Greater London,and Tokyo-to to clarify whether Beijing has great potential to grow into a global city.From the aspects of social development,living standard and environmental quality,the livable level integrated index (LLⅡ)was established in this paper to evaluate the urban livability,while the linear weighted sum was applied as the assessment model.After analyzing the situations of the four cities during 2000-2009,it was indicated that the LLIIs of Beijing,New York City,Greater London,and Tokyo-to were respectively 38.76,52.93,50.95,and 40.65in 2000.By comparison,the LLIIs in 2009 were 38.96,59.23,69.24 and 52.15,respectively.Further analysis showed that a big gap exists between the environmental quality of Beijing and those of three global cities and the performance of social development for Beijing declined in the last decade.To accelerate the transformation of Beijing to a global city,much more attention should be paid to improve the environmental quality,especially the atmospheric quality and water quality.

  13. Effectiveness of a multidisciplinary heart failure disease management programme on 1-year mortality: Prospective cohort study.

    Science.gov (United States)

    Laborde-Castérot, Hervé; Agrinier, Nelly; Zannad, Faiez; Mebazaa, Alexandre; Rossignol, Patrick; Girerd, Nicolas; Alla, François; Thilly, Nathalie

    2016-09-01

    We performed a multicenter prospective observational cohort study (Epidémiologie et Pronostic de l'Insuffisance Cardiaque Aiguë en Lorraine, Epidemiology and Prognosis of Acute Heart Failure in Lorraine [EPICAL2]) to evaluate the effectiveness on mortality of a community-based multidisciplinary disease management programme (DMP) for heart failure (HF) patients.Between October 2011 and October 2012, 1816 patients, who were hospitalized for acute HF or who developed acute HF during a hospitalization, were included from 21 hospitals in a northeast region of France. At hospital admission, their mean age was 77.3 (standard deviation [SD] 11.6) years and mean left ventricular ejection fraction was 45.0 (SD 16.0)%. A subset of patients were enrolled in a multidimensional DMP for HF (n = 312, 17.2%), based on structured patient education, home monitoring visits by HF-trained nurses, and automatic alerts triggered by significant clinical and biological changes to the patient. The DMP involved general practitioners, nurses, and cardiologists collaborating via an individual web-based medical electronic record. The outcome was all-cause mortality from the 3rd to the 12th month after discharge. During the follow-up, a total of 377 (20.8%) patients died: 321 (21.3%) in the control group and 56 (17.9%) in the DMP group. In a propensity score analysis, DMP was associated with lower 1-year all-cause mortality (hazard ratio 0.65, 95% CI 0.46-0.92). Instrumental variable analysis gave similar results (hazard ratio 0.56, 0.27-1.16).In a real world setting, a multidimensional DMP for HF with structured patient education, home nurse monitoring, and appropriate physician alerts may improve survival when implemented after discharge from hospitalization due to worsening HF.

  14. City/Sea Searching for a New Connection. Regeneration Proposal for Naples Waterfront Like an Harbourscape: Comparing Three Case Studies

    Directory of Open Access Journals (Sweden)

    Michelangelo Russo

    2014-05-01

    Full Text Available The port is a strategic area of transition, where it is possible to perceive the territory-landscape and the urban front. However it lost its urban character, gradually becoming an high specialized independent machines, a sectorial infrastructure divided from the city: this phenomenon has created increasingly socio-economical marginalization.  Within a double view, lengthwise and transverse, we can describe the port as a space closed to the city and as an unfathomable barrier for the transverse flows that previously connected the waterfront to the city. The paper examines the case study of Naples, where the port expansion continues to grow without any integration with other parts of the city, distorting its “urban area” role, establishing its independence and making urban system compatibility conditions even weaker. The functional and physical division increases the perception of the port as a barrier rather than a filter. Turning the sense of these conditions aims at rethinking waterfront as a public space, a place where integration and specialization spaces become new open and accessible spatial devices. In some contemporary European and American cities (Aalborg, Oslo and Toronto we could see the port as multifunctional system, an interdisciplinary project that creates urban spaces integrated to the city and that allows the coexistence of different uses. The project of a new public space between the sea and the hinterland could involve all these conflicting functions creating, with different strategies, a potential multifunctional landscape. In Naples as well, where the waterfront is still waiting to be re-connected with the story of the city itself.

  15. Predicting the Trend of Land Use Changes Using Artificial Neural Network and Markov Chain Model (Case Study: Kermanshah City)

    OpenAIRE

    2014-01-01

    Nowadays, cities are expanding and developing with a rapid growth, so that the urban development process is currently one of the most important issues facing researchers in urban issues. In addition to the growth of the cities, how land use changes in macro level is also considered. Studying the changes and degradation of the resources in the past few years, as well as feasibility study and predicting these changes in the future years may play a significant role in planning and optimal use of...

  16. A STUDY OF THE MATURE WOMEN STUDENTS ATTENDING DAY CLASSES AT RIVERSIDE CITY COLLEGE DURING THE SPRING SEMESTER, 1964.

    Science.gov (United States)

    SENSOR, PHYLLIS

    THIS STUDY DEFINED A MATURE WOMAN AS BEING 25 YEARS OLD OR OLDER OR MARRIED. DATA WERE COLLECTED ON 225 MATURE WOMEN ATTENDING RIVERSIDE CITY COLLEGE DURING THE 1964 SPRING SEMESTER, INCLUDING DATE OF BIRTH, MARITAL STATUS, ACADEMIC SUCCESS, TEST SCORES, GRADE POINT AVERAGE, UNITS OF STUDY, MAJOR, AND SCHOOLS OF TRANSFER. A QUESTIONNAIRE WAS SENT…

  17. Risk of heart failure after community acquired pneumonia: prospective controlled study with 10 years of follow-up.

    Science.gov (United States)

    Eurich, Dean T; Marrie, Thomas J; Minhas-Sandhu, Jasjeet K; Majumdar, Sumit R

    2017-02-13

    Objective To determine the attributable risk of community acquired pneumonia on incidence of heart failure throughout the age range of affected patients and severity of the infection.Design Cohort study.Setting Six hospitals and seven emergency departments in Edmonton, Alberta, Canada, 2000-02.Participants 4988 adults with community acquired pneumonia and no history of heart failure were prospectively recruited and matched on age, sex, and setting of treatment (inpatient or outpatient) with up to five adults without pneumonia (controls) or prevalent heart failure (n=23 060).Main outcome measures Risk of hospital admission for incident heart failure or a combined endpoint of heart failure or death up to 2012, evaluated using multivariable Cox proportional hazards analyses.Results The average age of participants was 55 years, 2649 (53.1%) were men, and 63.4% were managed as outpatients. Over a median of 9.9 years (interquartile range 5.9-10.6), 11.9% (n=592) of patients with pneumonia had incident heart failure compared with 7.4% (n=1712) of controls (adjusted hazard ratio 1.61, 95% confidence interval 1.44 to 1.81). Patients with pneumonia aged 65 or less had the lowest absolute increase (but greatest relative risk) of heart failure compared with controls (4.8% v 2.2%; adjusted hazard ratio 1.98, 95% confidence interval 1.5 to 2.53), whereas patients with pneumonia aged more than 65 years had the highest absolute increase (but lowest relative risk) of heart failure (24.8% v 18.9%; adjusted hazard ratio 1.55, 1.36 to 1.77). Results were consistent in the short term (90 days) and intermediate term (one year) and whether patients were treated in hospital or as outpatients.Conclusion Our results show that community acquired pneumonia substantially increases the risk of heart failure across the age and severity range of cases. This should be considered when formulating post-discharge care plans and preventive strategies, and assessing downstream episodes of

  18. Dynamics of thermal inertia over highly urban city: a case study of Delhi

    Science.gov (United States)

    Berwal, Shivesh; Kumar, Dinesh; Pandey, Alok Kumar; Singh, Vinay Pratap; Kumar, Ritesh; Kumar, Krishan

    2016-10-01

    This paper focuses on thermal inertia estimation of Delhi and its surrounding areas during summer season based on the diurnal temperature variations and albedo information of the region retrieved from satellite data. The study involves mapping of day and night time surface temperatures and the blue sky albedo (actual albedo on ground) over the study region using Moderate Resolution Imaging Spectroradiometer (MODIS) datasets. The study reveals that Delhi is cooler than its surrounding regions during the day time, showing the formation of cool island. On the contrary, temperature inside the city is much higher than its surrounding rural regions during the night time, thus confirming the formation of nocturnal heat island. The day and night time temperature maps are then used to obtain the diurnal temperature range and together with albedo maps of the study region, are used to estimate the thermal inertia over the region. The study reveals that the dense built-up urban area of Delhi has higher thermal inertia than that of the surrounding rural areas during the summer season. The spatial variation of thermal inertia over the region is found to explain the occurrence of day-time cool island reasonably well.

  19. Prevalence of hypothyroidism in pregnancy: An epidemiological study from 11 cities in 9 states of India

    Directory of Open Access Journals (Sweden)

    Dinesh Kumar Dhanwal

    2016-01-01

    Full Text Available Background: A previous hospital based study from Delhi revealed a high prevalence of hypothyroidism in pregnant women. Several other studies with small sample size also indicate a rising trend of prevalence of hypothyroidism during pregnancy in India. Objective: To assess prevalence of hypothyroidism in pregnant women from various states/cities across India. Materials and Methods: This was a cross-sectional multicenter study conducted at Allahabad (Uttar Pradesh, Bengaluru (Karnataka, Chennai (Tamil Nadu, Kolkata (West Bengal, Hyderabad (Telangana, Nasik (Maharashtra, Rohtak (Haryana, Pune (Maharashtra, New Delhi (Delhi, Srinagar (Kashmir, and Vizag (Andhra Pradesh enrolling 2599 pregnant women. Estimation of thyroid stimulating hormone (TSH, free T4, and antithyroid peroxidase (TPO antibodies was carried out using Roche modular kit using ECLIA technology in a central laboratory. Results: We found in our study population that 13.13% of pregnant women have hypothyroidism (n = 388, using a cutoff TSH level of 4.5 μIU/ml. This prevalence was much higher using the American Thyroid Association criteria. Anti-TPO antibodies were positive in 20.74% of all pregnant women (n = 613, whereas 40% (n = 155 of hypothyroid pregnant women were positive for anti-TPO antibodies. Conclusion: This study concludes that there is a high prevalence of hypothyroidism (13.13%, majority being subclinical in pregnant women during the first trimester from India and universal screening of hypothyroidism may be desirable in our country.

  20. Heart wall is thicker on postmortem computed tomography than on antemortem [corrected] computed tomography: the first longitudinal study.

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    Hidemi Okuma

    Full Text Available OBJECTIVE: To evaluate the postmortem changes of the heart wall on postmortem (PM computed tomography (CT in comparison with those on ante mortem CT (AMCT, and in comparison with the pathological findings, obtained in the same patients. MATERIALS AND METHODS: We studied 57 consecutive patients who had undergone AMCT, PMCT, and pathological autopsy in our tertiary care hospital between April 2009 and December 2010. PMCT was performed within 20 hours after death, followed by pathological autopsy. The cardiac chambers were measured at five sites on both AMCT and PMCT by two board-certified radiologists who were not provided with clinical information. The differences in heart wall thickness between AMCT with and without contrast medium, between AMCT and PMCT, and between PMCT and pathological anatomy were evaluated statistically. Confounding factors of postmortem change such as gender, presence of arteriosclerosis, the organ related to cause of death, age, and elapsed time since death were examined statistically. RESULTS: No significant differences were observed on AMCT in comparison of contrasted and non-contrasted images. The heart wall was significantly thicker on PMCT than on AMCT (p < 0.0001 at all five measurement sites. The heart wall was significantly thicker on PMCT than on pathology specimens when measured in accordance with pathological standard mensuration. However, no significant difference was observed between PMCT measurements and those of pathology specimens at any site when the papillary muscles and epicardial fat were included. No significant association was found between postmortem change in heart wall thickness and gender, presence of arteriosclerosis, the organ related to cause of death, age, or elapsed time since death. CONCLUSION: This is the first longitudinal study to confirm greater thickness of heart wall on postmortem images compared with ante mortem images, in the same patients. Furthermore, the postmortem changes on CT