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Sample records for city heart study

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

    DEFF Research Database (Denmark)

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

    1997-01-01

    BACKGROUND AND PURPOSE: Stroke incidence has increased in some countries and decreased in others. After 20 years of intensive antihypertensive treatment the latter could be expected, and we have evaluated the sex-specific temporal trends in stroke incidence using 17 years of follow-up in the...... Copenhagen City Heart Study. SUBJECTS AND METHODS: Our cohort comprised 19,698 subjects living in Copenhagen, Denmark. They were invited for health examinations in the following time periods: 1976 through 1978, 1981 through 1983, and 1992 through 1994. Trends are presented for all persons who attended at...

  2. 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

    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...

  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

    hazard ratio of 1.45 (95% CI 1.02 to 2.04); few women consumed this amount of alcohol. Approximately 5% of cases of atrial fibrillation among men were attributable to heavy alcohol use. Further adjustment for blood pressure and incident coronary heart disease and congestive heart failure did not...... 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...... 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. 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

    the Copenhagen City Heart Study in 1976-1978. The subjects were followed from day of entry until 31 December 1993. During that period 808 first-ever strokes occurred of which 153 were fatal within 28 days. Risk of incident and fatal stroke was estimated by means of Cox hazard regression. The analyses...... included 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...

  5. 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

    BACKGROUND: Leptin and adiponectin are hormones secreted by adipose tissue, and both hormones are candidate intermediaries between adipose tissue and overweight-related diseases. So far, no prospective study has been published where the independent effects of these two hormones on the development...... of hypertension have been directly compared. The objective of this study was to investigate the relationships between plasma levels of leptin and adiponectin and new-onset hypertension in the Copenhagen City Heart Study (CCHS). METHODS: In a prospective study design, we examined new......, or diastolic 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...

  6. Risk Factors of Coronary Heart Disease among Bank Employees of Belgaum City - Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    H.R. Shivaramakrishna

    2010-04-01

    Full Text Available Background: Bank employees, with their resources and infrastructure, are ideal for increasing awareness and initiating preventive activities for the control of coronary heart disease (CHD. However, there are no reliable estimates of CHD risk factor burden, or of its awareness and treatment status among bank employees. The study intends to evaluate the prevalence of risk factors of CHD among bank employees of Belgaum city. Objectives: To estimate the prevalence of risk factors of CHD and to assess the knowledge regarding risk factors of CHD among bank employees. Methodology: It was a cross-sectional study for a period of one month. The study population consisted of bank employees working in various banks in Belgaum city. Results: The prevalence of risk factors of CHD was as follows: hypertension 31%, diabetes 21%, high serum total cholesterol 29%, high triglycerides 39%, high LDL cholesterol 19.3%, low HDL cholesterol 17.7%, smoking 26%, sedentary habits 44%, positive family history 12%, overweight / obesity (BMI >25 kg/m2 33% and 26% of the study subjects had truncal obesity. Among these, 55% of the study subjects had at least two of these risk factors. Conclusion: The present study shows a disturbing burden of coronary risk factors in the study population. There is an urgent need to undertake population based measures to reverse the trend.

  7. 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

    one second (FEV1) and risk of first episode of AF in a prospective study. Data from 13,430 males and females without previous myocardial infarction, who participated in the Copenhagen City Heart Study, were analysed. New AF was assessed at re-examination after 5 yrs and by hospital admission for AF...... 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 < 60% compared with FEV1 > or = 80%, when additional adjustment was made for...

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

    DEFF Research Database (Denmark)

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

    2003-01-01

    BACKGROUND AND PURPOSE: Lay people often mention stress as one of the most important risk factors for stroke. Stress might trigger a cerebrovascular event directly or could be associated with higher levels of blood pressure or an unfavorable lifestyle. To examine these possibilities, we analyzed...... 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 included, and 929 first-ever strokes occurred, of which 207 (22%) were fatal within 28 days after onset of symptoms. The stress frequency categories were never/hardly ever, monthly, weekly, or daily. The stress intensity categories were never/hardly ever, light, moderate, or high. RESULTS...

  9. 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...

  10. Metabolic Syndrome according to Three Definitions in Hammam-Sousse Sahloul Heart Study: A City Based Tunisian Study

    OpenAIRE

    Imen Boumaiza; Asma Omezzine; Meriem Romdhane; Jihène Rejeb; Lamia Rebhi; Lobna Bouacida; Souhir Neffati; Nabila Ben Rejeb; Ahmed Ben Abdelaziz; Ali Bouslama

    2014-01-01

    Objectives. Metabolic syndrome (MetS) is a major risk factor of CVD. The aim of the present study is to determine the prevalence of the MetS, its components, and its different profiles according to NCEP-ATP III 2001, IDF 2005, and JIS 2009 definitions in Hammam-Sousse Sahloul Heart Study (HSHS). Study Design. The study involved 1121 participants (364 men and 757 women; sex-ratio  =  0.48; mean age  =  47.49 ± 16.24 years) living in Hammam Sousse city, located in the east of Tunisia. Methods. ...

  11. 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

    analyses adjusting for age and gender were used to compare survival in six consecutive 4-year periods starting with 1978-1982. Results: Of 2,051 patients with first-ever stroke 1,801 died during follow-up. Causes of death were cerebrovascular disease in 37%, other cardiovascular diseases in 28%, cancer...... 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...

  12. 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

    .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...

  13. 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...... were, 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...... physical activity was in both sexes associated with significantly lower mortality from coronary heart disease, cancer and all-causes. The same tendency was found for stroke and respiratory diseases, but the associations did not reach statistical significance....

  14. 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.; Nordestgaard, B.G.

    2008-01-01

    BACKGROUND: Elevated lipoprotein(a) levels are associated with myocardial infarction (MI) in some but not all studies. Limitations of previous studies include lack of risk estimates for extreme lipoprotein(a) levels, measurements in long-term frozen samples, no correction for regression dilution...... 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...... 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...

  15. 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 5...

  16. 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...... the standing, standardized pelvic radiographs of 1429 men (22-93 years), and 2430 women (22-92 years). RESULTS: The 4 HD discriminators were interrelated. A negligible sex-related difference in acetabular morphology was found, male acetabulae being slightly more dysplastic than female acetabulae....... However, differences between the sexes for right and left CE angles were within 1.0 degree, and within 1.4 degrees for right and left Sharp's angles. There were no cases of hip subluxation (breakage of Shenton's line > or = 5 mm). Average CE angle was 34 degrees in men (SD 7.3 degrees), and 35 degrees in...

  17. 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...... definite degenerative pathology in hips will be used by the current authors in future studies....

  18. Metabolic Syndrome according to Three Definitions in Hammam-Sousse Sahloul Heart Study: A City Based Tunisian Study

    Directory of Open Access Journals (Sweden)

    Imen Boumaiza

    2014-01-01

    Full Text Available Objectives. Metabolic syndrome (MetS is a major risk factor of CVD. The aim of the present study is to determine the prevalence of the MetS, its components, and its different profiles according to NCEP-ATP III 2001, IDF 2005, and JIS 2009 definitions in Hammam-Sousse Sahloul Heart Study (HSHS. Study Design. The study involved 1121 participants (364 men and 757 women; sex-ratio  =  0.48; mean age  =  47.49 ± 16.24 years living in Hammam Sousse city, located in the east of Tunisia. Methods. Anthropometric parameters, blood pressure, lipids levels, glycemia, insulinemia, and body mass index were measured. Statistical analyses were performed by SPSS16.0. Results. The percentage of participants who had MetS defined according to NCEP ATP III, IDF 2005, and JIS 2009 definitions was respectively, 29.5%, 38.4%, and 39.6%. With regard to gender, the prevalence of MetS is higher in men than in women according to IDF 2005 definition (38.5% men versus 38.3% women, P=0.961 and according to JIS 2009 definition (41.8% men versus 38.6% women, P=0.307, whereas, according to NCEP ATP III definition, the prevalence of MetS is higher in women than in men (30% versus 28.6%, P=0.627. The prevalence of MetS increased with increasing age according to the three definitions (P<0.001 and peaked in the oldest age group (≥70 years according to IDF 2005 and JIS 2009. Furthermore, a significant difference in the prevalence of MetS components according to gender was observed. Indeed, the abdominal obesity is the most frequent MetS compound in women group, but hypertension and low HDL-C are the most frequent in men. In addition, according to the three definitions, the most frequent MetS profile in our study is “higher waist circumference, hypertension, and low HDL-C.” Conclusion. The high prevalence of MetS is a serious public health problem in Hammam-Sousse Sahloul community. Higher waist circumference, hypertension, and low HDL-C were the most

  19. 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...

  20. 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....

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

    OpenAIRE

    Vedel-Krogh, Signe; Nielsen, Sune F.; Schnohr, Peter; Børge G. Nordestgaard

    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 asse...

  2. 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 on pro...

  3. 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...

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

    DEFF Research Database (Denmark)

    Friberg, Jens; Scharling, Henrik; Gadsbøll, Niels; Jensen, Gorm B

    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.......4% in 1976 to 1978 (odds ratio [OR] 1.0, reference) to 1.9% in 1981 to 1983 (OR 1.6, 95% confidence interval [CI] 1.1 to 2.1), and to 3.3% in 1991 to 1994 (OR 2.3, 95% CI 1.6 to 3.4, p...

  5. Speed and duration of walking and other leisure time physical activity and the risk of heart failure: a prospective cohort study from the Copenhagen City Heart Study.

    Directory of Open Access Journals (Sweden)

    Hans Askelund Saevereid

    Full Text Available AIM: Physical activity (PA confers some protection against development of heart failure (HF but little is known of the role of intensity and duration of exercise. METHODS AND RESULTS: In a prospective cohort study of men and women free of previous MI, stroke or HF with one or more examinations in 1976-2003, we studied the association between updated self-assessed leisure-time PA, speed and duration of walking and subsequent hospitalization or death from HF. Light and moderate/high level of leisure-time PA and brisk walking were associated with reduced risk of HF in both genders whereas no consistent association with duration of walking was seen. In 18,209 subjects age 20-80 with 1580 cases of HF, using the lowest activity level as reference, the confounder-adjusted hazard ratios (HR for light and moderate/high leisure-time physical activity were 0.75 (0.66-0.86 and 0.80 (0.69-0.93, respectively. In 9,937 subjects with information on walking available and 542 cases of HF, moderate and high walking speed were associated with adjusted HRs of 0.53 (0.43-0.66 and 0.30 (0.21-0.44, respectively, and daily walking of ½-1 hrs, 1-2 and >2 hrs with HR of 0.80 (0.61-1.06, 0.82 (0.62-1.06, and 0.96 (0.73-1.27, respectively. Results were similar for both genders and remained robust after exclusion of HF related to coronary heart disease and after a series of sensitivity analyses. CONCLUSIONS: Speed rather than duration of walking was associated with reduced risk of HF. Walking is the most wide-spread PA and public health measures to curb the increase in HF may benefit from this information.

  6. 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 adi...... nonfatal myocardial infarction or ischemic stroke (n = 502). High adiponectin was inversely associated with an increasing number of traditional CV risk factors (p...... adiponectin has been associated with increased mortality and an increasing number of major adverse CV events (MACE). Because of these conflicting results, the true role of adiponectin remains to be elucidated. In the Copenhagen City Heart Study, we prospectively followed up 5,624 randomly selected men and...

  7. 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...... significantly associated to self reported pain in or around the hip joint in both sexes. CONCLUSION: Measurements of minimum hip JSW did not seem to be significantly influenced by varying spatial orientation of the pelvis during X-ray recordings. An inclusion criteria of minimum JSW< or =2.0 mm designating...

  8. 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; Grønbæk, M; Jensen, Gorm Boje

    2006-01-01

    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.......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...

  9. 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...... interactions were included. The first interaction 'agexsex' showed that the sex differences diminished with age. The second interaction 'agexsurvey' showed that the value of SBP in the young generations decreased survey by survey. SBP in the elderly also decreased survey by survey, but to a lesser degree...

  10. 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

    STUDY OBJECTIVE: To determine risk of myocardial infarction (MI) and all cause mortality associated with light smoking and inhalation habits in men and women. DESIGN: Prospective cohort study with follow up of MI and all cause mortality through record linkage. SETTING: The Copenhagen City Heart...

  11. 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; Schnohr, Peter; Jensen, Gorm; Barefoot, John

    2003-01-01

    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...... prevalence ranging from 6 to 47 per cent, higher in women. All but 4 of the 17 items were significantly associated with IHD with significant relative risks (RR) ranging between 1.36 (95% CI: 1.08, 1.72) and 2.10 (95% CI: 1.63, 2.71). Associations with all-cause mortality were also observed, but were weaker....... RR of both IHD and all-cause mortality increased with increasing item sum score and were similar in men and women. For IHD, RR reached a maximum of 2.57 (95% CI: 1.65, 4.00) for subjects endorsing >9 items. The similar RR for all-cause mortality was 2.50 (95% CI: 2.09, 2.99). Multivariate adjustment...

  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; Nordestgaard, Børge G; Jensen, Gorm B

    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......-sensitivity C-reactive protein (hsCRP), and fibrinogen. RHR was associated with hsCRP and fibrinogen in uni- and multivariate models (p <0.0001). A 10 beats per minute increase in RHR was associated with increased cardiovascular and all-cause mortality in univariate models - HR (95%CI) (1.21 (1.14-1.29) and 1...

  13. Tale of 2 cities: heart transplant progress

    International Nuclear Information System (INIS)

    Heart transplantation, today an accepted modality in managing selected terminal heart disease patients, still suffers from the major complications of acute rejection and infection. Joint research at Pretoria and Cape Town shows that the use of radionuclide techniques allows non-invasive, reliable and rapid quantification of ventricular function and myocardial perfusion for the diagnosis and management of heart transplant patients. Blood pool scintigraphy, using the in vivo labelling with sup(99m) Tc, was used to measure left ventricular volumes. Myocardial perfusion scintigraphy using Tl 201 was also performed in some patients

  14. 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

    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.......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...

  15. 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

  16. 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

    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...

  17. 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...

  18. 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. PMID:26456133

  19. 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

  20. 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 relation tocardiovascular disease risk factors among children and adolescents.Methods: This cross-sectional school-based study was conductedamong a random sample of 3179 students, aged 6 to 18 years, in threelarge 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 thedistribution of subscapular skinfold, the students in the upper quartile(Q4 presented a 2.0 times higher risk (odds ratio of having elevatedtotal cholesterol levels. Overweight and obese students had a 3.3 timeshigher risk of having elevated systolic blood pressure, and a 1.9 timeshigher risk of elevated diastolic blood pressure than other students.The less active students presented a 1.58 times higher risk of havingwaist-to-height ratio (WHtR above the upper tertile (Q3. WHtR meanvalues 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 indexpresented the largest AUC [0.669 (CI95%: 0.64-0.699] for increaseddiastolic blood pressure followed by the waist circumference for increasedsystolic blood pressure [0.761 (CI95%: 0.735-0.787].Conclusions: WHtR is considered as a simple and accurate anthropometricparameter that identifies youth with cardiovascular risk factors.In this study, WHtR above 0.44 was indicative of risk factors inchildren and adolescents. These findings can be applied in future preventivestrategies against CVDs, and screening programs.

  1. 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.

  2. 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, Anne;

    2006-01-01

    lipase genotypes on triglycerides, HDL, and IHD. DESIGN: The cross-sectional study involved 9004 adults. The prospective study consisted of 8817 adults developing 1001 IHD events over 23 yr. The case-control study involved 7818 non-IHD individuals vs. cohorts of 915 and 1062 IHD patients, respectively...

  3. Rheumatic heart disease among school children in Addis Ababa City: awareness and adequacy of its prophylaxis.

    Science.gov (United States)

    Oli, K; Porteous, J

    1999-07-01

    One of the objectives of this large scale cross-sectional study of school children of the Addis Ababa city was to assess the status of rheumatic heart disease (RHD) prophylaxis among rheumatic heart disease patients identified during the survey. Awareness about the presence of the illness in those affected and reasons for poor coverage, when detected, were also assessed. Sixty of the 9388 school children surveyed were found to have rheumatic heart disease. On interviewing parents of the children with rheumatic heart disease, ten acknowledged being informed of their children's cardiac illness. Of these parents, 15% (or 9/60) had some idea that their children had heart disease related to some form of infection. However, only two of the nine (22%) children whose parents had some idea about their disease were on regular monthly benzathine penicillin prophylaxis in the previous 12 months preceding the interview. Three (33%) of the nine children had six or fewer injections in the 12 months preceding the interview. The remaining 4 parents (44%) reported that their children took treatment that included injections only at the time of initial diagnosis several years earlier and had not had any follow up since then. Their reasons for not seeking medical care for their children included lack of information on prophylaxis, inability to pay for the treatment and distance of the health facilities. The lack of awareness and the extremely low rate of regular prophylaxis, therefore, highlight the need for an urgent control programme that takes active case detection, treatment access and health education into consideration. PMID:11957312

  4. Brain and heart disease studies

    International Nuclear Information System (INIS)

    Highlights of important studies completed during the past year using the Donner 280-crystal positron ring tomograph are summarized in this article. Using rubidium-82, images of a brain tumor and an arteriovenous malformation are described. An image demonstrating methionine uptake in a patient with schizophrenia and an image reflecting sugar metabolism in the brain of a man with Alzheimer's disease are also included. Uptake of rubidium-82 in subjects before and after exercise is being investigated. The synthesis of new radiopharmaceuticals and the development of a new synthesis for C-taurine for use in the study of metabolism in the human heart are also being studied

  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; Boysen, Gudrun; Barefoot, John; Prescott, Eva Irene Bossano

    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. Heart Failure After Heart Attack Tied to Cancer Risk in Study

    Science.gov (United States)

    ... gov/news/fullstory_159804.html Heart Failure After Heart Attack Tied to Cancer Risk in Study Preliminary finding ... News) -- People who develop heart failure after a heart attack may also face a higher risk of cancer, ...

  7. 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 discriminator......-relationships and correlations to age, sex, body mass index (BMI) and occupational exposure to repeated lifting. RESULTS: Overall, subchondral sclerosis, cysts and osteophytes were more frequently recorded in male hip joints compared to female hip joints, while a decrease in minimum JSW by age was more pronounced...... and progressive in women after the fifth decade compared to men. Applying logistic regression analyses, only age was found to be significantly associated to pathologically reduced minimum JSW (cut off value set at < or =2.0 mm), and the presence of osteophytes and subchondral cysts in both sexes (P...

  8. Flood Insurance Study, City of Park City, Utah, Summit County

    OpenAIRE

    Federal Emergency Management Agency

    1987-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Park City, Summit County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain man...

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

    OpenAIRE

    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 Heart discourse should face: from the disappearance of city centres because of the destruction of the War to the negation of the urban centrality because of urban sprawl and the infinite constant en...

  10. Chronic heart failure in Japan: Implications of the CHART studies

    Directory of Open Access Journals (Sweden)

    Nobuyuki Shiba

    2008-03-01

    Full Text Available Nobuyuki Shiba, Hiroaki ShimokawaDepartment of Cardiovascular Medicine, Department of Evidence-Based Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai City, JapanAbstract: The prognosis of patients with chronic heart failure (CHF still remains poor, despite the recent advances in medical and surgical treatment. Furthermore, CHF is a major public health problem in most industrialized countries where the elderly population is rapidly increasing. Although the prevalence and mortality of CHF used to be relatively low in Japan, the disorder has been markedly increasing due to the rapid aging of the society and the Westernization of lifestyle that facilitates the development of coronary artery disease. The Chronic Heart Failure Analysis and Registry in the Tohoku District (CHART-1 study was one of the largest cohorts in Japan. The study has clarified the characteristics and prognosis of Japanese patients with CHF, demonstrating that their prognosis was similarly poor compared with those in Western countries. However, we still need evidence for the prevention and treatment of CHF based on the large cohort studies or randomized treatment trials in the Japanese population. Since the strategy for CHF management is now changing from treatment to prevention, a larger-size prospective cohort, called the CHART-2 study, has been initiated to evaluate the risk factors of CHF in Japan. This review summarizes the current status of CHF studies in Japan and discusses their future perspectives.Keywords: heart failure, aging, Japanese

  11. How to Study the City on Instagram

    OpenAIRE

    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 visuali...

  12. Endometriosis Linked to Heart Disease in Study

    Science.gov (United States)

    ... epidemiologic research in reproductive medicine at Brigham and Women's Hospital in Boston. Missmer said the study found an association between endometriosis and the risk of heart disease, but can't prove a cause-and-effect relationship. She believes this is the first study to ...

  13. 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. PMID:27336728

  14. 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.

  15. 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.

  16. Antidepressant No Help to Heart Failure Patients: Study

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_159604.html Antidepressant No Help to Heart Failure Patients: Study Depression ... 2016 TUESDAY, June 28, 2016 (HealthDay News) -- The antidepressant Lexapro may not help heart failure patients suffering ...

  17. Study Finds No Heart Risk from SSRI Antidepressants

    Science.gov (United States)

    ... Study Finds No Heart Risk From SSRI Antidepressants Prozac actually appeared to protect against heart attack, researchers ... analysis suggests. Commonly prescribed SSRIs include Celexa, Lexapro, Prozac, Paxil and Zoloft. The findings are reassuring, said ...

  18. Xenopus: An Emerging Model for Studying Congenital Heart Disease

    OpenAIRE

    Kaltenbrun, Erin; Tandon, Panna; Amin, Nirav M.; Waldron, Lauren; Showell, Chris; Conlon, Frank L

    2011-01-01

    Congenital heart defects affect nearly 1% of all newborns and are a significant cause of infant death. Clinical studies have identified a number of congenital heart syndromes associated with mutations in genes that are involved in the complex process of cardiogenesis. The African clawed frog, Xenopus, has been instrumental in studies of vertebrate heart development and provides a valuable tool to investigate the molecular mechanisms underlying human congenital heart diseases. In this review, ...

  19. Six Case Studies of Economically Successful Cities

    OpenAIRE

    Kulenovic, Z. Joe; Cech, Alexandra

    2015-01-01

    The objective of this paper is to synthesize the findings of six individual case studies (Bucaramanga, Colombia; Coimbatore, India; Kigali, Rwanda; Gaziantep, Turkey; Changsha, China; and Tangier, Morocco) by analyzing the similarities and dissimilarities among them and identifying common, cross-cutting themes. The intent is to highlight what institutions and strategies successful cities have relied on to spur economic development, under what conditions such success has occurred, and what ...

  20. Comparative study of heart sound localization algorithms

    Science.gov (United States)

    Moukadem, A.; Dieterlen, A.; Hueber, N.; Brandt, C.; Raymond, P.

    2011-05-01

    The purpose of this document is to present a comparative study of five algorithms of heart sound localization, one of which, is a method based on radial basis function networks applied in a novel approach. The advantages and disadvantages of each method are evaluated according to a data base of 50 subjects in which there are 25 healthy subjects selected from the University Hospital of Strasbourg (HUS) and from theMARS500 project (Moscow) and 25 subjects with cardiac pathologies selected from the HUS. This study is made under the control of an experienced cardiologist. The performance of each method is evaluated by calculating the area under a receiver operating curve (AUC) and the robustness is shown against different levels of additive white Gaussian noise.

  1. 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.

  2. Ischaemic heart disease and Cag A strains of Helicobacter pylori in the Caerphilly heart disease study

    OpenAIRE

    Stone, A.; Risley, P; Markus, H; Butland, B.; Strachan, D.; Elwood, P; MENDALL, M

    2001-01-01

    OBJECTIVE—To look for the presence of the more virulent strains of Helicobacter pylori (H pylori) in men who developed ischaemic heart disease over a 10 year period and in controls.
DESIGN—The Caerphilly prospective heart disease study recruited 2512 men aged 45-59 years during 1979-83. Western blot analysis or enzyme linked immunosorbent assay (ELISA) was performed on serum taken from those who subsequently died of ischaemic heart disease, or developed non-fatal myocardial infarction, to det...

  3. 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.

  4. 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.

  5. 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.

  6. The Analysis of Social Ecology and Physical Development Process of Cities (Towns Case Study: Alvand City

    Directory of Open Access Journals (Sweden)

    Heshmati Ahmad

    2013-10-01

    Full Text Available This study aims the analysis of immigration influence on Alvand city resident's economical and living situation and its subsequent effects on Alvand city's social structure and its ecology and even its adjacency to industrial Alborz city. This analysis focuses on Alvand city's physical development using the software techniques such as GIS and using population data resulted from immigration which effects its physical development. We have increasingly witnessed the job-looking based immigrations since 1966 to 2006 which appeared differently in social, physical and spatial structure. This alternation and newly different situation has been seen apparently. The president's economic situation and immigration issue which considered as the most essential factor resulting in the ecology movements concerning Alvand city's circumstances. Such a factor could be seen in cultural varieties in Alvand city. This study also analyzes the ecological factors such as the immigration, economical situation, ecological movements and its influence on physical development using the descriptive and correlational methods to prove whether there is a logical relation among varieties providing that this statement is confirmed, this relation will be able to describe and explain the correlations in the different forms. The results show that immigration has influenced the spatial distribution of social groups and physical development of Alvand city.

  7. Flood Insurance Study, City of Sandy City, Utah, Salt Lake County

    OpenAIRE

    Federal Emergency Management Agency

    1994-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Sandy City, Salt Lake County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plai...

  8. City regions geoscience in Wales : scoping study

    OpenAIRE

    Patton, A.M.; Boon, D.P.

    2015-01-01

    Several individuals from the public and private sector in Wales contributed to the initial consultation process and their assistance is gratefully acknowledged. We would particularly like to thank Cardiff Council, Newport City Council, City and County of Swansea Council, Neath Port Talbot Council, Rhondda Cynon Taf Council, Torfaen County Borough Council, Caerphilly County Borough Council, Atkins Global, Parsons Brinkerhoff, Welsh Water, Celtic Ltd, Natural Resources Wales, and...

  9. Study of Acid Rain in Tikrit City

    Directory of Open Access Journals (Sweden)

    Khaled H. Latef

    2013-04-01

    Full Text Available A study of the degree of acidity  for the precipitation in four different sites in Tikrit city was done  for the period from 1-February to 1-April/2007 which is the period of rains in this year.      Chemical tests included (pH as the direct indicator of the degree of acidity ,and the concentration of sulphates (SO4-2 and nitrates ( NO3- as indirect indicator.      The (pH range was (5.56-6.4 which indicates the presence of acid rain in the area under study . (SO4-2 concentrations range was (88-223mg/l while  ( NO3- concentrations range was (80-170mg/l.      The wind velocity ,temperature, and humidity during the sample collection period ranged (2.25-4m/s, (1-260C, (22%-90% respectively

  10. Receptor binding studies of the living heart

    International Nuclear Information System (INIS)

    Receptors form a class of intrinsic membrane proteins (or glycoproteins) defined by the high affinity and specificity with which they bind ligands. Many receptors are associated directly or indirectly with membrane ion channels that open or close after a conformational change of the receptor induced by the binding of the neurotransmitter. Changes in number and/or affinity of cardiac neurotransmitter receptors have been associated with myocardial ischemia and infarction, congestive heart failure, and cardiomyopathy as well as diabetes or thyroid-induced heart muscle disease. These alterations of cardiac receptors have been demonstrated in vitro on membrane homogenates from samples collected mainly during surgery or postmortem. The disadvantage of these in vitro binding techniques is that receptors lose their natural environment and their relationships with the other components of the tissue

  11. 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.

  12. 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

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

    OpenAIRE

    Jian Peng; Minli Zong; Yi'na Hu; Yanxu Liu; Jiansheng Wu

    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 ...

  14. Study of RF Signal Attenuation of Human Heart

    OpenAIRE

    Kedar Nath Sahu; Challa Dhanunjaya Naidu; M. Satyam; K. Jaya Sankar

    2015-01-01

    A study of ultrawideband pulse propagation modeling through human body for all frequencies from 0.1 to 10.5 GHz is presented. Reflection coefficient and signal attenuation are computed from the model considering the variation of heart dimension with respect to time unlike a fixed dimension of heart used in earlier models. The performance of cardiac activity is studied from the change of signal attenuation. This estimation may help in the design of a noninvasive diagnostic system using ultrawi...

  15. 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.

  16. 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)

  17. 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

  18. RESEARCH ON IMAGO SPACE OF VALLEY CITY--A Case Study of Lanzhou City

    Institute of Scientific and Technical Information of China (English)

    MENG Cai-hong; YANG Yong-chun; ZHANG Cong-guo

    2004-01-01

    Currently domestic researches on urban imago space concentrate in a few cities that lie in the advanced region,such as Beijing,Guangzhou,Wuhan,etc.,but in so far as those cities that lie in the northwest inland region,the research of this aspect is still few.In order to supplement a special example to the urban imago space theory and to validate former theory,this article studied the Lanzhou urban imago space.During the course of researching,authors adopted some investigating methods,such as visiting on the spot,photograph identification method and sketch map identification method etc.Using investigated data,this paper made an elementary research on urban imago space of Lanzhou,which is a typical valley city in the western China.The result of study indicated that the urban imago space of Lanzhou takes Xiguan Cross as its center (Lanzhou involves four districts of Chengguan,Qilihe,Anning and Xigu).In the process of recognition of urban imago space,the Huanghe (Yellow) River and mountains beside the city are the dominant factors and the main nodes of cognition.So the urban imago space of Lanzhou is quite different from that of plain cities.Interviewee did well in the spatial structure map,which was made up of mountainous land,river and main trunk roads,the group structure took profound impression on people.

  19. Genome-wide association study of electrocardiographic and heart rate variability traits: the Framingham Heart Study

    OpenAIRE

    Newton-Cheh, Christopher; Guo, Chao-Yu; Wang, Thomas J.; O'Donnell, Christopher J.; Levy, Daniel; Larson, Martin G.

    2007-01-01

    Background Heritable electrocardiographic (ECG) and heart rate variability (HRV) measures, reflecting pacemaking, conduction, repolarization and autonomic function in the heart have been associated with risks for cardiac arrhythmias. Whereas several rare monogenic conditions with extreme phenotypes have been noted, few common genetic factors contributing to interindividual variability in ECG and HRV measures have been identified. We report the results of a community-based genomewide associati...

  20. Analysis urban life quality, case study residents of Rostamabad City

    Directory of Open Access Journals (Sweden)

    Akram Ali Reza poor

    2016-08-01

    Full Text Available One of the main issues raised about sustainable development and the quality of human life. Life quality, economic, social, physical, biological, cultural and political advocacy. City Rostamabad Narmashir city center, which is located in the South East province. Based on the material provided above, the present study is the evaluation of quality of life in the city Rostamabad. The purpose of this studies the physical aspects of quality of life, economic, social and Rostamabad is in the city. Research question is: subjective quality of life of residents in the city Rostamabad (Narmashir How so? This study is a descriptive analysis. Data collection methods include observation, enterprise statistics, and library resources, and Inventory. Quality of Life Questionnaire research tool households. They Collection data by, correlations Statistical tests, Binomial T test, Wilcoxon, and one sample T- test were analyzed. Findings indicated the objective quality of life of city residents Rostamabad is desirable and less desirable in some areas. The results showed the following subjective satisfaction with the quality of this type of service, cost, access time, and so is low. The subjective quality of life in the next few social good and is close to the average. While the have become more favorable for quality of life in all three dimensions of economic, social, and spatial - ecological status of the city.

  1. 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.

  2. Emergency Service Location Study for Kyrenia City in Cyprus

    OpenAIRE

    Siamidoudaran, Meisam

    2012-01-01

    ABSTRACT: Considering the attractiveness of one of the cities in Cyprus, known as Kyrenia, among tourists due to its historical buildings and touristic environment, it is crucial to protect the area from fire. Therefore, the aim of this study is to identify suitable locations for a fire station which has been achieved through applying the Quantum Geographic Information Systems (QGIS) software and Python Programming Language. In this thesis, a detailed study was conducted for the city of K...

  3. 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

  4. Building Sustainable Cities: A Case Study in Beijing

    OpenAIRE

    Meng, Bin

    2016-01-01

    More than half of the world’s population lives in urban areas and this figure is expected to increase. The worldwide trend is in the direction of urbanization. Building sustainable cities is one of the sustainable development goals (SDGs) initiated by United Nations Sustainable Development Solutions Network. In the anthropocene of human induced climate change, what makes a city sustainable? This paper takes Beijing as the case study, uses building smart infrastructures and lowering ecological...

  5. AIR POLLUTION MANAGEMENT IN TWO COLOMBIAN CITIES: CASE STUDY

    OpenAIRE

    Eduardo Uribe

    2005-01-01

    This document is a case study that focuses on the air pollution problems of Bogotá and Medellín. These are the largest; most populated and industrialized cities of Colombia. The document presents a brief description of the evolution of relevant institutional aspects. It describes the pollution problems of these cities, their sources, their effects on health and the measures to control and to prevent them. Following the framework of the WDR 20031, this document analyzes how society becomes awa...

  6. Wife Battering: a Prospective Study in Sanandaj City, Iran

    OpenAIRE

    A Ghazizadeh

    2003-01-01

    To determine the prevalence of domestic physical violence against women and its associated factors in Sanandaj city, Iran, during the year 2000, this study was conducted. Random sampling of 1000 married women resident in Sanandaj city was conducted and underwent a standard interview as well as completed a 23-part questionnaire. 15 % and 38 % of the women had been assaulted by their husbands during the past year or in their marriage, respectively between 1 and 11 or more occasions. Economic pr...

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

    OpenAIRE

    Josessira Galy Farias Barreto; Mello Souza Mello; Marcelo Franco Leão; Salete Mello Santos de Alencar

    2013-01-01

    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 o...

  8. 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, L B; Vestbo, J; Juel, K;

    1998-01-01

    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...

  9. 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.

  10. Multigated radionuclide study of the total artificial heart

    International Nuclear Information System (INIS)

    A permanent total artificial heart, the Jarvik-7, was implanted into a 61-year-old male with a severe cardiomyopathy. Gated radionuclide studies were performed in the patient both prior to surgery and following implantation. Preoperative gated radionuclide cardiac studies revealed marked left ventricular enlargement, severe hypokinesis and a left ventricular ejection fraction of 10%. The right ventricle was moderately enlarged with a 27% ejection fraction. Following implantation of the Jarvik-7 artificial heart, gated cardiac studies were performed with a computer gated by a signal from the heart controller. The left ventricular ejection fraction was 69% and the right ventricular ejection fraction was 62%. This compared to a theoretical ejection fraction of 74% for each ventricle based on chamber anatomy. There was excellent ventricular emptying. Phase analysis showed uniform diaphragm motion. The use of gated cardiac studies in humans may prove helpful in evaluating mechanical problems with the artificial heart, such as manlfunction of the diaphragm, before they become clinically apparent. (orig.)

  11. 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-

  12. 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.

  13. Study of Patient Pain Management after Heart Surgery

    Directory of Open Access Journals (Sweden)

    Mohammadreza Sattari

    2013-08-01

    Full Text Available Purpose: To investigate postoperative pain control and analgesic use after heart surgery. Methods: 120 patients undergone heart surgery, randomly entered the study. Each patient was asked to score his pain intensity on visual analog scale (VAS at four different occasions. Results: 120 patients aged 59 year-old; including 81 male were enrolled in the study. 69.2% had coronary artery disease and 16.7% had heart-valve problem. Main types of surgeries were coronary artery bypass surgery (70.5% and valve repairement (23%. Duration of ICU stay was 4.78±2.7 days and duration of intubations was 17.38 ± 36.46 hours. Pre-surgery pain relief was administrated to 42% of the subjects and morphine and promethazine was the main pre-surgery analgesia medication. Post surgery analgesic included morphine (injection, petidine (injection and NSAIDS (oral or rectal. According to VAS, mean pain level, 1 and 4 hours after extubation, and before and one hour after transferring to wards was 5.05±2.5, 4.09±2.0, 3.52±1.8, 2.36±1.89, respectively. Although the level of pain reported was mostly moderate, 80% were reported satisfaction with their post-surgery pain management. Conclusion: A closer pain management control is needed for patients after heart surgery. Introduction of newer pain management techniques, medications and dosages could reduce the pain and suffering.

  14. Delimitating central areas of cities based on road density: a case study of Guangzhou City

    Science.gov (United States)

    Zhang, Qingnian; Lu, Xueqiu

    2009-10-01

    The central area of a city is an important functional unit in many urban studies. It is a region where business concentrates and municipal facilities densely distribute. Traditionally, statistics of economic and social phenomena can be used to delimitate their boundaries. However, traditional methods based on economic and social investigation are labor-intensive and sometimes inaccurate. Alternatively, road networks acting as a kind of infrastructure reflect the association of locations. Thus the concentration of road networks indicates the congestion of social-economic activities and municipal facilities to some extent. Based on density analysis of road networks, the area where roads densely distribute is recognized as the central area of a city. Taking Guangzhou City as an example, the road network was studied on a set of spatial scopes, and the central area was delimitated and analyzed. Results showed that the road-density-based delimitation had to be adjusted according to the road system, and the delimitated area was consistent to the real central area to some extent. Since road data is much accessible, road-based method is useful and practical when short of socialeconomic data.

  15. Studying the Multilingual City: A GIS-Based Approach

    Science.gov (United States)

    Veselinova, Ljuba Nikolova; Booza, J. C.

    2009-01-01

    Work in two distinct disciplines, urban geography and sociolinguistics, readily points out the multiethnic and multilingual character of metropolitan areas. However, there is still demand for studies which establish the language structure of modern cities. For the purposes of this pilot study, we focus on the Detroit Metropolitan Area (DMA),…

  16. A study on the normal heart volume of Korean adolescents

    International Nuclear Information System (INIS)

    Cardiac volume mensuration by the roentgenological method was carried out in healthy 220 Korean adolescent, 116 males and 104 females. Predicted heart volume (PHV) and relative heart volume (RHV) were obtained from the following formulae: PHV = K X Broad diameter X Long diameter X Greatest horizontal depth RHV = PHV (total volume in ml)/body surface area (meter squared) The constant, K, represents the product of an ellipsoid area factor and a correction factor for magnification of the cardiac image. Therefore, K value used in this study is 0.42 for 200 cm and 150 cm of the focal-film distance in posterior-anterior and lateral views, respectively. The broad diameter was measured from the junction of the right atrium and the diaphragm to the junction of the pulmonary artery and left atrial appendage. The long diameter was taken from the junction of the superior vena cava and right atrium to the cardiac apex. The greatest horizontal depth of the heart was measured on lateral view. Body surface area was obtained by use of the Du Bolis nomogram. The results were as follows: 1. Predicted roentgenological heart volumes at 16 years to 20 years of age was 449 ± 11.1 ml in makes and 418 ± 7.7 ml in females. It increased with advantage age and height, but was not significantly influenced by changes in body weight in both sexes. 2. Relative heart volume at 16 years to 20 years was 275 ± 5.6 ml/m2 in males, 327 ± 4.1 ml/m2 in females. It increased with advantage age and height, but was not significantly influenced by changes in body weight in both sexes. 3. Roentgenological mensuration was a simple and reliable method in determining the cardiac volume.

  17. MORPHO - HISTOLOGICAL STUDY OF MYOCARDIAL BRIDGES OF CADAVERIC HEARTS

    Directory of Open Access Journals (Sweden)

    Nalinakumari

    2015-02-01

    Full Text Available INTRODUCTION: A band overlying the in tramural segment of coronary artery - a place where the artery goes through myocardium instead of epicardium is called myocardial bridging (MB. A wide variation of 0.5% - 90.4% occurs in the incidence of MB by the cadaveric and angiographic study. More over the occurrence of atherosclerosis in coronary artery segments under myocardial bridges still remains controversial. And so, the incidence of myocardial brid g es and their association to atherosclerosis formation in cadaveric hearts was done morphologically and histological in this study. METHODS: 30 cadaveric hearts from department of Anatomy were examined. After cleaning the fat from epicardium, course of all three coronary arteries were delineated and observed for presence of MB. In the hearts that exhibited MB, the location, length of MB, its distance from the coronary ostium was measured. Sections were made proximal to MB, under MB and distal to MB in the vessels. The perimeter of the vessels were measured. The section was processed for histological study of intimal – media thickness ratio. RESULT: 24 hearts showed MB in the left anterior interventricular artery. One showed MB in right coronary artery. Multiple MB in single artery was seen rarely. The length of the MB segment was around 4 cm on an average. Mostly the MB is seen in the mid to distal part of the artery. The intima was found to be thinned out in the section of the vessel underneath the MB. CONCLUSION: This study concludes that Left coronary artery is the commonest to have myocardial bridges. But the occurrence of this MB in the distal part of the vessel in contrast to previous studies is an important finding to be noted. The presence of intimal thinning underlying the myocardial bridges questions the previous studies that claimed MB‟s protection of vessels from atherosclerosis

  18. Anatomy studies for an artificial heart. Final summary report

    International Nuclear Information System (INIS)

    In the interval from February of 1972 through December of 1977, studies were conducted relating to the anatomical feasibility of implanting a total artificial heart system. These studies included both the calf as an experimental animal as well as the ultimate human recipient of the artificial heart system. Studies with the calf included definition of the thoracic anatomy relative to the size, shape, and vascular connections for implanting the blood pump. To test the animal's tolerance to an implanted engine system, mockups of the thermal converter were implanted chronically in various locations within the calf. No problems developed in retroperitoneal or intraperitoneal implants ranging from 8 to 15 months. A study to determine accelerations experienced by an abdominally implanted thermal converter was performed in calves. Under the most severe conditions, accelerations of a maximum of 34 Gs were experienced. The largest effort was devoted to defining the human anatomy relative to implanting an artificial heart in the thorax. From a number of data sources, including cadavers as well as living patients, a quantitative, statistical analysis of the size and shape of the male thorax was obtained. Finally, an in vivo study of a functional intrathoracic compliance bag in a calf demonstrated the feasibility of this method

  19. Estimating vehicle emissions from road transport, case study: Dublin City

    OpenAIRE

    Achour, Hussam; Olabi, Abdul-Ghani; Carton, James

    2011-01-01

    Air pollution is becoming a very important issue for the transportation sector, particularly car emissions in urban areas, and there is much interest in evaluating the actual level of emissions. In this paper, a case study of a standard driving cycle in the urban area of Dublin city is presented. On-road, speed-time data was extracted by an on-board diagnostic tool, and saved into a data acquisition package. Firstly, the driving cycle was established for the urban area of the city; one car tr...

  20. Pedigree and genotype errors in the Framingham Heart Study

    OpenAIRE

    Almasy Laura; Brush Gerry

    2003-01-01

    Abstract The pedigree and genotype data from the Framingham Heart Study were examined for errors. Errors in 21 of 329 pedigrees were detected with the program PREST, and of these the errors in 16 pedigrees were resolved. Genotyping errors were then detected with SIMWALK2. Five Mendelian errors were found following the pedigree corrections. Double-recombinant errors were more common, with 142 being detected at mistyping probabilities of 0.25 or greater.

  1. The Performance of the Smart Cities in China—A Comparative Study by Means of Self-Organizing Maps and Social Networks Analysis

    Directory of Open Access Journals (Sweden)

    Dong Lu

    2015-06-01

    Full Text Available Smart cities link the city services, citizens, resource and infrastructures together and form the heart of the modern society. As a “smart” ecosystem, smart cities focus on sustainable growth, efficiency, productivity and environmentally friendly development. By comparing with the European Union, North America and other countries, smart cities in China are still in the preliminary stage. This study offers a comparative analysis of ten smart cities in China on the basis of an extensive database covering two time periods: 2005–2007 and 2008–2010. The unsupervised computational neural network self-organizing map (SOM analysis is adopted to map out the various cities based on their performance. The demonstration effect and mutual influences between these ten smart cities are also discussed by using social network analysis. Based on the smart city performance and cluster network, current problems for smart city development in China were pointed out. Future research directions for smart city research are discussed at the end this paper.

  2. Urban Agriculture : Findings from Four City Case Studies

    OpenAIRE

    World Bank

    2013-01-01

    Urban agriculture contributes to local economic development, poverty alleviation, the social inclusion of the urban poor and women, as well as to the greening of the city and the productive reuse of urban wastes. Urban agriculture encompasses a wide variety of production systems in both urban as well as peri-urban areas. This study examines the contribution of urban agriculture to liveliho...

  3. 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.

  4. 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

  5. Flood Insurance Study, City of Logan, Utah, Cache County

    OpenAIRE

    Federal Emergency Management Agency

    1984-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Logan, Cache County, Utah, and aids in the administration of the National Flood Insurance act of 1968 and the Flood Disaster Protection Act of 1973. This study will be used to convert Logan to the regular program of flood insurance by the Federal Emergency Management Agency (FEMA). Local and regional planners will use this study in their efforts to promote sound flood plain management.

  6. Association of Socioeconomic Status and Exercise Capacity in Adults With Coronary Heart Disease (from the Heart and Soul Study)

    OpenAIRE

    Cohen, Beth; Vittinghoff, Eric; Whooley, Mary

    2007-01-01

    Lower socioeconomic status (SES) was associated with reduced treadmill exercise capacity and predicted adverse cardiovascular outcomes. Why patients with low SES had reduced exercise capacity and whether this relation existed in patients with coronary heart disease (CHD) was not known. Using data from the Heart and Soul Study, the association of 4 indicators of SES (household income, education, housing status, and occupation) with treadmill exercise capacity was analyzed in 943 men and women ...

  7. Study of Noise Pollution at Major Intersections in Jaipur City

    Directory of Open Access Journals (Sweden)

    Manish Raman

    2014-08-01

    Full Text Available Jaipur city is a district place in state of Rajasthan, India having population of 35 lakhs. Accordingly Jaipur is the most populated industrial and commercial city of Rajasthan. Most environmental Problem is noise pollution are increased because of number of vehicles are increased and irregular transportation by others sources. The purpose of this study is to determine levels of environmental noise and its impact. In this study, continuous monitoring of noise levels Leq dB (A during the period of April, 2014 at eleven different locations in the city. On the basis of different locations these sites were classified as commercial, residential, industrial, and silence zones. The researched data explains an enhanced pressure of noise in areas of Jaipur because of increase in number of vehicles and facilities of transportation. Results shows higher sound level in areas of Jaipur as compared with the prescribed limits of Central Pollution Control Board (CPCB.Present paper recommends how to reduce noise levels in the city significantl

  8. Urban transformation and social change in a Libyan city: an anthropological study of Tripoli

    OpenAIRE

    Elbendak, Omar Emhamed

    2008-01-01

    This PhD thesis is a study of urban transformation in a Libyan city. The case study focuses on the city of Tripoli, the capital of Libya. It is at the same time an old city as well as a modern city, and can be identified as a major world city. Libya has experienced one of the highest rates of urbanisation in the last few decades. Libya’s rate of urbanisation is 88%, putting it higher than that of all other African cities and, indeed, some European cities as well. The research explores the urb...

  9. Breast Cancer Meds Won't Raise Chances of Heart Attack, Stroke, Study Suggests

    Science.gov (United States)

    ... nlm.nih.gov/medlineplus/news/fullstory_158441.html Breast Cancer Meds Won't Raise Chances of Heart Attack, ... the risk of heart attacks and strokes among breast cancer survivors, a new study suggests. However, the researchers ...

  10. 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.

  11. Smoking and Ischemic Heart Disease Disparities Between Studies, Genders, Times, and Socioeconomic Strata

    OpenAIRE

    Leistikow, Bruce N

    2009-01-01

    Large, unexplained, but possibly related disparities exist between heart disease risks observed in differing genders, educational levels, times, and studies. Such heart disease disparities might be related to cumulative tobacco smoke damage (smoke load) disparities that are overlooked in standard assessments of point smoking status. So, I reviewed possible relationships between smoke load and heart disease levels across genders, educational strata, years, and leading studies. Smoker heart dis...

  12. 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 (<8 years) as reference was 0.69 (0.62–0.78) and 0.52 (0.43–0.63), respectively, with similar associations in men and women. After adjusting for updated cardiovascular risk factors, corresponding HRs were 0...

  13. Flood Insurance Study, City of Manti, Utah, Sanpete County

    OpenAIRE

    Federal Emergency Management Agency

    1987-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Manti, Sanpete County, Utah and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound floodplain management. Minimum floodplain manageme...

  14. Flood Insurance Study City of Duchesne, Utah, Duchesne County

    OpenAIRE

    Federal Emergency Management Agency

    1988-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Duchesne, Duchesne County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain m...

  15. Flood Insurance Study, City of Salina, Utah, Sevier County

    OpenAIRE

    Federal Emergency Management Agency

    1986-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Salina, Sevier County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain manag...

  16. Flood Insurance Study, City of St. George, Utah, Washington County

    OpenAIRE

    Federal Emergency Management Agency

    1998-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of St. George, Washington County, Utah, and aids in the administration of the National Flood Insurance Act of 1964 and the Flood Disaster Protection Act of 1971. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood pla...

  17. Flood Insurance Study, City of Draper, Utah, Salt Lake County

    OpenAIRE

    Federal Emergency Management Agency

    1994-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Draper, Salt Lake County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain ma...

  18. Flood Insurance Study, City of Midvale, Utah, Salt Lake County

    OpenAIRE

    Federal Emergency Management Agency

    1994-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Midvale, Salt Lake County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to established [sic] actuarial flood insurance rates and to assist the community in its efforts to promote sound floodplain management. Minimum flo...

  19. Flood Insurance Study, City of Murray, Utah, Salt Lake County

    OpenAIRE

    Federal Emergency Management Agency

    1994-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Murray, Salt Lake County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain ma...

  20. Flood Insurance Study, City of Richfield, Utah, Sevier County

    OpenAIRE

    Federal Emergency Management Agency

    1986-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Richfield, Sevier County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain ma...

  1. Symbolic Violence and Homosexuality: A Study in Brazilian Major Cities

    OpenAIRE

    Renata Almeida Bicalho; Ana Paula Rodrigues Diniz; Alexandre de Pádua Carrieri; Mariana Mayumi Pereira de Souza

    2011-01-01

    In order to contribute to “enlighten” the dark side of organizations as an issue related to organizations studies, this article presents a research about bullying at homosexual men in Brazil. To this end, we performed a qualitative study in Brazilian major cities Aracaju, Belo Horizonte, Brasilia, Vitoria, Porto Alegre, Rio de Janeiro and Sao Paulo. The method used was the story of life and to assess the corpus of interviews were employed some categories of the discourse analysis. Through the...

  2. CEP action area studies : City of Yellowknife fleet review

    International Nuclear Information System (INIS)

    The City of Yellowknife maintains a fleet of vehicles and equipment used for public service. Yellowknife's Community Energy Plan (CEP) has a goal to reduce Yellowknife's fleet fuel consumption and greenhouse gas (GHG) emissions by 20 per cent within 10 years. This report examined current fuel consumption for the City of Yellowknife's fleet based on available data and examined options to reduce fleet fuel consumption. It also quantified the reduction in fuel consumption, GHG emissions, as well as the financial impacts of various options. An overview of the City of Yellowknife's fleet of vehicles and equipment was first provided, as well as calculated annual values for fuel consumption, GHG emissions, and energy consumption for the City of Yellowknife's fleet. Two fleet management case studies were presented. Fuel-efficient vehicles on the market that could provide an opportunity to replace some of the City of Yellowknife's fleet of light vehicles, and bylaw vehicles with fuel-efficient vehicles were discussed. These vehicles include hybrid vehicles, smart cars, compressed natural gas vehicles, and compressed-air vehicles. Equipment maintenance for tires, preventive, synthetic oils, and driver training programs were discussed. Anti-idling campaigns and technologies were also examined. The report concluded with a discussion of renewable fuels such as biodiesel and ethanol blended gasoline. Fleet fuel consumption, GHG and financial impacts were provided for each chapter heading. It was concluded that if all of the measures identified in the report were implemented, an overall decrease in GHG emissions of approximately 15 per cent would be achieved. 15 refs., 8 tabs., 8 figs

  3. 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.

  4. Study of adherence to exercise in heart failure: the HEART camp trial protocol

    OpenAIRE

    Pozehl, Bunny J; Duncan, Kathleen; Hertzog, Melody; McGuire, Rita; Norman, Joseph F.; Artinian, Nancy T.; Keteyian, Steven J.

    2014-01-01

    Background Adherence to the Heart Failure Society of America (HFSA) 2010 guidelines recommending 30 minutes of supervised moderate intensity exercise five days per week is difficult for patients with heart failure (HF). Innovative programs are needed to assist HF patients to adhere to long-term exercise. The objective of this prospective randomized two-group repeated measures experimental design is to determine the efficacy of a behavioral exercise training intervention on long-term adherence...

  5. Signs of inflammation in different types of heart valve disease : The VOCIN study

    OpenAIRE

    Wallby, Lars

    2008-01-01

    Heart valve dysfunction is a relatively common condition in the population, whereas significant heart valve disease is more unusual. The cause of different types of heart valve disease depends on which valve is concerned. Rheumatic heart valve disease, has for a long time been considered to constitute a post-inflammatory condition. During the 1990s it was also shown that the so-called non-rheumatic or degenerative tricuspid aortic stenosis, comprised signs of inflammation. In this study, 118 ...

  6. Electrophysiological and Structural Remodeling in Heart Failure Modulate Arrhythmogenesis. 2D Simulation Study

    OpenAIRE

    Gomez, Juan F.; Cardona, Karen; Martinez, Laura; Saiz, Javier; Trenor, Beatriz

    2014-01-01

    Background 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. Objective In this study we investigate vulnerability to reentry under heart failure conditions by incorporating established electrophysiolog...

  7. Electrophysiological and Structural Remodeling in Heart Failure Modulate Arrhythmogenesis. 2D Simulation Study

    OpenAIRE

    Gómez García, Juan Francisco; Saiz Rodríguez, Francisco Javier; Trenor Gomis, Beatriz Ana

    2014-01-01

    Background: 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. Objective: In this study we investigate vulnerability to reentry under heart failure conditions by incorporating established ...

  8. 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.

  9. 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.

  10. Wife Battering: a Prospective Study in Sanandaj City, Iran

    Directory of Open Access Journals (Sweden)

    A Ghazizadeh

    2003-08-01

    Full Text Available To determine the prevalence of domestic physical violence against women and its associated factors in Sanandaj city, Iran, during the year 2000, this study was conducted. Random sampling of 1000 married women resident in Sanandaj city was conducted and underwent a standard interview as well as completed a 23-part questionnaire. 15 % and 38 % of the women had been assaulted by their husbands during the past year or in their marriage, respectively between 1 and 11 or more occasions. Economic problems were the most frequent cause of domestic quarrel, while there was a significant association between the husband’s educational level and the violence against their wives (P=0.001.The physical violence against housewives was significantly more frequent than the employed ones .The husbands job was also significantly associated with their violence The existence of child or daughter in the family had a preventive role in domestic physical violence against women. Logit Regression Model for prediction of physical violence against women (Y during the marriage was: "Y=0.014- 0.029 woman’s age +0.199 numbers of children -0.238 man’s education +0.589 woman’s job ". This study confirms for Sanandaj city of Iran, the high frequency of physical violence against women by their husbands. Cultural education and supportive measures are essential to control that. Screening protocol for the detection of domestic violence in family planning Health Care System is recommended.

  11. 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.)

  12. Armstrong City: A Permanent Settlement for Exo-Planetary Studies

    Science.gov (United States)

    Greenspon, J.

    Development of a permanent placement lunar base is the next fundamental step in an international program to explore and settle other planets within our solar system. While technical, operational, managerial and long-term issues must be considered, the establishment of a lunar facility can serve the preliminary needs of manned civilization in space. Numerous issues become apparent in the consideration of the activation of a lunar base. Specific and realistic determinations must be made about various types of interests in addition to the general conjectures given above. These activities include: - Spacecraft landings and vehicle systems - Crew selection, supplies and habitability - Power production and distribution - Risk management - Science and lunar activities - Base planning and configurations - Integrated operations and maintenance - Management. The development and activation of a lunar colony will require careful consideration to the future of space activities and operations in near Earth space. A lunar city, which we call Armstrong city, is defined by its own unique natural environment, available technology, realistic objectives, and common sense. Armstrong City, a preliminary first lunar base, will most probably be serving as an extended "division" of Earth's space exploration offices. The reasons are very simple and practical. -First, the costs of maintaining a permanent space facility will be lower in the long run than the costs of a series of short duration, rotating manned bases, -Second, studies in long-term space habitation can effectively be carried out in relative safety, -Third, the initial tasks which need to be done will define and establish methodologies and issues for development of future extraterrestrial base concepts, and -Fourth, the complexities of the initial facilities necessary to sustain the citizens can be tempered through developing local resources and reproducible research. In order to bring about development of Armstrong City, four

  13. Rationale and study design of a cross sectional study documenting the prevalence of Heart Failure amongst the minority ethnic communities in the UK: the E-ECHOES Study (Ethnic - Echocardiographic Heart of England Screening Study)

    OpenAIRE

    Freemantle Nick; Davies Michael; Davis Russell; Gill Paramjit S; Lip Gregory YH

    2009-01-01

    Abstract Background Heart failure is an important cause of cardiovascular morbidity and mortality. Studies to date have not established the prevalence heart failure amongst the minority ethnic community in the UK. T'he aim of the E-ECHOES (Ethnic - Echocardiographic Heart of England Screening Study)is to establish, for the first time, the community prevalence and severity of left ventricular systolic dysfunction (LVSD) and heart failure amongst the South Asian and Black African-Caribbean ethn...

  14. 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.

  15. Do patients with suspected heart failure and preserved left ventricular systolic function suffer from “diastolic heart failure” or from misdiagnosis? A prospective descriptive study

    OpenAIRE

    Caruana, L; Petrie, M.C.; Davie, A.P.; McMurray, J.

    2000-01-01

    OBJECTIVES: To characterise the clinical features of patients with suspected heart failure but preserved left ventricular systolic function to determine if they have other potential causes for their symptoms rather than being diagnosed with 'diastolic heart failure.' DESIGN: Prospective descriptive study. SETTING: Outpatient based direct access echocardiography service. PARTICIPANTS: 159 consecutive patients with suspected heart failure referred by general practitioners. MAIN OUTCOME MEASURES...

  16. 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....

  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. Spatial registration of echocardiographic and positron emission tomographic heart studies

    International Nuclear Information System (INIS)

    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.)

  19. 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.

  20. A second delivery after heart transplantation – a case study

    OpenAIRE

    Kalinka, Jarosław; Szubert, Maria; Zdziennicki, Andrzej; Chojnowski, Krzysztof; Maciejewski, Marek; Piestrzeniewicz, Katarzyna; Zakliczyński, Michał; Drożdż, Jarosław

    2014-01-01

    Pregnancy after organ transplantation is becoming relatively common. We present the case of a heart transplant recipient who gave birth to a second child. Despite the fact that the transplanted heart seems to adapt well to the changes caused by pregnancy, gestation in patients after heart transplantation may be complicated by hypertension, pre-eclampsia, or preterm labor. In this article, we consider the issues of preterm uterine contractions, anemia, thrombocytopenia, and several other compl...

  1. 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.

  2. 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.

  3. Dyspnoea and worsening heart failure in patients with acute heart failure : results from the Pre-RELAX-AHF study

    NARCIS (Netherlands)

    Metra, Marco; Teerlink, John R.; Felker, G. Michael; Greenberg, Barry H.; Filippatos, Gerasimos; Ponikowski, Piotr; Teichman, Sam L.; Unemori, Elaine; Voors, Adriaan A.; Weatherley, Beth Davison; Cotter, Gad

    2010-01-01

    Although dyspnoea is the most common cause of admission for acute heart failure (AHF), more needs to be known about its clinical course and prognostic significance. The Pre-RELAX-AHF study randomized 232 subjects with AHF to placebo or four doses of relaxin and evaluated early (6-24 h Likert scale)

  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. Automated selection of areas of interest in dynamic studies and camera-cinematograpy of the heart

    International Nuclear Information System (INIS)

    Progress is reported in heart investigations using the first transit principle and the steady-state procedure for radionuclide scanning. Progress in the first transit principle relies on automated selection of areas of interest. A procedure has been developed which automatically performs the evaluation of the areas corresponding to the right heart, the lungs, and the left heart. A different procedure has been built up for dynamic lung studies with Xe-133 (Radiospirometry), which principally can be applied to any other organ investigation. R-wave time averaged procedures of the heart in steady state can be performed in direct or indirect manner. A direct procedure is described that leads eventually to a cinematographic presentation of the heart kinetics on the computer display. The analysis yields an exact outline of heart ventricles and auricles as prerequisite for determination of ejection fractions and clinically relevant data of the heart function

  6. 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.

  7. Incidence of stroke and coronary heart disease in the adult health study sample, 1958 - 78

    International Nuclear Information System (INIS)

    Approximately 16,000 study subjects in the Adult Health Study sample who had received examination at least once during the 20 years (1958 - 78) in Hiroshima or Nagasaki and were found to have neither stroke nor coronary heart disease (CHD) at the initial examination were studied for the incidence of stroke and CHD and the relationship of these to atomic bomb radiation exposure. Their secular trends were also studied. Findings suggestive of a relationship between stroke and radiation exposure among Hiroshima females were first discovered for the years 1969 - 73, that is, 24 - 28 years after A-bomb exposure. In general, this association is supported by the present analysis. Stroke incidence continued to decrease during the present report's period of observation. Analysis by type showed that cerebral infarction and cerebral hemorrhage both decreased, but the decrease of the latter is especially remarkable. The trend to decrease is observed in both sexes and in both cities. A relationship between CHD and radiation exposure was, as noted for stroke, first observed only in Hiroshima females for the years 1969 - 73, but from this analysis it appears that the trend began earlier and the association is getting stronger with the passage of time. Analysis by type showed myocardial infarction (MI), but not angina pectoris, to be related to radiation exposure. The incidence rate for CHD, especially for MI, was almost constant during the observation period, it being 1.2/1,000 person-years on the average. Comparing by sex, the incidence rate was constant in males. In females, the pattern varied with time. There appear to be no between-city differences in secular trends - essentially constant. (author)

  8. An Empirical Study of the School Zone Law in Three Cities in Massachusetts.

    Science.gov (United States)

    Brownsberger, William N.; Aromaa, Susan

    This study of the 1989 Massachusetts' School Anti-Drug law reviewed 443 drug dealing cases in three cities. After selecting cities and drug dealing cases, researchers reviewed District Attorney case files and extracted selected data items (primarily from police reports). They mapped incident locations, schools, and parks in the cities; computed…

  9. 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.

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

    Directory of Open Access Journals (Sweden)

    MelissaMercado

    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.

  11. Widening access to cardiovascular healthcare: community screening among ethnic minorities in inner-city Britain – the Healthy Hearts Project

    Directory of Open Access Journals (Sweden)

    Tracey Inessa

    2007-11-01

    Full Text Available Abstract Background The burden of cardiovascular disease (CVD in Britain is concentrated in inner-city areas such as Sandwell, which is home to a diverse multi-ethnic population. Current guidance for CVD risk screening is not established, nor are there specific details for ethnic minorities. Given the disparity in equitable healthcare for these groups, we developed a 'tailored' and systematic approach to CVD risk screening within communities of the Sandwell locality. The key anticipated outcomes were the numbers of participants from various ethnic backgrounds attending the health screening events and the prevalence of known and undiagnosed CVD risk within ethnic groups. Methods Data was collected during 10 health screening events (September 2005 and July 2006, which included an assessment of raised blood pressure, overweight, hyperlipidaemia, impaired fasting glucose, smoking habit and the 10 year CVD risk score. Specific features of our approach included (i community involvement, (ii a clinician who could deliver immediate attention to adverse findings, and (iii the use of an interpreter. Results A total of 824 people from the Sandwell were included in this study (47% men, mean age 47.7 years from community groups such as the Gujarati Indian, Punjabi Indian, European Caucasian, Yemeni, Pakistani and Bangladeshi. A total of 470 (57% individuals were referred to their General Practitioner with a report of an increased CVD score – undetected high blood pressure in 120 (15%, undetected abnormal blood glucose in 70 (8%, undetected raised total cholesterol in 149 (18%, and CVD risk management review in 131 (16%. Conclusion Using this systematic and targeted approach, there was a clear demand for this service from people of various ethnic backgrounds, of whom, one in two needed review from primary or secondary healthcare. Further work is required to assess the accuracy and clinical benefits of this community health screening approach.

  12. 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.

  13. Study on the correlativity of earthquake's impact on cities

    Institute of Scientific and Technical Information of China (English)

    潘华; 赵凤新; 高孟潭

    2004-01-01

    @@ Introduction With rapid development and advancement of economy and society, lots of city groups or city belts with ex-tra-large cities as their centers have been formed in China. The regions these city groups lie in usually havewell-developed economy, dense population, and are regional politics and culture centers. Some groups lie in theregions with high level of earthquake activity, such as the Surrounding Capital City Group with the centers of Bei-jing and Tianjin. Once a large earthquake occurs, its influence will spread to very extensive region and its disasterwill be tremendous too. So earthquake resistance and disaster mitigation of city group will be very significant issue.The cities in a group have close distance with each other; they can carry out unified preparation for disaster as onewhole and reduce the heavy load of single city before an earthquake, and have an advantage of prompt mutual-aidafter an earthquake because of close distance. It is especially significant to mitigate the lose of lives. One importantprecondition is that all the cities in one group cannot be exposed to the same level of destroy during one earth-quake. So the division of city group in the region with dense cities distribution shall be very significant to theemergent mutual-aid in early time after a large earthquake. For this goal, the characteristics and correlativity ofearthquake′s impact on cities in one group need to clearly be considered. The cities with similar features and strongcorrelativity of historical earthquake influence have large chance to suffer same level destroy during the futurestrong earthquake and are disadvantage to provide mutual-aid and shall not be divided into one group.

  14. 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.

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

    OpenAIRE

    Mangolian Shahrbabaki, Parvin; Nouhi, Esmat; Kazemi, Majid; Ahmadi, Fazlollah

    2016-01-01

    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 pati...

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

    OpenAIRE

    Parvin Mangolian Shahrbabaki; Esmat Nouhi; Majid Kazemi; Fazlollah Ahmadi

    2016-01-01

    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 pat...

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

    OpenAIRE

    Radha Krishnan; Srinivas

    2015-01-01

    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 Cardiol...

  18. Presenting features of newly diagnosed rheumatic heart disease patients in Mulago Hospital: a pilot study

    OpenAIRE

    Mondo, Charles; Musoke, Charles; Kayima, James; Freers, Jurgen; Zhang, Wanzhu; OKELLO, Emmy; Kakande, Barbara; Nyakoojo, Wilson

    2013-01-01

    Introduction Rheumatic heart disease (RHD) continues to cause gross distortions of the heart and the associated complications of heart failure and thromboembolic phenomena in this age of numerous high-efficacy drugs and therapeutic interventions. Due to the lack of contemporary local data, there is no national strategy for the control and eradication of the disease in Uganda. This study aimed to describe the presenting clinical features of newly diagnosed patients with RHD, with particular re...

  19. Informal Caregivers' Experiences and Needs When Caring for a Relative With Heart Failure: An Interview Study

    OpenAIRE

    Gusdal, A. K.; Josefsson, K.; Adolfsson, E. T.; Martin, L

    2016-01-01

    Background: Informal caregivers play an important role for persons with heart failure in strengthening medication adherence, encouraging self-care, and identifying deterioration in health status. Caring for a relative with heart failure can affect informal caregivers' well-being and cause caregiver burden. Objective: The objective of this study was to explore informal caregivers' experiences and needs when caring for a relative with heart failure living in their own home. Methods: The...

  20. Right heart in septic shock: prospective observational study

    OpenAIRE

    Singh, Ratender Kumar; Kumar, Sudeep; Nadig, Sreevatsa; Baronia, Arvind Kumar; Poddar, Banani; Azim, Afzal; Gurjar, Mohan

    2016-01-01

    Background The right heart often receives less attention during echocardiography. The situation is no different in septic shock. We prospectively investigated the echocardiographic indices of the right heart in septic shock adult patients. Methods Septic shock ICU patients within 24 h of admission were subjected to transthoracic echocardiography (TTE) as per the 2005 guidelines from the American Society of Echocardiography. Results Eighty-eight septic shock patients (M:F = 52:36) underwent TT...

  1. Exercise in a Healthy Heart Program: A Cohort Study

    OpenAIRE

    Meikle, J.; al-Sarraf, A; Li, M; Grierson, K.; Frohlich, J

    2013-01-01

    Objective To assess the effects of exercise on resting heart rate (RHR), weight, lipid profile, and blood pressure. We hypothesized that the participants who increased their physical activity would show improvement in their cardiovascular risk factors compared to those who did not. Design Retrospective chart review over the mean duration of 4.9 years of follow-up. Setting Healthy Heart Program Prevention Clinic at St. Paul’s Hospital, Vancouver, British Columbia, Canada. Participants We revie...

  2. The Prognostic Value of Non-Linear Analysis of Heart Rate Variability in Patients with Congestive Heart Failure—A Pilot Study of Multiscale Entropy

    OpenAIRE

    Yi-Lwun Ho; Chen Lin; Yen-Hung Lin; Men-Tzung Lo

    2011-01-01

    AIMS: The influences of nonstationarity and nonlinearity on heart rate time series can be mathematically qualified or quantified by multiscale entropy (MSE). The aim of this study is to investigate the prognostic value of parameters derived from MSE in the patients with systolic heart failure. METHODS AND RESULTS: Patients with systolic heart failure were enrolled in this study. One month after clinical condition being stable, 24-hour Holter electrocardiogram was recording. MSE as well as oth...

  3. Evaluation of life quality indicators in cities & improving urban environmental (Case Study: Boroujerd city

    Directory of Open Access Journals (Sweden)

    Fatemeh Olfaty

    2014-08-01

    Full Text Available One of the main urban issues is healthy life of residents. Today cities have created mental disaster due to some problems such as crowded, pollutions, high density population and etc. on the other hand , cities especially small cities have natural and appropriate conditions in order to improving urban life quality . So should be planned for using from them. This research is applied. Research method is "descriptive – analytical". Data collected is field. At first, was determined by using kukran method. The sample size is 384 people. In order to using from (GHQ-28 questionnaire (Human, 2005: 131. In this research was evaluated urban quality of Boroujerd city. In order to analyzing of data was used some technique such as: SPSS, Pierson correlation, T test, T Kendall, regression and keroskal. Also, was used questioner for determining sample size. The results shows, there is oriented relation between location and health of residents. Indeed, there is appropriate condition of life quality in welfare location. On the other hand, the most disorder between residents was stress that decreased urban life quality

  4. 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

    Prospective studies on the role of psychosocial factors in heart failure development are virtually nonexistent. The authors aimed to address the effect of psychosocial factors on the risk of heart failure hospitalization in men and women free of cardiovascular disease. In 1991-1993, the 8...... population reported some degree of vital exhaustion. The vital exhaustion score was associated with a higher risk of heart failure in a dose-response manner (P <0.002), with high vital exhaustion being associated with a 2-fold higher risk of heart failure in both men (hazard ratio = 1.93, 95% confidence...... population, even a modestly higher risk of heart failure associated with vital exhaustion may be of importance in the planning of future preventive strategies for heart failure....

  5. Visit-to-visit variability of blood pressure and coronary heart disease, stroke, heart failure and mortality: A cohort study

    Science.gov (United States)

    Muntner, Paul; Whittle, Jeff; Lynch, Amy I.; Colantonio, Lisandro D.; Simpson, Lara M.; Einhorn, Paula T.; Levitan, Emily B.; Whelton, Paul K; Cushman, William C.; Louis, Gail T.; Davis, Barry R.; Oparil, Suzanne

    2016-01-01

    Background Variability of blood pressure (BP) across outpatient visits is frequently dismissed as random fluctuation around a patient’s underlying BP. Objective: Examine the association between visit-to-visit variability (VVV) of systolic and diastolic BP (SBP and DBP) on cardiovascular disease and mortality outcomes. Design Prospective cohort study Setting Post-hoc analysis of the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). Participants 25,814 ALLHAT participants. Measurements VVV of SBP was defined as the standard deviation (SD) across BP measurements obtained at 7 visits conducted from 6 to 28 months following ALLHAT enrollment. Participants free of cardiovascular disease events during the first 28 months of follow-up were followed from the month 28 study visit through the end of active ALLHAT follow-up. Outcomes included fatal coronary heart disease or non-fatal myocardial infarction, all-cause mortality, stroke and heart failure. Results There were 1194 cases of fatal CHD or non-fatal MI, 1948 deaths, 606 cases of stroke and 921 cases of heart failure during follow-up. After multivariable adjustment including mean SBP, the hazard ratio comparing participants in the highest versus lowest quintile of SD of SBP (≥14.4 mmHg versus <6.5 mmHg) was 1.30 (1.06–1.59) for fatal coronary heart disease or non-fatal myocardial infarction, 1.58 (1.32–1.90) for all-cause mortality, 1.46 (1.06–2.01) for stroke, and 1.25 (0.97–1.61) for heart failure. Higher VVV of DBP was also associated with cardiovascular disease events and mortality. Limitations Long-term outcomes were not available. Conclusions Higher VVV of SBP is associated with increased cardiovascular disease and mortality risk. Future studies should examine whether reducing VVV of BP lowers this risk. Primary funding source National Institutes of Health PMID:26215765

  6. Driving phobia in the city of Houston: a pilot study.

    Science.gov (United States)

    Mathew, R J; Weinman, M L; Semchuk, K M; Levin, B L

    1982-08-01

    To study the fear of driving phenomenon the authors contacted 48 subjects who, in response to a newspaper article, had expressed an intense fear of driving in the city of Houston and compared them with an age- and sex-matched control group. The information elicited from the subjects suggested the existence of a driving phobia. No significant differences emerged between the phobic subjects and the controls on relevant driving history and background. Although the phobic subjects reported significantly higher levels of anxiety while driving in normal and difficult situations, most of them reported anxiety of phobic intensity only about difficult driving situations, such as driving on freeways and in congested traffic. PMID:7091430

  7. Acute Myocardial Infarction Quality of Care: The Strong Heart Study

    Science.gov (United States)

    Best, Lyle G.; Butt, Amir; Conroy, Britt; Devereux, Richard B.; Galloway, James M.; Jolly, Stacey; Lee, Elisa T.; Silverman, Angela; Yeh, Jeun-Liang; Welty, Thomas K.; Kedan, Ilan

    2014-01-01

    Objectives Evaluate the quality of care provided patients with acute myocardial infarction and compare with similar national and regional data. Design Case series. Setting The Strong Heart Study has extensive population-based data related to cardiovascular events among American Indians living in three rural regions of the United States. Participants Acute myocardial infarction cases (72) occurring between 1/1/2001 and 12/31/2006 were identified from a cohort of 4549 participants. Outcome measures The proportion of cases that were provided standard quality of care therapy, as defined by the Healthcare Financing Administration and other national organizations. Results The provision of quality services, such as administration of aspirin on admission and at discharge, reperfusion therapy within 24 hours, prescription of beta blocker medication at discharge, and smoking cessation counseling were found to be 94%, 91%, 92%, 86% and 71%, respectively. The unadjusted, 30 day mortality rate was 17%. Conclusion Despite considerable challenges posed by geographic isolation and small facilities, process measures of the quality of acute myocardial infarction care for participants in this American Indian cohort were comparable to that reported for Medicare beneficiaries nationally and within the resident states of this cohort. PMID:21942161

  8. Intramuscular fat and physical performance at the Framingham Heart Study.

    Science.gov (United States)

    Therkelsen, Kate E; Pedley, Alison; Hoffmann, Udo; Fox, Caroline S; Murabito, Joanne M

    2016-04-01

    Intramuscular fat may mediate associations between obesity and physical disability. We examined the associations between muscle attenuation, a proxy for intramuscular fat, and physical function. Paraspinous muscle computed tomography attenuation was obtained on a Framingham Heart Study subgroup (n = 1152, 56 % women, mean age 66 years). Regressions modeled cross-sectional associations between muscle attenuation and mobility disability, grip strength, and walking speed with standard covariates; models additionally adjusted for body mass index (BMI) and visceral adipose tissue (VAT). Separate models investigated associations between VAT and subcutaneous adipose tissue (SAT) and physical function. Per 1 standard deviation decrement in muscle attenuation (i.e., more muscle fat), we observed 1.29 (95 % CI = 1.11, 1.50; p = 0.0009) increased odds of walking speed ≤1 m/s in women and men. This persisted after separate BMI and VAT adjustments (p SAT, similar associations were not observed. Intramuscular fat is associated with increased odds of walking speed ≤1 m/s in both sexes and lower grip strength in men. There were no similar associations for VAT and SAT, highlighting the specificity of intramuscular fat in association with physical function. PMID:26899132

  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. Clean Cities Case Study: Barwood Cab Fleet Study Summary

    International Nuclear Information System (INIS)

    Barwood Cab Fleet Study Summary is the second in a new series called''Alternative Fuel Information Case Studies,'' designed to present real-world experiences with alternative fuels to fleet managers and other industry stakeholders

  11. Electrophysiological and Structural Remodeling in Heart Failure Modulate Arrhythmogenesis. 1D Simulation Study

    OpenAIRE

    Gómez García, Juan Francisco; Romero Pérez, Lucia; Ferrero De Loma-Osorio, José María; Trenor Gomis, Beatriz Ana

    2014-01-01

    Background: Heart failure is a final common pathway or descriptor for various cardiac pathologies. It is associated with sudden cardiac death, which is frequently caused by ventricular arrhythmias. Electrophysiological remodeling, intercellular uncoupling, fibrosis and autonomic imbalance have been identified as major arrhythmogenic factors in heart failure etiology and progression. Objective: In this study we investigate in silico the role of electrophysiological and structur...

  12. Heart rate variability as predictor of nonresponse to mirtazapine in panic disorder : a preliminary study

    NARCIS (Netherlands)

    Slaap, BR; Boshuisen, ML; van Roon, AM; den Boer, JA

    2002-01-01

    Using spectral analysis of heart rate, several studies have shown that panic disorder patients are characterized by a reduced heart rate variability (HRV), indicative of abnormalities in autonomous nervous system (ANS) function. We recently reported that patients with panic disorder, who did not res

  13. CityDelta: A model intercomparison study to explore the impact of emission reductions in European cities in 2010

    Energy Technology Data Exchange (ETDEWEB)

    Cuvelier, C.; Thunis, P.; Vignati, E. [Commiss European Communities, DG Joint Res Ctr, Inst Environm and Sustainabil, I-21020 Ispra, (Italy); Vautard, R.; Hodzic, A. [Ecole Polytech, Lab Meteorol Dynam, F-91128 Palaiseau, (France); Vautard, R.; Hodzic, A. [CEA Saclay, CNRS-UVSQ, LSCE/IPSL, F-91191 Gif Sur Yvette, (France); Amann, M. [Int Inst Appl Syst Anal, A-2361 Laxenburg, (Austria); Bessagnet, B.; Honore, C.; Rouil, L. [INERIS, F-60550 Verneuil En Halatte, (France); Bedogni, M. [AMMA, I-20122 Milan, (Italy); Berkowicz, R.; Brandt, J. [NERI, Dept Atmospher Environm, DK-4000 Roskilde, (Denmark); Brocheton, F.; Peuch, V.H. [CARMA, GMGEC, CNRM, MetroFrance, F-31057 Toulouse, (France); Builtjes, P.; Schaap, M. [TNO, Dept Environm Hlth and Safety, NL-7300 AH Apeldoorn, (Netherlands); Carnavale, C.; Volta, M. [Univ Brescia, Dipartimento Elettron and Automaz, I-25123 Brescia, (Italy); Coppalle, A. [INSA, UMR 6614, CORIA, F-76801 St Etienne, (France); Denby, B. [NILU, Norwegian Inst Air Res, NO-2027 Kjeller, (Norway); Douros, J.; Moussiopoulos, N. [Aristotle Univ Thessaloniki, Lab Heat Transfer and Environm Engn, GR-54124 Thessaloniki, (Greece); Graf, A. [Umweltbundesamt, Fachgebiet 11 6 1, D-14191 Berlin, (Germany); Hellmuth, O. [Leibniz Inst Tropospher Res, Dept Modelling, D-04303 Leipzig, (Germany); Jonson, J.; Tarrason, L.; Wind, P. [Norwegian Air Pollut Inst, Air Pollut Sect, Res Dept, NO-0313 Oslo, (Norway); Kerschbaumer, A.; Stern, R. [Free Univ Berlin, Inst Meteorol, D-12165 Berlin, (Germany); De Leeuw, F. [Netherlands Environm Assessment Agcy, MNP, NL-3720 AH Bilthoven, (Netherlands); Minguzzi, E. [SMR Arpa Emila Romagna, Area Meteorol, I-40122 Bologna, (Italy); Pertot, C.; Pirovano, G. [CESI SpA, I-20134 Milan, (Italy); Sauter, F. [RIVM, NL-3720 BA Bilthoven, (Netherlands); White, L. [Les White Associates, Haywards Heath RH16 1NB, W Sussex, (United Kingdom); Zuber, A. [Commiss European Communities, DG Environm, B-1049 Brussels, (Belgium)

    2007-07-01

    This paper gives an overview of the set up, methodology and the obtained results of the CityDelta (phase 1 and 2) project. In the context of the Clean Air For Europe programme of the European Commission, the CityDelta project was designed to evaluate the impact of emission-reduction strategies on air quality at the European continental scale and in European cities. Ozone and particulate matter (PM) are the main components that have been studied. To achieve this goal, a model intercomparison study was organized with the participation of more than 20 modelling groups with a large number of modelling configurations. Two following main topics can be identified in the project. First, in order to evaluate their strengths and weaknesses, the participating models were evaluated against observations in a control year (1999). An accompanying paper will discuss in detail this evaluation aspect for four European cities. The second topic is the actual evaluation of the impact of emission reductions on levels of ozone and PM, with particular attention to the differences between large-scale and fine-scale models. An accompanying paper will discuss this point in detail. In this overview paper the main input to the intercomparison is described as well as the use of the ensemble approach. Finally, attention is given to the policy relevant issue on how to implement the urban air quality signal into large-scale air quality models through the use of functional relationships. (authors)

  14. CityDelta: A model intercomparison study to explore the impact of emission reductions in European cities in 2010

    International Nuclear Information System (INIS)

    This paper gives an overview of the set up, methodology and the obtained results of the CityDelta (phase 1 and 2) project. In the context of the Clean Air For Europe programme of the European Commission, the CityDelta project was designed to evaluate the impact of emission-reduction strategies on air quality at the European continental scale and in European cities. Ozone and particulate matter (PM) are the main components that have been studied. To achieve this goal, a model intercomparison study was organized with the participation of more than 20 modelling groups with a large number of modelling configurations. Two following main topics can be identified in the project. First, in order to evaluate their strengths and weaknesses, the participating models were evaluated against observations in a control year (1999). An accompanying paper will discuss in detail this evaluation aspect for four European cities. The second topic is the actual evaluation of the impact of emission reductions on levels of ozone and PM, with particular attention to the differences between large-scale and fine-scale models. An accompanying paper will discuss this point in detail. In this overview paper the main input to the intercomparison is described as well as the use of the ensemble approach. Finally, attention is given to the policy relevant issue on how to implement the urban air quality signal into large-scale air quality models through the use of functional relationships. (authors)

  15. 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.

  16. Sustainable Development Strategy for the Global City: A Case Study of Sydney

    OpenAIRE

    Richard Hu

    2015-01-01

    Global cities, the command and control centres of the integrated world economy, are facing a sustainability paradox of greater global competition and greater environmental pressure. This study explores the policy approaches to the sustainability paradox by integrating environmental sustainability and economic competitiveness into the development strategy for “the global city†, based on a case study of Sydney. Dissecting Sustainable Sydney 2030 , the strategy to guide the City’s developm...

  17. 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.

  18. Reliability studies for the nuclear-powered artificial heart program

    International Nuclear Information System (INIS)

    By assuming that the failures of an artificial heart system with a mean life of 10 y can be modeled by a particular probability distribution, both the probability of a failure in the system within t years and the reliability required of each subsystem and component were investigated

  19. How Do We Define Congenital Heart Defects for Scientific Studies?

    DEFF Research Database (Denmark)

    Garne, Ester; Olsen, Morten Smærup; Johnsen, Søren Paaske;

    2011-01-01

    will increase overall mortality of CHD. The Danish Register of Congenital Heart Disease is based on hospital discharge diagnoses and diagnoses from outpatient visits. To increase the validity of these data, extensive data cleaning has been carried out based on record review and knowledge on the discharge coding...

  20. Reliability studies for the nuclear-powered artificial heart program

    Energy Technology Data Exchange (ETDEWEB)

    Horita, M.; Zeigler, R.K.

    1976-04-01

    By assuming that the failures of an artificial heart system with a mean life of 10 y can be modeled by a particular probability distribution, both the probability of a failure in the system within t years and the reliability required of each subsystem and component were investigated.

  1. 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 St. Jude Medical 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. PMID:26786673

  2. Study on Literature Representation of Zhuhai City Image

    OpenAIRE

    Ruihui Han

    2014-01-01

    This paper discusses the representation of Zhuhai as a special economic zone and famous tourist city in literature. Since Zhuhai was set up, most native writers in Zhuhai have showed narration of struggling experience in “an alien land” for Zhuhai representation. But such literary works benefit little for effectively establishing Zhuhai’s positive city image and confirming its subject identity and spirit. Native writers in Zhuhai should consciously create positive and healthy social climate, ...

  3. Study to elevator inspection market in Deyang city, China

    OpenAIRE

    Zuo, Yimou

    2012-01-01

    The purpose of this thesis is to describe and identify the characteristic of elevator inspection market in Deyang city, Sichuan province, China. To describe the market by using PEST analysis, which stands for P( political), E( economy), S( social), T( technology). In order to indentify the characteristic of elevator inspection market in Deyang city, interviewing methods will be applied in this thesis to collect primary data. Scattered distribution of elevator owner is the first characteris...

  4. Urban Groundwater Mapping - Bucharest City Area Case Study

    Science.gov (United States)

    Gaitanaru, Dragos; Radu Gogu, Constantin; Bica, Ioan; Anghel, Leonard; Amine Boukhemacha, Mohamed; Ionita, Angela

    2013-04-01

    Urban Groundwater Mapping (UGM) is a generic term for a collection of procedures and techniques used to create targeted cartographic representation of the groundwater related aspects in urban areas. The urban environment alters the physical and chemical characteristics of the underneath aquifers. The scale of the pressure is controlled by the urban development in time and space. To have a clear image on the spatial and temporal distribution of different groundwater- urban structures interaction we need a set of thematic maps is needed. In the present study it is described the methodological approach used to obtain a reliable cartographic product for Bucharest City area. The first step in the current study was to identify the groundwater related problems and aspects (changes in the groundwater table, infiltration and seepage from and to the city sewer network, contamination spread to all three aquifers systems located in quaternary sedimentary formations, dewatering impact for large underground structures, management and political drawbacks). The second step was data collection and validation. In urban areas there is a big spectrum of data providers related to groundwater. Due to the fact that data is produced and distributed by different types of organizations (national agencies, private companies, municipal water regulator, etc) the validation and cross check process is mandatory. The data is stored and managed by a geospatial database. The design of the database follows an object-orientated paradigm and is easily extensible. The third step consists of a set of procedures based on a multi criteria assessment that creates the specific setup for the thematic maps. The assessment is based on the following criteria: (1) scale effect , (2) time , (3) vertical distribution and (4) type of the groundwater related problem. The final step is the cartographic representation. In this final step the urban groundwater maps are created. All the methodological steps are doubled

  5. Comparative study of ultrafine atmospheric aerosol within a city

    Science.gov (United States)

    Salma, I.; Borsós, T.; Németh, Z.; Weidinger, T.; Aalto, P.; Kulmala, M.

    2014-08-01

    Particle number size distributions in a mobility diameter range of 6-1000 nm and size-resolved number concentrations were determined with a time resolution of 10 min for a near-city background, city centre, street canyon and road tunnel environments in Budapest. Median N6-100 concentrations for the sites listed were 3.1 × 103, 9.3 × 103, 19.4 × 103 and 123 × 103 cm-3, respectively. Contributions of the ultrafine (UF) particles (urban sites, and for workdays and weekends. Nucleation strength factor (NSF) was introduced for the first time to quantify the relative importance of new particle formation with respect to all sources of UF particles. During the daytime in summer, nucleation in the near-city background was a major production process of UF particles with a daily mean relative contribution of 42%. In the city centre and street canyon, the daily mean relative contributions of nucleation to the UF particles were 30% and 23%, respectively. Median particle diameters for the background, city centre, street canyon and road tunnel environments were 61, 42, 35 and 42 nm, respectively, so they were jointly influenced with the anthropogenic impact and aerosol ageing. Monthly mean frequency of new particle formation and growth events in the background seems somewhat larger, while it appears smaller for the street canyon in comparison to the city centre.

  6. 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.

  7. Study of air pollution in Buenos Aires city. Appendix 1

    International Nuclear Information System (INIS)

    The work performed since 1993 on the study of the elemental profile of Buenos Aires atmosphere is presented. Both aerosol direct sampling and biomonitors have been used and the samples have been analyzed mainly by Instrumental Neutron Activation Analysis (INAA). Due to problems with XRF, Anodic Stripping Voltammetry has been chosen for lead determination and Ion Chromatography for soluble anions. For aerosol direct sampling, analytical and sampling methods are described, as well as the sampling campaigns. Experiments have been performed for studying differences between day/night elemental concentrations along the week and a possible seasonal dependence. Some results of mass concentrations and others from INAA are presented. Sampling with the 'Gent sampler' began during August 1994 at an urban residential area of the city. The results of mass concentrations for the first 28 pairs of samples are shown together with some INAA results, as this is the only technique used for the analysis. Lichens and tree bark were the chosen biomonitors. Sampling and analytical methods by INAA are exposed, presenting some of the results that have been obtained. The participation in the aerosol analysis for the Ushuaia Global Atmospheric Watch Station is also commented. (author)

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

    Directory of Open Access Journals (Sweden)

    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.

  9. Beta-2-Adrenergic Receptor Methylation Influences Asthma Phenotype in The School Inner City Asthma Study

    OpenAIRE

    Gaffin, Jonathan M.; Phipatanakul, Wanda

    2014-01-01

    Asthma is the most common chronic illness of childhood and inner city residents suffer a disproportionately high rate of asthma diagnosis and asthma morbidity. The School Inner City Asthma Study investigates the school classroom based environmental exposures that may lead to asthma morbidity in inner city school children with asthma. Within this cohort, we investigated the role of methylation at the promoter region of the beta-2-adrenergic receptor in relation to asthma morbidity. We found th...

  10. Studying Tourism Indicators In Iran (Case Study: Khoramabad City

    Directory of Open Access Journals (Sweden)

    Mahdi Garavand

    2014-12-01

    Full Text Available Now tourism industry is one of the greatest World Industries from point of view development and with attention to be use financial sources and involved persons with that. This industry, has third rank in financial and commercial classifications and including more than 7 percent of whole world exports, also it influence gross national product in all countries; so that increase rate of gross national product 2billion $ in all world nations. Tourism industry important to stress tow important ways: first, the dynamic familiarity with other cultures, nations, races, tribes, dialects and …; second, it provides sources of income and foreign exchanges from an economic point of view. The different world countries fallowed attraction of tourists because of that they have various facilities and various attractions.Iran is ranked as one of the 10 top attractive countries in the world but Iran was place 114th ranking of the countries in terms of attracting tourists (World Economic Forum, 2011, tourism receipts is ranked as 77th, and the number of international tourists arrivals ranked as place 70th (UNWTO, 2009.So, the aim of this research is, studying main indicators in tourism location in order to improving their qualify. This research is qualitative. Also was used the "Descriptive/ Explanatory" through contain analysis. The research method are phenomenological, conceptual and constructive theory in field of tourism industry in context of Iran, Which eventually is bound to lead to the development of tourism industry in Iran. The strategy of this research is qualitative method by using case study in the area of tourism industry in fabric of Iran. So, was introduced touristic-historical building. Then according to visitor comments was ranked. At finally was used T-Test method in order to analyzing hypothesis.

  11. CLINICAL STUDY OF CONGENITAL HEART DISEASE IN INFANTS IN TERTIARY CARE HOSPITAL

    OpenAIRE

    Sandeep V.Harshangi; Laxmi Nagaraj Itagi; Venkatesh Patil; Vijayanath.V

    2013-01-01

    Congenital heart disease are primarily disease of neonates, infants and children. The burden of CHD in India is likely to be enormous due to very high birth rate. The reported incidence is 8-10/ 1000 live births. Objective was to know the pattern of clinical presentation of various congenital heart disease in 0-1 year age group. To study the different form of cyanotic and acyanotic congenital heart disease in present cases. 50 cases of CHD proven by 2D echocardiography were studied for 2 ye...

  12. Knowledge of Coronary Heart Disease Risk Factors among a Community Sample in Oman; Pilot study

    OpenAIRE

    Ammouri, Ali A.; Ayman Tailakh; Chandrani Isac; Kamanyire, Joy K.; Joshua Muliira; Shreedevi Balachandran

    2016-01-01

    Objectives: The aim of this study was to assess the knowledge of Omani adults regarding conventional coronary heart disease (CHD) risk factors and to identify demographic variables associated with these knowledge levels. Methods: This descriptive cross-sectional pilot study was carried out among a convenience sample of 130 adults attending a health awareness fair held in a local shopping mall in Muscat, Oman, in November 2012. A modified version of the Heart Disease Facts Questionnaire in bot...

  13. Heart Health

    Science.gov (United States)

    ... Connected Home » Heart Health Heath and Aging Heart Health Your Heart Changes to Your Heart With ... are both taking steps toward heart health. Your Heart Your heart is a strong muscle about the ...

  14. Depression and the usefulness of a disease management program in heart failure : insights from the COACH (Coordinating study evaluating Outcomes of Advising and Counseling in Heart failure) study

    NARCIS (Netherlands)

    Jaarsma, T.; Lesman-Leegte, Ivonne; Hillege, H.L.; Veeger, N.J.; Sanderman, R.; van Veldhuisen, D.J.

    2010-01-01

    OBJECTIVES: Our aim was to study the possible role of depressive symptoms in the effectiveness of a disease management program (DMP) in heart failure (HF) patients. BACKGROUND: Disease management programs are recommended in current HF guidelines, but certain patient groups, such as those with depres

  15. Depression and the Usefulness of a Disease Management Program in Heart Failure Insights From the COACH (Coordinating study evaluating Outcomes of Advising and Counseling in Heart failure) Study

    NARCIS (Netherlands)

    Jaarsma, Tiny; Lesman-Leegte, Ivonne; Hillege, Hans L.; Veeger, Nic J.; Sanderman, Robbert; van Veldhuisen, Dirk J.

    2010-01-01

    Objectives Our aim was to study the possible role of depressive symptoms in the effectiveness of a disease management program (DMP) in heart failure (HF) patients. Background Disease management programs are recommended in current HF guidelines, but certain patient groups, such as those with depressi

  16. 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

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

    OpenAIRE

    Sergey Kharin; Dmitry Shmakov

    2009-01-01

    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 approximate...

  18. The HLA Class II Associations with Rheumatic Heart Disease in South Indian Patients: A Preliminary Study

    OpenAIRE

    Bajoria, Divya; Menon, Thangam

    2013-01-01

    Introduction: Rheumatic heart disease (RHD) occurs in 30-45% of the patients with rheumatic fever (RF) and it leads to chronic valvular lesions. The human leukocyte antigen (HLA) might confer a susceptibility to RHD. The aim of the present study was to determine the prevalent HLA class II DR/DQ allelic types which were associated with rheumatic heart disease (RHD) in a small group of south Indian patients and to compare them with those in the control subjects.

  19. Temperature and risk factors for ischaemic heart disease in the Caerphilly prospective study.

    OpenAIRE

    Eldwood, P C; Beswick, A; O'Brien, J. R.; Renaud, S.; Fifield, R; Limb, E. S.; Bainton, D.

    1993-01-01

    OBJECTIVE--To examine the associations between air temperature and risk factors for ischaemic heart disease. METHOD--Data on risk factors are available from up to 2036 men in the Caerphilly Prospective Heart Disease Study. Daily temperatures were obtained from the Meteorological Office. Relations between these were examined by regression. RESULTS--The coldest month of the year has a mean temperature that is 16 degrees C lower than that in the warmest month. A fall in temperature of this magni...

  20. A study of the first heart sound spectra in normal anesthetized cats: possible origins and chest wall influences.

    OpenAIRE

    Fazzalari, N L; Mazumdar, J; Ghista, D. N.; Allen, D G; de Bruin, H

    1984-01-01

    Heart sound recordings were taken from cats. The heart sounds were recorded directly from the chest wall and through an esophageal tube. The phono transducer and the esophageal tube were both placed over the base of the heart. Ultrasound M-mode, or motion-mode, recordings were taken to study the mitral valve dynamics. After analogue to digital conversion, electrocardiogram gated first heart sounds of each phono record were analyzed by the fast Fourier transform to obtain a frequency spectrum....

  1. Emotional and cognitive changes during and post a near fatal heart attack and one-year after: A case study

    OpenAIRE

    Andrew M. Lane; Richard Godfrey

    2010-01-01

    This case study reports on changes in emotions before and during an unexpected heart rate in a young, apparently healthy male with a life-long history of exercise in the absence of family history of heart problems. He completed the Brunel Mood Scale (Terry et al. , 2003) to assess emotions before, during, and after the heart attack, and also describing his thoughts during these periods. Results indicate he experienced unpleasant emotions in the build up to the heart attack, feelings he attrib...

  2. 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.

  3. Heart Health - Brave Heart

    Science.gov (United States)

    ... Bar Home Current Issue Past Issues Cover Story Heart Health Brave Heart Past Issues / Winter 2009 Table of Contents For ... you can have a good life after a heart attack." Lifestyle Changes Surviving—and thriving—after such ...

  4. Smart City and Metropolitan Area: the Energy Component in the Case Studies of Genoa and Naples

    Directory of Open Access Journals (Sweden)

    Rosaria Battarra

    2015-07-01

    Full Text Available The Smart City model is now considered one of the opportunities to rethink cities and, in general, the development of urban communities. One of the most relevant themes in the application of the Smart City paradigm is the city/energy relationship and Italian cities are fielding several actions to effectively cope with the energy issues. Nevertheless, actions and projects are often uncritically promoted as ‘smart’, but actually lack innovative contents and methods. Therefore, the aim of this research, of which we present the first findings, is the drafting of a survey, tested through field analysis, of the experimentations of Italian metropolitan areas on the Smart City topic. The in-depth analysis of two case studies, Genoa and Naples, allowed us to compare the actual state of the two cities. We have that they have undertaken a common path in the implementation of strategies to try to transform themselves into Smart Cities, focusing especially on the energy aspects.

  5. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  7. Sustainable event tourism: Case study city of Pula, Croatia

    OpenAIRE

    Jasmina Grzinic; Nikola Vojnovic

    2014-01-01

    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 festi...

  8. Environmental Study on Discharged Wastewater of Albourz Industrial City

    OpenAIRE

    E Yassini; M Hedayati

    2005-01-01

    The treatment facility of Albourz Industrial City was established in 1999 at the southeast of Albourz Mountain with an area of 200,000 square meters. Currently, 40,000 cubic meters of industrial wastes are treated daily utilizing biological method of activated sludge up to the second phase without chlorination in this treatment facility. Then, the discharged wastes are directed toward the lower agricultural lands. The environmental status of the region was investigated by testing the impact o...

  9. Primary culture of avian embryonic heart forming region cells to study the regulation of vertebrate early heart morphogenesis by vitamin A

    OpenAIRE

    Cakstina, Ieva; Riekstina, Una; Boroduskis, Martins; Nakurte, Ilva; Ancans, Janis; Zile, Maija H; Muiznieks, Indrikis

    2014-01-01

    Background Important knowledge about the role of vitamin A in vertebrate heart development has been obtained using the vitamin A-deficient avian in ovo model which enables the in vivo examination of very early stages of vertebrate heart morphogenesis. These studies have revealed the critical role of the vitamin A-active form, retinoic acid (RA) in the regulation of several developmental genes, including the important growth regulatory factor, transforming growth factor-beta2 (TGFβ2), involved...

  10. Prevalence of Heart Failure and Atrial Fibrillation in Minority Ethnic Subjects: The Ethnic-Echocardiographic Heart of England Screening Study (E-ECHOES)

    OpenAIRE

    Gill, Paramjit S; Melanie Calvert; Russell Davis; Michael K Davies; Nick Freemantle; Lip, Gregory Y. H.

    2011-01-01

    BACKGROUND: Limited data exists on the prevalence of heart failure amongst minority groups in the UK. To document the community prevalence and severity of left ventricular systolic dysfunction, heart failure, and atrial fibrillation, amongst the South Asian and Black African-Caribbean groups in the UK. METHODS AND RESULTS: We conducted a cross-sectional study recruiting from September 2006 to July 2009 from 20 primary care centres in Birmingham, UK. 10,902 eligible subjects invited, 5,408 par...

  11. Prevalence of Heart Failure and Atrial Fibrillation in Minority Ethnic Subjects: The Ethnic-Echocardiographic Heart of England Screening Study (E-ECHOES)

    OpenAIRE

    Gill, P.S.; Calvert, M; Davis, R; Davies, M. K.; Freemantle, N.; Lip, G. Y.

    2011-01-01

    Background Limited data exists on the prevalence of heart failure amongst minority groups in the UK. To document the community prevalence and severity of left ventricular systolic dysfunction, heart failure, and atrial fibrillation, amongst the South Asian and Black African -Caribbean groups in the UK. Methods and Results We conducted a cross-sectional study recruiting from September 2006 to July 2009 from 20 primary care centres in Birmingham, UK. 10,902 eligible subjects invited, 5,408 part...

  12. A comparative study for the echo cardiographic, radiologic and electrocardiographic presentation of the sport heart hypertrophy

    International Nuclear Information System (INIS)

    In this work the three most important non-invasive methods - X-ray pictures, electrocardiography and echo cardiography - were compared as to their ability to evaluate the physiological heart enlargement as a result of physical training. Important also was the study of the value of ultrasonic cardiographs. The subjects used were 162 athletes, 36 patients with cardiovascular diseases, and 22 non-athletic control persons. Radiologically the changes in the total size of the heart were determined. For the question of the adapting reaction of the heart because of athletic training the weight-related heart volume is more meaningful than the absolute value. Electrocardiographically it is not possible to come up with any statistically significant statements about the physiological heart enlargement using the Sokoloff-Lyon indexes. Echo cardiographically the regulative heart enlargements can be differentiated into myocardial hypertrophy or ventricular dilation. As a result of this a line can be drawn between physiological and pathological changes. Female athletes show qualitatively, but not quantitatively, the same adapting reaction. The synopsis of the three procedures shows that echo cardiography and radiology show better results than does electrocardiography. Together the methods complement each other in their diagnostic power. (orig./TRV)

  13. Remote noninvasive allograft rejection monitoring for heart transplant recipients: study protocol for the novel evaluation with home electrocardiogram and remote transmission (NEW HEART) study

    Science.gov (United States)

    2012-01-01

    Background Acute allograft rejection is a major cause of early mortality in the first year after heart transplantation in adults. Although endomyocardial biopsy (EMB) is not a perfect "gold standard" for a correct diagnosis of acute allograft rejection, it is considered the best available test and thus, is the current standard practice. Unfortunately, EMB is an invasive and costly procedure that is not without risk. Recent evidence suggests that acute allograft rejection causes delays in ventricular repolarization and thereby increases the cellular action potential duration resulting in a longer QT interval on the electrocardiogram (ECG). No prospective study to date has investigated whether such increases in the QT interval could provide early detection of acute allograft rejection. Therefore, in the Novel Evaluation With Home Electrocardiogram And Remote Transmission (NEW HEART) study, we plan to investigate the potential benefit of daily home QT interval monitoring to predict acute allograft rejection. Methods/design The NEW HEART study is a prospective, double-blind, multi-center descriptive research study. A sample of 325 adult heart transplant recipients will be recruited within six weeks of transplant from three sites in the United States. Subjects will receive the HeartView™ ECG recorder and its companion Internet Transmitter, which will transmit the subject's ECG to a Core Laboratory. Subjects will be instructed to record and transmit an ECG recording daily for 6 months. An increase in the QTC interval from the previous day of at least 25 ms that persists for 3 consecutive days will be considered abnormal. The number and grade of acute allograft rejection episodes, as well as all-cause mortality, will be collected for one year following transplant surgery. Discussion This study will provide "real world" prospective data to determine the sensitivity and specificity of QTC as an early non invasive marker of cellular rejection in transplant recipients

  14. Remote noninvasive allograft rejection monitoring for heart transplant recipients: study protocol for the novel evaluation with home electrocardiogram and remote transmission (NEW HEART study

    Directory of Open Access Journals (Sweden)

    Doering Lynn V

    2012-03-01

    Full Text Available Abstract Background Acute allograft rejection is a major cause of early mortality in the first year after heart transplantation in adults. Although endomyocardial biopsy (EMB is not a perfect "gold standard" for a correct diagnosis of acute allograft rejection, it is considered the best available test and thus, is the current standard practice. Unfortunately, EMB is an invasive and costly procedure that is not without risk. Recent evidence suggests that acute allograft rejection causes delays in ventricular repolarization and thereby increases the cellular action potential duration resulting in a longer QT interval on the electrocardiogram (ECG. No prospective study to date has investigated whether such increases in the QT interval could provide early detection of acute allograft rejection. Therefore, in the Novel Evaluation With Home Electrocardiogram And Remote Transmission (NEW HEART study, we plan to investigate the potential benefit of daily home QT interval monitoring to predict acute allograft rejection. Methods/design The NEW HEART study is a prospective, double-blind, multi-center descriptive research study. A sample of 325 adult heart transplant recipients will be recruited within six weeks of transplant from three sites in the United States. Subjects will receive the HeartView™ ECG recorder and its companion Internet Transmitter, which will transmit the subject's ECG to a Core Laboratory. Subjects will be instructed to record and transmit an ECG recording daily for 6 months. An increase in the QTC interval from the previous day of at least 25 ms that persists for 3 consecutive days will be considered abnormal. The number and grade of acute allograft rejection episodes, as well as all-cause mortality, will be collected for one year following transplant surgery. Discussion This study will provide "real world" prospective data to determine the sensitivity and specificity of QTC as an early non invasive marker of cellular rejection in

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

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    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.

  16. 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

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

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    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

  18. 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.

  19. Rationale and study design of a cross sectional study documenting the prevalence of Heart Failure amongst the minority ethnic communities in the UK: the E-ECHOES Study (Ethnic - Echocardiographic Heart of England Screening Study

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    Freemantle Nick

    2009-09-01

    Full Text Available Abstract Background Heart failure is an important cause of cardiovascular morbidity and mortality. Studies to date have not established the prevalence heart failure amongst the minority ethnic community in the UK. T'he aim of the E-ECHOES (Ethnic - Echocardiographic Heart of England Screening Studyis to establish, for the first time, the community prevalence and severity of left ventricular systolic dysfunction (LVSD and heart failure amongst the South Asian and Black African-Caribbean ethnic groups in the UK. Methods/Design This is a community based cross-sectional population survey of a sample of South Asian (i.e. those originating from India, Pakistan, Bangladesh and Black African-Caribbean male and female subjects aged 45 years and over. Data collection undertaken using a standardised protocol comprising a questionnaire incorporating targeted clinical history taking, physical examination, and investigations with resting electrocardiography and echocardiography; and blood sampling with consent. This is the largest study on heart failure amongst these ethnic groups. Full data collection started in September 2006 and will be completed by August 2009. Discussion The E-ECHOES study will enable the planning and delivery of clinically and cost-effective treatment of this common and debilitating condition within these communities. In addition it will increase knowledge of the aetiology and management of heart failure within minority ethnic communities.

  20. Associations between metabolomic compounds and incident heart failure among African Americans: the ARIC Study.

    Science.gov (United States)

    Zheng, Yan; Yu, Bing; Alexander, Danny; Manolio, Teri A; Aguilar, David; Coresh, Josef; Heiss, Gerardo; Boerwinkle, Eric; Nettleton, Jennifer A

    2013-08-15

    Heart failure is more prevalent among African Americans than in the general population. Metabolomic studies among African Americans may efficiently identify novel biomarkers of heart failure. We used untargeted methods to measure 204 stable serum metabolites and evaluated their associations with incident heart failure hospitalization (n = 276) after a median follow-up of 20 years (1987-2008) by using Cox regression in data from 1,744 African Americans aged 45-64 years without heart failure at baseline from the Jackson, Mississippi, field center of the Atherosclerosis Risk in Communities (ARIC) Study. After adjustment for established risk factors, we found that 16 metabolites (6 named with known structural identities and 10 unnamed with unknown structural identities, the latter denoted by using the format X-12345) were associated with incident heart failure (P < 0.0004 based on a modified Bonferroni procedure). Of the 6 named metabolites, 4 are involved in amino acid metabolism, 1 (prolylhydroxyproline) is a dipeptide, and 1 (erythritol) is a sugar alcohol. After additional adjustment for kidney function, 2 metabolites remained associated with incident heart failure (for metabolite X-11308, hazard ratio = 0.75, 95% confidence interval: 0.65, 0.86; for metabolite X-11787, hazard ratio = 1.23, 95% confidence interval: 1.10, 1.37). Further structural analysis revealed X-11308 to be a dihydroxy docosatrienoic acid and X-11787 to be an isoform of either hydroxyleucine or hydroxyisoleucine. Our metabolomic analysis revealed novel biomarkers associated with incident heart failure independent of traditional risk factors. PMID:23788672

  1. 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.

  2. Evaluating Pillar Industry's Transformation Capability: A Case Study of Two Chinese Steel-Based Cities.

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    Zhidong Li

    Full Text Available Many steel-based cities in China were established between the 1950s and 1960s. After more than half a century of development and boom, these cities are starting to decline and industrial transformation is urgently needed. This paper focuses on evaluating the transformation capability of resource-based cities building an evaluation model. Using Text Mining and the Document Explorer technique as a way of extracting text features, the 200 most frequently used words are derived from 100 publications related to steel- and other resource-based cities. The Expert Evaluation Method (EEM and Analytic Hierarchy Process (AHP techniques are then applied to select 53 indicators, determine their weights and establish an index system for evaluating the transformation capability of the pillar industry of China's steel-based cities. Using real data and expert reviews, the improved Fuzzy Relation Matrix (FRM method is applied to two case studies in China, namely Panzhihua and Daye, and the evaluation model is developed using Fuzzy Comprehensive Evaluation (FCE. The cities' abilities to carry out industrial transformation are evaluated with concerns expressed for the case of Daye. The findings have policy implications for the potential and required industrial transformation in the two selected cities and other resource-based towns.

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

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    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.

  4. 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.

  5. NMR study of damage on isolated perfused rat heart exposed to ischemia and hypoxia

    International Nuclear Information System (INIS)

    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 resonance (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

  6. 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. PMID:25724928

  7. [Prevalence of congenital heart diseases in Koranic schools (daara) in Dakar: a cross-sectional study based on clinical and echocardiographic screening in 2019 school children].

    Science.gov (United States)

    Bodian, M; Ngaïdé, A A; Mbaye, A; Sarr, S A; Jobe, M; Ndiaye, M B; Kane, A D; Aw, F; Gaye, N D; Ba, F G; Bah, M B; Tabane, A; Dioum, M; Diagne, D; Diao, M; Diack, B; Sarr, M; Kane, A; Bâ, S A

    2015-02-01

    Congenital heart diseases are one of the major cardiovascular diseases in developing countries. Most prevalence studies were based on clinical examination of children with echocardiographic confirmation of suspected cases and underestimate its prevalence. The objective of this study was to investigate the prevalence of congenital heart disease in "daara" (Koranic schools) in the city of Dakar and its suburbs on the basis of clinical examination and Doppler echocardiography in school children. This cross-sectional survey was carried out from 9(th) August to 24(th) December 2011, and included a population of 2019 school children aged 5 to 18 years in 16 selected "daaras" under the Academic Inspectorate of Dakar and its suburbs. Anamnestic, clinical and echocardiographic data were recorded in a validated questionnaire. A p heart diseases were detected being a prevalence of 8.9 per 1 000 (95 % CI: 1.8 to 7.9). This included 6 cases of inter-atrial septal aneurysm, 5 cases of peri-membranous ventricular septal defects, 4 cases of patent ductusarteriosus and 3 cases of tetralogy of Fallot. Factors correlated with the presence of congenital heart disease were ageless than 8 (p rheumatic valvular disease, a prevalence of 4.9 per 1 000 (95% CI: 2.4 to 9.1). Our study shows a high prevalence of congenital heart diseases, which is almost identical to the WHO estimates and that ultrasound screening is more sensitive than clinical screening. Reducing the prevalence of these diseases requires implementation of appropriate policies, focusing on awareness and early detection. PMID:25516291

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

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    SUNARYO Rony Gunawan

    2013-01-01

    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.

  10. 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)

  11. Particle Image Velocimetry Study of Pulsatile Flow in Bi-leaflet Mechanical Heart Valves with Image Compensation Method

    OpenAIRE

    Shi, Yubing; Yeo, Tony Joon Hock; Zhao, Yong; Hwang, Ned H. C.

    2006-01-01

    Particle Image Velocimetry (PIV) is an important technique in studying blood flow in heart valves. Previous PIV studies of flow around prosthetic heart valves had different research concentrations, and thus never provided the physical flow field pictures in a complete heart cycle, which compromised their pertinence for a better understanding of the valvular mechanism. In this study, a digital PIV (DPIV) investigation was carried out with improved accuracy, to analyse the pulsatile flow field ...

  12. 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.

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

    OpenAIRE

    M. Jeihouni; Toomanian, A.; M. Shahabi; S. K. Alavipanah

    2014-01-01

    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 pur...

  14. Measuring intermodalism at European port cities: An employment-based study

    OpenAIRE

    Ducruet, César; Lee, S. W.

    2007-01-01

    This paper proposes a continental approach to the combination of transport functions within European port cities. It reviews a number of concepts and theories, regarding with transport chain integration and urban centrality in the case of ports. While many studies on intermodalism face a lack of quantifiable data, this research proposes an original methodology based on employment. The data is collected for 76 port cities, 9,000 companies and more than one million employees in all transport mo...

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

    OpenAIRE

    Amin Reza Kamalian; Noormohammad Ya'ghoubi; Fataneh Baharvand

    2013-01-01

    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 conte...

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

    OpenAIRE

    Bianco, A., Lupo C., Alesi M., Spina S., Raccuglia M., Thomas E., Paoli A.. Palma A.; Mammina, C.; Thomas, E.; Ciulla, F.; Pupella, U; Gagliardo, F; BELLAFIORE, M; Battaglia, G.; De Paoli, A; Palma, A.(Laboratorio de Instrumentacao e Fisica Experimental de Particulas – LIP, Lisboa, Portugal)

    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 ...

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

    OpenAIRE

    Monica Postiglione

    2013-01-01

    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 divers...

  18. 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....

  19. 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

    , a measure of subclinical atherosclerosis. CRP was determined by a high-sensitive assay. RESULTS: In partial Spearman rank correlation analysis, adjusted for age and sex, we found no significant relationships between either CRP or fibrinogen and systolic BP, diastolic BP, pulse pressure, or ankle...

  20. 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…

  1. TRACKING OF OVERWEIGHT STATUS FROM CHILDHOOD TO YOUNG ADULTHOOD: THE BOGALUSA HEART STUDY

    Science.gov (United States)

    The objective of this study was to determine if childhood overweight tracks into young adulthood in a biracial sample. A longitudinal sample was created from cross-sectional surveys at two time points, childhood (baseline) and young adulthood (follow-up). The setting is Bogalusa Heart Study, Louisia...

  2. 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

    OpenAIRE

    Lian, J. J.; Xu, K.; Ma, C.

    2012-01-01

    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...

  3. 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.

  4. 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.

  5. A comparative study of discriminating human heart failure etiology using gene expression profiles

    Directory of Open Access Journals (Sweden)

    Park Soon J

    2005-08-01

    Full Text Available Abstract Background Human heart failure is a complex disease that manifests from multiple genetic and environmental factors. Although ischemic and non-ischemic heart disease present clinically with many similar decreases in ventricular function, emerging work suggests that they are distinct diseases with different responses to therapy. The ability to distinguish between ischemic and non-ischemic heart failure may be essential to guide appropriate therapy and determine prognosis for successful treatment. In this paper we consider discriminating the etiologies of heart failure using gene expression libraries from two separate institutions. Results We apply five new statistical methods, including partial least squares, penalized partial least squares, LASSO, nearest shrunken centroids and random forest, to two real datasets and compare their performance for multiclass classification. It is found that the five statistical methods perform similarly on each of the two datasets: it is difficult to correctly distinguish the etiologies of heart failure in one dataset whereas it is easy for the other one. In a simulation study, it is confirmed that the five methods tend to have close performance, though the random forest seems to have a slight edge. Conclusions For some gene expression data, several recently developed discriminant methods may perform similarly. More importantly, one must remain cautious when assessing the discriminating performance using gene expression profiles based on a small dataset; our analysis suggests the importance of utilizing multiple or larger datasets.

  6. Endocardial Remodeling in Heart Failure Patients with Impaired and Preserved Left Ventricular Systolic Function-A Magnetic Resonance Image Study

    OpenAIRE

    Lian-Yu Lin; Mao-Yuan M. Su; Van-Truong Pham; Thi-Thao Tran; Yung-Hung Wang; Tseng, Wen-Yih I.; Men-Tzung Lo; Jiunn-Lee Lin

    2016-01-01

    Left ventricular (LV) trabeculation has been studied in certain forms of cardiomyopathy. However, the changes of LV endocardial trabeculation during the remodeling process leading to heart failure (HF) are unclear. Seventy-four patients with systolic heart failure (SHF), 65 with heart failure with preserved ejection fraction (HFpEF) and 61 without HF were prospectively enrolled. All subjects received magnetic resonance imaging (MRI) study including cine, T1 and late gadolinium enhancement (LG...

  7. The Prognostic Value of Non-Linear Analysis of Heart Rate Variability in Patients with Congestive Heart Failure—A Pilot Study of Multiscale Entropy

    Science.gov (United States)

    Ho, Yi-Lwun; Lin, Chen; Lin, Yen-Hung; Lo, Men-Tzung

    2011-01-01

    Aims The influences of nonstationarity and nonlinearity on heart rate time series can be mathematically qualified or quantified by multiscale entropy (MSE). The aim of this study is to investigate the prognostic value of parameters derived from MSE in the patients with systolic heart failure. Methods and Results Patients with systolic heart failure were enrolled in this study. One month after clinical condition being stable, 24-hour Holter electrocardiogram was recording. MSE as well as other standard parameters of heart rate variability (HRV) and detrended fluctuation analysis (DFA) were assessed. A total of 40 heart failure patients with a mea age of 56±16 years were enrolled and followed-up for 684±441 days. There were 25 patients receiving β-blockers treatment. During follow-up period, 6 patients died or received urgent heart transplantation. The short-term exponent of DFA and the slope of MSE between scale 1 to 5 were significantly different between patients with or without β-blockers (p = 0.014 and p = 0.028). Only the area under the MSE curve for scale 6 to 20 (Area6–20) showed the strongest predictive power between survival (n = 34) and mortality (n = 6) groups among all the parameters. The value of Area6–2021.2 served as a significant predictor of mortality or heart transplant (p = 0.0014). Conclusion The area under the MSE curve for scale 6 to 20 is not relevant to β-blockers and could further warrant independent risk stratification for the prognosis of CHF patients. PMID:21533258

  8. The prognostic value of non-linear analysis of heart rate variability in patients with congestive heart failure--a pilot study of multiscale entropy.

    Directory of Open Access Journals (Sweden)

    Yi-Lwun Ho

    Full Text Available AIMS: The influences of nonstationarity and nonlinearity on heart rate time series can be mathematically qualified or quantified by multiscale entropy (MSE. The aim of this study is to investigate the prognostic value of parameters derived from MSE in the patients with systolic heart failure. METHODS AND RESULTS: Patients with systolic heart failure were enrolled in this study. One month after clinical condition being stable, 24-hour Holter electrocardiogram was recording. MSE as well as other standard parameters of heart rate variability (HRV and detrended fluctuation analysis (DFA were assessed. A total of 40 heart failure patients with a mea age of 56±16 years were enrolled and followed-up for 684±441 days. There were 25 patients receiving β-blockers treatment. During follow-up period, 6 patients died or received urgent heart transplantation. The short-term exponent of DFA and the slope of MSE between scale 1 to 5 were significantly different between patients with or without β-blockers (p = 0.014 and p = 0.028. Only the area under the MSE curve for scale 6 to 20 (Area(6-20 showed the strongest predictive power between survival (n = 34 and mortality (n = 6 groups among all the parameters. The value of Area(6-2021.2 served as a significant predictor of mortality or heart transplant (p = 0.0014. CONCLUSION: The area under the MSE curve for scale 6 to 20 is not relevant to β-blockers and could further warrant independent risk stratification for the prognosis of CHF patients.

  9. Short term Heart Rate Variability to predict blood pressure drops due to standing: a pilot study

    OpenAIRE

    G. Sannino; Melillo, P; Stranges, S; De Pietro, G; Pecchia, L

    2015-01-01

    Background Standing from a bed or chair may cause a significant lowering of blood pressure (ΔBP), which may have severe consequences such as, for example, falls in older subjects. The goal of this study was to develop a mathematical model to predict the ΔBP due to standing in healthy subjects, based on their Heart Rate Variability, recorded in the 5 minutes before standing. Methods Heart Rate Variability was extracted from an electrocardiogram, recorded from 10 healthy subjects during the 5 m...

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

    Directory of Open Access Journals (Sweden)

    Abdul-Ogly L.V.

    2008-01-01

    Full Text Available 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 maternal willing. The abnormal development of primary leaflets of atrioventricular valves, retardation of fetus growth, abnormal position of organs including ectopic heart, and abnormal limbs development were observed.

  11. Advanced chronic heart failure : A position statement from the Study Group on Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

    NARCIS (Netherlands)

    Metra, Marco; Ponikowski, Piotr; Dickstein, Kenneth; McMurray, John J. V.; Gavazzi, Antonello; Bergh, Claes-Hakan; Fraser, Alan G.; Jaarsma, Tiny; Pitsis, Antonis; Mohacsi, Paul; Boehm, Michael; Anker, Stefan; Dargie, Henry; Brutsaert, Dirk; Komajda, Michel

    2007-01-01

    Therapy has improved the survival of heart failure (HF) patients. However, many patients progress to advanced chronic HF (ACHF). We propose a practical clinical definition and describe the characteristics of this condition. Patients that are generally recognised as ACHF often exhibit the following c

  12. 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

  13. Tampa Scale of Kinesiophobia for Heart Turkish Version Study: cross-cultural adaptation, exploratory factor analysis, and reliability

    Science.gov (United States)

    Acar, Serap; Savci, Sema; Keskinoğlu, Pembe; Akdeniz, Bahri; Özpelit, Ebru; Özcan Kahraman, Buse; Karadibak, Didem; Sevinc, Can

    2016-01-01

    Purpose Individuals with cardiac problems avoid physical activity and exercise because they expect to feel shortness of breath, dizziness, or chest pain. Assessing kinesiophobia related to heart problems is important in terms of cardiac rehabilitation. The Tampa Scale of Kinesiophobia Swedish Version for the Heart (TSK-SV Heart) is reliable and has been validated for cardiac diseases in the Swedish population. The aim of this study was to investigate the reliability, parallel-form validity, and exploratory factor analysis of the TSK for the Heart Turkish Version (TSK Heart Turkish Version) for evaluating kinesiophobia in patients with heart failure and pulmonary arterial hypertension. Methods This cross-sectional study involved translation, back translation, and cross-cultural adaptation (localization). Forty-three pulmonary arterial hypertension and 32 heart failure patients were evaluated using the TSK Heart Turkish Version. The 17-item scale, originally composed for the Swedish population, has four factors: perceived danger for heart problem, avoidance of exercise, fear of injury, and dysfunctional self. Cronbach’s alpha (internal consistency) and exploratory factor analysis were used to assess the questionnaire’s reliability. Results of the patients in the 6-minute walk test, International Physical Activity Questionnaire, and Nottingham Health Profile were analyzed by Pearson’s correlation analysis with the TSK Heart Turkish Version to indicate the convergent validity. Results Cronbach’s alpha for the TSK Heart Turkish Version was 0.75, indicating acceptable internal consistency. Although exploratory factor analysis showed a different subgroup distribution than the original questionnaire, the model was acceptable for the four-factor model hypothesis. Therefore, the questionnaire was rated as reliable. Conclusion These results supported the reliability of the TSK Heart Turkish Version. Since the acceptable four-factor model fits the subgroups and

  14. 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

    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 was......, NYHA class improved (p<0.0001). No deaths were observed. CONCLUSION: In this non-randomised study, no change in LV ejection fraction could be demonstrated after repeated intracoronary bone marrow stem cell treatment in patients with chronic ischaemic heart failure Udgivelsesdato: 2008/7...

  15. 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.

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

    International Nuclear Information System (INIS)

    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

  17. Heart Disease

    Science.gov (United States)

    ... Got Homework? Here's Help White House Lunch Recipes Heart Disease KidsHealth > For Kids > Heart Disease Print A A ... chest pain, heart attacks, and strokes . What Is Heart Disease? The heart is the center of the cardiovascular ...

  18. 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 ... defects, or viral infections of the heart. Although heart transplant surgery is a life-saving measure, it has ...

  19. Perceived Vulnerability to Heart Disease in Patients with Familial Hypercholesterolemia: A Qualitative Interview Study

    OpenAIRE

    Frich, Jan C; Ose, Leiv; Malterud, Kirsti; Fugelli, Per

    2006-01-01

    PURPOSE Knowledge about the ways patients perceive their vulnerability to disease is important for communication with patients about risk and preventive health measures. This interview study aimed to explore how patients with a diagnosis of heterozygous familial hypercholesterolemia understand and perceive their vulnerability to coronary heart disease.

  20. 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...

  1. 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…

  2. 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.; Daubert, J.C.; Gras, D.; Kappenberger, L.; Tavazzi, L.; Thygesen, Kristian Anton

    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...

  3. Anatomical Computed Tomographic Study of the Heart and some Mediastinal Vessels of the Rabbit - Oryctolagus cuniculus

    International Nuclear Information System (INIS)

    Anatomical computed tomographic study of the heart and some mediastinal vessels of the rabbit - Oryctolagus cuniculus. Bulg. J. Agric. Sci., 18: 784-788 The aim of the study is to utilize the computed tomography the anatomical study of the rabbit heart and some of its mediastinal vessels. We investigated seven sexually mature, healthy male white New Zealand rabbits, aged 12 months. The animals were anesthetized. The bodies of the thoracic vertebrae were used as bone markers when performing the imaging. At the level of the third and fourth thoracic segment were found only vascular structures. At the fifth thoracic vertebrae a partial heart silhouette was observed, and the complete one – at the seventh. At the third, fourth and fifth thoracic vertebrae an image of the ascending aorta was found, at the third and fourth one – aortic arch, at the fifth segment – the beginning of the descending aorta. The results confirm the thesis, that the rabbit is a suitable biological model for morphological and functional studies of the heart

  4. Anterior mediastinal masses in the Framingham Heart Study: Prevalence and CT image characteristics

    Directory of Open Access Journals (Sweden)

    Tetsuro Araki

    2015-01-01

    Conclusions: The prevalence of anterior mediastinal masses is 0.9% in the Framingham Heart Study. Those masses may increase in size when observed over 5–7 years. Investigation of clinical significance in incidentally found anterior mediastinal masses with a longer period of follow-up would be necessary.

  5. Evaluation of Newer Risk Markers for Coronary Heart Disease Risk Classification A Cohort Study

    NARCIS (Netherlands)

    Kavousi, Maryam; Elias-Smale, Suzette; Rutten, Joost H. W.; Leening, Maarten J. G.; Vliegenthart, Rozemarijn; Verwoert, Germaine C.; Krestin, Gabriel P.; Oudkerk, Matthijs; de Maat, Moniek P. M.; Leebeek, Frank W. G.; Mattace-Raso, Francesco U. S.; Lindemans, Jan; Hofman, Albert; Steyerberg, Ewout W.; van der Lugt, Aad; van den Meiracker, Anton H.; Witteman, Jacqueline C. M.

    2012-01-01

    Background: Whether newer risk markers for coronary heart disease (CHD) improve CHD risk prediction remains unclear. Objective: To assess whether newer risk markers for CHD risk prediction and stratification improve Framingham risk score (FRS) predictions. Design: Prospective population-based study.

  6. 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

  7. 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:...

  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. Study of the environmental neutron spectrum at Zacatecas city

    International Nuclear Information System (INIS)

    The environmental neutron spectrum has been measured at Zacatecas City in Mexico. Neutron spectrum was unfolded from count rates obtained with a multisphere neutron spectrometer with a Li I(Eu) scintillator. With the spectrum information the ambient dose equivalent and the isotropic effective dose were calculated. A model based upon the geomagnetic latitude and the altitude above sea level, that allows to estimate the neutron fluence rate is proposed, the model results are compared with total neutron fluences measured at several locations worldwide. Environmental neutron spectrum shows peaks at 1 and 100 MeV as well as a relevant amount of low energy neutrons. The neutron fluence rate was 65 ± 3 cm-2-h-1, producing 13.7 ± 0.6 n Sv-h-1 due to ambient dose equivalent rate and an isotropic effective dose rate of 14.1 ± 0.6 n Sv-h-1. Neutron fluence rates predicted with the model are in agreement with those reported in the literature. (Author)

  11. 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.

  12. 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. PMID:15238301

  13. Socialism. Grade Ten, Unit Two, 10.2. Comprehensive Social Studies Curriculum for the Inner City.

    Science.gov (United States)

    Malone, Helen

    The socialism unit of the tenth grade level of the FICSS series (Focus on Inner City Social Studies -- see SO 008 271) explores a selected history of socialist thought and the theoretical model of socialism. Three case studies of socialism are explored: Great Britain, Sweden, and Israel. The case studies are designed to answer questions concerning…

  14. Research of land reclamation and ecological restoration in the resource-exhausting city : a case study of Huaibei in China

    International Nuclear Information System (INIS)

    Eco-city construction is a strong tool which could move a city from traditional industrial civilization to ecological civilization. The city of Huaibet, located in China, has 50 years of coal mining history, and has been listed as a national resource-exhausting city. The city's sustainable development and ecological restoration is encountering extreme challenges. This study used time-space evolution analysis of mining subsidence in order to study the situation of evolution and distribution of subsidence in the area in Huaibet. The purpose of the study was to provide strategic recommendations to assist Huaibei city transform from a resource-exhausting city to an eco-city. Specifically, the paper discussed the direction of eco-reconstruction in Huaibei such as rural eco-agriculture; wetland park or suburban park; and mine park. It also presented a time-space evolution analysis of mining subsidence in Huaibet including the subsidence status of the main city of Huaibet and intensive use of land evaluation and land use measures of the main city of Huaibei. Land reclamation and eco-reconstruction of Huaibet was also examined in the paper. It was concluded that based on land use of all aspects of the evaluation area and city's development plan, an integrated tourism with full use of subsidence land could be developed. 10 refs., 1 tab., 5 figs.

  15. 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.

  16. Validation of the Framingham Heart Study and CHARGE-AF Risk Scores for Atrial Fibrillation in Hispanics, African-Americans, and Non-Hispanic Whites.

    Science.gov (United States)

    Shulman, Eric; Kargoli, Faraj; Aagaard, Philip; Hoch, Ethan; Di Biase, Luigi; Fisher, John; Gross, Jay; Kim, Soo; Krumerman, Andrew; Ferrick, Kevin J

    2016-01-01

    A risk score for atrial fibrillation (AF) has been developed by the Framingham Heart Study and Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE)-AF consortium. However, validation of these risk scores in an inner-city population is uncertain. Thus, a validation model was built using the Framingham Risk Score for AF and CHARGE-AF covariates. An in and outpatient electrocardiographic database was interrogated from 2000 to 2013 for the development of AF. Patients were included if their age was >45 and electrocardiogram was without AF, had ≥ 2 electrocardiograms, and declared a race and/or ethnicity as non-Hispanic white, African-American, or Hispanic. For the Framingham Heart Study, 49,599 patients met inclusion criteria, of which 4,860 developed AF. Discrimination analysis using area under the curve (AUC) for original risk equations: non-Hispanic white AUC = 0.712 (95% confidence interval [CI] 0.694 to 0.731), African-American AUC = 0.733 (95% CI 0.716 to 0.751), and Hispanic AUC = 0.740 (95% CI 0.723 to 0.757). For the CHARGE-AF, 45,571 patients met inclusion criteria, of which 4,512 developed AF. Non-Hispanic white AUC = 0.673 (95% CI 0.652 to 0.694), African-American AUC = 0.706 (95% CI 0.685 to 0.727), and Hispanic AUC = 0.711 (95% CI 0.691 to 0.732). Calibration analysis showed qualitative similarities between cohorts. In conclusion, this is the first study to validate both the Framingham Heart Study and CHARGE-AF risk scores in both a Hispanic and African-American cohort. All models predicted AF well across all race and ethnic cohorts. PMID:26589820

  17. 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

  18. Prospective study of alcohol drinking patterns and coronary heart disease in women and men

    DEFF Research Database (Denmark)

    Tolstrup, Janne; Jensen, Majken K; Tjønneland, Anne; Overvad, Kim; Mukamal, Kenneth J; Grønbaek, Morten

    2006-01-01

    disease than women who drank alcohol on less than one day a week. Little difference was found, however, between drinking frequency: one day a week (hazard ratio 0.64, 95% confidence interval 0.51 to 0.81), 2-4 days a week (0.63, 0.52 to 0.77), five or six days a week (0.79, 0.61 to 1.03), and seven days a......OBJECTIVE: To determine the association between alcohol drinking patterns and risk of coronary heart disease in women and men. DESIGN: Population based cohort study. SETTING: Denmark, 1993-2002. PARTICIPANTS: 28 448 women and 25 052 men aged 50-65 years, who were free of cardiovascular disease at...... entry to the study. MAIN OUTCOME MEASURES: Incidence of coronary heart disease occurring during a median follow-up period of 5.7 years. RESULTS: 749 and 1283 coronary heart disease events occurred among women and men. Women who drank alcohol on at least one day a week had a lower risk of coronary heart...

  19. 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

  20. Metabolic profiles of biological aging in American Indians: The strong heart family study

    OpenAIRE

    Zhao, Jinying; Zhu, Yun; Uppal, Karan; ViLinh T Tran; Yu, Tianwei; Lin, Jue; Matsuguchi, Tet; Blackburn, Elizabeth; Jones, Dean; Lee, Elisa T.; Howard, Barbara V.

    2014-01-01

    Short telomere length, a marker of biological aging, has been associated with age-related metabolic disorders. Telomere attrition induces profound metabolic dysfunction in animal models, but no study has examined the metabolome of telomeric aging in human. Here we studied 423 apparently healthy American Indians participating in the Strong Family Heart Study. Leukocyte telomere length (LTL) was measured by qPCR. Metabolites in fasting plasma were detected by untargeted LC/MS. Associations of L...

  1. Predictors of all-cause and cardiovascular disease mortality in type 2 diabetes: Diabetes Heart Study

    OpenAIRE

    Raffield, Laura M.; Hsu, Fang-Chi; Cox, Amanda J.; Carr, J. Jeffrey; Freedman, Barry I.; Bowden, Donald W.

    2015-01-01

    Background Many studies evaluated the best predictors for cardiovascular disease (CVD) events in individuals with type 2 diabetes (T2D), but few studies examined the factors most strongly associated with mortality in T2D. The Diabetes Heart Study (DHS), an intensively phenotyped family-based cohort enriched for T2D, provided an opportunity to address this question. Methods Associations with mortality were examined in 1022 European Americans affected by T2D from 476 DHS families. All-cause mor...

  2. Ischemic heart disease risk factors in lead exposed workers: research study

    OpenAIRE

    Ghiasvand, Masoumeh; Aghakhani, kamran; Salimi, Ahmad; Kumar, Ranjit

    2013-01-01

    Background Review of other epidemiological studies reveal inconsistent results of relationships between high blood lead level and risk of hypertension, hyperlipidemia and hyperglycemia. In this study we wanted to find if there is a relationship between blood lead level and these ischemic heart disease risk factors. Methods This cross-sectional study was conducted in a battery recycling plant, and 497 male workers with the mean age of 41.7 (±6.50) years were recruited from all over the plant (...

  3. Cardiovascular Disease Risk Factors, Type 2 Diabetes Mellitus, and the Framingham Heart Study

    OpenAIRE

    Fox, Caroline S

    2010-01-01

    Type 2 diabetes is a common disorder and an important risk factor for cardiovascular disease (CVD). The Framingham Heart Study (FHS) is a population-based epidemiologic study that has contributed to our knowledge of CVD and its risk factors. This review will focus on the contemporary contributions of the FHS to the field of diabetes epidemiology, including data on diabetes trends, genetics, and future advances in population-based studies.

  4. MORPHO - HISTOLOGICAL STUDY OF MYOCARDIAL BRIDGES OF CADAVERIC HEARTS

    OpenAIRE

    Nalinakumari; Vinay Kumar; Sasi Kumar; Gugapriya

    2015-01-01

    INTRODUCTION: A band overlying the in tramural segment of coronary artery - a place where the artery goes through myocardium instead of epicardium is called myocardial bridging (MB). A wide variation of 0.5% - 90.4% occurs in the incidence of MB by the cadaveric and angiographic study. More over the occurrence of atherosclerosis in c...

  5. 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

  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. Scared to Death? Generalized Anxiety Disorder and Cardiovascular Events in Patients With Stable Coronary Heart Disease The Heart and Soul Study

    NARCIS (Netherlands)

    Martens, Elisabeth J.; de Jonge, Peter; Na, Beeya; Cohen, Beth E.; Lett, Heather; Whooley, Mary A.

    2010-01-01

    Context: Anxiety is common in patients with coronary heart disease (CHD), but studies examining the effect of anxiety on cardiovascular prognosis and the role of potential mediators have yielded inconsistent results. Objectives: To evaluate the effect of generalized anxiety disorder (GAD) on subsequ

  8. A survey of urban heat island studies in two tropical cities

    Science.gov (United States)

    Tso, C. P.

    Studies on the urban heat island effects in two adjacent tropical cities, Singapore and Kuala Lumpur, are surveyed. Past efforts have concentrated on surface temperature mapping relying largely on spot measurements, which, although are inadequate, do indicate the existence of warm spots associated with urbanization. Examination of station records have indicated perceptible temperature increases in both cities, though there has been no concerted effort to facilitate comparative studies. Recent work includes implementation of more systematic data acquisition, the use of the remote technology, as well as surface energy balance modelling. Directions for future work is discussed.

  9. Diabetes Control among Vietnamese Patients in Ho Chi Minh City: An Observational Cross-Sectional Study

    Science.gov (United States)

    Yokokawa, Hirohide; Khue, Nguyen Thy; Goto, Aya; Nam, Tran Quang; Trung, Tran The; Khoa, Vo Tuan; Ngoc, Nguyen Thi Boi; Minh, Pham Nghiem; Vinh, Nguyen Quang; Okayama, Akira; Yasumura, Seiji

    2010-01-01

    The objective of this study was to assess the extent of diabetic control and its associated factors among Vietnamese patients with diabetes mellitus (DM). The study was conducted among 652 outpatients who were recruited at a public general hospital (People Hospital 115) and a private clinic (Medic Center) in Ho Chi Minh City, Vietnam. Median age…

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

    Directory of Open Access Journals (Sweden)

    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.

  11. Preliminary study of single contrast enhanced dual energy heart imaging using dual-source CT

    International Nuclear Information System (INIS)

    Objective: To evaluate the feasibility and preliminary applications of single contrast enhanced dual energy heart imaging using dual-source CT (DSCT). Methods: Thirty patients underwent dual energy heart imaging with DSCT, of which 6 cases underwent SPECT or DSA within one week. Two experienced radiologists assessed image quality of coronary arteries and iodine map of myocardium. and correlated the coronary artery stenosis with the perfusion distribution of iodine map. Results: l00% (300/300) segments reached diagnostic standards. The mean score of image for all patients was 4.68±0.57. Mural coronary artery was present in 10 segments in S cases, atherosclerotic plaques in 32 segments in 12 cases, of which 20 segments having ≥50% stenosis, 12 segments ≤50% stenosis; dual energy CT coronary angiography was consistent with the DSA in 3 patients. 37 segmental perfusion abnormalities on iodine map were found in 15 cases, including 28 coronary blood supply segment narrow segment and 9 no coronary stenosis (including three negative segments in SPECD. Conclusion: Single contrast enhanced dual energy heart imaging can provide good coronary artery and myocardium perfusion images in the patients with appropriate heart rate, which has a potential to be used in the clinic and further studies are needed. (authors)

  12. Profile of congenital heart disease and correlation to risk adjustment for surgery; an echocardiographic study

    International Nuclear Information System (INIS)

    To determine the pattern and profile of Congenital Heart Diseases (CHD) in paediatric patients (age 1 day to 18 years) presenting to a paediatric tertiary referral centre and its correlation to risk adjustment for surgery for congenital heart disease. Over a period of 6 months, 1149 cases underwent 2-D echocardiography. It was a non-probability purposive sampling. This study showed 25% of all referrals had normal hearts. A male preponderance (38%) was observed from 1 year to 5 years age group. Nineteen percent of the cases were categorized as cyanotic CHD with the remaining as acyanotic variety. Tetralogy of Fallot (TOF) represented 10%, Ventricular Septal Defects (VSD) 24%, followed by Patent Ductus Arteriosus (PDA) and Atrial Septal Defect (ASD), which comprised 6.6% and 6.5% respectively. VSD was the most common association in patients with more complex CHD (10%) followed by PDA in 3% and ASD in 1.2% of the cases. Most of the cases were category 2 in the RACHS-1 scoring system. VSD and TOF formed the major groups of cases profiled. Most of the cases recommended for surgery for congenital heart disease belonged to the risk category 2 (28.1%) followed by the risk category 1 (12.7%) of the RACHS-1 scoring system. (author)

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

    Directory of Open Access Journals (Sweden)

    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.

  14. Site Effect and Expected Seismic Performance of Buildings in Palestine- Case Study: Nablus City

    International Nuclear Information System (INIS)

    The effects of local geology on ground-motion amplification and building damage were studied in Palestine-West Bank. Nakamura's method of microtremor analysis was applied in this study. The measurements showed significantly higher amplification in the frequency range of building vulnerability in different parts of Nablus city. This finding is consistent with the distribution of the earthquake damage grades in the urban areas struck by the 11 February 2004 earthquake (ML = 5.2) with a focal depth of 17 km beneath the northeastern part of the Dead Sea Basin. Quite large differences in amplification between around 1 and 9 were computed between the eastern and western rims of the city. The downtown built in the central part of the city on soft clay, marl and valley deposits, whereas the northern and southern parts of urban areas in Nablus city lying on mountains consist of consolidated carbonates bedrock. In the central part of the city and at the rims, where the thickness of fluvial deposits and soft formations is about 15 m, amplifications between 6.74 and 8.67 for dominant natural period range of 0.8-1.1 sec were obtained. On the southern and northern mountains, which are located on limestone rocks covered with a thin layer of soil, the amplification in the same frequency range was low. Calculating the natural period of the existing common buildings (Tb) in the studied area (buildings with 10-12 stories), by using the dynamic analysis method. The values of Tb obtained were much closed to the site dominant natural period (Ts). The findings of this study indicate that the expected differences in damage grades for urban areas in Nablus city could be attributed to variations in the thickness and physical properties of Tertiary-Quaternary sediments, which appear to be rather heterogeneous

  15. Prognostic value of alveolar volume in systolic heart failure: a prospective observational study

    OpenAIRE

    Miniati, Massimo; Monti, Simonetta; Bottai, Matteo; Pavlickova, Ivana; Passino, Claudio; Emdin, Michele; Poletti, Roberta

    2013-01-01

    Background Ventilatory impairment is known to occur in patients with heart failure (HF). Alveolar volume (VA) is measured by the dilution of an inert gas during a single breath-hold maneuver. Such measurement is sensitive to ventilatory disturbances. We conducted a prospective, observational study to establish the prognostic value of VA in systolic HF. Methods We studied 260 consecutive patients who were hospitalized for systolic HF. All patients were evaluated under stable clinical condition...

  16. Biogeographic Ancestry, Self-Identified Race, and Admixture-Phenotype Associations in the Heart SCORE Study

    OpenAIRE

    Halder, Indrani; Kip, Kevin E.; Mulukutla, Suresh R.; Aiyer, Aryan N.; Marroquin, Oscar C; Huggins, Gordon S.; Reis, Steven E.

    2012-01-01

    Large epidemiologic studies examining differences in cardiovascular disease (CVD) risk factor profiles between European Americans and African Americans have exclusively used self-identified race (SIR) to classify individuals. Recent genetic epidemiology studies of some CVD risk factors have suggested that biogeographic ancestry (BGA) may be a better predictor of CVD risk than SIR. This hypothesis was investigated in 464 African Americans and 771 European Americans enrolled in the Heart Strate...

  17. Medication compliance and serum lipid changes in the Helsinki Heart Study.

    OpenAIRE

    Mäenpää, H; Heinonen, O. P.; Manninen, V

    1991-01-01

    1. To control the bias caused by poor medication compliance in the Helsinki Heart Study three methods were used to measure medication compliance during the total 5 years follow up time: continuous capsule counting, semi-annual urine gemfibrozil analysis and a new method, the digoxin marker at the end of the third and fifth study years. 2. The serum lipid responses to gemfibrozil treatment varied linearly with the level of medication compliance, e.g. the mean change in serum total cholesterol ...

  18. Consistency of linkage results across exams and methods in the Framingham Heart Study

    OpenAIRE

    Cupples L Adrienne; Heard-Costa Nancy L; Atwood Larry D; Levy Daniel

    2003-01-01

    Abstract Background The repeated measures in the Framingham Heart Study in the Genetic Analysis Workshop 13 data set allow us to test for consistency of linkage results within a study across time. We compared regression-based linkage to variance components linkage across time for six quantitative traits in the real data. Results The variance components approach found 11 significant linkages, the regression-based approach found 4. There was only one region that overlapped. Consistency between ...

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

    OpenAIRE

    S Rahimpour; V Modarresi; Behjati, M; MA Behjati

    2011-01-01

    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 classifie...

  20. 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.

  1. 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

    2016-01-01

    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%. PMID:27304957

  2. 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.

  3. Smart City, Metropolitan Areas and Competitiveness: the Case Study of Florence

    Directory of Open Access Journals (Sweden)

    Carmela Gargiulo

    2015-07-01

    Full Text Available In several urban contexts, the definition of a new development process is arising and it is focused on the use and the application of new technologies in different areas of the urban system. Such new development process is aimed at increasing life quality and local communities wellness and at promoting the creation of a more efficient and more sustainable urban system, as well as at making it more competitive. The issue of the reorganization of metropolitan areas is combined with such process, following the recent approval of the Delrio Law that establishes the Metropolitan City in Italy, as government authority of the metropolitan areas. Smart City, Metropolitan Areas and Competitiveness are the three topics of this paper, which aim is the description of the most innovative politics and initiatives adopted in the Metropolitan City of Florence that is proposed as a case study where such topics are combined.

  4. 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.

  5. Sustainable urban energy planning: The case study of a tropical city

    International Nuclear Information System (INIS)

    Highlights: ► Sustainable energy planning of tropical cities with hybrid energy technologies competes on economic and environmentally issues. ► We examine variations in the level of energy production. ► The energy planning of cities involves the exportation of pollutants and/or importation of external energy. - Abstract: The urbanization of modern societies has imposed to the planners and decision-makers a more precise attention to facts not considered before. Several aspects, such as the energy availability and the deleterious effect of pollution on the populations, must be considered in the policy decisions of cities urbanization. The current paradigm presents centralized power stations supplying a city, and a combination of technologies may compose the energy mix of a country, such as thermal power plants, hydroelectric plants, wind systems and solar-based systems, with their corresponding emission pattern. A goal programming multi-objective optimization model is presented for the electric expansion analysis of a tropical city, and also a case study for the city of Guaratinguetá, Brazil, considering a particular wind and solar radiation patterns established according to actual data and modeled via the time series analysis method. Scenarios are proposed and the results of single environmental objective, single economic objective and goal programming multi-objective modeling are discussed. The consequences of each dispatch decision, which considers pollutant emission exportation to the neighborhood or the need of supplementing electricity by purchasing it from the public electric power grid, are discussed. The results revealed energetic dispatch for the alternatives studied and the optimum environmental and economic solution was obtained

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

    International Nuclear Information System (INIS)

    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)

  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 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.

  10. Capitalism. Grade Ten. Unit One, 10.1. Comprehensive Social Studies Curriculum for the Inner City.

    Science.gov (United States)

    Burch, Norman

    The tenth grade unit of the FICSS series (Focus on Inner City Social Studies -- see SO 008 271) deals with the political-economic systems in the United States. The first unit of the sequence focuses specifically on capitalism in a democracy. The document deals with both the theoretical and practical aspects of capitalism. The theoretical section…

  11. Scoping Study : Urban Mobility in Three Cities--Addis Ababa, Dar es Salaam, and Nairobi

    OpenAIRE

    World Bank

    2002-01-01

    A comprehensive investigative study was implemented in 2002, on the status, and development of urban mobility in three Sub-Saharan African cities - Addis Ababa, Ethiopia; Nairobi, Kenya; and, Dar-es-Salaam, Tanzania. Its purpose was to gather information in terms of size, regional spread, and availability data, that would allow identification of issues affecting urban mobility in the relat...

  12. 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)

  13. 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,…

  14. 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.

  15. CONCEPT OF URBAN FORESTRY AND EXAMINATION OF URBAN FORESTRY STUDIES IN ISPARTA CITY

    OpenAIRE

    Nilüfer SERİN; GÜL, Atila

    2009-01-01

    Urban trees and forests are very important and inevitable natural materials by providing aesthetics and functional benefits for urban life and urban people. In this study, the concept and frame of urban forestry was studied. In this connection, studies of urban forestry activities were examined and urban trees used in Isparta city were determined. In this connection, some solutions were proposed for revealed current problems concerning the topic. According to results of the study, some serio...

  16. 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

    2016-01-01

    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 <80 bpm, and 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 <80 bpm. The area under ROC curve (AUC) for the prediction of diabetes incidence for a model containing 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. PMID:27029423

  17. Screening for Rheumatic Heart Disease among Peruvian Children: A Two-Stage Sampling Observational Study.

    OpenAIRE

    Ernest Spitzer; Jorge Mercado; Fabian Islas; Martina Rothenbühler; Reto Kurmann; Fabian Zürcher; Peter Krähenmann; Nassip Llerena; Peter Jüni; Pedro Torres; Thomas Pilgrim

    2015-01-01

    BACKGROUND The objective of the study was to evaluate the implications of different classifications of rheumatic heart disease on estimated prevalence, and to systematically assess the importance of incidental findings from echocardiographic screening among schoolchildren in Peru. METHODS We performed a cluster randomized observational survey using portable echocardiography among schoolchildren aged 5 to 16 years from randomly selected public and private schools in Arequipa, Peru....

  18. ORIGINAL ARTICLE: Case Control Study To Assess Association Between Periodontal Infection And Coronary Heart Disease

    OpenAIRE

    Jyoti Mohitey; Rahul Redasani

    2012-01-01

    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, i...

  19. Implementing a Graduate Certificate Program in Cardiovascular Epidemiology: The Jackson Heart Study

    OpenAIRE

    Campbell Jenkins, Brenda W.; Clifton Addison; Gregory Wilson; Lavon Young; Regina Fields; Clevette Woodberry; Marinelle Payton

    2015-01-01

    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 ...

  20. The prevalence of adulthood overweight and obesity in Tehran: findings from Urban HEART-2 study.

    OpenAIRE

    Ahmad Kiadaliri, Aliasghar; Mehdi JAFARI; Vaez Mahdavi, Mohammad-Reza; Faghihzadeh, Soghrat; Kalantari, Naser; ASADI-LARI, Mohsen

    2015-01-01

    Background: To estimate and compare prevalence of overweight and obesity among adult people across the 22 districts of Tehran in 2011. Methods: This was a cross-sectional study using data on 47,406 women and 47,525 men aged≥ 15 years from a large population-based survey (Urban HEART-2). Age-standardized prevalence (ASP) of overweight (25≤BMI

  1. 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...

  2. A simulation study of the reaction of human heart to biphasic electrical shocks

    OpenAIRE

    Seemann Gunnar; Popp lulia M; Dössel Olaf

    2004-01-01

    Abstract Background This article presents a study, which examines the effects of biphasic electrical shocks on human ventricular tissue. The effects of this type of shock are not yet fully understood. Animal experiments showed the superiority of biphasic shocks over monophasic ones in defibrillation. A mathematical computer simulation can increase the knowledge of human heart behavior. Methods The research presented in this article was done with different models representing a three-dimension...

  3. Association between dietary patterns and coronary heart disease: a meta-analysis of prospective cohort studies

    OpenAIRE

    Hou, Lina; LI Fei; Wang, Yuanyuan; Ou, Zejin; Xu, Dingli; Tan, Wanlong; Dai, Meng

    2015-01-01

    The associations of dietary patterns with coronary heart disease (CHD) risk remain unclear. Thereby, a meta-analysis was conducted to examine potential relations between dietary patterns and CHD. PubMed and EMBASE databases were searched up to March 2014 for eligible prospective cohort studies regarding the relationships between common dietary patterns and CHD. Random-effects models were applied to calculate the summary relative risk estimates (SRRE) for the highest versus the lowest category...

  4. Firefighters and on-duty deaths from coronary heart disease: a case control study

    OpenAIRE

    Soteriades Elpidoforos S; Kales Stefanos N; Christoudias Stavros G; Christiani David C

    2003-01-01

    Abstract Background Coronary heart disease (CHD) is responsible for 45% of on-duty deaths among United States firefighters. We sought to identify occupational and personal risk factors associated with on-duty CHD death. Methods We performed a case-control study, selecting 52 male firefighters whose CHD deaths were investigated by the National Institute for Occupational Safety and Health. We selected two control populations: 51 male firefighters who died of on-duty trauma; and 310 male firefig...

  5. The challenge to detect heart transplant rejection and transplant vasculopathy non-invasively - a pilot study

    OpenAIRE

    Helber Uwe; Schroeder Stephen; Aebert Hermann; Burgstahler Christof; Usta Engin; Kopp Andreas F; Ziemer Gerhard

    2009-01-01

    Abstract Background Cardiac allograft rejection and vasculopathy are the main factors limiting long-term survival after heart transplantation. In this pilot study we investigated whether non-invasive methods are beneficial to detect cardiac allograft rejection (Grade 03 R) and cardiac allograft vasculopathy. Thus we compared multi-slice computed tomography and magnetic resonance imaging with invasive methods like coronary angiography and left endomyocardial biopsy. Methods 10 asymptomatic lon...

  6. Prepregnancy diabetes and offspring risk of congenital heart disease - A nationwide cohort study

    OpenAIRE

    Øyen, Nina; Diaz, Lars J.; Leirgul, Elisabeth; Boyd, Heather A.; Priest, James; Mathiesen, Elisabeth R.; Quertermous, Thomas; Wohlfahrt, Jan; Melbye, Mads

    2016-01-01

    Background—Maternal diabetes mellitus is associated with an increased risk of offspring congenital heart defects (CHD); however, the causal mechanism is poorly understood. We further investigated this association in a Danish nationwide cohort. Methods and Results—In a national cohort study, we identified 2 025 727 persons born from 1978 to 2011; among them were 7296 (0.36%) persons exposed to maternal pregestational diabetes mellitus. Pregestational diabetes melli...

  7. Heart Transplant

    Science.gov (United States)

    ... 2015 A heart transplant gives a patient with congenital heart disease the opportunity to have a normal heart with ... pulmonary artery and left atrium. In patients with congenital heart disease, the surgeon may simultaneous transplant the lungs and ...

  8. Heart Block

    Science.gov (United States)

    ... the signal causes the heart to contract and pump blood. Heart block occurs if the electrical signal is ... degree heart block limits the heart's ability to pump blood to the rest of the body. This type ...

  9. 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

  10. 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

  11. 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.

  12. Role of green structure and ecological services: a case study of bahawalpur city, pakistan

    International Nuclear Information System (INIS)

    Cities can make broader contribution to achieve the goals of sustainable development as they are considered major consumers of resources and ecological services. Ecological services provide a range of benefits at local, regional and global levels. Terrestrial ecosystem has different components in urban environment that provides ecological services to its inhabitants. Cities not only benefit from the internal urban ecosystem but also depend upon other ecosystems beyond the city limit. Green structure is an important component in terms of making city more sustainable and habitable. Green structure in urban environment means green infrastructure that is planned and supports sustainable that is planned and supports sustainable urban development. From planning perspective, spatial structure of green space provides a basis for sustainable urban development. In sustainable perspective, green structure more than the sum of green spaces. It is considered as spatial network of open spaces, public and private gardens and parks, sports fields, allotment gardens, woodlands and recreational grounds. Therefore, it is considered as a significant part of built-up environment and major source of ecological services. To structure urban areas of sustainable development, it is necessary to develop a proportion between grey and green cities. Keeping in view, research has been conducted to investigate spatial network of green structure in planned areas of Bahawalpur City of Pakistan. This study analyzes the ecological services generated from the investigated green structures, and helped develop an approach of inter-relation between green environment and urban society. Moreover, strategies for better land-use planning in green and sustainable perspective have been proposed. (author)

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

    Science.gov (United States)

    Borhani, Fariba; Abbaszadeh, Abbas; Rabori, Roghayeh Mehdipour

    2016-01-01

    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. PMID:26793729

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

    Directory of Open Access Journals (Sweden)

    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.

  15. Methodologies Developed for EcoCity Related Projects: New Borg El Arab, an Egyptian Case Study

    Directory of Open Access Journals (Sweden)

    Carmen Antuña-Rozado

    2016-08-01

    Full Text Available The aim of the methodologies described here is to propose measures and procedures for developing concepts and technological solutions, which are adapted to the local conditions, to build sustainable communities in developing countries and emerging economies. These methodologies are linked to the EcoCity framework outlined by VTT Technical Research Centre of Finland Ltd. for sustainable community and neighbourhood regeneration and development. The framework is the result of a long experience in numerous EcoCity related projects, mainly Nordic and European in scope, which has been reformulated in recent years to respond to the local needs in the previously mentioned countries. There is also a particular emphasis on close collaboration with local partners and major stakeholders. In order to illustrate how these methodologies can support EcoCity concept development and implementation, results from a case study in Egypt will be discussed. The referred case study relates to the transformation of New Borg El Arab (NBC, near Alexandria, into an EcoCity. The viability of the idea was explored making use of different methodologies (Roadmap, Feasibility Study, and Residents Energy Survey and Building Consumption Assessment and considering the Residential, Commercial/Public Facilities, Industrial, Services/Utilities, and Transport sectors.

  16. Qualitative Studies of Recent Floods and Sustainable Growth and Development of Cities and Towns in Nigeria

    Directory of Open Access Journals (Sweden)

    Kofo A. Aderogba

    2012-10-01

    Full Text Available Extreme weather events have caused havoc to lives and properties in recent years. Research and development have also been focused on these global phenomena. The situation is getting alarmed in Nigeria. The aim of the paper is to study incidences of floods in Nigerian cities and towns. Topographical Maps of 25 cities and towns were studied. Floods, drainage channels, run-offs and effects of human activities on floods were observed and studied. Interviews were conducted with 20 professionals, urban dwellers and twenty Local Government Chairmen of the cities and towns. There was a questionnaire that was administered among 2,000 urbanites. It collected data about the frequency, sizes and havocs caused by floods. Some of the cities particularly Lagos, Warri and Port-Harcourt are under the sea level with average gradient of less than 1:100,000. Run-offs are increasing in volume and areas of coverage but relatively drainage channels are inadequate; and they have been blocked through the adverse living habits of the urban dwellers. Waste waters are contributing as base water to rain water in the drainage channels. These result in grievous consequences of flood. All forms of transportation are affected each time it comes; lives, farm lands and properties are lost; and economic activities are grounded. Human factors are predominantly the cause. More attention has to be paid to urban physical planning.

  17. 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.

  18. Study of the environmental radiation in Zacatecas City

    International Nuclear Information System (INIS)

    A study of detection of environmental radiation in the inner of an office is presented and a comparison of the results is made when the facilities are closed or aired. The used method is based on radiation detection by means of Geiger-Mueller RM 60 and RM 70 detectors with the aid of a personal computer which provides a detection method of radiation in real time. The used method in this study is suggested to detect the variation of radiation in closed or aired environments and as a surveillance system of radiation levels. The obtained results are discussed and they are compared with those obtained in another places. (Author)

  19. 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.

  20. 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.

  1. Study Abroad and the City: Bringing the Lessons Home

    Science.gov (United States)

    Brewer, Elizabeth

    2011-01-01

    Study abroad's purpose, once conceived primarily as a means for acquiring knowledge in a content area as well as language acquisition, began in the 1980s to be considered a vehicle for helping American students become less "parochial" and better prepared to live and work in a globalized world. To achieve these goals, students must be able to…

  2. International Students Integration Into the City : A Case Study of Jönköping International Business School

    OpenAIRE

    Hanaeus, Amanda; Filipovic, Jelena; Jonsson, Meagan

    2012-01-01

    The prevalence of internationalization in universities today is affecting the cities in which they are located. As the integration of international students adds to the ambiance and culture of a city, the authors argue that mutual participation of universities and communities will influence the development of a city. The aim of this thesis is therefore to explore the collaborations between the two, using Jönköping’s International Business School (JIBS) as a case study. In focusing our attenti...

  3. Internet versus Mobile Banking: A Study of Peshawar City (Pakistan

    Directory of Open Access Journals (Sweden)

    MUHMMAD ZEESHAN AHMAD KHAN

    2012-12-01

    Full Text Available The aim of this research is to consider the market status for difference between mobile and internet banking. The worldwide improvement of information technology has affected the banking industry. In the banking segment the impact of information technology is the preface of internet banking and mobile banking. The internet has created an incredible market space, another technology is the mobile phone has emerged to take more important role in business and society. Users attitude and behavioral characteristics for internet and mobile bank were examined in this study. A structured questionnaire was designed to collect responses. Bankers and common mobile business executives included which use their cell phone for financial transactions and check their balances on cell phones. This research and its results give a close view that only the perceive usefulness of mobile banking and internet banking are same. Research also emphasize on more study on this regard that mobile banking is not same as internet banking.

  4. 1H-MRS study of brain metabolic disorder in patients with cyanosed congenital heart disease

    International Nuclear Information System (INIS)

    Objective: To study the metabolic alteration in the brain of patients with cyanosed congenital heart disease (CCHD) by using 1H-magnetic resonance spectroscopy (1H-MRS) and discover the pathophysiology of chronic hypoxic brain, which will help to diagnose and treat this disease completely. Methods: Twenty-five patients with CCHD and 25 controls were performed PRESS 1H-MRS and MRI. The areas under the resonance of metabolites were measured, the ratios of the other metabolites to Cr were calculated and compared. Results: In patients with CCHD, the mean value of NAA/Cr was significantly lower than that in controls (P 0.05). Conclusion: 1H-MRS can detect brain metabolic changes in patients with cyanosed congenital heart disease in vivo noninvasively and can detect the metabolism disorder of the energy and amino acid, so the pathophysiology of this disease can be understood

  5. 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; Wiinberg, Niels; Petersen, Claus Leth; Hesse, Birger; Gerstoft, Jan; Kjaer, Andreas

    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...... [294 (161-602) versus 946 (711-1668) ms(2); P<0.01]. High frequency power as well as systolic and diastolic blood pressure did not differ between the groups. CONCLUSIONS: The HIV patients in ART have increased resting heart rate and decreased short-term heart rate variability indicating parasympathetic...

  6. Histopathological studies of the heart in three lines of broiler chickens.

    Science.gov (United States)

    Gesek, M; Otrocka-DomagaŁa, I; SokóŁ, R; PaŹdzior-Czapula, K; Lambert, B D; WiŚniewska, A M; Żechowicz, M; Mikiewicz, M; Korzeniowska, P

    2016-04-01

    The aim of this study was to analyse the morphological lesion pattern of the heart of broiler chickens (Cobb 500, Hubbard F15 and Ross 308) during fattening with no clinical signs of disease and to determine the most susceptible period for the occurrence of morphological lesions. The most frequently diagnosed lesions in each genetic line were degeneration of the fibres with vacuolation, congestion of cardiac muscle, oedema and vacuolisation of the Purkinje cells. The highest numbers of morphological lesions were observed on d 38, 31 and 10 of life. The lesions were most numerous in the septum, followed by the left and right ventricles. Ischaemic cardiomyocytes were also most numerous on d 38 of life and in the left ventricle. Overload of cardiac muscle, prolonged hypoxia and increasing body weight on d 38 are the likely reasons for the largest number of lesions and ischaemic fibres, which may lead to heart failure. PMID:26955858

  7. 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.

  8. 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.

  9. FRUSTRATION FEATURES OF THE CITY STUDYING YOUTH – young men and women

    OpenAIRE

    Svetlana Tigranovna Dzhaneryan; Darya Ivanovna Gvozdeva; Inna Nikolaevna Astafyeva

    2015-01-01

    The article presents the results of a study aimed at research of social frustration of personality of city studying youth – pupils of the 10th grade of secondary school, college students, high school students, working and getting additional education young men and women.Methods: testing, survey, statistical data processing.Results. The article summarizes aspects of the frustration research, substantiates the possibility of studying the social frustration of personality and empirical criteria ...

  10. An Empirical Study Of Consumer Behavior For Organized Retail Sector In Vadodara City

    OpenAIRE

    Pandya, Dr. Amit R.; Bariya, Kameshvari J.

    2015-01-01

    In this research paper, primary data was collected from respondents of Vadodara city in Gujarat. For this purpose three shopping malls were selected RPG group, Future group and Aditya Birala group. Through this study we have tried to find out consumer behaviour of respondents when they shop through malls. As a part of consumer behaviour, their perceptions, motivation levels and demographic factors were studied. We have also tried to study the reasons for preference of a shopping mall and t...

  11. A usability study of a mobile monitoring system for congestive heart failure patients.

    Science.gov (United States)

    Svagård, I; Austad, H O; Seeberg, T; Vedum, J; Liverud, A; Mathiesen, B M; Keller, B; Bendixen, O C; Osborne, P; Strisland, F

    2014-01-01

    Sensor-based monitoring of congestive heart-failure (CHF) patients living at home can improve quality of care, detect exacerbations of disease at an earlier stage and motivate the patient for better self care. This paper reports on a usability study of the ESUMS system that provides continuous measurements of heart rate, activity, upper body posture and skin temperature via a sensor belt and a smartphone as patient terminal. Five CHF patients were included in the trial, all recently discharged from hospital. The nurses experienced continuous heart rate, activity and posture monitoring as useful and objective tools that helped them in their daily assessment of patient health. They also saw the system as an important educational tool to help patients gain insight into their own condition. Three patients liked that they could have a view of their own physiological and activity data, however the smartphones used in the study turned out to be too complicated for the patients to operate. A smartphone is built to be a multi-purpose device, and this may (conceptually and practically) be incompatible with the patients' demands for ease of use. PMID:25160241

  12. Open-Heart surgery and cerebrovascular accident: retrospective study at King Khalid University Hospital

    International Nuclear Information System (INIS)

    Stroke after coronary by-pass grafting (CABG) is often disabling. The incidence of ischemic stroke may approach 3% to 5%. Several risk factors have been identified including previous history of stroke, prolonged cardiopulmonary bypass time, and postoperative atrial fibrillation. Objective was to determine the incidence and risk factors of neurological deficit after open heart surgery. Retrospective study was done during the period 1992-1995 at the King Khalid University Hospital, Riyadh, Saudi Arabia. There were 350 patients who were subjected to (CABG), 10 patients (2.8%) found to suffer from cerebrovascular accidents (CVA) following open-heart surgery. In 8 patients, the complaint lasted more than 24 hours (stroke), while 2 patients developed transient ischemic attacks (TIA). Five factors were found to be associated with increased risk of post cardiac surgery CVA. These factors are postoperative atrial fibrillation, carotid bruit, past history of heart failure, past history of CVA and smoking. The authors concluded that it is necessary to start a prospective study to verify the area of improvement with regards to technique, selection of patients and mode of perfusion during cardiopulmonary bypass (CPB) Arabia. (author)

  13. 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.

  14. Assessment of congenital heart disease by a thallium-201 SPECT study in children

    International Nuclear Information System (INIS)

    The characteristics of correlation between the right-to-left ventricular systolic pressure ratios (RVp/LVp) and the thallium-201 right-to-left ventricular (201Tl R/L) count ratios was investigated in children with various congenital heart diseases. High-resolution three-headed SPECT system equipped with either parallel-hole or fan-beam collimators was used. In a total of 102 patients, the correlation between RVp/LVp and 201Tl R/L average count ratios was good in both planar (r=0.89, p=0.0001) and SPECT studies (r=0.80, p=0.0001). Quantitative analysis of myocardial uptake by SPECT demonstrated the characteristic pattern of each disease as well as the differences in the right ventricular overload types. When the linear regression analysis was performed in each heart disease, ventricular septal defect showed most excellent correlation. Complex heart anomalies also showed positive correlation (r=0.51, p=0.05) with RVp/LVp, and it can be used to estimate right ventricular pressure. After surgical treatment of tetralogy of Fallot and pulmonary stenosis, the decrease of 201Tl R/L count ratio was in accordance with improvement of right ventricular overload. We conclude that 201Tl SPECT study can be a good indicator for estimation of right ventricular pressure. (author)

  15. Association of HbA1c with hospitalization and mortality among patients with heart failure and diabetes

    OpenAIRE

    Blecker, Saul; Park, Hannah; Stuart D. Katz

    2016-01-01

    Background Comorbid diabetes is common in heart failure and associated with increased hospitalization and mortality. Nonetheless, the association between glycemic control and outcomes among patients with heart failure and diabetes remains poorly characterized, particularly among low income and minority patients. Methods We performed a retrospective cohort study of outpatients with heart failure and diabetes in the New York City Health and Hospitals Corporation, the largest municipal health ca...

  16. Pollution: Problems and Solutions. Grade Nine, Unit One, 9.1 Comprehensive Social Studies Curriculum for the Inner City.

    Science.gov (United States)

    Jamison, Sandra; Campbell, Bruce

    The ninth grade unit of the FICSS series (Focus on Inner City Social Studies -- see SO 008 271) studies the economic and political realities of the inner city. This document, the first unit of the 9th grade section, deals with the ecological crises involving pollution and its causes. Specific problems include air pollution, pesticides, herbicides,…

  17. Tampa Scale of Kinesiophobia for Heart Turkish Version Study: cross-cultural adaptation, exploratory factor analysis, and reliability

    Directory of Open Access Journals (Sweden)

    Acar S

    2016-06-01

    Full Text Available Serap Acar,1 Sema Savci,1 Pembe Keskinoğlu,2 Bahri Akdeniz,3 Ebru Özpelit,3 Buse Özcan Kahraman,1 Didem Karadibak,1 Can Sevinc4 1School of Physical Therapy and Rehabilitation, 2Department of Biostatistics, Faculty of Medicine, 3Department of Cardiology, Faculty of Medicine, 4Department of Chest Disease, Faculty of Medicine, Dokuz Eylul University, İzmir, Turkey Purpose: Individuals with cardiac problems avoid physical activity and exercise because they expect to feel shortness of breath, dizziness, or chest pain. Assessing kinesiophobia related to heart problems is important in terms of cardiac rehabilitation. The Tampa Scale of Kinesiophobia Swedish Version for the Heart (TSK-SV Heart is reliable and has been validated for cardiac diseases in the Swedish population. The aim of this study was to investigate the reliability, parallel-form validity, and exploratory factor analysis of the TSK for the Heart Turkish Version (TSK Heart Turkish Version for evaluating kinesiophobia in patients with heart failure and pulmonary arterial hypertension.Methods: This cross-sectional study involved translation, back translation, and cross-cultural adaptation (localization. Forty-three pulmonary arterial hypertension and 32 heart failure patients were evaluated using the TSK Heart Turkish Version. The 17-item scale, originally composed for the Swedish population, has four factors: perceived danger for heart problem, avoidance of exercise, fear of injury, and dysfunctional self. Cronbach’s alpha (internal ­consistency and exploratory factor analysis were used to assess the questionnaire’s reliability. Results of the patients in the 6-minute walk test, International Physical Activity Questionnaire, and Nottingham Health Profile were analyzed by Pearson’s correlation analysis with the TSK Heart Turkish Version to indicate the convergent validity.Results: Cronbach’s alpha for the TSK Heart Turkish Version was 0.75, indicating acceptable internal

  18. Future lighting and the appearance of cities at night: A case study

    Directory of Open Access Journals (Sweden)

    Simon Rankel

    2014-06-01

    Full Text Available Future lighting solutions based on solid state lighting will transform the appearance of cities at night. They can be positioned and used in an urban environment in numerous ways. This article studies whether their future use in general outdoor lighting will positively affect people’s acceptance of urban space illuminated in this way. Two different lighting concepts were formed based on the innovative use of solid state lighting solutions. The first concept is based on plane lighting, and the second is based on a detailed depiction of architectural and urban elements. Lighting proposals were designed for five different city locations. They consider not only functional needs, but also urban planning and the architectural aspects of illumination. I present my study of the underlying core effects on the respondents through their assessment of the affective quality of graphic representations. My findings indicate that the respondents strongly agree with the assessment of the “pleasantness” and “arousal” variables of most proposals. However, the statistics show characteristic differences between the answers of both variables for both concepts. Direct comparison of the two concepts shows that the respondents’ attitudes towards a certain lighting concept also depend on their location in the city. This article emphasises the importance of the appearance of a city at night in developing future lighting strategies based on solid state light sources.

  19. 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.

  20. 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.

  1. POST MORTEM STUDY OF POSTSURGICAL MORTALITY IN SECUNDERABAD CITY

    Directory of Open Access Journals (Sweden)

    Shekhar Rao

    2013-05-01

    Full Text Available ABSTRACT: BACKGROUND: Surgery is an essential part of present medical pra ctice and it is one of the important tools of curing many diseases. Surger y is done in elective cases after the diagnosis is promptly made before operating, and in emergency su rgeries an empirical diagnosis is made and after opening moderation is adopted in the procedur e. In spite of all safety precautions adopted, death may result in some cases. Then a question ari ses about the competency and efficiency of the surgeon, investigations, interpretation about the d iagnosis of the disease and the management of the case. To answer these questions we need to do a Pathological (Clinical autopsy than a medico- legal autopsy. The scope of the present study was o nly to find which of the surgeries resulted in most of the fatal outcomes and try to determine the underlying causes it has its own limitations. Deciding about the occurrence of Medical Negligence and fixation of responsibility is beyond the scope of this study. AIMS : To know the incidence of surgical postoperative d eaths of Gandhi Hospital, Secunderabad [A.P], during year 2006. RESULTS : The incidence of surgical death in this group of population is about 1.5%. Most number of c ases involved was males and belongs to 22-45 year age group. 75% of deaths occurred in Males of this group as compared to females who were 25% of the total study population, however it was n ot statistically significant. 86.6% of the surgeries with fatal outcome were done in emergency conditions and rest was done on elective basis. Study also shows that the main anatomical lo cations involved are the head and neck region 48.3% which resulted in most number of postsurgical mortality. CONCLUSIONS : The frequency of death occurring after emergency surgeries is more t han that of elective surgeries probably indicating that in emergency surgeries there was so me hastiness in selecting the cases for surgery, presence of co - morbid conditions and

  2. Manual restraint and shows of force: the City-128 study.

    Science.gov (United States)

    Bowers, Len; Van Der Merwe, Marie; Paterson, Brodie; Stewart, Duncan

    2012-02-01

    Manual restraint is used to manage disturbed behaviour by patients. This study aimed to assess the relationship of manual restraint and show of force to conflict behaviours, the use of containment methods, service environment, physical environment, patient routines, staff characteristics, and staff group variables. Data from a multivariate, cross-sectional study of 136 acute psychiatric wards in England were used to conduct this analysis. Manual restraint was used less frequently on English acute psychiatric wards (0.20 incidents per day) than show of force (0.28 incidents per day). Both were strongly associated with the proportion of patients subject to legal detention, aggressive behaviours, and the enforcement of treatment and detention. Medical, nursing, and security guard staff provision were associated in different ways with variations in the use of these coercive interventions. An effective ward structure of rules and routines was associated with less dependence on these control methods. Training for manual restraint should incorporate the scenarios of attempted absconding and enforcement of treatment, as well as violent behaviour. Attempts to lessen usage of these interventions could usefully focus on increasing the availability of medical staff to patients, reducing reliance on security guards and establishing a good ward structure. PMID:21733054

  3. Sociological Investigating of the Authoritarian Personality (Case Study: Isfahan City

    Directory of Open Access Journals (Sweden)

    Vahid Ghasemi

    2011-12-01

    Full Text Available Abstract   The main questions to answer in this article are that “What are the possible explanations of the formation of the authoritarian personality? How is an authoritarian personality born and where are its roots?” We used from F. scale. The original F. scale was to contain 38 items and 9 key dimensions of authoritarian personality: Conventionalism, Authoritarian Submission, Authoritarian Aggression, Anti- interception, Superstition and Stereotype, Power and ‘toughness’, Destructiveness and Cynicism, Projective, heightened concerns about sex. This scale defined by Adorno at al. in 1950.   The purpose of this research is to find out the level of tendency toward authoritarianism and to study the impact of variables like age, group membership, socialization of power (family structure, education system and mass media, level of education, income and occupation on authoritarianism. In this survey study a sample of 368 citizens of Isfahan (18years old and over have been interviewed.   The results indicate that a significant and reserve relationship has been found between age, group membership, education system and mass media and tendency toward authoritarianism. A significant and direct relationship exists between family structure, level of education, income and occupation and tendency toward authoritarianism.

  4. Beautiful city

    OpenAIRE

    Gerald A. Carlino

    2009-01-01

    Proponents of the City Beautiful movement advocated for sizable public investments in monumental spaces, street beautification, and classical architecture. Today, economists and policymakers see the provision of consumer leisure amenities as a way to attract people and jobs to cities. But past studies have provided only indirect evidence of the importance of leisure amenities for urban growth and development. In this article, Jerry Carlino uses a new data set on the number of leisure tourist ...

  5. City Beautiful

    OpenAIRE

    Gerald A. Carlino; Saiz, Albert

    2008-01-01

    The City Beautiful movement, which in the early 20th century advocated city beautification as a way to improve the living conditions and civic virtues of the urban dweller, had languished by the Great Depression. Today, new urban economic theorists and policymakers are coming to see the provision of consumer leisure amenities as a way to attract population, especially the highly skilled and their employers. However, past studies have provided only indirect evidence of the importance of leisur...

  6. 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...

  7. The Characteristic of Heat Wave Effects on Coronary Heart Disease Mortality in Beijing, China: A Time Series Study

    OpenAIRE

    Tian, Zhaoxing; Li, Shanshan; Zhang, Jinliang; Guo, Yuming

    2013-01-01

    Background There is limited evidence for the impacts of heat waves on coronary heart disease (CHD) mortality in Beijing, capital city of China. Objectives We aimed to find a best heat wave definition for CHD mortality; and explore the characteristic of heat wave effects on CHD in Beijing, China. Methods We obtained daily data on weather and CHD mortality in Beijing for years 2000–2011. A quasi-Poisson regression model was used to assess the short-term impact of heat waves on CHD mortality in ...

  8. Characterization of the elastic displacement demand: Case study - Sofia city

    International Nuclear Information System (INIS)

    The results of the study on the seismic site response in a part of the metropolitan Sofia are discussed. The neo-deterministic seismic hazard assessment procedure has been used to compute realistic synthetic waveforms considering four earthquake scenarios, with magnitudes M = 3.7, M = 6.3 and M = 7.0. Source and site specific ground motion time histories are computed along three investigated cross sections, making use of the hybrid approach, combining the modal summation technique and the finite differences scheme. Displacement and acceleration response spectra are considered. These results are validated against the design elastic displacement response spectra and displacement demand, recommended in Eurocode 8. The elastic response design spectrum from the standard pseudo-acceleration, versus natural period, Tn, format is converted to the Sa - Sd format. The elastic displacement response spectra and displacement demand are discussed with respect to the earthquake magnitude, the seismic source-to-site distance, seismic source mechanism, and the local geological site conditions. (author)

  9. 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. PMID:27357389

  10. 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.

  11. ENVIRONMENTAL HEALTH OFTHE COMMUNITIES OF FRINGE AREAS: A STUDY OF LUCKNOW CITY.

    Directory of Open Access Journals (Sweden)

    Manish K. Verma

    2014-12-01

    Full Text Available This paper has tried to unveil the environmental health situation of the people of the fringe area through the case study of peripheral locality of Lucknow city. Some selected peripheral villages of the Lucknow city has been taken under the study. The study is based on the primary data collected from the field survey. Paper mainly gives the situation of health of the people of the study area and the situation of pollution mainly on Air, Water and Space. Therefore, this article attempts to investigate the environmental changes in the fringe region by deeply analyzing the issues such as the change in pollution levels and the various factors behind the change in pollution levels and its consequences on human health etc. It also delves deeply upon the endeavours of forestation and preparedness of health care system to meet challenges in such an environment by analyzing coverage of various health care schemes and access to health care professionals and infrastructure.

  12. Copeptin and risk of incident stroke, coronary heart disease and cardiovascular mortality in older men with and without diabetes: The British Regional Heart Study

    OpenAIRE

    Wannamethee, S. Goya; Welsh, Paul; Lennon, Lucy; Papacosta, Olia; Whincup, Peter; Sattar, Naveed

    2016-01-01

    Objective: To examine the association between copeptin (a surrogate marker of arginine vasopressin) and incident stroke, coronary heart disease (CHD) and cardiovascular mortality in older men with and without diabetes. Research design and methods: A prospective study of 3536 men aged 60-79 years followed up for an average 13 years during which there were 437 major CHD events [fatal and non-fatal myocardial infarction (MI)], 323 stroke events (fatal and non-fatal) and 497 CVD deaths. Pre...

  13. 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.

  14. An analysis of LULC change detection using remotely sensed data; A Case study of Bauchi City

    International Nuclear Information System (INIS)

    Bauchi is one of the cities in the north eastern part of Nigeria that has witnessed tremendous expansion as a result of rapid urbanization. For the past decade, the city has been known to be relatively small both in size and population. But today, Bauchi is one of the fastest growing cities in northern Nigeria. Therefore, it is paramount to detect the nature and magnitude of these changes in order to determine its direction of future expansion. To achieve that, Remotely Sensed data from Landsat 7 ETM+ and Landsat 8 were utilized for the purpose of LULC change detection in Bauchi city. Landsat 7 image of 2003 and Landsat 8 image of 2013 were obtained for the purpose of the study. Three change detection algorithms were used to detect areas of change. They include supervised, unsupervised and post classification comparison. While the unsupervised classification was found to be less effective, the supervised classification produced good results with overall accuracies of 93.5% and 89.7% for the 2003 and 2013 respectively. Finally, ''from-to'' change was obtained using the post classification comparism

  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. Flood Insurance Study, City of South Salt Lake, Utah, Salt Lake County

    OpenAIRE

    Federal Emergency Management Agency

    1994-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of South Salt Lake, Salt Lake County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood...

  17. Prevalence of hypothyroidism in adults: An epidemiological study in eight cities of India

    OpenAIRE

    Ambika Gopalakrishnan Unnikrishnan; Sanjay Kalra; Rakesh Kumar Sahay; Ganapathi Bantwal; Mathew John; Neeraj Tewari

    2013-01-01

    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 diagnos...

  18. Evaluation of new secondary organic aerosol models for a case study in Mexico City

    OpenAIRE

    Dzepina, K.; Volkamer, R. M.; S. Madronich; Tulet, P; Ulbrich, I. M; Q. Zhang; C. D. Cappa; P. J. Ziemann; Jimenez, J. L.

    2009-01-01

    Recent field studies have found large discrepancies in the measured vs. modeled SOA mass loadings in both urban and regional polluted atmospheres. The reasons for these large differences are unclear. Here we revisit a case study of SOA formation in Mexico City described by Volkamer et al. (2006), during a photochemically active period when the impact of regional biomass burning is minor or negligible, and show that the observed increase in OA/ΔCO is consistent with results from several groups...

  19. A study of lip print patterns among adults of Sebha city, Libya

    OpenAIRE

    Syed Wali Peeran; Naveen Kumar, P G; Khaled Awidat Abdalla; Faiza Abdelkader Ahmed Azaruk; Shahnavaz Manipady; Fatma Mojtaba Alsaid

    2015-01-01

    Introduction: Lip print patterns are individualistic and unique and can be used for identification of individuals. Objectives: The objective of this study was to find out the different types of lip patterns, know the most common one and to know whether it has any gender predilection among adults of Sebha city. Materials and Methods: A total of 104 adults aged 18-35 years participated in this study. Lip prints were recorded and analyzed for lip print patterns. Statistical analysis was carried ...

  20. Culture and creativity as instruments for local development. A study of practices in smaller European cities.

    OpenAIRE

    Dozhdeva, Viktoriya

    2014-01-01

    The work aims at understanding how smaller cities use culture and creativity (C&C) as a tool for local economic development. The study seeks to contribute to filling the gap in research on ways of inscribing C&C into the context of smaller cities’ development. It studies and systematises different theories and discourses on the role of C&C in territorial development, elaborating an analytical model (typology) for analysing the multiplicity of approaches to C&C-led local develo...

  1. 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

  2. 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

  3. 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.

  4. Genome-wide association study for subclinical atherosclerosis in major arterial territories in the NHLBI's Framingham Heart Study

    OpenAIRE

    Cupples, L. Adrienne; D'Agostino, Ralph B.; Hwang, Shih-Jen; Ingellson, Erik; Liu, Chunyu; Murabito, Joanne M.; Polak, Joseph F.; Wolf, Philip A.; Demissie, Serkalem; O'Donnell, Christopher Joseph; Fox, Caroline; Hoffmann, Udo

    2007-01-01

    Introduction: Subclinical atherosclerosis (SCA) measures in multiple arterial beds are heritable phenotypes that are associated with increased incidence of cardiovascular disease. We conducted a genome-wide association study (GWAS) for SCA measurements in the community-based Framingham Heart Study. Methods: Over 100,000 single nucleotide polymorphisms (SNPs) were genotyped (Human 100K GeneChip, Affymetrix) in 1345 subjects from 310 families. We calculated sex-specific age-adjusted and multiva...

  5. Genome-wide association study for subclinical atherosclerosis in major arterial territories in the NHLBI's Framingham Heart Study

    OpenAIRE

    Hwang Shih-Jen; Hoffmann Udo; Fox Caroline S; D'Agostino Ralph B; Cupples L Adrienne; O'Donnell Christopher J; Ingellson Erik; Liu Chunyu; Murabito Joanne M; Polak Joseph F; Wolf Philip A; Demissie Serkalem

    2007-01-01

    Abstract Introduction Subclinical atherosclerosis (SCA) measures in multiple arterial beds are heritable phenotypes that are associated with increased incidence of cardiovascular disease. We conducted a genome-wide association study (GWAS) for SCA measurements in the community-based Framingham Heart Study. Methods Over 100,000 single nucleotide polymorphisms (SNPs) were genotyped (Human 100K GeneChip, Affymetrix) in 1345 subjects from 310 families. We calculated sex-specific age-adjusted and ...

  6. Dietary patterns and their association with acute coronary heart disease: Lessons from the REGARDS Study

    OpenAIRE

    Al Suwaidi, Jassim

    2015-01-01

    Shikany et al used data from 17,418 participants in the REGARDS study, a national, population-based, longitudinal study of white and black adults aged ≥ 45 years, enrolled between 2003–2007. They examined 536 acute coronary heart disease events at follow-up (median 5.8 years) in relation to five dietary patterns (Convenience, Plant-based, Sweets, Southern, and Alcohol and Salad). After adjustment for baseline variables, the highest consumers of the Southern pattern experienced a 56% higher ha...

  7. Association of Kidney Disease Measures with Cause-Specific Mortality: The Korean Heart Study

    OpenAIRE

    Yejin Mok; Kunihiro Matsushita; Yingying Sang; Ballew, Shoshana H.; Morgan Grams; Sang Yop Shin; Sun Ha Jee; Josef Coresh

    2016-01-01

    Background The link of low estimated glomerular filtration rate (eGFR) and high proteinuria to cardiovascular disease (CVD) mortality is well known. However, its link to mortality due to other causes is less clear. Methods We studied 367,932 adults (20–93 years old) in the Korean Heart Study (baseline between 1996–2004 and follow-up until 2011) and assessed the associations of creatinine-based eGFR and dipstick proteinuria with mortality due to CVD (1,608 cases), cancer (4,035 cases), and oth...

  8. A Study of the Characteristics of Reading Programs in Federal, State, and City-County Penal Institutions.

    Science.gov (United States)

    Kilty, Ted K.

    This study investigated the characteristics of reading programs offered to inmates of federal, state, and city/county penal institutions. The total number of institutions that responded to a questionnaire sent by the investigator was: federal, 27 (100% response); state, 426 (68% response); and city/county, 675 (16% response). Findings are reported…

  9. 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,

  10. 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.

  11. 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.

  12. The MacNew Heart Disease Health-Related Quality of Life Questionnaire: A Scandinavian Validation Study

    OpenAIRE

    Alphin, Shan; Höfer, Stefan; Perk, Joep; Slørdahl, Stig; Zwisler, Ann-Dorthe Olsen; Oldridge, Neil

    2014-01-01

    The aim of this study is to validate the Danish, Norwegian and Swedish versions of the self-administered MacNew Heart Disease Health-related Quality of Life questionnaire in patients with ischemic heart disease. The MacNew questionnaire, the Short Form SF-36, and the Hospital Anxiety and Depression Scale were completed at baseline by 976 patients (Denmark n = 353, Norway n = 328, Sweden n = 295) with a diagnosis of angina (n = 335), myocardial infarction (n = 352), or heart failure (n = 289)....

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

    Directory of Open Access Journals (Sweden)

    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.

  14. Multicenter randomized trial of cell therapy in cardiopathies – MiHeart Study

    Directory of Open Access Journals (Sweden)

    Oliveira Sérgio A

    2007-01-01

    Full Text Available Abstract Background Cardiovascular diseases are the major cause of death in the world. Current treatments have not been able to reverse this scenario, creating the need for the development of new therapies. Cell therapies have emerged as an alternative for cardiac diseases of distinct causes in experimental animal studies and more recently in clinical trials. Method/Design We have designed clinical trials to test for the efficacy of autologous bone marrow derived mononuclear cell therapies in four different cardiopathies: acute and chronic ischemic heart disease, and Chagasic and dilated cardiomyopathy. All trials are multicenter, randomized, double-blind and placebo controlled. In each trial 300 patients will be enrolled and receive optimized therapy for their specific condition. Additionally, half of the patients will receive the autologous bone marrow cells while the other half will receive placebo (saline with 5% autologous serum. For each trial there are specific inclusion and exclusion criteria and the method for cell delivery is intramyocardial for the chronic ischemic heart disease and intracoronary for all others. Primary endpoint for all studies will be the difference in ejection fraction (determined by Simpson's rule six and twelve months after intervention in relation to the basal ejection fraction. The main hypothesis of this study is that the patients who receive the autologous bone-marrow stem cell implant will have after a 6 month follow-up a mean increase of 5% in absolute left ventricular ejection fraction in comparison with the control group. Discussion Many phase I clinical trials using cell therapy for cardiac diseases have already been performed. The few randomized studies have yielded conflicting results, rendering necessary larger well controlled trials to test for efficacy of cell therapies in cardiopathies. The trials registration numbers at the NIH registry are the following: Chagasic cardiomyopathy (NCT00349271

  15. Multicenter randomized trial of cell therapy in cardiopathies – MiHeart Study

    Science.gov (United States)

    Tura, Bernardo R; Martino, Helena F; Gowdak, Luis H; dos Santos, Ricardo Ribeiro; Dohmann, Hans F; Krieger, José E; Feitosa, Gilson; Vilas-Boas, Fábio; Oliveira, Sérgio A; Silva, Suzana A; Bozza, Augusto Z; Borojevic, Radovan; de Carvalho, Antonio C Campos

    2007-01-01

    Background Cardiovascular diseases are the major cause of death in the world. Current treatments have not been able to reverse this scenario, creating the need for the development of new therapies. Cell therapies have emerged as an alternative for cardiac diseases of distinct causes in experimental animal studies and more recently in clinical trials. Method/Design We have designed clinical trials to test for the efficacy of autologous bone marrow derived mononuclear cell therapies in four different cardiopathies: acute and chronic ischemic heart disease, and Chagasic and dilated cardiomyopathy. All trials are multicenter, randomized, double-blind and placebo controlled. In each trial 300 patients will be enrolled and receive optimized therapy for their specific condition. Additionally, half of the patients will receive the autologous bone marrow cells while the other half will receive placebo (saline with 5% autologous serum). For each trial there are specific inclusion and exclusion criteria and the method for cell delivery is intramyocardial for the chronic ischemic heart disease and intracoronary for all others. Primary endpoint for all studies will be the difference in ejection fraction (determined by Simpson's rule) six and twelve months after intervention in relation to the basal ejection fraction. The main hypothesis of this study is that the patients who receive the autologous bone-marrow stem cell implant will have after a 6 month follow-up a mean increase of 5% in absolute left ventricular ejection fraction in comparison with the control group. Discussion Many phase I clinical trials using cell therapy for cardiac diseases have already been performed. The few randomized studies have yielded conflicting results, rendering necessary larger well controlled trials to test for efficacy of cell therapies in cardiopathies. The trials registration numbers at the NIH registry are the following: Chagasic cardiomyopathy (NCT00349271), dilated cardiomyopathy (NCT

  16. Interorganizational networks in public transport: a multicase study in different cities of Rio Grande do Sul

    Directory of Open Access Journals (Sweden)

    Rafael Mendes Lübeck

    2013-03-01

    Full Text Available The present study proposes the expansion of the debate on inter-organizational networks for conducting a study of exploratory and qualitative in a group of transportation companies passenger-pole and three cities of a metropolitan region of Rio Grande do Sul The goal is understand how the passenger carriers in the cities analyzed, operate in a network. For this, we used the model proposed by Marcon and Moinet (2001, which ranks the inter-organizational relationships, and model and Balestrin Vershoore (2006, which deals with benefits in interorganizational networks. To achieve the objective of this study were collected through interviews with managers of transport companies and document analysis, using the technique of content analysis a posteriori. The results of these tests have drawn the picture of the performance of carriers in the network in the cities studied. We developed a report of cases crossed that define the possible inter-relationships as formal and horizontal, between the main benefits of network operation, there was the implementation of electronic ticketing system and gains in representation before public interaction.

  17. Pollution and city size: can cities be too small?

    OpenAIRE

    Borck, Rainald; TABUCHI Takatoshi

    2015-01-01

    We study the optimal and equilibrium size of cities in a monocentric city model with environmental pollution. Pollution is related to city size through the effect of population on production, commuting, and housing consumption. If pollution is local, we find that equilibrium cities are too large, mirroring standard results in the theory of city systems. When pollution is global and per capita pollution declines with city size, however, equilibrium cities may be too small.

  18. Experimental study of the performance of tubular solar still in Najaf city

    Directory of Open Access Journals (Sweden)

    Salman H. Hammadi, Dhafer Manea H. Al-Shamkhee, Hussein Ali Jabar

    2015-01-01

    Full Text Available A tubular solar still (TSS was designed, fabricated and tested in Najaf city, Iraq conditions. The trough was made of polycarbonate material black color of a rectangular shape (0.0972 m2 Area its painted black to increase its absorptivity. The tube cover made of Pyrex glass (0.6 m length, (0.24 m outer diameter and (0.01 m thickness. Number of experiments was conducted to observe the behavioral variation inside the still. The experimental study studied the effect of solar radiation, basin depth and direction of TSS on the productivity of solar still and temperature distribution inside the still for Najaf city condition for period (February to August in 2015. The result show the maximum productivity in north-south direction and the productivity increase with decreasing the depth of water in basin.

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

    Directory of Open Access Journals (Sweden)

    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.

  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. Case-control study of factors associated with chronic Chagas heart disease in patients over 50 years of age

    Directory of Open Access Journals (Sweden)

    Silvana de Araújo Silva

    2007-11-01

    Full Text Available A case-control study on chronic Chagas heart disease (CCHD was carried out between 1997 and 2005. Ninety patients over 50 years of age were examined for factors related to (CCHD. Fourty-six patients (51.1% with Chagas heart disease (anomalous ECG were assigned to the case group and 44 (48.9% were included in the control group as carriers of undetermined forms of chronic disease. Social, demographic (age, gender, skin color, area of origin, epidemiological (permanence within an endemic zone, family history of Chagas heart disease or sudden death, physical strain, alcoholism, and smoking, and clinical (systemic hypertension variables were analyzed. The data set was assessed through single-variable and multivariate analysis. The two factors independently associated with heart disease were age - presence of heart disease being three times higher in patients over 60 years of age (odds ratio, OR: 2.89; confidence interval of 95%: 1.09-7.61 - and family history of Chagas heart disease (OR: 2.833, CI 95%: 1.11-7.23. Systemic hypertension and gender did not prove to hold any association with heart disease, as neither did skin color, but this variable showed low statistical power due to reduced sample size.

  2. EMOTIONAL AND COGNITIVE CHANGES DURING AND POST A NEAR FATAL HEART ATTACK AND ONE-YEAR AFTER: A CASE STUDY

    Directory of Open Access Journals (Sweden)

    Andrew M. Lane

    2010-09-01

    Full Text Available This case study reports on changes in emotions before and during an unexpected heart rate in a young, apparently healthy male with a life-long history of exercise in the absence of family history of heart problems. He completed the Brunel Mood Scale (Terry et al. , 2003 to assess emotions before, during, and after the heart attack, and also describing his thoughts during these periods. Results indicate he experienced unpleasant emotions in the build up to the heart attack, feelings he attributed at the time to frustration to achieve fitness goals. He maintained an exercise regime prior to having a heart attack, a finding consistent with previous research suggesting that early diagnosis, although vital for survival, is not likely to be identified among seemingly healthy individuals. During the heart attack, he experienced a rapid emotional change characterised by a rapid increase in anger coupled with thoughts of needing to survive. The intensity of emotions and regulation strategies employed before and during the heart attack provide insight this experience, and we suggest future research should investigate emotional change during adverse conditions

  3. Study of foetal heart rate patterns in pregnancy with intra-uterine growth restriction during antepartum period

    International Nuclear Information System (INIS)

    Objectives: To evaluate foetal heart rate pattern during antepartum period in pregnancies suffering from intra-uterine growth restriction. Methods: The case control study was conducted at the Alzahra Hospital, Tabriz, Iran from April 2008 to April 2011. It comprised 100 pregnancies with intra-uterine growth restriction and 92 normal pregnancies. The foetal heart rate pattern including basal heart rate, beat-to-beat variation, non-stress test (NST) result and acceleration and deceleration patterns of the heart rate were determined in both groups during the antepartum period. Findings were compared between the two groups and their relation with pregnancy-foetal outcomes was specified in the case group. SPSS 15 was used for statistical analysis. Results: There was no statistically significant difference between the foetus mean basal heart rate in the two groups (p <0.960). Frequency of cases with non-reactive non-stress test in the Cases was significantly higher than Controls (p <0.005). The difference in heart rate acceleration was also not statistically significant (p <0.618). Frequency of cases with low birth weight and caesarian was non-significantly but borderline higher among the Cases (p <0.081 and 0.060, respectively). Conclusion: Abnormal foetal heart rate pattern is more common in pregnancies marked by intra-uterine growth restriction and is directly associated with worse pregnancy/foetal outcomes. (author)

  4. SOURCE APPORTIONMENT STUDIES OF PM-2.5 IN TWO CZECH CITIES: POSSIBLE USES IN HEALTH STUDIES

    Science.gov (United States)

    Aerosol and gas phase air pollutant measurements were made in two cities during an ongoing air pollution-health outcome study in the Czech Republic. Teplice, located in northwestern Bohemia, was selected because the local population was exposed to high air pollution levels. Prac...

  5. 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

  6. 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

  7. Biogeographic ancestry, self-identified race, and admixture-phenotype associations in the Heart SCORE Study.

    Science.gov (United States)

    Halder, Indrani; Kip, Kevin E; Mulukutla, Suresh R; Aiyer, Aryan N; Marroquin, Oscar C; Huggins, Gordon S; Reis, Steven E

    2012-07-15

    Large epidemiologic studies examining differences in cardiovascular disease (CVD) risk factor profiles between European Americans and African Americans have exclusively used self-identified race (SIR) to classify individuals. Recent genetic epidemiology studies of some CVD risk factors have suggested that biogeographic ancestry (BGA) may be a better predictor of CVD risk than SIR. This hypothesis was investigated in 464 African Americans and 771 European Americans enrolled in the Heart Strategies Concentrating on Risk Evaluation (Heart SCORE) Study in March and April 2010. Individual West African and European BGA were ascertained by means of a panel of 1,595 genetic ancestry informative markers. Individual BGA varied significantly among African Americans and to a lesser extent among European Americans. In the total cohort, BGA was not found to be a better predictor of CVD risk factors than SIR. Both measures predicted differences in the presence of the metabolic syndrome, waist circumference, triglycerides, body mass index, very low density lipoprotein cholesterol, lipoprotein A, and systolic and diastolic blood pressure between European Americans and African Americans. These results suggest that for most nongenetic cardiovascular epidemiology studies, SIR is sufficient for predicting CVD risk factor differences between European Americans and African Americans. However, higher body mass index and diastolic blood pressure were significantly associated with West African BGA among African Americans, suggesting that BGA should be considered in genetic cardiovascular epidemiology studies carried out among African Americans. PMID:22771727

  8. 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.

  9. GROUNDWATER POTENTIAL ASSESSMENT USING GEOGRAPHIC INFORMATION SYSTEMS AND AHP METHOD (CASE STUDY: BAFT CITY, KERMAN, IRAN)

    OpenAIRE

    M. Zeinolabedini; A. Esmaeily

    2015-01-01

    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...

  10. Longitudinal Study of Microbial Diversity and Seasonality in the Mexico City Metropolitan Area Water Supply System

    OpenAIRE

    Mazari-Hiriart, Marisa; López-Vidal, Yolanda; Ponce-de-León, Sergio; Calva, Juan José; Rojo-Callejas, Francisco; Castillo-Rojas, Gonzalo

    2005-01-01

    In the Mexico City metropolitan area (MCMA), 70% of the water for 18 million inhabitants is derived from the Basin of Mexico regional aquifer. To provide an overview of the quality of the groundwater, a longitudinal study was conducted, in which 30 sites were randomly selected from 1,575 registered extraction wells. Samples were taken before and after chlorine disinfection during both the rainy and dry seasons (2000-2001). Microbiological parameters (total coliforms, fecal coliforms, streptoc...

  11. Knowledge and Practice of Personal Hygiene and Sanitation: A Study in Selected Slums of Dhaka City

    OpenAIRE

    Shayela Farah; Mohoshina Karim; Nasreen Akther; Meherunnessa Begum; Nadia Begum

    2015-01-01

    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 are...

  12. A STUDY ON CUSTOMER PREFERENCE TOWARDS BIG BAZAAR IN COIMBATORE CITY

    OpenAIRE

    Brindha, K.; P. Sathya

    2015-01-01

    This study focuses on the Customer preference towards Big Bazaar in Coimbatore city,. The phenomenal growth of retail in India is reflected in the rapid increase in number of supermarkets, departmental stores and hypermarkets in the country. With the help of consumer preference, the retail outlets increase their sale and provide total customer satisfaction. The term consumer preference refers to the preference that consumers display in searching for purchasing, using, evaluating and disposing...

  13. New Climatic Indicators for Improving Urban Sprawl: A Case Study of Tehran City

    OpenAIRE

    Ángel M. Costa; José L. Calvo-Rolle; Orosa, José A.; Abdolazim Ghanghermeh; Gholamreza Roshan

    2013-01-01

    In the modern world, the fine balance and delicate relationship between human society and the environment in which we exist has been affected by the phenomena of urbanisation and urban development. Today, various environmental factors give rise to horizontal dispersion, spread and growth of cities. One of the most important results of this is climatic change which is directly affected by the urban sprawl of every metropolis. The aim of this study is to identify the relationship between the va...

  14. HIV prevalence and diabetes prevalence among tuberculosis patients in Antananarivo city: a descriptive study

    OpenAIRE

    Julio Rakotonirina; Herilala Razanakoto; Laurence Rasolofomanana; Lala Rasoamialy-Sola Razanakolona

    2014-01-01

    Background: In developing countries, HIV infection is the main disease leads to tuberculosis (TB) active. Each tuberculosis (TB) patient of TB diagnosis and treatment centers in Antananarivo city should receive HIV serology counseling. The TB-diabetes association is rarely considered. In general population in Madagascar HIV was 0.37% in 2010 and Diabetes affects about 3% of the population. This study aims to estimate the prevalence of HIV infection and diabetes among TB patients. Methods: ...

  15. Public, private and voluntary agencies in solid waste management : a study in Chennai city.

    OpenAIRE

    Srinivasan, K.

    2006-01-01

    This paper explores equity, accountability and environmental concerns in solid waste management in Chennai city. Through the study of the urban local body, a private agency and a civil society organisation engaged in this activity, the paper highlights issues related to effectiveness and equity, role of the urban poor in this service, and the relevance of an effective policy framework. In the context of increasing private sector participation in public service provision, and global awareness ...

  16. Leisure and surveillance in Irish childhoods: A cross-class study of Cork city

    OpenAIRE

    Brennan, Aimie Maria

    2014-01-01

    This research provides an interpretive cross-class analysis of the leisure experience of children, aged between six and ten years, living in Cork city. This study focuses on the cultural dispositions underpinning parental decisions in relation to children’s leisure activities, with a particular emphasis on their child-surveillance practices. In this research, child-surveillance is defined as the adult monitoring of children by technological means, physical supervision, community supervision, ...

  17. The role of public space as urban development support in small Slovenian cities case study

    OpenAIRE

    Vertelj Nared, Petra

    2014-01-01

    The study of ten small Slovenian cities is used in this doctoral dissertation to explore the connections between public open space state and inhabitants’ use and satisfaction with it. Deriving from the assumption that well-managed public open space improves the quality of life and stimulates urban development, the hypothesis has been formed that a well-managed and diverse public open space is more important for inhabitants’ satisfaction and spatial use than the overall quantity of public open...

  18. 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...

  19. A study of Atopic dermatitis in elementary school children in Hirosaki city, Aomori prefecture, Japan

    OpenAIRE

    Kimura, Yuko; Kanazawa, Yoshinori; Kida, Kazuyuki; Mita, Reizo; Nishizawa, Yoshiko; Hashimoto, Isao

    1998-01-01

    The purpose of this study was to investigate the relationship between residential environments and atopic dermatitis (AD). Subjects were 1378 elementary school children from 4 elementary schools in Hirosaki City, Aomori Prefecture located in die northeastern of Japan. Physical examinations, which adhered to the diagnostic criteria set by die Japanese Dermatological Association, were given by dermatological specialists in October 1994 (first series) and April 1995 (second series). Half of die ...

  20. STUDY OF DEPRESSION AMONG MEDICAL STUDENTS OF DIFFE RENT PATHIES IN NANDED CITY, MAHARASHTRA .

    OpenAIRE

    Sahu; Inamdar; Mohammed; Saleem; Gadekar; Sonkar; Doibale

    2013-01-01

    ORIGINAL ARTICLE Journal of Evolution of Medical and Dental Sciences / Volume 2/ Issue 22/ June 3, 2013 Page 3978 STUDY OF DEPRESSION AMONG MEDICAL STUDENTS OF DIFFE RENT PATHIES IN NANDED CITY, MAHARASHTRA . P. C. Sahu 1 , I. F. Inamdar 2 , Mohammed Ubaidulla 3 , Saleem Tambe 4 , Gadekar R.D 5 , V. K. Sonkar 6 , M. K. Doibale 7 . 1. Post Graduate Student, Department of Community Medi cine, Dr. Shankarrao Chavan Gov...

  1. Diasporic media in multicultural cities: a comparative study on Korean media in Vancouver and Los Angeles

    OpenAIRE

    Sherry S. Yu

    2012-01-01

    In multicultural cities, what are the opportunities and challenges for creating an interculturally inclusive media system, as a means of enhancing multicultural citizenship and cultural literacy among all members of society? This study explores the rapidly growing, yet understudied, Korean media sector in Vancouver and Los Angeles. The passage of Korea’s new election law in 2009, which extends voting rights to overseas Koreans, is likely to intensify the connection between the home country an...

  2. Progenitor cells from the heart : in vitro study of CMPC and EPDC behavior

    OpenAIRE

    van Oorschot, A.A.M.

    2011-01-01

    Cardiovascular disorders are currently the leading cause of death in the Western world. Myocardial infarction (MI) is one of the main contributors to ischemic heart disease. After ischemia, cardiomyocytes die and are replaced by fibrous scar tissue while in the remaining cardiomyocytes hypertrophy is induced. This leads to a declined heart function and will result in death due to heart failure. Without taking heart transplantation into consideration, the current therapies to treat patients af...

  3. 24-hour electrocardiographic study of heart rate and rhythm patterns in population of healthy children.

    OpenAIRE

    Southall, D P; Johnston, F.; Shinebourne, E. A.; Johnston, P G

    1981-01-01

    Twenty-four hour electrocardiographic recordings were made on 104 randomly selected, healthy 7 to 11-year-old children. Ninety-two were technically adequate and suitable for analysis. The mean highest heart rate measured by direct electrocardiographic analysis over nine beats was 164 +/- 17. The mean lowest heart rates were 49 +/- 6 over three beats', and 56 +/- 6 over nine beats' duration. The maximum duration of heart rates less than 55/minute was 40 minutes. At their lowest heart rates 41 ...

  4. Predictive Value of Cardiovascular Risk Factors for Risk Assessment in Cohort of Shiraz Heart Study

    Directory of Open Access Journals (Sweden)

    MJ ZibaeeNezhad

    2010-03-01

    Full Text Available Background: Risk assessment for fast growing burden of cardiovascular diseases is very important and dif- ficult. As a response to this challenge, in particular, genetic risk factors which potentially modify risk, we conducted a survey of primary data registry of Shiraz Heart Study on integration and application of family history data in prevention of cardiovascular disorders.Method: This study is a longitudinal cohort project to be extended from subpopulations of different job groups to the community.Results: Parental family history of MI, diabetes mellitus (DM, hyperlipidemia (HPL, hypertension (HTN was reported more frequently among females than males. Histories of MI, DM, HPL, and HTN in both parents were respectively positive in 2.6%, 2%, 4.6%, and 7.9 % of the participants. Odd ratios (OR for risk of MI from family history of MI were 2.7; risk of DM from family history of DM 4.5; risk of HPL from family history of HPL 2.04; and risk of HTN from family history HTN 4.7. Also, family history of MI modifies risk of HPL (OR=1.7, P<0.0001; and family history of DM modifies risk of HPL (OR=2.04, P<0.0001.Conclusion: Our primary result shows potent application of family history data in risk assessment of cardiovascular outcome. In particular, HTN appears as a silent and leading risk modifier. In regard to the course of continuing Shiraz Heart Study integration of family history of risk factors crucial in public health we suggest to adopt a network of electronic health records from the “Health House” to the “Heart House”.

  5. 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.

  6. Demographic dynamics and sustainable social infrastructure: a case study of Dehradun city by using remote sensing and GIS techniques

    International Nuclear Information System (INIS)

    A perusal of the demographic and socio-economic structure of cities population reflects the sustainable development and quality of social infrastructure of the city. Urban activities and growth are constantly putting pressure on an already burdened environment and infrastructure. Sustainable development is an approach economic planning that attempts to foster economic growth while preserving the quality of the environment future generations. The application of Spatial technology and combining the Socio Economic Indicators provide the dynamic Cities Environment. The analysis of indicators by these tools provides the insight into things which the city is facing in the present scenario, which areas require immediate attention and where the focus Sustainable development should. The analysis provides the Sustainability of the City in the term of local environment and Cities Sustain. Development in context of Global Environment. The Spatial technology provide the Synoptic overview of city thus giving the three dimensional aspect of study. The Satellite Imagery provides current status of city which otherwise take very long by conventional methods and combining it with latest socio-economic data provides updated picture of infrastructure. The use of Geographic Information System (GIS) in creating a tabular database and linking it with a geographic, database and converting the data into spatial form by which maps can be generated, proves the advantage and usefulness of GIS in this kind of studies. (author)

  7. 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.

  8. Open heart surgery

    Science.gov (United States)

    ... Heart bypass surgery (coronary artery bypass graft - CABG) Heart transplant Heart valve surgery Hypoplastic left heart repair Minimally ... Heart bypass surgery Heart bypass surgery - minimally invasive Heart transplant Heart valve surgery Hypoplastic left heart syndrome Patent ...

  9. Analysis of place distribution of urban services, based on people demanding (case study: Estahban city

    Directory of Open Access Journals (Sweden)

    Kh. Bazi

    2013-01-01

    Full Text Available Extended abstract1- IntroductionIn recent decades as the population in cities of country, which had been influenced by natural population growth of cities and migration of people in towns and rural to middle cities and metro polices, increases city spaces and infrastructures, which are needed have not been equipped.Urban services are the means for managing urban development and a prominent cause in continuing city life, which without it the life of citizens has been stopped. Its optimal and systematic distribution consistent with the people’s demands in the process of urban planning is very important.Urban services have been considered as one of clear indicators of civilization from many years ago.Today as the civilization increases, urban services and their qualities have been regarded by experts, planners and citizens, so urban services have been followed by urbanization development.2- Methodology In this study through library studies, referring to the relevant agencies, field observation and analysis and evaluation the questionnaire given to residents of various neighborhoods in Estahban city with SPSS were presented.To evaluate the proportion of urban services and people demand six neighborhoods were chosen among 15 neighborhoods of Estahban. (Two neighborhoods of each region. These neighborhoods were chosen based on place- cluster sampling and also economic-social conditions of them and detailed plan of Estahban. In this research a wealthy neighborhood and poor neighborhood were chosen in each region. By using general Cochran formula we obtained 300 sample size . So 300 questionnaires had been distributed among the residents.3- DiscussionAfter 1350, Estahban city faces numerous problems in supplying urban services, because of population growth, physical development in addition to injustice distribution of urban services. These problems have also been strengthened by people who live in more deprived parts of the township to use the urban

  10. Internationalization Process and strategies of a startup service company, A case study of HeartMath Scandinavia AB

    OpenAIRE

    Okonkwo, Ikechukwu; Oluduro, Francis

    2009-01-01

    Abstract Date: September, 2009 Title: Internationalization Process and Strategies of a Start-up Service Company, a case study of HeartMath Scandinavia AB Course: Business Administration Program: Master Thesis EFO704 Authors: Francis Oladele Oluduro, Ikechukwu Ifediora Okonkwo Supervisor: Nyström Sven-Åke Problem: What is HeartMath AB’s strategy in their internationalization process? Purpose: The aim of this thesis is to investigate the real life processes and strategies that companies adopt ...

  11. Ageing, menopause, and ischaemic heart disease mortality in England, Wales, and the United States: modelling study of national mortality data

    OpenAIRE

    Vaidya, Dhananjay; Becker, Diane M.; Bittner, Vera; Mathias, Rasika A.; Ouyang, Pamela

    2011-01-01

    Objectives To use changes in heart disease mortality rates with age to investigate the plausibility of attributing women’s lower heart disease mortality than men to the protective effects of premenopausal sex hormones. Design Modelling study of longitudinal mortality data with models assuming (i) a linear association between mortality rates and age (absolute mortality) or (ii) a logarithmic association (proportional mortality). We fitted models to age and sex specific mortality rates in the c...

  12. Early lens aging is accelerated in subjects with a high risk of ischemic heart disease: an epidemiologic study

    OpenAIRE

    Glümer Charlotte; Jørgensen Torben; Kessel Line; Larsen Michael

    2006-01-01

    Abstract Background Ischemic heart disease (IHD) is one of the most important causes of mortality and morbidity in the Western world. There is a relationship between aging of the lens of the human eye and cardiovascular disease. The present study was conducted to examine if the risk of ischemic heart disease could be estimated by fluorophotometric assessment of lens aging. Methods A total of 421 subjects were included. Risk of IHD was estimated from non-ocular data using the Precard ® softwar...

  13. Diabetes and mitochondrial oxidative stress: A study using heart mitochondria from the diabetic Goto-Kakizaki rat

    OpenAIRE

    Santos, Dario Loureiro; Palmeira, Carlos Marques; Seiça, Raquel; Dias, José; Mesquita, José; Moreno, Antonio Joaquim; Santos, Maria Sancha

    2003-01-01

    Increasing evidence shows that the overproduction of reactive oxygen species, induced by diabetic hyperglycemia, contributes to the development of several cardiopathologies. The susceptibility of diabetic hearts to oxidative stress, induced in vitro by ADP-Fe2+ in mitochondria, was studied in 12-month-old Goto-Kakizaki rats, a model of non-insulin dependent diabetes mellitus, and normal (non-diabetic) Wistar rats. In terms of lipid peroxidation the oxidative damage was evaluated on heart mito...

  14. Effects of Xanthine Oxidase Inhibition in Hyperuricemic Heart Failure Patients: The EXACT-HF Study

    Science.gov (United States)

    Givertz, Michael M.; Anstrom, Kevin J.; Redfield, Margaret M.; Deswal, Anita; Haddad, Haissam; Butler, Javed; Tang, W.H. Wilson; Dunlap, Mark E.; LeWinter, Martin M.; Mann, Douglas L.; Felker, G. Michael; O’Connor, Christopher M.; Goldsmith, Steven R.; Ofili, Elizabeth O.; Saltzberg, Mitchell T.; Margulies, Kenneth B.; Cappola, Thomas P.; Konstam, Marvin A.; Semigran, Marc J.; McNulty, Steven E.; Lee, Kerry L.; Shah, Monica R.; Hernandez, Adrian F.

    2015-01-01

    Background Oxidative stress may contribute to heart failure (HF) progression. Inhibiting xanthine oxidase in hyperuricemic HF patients may improve outcomes. Methods and Results We randomized 253 patients with symptomatic HF, left ventricular ejection fraction (LVEF) ≤40%, and serum uric acid levels ≥9.5 mg/dL to receive allopurinol (target dose, 600 mg daily) or placebo in a double-blind, multicenter trial. The primary composite endpoint at 24 weeks was based on survival, worsening HF, and patient global assessment. Secondary endpoints included change in quality of life, submaximal exercise capacity, and LVEF. Uric acid levels were significantly reduced with allopurinol compared to placebo (treatment difference, −4.2 [−4.9, −3.5] mg/dL and −3.5 [−4.2, −2.7] mg/dL at 12 and 24 weeks, respectively, both P<0.0001). At 24 weeks, there was no significant difference in clinical status between the allopurinol- and placebo-treated patients (worsened 45% vs. 46%, unchanged 42% vs. 34%, improved 13% vs. 19%, respectively; P=0.68). At 12 and 24 weeks, there was no significant difference in change in Kansas City Cardiomyopathy Questionnaire scores or 6-minute walk distances between the 2 groups. At 24 weeks, LVEF did not change in either group or between groups. Rash occurred more frequently with allopurinol (10% vs. 2%, P=0.01), but there was no difference in serious adverse event rates between the groups (20% vs. 15%, P=0.36). Conclusions In high-risk HF patients with reduced ejection fraction and elevated uric acid levels, xanthine oxidase inhibition with allopurinol failed to improve clinical status, exercise capacity, quality of life, or LVEF at 24 weeks. PMID:25986447

  15. Environmental Geophysical Study for the Landfill Waste Disposal at Tenth of Ramadan City

    International Nuclear Information System (INIS)

    Tenth of Ramadan city is the onset of new industrial, reconstruction cities. It includes different kinds of industries (Heavy, medium and light industry). waste releases from these industries have different types (solid, liquid and gas). many industrial facilities produce hazardous waste such as toxic materials, heavy metals. therefore, there are three impoundments; each one lined by a clay layer to retain all hazards ions of the liquid waste, by time, liquid waste released increases with growth of industrial activities. for this reason there is a release of hazards ions appear in the aquifer. therefore, construction of disposal unit for those factories is mandatory. to fulfill this target the geologic and hydrogeologic conditions in the tenth of Ramadan area have been studied, to delineate the extension of the main aquifers and the effect of the subsurface structure of the area by using shallow seismic refraction and geoelectrical resistivity methods and aid of data of new drilled wells

  16. Studies on the bioaccumulation of polonium-210 in the fishes of Trichirappalli city

    International Nuclear Information System (INIS)

    The activity concentration of 210Po were determined in the muscle of fishes collected from Trichirappalli city. The highest 210Po content were found in the fish Ayeelai (Corvphane hippurus) 8.7 Bq/kg and Kelanga (Eliops saurus) 4.2 Bq/kg. The minimum 210Po activity was found in fish Sangara 0.60 Bq/kg (Lautinus campecharus) and Mrigal 0.34 Bq/kg (Cirrhimus mrigala). The 210Po concentration high level activity found in the Kauveri water 0.78 mBq/l. The sediment maintained level of 210Po 8.9 Bq/kg. The dosimetry study was also calculated on average consumption of fish by the people from Trichirappalli city. The Ayeelai fish (Corvphane hippurus) recorded higher CEDE from 210Po 681 Sv/y and the results were discussed. (author)

  17. Lung function and airway obstruction: associations with circulating markers of cardiac function and incident heart failure in older men-the British Regional Heart Study

    OpenAIRE

    Wannamethee, Goya; Shaper, Gerald; Papacosta, Olia; Lennon, Lucy; Welsh, Paul; Whincup, Peter,

    2016-01-01

    Aims The association between lung function and cardiac markers and heart failure (HF) has been little studied in the general older population. We have examined the association between lung function and airway obstruction with cardiac markers N-terminal pro-brain natriuretic peptide (NT-proBNP) and cardiac troponin T (cTnT) and risk of incident HF in older men. Methods and results Prospective study of 3242 men aged 60–79 years without prevalent HF or myocardial infarction followed up for a...

  18. Lung function and airway obstruction: associations with circulating markers of cardiac function and incident heart failure in older men-the British Regional Heart Study

    OpenAIRE

    Wannamethee, S.G.; Shaper, A. G.; Papacosta, O.; LENNON, L; Welsh, P.; Whincup, P H

    2016-01-01

    AIMS: The association between lung function and cardiac markers and heart failure (HF) has been little studied in the general older population. We have examined the association between lung function and airway obstruction with cardiac markers N-terminal pro-brain natriuretic peptide (NT-proBNP) and cardiac troponin T (cTnT) and risk of incident HF in older men. METHODS AND RESULTS: Prospective study of 3242 men aged 60-79 years without prevalent HF or myocardial infarction followed up for an ...

  19. Low-carbon scenario and technologies in modern city --Case study of Shenyang%Low-carbon scenario and technologies in modern city --Case study of Shenyang

    Institute of Scientific and Technical Information of China (English)

    Liu Zhu; Geng Yong; Xue Bing; Dong Huijuan

    2011-01-01

    From a multi-dimensional perspective of economic development, carbon dioxide and industrial pollutant emission and resource consumption in the case study of Shenyang, this paper analyzes the resource consumption and environmental impact in the process of urban economic development and low-carbon transition and evaluates the emission reduction potential and scenario of various technologies. The results show that city plays a key role in global low-carbon economic construction, and it is pointed out that emission reduction technology in urban scale can reduce total amount of carbon emission to substantial extent. From the aspect of future development, the input of technology and economic growth pattern should be strengthened so as to realize economic development as well as the total amount reduction of pollutant emission.

  20. Semantic web approach for dealing with administrative boundary revisions: a case study of Dhaka City

    OpenAIRE

    Pervin, Shiuli

    2013-01-01

    Dhaka City is the capital of Bangladesh and boundary revisions of Dhaka city refers to the changes of Dhaka city administrative boundary or jurisdiction over time. Dhaka is growing very fast in terms of population and area. So, government is redefining city boundaries and also making big units into several parts for better city management. Now, the challenge is to deal with these changes of administrative regions that seem to be helpful to match with census record that comes out every ten to ...

  1. The city in the information and communication technology age: a comparative study on path dependecy

    OpenAIRE

    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 nodal points in a global network environment. The Information and Communication Technology (ICT) has lifted the traditional physical - geographical constraints which kept cities imprisoned since the early genesis of modem cities. More openness means also more actors in the global economic playing field, so that cities tend to become increasingly compet...

  2. 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.

  3. New Climatic Indicators for Improving Urban Sprawl: A Case Study of Tehran City

    Directory of Open Access Journals (Sweden)

    Ángel M. Costa

    2013-03-01

    Full Text Available In the modern world, the fine balance and delicate relationship between human society and the environment in which we exist has been affected by the phenomena of urbanisation and urban development. Today, various environmental factors give rise to horizontal dispersion, spread and growth of cities. One of the most important results of this is climatic change which is directly affected by the urban sprawl of every metropolis. The aim of this study is to identify the relationship between the various horizontally distributed components of Tehran city and changes in essential microclimate clusters, by means of the humidex index. Results showed that, when the humidex was calculated for each of the obtained clusters, it was evident that it had increased with time, in parallel with Shannon’s entropy, as a consequence of the average temperature and relative humidity of each cluster. At the same time, results have shown that both temperature and relative humidity of the study area are related with urban sprawl, urbanisation and development, as defined by Shannon’s entropy and, in consequence, with humidex. In consequence, this new concept must be considered in future research works to predict and control urban sprawl and microclimate conditions in cities.

  4. 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. PMID:25022547

  5. 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

  6. 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.

  7. 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

    2016-01-01

    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. PMID:26703701

  8. Heart Anatomy

    Science.gov (United States)

    ... Incredible Machine Bonus poster (PDF) The Human Heart Anatomy Blood The Conduction System The Coronary Arteries The ... of the Leg Vasculature of the Torso Heart anatomy illustrations and animations for grades K-6. Heart ...

  9. 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. PMID:26518776

  10. Perceptions on Urbanization Impact on the Hinterlands: A Study of Khon Kaen City, Thailand

    Directory of Open Access Journals (Sweden)

    Maniemai Thongyou

    2014-05-01

    Full Text Available This research article aims to study the impact of urbanization on its hinterlands, by focusing on the perceptions of the household heads in the hinterlands of a small city, which is the major type of the cities in the Mekong region. Khon Kaen city in the northeast region of Thailand was selected as a case study. A questionnaire survey was conducted with a sample of 409 households in 35 villages in the city’s hinterlands, defined as the areas of 5 kilometres lying further from a ring road surrounding the city. Data were analysed by descriptive statistics and mean ranking. The research found that the top ten most favorable impacts were on better access to health and educational services, better employment and educational opportunities, women’s decision making power and social status, as well as positive impact on local government. As for the negative impacts of urbanization, pre-marriage sexual relationship, co-habitation and inappropriate dressing of village youths were identified as major problems. Apart from youth’s problems, other social problems namely gambling and drug addiction were identified, as well as household economic problems including shortage of farm lands, higher household expenditure and debts. Among the top ten highest ranks of negative impacts, only one environmental problem, namely noise pollution, was identified. However, it is remarkable that environmental sector contained the highest numbers of unfavorable impacts that had mean value less than three. In other words, among the seven sectors explored, namely the household economy, the village economy, the society, the political and administration, the ideology and culture, the women and youths and the environment, the research found that environmental sector got the highest number of negative items of urbanization impacts. Based on a Multiple Regression Analysis, the research found that household heads’ age (Beta = 0.127 and monthly income (Beta = -0.175 were the

  11. 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

  12. Cohort Profile: The Framingham Heart Study (FHS): overview of milestones in cardiovascular epidemiology.

    Science.gov (United States)

    Tsao, Connie W; Vasan, Ramachandran S

    2015-12-01

    The Framingham Heart Study (FHS) has conducted seminal research defining cardiovascular disease (CVD) risk factors and fundamentally shaping public health guidelines for CVD prevention over the past five decades. The success of the Original Cohort, initiated in 1948, paved the way for further epidemiological research in preventive cardiology. Due to the keen observations suggesting the role of shared familial factors in the development of CVD, in 1971 the FHS began enroling the second generation cohort, comprising the children of the Original Cohort and the spouses of the children. In 2002, the third generation cohort, comprising the grandchildren of the Original Cohort, was initiated to additionally explore genetic contributions to CVD in greater depth. Additionally, because of the predominance of White individuals of European descent in the three generations of FHS participants noted above, the Heart Study enrolled the OMNI1 and OMNI2 cohorts in 1994 and 2003, respectively, aimed to reflect the current greater racial and ethnic diversity of the town of Framingham. All FHS cohorts have been examined approximately every 2-4 years since the initiation of the study. At these periodic Heart Study examinations, we obtain a medical history and perform a cardiovascular-focused physical examination, 12-lead electrocardiography, blood and urine samples testing and other cardiovascular imaging studies reflecting subclinical disease burden.The FHS has continually evolved along the cutting edge of cardiovascular science and epidemiological research since its inception. Participant studies now additionally include study of cardiovascular imaging, serum and urine biomarkers, genetics/genomics, proteomics, metabolomics and social networks. Numerous ancillary studies have been established, expanding the phenotypes to encompass multiple organ systems including the lungs, brain, bone and fat depots, among others. Whereas the FHS was originally conceived and designed to study the

  13. Beta-Blockade With Nebivolol in Elderly Heart Failure Patients With Impaired and Preserved Left Ventricular Ejection Fraction Data From SENIORS (Study of Effects of Nebivolol Intervention on Outcomes and Rehospitalization in Seniors With Heart Failure)

    NARCIS (Netherlands)

    van Veldhuisen, Dirk J.; Cohen-Solal, Alain; Boehm, Michael; Anker, Stefan D.; Babalis, Daphne; Roughton, Michael; Coats, Andrew J. S.; Poole-Wilson, Philip A.; Flather, Marcus D.

    2009-01-01

    Objectives In this pre-specified subanalysis of the SENIORS (Study of Effects of Nebivolol Intervention on Outcomes and Rehospitalization in Seniors With Heart Failure) trial, which examined the effects of nebivolol in elderly heart failure (HF) patients, we explored the effects of left ventricular

  14. Dyspnea on exertion in patients of heart failure as a consequence of obesity: An observational study.

    Science.gov (United States)

    Baikampady, Savitri Vasudev

    2013-04-01

    Heart failure (HF) is the inability of the heart to fill with or pump out enough blood to meet the body's needs. It is not one single disease, but rather a group of signs and symptoms caused by many different disease processes that have weakened the heart over time and left it unable to pump blood efficiently. Hypertension, diabetes mellitus, cardiovascular disorders are few of such disease processes responsible for conditions in HF. Even though, the co-morbidities mentioned above are well-established in the present system of medicine, its association with respiratory risk on obese patients especially in HF, still needs to be explored. The aim of this study is to determine the presence of dyspnea on exertion (DOE) in patients of HF as a consequence of obesity. Strategies to prevent the risk of HF, which would complement the current approaches aimed at Ayurvedic perspective especially, the obesity, its related comorbidities and contributors in the form of information on life-style leading to obesity needs to be focused. An ethical clearance for the project from the same institute was obtained on 101 patients of HF. All patients with ejection fraction informed about the project and their written consent was obtained followed by filling the Case Report Form (CRF). Their recent reports of left ventricular ejection fraction were attached along with details of 6 min hall walk test. Analysis was performed using the Statistical Package for the Social Sciences software, IBM version-17.0. The significant outcomes on lifestyles of HF related to co-morbidities were found. PMID:24250124

  15. 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; Burr, Hermann; Holtermann, Andreas

    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...... derived from the Danish Work Environment Cohort Study (DWECS) conducted every five years from 1990-2005 among the active Danish population. This study was designed as a multi-wave longitudinal study including participants employed at entry. Respondents were followed in national registers, first for death...... or hospital treatment due to IHD and second for purchase of medication that may prevent IHD from (re)occurring serving as a proxy for IHD. RESULTS: During 145 850 person-years of follow-up, 510 cases of fatal and non-fatal IHD occurred. After adjustment for age, sex, body mass index (BMI), and...

  16. Cardiac failure due to arteriovenous fistula with brachiocephalic stenosis: a gated heart case study

    International Nuclear Information System (INIS)

    Full text: There are numerous causes of cardiac failure of which the commonest in our community include ischaemic cardiomyopathy, post-viral cardiomyopathy, alcohol-induced cardiomyopathy and drug-induced cardiomyopathy. All these entities cause low output cardiac failure however high output cardiac failure is also well recognised. This includes heart failure related to such conditions as hyperthyroidism, anaemia, pregnancy, beri-beri, and Paget's disease. A rare cause of high output cardiac failure is an arteriovenous fistula. We present an unusual case of a patient with end-stage renal failure on haemodialysis who developed extensive dilatation of their left arm arteriovenous fistula secondary to bachiocephalic vein stenosis. The labelled red blood cell gated heart blood pool study demonstrated decreased left ventricular function and extensive pooling of blood within the tortuous dilated left arm vessels. A follow-up study post-ligation of the arteriovenous fistula showed improvement of the left ventricular ejection fraction. The associated contrast venography findings are also demonstrated. Copyright (2003) The Australian and New Zealand Society of Nuclear Medicine Inc

  17. Fostering eGovernment as State Social Responsibility (SSR: Case Study of an Australian City Council

    Directory of Open Access Journals (Sweden)

    Sinara Rao Karna

    2012-12-01

    Full Text Available           Democracies around the world now face Citizen-apathy. This is a concern now more than ever faced by countries around the globe. eGovernment is undoubtedly a platform to deliberate and enable citizens regain confidence and faith in democratic  processes. Citizens now seek Verifiable, Open, Transparent, Empathetic, Responsive and Sensitive Electronic Democracy and Government (VOTERS EDG, Karna, 2012. Similar to corporate world, there are voices stressing on govenments for the need to understand the stakeholders, their involvement, relationships and responsibilities of a state in eGovernance. Citizens everywhere now demand Verifiable, Open, Transparent, Empathetic, Responsive and Sensitive Electronically Democratic Government as a State Social Responsibity (SSR. Peoples movements and outbursts against authorities with the help of Word of Mouse (Karna, 2012 have established that transparent and open governance is the need of the hour. This paper presents findings of the study conducted in an Australian City Council for preparing the city council for ‘City e-readiness’ to initiate e-Government activities. We propose the idea of ‘Centrality of Citizens’ in context of eGovernment. We further build upon the original concept of deeming eGovernment as ‘State Social Responsibility’ (SSR (Karna, 2010, by governments at all levels.  

  18. 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.

  19. 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.

  20. Port, city, territory: economic development and urban quality in the case study of Salerno

    Directory of Open Access Journals (Sweden)

    Andrea Annunziata

    2014-01-01

    Full Text Available Cities are the collective expression of a society and in seaside cities this phenomenon acquires peculiar values, since maritime communities share a unitary identity in the remarkable link with maritime essence, ships and navigation. Maritime urban landscape may be really perceived only from the sea and during navigation, through a dynamic perception able to give its complexity back. Architecture in seaside cities is rooted in the sea itself, which shapes the urban landscape, fosters the cultural evolution, affects social dynamics and makes economy be on the move. The ever rising sea trades, brought about markets’ globalization, fostered port’s development, which, if well run, is still today able to provide new opportunities for sea towns. The approach to an urban planning focused on a “from the sea” perspective suggests to deal with both the port and urban dimensions. Through this kind of approach, the Port may acquire a new leading role in the renewal of urban coastal areas, becoming, thus, the driving force of its (selfdevelopment and, at the same time, of the local urban sustainable development. Rather than being univocal, the relationship between city and port constitutes a quite complex continuous process, which calls for physical and cultural changes, often difficult to deal with and fulfill; a process in which different subjects and resources, often at odds, are involved. In this study approach we will focus on Salerno, where, through the cultural continuity of maritime tradition, the rise of port activities has been matched with an urban vision designed to reshape the urban waterfront (Fig.1. Salerno has identified policies and methods designed to undertake a renewal — along with Administration, Port Authority and Private Citizens — by sharing actions and projects to make waterfront more suitable and “tantalizing”, to improve the quality of urban life and, simultaneously, to take advantage of the potential of these

  1. Reverse logistics system and recycling potential at a landfill: A case study from Kampala City

    International Nuclear Information System (INIS)

    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

  2. The T1-T2 study: evolution of aerosol properties downwind of Mexico City

    Directory of Open Access Journals (Sweden)

    J. C. Doran

    2007-01-01

    Full Text Available As part of a major atmospheric chemistry and aerosol field program carried out in March 2006, a study was conducted in the area to the north and northeast of Mexico City to investigate the evolution of aerosols and their associated optical properties in the first few hours after their emission. The focus of the T1-T2 aerosol study was to investigate changes in the specific absorption αABS (absorption per unit mass, with unit of m2 g−1 of black carbon as it aged and became coated with compounds such as sulfate and organic carbon, evolving from an external to an internal mixture. Such evolution has been reported in previous studies. The T1 site was located just to the north of the Mexico City metropolitan area; the T2 site was situated approximately 35 km farther to the northeast. Nephelometers, particle soot absorption photometers, photoacoustic absorption spectrometers, and organic and elemental carbon analyzers were used to measure the optical properties of the aerosols and the carbon concentrations at each of the sites. Radar wind profilers and radiosonde systems helped to characterize the meteorology and to identify periods when transport from Mexico City over T1 and T2 occurred. Organic and elemental carbon concentrations at T1 showed diurnal cycles reflecting the nocturnal and early morning buildup from nearby sources, while concentrations at T2 appeared to be more affected by transport from Mexico City. Specific absorption during transport periods was lower than during other times, consistent with the likelihood of fresher emissions being found when the winds blew from Mexico City over T1 and T2. The specific absorption at T2 was larger than at T1, which is also consistent with the expectation of more aged particles with encapsulated black carbon being found at the more distant location. In situ measurements of single scattering albedo with an aircraft and a ground station showed general agreement with column-averaged values derived

  3. The T1-T2 study: evolution of aerosol properties downwind of Mexico City

    Directory of Open Access Journals (Sweden)

    J. C. Doran

    2006-12-01

    Full Text Available As part of a major atmospheric chemistry and aerosol field program carried out in March of 2006, a study was conducted in the area to the north and northeast of Mexico City to investigate the evolution of aerosols and their associated optical properties in the first few hours after their emission. The focus of the T1-T2 aerosol study was to investigate changes in the specific absorption αABS (absorption per unit mass, with unit of m2 g−1 of black carbon as it aged and became coated with compounds such as sulfate and organic carbon, evolving from an external to an internal mixture. Such evolution has been reported in previous studies. The T1 site was located just to the north of the Mexico City metropolitan area; the T2 site was situated approximately 35 km farther to the northeast. Nephelometers, particle soot absorption photometers, photoacoustic absorption photometers, and organic and elemental carbon analyzers were used to measure the optical properties of the aerosols and the carbon concentrations at each of the sites. Radar wind profilers and radiosonde systems helped to characterize the meteorology and to identify periods when transport from Mexico City over T1 and T2 occurred. Organic and elemental carbon concentrations at T1 showed diurnal cycles reflecting the nocturnal and early morning buildup from nearby sources, while concentrations at T2 appeared to be more affected by transport from Mexico City. Specific absorption during transport periods was lower than during other times, consistent with the likelihood of fresher emissions being found when the winds blew from Mexico City over T1 and T2. The specific absorption at T2 was larger than at T1, which is also consistent with the expectation of more aged particles with encapsulated black carbon being found at the more distant location. In situ measurements of single scattering albedo with an aircraft and a ground station showed general agreement with

  4. Utilization of Storm Runoff for Groundwater Recharge in Urban Areas- A Case Study of Gujranwala City in Pakistan

    Directory of Open Access Journals (Sweden)

    Saqib Eh san

    2013-12-01

    Full Text Available This research highlights the significance of storm runoff for groundwater recharge in urban areas. Due to excessive withdrawal of groundwater, the groundwater table is significantly depleting each year. The storm runoff in urban areas should be first stored then it can be used for possible groundwater recharge by adopting feasible recharge techniques. A proper storm drainage system should be functional in order to collect the surface run off from different parts of an urban area. As case study, the Gujranwala city in Pakistan has been taken into consideration. The city has strong potential for a storm water drainage system. Each year a significant amount of storm runoff in Gujranwala city is not utilized due to unavailability of a proper storm water drainage system. Different aspects of hydrology and hydrogeology of this city have been thoroughly studied. Further, design considerations for tube wells have also been elaborated. Based on the available data, different options for groundwater water recharge in city area have been investigated and also a typical design of an inverted well in city area has been proposed. This study strongly recommends the concerned authorities to first provide a suitable storm water drainage system in Gujranwala city and to investigate the feasible options of groundwater recharge keeping in view the hydrological and hydro-geological conditions. This research is intended to provide useful guidelines for feasibility of groundwater recharge techniques in other urban areas of Pakistan and also other parts of the world.

  5. 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

  6. 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

  7. Self-awareness of heart failure in the oldest old–an observational study of participants, ≥ 80 years old, with an objectively verified heart failure

    OpenAIRE

    Selan, Suzana; Siennicki-Lantz, Arkadiusz; Berglund, Johan; Fagerström, Cecilia

    2016-01-01

    Background One of the primary reasons for hospitalisation among elderly individuals with heart failure (HF) is poor self-care. Self-awareness of having HF may be a key-element in successful self-care. The prevalence of self-awareness of HF, and how it is affected by age-and HF-related factors, remains poorly understood. The aims of the present study were to determine the prevalence of self-awareness of HF in participants, ≥ 80 years of age, and to investigate the association between this self...

  8. 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

  9. 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

  10. Epidemiological study of congenital heart defects in children and adolescents: analysis of 4,538 cases

    Directory of Open Access Journals (Sweden)

    Nelson Itiro Miyague

    2003-03-01

    Full Text Available OBJECTIVE: To analyze the frequency and prevalence of congenital heart defects in a tertiary care center for children with heart diseases. METHODS: We carried out an epidemiological assessment of the first medical visit of 4,538 children in a pediatric hospital from January 1995 to December 1997. All patients with congenital heart defects had their diagnoses confirmed at least on echocardiography. The frequency and prevalence of the anomalies were computed according to the classification of sequential analysis. Age, weight, and sex were compared between the groups of healthy individuals and those with congenital heart defects after distribution according to the age group. RESULTS: Of all the children assessed, 2,017 (44.4% were diagnosed with congenital heart disease, 201 (4.4% with acquired heart disease, 52 (1.2% with arrhythmias, and 2,268 (50% were healthy children. Congenital heart diseases predominated in neonates and infants, corresponding to 71.5% of the cases. Weight and age were significantly lower in children with congenital heart defects. Ventricular septal defect was the most frequent acyanotic anomaly, and tetralogy of Fallot was the most frequent cyanotic anomaly. CONCLUSION: Children with congenital heart defects are mainly referred during the neonatal period and infancy with impairment in gaining weight. Ventricular septal defect is the most frequent heart defect.

  11. Indium-111 labeled platelet survival time studies in patients with prosthetic heart valves

    International Nuclear Information System (INIS)

    Platelet survival time (PST) studies are useful to demonstrate whether or not patients with prosthetic heart valves have normal or shortened PST. During treatment for recurrent TIAs the PST will signal whether the patient is returning towards a normal PST. Using Indium-111 labeled platelets (ILP) the authors studied 10 patients suffering recurrent TIAs after prosthetic valve surgery to determine whether low dose aspirin increased their PST toward normal and whether the treatment had a beneficial effect on their TIA episodes. The authors conclude that low dose aspirin therapy as studied by ILP has no beneficial effect on PST or in preventing recurrent TIA. ILP is an important technique that allows the physician to identify those patients with shortened PST and to determine response to therapy

  12. Ischemic heart disease among the general Mongolian population: a review of epidemiological studies.

    Science.gov (United States)

    Enkh-Oyun, Tsogzolbaatar; Kotani, Kazuhiko; Swanson, Eric

    2016-01-01

    Ischemic heart disease (IHD) is considered to be a pivotal health problem in Mongolia. To summarize the existing epidemiology of IHD in the general Mongolian population is crucial for primary prevention. The present review summarized population-based epidemiological data of IHD in Mongolia. When epidemiological studies were extracted from databases, very limited studies were available. The frequencies of IHD and IHD-attributable death rates appeared to be high and have an increased tendency in Mongolia. This could to be due to a gradually worsening state of potential IHD-related risk factors, such as smoking, hypertension, hypercholesterolemia, obesity and diabetes mellitus. This might indicate an urgent need of strategies for IHD and related risk factors. Anti-IHD strategies, such as more epidemiological studies and campaigns to increase awareness of IHD, at nationwide public health levels would be required in Mongolia for more effective prevention. PMID:26647395

  13. Peer Pressure and Adaptive Behavior Learning: A Study of Adolescents in Gujrat City

    OpenAIRE

    Asma Yunus; Shahzad Khaver Mushtaq; Sobia Qaiser

    2012-01-01

    The study aims at discovering the influences of Peer Pressure on adaptive behavior learning in the adolescents. For the purpose two scales, Adaptive behavior scale (ABS) and Peer Pressure Scale (PPS) were developed to measure both variables. The Sample of the study was purposive in nature and comprised of late adolescents (n=120) i.e. 60 males and 60 females, from Gujrat city. Cronbach alpha was calculated and found to be significant for Peer Pressure Scale(PPS) and its subscales i.e. Belongi...

  14. The T1-T2 study: evolution of aerosol properties downwind of Mexico City

    OpenAIRE

    Doran, J.C.; J. C. Barnard; Arnott, W.P.; R. Cary; Coulter, R.; J. D. Fast; Kassianov, E. I.; L. Kleinman; N. S. Laulainen; Martin, T.; G. Paredes-Miranda; M. S. Pekour; Shaw, W. J.; Smith, D.F.; S. R. Springston

    2006-01-01

    As part of a major atmospheric chemistry and aerosol field program carried out in March of 2006, a study was conducted in the area to the north and northeast of Mexico City to investigate the evolution of aerosols and their associated optical properties in the first few hours after their emission. The focus of the T1-T2 aerosol study was to investigate changes in the specific absorption αABS (absorption per unit mass, with unit of m2 g&l...

  15. 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...

  16. Mitral Valve Regurgitation in the LVAD-Assisted Heart Studied in a Mock Circulatory Loop.

    Science.gov (United States)

    May-Newman, K; Fisher, B; Hara, M; Dembitsky, W; Adamson, R

    2016-06-01

    Permanent closure of the aortic valve (AVC) is sometimes performed In LVAD patients, usually when a mechanical valve prosthesis or significant aortic insufficiency is present. Mitral valve regurgitation (MVR) present at the time of LVAD implantation can remain unresolved, representing a limitation for exercise tolerance and a potential predictor of mortality. To investigate the effect of MVR on hemodynamics of the LVAD-supported heart following AVC, studies were performed using a mock circulatory loop. Pressure and flow measured for a range of cardiac function, LVAD speed, and MVR show that cardiac contraction augments aortic pressure by 10-27% over nonpulsatile conditions when the mitral valve functions normally, but decreases with MVR until it reaches the nonpulsatile level. Aortic flow displays a similar trend, demonstrating a 25% decrease from fully functioning to open at 7 krpm, a 5% decrease at 9 krpm, and no observable effect at 11 krpm. Pulsatility decreases with increased LVAD speed and MVR. The data indicate that a modest level of cardiac output (1.5-2 L/min) can be maintained by the native heart through the LVAD when the LVAD is off. These results demonstrate that MVR decreases the augmentation of forward flow by improved cardiac function at lower LVAD speeds. While some level of MVR can be tolerated in LVAD recipients, this condition represents a risk, particularly in those patients that undergo AVC closure, and may warrant repair at the time of surgery. PMID:27008972

  17. Microspectrofluorometric study of monoamines in the auricle of the heart of Protopterus aethiopicus.

    Science.gov (United States)

    Scheuermann, D W; Stilman, C; Reinhold, C; De Groodt-Lasseel, M H

    1981-01-01

    The auricle of the heart of Protopterus aethiopicus contains large numbers of chromaffin cells, often lying immediately adjacent to the endothelium and displaying a bright blue-white fluorescence characteristic for catecholamines after formaldehyde treatment (Falck and Owman 1965). These results combined with X-ray microanalysis after initial fixation with glutaraldehyde and subsequent treatment with dichromate established that these chromaffin cells are the storage site of primary catecholamines (Scheuermann 1978, 1979, 1980; Scheuermann et al. 1980). The aim of the present pilot study was to demonstrate in these cells noradrenaline (NA) or dopamine (DA), or a mixture of both. The evaluation of the excitation spectra of the catecholamine fluorophore transformed by treatment with HCl vapour (excitation maxima at 320 and 370 nm) and the excitation-peak ratio analysis (peak ratio 370/320 nm = 1.05-1.5; and 320/280 nm greater than 1.5) identify DA as the primary catecholamine stored in these chromaffin cells. The low fading rate of the monoamine fluorescence after acidification confirms the presence of DA. These microspectrofluorometric findings demonstrate that chromaffin cells in the auricle of the Protopterus heart, which are a part of the medullary homologue of the adrenal gland of higher vertebrates, contain a primary catecholamine, namely DA. PMID:7237540

  18. Stress among Doctors Doing Residency: A Cross-Sectional Study at a Tertiary Care Hospital in the City of Mumbai

    OpenAIRE

    Aarti G Sahasrabuddhe, S R Suryawanshi, Suman Rai Bhandari

    2015-01-01

    "Background: The workload of a tertiary care teaching hospital in a metropolitan city is tremendous. Resident doctors in these health care facilities bear the over whelming burden. This study was carried out to assess the stress among resident doctors and the factors associated with it. Methods: This was a cross sectional study carried out on resident doctors in a tertiary care hospital in the city of Mumbai. Statistical analysis was done using proportions and chi squre. Results:...

  19. Dental caries and associated factors among primary school children in Bahir Dar city: a cross-sectional study

    OpenAIRE

    Mulu, Wondemagegn; Demilie, Tazebew; Yimer, Mulat; Meshesha, Kassaw; Abera, Bayeh

    2014-01-01

    Background Dental caries is the most common chronic infectious disease of childhood caused by the interaction of bacteria, mainly Streptococcus mutans and sugary foods on tooth enamel. This study aimed at determining the prevalence and associated factors of dental caries among primary school children at Bahir Dar city. Methods A school based cross-sectional study was conducted at Bahir Dar city from October 2013 to January 2014. Systematic random sampling technique was used to select the chil...

  20. The Effects of Job Embeddedness on Organizational Cynicism and Employee Performance: A Study on Sadat City University

    OpenAIRE

    Wageeh Nafei

    2015-01-01

    Purpose: Using a new construct, Job Embeddedness (JE), from the business management literature, this study examines the effects of JE on Organizational Cynicism (OC) and Employee Performance (EP) at Sadat City University. Research Design/Methodology: Using Mitchell et al., 2001 of JE, the study develops a number of hypotheses and tests them. Out of the 692 questionnaires that were distributed to employees at Sadat City University in Egypt, 400 usable questionnaires were returned, a response r...

  1. 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....

  2. A genome-wide association study of breast and prostate cancer in the NHLBI's Framingham Heart Study

    OpenAIRE

    Kreger Bernard E; Finger Daniel; Rosenberg Carol L; Murabito Joanne M; Levy Daniel; Splansky Greta; Antman Karen; Hwang Shih-Jen

    2007-01-01

    Abstract Background Breast and prostate cancer are two commonly diagnosed cancers in the United States. Prior work suggests that cancer causing genes and cancer susceptibility genes can be identified. Methods We conducted a genome-wide association study (Affymetrix 100K SNP GeneChip) of cancer in the community-based Framingham Heart Study. We report on 2 cancer traits – prostate cancer and breast cancer – in up to 1335 participants from 330 families (54% women, mean entry age 33 years). Multi...

  3. Drinking water quality in Pakistan: a case study of Islamabad and Rawalpindi cities

    International Nuclear Information System (INIS)

    Generally, major cities of Pakistan are facing problems of shortage of municipal water supplies as the water requirements are increasing due to rapid urbanization. The water being supplied to many cosmopolitan cities and towns is generally of poor quality. Microbial contamination of drinking water is responsible for directly or indirectly spreading major infections and parasitic diseases such as Cholera, Typhoid, Dysentery, Hepatitis, Giardiasis, Cryptosporidiosis and Guinea worm. The Pakistan Council of Research in Water Resources (PCRWR) has launched a major programme of water quality monitoring in the country to document the existing water quality status. The PCRWR has recently completed water quality assessment studies in twin cities of Islamabad and Rawalpindi. For monitoring purposes, grids of 2x2 and 3x3 km were established for Islamabad and Rawalpindi respectively. In total, thirty-nine water-sampling points were established. Apart from the groundwater samples, eight samples from surface water sources in Islamabad and one from Rawalpindi were collected. Water samples were collected in 200 ml sterilized containers during July 2001. In both cities, most of water samples except for Simly Reservoir in Islamabad, and Chitti Tanki in Rawalpindi were found fit with respect to color, odor and taste. The average EC values were 0.56 and 0.81 dS m/sup -1/ for Islamabad and Rawalpindi, respectively. The pH of collected samples varied from 7 to 8.3. Arsenic, chloride, chromium, fluoride, nitrate, sodium, and water hardness were within the safe limit. The Lead concentration however, was found within safe limits in only 21% samples. The quality of drinking water in both cities in respect of bacterial contamination was very poor. Only 25% samples in Islamabad and 13% samples in Rawalpindi were found fit for drinking purpose. Water samples collected from the points nearest to the source were free from bacterial contamination. It is concluded that the problem of bacterial

  4. 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

  5. Ventricular function during the acute rejection of heterotopic transplanted heart: Gated blood pool studies

    International Nuclear Information System (INIS)

    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.)

  6. Muscle strength in youth and cardiovascular risk in young adulthood (the European Youth Heart Study)

    DEFF Research Database (Denmark)

    Grøntved, Anders; Ried-Larsen, Mathias; Møller, Niels Christian; Kristensen, Peter Lund; Froberg, Karsten; Brage, Søren; Andersen, Lars Bo

    2015-01-01

    BACKGROUND: Whether muscle strength in youth is related to cardiovascular risk later in life independent of cardiorespiratory fitness is unclear. METHODS: We examined the independent association of isometric muscle strength in youth with cardiovascular risk factors in young adulthood using data...... from the Danish European Youth Heart Study; a population-based prospective cohort study among boys and girls (n=332) followed for up to 12 years. In youth maximal voluntary contractions during isometric back extension and abdominal flexion were determined using a strain-gauge dynamometer and...... cardiorespiratory fitness was obtained from a maximal cycle ergometer test. Cardiovascular risk factors were obtained in youth and in young adulthood. Associations were examined using multivariable-adjusted regression models including major confounding factors. RESULTS: Each 1 SD difference in isometric muscle...

  7. 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...... biological and behavioural risk factors for IHD were collected at baseline. RESULTS: During follow-up, 580 participants were hospitalised with IHD. In the fully adjusted model, nurses who reported work pressure to be much too high had a 1.4-fold increased risk of incident IHD (95% CI 1.04 to 1.81) compared...

  8. Redistribution of heart failure as the cause of death: the Atherosclerosis Risk in Communities Study

    OpenAIRE

    Snyder, Michelle L.; Love, Shelly-Ann; Sorlie, Paul D.; Rosamond, Wayne D.; Antini, Carmen; Metcalf, Patricia A.; Hardy, Shakia; Suchindran, Chirayath M; Shahar, Eyal; Heiss, Gerardo

    2014-01-01

    Background Heart failure is sometimes incorrectly listed as the underlying cause of death (UCD) on death certificates, thus compromising the accuracy and comparability of mortality statistics. Statistical redistribution of the UCD has been used to examine the effect of misclassification of the UCD attributed to heart failure, but sex- and race-specific redistribution of deaths on coronary heart disease (CHD) mortality in the United States has not been examined. Methods We used coarsened exact...

  9. A comparative study of discriminating human heart failure etiology using gene expression profiles

    OpenAIRE

    Park Soon J; Chen Yingjie; Han Xinqiang; Grindle Suzanne; Pan Wei; Huang Xiaohong; Miller Leslie W; Hall Jennifer

    2005-01-01

    Abstract Background Human heart failure is a complex disease that manifests from multiple genetic and environmental factors. Although ischemic and non-ischemic heart disease present clinically with many similar decreases in ventricular function, emerging work suggests that they are distinct diseases with different responses to therapy. The ability to distinguish between ischemic and non-ischemic heart failure may be essential to guide appropriate therapy and determine prognosis for successful...

  10. A comparative study of discriminating human heart failure etiology using gene expression profiles

    OpenAIRE

    Huang, Xiaohong; Pan, Wei; Grindle, Suzanne; Han, Xinqiang; Chen, Yingjie; Park, Soon J.; Miller, Leslie W.; Hall, Jennifer

    2005-01-01

    Background Human heart failure is a complex disease that manifests from multiple genetic and environmental factors. Although ischemic and non-ischemic heart disease present clinically with many similar decreases in ventricular function, emerging work suggests that they are distinct diseases with different responses to therapy. The ability to distinguish between ischemic and non-ischemic heart failure may be essential to guide appropriate therapy and determine prognosis for successful treatmen...

  11. Ranking of psychosocial and traditional risk factors by importance for coronary heart disease

    DEFF Research Database (Denmark)

    Schnohr, Peter; Marott, Jacob L; Kristensen, Tage S.;

    2015-01-01

    AIMS: To rank psychosocial and traditional risk factors by importance for coronary heart disease. METHODS AND RESULTS: The Copenhagen City Heart Study is a prospective cardiovascular population study randomly selected in 1976. The third examination was carried out from 1991 to 1994, and 8882 men...... was one of the most important risk factors for coronary heart disease, our findings emphasize the importance of including psychosocial factors in risk prediction scores....... and women free of cardiovascular diseases were included in this study. Events were assessed until April 2013. Forward selection, population attributable fraction, and gradient boosting machine were used for determining ranks. The importance of vital exhaustion for risk prediction was investigated by C...

  12. 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 ...

  13. 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 ...

  14. 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 ... of disability. There are many different forms of heart disease. The most common cause of heart disease ...

  15. Diagnostic value of electrocardiography, dynamic isotope studies and angiography in coronary heart disease

    International Nuclear Information System (INIS)

    The goal of this work is on the basis of the case histories of 36 patients with heart anamneses (27 with electrocardiographically and/or enzymatically detected heart infarcts, 9 with various cardial diseases) to test the diagnostic value of stress electrocardiograms, dynamic isotope examinations of the heart and coronary angiographies in the cases of myocardial infarcts, heart wall aneurysms, coronary heart disease and in the determination of the global discharge fraction, specifically broad scanning (heart front, side and back walls) as well as fine scanning (individual coronary vessel branches). In the case of myocardial infarct the stress EKG and the heart scintigraphy agree with one another to a large degree, whereby scintigraphy (with 99mTc-DPTA) in addition detects infarcted myocardial regions. In the diagnosis of heart wall aneurysms scintigraphy and ventriculography had the same results in 91.6% of the cases. Coronary heart disease results agreed for all three methods in 91.7% of the cases and with scintigraphy and angiography in 94.4%. The degree of agreement between scintigraphy and coronary angiography is confirmed in the literature. One-, two- and 3-vessel diseases can be determined with these two methods in 90 to 75% agreement. The result lies thereby above the values of 201Tl-myocardial scintigraphy given in the literature. Also the global discharge fraction shows scintigraphic as well as angiographic agreement of almost 90%. (TRV)

  16. 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

  17. 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

  18. 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.

  19. 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.

  20. Marital Status, Education, and Risk of Acute Myocardial Infarction in Mainland China: The INTER-HEART Study

    OpenAIRE

    Hu, Bo; Li, Wei; Wang, Xingyu; Liu, Lisheng; Teo, Koon; Yusuf, Salim

    2012-01-01

    Background We investigated the effects of marital status and education on the risk of acute myocardial infarction (AMI) in a large-scale case-control study in China. Methods This study was part of the INTER-HEART China case-control study. The main outcome measure was first AMI. Incident cases of AMI and control patients with no past history of heart disease were recruited. Controls were matching by age (±5 years) and sex. Marital status was combined into 2 categories: single and not single. E...