Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker

OBJECTIVE: To evaluate the relationship between 24-hour ambulatory arterial blood pressure monitoring and the prognosis of patients with advanced congestive heart failure. METHODS: We studied 38 patients with NYHA functional class IV congestive heart failure, and analyzed left ventricular ejection fraction, diastolic diameter, and ambulatory blood pressure monitoring data. RESULTS: Twelve deaths occurred. Left ventricular ejection fraction (35.2±7.3%) and diastolic diameter (72.2±7.8mm) were not correlated with the survival. The mean 24-hour (SBP24), waking (SBPw), and sleeping (SBPs) systolic pressures of the living patients were higher than those of the deceased patients and were significant for predicting survival. Patients with mean SBP24, SBPv, and SBPs > or = 105mmHg had longer survival (p=0.002, p=0.01 and p=0.0007, respectively). Patients with diastolic blood pressure sleep decrements (dip) and patients with mean blood pressure dip <=6mmHg had longer survival (p=0.04 and p=0.01, respectively). In the multivariate analysis, SBPs was the only variable with an odds ratio of 7.61 (CI: 1.56; 3704) (p=0.01). Patients with mean SBP<105mmHg were 7.6 times more likely to die than those with SBP > or = 105 mmHg CONCLUSION: Ambulatory blood pressure monitoring appears to be a useful method for evaluating patients with congestive heart failure.

Influence of Quality of Sleep on the Nocturnal Decline in Blood Pressure During Ambulatory Blood Pressure Monitoring

OBJECTIVE: To assess the influence of the quality of sleep on the nocturnal physiological drop in blood pressure during ambulatory blood pressure monitoring. METHODS: We consecutively assessed ambulatory blood pressure monitoring, the degree of tolerance for the examination, and the quality of sleep in 168 patients with hypertension or with the suspected "white-coat" effect. Blood pressure fall during sleep associated with a specific questionnaire and an analogical visual scale of tolerance for ambulatory blood pressure monitoring were used to assess usual sleep and sleep on the day of examination. Two specialists in sleep disturbances classified the patients into 2 groups: those with normal sleep and those with abnormal sleep. RESULTS: Fifty-nine (35 %) patients comprised the abnormal sleep group. Findings regarding the quality of sleep on the day of ambulatory blood pressure monitoring as compared with those regarding the quality of sleep on a usual day were different and were as follows, respectively: total duration of sleep (-12.4±4.7 versus -42.2±14.9 minutes, P=0.02), latency of sleep (0.4±2.7 versus 17±5.1 minutes, P<0.001), number of awakenings (0.1±0.1 versus 1.35±0.3 times, P<0.001), and tolerance for ambulatory blood pressure monitoring (8±0.2 versus 6.7±0.35, P=0.035). An abnormal drop in blood pressure during sleep occurred in 20 (18%) patients in the normal sleep group and in 14 (24%) patients in the abnormal sleep group, P=0.53. CONCLUSION: Ambulatory blood pressure monitoring causes sleep disturbances in some patients, and a positive association between quality of sleep and tolerance for the examination was observed.

Manejo ganadero y restauración de ambientes montanos en relación a la biodiversidad, el suelo y la producción de agua. Livestock management and ecological restoration of mountain environments in relation to biodiversity, soil and water production.

Las áreas montanas brindan numerosos bienes y servicios a la humanidad cómo la provisión de agua. Asimismo, albergan una biota muy diversa y existe en ellas una actividad económica de considerable importancia centrada en la ganadería. En algunos casos las actividades asociadas a la ganadería pueden modificar los ecosistemas montanos y los bienes y servicios que brindan de forma drástica. Esto se debe a los cambios en la vegetación, y la pérdida y compactación de los suelos, que tiene repercusiones en la cantidad de agua captada, evapotranspirada y almacenada. También tiene repercusiones sobre la biodiversidad, tanto positivas como negativas. Aquí nos propusimos investigar cómo los cambios en la cobertura vegetal producidos por cuatro siglos de uso ganadero en el piso superior de las Sierras de Córdoba (Centro Argentino) han afectado a atributos del ecosistema como la diversidad vegetal, la integridad de los suelos y la capacidad de proveer agua a la población humana. A su vez, nos propusimos estudiar en detalle cómo las distintas opciones actuales de manejo pueden afectar a la cobertura vegetal y por ende a los atributos del ecosistema. De este modo, esperamos: (1) poder desarrollar un modelo espacialmente explícito que permita predecir la evolución del ecosistema ante distintos escenarios de manejo. (2) Más a largo plazo determinar los costos y los beneficios de los distintos manejos, en términos de la conservación de la biodiversidad, los suelos y la provisión de agua. El área de estudio cuenta un Sistema de Información Geográfica muy completo que incluye numerosas capas de información (vegetación, topografía, casas y caminos y otras). Además, existe en el área un Parque Nacional, con potreros bajo distintos manejos ganaderos (exclusión, cargas ganaderas moderadas continuas y estacionales), y una zona con herbivoría nativa de guanacos, que fueron reintroducidos recientemente en el Parque. Fuera del Parque, hay establecimientos con ganadería tradicional, con cargas ganaderas altas; así como un área donde se ha realizado una restauración modelo mediante reforestación y revegetación de zonas erosionadas. Estos escenarios representan una oportunidad muy especial para realizar estudios comparativos de la evolución de la fisonomía, composición florística, diversidad vegetal, integridad del suelo (erosión, tasa de infiltración, contenido de agua a lo largo del año) y el caudal de los arroyos en la estación seca. En este proyecto proponemos seguir con mediciones de la evolución de la vegetación bajo los distintos escenarios y seguir averiguando métodos de restauración de la vegetación. Además, proponemos empezar a realizar mediciones relacionadas al valor de los distintos tipos de cobertura vegetal, resultado de cuatro siglos de historia de disturbio, sobre la diversidad y los recursos hídricos. Por otro lado, realizaremos mediciones ecofisiológicas en las especies dominantes, para comprender sus efectos sobre el ciclo del agua.

Efecto de la forestación con pináceas sobre la biodiversidad y el funcionamiento de sistemas fluviales serranos en pastizales de altura. Pine afforestation effects on ecosystem functioning and biodiversity in mountain pastureland fluvial systems.

Las acciones antrópicas han alterado los ecosistemas a escala global mediante cambios en la estructura y función de los sistemas terrestres y acuáticos. En este sentido, la deforestación de bosques ripariales impacta fuertemente sobre los sistemas lóticos como así también el proceso inverso, la conversión de pasturas naturales a bosques debido a forestaciones extensivas. Las nacientes de los arroyos de la provincia de Córdoba se ubican en pastizales dominados por gramíneas, muchos de los cuales han sido reemplazados por plantaciones de coníferas, con potenciales efectos sobre la estructura y el funcionamiento de los cursos de agua. En consecuencia, la evaluación de los efectos de esta actividad forestal sobre los arroyos es esencial para la implementación de adecuadas estrategias de manejo y conservación del recurso acuático. El objetivo de este proyecto es evaluar los efectos de la forestación con pináceas sobre la estructura y el funcionamiento de sistemas fluviales en pastizales de altura de las sierras de Córdoba. Se pretende analizar la dinámica de la biota acuática en arroyos de pastizales y en arroyos forestados. Se cuantificarán productores primarios y materia orgánica particulada y se medirán procesos ecológicos como la producción primaria y descomposición de materia orgánica gruesa. Se espera que la forestación con pináceas altere el ciclo de los nutrientes, disminuya el caudal y cambie el balance de temperatura al incrementar la sombra y el ingreso de materia orgánica particulada gruesa. En consecuencia, y debido a los cambios abióticos contrastantes generados por la implantación de pinos, podrían detectarse alteraciones drásticas en el ecosistema. Se seleccionarán seis arroyos de la subcuenca del arroyo Santa Rosa (Subcuenca Ctalamochita). Tres arroyos discurren en pastizales naturales y tres en áreas forestadas con pináceas. Se tomarán muestras de invertebrados y materia orgánica en el bentos en aguas altas y aguas bajas y se registrarán parámetros físico-químicos. Se colectarán muestras de perifiton para análisis de especies, biomasa y clorofila. Se realizarán experimentos de campo para medir la tasa de degradación de la materia orgánica y la producción primaria. La detección del grado de alteración de los sistemas naturales es el punto de partida para la implementación de apropiadas estragias de manejo del recurso. Entre los indicadores que permitirán verificar el efecto de las forestaciones estan los cambios en la biodiversidad, en la tasa de degradación de materia orgánica y en la producción primaria, como así también en la dinámica de los nutrientes y en los ciclos de caudales. Esta propuesta pretende generar lazos de interrelación entre distintos sectores para la implementación efectiva de planes de conservación y restauración y propiciar las relaciones necesarias para el logro de objetivos que beneficien a la sociedad como un todo.

Development of sensing systems for environmental monitoring

This project focused on the investigation and the development of a chemical sensing system for the determination of chromium Cr6+ and a bio-reactor followed by electrochemical detection at a glassy carbon electrode, for the determination of organochlorine compounds. The conjugation of Cr6+ with 1,5-diphenylcarbazide was studied at various types of electrodes such as glassy carbon, ultra-trace epoxy-graphite, chemically or un-modified carbon-paste and dropping-mercury. The cyclic voltammetric behaviour of the complex was also investigated. In addition, the possibility of developing a chemical sensor, Le. an electrochemical probe capable of sensing Cr6+ through its complexation with 1,5-diphenylacarbazide was studied. The conjugations of l-chloro-2,4-dinitrobenzene, 2,4-dichloronitrobenzene and ethacrynic, which are electrophilic organochlorine compounds, with reduced glutathione, were studied in order to test the bioreactor developed, based on the immobilisation of glutathione s-transferase. This was carried out at different types of electrodes such as glassy-carbon, gold, silver, platinum, epoxy-graphite, hangingmercury, and ferrocene-modified rotating-disc electrodes.

monitoring-based approach to object-oriented real-time computing

Monitoring, object-orientation, real-time, execution-time, scheduling

Relevance to Home Blood Pressure Monitoring Protocol of Blood Pressure Measurements Taken Before First- Morning Micturition and in the Afternoon

Background: The importance of measuring blood pressure before morning micturition and in the afternoon, while working, is yet to be established in relation to the accuracy of home blood pressure monitoring (HBPM). Objective: To compare two HBPM protocols, considering 24-hour ambulatory blood pressure monitoring (wakefulness ABPM) as gold-standard and measurements taken before morning micturition (BM) and in the afternoon (AM), for the best diagnosis of systemic arterial hypertension (SAH), and their association with prognostic markers. Methods: After undergoing 24-hour wakefulness ABPM, 158 participants (84 women) were randomized for 3- or 5-day HBPM. Two variations of the 3-day protocol were considered: with measurements taken before morning micturition and in the afternoon (BM+AM); and with post-morning-micturition and evening measurements (PM+EM). All patients underwent echocardiography (for left ventricular hypertrophy - LVH) and urinary albumin measurement (for microalbuminuria - MAU). Result: Kappa statistic for the diagnosis of SAH between wakefulness-ABPM and standard 3-day HBPM, 3-day HBPM (BM+AM) and (PM+EM), and 5-day HBPM were 0.660, 0.638, 0.348 and 0.387, respectively. The values of sensitivity of (BM+AM) versus (PM+EM) were 82.6% × 71%, respectively, and of specificity, 84.8% × 74%, respectively. The positive and negative predictive values were 69.1% × 40% and 92.2% × 91.2%, respectively. The comparisons of intraclass correlations for the diagnosis of LVH and MAU between (BM+AM) and (PM+EM) were 0.782 × 0.474 and 0.511 × 0.276, respectively. Conclusions: The 3 day-HBPM protocol including measurements taken before morning micturition and during work in the afternoon showed the best agreement with SAH diagnosis and the best association with prognostic markers.

Elektrochemisches Monitoring mikrobieller Aktivität : Grundlagen und Anwendung in der Abwasserreinigung

Bioactivity sensor, wastewater purification, electrochemistry, microbial activity, metabolic pathways

Emotional modulation of memory encoding and performance monitoring

Performance monitoring, ERN, CRN, Pe, Memory, Llist learning, Emotion, IAPS, N2, Reinforcement Learning Hypothesis, Conflict Monitoring Hypothesis

Ambulatory Blood Pressure Monitoring: Five Decades of More Light and Less Shadows

Abstract Casual blood pressure measurements have been extensively questioned over the last five decades. A significant percentage of patients have different blood pressure readings when examined in the office or outside it. For this reason, a change in the paradigm of the best manner to assess blood pressure has been observed. The method that has been most widely used is the Ambulatory Blood Pressure Monitoring - ABPM. The method allows recording blood pressure measures in 24 hours and evaluating various parameters such as mean BP, pressure loads, areas under the curve, variations between daytime and nighttime, pulse pressure variability etc. Blood pressure measurements obtained by ABPM are better correlated, for example, with the risks of hypertension. The main indications for ABPM are: suspected white coat hypertension and masked hypertension, evaluation of the efficacy of the antihypertensive therapy in 24 hours, and evaluation of symptoms. There is increasing evidence that the use of ABPM has contributed to the assessment of blood pressure behaviors, establishment of diagnoses, prognosis and the efficacy of antihypertensive therapy. There is no doubt that the study of 24-hour blood pressure behavior and its variations by ABPM has brought more light and less darkness to the field, which justifies the title of this review.

Label monitoring on document streams

Magdeburg, Univ., Fak. für Informatik, Diss., 2012

Development of a new isogeometric finite element and its application for Lamb wave based structural health monitoring

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2012

Electron Beam Welding In-Process Control and Monitoring

This work presents the results of an investigation of processes in the melting zone during Electron Beam Welding(EBW) through analysis of the secondary current in the plasma.The studies show that the spectrum of the secondary emission signal during steel welding has a pronounced periodic component at a frequency of around 15–25 kHz. The signal contains quasi-periodic sharp peaks (impulses). These impulses have stochastically varying amplitude and follow each other inseries, at random intervals between series. The impulses have a considerable current (up to 0.5 A). It was established that during electron-beam welding with the focal spot scanning these impulses follow each other almost periodically. It was shown that the probability of occurrence of these high-frequency perturbation increases with the concentration of energy in the interaction zone. The paper also presents hypotheses for the mechanism of the formation of the high-frequency oscillations in the secondary current signal in the plasma.

Serotonergic modulation of action monitoring and cognitive control

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2015

Understanding and monitoring attitudes of product properties over time

Magdeburg, Univ., Fak. für Informatik, Diss., 2015