Prognostic value of the modified American College of Cardiology/American Heart Association lesion morphology classification for clinical outcome after sirolimus-eluting stent placement (results of the prospective multicenter German Cypher Registry)

The modified American College of Cardiology/American Heart Association (ACC/AHA) lesion morphology classification scheme has prognostic impact for early and late outcomes when bare-metal stents are used. Its value after drug-eluting stent placement is unknown. The predictive value of this lesion morphology classification system in patients treated using sirolimus-eluting stents included in the German Cypher Registry was prospectively examined. The study population included 6,755 patients treated for 7,960 lesions using sirolimus-eluting stents. Lesions were classified as type A, B1, B2, or C. Lesion type A or B1 was considered simple (35.1%), and type B2 or C, complex (64.9%). The combined end point of all deaths, myocardial infarction, or target vessel revascularization was seen in 2.6% versus 2.4% in the complex and simple groups, respectively (p = 0.62) at initial hospital discharge, with a trend for higher rates of myocardial infarction in the complex group. At the 6-month clinical follow-up and after adjusting for other independent factors, the composite of cumulative death, myocardial infarction, and target vessel revascularization was nonsignificantly different between groups (11.4% vs 11.2% in the complex and simple groups, respectively; odds ratio 1.08, 95% confidence interval 0.8 to 1.46). This was also true for target vessel revascularization alone (8.3% of the complex group, 9.0% of the simple group; odds ratio 0.87, 95% confidence interval 0.72 to 1.05). In conclusion, the modified ACC/AHA lesion morphology classification system has some value in determining early complications after sirolimus-eluting stent implantation. Clinical follow-up results at 6 months were generally favorable and cannot be adequately differentiated on the basis of this lesion morphology classification scheme.

Safer sex choices among African-American college women

The purpose of this dissertation was to explore and describe the factors that influence the safer sex choices of African-American college women. The pandemic of HIV and the prevalence of other sexually transmitted diseases has disproportionately affected African-American females. As young women enter college they are faced with a myriad of choices. Unprotected sexual exploration is one choice that can lead to deadly consequences. This dissertation explores, through in-depth interviews, the factors associated with the decision to practice or not practice safe sex. ^ The first study describes the factors associated with increased sexual risk taking among African-American college women. Sexual risk taking or sex without a condom was found to be more likely when issues of self or partner pleasure were raised. Participants were also likely to have sexual intercourse without a condom if they desired a long term relationship with their partner. ^ The second study examined safe sex decision making processes among a group of African-American college women. Women were found to employ both emotional and philosophical strategies to determine their safe sex behavior. These strategies range from assessing a partner's physical capabilities and appearance to length of the dating relationship. ^ The third study explores the association between knowledge and risk perception as predictors for safer sex behaviors. Knowledge of HIV/AIDS and other STDs was not found to be a determinant of safer sex behavior. Perception of personal risk was also not highly correlated with consistent safer sex behavior. ^ These studies demonstrate the need for risk-based safer sex education and intervention programs. The current climate of knowledge-based program development insures that women will continue to predicate their decision to practice safer sex on their limited perception and understanding of the risks associated with unprotected sexual behavior. Further study into the emotional and philosophical determinants of sexual behavior is necessary for the realistic design of applicable and meaningful interventions. ^

Un receuil: containing painting, penmanship, algebra and pieces selected from various authors in prose and verse, with a few pieces in French with their translation / by Phebe Folger of Nantucket : manuscript, 1797-1806

Written mostly in a copperplate hand in black ink, and illustrated with watercolor drawings.

Dimensions of biculturalism in Mexican-American college students /

"Contract no. N00014-77-C-0493; Nr 170-087."

An address delivered before the Cliosophic and American Whig societies of the College of New Jersey, June 23, 1863 /

Cover title: Endurance individual and national.

Nineteenth century Boston College : Irish or American? /

Title from cover.

The modern American speaker for school and college students, lawyers, preachers, teachers and all interested in the art of public speaking.

Mode of access: Internet.

The poems and literary prose of Alexander Wilson, the American ornithologist. For the first time fully collected and compared with the original and early editions, mss., etc.

Also issued under title: Memoir and remains of Alexander Wilson ...

The American citizen : his true position, character and duties, a discourse, delivered before the senate of Union college, at Schenectady, 26th July, 1847.

Mode of access: Internet.

Organizations, dangerous to free institutions: the address, at Burlington college, July 4, 1855; the seventy-ninth anniversary of American independence, and the ninth anniversary of the founding of Burlington College:

Mode of access: Internet.

Catalogue of English and American chapbooks and broadside ballads in Harvard College Library.

2461 titles, in 23 classes; with index of subjects and titles, and one of publishers, printers and booksellers.

Preparatory Latin prose-book : containing all the Latin prose necessary for entering college ; with references to Kühner's and Andrews and Stoddard's Latin grammars; notes critical and explanatory; a vocabulary and a geographical and historical index /

Includes index.