Arrhythmogenic cardiomyopathy of the right ventricle. Predictive value of QT interval dispersion to assess arrhythmogenic risk and sudden death

OBJECTIVE: To determine in arrhythmogenic right ventricular cardiomyopathy the value of QT interval dispersion for identifying the induction of sustained ventricular tachycardia in the electrophysiological study or the risk of sudden cardiac death. METHODS: We assessed QT interval dispersion in the 12-lead electrocardiogram of 26 patients with arrhythmogenic right ventricular cardiomyopathy. We analyzed its association with sustained ventricular tachycardia and sudden cardiac death, and in 16 controls similar in age and sex. RESULTS: (mean ± SD). QT interval dispersion: patients = 53.8±14.1ms; control group = 35.0±10.6ms, p=0.001. Patients with induction of ventricular tachycardia: 52.5±13.8ms; without induction of ventricular tachycardia: 57.5±12.8ms, p=0.420. In a mean follow-up period of 41±11 months, five sudden cardiac deaths occurred. QT interval dispersion in this group was 62.0±17.8, and in the others it was 51.9±12.8ms, p=0.852. Using a cutoff > or = 60ms to define an increase in the degree of the QT interval dispersion, we were able to identify patients at risk of sudden cardiac death with a sensitivity of 60%, a specificity of 57%, and positive and negative predictive values of 25% and 85%, respectively. CONCLUSION: Patients with arrhythmogenic right ventricular cardiomyopathy have a significant increase in the degree of QT interval dispersion when compared with the healthy population. However it, did not identify patients with induction of ventricular tachycardia in the electrophysiological study, showing a very low predictive value for defining the risk of sudden cardiac death in the population studied.

Reduction of QTc interval dispersion. Potential mechanism of cardiac protection of pyridostigmine bromide

OBJECTIVE: Parasympathetic dysfunction is an independent risk factor in individuals with coronary artery disease, and cholinergic stimulation is a potential therapeutical option. We determined the effects of pyridostigmine bromide, a reversible anticholinesterase agent, on electrocardiographic variables of healthy individuals. METHODS: We carried out a cross-sectional, double blind, randomized, placebo-controlled study. We obtained electrocardiographic tracings in 12 simultaneous leads of 10 healthy young individuals at rest before and after oral administration of 45 mg of pyridostigmine or placebo. RESULTS: Pyridostigmine increased RR intervals (before: 886±27 ms vs after: 1054±37 ms) and decreased QTc dispersion (before: 72±9ms vs after: 45±3ms), without changing other electrocardiographic variables (PR segment, QT interval, QTc, and QT dispersion). CONCLUSION: Bradycardia and the reduction in QTc dispersion induced by pyridostigmine may effectively represent a protective mechanism if these results can be reproduced in individuals with cardiovascular diseases.

Patrones dinámicos de abundancia y dispersión de una plaga en un paisaje heterogéneo. Dynamic patterns of abundance and dispersion of a pest in a heterogeneous landscape.

El desarrollo de conocimiento empírico sobre cómo la heterogeneidad espacial de un paisaje afecta los patrones de movimiento de una especie animal es considerado una prioridad para el manejo y la conservación de las especies y sus hábitats. En el caso de los insectos plaga, estos estudios resultan importantes ya que aportan las bases teóricas y empíricas fundamentales para su manejo. La persistencia de éstas especies en un paisaje modificado depende de la interrelación entre procesos ecológicos y la estructura del paisaje, tales como la interacción entre especies, la disponibilidad de parches hábitat y la influencia de las prácticas de manejo. El análisis de éstos procesos en un agroecosistema permite simplificar los modelos de heterogeneidad espacial, debido a que los lotes de cultivo son internamente homogéneos y los disturbios antropogénicos generalmente ocurren a la escala de parche, permitiendo determinar las respuestas de los insectos a dicha escala. La alfalfa (Medicago sativa) es un recurso fundamental para la producción agropecuaria y en Argentina, es el recurso forrajero más importante, constituyendo la base de la producción ganadera del país. Actualmente se cultivan alrededor de 5 millones de hectáreas, de las cuales un millón se siembran en la provincia de Córdoba. Además, cumple un rol importante en la sustentabilidad de los sistemas de producción por su función de recuperación de la fertilidad y estabilidad edáfica. La isoca de la alfalfa (Colias lesbia) es la plaga principal del cultivo, produciendo en promedio la pérdida de un corte por año. La hipótesis principal de nuestro trabajo es que los patrones de abundancia y movilidad de la isoca de la alfalfa son afectados por la estructura del paisaje y las prácticas de manejo. Los objetivos específicos del proyecto son: (a) Establecer el efecto de la estructura del paisaje y y el manejo del cultivo en la abundancia de los distintos estadios de Colias lesbia. (b) Determinar los patrones de dispersión de Colias lesbia en relación a la heterogeneidad espacial del paisaje (c) Generar un modelo predictivo de la abundancia de Colias lesbia según la estructura espacial del paisaje, el clima y el manejo del cultivo. (d) Desarrollar un conjunto de recomendaciones de manejo a escala regional para el control de la isoca de la alfalfa. Para ello se elegirán lotes de alfalfa en la región este de la provincia de Córdoba, en el departamento de San Justo, donde se realizará un relevamiento inicial del área de estudio y se dialogará con los productores. Paralelamente, se realizará una clasificación supervisada del área de estudio a partir de escenas de imágenes Landsat TM. En los parches seleccionados, durante 3 años y durante los meses de verano, se muestrearán quincenalmente los distintos estadios de Colias lesbia. Se realizarán análisis de correlación y regresión entre las variables independientes (métricas de la configuración y dinámica del paisaje) y las variables dependientes, (abundancia media de los diferentes estadios de las poblaciones). Asimismo, se realizarán experimentos de marcado-liberación-recaptura para determinar cómo el movimiento de la especie depende de la estructura del paisaje. Para modelar el movimiento inherente de la especie se combinará la información obtenida en el campo con un modelo de difusión utilizando métodos bayesianos. Se espera obtener modelos que permitan comprender los mecanismos que generan los patrones observados. Con esta información se propondrán lineamientos generales y específicos para un manejo de la isoca de la alfalfa a escala regional. En tal sentido, se espera aportar información para restringir la dispersión de la plaga, y reducir los costos y perjuicios del control químico que podrían evitarse con la aplicación de prácticas de manejo integrado y de "manejo de área" que minimicen el impacto de la plaga como también contribuir al conocimiento general de la ecología de insectos.

Flow and transport in electrochromatography

Analyte retention, analyte transport, axial dispersion, adsorption, charge-selectivity, concentration polarization, confocal laser scanning microscopy, donnan-exclusion, electrical double layer; electrochromatography; electrohydrodynamics, electrokinetic instability, electroosmosis; electroosmotic flow; electroosmotic mobility, electroosmotic perfusion, electrophoresis, hierarchical porous media, hydrodynamic flow, induced-charge electroosmosis, ion-permselectivity, ion-permselective transport, monolith, nonequilibrium electrical double layer, nonequilibrium electrokinetic effects, nonlinear electroosmosis, plate height, plate number, porous media, pore-scale dispersion, refractive index matching, space charge effects, sphere packing, quantitative imaging, wall effect, zeta-potential

Molecular phylogenies, chromosomes and dispersion in Brazilian akodontines (Rodentia, Sigmodontinae)

A new molecular phylogeny for akodontine rodents from Brazil was proposed. The phylogenetic tree was enriched with the area of occurrence and with information on the karyotype of the samples. Based on this enriched tree, and with a described methodology, hypotheses were proposed on the karyotype and area of occurrence of the ancestors of each Clade. Thus it was possible to discuss hypotheses on chromosome evolution of the group, and on dispersion events from the "area of original differentiation" of akodontines in the Andes. Chromosome evolution started with high diploid numbers (2n=52) and showed a tendency to reduction (until 2n=14 in more recent clades). Independent side-branches of the tree showed 2n reduction and in one case the 2n increased. At least four dispersion events from the Andes down to South-eastern Brazil were proposed. The results should suggest the direction of new studies on comparative karyology.

Polarization in the chilean party system: changes and continuities, 1990-1999

The focus of this thesis is the evolution of programmatic polarization in the post-authoritarian Chilean party system at the elite level. It shows the distance/proximity between parties located along the left-right ideological continuum on three sets of issues. The paper demonstrates that important changes have taken place in the meaning of the right and, especially, left poles. This implies convergence on socio-economic issues between parties, but persistence of differences on religious-value issues, and on issues related to the authoritarian/democratic cleavage. Distance between the poles has been reduced, and as a result the center has lost its own political space. In addition, the paper shows that the pattern followed by programmatic polarization at the elite level is explained by the authoritarian experience, the institutional framework, and socio-economic transformations. Together with this factors, the degree of negotiability of the issues and the cross-cutting nature of the cleavages have also shaped polarization.

Trade disclosure and price dispersion

This paper determines the effects of post-trade opaqueness on market performance. We find that the degree of market transparency has important effects on market equilibria. In particular, we show that dealers operating in a transparent structure set regret-free prices at each period making zero expected profits in each of the two trading rounds, whereas in the opaque market dealers invest in acquiring information at the beginning of the trading day. Moreover, we obtain that if there is no trading activity in the first period, then market makers only change their quotes in the opaque market. Additionally, we show that trade disclosure increases the informational efficiency of transaction prices and reduces volatility. Finally, concerning welfare of market participants, we obtain ambiguous results. Keywords: Market microstructure, Post-trade transparency, Price experimentation, Price dispersion.

A Comparison of polarization measures

This paper provides a systematic classification of the different measures of polarization based on their properties. Together with the axioms proposed in Duclos, Esteban and Ray (2004) and in Wang and Tsui (2000) we consider three additional properties. We examine which properties are common to all indices and which set them apart.

Polarization, fractionalization and conflict

A recent upsurge of empirical studies on the causes of conflict attempts to connect various features of the distribution of the relevant characteristic (typically ethnicity or religion) to conflict. The distributional indices differ (polarization, fractionalization or Lorenz-domination) and so do the various specifications of "conflict" (onset, incidence or intensity). Overall, the results are far from clear, and combined with the mixture of alternative indices and notions of "conflict" it is not surprising that the reader may come away thoroughly perplexed. The aim of this paper is to provide a theoretical framework that permits us to distinguish between the occurrence of conflict and its severity and that clarifies the role of polarization and fractionalization in each of these cases.

The Measurement of social polarization in a multi-group context

Polarization indices presented up to now have only focused their attention on the distribution of income/wealth. However, in many circumstances income is not the only relevant dimension that might be the cause of social conflict, so it is very important to have a social polarization index able to cope with alternative dimensions. In this paper we present an axiomatic characterization of one of such indices: it has been obtained as an extension of the (income) polarization measure introduced in Duclos, Esteban and Ray (2004) to a wider domain. It turns out that the axiomatic structure introduced in that paper alone is not appropriate to obtain a fully satisfactory characterization of our measure, so additional axioms are proposed. As a byproduct, we present an alternative axiomatization of the aforementioned income polarization measure.

Social polarization: introducing distances between and within groups

The measurement of social polarization has received little attention from the literature. The only social polarization index that has been used to measure religious or ethnic polarization (the RQ index) has several shortcomings that are critically discussed in the paper. In particular, that index is not taking into account the existing distance between and within different groups. A couple of axiomatically characterized social polarization indices that overcome these limitations are presented. In the empirical section we show that the rankings of countries according to the levels of polarization change to a great extent when we replace the RQ index by the indices presented in this paper.

Anti-schistosomal drugs: observations on the mechanism of drug resistance to hycanthone, and on the involvement of host antibodies in the mode of action of praziquantel

This paper reports recent observations from our laboratory dealing with the anti-schistosome drugs hycanthone (HC) and praziquantel (PZQ). In particular, we discuss a laboratory model of drug resistance to HC in Schistosoma mansoni and show that drug sensitive and resistant lines of the parasite can be differentiated on the basis of restriction fragment length polymorphisms using homologous ribosomal gene probes. In addition, we summarize data demonstrating that effective chemotherapy of S. mansoni infection with PZQ in mice requires the presence of host anti-parasite antibodies. These antibodies bind to PZQ treated worms and may be involved in an antibody-dependent cellular cytotoxicity reactions which result in the clearance of worms from the vasculature.