Contact force-guided catheter ablation for the treatment of atrial fibrillation: a meta-analysis of randomized, controlled trials

Contact force (CF) sensing technology allows real-time monitoring during catheter ablation for atrial fibrillation (AF). However, the effect of CF sensing technology on procedural parameters and clinical outcomes still needs clarification. Because of the inconsistent results thus far in this area, we performed a meta-analysis to determine whether CF sensing technology can improve procedural parameters and clinical outcomes for the treatment of AF. Studies examining the benefits of CF sensing technology were identified in English-language articles by searching the MEDLINE, Web of Science, and Cochrane Library databases (inception to May 2015). Ten randomized, controlled trials involving 1834 patients (1263 males, 571 females) were included in the meta-analysis (681 in the CF group, 1153 in the control group). Overall, the ablation time was significantly decreased by 7.34 min (95%CI=-12.21 to -2.46; P=0.003, Z test) in the CF group compared with the control group. CF sensing technology was associated with significantly improved freedom from AF after 12 months (OR=1.55, 95%CI=1.20 to 1.99; P=0.0007) and complications were significantly lower in the CF group than in the control group (OR=0.50, 95%CI=0.29 to 0.87; P=0.01). However, fluoroscopy time analysis showed no significantly decreased trend associated with CF-guided catheter ablation (weighted mean difference: -2.59; 95%CI=-9.06 to 3.88; P=0.43). The present meta-analysis shows improvement in ablation time and freedom from AF after 12 months in AF patients treated with CF-guided catheter ablation. However, CF-guided catheter ablation does not decrease fluoroscopy time.

Capacitação tecnológica e Catching Up: o caso das regiões metropolitanas emergentes brasileiras

Since the 1970's the loss of industrial output share of Sao Paulo Metropolitan Area relative to Brazil's industrial output has been explained by a process of "reversal polarization". This article aims to analyze the catching up effect of variables of productive efficiency, such as technological capacity and labor force skill. The main point is to analyze if the behavior of these variables favored or reduced desagglomeration of Sao Paulo city and the resulting agglomeration effect on Brazilian emerging metropolitan areas. Utilizing the Household Sample Survey (PNAD) of the Brazilian Geography and Statistics Institute (IBGE) we will test if there has been technological catching up between São Paulo (defined as the frontier) and second-tier metropolis of southern Brazil (Belo Horizonte, Curitiba and Porto Alegre). A set of panel data tests the importance of the variables referred to on spatial distribution of Brazilian industry.

The effects of the global economic crisis in Latin America

The aim of this article is to analyze the current phase of the global crisis and the way it has manifested itself in Latin America. The global crisis is the most important capitalist crisis since World War II. It is a new type of debt-deflation crisis, highlighting the limits of the finance-dominated regime of accumulation and characterized by securitization. Latin American countries have not been immune to the global crisis. Since it sets limits on globalization, the impossibility of maintaining export-driven accumulation sustained by restrictive monetary and fiscal policies becomes clear. This time, there will be no way out in external markets for any country. That fact will force them to restructure productive systems and search for a way out in domestic markets and in regional spaces for integration.

Peak Force Kelvin Probe Force Microscopy Investigation of ZrO2 Nanocomposites for Hygroelectricity Power Element

ZrO2 nanocomposites were investigated considering their perspective application in hygroelectric power elements. Scanning probe microscopy (SPM) techniques allowed to visualize the surface topography and electrical properties. In this work was compared spacial charge behaviour of sample in humid and dry air conditions. Also different SPM modes were compared. Kelvin probe force microscopy (KPFM) was applied to characterize the spacial charge distribution on surface of the sample. Measurements showed, that trapped charge is not dissipated and can be manipulated with low voltages. Humidity influence on the electric potential of the sample was shown.

Exercices [de M.] Vasseur [Louis, champion du monde de force lors de son exhibition dans un gala de bienfaisance au palais du Trocadéro] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 58394

Exercices [de M.] Vasseur [Louis, champion du monde de force lors de son exhibition dans un gala de bienfaisance au palais du Trocadéro] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 58395

Exercices [de M.] Vasseur [Louis, champion du monde de force lors de son exhibition dans un gala de bienfaisance au palais du Trocadéro : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 58396

La conservation de l'énergie / par Balfour Stewart,.... Suivie d'une Etude sur la nature de la force / par P. de Saint-Robert

Collection : Bibliothèque scientifique internationale ; 10

Sanction pragmatique de sa majesté le roi d'Espagne, ayant force de loi, portant ordre à tous les Religieux de la Compagnie de Jésus de sortir de ses royaumes...

[Acte royal. 1767-04-02]