Progression of Blood Pressure and Cardiovascular Outcomes in Hypertensive Patients in a Reference Center

Background: Hypertension is a public health problem, considering its high prevalence, low control rate and cardiovascular complications. Objective: Evaluate the control of blood pressure (BP) and cardiovascular outcomes in patients enrolled at the Reference Center for Hypertension and Diabetes, located in a medium-sized city in the Midwest Region of Brazil. Methods: Population-based study comparing patients enrolled in the service at the time of their admission and after an average follow-up of five years. Participants were aged ≥18 years and were regularly monitored at the Center up to 6 months before data collection. We assessed demographic variables, BP, body mass index, risk factors, and cardiovascular outcomes. Results: We studied 1,298 individuals, predominantly women (60.9%), and with mean age of 56.7±13.1 years. Over time, there was a significant increase in physical inactivity, alcohol consumption, diabetes, dyslipidemia, and excessive weight. As for cardiovascular outcomes, we observed an increase in stroke and myocardial revascularization, and a lower frequency of chronic renal failure. During follow-up, there was significant improvement in the rate of BP control (from 29.6% to 39.6%; p = 0.001) and 72 deaths, 91.7% of which were due to cardiovascular diseases. Conclusion: Despite considerable improvements in the rate of BP control during follow-up, risk factors worsened and cardiovascular outcomes increased.

4-Second Exercise Test: Reference Values for Ages 18–81 Years

Background: Physiological reflexes modulated primarily by the vagus nerve allow the heart to decelerate and accelerate rapidly after a deep inspiration followed by rapid movement of the limbs. This is the physiological and pharmacologically validated basis for the 4-s exercise test (4sET) used to assess the vagal modulation of cardiac chronotropism. Objective: To present reference data for 4sET in healthy adults. Methods: After applying strict clinical inclusion/exclusion criteria, 1,605 healthy adults (61% men) aged between 18 and 81 years subjected to 4sET were evaluated between 1994 and 2014. Using 4sET, the cardiac vagal index (CVI) was obtained by calculating the ratio between the duration of two RR intervals in the electrocardiogram: 1) after a 4-s rapid and deep breath and immediately before pedaling and 2) at the end of a rapid and resistance-free 4-s pedaling exercise. Results: CVI varied inversely with age (r = -0.33, p < 0.01), and the intercepts and slopes of the linear regressions between CVI and age were similar for men and women (p > 0.05). Considering the heteroscedasticity and the asymmetry of the distribution of the CVI values according to age, we chose to express the reference values in percentiles for eight age groups (years): 18–30, 31–40, 41–45, 46–50, 51–55, 56–60, 61–65, and 66+, obtaining progressively lower median CVI values ranging from 1.63 to 1.24. Conclusion: The availability of CVI percentiles for different age groups should promote the clinical use of 4sET, which is a simple and safe procedure for the evaluation of vagal modulation of cardiac chronotropism.

Entwicklung nachhaltiger Synthesemethoden zur atomökonomischen Transformation von 1-Vinylpropargylalkoholen mit Übergangsmetallkomplexen redoxaktiver Liganden als Katalysatoren

Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Diss., 2014

Long-term Forecasting of Frame Alignment Losses for Circuit Emulation Implementation

The article provides a method for long-term forecast of frame alignment losses based on the bit-error rate monitoring for structure-agnostic circuit emulation service over Ethernet in a mobile backhaul network. The developed method with corresponding algorithm allows to detect instants of probable frame alignment losses in a long term perspective in order to give engineering personnel extra time to take some measures aimed at losses prevention. Moreover, long-term forecast of frame alignment losses allows to make a decision about the volume of TDM data encapsulated into a circuit emulation frame in order to increase utilization of the emulated circuit. The developed long-term forecast method formalized with the corresponding algorithm is recognized as cognitive and can act as a part of network predictive monitoring system.

The ethnobotany of southern Balochistan, Pakistan : with particular reference to medicinal plants / Steven M. Goodman, Abdul Ghafoor.

n.s. no.31(1992)

The zoölogy of the lakes Amatitlan and Atitlan, Guatemala, with special reference to ichthyology.

v.7:no.6(1908)

Evolution of neotropical cricetine rodents (Muridae) with special reference to the phyllotine group.

v.46(1962)

A floral and faunal inventory of the Réserve spéciale d'Anjanaharibe-Sud, Madagascar : with reference to elevational variation / Steven M. Goodman, editor.

n.s. no.90(1998)

A floral and faunal inventory of the Parc national de Marojejy, Madagascar : with reference to elevational variation / Steven M. Goodman, editor.

n.s. no.97(2000)

The Indian tribes of the Chicago region, with special reference to the Illinois and the Potawatomi / by William Duncan Strong -- Former Assistant Curator of North American Ethnology and Archaeology. 8 plates.

no.24(1926)

Ticks (Ixodoidea) of Arabia, with special reference to the Yemen [by] Harry Hoogstraal and Makram N. Kaiser.

v.39:no.28(1959)

A floral and faunal inventory of the Réserve Naturelle Intégrale d'Andohahela, Madagascar : with reference to elevational variation / Steven M. Goodman, editor.

n.s. no.94(1999)

A Floral and faunal inventory of the eastern slopes of the Réserve naturelle intégrale d'Andringitra, Madagascar : with reference to elevational variation / Steven M. Goodman, editor.

n.s. no.85(1996)