994 resultados para 164-995


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Exercise brachial blood pressure ( BP) predicts mortality, but because of wave reflection, central ( ascending aortic) pressure differs from brachial pressure. Exercise central BP may be clinically important, and a noninvasive means to derive it would be useful. The purpose of this study was to test the validity of a noninvasive technique to derive exercise central BP. Ascending aortic pressure waveforms were recorded using a micromanometer-tipped 6F Millar catheter in 30 patients (56 +/- 9 years; 21 men) undergoing diagnostic coronary angiography. Simultaneous recordings of the derived central pressure waveform were acquired using servocontrolled radial tonometry at rest and during supine cycling. Pulse wave analysis of the direct and derived pressure signals was performed offline (SphygmoCor 7.01). From rest to exercise, mean arterial pressure and heart rate were increased by 20 +/- 10 mm Hg and 15 +/- 7 bpm, respectively, and central systolic BP ranged from 77 to 229 mm Hg. There was good agreement and high correlation between invasive and noninvasive techniques with a mean difference (+/- SD) for central systolic BP of -1.3 +/- 3.2 mm Hg at rest and -4.7 +/- 3.3 mm Hg at peak exercise ( for both r=0.995; P < 0.001). Conversely, systolic BP was significantly higher peripherally than centrally at rest (155 +/- 33 versus 138 +/- 32mm Hg; mean difference, -16.3 +/- 9.4mm Hg) and during exercise (180 +/- 34 versus 164 +/- 33 mm Hg; mean difference, -15.5 +/- 10.4 mm Hg; for both P < 0.001). True myocardial afterload is not reliably estimated by peripheral systolic BP. Radial tonometry and pulse wave analysis is an accurate technique for the noninvasive determination of central BP at rest and during exercise.

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Hole 997A was drilled during Leg 164 of the Ocean Drilling Program at a depth of 2770 m on the topographic crest of the Blake Ridge in the western Atlantic Ocean. We report here an analysis of the faunal assemblages of planktonic foraminifers in a total of 91 samples (0.39-91.89 mbsf interval) spanning the last 2.15 m.y., latest Pliocene to Holocene. The abundant species, Globigerinoides ruber, Globigerinoides sacculifer, Neogloboquadrina dutertrei, Globorotalia inflata, and Globigerinita glutinata together exceed over ~70% of the total fauna. Each species exhibits fluctuations with amplitudes of 10%-20% or more. Despite their generally low abundance, the distinct presence/absence behavior of the Globorotalia menardii group is almost synchronous with glacial-interglacial climate cycles during the upper part of Brunhes Chron. The quantitative study and factor analysis of planktonic foraminiferal assemblages shows that the planktonic foraminiferal fauna in Hole 997A consists of four groups: warm water, subtropical gyre (mixed-layer species), gyre margin (thermocline/upwelling species), and subpolar assemblages. The subtropical gyre assemblage dominates throughout the studied section, whereas the abundance of gyre margin taxa strongly control the overall variability in faunal abundance at Site 997. In sediments older than the Olduvai Subchron, the planktonic foraminiferal faunas are characterized by fluctuations in both the subtropical gyre and gyre margin assemblages, similar to those in the Brunhes Chron. The upwelling/gyre margin fauna increased in abundance just before the Jaramillo Subchron and was dominant between 0.7 and 1.07 Ma. The transition from this gyre margin-dominated assemblage to an increase in abundance of the subtropical gyre and gyre margin species occurred around 0.7 Ma, near the Brunhes/Matuyama boundary. The presence of low-oxygen-tolerant benthic foraminifers, pyrite tubes, and abundant diatoms below the Brunhes/Matuyama boundary suggests decreased oxygenation of intermediate waters and more upwelling over the Blake-Bahama Outer Ridge, perhaps because of weaker Upper North Atlantic Deep Water ventilation. The changes in the relative composition of foraminifer assemblages took place at least twice, around 700 and 1000 ka, close to the ~930-ka switch from obliquity-forced climate variation to the 100-k.y. eccentricity cycle. The climate shift at 700 ka suggests a transition from relatively warmer conditions in the early Pleistocene to warm-cool oscillations in the Brunhes Chron.

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The cores described were taken by the personnel of the Lamont-Doherty Earth Observatory (LDEO) operating as guests scientists during the R/V Atlantis Cruise 164 undertaken by the Woods Hole Oceanographic Institution from July until September 1950. A total of 63 cores were recovered and are available at Lamont-Doherty Earth Observatory for sampling and study.

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The d18O values of interstitial waters from Site 994 and Site 997 sediments, Blake Ridge, western Atlantic, tend to decrease with depth from 0.3 per mil to -0.5 per mil Standard Mean Ocean Water in the upper 200 mbsf, then fluctuate with significant positive spikes of Delta = 0.2 per mil - 0.5 per mil in the gas hydrate zone (200 to 450 mbsf), and finally increase from -0.4 per mil to -0.2 per mil toward 700 mbsf. Positive shifts of d18O IW in the gas hydrate zone are probably caused by the dissociation of gas hydrates originally contained in sediment cores. Gas hydrates recovered from the sites are enriched in 18O, d18O ranging between 2.7 per mil and 3.5 per mil. d18O values of gas hydrates and ambient interstitial waters give an oxygen isotopic fractionation factor of 1.0034-1.0040 at 12°-16°C and ~31 MPa (3 km below sea level). Based on this fractionation and observed isotopic anomalies in the gas hydrate zone, gas hydrates occupy 6% to 12% of pore-space volume within Blake Ridge sediments.

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Considerable postsedimentational alteration of fine dispersed minerals in Cretaceous sedimentary sequences was found in three deep-sea drillholes (163, 164, 169). Original Fe-montmorillonites formed from basalts were converted during lithification to mixed-layer montmorillonite-hydromicas and then to pure hydromicas (celadonites). An assumption that the minerals were originally of authigenic-diagenetic composition is based on a broad spectrum of other diagenetic minerals present: silica group from opal A to opal CT and quartz, clinoptilolite and palygorskite. In addition, quartz-hydromica ratio is strikingly atypical of aeolian transport.

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Background: Lethal-7 (let-7) is a tumour suppressor miRNA which acts by down-regulating several oncogenes including KRAS. A single-nucleotide polymorphism (rs61764370, T > G base substitution) in the let-7 complementary site 6 (LCS-6) of KRAS mRNA has been shown to predict prognosis in early-stage colorectal cancer (CRC) and benefit from anti-epidermal growth factor receptor monoclonal antibodies in metastatic CRC. Patients and methods: We analysed rs61764370 in EXPERT-C, a randomised phase II trial of neoadjuvant CAPOX followed by chemoradiotherapy, surgery and adjuvant CAPOX plus or minus cetuximab in locally advanced rectal cancer. DNA was isolated from formalin-fixed paraffin-embedded tumour tissue and genotyped using a PCR-based commercially available assay. Kaplan–Meier method and Cox regression analysis were used to calculate survival estimates and compare treatment arms. Results: A total of 155/164 (94.5%) patients were successfully analysed, of whom 123 (79.4%) and 32 (20.6%) had the LCS-6 TT and LCS-6 TG genotype, respectively. Carriers of the G allele were found to have a statistically significantly higher rate of complete response (CR) after neoadjuvant therapy (28.1% versus 10.6%; P = 0.020) and a trend for better 5-year progression-free survival (PFS) [77.4% versus 64.5%: hazard ratio (HR) 0.56; P = 0.152] and overall survival (OS) rates (80.3% versus 71.9%: HR 0.59; P = 0.234). Both CR and survival outcomes were independent of the use of cetuximab. The negative prognostic effect associated with KRAS mutation appeared to be stronger in patients with the LCS-6 TT genotype (HR PFS 1.70, P = 0.078; HR OS 1.79, P = 0.082) compared with those with the LCS-6 TG genotype (HR PFS 1.33, P = 0.713; HR OS 1.01, P = 0.995). Conclusion: This analysis suggests that rs61764370 may be a biomarker of response to neoadjuvant treatment and an indicator of favourable outcome in locally advanced rectal cancer possibly by mitigating the poor prognosis of KRAS mutation. In this setting, however, this polymorphism does not appear to predict cetuximab benefit.