maintenance model for systems with phase-type distributed times to failure

Magdeburg, Univ., Fak. für Mathematik, Diss., 2010

Effect of Nebivolol on MIBG Parameters and Exercise in Heart Failure with Normal Ejection Fraction

Abstract Background: More than 50% of the patients with heart failure have normal ejection fraction (HFNEF). Iodine-123 metaiodobenzylguanidine (123I-MIBG) scintigraphy and cardiopulmonary exercise test (CPET) are prognostic markers in HFNEF. Nebivolol is a beta-blocker with vasodilating properties. Objectives: To evaluate the impact of nebivolol therapy on CPET and123I-MIBG scintigraphic parameters in patients with HFNEF. Methods: Twenty-five patients underwent 123I-MIBG scintigraphy to determine the washout rate and early and late heart-to-mediastinum ratios. During the CPET, we analyzed the systolic blood pressure (SBP) response, heart rate (HR) during effort and recovery (HRR), and oxygen uptake (VO2). After the initial evaluation, we divided our cohort into control and intervention groups. We then started nebivolol and repeated the tests after 3 months. Results: After treatment, the intervention group showed improvement in rest SBP (149 mmHg [143.5-171 mmHg] versus 135 mmHg [125-151 mmHg, p = 0.016]), rest HR (78 bpm [65.5-84 bpm] versus 64.5 bpm [57.5-75.5 bpm, p = 0.028]), peak SBP (235 mmHg [216.5-249 mmHg] versus 198 mmHg [191-220.5 mmHg], p = 0.001), peak HR (124.5 bpm [115-142 bpm] versus 115 bpm [103.7-124 bpm], p= 0.043), HRR on the 1st minute (6.5 bpm [4.75-12.75 bpm] versus 14.5 bpm [6.7-22 bpm], p = 0.025) and HRR on the 2nd minute (15.5 bpm [13-21.75 bpm] versus 23.5 bpm [16-31.7 bpm], p = 0.005), but no change in peak VO2 and 123I-MIBG scintigraphic parameters. Conclusion: Despite a better control in SBP, HR during rest and exercise, and improvement in HRR, nebivolol failed to show a positive effect on peak VO2 and 123I-MIBG scintigraphic parameters. The lack of effect on adrenergic activity may be the cause of the lack of effect on functional capacity.

Association between Spirituality and Adherence to Management in Outpatients with Heart Failure

Abstract Background: Spirituality may influence how patients cope with their illness. Objectives: We assessed whether spirituality may influence adherence to management of outpatients with heart failure. Methods: Cross sectional study enrolling consecutive ambulatory heart failure patients in whom adherence to multidisciplinary treatment was evaluated. Patients were assessed for quality of life, depression, religiosity and spirituality utilizing validated questionnaires. Correlations between adherence and psychosocial variables of interest were obtained. Logistic regression models explored independent predictors of adherence. Results: One hundred and thirty patients (age 60 ± 13 years; 67% male) were interviewed. Adequate adherence score was observed in 38.5% of the patients. Neither depression nor religiosity was correlated to adherence, when assessed separately. Interestingly, spirituality, when assessed by both total score sum (r = 0.26; p = 0.003) and by all specific domains, was positively correlated to adherence. Finally, the combination of spirituality, religiosity and personal beliefs was an independent predictor of adherence when adjusted for demographics, clinical characteristics and psychosocial instruments. Conclusion: Spirituality, religiosity and personal beliefs were the only variables consistently associated with compliance to medication in a cohort of outpatients with heart failure. Our data suggest that adequately addressing these aspects on patient’s care may lead to an improvement in adherence patterns in the complex heart failure management.

Proapoptotische und antiproliferative Wirkung des Histondeacetylase-Inhibitors LBH589 in Abhängigkeit vom p53- und Chk1-Status

Magdeburg, Univ., Med. Fak., Diss., 2012

The status (quo) of VET in Brazil : an empirical study about its function, meaning and impingements from the perspective of former dual system apprentices

Magdeburg, Univ., Fak. für Humanwiss., Diss., 2015

A revision of the genus Nothosaurus (Reptilia: Sauropterygia) from the Germanic Triassic, with comments on the status of Conchiosaurus clavatus / Olivier Rieppel --, Rupert Wild --.

n.s. no.34(1996)

On the status and relations of Crocodylus mindorensis.

v.33:no.5(1956)

Systematic status of three scincid lizards (genus Sphenomorphus) from Borneo [by] James P. Bacon, Jr.

v.51:no.4(1967)

A review of the western Atlantic Starksia ocellata-complex (Pisces: Clinidae) : with the description of two new species and proposal of superspecies status / David W. Greenfield.

v.73:no.2(1979)

The status of Hybalicus Berlese, 1913 and Oehserchestes Jacot, 1939 (Acari, Acariformes, Endeostigmata) / John B. Kethley.

v.72:no.4(1977)

A new limbless skink (Reptilia: Scincidae) from Thailand with comments on the generic status of the limbless skinks of Southeast Asia [by] W. Ronald Heyer.

v.58:no.10(1971)

Seasonal status, relative abundance, and behavior of the birds of Concepción, Departamento Santa Cruz, Bolivia / Susan E. Davis.

n.s. no.71(1993)

The status of the sauropterygian reptile genera Ceresiosaurus, Lariosaurus, and Silvestrosaurus from the Middle Triassic of Europe / Olivier Rieppel --.

n.s. no.38(1998)

The status of Progaleopithecus Ameghino / by Bryan Patterson --

v.8:no.3(1940)

Status of the pachypleurosauroid Psilotrachelosaurus toeplitschi Nopcsa (Reptilia, Sauropterygia), from the Middle Triassic of Austria / Olivier Rieppel --.

n.s. no.27(1993)