974 resultados para 111-2


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The role of the electrophysiologic (EP) study for risk stratification in patients with arrhythmogenic right ventricular cardiomyopathy is controversial. We investigated the role of inducible sustained monomorphic ventricular tachycardia (SMVT) for the prediction of an adverse outcome (AO), defined as the occurrence of cardiac death, heart transplantation, sudden cardiac death, ventricular fibrillation, ventricular tachycardia with hemodynamic compromise or syncope. Of 62 patients who fulfilled the 2010 Arrhythmogenic Right Ventricular Cardiomyopathy Task Force criteria and underwent an EP study, 30 (48%) experienced an adverse outcome during a median follow-up of 9.8 years. SMVT was inducible in 34 patients (55%), 22 (65%) of whom had an adverse outcome. In contrast, in 28 patients without inducible SMVT, 8 (29%) had an adverse outcome. Kaplan-Meier analysis showed an event-free survival benefit for patients without inducible SMVT (log-rank p = 0.008) with a cumulative survival free of an adverse outcome of 72% (95% confidence interval [CI] 56% to 92%) in the group without inducible SMVT compared to 26% (95% CI 14% to 50%) in the other group after 10 years. The inducibility of SMVT during the EP study (hazard ratio [HR] 2.99, 95% CI 1.23 to 7.27), nonadherence (HR 2.74, 95% CI 1.3 to 5.77), and heart failure New York Heart Association functional class II and III (HR 2.25, 95% CI 1.04 to 4.87) were associated with an adverse outcome on univariate Cox regression analysis. The inducibility of SMVT (HR 2.52, 95% CI 1.03 to 6.16, p = 0.043) and nonadherence (HR 2.34, 95% CI 1.1 to 4.99, p = 0.028) remained as significant predictors on multivariate analysis. This long-term observational data suggest that SMVT inducibility during EP study might predict an adverse outcome in patients with arrhythmogenic right ventricular cardiomyopathy, advocating a role for EP study in risk stratification.

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We investigate the simple harmonic oscillator in a 1-d box, and the 2-d isotropic harmonic oscillator problem in a circular cavity with perfectly reflecting boundary conditions. The energy spectrum has been calculated as a function of the self-adjoint extension parameter. For sufficiently negative values of the self-adjoint extension parameter, there are bound states localized at the wall of the box or the cavity that resonate with the standard bound states of the simple harmonic oscillator or the isotropic oscillator. A free particle in a circular cavity has been studied for the sake of comparison. This work represents an application of the recent generalization of the Heisenberg uncertainty relation related to the theory of self-adjoint extensions in a finite volume.

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We present new experimental constraints on the elastic, spin-dependent WIMP-nucleon cross section using recent data from the XENON100 experiment, operated in the Laboratori Nazionali del Gran Sasso in Italy. An analysis of 224.6 live days x 34 kg of exposure acquired during 2011 and 2012 revealed no excess signal due to axial-vector WIMP interactions with Xe-129 and Xe-131 nuclei. This leads to the most stringent upper limits on WIMP-neutron cross sections for WIMP masses above 6 GeV/c(2), with a minimum cross section of 3.5 x 10(-40) cm(2) at a WIMP mass of 45 GeV/c(2), at 90% confidence level.

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Sleeping disease is a contagious disease mainly of freshwater farmed rainbow trout, caused by salmonid alphavirus (SAV) Subtype 2. Here we describe the first case in Switzerland. Pathological changes ranged from acute pancreas necrosis to more chronic lesions with complete loss of exocrine pancreas and simultaneous degenerative, inflammatory and regenerative heart and muscle lesions. The partial sequencing of SAV E2 and nsp3 genes placed the Swiss SAV variant within the Subtype 2 clustering together with freshwater isolates from UK and continental Europe. Although mortality stayed low, growth rates were significantly reduced, making the disease economically relevant.

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u.a.: Rezension der Frauenstädtschen ?Briefe über die Schopenhauersche Philosophie", Grenzboten 1854, Nr. 9; Studium der "Welt als Wille und Vorstellung" in der Universitätsbibliothek Berlin; Professor Werder; Polemik gegen Goethe und Hegel; Professor Karl Ernst Schubarth (1796?1861), Philologe und Ästhetiker in Berlin, zuletzt Gymnasialprofessor in Hirschberg; Dr. Pomtow, Verfasser der Abhandlung ?über die Immanenz des Willens in den Dingen und in der Seele. Ein Versuch, die Frage: Wie ist das Erkennen möglich? nach Arthur Schopenhauers Principien zu lösen." (Programm des Joachim sthalschen Gymnasiums zu Berlin vom 29. September 1854); Colnische Zeitung; Berliner Zeitung; H. Fichte; Julius Frauenstädt;

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The density, species composition, and possible change in the status of pack ice seals within the Weddell Sea were investigated during the 1997/1998 summer cruise of the RV "Polarstern" (ANT-XV/3, PS48). Comparisons were made with previous surveys in the Weddell Sea where it was assumed that all seals were counted in a narrow strip on either side oft he ship or aircraft. A total of 15 aerial censuses were flown during the period 23 January - 7 March 1998 in the area bounded by 07°08' and 45°33' West longitude. The censused area in the eastern Weddell Sea was largely devoid of pack ice while a well circumscribed pack ice field remained in the western Weddell Sea. A total of 3,636 (95.4 %) crabeater seals, 21 (0.5 %) Ross seals, 45 (1.2 %) leopard seals and 111 (2.9 %) Weddell seals were observed on the pack ice during a total of 1,356.57 linear nautical miles (244.2 nm) of transect line censused. At a mean density of 21.16 1/nm**2 over an area of 244.2 nm, it is the highest densities on record for crabeater seals, density of up to 411.7 1/nm**2 being found in small areas. The overall high densities of seals (30.18 1/nm**2) recorded for the eastern Weddell Sea (27.46 1/nm**2, 0.27 1/nm**2, and 0.66 1/nm**2 for crabeater, leopard and Weddell seals respectively) is a consequence of the drastically reduced ice cover and the inverse relationship that exists between cover and seal densities. Ross seal densities (0.08 1/nm**2) were the lowest on record fort the area. It is suggested that seals largely remain within the confines of the pack ice despite seasonal and annual changes in its distribution. Indications are that in 1998 the El Niño has manifested itself in the Weddell Sea, markedly influencing the density and distribution of pack ice seals.

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On the base of detailed studies in the Keret' and Kem' estuaries (Karelian coast of the White Sea) in 2000-2003 a comparative analysis has been carried out. It includes: salinity and freshening of the water column, variations of suspended matter concentration and its chemical composition, current velocity and zooplankton species composition during flood- and ebb tides.

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A mechanism had been recently proposed to show how an impact event can trigger a geomagnetic polarity reversal by means of rapid climate cooling. We test the proposed mechanism by examining the record from two high sedimentation rate (8-11 cm/kyr) deep-sea sediment cores (ODP Sites 767 and 769) from marginal seas of the Indonesian archipelago, which record the Australasian impact with well-defined microtektite layers, the Brunhes-Matuyama polarity reversal with strong and stable remanent magnetizations, and global climate with oxygen isotope variations in planktonic foraminifera. Both ODP cores show the impact to have preceded the reversal of magnetic field directions by about 12 kyr. Both records indicate that the field intensity was increasing near the time of impact and that it continued to increase for about 4 kyr afterwards. Furthermore, the oxygen isotope record available from sediments at ODP Site 769 shows no indication of discernible climate cooling following the impact: the microtektite event occurred in the later part of glacial Stage 20 and was followed by a smooth warming trend to interglacial Stage 19. Thus the detailed chronology does not support the previously proposed model which would predict that a decrease in geomagnetic field intensity resulted from a minor glaciation following the impact event. We conclude that the evidence for a causal link between impacts and geomagnetic reversals remains insufficient to demonstrate a physical connection.