Serial High-Sensitivity Troponin T in Post-Primary Angioplasty Exercise Test

Abstract Background: The kinetics of high-sensitivity troponin T (hscTnT) release should be studied in different situations, including functional tests with transient ischemic abnormalities. Objective: To evaluate the release of hscTnT by serial measurements after exercise testing (ET), and to correlate hscTnT elevations with abnormalities suggestive of ischemia. Methods: Patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty were referred for ET 3 months after infarction. Blood samples were collected to measure basal hscTnT immediately before (TnT0h), 2 (TnT2h), 5 (TnT5h), and 8 hours (TnT8h) after ET. The outcomes were peak hscTnT, TnT5h/TnT0h ratio, and the area under the blood concentration-time curve (AUC) for hscTnT levels. Log-transformation was performed on hscTnT values, and comparisons were assessed with the geometric mean ratio, along with their 95% confidence intervals. Statistical significance was assessed by analysis of covariance with no adjustment, and then, adjusted for TnT0h, age and sex, followed by additional variables (metabolic equivalents, maximum heart rate achieved, anterior wall STEMI, and creatinine clearance). Results: This study included 95 patients. The highest geometric means were observed at 5 hours (TnT5h). After adjustments, peak hscTnT, TnT5h/TnT0h and AUC were 59% (p = 0.002), 59% (p = 0.003) and 45% (p = 0.003) higher, respectively, in patients with an abnormal ET as compared to those with normal tests. Conclusion: Higher elevations of hscTnT may occur after an abnormal ET as compared to a normal ET in patients with STEMI.

Septumregion bei Schizophrenie, affektiven Psychosen und Kontrollen : morphometrische Untersuchungen an humanen Post-mortem-Gehirnen und an einem Tiermodell der Schizophrenie

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2012

Immunhistochemische Untersuchung Chinolinsäure-positiver Mikrogliazellen in Post-mortem-Gehirnen von Patienten mit affektiven Störungen : Bedeutung für die Serotonin-, Glutamat- und Inflammationstheorie depressiver Störungen

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

Development of a new isogeometric finite element and its application for Lamb wave based structural health monitoring

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2012

File-based post-processing of DNS results for turbulent flames using MATLAB

Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Diss., 2015

Structural features and phylogenetic relationships among larvae of genera of gyrophaenine staphylinids (Coleoptera: Staphylinidae: Aleocharinae) / James S. Ashe.

n.s. no.30(1986)

Occurrence of Hirudinea species in a post urban reach of a Patagonian mountain stream

Temporal (May 2005 to February 2006) and habitat distribution (pools and riffles) of Hirudinea species was analyzed at a post urban reach from Esquel stream (Chubut province, Patagonia, Argentina). Site was located 5.7 km downstream a Waste Treatment Plant. Mean values of nutrients: ammonia, nitrates and soluble reactive phosphate, as well water conductivity, turbidity and total suspended solids indicated physical and organic pollution. Leeches assemblage was composed by the glossiphonids: Helobdella scutifera Blanchard, 1900, H. michaelseni (Blanchard, 1900), H. simplex (Moore, 1911), Helobdella sp., H. hyalina Ringuelet, 1942, H. obscura Ringuelet, 1942 and the semiscolecid Patagoniobdella variabilis (Blanchard, 1900). From these H. hyalina and H. obscura are new records for Chubut province. Helobdella hyalina (810 ind.m-2) and H. simplex (465 ind. m-2) clearly dominated the assemblage at the reach. Only H. simplex displayed a spatial preference being significantly more abundant in pools than in riffle habitats (p<0.001). Species recruitment occurred mostly at September, December and March when juveniles were very abundant. Although several species of Helobdella were able to live in the disturbed section of the stream, only H. simplex and H. hyalina sustained large populations at the site and can be considered as tolerant to organic enrichment. This information is valuable to future studies on stream condition assessment in mountainous areas in Patagonia, and in other areas in which these species are present.

Assessing the structural change of strategic mobility: determinants under hypercompetitive environments

The primary purpose of this exploratory empirical study is to examine the structural stability of a limited number of alternative explanatory factors of strategic change. On the basis of theoretical arguments and prior empirical evidence from two traditional perspectives, we propose an original empirical framework to analyse whether these potential explanatory factors have remained stable over time in a highly turbulent environment. This original question is explored in a particular setting: the population of Spanish private banks. The firms of this industry have experienced a high level of strategic mobility as a consequence of fundamental changes undergone in their environmental conditions over the last two decades (mainly changes related to the new banking and financial regulation process). Our results consistently support that the effect of most explanatory factors of strategic mobility considered did not remain stable over the whole period of analysis. From this point of view, the study sheds new light on major debates and dilemmas in the field of strategy regarding why firms change their competitive patterns over time and, hence, to what extent the "contextdependency" of alternative views of strategic change as their relative validation can vary over time for a given population. Methodologically, this research makes two major contributions to the study of potential determinants of strategic change. First, the definition and measurement of strategic change employing a new grouping method, the Model-based Cluster Method or MCLUST. Second, in order to asses the possible effect of determinants of strategic mobility we have controlled the non-observable heterogeneity using logistic regression models for panel data.

Empiricism in ecological economics: a perspective from complex systems theory

Economies are open complex adaptive systems far from thermodynamic equilibrium, and neo-classical environmental economics seems not to be the best way to describe the behaviour of such systems. Standard econometric analysis (i.e. time series) takes a deterministic and predictive approach, which encourages the search for predictive policy to ‘correct’ environmental problems. Rather, it seems that, because of the characteristics of economic systems, an ex-post analysis is more appropriate, which describes the emergence of such systems’ properties, and which sees policy as a social steering mechanism. With this background, some of the recent empirical work published in the field of ecological economics that follows the approach defended here is presented. Finally, the conclusion is reached that a predictive use of econometrics (i.e. time series analysis) in ecological economics should be limited to cases in which uncertainty decreases, which is not the normal situation when analysing the evolution of economic systems. However, that does not mean we should not use empirical analysis. On the contrary, this is to be encouraged, but from a structural and ex-post point of view.

A pesquisa bacteriológica post-mortem

The A. A. made bacteriological invesigations in 145 cases of autopsy. These investigations were carried out on the blood and spleen. The cultures were positive in 67 cases and in 21 of these there was body contamination. In the other cases the isolated bacteria were the proved or probable cause of the disease. For the Staphylococcus alone (isolated in 9 cases) we cannot give a definite opinion. We think that presence of bacteria in the blood and in the spleem implies bacteriemia at the moment of death, according to the observations of Hunt and co-workers. In our cases such presence was related to that of anatomical lesions of bacterial origin. When the bacteria were present only in the spleen we think that there had been bacteriemia, not present at the moment of the death. We only observed the contamination by contiguity when the bacteria were present in the blood of the heart. The isolated bacteria were always related to the presence of anatomical lesions. In only 4 cases was this not observed. We were impressed by the great number of negative results even in bodies kept for more than 24 hours. In only 21 cases was body contamination present. In rare cases the bacteria were isolated from the lesions and not from the blood and spleen. We think that apart from the interest of invesigaion, the bacteriological examinations in body material will be able to clear up the diagnosis of many obscure and unnoticed infections. In almost all our cases we obtained that result.