Potential Utility of the SYNTAX Score 2 in Patients Undergoing Left Main Angioplasty

Abstract Background: The revascularization strategy of the left main disease is determinant for clinical outcomes. Objective: We sought to 1) validate and compare the performance of the SYNTAX Score 1 and 2 for predicting major cardiovascular events at 4 years in patients who underwent unprotected left main angioplasty and 2) evaluate the long-term outcome according to the SYNTAX score 2-recommended revascularization strategy. Methods: We retrospectively studied 132 patients from a single-centre registry who underwent unprotected left main angioplasty between March 1999 and December 2010. Discrimination and calibration of both models were assessed by ROC curve analysis, calibration curves and the Hosmer-Lemeshow test. Results: Total event rate was 26.5% at 4 years.The AUC for the SYNTAX Score 1 and SYNTAX Score 2 for percutaneous coronary intervention, was 0.61 (95% CI: 0.49-0.73) and 0.67 (95% CI: 0.57-0.78), respectively. Despite a good overall adjustment for both models, the SYNTAX Score 2 tended to underpredict risk. In the 47 patients (36%) who should have undergone surgery according to the SYNTAX Score 2, event rate was numerically higher (30% vs. 25%; p=0.54), and for those with a higher difference between the two SYNTAX Score 2 scores (Percutaneous coronary intervention vs. Coronary artery by-pass graft risk estimation greater than 5.7%), event rate was almost double (40% vs. 22%; p=0.2). Conclusion: The SYNTAX Score 2 may allow a better and individualized risk stratification of patients who need revascularization of an unprotected left main coronary artery. Prospective studies are needed for further validation.

Analysis of the potential of nonlinear solvent gradients in preparative chromatography

Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Diss., 2010

potential of chiral solvents in enantioselective crystallization

Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Diss., 2010

Chronotypologie und Schichtarbeit : Möglichkeiten und Potential der individuellen Berücksichtigung unterschiedlicher Chronotypen im Rahmen betrieblicher Gesundheitsförderung

Die aus Schichtarbeit resultierende Verschiebung der zeitlichen Lage von Arbeit und Schlaf führt zu einer Belastung für den menschlichen Organismus. Inwieweit diese Belastung für ein Individuum zur Beanspruchung wird, ist neben anderen Faktoren auch vom Ausmaß dieser Verschiebung abhängig. Die individuelle Zeitstruktur eines Menschen findet dabei Ausdruck in seinem Chronotypus (ugs. "Eulen" und "Lerchen"). Ziel dieser Arbeit ist es, zu ermitteln, inwieweit eine betriebliche Berücksichtigung individueller Chronotypen bei Schichtarbeitenden zu deren Gesunderhaltung beitragen kann. Hierfür wurde eine systematische Literaturrecherche für den Zeitraum 2000 bis 2013 durchgeführt. Es kann aufgezeigt werden, dass die Belastung der Schichtarbeit nicht für alle Chronotypen identisch ist. Vielmehr ist die Adaptionsfähigkeit an konkret zu leistende Schichten, z.B. eine Nachtschicht, vom Chronotyp abhängig. Aus dem Zusammenhang zwischen Chronotyp, Schicht und Schlaf resultiert die Empfehlung einer zukünftigen Berücksichtigung in der Gestaltung von Schichtplänen. Eine engmaschige arbeitsmedizinische Begleitung extremer Chronotypen und die individuelle Schlafberatungen aller Früh- und Spättypen sind zusätzlich angeratene Maßnahmen betrieblicher Gesundheitsförderung mit vermutlich kurzfristiger Wirksamkeit.

DAS STRATEGISCHE POTENTIAL VON CROWDFUNDING IM KULTURMARKETING

[s.c.]

Methane dehydro aromatization : thermodynamics, catalysts, kinetics and potential of membrane reactors

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

Dynamische Fließgleichgewichte und ihre Übergänge in Reaktionsnetzwerken : experimenteller Nachweis der Quasi-potential-Landschaft der zellulären Reprogrammierung

Otto-von-Guericke-Universität Magdeburg, Fakultät für Naturwissenschaften, Univ., Dissertation, 2015

Value creation : the recognition and use of scientific potential in entrepreneurship

Otto-von-Guericke-Universität Magdeburg, Fakultät für Wirtschaftswissenschaft, Univ., Dissertation, 2015

Occurrence of Cabassous tatouay (Cingulata, Dasypodidae) in Rio Grande do Sul and its potential distribution in southern Brazil

ABSTRACT Cabossous tatouay Desmarest, 1804 is considered a rare species in southern South America, and Rio Grande do Sul State, Brazil, records of the species are scarce and inaccurate. This study reports 40 localities for C. tatouay, and provides a map of the species' potential distribution using ecological niche modeling (ENM). The ENM indicated that in this region C. tatouay is associated with open grasslands, including the areas of "Pampas" and the open fields in the highlands of the Atlantic Forest. This study contributes to the information about the greater naked-tailed armadillo in southern Brazil, and provides data key to its future conservation.

Not all university degrees yield the same return: private and social returns to higher education for males in Spain

In this paper we use micro data from the Spanish Family Expenditure Survey for 1990 to estimate, for the first time, the private and social rates of return of different university degrees in Spain. We compute internal rates of return and include investment on higher education financed by the public purse to estimate social rates of return. Our main finding is that, as presumed, there is large heterogeneity in rates of return amongst different university

Black Yield

Combined media on paper. 40" x 90"

Entry and market selection of firms: a laboratory study

We study competition in experimental markets in which two incumbents face entry by three other firms. Our treatments vary with respect to three factors: sequential vs. block or simultaneous entry, the cost functions of entrants and the amount of time during which incumbents are protected from entry. Before entry incumbents are able to collude in all cases. When all firms' costs are the same entry always leads consumer surplus and profits to their equilibrium levels. When entrants are more efficient than incumbents, entry leads consumer surplus to equilibrium. However, total profits remain below equilibrium, due to the fact that the inefficient incumbents produce too much and efficient entrants produce too little. Market behavior is satisfactory from the consumers' standpoint, but does not yield adequate signals to other potential entrants. These results are not affected by whether entry is simultaneous or sequential. The length of the incumbency phase does have some subtle effects.