Regional coronary endothelial function is closely related to local early coronary atherosclerosis in patients with mild coronary artery disease: pilot study.

BACKGROUND: Coronary endothelial function is abnormal in patients with established coronary artery disease and was recently shown by MRI to relate to the severity of luminal stenosis. Recent advances in MRI now allow the noninvasive assessment of both anatomic and functional (endothelial function) changes that previously required invasive studies. We tested the hypothesis that abnormal coronary endothelial function is related to measures of early atherosclerosis such as increased coronary wall thickness. METHODS AND RESULTS: Seventeen arteries in 14 healthy adults and 17 arteries in 14 patients with nonobstructive coronary artery disease were studied. To measure endothelial function, coronary MRI was performed before and during isometric handgrip exercise, an endothelial-dependent stressor, and changes in coronary cross-sectional area and flow were measured. Black blood imaging was performed to quantify coronary wall thickness and indices of arterial remodeling. The mean stress-induced change in cross-sectional area was significantly higher in healthy adults (13.5%±12.8%, mean±SD, n=17) than in those with mildly diseased arteries (-2.2%±6.8%, P<0.0001, n=17). Mean coronary wall thickness was lower in healthy subjects (0.9±0.2 mm) than in patients with coronary artery disease (1.4±0.3 mm, P<0.0001). In contrast to healthy subjects, stress-induced changes in cross-sectional area, a measure of coronary endothelial function, correlated inversely with coronary wall thickness in patients with coronary artery disease (r=-0.73, P=0.0008). CONCLUSIONS: There is an inverse relationship between coronary endothelial function and local coronary wall thickness in patients with coronary artery disease but not in healthy adults. These findings demonstrate that local endothelial-dependent functional changes are related to the extent of early anatomic atherosclerosis in mildly diseased arteries. This combined MRI approach enables the anatomic and functional investigation of early coronary disease.

Características geoquímicas de sedimentos del perfil Callao, Octubre 2008

Se determinó la tendencia y variabilidad vertical de las características geoquímicas de los sedimentos y del agua intersticial en los primeros 10 cm superficiales de dos testigos de Callao, colectados en dos estaciones del perfil Callao, durante el Crucero Miniox BIC Olaya 0810: (1) E-2, a 8 mn de la costa y 98 m de profundidad, donde la materia orgánica presentó un amplio rango de variabilidad (4,75% a 56,34%) y una tendencia al incremento con la profundización del perfil vertical, al existir condiciones geoquímicas que favorecen una mayor preservación de la materia orgánica y una lenta remineralización; y (2) E-5, a 30 mn de la costa y 178 m de profundidad, donde la materia orgánica presentó una distribución más homogénea en el perfil vertical (30,72% a 36,17%). Las elevadas correlaciones (r > 0,7) de la materia orgánica total con el carbono orgánico total, así como con los fosfatos y los silicatos en sedimentos superficiales indican que la materia orgánica gobierna parcialmente las concentraciones de carbono y fósforo. La variabilidad en la conducta de distribución de las concentraciones de metales Redox sensitivos en los sedimentos recientes, está asociada a condiciones anóxicas y a la intensa actividad sulfato reductora característica en la zona de estudio.

How critical is timing for the diagnosis of influenza in general practice?

QUESTIONS UNDER STUDY: The diagnostic significance of clinical symptoms/signs of influenza has mainly been assessed in the context of controlled studies with stringent inclusion criteria. There was a need to extend the evaluation of these predictors not only in the context of general practice but also according to the duration of symptoms and to the dynamics of the epidemic. PRINCIPLES: A prospective study conducted in the Medical Outpatient Clinic in the winter season 1999-2000. Patients with influenza-like syndrome were included, as long as the primary care physician envisaged the diagnosis of influenza. The physician administered a questionnaire, a throat swab was performed and a culture acquired to document the diagnosis of influenza. RESULTS: 201 patients were included in the study. 52% were culture positive for influenza. By univariate analysis, temperature >37.8 degrees C (OR 4.2; 95% CI 2.3-7.7), duration of symptoms <48 hours (OR 3.2; 1.8-5.7), cough (OR 3.2; 1-10.4) and myalgia (OR 2.8; 1.0-7.5) were associated with a diagnosis of influenza. In a multivariable logistic analysis, the best model predicting influenza was the association of a duration of symptom <48 hours, medical attendance at the beginning of the epidemic (weeks 49-50), fever >37.8 and cough, with a sensitivity of 79%, specificity of 69%, positive predictive value of 67%, negative predictive value of 73% and an area under the ROC curve of 0.74. CONCLUSIONS: Besides relevant symptoms and signs, the physician should also consider the duration of symptoms and the epidemiological context (start, peak or end of the epidemic) in his appraisal, since both parameters considerably modify the value of the clinical predictors when assessing the probability of a patient having influenza.

Soft tissue artifact distribution on lower limbs during treadmill gait: Influence of skin markers' location on cluster design.

Segment poses and joint kinematics estimated from skin markers are highly affected by soft tissue artifact (STA) and its rigid motion component (STARM). While four marker-clusters could decrease the STA non-rigid motion during gait activity, other data, such as marker location or STARM patterns, would be crucial to compensate for STA in clinical gait analysis. The present study proposed 1) to devise a comprehensive average map illustrating the spatial distribution of STA for the lower limb during treadmill gait and 2) to analyze STARM from four marker-clusters assigned to areas extracted from spatial distribution. All experiments were realized using a stereophotogrammetric system to track the skin markers and a bi-plane fluoroscopic system to track the knee prosthesis. Computation of the spatial distribution of STA was realized on 19 subjects using 80 markers apposed on the lower limb. Three different areas were extracted from the distribution map of the thigh. The marker displacement reached a maximum of 24.9mm and 15.3mm in the proximal areas of thigh and shank, respectively. STARM was larger on thigh than the shank with RMS error in cluster orientations between 1.2° and 8.1°. The translation RMS errors were also large (3.0mm to 16.2mm). No marker-cluster correctly compensated for STARM. However, the coefficient of multiple correlations exhibited excellent scores between skin and bone kinematics, as well as for STARM between subjects. These correlations highlight dependencies between STARM and the kinematic components. This study provides new insights for modeling STARM for gait activity.

Did Dumbo suffer a heart attack? independent association between earlobe crease and cardiovascular disease.

BACKGROUND: Earlobe crease (ELC) has been associated with cardiovascular diseases (CVD) or risk factors (CVRF) and could be a marker predisposing to CVD. However, most studies studied only a small number of CVRF and no complete assessment of the associations between ELC and CVRF has been performed in a single study. METHODS: Population-based study (n = 4635, 46.7 % men) conducted between 2009 and 2012 in Lausanne, Switzerland. RESULTS: Eight hundred six participants (17.4 %) had an ELC. Presence of ELC was associated with male gender and older age. After adjusting for age and gender (and medication whenever necessary), presence of ELC was significantly (p < 0.05) associated with higher levels of body mass index (BMI) [adjusted mean ± standard error: 27.0 ± 0.2 vs. 26.02 ± 0.07 kg/m(2)], triglycerides [1.40 ± 0.03 vs. 1.36 ± 0.01 mmol/L] and insulin [8.8 ± 0.2 vs. 8.3 ± 0.1 μIU/mL]; lower levels of HDL cholesterol [1.61 ± 0.02 vs. 1.64 ± 0.01 mmol/L]; higher frequency of abdominal obesity [odds ratio and (95 % confidence interval) 1.20 (1.02; 1.42)]; hypertension [1.41 (1.18; 1.67)]; diabetes [1.43 (1.15; 1.79)]; high HOMA-IR [1.19 (1.00; 1.42)]; metabolic syndrome [1.28 (1.08; 1.51)] and history of CVD [1.55 (1.21; 1.98)]. No associations were found between ELC and estimated cardiovascular risk, inflammatory or liver markers. After further adjustment on BMI, only the associations between ELC and hypertension [1.30 (1.08; 1.56)] and history of CVD [1.47 (1.14; 1.89)] remained significant. For history of CVD, further adjustment on diabetes, hypertension, total cholesterol and smoking led to similar results [1.36 (1.05; 1.77)]. CONCLUSION: In this community-based sample ELC was significantly and independently associated with hypertension and history of CVD.

Documents (Paris. 1929)

Etat de collection : 1929 (vol. 1, n °1)-1930 (vol. 2, n °8)

Index Rosenwald (Paris)

Etat de collection : 1,1903(1)-2,1904(8)

Vita sancti Odonis abbatis Cluniacensis, auctore Iohanne Cluniacense [BHL 6292].

Ce ms. a été copié dans le prieuré de Saint-Martin-des-Champs (Paris), comme les mss. Mazarine 2009 et 2012. Il correspond à l'article n°109 du catalogue de la fin du XIIe siècle de cet établissement (C. Denoël, art. à paraître). Sur la reliure, la présence d'un fragment d'un lectionnaire de l'office contenant la vie de saint Arnoul, dont le nom est tracé en capitales rubriquées, et provenant du prieuré clunisien de Saint-Arnoul de Crépy-en-Valois (Oise), s'explique par le fait que Saint-Martin-des-Champs a recueilli par voie d'échange vers la fin du XVIIe siècle un grand nombre de manuscrits appartenant à ce prieuré.

[7 lettres de François Flameng à Jules Massenet, [entre 1866 et 1908]]

f.1 : carte, f.2, 4 à 8 : lettres, f.3 : lettre sur papier de deuil ; datations d'après le contenu des lettres

Recueil de lettres de P. de Marca, adressées, pendant son séjour en Catalogne, principalement à Michel Le Tellier. Du 4 janvier 1650 au 30 juillet 1651. Copies.

Contient : 1 à 8 Huit lettres de P. DE MARCA à M. Le Tellier. Des 4, 12, 17, 19, 28 janvier, 1er février 1650 ; 9 « Relation de ce qui a esté faict en execution du contenu aux instructions de S. M. [LOUIS XIV], du 18 janvier 1650, envoyées au Sr de Marca » ; 10 à 30 Vingt et une lettres de P. DE MARCA ; 10 à 22 à M. Le Tellier. Des 1, 4, 5, 9, 25, 26 février, 2, 6, 9, 15, 23, 30 mars 1650 ; 23 « à Mrde Brienne. Du 2 avril 1650 » ; 24 et 25 à M. Le Tellier. Des 20 et 29 avril 1650 » ; 26 au cardinal Mazarin. Du 29 avril 1650 ; 27 à 30 à M. Le Tellier. Des 3, 4, 18, 25 mai 1650 ; 31 Placet adressé au roi LOUIS XIV par la comtesse DE ÇAVALLA, touchant les droits de cette dame aux revenus de la baronnie de Belpuech ; 32 à 38 Sept lettres de P. DE MARCA ; 32 et 33 à M. Le Tellier. Du 1er juin 1650 ; 34 au « duc de Mercoeur. Le 28 may 1650 » ; 35 à 38 à M. Le Tellier. Des 8 et 12 juin, 6 juillet 1650 ; 39 « Relation de ce qui s'est passé à Barcelone contre les conjurez. Du 12 juillet 1650 » ; 40 et 41 Deux mémoires de P. DE MARCA ; 40 « sur les divisions de Catalogne, et du remede qui s'y peut apporter » ; 41 « touchant les biens confisquez. Du 5 juillet 1650 » ; 42 « Lettre de P. DE MARCA à M. Le Tellier. Du 13 juillet 1650 » ; 43 « Project de la declaration » du roi « LOUIS [XIV], pour la revocation des dons des biens confisquez en Catalogne » ; 44 à 51 Huit lettres de P. DE MARCA ; 44 à 48 à M. Le Tellier. Des 19 et 26 juillet, 2 et 16 août 1650 ; 49 au cardinal Mazarin. Du 16 août 1650 ; 50 et 51 à M. Le Tellier. Des 23 et 30 août 1650 ; 52 « Relation de la prise de Falset. Du 29 aoust 1650 » ; 53 « Memoire du 29 d'aoust 1650 », sur les affaires de Catalogne ; 54 à 59 Six lettres de P. DE MARCA à M. Le Tellier. Des 6, 13, 14 septembre 1650 ; 60 « Estat des affaires de Catalogne. Du 2 octobre 1650 » ; 61 à 74 Quatorze lettres de P. DE MARCA ; 61 et 62 à M. Le Tellier. Des 4 et 11 octobre 1650 ; 63 au cardinal Mazarin. Du 11 octobre 1650 ; 64 à 68 à M. Le Tellier. Des 16 et 18 octobre, 1er, 2 et 8 novembre 1650 ; 69 « à MrOndedei. Du 8 novembre 1650 » ; 70 à 74 à M. Le Tellier. Des 8, 15, 22 novembre 1650 ; 75 « Lettre de Mr DE CANILLAC à Mr de Marca. Du 11 novembre 1650 » ; 76 à 81 Six lettres de P. DE MARCA à M. Le Tellier. Des 24 et 29 novembre, 5, 6, 12, 13 décembre 1650 ; 82 « Memoire de Mr DE MARCA », sur les affaires de Catalogne. Du 17 décembre 1650 ; 83 Lettre de P. DE MARCA à M. Le Tellier. Du 22 décembre 1650 ; 84 « Memoire de Mrs DE ST MEGRIN, DE MARCA, DE MARGARIT et LECLERC, touchant l'estat de la Catalogne. Du 22 decembre 1650 » ; 85 à 97 Treize lettres de P. DE MARCA ; 85 « à MrOndedei. Le 22 decembre 1650 » ; 86 à 97 à M. Le Tellier. Des 26 decembre 1650, 3, 10, 14, 22, 24, 31 janvier, 4, 7 et 14 février 1651 ; 98 « Memoire de [P.] DE MARCA sur la conduitte de Mr l'evesque d'Orange » ; 99 Lettre de P. DE MARCA à M. Le Tellier. Du 21 février 1651 ; 100 « Relation de ce qui s'est passé en l'entreprise que les ennemis ont voulu faire sur Prades en Catalogne » ; 101 à 105 Cinq lettres de P. DE MARCA à M. Le Tellier. Des 28 février, 7, 14 mars 1651 ; 106 « Memoire du 14 mars 1651, sur la conduite de Mrs l'evesque d'Orange, comte d'Ille et regent Fontanella » ; 107 à 134 Vingt-huit lettres de P. DE MARCA à M. Le Tellier. Des 27 mars, 4, 12, 23 avril, 3, 6, 14 à 16, 21, 27, 31 mai, 7, 16 à 18, 21, 30 juin, 1, 10, 24, 30 juillet 1651

Intramolecular carbenoid insertions : the reactions of [alpha]-diazoketones derived from furanyl, thienyl, benzofuranyl and benzothienyl acetic acids with rhodium (II) acetate /

A number of synthetically useful ring systems can be prepared via the intramolecular insertion of a metal-stabilized carbenoid into a heteroaromatic systems. The chemical outcome of these reactions are dependent not only on the nature of the heteroatom but also on the length of the aliphatic tether linking the carbenoid moiety with the aromatic fragment. Our work with furanyl and thienyl systems containing a single methylene tether have allowed for some rather atypical chemistry. For example, treatment of l-diazo-3-(2-thienyl)-2-propanone (6) with catalytic rhodium (II) acetate yields 5,6- dihydro-4^-cyclopenta[Z>]thiophen-5-one (3) while, the isomeric l-diazo-3-(3-thienyl)-2- propanone(15) gives a spiro-disulphide (20). Novel chemistry was also exhibited in the analogous furanyl systems. While treatment of l-diazo-3-(3-furanyl)-2-propanone (52) with Rh2(OAc)4 resulted in the expected 2-(4-Oxo-2-cyclopentenyliden)acetaldehyde (54), isomeric l-diazo-3-(2- furanyl)-2-propanone (8) undergoes vinylogous Wolff rearrangement to give a mixture of 6a-methyl-2,3,3a,6a-tetrahydrofuro[2,i-^>]furan-2-one (44) and 2-(2-methyl-3-furyl)acetic acid (43). Rhodium acetate catalyzed decomposition of l-diazo-3-(3-benzofuranyl)-2- propanone (84) and l-diazo-3-(2-benzofuranyl)-2-propanone (69)also allows for vinylogous Wolff rearrangement, a chemistry unseen in benzofuranyl systems with longer tethers. A number of interesting products were isolated from the trapping of intermediate ketenes. Decomposition of l-diazo-3-(3-benzothienyl)-2-propanone (100) resulted in the formation of 2,3-dihydro-l//-benzo[^]cyclopenta[^thiophen-2-one (102). However, in addition to (102), a dimer was also generated from the decomposition of l-diazo-3-(2- benzothienyl)-2-propanone (109). The insight into the mechanistic underpinnings of the above reactions are provided by molecular modeling at a PM3 level.

The effectiveness of a health versus appearance message on pregnant women's intentions to exercise postpartum : the moderating role of self-monitoring

Despite the confimied health benefits of exercise during the postpartum period, many new mothers are not sufficiently active. The present research aimed to examine the effectiveness of 2 types of messages on intention to exercise after giving birth on 2 groups of pregnant women (low and high self-monitors) using the Theory of Planned Behavior as a theoretical basis. Participants were 2 1 8 pregnant women 1 8 years of age and older (Mean age = 27.9 years, SD = 5.47), and in their second or third trimester. Women completed a demographics questionnaire, a self-monitoring (SM) scale and the Godin Leisure Time Exercise Questionnaire for current and pre-pregnancy exercise levels. They then read one of two brochures, describing either the health or appearance benefits of exercise for postpartum women. Women's attitudes, social norms, perceived behavioral control, and intentions to exercise postpartum were then assessed to determine whether one type of message (health or appearance) was more effective for each group. A MANOVA found no significant effect (p>0.05) for message type, SM, or their interaction. Possible reasons include the fact that the two messages may have been too similar, reading any message about exercise may result in intentions to exercise, or lack of attention given to the brochure. Given the lack of research in this area, more studies are necessary to confirm the present results. Two additional exploratory analyses were conducted. Pearson correlations found higher levels of pre-pregnancy exercise and current exercise to be associated with more positive attitudes, more positive subjective norms, higher perceived behavioral control, and higher intention to exercise postpartum. A hierarchical regression was conducted to determine the predictive utility of attitudes, subjective norms, and perceived behavioral control on intention for each self-monitoring group. Results of the analysis demonstrated the three independent variables significantly predicted intention (p < .001) in both groups, accounting for 58-62% of the variance in intention. For low self-monitors, attitude was the strongest predictor of intention, followed by perceived behavioral control and subjective norm. For high self-monitors, perceived behavioral control was the strongest predictors, followed by attitudes and subjective norm. The present study has practical and real world implications by contributing to our understanding of what types of messages, in a brochure format, are most effective in changing pregnant women's attitudes, subjective norm, perceived behavioral control and intention to exercise postpartum and provides ftirther support for the use of the Theory of Planned Behavior with this population.

Exploring the use of effective learning strategies to increase students' reading comprehension and test taking skills /

This study examined the effects of providing students with explicit instruction in how to use a repertoire of reading comprehension strategies and test taking skills when reading and responding to three types of questions (direct, inferential, critical). Specifically, the study examined whether providing students with a "model" of how to read and respond to the text and to the comprehension questions improved their reading comprehension relative to providing them with implicit instruction on reading comprehension strategies and test taking skills. Students' reading comprehension and test taking performance scores were compared as a function of instructional condition. Students from 2 grade 8 classes participated in this study. The reading component of the Canadian Achievement Tests, Third Edition (CAT/3) was used to identify students' level of reading comprehension prior to the formal instructional sessions. Students received either explicit instruction, which involved modelling, or implicit instruction, which consisted of review and discussion of the strategies to be used. Comprehension was measured through the administration of formative tests after each instructional session. The formative tests consisted of reading comprehension questions pertaining to a specific form of text (narrative, informational, graphic). In addition, students completed 3 summative tests and a delayed comprehension test which consisted of the alternative version of the CAT/3 standardized reading assessment. These data served as a posttest measure to determine whether students had shown an improvement in their reading comprehension skills as a result of the program delivery. There were significant differences in students' Canadian Achievement Test performance scores prior to the onset of the study. Students in the implicit group attained significantly higher comprehension scores than did students in the explicit group. The results from the program sessions indicated no significant differences in reading comprehension between the implicit and explicit conditions, with the exception of the 6th session involving the reading and interpreting of graphic text. Students in the explicit group performed significantly better when reading and interpreting graphic text than those in the implicit group. No significant differences were evident between the two study conditions across the three summative tests. Upon completion of the study, the results from the Canadian Achievement Test indicated no significant differences in performance between the two study conditions. The findings from this study reveal the effectiveness of providing students with explicit strategy instruction when reading and responding to various forms of text. Modelling the appropriate reading comprehension strategies and test taking skills enabled students to apply the same thought processes to their own independent work. This form of instruction enabled students in the explicit group to improve in their abilities to comprehend and respond to text and therefore should be incorporated as an effective form of classroom teaching.