Predictors of Arrhythmic Events Detected by Implantable Loop Recorders in Renal Transplant Candidates

AbstractBackground:The recording of arrhythmic events (AE) in renal transplant candidates (RTCs) undergoing dialysis is limited by conventional electrocardiography. However, continuous cardiac rhythm monitoring seems to be more appropriate due to automatic detection of arrhythmia, but this method has not been used.Objective:We aimed to investigate the incidence and predictors of AE in RTCs using an implantable loop recorder (ILR).Methods:A prospective observational study conducted from June 2009 to January 2011 included 100 consecutive ambulatory RTCs who underwent ILR and were followed-up for at least 1 year. Multivariate logistic regression was applied to define predictors of AE.Results:During a mean follow-up of 424 ± 127 days, AE could be detected in 98% of patients, and 92% had more than one type of arrhythmia, with most considered potentially not serious. Sustained atrial tachycardia and atrial fibrillation occurred in 7% and 13% of patients, respectively, and bradyarrhythmia and non-sustained or sustained ventricular tachycardia (VT) occurred in 25% and 57%, respectively. There were 18 deaths, of which 7 were sudden cardiac events: 3 bradyarrhythmias, 1 ventricular fibrillation, 1 myocardial infarction, and 2 undetermined. The presence of a long QTc (odds ratio [OR] = 7.28; 95% confidence interval [CI], 2.01–26.35; p = 0.002), and the duration of the PR interval (OR = 1.05; 95% CI, 1.02–1.08; p < 0.001) were independently associated with bradyarrhythmias. Left ventricular dilatation (LVD) was independently associated with non-sustained VT (OR = 2.83; 95% CI, 1.01–7.96; p = 0.041).Conclusions:In medium-term follow-up of RTCs, ILR helped detect a high incidence of AE, most of which did not have clinical relevance. The PR interval and presence of long QTc were predictive of bradyarrhythmias, whereas LVD was predictive of non-sustained VT.

Nutzen und Erfolgsfaktoren von Coworking Spaces

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Prototype based clustering in high-dimensional feature spaces

...In dieser Arbeit untersuche ich den ”Fluch der Dimensionen” mittels dem Begriff der Distanzkonzentration. Ich zeige, dass dieser Effekt im Datenmodell mittels der paarweisen Kovarianzkoeffizienten der Randverteilungen beschrieben werden kann. Zusätzlich vergleiche ich 10 prototypbasierte Clusteralgorithmen mittels 800.000 Clusterergebnissen von künstlich erzeugten Datensätzen. Ich erforsche, wie und warum Clusteralgorithmen von der Anzahl der Merkmale beeinflusst werden. Mit den Clusterergebnissen untersuche ich außerdem, wie gut 5 der populärsten Clusterqualitätsmaße die tatsächliche Clusterqualität schätzen.

Periodic orbits near a heteroclinic loop formed by one dimensional orbit and a 2-dimensional manifold: application to the charged collinear 3-body problem

The paper is devoted to the study of a type of differential systems which appear usually in the study of some Hamiltonian systems with 2 degrees of freedom. We prove the existence of infinitely many periodic orbits on each negative energy level. All these periodic orbits pass near the total collision. Finally we apply these results to study the existence of periodic orbits in the charged collinear 3–body problem.

Tropical varieties for non-archimedean analytic spaces

"Vegeu el resum a l'inici del document del fitxer adjunt."

Weighted Hardy spaces for the unit disc: approximation properties

In this paper we study basic properties of the weighted Hardy space for the unit disc with the weight function satisfying Muckenhoupt's (Aq) condition, and study related approximation problems (expansion, moment and interpolation) with respect to two incomplete systems of holomorphic functions in this space.

Norm inequalities in multidimensional Lorentz spaces

In this paper we obtain necessary and sufficient conditions for double trigonometric series to belong to generalized Lorentz spaces, not symmetric in general. Estimates for the norms are given in terms of coefficients.

Variational inequalities in Hilbert spaces with measures and optimal stopping problems

We study the existence theory for parabolic variational inequalities in weighted L2 spaces with respect to excessive measures associated with a transition semigroup. We characterize the value function of optimal stopping problems for finite and infinite dimensional diffusions as a generalized solution of such a variational inequality. The weighted L2 setting allows us to cover some singular cases, such as optimal stopping for stochastic equations with degenerate diffusion coeficient. As an application of the theory, we consider the pricing of American-style contingent claims. Among others, we treat the cases of assets with stochastic volatility and with path-dependent payoffs.

The fourth extracellular loop of the alpha subunit of Na,K-ATPase. Functional evidence for close proximity with the second extracellular loop.

Na,K-ATPase is the main active transport system that maintains the large gradients of Na(+) and K(+) across the plasma membrane of animal cells. The crystal structure of a K(+)-occluding conformation of this protein has been recently published, but the movements of its different domains allowing for the cation pumping mechanism are not yet known. The structure of many more conformations is known for the related calcium ATPase SERCA, but the reliability of homology modeling is poor for several domains with low sequence identity, in particular the extracellular loops. To better define the structure of the large fourth extracellular loop between the seventh and eighth transmembrane segments of the alpha subunit, we have studied the formation of a disulfide bond between pairs of cysteine residues introduced by site-directed mutagenesis in the second and the fourth extracellular loop. We found a specific pair of cysteine positions (Y308C and D884C) for which extracellular treatment with an oxidizing agent inhibited the Na,K pump function, which could be rapidly restored by a reducing agent. The formation of the disulfide bond occurred preferentially under the E2-P conformation of Na,K-ATPase, in the absence of extracellular cations. Using recently published crystal structure and a distance constraint reproducing the existence of disulfide bond, we performed an extensive conformational space search using simulated annealing and showed that the Tyr(308) and Asp(884) residues can be in close proximity, and simultaneously, the SYGQ motif of the fourth extracellular loop, known to interact with the extracellular domain of the beta subunit, can be exposed to the exterior of the protein and can easily interact with the beta subunit.

On the boundedness on inhomogeneous Lipschitz spaces of fractional integrals, singular integrals and hypersingular integrals associated to non-doubling measures on metric spaces

In this paper we prove T1 type necessary and sufficient conditions for the boundedness on inhomogeneous Lipschitz spaces of fractional integrals and singular integrals defined on a measure metric space whose measure satisfies a n-dimensional growth. We also show that hypersingular integrals are bounded on these spaces.

Homotopy exponents for large H-Spaces

We show that H-spaces with finitely generated cohomology, as an algebra or as an algebra over the Steenrod algebra, have homotopy exponents at all primes. This provides a positive answer to a question of Stanley.

Net spaces and boundedness of integral operators

In this paper we introduce new functional spaces which we call the net spaces. Using their properties, the necessary and sufficient conditions for the integral operators to be of strong or weak-type are obtained. The estimates of the norm of the convolution operator in weighted Lebesgue spaces are presented.

Convolution inequalities in Lorentz spaces

In this paper we study boundedness of the convolution operator in different Lorentz spaces. In particular, we obtain the limit case of the Young-O'Neil inequality in the classical Lorentz spaces. We also investigate the convolution operator in the weighted Lorentz spaces. Finally, norm inequalities for the potential operator are presented.