Structural relationships between measures based on heart beat intervals: potential for improved risk assessment

Decreased left ventricular ejection fraction is the most commonly used risk factor for identification of patients at high-risk for lethal ventricular arrhythmic events. Twenty-four-hour electrocardiographic (ECG) approaches to risk stratification include: counts of ventricular premature contractions (VPCs), measures of heart rate variability (HRV), and heart rate turbulence (HRT) which has two components, turbulence onset and turbulence slope (TS). Refinement of these ECG risk stratifiers could enhance their clinical utility. We explored the structural relationships between heart rate (HR) and HRV and HRT measures. Our goal was to separate out the component of these measures due to the underlying average heart rate (HR), thus potentially reducing the variability of the measures and increasing their power to stratify risk. We proposed re-scaling tachograms of heart-beat intervals so that the re-scaled tachogram has a HR of 75 (or equivalently an average interval of 800 ms) and calculating HRV and HRT from the rescaled time series. We also explored the relationship between the number of VPCs and HRT. We showed that TS is structurally related to the number of VPCs (and hence to the length of the ECG recording). We proposed an adjusted TS that is independent of the number of VPCs. We also addressed the ability of shorter ECG recording to estimate HRV and HRT measures. We evaluated standard and rescaled HRV and HRT measures using qualifying ambulatory ECG recordings from 744 patients in the Cardiac Arrhythmia Suppression Trial. We found that measures based on the rescaled tachogram had reduced variance (20% to 40%). Correlations between measures were also substantially reduced. We also found substantial circadian effects on some, but not all HRV indices, not explained by the circadian pattern in HR and possibly pointing to additional measures for risk prediction. In conclusion, we found that adjusting for HR and the number of VPCs in heart-beat related ambulatory ECG measures has the potential to significantly improve the power of these measures to risk stratify cardiac patients.     

Kinematisch bedingte Auswanderungserscheinungen bei periodisch schwingenden Waagen

Zusammenfassung W?gungen auf Hebelwaagen sind statische Messungen. Der Schwerkraft der zu w?genden Masse wird von der Waage eine konstante Me?kraft entgegengesetzt. Da sich jedoch innerhalb des selbstanzeigenden Bereichs die Me?kraft unter ?nderung des Ausschlags der Hebelkette selbst?ndig einstellt, bilden Waagen schwingungsf?hige Systeme, und zwar im allgemeinen nichtlineare Schwinger mit entsprechenden Eigenschaften. Unter diesen nimmt das Auswandern der Anzeige eine besondere Stellung ein, weil sich dabei die Mittellage der Schwingung gegenüber der statischen Gleichgewichtslage verschiebt. Diese Verschiebung kann von einem W?ger oder einem Me?wertgeber grunds?tzlich nicht erkannt werden und geht voll als Fehler in die W?gung ein.     

A data model for managing drug therapy within a patient data management system for intensive care units

The major intent of this article was to describe the design principles of the drug-therapy documentation module of the Patient Data Management System (PDMS) ICUData, in routine use at the intensive care unit (ICU) of the Department of Anesthesiology and Intensive Care Medicine at the University Hospital of Giessen, Germany, since February 1999. The new drug management system has been in routine use since March 2000. Until 8 January 2001, 1140 patients have been documented using this approach. It could be demonstrated that it was possible to transform the formerly unstructured text-based documentation into a detailed and structured model. The mediated benefit resulted in the automatic calculation of fluid balance. Further, detailed statistical analyses of therapeutic behavior in drug administration are now possible.     

FA and tocopherol composition of Vietnamese oilseeds

Seeds of 40 oilseed species from 23 different plant families (Brassicaceae, Cucurbitaceae, Fabaceae, Sapindaceae, Malvaceae, Gnetaceae, Clusiaceae, Bruseraceae, Ranunculaceae, Convolvulaceae, Amaranthaceae, Tiliaceae, Basellaceae, Solanaceae, Umbelliferae, Labiatae, Compositae, Theaceae, Euphorbiaceae, Caesalpiniaceae, Sapotaceae, Anacardiaceae, and Connaraceae) grown in Vietnam were analyzed for oilseed oil content, FA, and vitamin E. The seed oil content varied between 0.2 g/100 g for Mangifera indica and 75.7 g/100 g for Calophyllum inophyllum, whereas only nine seeds contained more than 40% oil. The tocopherol content ranged from 26 (Sapindus mukorossi) to 9361 mg/kg (Litchi chinensis). In nine seed oils unusual FA such as conjugated, cyclopropenoic, or epoxy FA were found.     

Compact spot-size converters with fiber-matched antiresonant reflecting optical waveguides

We propose a concept for InGaAsP-InP 1.55-microm lasers integrated with spot-size converters based on modal interference between the modes of the structure formed by an active waveguide and an underlying fiber-matched antiresonant reflecting optical waveguide. Simulation results show that the spot-size converters exhibit low transformation loss, and narrowed far-field emission patterns (10 degrees x 20 degrees) and reduce the coupling loss to standard single-mode fibers from 8 to 2.6 dB over lengths approximately 200 microm shorter than the adiabatic concept. A tolerant design to fabrication variations is also proposed, which could be realized by standard processing techniques.     

The Hydrogeochemistry of Arsenic in the Clara Mine,Germany

Abstract.   The oxidative dissolution of primary arsenic-bearing sulfide minerals in barite-fluorite veins is a potential source of arsenic in the Clara Mine. Geological structures, especially the mineral veins, provide potential pathways for the water. The highest arsenic concentrations are found in ground water within the eastern part of the mine. Arsenic and major ions are positively correlated and provide evidence that arsenic is likely derived locally from the water-vein/water-rock interaction. Geochemical modeling with PHREEQC shows all the arsenate mineral phases to be significantly undersaturated, although secondary arsenate minerals are common in the oxidized part of the deposit. The mine waters plot near the boundary of Fe(OH)₃ and Fe²⁺ in the pH-Eh diagram for the As-Fe-S-H₂O-system. Arsenic occurs as the 5-valent species and . Statistical analysis illustrates a strong association between As, Fe, pH, and HCO₃. Oxidation of the primary As-bearing minerals, such as pyrite and arsenopyrite, and the subsequent behavior of the oxyanion, arsenate, generally controls the distribution and speciation of arsenic. The low concentrations of dissolved As is due to co-precipitation and adsorption of arsenate by Fe, Al, and Mn (oxy)hydroxides.     

Coded excitation with spectrum inversion (CEXSI) for ultrasound array imaging

In this paper, a scheme called coded excitation with spectrum inversion (CEXSI) is presented. An established optimal binary code whose spectrum has no s and possesses the least variation is encoded as a burst for transmission. Using this optimal code, the decoding filter can be derived directly from its inverse spectrum. Various transmission techniques can be used to improve energy coupling within the system pass-band. We demonstrate its potential to achieve excellent decoding with very low (<80 dB) side-lobes. For a 2.6 /spl mu/s code, an array element with a center frequency of 10 MHz and fractional bandwidth of 38%, range side-lobes of about 40 dB have been achieved experimentally with little compromise in range resolution. The signal-to-noise ratio (SNR) improvement also has been characterized at about 14 dB. Along with simulations and experimental data, we present a formulation of the scheme, according to which CEXSI can be extended to improve SNR in sparse array imaging in general.     

Phase reconstruction from intensity measurements in linear systems

The phase of a signal at a plane is reconstructed from the intensity profiles at two close parallel screens connected by a small abcd canonical transform; this applies to propagation along harmonic and repulsive fibers and in free media. We analyze the relationship between the local spatial frequency (the signal phase derivative) and the derivative of the squared modulus of the signal under a one-parameter canonical transform with respect to the parameter. We thus generalize to all linear systems the results that have been obtained separately for Fresnel and fractional Fourier transforms.     

Synthesis of Si3N4 using sepiolite and various sources of carbon

Sepiolite of Turkish origin was used as Si precursor in the syntheses of silicon nitride (Si₃N₄) powders by carbothermal reduction-nitridation (CRN) by mixing with several reducing agents i.e. charcoal, carbon black and petroleum coke as discrete particles and acrylonitrile as an intercalation medium. Purified sepiolite samples with a pre-determined C/SiO₂ ratio of 4 yielded Si₃N₄ powders after firing at temperatures 1300–1475°C under continuous nitrogen flow. The various sepiolite-reducing agent combinations were evaluated. The / ratio and secondary phase content of the powders after CRN were found to depend on temperature, time, heating rate and on the physicochemical properties of the precursor used such as, surface area and mixing of the reactants.