Paroxysmal atrial fibrillation

Paroxysmal atrial fibrillation is the most frequent of cardiac arrhythmias and its frequency increases with age. Its diagnosis is difficult since the symptoms are often absent or misleading. It is based on electrocardiogram performed during the attack, and this has been made easier by the Holter technique or by sequential recordings triggered by the patient himself. It is only in special cases, when percritical recordings could not be made that intracavitary electrophysiological study is used to obtain indirect arguments in favour of the diagnosis. All heart diseases can be attended by this cardiac rhythm disorder which usually marks an unfavourable turn in the course of the disease, with an increased risk of sudden death in the end. But in most cases the only disorder found is a common arterial hypertension. Atrial fibrillation carries a risk of peripheral, and in particular cerebral, embolism evaluated at 5% per annum. This risk is high in patients with cardiopathy, but it also exists even with a normal heart. The value of anticoagulants has been demonstrated by large controlled studies, but it is important to know that a very strong anticoagulant treatment is unnecessary to reduce the risk of embolism. Only antiarrhythmic agents can maintain the patients in sinus rhythm for as long as possible before the passage to permanent fibrillation. Although no beneficial effect on mortality has been proved, these drugs are indicated for patients who have very marked symptoms or a major cardiopathy.(ABSTRACT TRUNCATED AT 250 WORDS)     

A refined statistical approach to thermal fatigue life prediction

Finding new applications for ceramic materials requires a better knowledge of thermal fatigue behaviour. However, result-scattering inherent to thermal fatigue and duration of a thermal fatigue cycle lead to a lack of experimental results. For these reasons, we have developed a new approach that permits the determination of a relevant stress intensity factor exponent n with a minimum testing sample number. From knowledge of the distribution function of artificial cracks, the analytical formula of the failure probability F(N) can be completely determined. Thus, it is possible to calculate n from a correlation of F(N) with experimental results obtained for only one temperature difference. Correlations between theoretical curves F(N) and experimental results, conducted for two temperature differences, lead to the same value of n. This and the good agreement between the experimental points and the theoretical curves validate this new approach.     

Myocardial imaging with technetium-99m-tetrofosmin: comparison of one-day and two-day protocols

There is no evidence of myocardial redistribution after tetrofosmin injection, therefore, two separate injections are needed to differentiate scar from ischemia with this tracer. The injections can be given on the same day (one-day protocol) or on separate days (two-day protocol). As part of a Phase II clinical study, a one-day protocol was compared with a two-day protocol. METHODS: Fifty-five patients with suspected coronary artery disease were studied according to the following protocol: on the first day at rest, anterior, left lateral, left anterior oblique 40 degrees and 70 degrees images were acquired 30 min after injection of 8 mCi of tetrofosmin for 5 min each. Two days later, exercise and rest images were acquired on the same day. At peak exercise, 8 mCi of tetrofosmin were injected and 30 min later the same four standard planar images were recorded as on Day one. Four hours after the exercise injection, 24 mCi of tetrofosmin were injected at rest and imaging was repeated 30 min later. Qualitative comparisons between the one- and two-day protocols were performed in 50 patients in whom all data were available following blinded evaluation of images by three readers. RESULTS: All three readers reported identical results for the 26 patients. A difference in extent or location between the observers was found in seven patients, differences between normal and abnormal in eight patients, while discrepancies between ischemia and necrosis were noted in four patients. In five patients, an ischemic area was found according to the one-day protocol, but according to the data of the two-day protocol, this area was judged to be necrotic. One observer reported the opposite in one patient. These discrepancies between the reversibility of defects were restricted to the inferior wall. Comparison with 201Tl data showed no systematic pattern of variation. CONCLUSION: Tetrofosmin can be used in a one-day protocol. However, in planar imaging, the inferior wall should be reported with caution.     

DREAM: A Component Framework for Constructing Resource-Aware, Configurable Middleware

DREAM (dynamic reflective asynchronous middleware) is a software framework for building asynchronous middleware from components, which we can assemble statically or dynamically (at deployment time or at runtime). DREAM's component library and set of tools lets us build, configure, and deploy middleware that implements various asynchronous communication paradigms, including message-passing, event-reaction, and publish-subscribe. We show how to use our framework to dynamically control resource consumption and concurrency. The performance of dynamically configurable MOMs built with the DREAM framework compares favorably to monolithic, functionally equivalent middleware     

Carbon mineralization from composts and food industry wastes added to soil

We have studied the short term C mineralization of six wastes from important food industries, one sludge from a biogas plant and three composts. All the wastes were characterized chemically and fractionated according to the Van Soest method. The fresh wastes were incubated under controlled environment conditions to determine the C mineralization rate. Based on first order mineralization kinetics, we calculated the hypothetical amount of stable C in the wastes as the amount of C that would not be mineralized within one year under field conditions. The percentage of stable organic C in the organic matter was in general much larger in the composts than in the other wastes, but when expressed on dry matter, the non-composted wastes had comparable or larger amounts of stable organic C than the composts and have a considerable potential for supplying organic matter to soils, and hence for C sequestration. The amount of stable organic C could best be predicted by the total N content of the wastes (R _a ² = 0.855), whereas the results of the fractionation had very little predictive power, probably due to problems related to the high ash content of some of the wastes. An index that combined stable organic C and N and P content in the wastes was calculated to assess possible limitations for applying these wastes in agriculture. Under current nutrient legislation in Western Europe, a number of these wastes will only be usable in small amounts, but these and other food industry wastes could still prove to be valuable soil amendments in nutrient poor situations, for increasing soil organic C content and supplying nutrients.