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The relationship between heart failure (HF), sleep-disordered breathing and cardiac arrhythmias is complex and poorly understood. Whereas the frequency of predominantly obstructive sleep apnea in HF patients is low and similar or moderately higher to that observed in the general population, central sleep apnea (CSA) has been observed in approximately 50% of HF patients, depending on the methods used to detect CSA and patient selection. Despite this high prevalence, it is still unclear whether CSA is merely a marker or an independent risk factor for an adverse prognosis in HF patients and whether CSA is associated with an increased risk for supraventricular as well as ventricular arrhythmias in HF patients. The current review focuses on the relationship between CSA and atrial fibrillation as the most common atrial arrhythmia in HF patients, and on the relationship between CSA and ventricular tachycardia and ventricular fibrillation as the most frequent cause of sudden cardiac death in HF patients. 相似文献
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Lohse KA Hope D Sponseller R Allen JO Grimm NB 《The Science of the total environment》2008,402(1):95-105
Urbanization is increasing rapidly in semi-arid environments and is predicted to alter atmospheric deposition of nutrients and pollutants to cities as well as to ecosystems downwind. We examined patterns of wet and coarse dry deposition chemistry over a five-year period at 7 sites across the Central Arizona-Phoenix (CAP) study area, one of two urban sites within the National Science Foundation's Long-Term Ecological Research (LTER) program. Wet and dry deposition of organic carbon (oC) were significantly elevated in the urban core; in contrast, mean annual wet and dry fluxes of nitrogen (N) were low (<6 kg ha(-1) yr(-1)) compared to previous estimates and did not differ significantly among sites. Wet deposition of sulfate (SO(4)2-) was high across CAP (mean 1.39 kg ha(-1) yr(-1) as S) and represented the dominant anion in rainfall. Dry deposition rates did not show strong seasonal trends with the exception of oC, which was 3-fold higher in winter than in summer; ammonium (NH4+) deposition was high but more variable. Dry deposition of NO3- and oC was strongly correlated with particulate base cations and dust-derived soluble reactive phosphorus (SRP), suggesting that urban-derived dust is scrubbing the atmosphere of acidic gases and entrained particles and increasing local deposition. Differences between measured and predicted rates of dry N deposition to the urban core may be explained by incomplete collection of gas phase N on surrogate deposition surfaces in this hot and arid environment. The extent of urban enhancement of cations and oC inputs to desert ecosystems appears to be restricted to the urbanized metropolitan area rather than extending far downwind, although a low number of sites make it difficult to resolve this spatial pattern. Nevertheless, wet and dry inputs may be important for biogeochemical cycles in nutrient and carbon-poor desert ecosystems within and near arid cities. 相似文献
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Naproxen is an anti-inflammatory pharmaceutical that has been detected in natural and engineered aquatic environments. The primary aim of this research was to study chemical transformations of naproxen following chlorine oxidation, which is common in water and wastewater treatment systems. Synthetic waters containing elevated concentrations of naproxen were oxidized by free chlorine at naproxen:chlorine molar ratios of 0.02-3:1 and pH values of 5-9. The formation of naproxen products was dependent on pH, chlorine dosage and contact time. This study demonstrates that naproxen readily reacts with free chlorine and forms disinfection products. The formation of specific reaction products can vary depending on the characteristics of the water or wastewater and treatment operating conditions. More research is needed to identify intermediate and chemical reaction end products and to understand the reaction kinetics of naproxen chlorination for a range of water and wastewater treatment conditions. A secondary aim of this research was to study effects of naproxen and its chlorination products on biofilm processes, which are common in water and wastewater treatment systems and natural aquatic environments. A bioreactor was fed a naproxen solution and then fed a solution at the same naproxen concentration following contact with free chlorine. Results indicate that naproxen was not degraded biologically for the conditions of this study. In contrast, the naproxen solution containing products of chlorination caused an adverse response by discharging biomass from the bioreactor. Results therefore demonstrate that naproxen products of chlorination can adversely affect a biofilm process, which potentially can impact the performance of biofilm processes in natural and engineered aquatic environments. More research is needed to study naproxen chlorination reactions at low concentrations and in complex matrices, and to understand the toxicological relevance of naproxen and its products of chlorination in natural and engineered aquatic environments. 相似文献
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Folgen des Globalen Wandels für das Grundwasser in Süddeutschland – Teil 2: Sozioökonomische Aspekte
Dr. Roland Barthel Dr. Tatjana Krimly M. Sc. Michael Elbers Dr. Anja Soboll Dr. Johann Wackerbauer Prof. Dr. Rolf Hennicker Dr. Stephan Janisch Dr. Tim G. Reichenau Prof. Dr. Stephan Dabbert Prof. Dr. Jürgen Schmude Prof. Dr. Andreas Ernst Prof. Dr. Wolfram Mauser 《Grundwasser》2011,16(4):259-268
In order to account for complex interactions between humans climate and the water cycle, the research consortium GLOWA-Danube (www.glowa-danube.de) has developed the simulation system DANUBIA which consists of 17 coupled models. DANUBIA was applied to investigate various impacts of global-change between 2011 and 2060 in the Upper Danube Catchment. This article describes part 2 of an article series with investigations of socio-economic aspects, while part 1 (Barthel et al. in Grundwasser 16(4), doi:10.1007/s007-011-01794, 2011) deals with natural-spatial aspects. The principles of socio-economic actor-modeling and interactions between socio-economic and natural science model components are described here. We present selected simulations that show impacts on groundwater from changes in agriculture, tourism, economy, domestic water users and water supply. Despite decreases in water consumption, the scenario simulations show significant decreases in groundwater quantity. On the other hand, groundwater quality will likely be influenced more severely by land use changes compared to direct climatic causes. However, overall changes will not be dramatic. 相似文献
6.
Sandra Fleischer Stefan C. Weiss Thomas Lucke Wolfram Seitz Wolfgang Schulz Walter H. Weber 《臭氧:科学与工程》2015,37(5):441-449
Although oxamic acid has been identified as an ozone oxidation product from several precursor compounds, concentrations for drinking water have not been published previously. This study shows results from a full-scale drinking water treatment plant, noting that the mean concentrations for oxamic acid reached 21.3 μg/L after ozonation and prior to filtration. Subsequent multiple-layer filtration removed 85% of oxamic acid on average, and mean concentrations in drinking water were 2 μg/L. Up to 5.9% of the oxamic acid found in ozone-treated groundwater may be formed from Chloridazon metabolites. 相似文献
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Redistribution of internal forces in the lateral bracing system / Schnittgrößenumlagerungen bei der Gebäudeaussteifung 下载免费PDF全文
Kenan Michel MSc. Prof. Dr.‐Ing. Wolfram Jäger Dr.‐Ing. Frank Steinigen 《Mauerwerk》2015,19(6):441-452
The lateral bracing system of a building should ensure the stability of the building, in terms of the usability and the total load capacity. The governing loads for the lateral bracing system are horizontal loads due to wind and earthquake. The horizontal loads are traditionally distributed to the bracing elements according to the uncracked elastic state dependent on the bending stiffness in the elastic (uncracked) state. This method does not allow consideration of non‐linear effects and load redistribution. Within the framework of the PRB Research Cooperation – Improving the Practical Use of Structural Design Standards through pre‐normative work – Subcontract 5: Masonry Construction, Subproject 3: “Large Shear Walls” [7], the cracked or plastic state can be taken into account through a displacement based approach. A matrix formulation for both the linear and cracked states has been derived and implemented. 相似文献
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