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One hundred consecutive patients (81 male and 19 female) with unstable angina pectoris undergoing coronary angiography were divided according to Braunwald's clinical classification. Seventeen (17%) patients had new onset angina (class I), 68 (68%) sub-acute angina (class II) and 15 (15%) had acute rest angina (class III). Twenty-seven (27%) patients had secondary unstable angina pectoris (class A), 49 (49%) primary unstable angina (class B) and 24 (24%) had post-infarction unstable angina (class C). ST-T wave changes on ECG were present in 54 (54%) while absent in 46 (46%) patients. On coronary angiography, 26 (26%) patients had single vessel disease, 30 (30%) double vessel disease and 39 (39%) patients had triple vessel disease. Five (5%) patients were found to have normal coronaries. Classification of patients according to Braunwald's clinical classification showed single vessel disease to be higher in class I as compared to class II (47% vs 22%; p = 0.04) and classes III (47% vs 20%; p<0.01). Single vessel disease was found to be higher in class C as compared to class B (41.7% vs 16.4; p = 0.01). Double vessel disease was higher in class B as compared to class A (40.8% vs 18.5%, p = 0.04). Triple vessel disease incidence was not found to be significantly different among different clinical classes. Morphology of coronary artery lesions was classified according to Ambrose's classification. Out of the total of 248 lesions in the whole study group, there were 68 (27.42%) concentric lesions, 55 (22.18%) eccentric type I lesions, 23 (9.27%) eccentric type II lesions, 42 (16.94%) multiple irregularity lesions and 60 (24.19%) totally occluded lesions. Concentric lesions were found to be higher in class C as compared to class B (40% vs 19.8%; p = 0.014). Statistically significant difference was not present in the distribution of other morphological type of lesions among different clinical classes. In the whole study group, intra-luminal thrombus was found to be present in 17 (17%) of patients. Distribution of intra-luminal thrombus according to Braunwald's classification showed that none of the patients in class I had intra-luminal thrombus, while 13 (19.1%) patients in class II and 4(26.7%) in class III had intra-luminal thrombus. The difference in the occurrence of intra-luminal thrombus between class I and class II (p = 0.004) and class I and class III (p = 0 .03 was found to be significant. Thus, majority of patients undergoing coronary angiography had primary sub-acute rest angina. Single vessel disease was higher in new onset angina. Patients with unstable angina pectoris and ST-T changes on ECG had higher number of lesions per patient and higher eccentric type I lesions. Intra-luminal thrombus was more frequently encountered with acute rest angina. However, the distribution of different morphological type of lesions on coronary angiography did not differ significantly in different clinical classes of unstable angina pectoris divided according to Braunwald's classification. 相似文献
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Formation and Pore Structure of Boron Nitride Aerogels 总被引:1,自引:0,他引:1
David A. Lindquist Theodore T. Borek Stephen J. Kramer Chaitanya K. Narula Gregory Johnston Riley Schaeffer Douglas M. Smith Robert T. Paine 《Journal of the American Ceramic Society》1990,73(3):757-760
Gels containing a poly(borazinyl amine) and tetrahydrofuran were processed by CO2 supercritical drying techniques followed by pyrolysis. The resulting BN ceramic aerogels are highly porous, and the microstructure, porosity, and surface area characteristics have been examined. The aerogels show excellent thermal stability exhibiting surface areas in excess of 350 m2 /g and porosities greater than 0.8 even when heated in argon at 1500°C for 8 h. By removing solvent via evaporation before supercritical drying, the mean pore radius can be varied between 3.6 and 10 nm. 相似文献
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GR Patterson MS Forgatch KL Yoerger M Stoolmiller 《Canadian Metallurgical Quarterly》1998,10(3):531-547
A trajectory defined by three time-ordered events was offered as a useful adjunct to building a development theory about antisocial behaviors. A sequence was defined with significant linkages between antisocial childhood behavior and early arrest and between early arrest and chronic offending. The majority of chronic offenders traveled through all three events in the sequence. Each event in the sequence shared a common process of disrupted family process plus frequent family transitions and marked social disadvantage. The findings support the hypothesis that the process that leads to antisocial behaviors at grade four may also maintain the entire sequence. The level of disrupted process at initiation and a time-based measure of involvement with deviant peers predicted which individuals moved forward in the sequence and which did not. The findings are consistent with the idea that the majority of chronic offending juveniles follow a trajectory that can be explained by a single theory. 相似文献
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T Kurita P Young JR Brody JP Lydon BW O'Malley GR Cunha 《Canadian Metallurgical Quarterly》1998,139(11):4708-4713
The role of epithelial and stromal progesterone (P) receptors (PR) in the regulation of uterine epithelial DNA synthesis by P was investigated by analyzing the four types of tissue recombinants prepared with uterine stroma (S) and epithelium (E) from wild-type (wt) and PR knockout (PRKO) mice: wt-S + wt-E, PRKO-S + PRKO-E, wt-S + PRKO-E, and PRKO-S + wt-E. 17-Beta estradiol (E2) stimulated DNA synthesis in all four types of tissue recombinants. On the other hand, P inhibited E2-induced DNA synthesis only in tissue recombinants prepared with wild-type (PR-positive) stroma (wt-S + wt-E or wt-S + PRKO-E) but not knockout (PR-negative) stroma (PRKO-S + wt-E or PRKO-S + PRKO-E). These results clearly demonstrate that the inhibitory effect of P on uterine epithelial DNA synthesis is mediated by stromal PR. Epithelial PR is neither necessary nor sufficient for P inhibition of E2-induced epithelial DNA synthesis. 相似文献
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