Do cardiovascular risk factors explain the relation between socioeconomic status, risk of all-cause mortality, cardiovascular mortality, and acute myocardial infarction?

Much remains to be understood about how low socioeconomic status (SES) increases cardiovascular disease and mortality risk. Data from the Kuopio Ischemic Heart Disease Risk Factor Study (1984-1993) were used to estimate the associations between acute myocardial infarction and income, all-cause mortality, and cardiovascular mortality in a population-based sample of 2,272 Finnish men, with adjustment for 23 biologic, behavioral, psychologic, and social risk factors. Compared with the highest income quintile, those in the bottom quintile had age-adjusted relative hazards of 3.14 (95% confidence interval (CI) 1.77-5.56), 2.66 (95% CI 1.25-5.66), and 4.34 (95% CI 1.95-9.66) for all-cause mortality, cardiovascular mortality, and AMI, respectively. After adjustment for risk factors, the relative hazards for the same comparisons were 1.32 (95% CI 0.70-2.49), 0.70 (95% CI 0.29-1.69), and 2.83 (95% CI 1.14-7.00). In the lowest income quintile, adjustment for risk factors reduced the excess relative risk of all-cause mortality by 85%, that of cardiovascular mortality by 118%, and that of acute myocardial infarction by 45%. These data show how the association between SES and cardiovascular mortality and all-cause mortality is mediated by known risk factor pathways, but full "explanations" for these associations will need to encompass why these biologic, behavioral, psychologic, and social risk factors are differentially distributed by SES.     

Variability and misclassification of worker estimated hand force

Ergonomic studies often use worker estimated hand force reproduced on a dynamometer to quantify force exposures but this method has not been well-studied in real work settings. This study evaluated the validity of worker estimates of hand force in a field study and determined the misclassification of worker estimated hand force exposures compared to directly measured forces. Eight experienced sheet metal assemblers completed ¼-inch diameter fastener installations using 6 different pneumatic tools. Grip forces were recorded by a pressure mat and were compared to worker estimated forces demonstrated on a dynamometer. Directly measured and worker estimated readings showed moderate correlations (0.53–0.67) for four installation tools and fair to moderate for two tools. The coefficient for variation of force estimates was 65% within repeated subject trials and 78% between averaged subject trials but 69% between subject trials during actual tool installations. Misclassification of worker estimated exposures varied by two cut-points: 29% using 4.0 kg and 49% using 6.0 kg. The force match procedure may provide adequate differentiation of high and low exposures in some settings, but is likely to result in substantial misclassification in other settings.     

Failure of triiodothyronine to inhibit TSH-mediated thyroid hormone release in man

We studied the effect of short-term triiodothyronine administration on thyroid gland responsivity to exogenous thyrotropin in four euthyroid human subjects. Thyroidal iodine release and serum thyroxine during daily im injections of bovine TSH were not significantly inhibited, despite a four-fold elevation in serum T3 concentrations. This negative finding contrasts with earlier positive reports of a regulatory "short-loop" effect of elevated circulating T3 on the thyroid gland. This difference may be due either to the use in previous murine or in vitro studies of non-physiologic, high doses of exogenous T3, or failure to control the withdrawal of the trophic effect of endogenous TSH in man on the subsequent glandular response.     

Ultrastructure of ischemic contracture of the left ventricle ("stone heart")

Myocardial biopsies from two patients who had developed "stone heart" (myocardial rigor mortis; ischemic contracture of the left ventricle) were studied by electron microscopy. The ultrastructure of tissue in stone heart, though ischemic in nature, differed from that of classic myocardial infarction in some respects. Apart from depletion of glycogen and distension of the sarcoplasmic reticulum and T-tubules, myofibrillar degeneration was much more widespread. Mitochondrial degeneration with active lysosomal autodigestion, disruption of the microcirculation, and lymphedema were prominent changes also observed. In the light of known clinical and experimental observations, our findings suggest that stone heart is an accelerated form of ischemic injury occurring in vulnerable (hypertrophied) hearts and is probably related to ischemia-triggered release of endogenous catecholamines.     

TRADE‐OFF BETWEEN APPROXIMATION ACCURACY AND COMPLEXITY FOR TS FUZZY MODELS

This paper proposes a transformation method that serves the trade‐off between the modelling complexity and accuracy of multi‐variable Takagi‐Sugeno fuzzy inference operator‐based modelling (TS fuzzy modelling). The relation between the number of fuzzy rules and the modelling accuracy is defined in the paper. The proposed transformation method is capable of finding the minimal number of fuzzy rules for a given accuracy of a given TS fuzzy model. A case study, focusing on a benchmark problem of fault diagnosis, developed in the framework of EC‐founded Research Training Network DAMADICS, of an actuator in a sugar factory, is presented to provide feasibility of the proposed method.     

Primary beneficiation of tantalite using magnetic separation and acid leaching

Primary beneficiation was successfully performed prior to dissolution of manganotantalite （sample A） and ferrotantalite （sample C） samples obtained from two different mines in the Naquissupa area, Mozambique. Magnetic separation removed the majority of iron and titanium, whereas H2SO4 leaching removed a large portion of thorium and uranium in these samples. Analytical results indicated that 64.14wt% and 72.04wt% of the total Fe and Ti, respectively, and -2wt% each of Nb205 and Ta205 were removed from sample C （ferrotantalite） using the magnetic separation method, whereas only 9.64wt% and 8.66wt% of total Fe203 and TiO2, respectively, and -2wt% each of NbEOs and Ta2O5 were removed from sample A （manganotantalite）. A temperature of 50℃ and a leaching time of 3 h in the presence of concentrated HESOa were observed to be the most appropriate leaching conditions for removal of radioactive elements from the tantalite ores. The results obtained for sample A under these conditions indicated that 64.14wt% U3O8 and 60.77wt% ThO2 were leached into the acidic solution, along with 4.45wt% and 0.99wt% of Nb2O5 and Ta2O5, respectively.     

Milk secretion at the cellular level: a unique approach to the mechanism of exocytosis.

Drugs which interfere with the mechanism of exocytosis such as colchicine and vincristine, so-called microtubule antagonists, are providing a fruitful approach to the study of milk secretion at the cellular level. Intramammary infusions of a milligram or less of these substances into lactating goats produce dramatic drops in milk yields in 24 to 36 h. These depressions are reversed substantially by 48 h. In vitro experiments and tissue observations confirm that these drugs are blocking secretion at the level of the lactating cell and that secretion of all the major milk components (fat globules, casein micelles, lactose, and water) is restrained. Mammary infusion of the plant lectin concanavalin A, a protein which binds to cell surface receptors, produces similar changes in milk flow to those of the microtubule antagonists. This indicates that cell surface membrane components perturbed by concanavalin also must be involved in the secretory mechanism. One of the known receptors for concanavalin A in the apical (secretory) plasma membrane of the lactating cell is the enzyme 5'nucleotidase. The possibility must be considered that this enzyme (glycoprotein), inactivated by concanavalin A, is involved in milk secretion.     

Studies of the copolymerisation of acrylic acid with n‐butyl vinyl ether

BACKGROUND: Copolymers of acrylic acid (AA) are important materials for the preparation of glass ionomer cements. Copolymerisation of AA is widely used to alter the acid strength of the material and to increase the number of salt bridges formed in cements. In this paper we report the copolymerisation of AA with n‐butyl vinyl ether (BVE) to form unique copolymers of the hemiacetal ester and with BVE incorporated into the main chain. RESULTS: AA and BVE undergo a spontaneous reaction to form a hemiacetal ester which can itself undergo free radical copolymerisation. The kinetics of this reaction in the bulk state have been examined. In addition, under these conditions BVE is incorporated into the polymer main chain via a free radical mechanism. CONCLUSION: Novel copolymers of the hemiacetal ester and BVE have been prepared in this study. The hemiacetal side chains are labile under moderate heating, being converted back to the acid analogue. Copyright © 2009 Society of Chemical Industry     

A simulation model for reliability evaluation of space stationpower systems

The dependence of reliability and storage characteristics during Sun and eclipse periods is considered. The charging and discharging of energy storage modules is included on a continuous basis. Sample system studies are also presented. The Monte Carlo analysis program for reliability analysis of a hybrid configuration can model the charging and discharging of energy storage devices in a more realistic manner than the approach of C. Singh et al. (1987). The results shown do not indicate any significant effect on computed reliability indices by this more refined modelling of charge/discharge of energy storage