Accurate detection of coronary artery disease by integrated analysis of the ST-segment depression/heart rate patterns during the exercise and recovery phases of the exercise electrocardiography test

In this comparative cross-sectional study, we evaluated whether a novel computerized diagnostic variable, ST-segment depression/heart rate ST/HR analysis during both the exercise and postexercise recovery phases of the exercise electrocardiography (ECG) test, can detect coronary artery disease more accurately than methods using either exercise or recovery phase alone. The study population comprised 347 clinical patients referred for a routine bicycle exercise ECG test at Tampere University Hospital, Finland. Of these, 127 had angiographically proven coronary artery disease, whereas 13 had no coronary artery disease according to angiography, 18 had no perfusion defect according to technetium-99m sestamibi single-photon emission computed tomography, and 189 were clinically normal with respect to cardiac diseases. For each patient, the maximum values of the ST/HR hysteresis, ST/HR index, end-exercise ST depression, and recovery ST depression were determined from the Mason-Likar modification of the standard 12-lead exercise electrocardiogram [aVL, aVR, and V1 excluded]. The diagnostic performance of these continuous diagnostic variables was compared by means of receiver-operating characteristic analysis. The area under the receiver-operating characteristic curve of the ST/HR hysteresis was 89%, which was significantly larger than that of the end-exercise ST depression (76%, p < or = 0.0001), recovery ST depression (84%, p = 0.0063), or ST/HR index (83%, p = 0.0023), indicating superior diagnostic performance of the ST/HR hysteresis independent of the partition value selection. In conclusion, computerized analysis of the HR-adjusted ST depression pattern during the exercise phase, integrated with the HR-adjusted ST depression pattern during the recovery phase after exercise, can significantly improve the diagnostic performance and clinical utility of the exercise ECG test for the detection of coronary artery disease.     

Age-dependent variations in the sexual preference of male rats

Male rats were tested for their sexual preference behavior at either 37, 70, 90, or 150 days of age on three different occasions; while still sexually naive, after sexual experience with a receptive female, and while sexually aroused by having initiated copulation. These tests resulted in the following findings: a) 37-day-old sexually naive males showed a preference for other males and failed to show a preference for either sex after exposure to females; b) 70- and 90-day-old males showed a statistically significant preference for the female after acquiring sexual experience; c) 150-day-old animals showed a female-oriented preference only after being sexually aroused with two intromissions preceding the preference test, and d) none of the age groups tested showed a female-oriented preference without previous exposure to females. It was then concluded that a) female-oriented behavior requires sexual experience and b) the effects of experience varies with age.     

Explosive treatment as a means of redistribution of residual stresses in machine parts

The level and character of residual stress redistribution in cylindrical and flat specimens subjected to shock wave treatment were experimentally investigated. The stresses were measured using methods of destructive and nondestructive testing. It was shown that explosive treatment is an effective means of residual stress redistribution in machine parts regardless of their design features.Translated from Problemy Prochnosti, No. 11, pp. 50–54, November, 1994.     

Visualization: the look of reality

The need to understand behavior, be it of objects, systems, or organisms, bred the need to simulate it visually, which has been in turn the prime catalyst in the use of computer graphics. A 1987 National Science Foundation report helped give the term “visualization” a place in the computing lexicon, and by now the field has generated a multibillion-dollar industry in software, hardware, and related equipment. Visualization is the process of making visible what is hard or impossible to see in the physical world. It therefore embraces the display of volumetric data and representations of fields and mathematical phenomena, plus distributed visual processing the use of animation (to add the dimensions of time and motion to a subject), and the mating of visualization capabilities with software for such tasks as finite-element analysis. The author discusses visualization and its benefits and applications     

Broadband TDMA over the indoor radio channel

Prior work has focused on the negative aspects of time-dispersive channels and associated intersymbol interference. The authors show that the inherent diversity introduced by such dispersion is advantageous in reducing the performance-limiting effects of flat fading. This is demonstrated for an indoor QPSK radio link employing a decision-feedback equaliser     

Oxidation of boron silicide and materials based on it

Boron silicide and compounds based on it containing titanium, chromium, nickel, and yttrium and scandium oxides are studied for their oxidation in air from room temperature to 1300°C. It is shown that chromium boride markedly improves the heat resistance of B₄Si over a wide temperature range (700–1300°C) probably as a result chromium-oxide dissolution in borosilicate glass and alteration of its structure. A favorable effect of yttrium and scandium oxides as well of nickel silicide appears at above 100°C as a result of forming complex oxide compounds in the scale.     

Cloning and disruption of the gene encoding an extracellular metalloprotease of Aspergillus fumigatus

Aspergillus fumigatus secretes a serine alkaline protease (ALP) and a metalloprotease (MEP) when the fungus is cultivated in the presence of collagen as sole nitrogen and carbon source. The gene encoding ALP was isolated and characterized previously. We report here the cloning and the sequencing of the gene encoding MEP. Genomic and cDNA clones were isolated from A. fumigatus libraries using synthetic oligonucleotides as probes. Stretches of the deduced amino acid sequence were found to be in agreement with the N-terminal amino acid sequence of MEP and with internal peptide sequences. The amino acid sequence of the enzyme contains a putative active-site sequence HEYTH homologous to the active site of other bacterial and eukaryotic zinc metalloproteases. Sequence analysis reveals that MEP has a pre-proregion consisting of 245 amino acid residues preceding the 388 amino acid residues of the mature region (molecular mass of 42 kDa). An alp mep mutant, deficient in proteolytic activity at neutral pH in vitro, was constructed and tested for pathogenicity in a murine model. No difference in pathogenicity was observed between the wild-type strain and the alp mep double mutant, suggesting that ALP and MEP are not essential for the invasion of the lung tissues by A. fumigatus.     

Flow reversal in the descending aorta: a guide to intraoperative assessment of aortic regurgitation with transesophageal echocardiography

This study assessed the value of biplane transesophageal echocardiographic assessment of diastolic flow reversal in the descending aorta as an alternative to Doppler color flow imaging in determining severity of aortic regurgitation. In 45 patients undergoing cardiac operations, the severity of aortic regurgitation was assessed by semiquantitative grading of the width of the Doppler color flow regurgitant jet relative to the left ventricular outflow tract, and the presence of diastolic flow reversal was assessed with pulsed-wave Doppler measurements at three sites in the descending aorta. In four patients, the diastolic flow reversal method was the only available form of assessment because of inadequate visualization of the left ventricular outflow tract beneath a mitral valve prosthesis. Diastolic flow reversal in the descending aorta was not observed in patients without aortic regurgitation and was always present in patients with severe aortic regurgitation. Aortic valve replacement successfully eliminated descending aortic flow reversal in all 19 patients in whom it was present before valve replacement. Identification of diastolic flow reversal at multiple sites in the descending aorta with biplane transesophageal echocardiography helps to confirm the presence of severe aortic regurgitation and can serve as an alternative method of assessment when visualization of the left ventricular outflow tract is impaired.     

Pefloxacin in leprosy

Fluoroquinolones, a new class of compounds characterised by broad antimicrobial spectrum including mycobacteria together with limited toxicity, have recently been introduced in the chemotherapy of various human infectious diseases. Pefloxacin, one of the members of this class, was recently demonstrated to be bactericidal against M.leprae in the mouse foot-pad model and clinically beneficial in lepromatous leprosy patients. Clinical response to standard MDT with added pefloxacin in ten previously untreated (both PB and MB) was compared with that in ten similar patients on MDT alone in the present trial. The results of chemotherapy were quantified by a method of clinical scoring. This pilot study showed that addition of pefloxacin led to significant and rapid clinical improvement. There were no side effects attributable to pefloxacin.     

Natural zeolite utilisation in pollution control: A review of applications to metals' effluents

This paper assesses the potential of natural zeolite utilization as a low-cost ion-exchange and sorbent material in pollution control and recovery of metals. The improvement of the purity of natural zeolites coupled with their chemical modification capabilities in order to provide specific properties may provide a cost-effective alternative for the treatment of heavy metal contaminated soil and water. The application of natural zeolites in industrial pollution control is becoming important and the level of technical effort is increasingly expanding. The extent of application is unlikely to be related solely to their low cost, but also to improved properties and performance characteristics, which will advance the practical implementation of natural zeolites' technology.