Activity

FFR is the “gold standard” for assessing the physiological significance of coronary disease. In the last decade, several alternative adenosine-free indexes have been proposed in order to facilitate the dissemination of the functional evaluation of coronary stenosis. Our aim was to investigate whether radiographic contrast plus intracoronary nitroglycerin (cFFR-NTG) can predict functional assessment of coronary stenosis offering superior diagnostic agreement with FFR compared to non-hyperemic indexes and contrast mediated FFR (cFFR).

329 lesions evaluated with pressure wire in 266 patients were prospectively included in this multicenter study.

The ROC curves for cFFR-NTG using a FFR≤0.80 showed a higher accuracy in predicting FFR (AUC 0.97) than resting Pd/Pa (AUC 0.90, p<0.01) and cFFR (AUC 0.93.5, p<0.01). A significant (p<0.01) strong correlation was found between FFR and the four analyzed indexes Pd/Pa(r=0.78); iFR/RFR (r=0.73); cFFR(r=0.89) and cFFR-NTG(r=0.93). cFFR-NTG showed the closest agreement at Bland-Altman analysis. The cFFR-NTG cut off value >0.84 showed the highest negative predictive value (88%), specificity (91%), sensitivity (94%) and accuracy (92%) of the studied indexes.

Submaximal hyperemic adenosine-free indexes are an efficient alternative to adenosine for the physiological assessment of epicardial coronary disease. The most accurate index in predicting the functional significance of coronary stenosis using FFR as reference was cFFRNTG.

Submaximal hyperemic adenosine-free indexes are an efficient alternative to adenosine for the physiological assessment of epicardial coronary disease. The most accurate index in predicting the functional significance of coronary stenosis using FFR as reference was cFFRNTG.

The optimal choice of oral P2Y12 receptor inhibitors has the potential to significantly influence outcomes. We seek to compare the safety and efficacy of the three most commonly used oral P2Y12 receptor inhibitors (clopidogrel, prasugrel, and ticagrelor) in acute coronary syndromes (ACS) via a comprehensive systematic review and network meta-analysis.

We will perform a comprehensive search for randomized clinical trials which compared cardiovascular and hemorrhagic outcomes after use of at least two of the distinct oral P2Y12 receptor inhibitors (i.e. clopidogrel, prasugrel, and ticagrelor). In addition, key inclusion criteria will be trial size of at least 100 patients and at least 1 month of follow-up time. Several pre-specified subgroups will be explored, including Asian patients, patients presenting with ST-elevation myocardial infarction, patients of advanced age, and others.

Exploratory frequentist pairwise meta-analyses will be based primarily on a random-effects method, relying on relative risksents with ACS. It is our hope that the rigor and breadth of the undertaking described herein will provide novel insights that will inform optimal patient care for patients with ACS treated conservatively, or undergoing revascularization.For the purpose of examining the characteristics of dyslipidemia and fatty liver in patients with Werner syndrome in Japan in recent years, we searched all case reports of Japanese Werner syndrome reported on Medical Online and PubMed since 1996, and collected and examined the data and clinical features described in these reports. In addition, as there are few descriptions of treatment methods in these reports from Medical Online and PubMed, we analyzed 12 cases for which detailed data on treatment methods are available at Chiba University. Geriatr Gerontol Int 2021; 21 133-138.Ectotherms depend on temperature to maintain their physiological functions and through behavioral changes, they can avoid overheating in their habitats. The voluntary thermal maximum (VTMax ) represents the maximum temperature tolerated by individuals before actively moving to a colder place. However, if and how VTMax might change after capture and in captivity remains understudied. We investigate if measurements taken in captivity are a good proxy for thermal tolerance of wild individuals. As thermal history has been shown to affect behavioral response and physiological parameters, herein we hypothesized that VTMax of the neotropical viper Bothrops pauloensis varies throughout the captivity period. We measured the VTMax of individuals immediately after capture and in three trials during a short-term period in captivity. Measurements were done by recording their body temperature at which they exited a heating box experimental setup. In contrast to our hypothesis, the VTMax was not significantly affected by time in captivity but there was interindividual variation. There were also no significant differences between field and captivity measurements, in spite of the small effect size. Our results indicate that the VTMax of this snake population is not affected by a short-term captivity period. Furthermore, an invariant VTMax might indicate low phenotypic plasticity, as individuals do not appear to adjust their tolerance to short-term exposure to higher temperatures and potential vulnerability to threats such as global warming. We expect that our results can contribute to understanding the effect of captivity on thermal tolerance in neotropical squamates, allowing for insights into their thermal physiology and ecology.

This research aimed to shed light on the relationship between the sociodemographic characteristics of front-line medical workers and their anxiety and depression, to provide the basis and reference for targeted mental health education and for relevant departments to formulate appropriate policies during the COVID-19 outbreak.

This study adopted a convenient sampling method and examined the psychological status of 150 front-line medical workers from Zhejiang Province with questionnaire surveys using the Hamilton Anxiety and Depression Scale.

The participants had severe anxiety and depression; the top three items under the category of anxiety were genitourinary symptoms, behavior at interview, and respiratory symptoms, whereas the top three items under depression were feelings of guilt, weight loss, and retardation. see more Among all personal data, the following factors influenced anxiety, in decreasing order degree of suspicion of being infected when showing associated symptoms, degree of fear of yourself and your family being infected, and the affiliated hospital (p < .