BACKGROUND:The accelerated diagnostic protocol(ADP)using the Emergency Department Assessment of Chest pain Score(EDACS-ADP),a tool to identify patients at low risk of a major adverse cardiac event(MACE)among patients ...BACKGROUND:The accelerated diagnostic protocol(ADP)using the Emergency Department Assessment of Chest pain Score(EDACS-ADP),a tool to identify patients at low risk of a major adverse cardiac event(MACE)among patients presenting with chest pain to the emergency department,was developed using a contemporary troponin assay.This study was performed to validate and compare the performance of the EDACS-ADP incorporating high-sensitivity cardiac troponin I between patients who had a 30-day MACE with and without unstable angina(MACE I and II,respectively).METHODS:A single-center prospective observational study of adult patients presenting with chest pain suggestive of acute coronary syndrome was performed.The performance of EDACS-ADP in predicting MACE was assessed by calculating the sensitivity and negative predictive value.RESULTS:Of the 1,304 patients prospectively enrolled,399(30.6%;95%confidence interval[95%CI]:27.7%–33.8%)were considered low-risk using the EDACS-ADP.Among them,the rates of MACE I and II were 1.3%(5/399)and 1.0%(4/399),respectively.The EDACS-ADP showed sensitivities and negative predictive values of 98.8%(95%CI:97.2%–99.6%)and 98.7%(95%CI:97.0%–99.5%)for MACE I and 98.7%(95%CI:96.8%–99.7%)and 99.0%(95%CI:97.4%–99.6%)for MACE II,respectively.CONCLUSION:EDACS-ADP could help identify patients as safe for early discharge.However,when unstable angina was added to the outcome,the 30-day MACE rate among the designated lowrisk patients remained above the level acceptable for early discharge without further evaluation.展开更多
Extreme weather events were analyzed based on the meteorological data from the year of 1967 to 2007 for Yamaguchi, Japan. The responses from landscape trees were also investigated mainly by the analysis of image pixel...Extreme weather events were analyzed based on the meteorological data from the year of 1967 to 2007 for Yamaguchi, Japan. The responses from landscape trees were also investigated mainly by the analysis of image pixel and spectral reflectance. Results show that after the dry, hot and windy summer in 2007, many landscape trees in Yamaguchi City tended to respond the extreme weather events by reducing their leaf surface area and receiving less radiation energy. Premature leaf discoloration or defoliation appeared on some landscape tree species and leaf necrosis occurred on tip and margin of many Kousa dogwood (Cornus kousa) trees at unfavorable sites. Described by image pixel analysis method, the leaf necrotic area percentage (LNAP) of sampled dogwood trees averaged 41.6% and the sampled Sasanqua camellia (Camelia sasanqua) tree also showed fewer flowers in flower season of 2007 than that in 2006. By differential analysis of partial discolored crown, it presented a logistic differential equation of crown color for sweet gum (Liquidambar styraciflua) trees. It suggested that the persistent higher temperature and lower precipitation could be injurious to the sensitive landscape trees at poor sites, even in relative humid area like Yamaguchi.展开更多
Legal language is a pretty formal language.As part of legal language,legislative language has all the basic features of legal language and legislative language has an accurate,plain,solemn,rigorous style.People interp...Legal language is a pretty formal language.As part of legal language,legislative language has all the basic features of legal language and legislative language has an accurate,plain,solemn,rigorous style.People interprete legislative language and act in accordance with laws.On the contrary,behaviors and certain events also influence the characteristics of legislative language,even trigger some conflicts with it.Confronted with some advantaged influence,legislators have to make some compromises or change the characteristics of legislative language.However,legislators should adhere to remain represantations of laws to resist disadvantaged impacts.As a result,it is need to research how behaviors and certain events influence legislative language.展开更多
This paper studies English training for student volunteers at large scale sports events with a comprehensive investigation of the undergraduate student volunteers from Capital University of Physical Education who have...This paper studies English training for student volunteers at large scale sports events with a comprehensive investigation of the undergraduate student volunteers from Capital University of Physical Education who have taken part in large scale sports events.By examining the current volunteer training situation,the author finds that there is a sever lack of professional and systematical English training for student volunteers at large scale sports events.The study shows focusing on sports events knowledge and requirements of the volunteers’specific job is crucial to the service level of the volunteers.The study concludes that the problem can be solved by developing new course books,innovating new flexible training methods,and offering more comprehensive training content.The recommended training methods include intensive group training,computer aided teaching,task training and on-the-spot training to make them fit their work soon.展开更多
Using the daily precipitation data of 740 stations in China from 1960 to 2000, the analysis on the variations and distributions of the frequency and the percentage of extreme precipitation to the annual rainfall have ...Using the daily precipitation data of 740 stations in China from 1960 to 2000, the analysis on the variations and distributions of the frequency and the percentage of extreme precipitation to the annual rainfall have been performed in this paper. Results indicate that the percentage of heavy rains （above 25mm/day） in the annual rainfall has increased, while on average the day number of heavy rains has slightly reduced during the past 40 years. In the end of 1970s and the beginning of 1980s, both the number of days with extreme precipitation and the percentage of extreme precipitation abruptly changed over China, especially in the northern China. By moving t test, the abrupt change year of extreme precipitation for each station and its spatial distribution over the whole country are also obtained. The abrupt change years concentrated in 1978-1982 for most regions of northern China while occurred at various stations in southern China in greatly different/diverse years. Besides the abrupt change years of extreme precipitation at part stations of Northwest China happened about 5 years later in comparison with that of the country＇s average.展开更多
Background There are limited data on the prevalence of electrocardiographic (ECG) abnormalities, and their value for predicting a major adverse cardiovascular event (MACE) in patients at high cardiovascular risk. This...Background There are limited data on the prevalence of electrocardiographic (ECG) abnormalities, and their value for predicting a major adverse cardiovascular event (MACE) in patients at high cardiovascular risk. This study aimed to determine the prevalence of ECG abnormalities in patients at high risk for cardiovascular events, and to identify ECG abnormalities that significantly predict MACE. Methods Patients aged ≥ 45 years with established atherosclerotic disease (EAD) were consecutively enrolled from the outpatient clinics of the six participating hospitals during April 2011 to March 2014. The following data were collected: demographic data, cardiovascular risk factors, history of cardiovascular event, physical examination, ECG and medications. ECG was analyzed using Minnesota Code criteria. MACE included cardiovascular death, non-fatal myocardial infarction, and hospitalization due to unstable angina or heart failure. Results A total of 2009 patients were included, 1048 patients (52.2%) had established EAD, and 961 patients (47.8%) had multiple risk factors (MRF). ECG abnormalities included atrial fibrillation (6.7%), premature ventricular contraction (5.4%), pathological Q-wave (Q/QS)(21.3%), T-wave inversion (20.0%), intraventricular ventricular conduction delay (IVCD)(7.3%), left ventricular hypertrophy (LVH)(12.2%), and AV block (12.5%). MACE occurred in 88 patients (4.4%). Independent predictors of MACE were chronic kidney disease, EAD, and the presence of atrial fibrillation, Q/QS, IVCD or LVH by ECG. Conclusions A high prevalence of ECG abnormalities was found. The prevalence of ECG abnormalities was high even among those with risk factors without documented cardiovascular disease.展开更多
The typical development of total volumetric change in the focal areas of seismic events,corresponding to destress blasting,is characterized as an explosive phase followed by an implosive phase and with alternating add...The typical development of total volumetric change in the focal areas of seismic events,corresponding to destress blasting,is characterized as an explosive phase followed by an implosive phase and with alternating additional phases following on from that.In a few cases,a non-typical development of volumetric change was identified,where the first phase was implosive and the second phase,explosive.This development is mainly typical for induced seismic events recorded during mining,not for destress blasting.Seismic events were recorded during longwall mining in the Czech part of the Upper Silesian Coal Basin,where the destress blasting technique is used as a rockburst prevention active measure.Kinematic source processes in the focal areas of selected seismic events were analyzed by the seismic moment tensor inversion method,as well as by studying geomechanical rock mass conditions at the localities of the seismic events.The main goal of the analysis was to attempt to identify the reasons for non-typical development of volumetric changes in these cases.Volumetric changes were analyzed for seismic events with energy greater than 104 J,recorded in the period of time from 1993 to 2009(1109 events).80%(891)of the recorded seismic events were induced seismic events that were registered during longwall mining and 20%(218)corresponded to destress blasting events.Research shows that the main reason for the non-typical development of volumetric changes in the focal areas of seismic events is an association with destress blasting in the rock mass,which is very close to rock mass overstressing.The detonation of explosives in boreholes,which would dominate the first phase of volumetric changes,probably obscured stress release in the rock mass,as manifested in the first implosion phase of the volumetric changes in this case.展开更多
The pick-up algorithm by the k-th order cluster for the closest distance is used in the fields of weather and climactic events, and the technical terms clustered index and high clustered region are defined to investig...The pick-up algorithm by the k-th order cluster for the closest distance is used in the fields of weather and climactic events, and the technical terms clustered index and high clustered region are defined to investigate their temporal and spatial distribution characteristics in China during the past 50 years. The results show that the contribution of extreme high-temperature event clusters changed in the period from the 1960s to the 1970s, and its strength was enhanced. On the other hand, the decreasing trend in the clusters of low-temperature extremes can be taken as a signal for warmer winters to follow in the decadal time scale. Torrential rain and heavy rainfall clusters have both been lessened in the past 50 years, and have different cluster characteristics because of their definitions. Regions with high clustered indexes are concentrated in southern China. The spatial evolution of the heavy rainfall clusters reveals that clustered heavy rainfall has played an important role in the rain-belt pattern over China during the last 50 years.展开更多
Background and objective To assess the predictive value of C-reactive protein(CRP) for major adverse cardiac events and the association between CRP level and the coronary lesion morphology and extent in patients with ...Background and objective To assess the predictive value of C-reactive protein(CRP) for major adverse cardiac events and the association between CRP level and the coronary lesion morphology and extent in patients with coronary heart disease (CHD).Methods CRP was measured on admission in 177 consecutive elderly (age≥60 years) patients with CHD who underwent coronary angiography. Patients were divided into high CRP group (CRP≥3mg/L) and normal CRP group (CRP ＜3mg/L). The association between CRP levels and the coronary lesion features, including severity of stenosis (mild, moderate, severe), extent of lesion (diffused or nondiffused), eccentricity of the plaque (eccentric or non-eccentric) were analyzed. Patients were followed up for a mean of 8 months for the occurrences of major adverse cardiac events (MACE). Results Compared with patients in normal CRP group, patients in high CRP group were more frequently to have unstable angina, multi-vessel, diffuse, eccentric lesions, positive remodeling, and non-smooth plaques (P＜0.01). Kaplan-Meier analysis showed patients in high CRP group had a significantly lower MACE-free survival rate than patients in normal CRP group (Log-rank = 12.0, P＜0.01); Cox regression analysis indicated CRP level as an independent predictor for the occurrence of MACE (OR=3.16, P＜0.05) Conclusions High CRP level is associated with more extend, severe and eccentric coronary lesions and is an independent predictor for MACE in elderly patients with CHD.展开更多
Online social media exhibit massive organizational event relevant messages, and the well categorized event information can be useful in many real-world applications. In this paper, we propose a research framework to e...Online social media exhibit massive organizational event relevant messages, and the well categorized event information can be useful in many real-world applications. In this paper, we propose a research framework to extract high quality event information from massive online media data. The main contributions lie in two aspects: First, we present an event-extraction and event-categorization system for online media data; second, we present a novel approach for both discovering important event categories and classifying extracted events based on word representation and clustering model. Experimental results with real dataset show that the proposed framework is effective to extract high quality event information.展开更多
Background The left atrial size has been considered as a useful marker of adverse cardiovascular outcomes. However, it is not well known whether left atrial area index （LAAI） has predictive value for prognosis in pa...Background The left atrial size has been considered as a useful marker of adverse cardiovascular outcomes. However, it is not well known whether left atrial area index （LAAI） has predictive value for prognosis in patients with unstable angina pectoris （UAP）. This study was aimed to assess the association between LAAI and outcomes in UAP patients. Methods We enrolled a total of 391 in-hospital patients diag- nosed as UAP. Clinical and echocardiographic data at baseline were collected. The patients were followed for the development of ad- verse cardiovascular （CV） events, including hospital readmission for angina pectoris, acute myocardial infarction （AMI）, congestive heart failure （CHF）, stroke and all-cause mortality. Results During a mean follow-up time of 26.3±8.6 months, 98 adverse CV events occurred （84 hospital readmission for angina pectoris, four AMI, four CHF, one stroke and five all-cause mortality）. In a multivariate Cox model, LAAI [OR： 1.140, 95% CI： 1.01±1.279, P = 0.026], diastolic blood pressure （OR： 0.976, 95% CI： 0.956-0.996, P = 0.020） and pulse pressure （OR 1.020, 95% CI： 1.007-1.034, P = 0.004） were independent predictors for adverse CV events in UAP patients. Conclusions LAAI is a predictor of adverse CV events independent of clinical and other echocardiographic parameters in UAP patients.展开更多
Background This prospective study integrated multiple clinical indexes and inflammatory markers associated with coronary atherosclerotic vulnerable plaque to establish a risk prediction model that can evaluate a patie...Background This prospective study integrated multiple clinical indexes and inflammatory markers associated with coronary atherosclerotic vulnerable plaque to establish a risk prediction model that can evaluate a patient with certain risk factors for the likelihood of the occurrence of a coronary heart disease event within one year. Methods This study enrolled in 2686 patients with mild to moderate coronary artery lesions. Eighty-five indexes were recorded, included baseline clinical data, laboratory studies, and procedural characteristics. During the 1-year follow-up, 233 events occurred, five patients died, four patients suffered a nonfatal myocardial infarction, four patients underwent revascularization, and 220 patients were readmitted for angina pectoris. The Risk Estimation Model and the Simplified Model were conducted using Bayesian networks and compared with the Single Factor Models. Results The area under the curve was 0.88 for the Bayesian Model and 0.85 for the Simplified Model, while the Single Factor Model had a maximum area under the curve of 0.65. Conclusion The new models can be used to assess the short-term risk of individual coronary heart disease events and may assist in guiding preventive care.展开更多
The ultralow detection threshold,ultralow intrinsic background,and excellent energy resolution of ptype point-contact germanium detectors are important for rare-event searches,in particular for the detection of direct...The ultralow detection threshold,ultralow intrinsic background,and excellent energy resolution of ptype point-contact germanium detectors are important for rare-event searches,in particular for the detection of direct dark matter interactions,coherent elastic neutrino-nucleus scattering,and neutrinoless double beta decay.Anomalous bulk events with an extremely fast rise time are observed in the CDEX-1B detector.We report a method of extracting fast bulk events from bulk events using a pulse shape simulation and reconstructed source experiment signature.Calibration data and the distribution of X-rays generated by intrinsic radioactivity verified that the fast bulk experienced a single hit near the passivation layer.The performance of this germanium detector indicates that it is capable of single-hit bulk spatial resolution and thus provides a background removal technique.展开更多
We have read the article which entitled ＂Neutrophil-to- lymphocyte ratio compared to N-terminal pro-brain natri- uretic peptide as a prognostic marker of adverse events in elderly patients with chronic heart failure...We have read the article which entitled ＂Neutrophil-to- lymphocyte ratio compared to N-terminal pro-brain natri- uretic peptide as a prognostic marker of adverse events in elderly patients with chronic heart failure＂ published in Journal of Geriatric Cardiology with great interest, However, we have some comments regarding this study.展开更多
Static effort of rock mass very rarely causes of rock burst in polish coal mines. Rock bursts with source in the seismic tremor within the roof rock layers are prevailing. A seismic tremor is an effect of rupture or s...Static effort of rock mass very rarely causes of rock burst in polish coal mines. Rock bursts with source in the seismic tremor within the roof rock layers are prevailing. A seismic tremor is an effect of rupture or sliding in roof layers above the exploited panel in coal seam, sometime in a distance from actual exploitation. Sliding, as a rule occurs in fault zone and tremors in it are expected, but monolithic layer rupture is very hard to predict. In a past few years a practice of analyzing state of deformation in high energy seismic tremors zones has been employed. It let gathering experience thanks to witch determination of dangerous shape of reformatted roof is possible. In the paper some typical forms of roof rocks deformations leading to seismic tremor occurrence will be presented. In general these are various types of multidirectional rock layers bending. Real examples of seismic events and rock bursts will be shown.展开更多
Extreme weather events were analyzed based on the meteorological data from the year of 1967 to 2007 for Yamaguchi, Japan. The responses from landscape trees were also investigated mainly by the analysis of image pixel...Extreme weather events were analyzed based on the meteorological data from the year of 1967 to 2007 for Yamaguchi, Japan. The responses from landscape trees were also investigated mainly by the analysis of image pixel and spectral reflectance, Results show that after the dry, hot and windy summer in 2007, many landscape trees in Yamaguchi City tended to respond the extreme weather events by re- ducing their leaf surface area and receiving less radiation energy. Premature leaf discoloration or defoliation appeared on some landscape tree species and leaf necrosis occurred on tip and margin of many Kousa dogwood （Comus kousa） trees at unfavorable sites. Described by image pixel analysis method, the leaf necrotic area percentage （LNAP） of sampled dogwood trees averaged 41.6% and the sampled Sasanqua camellia （Camelia sasanqua） tree also showed fewer flowers in flower season of 2007 than that in 2006. By differential analysis of partial discolored crown, it presented a logistic differential equation of crown color for sweet gum （Liquidambar styraciflua） trees. It suggested that the persistent higher temperature and lower precipitation could be injurious to the sensitive landscape trees at poor sites, even in relative humid area like Yamaguchi.展开更多
In order to effectively decrease the safety accidents caused by coal miners’human errors,this paper probes into the causality between human errors and life events,coping,psychological stress,psychological function,ph...In order to effectively decrease the safety accidents caused by coal miners’human errors,this paper probes into the causality between human errors and life events,coping,psychological stress,psychological function,physiological function based on life events’vital influence on human errors,establishing causation mechanism model of coal miners’human errors in the perspective of life events by the researching method of structural equation.The research findings show that life events have significantly positive influence on human errors,with a influential effect value of 0.7945 and a influential effect path of‘‘life events—psychological stress—psychological function—physiological function—human errors’’and‘‘life events—psychological stress—physiological function—human errors’’.展开更多
Various types of plasma events emerge in specific parameter ranges and exhibit similar characteristics in diagnostic signals,which can be applied to identify these events.A semisupervised machine learning algorithm,th...Various types of plasma events emerge in specific parameter ranges and exhibit similar characteristics in diagnostic signals,which can be applied to identify these events.A semisupervised machine learning algorithm,the k-means clustering algorithm,is utilized to investigate and identify plasma events in the J-TEXT plasma.This method can cluster diverse plasma events with homogeneous features,and then these events can be identified if given few manually labeled examples based on physical understanding.A survey of clustered events reveals that the k-means algorithm can make plasma events(rotating tearing mode,sawtooth oscillations,and locked mode)gathering in Euclidean space composed of multi-dimensional diagnostic data,like soft x-ray emission intensity,edge toroidal rotation velocity,the Mirnov signal amplitude and so on.Based on the cluster analysis results,an approximate analytical model is proposed to rapidly identify plasma events in the J-TEXT plasma.The cluster analysis method is conducive to data markers of massive diagnostic data.展开更多
基金supported by the National Research Foundation of Korea(NRF)grant funded by the Korean government Ministry of Science and ICT(NRF-2021R1G1A101056711)。
文摘BACKGROUND:The accelerated diagnostic protocol(ADP)using the Emergency Department Assessment of Chest pain Score(EDACS-ADP),a tool to identify patients at low risk of a major adverse cardiac event(MACE)among patients presenting with chest pain to the emergency department,was developed using a contemporary troponin assay.This study was performed to validate and compare the performance of the EDACS-ADP incorporating high-sensitivity cardiac troponin I between patients who had a 30-day MACE with and without unstable angina(MACE I and II,respectively).METHODS:A single-center prospective observational study of adult patients presenting with chest pain suggestive of acute coronary syndrome was performed.The performance of EDACS-ADP in predicting MACE was assessed by calculating the sensitivity and negative predictive value.RESULTS:Of the 1,304 patients prospectively enrolled,399(30.6%;95%confidence interval[95%CI]:27.7%–33.8%)were considered low-risk using the EDACS-ADP.Among them,the rates of MACE I and II were 1.3%(5/399)and 1.0%(4/399),respectively.The EDACS-ADP showed sensitivities and negative predictive values of 98.8%(95%CI:97.2%–99.6%)and 98.7%(95%CI:97.0%–99.5%)for MACE I and 98.7%(95%CI:96.8%–99.7%)and 99.0%(95%CI:97.4%–99.6%)for MACE II,respectively.CONCLUSION:EDACS-ADP could help identify patients as safe for early discharge.However,when unstable angina was added to the outcome,the 30-day MACE rate among the designated lowrisk patients remained above the level acceptable for early discharge without further evaluation.
文摘Extreme weather events were analyzed based on the meteorological data from the year of 1967 to 2007 for Yamaguchi, Japan. The responses from landscape trees were also investigated mainly by the analysis of image pixel and spectral reflectance. Results show that after the dry, hot and windy summer in 2007, many landscape trees in Yamaguchi City tended to respond the extreme weather events by reducing their leaf surface area and receiving less radiation energy. Premature leaf discoloration or defoliation appeared on some landscape tree species and leaf necrosis occurred on tip and margin of many Kousa dogwood (Cornus kousa) trees at unfavorable sites. Described by image pixel analysis method, the leaf necrotic area percentage (LNAP) of sampled dogwood trees averaged 41.6% and the sampled Sasanqua camellia (Camelia sasanqua) tree also showed fewer flowers in flower season of 2007 than that in 2006. By differential analysis of partial discolored crown, it presented a logistic differential equation of crown color for sweet gum (Liquidambar styraciflua) trees. It suggested that the persistent higher temperature and lower precipitation could be injurious to the sensitive landscape trees at poor sites, even in relative humid area like Yamaguchi.
文摘Legal language is a pretty formal language.As part of legal language,legislative language has all the basic features of legal language and legislative language has an accurate,plain,solemn,rigorous style.People interprete legislative language and act in accordance with laws.On the contrary,behaviors and certain events also influence the characteristics of legislative language,even trigger some conflicts with it.Confronted with some advantaged influence,legislators have to make some compromises or change the characteristics of legislative language.However,legislators should adhere to remain represantations of laws to resist disadvantaged impacts.As a result,it is need to research how behaviors and certain events influence legislative language.
文摘This paper studies English training for student volunteers at large scale sports events with a comprehensive investigation of the undergraduate student volunteers from Capital University of Physical Education who have taken part in large scale sports events.By examining the current volunteer training situation,the author finds that there is a sever lack of professional and systematical English training for student volunteers at large scale sports events.The study shows focusing on sports events knowledge and requirements of the volunteers’specific job is crucial to the service level of the volunteers.The study concludes that the problem can be solved by developing new course books,innovating new flexible training methods,and offering more comprehensive training content.The recommended training methods include intensive group training,computer aided teaching,task training and on-the-spot training to make them fit their work soon.
基金Project supported by the National Natural Science Foundation of China (Grant No 40675044)the State Key Development Program for Basic Research of China (Grant No 2006CB400503)the Laboratory for Climate Studies of China Meteorological Administration Climate Research Program (Grant No LCS-2006-04)
文摘Using the daily precipitation data of 740 stations in China from 1960 to 2000, the analysis on the variations and distributions of the frequency and the percentage of extreme precipitation to the annual rainfall have been performed in this paper. Results indicate that the percentage of heavy rains （above 25mm/day） in the annual rainfall has increased, while on average the day number of heavy rains has slightly reduced during the past 40 years. In the end of 1970s and the beginning of 1980s, both the number of days with extreme precipitation and the percentage of extreme precipitation abruptly changed over China, especially in the northern China. By moving t test, the abrupt change year of extreme precipitation for each station and its spatial distribution over the whole country are also obtained. The abrupt change years concentrated in 1978-1982 for most regions of northern China while occurred at various stations in southern China in greatly different/diverse years. Besides the abrupt change years of extreme precipitation at part stations of Northwest China happened about 5 years later in comparison with that of the country＇s average.
基金supported by the Heart Association of Thailand under the Royal Patronage of H.M. the King, National Research Council of Thailand
文摘Background There are limited data on the prevalence of electrocardiographic (ECG) abnormalities, and their value for predicting a major adverse cardiovascular event (MACE) in patients at high cardiovascular risk. This study aimed to determine the prevalence of ECG abnormalities in patients at high risk for cardiovascular events, and to identify ECG abnormalities that significantly predict MACE. Methods Patients aged ≥ 45 years with established atherosclerotic disease (EAD) were consecutively enrolled from the outpatient clinics of the six participating hospitals during April 2011 to March 2014. The following data were collected: demographic data, cardiovascular risk factors, history of cardiovascular event, physical examination, ECG and medications. ECG was analyzed using Minnesota Code criteria. MACE included cardiovascular death, non-fatal myocardial infarction, and hospitalization due to unstable angina or heart failure. Results A total of 2009 patients were included, 1048 patients (52.2%) had established EAD, and 961 patients (47.8%) had multiple risk factors (MRF). ECG abnormalities included atrial fibrillation (6.7%), premature ventricular contraction (5.4%), pathological Q-wave (Q/QS)(21.3%), T-wave inversion (20.0%), intraventricular ventricular conduction delay (IVCD)(7.3%), left ventricular hypertrophy (LVH)(12.2%), and AV block (12.5%). MACE occurred in 88 patients (4.4%). Independent predictors of MACE were chronic kidney disease, EAD, and the presence of atrial fibrillation, Q/QS, IVCD or LVH by ECG. Conclusions A high prevalence of ECG abnormalities was found. The prevalence of ECG abnormalities was high even among those with risk factors without documented cardiovascular disease.
基金the project of the Institute of Clean Technologies for Mining and Utilisation of Raw Materials for Energy Use–Sustainability Programme(No.LO1406)supported by a project for the long-term conceptual development of research organisations(No.RVO68145535)
文摘The typical development of total volumetric change in the focal areas of seismic events,corresponding to destress blasting,is characterized as an explosive phase followed by an implosive phase and with alternating additional phases following on from that.In a few cases,a non-typical development of volumetric change was identified,where the first phase was implosive and the second phase,explosive.This development is mainly typical for induced seismic events recorded during mining,not for destress blasting.Seismic events were recorded during longwall mining in the Czech part of the Upper Silesian Coal Basin,where the destress blasting technique is used as a rockburst prevention active measure.Kinematic source processes in the focal areas of selected seismic events were analyzed by the seismic moment tensor inversion method,as well as by studying geomechanical rock mass conditions at the localities of the seismic events.The main goal of the analysis was to attempt to identify the reasons for non-typical development of volumetric changes in these cases.Volumetric changes were analyzed for seismic events with energy greater than 104 J,recorded in the period of time from 1993 to 2009(1109 events).80%(891)of the recorded seismic events were induced seismic events that were registered during longwall mining and 20%(218)corresponded to destress blasting events.Research shows that the main reason for the non-typical development of volumetric changes in the focal areas of seismic events is an association with destress blasting in the rock mass,which is very close to rock mass overstressing.The detonation of explosives in boreholes,which would dominate the first phase of volumetric changes,probably obscured stress release in the rock mass,as manifested in the first implosion phase of the volumetric changes in this case.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.41005043 and 41105033)the National Basic Research Program of China(Grant No.2012CB955901)the National Science and Technology Ministry,China(Grant Nos.2007BAC29B01 and 2007BAC03A01)
文摘The pick-up algorithm by the k-th order cluster for the closest distance is used in the fields of weather and climactic events, and the technical terms clustered index and high clustered region are defined to investigate their temporal and spatial distribution characteristics in China during the past 50 years. The results show that the contribution of extreme high-temperature event clusters changed in the period from the 1960s to the 1970s, and its strength was enhanced. On the other hand, the decreasing trend in the clusters of low-temperature extremes can be taken as a signal for warmer winters to follow in the decadal time scale. Torrential rain and heavy rainfall clusters have both been lessened in the past 50 years, and have different cluster characteristics because of their definitions. Regions with high clustered indexes are concentrated in southern China. The spatial evolution of the heavy rainfall clusters reveals that clustered heavy rainfall has played an important role in the rain-belt pattern over China during the last 50 years.
文摘Background and objective To assess the predictive value of C-reactive protein(CRP) for major adverse cardiac events and the association between CRP level and the coronary lesion morphology and extent in patients with coronary heart disease (CHD).Methods CRP was measured on admission in 177 consecutive elderly (age≥60 years) patients with CHD who underwent coronary angiography. Patients were divided into high CRP group (CRP≥3mg/L) and normal CRP group (CRP ＜3mg/L). The association between CRP levels and the coronary lesion features, including severity of stenosis (mild, moderate, severe), extent of lesion (diffused or nondiffused), eccentricity of the plaque (eccentric or non-eccentric) were analyzed. Patients were followed up for a mean of 8 months for the occurrences of major adverse cardiac events (MACE). Results Compared with patients in normal CRP group, patients in high CRP group were more frequently to have unstable angina, multi-vessel, diffuse, eccentric lesions, positive remodeling, and non-smooth plaques (P＜0.01). Kaplan-Meier analysis showed patients in high CRP group had a significantly lower MACE-free survival rate than patients in normal CRP group (Log-rank = 12.0, P＜0.01); Cox regression analysis indicated CRP level as an independent predictor for the occurrence of MACE (OR=3.16, P＜0.05) Conclusions High CRP level is associated with more extend, severe and eccentric coronary lesions and is an independent predictor for MACE in elderly patients with CHD.
基金supported by the National Natural Science Foundation of China under Grants No.71271044,No.U1233118,and No.71572029
文摘Online social media exhibit massive organizational event relevant messages, and the well categorized event information can be useful in many real-world applications. In this paper, we propose a research framework to extract high quality event information from massive online media data. The main contributions lie in two aspects: First, we present an event-extraction and event-categorization system for online media data; second, we present a novel approach for both discovering important event categories and classifying extracted events based on word representation and clustering model. Experimental results with real dataset show that the proposed framework is effective to extract high quality event information.
文摘Background The left atrial size has been considered as a useful marker of adverse cardiovascular outcomes. However, it is not well known whether left atrial area index （LAAI） has predictive value for prognosis in patients with unstable angina pectoris （UAP）. This study was aimed to assess the association between LAAI and outcomes in UAP patients. Methods We enrolled a total of 391 in-hospital patients diag- nosed as UAP. Clinical and echocardiographic data at baseline were collected. The patients were followed for the development of ad- verse cardiovascular （CV） events, including hospital readmission for angina pectoris, acute myocardial infarction （AMI）, congestive heart failure （CHF）, stroke and all-cause mortality. Results During a mean follow-up time of 26.3±8.6 months, 98 adverse CV events occurred （84 hospital readmission for angina pectoris, four AMI, four CHF, one stroke and five all-cause mortality）. In a multivariate Cox model, LAAI [OR： 1.140, 95% CI： 1.01±1.279, P = 0.026], diastolic blood pressure （OR： 0.976, 95% CI： 0.956-0.996, P = 0.020） and pulse pressure （OR 1.020, 95% CI： 1.007-1.034, P = 0.004） were independent predictors for adverse CV events in UAP patients. Conclusions LAAI is a predictor of adverse CV events independent of clinical and other echocardiographic parameters in UAP patients.
文摘Background This prospective study integrated multiple clinical indexes and inflammatory markers associated with coronary atherosclerotic vulnerable plaque to establish a risk prediction model that can evaluate a patient with certain risk factors for the likelihood of the occurrence of a coronary heart disease event within one year. Methods This study enrolled in 2686 patients with mild to moderate coronary artery lesions. Eighty-five indexes were recorded, included baseline clinical data, laboratory studies, and procedural characteristics. During the 1-year follow-up, 233 events occurred, five patients died, four patients suffered a nonfatal myocardial infarction, four patients underwent revascularization, and 220 patients were readmitted for angina pectoris. The Risk Estimation Model and the Simplified Model were conducted using Bayesian networks and compared with the Single Factor Models. Results The area under the curve was 0.88 for the Bayesian Model and 0.85 for the Simplified Model, while the Single Factor Model had a maximum area under the curve of 0.65. Conclusion The new models can be used to assess the short-term risk of individual coronary heart disease events and may assist in guiding preventive care.
基金supported by the National Key Research and Development Program of China(No.2017YFA0402203)the National Natural Science Foundation of China(No.11975162)the SPARK project of the research and innovation program of Sichuan University(No.2018SCUH0051)。
文摘The ultralow detection threshold,ultralow intrinsic background,and excellent energy resolution of ptype point-contact germanium detectors are important for rare-event searches,in particular for the detection of direct dark matter interactions,coherent elastic neutrino-nucleus scattering,and neutrinoless double beta decay.Anomalous bulk events with an extremely fast rise time are observed in the CDEX-1B detector.We report a method of extracting fast bulk events from bulk events using a pulse shape simulation and reconstructed source experiment signature.Calibration data and the distribution of X-rays generated by intrinsic radioactivity verified that the fast bulk experienced a single hit near the passivation layer.The performance of this germanium detector indicates that it is capable of single-hit bulk spatial resolution and thus provides a background removal technique.
文摘We have read the article which entitled ＂Neutrophil-to- lymphocyte ratio compared to N-terminal pro-brain natri- uretic peptide as a prognostic marker of adverse events in elderly patients with chronic heart failure＂ published in Journal of Geriatric Cardiology with great interest, However, we have some comments regarding this study.
文摘Static effort of rock mass very rarely causes of rock burst in polish coal mines. Rock bursts with source in the seismic tremor within the roof rock layers are prevailing. A seismic tremor is an effect of rupture or sliding in roof layers above the exploited panel in coal seam, sometime in a distance from actual exploitation. Sliding, as a rule occurs in fault zone and tremors in it are expected, but monolithic layer rupture is very hard to predict. In a past few years a practice of analyzing state of deformation in high energy seismic tremors zones has been employed. It let gathering experience thanks to witch determination of dangerous shape of reformatted roof is possible. In the paper some typical forms of roof rocks deformations leading to seismic tremor occurrence will be presented. In general these are various types of multidirectional rock layers bending. Real examples of seismic events and rock bursts will be shown.
文摘Extreme weather events were analyzed based on the meteorological data from the year of 1967 to 2007 for Yamaguchi, Japan. The responses from landscape trees were also investigated mainly by the analysis of image pixel and spectral reflectance, Results show that after the dry, hot and windy summer in 2007, many landscape trees in Yamaguchi City tended to respond the extreme weather events by re- ducing their leaf surface area and receiving less radiation energy. Premature leaf discoloration or defoliation appeared on some landscape tree species and leaf necrosis occurred on tip and margin of many Kousa dogwood （Comus kousa） trees at unfavorable sites. Described by image pixel analysis method, the leaf necrotic area percentage （LNAP） of sampled dogwood trees averaged 41.6% and the sampled Sasanqua camellia （Camelia sasanqua） tree also showed fewer flowers in flower season of 2007 than that in 2006. By differential analysis of partial discolored crown, it presented a logistic differential equation of crown color for sweet gum （Liquidambar styraciflua） trees. It suggested that the persistent higher temperature and lower precipitation could be injurious to the sensitive landscape trees at poor sites, even in relative humid area like Yamaguchi.
基金supported by the National Natural Science Foundation of China (No. 71271206)
文摘In order to effectively decrease the safety accidents caused by coal miners’human errors,this paper probes into the causality between human errors and life events,coping,psychological stress,psychological function,physiological function based on life events’vital influence on human errors,establishing causation mechanism model of coal miners’human errors in the perspective of life events by the researching method of structural equation.The research findings show that life events have significantly positive influence on human errors,with a influential effect value of 0.7945 and a influential effect path of‘‘life events—psychological stress—psychological function—physiological function—human errors’’and‘‘life events—psychological stress—physiological function—human errors’’.
基金supported by the National Magnetic Confinement Fusion Science Program of China(Nos.2018YFE0301104 and 2018YFE0301100)National Natural Science Foundation of China(Nos.12075096 and 51821005)。
文摘Various types of plasma events emerge in specific parameter ranges and exhibit similar characteristics in diagnostic signals,which can be applied to identify these events.A semisupervised machine learning algorithm,the k-means clustering algorithm,is utilized to investigate and identify plasma events in the J-TEXT plasma.This method can cluster diverse plasma events with homogeneous features,and then these events can be identified if given few manually labeled examples based on physical understanding.A survey of clustered events reveals that the k-means algorithm can make plasma events(rotating tearing mode,sawtooth oscillations,and locked mode)gathering in Euclidean space composed of multi-dimensional diagnostic data,like soft x-ray emission intensity,edge toroidal rotation velocity,the Mirnov signal amplitude and so on.Based on the cluster analysis results,an approximate analytical model is proposed to rapidly identify plasma events in the J-TEXT plasma.The cluster analysis method is conducive to data markers of massive diagnostic data.
