RESUMEN

The impact of ambulatory resistant hypertension (ARH) on the occurrence of heart failure (HF) is not yet completely known. We performed for the first time a meta-analysis, by using published data or available data from published databases, on the risk of HF in ARH. Patients with ARH (24-h BP ≥ 130/80 mmHg during treatment with ≥3 drugs) were compared with those with controlled hypertension (CH, clinic BP < 140/90 mmHg and 24-h BP < 130/80 mmHg regardless of the number of drugs used), white coat uncontrolled resistant hypertension (WCURH, clinic BP ≥ 140/90 mmHg and 24-h BP < 130/80 mmHg in treated patients) and ambulatory nonresistant hypertension (ANRH, 24-h BP ≥ 130/80 mmHg during therapy with ≤2 drugs). We identified six studies/databases including 21,365 patients who experienced 692 HF events. When ARH was compared with CH, WCURH, or ANRH, the overall adjusted hazard ratio for HF was 2.32 (95% confidence interval (CI) 1.45-3.72), 1.72 (95% CI 1.36-2.17), and 2.11 (95% CI 1.40-3.17), respectively, (all P < 0.001). For some comparisons a moderate heterogeneity was found. Though we did not find variables that could explain the heterogeneity, sensitivity analyses demonstrated that none of the studies had a significant influential effect on the overall estimate. When we evaluated the potential presence of publication bias and small-study effect and adjusted for missing studies identified by Duval and Tweedie's method the estimates were slightly lower but remained significant. This meta-analysis shows that treated hypertensive patients with ARH are at approximately twice the risk of developing HF than other ambulatory BP phenotypes.

Asunto(s)

Asunto(s)

RESUMEN

A 33-year-old woman, with palpitations since the age of 15, was referred to a cardiology consultation due to very frequent ventricular extrasystoles with morphology of left bundle branch block, inferior frontal axis, late precordial transition, rS in V1, R in V6 and rS in DI. She had pectus excavatum. The cardiac magnetic resonance showed severe pectus excavatum associated with exaggerated cardiac levoposition, compression and deformation of the right cardiac chambers. However, the patient became pregnant, and follow-up was delayed.

RESUMEN

This paper presents a cost- and time-effective wearable inertial sensor system, the InertialLAB. It includes gyroscopes and accelerometers for the real-time monitoring of 3D-angular velocity and 3D-acceleration of up to six lower limbs and trunk segment and sagittal joint angle up to six joints. InertialLAB followed an open architecture with a low computational load to be executed by wearable processing units up to 200 Hz for fostering kinematic gait data to third-party systems, advancing similar commercial systems. For joint angle estimation, we developed a trigonometric method based on the segments' orientation previously computed by fusion-based methods. The validation covered healthy gait patterns in varying speed and terrain (flat, ramp, and stairs) and including turns, extending the experiments approached in the literature. The benchmarking analysis to MVN BIOMECH reported that InertialLAB provides more reliable measures in stairs than in flat terrain and ramp. The joint angle time-series of InertialLAB showed good waveform similarity (>0.898) with MVN BIOMECH, resulting in high reliability and excellent validity. User-independent neural network regression models successfully minimized the drift errors observed in InertialLAB's joint angles (NRMSE < 0.092). Further, users ranked InertialLAB as good in terms of usability. InertialLAB shows promise for daily kinematic gait analysis and real-time kinematic feedback for wearable third-party systems.

Asunto(s)

RESUMEN

Mymarommatidae surveys were carried out through the use of yellow pan traps in crops of green dwarf coconut, Cocos nucifera L. (Arecales: Arecaceae), papaya, Carica papaya L. (Brassicales: Caricaceae), citrus, Citrus spp. L. (Sapindales: Rutaceae), and guava, Psidium guajava L. (Myrtales: Myrtaceae), in the northern Espirito Santo State, Brazil. 146 specimens of mymarommatids were collected, of which 71, 55, 16, and 4 exemplars were obtained in the area cultivated with guava, papaya, citrus, and coconut, respectively. The mean numbers of mymarommatids collected in the period from April to June 2011 were significantly higher than those obtained in the other nine months. Two genera, Mymaromma and Mymaromella, were identified The most abundant genus was Mymaromma, comprising 93.8% of the total collection; however, the genus Mymaromella was encountered in all crops. This is the first record of the presence of mymarommatids in these agricultural systems.

Asunto(s)

RESUMEN

Bis(mexylamino)triazines have been identified as a family of compounds showing an exceptional propensity to form glassy phases as opposed to crystals. The particularities of this family of compounds are their ability to self-assemble through hydrogen bonding in well-defined patterns to form supramolecular aggregates which pack poorly and the wide range of glass transition temperatures (T(g)) that can be attained through minor structural modifications. Representative bis(mexylamino)triazines were studied by rheology to establish correlations between their rheological properties and their molecular structure, and all compounds were found to behave in a similar fashion except for the temperature at which glass transition takes place. FTIR and NMR spectroscopy experiments were performed on the molecular glasses studied herein; comparisons between the viscosity, T(g), hydrogen bonding, and association constant (K(a)) in CDCl3 solution have revealed a relationship between the rheological properties, the T(g) of the molecular glasses, and the extent and strength of hydrogen bonding present in the material.