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A multicenter evaluation of the safety and effectiveness of a 0h/1h protocol in the assessment of emergency department chest pain patients.

BackgroundIn emergency department (ED) chest pain patients, the European Society of Cardiology recommends the use of a 0h/1h high-sensitivity cardiac Troponin (hs-cTn) protocol. However, the recommendation is based on observational studies and the effects of the protocol when implemented in routine care is unknown. The aim of this study is to determine the safety and effectiveness of the ESC 0h/1h

Analysis of the minimum chip thickness during turning of duplex stainless steel

The goal of this study has been to establish a method for quantifying the minimum chip thickness, h1min, during longitudinal turning of duplex stainless steel, and explore how the value of h1min changes with varying process parameters. Based on experimental results, it was found that the tool edge radius only has a limited influence on the size of h1min up to a certain feed level after which the c

Tailored nurse-led cardiac rehabilitation after myocardial infarction results in better risk factor control at one year compared to traditional care : A retrospective observational study

Background: Cardiac rehabilitation improves prognosis after an acute myocardial infarction (AMI), however, the optimal method of implementation is unknown. The aim of the study was to evaluate the effect of individually-tailored, nurse-led cardiac rehabilitation on patient outcomes. Method: This single-centre retrospective observational study included 217 patients (62±9years, 73% men). All patient

Evaluation of Drug Exposure and Metabolism in Locust and Zebrafish Brains Using Mass Spectrometry Imaging

Studying how and where drugs are metabolized in the brain is challenging. In an entire organism, peripheral metabolism produces many of the same metabolites as those in the brain, and many of these metabolites can cross the blood-brain barrier from the periphery, thus making the relative contributions of hepatic and brain metabolism difficult to study in vivo. In addition, drugs and metabolites co

Chemotherapy-induced peripheral neuropathy : Evidence from genome-wide association studies and replication within multiple myeloma patients

Background: Based on the possible shared mechanisms of chemotherapy-induced peripheral neuropathy (CIPN) for different drugs, we aimed to aggregate results of all previously published genome-wide association studies (GWAS) on CIPN, and to replicate them within a cohort of multiple myeloma (MM) patients. Methods: Following a systematic literature search, data for CIPN associated single nucleotide p

Solar and volcanic forcing of North Atlantic climate inferred from a process-based reconstruction

The effect of external forcings on atmospheric circulation is debated. Due to the short observational period, the analysis of the role of external forcings is hampered, making it difficult to assess the sensitivity of atmospheric circulation to external forcings, as well as persistence of the effects. In observations, the average response to tropical volcanic eruptions is a positive North Atlantic

Efficient configurational-bias Monte-Carlo simulations of chain molecules with “swarms” of trial configurations

The pruned-enriched Rosenbluth method (PERM) is a popular and powerful Monte-Carlo technique for sampling flexible chain polymers of substantial length. In its original form, however, the method cannot be applied in Markov-chain Monte-Carlo schemes, which has rendered PERM unsuited for systems that consist of many chains. The current work builds on the configurational-bias Monte-Carlo (CBMC) metho

Assessment of hydrogen direct reduction for fossil-free steelmaking

Climate policy objectives require zero emissions across all sectors including steelmaking. The fundamental process changes needed for reaching this target are yet relatively unexplored. In this paper, we propose and assess a potential design for a fossil-free steelmaking process based on direct reduction of iron ore with hydrogen. We show that hydrogen direct reduction steelmaking needs 3.48 MWh o

Fremanezumab blocks CGRP induced dilatation in human cerebral, middle meningeal and abdominal arteries

Background: Fremanezumab (TEV-48125) is a fully humanized anti-calcitonin gene-related peptide (CGRP) monoclonal antibody (mAb) that has shown positive results in the prevention of episodic migraine and chronic migraine. Previous preclinical studies have revealed CGRP antagonistic effects on intracranial arteries (ICA). The aim of the study was to evaluate the in vitro antagonistic effects of frem

From actions to effects : Three constraints on event mappings

Events can be modeled through a geometric approach, representing event structures in terms of spaces and mappings between spaces. At least two spaces are needed to describe an event, an action space and a result space. In this article, we invoke general mathematical structures in order to develop this geometric perspective. We focus on three cognitive processes that are crucially involved in event

Synthesis, Characterization, and Reactivity of PCN Pincer Nickel Complexes

New diamagnetic nickel(II) complexes based on an unsymmetrical (1-(3-((ditert-butylphosphino)methyl)phenyl)-N,N-dimethyl-methanamine) (PCN) pincer ligand were synthesized and characterized by 1H, 31P{1H}, and 13C{1H} NMR spectroscopy. Their molecular structures were confirmed by X-ray diffraction. Oxidation to high-valent paramagnetic Ni(III) dihalide complexes was achieved through straightforward

Thermohaline Mixing in Extremely Metal-poor Stars

Extremely metal-poor (EMP) stars are an integral piece in the puzzle that is the early universe, and although anomolous subclasses of EMP stars such as carbon-enhanced metal-poor (CEMP) stars are well studied, they make up less than half of all EMP stars with [Fe/H] ∼ -3.0. The amount of carbon depletion occurring on the red giant branch (carbon offset) is used to determine the evolutionary status