The ESC ACCA EAPCI EORP acute coronary syndrome ST-elevation myocardial infarction registry

Aims 

The Acute Cardiac Care Association (ACCA)–European Association of Percutaneous Coronary Intervention (EAPCI) Registry on ST-elevation myocardial infarction (STEMI) of the EurObservational programme (EORP) of the European Society of Cardiology (ESC) registry aimed to determine the current state of the use of reperfusion therapy in ESC member and ESC affiliated countries and the adherence to ESC STEMI guidelines in patients with STEMI.

Methods and results 

Between 1 January 2015 and 31 March 2018, a total of 11 462 patients admitted with an initial diagnosis of STEMI according to the 2012 ESC STEMI guidelines were enrolled. Individual patient data were collected across 196 centres and 29 countries. Among the centres, there were 136 percutaneous coronary intervention centres and 91 with cardiac surgery on-site. The majority of centres (129/196) were part of a STEMI network. The main objective of this study was to describe the demographic, clinical, and angiographic characteristics of patients with STEMI. Other objectives include to assess management patterns and in particular the current use of reperfusion therapies and to evaluate how recommendations of most recent STEMI European guidelines regarding reperfusion therapies and adjunctive pharmacological and non-pharmacological treatments are adopted in clinical practice and how their application can impact on patients’ outcomes. Patients will be followed for 1 year after admission.

Conclusion 

The ESC ACCA-EAPCI EORP ACS STEMI registry is an international registry of care and outcomes of patients hospitalized with STEMI. It will provide insights into the contemporary patient profile, management patterns, and 1-year outcome of patients with STEMI.

Calculation of the fuel composition and the deterministic reloading pattern in the second cycle of the BUSHEHR VVER-1000 reactor using the weighting factor method

To calculate the optimum reloading pattern in the second cycle of BUSHEHR VVER-1000 reactor, it was necessary to first calculate the burnup and fuel composition of each fuel assembly at the end of the first operational cycle so that the types of applicable fuel assemblies in the second cycle could be determined. Time-dependent calculations were performed using the WIMSD-5B and CITATION-LDI2 codes coupled with thermo-hydraulic computations during the first cycle. A weighting factor was defined for all 16 types of fuel assemblies in the second cycle based on their types and fuel compositions. In the process of calculating the deterministic reloading pattern, the number of probable arrangements was reduced from 7.55 × 1022 cases to just 1 856 cases by using a weighting-factor method and the structural constraints of the reactor core. The thermo-neutronic parameters of each of the 1 856 arrangements were then calculated by coupling the WIMSD-5B and CITATION-LDI2 codes with the thermo-hydraulic program. Afterwards, the processes of screening the probable arrangements and searching for the optimal reloading pattern were carried out based on the values of these parameters.

Visualizing the strain evolution during the indentation of colloidal glasses

We use an analog of nanoindentation on a colloidal glass to elucidate the incipient plastic deformation of glasses. By tracking the motion of the individual particles in three dimensions, we visualize the strain field and glass structure during the emerging deformation. At the onset of flow, we observe a power-law distribution of strain indicating strongly correlated deformation, and reflecting a critical state of the glass. At later stages, the strain acquires a Gaussian distribution, indicating that plastic events become uncorrelated. Investigation of the glass structure using both static and dynamic measures shows a weak correlation between the structure and the emerging strain distribution. These results indicate that the onset of plasticity is governed by strong power-law correlations of strain, weakly biased by the heterogeneous glass structure.

Probing incipient plasticity by indenting colloidal glasses

Glasses are lucrative engineering materials owing to their superior mechanical properties such as high strength and large elastic strain. A central question concerns incipient plasticity – the onset of permanent deformation – that is central to their relaxation, aging, yield and fracture. Here, we use an analogue of nano-indentation performed on a colloidal glass to obtain direct images of the incipient plasticity, allowing us to elucidate the onset of permanent deformation. We visualize the microscopic strain by following distorted nearest neighbor configurations, and observe a surprising hierarchical structure of deformation: at the onset of irreversible deformation, the strain acquires a robust fractal structure, and we measure its fractal dimension. These results give direct evidence that the onset of permanent deformation has the hallmarks of a critical point, in agreement with recent theoretical works.

Buckling of liquid columns

Under appropriate conditions, a column of viscous liquid falling onto a rigid surface undergoes a buckling instability. Here we show experimentally and theoretically that liquid buckling exhibits a hitherto unsuspected complexity involving three different modes-viscous, gravitational, and inertial-depending on how the viscous forces that resist bending of the column are balanced. We also find that the nonlinear evolution of the buckling exhibits a surprising multistability with three distinct states: steady stagnation flow, "liquid rope coiling," and a new state in which the column simultaneously folds periodically and rotates about a vertical axis. The transitions among these states are subcritical, leading to a complex phase diagram in which different combinations of states coexist in different regions of the parameter space.

Blood pressure of primary-school children of Eghbalieh city, Islamic Republic of Iran

This study determined the percentiles of systolic and diastolic blood pressure and theABSTRACT This study determined the percentiles of systolic and diastolic blood pressure and the prevalence of hypertension among 789 primary-school children aged 7-12 years in the city of Eghbalieh, Islamic Republic of Iran. Mean systolic and diastolic blood pressure increased with increasing age in both sexes. There was no significant difference between mean systolic pressure in boys and girls overall, but a significant difference was found between boys and girls in 3 age groups. The prevalence of systolic and diastolic hypertension overall was 6.5% and 12.8% respectively. The mean systolic and diastolic blood pressure of boys and girls in all age groups were significantly lower than the Second Task Force on Blood Pressure Control in Children scale.

Thermodynamic and kinetic studies of competitive inhibition of adenosine deaminase by ring opened analogues of adenine nucleoside

Ring opened analogues of adenine nucleosides substituted at the ninth adenine positions, with and without esterification (compounds I and II), have been studied kinetically and thermodynamically at various temperatures in order to determine the sites of ring opened analogues. These are deemed to be important for binding to the adenosine deaminase. Adenosine deaminase is found to bind more strongly to compound I than to compound II, therefore compound I is a stronger inhibitor than II, because the position of (5') OH on the ribose moiety decreases the inhibitory strength on the ring opened analogue.

Perforation of angular pregnancy during elective pregnancy termination. A case report

A perforated angular pregnancy, unsuspected and asymptomatic, was diagnosed in a 35-year-old woman during elective pregnancy termination in the first trimester. The pregnancy, along with free blood in the abdomen, was found when laparoscopy and then laparotomy were performed for suspected uterine perforation during suction and curettage. Cornual resection and salpingectomy were performed.