Outflow-tract ventricular tachycardia: Can 12 lead ECG during sinus rhythm identify underlying cardiac sarcoidosis?

BackgroundPatients with outflow tract ventricular tachycardia (OTVT) with normal echocardiogram are labeled as idiopathic VT (IVT). However, a subset of these patients is subsequently diagnosed with underlying cardiac sarcoidosis (CS). Objective:Whether electrocardiogram (ECG) abnormalities in sinus rhythm (SR) can differentiate underlying CS from IVT.MethodsWe retrospectively analyzed the SR-ECGs of 42 patients with OTVT/premature ventricular complexes (PVC) and normal echocardiography. All underwent advanced imaging with cardiac magnetic resonance (CMR)/¹⁸FDG PET-CT for screening of CS. Twenty-two patients had significant abnormalities in cardiac imaging and subsequently had biopsy-proven CS (Cases). Twenty patients had normal imaging and were categorized as IVT (Controls). SR-ECGs of all patients were analyzed by 2 independent, blinded observers.ResultsBaseline characteristics were comparable. Among the ECG features analyzed – fascicular (FB) or bundle branch block (BBB) was seen in 9/22 Cases vs. 1/20 controls (p = 0.01). Among patients without FB or BBB, fragmented QRS (fQRS) was present in 9/13 cases but in none of the controls (p < 0.001). Low voltage QRS was more often seen among cases as compared to controls (10/22 vs. 3/20 p = 0.03). A stepwise algorithm based on these 3 sets of ECG findings helped to diagnose CS among patients presenting with OTVT/PVC with sensitivity of 91%, specificity of 75%, a PPV of 80%, and a NPV of 88%.ConclusionsIn patients presenting with OTVT/PVC: FB/BBB, fQRS, and low QRS voltage on the baseline ECG were more often observed among patients with underlying CS as compared to true IVT. These findings may help to distinguish underlying CS among Cases presenting with OTVT/PVC.     

Machine Learning Approach to Detect Cardiac Arrhythmias in ECG Signals: A Survey

Cardiac arrhythmia is a condition when the heart rate is irregular either the beat is too slow or too fast. It occurs due to improper electrical impulses that coordinates the heart beats. Sudden cardiac death may occurs due to some dangerous arrhythmias conditions. Hence the main objective of the electrocardiogram (ECG) analysis is to detect the life-threatening arrhythmias accurately for appropriate treatment in order to save life. Since the last decades, several methods were reported for automatic ECG beat classifications. In this work, we present a systematic review of the current state-of-the-art methods used to detect cardiac arrhythmia using on ECG signals. It includes the signal decomposition, feature extraction and machine learning approaches used for automatic detection and decision making process. The articles covers the pre-processing, detection of QRS complex, feature extraction and classification of ECG beats. Based on the past studies, it is understood that the automated approach using computer-aided decision making process is highly required for real-time detection of cardiac arrhythmias. The advantages and limitations of different methods are discussed and also the future scopes is highlighted in the process of effective detection of cardiac arrhythmias. This study could be beneficial for researchers to analyze the existing state-of-art techniques used in detection of arrhythmia conditions.     

Unexpected larval habit of Listronotus bonariensis (Coleoptera: Curculionidae) raises questions about population dynamics analysis and management

Listronotus bonariensis (Kuschel) is a pest of agriculturally important graminaceous species, with mining larvae that kill the stems of the host plants. In this study, larval populations were measured in spring and summer in irrigated dairy grassland comprising Lolium perenne L. (cv. Nui) with and without the endophyte Epichloë festucae var. lolii Latch, M.J. Chr. and Samuels and Poa annua L.. Larvae were extracted from tillers taken from the swards of these two grass species and extracted from turves, and L. bonariensis population densities were estimated from tiller and turf larval counts on a m⁻² basis. Over the study period, the total number of larvae and larval densities extracted from turves was on average 2× greater than indicated from tillers. In most seasons, larval densities from turves were significantly higher than those from the tillers, though there was no correlation between tiller and turf larval densities. Mean head capsule widths of larvae emerging from turf samples showed significant seasonal effects compared with tillers, while mean head capsule widths of all four instars were significantly greater when extracted from tillers compared with turves. There was a significant endophyte effect on head capsule widths of larvae collected in summer, but the effect was not consistent across instars or source. Conversely, no significant endophyte effect on head capsule width was found in spring populations from either tillers or turves. This study shows that in irrigated dairy pasture, a high proportion of L. bonariensis larvae can live externally of tillers, presumably among the organic matter around the base of grasses in irrigated dairy pasture, and that density estimates based only on tiller populations will have significantly underestimated actual numbers. Having a precise indication of larval population densities is essential when developing life tables or determining economic damage threshold levels.     

桂林岩溶石山常绿落叶阔叶混交林乔木层优势物种生态位研究

采用样方法对不同资源位群落进行调查,通过冗余分析（RDA）结合Monte Carlo随机置换检验筛选出对桂林岩溶石山常绿落叶阔叶混交林乔木层优势物种分布影响显著的土壤资源轴（土壤有机质、土壤水溶钙、土壤速效氮、土壤全氮、土壤pH值和土壤厚度）。利用Levins生态位宽度指数和Pianka生态位重叠指数对桂林岩溶石山常绿落叶阔叶混交林乔木层14个优势物种在土壤有机质、土壤水溶钙、土壤速效氮、土壤全氮、土壤pH值和土壤厚度6个土壤资源轴上的生态位特征进行研究。结果表明：（1）在土壤有机质和土壤水溶钙资源轴上,生态位宽度最大值为常绿物种檵木（0.89、0.94）;在土壤pH值资源轴上,生态位宽度最大值为常绿物种粗糠柴（0.96）;在土壤速效氮、土壤全氮和土壤厚度资源轴上,生态位宽度最大值为落叶物种南酸枣（0.87、0.99、0.97）。（2）14个优势物种在6个土壤资源轴上,生态位重叠均值由大到小依次为土壤厚度 > 土壤全氮 > 土壤水溶钙 > 土壤速效氮 > 土壤pH值 > 土壤有机质,且均表现为常绿物种与常绿物种形成的种对生态位重叠均值（0.84） > 常绿物种与落叶物种（0.74） > 落叶物种与落叶物种（0.66）。（3）综合6个土壤资源轴,生态位重叠值≥0.5的种对高达480对,占总种对数的87.91%,暗示桂林岩溶石山常绿落叶阔叶混交林乔木层优势物种在资源匮乏且资源异质性高的特殊生境中存在激烈竞争,且乔木层种间关系相对不稳定。     

基于雪岭云杉树轮宽度重建过去339年天山中部巴音布鲁克地区夏季NDVI

归一化差异植被指数(NDVI)被广泛应用于植被研究的各个领域,但由于观测时长较短,难以满足长时间尺度的研究需要。基于巴音布鲁克地区雪岭云杉建立了树轮宽度年表(STD),计算年表和NDVI同气象观测数据的相关系数。结果表明:树轮宽度指数和NDVI均与同时段的气象数据具有显著相关。结合宽度年表与6—8月NDVI间的显著正相关(r=0.7,P＜0.01,n=38),使用回归模型重建了研究区过去339年的夏季(6—8月)NDVI变化序列,在1680—2018年,重建序列有4个高植被覆盖时段(1738—1765、1786—1798、1964—1973和2000—2018年)和5个低植被覆盖时段(1690—1714、1825—1834、1850—1880、1895—1920和1945—1955年)。重建结果也反映了天山中部水文气候。与周边重建的对比显示,当开都河径流量增加,且研究区处于较为潮湿的环境时,植被覆盖相对较高,反之植被覆盖偏低。重建序列的极值也捕捉了历史文献中一系列自然灾害。混合单粒子拉格朗日综合轨迹模型(HYSPLT)后向轨迹模型和风场分析表明,NDVI异常受到西风带来的降水影响。     

卤虫投喂下长吻(鱼危)仔稚鱼消化酶发育和口宽变化的研究

采用酶学和形态学测定方法, 研究在投喂卤虫条件下长吻(鱼危)仔鱼4种主要消化酶: 胃蛋白酶、胰蛋白酶、脂肪酶和淀粉酶的活性变化以及长吻(鱼危)仔鱼口宽、全长变化。实验共进行13d, 实验结果表明: (1)长吻(鱼危)仔鱼全长、口宽的发育与其日龄表现出明显的线性正相关(R_TL²=0.974, R_MW²=0.964)。口宽与全长比值(MW/TL)在仔鱼开口后急剧下降, 并自7日龄开始维持在0.07—0.08, 口宽和全长处于同步发育期并表现出明显的相关性(R²=0.948), 说明7日龄(/h, days post hatching)后口宽和全长处于同步发育期, 标志仔鱼转食的开始。(2)长吻(鱼危)仔鱼初次开口时即可检测出四种消化酶的活性。5—7/h时胰蛋白酶显著高于初孵仔鱼, 与此时仔鱼开始开口摄食的行为相一致。胃蛋白酶、脂肪酶活性在仔鱼孵化后第7天即开口的第3天, 淀粉酶活性在孵化后第6天, 显著高于初次孵化出来的仔鱼。8—13/h时, 胃蛋白酶、胰蛋白酶、脂肪酶和淀粉酶活性均在较高水平平稳的波动, 标志着消化道发育逐渐健全。     

GnRH拮抗剂在超促排卵中的应用

目的:比较GnRH拮抗剂与GnRH激动剂促排卵方案的临床应用效果.方法:比较GnRH拮抗剂与GnRH激动剂方案及GnRH拮抗剂方案妊娠组与非妊娠组的HCG日子宫内膜厚度及E2水平、受精率、可用胚胎率、着床率、临床妊娠率、流产率等.结果:GnRH拮抗剂与GnRH激动剂方案的临床资料无统计学差异,GnRH拮抗剂方案妊娠组血E2水平及可用胚胎率明显高于非妊娠组,差异具有统计学意义.结论:GnRH拮抗剂方案中卵泡后期血E2上升缓慢或停滞,血HCG日E2明显偏低,提示妊娠结局不良.但是,GnRH拮抗剂是否对子宫内膜及胚胎有影响仍需进一步研究.     

Does intraspecific competition promote variation? A test via synthesis

Competitive diversification, that is, when increasing intraspecific competition promotes population niche expansion, is commonly invoked in evolutionary studies and currently plays a central role in how we conceptualize the process of adaptive diversification. Despite the frequency with which this idea is cited, the empirical evidence for the process is somewhat limited, and the findings of these studies have yet to be weighed objectively through synthesis. Here, we sought to fill this gap by reviewing the existing literature and collecting the data necessary to assess the evidence for competition as a diversifying force. Additionally, we sought to test a more recent hypothesis, which suggests that competition can act to both promote and inhibit dietary diversification depending on the degree to which a consumer depletes its resources. The surprising result of this synthesis was that increasing competition did not have a mean positive effect on population‐level diet breadth or the degree of individual specialization. Instead, we found that increasing intraspecific competition had a restricting effect on population‐level diet breadth in as many cases as it had a diversifying effect. This wide disparity in the effect of competition on consumer diet variation was negatively related to a metric for consumer resource depletion. Altogether, these findings call into question a long‐standing assumption of basic evolutionary models and lend some support to recent theoretical predictions. Specifically, these findings support the idea that competition is primarily diversifying for species with a small effect (per unit biomass) on their resources and that resource depletion limits the diversifying effect of competition for consumers with larger ecological effects.     

早期心电图QRS 波宽度对急性ST 段抬高型心肌梗死患者心脏不良事件的影响

目的:探讨早期心电图QRS波宽度(QRSw)对急性ST段抬高型心肌梗死(STEMI)患者近期主要心脏不良事件(MACE)的影响。方法:选取我院收治的135例STEMI患者为研究对象,按照入院时的心电图QRSw将患者分为A组(QRSw为60 ms≤QRSw≤80 ms)、B组(QRSw为80 msQRSw100 ms)、C组(QRSw为QRSw≥100 ms),将是否发生MACE分为MACE组和非MACE组,比较各组相关指标的差异,分析QRSw与MACE发生的关系。结果:A、B及C组三组患者在梗死面积、肌酸激酶同工酶(CK-MB)、肌钙蛋白I(c Tn I)、B型脑钠肽(BNP)、高敏C反应蛋白(hs-CRP)、左室射血分数(LVEF)方面存在显著的统计学差异(P0.05),与A组及B组比较,C组血清hs-CRP、BNP、c Tn I、CK-MB较高,梗死面积大、LVEF偏低。三组患者在MACE发生率方面亦存在显著的统计学差异(P0.05),C组高于A组及B组。MACE组患者QRSw高于非MACE组(P0.05),其含有QRSw≥100 ms患者的比例亦高于非MACE组(P0.05);QRSw(OR=1.214,CI:1.104~1.441,P0.05)是STEMI患者近期MACE发生的独立危险因素。结论:STEMI患者随着QRSw增大,MACE的发生风险亦增加,QRSw可能是STEMI患者近期MACE发生的独立危险因素,应当引起临床重视。