Aaenpalmer3356
Clinical trials suggest that SGLT2 inhibitors reduce the risk of cardiovascular mortality in patients with type 2 diabetes, however the mechanism is unclear. Our objective was to test the hypothesis that blood pressure reduction is one potential mechanism underlying the observed improvements in cardiovascular outcomes with SGLT2 inhibitors.
We searched MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials (inception-June 2019) for randomized controlled trials that reported the effect of SGLT2 inhibitors compared with placebo on cardiovascular outcomes in adults with type 2 diabetes. Two reviewers independently extracted data and assessed study quality. Random effects meta-analyses, stratified meta-analyses and meta-regressions were conducted to evaluate the association between blood pressure reduction in SGLT2 inhibitor treated patients and cardiovascular outcomes.
Of 11,232 articles identified, 40 articles (n = 54,279 participants) were included. The relative risk of cardiovascular mortaliardiovascular events and blood pressure reduction with SGLT2 inhibitors. There is insufficient evidence to suggest that blood pressure reduction is a significant contributor to the cardiovascular benefits observed.We report a case of crush syndrome that developed while the patient was squatting to use a Japanese-style toilet. The patient was a 61-year-old male with an obese body. He was sitting on the toilet and couldn't stand up, and after a few hours, the landlord found him and called the emergency services. On presentation, the patient was hyperkalemic and in shock, and his serum creatine kinase levels rose to a maximum of 287,600 U/L. He was diagnosed with postural crush syndrome in both lower extremities due to squatting position in a Japanese-style toilet. Subjective symptoms, physical examination, and blood tests were monitored and the patient was observed. As a result, the patient could be treated conservatively without fasciotomy. Dialysis was not necessary because the fluid infusion maintained adequate urine output and corrected the hyperkalemia. Magnetic resonance imaging of both lower extremities showed multiple high-signal areas in the muscles of the bilateral thighs and lower legs. This case suggested that if the wound is closed, the peripheral pulse is palpable, and the patient's symptoms have improved, a fasciotomy should not be performed. People who are too heavy to squat may need to be careful when using this kind of toilet.•Of the fewer than 100 FATWO case reports published, at least 25 reports have metastatic quality.•Very little information regarding optimal management of FATWO is known; immunohistochemical stains may help guide therapy.•FATWO may be more of a low malignant potential entity, and patients with the diagnosis should be followed closely.
Patients with familial hypercholesterolemia (FH) are at a very high risk of coronary artery diseases. The aim of the present study was to clarify the characteristics of coronary plaque in patients with FH.
and Methods A total of 569 patients who underwent optical coherence tomography (OCT) imaging of culprit plaque were included. The characteristics of culprit plaque were compared between patients with and without FH.
A total of 38 patients (6.7%) were clinically diagnosed with FH. The location of the culprit plaque was significantly different (p<0.001) with a trend toward higher frequency of left main lesion in the FH group than in the group with no FH (7.9 vs. 0%). Culprit plaque was significantly shorter in patients with FH than those without FH (28.1 vs. 33.2mm, p=0.016). A trend toward higher prevalence of plaque with macrophage accumulation in patients with FH than those without FH (50.0 vs. 34.7%, p=0.056) was observed, although the prevalence of other vulnerable characteristics including thin-cap fibroatheroma (TCFA) was comparable between patients with and without FH. Among patients with FH, significant increases in the prevalence of lipid-rich plaque (p=0.028) and TCFA (p=0.003) were observed according to the increase in low-density lipoprotein cholesterol (LDL-C) levels.
Patients with FH had shorter culprit plaque without significant difference in the prevalence of vulnerable plaque components compared with patients without FH. A higher LDL-C level was associated with higher prevalence of vulnerable plaque in patients with FH.
Patients with FH had shorter culprit plaque without significant difference in the prevalence of vulnerable plaque components compared with patients without FH. A higher LDL-C level was associated with higher prevalence of vulnerable plaque in patients with FH.Fungal prosthetic joint infection is rare, and two-stage revision is usually advocated. We present our experience with 2 cases of fungal prosthetic knee joint infection presenting 25 months and 3 years after index surgery. Both patients were managed with single-stage revision arthroplasty and fluconazole monotherapy. They remain asymptomatic with good knee society score after 2 years of follow-up. Preoperative workup of all aseptic loosening cases should include extended culture for fungal elements. Single-stage revision with antifungal therapy for 3 months gives good results in nonimmunocompromised patients with good soft-tissue envelope.Smart Grid Industry 4.0 (SGI4.0) defines a new paradigm to provide high-quality electricity at a low cost by reacting quickly and effectively to changing energy demands in the highly volatile global markets. However, in SGI4.0, the reliable and efficient gathering and transmission of the observed information from the Internet of Things (IoT)-enabled Cyber-physical systems, such as sensors located in remote places to the control center is the biggest challenge for the Industrial Multichannel Wireless Sensors Networks (IMWSNs). This is due to the harsh nature of the smart grid environment that causes high noise, signal fading, multipath effects, heat, and electromagnetic interference, which reduces the transmission quality and trigger errors in the IMWSNs. Thus, an efficient monitoring and real-time control of unexpected changes in the power generation and distribution processes is essential to guarantee the quality of service (QoS) requirements in the smart grid. In this context, this paper describes the dataset contains measurements acquired by the IMWSNs during events monitoring and control in the smart grid. This work provides an updated detail comparison of our proposed work, including channel detection, channel assignment, and packets forwarding algorithms, collectively called CARP [1] with existing G-RPL [2] and EQSHC [3] schemes in the smart grid. The experimental outcomes show that the dataset and is useful for the design, development, testing, and validation of algorithms for real-time events monitoring and control applications in the smart grid.This academic research explicit the data-set of academic difficulties among different age groups of students studying in various schools, colleges or Universities during the COVID-19 induced lockdown. The western part of Uganda comprises 26 districts and the survey was conducted in those regions employing a simple random sampling technique. The dataset is descriptive and an aggregate of 405 students participated in this survey. Among that, 253 students are from rural regions, 59 students are from semi-urban regions and 93 students are from urban regions. This survey was started in April 2020 and data were collected till June 2020. A statistical run was made with the aid of SPSS version 20 software to evaluate the significance level (P-Value less then 0.05) of each question among the localities.The current data report describes the predictive identification of phytochemical constituents in the bioactive extract of Ipomoea mauritiana (IM) whole plant. For several formulations this plant was commonly used as 'Vidari' for Ayurvedic medicine. Traditionally, IM tubers are used to alleviate spinal cord pain, improve breast milk, as a tonic, increase sperm count and treating jaundice. The methanol extract can potentially scavenge free radicals and possess antibacterial activity that could be correlated with its chemical composition. So it is crucial to identify the major compounds of IM. An ultra-performance liquid chromatography coupled electrospray ionization quadrupole time-of-flight mass spectrometry (UPLC-ESI-QTOF/MS) method was adopted to detect the flavonoids, saponins, alkaloids, terpenoids in IM methanol extract. Data presented here is related to a published work Antioxidant and antibacterial activity of Ipomoea mauritiana Jacq. A traditionally used medicinal plant in Bangladesh (Alam et al., 2020). Secondary metabolites were analyzed by the comparison of the mass fragmentation arrangements with Waters UNIFI library that enables for positive identification of the compounds based on the spectral match.Present data article based on the investigation which enumerates the influence of CNG (compressed natural gas) and HCNG (hydrogen enriched compressed natural gas) on performance and emission parameters of direct injection diesel engine at 200, 220, and 240 bar injection pressures. The CNG and HCNG gaseous alternative fuels were injected in amount (by mass) of 10%, 20% and 30% as secondary fuels to enrich the pilot fuel (pure diesel) during the operation. The performance and emission data of dual fuel (CNG + pure diesel, HCNG + pure diesel) operation was analysed to compare with the pure diesel data. The data for present investigational work were assessed at 25%, 50%, 75% and 100% diverse engine loads for all trials under diverse injection pressures. Eddy current dynamometer was employed to raise the engine load from quartile to maximum. AVL DiGAS 444 N multi gas analyser was used to measure the values of carbon monoxide (CO), unburned hydrocarbon (UHC), and oxides of nitrogen (NOx) detrimental emissions in engine exhaust.In the paper the authors present the procedure of measuring vibration and obtained data accruing in a bucket wheel excavator's operator cabin. Details of the selection and location of the measuring points are firstly given. In the following part, the example of for the bucket wheel excavator SchRs 1200, will be presented. This machine is in use at one of Poland's open cast mins. The operating conditions are briefly characterized in the descriptions of the measurement series. selleck chemicals llc The measuring equipment is also presented. The recorded data are presented in two ways. The first of the presents time waveforms for each measuring channel. The second one presents Fast Fourier Transform (FFT) spectrums after filtering the measured signals. The obtained data is used to develop a vibrations control algorithm.The dataset presented in this article are related to research articles "Effect of electrolyte convection velocity in the electrode on the performance of vanadium redox flow battery cells with serpentine flow fields" [1] and "Effect of channel dimensions of serpentine flow fields on the performance of a vanadium redox flow battery" [2]. The combined dataset on the pressure drop and electrochemical behavior of the vanadium flow battery cells with active areas of 400 cm2, 900 cm2 and 1500 cm2 were obtained using battery life cycler for the circulation of vanadium electrolyte of concentration 1.61 M VOSO4 dissolved in 5 M H2SO4. The cells were designed with various combinations of flow-channel dimensions of serpentine flow field and the electrochemical performance has been obtained at various flow rates and current densities. In addition to the experimental data, computational fluid dynamics simulations have been performed to investigate the electrolyte distribution across the cell. The shared data enables the reader of research articles to delve into the life cycle behavior at various operating conditions and emphasize the importance of flow-channel dimensions, flow rate and uniform distribution of electrolyte in combating the concentration over-potential.
