5,524 research outputs found

    Can mild-to-moderate hyperhomocysteinaemia impair endothelial function in the absence of other risk factors for cardiovascular disease?

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    Can mild-to-moderate hyperhomocysteinaemia impair endothelial function in the absence of other risk factors for cardiovascular disease? Honing ML, Stehouwer CD. Department of Internal Medicine, VU University Medical Centre, PO Box 7057, 1007 MB Amsterdam, The Netherlands. The majority of clinical studies demonstrate that patients with hyperhomocysteinaemia have an increased risk of atherothrombotic events. However, there is a striking and poorly understood heterogeneity in the severity of clinical features in individuals with hyperhomocysteinaemia. This observation suggests that other factors must exist that modulate the relationship between hyperhomocysteinaemia and clinical disease. Therefore identifying factors that inhibit or enhance the vasculotoxic effects of homocysteine is important, as is elucidation of how homocysteine damages blood vessels. This comment discusses the study of Woodman and colleagues in this issue of Clinical Science in which they investigate the effects of hyperhomocysteinaemia on endothelial functio

    Author Co-Citation Analysis (ACA): a powerful tool for representing implicit knowledge of scholar knowledge workers

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    In the last decade, knowledge has emerged as one of the most important and valuable organizational assets. Gradually this importance caused to emergence of new discipline entitled ―knowledge management‖. However one of the major challenges of knowledge management is conversion implicit or tacit knowledge to explicit knowledge. Thus Making knowledge visible so that it can be better accessed, discussed, valued or generally managed is a long-standing objective in knowledge management. Accordingly in this paper author co- citation analysis (ACA) will be proposed as an efficient technique of knowledge visualization in academia (Scholar knowledge workers)

    Dataset posthoc BNP analysis HOME study

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    Dataset used to analyse posthoc the effect of metformin on NT pro-BNP plasmalevels (ng/l) in type 2 diabetes patients Visit 1 is baseline, other visits are 2=0.33,3=1.42,4=2.5,5=3.58,6=4.33 years after randomisation ncnum is patient-id, treatment is coded 1 for metformin and 0 for placebo, sex is coded 1 for male and 0 for female Cvscore is a cardiovascular risk score Dataset is derived from the HOME-trial : Kooy A, de Jager J, Lehert P, Bets D, Wulffelé MG, Donker AJ, Stehouwer CD. Long-term effects of metformin on metabolism and microvascular and macrovascular disease in patients with type 2 diabetes mellitus. Arch Intern Med. 2009 Mar 23;169(6):616-25. doi: 10.1001/archinternmed.2009.20. PMID: 19307526

    Portfolio of recorded performances and exegesis: Messiaen’s musical language for the jazz pianist - an exploration through performance.

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    Moving beyond Gunther Schuller’s Third Stream amalgamation of classical and jazz, this study explores whether the musical language of Olivier Messiaen can make a valid contribution to jazz piano performance. Initially, my project sought to answer such questions as: What elements of the musical language of Messiaen already exist in the jazz vocabulary? Am I able to extend this further? What are the timbral structures and pianistic effects within Messiaen’s musical language? What will be the most effective application of Messiaen’s musical language to jazz piano performance? Endeavouring to answer the final question led me to consider such aspects as whether the project should be limited to quoting Messiaen motifs, arranging Messiaen melodies, replacing jazz harmonic structures on standards with examples from Messiaen’s musical language or whether it would be better to approach the research conceptually. The work of Hubert Nuss provided encouraging reassurance that this was not an impossible task. In order to articulate this conception, the initial challenge was to decide how the classical and jazz worlds might meet in a ‘Messiaen’ technique. The approach adopted was similar to that used for undergraduate jazz study, namely, immersion in the piano scores and recordings of Messiaen’s music as well as by live performances. This was followed by the development and assessment of a contrived approach when specific techniques, such as tonal colourings or harmonic structures, were developed through prepared exercises and consciously included in my performance. It was then compared with an intuitive approach when no such precise parameters were established. This submission consists of CD recordings of two public recitals and an exegesis. It documents the development of this Messiaen technique and discusses its application in my performances. It also demonstrates the ways that Messiaen’s musical language can be used within jazz piano performance to provide a colour that distinguishes jazz piano performance in a competitive field.Thesis (M.Mus.) -- University of Adelaide, Elder Conservatorium of Music, 201

    Spinal anaesthesia for brachytherapy for carcinoma of the cervix a comparison of two dose regimes of hypebaric bupivacaine

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    Includes abstract.Includes bibliographical references.The main purpose of the study was to help establish the best dose regimen of hyperbaric bupivacaine, when combined with intrathecal fentanyl, for spinal anaesthesia for brachytherapy for carcinoma of the cervix. This procedure is performed as a day case at Groote Schuur Hospital

    CI/CD repos with tools

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    CI/CD repositories with tools used</p

    CI/CD repositories from GitHub

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    Dataset containing CI/CD repositories</p

    Free books to download Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE)

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    Read Or Download Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) Full Books By by Karen Morrison (Author), Nick Hamshaw (Author) Read Online => Read Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) Download Book => Download Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) pdf download Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) read online Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) epub Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) vk Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) pdf Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) amazon Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) free download pdf Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) pdf free Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) pdf Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) epub download Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) online Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) epub download Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) epub vk Cambridge IGCSE Mathematics Core and Extended Coursebook with CD-ROM (Cambridge International IGCSE) mobi #downloadbook #book #readonline #readbookonline #ebookcollection #ebookdownload #pdf #ebook #epub #kindl

    Hypothesis: ‘Vasocrine’ signalling from perivascular fat - a mechanism linking insulin resistance and vascular disease

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    Adipose tissue expresses cytokines which inhibit insulin signalling pathways in liver and muscle. Obesity also results in impairment of endothelium-dependent vasodilatation to insulin. We propose a vasoregulatory role for local deposits of fat around the origin of arterioles supplying skeletal muscle. Isolated first order arterioles from rat cremaster muscle are under dual regulation by insulin, which activates both endothelin-1 mediated vasoconstriction and nitric oxide mediated vasodilatation. In obese rat arterioles, insulin-stimulated nitric oxide synthesis is impaired, resulting in unopposed vasoconstriction. We propose this to be the consequence of production of the adipocytokine tumour necrosis factor-α from the cuff of fat seen surrounding the origin of the arteriole in obese rats – a depot to which we ascribe a specialist vasoregulatory role. We suggest that this cytokine accesses the nutritive vascular tree to inhibit insulin-mediated capillary recruitment – a mechanism we term ‘vasocrine’ signalling. We also suggest a homology between this vasoactive periarteriolar fat and both periarterial and visceral fat, which may explain relationships between visceral fat, insulin resistance and vascular disease
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