1,721,019 research outputs found

    Feasibility of Continuous Noninvasive Pulmonary Artery Pressure Monitoring via the Cordella Implantable Pulmonary Artery Sensor

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    Although cardiopulmonary exercise testing (CPET) is considered the gold standard assessment of functional capacity and prognosis in heart failure (HF) patients, pulmonary hemodynamics can be measured during incremental exercise at invasive right heart catheterization or noninvasively at exercise echocar-diography to assess the physiologic responses to exercise and help guide patient management. 1,2 The Cordella PA sensor (Endotronix Inc) transmits pulmonary artery pressures (PAPs) from HF patients to their clinical team, and a harness was developed to allow for hands-free continuous PAP readings. The results of a feasibility study of HF patients who underwent Cordella PA sensor implant and subsequent 6-minute walk test (6MWT) with continuous PAP readings are reported here. The SIRONA 2 clinical trial has been previously described. 3 The study was undertaken in accordance with the Declaration of Helsinki and approved by the relevant competent authorities and independent ethics committees. All patients provided written informed consent. At a follow-up visit, each participant underwent the Cordella 6MWT protocol. To begin, patients assumed a seated position. The reader was then activated to begin recording continuous PAP, a timer was started, and the patients rested for 5 minutes. Then, blood pressure (BP), oxygen saturation (SpO 2), and the Borg Rating and Perceived Exertion (RPE) scale were assessed. Patients then stood for 1 minute before performing the 6MWT. Following the 6MWT, patients were asked to sit, and BP, SpO 2 , and Borg RPE were assessed. Following at least 5 minutes of sitting, BP, SpO 2 , and Borg RPE were assessed again, and the timer and reader were stopped. Continuous PAP waveform processing was performed in LabVIEW Runtime version 2019 (National Instruments) (Figure 1A). Heart rate was derived from the PAP waveform. The 10-second periods before each minute in the test were averaged for both PAP and heart rate for the purposes of plotting and comparing timepoints within the test (Figure 1B). Data are reported as median with IQR. Changes in parameters were compared using repeated-measures Student's t-tests with a significance threshold of P < 0.05. Twelve subjects underwent the Cordella 6MWT with successful continuous PAP measurement. At baseline, the median age was 71.0 years (Q1-Q3: 68.5-74.8 years), 7 (58.3%) were male, and they had a median 6MWT of 370.0 m (Q1-Q3: 321.5-403.5 m). All had NYHA functional class III at baseline but had progressed to NYHA functional class II at the time of the 6MWT. Patients underwent the 6MWT protocol a median of 552 days (Q1-Q3: 379-1,054 days) from implant. The median distance walked was 336.0 m (Q1-Q3: 292.3-389.8 m). Measurement of all hemody-namic variables was feasible in all subjects during the entire study protocol, and PAP was continuously recorded for a minimum of 17 minutes in all cases. PA pressures and heart rate increased significantly during the 6MWT (systolic: þ29.2 mm Hg [Q1-Q3: 23.1-34.7 mm Hg]; diastolic: þ13.2 mm Hg [Q1-Q3: 9.9-16.4 mm Hg]; mean: þ21.1 mm Hg [Q1-Q3: 9.9-16.4 mm Hg]; heart rate: þ24.0 beats/min [Q1-Q3: 18.0-36.0 beats/min]; all values of P < 0.05) and What is the clinical question being addressed? Whether continuous, noninvasive PAP measurement during ambulatory exercise is feasible using an implantable PA sensor. What is the main finding? Continuous, noninvasive PAP measurement using the Cordella PA Sensor system is feasible in HF patients during exercise

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used

    Author Under Sail The Imagination of Jack London, 1893-1902

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    In Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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