| 1 | Impact of main vessel calcification on procedural and clinical outcomes of bifurcation lesion undergoing provisional single-stenting intervention: a multicenter, prospective, observational study显示文摘Background Few data on the combined effects of bifurcation and calcification on coronary artery disease(CAD)patients undergoing percutaneous coronary intervention(PCI)are available.This study evaluated the impact of main vessel(MV)calcification on the procedural and long-term outcomes in patients with CAD who underwent provisional single stent PCI.Methods This is a multicenter,prospective,observational study.Patients with bifurcation lesions were enrolled at 10 PCI centers in China from January 2015 to December 2017.Intravascular ultrasound or optical coherence tomography was performed in all patients to evaluate the MV calcification.Patients were treated with provisional single stent strategy using drug eluting stents and followed-up at 1 month,6 months and 12 months after discharge by telephone contact or outpatient visit.Repeated coronary imaging was performed within one year.We compared the procedural success rates in MV and in side branch(SB),and target lesion failure(TLF),defined as a composite of cardiac death,non-fatal myocardial infarction,definite or possible stent thrombosis and target lesion revascularization between patients with and without MV calcification.Results A total of 185 subjects were enrolled according to the inclusion and exclusion criteria of this study.MV calcification was detected in 119(64.3%,calcification group)and not found in 66(35.7%,non-calcification group)patients.The angiographic success rate of MV was 95.8%in the calcification group and 97.0%in the non-calcification group(P=0.91);the angiographic success rate of SB was 32.8%in the calcification group and 53.0%in the non-calcification group(P<0.05).During the one-year follow-up period,TLF occurred in 14(11.8%)patients in the calcification group and in 13(19.7%)in the non-calcification group{P=0.31).Multivariate regression analysis showed the same result(HR=1.23,95%CI:0.76-1.52,P=0.47).Calcification on group had higher recurrent angina than non-calcification group(13.51%vs.17.65%,P<0.05).Conclusions In patients with coronary bifurcation lesion treated with provisional one stent approach,calcification of MV is associated with lower SB procedural success rate,it could increase recurrence of angina;however,it was not associated with an increased risk of TLF. | Jing BAI Yan YUE Hong-Qi FENG Shu-Xin HAO Liang PENG Ming ZHANG Shaheena Nazneen Li-Feng LIU Zhe TANG Xiao-Lin YU Yu-Tao XIE Fu-Xiang SHAN Ming-Zhi SHEN Jiang-Tao WANG Xue-Hua WAN Yun-Dai CHEN Yu WANG | 2019 | Journal of Geriatric Cardiology2019，16，2： | 3 |
| 3 | Potentially harmful metals,and health risk evaluation in groundwater of Mardan,Pakistan:Application of geostatistical approach and geographic information system显示文摘This study investigates the values of pH,total dissolved solids(TDS),elevation,oxidative reduction potential(ORP),temperature,and depth,while the concentrations of Br,and potentially harmful metals(PHMs)such as Cr,Ni,Cd,Mn,Cu,Pb,Co,Zn,and Fe in the groundwater samples.Moreover,geographic information system(GIS),XLSTAT,and IBM SPSS Statistics 20 software were used for spatial distribution modeling,principal component analysis(PCA),cluster analysis(CA),and Quantile-Quantile(Q-Q)plotting to determine groundwater pollution sources,similarity index,and normal distribution reference line for the selected parameters.The mean values of pH,TDS,elevation,ORP,temperature,depth,and Br were 7.2,322 mg/L,364 m,188 mV,29.6℃,70 m,0.20 mg/L,and PHMs like Cr,Ni,Cd,Mn,Cu,Pb,Co,Zn,and Fe were 0.38,0.26,0.08,0.27,0.36,0.22,0.04,0.43 and 0.86 mg/L,respectively.PHMs including Cr(89%),Cd(43%),Mn(23%),Pb(79%),Co(20%),and Fe(91%)exceeded the guideline values set by the world health organization(WHO).The significant R^(2)values of PCA for selected parameters were also determined(0.62,0.67,0.78,0.73,0.60,0.87,-0.50,0.69,0.70,0.74,-0.50,0.70,0.67,0.79,0.59,and-0.55,respectively).PCA revealed three geochemical processes such as geogenic,anthropogenic,and reducing conditions.The mineral phases of Cd(OH)_(2),Fe(OH)_(3),FeOOH,Mn_(3)O_(4),Fe_(2)O_(3),MnOOH,Pb(OH)_(2),Mn(OH)_(2),MnO_(2),and Zn(OH)_(2)(-3.7,3.75,9.7,-5.8,8.9,-3.6,2.2,-4.6,-7.7,-0.9,and 0.003,respectively)showed super-saturation and under-saturation conditions.Health risk assessment(HRA)values for PHMs were also calculated and the values of hazard quotient(HQ),and hazard indices(HI)for the entire study area were increased in the following order:Cd>Ni>Cu>Pb>Mn>Zn>Cr.Relatively higher HQ and HI values of Ni,Cd,Pb,and Cu were greater than one showing unsuitability of groundwater for domestic,agriculture,and drinking purposes.The long-term ingestion of groundwater could also cause severe health concerns such as kidney,brain dysfunction,liver,stomach problems,and even cancer. | Abdur Rashid Muhammad Ayub Asif Javed Sardar Khan Xubo Gao Chengcheng Li Zahid Ullah Tariq Sardar Juma Muhammad Shahla Nazneen | 2021 | Geoscience Frontiers2021，12，3： | 2 |
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