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- Chronic heart failure (1)
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- Remote patient management (1)
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Background Heart failure (HF) is a complex, chronic condition that is associated with debilitating symptoms, all of which necessitate close follow-up by health care providers. Lack of disease monitoring may result in increased mortality and more frequent hospital readmissions for decompensated HF. Remote patient management (RPM) in this patient population may help to detect early signs and symptoms of cardiac decompensation, thus enabling a prompt initiation of the appropriate treatment and care before a manifestation of HF decompensation. Objective The objective of the present article is to describe the design of a new trial investigating the impact of RPM on unplanned cardiovascular hospitalisations and mortality in HF patients. Methods The TIM-HF2 trial is designed as a prospective, randomised, controlled, parallel group, open (with randomisation concealment), multicentre trial with pragmatic elements introduced for data collection. Eligible patients with HF are randomised (1:1) to either RPM + usual care or to usual care only and are followed for 12 months. The primary outcome is the percentage of days lost due to unplanned cardiovascular hospitalisations or all-cause death. The main secondary outcomes are all-cause and cardiovascular mortality. Conclusion The TIM-HF2 trial will provide important prospective data on the potential beneficial effect of telemedical monitoring and RPM on unplanned cardiovascular hospitalisations and mortality in HF patients.
This study presents an unsupervised feature selection and learning approach for the discovery and intuitive imaging of significant temporal patterns in seismic single-station or network recordings. For this purpose, the data are parametrized by real-valued feature vectors for short time windows using standard analysis tools for seismic data, such as frequency-wavenumber, polarization, and spectral analysis. We use Self-Organizing Maps (SOMs) for a data-driven feature selection, visualization and clustering procedure, which is in particular suitable for high-dimensional data sets. Our feature selection method is based on significance testing using the Wald-Wolfowitz runs test for-individual features and on correlation hunting with SOMs in feature subsets. Using synthetics composed of Rayleigh and Love waves and real-world data, we show the robustness and the improved discriminative power of that approach compared to feature subsets manually selected from individual wavefield parametrization methods. Furthermore, the capability of the clustering and visualization techniques to investigate the discrimination of wave phases is shown by means of synthetic waveforms and regional earthquake recordings.
The selaginella genome identifies genetic changes associated with the evolution of vascular plants
(2011)
Vascular plants appeared similar to 410 million years ago, then diverged into several lineages of which only two survive: the euphyllophytes (ferns and seed plants) and the lycophytes. We report here the genome sequence of the lycophyte Selaginella moellendorffii (Selaginella), the first nonseed vascular plant genome reported. By comparing gene content in evolutionarily diverse taxa, we found that the transition from a gametophyte- to a sporophyte-dominated life cycle required far fewer new genes than the transition from a nonseed vascular to a flowering plant, whereas secondary metabolic genes expanded extensively and in parallel in the lycophyte and angiosperm lineages. Selaginella differs in posttranscriptional gene regulation, including small RNA regulation of repetitive elements, an absence of the trans-acting small interfering RNA pathway, and extensive RNA editing of organellar genes.