In this study, we described the haemodynamic condition in the AVF and found that neointimal hyperplasia predisposed to occur in the inner wall of venous segment near the anastomosis. We also found that not only the neointimal hyperplasia has a strong inverse correlation with WSS levels, but also is related to flow patterns.
We perform a high-resolution cosmological zoom-in simulation of a Milky Way (MW)–like system, which includes a realistic Large Magellanic Cloud analog, using a large differential elastic dark matter self-interaction cross section that reaches ≈100 cm2 g−1 at relative velocities of ≈10 km s−1, motivated by the diverse and orbitally dependent central densities of dwarf galaxies within and surrounding the MW. We explore the effects of dark matter self-interactions on satellite, splashback, and isolated halos through their abundance, central densities, maximum circular velocities, orbital parameters, and correlations between these variables. We use an effective constant cross section model to analytically predict the stages of our simulated halos’ gravothermal evolution, demonstrating that deviations from the collisionless R max – V max relation can be used to select deeply core-collapsed halos, where V max is a halo’s maximum circular velocity, and R max is the radius at which it occurs. We predict that a sizable fraction (≈20%) of subhalos with masses down to ≈108 M ⊙ is deeply core collapsed in our SIDM model. Core-collapsed systems form ≈10% of the isolated halo population down to the same mass; these isolated, core-collapsed halos would host faint dwarf field galaxies with extremely steep central density profiles. Finally, most halos with masses above ≈109 M ⊙ are core-forming in our simulation. Our study thus demonstrates how self-interactions diversify halo populations in an environmentally dependent fashion within and surrounding MW-mass hosts, providing a compelling avenue to address the diverse dark matter distributions of observed dwarf galaxies.
Background—Focal atrial tachycardias (ATs) surrounding the anterior atrial septum (AAS) have been successfully ablated from the right atrial septum (RAS), the aortic cusps, and the aortic mitral junction. However, the strategy for mapping and ablation of AAS-ATs has not been well defined.Methods and Results—Of 227 consecutive patients with AT, 47 (20.7%; mean age, 56.3±11.6 years) with AAS-ATs were studied; among them, initial ablation was successful at RAS in only 5 of 14 patients and at noncoronary cusp (NCC) in 28 of 33 patients. In 45 of the 47 patients, the 46 of 48 AAS-ATs were eliminated at RAS in 8 patients, NCC in 35 patients (earliest activation time at NCC was later than that at RAS by 5–10 ms in 6 patients), and aortic mitral junction in 3 patients (all with negative P wave in lead aVL and positive P wave in the inferior leads), including 1 patient whose 2 ATs were eliminated separately from the NCC and the aortic mitral junction.Conclusions—Most of the ATs surrounding the AAS can be eliminated from within the NCC, which is usually the preferential ablation site. Ablation at the RAS and aortic mitral junction should be considered when supported by P-wave morphologies on surface ECG and results of activation mapping and ablation.
Backgrounds: Cognitive functions (CF) decline has been reported in end-stage renal disease (ESRD) patients. However, the influence of dialysis modalities on CF has not been investigated systematically. Methods: A systematic literature search was conducted in MEDLINE, Embase, Cochrane library and unpublished database Clinicaltrials.gov to identify the studies comparing the cognitive functions or risk of dementia between hemodialysis (HD) and peritoneal dialysis (PD). After data extraction, quality of studies was assessed using the Newcastle-Ottawa scale. Both qualitative and quantitative analyses were performed. Results: After study inclusion, totally 15 cohort or cross-sectional studies were included, comparing the cognitive functions using neuropsychological tests and covering the executive function, memory, orientation, attention, etc. By qualitative analysis, it showed that more studies are inclined to PD compared with HD with better cognitive functions. By quantitative analysis, it showed that PD showed better performance in the tests of Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), stroop interference test and exhibited lower risk of dementia compared with HD. Conclusions: In this meta-analysis, we draw preliminary conclusion that patients treated with PD had better cognitive functions and lower dementia risk compared with patients with HD. Still more large-scale and well-conducted prospective cohort studies are needed to draw more convincing conclusions.
LV lead placed at the latest activated site guided by EPM resulted in a significantly greater CRT response, and a shorter QRS duration.
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