One topic of recent interest in the field of space situational awareness is the accurate and consistent representation of an observed object's uncertainty under nonlinear dynamics. This paper presents a method of analytical nonlinear propagation of uncertainty under two-body dynamics. In particular, the probability density function over state space and its mean and covariance matrix are expressed analytically for all time via a special solution of the Fokker-Planck equations for deterministic Hamiltonian systems. The state transition tensor concept is used to express the solution flow of the dynamics. Some numerical examples, where a second-order state transition tensor is found to sufficiently capture the nonlinear effects, are also discussed.
Noninvasive CFVR measurement by TTDE may be useful for detecting myocardial ischemia, as well as for identifying ischemic territories in the clinical setting.
There are few reports about the incidence and predictors of silent cerebral thromboembolic lesions (SCLs) after atrial fibrillation (AF) ablation in patients treated with direct oral anticoagulants (DOACs). The purpose of this study is to evaluate the incidence and predictors of SCLs after AF ablation with cerebral magnetic resonance imaging (C-MRI) in patients treated with DOACs. We enrolled 117 consecutive patients who underwent first AF ablation and received DOACs, including apixaban, dabigatran, edoxaban, and rivaroxaban. DOACs were discontinued after administration 24 h before the procedure, and restarted 6 h after the procedure. During the procedure, activated clotting time (ACT) was measured every 15 min, and intravenous heparin infusion was performed to maintain ACT at 300-350 s. All patients underwent C-MRI the day after the procedure. SCLs were detected in 28 patients (24%) after AF ablation. Age, female sex, the presence of persistent AF, left atrial volume, procedure time, radiofrequency energy, electrical cardioversion, and mean ACT showed no correlations with the incidence of SCLs. Multivariate analysis revealed independent predictors of SCLs were CHADSVASc scores ≥3, left atrial appendage (LAA) emptying velocity ≤39 cm/s, and minimum ACT ≤260 s. Patients with both CHADSVASc scores ≥3 and LAA flow velocity ≤39 cm/s had the highest incidence of SCLs 15 of 26 patients (58%). In patients treated with DOACs, CHADSVASc score ≥3, minimum ACT ≤260 s, and LAA emptying velocity ≤39 cm/s were independent risk factors for the SCLs after AF ablation.
[reaction: see text] A combined system of boron trifluoride and molecular sieves is an efficient promoter for the carbonyl-ene reaction of alpha-methylsyrenes with paraformaldehyde. The coexistence of BF3 x OEt2 and molecular sieves 4A is essential for obtaining high yields of ene products.
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