Background: stress test (EST) is one of the main diagnostic and prognostic tests for ischemic heart disease. However, its usefulness depends on achieving target heart rate, then chronotropic incompetence and poor exercise capacity limits its utility. We evaluated the usefulness of atropine administration during the EST to decrease the number of tests with inconclusive results in these patients.
Patients &Methods: We carried out this study in Ibn AI-Bitar Teaching Hospital from September 2007 to December 2008 and comprised of 210 patients undergoing EST. In subjects experiencing fatigue when they achieved 50-75% of target heart rate (THR), or those who failed to achieve their THR, atropine was administered in doses of 0.5 mg per minute until the test conclusion (positive test results or target heart rate achieved) or until a maximum dose of 2 mg was administered.
Results: Forty-one (19.5%) of the 210 patients required atropine (mean dose: 1.1 mg) during the study. Among patients who received atropine, conclusive test was achieved in 38 cases (92.7%). Atropine administration resulted in a mean increase in heart rate of 38 beats/min (range 8-71 beat/min). Atropine injection resulted in a trend towards more positive results of EST in comparison to non-atropine group (31.7% versus 18.3%, /?=0.053). There was no difference in response to atropine in subjects with chronotropic incompetence or poor exercise capacity (p=0.5).
Conclusion: Use of atropine as an adjunct to standard EST can help decrease the number of inconclusive tests. Larger studies are necessary to define the role of atropine in EST and also to
evaluate the accuracy of conclusive EST after atropine administration
In this paper we define and study new concepts of functions on fibrewise topological spaces over B namely, fibrewise weakly (resp., closure, strongly) continuoac; funttions which are analogous of weakly
(resp., closure, strongly) continuous functions and the main result is : Let <p : XY be a fibrewise closure (resp., weakly, closure, strongly, strongly) continuous function, where Y is fibrewise topological space over B and X is a fibrewise set which has the
in
... Show MoreA class of hyperrings known as divisible hyperrings will be studied in this paper. It will be presented as each element in this hyperring is a divisible element. Also shows the relationship between the Jacobsen Radical, and the set of invertible elements and gets some results, and linked these results with the divisible hyperring. After going through the concept of divisible hypermodule that presented 2017, later in 2022, the concept of the divisible hyperring will be related to the concept of division hyperring, where each division hyperring is divisible and the converse is achieved under conditions that will be explained in the theorem 3.14. At the end of this paper, it will be clear that the goal of this paper is to study the concept
... Show MoreThroughout this paper R represents commutative ring with identity and M is a unitary left R-module. The purpose of this paper is to investigate some new results (up to our knowledge) on the concept of weak essential submodules which introduced by Muna A. Ahmed, where a submodule N of an R-module M is called weak essential, if N ? P ? (0) for each nonzero semiprime submodule P of M. In this paper we rewrite this definition in another formula. Some new definitions are introduced and various properties of weak essential submodules are considered.
The definition of semi-preopen sets were first introduced by "Andrijevic" as were is defined by :Let (X , ï´ ) be a topological space, and let A ⊆, then A is called semi-preopen set if ⊆∘ . In this paper, we study the properties of semi-preopen sets but by another definition which is equivalent to the first definition and we also study the relationships among it and (open, α-open, preopen and semi-p-open )sets.
Czerwi’nski et al. introduced Lucky labeling in 2009 and Akbari et al and A.Nellai Murugan et al studied it further. Czerwi’nski defined Lucky Number of graph as follows: A labeling of vertices of a graph G is called a Lucky labeling if for every pair of adjacent vertices u and v in G where . A graph G may admit any number of lucky labelings. The least integer k for which a graph G has a lucky labeling from the set 1, 2, k is the lucky number of G denoted by η(G). This paper aims to determine the lucky number of Complete graph Kn, Complete bipartite graph Km,n and Complete tripartite graph Kl,m,n. It has also been studied how the lucky number changes whi
... Show MoreIn this paper we give many connections between essentially quasi-Dedekind (quasi-
Dedekind) modules and other modules such that Baer modules, retractable modules,
essentially retractable modules, compressible modules and essentially compressible
modules where an R-module M is called essentially quasi-Dedekind (resp. quasi-
Dedekind) if, Hom(M N ,M ) 0 for all N ≤e M (resp. N ≤ M). Equivalently, a
module M is essentially quasi-Dedekind (resp. quasi-Dedekind) if, for each
f End (M) R , Kerf ≤ e M implies f = 0 (resp. f 0 implies ker f 0 ).
The structure of this paper includes an introduction to the definition of the nano topological space, which was defined by M. L. Thivagar, who defined the lower approximation of G and the upper approximation of G, as well as defined the boundary region of G and some other important definitions that were mentioned in this paper with giving some theories on this subject. Some examples of defining nano perfect mappings are presented along with some basic theories. Also, some basic definitions were presented that form the focus of this paper, including the definition of nano pseudometrizable space, the definition of nano compactly generated space, and the definition of completely nano para-compact. In this paper, we presented images of nan
... Show MoreThe peculiarity of the theater does not lie in its dramatic content because many literary genres and other artistic styles share with it in this content. The peculiarity of the theater lies in contemplating the drama through what is architectural, and this architectural axis is what distinguishes its character. It is a spatial poetry which is composed by the laws of physics and chemistry, (Weight, height, distance, rhythm, gravity, impulses and chemical excretions). i.e., what cannot be expressed in words. This is a game of space to exchange and organize energy and communicate in space by the living body, which contains the possibilities of the living drawing in space: in the time and place. This research deals with the importance of the
... Show MoreAim:- to show that not all survival curves without shoulder are not able to repair or have lost the ability for the accumulation of sublethal damage.
Background:- the shoulder of the survival curve is considered as a
region of accumulation of sublethal damage also as an indicator for cell capacity to repair. The size can be influenced by the change ofthe slope of the linear portion of the survival curve.
Results:- we have shown that a survival curve with shoulder size of
1.5 Gy can be a straight line when the slope of the exponential part is changed so the
... Show MoreBackground: The purpose of this study was to evaluate the effect of in vitro long-term simulation of oral conditions on the bond strength of PEEK CAD/CAM lingual retainers.
Material and methods: The sample consisted of 12 PEEK CAD/CAM retainers each composed of 2 centrally perforated 3x4mm pads joined by a connector. They were treated by 98% sulfuric acid for 1 minute and then conditioned with Single Bond Universal and bonded to the lingual surface of premolar teeth by 3M Transbond TM System. Half of the retainers were artificially aged using a 30-day water storage and 5000 thermocycling protocol before bond strength testing to compare with the non-aged specimens.
Results: The artificially aged retainers showed a marginally
... Show More