6,332 publications from this institution
Introduction: Epidemiologic studies suggest that multiple cardiovascular (CVD) protection-factors (i.e., non-smoking, physically active, normal blood pressure, normal blood glucose, normal total cholesterol, non-obese, and healthy diet) are associated with significantly reduced risk of cardiovascular disease incidence and mortality. Hypothesis: We assessed the hypothesis that the increased number of CVD protection-factors is associated with reduced risk for all-cause and CVD mortality and adherence to low CVD risk profile could result in significant lower rates of all-cause and CVD mortality. Methods: We used the Third National Health and Nutrition Examination Survey (NHANES III 1988-1994) Linked Mortality File (through 2006), a prospective cohort study of a nationally representative sample of 12,861 U.S. adults to examine the prevalence, associations, and population attributable fraction (PAF) of seven CVD protection-factors in relation to risk of all-cause and CVD mortality. Results: Only 3.1% of U.S. adults had all seven CVD protection-factors. The average follow-up was 14.5 years. After multivariable adjustment for potential confounders, hazard ratios (HR) were: 0.30 (95% CI 0.22-0.40), 0.21 (0.12-0.34), and 0.17 (0.09-0.32), comparing individuals with ≥six protection-factors to those with ≤one protection-factors for all-cause, CVD, and IHD mortality respectively. Elevated blood pressure was responsible for the largest number of all-cause and CVD death followed by smoking and poor diet. Overall, 59% (95% CI 27-78) of total deaths and 66% (95% CI 22-88) CVD death would have been avoided during the average of 14.5 years follow-up if the population were changed to the high CVD protection-factors status (with ≥six protection-factors). Conclusions: Few adults in this U.S.-based study population had all seven desirable CVD protection-factors. The presence of an increasing number of CVD protection-factors was associated with a progressively lower risk of total and CVD mortality. Comprehensive population-based initiatives are needed to improve modifiable CVD risk factors, resulting in substantial reductions of all-cause and CVD mortality in the U.S. population.
This paper describes the preparation and wetting properties of two-component self-assembled monolayers (SAMs) obtained by the competitive adsorption of one short-chain (HS(CH2)10Sh) and one long-chain (HS(CH2)21Lg) alkanethiol onto gold from dilute ethanolic solutions. The four possible combinations of the tail groups CH3 and CH2OH were investigated: Sh = CH3/Lg = CH2OH, Sh = CH2OH/Lg = CH3, Sh = CH2OH/Lg = CH2OH, and Sh = CH3/Lg = CH,. The compositions of these SAMs are not the same as the compositions of the solutions from which they were formed. Although the relationship between the composition of the SAM and the composition of the solution suggests that some phase separation may be occurring within the SAM, contact angles with water and hexadecane show that significant disorder still remains in the interfacial region.
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Although it is well established that type 2 diabetes is a strong risk factor for coronary heart disease, it is still a matter of debate whether diabetes and a prior coronary heart disease confer similar risk for future risk of fatal coronary heart disease. Most of the published studies on this topic did not consider the duration of diabetes when comparing the effects of diabetes alone and a prior coronary heart disease alone. Recent studies suggest that duration of clinical diabetes is an important risk factor for fatal coronary heart disease and total mortality. In addition, the incidence of cardiovascular disease is elevated long before the clinical diagnosis of diabetes.
Steady state crack propagation produce substantial plastic strain gradients near the tip, which are accompanied by a high density of geometrically necessary dislocations and additional local strain hardening. Here, the objective is to study these gradient effects on Mode I toughness of a homogeneous rate-sensitive metal, using a higher order plasticity theory. Throughout, emphasis is on the toughness rate-sensitivity, as a recent numerical study of a conventional material (no gradient effects) has indicated a significant influence of both strain rate hardening and crack tip velocity. Moreover, a characteristic velocity, at which the toughness becomes independent of the rate-sensitivity, has been observed. It is the aim to bring forward a similar characteristic velocity for the current strain gradient visco-plastic model, as-well as to signify its use in future visco-plastic material modeling.
A study of steady creep of face centred cubic (f. c. c.) and ionic polycrystals as it relates to single crystal creep behaviour is made by using an upper bound technique and a self-consistent method. Creep on a crystallographic slip system is assumed to occur in proportion to the resolved shear stress to a power. For the identical systems of an f. c. c. crystal the slip-rate on any system is taken as γ = α (ז/ז 0 ) n where α is a reference strain-rate, ז is the resolved shear stress and ז 0 is the reference shear stress. The tensile behaviour of a polycrystal of randomly orientated single crystals can be expressed as ∊̄ = α (σ̄/σ̄ 0 ) n where ∊̄ are σ̄ the overall uniaxial strain-rate and stress and σ̄ 0 is the uniaxial reference stress. The central result for an f. c. c. polycrystal in tension can be expressed as σ̄ 0 = h ( n ) ז 0 . Calculated bounds to h ( n ) coincide at one extreme ( n = ∞) with the Taylor result for rigid/perfectly plastic behaviour and at the other ( n = 1) with the Voigt bound for linear viscoelastic behaviour. The self-consistent results, which are shown to be highly accurate for n = 1, agree closely with the upper bound for n ≽ 3. Two types of glide systems are considered for ionic crystals: A-systems, {110} <110>, with γ = α (ז/ז A ) n ; and B-systems, {100} <110>, with γ = α (ז/ז B ) n . The upper bound to the tensile reference stress σ̄ 0 is shown to have the simple form σ̄ 0 ≼ A ( n )ז A + B ( n )ז B ; A ( n ) and B ( n ) are computed for the entire range of n , including the limit n = ∞. Self-consistent predictions are again in good agreement with the bounds for high n . Upper bounds in pure shear are also calculated for both f. c. c. and ionic polycrystals. These results, together with those for tension, provide a basis for assessing the most commonly used stress creep potentials. The simplest potential based on the single effective stress invariant is found to give a reasonably accurate characterization of multiaxial stress dependence.
Various factors affecting the prediction of limit strains in biaxially-stretched sheets are studied. Time-independent material behavior is assumed, and both the flow theory of plasticity as well as a finite-strain version of deformation theory are considered. A...
This paper describes a method to control the volume and the velocity of drops generated in a flow-focusing device dynamically and independently. This method involves simultaneous tuning of the temperature of the nozzle of the device and of the flow rate of the continuous phase; the method requires a continuous phase liquid that has a viscosity that varies steeply with temperature. Increasing the temperature of the flow-focusing nozzle from 0 to 80 degrees C increased the volume of the drops by almost 2 orders of magnitude. Tuning both the temperature and the flow rate controlled the drop volume and the drop velocity independently; this feature is not possible in a basic flow-focusing device. This paper also demonstrates a procedure for identifying the range of possible drop volumes and drop velocities for a given flow-focusing device and shows how to generate drops with a specified volume and velocity within this range. This method is easy to implement in on-chip applications where thermal management is already incorporated in the system, such as DNA amplification using the polymerase chain reaction and nanoparticle synthesis.