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Magnetic Resonance Myocardial Feature Tracking in Transfusion-Dependent Myelodysplastic Syndrome
Marta Alonso-Fernandez-Gatta,Ana Martin-Garcia,Maria Diez-Campelo,Agustin C. Martin-Garcia,Manuel Barreiro-Pérez,Félix Lopez-Cadenas,Elena Diaz-Pelaez,Pedro L. Sanchez 한국심초음파학회 2021 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.29 No.4
BACKGROUND: Myocardial deformation with echocardiography allows early detection of systolic dysfunction and is related to myocardial iron overload (MIO) determined by T2* in hereditary anemias under transfusion support. Our aim was to analyze the diagnostic and prognostic usefulness of magnetic resonance feature tracking (MR-FT) myocardial strain in low-risk myelodysplastic syndromes (LR-MDS) patients. METHODS: Prospective study in transfusion-dependent LR-MDS patients and healthy controls who underwent a cardiac MR-FT. We analyzed the relationships between strain MR-FT and iron overload parameters and its prognostic impact in cardiovascular events and/or death. RESULTS: Thirty-one patients and thirteen controls were included. MIO (T2* < 20 ms) was detected in 9.7% of patients. Left ventricular global longitudinal strain (LV-GLS) by MR-FT was pathological (> −19.3%) in 32.3% of patients. Less negative strain values correlated with lower T2* (R = −0.37, p = 0.033) and native myocardial T1 (R = −0.39, p = 0.031) times. LV-GLS by MR-FT was significantly associated with higher incidence of the combined cardiovascular events and/or all-cause death (p = 0.047), with a cut-off value of −17.7% for predicting them (63% sensitivity and 81% specificity, area under the curve = 0.69). After adjusting analysis including demographic, biomarkers and imaging variables, a higher LV-GLS value by MR-FT remained as predictor of combined event in transfusion-dependent LR-MDS patients (hazard ratio, 0.4; confidence interval, 0.15–0.98; p = 0.045). CONCLUSIONS: Longitudinal myocardial strain by MR-FT in LR-MDS patients is associated to MIO and correlates with adverse events in the follow-up, what could serve as a prognostic tool.
Monoidal functors and exact sequences of groups for Hopf quasigroups
Jose N. Alonso Alvarez,Jose M. Fernandez Vilaboa,Ramon Gonzalez Rodriguez 대한수학회 2021 대한수학회지 Vol.58 No.2
In this paper we introduce the notion of strong Galois $H$-progenerator object for a finite cocommutative Hopf quasigroup $H$ in a symmetric monoidal category ${\sf C}$. We prove that the set of isomorphism classes of strong Galois $H$-progenerator objects is a subgroup of the group of strong Galois $H$-objects introduced in \cite{JKMS}. Moreover, we show that strong Galois $H$-progenerator objects are preserved by strong symmetric monoidal functors and, as a consequence, we obtain an exact sequence involving the associated Galois groups. Finally, to the previous functors, if $H$ is finite, we find exact sequences of Picard groups related with invertible left $H$-(quasi)modules and an isomorphism $Pic(_{{\sf H}}{\sf Mod})\cong Pic({\sf C})\oplus G(H^{\ast})$ where $Pic(_{{\sf H}}{\sf Mod})$ is the Picard group of the category of left $H$-modules, $Pic({\sf C})$ the Picard group of ${\sf C}$, and $G(H^{\ast})$ the group of group-like morphisms of the dual of $H$.
Ignacio Iglesias-Garriz,David Alonso,Carmen Garrote,Victoria Casares,Javier Vara,Jose Maria De la Torre,Miguel A. Rodriguez,Felipe Fernandez-Vazquez 한국심초음파학회 2020 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.28 No.1
BACKGROUND: Proper scaling of cardiac dimensions is of paramount importance in making correct decisions in clinical cardiology. The usual normalization of cardiac dimensions to overall body size assumes an isometric relationship. We sought to investigate these relationships to obtain the best allometric coefficient (AC) for scaling. METHODS: Ninety-seven healthy volunteers were included. The dimensions to be scaled were the left atrial volume, the end-diastolic and end-systolic left ventricular volumes, and the diameter of the tricuspid annulus. A Bayesian statistical analysis was applied with isometric coefficients as priors. RESULTS: The linear correlations between cardiac dimensions and body size were modest, ranging from 0.12 (-0.10–0.32) for the left atrial volume and height to 0.70 (0.58–0.80) for the end-diastolic volume and height. The ACs varied across the different cardiac dimensions and body size measurements. For the best linear relationships, the isometric coefficients were outside the 95% highest density interval of the posterior distribution for the left atrial volume-weight (AC: 0.7; 0.4–0.9) and end-diastolic volume-height (AC: 2.3; 1.7–2.9), whereas they were different from 1 for the left atrial volume-weight, end-diastolic volume, and diameter of the tricuspid annulus-body surface area (AC: 0.6; 0.3–0.8). Not scaling the cardiac dimensions to their corresponding ACs can lead to important errors in size estimations of cardiac structure. CONCLUSIONS: The ACs found in this study are somewhat different from the corresponding isometric coefficients and often different from 1. This finding should be considered when normalizing cardiac structures to body size when making clinical decisions.
THE GROUP OF STRONG GALOIS OBJECTS ASSOCIATED TO A COCOMMUTATIVE HOPF QUASIGROUP
Alvarez, Jose N. Alonso,Rodriguez, Ramon Gonzalez,Vilaboa, Jose M. Fernandez Korean Mathematical Society 2017 대한수학회지 Vol.54 No.2
Let H be a cocommutative faithfully flat Hopf quasigroup in a strict symmetric monoidal category with equalizers. In this paper we introduce the notion of (strong) Galois H-object and we prove that the set of isomorphism classes of (strong) Galois H-objects is a (group) monoid which coincides, in the Hopf algebra setting, with the Galois group of H-Galois objects introduced by Chase and Sweedler.
Induced quadrupolar singlet ground state of praseodymium in a modulated pyrochlore
van Duijn, J.,Kim, K. H.,Hur, N.,Ruiz-Bustos, R.,Adroja, D. T.,Bridges, F.,Daoud-Aladine, A.,Fernandez-Alonso, F.,Wen, J. J.,Kearney, V.,Huang, Q. Z.,Cheong, S.-W.,Perring, T. G.,Broholm, C. American Physical Society 2017 Physical Review B Vol.96 No.9
<P>The complex structure and magnetism of Pr2-xBixRu2O7 was investigated by neutron scattering and extended x-ray absorption fine structure. Pr has an approximate doublet ground state and the first excited state is a singlet. While the B-site (Ru) is well ordered throughout, this is not the case for the A-site (Pr/Bi). A broadened distribution for the Pr-O-2 bond length at low temperature indicates the Pr environment varies from site to site even for x = 0. The environment about the Bi site is highly disordered ostensibly due to the 6s lone pairs on Bi3+. Correspondingly, we find that the non-Kramers doublet ground-state degeneracy, otherwise anticipated for Pr in the pyrochlore structure, is lifted so as to produce a quadrupolar singlet ground statewith a spatially varying energy gap. For x = 0, below TN, the Ru sublattice orders antiferromagnetically, with propagation vector k = (0,0,0) as forY(2)Ru(2)O(7). No ordering associated with the Pr sublattice is observed down to 100 mK. The low-energy magnetic response of Pr2-xBixRu2O7 features a broad spectrum of magnetic excitations associated with inhomogeneous splitting of the Pr quasidoublet ground state. For x = 0 (x = 0.97), the spectrum is temperature dependent (independent). It appears disorder associated with Bi alloying enhances the inhomogeneous Pr crystal-field level splitting so that intersite interactions become irrelevant for x = 0.97. The structural complexity for the A-site may be reflected in the hysteretic uniform magnetization of B-site ruthenium in the Neel phase.</P>