Statin intensity and postoperative mortality following open repair of intact abdominal aortic aneurysm.

BackgroundThere is a lack of evidence for the association between intensive statin therapy and outcomes following vascular surgery. The aim of this study was to evaluate the association between perioperative statin intensity and in-hospital mortality following open abdominal aortic aneurysm (AAA) repair.MethodsPatients undergoing open AAA repair between 2009 and 2015 were identified from the Premier Healthcare Database. Statin use was classified into low, moderate and high intensity, based on American College of Cardiology/American Heart Association guidelines. Supratherapeutic intensity was defined as doses higher than the recommended guidelines. Multivariable logistic regression analyses were undertaken to assess the association between statin intensity and postoperative major adverse events and in-hospital mortality.ResultsOf 6497 patients undergoing open AAA repair, 3217 (49·5 per cent) received perioperative statin. Statin users were more likely to present with three or more co-morbidities than non-users (26·5 versus 21·8 per cent; P < 0·001). Unadjusted postoperative mortality was significantly lower in statin users (2·6 versus 6·3 per cent; P < 0·001); however, there was no difference in the risk of developing major adverse events. Multivariable analysis showed that statin use was associated with lower odds of death (odds ratio 0·41, 95 per cent c.i. 0·31 to 0·54). Moderate, high and supratherapeutic statin intensities were not associated with lower odds of death or major adverse events compared with low-intensity statin therapy.ConclusionStatin use is associated with lower odds of death in hospital following open AAA repair. High-intensity statins were not associated with lower morbidity or mortality

Ungkapan tradisional yang berkaitan dengan sila sila dalam pancasila daerah sulawesi selatan

Indonesia yang terdiri dari kumpulan atau kesatuan suku-suku bangsa yang masing-masing memiliki ·kebudayaan yang disebut kebu-dayaan daerah, yang merupakan ciri khas dari tiap suku bangsa. Itulah keberadaan dan kenyataan yang diakui sebagai ke bhinekaan. Dari kesatuan kebudayaan daerah yang beraneka ragam inilah men-jadi kebudayaan nasional, maka tersimpullah dalam lambang Negara Bhineka Tunggal Ika. Buku ini berisi tentang ungkapan tradisional yang berkaitan dengan sila-sila dalam pancasila di daerah sulawesi selatan

Pengungkapan isi dan latar belakang nilai budaya kelong makassar puisi makassar dalam naskah kuno

Kelong Makassar ini adalah hasil penelitian dari A. Gani, Husnah G, Baco B, Baddarudin, yang dibiayai oleh Proyek Penelitian dan Kebudayaan Nusantara Jakarta pada Tahun Anggaran 1986/ 1987. Kelong Makassar adalah tergolong naskah kuno yang ditulis dengan tangan, tetapi ada juga yang sudah dicetak. Terhadap naskah yang sudah dicetak (disalin) diperkirakan umumya seratus tahun. Media Kelong ini tidak jauh bedanya dengan pan tun dalam kesusastraan Melayu/ Indonesia, dimana bahasanya disusun rapi, dan diatur sangat indah. Dan apabila diucapkan akan menimbulkan irama, sehingga Kelong itu dapat juga dinyanyikan. Berbeda dengan masyarakat di Jawa dan Bali, pesan-pesan nilai budaya nenek moyang yang luhur ditranformasikan lewat tembang-tembang yang sudah diatur oleh pada lingsa dan guru lagu. Tentu hal itu mempunyai tujuan yang sama yaitu agar orang yang mendengarkannya (orang yang dinasehati) juga orang yang menasehati tidak menimbulkan kebosanan dan rasa jenuh. Sehingga, penyampaian lewat tembang diterimanya sebagai hiburan dan mudah dimengerti serta mudah mengingat atau menahafalkannya

Study of Stability of a Charged Topological Soliton in the System of Two Interacting Scalar Fields

An analytical-numerical analysis of the singular self-adjoint spectral problem for a system of three linear ordinary second-order differential equations defined on the entire real exis is presented. This problem comes to existence in the nonlinear field theory. The dependence of the differential equations on the spectral parameter is nonlinear, which results in a quadratic operator Hermitian pencil.Comment: 22 pages, 2 figure

Nilai-nilai Pendidikan Dalam Novel Sepatu Dahlan Karya Khrisna Pabichara

The purpose of this studyis to describe and analyze the values ​​of education contained in the novel of Khrisna Pabichara, Sepatu Dahlan, include: (1)hard work, (2) compassion, (3) discipline, (4) patient, (5) sportsmanship and its implicationsin learning Indonesia Language. The data is novel elements that reveal aspects of values ​​education, character education. The research method is descriptive qualitative. The found ofthe study is the values ​​contained in then ovelis the value ofcharacter education, which includes:(1) 10 data on hard work, (2) 12 data about affection, (3) 10 data on discipline, (4) 8 data about thepatient, (5) 2 data on sportsmanship. The results ofthe study entitled "Values ​​Educationin the Novel Sepatu Dahlan Khrisna Pabichara work and its implications in learning Indonesia Language" can be used for learning in class XI semester I of high school, on reading—aspect, SK (7), KD(2)

Stable branches of a solution for a fermion on domain wall

We discuss the case when a fermion occupies an excited non-zero frequency level in the field of domain wall. We demonstrate that a solution exists for the coupling constant in the limited interval $1<g<g_{max}\approx 1.65$. We show that indeed there are different branches of stable solution for $g$ in this interval. The first one corresponds to a fermion located on the domain wall ($1<g<\sqrt[4]{2\pi}$). The second branch, which belongs to the interval $\sqrt[4]{2\pi}\le g\le g_{max}$, describes a polarized fermion off the domain wall. The third branch with $1<g<g_{max}$ describes an excited antifermion in the field of the domain wall.Comment: 15 pages, 7 figures, references adde

On decay of large amplitude bubble of disoriented chiral condensate

The time evolution of initially formed large amplitude bubble of disoriented chiral condensate (DCC) is studied. It is found that the evolution of this object may have a relatively long pre-decay stage. Simple explanation of such delay of the DCC bubble decay is given. This delay is related to the existence of the approximate solutions of multi-soliton type of the corresponding radial sine-Gordon equation in (3+1) dimensions at large bubble radius.Comment: 6 pages, LaTeX, 5 PostScript figure