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- Spertus, John A, et al.
(författare)
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Health-Status Outcomes with Invasive or Conservative Care in Coronary Disease.
- 2020
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Ingår i: New England Journal of Medicine. - 0028-4793 .- 1533-4406. ; 382:15, s. 1408-1419
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In the ISCHEMIA trial, an invasive strategy with angiographic assessment and revascularization did not reduce clinical events among patients with stable ischemic heart disease and moderate or severe ischemia. A secondary objective of the trial was to assess angina-related health status among these patients.METHODS: We assessed angina-related symptoms, function, and quality of life with the Seattle Angina Questionnaire (SAQ) at randomization, at months 1.5, 3, and 6, and every 6 months thereafter in participants who had been randomly assigned to an invasive treatment strategy (2295 participants) or a conservative strategy (2322). Mixed-effects cumulative probability models within a Bayesian framework were used to estimate differences between the treatment groups. The primary outcome of this health-status analysis was the SAQ summary score (scores range from 0 to 100, with higher scores indicating better health status). All analyses were performed in the overall population and according to baseline angina frequency.RESULTS: At baseline, 35% of patients reported having no angina in the previous month. SAQ summary scores increased in both treatment groups, with increases at 3, 12, and 36 months that were 4.1 points (95% credible interval, 3.2 to 5.0), 4.2 points (95% credible interval, 3.3 to 5.1), and 2.9 points (95% credible interval, 2.2 to 3.7) higher with the invasive strategy than with the conservative strategy. Differences were larger among participants who had more frequent angina at baseline (8.5 vs. 0.1 points at 3 months and 5.3 vs. 1.2 points at 36 months among participants with daily or weekly angina as compared with no angina).CONCLUSIONS: In the overall trial population with moderate or severe ischemia, which included 35% of participants without angina at baseline, patients randomly assigned to the invasive strategy had greater improvement in angina-related health status than those assigned to the conservative strategy. The modest mean differences favoring the invasive strategy in the overall group reflected minimal differences among asymptomatic patients and larger differences among patients who had had angina at baseline. (Funded by the National Heart, Lung, and Blood Institute and others; ISCHEMIA ClinicalTrials.gov number, NCT01471522.).
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| 2. |
- Baloch, E, et al.
(författare)
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Phylogeny and classification of Cryptodiscus, with a taxonomic synopsis of the Swedish species
- 2009
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Ingår i: Fungal diversity. - Kunming : Kunming university of science & technology. - 1560-2745 .- 1878-9129. ; 38, s. 51-68
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Tidskriftsartikel (refereegranskat)abstract
- The phylogeny, taxonomy and classification of Cryptodiscus are examined. The current generic and species deliminations, and the relationship of the genus within the Ostropomycetidae, are tested by molecular phylogenetic analyses of the nuclear ITS and LSU rDNA and the mitochondrial SSU rDNA. In our new circumscription Cryptodiscus is a monophyletic group of saprotrophic and lichenized fungi characterized by small, urceolate apothecia, mostly hyaline ascomatal walls without any embedded crystals, no clear periphysoids, and with oblong to narrow-cylindrical septate ascospores. Cryptodiscus forms a well-supported clade together with Absconditella and the remaining Stictidaceae. Paschelkiella and Bryophagus are synonymised with Cryptodiscus. Species excluded from Cryptodiscus are Cryptodiscus anguillosporus, C. angulosus, C. microstomus, and C. rhopaloides. Cryptodiscus in Sweden is revised and six species are accepted, of which one is newly described: C. foveolaris, C. gloeocapsa comb. nov. (equivalent to Bryophagus gloeocapsa), C. incolor sp. nov., C. pallidus, C. pini comb. nov. (equivalent to Paschelkiella pini), and the rediscovered species C. tabularum. The additional new combinations Cryptodiscus similis comb. nov. and C. minutissimus comb. nov. are coined for the remaining former Bryophagus species. Lectotypes are designated for Bryophagus gloeocapsa Arnold, Odontotrema pini Romell and Stictis foveolaris Rehm.
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| 3. |
- Grube, M, et al.
(författare)
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A phylogenetic study of the Lecanora rupicola group (Lecanoraceae, Ascomycota)
- 2004
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Ingår i: Mycological Research. - 0953-7562. ; 108:5, s. 506-514
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Tidskriftsartikel (refereegranskat)abstract
- A molecular phylogeny of the Lecanora rupicola group is presented, based on ITS sequence analyses. The study includes saxicolous and corticolous members of the Lecanora rupicola group as well as other Lecanora species with pruinose apothecia. A phylogenetic hypothesis for species in Lecanora s. lat. and various other genera in Lecanoraceae, based on an alignment-free distance estimation technique, shows that the Lecanora rupicola group forms a monophyletic clade within Lecanoraceae. Affinities to the core group of Lecanora are not well supported, likewise the monophyly of Lecanora s. str. with other species groups in Lecanora, such as the lobate taxa (and Rhizoplaca) is not supported. A more detailed analysis involving Lecanora species with pruinose apothecial discs was carried out with model-based Bayesian Markov chain Monte Carlo (B/MCMC) tree sampling. The results suggest the monophyly of the Lecanora species that are characterized by the presence of chromones. Corticolous as well as saxicolous species are included. Lepraria flavescens is closely related to the Lecanora swartzii subgroup, and the new name Lecanora rouxii nom. nov. is introduced for that species. Other Lecanora species with pruinose discs are riot closely related to the Lecanora rupicola group.
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