A ecocardiografia é um importante exame no diagnóstico de insuficiência cardíaca, avaliando as funções, sistólica e diastólica, comprometidas nesta síndrome. Pacientes com insuficiência cardíaca apresentando disfunção sistólica esquerda constituem uma população com alta morbidade e mortalidade, tendo sido descritos diversos parâmetros ecocardiográficos marcadores de prognóstico. Recentemente, desenvolveram-se metodologias que possibilitam avaliar a sincronia mecânica do coração que se apresenta especialmente comprometida nesta população. No entanto, o valor destas medidas em estimar o risco de eventos clínicos adversos é incerto. O objetivo deste estudo foi o de testar se estas medidas ecocardiográficas podem constituir marcadores de eventos cardíacos adversos em pacientes clinicamente estáveis com insuficiência cardíaca e disfunção sistólica esquerda. Duzentos e sete pacientes encaminhados consecutivamente dos ambulatórios de Insuficiência Cardíaca e Miocardiopatias, em condição clínica estável e com medicação otimizada realizaram um ecocardiograma, coletando-se nesta data: dados clínicos, eletrocardiográficos e amostras de sangue. No ecocardiograma, avaliaram-se além das medidas convencionais, aquelas que descrevem a sincronia: atrial esquerda, atrioventricular, interventricular, intraventriculares diastólica e sistólica, esta última por cinco metodologias distintas. Acompanharam-se estes pacientes por 1,5±0.9 anos. Por meio da regressão logística de Cox, analisaram-se estes dados como marcadores dependentes ou independentes de desfecho principal (óbito ou transplante cardíaco) e secundário (óbito, transplante cardíaco ou hospitalização por descompensação da insuficiência cardíaca). As características e frequências mais marcantes do grupo foram: sexo masculino - 64%, idade 58±13 anos, Classe funcional II/III - NYHA 70%, doença arterial coronariana 40%, uso de inibidores de enzima de conversão ou bloqueador dos receptores de angiotensina II 93%, uso de betabloqueadores 90%, intervalo QRS 148±31 ms, bloqueio de ramo esquerdo 57%, diâmetro diastólico do ventrículo esquerdo 72±9 mm, fração de ejeção do ventrículo esquerdo 30±5 %, disfunção diastólica grau III ou IV 46%, insuficiência mitral mais que discreta 19%. Nenhuma variável ecocardiográfica que avalia a sincronia mecânica foi marcadora destes eventos. Na análise multivariada pelo modelo de Cox, as variáveis associadas ao desfecho primário foram: sexo feminino HR, 0,14 (p=0.01), Classe funcional III - NYHA, HR 14,64 (p<0.01), índice de massa cardíaca cada 10 g, HR 1,16 (p<0,01), fração de ejeção do ventrículo esquerdo cada 5%, HR 0,44 (<0,01) e a fração de esvaziamento ativo do átrio esquerdo cada 10%, HR 0,38 (p<0,01). Para o desfecho secundário, as variáveis que se associaram foram: Classe funcional III - NYHA, HR 8,50 (p<0,01), índice de massa cardíaca cada 10 g, HR 1,06 (p=0,04), fração de esvaziamento ativo do átrio esquerdo cada 10%, HR 0,69 (p=0,01) e a integral do Doppler da via de saída do ventrículo esquerdo cada 5 cm, HR 0,65 (p=0,03). Os resultados deste estudo indicam que as medidas ecocardiográficas de sincronia cardíaca não se apresentam como marcadores prognósticos de pacientes clinicamente estáveis, portadores de insuficiência cardíaca com disfunção sistólica esquerda. / Echocardiography is a diagnostic tool to establish clinical diagnosis of heart failure, accurately evaluating heart\'s dysfunction, systolic and/or diastolic, existing in this syndrome. Heart failure patients with systolic left ventricular dysfunction constitute a population with high morbidity and mortality, have being described several echocardiographic prognostic factors. Recently, new methodologies enable the evaluation of mechanical synchrony of the heart that compromises frequently this particular population. However, the value of these measurements to estimate risk of adverse clinical events in such patients is uncertain. The purpose of this study was to test whether these echocardiographic measurements can predict cardiac adverse events in heart failure patients, clinically stable, with left ventricular systolic dysfunction. Two hundred and seven patients referred consecutively from outpatient heart failure clinics, in stable clinical condition, with optimized medication did an echocardiogram collecting also clinical, electrocardiographic data and blood samples. There were evaluated in addition to conventional echocardiographic measurements, those that describe the various types of synchrony: left atrial, atriovenricular, interventricular, intraventricular diastolic and systolic, the latter by five distinct methods. The follow up was 1.5 ± 0.9 years. By Cox regression, we analyzed if these data were dependent or independent predictors of primary (death or cardiac transplantation) and secondary outcome (death, heart transplantation or hospitalization for heart failure decompensation). The most remarkable features and frequencies of this group were: male gender- 64%, age 58 ± 13 years, functional class II / III - NYHA 70%, known coronary artery disease 40%, use of converting enzyme inhibitor or receptor blocker angiotensin II 93%, beta-blockers 90%, QRS interval 148 ± 31 ms, left bundle branch block 57%, left ventricular diastolic diameter 72 ± 9 mm, left ventricular ejection fraction 30 ± 5%, diastolic dysfunction grade III or IV 46%, mitral regurgitation - more than mild 19%. None of the echocardiographic variables that evaluate mechanical synchrony predicted these events. On Cox multivariate regression, the variables associated to the primary outcome were: female gender, HR 0.14 (p = 0.01), functional class III - NYHA, HR 14.64 (p <0.01), cardiac mass index - every 10 g, HR 1.16 (p <0.01), ejection fraction, left ventricular - every 5 %, HR 0.44 (p <0.01) and left atrial active emptying fraction - every 10%, HR 0.38 (p <0.01). For the secondary outcome, the variables associated were: functional class III - NYHA, HR 8.50 (p <0.01), cardiac mass index - every 10 g, HR 1, 06 (p = 0.04), left atrial active emptying fraction - every 10%, HR 0.69 (p = 0.01) and the integral of left ventricle outflow Doppler - every 5 cm, HR 0.65 (p= 0.03). The results of this study indicate that echocardiographic measurements of cardiac synchrony are not predictors of cardiac events of clinically stable heart failure patients with systolic left ventricular dysfunction.

INTRODUÇÃO: A doença de Chagas tem patogênese não totalmente conhecida. Ao contrário das funções sistólica e diastólica do ventrículo esquerdo, a função do átrio esquerdo carece de informações. OBJETIVOS: Em portadores de doença de Chagas, com ou sem alterações eletrocardiográficas, com ou sem disfunção sistólica de ventrículo esquerdo, verificar se há diferença nos parâmetros de função atrial esquerda e se há correlação entre dados de função de átrio esquerdo e parâmetros ecodopplercardiográficos de função ventricular sistólica e diastólica de ventrículo esquerdo MÉTODOS: 85 indivíduos: 10 controles (GC), 26 na forma indeterminada (GI), 30 com alterações eletrocardiográficas somente (GII) e 19 com disfunção ventricular (GIII), submetidos a ecocardiograma para avaliação da função atrial e das funções sistólicas e diastólicas ventriculares. Para analise estatística foi utilizado teste de Kruskal-Wallis e o coeficiente de Spearman. RESULTADOS: Função de reservatório (FET: fração de esvaziamento total): Houve diferença entre os grupos (p < 0,0001), média menor no GIII comparado ao GC (p = 0,003), ao GI (p < 0,001) e GII (p < 0,001), sem diferença entre GC, GI e GII. Fluxo de veias pulmonares: na onda S houve diferença entre os grupos (p = 0,003), média menor no GIII comparada ao GC (p = 0,01). Função de conduto (FEP: fração de esvaziamento passivo): houve diferença entre os grupos (p = 0,004), média menor no GIII, sem significância estatística comparando entre os grupos (GIII e GC, p = 0,06, GI e GII, p = 0,06, e GII e GIII, p = 0,07). Função de bomba propulsora (FEA: fração de esvaziamento ativo): houve diferença entre os grupos (p = 0,0001), média menor no GIII comparado ao GC (p = 0,05), ao GI (p < 0,0001) e ao GII (p = 0,002). Correlações: E/e\'média e FET: fraca correlação negativa (r = - 0,263; p = 0,02), moderada correlação negativa no GIII (r = - 0,58; p = 0,02). E/e\'média e FEP: não houve correlação (r = - 0,09; p = 0,44). E/e\'média e FEA: moderada correlação negativa (r = -0,36; p = 0,002) e no GIII (r = - 0,57; p = 0,04). e\'média e FET: moderada correlação positiva (r = 0,53; p < 0,0001). e\'média e FEP: moderada correlação positiva (r = 0,49; p < 0,0001). e\'média e FEA: moderada correlação positiva (r = 0,39; p = 0,001). Fração de ejeção do VE e FET: moderada correlação positiva (r = 0,35; p = 0,003) e no GIII (r = 0,52; p = 0,04). Fração de ejeção do VE e FEP: moderada correlação positiva (r = 0,42; p < 0,0001). Fração de ejeção do VE e FEA: moderada correlação positiva (r = 0,35; p = 0,003). CONCLUSÕES: Em pacientes com miocardiopatia chagásica com disfunção sistólica de ventrículo esquerdo, houve comprometimento das funções de reservatório, de conduto e bomba propulsora do átrio esquerdo e aqueles com função sistólica normal não apresentaram alterações nessas funções / BACKGROUND: Chagas disease (CD) pathogenesis is not fully known. Unlike the systolic and diastolic function of the left ventricle, the left atrial function still lacks information. OBJECTIVES: The aim of this study was to observe differences in patients with CD regarding the parameters of left atrial function and correlate them with Doppler echocardiographic parameters CASUISTIC AND METHODS: 85 subjects: 10 controls (GC), 26 in the indeterminate form (GI), 30 with ECG changes and normal left systolic function (GII) and 19 with left ventricular dysfunction (GIII) underwent echocardiography to assess left atrial and ventricular systolic and diastolic functions RESULTS: Reservoir function (TEF: total emptying fraction): there was a difference between groups (p <0.0001), lower mean in GIII compared to CG (p = 0.003), GI (p <0.001) and GII (p <0.001) with no difference between GC, GI and GII. Pulmonary veins flow: the S wave was no difference between groups (p = 0.003), lower mean in GIII compared to the CG (p = 0.01). Conduit function (PEF: passive emptying fraction): there was a difference between groups (p = 0.004), lower mean in GIII, without statistical significance between groups (GIII and GC, p = 0.06, GI and GII, p = 0.06, and GII and GIII, p = 0.07). Pump function (AEF: active emptying fraction): there was a difference between groups (p = 0.0001), lower mean in GIII compared to CG (p = 0.05), GI (p <0.0001) and GII (p = 0.002). Correlations: E/e\'mean and TEF: weak negative correlation (r = - 0.263, p = 0.02), moderate negative correlation in GIII (r = - 0.58, p = 0.02). E/e\'mean and PEF: no correlation (r = - 0.09, p = 0.44). E/e\'mean and AEF: moderate negative correlation (r = -0.36, p = 0.002) and GIII (r = - 0.57, p = 0.04). e\'mean and TEF: moderate positive correlation (r = 0.53, p <0.0001). e\'mean and PEF: moderate positive correlation (r = 0.49, p <0.0001). e\'mean and AEF: moderate positive correlation (r = 0.39, p = 0.001). LV ejection fraction and TEF: moderate positive correlation (r = 0.35, p = 0.003) and GIII (r = 0.52, p = 0.04). LV ejection fraction and PEF: moderate positive correlation (r = 0.42, p <0.0001). LV ejection fraction and AEF: moderate positive correlation (r = 0.35, p = 0.003). CONCLUSIONS: In patients with Chagas\' cardiomyopathy with left ventricular systolic dysfunction, there was impairment of the functions of reservoirs, conduit and pump of the left atrium

lt;p align="justify"gt; The present work aimed to assess the intensity of effort of the coffee pickers in different stages of the manual coffee picking, by means of the Heartbeat Frequency, Systolic Arterial Pressure and rate pressure-product, during the three stages of the coffee harvest, in the city of Caratinga-MG. 154 workers were selected and assessed, 77 men and 77 women. The sampling consisted of coffee pickers, with ages ranging between 18 to 57. The design of this work took place in four distinguished moments. Firstly, all the farm workers selected were submitted to a top benchmark test, to assess the maximum *VO2 , maximum rate-pressure product of the workers, through the Balke Protocol (MARINS amp; GIANNICHI, 1998). In a second moment, with the maximum *VO2 results available, the farm workers were compared and classified according to the Aerobic Conditioning Classification Chart for men and women. In a third stage, the heartbeat rate, arterial pressure and rate pressure-product were measured during the stages of: cropping, gathering and fanning. In stage four, the values of heartbeat rate, arterial pressure and rate pressure-product obtained in the three stages of the coffee picking were compared by means of statistical analysis, to determine the statistically significant difference of the values of work load. In the VO2max, classification, there can be noticed that 18 men and 26 women, representing 23.37% and 33.77% , respectively, were qualified as GOOD, for the Balke benchmark test; 41 men and 47 women, 53.25% and 61.03%, classified as REGULAR; 16 men (20.78%) and 3 women (3.90%) classified as BAD; and 2 men (2.60%) and 1 woman (1.30%) classified as VERY BAD. There was a significant increase of the heartbeat rate in all three stages of the harvest as related to heartbeat rate when at rest. It was also assessed that the highest mean values, for both genders, was during the Gathering stage (115.2bpm for the men and 105.3bpm for the women), followed by the Fanning (105.6bpm for the men and 108bpm for the women) and Dropping 91.8bpm for the men and 105.3 for the women), respectively. The mean values found for the heartbeat rates characterize the stages of dropping and fanning of the coffee as reasonably mild, for both the genders, with relative values from 50.28% to 60.81% for the Max. heartbeat rate or 28% to 40% of the VO2max. The values found in the gathering stage, of 63.09% of the max. heartbeat rate for the men, classifies this stage as Reasonably Mild; for the women, the percentage of 69.36 max Heartbeat rate classifies this stage as Rather Hard. The gathering stage recorded the highest mean values of arterial pressure for both the genders (137.40mm Hg for the men and 137.79mm Hg for the women), followed by Fanning (132.68mm Hg foe the men and 134.63mm Hg for the women) and Dropping (129.87 mm Hg for the men and 128.87mm Hg for the women), respectively. In the stages of Dropping and Gathering there was no Significant Difference in the results, regarding genders. The highest mean vales of rate pressure-product found in the three stages of the coffee harvesting were, respectively: 15836.58 for the men, and 16995.06 for the women in the Gathering stage; 14000.43 for the men and 14563.8 for the women in the Fanning; and 11944.3 for the men and 13574.3 for the women in the Dropping stage.lt;/pgt; / lt;p align="justify"gt; O presente trabalho teve como objetivo avaliar a intensidade de esforço dos colheitadores de café, através da Freqüência Cardíaca, Pressão Arterial Sistólica e Duplo Produto, durante as três etapas da colheita do café, no município de Caratinga – MG. Foram selecionados e avaliados 154 trabalhadores, sendo 77 do sexo masculino e 77 do sexo feminino. A amostra foi de colheitadores de café, na faixa etária entre 18 e 57 anos de idade. O processo de construção deste trabalho ocorreu em quatro (04) momentos distintos. No primeiro momento, todos os trabalhadores rurais selecionados foram submetidos a um teste máximo de banco, para estimar o de VO2max. e o duplo produto máx., através do Protocolo de Balke (MARINS amp; GIANNICHI, 1998). No segundo momento, com resultados do teste VO2max., os trabalhadores rurais foram comparados e classificados de acordo com a Tabela de Classificação do Condicionamento Aeróbio de Homens e Mulheres. No terceiro momento, foi avaliada a freqüência cardíaca, a pressão arterial e o duplo produto dos trabalhadores rurais durante as etapas de: derriça, recolhimento e abanação. No quarto momento, os valores de freqüência cardíaca, pressão arterial e duplo produto, obtidos nas etapas da colheita, foram comparados através da análise estatística, para determinar as diferenças significativas dos valores da carga de trabalho. Na classificação do VO2max, pode-se observar que 18 homens e 26 mulheres, que representam 23,37% e 33,77%, respectivamente, foram classificados como BOM, no teste de banco de Balke; 41 homens e 47 mulheres, 53,25% e 61,03%, classificados como REGULAR; 16 homens (20,78%) e 03 mulheres (3,90%), classificados como RUIM; e 02 homens (2,60%) e 01 mulher (1,30%) classificados como MUITO RUIM. Observaram-se maiores valores médios, em ambos os sexos, na etapa de Recolhimento (115,2 bpm para os homens e, 123,2 bpm para as mulheres), seguido pela Abanação (105,6 bpm para os homens e, 108 bpm para as mulheres) e Derriça (91,8 bpm para os homens e, 105,3 bpm para as mulheres), respectivamente. Os valores médios de freqüência cardíaca encontrados caracterizam as etapas de derriça e abanação de café como Razoavelmente Leve, para ambos os sexos, com valores relativos entre 50,28% a 60,81% da FCmáx ou 28% a 40% do VO2 máx. Os valores encontrados na etapa de recolhimento, de 63,09% da FCmáx para os homens, classifica a etapa como Razoavelmente Leve; para as mulheres, o percentual de 69,36% da Fcmáx, classifica a etapa como Bastante Dura. Foram observados maiores valores médios de Pressão Arterial, em ambos os sexos, na etapa de Recolhimento (137,40 mm Hg para os homens e, 137,79 mm Hg para as mulheres), seguido pela Abanação (132,68 mm Hg para os homens e, 134,63 mm Hg para as mulheres) e Derriça (129,87 mm Hg para os homens e, 128,87 mm Hg para as mulheres), respectivamente. Nas etapas de Derriça e Recolhimento não houve diferença significativa nos resultados, em relação ao sexo. Os maiores valores médios de DP encontrados nas três etapas da colheita de café foram, respectivamente: na etapa Recolhimento, 15836,58 para os homens e 16995,06 para as mulheres; na etapa Abanação, 14000,43 para os homens e 14563,8 para as mulheres; na etapa Derriça, 11944,3 para os homens e 13574,3 para as mulheres.lt;/pgt;

This thesis provides the deliberations about the implementation of Gentleman-Kung systolic array for QR decomposition using Givens Rotations within the context of radar signal processing. The systolic array of Givens Rotations is implemented and analysed using a massively parallel processor array (MPPA), Ambric Am2045. The tools that are dedicated to the MPPA are tested in terms of engineering efficiency. aDesigner, which is built on eclipse environment, is used for programming, simulating and performance analysing. aDesigner has been produced for Ambric chip family. 2 parallel matrix multiplications have been implemented to get familiar with the architecture and tools. Moreover different sized systolic arrays are implemented and compared with each other. For programming, ajava and astruct languages are provided. However floating point numbers are not supported by the provided languages. Thus fixed point arithmetic is used in systolic array implementation of Givens Rotations. Stable and precise numerical results are obtained as outputs of the algorithms. However the analysis results are not reliable because of the performance analysis tools.

A ecocardiografia é um importante exame no diagnóstico de insuficiência cardíaca, avaliando as funções, sistólica e diastólica, comprometidas nesta síndrome. Pacientes com insuficiência cardíaca apresentando disfunção sistólica esquerda constituem uma população com alta morbidade e mortalidade, tendo sido descritos diversos parâmetros ecocardiográficos marcadores de prognóstico. Recentemente, desenvolveram-se metodologias que possibilitam avaliar a sincronia mecânica do coração que se apresenta especialmente comprometida nesta população. No entanto, o valor destas medidas em estimar o risco de eventos clínicos adversos é incerto. O objetivo deste estudo foi o de testar se estas medidas ecocardiográficas podem constituir marcadores de eventos cardíacos adversos em pacientes clinicamente estáveis com insuficiência cardíaca e disfunção sistólica esquerda. Duzentos e sete pacientes encaminhados consecutivamente dos ambulatórios de Insuficiência Cardíaca e Miocardiopatias, em condição clínica estável e com medicação otimizada realizaram um ecocardiograma, coletando-se nesta data: dados clínicos, eletrocardiográficos e amostras de sangue. No ecocardiograma, avaliaram-se além das medidas convencionais, aquelas que descrevem a sincronia: atrial esquerda, atrioventricular, interventricular, intraventriculares diastólica e sistólica, esta última por cinco metodologias distintas. Acompanharam-se estes pacientes por 1,5±0.9 anos. Por meio da regressão logística de Cox, analisaram-se estes dados como marcadores dependentes ou independentes de desfecho principal (óbito ou transplante cardíaco) e secundário (óbito, transplante cardíaco ou hospitalização por descompensação da insuficiência cardíaca). As características e frequências mais marcantes do grupo foram: sexo masculino - 64%, idade 58±13 anos, Classe funcional II/III - NYHA 70%, doença arterial coronariana 40%, uso de inibidores de enzima de conversão ou bloqueador dos receptores de angiotensina II 93%, uso de betabloqueadores 90%, intervalo QRS 148±31 ms, bloqueio de ramo esquerdo 57%, diâmetro diastólico do ventrículo esquerdo 72±9 mm, fração de ejeção do ventrículo esquerdo 30±5 %, disfunção diastólica grau III ou IV 46%, insuficiência mitral mais que discreta 19%. Nenhuma variável ecocardiográfica que avalia a sincronia mecânica foi marcadora destes eventos. Na análise multivariada pelo modelo de Cox, as variáveis associadas ao desfecho primário foram: sexo feminino HR, 0,14 (p=0.01), Classe funcional III - NYHA, HR 14,64 (p<0.01), índice de massa cardíaca cada 10 g, HR 1,16 (p<0,01), fração de ejeção do ventrículo esquerdo cada 5%, HR 0,44 (<0,01) e a fração de esvaziamento ativo do átrio esquerdo cada 10%, HR 0,38 (p<0,01). Para o desfecho secundário, as variáveis que se associaram foram: Classe funcional III - NYHA, HR 8,50 (p<0,01), índice de massa cardíaca cada 10 g, HR 1,06 (p=0,04), fração de esvaziamento ativo do átrio esquerdo cada 10%, HR 0,69 (p=0,01) e a integral do Doppler da via de saída do ventrículo esquerdo cada 5 cm, HR 0,65 (p=0,03). Os resultados deste estudo indicam que as medidas ecocardiográficas de sincronia cardíaca não se apresentam como marcadores prognósticos de pacientes clinicamente estáveis, portadores de insuficiência cardíaca com disfunção sistólica esquerda. / Echocardiography is a diagnostic tool to establish clinical diagnosis of heart failure, accurately evaluating heart\'s dysfunction, systolic and/or diastolic, existing in this syndrome. Heart failure patients with systolic left ventricular dysfunction constitute a population with high morbidity and mortality, have being described several echocardiographic prognostic factors. Recently, new methodologies enable the evaluation of mechanical synchrony of the heart that compromises frequently this particular population. However, the value of these measurements to estimate risk of adverse clinical events in such patients is uncertain. The purpose of this study was to test whether these echocardiographic measurements can predict cardiac adverse events in heart failure patients, clinically stable, with left ventricular systolic dysfunction. Two hundred and seven patients referred consecutively from outpatient heart failure clinics, in stable clinical condition, with optimized medication did an echocardiogram collecting also clinical, electrocardiographic data and blood samples. There were evaluated in addition to conventional echocardiographic measurements, those that describe the various types of synchrony: left atrial, atriovenricular, interventricular, intraventricular diastolic and systolic, the latter by five distinct methods. The follow up was 1.5 ± 0.9 years. By Cox regression, we analyzed if these data were dependent or independent predictors of primary (death or cardiac transplantation) and secondary outcome (death, heart transplantation or hospitalization for heart failure decompensation). The most remarkable features and frequencies of this group were: male gender- 64%, age 58 ± 13 years, functional class II / III - NYHA 70%, known coronary artery disease 40%, use of converting enzyme inhibitor or receptor blocker angiotensin II 93%, beta-blockers 90%, QRS interval 148 ± 31 ms, left bundle branch block 57%, left ventricular diastolic diameter 72 ± 9 mm, left ventricular ejection fraction 30 ± 5%, diastolic dysfunction grade III or IV 46%, mitral regurgitation - more than mild 19%. None of the echocardiographic variables that evaluate mechanical synchrony predicted these events. On Cox multivariate regression, the variables associated to the primary outcome were: female gender, HR 0.14 (p = 0.01), functional class III - NYHA, HR 14.64 (p <0.01), cardiac mass index - every 10 g, HR 1.16 (p <0.01), ejection fraction, left ventricular - every 5 %, HR 0.44 (p <0.01) and left atrial active emptying fraction - every 10%, HR 0.38 (p <0.01). For the secondary outcome, the variables associated were: functional class III - NYHA, HR 8.50 (p <0.01), cardiac mass index - every 10 g, HR 1, 06 (p = 0.04), left atrial active emptying fraction - every 10%, HR 0.69 (p = 0.01) and the integral of left ventricle outflow Doppler - every 5 cm, HR 0.65 (p= 0.03). The results of this study indicate that echocardiographic measurements of cardiac synchrony are not predictors of cardiac events of clinically stable heart failure patients with systolic left ventricular dysfunction.

<p>This thesis provides the deliberations about the implementation of Gentleman-Kung systolic array for QR decomposition using Givens Rotations within the context of radar signal </p><p>processing. The systolic array of Givens Rotations is implemented and analysed using a massively parallel processor array (MPPA), Ambric Am2045. The tools that are dedicated to the MPPA are tested in terms of engineering efficiency. aDesigner, which is built on eclipse environment, is used for programming, simulating and performance analysing. aDesigner has been produced for Ambric chip family. 2 parallel matrix multiplications have been implemented </p><p>to get familiar with the architecture and tools. Moreover different sized systolic arrays are implemented and compared with each other. For programming, ajava and astruct languages are provided. However floating point numbers are not supported by the provided languages. </p><p>Thus fixed point arithmetic is used in systolic array implementation of Givens Rotations. Stable and precise numerical results are obtained as outputs of the algorithms. However the analysis </p><p>results are not reliable because of the performance analysis tools.</p>

<p>This thesis provides the deliberations about the implementation of Gentleman-Kung systolic array for QR decomposition using Givens Rotations within the context of radar signal processing. The systolic array of Givens Rotations is implemented and analysed using a massively parallel processor array (MPPA), Ambric Am2045. The tools that are dedicated to the MPPA are tested in terms of engineering efficiency. aDesigner, which is built on eclipse environment, is used for programming, simulating and performance analysing. aDesigner has been produced for Ambric chip family. 2 parallel matrix multiplications have been implemented to get familiar with the architecture and tools. Moreover different sized systolic arrays are implemented and compared with each other. For programming, ajava and astruct languages are provided. However floating point numbers are not supported by the provided languages. Thus fixed point arithmetic is used in systolic array implementation of Givens Rotations. Stable </p><p>and precise numerical results are obtained as outputs of the algorithms. However the analysis results are not reliable because of the performance analysis tools.</p>

Background: Stem cell therapy can facilitate cardiac repair after healed myocardial infarction but the optimal cell type remains uncertain. Aims: To investigate the pathophysiology of heart failure in a canine model of healed myocardial infarction and to compare the efficacy and the safety of autologous bone marrow mononuclear cell (BMNC) transfer and mesenchymal stem cell (MSC) transfer in this model. It was a blind, randomized and placebo control study. Methods: Eleven weeks after coronary ligation, 24 dogs received intramyocardial injections of BMNC, MSC or Placebo (n = 8 per groups). Echocardiography, conductance method, magnetic resonance imaging, serum neurohormones, holter monitoring, macromorphometry, histology and real time quantitative polymerase chain reaction were used to assess cardiac performance, safety and remodelling in healthy animals, before cell transplantation and up to 16 weeks’ follow-up. Results: The model was characterized by decreased left ventricular end-systolic elastance and ventricular-arterial uncoupling without alteration of compliance. Four months after BMNC transfer, the regional systolic function measured at echocardiographic showed a sustained improvement. This improvement was associated with an improved left ventricular end-systolic elastance and a decreased infarct size. Although the left ventricular ejection fraction stayed unchanged, the serum level of N-terminal B-type natriuretic propeptide level decreased. Mononuclear cell transfer was also associated with increased left ventricular relative wall area, increased vascular density, intramyocardial vascular remodelling and upregulation of angiogenic factors gene expression. Mesenchymal stem cell transfer only improved lately and moderately the regional systolic function, without improvement of cardiac contractility or decreased infarct size. Conclusions: In a canine model of chronic myocardial infarction, BMNC transfer is superior to MSC transfer in improvement of cardiac contractility and regional systolic function, and to reduce the infarct size and plasma N-terminal B-type natriuretic propeptide level. Functional improvement is associated with a favourable angiogenic environment and neovascularization.

Pattern recognition is an important area with potential applications in computer vision, Speech understanding, knowledge engineering, bio-medical data classification, earth sciences, life sciences, economics, psychology, linguistics, etc. Clustering is an unsupervised classification process corning under the area of pattern recognition. There are two types of clustering approaches: 1) Non-hierarchical methods 2) Hierarchical methods. Non-hierarchical algorithms are iterative in nature and. perform well in the context of isotropic clusters. Time-complexity of these algorithms is order of (0 (n) ) and above, Hierarchical agglomerative algorithms, on the other hand, are effective when clusters are non-isotropic. The single linkage method of hierarchical category produces a dendrogram which corresponds to the minimal spanning tree, conventional approaches are time consuming requiring O (n2 ) computational time. In this thesis we propose an intelligent partitioning scheme for generating the minimal spanning tree in the co-ordinate space. This is computationally elegant as it avoids the computation of similarity between many pairs of samples me minimal spanning tree generated can be used to produce C disjoint clusters by breaking the (C-1) longest edges in the tree. A systolic architecture has been proposed to increase the speed of the algorithm further. Simulation study has been conducted and the corresponding results are reported. The simulation package has been developed on DEC-1090 in Pascal. It is observed based on the simulation study that the parallel implementation reduces the time enormously. The number of processors required for the parallel implementation is a constant making the approach more attractive. Texture analysis and synthesis has been extensively studied in the context of computer vision, Two important approaches which have been studied extensively by researchers earlier are statistical and structural approaches, Texture is understood to be a periodic pattern with primitive sub patterns repeating in a particular fashion. This has been used to characterize texture with the help of the hierarchical data structure, tree. It is convenient to use a tree data structure as, along with the operations like merging, splitting, deleting a node, adding a node, etc, .it would be useful to handle a periodic pattern. Various functions like angular second moment, correlation etc, which are used to characterize texture have been translated into the new language of hierarchical data structure.

Pulmonary arterial hypertension (PAH) is a lethal disease, characterized by functional or structural abnormalities involving distal pulmonary arterioles that result in increased pulmonary vascular resistance (PVR) and ultimately right heart failure. Our objective is to establish a conditional transgenic system in mice, to test the hypothesis that lung EC apoptosis at the level of distal pulmonary arterioles is necessary and sufficient to cause a PAH phenotype. In a pilot study, the Fas-Induced Apoptosis (FIA) construct was expressed under the control of endothelial-specific Tie2 promoter in transgenic mice (i.e. EFIA mice). Administration of a small molecule dimerizing agent, AP20187, resulted in lung modest dose-dependent PAH, which was associated with proliferative vascular lesions localized to distal lung arterioles in a small proportion of mice. Due to the low level of transgene expression in preliminary EFIA lines, we re-designed the transgenic vector by incorporating a more robust endothelial promoter (superTie2). The new construct was transfected into HUVEC and BAEC and analyzed by monitoring immunofluorescence (DsRed). Data from the EFIA model suggests that EC apoptosis may be sufficient to induce a PAH phenotype with the characteristic lung vascular lesions. The EFIA model will allow us to better explore the mechanism that links distal lung EC apoptosis with reactive vascular cell proliferation in the pathogenesis of this devastating disease.