<p> The progress of technology in the electronic components industry has been rapidly growing. The evolution of various techniques has made it possible for this industry to grow and diversify with the market demand. Thus, the development of electronic component products over a short span of time requires having highly efficient tools for design and manufacturing. Advances in commercial Computational Fluid Dynamics (CFD) softwares and computational power have enabled modeling to a high level of architectural details. Nowadays, computer aided design becomes an essential design tool in the engineering environment. Computer analysis reduces both the time development cycle and the prototyping costs in the early to intermediate design phases. The accuracy of the computational prediction of heat transfer rates depends mostly on the correct choice of turbulent model. Although many turbulent models, rather than a universal turbulent model, have been developed during the last two decades, there is usually one model that performs better than others for certain flow conditions. </p> <p> In the present research, a turbulence model is selected from amongst a few candidates, namely standard k- 8, RNG k- 8, shear stress transport (SST), and Reynolds Stress Model (RSM), based on comparisons with experimental data and direct numerical simulation (DNS) results from previous work. The SST turbulence model shows excellent agreement with the DNS results and, hence, is considered an appropriate turbulence model for thermal analysis of electronic packages with elements that have almost the same heights. Moreover, the average Nusselt number of array of obstacles is obtained numerically using commercial code ANSYS-CFX 1 0.0. The effects upon the mean Nusselt number arising from parameteric changes in Reynolds number, element height, element width, and element-to-element distance are compared and discussed. Finally, the parametric study has offered a set of correlations for the mean Nusselt number of arrays of mounted obstacles in the channel flow. </p> / Thesis / Master of Applied Science (MASc)

Yes / Real-world datasets are increasingly heterogeneous, showing a mixture of numerical, categorical and other feature types. The main challenge for mining heterogeneous datasets is how to deal with heterogeneity present in the dataset records. Although some existing classifiers (such as decision trees) can handle heterogeneous data in specific circumstances, the performance of such models may be still improved, because heterogeneity involves specific adjustments to similarity measurements and calculations. Moreover, heterogeneous data is still treated inconsistently and in ad-hoc manner. In this paper, we study the problem of heterogeneous data classification: our purpose is to use heterogeneity as a positive feature of the data classification effort by using consistently the similarity between data objects. We address the heterogeneity issue by studying the impact of mixing data types in the calculation of data objects’ similarity. To reach our goal, we propose an algorithm to divide the initial data records based on pairwise similarity for classification subtasks with the aim to increase the quality of the data subsets and apply specialized classifier models on them. The performance of the proposed approach is evaluated on 10 publicly available heterogeneous data sets. The results show that the models achieve better performance for heterogeneous datasets when using the proposed similarity process.

This dissertation describes the synthesis of superatomic materials as well as their chemical modifications to tune properties and impart functions. Chapter 1 gives a general introduction to the topics discussed in the later chapters. The discussion includes superatoms (molecular clusters) and superatomic materials. Chapter 2 discusses the site-selective surface modification of a two-dimensional (2D) superatomic semiconductor Re⁶Se⁸Cl² and its influence on the solution processibility of nanosheets. 2D superatomic Re⁶Se⁸Cl² will continue to be the focus of Chapters 3 and 4. Chapter 3 discusses my efforts in advancing the surface modification of Re⁶Se⁸Cl² to build catalytically active monolayers on the surface of the superatomic nanosheets. Chapter 4 details an electrochemical doping method to significantly enhance the electrical transport properties of Re⁶Se⁸Cl². In Chapter 5, I will move onto discussing a molecular [Co⁶Se⁸] cluster. I will detail my efforts on modifying the ligand coordination sphere, as well as its influence on the reactivity and electronic properties.

Estratificar o risco de morte súbita é um grande desafio no manejo da cardiomiopatia hipertrófica (CMH). Os fatores de risco existentes atualmente apresentam baixo valor preditivo positivo e a estratégia para prevenção primária de morte súbita, que é o implante do cardiodesfibrilador implantável (CDI), baseia-se nesses fatores. Estudos que validem novos marcadores de risco são necessários, objetivando identificar pacientes com maior risco de morte súbita. A avaliação da deformação miocárdica (strain) por meio do Speckle Tracking na ecocardiografia bidimensional determina a função regional e global do ventrículo esquerdo, e, ainda, pode se correlacionar à fibrose miocárdica. Objetivo: Avaliar, em portadores de CMH e CDI, se a deformação miocárdica avaliada pelo Speckle Tracking, correlaciona-se com a ocorrência de taquiarritmias ventriculares registradas no monitor de eventos do CDI. Métodos: Foram incluídos 49 pacientes (43,5±15,8 anos; 59% mulheres) portadores de CMH e CDI acompanhados nos ambulatórios de Eletrofisiologia e Miocardiopatias do Instituto Dante Pazzanese de Cardiologia. Todos os pacientes foram submetidos à avaliação ecocardiográfica convencional padrão e análise do strain miocárdico pelo Speckle Tracking bidimensional. Foram divididos em dois grupos: grupo A, composto por aqueles que receberam terapia apropriada pelo CDI ou tiveram apenas a documentação de taquicardia ventricular não sustentada pelo CDI; e grupo B, composto por pacientes sem documentação de arritmias ventriculares no monitor de eventos. As variáveis contínuas foram comparadas utilizando-se testes t de Student pareado ou Mann-Whitney; para as categóricas o teste do x2 ou testes exatos de Fisher. Para análise dos dados, utilizou-se o programa SPSS. Valores de p < 0,05 foram considerados estatisticamente significativos. Resultados: Em 93,9% da população, a indicação do CDI foi por prevenção primária. Quinze pacientes (30,6%) compuseram o grupo A, 10 pacientes, por apresentarem taquicardia ventricular não sustentada (TVNS) e 5 por taquicardia ventricular sustentada (TVS). Os parâmetros ecocardiográficos convencionais não foram diferentes entre os grupos, com exceção do diâmetro da raiz aórtica, maior no grupo A (33,6 ± 4,4 e 29,4 ± 3,5, p = 0,001). Os valores do strain bidimensional longitudinal global, circunferencial global e radial global estavam reduzidos na população, porém não foram estatisticamente diferentes entre os grupos A e B. Pacientes do grupo A tiveram redução significante do strain circunferencial médio ao nível da valva mitral (SC médio VM) e do strain circunferencial no segmento ântero-septal ao nível da valva mitral (SC ântero-septal VM), em relação aos pacientes do grupo B (-12,3 ± 3,2 e -16 ± 3,9, p = 0,041 e -13,6 ± 6,6 e -18,7 ± 7,2, p = 0,039, respectivamente). O SC médio VM >= -14,2% apresentou 84,6% de sensibilidade e 70% de especificidade para predizer a ocorrência de taquicardias ventriculares em portadores de CMH com uma área sob a curva de 0,76 e nível de significância de 0,005; e O SC ântero-septal VM >= -17,9% apresentou 77% de sensibilidade e 60% de especificidade para predizer a ocorrência de taquicardias ventriculares em portadores de CMH com uma área sob a curva de 0,68 e nível de significância de 0,044. Conclusões: A presença de SC médio VM > -14,2% e SC ântero-septal VM > -17,9% correlacionaram-se com a presença de arritmias ventriculares malignas. Houve correlação positiva entre a presença de arritmias ventriculares malignas e o diâmetro da raiz da aorta. / Risk stratification for sudden cardiac death is still a challenging in the management of hypertrophic cardiomyopathy (HCM). The existing risk factors present low positive predictive value, and the strategy for primary prevention of sudden cardiac death, that is the implantable cardioverter-defibrillation (ICD), is based on these factors. Studies to validate new risk markers are necessaries to identify patients with higher sudden cardiac death risk. The evaluation of myocardial deformation (strain) through Speckle Tracking in two-dimensional echocardiography determines the regional and global function of the left ventricle, and still correlate with myocardial fibrosis. Objective: To evaluate, in patients with HCM and ICD, if the myocardial deformation evaluated through the Speckle Tracking correlates with the occurrence of ventricular tachyarrhythmias recorded in the monitor of implantable cardioverter-defribillation events. Methods: Forty-nine patients (mean age, 43,5 ± 15,8; 59% women) with hypertrophic cardiomyopathy and implantable cardioverter-defibrillation followed in Eletrophysiology and Cardiomyopathies Divisions at Dante Pazzanese Institute of Cardiology were included in the study. All patients underwent standard conventional echocardiographic evaluation and analysis of myocardial strain through two-dimensional Speckle Tracking. Patients were divided in two groups: group A, composed of those who received appropriate therapy by the ICD or had only the documentation of ventricular tachycardia not sustained by the ICD; group B, composed of patients without documented ventricular arrhythmias in the event monitor. Continuous variables were compared using paired t-Student test or Mann-Whitney. Categorical variables were analyzed using chi-square test or Fisher exact test. For data analysis, the SPSS program was used. P values < 0.05 were considered statistically significant. Results: Forty-nine patients (mean age, 43,5 ± 15,8; 59% women) were evaluated. 93.9% in the ICD was for Primary Prevention. Fifteen patients comprised the group A, ten patients for presenting Nonsustained Ventricular Tachycardia (NSVT) and five for Sustained Ventricular Tachycardia (SVT). Conventional echocardiographic parameters were not different between the groups, except for the aortic root diameter, higher in group A (33,6 ± 4,4 and 29,4 ± 3,5; p= 0,001). The values of global longitudinal, global circumferential and global radial two-dimensional strain were reduced in the population, but not statistically significant between groups A and B. Patients in group A had a significant reduction of the mean circumferential strain at the level of the mitral valve (mean SC MV) and the circumferential strain at the anteroseptal segment at the level of the mitral valve (anteroseptal MV SC), compared to the patients in group B (-12.3 ± 3.2 and -16 ± 3.9, p = 0.041 and -13.6 ± 6.6 and -18.7 ± 7.2, p = 0.039, respectively). The mean MV SC >= -14.2% presented 84.6% sensitivity and 70% specificity to predict the occurrence of ventricular tachycardias in patients with HCM with an area under the curve of 0.76 and a level of significance of 0.005 and Anteroposterior MV >= -17.9% presented 77% sensitivity and 60% specificity to predict the occurrence of ventricular tachycardias in patients with HCM with an area under the curve of 0.68 and a level of significance of 0.044. Conclusions: The presence of mean circumferential strain at the level of the mitral valve > -14,2% and anteroseptal circumferential strain at the level of the mitral valve > -17,9% correlated with the presence of malignant ventricular arrhythmias. There was a positive correlation between the presence of malignant ventricular arrhythmias and the aortic root diameter.

This thesis is concerned with the robots' motion planning problem. In particular it is focused on the path planning and motion planning for Autonomously Guided Vehicles (AGVs) in well-structured, two-dimensional static and dynamic environments. Two algorithms are proposed for solving the aforementioned problems. The first algorithm establishes the shortest collision-semi-free path for an AGV from its start point to its goal point, in a two-dimensional static environment populated by simple polygonal obstacles. This algorithm constructs and searches a reduced visibility graph, within the AGV's configuration space, using heuristic information about the problem domain. The second algorithm establishes the time minimal collision-semi-free motion for an AGV, from its start point to is goal point, in a two-dimensional dynamic environment populated by simple polygonal obstacles. This algorithm considers the AGV's spacetime configuration space, thus reducing the dynamic motion planning problem to the static path planning problem. A reduced visibility graph is then constructed and searched using information about the problem domain, in the AGV's space-time configuration space in order to establish the time-minimal motion between the AGV's start and goal configurations. The latter algorithm is extended to solve more complicated instances of the dynamic motion planning problem, where the AGV's environment is populated by obstacles, which change their size as well as their position over time and obstacles, which have piecewise linear motion. The proposed algorithms can be used to efficiently and safely navigate AGVs in well structured environments. For example, for the navigation of an AGV, in industrial environments, where it operates as part of the manufacturing process or in chemical and nuclear plants, where the hostile environment is inaccessible to humans. The main contributions in this thesis are, the systematic study of the V*GRAPH algorithm and identification of its methodic and algorithmic deficiencies; recommendation of corrections and further improvements on the V* GRAPH algorithm, which in turn lead to the proposition of the V*MECHA algorithm for robot path planning; proposition of the D*MECHA algorithm for motion planning in dynamic environments; extension to the D*MECHA algorithm to solve more complicated instances of the dynamic robot motion planning problem; discussion of formal proofs of the proposed algorithms' correctness and optimality and critical comparisons with existing similar algorithms for solving the motion planning problem.

Estratificar o risco de morte súbita é um grande desafio no manejo da cardiomiopatia hipertrófica (CMH). Os fatores de risco existentes atualmente apresentam baixo valor preditivo positivo e a estratégia para prevenção primária de morte súbita, que é o implante do cardiodesfibrilador implantável (CDI), baseia-se nesses fatores. Estudos que validem novos marcadores de risco são necessários, objetivando identificar pacientes com maior risco de morte súbita. A avaliação da deformação miocárdica (strain) por meio do Speckle Tracking na ecocardiografia bidimensional determina a função regional e global do ventrículo esquerdo, e, ainda, pode se correlacionar à fibrose miocárdica. Objetivo: Avaliar, em portadores de CMH e CDI, se a deformação miocárdica avaliada pelo Speckle Tracking, correlaciona-se com a ocorrência de taquiarritmias ventriculares registradas no monitor de eventos do CDI. Métodos: Foram incluídos 49 pacientes (43,5±15,8 anos; 59% mulheres) portadores de CMH e CDI acompanhados nos ambulatórios de Eletrofisiologia e Miocardiopatias do Instituto Dante Pazzanese de Cardiologia. Todos os pacientes foram submetidos à avaliação ecocardiográfica convencional padrão e análise do strain miocárdico pelo Speckle Tracking bidimensional. Foram divididos em dois grupos: grupo A, composto por aqueles que receberam terapia apropriada pelo CDI ou tiveram apenas a documentação de taquicardia ventricular não sustentada pelo CDI; e grupo B, composto por pacientes sem documentação de arritmias ventriculares no monitor de eventos. As variáveis contínuas foram comparadas utilizando-se testes t de Student pareado ou Mann-Whitney; para as categóricas o teste do x2 ou testes exatos de Fisher. Para análise dos dados, utilizou-se o programa SPSS. Valores de p < 0,05 foram considerados estatisticamente significativos. Resultados: Em 93,9% da população, a indicação do CDI foi por prevenção primária. Quinze pacientes (30,6%) compuseram o grupo A, 10 pacientes, por apresentarem taquicardia ventricular não sustentada (TVNS) e 5 por taquicardia ventricular sustentada (TVS). Os parâmetros ecocardiográficos convencionais não foram diferentes entre os grupos, com exceção do diâmetro da raiz aórtica, maior no grupo A (33,6 ± 4,4 e 29,4 ± 3,5, p = 0,001). Os valores do strain bidimensional longitudinal global, circunferencial global e radial global estavam reduzidos na população, porém não foram estatisticamente diferentes entre os grupos A e B. Pacientes do grupo A tiveram redução significante do strain circunferencial médio ao nível da valva mitral (SC médio VM) e do strain circunferencial no segmento ântero-septal ao nível da valva mitral (SC ântero-septal VM), em relação aos pacientes do grupo B (-12,3 ± 3,2 e -16 ± 3,9, p = 0,041 e -13,6 ± 6,6 e -18,7 ± 7,2, p = 0,039, respectivamente). O SC médio VM >= -14,2% apresentou 84,6% de sensibilidade e 70% de especificidade para predizer a ocorrência de taquicardias ventriculares em portadores de CMH com uma área sob a curva de 0,76 e nível de significância de 0,005; e O SC ântero-septal VM >= -17,9% apresentou 77% de sensibilidade e 60% de especificidade para predizer a ocorrência de taquicardias ventriculares em portadores de CMH com uma área sob a curva de 0,68 e nível de significância de 0,044. Conclusões: A presença de SC médio VM > -14,2% e SC ântero-septal VM > -17,9% correlacionaram-se com a presença de arritmias ventriculares malignas. Houve correlação positiva entre a presença de arritmias ventriculares malignas e o diâmetro da raiz da aorta. / Risk stratification for sudden cardiac death is still a challenging in the management of hypertrophic cardiomyopathy (HCM). The existing risk factors present low positive predictive value, and the strategy for primary prevention of sudden cardiac death, that is the implantable cardioverter-defibrillation (ICD), is based on these factors. Studies to validate new risk markers are necessaries to identify patients with higher sudden cardiac death risk. The evaluation of myocardial deformation (strain) through Speckle Tracking in two-dimensional echocardiography determines the regional and global function of the left ventricle, and still correlate with myocardial fibrosis. Objective: To evaluate, in patients with HCM and ICD, if the myocardial deformation evaluated through the Speckle Tracking correlates with the occurrence of ventricular tachyarrhythmias recorded in the monitor of implantable cardioverter-defribillation events. Methods: Forty-nine patients (mean age, 43,5 ± 15,8; 59% women) with hypertrophic cardiomyopathy and implantable cardioverter-defibrillation followed in Eletrophysiology and Cardiomyopathies Divisions at Dante Pazzanese Institute of Cardiology were included in the study. All patients underwent standard conventional echocardiographic evaluation and analysis of myocardial strain through two-dimensional Speckle Tracking. Patients were divided in two groups: group A, composed of those who received appropriate therapy by the ICD or had only the documentation of ventricular tachycardia not sustained by the ICD; group B, composed of patients without documented ventricular arrhythmias in the event monitor. Continuous variables were compared using paired t-Student test or Mann-Whitney. Categorical variables were analyzed using chi-square test or Fisher exact test. For data analysis, the SPSS program was used. P values < 0.05 were considered statistically significant. Results: Forty-nine patients (mean age, 43,5 ± 15,8; 59% women) were evaluated. 93.9% in the ICD was for Primary Prevention. Fifteen patients comprised the group A, ten patients for presenting Nonsustained Ventricular Tachycardia (NSVT) and five for Sustained Ventricular Tachycardia (SVT). Conventional echocardiographic parameters were not different between the groups, except for the aortic root diameter, higher in group A (33,6 ± 4,4 and 29,4 ± 3,5; p= 0,001). The values of global longitudinal, global circumferential and global radial two-dimensional strain were reduced in the population, but not statistically significant between groups A and B. Patients in group A had a significant reduction of the mean circumferential strain at the level of the mitral valve (mean SC MV) and the circumferential strain at the anteroseptal segment at the level of the mitral valve (anteroseptal MV SC), compared to the patients in group B (-12.3 ± 3.2 and -16 ± 3.9, p = 0.041 and -13.6 ± 6.6 and -18.7 ± 7.2, p = 0.039, respectively). The mean MV SC >= -14.2% presented 84.6% sensitivity and 70% specificity to predict the occurrence of ventricular tachycardias in patients with HCM with an area under the curve of 0.76 and a level of significance of 0.005 and Anteroposterior MV >= -17.9% presented 77% sensitivity and 60% specificity to predict the occurrence of ventricular tachycardias in patients with HCM with an area under the curve of 0.68 and a level of significance of 0.044. Conclusions: The presence of mean circumferential strain at the level of the mitral valve > -14,2% and anteroseptal circumferential strain at the level of the mitral valve > -17,9% correlated with the presence of malignant ventricular arrhythmias. There was a positive correlation between the presence of malignant ventricular arrhythmias and the aortic root diameter.

It is well known from Mermin-Wagner theorem that a two dimensional(2D) system with continuous symmetry can have no long-range order at finite temperature. However such systems can undergo a transition from a low temperature phase with quasi-long range order to a disordered phase at high temperatures. This is known as Berezinskii Kosterlitz Thouless (BKT) transition. The BKT transition is characterized by the presence of bound vortex pairs at low temperature which dissociate into free vortices above the critical temperature and has been observed in thin superconducting films, 2D superfluids, 2D liquid crystals etc. In this thesis work, we have used resistance/current fluctuations (low frequency/shotnoise) as a probe to investigate the BKT transition in different 2D systems. This work can be divided into three parts: In the first part, we probe the ground state of interacting electrons in 2D in the presence of disorder. We show that at low enough temperatures (~ 270mK),the conductivity tends to zero at a nonzero carrier density with a BKT-like transition. Our experiments with many two dimensional electron systems in GaAs/AlGaAs heterostructures suggest that the charge transport at low carrier densities is due to the melting of an underlying ordered ground state through proliferation of topological defects. Independent measurement of low-frequency conductivity noise supports this scenario. In the second part, we probe the presence of long-range correlations in phase fluctuations by analyzing the higher-order spectrum of resistance fluctuations in ultrathin NbN superconducting films. The non-Gaussian component of resistance fluctuations is found to be sensitive to film thickness close to the transition, which allows us to distinguish between mean field and BKT type superconducting transitions. The extent of non-Gaussianity was found to be bounded by the BKT and mean field transition temperatures and depends strongly on the roughness and structural inhomogeneity of the superconducting films. In the final part of the thesis, we explore the transport mechanism in disordered 2D superconductors using shot noise. The resistivity shows an activated transport in the patterned ultrathin films of NbN at low temperatures signifying the presence of large scale inhomogeneities in the sample. The measurement of current fluctuations yield a giant excess noise at low temperatures which eventually decreases below the measurement background at a temperature corresponding to the normal state of the original sample(before patterning). We attribute the enhancement in the shot noise to a possible occurrence of multiple Andreev reflections occurring in a network of SNS(superconductor-normal-superconductor) junctions formed due to the interplay of disorder and superconducting fluctuations.

La maladie sporadique de Creutzfeldt-Jakob (sCJD) est une encéphalopathie spongiforme transmissible mortelle caractérisée par une large gamme de manifestations cliniques et pathologiques. Les caractéristiques pathologiques de la SDMC dépendent en grande partie de la présence d'une forme mal repliée de protéine prion cellulaire (PrPC); Connu sous le nom de PrPSC et polymorphisme (méthionine et valine) au codon 129 du gène PRNP qui code pour PrPC. Les facteurs étiologiques exacts de la MCSJ sont encore inconnus. Le génotype Codon 129 du gène PRNP et le type de PrPSC (type 1 ou type 2) influent sur l'hétérogénéité de la maladie telle que définie par des caractéristiques pathologiques spécifiques de la région qui peuvent réguler les voies moléculaires qui conduisent au développement de phénotypes pathogènes dépendants des sous-types. Dans cette étude, nous avons étudié l'ensemble de la réglementation protéomique dans la région cerebrale du cerveau des deux sous-types les plus répandus (MM1 et VV2) des patients atteints de SDMC utilisant une électrophorèse sur gel bidimensionnelle (2DE) et une spectrométrie de masse. L'analyse de toutes les taches de protéines sur les gels 2DE avec le logiciel DECODON Delta2D a révélé vingt-cinq taches de protéines différenciées et l'identification de ces taches avec MALDI-TOF MS / MS a révélé quatre-vingts trois protéines différentiellement réglementées dans les deux sous-types dans la région du cervebelle du cerveau par les patients atteints de sCJD. Quarante protéines dans le sous-type MM1 et quarante-trois protéines dans le sous-type VV2 ont été classées. Douze protéines étaient communément réglementées dans les deux sous-types, dont cinq d'entre elles présentaient une régulation expresnelle inverse et le repos sept avait une régulation expresnelle similaire dans les deux sous-types. Les trois principaux mécanismes moléculaires cellulaires réglementés dans les deux sous-types comprennent: i) le cycle cellulaire; L'expression des gènes et la mort cellulaire, ii) - la réponse au stress cellulaire / le stress oxydatif et iii) - la transduction du signal et les fonctions synaptiques La plupart des protéines sous la classification des réponses au stress cellulaire étaient associées aux fonctions moléculaires cellulaires liées au stress oxydatif. DJ-1 qui est un capteur bien connu de stress oxydatif, a également été jugé réglementé dans la catégorie des réponses au stress cellulaire. Le DJ-1 protège les cellules contre le stress oxydatif directement en translocant au noyau pour l'activation de gènes antioxydants et indirectement en activant la voie Nrf2 / ARE. Nos résultats expérimentaux ont démontré l'activation de la voie Nrf2 / ARE dans les sous-types MM1 et VV2 de sCJD. Le DJ-1 a également montré une régulation positive significative dans son expression de l'ARNm dans les sous-types MM1 et VV2 mais l'expression des protéines uniquement dans le sous-type VV2 dans le cervelet du cerveau des patients atteints de sCJD. En outre, l'expression de la protéine DJ-1 a également été augmentée au cours des stades pré-symptomatiques et symptomatiques dans le cervelet du cerveau des modèles de souris de sCJD (MM1 et VV2) et pendant le stade clinique dans les échantillons de CSF des patients atteints de SDMC. Ces résultats suggèrent l'implication du stress oxydatif lors de la pathophysiologie de la SDMC et l'utilisation de DJ-1 comme capteur potentiel de stress oxydatif pendant la phase clinique de la sCJD.

Estimativas nacionais e internacionais indicam que a síndrome coronariana aguda é uma das principais causas de internação hospitalar e óbito. A maioria desses pacientes tem diagnóstico de síndrome coronariana aguda sem supradesnivelamento do segmento ST (SCASSSST) e possui amplo espectro de gravidade, que varia de acordo com características clínicas e laboratoriais. A estratificação de risco é essencial para auxiliar na decisão clínica, discriminando quais pacientes se beneficiam de estratégias mais agressivas. Os escores TIMI e GRACE são os mais utilizados e com valor prognóstico estabelecido por estudos de coorte prospectiva. O strain longitudinal bidimensional (S2DL) permite a quantificação da deformidade miocárdica por meio do rastreamento de \"marcas acústicas\" naturais do músculo cardíaco pelo ultrassom, apresentando valores reduzidos na presença de isquemia miocárdica. O objetivo principal desse trabalho foi identificar, por meio do S2DL do ventrículo esquerdo, quais pacientes com SCASSSST apresentam estenose coronariana maior ou igual a 70%. Os objetivos secundários foram: 1) Identificar a porcentagem de pacientes categorizados como de baixo risco e moderado risco, segundo os escores TIMI e GRACE, que apresentaram estenose coronária maior ou igual a 70%; 2) Determinar um valor de corte do S2DL e número mínimo de segmentos adjacentes acometidos que se correlacionem com o território irrigado pela coronária comprometida (com estenose maior ou igual a 70%) nos pacientes portadores de SCASSSST. Total de 100 pacientes com Idade de 60±11,4, 62% do sexo masculino e predomínio de pacientes (p) de baixo e moderado risco cardiovascular (80% pelo escore TIMI e 99% pelo escore GRACE). Divididos em grupo A (34p) com estenose coronária < 70% e grupo B (66p) com estenose coronária >=70%. Os escores clínicos foram maiores no grupo B (TIMI 3,59±1,4; p=0,008 e GRACE 88,7±24,18; p=0,040). O strain longitudinal global (SLG) permitiu identificar os pacientes com estenose coronária >=70% (AUC=0,72, sensibilidade=50%, especificidade=90%, valor preditivo positivo= 75,1% e valor preditivo negativo=74,9%). No grupo B, 72,8% e 98,5% foram categorizados como de baixo e moderado risco pelos escores TIMI e GRACE, respectivamente. O strain longitudinal segmentar (SLS) permitiu identificar a coronária culpada pelo evento isquêmico, com valor de cut-off e número mínimo de segmentos estimados em: -14 e 4 segmentos para coronária descendente anterior, -16 e 3 segmentos para a coronária circunflexa e coronária direita. Concluímos que o SLG mostrou ser acurado em discriminar pacientes com estenose coronária grave, mesmo naqueles com escore de risco baixo e moderado pelos escores TIMI e GRACE. O SLS permite estimar a área de miocárdio isquêmico por meio do número de segmentos com deformidade alterada, e conhecer a coronária culpada mais provável. / National and international estimates indicate that acute coronary syndrome is one of the major causes of hospitalization and death. Most of these patients have a diagnosis of non-ST-elevation acute coronary syndrome (NSTE-ACS) and have wide spectrum of severity. Risk stratification is essential to assist in clinical decision. The TIMI and GRACE risk scores are the most used and the prognostic values were established by prospective cohort study. Myocardial strain by speckle tracking is a technique based on widely available two-dimensional grayscale echocardiography, enabling the accurate evaluation of global and regional myocardial function, and it is has been shown to be sensitive to abnormalities caused by ischemia. The main objective of this study was to identify, through global longitudinal strain, whose patients (p) with NSTE-ACS had >= 70 % coronary stenosis. The secondary objectives were: 1) Identify the percentage of p categorized as low or moderate risk according to the TIMI and GRACE risk scores , who showed coronary stenosis >= 70 % ; 2) Determine a cutoff value of regional strain and the minimum number of segments allowing the identification of the culprit coronary artery in p with NSTE-ACS. Hundred (p) with diagnosis NSTE-ACS were stratified according to TIMI and GRACE risk scores, and all p underwent coronary angiography. Global longitudinal strain (GLS) and territorial strain (TS) were calculated. Age 60 ± 11.4, 62% male. Majority were low and moderate cardiovascular risk (TIMI score by 80 % and 99 % by the GRACE score). They were divided into group A (34p) with coronary stenosis < 70 % and group B (66p) with coronary stenosis >= 70 %. Clinical scores were higher in group B (TIMI 3.59 ± 1.4, p = 0.008 and 88.7 ± GRACE 24.18, p = 0.040). SLG was accurate identifying p with coronary stenosis >= 70 % (AUC = 0.72, p=0.001, sensitivity = 50 %, specificity = 90 %, positive predictive value = 75.1 % and negative predictive value = 74.9 %). Group B were low and moderate cardiovascular risk 72.8 % by TIMI risk score and 98.5 % by GRACE risk scores. TS was able to identify the culprit coronary in an ischemic event with cutoff values and minimum number of damaged segments as follow: -14 and 4 segments for anterior descending coronary, -16 and 3 segments to the circumflex coronary and right coronary. SLG has proved accurate in discriminating patients with severe coronary stenosis, even in those with low and moderate risk by TIMI and GRACE risk scores. TS estimates the area of ischemic myocardium by the number of segments with abnormal deformity, and suggests the most likely culprit coronary.

Hamilton-Jacobi theory provides a powerful method for extracting the equations of motion out of some given systems in classical mechanics. On occasion it allows some systems to be solved by the method of separation of variables. If a system with n degrees of freedom has 2n - 1 constants of the motion that are polynomial in the momenta, then that system is called superintegrable. Such a system can usually be solved in multiple coordinate systems if the constants of the motion are quadratic in the momenta. All superintegrable two dimensional Hamiltonians of the form H = (p_x)sup2 + (p_y)sup2 + V(x,y), with constants that are quadratic in the momenta were classified by Kalnins et al [5], and the coordinate systems in which they separate were found. We discuss Hamilton-Jacobi theory and its development from a classical viewpoint, as well as superintegrability. We then proceed to use the theory to find equations of motion for some of the superintegrable Hamiltonians from Kalnins et al [5]. We also discuss some of the properties of the Poisson algebra of those systems, and examine the orbits.