Correlation between the Six-Minute Walk Test and Subjective Functional Class in Patients with Heart Failure

Introduction: The Six-Minute Walk Test (6MWT) is an inexpensive method to objectively evaluate physical capacity or limitation and stratify prognosis in patients with Heart Failure (HF). Since the clinical perception of symptoms may be adapted or compromised, regular evaluation from medical interviews often fails to determine functional classification. This study aimed to assess the correlation between New York Heart Association Functional Class (NYHA-FC) and the distance walked in the 6MWT. Methods: We conducted a cross-sectional observational study that included patients with HF with reduced ejection fraction followed up at an outpatient service of a teaching hospital, from August 2018 to April 2019. Patients in NYHA-FC I, II, or III were included. We compared NYHA-FC subjectively obtained during the consultation with the 6MWT performed after medical consultation, and the correlation between these two parameters was assessed. Results: The study included 70 patients with HF, 41 (58.6%) of whom were female. The mean age was 61.2 ± 12.7 years. The most prevalent etiologies were dilated idiopathic cardiomyopathy (35.7%) followed by ischemic cardiomyopathy (25.7%). The mean ejection fraction was 34.1% ± 9.8%. The average distance walked in the 6MWT by NYHA-FC I patients was 437.8 ± 95.8 meters, NYHA-FC II 360.1 ± 96.4, and NYHA-FC III 248.4 ± 98.3. Functional class measured by the 6MWT was different than that estimated by NYHA-FC in 34 patients (48.6%), 23 (32.9%) for a higher functional class and 11 (15.7%) for a lower one (p = 0.07). Pearson’s correlation coefficient between NYHA-FC and the 6MWT was -0.55. Conclusion: There was a moderate correlation between the subjective NYHA-FC and the 6MWT. The 6MWT revealed a different classification from NYHA-FC in almost half of the patients. Among those who presented discrepancies between methods, 6MWT reclassification towards a higher functional class was more common.

On n-K Width of Certain Function Classes Defined by Linear Differential Operators in L_2 Space

Let M(u) be an N function, A=D r+∑r-1k=0a k(x)D k a linear differential operator and W M(A) the Sobolev Orlicz class defined by M(u) and A. In this paper we give the asymptotic estimates of the n K width d n(W M(A),L 2[0,1]) .

On n-K Width of Certain Function Classes Defined by Linear Differential Operators in L2 Space

Let M(u) be an N function, A=D r+∑r-1k=0a k(x)D k a linear differential operator and W M(A) the Sobolev Orlicz class defined by M(u) and A. In this paper we give the asymptotic estimates of the n K width d n(W M(A),L 2[0,1]) .

RELATIVE WIDTH OF SMOOTH CLASSES OF MULTIVARIATE PERIODIC FUNCTIONS WITH RESTRICTIONS ON ITERATED LAPLACE DERIVATIVES IN THE L_2-METRIC

For two subsets W and V of a Banach space X, let Kn（W, V, X） denote the relative Kolmogorov n-width of W relative to V defined by Kn（W,V,X）：=inf sup inf/Ln f∈W g∈V∩Ln‖f-g‖x, where the infimum is taken over all n-dimensional linear subspaces Ln of X. Let W2（△^τ） denote the class of 2π-periodic functions f with d-variables satisfying ∫[-π, π]^d｜△^τf（x）｜^2dx≤1, while △^τ is the r-iterate of Laplace operator △. This article discusses the relative Kolmogorov n-width of W2（△^τ） relative to W2（△^τ） in Lq（[-π, π]^d） （1≤ q ≤ ∞）, and obtain its weak asymptotic result.

Muntz Rational Approximation for Special Function Classes in Orlicz Spaces

Using the method of construction, with the help of inequalities, we research the Muntz rational approximation of two kinds of special function classes, and give the corresponding estimates of approximation rates of these classes under widely con- ditions. Because of the Orlicz Spaces is bigger than continuous function space and the Lp space, so the results of this paper has a certain expansion significance.

HAAR EXPANSIONS OF A CLASS OF FRACTAL INTERPOLATION FUNCTIONS AND THEIR LOGICAL DERIVATIVES

In this paper,we study a special class of fractal interpolation functions,and give their Haar-wavelet expansions.On the basis of the expansions,we investigate the H(o|¨)lder smoothness of such functions and their logical derivatives of order α.

CONVERGENCE OF A CLASS OF MEANS OF H^p FUNCTIONS(0

In this paper we study the convergence nf a class of means on H^p(G)(0<p<1),the means take the Bochner-Riesz means in[1],the generalized Bochner-Riesz means in[2],and the operators T^(Φ_r)in[3]as special cases.We obtain weak-type estimates for the associated maximal operators and the maximal mean boundedness for the means.

AVERAGE σ-K WIDTH OF CONVOLUTION FUNCTION CLASS OF L_(pq) (R) IN L_q(R)

In this paper. we study the average n-K width of the convolution class B_(pq)(G)(or B_(?)(G)), for which the kernel G(x) is a PF density, in the metric L_q(R)(or L_(qp)(R)) for the case 1≤q<p ≤∞, and obtain some exact results.

MNTZ RATIONAL APPROXIMATION FOR SPECIAL FUNCTION CLASSES IN Ba[0,1] SPACES

In this paper, we research the Miintz rational approximation of two kinds of spe- cial function classes, and give the corresponding estimates of approximation rates of these classes.

APPROXIMATION BY FABER-LAURENT RATIONAL FUNCTIONS IN THE MEAN OF FUNCTIONS OF CLASS LP(T) WITH 1

Let Γ be a regular curve and Lp (Γ), 1<p<+∞. be the class of all complex - valued functions f de-fined on Γ which are such that |f|p is mtegrabie in sense of Lebesgue. In this work, we define the k th p-Fabcrpolynomial F k,p (z),the kth p-Faber principle part F k.p (1/z) for Γ , and defined the nth p-Fcber- Laurent rational function Rn.p (f, z) and p- generalized modulus of continuity Ωp(f, t) of a function f of Lp(Γ) We inves-tigate some properties of Fk,p (z) and Fk.p (1/z). And then we prove a direct theorem characterizing the degree of approximation with respect to Ω (. , t) in the mean of functions of Lp(Γ) by the rational junctions Rn.p (. . z).

Approximation Properties of a Special Class of Mathematical Expectation Operators

In this paper we study the local measure of approximation of a class of special mathematical expectation operators to Lipschitz class of functions by probabilistic method. The some well known operators (e. g., the Bernstein, Bascakov and Szasz-Mirakjan operators etc) are special cases of a class of the mathematical expetation operators.

Polar Functions for Fractional Brownian Motion

Let X (t)(t∈R^N) be a d-dimensional fractional Brownian motion. A contiunous function f:R^N→R^d is called a polar function of X(t)(t∈R^N) if P{ t∈R^N\{0},X(t)=t(t)}=0. In this paper, the characteristies of the class of polar functions are studied. Our theorem 1 improves the previous results of Graversen and Legall. Theorem2 solves a problem of Legall (1987) on Brownian motion.

The importance of being ＂not transplantable＂

MitraClip therapy for mitral regurgitation （MR） in ad- vanced-end stage heart failure （HF）, could open a final bridge to improve symptoms and quality of life in ＂not transplant- able＂ patients. Functional MR is a complicating patho- physiological cofactor of dilated cardiomiopathy （DCM）, associated with poor HF survival.

EXTENSION OF SOLUTIONS TO RIEMANN BOUNDARY VALUE PROBLEMS AND ITS APPLICATION

In this paper, solutions of Riemann boundary value problems with nodes are extended to the case where they may have singularties of high order at the nodes. Moreover, further extension is discussed when the free term of the problem involved also possesses singularities at the nodes. As an application, certain singular integral equation is discussed.

GLIVENKO-CANTELLI TYPE THEOREMS ANDTHEIR APPLICATIONS

In this paper, we present a sufficient condition for uniform convergence of means to their expectations over the classes of real functions. Our proof is very simple via connecting this convergence to uniform convergence over the class of indicator functions. Furthermore, we obtain a convergent result concerning a non=VC class with an application to variable transformation for fitting regression model.

DECOMPOSITION OF A CLASS OF FUNCTIONALS AND THE PREDICTABLE REPRESENTATION THEOREM ON BANACH SPACES

Let B be a separable real Banach space and X(t) be a symmetric conservative diffusionprocess taking values in B. In this paper, we decompose the functional u(X(t),t) into a sumof a square integrable martingale and a regular 0-quadratic variation process. On this basis, weestablish the predictable representation theorem of X(t).

Unique Common Fixed Point for a Family of Mappings with a Nonlinear Quasi-Contractive Type Condition in Metrically Convex Spaces

A class Ф of 5-dimensional functions was introduced and an existence and uniqueness of common fixed points for a family of non-self mappings satisfying a Фi- quasi-contractive condition and a certain boundary condition was given on complete metrically convex metric spaces, and from which, more general unique common fixed point theorems were obtained. Our main results generalize and improve many same type common fixed point theorems in references.

TYPES AND CRITERIA OF NONOSCILLATORY SOLUTIONS FOR A CLASS OF SECOND ORDER NEUTRAL FUNCTIONAL DIFFERENTIAL EQUATIONS WITH NONPOSITIVE COEFFICIENTS

In this paper we discuss the types and criteria of nonoscillatory solutions for the fol-lowing second order neutral functional differential equation with nonpositive coefficients

Tail Bounds for the Supremums of Empirical Processes over Unbounded Classes of Functions

So far the study of exponential bounds of an empirical process has been restricted to a bounded index class of functions. The case of an unbounded index class of functions is now studied on the basis of a new symmetrization idea and a new method of truncating the original probability space; the exponential bounds of the tail probabilities for the supremum of the empirical process over an unbounded class of functions are obtained. The exponential bounds can be used to establish laws of the logarithm for the empirical processes over unbounded classes of functions.

ROBUST ANALYSIS AND GLOBAL MINIMIZATION OF A CLASS OF DISCONTINUOUS FUNCTIONS (Ⅱ)

In this Paper we continue to investigate global minimization problems. An integral approach is applied to treat a global minimization problem of a discontinuous function. With the help ofthe theory of measure (Q-measure) and integration, optimality conditions of a robust function over arobust set are derived. Algorithms and their implementations for finding global minima are proposed.Numerical tests and applications show that the algorithms are effective.