Risk for Clinically Relevant Adverse Cardiac Events in Patients With Chest Pain at Hospital Admission.

Importance: Patients with potentially ischemic chest pain are commonly admitted to the hospital or observed after a negative evaluation in the emergency department (ED) owing to concern about adverse events. Previous studies have looked at 30-day mortality, but no current large studies have examined the most important information regarding ED disposition: the short-term risk for a clinically relevant adverse cardiac event (including inpatient ST-segment elevation myocardial infarction, life-threatening arrhythmia, cardiac or respiratory arrest, or death).

Objective: To determine the incidence of clinically relevant adverse cardiac events in patients hospitalized for chest pain with 2 troponin-negative findings, nonconcerning initial ED vital signs, and nonischemic, interpretable electrocardiographic findings.

Effects of light environment and successional status on lightfleck use by understory trees of temperate and tropical forests.

Utilization efficiency (LUE) of lightflecks by leaves increases with decreasing duration of the lightfleck, and depends on photosynthetic induction. Sun and shade leaves differ with respect to photosynthetic induction. Shade leaves may become fully induced by a series of light pulses, whereas photosynthetic induction of leaves from partial shade or full sun depends on continuous light.