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Background Coronary artery calcification as assessed by computed tomography (CT) is a validated predictor of cardiovascular risk, whether identified on a dedicated cardiac study or on a routine non-gated chest CT. The prevalence of incidentally detected coronary artery calcification on non-gated chest CT imaging and consistency of reporting have not been well characterized. Hypothesis Coronary calcification is present on chest CT in some patients not taking statin therapy and may be under-reported. Methods Non-gated chest CT images dated 1/1/2012 to 1/1/2013 were retrospectively reviewed. Demographics and medical history were obtained from charts. Patients with known history of coronary revascularization and/or pacemaker/defibrillator were excluded. Two independent readers with cardiac CT expertise evaluated images for the presence and anatomical distribution of any coronary calcification, blinded to all clinical information including CT reports. Original clinical CT reports were subsequently reviewed. Results Coronary calcification was identified in 204/304 (68%) chest CTs. Patients with calcification were older and had more hyperlipidemia, smoking history, and known coronary artery disease. Of patients with calcification, 43% were on aspirin and 62% were on statin medication at the time of CT. Coronary calcification was identified in 69% of reports when present. Conclusions A high prevalence of coronary calcification was found in non-gated chest CT scans performed for non-cardiac indications. In one-third, coronary calcification was not mentioned in the clinical report when actually present. In this population of patients with cardiac risk factors, standard reporting of the presence of coronary calcification may provide an opportunity for risk factor modification.

Background Diabetes mellitus (DM) and metabolic syndrome are important targets for secondary prevention in cardiovascular disease. However, the prevalence in patients undergoing elective percutaneous coronary intervention is not well defined. We aimed to analyse the prevalence and characteristics of patients undergoing percutaneous coronary intervention with previously unrecognized prediabetes, diabetes and metabolic syndrome. Methods Data were collected from 740 patients undergoing elective percutaneous coronary intervention between November 2010 and March 2013 at a tertiary referral center. Prevalence of DM and prediabetes was evaluated using Haemoglobin A1c (A1c ≥ 6.5% for DM, A1c 5.7–6.4% for prediabetes). A modified definition was used for metabolic syndrome [three or more of the following criteria: body mass index ≥30 kg/m2; triglycerides ≥ 150 mg/dL; high density lipoprotein

Congenital absence of left atrial appendage (LAA) is an extremely rare condition and its physiological consequences are unknown. We present two cases of incidental finding of a congenitally absent LAA in a 79-year-old male who presented for routine transesophageal echocardiogram (TEE) to rule out intracardiac thrombus prior to placement of biventricular implantable cardioverter-defibrillator and a 54-year old female who presented for TEE prior to radiofrequency ablation of atrial fibrillation. Characterization of patients with such an absence is important because congenitally absent LAA may be confused with flush thrombotic occlusion of the appendage. There are very few published reports of congenital absence of LAA. To our knowledge, our report is the first to demonstrate the congenital absence of LAA by 3D transesophageal echocardiography.

This paper focuses on the professional development needs of a selected group of international students enrolled in home economics programmes in universities in the United States. It presents a rationale for professional communication as a means for maintaining professional competencies. It reports findings from a survey of students in which they reported their interest in and their perception of the availability of professional activities after return to the home country. Implications are then discussed and recommendations are made for supporting professional development and strengthening professional communication, thereby easing professional integration problems of international students.

Family resource management research relevant to rural families in Third World countries can produce useful information for rural development projects. However, currently, most of the research is imitative of Western research and contributes neither to theory construction nor to alleviation of real problems of rural poor families. The major stumbling blocks to improve research are limited trained personnel, inadequate commitment to research, insufficient funds and ignorance of socio-economic milieu hampering identification of relevant research problems. Three broad directives are suggested to strengthen research on management by Third World families: (i) selection and application of a conceptual framework to create consensus or focus, concepts and processes; (ii) identification of contextually relevant, researchable problems, and (iii) identification and use of appropriate research methods and tools. Suggested researchable problems include basic need standards, fuel management, appropriate technologies, family size and level of living, use of time, access to and utilization of consumer services and information. Various strategies to develop a sound family resource management research base are identified.

Women's work in the developing country of India contributes to sectoral production in the national economy and household production in the family economy. A conceptual framework based on systems exchange assumption classifies women's work as formal sector, informal sector, household production and home production activities. Various economic evaluation methods related to unpaid household work can be applied to appraise the value of women's work. Farm women of Haryana have a 13-hour workday in farm, dairy and home sectors. The estimated monetary value of the 13-hour workday is Rs. 15–55.