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L Ratio (l + ratio)

Distribution by Scientific Domains

Medical Sciences	35%
Earth and Environmental Science	35%
Life Sciences	20%
Chemistry	10%

Selected Abstracts

Physiological response to stress in fledgling Lesser Kestrels Falco naumanni: the role of physical condition, sex and individual genetic diversity

IBIS, Issue 3 2009
JOAQUÍN ORTEGO
Exposure to chronic stress early on during development has important deleterious consequences later in life, reducing important components of individual fitness such as survival and future reproduction. In this study, we evaluate the factors associated with physiological response to stress in fledgling Lesser Kestrels Falco naumanni, paying particular attention to the potential role of individual genetic diversity. For this purpose, we used heterophil/lymphocyte ratios (H/L ratio) as a haematological stress indicator and typed the analysed individuals at 11 highly polymorphic microsatellite loci, which allowed us to estimate their genetic diversity. We found that the H/L ratio decreases with fledgling physical condition, suggesting that this parameter is a good indicator of nutritionally based physiological stress. Physiological response to stress was higher in males than in females and this effect was independent of physical condition, suggesting that the observed pattern is due to inherent sexual differences in the factors influencing H/L ratios. Finally, the H/L ratio was positively associated with the genetic diversity of offspring. Previous experimental studies have found that individuals with higher genetic diversity show increased levels of circulating glucocorticoids, which in turn are directly responsible for increasing H/L ratios. On this basis, we suggest that a positive effect of genetic diversity on corticosterone levels may explain the observed association between H/L ratios and individual heterozygosity. Overall, this study highlights the utility of leucocyte profiles to study stress in wild bird populations and poses an interesting question about the effects of individual genetic diversity on haematological response to stress. [source]

Inconsistency of Reported Uremic Toxin Concentrations

ARTIFICIAL ORGANS, Issue 8 2007
Natalie Meert
Abstract:, Discrepancies in reported uremic toxin concentrations were evaluated for 78 retention solutes. For this analysis, 378 publications were screened. Up to eight publications per toxin were retained. The highest and the lowest reported concentrations, as well as the median reported concentration were registered. The ratio between the highest and the lowest (H/L) concentrations and, for some solutes, also the ratio between the highest and the median (H/M) concentrations were calculated. The compounds were arbitrarily subdivided into three groups based on their H/L ratio: group A, H/L < 3 (n = 33); group B, 3 < H/L < 8.5 (n = 20); and group C, H/L > 8.5 (n = 25). Solutes of groups A and B showed a low to intermediate scatter, suggesting a homogeneity of reported data. Group C showed a more substantial scatter. For at least 10 compounds of group C, extremely divergent concentrations were registered (H/M > 5.5) using scatter plot analysis. For all solutes of groups A and B, the highest reported concentration could be used as a reference. For some solutes of group C and for the compounds showing a divergent scatter analysis, however, more refined directives should be followed. [source]

Physiological response to stress in fledgling Lesser Kestrels Falco naumanni: the role of physical condition, sex and individual genetic diversity

Homo- and heteropolynuclear copper(II) complexes containing a new diimine,dioxime ligand and 1,10-phenanthroline: synthesis, characterization, solvent-extraction studies, catalase-like functions and DNA cleavage abilities

APPLIED ORGANOMETALLIC CHEMISTRY, Issue 12 2009
Bülent Dede
Abstract A series of homo-, heterodinuclear and homotrinuclear copper(II) complexes containing a new Schiff base ligand and 1,10-phenanthroline were synthesized. Based on results of elemental analyses, FTIR, 1H- and 13C-NMR spectra, conductivity measurements and magnetic susceptibility measurements, the complexes had general compositions {[Cu(L)(H2O)M(phen)2](ClO4)2 [M = Cu(II), Mn(II), Co(II)]} and {[Cu3(L)2(H2O)2](ClO4)2}. The metal:L:phen ratio is 2:1:2 for the dinuclear copper(II) complexes and the metal:L ratio was 3:2 for the trinuclear copper(II) complex. The liquid,liquid extraction of various transition metal cations [Mn(II), Co(II), Ni(II), Cu(II), Zn(II), Pb(II), Cd(II), Hg(II)] from the aqueous phase to the organic phase was carried out using the diimine,dioxime ligand. It was concluded that the ligand can effectively be used in solvent extraction of copper(II) from the aqueous phase to the organic phase. Furthermore, catalytic activitiy of the complexes for the disproportionation of hydrogen peroxide was also investigated in the presence of imidazole. Dinuclear copper(II),manganese(II) complex has some similarity to manganese catalase in structure and activity. The interaction between these complexes and DNA has also been investigated by agarose gel electrophoresis; we found that the homo- and heterodinuclear copper complexes can cleave supercoiled pBR322 DNA to nicked and linear forms in the presence of H2O2. Copyright © 2009 John Wiley & Sons, Ltd. [source]

Effect of dietary carbohydrate-to-lipid ratios on growth performance, body composition, nutrient utilization and hepatic enzymes activities of herbivorous grass carp (Ctenopharyngodon idella)

AQUACULTURE NUTRITION, Issue 3 2010
W. GAO
Abstract Six isonitrogenous (390 g kg,1) and isoenergetic (16.2 kJ g,1) diets with varying carbohydrate : lipid (CHO : L) ratios (202.5,1.74), were fed to triplicate groups of 25 fish in indoor recirculation system. Over 8-week-growth trial, best weight gain (WG), specific growth rate, feed conversion ratio, protein efficiency ratio and protein production value (P < 0.05) were observed in fish-fed diets with CHO : L ratio of 7.5. Fish fed either the lowest (1.7) or highest (202.5) CHO : L ratio tended to produce lower (P < 0.05) growth and feed conversion efficiencies. The values of viscerosomatic index, hepatosomatic index and intraperitoneal fat ratio increased as dietary CHO : L ratios decreased. There were no significant differences in whole body and liver crude protein among dietary treatments. Whole body and liver lipid increased as CHO : L ratios decreased. Plasma cholesterol and triacylglyceride levels increased linearly as dietary CHO : L ratios decreased. Activities of glucokinase and pyruvate kinase were stimulated by elevated levels of dietary carbohydrate; however, activities of lipase (LPS) and alkaline phosphatase were stimulated by elevated levels of dietary lipid. Based on a second-order polynomial regression analysis of WG against dietary carbohydrate and lipid levels, 275 g kg,1 of carbohydrate and 59 g kg,1 of lipid, corresponding to a CHO : L ratio of 4.7, in a diet holding 390 g kg,1 of crude protein and 16.3 kJ g,1 of gross energy, proved to be optimal for grass carp. These results indicated that utilization of dietary lipid and carbohydrate was moderate in grass carp, but the fish were a little more capable of utilizing lipid compared with carbohydrate. [source]

Dietary energy requirement of piracanjuba fingerlings, Brycon orbignyanus, and relative utilization of dietary carbohydrate and lipid

AQUACULTURE NUTRITION, Issue 3 2006
M.R. BORBA
Abstract Ten isonitrogenous casein,gelatin-based diets were formulated to contain five estimated metabolizable energy concentrations (10.92, 12.29, 13.63, 14.82 and 16.16 kJ g,1) at two carbohydrate-to-lipid ratios (CHO : L, 5.3 and 12.8, g : g) in a 5 × 2 factorial arrangement. Each diet was assigned to triplicate groups of 11 piracanjuba fingerlings (5.25 ± 0.14 g) and fed to apparent satiation twice a day for 90 days. Higher daily weight gain was obtained by fish fed the 13.63 kJ g,1 diets for both CHO : L ratios. There was a significant reduction of feed consumption when dietary energy concentration increased above 13.63 kJ g,1. Feed conversion ratio and apparent net energy retention improved as dietary energy increased. Apparent net protein retention tended to be lower in the highest and lowest dietary energy concentrations. The results suggest that dietary lipid energy was more efficiently utilized by piracanjuba fingerlings than carbohydrate energy. Body composition and hepatosomatic index (HSI) were not influenced by dietary CHO : L ratio. However, an increase in dietary energy concentration beyond 13.63 kJ g,1 resulted in a significant increment in lipid deposition, while body moisture and HSI decreased. Our findings indicate that at 300 g kg,1 dietary crude protein, a CHO : L ratio of 5.3 is recommended for piracanjuba, and the required energy is either 13.63 kJ g,1 if raised for aquaculture or 14.82 kJ g,1 if destined to stock enhancement. [source]

Dietary non-protein energy sources: growth, digestive enzyme activities and nutrient utilization by the catfish jundiá, Rhamdia quelen

AQUACULTURE RESEARCH, Issue 3 2010
Giovanni Vitti Moro
Abstract A study was conducted to evaluate the effect of different dietary carbohydrate to lipid (CHO:L) ratios on growth, digestive enzyme activities and nutrient utilization by jundiáRhamdia quelen (Quoy & Gaimard) an omnivorous catfish native to Latin America. Groups of 40 fingerlings were stocked in 24 tanks and fed eight isonitrogenous (41% crude protein) and isoenergetic (13.5 kJ g,1) casein-based diets for 75 days. Diets had eight CHO:L ratios: 0.3:1, 1.0:1, 2.0:1, 3.4:1, 4.6:1, 5.3:1, 5.6:1 and 6.5:1, and were fed twice a day to apparent satiation. Increasing CHO:L ratio did not significantly affect growth performance. However, the highest apparent net protein utilization was observed in fish fed the 5.3:1 CHO:L diet. No differences were detected among fish on apparent net energy utilization. Whole body fat deposition decreased as dietary CHOL:L ratio increased (P<0.01). The highest fat deposition was observed in fish fed the lowest CHO:L ratio diet. Liver glycogen showed a quadratic response to the increase on dietary carbohydrate concentration, which may suggest that dietary CHO:L ratios above 3.4 can cause metabolic burden for jundiá. Therefore, despite jundiá omnivorous feeding habit, our findings indicate that dietary dextrin concentration above 15.70% (CHO:L=5.3) are not well utilized by jundiá. [source]

Effects of dietary carbohydrate to lipid ratios on growth and body composition of juvenile and grower rockfish, Sebastes schlegeli

AQUACULTURE RESEARCH, Issue 16 2009
Sang-Min Lee
Abstract Two feeding trials were conducted to determine the optimal dietary carbohydrate to lipid (CHO:L) ratio for juvenile and grower rockfish. Triplicate groups of juvenile (initial mean weight 3.6 g) and duplicate groups of grower (initial mean weight 166 g) were fed the five isonitrogenous (51% CP) and isoenergetic (4.0 kcal g,1) diets with the different CHO:L ratios (0.4,5.6 g:g) for 8 weeks respectively. The survival of juvenile and grower was above 93% and was not affected by the dietary CHO:L ratios. Weight gain of juvenile fed the diets with CHO:L ratios of 0.8 and 1.6 was significantly higher than that of the fish fed diets with CHO:L ratios of 2.8 and 5.6 (P<0.05). The feed efficiency and protein efficiency ratio of juvenile fed the diet with CHO:L ratio of 5.6 were the lowest among all groups (P<0.05). The daily feed intake of juvenile fed the diet with a CHO:L ratio of 5.6 was significantly higher than that of the other groups (P<0.05). The condition factors of juvenile fed the diets with CHO:L ratios of 0.8 and 1.6 were significantly higher than that of 5.6 (P<0.05). The crude lipid content of whole body, liver and viscera of juvenile decreased as the dietary CHO:L ratio increased, and the opposite was found for the moisture content. Weight gain, feed efficiency, daily feed intake, protein efficiency ratio and condition factor of grower were not affected by the dietary CHO:L ratio. Hepatosomatic and viscerasomatic indexes of grower were significantly influenced by dietary CHO:L ratio (P<0.05). Significant differences were observed in the lipid content of whole body and viscera of grower. Dietary CHO:L ratios significantly affected the major fatty acid composition of whole body in both juvenile and grower. The contents of 18:2n-6 and 18:3n-3 linearly decreased as the dietary CHO:L ratio increased, whereas the 20:4n-6, 20:5n-3 and 22:6n-3 contents increased. Based on growth, feed efficiency and body composition, the optimal dietary CHO:L ratio was 1.6 for juvenile rockfish fed isonitrogenous (51% CP) and isoenergetic (4.0 kcal g,1) diets, and starch could partially replace lipids in the diets with CHO:L ratios ranging from 0.4 to 5.6 for grower. [source]

Dietary energy requirement of piracanjuba fingerlings, Brycon orbignyanus, and relative utilization of dietary carbohydrate and lipid

Dietary non-protein energy sources: growth, digestive enzyme activities and nutrient utilization by the catfish jundiá, Rhamdia quelen

Effects of dietary carbohydrate to lipid ratios on growth and body composition of juvenile and grower rockfish, Sebastes schlegeli

The use of leukocyte profiles to measure stress in vertebrates: a review for ecologists

FUNCTIONAL ECOLOGY, Issue 5 2008
A. K. Davis
Summary 1A growing number of ecologists are turning to the enumeration of white blood cells from blood smears (leukocyte profiles) to assess stress in animals. There has been some inconsistency and controversy in the ecological literature, however, regarding their interpretation. The inconsistencies may stem partly from a lack of information regarding how stress affects leukocytes in different taxa, and partly from a failure on the part of researchers in one discipline to consult potentially informative literature from another. 2Here, we seek to address both issues by reviewing the literature on the leukocyte response to stress, spanning the taxa of mammals (including humans), birds, amphibians, reptiles and fish. 3We show that much of the early literature points to a close link between leukocyte profiles and glucocorticoid levels. Specifically, these hormones act to increase the number and percentage of neutrophils (heterophils in birds and reptiles), while decreasing the number and percentage of lymphocytes. This phenomenon is seen in all five vertebrate taxa in response to either natural stressors or exogenous administration of stress hormones. For the ecologist, therefore, high ratios of heterophils or neutrophils to lymphocytes (,H : L' or ,N : L' ratios) in blood samples reliably indicate high glucocorticoid levels. Furthermore, this close relationship between stress hormones and N : L or H : L ratios needs to be highlighted more prominently in haematological assessments of stress, as it aids the interpretation of results. 4As with hormone assays, there are challenges to overcome in the use of leukocytes profiles to assess levels of stress; however, there are also advantages to this approach, and we outline each. Given the universal and consistent nature of the haematological response to stress, plus the overwhelming evidence from the veterinary, biomedical and ecological literature reviewed here, we conclude that this method can provide a reliable assessment of stress in all vertebrate taxa. [source]

Removal of heavy metals from municipal solid waste incineration (MSWI) fly ash by traditional and microwave acid extraction

JOURNAL OF CHEMICAL TECHNOLOGY & BIOTECHNOLOGY, Issue 9 2010
Jun Xue
Abstract BACKGROUND: Municipal solid waste incinerator (MSWI) fly ash is regarded as hazardous waste because it contains various toxic metals. A previous study has shown that fly ash can be detoxified by removal of heavy metals. In this work, the extractability of heavy metals from MSWI fly ash by traditional and microwave acid extraction were compared. RESULTS: A 24 , 1 fractional factorial experimental design was adopted using acid concentration, extraction time, temperature, and liquid/solid (L/S) ratio as the experimental factors for traditional extraction, and acid concentration, extraction time, liquid/solid (L/S) ratio and microwave power as the experimental factors for microwave extraction. The traditional extraction results show that L/S played an important role in Zn, Cd extraction while L/S ratio and extractant concentration were important for Pb extraction. However, no controlling parameter was determined for Cu and Cr extraction. For the microwave extraction, it was shown that L/S was important for Pb and Zn and extractant concentration was important for Pb, Zn and Cd. The time and the power were not significant for the extractability of heavy metals. CONCLUSION: Hydrochloric acid was an effective extractant. Microwave heating promoted extraction and shortened extraction time. Microwave acid extraction treatment is a potentially feasible method for the removal of heavy metals from MSWI fly ash. Copyright © 2010 Society of Chemical Industry [source]

Sonographic assessment of fatty liver infiltration using the measurement of para- and perirenal fat thickness

JOURNAL OF CLINICAL ULTRASOUND, Issue 9 2010
Satsuki Kawasaki MD
Abstract Purpose Usefulness of abdominal ultrasonography for quantitative estimation of fatty liver by measurement of para- and perirenal sonographic fat thickness (UFT) was investigated. Methods Study subjects were 286 patients hospitalized for the treatment of diabetes. These subjects underwent blood chemistry studies, abdominal ultrasonography, and CT. On sonography, the thickness of combined para- and perirenal fat was measured between the kidney and the inner aspect of the abdominal musculature. Measurements on both sides were averaged as the UFT. Fatty liver infiltration was graded on a scale of grade 0 to 3: 0, none; 1, mild; 2, moderate; and 3, severe. With abdominal CT, the ratio of CT attenuation value of the liver to that of the spleen (L/S ratio) was measured. Results A positive correlation was found between UFT and FL grade or between UFT and L/S ratio (p < 0.0001). Positive correlations were also found between UFT and glutamic pyruvic transaminase (p < 0.05), or cholinesterase (p < 0.0001). Conclusion Measurement of UFT is a useful method for the quantification of fatty liver as well as for the quantification of visceral fat. © 2010 Wiley Periodicals, Inc. J Clin Ultrasound, 2010 [source]

Nonalcoholic fatty liver disease: Quantitative assessment of liver fat content by computed tomography, magnetic resonance imaging and proton magnetic resonance spectroscopy

JOURNAL OF DIGESTIVE DISEASES, Issue 4 2009
Liang ZHONG
OBJECTIVE: The purpose of this study was to evaluate the clinical application of imaging technology in the quantitative assessment of fatty liver with magnetic resonance imaging (MRI) and proton MR spectroscopy. METHODS: Overall 36 patients with diffuse fatty liver who had undertaken the computed tomography (CT) scan, MRI and proton MR spectroscopy (1H MRS) were analyzed. Their body mass index (BMI) was measured and their liver to spleen CT ratio (L/S) calculated on the plain CT scan. MR T1-weighted imaging (T1WI) was obtained with in-phase (IP) and out-of-phase (OP) images. T2-weighted imaging (T2WI) was acquired with or without the fat-suppression technique. The liver fat content (LFC) was quantified as the percentage of relative signal intensity loss on T1WI or T2WI images. The intrahepatic content of lipid (IHCL) was expressed as the percentage of peak value ratio of lipid to water by 1H MRS. RESULTS: The results of BMI measurement, CT L/S ratio, LFC calculated from MR T1WI and T2WI images, as well as IHCL measured by 1H MRS were 27.26 ± 3.01 kg/m2, 0.88 ± 0.26, 13.80 ± 9.92%, 40.67 ± 16.04% and 30.98 ± 20.43%, respectively. The LFC calculated from MR T1WI, T2WI images and IHCL measured by 1H MRS correlated significantly with the CT L/S ratio (r=,0.830, P= 0.000; r=,0.736, P= 0.000; r=,0.461, P= 0.005, respectively). BMI correlated significantly only with the liver fat contents measured by T1WI IP/OP and 1H MRS (r=,0.347, P= 0.038; r=,0.374, P= 0.025, respectively). CONCLUSION: CT, MR imaging and 1H MRS were effective methods for the quantitative assessment of LFC. The MR imaging, especially 1H MRS, would be used more frequently in the clinical evaluation of fatty liver and 1H MRS could more accurately reflect the severity of fatty liver. [source]

Visceral adipose tissue area is an independent risk factor for hepatic steatosis

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 6 2008
Bum J Park
Abstract Background and Aim:, Recent data indicate that hepatic steatosis is associated with insulin resistance, dyslipidemia and obesity (especially central body fat distribution). There have been few studies on the correlation between biopsy-proven hepatic steatosis and the above factors in a disease-free population. The aim of the present study was to evaluate the relation between hepatic steatosis assessed by biopsy and clinical characteristics including regional fat distribution measured by computed tomography (CT) in living liver donors. Methods:, Laboratory data, liver/spleen Hounsfield ratio (L/S ratio), regional fat distribution by CT and liver status by biopsy were evaluated retrospectively in a total of 177 living liver donors without a history of alcohol intake. Results:, The unpaired t -test showed that age, triglycerides (TG), high density lipoprotein, total cholesterol, alanine aminotransferase, body mass index, L/S ratio, visceral adipose tissue area (VAT) and subcutaneous adipose tissue area (SAT) were associated with hepatic steatosis. In the multiple logistic regression analysis, VAT (odds ratio 1.031, 95% CI 1.013,1.048, P < 0.01) and TG (odds ratio 1.012, 95% CI 1.004,1.020, P < 0.01) were independent risk factors of hepatic steatosis. Subgroup analysis also showed that VAT was an independent risk factor in men (odds ratio 1.022, 95% CI 1.003,1.041, P < 0.05) and women (odds ratio 1.086, 95% CI 1.010,1.168, P < 0.05). Conclusion:, Our results suggest that visceral abdominal adiposity is correlated with hepatic steatosis in healthy living liver donors. [source]

Effects Of Nitric Oxide Synthase Inhibition And Low-Salt Diet On Blood Pressure And Mesenteric Resistance Artery Remodelling In Genetically Hypertensive Rats

CLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 9 2001
Janet M Ledingham
SUMMARY 1. Nitric oxide synthase (NOS)-inhibited genetically hypertensive (GH) rats on normal and low-sodium diets were additionally given valsartan or felodipine to establish whether low-Na intake would have extra beneficial effects on blood pressure and cardiovascular structure. 2. Male GH rats on normal or low-Na diets were treated with the NOS inhibitor NG -nitro- L -arginine methyl ester (L -NAME) from the age of 7 to 12 weeks and were given either valsartan (10 mg/kg per day) or felodipine (30 mg/kg per day). 3. Systolic blood pressure (SBP; tail-cuff) was measured weekly. At 12 weeks of age, mesenteric resistance arteries (MRA) were fixed by perfusion and embedded in Technovit (Heraeus Kulzer GmbH, Werheim, Germany). Serial sections were cut and stained. Stereological analysis was used to obtain MRA media width, lumen diameter, ratio of media width/lumen diameter (M/L) and medial cross-sectional area (CSA). Left ventricular (LV) mass was determined. 4. In GH L -NAME-treated rats on a normal diet, SBP was significantly reduced (P < 0.001) by valsartan and felodipine, as was LV mass (valsartan P < 0.001; felodipine P < 0.05). A low-Na diet with valsartan caused a further fall in SBP (P < 0.01) but, with felodipine, SBP increased in rats on a low-Na diet (P < 0.05). 5. Valsartan with the low-Na diet had no further effect on LV mass, but the felodipine-treated group on a low-Na diet had a lower LV mass (P < 0.05) than rats on a normal diet. 6. In MRA from the GH L -NAME + valsartan-treated group, there was hypotrophic inward remodelling; the M/L ratio was reduced (P < 0.001) compared with GH L -NAME-treated rats. The lumen was outwardly remodelled in the group on the low-Na diet. 7. The GH L -NAME + felodipine-treated group showed hypotrophic outward remodelling and a reduction in M/L ratio compared with the GH L -NAME-treated group (P < 0.001). A low-Na diet had no further effect on MRA. 8. A low-Na diet + valsartan had beneficial effects on SBP and MRA, where outward remodelling of the lumen occurred and, thus, resistance was reduced. In contrast, felodipine with a low-Na diet increased SBP, reduced LV mass and had no effect on MRA structure. Valsartan treatment with a low-Na diet confers extra benefits on blood pressure and MRA structure. [source]

Neutrophil to Lymphocyte Ratio as a Predictor of Long-term Mortality in African Americans Undergoing Percutaneous Coronary Intervention

CLINICAL CARDIOLOGY, Issue 12 2009
Shyam Poludasu MD
Abstract Background Neutrophil to lymphocyte ratio (N/L ratio) has been shown to predict long-term mortality in patients undergoing percutaneous coronary intervention (PCI). African Americans have been shown to have lower mean neutrophil counts compared to whites. The usefulness of the N/L ratio in predicting long-term mortality in African Americans undergoing PCI is unknown. Methods We evaluated a total of 372 African American patients (327 patients with lower N/L ratio [<3.5] and 45 patients with higher N/L ratio [,3.5]) who underwent PCI during January 2003 to August 2005. The primary endpoint was all-cause mortality at a median follow-up to 3.6 years. Results During the median ( ± SD) follow-up period of 3.6 ± 1 years, there were a total of 48 deaths. The mortality rate was 10.4% in the group with a lower N/L ratio and 31.1% in the group with a higher N/L ratio (unadjusted p < 0.001). After adjustment for covariates with significant impact on mortality, N/L ratio was still a strong and independent predictor of long-term mortality with a hazard ratio (HR) of 2.1 (95% confidence interval [CI]: 1.1,4; p = 0.02). N/L ratio was also found to be a strong and independent predictor of long-term mortality even when analyzed as a categorical variable with 3 groups (HR of 0.39 for lower tertile compared to the upper tertile, 95% CI: 0.19,0.81; p = 0.012) and as a continuous variable (p = 0.002). Conclusion N/L ratio is a powerful independent predictor of long-term mortality in African Americans undergoing PCI. Copyright © 2009 Wiley Periodicals, Inc. [source]