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1

The effect of new clinical pathways on the outcome of vascular access surgery.  

Purpose: Prior to 2007, the waiting time for vascular access surgery at our center was approximately 107 days compared to a UK average of 45 days. Two new pathways were developed; the rapid and super-rapid pathways incorporating an access liaison nurse who organized vessel mapping and referred patients for surgery. This audit was to determine whether the pathways were effective in reducing the waiting times and improving vascular accesses outcomes. Methods: All 210 patients with established renal failure undergoing 232 vascular access procedures between January 2008 and March 2011 were studied. Detailed patient information including type of procedure and cause of access failure were stored in an Excel spreadsheet and analyzed using SPSS for Windows. Results: One hundred and twenty patients had a brachiocephalic fistula, 61 a radiocephalic fistula, 39 an access using the basilic vein ± transposition, and 11 a transposition of the long saphenous vein and one a brachio-axillary graft. Overall median waiting time from referral to access surgery was 23 days. Patients were followed up for a median of 248 days after surgery. The overall primary failure rate was 9.1% and 25 of 27 accesses failed because of thrombosis. The overall cumulative survival probability of accesses at one year was 61.4% with a mean survival of 621.2 days (SEM = 34.8). Conclusion: The clinical pathways have improved VA service to patients with a drastic reduction in waiting times, elimination of synthetic access, and maintenance of satisfactory results. PMID:22307467

2

Topographical anatomy of superficial veins, cutaneous nerves, and arteries at venipuncture sites in the cubital fossa.  

We investigated correlations among the superficial veins, cutaneous nerves, arteries, and venous valves in 128 cadaveric arms in order to choose safe venipuncture sites in the cubital fossa. The running patterns of the superficial veins were classified into four types (I-IV) and two subtypes (a and b). In types I and II, the median cubital vein (MCV) was connected obliquely between the cephalic and basilic veins in an N-shape, while the median antebrachial vein (MAV) opened into the MCV in type I and into the basilic vein in type II. In type III, the MCV did not exist. In type IV, additional superficial veins above the cephalic and basilic veins were developed around the cubital fossa. In types Ib-IVb, the accessory cephalic vein was developed under the same conditions as seen in types Ia-IVa, respectively. The lateral cutaneous nerve of the forearm descended deeply along the cephalic vein in 124 cases (97 %), while the medial cutaneous nerve of the forearm descended superficially along the basilic vein in 94 (73 %). A superficial brachial artery was found in 27 cases (21 %) and passed deeply under the ulnar side of the MCV. A median superficial antebrachial artery was found in 1 case (1 %), which passed deeply under the ulnar side of the MCV and ran along the MAV. Venous valves were found at 239 points in 28 cases with superficial veins, with a single valve seen at 79 points (33 %) and double valves at 160 points (67 %). At the time of intravenous injection, caution is needed regarding the locations of cutaneous nerves, brachial and superficial brachial arteries, and venous valves. The area ranging from the middle segment of the MCV to the confluence between the MCV and cephalic vein appears to be a relatively safe venipuncture site. PMID:23131916

3

Iatrogenic ulnar nerve injury resulting from a venous cut down procedure  

We present a case of an iatrogenic left ulnar nerve injury caused during the basilic vein cut down in a 25-year-old woman presenting with a ruptured ectopic pregnancy and requiring an emergency laparotomy. Two months after her discharge from the hospital, the patient presented to the hand surgery cl...

4

Método trigonométrico para o acesso à veia basílica no terço distal do braço/ Trigonometric method to the anatomo-surgical approach of the basilic vein in the arm distal third  

Abstract in portuguese OBJETIVO: Determinar parâmetros anátomo-cirúrgicos para o acesso rápido, seguro e preciso da veia basílica no terço distal do braço e avaliar os aspectos anatômicos relacionados à presença, número e sintopia neural na região. MÉTODO: Foram utilizados 30 membros superiores de cadáveres adultos, brasileiros, do sexo masculino (27 a 58 anos), fixados em solução de formalina a 10%. Foi criado um método trigonométrico utilizando-se parâmetros anatômicos, de (more) terminando-se um triângulo cujo ápice foi o ponto de referência para a localização da veia basílica no terço distal do braço. A região foi dissecada e a veia exposta. O método foi também utilizado na dissecação venosa de 15 pacientes. RESULTADOS: A veia basílica foi encontrada na face medial do terço distal do braço de todos os cadáveres, localizando-se no ápice do trígono em 70% dos casos e em situação medial em relação ao mesmo em 30%. Em 83,33% havia ramos dos nervos cutâneos mediais do braço e antebraço junto à adventícia da veia basílica. Foram encontrados dois ramos dos nervos cutâneos mediais do braço e antebraço relacionados a cada veia basílica em 90% dos membros superiores e apenas um ramo no restante. Em 30% dos casos existiam ramos posteriores à veia basílica, o que deve ser considerado ao se realizar a dissecação da mesma. CONCLUSÕES: O método proposto para a localização da veia basílica mostrou-se eficaz, rápido, seguro e preciso, indicando ser uma boa opção de acesso venoso no paciente em estado crítico que necessite de tal procedimento. Abstract in english BACKGROUND: To determine anatomo-surgical parameters to fast, safe and precise approach to the basilic vein in the arm distal third and to assess anatomic features related to the presence, and nerve sintopy in the region. MATERIAL AND METHODS: The study was made in 15 human corpses, from male adults aged 27 up to 58 years old, summing up 30 upper limbs, fixed in 10% formalin. It was created a trigonometric method using anatomic parameters to determine a triangle which ape (more) x was the reference point to locate the basilic vein in the arm distal third. The region was dissected, the vein exposed, its diameter assessed with a caliper. The method was utilized to perform the basilic vein dissection in 15 patients that required the venous approach. RESULTS AND CONCLUSION: The basilic vein was found in the medial surface of arm distal third in all studied cadavers. The vein was located on the triagle apex in 70% of the cases (87% of the right and 53% of the left upper limbs). In 30% of the specimens the vein was placed medially to the triangle apex, the distance did not exceeded 5mm. In 83,33% of the specimens there were branches of the medial cutaneous nerves of arm and forearm against the vein adventitia. It was found two branches of the medial cutaneous nerves of arm and forearm related to each basilic vein in the majority of the upper limbs (90% - 27 limbs) and only one branch in the remaining (10 % - 3 limbs). In 30% of the cases there were branches located behind the basilic vein, this fact must be considered when the basilic vein dissection is made. The proposed method to the basilic vein location showed to be fast, safe and precise, indicating that the method is a good option to the vascular approach in patients in critical conditions that demand this procedure.

5

Echocardiographic diagnosis of transposition of the great arteries associated with anomalous pulmonary venous connection  

Abstract in english We report 2 cases of transposition of the great arteries associated with anomalous pulmonary venous connection emphasizing the clinical findings, the diagnosis, and the evolution of the association. One of the patients had the anomalous pulmonary venous connection in its total infradiaphragmatic form, in the portal system, and the other patient had a partial form, in which an anomalous connection of the left superior lobar vein with the innominate vein existed. At the tim (more) e of hospital admission, the patients had cyanosis and respiratory distress with clinical findings suggesting transposition of the great arteries. The diagnosis in 1 of the cases, in which the anomalous connection was partial, was established only with echocardiography, without invasive procedures that would represent risk for the patient; in the other case, in which the anomalous connection was total, the malformation was only evidenced with catheterization. The patients underwent surgery for anatomical correction of the heart disease. Only 1 patient had a good outcome.

6

An Unusual Form of Supracardiac Total Anomalous Pulmonary Venous Return Via a Right-Sided Vertical Vein in a Heterotaxy Syndrome Case  

Heterotaxy syndromes comprise a great variety of possible cardiac defects. Anomalies of the pulmonary venous system are well recognized in heterotaxy syndromes but constitute a frequently underdiagnosed subgroup. The case report describes a girl with a rare form of supracardiac total anomalous pulmonary venous return via a right-sided vertical vein to the right innominate vein in heterotaxy syndrome with dextrocardia, unbalanced atrioventricular septal defect with severe left ventricular hypoplasia, and transposition of the great arteries with pulmonary stenosis. Careful evaluation and imaging before surgical repair is crucial for such complex cardiac anomalies.

7

An unusual form of supracardiac total anomalous pulmonary venous return via a right-sided vertical vein in a heterotaxy syndrome case.  

Heterotaxy syndromes comprise a great variety of possible cardiac defects. Anomalies of the pulmonary venous system are well recognized in heterotaxy syndromes but constitute a frequently underdiagnosed subgroup. The case report describes a girl with a rare form of supracardiac total anomalous pulmonary venous return via a right-sided vertical vein to the right innominate vein in heterotaxy syndrome with dextrocardia, unbalanced atrioventricular septal defect with severe left ventricular hypoplasia, and transposition of the great arteries with pulmonary stenosis. Careful evaluation and imaging before surgical repair is crucial for such complex cardiac anomalies. PMID:22354227

8

Ipsilateral Jugular to Distal Subclavian Vein Transposition to Relieve Central Venous Hypertension in Rescue Vascular Access Surgery: A Surgical Report of 3 Cases.  

Central venous thrombosis may often arise following central venous cannulation for temporary haemodialysis access. Venous thrombosis may be clinically asymptomatic due to the presence of collateral circulation. However, if an arteriovenous (AV) fistula is prepared below the obstructed venous segment, then symptoms may occur. Central venous hypertension interferes with dialysis, compromises limb function and threatens its safety. Percutaneous treatment is mostly used. However, in some cases endovascular treatment may not be as easy and long term patency uncertain.We report our experience on 3 patients on chronic hemodialysis treatment presenting with a patent AV fistula and ipsilateral subclavian vein chronic fibrotic obstruction. They were treated by ipsilateral internal jugular to distal subclavian vein transposition. Two separate surgical incisions were performed to expose the subclavian vein distally to the occlusion and the jugular vein that was distally ligated and transposed. There was no mortality nor significant postoperative complications. Resolution of hypertensive symptoms was achieved within 3-4 weeks in all patients. The AV fistula was used for dialysis treatment starting from the first postoperative day. At follow-up (mean 13 months), there was no recurrence of upper limb venous hypertension.In patients with subclavian occlusion and ipsilateral low flow, patent AV fistula, jugular to distal subclavian vein transposition may prove useful in cases when percutaneous angioplasty is technically not feasible or long term patency is not expected. PMID:22673549

9

Ipsilateral Jugular to Distal Subclavian Vein Transposition to Relieve Central Venous Hypertension in Rescue Vascular Access Surgery: A Surgical Report of 3 Cases  

Central venous thrombosis may often arise following central venous cannulation for temporary haemodialysis access. Venous thrombosis may be clinically asymptomatic due to the presence of collateral circulation. However, if an arteriovenous (AV) fistula is prepared below the obstructed venous segment, then symptoms may occur. Central venous hypertension interferes with dialysis, compromises limb function and threatens its safety. Percutaneous treatment is mostly used. However, in some cases endovascular treatment may not be as easy and long term patency uncertain.We report our experience on 3 patients on chronic hemodialysis treatment presenting with a patent AV fistula and ipsilateral subclavian vein chronic fibrotic obstruction. They were treated by ipsilateral internal jugular to distal subclavian vein transposition. Two separate surgical incisions were performed to expose the subclavian vein distally to the occlusion and the jugular vein that was distally ligated and transposed. There was no mortality nor significant postoperative complications. Resolution of hypertensive symptoms was achieved within 3–4 weeks in all patients. The AV fistula was used for dialysis treatment starting from the first postoperative day. At follow-up (mean 13 months), there was no recurrence of upper limb venous hypertension.In patients with subclavian occlusion and ipsilateral low flow, patent AV fistula, jugular to distal subclavian vein transposition may prove useful in cases when percutaneous angioplasty is technically not feasible or long term patency is not expected.   

10

Long-term results of femoral vein transposition for autogenous arteriovenous hemodialysis access  

Introduction When all access options in the upper limbs have been exhausted, an autogenous access in lower limb is a valuable alternative to arteriovenous grafts. We report our experience of transposition of the femoral vein (tFV). Methods From June 1984 to June 2011, 70 patients underwent 72 tFV in two centers (Paris and Meknès) with the same technique. All patients had exhausted upper arm veins or had central vein obstructions. Patients were followed by serial duplex scanning. All complications were recorded and statistical analysis of patency was performed according to intention to treat using the life-table method. Results The mean interval between initiation of dialysis and creation of the tFV was 10 years. The sex ratio was even (one female/one male). Mean age was 48 years (ra...

11

Access-Related Venous Stenoses and Occlusions: Treatment with Percutaneous Transluminal Angioplasty and Dacron-Covered Stents  

Purpose: To determine the effectiveness of using Dacron-covered stents to treat access-related venous stenoses and occlusions. Methods: Twenty-two Dacron-covered stents were placed in 20 patients: in the basilic or axillary vein (n = 2), cephalic vein (n = 3), subclavian vein (n = 5), and at the venous anastomosis of the polytetrafluoroethylene (PTFE) implant graft (n 10). Results: Initial technical success was 100%. The cumulative primary and secondary patency rates were 57% and 83% at 6 months, 29% and 64% at 12 months, and 29% and 53% at 18 months. A statistically significant difference in the stent patency was revealed by comparing the patients with stents in the subclavian vein and patients with upper arm stents. The secondary patency rates of the upper arm stents were 73% after 6, 12, and 18 months. Conclusions: Percutaneous placement of Dacron-covered stents is a safe and effective procedure for salvage of a dialysis fistula. First results are promising, with a tendency to prolongation of the time interval between reinterventions.

12

Bilateral Cardiac Catheterizations  

The transradial approach for left heart catheterization has become increasingly popular recently because of its clinical benefits. We examined the safety and feasibility of a transforearm approach for bilateral cardiac catheterizations, using the radial artery and a superficial forearm vein (the cephalic, basilic, or median antecubital vein). Between August 2002 and October 2003, 296 right heart catheterizations were performed in our hospital. A superficial forearm vein was used in one group of 101 patients, of which 98 had a concomitant left heart catheterization through the radial artery. The femoral vein was used for right heart catheterization in the second group of 195 patients. Of these patients, 37 underwent left heart catheterization through the radial artery and 157 through the femoral artery. All instances of bilateral catheterizations were successful except for one complication of pseudoaneurysm occurring in the transfemoral group. The procedure time for right heart catheterization was significantly less in the forearm group than the femoral group. The transforearm group had a larger proportion of males and of patients undergoing diagnostic right heart catheterization for congestive heart failure, dilated cardiomyopathy, and ischemic cardiomyopathy. Patients with aortic stenosis (AS), atrial septal defect (ASD), and mitral stenosis (MS) were mainly restricted to the transfemoral approach. We conclude that the transradial artery and superficial forearm venous approach for bilateral cardiac catheterizations is a safe and feasible alternative to the femoral approach in a wide range of patients, with the exception of patients with AS, ASD, or MS.   

13

Clinical Experience With Office-Based Duplex-Guided Balloon-Assisted Maturation of Arteriovenous Fistulas for Hemodialysis  

BackgroundTo examine the effect of office-based duplex-guided balloon-assisted maturation (DG-BAM) on arteriovenous fistula (AVF), we retrospectively analyzed our experience. MethodsOver the past 10 months, we performed 185 DG-BAMs (range, 1-8 procedures; mean, 3.7) in 45 patients (29 male, 16 female; mean age, 68.2 +- 12.8 years) with 31 radial-cephalic, 7 brachial-cephalic, and 7 brachial-basilic AVFs. Balloon sizes (3-10 mm) were chosen based on duplex measurements (1-2 mm larger than minimal vein diameter). Forearm AVFs were dilated to 8 mm, and arm AVFs were dilated to 10 mm. ResultsAll cases but one (99.5%) were successfully dilated. This exception was a large AVF rupture that required surgical repair. AVFs failed to mature in seven of the remaining 44 patients (16%) despite DG-BAM b...

14

Evaluation of Expanded Polytetrafluoroethylene–covered Stents for the Treatment of Venous Outflow Stenosis in Hemodialysis Access Grafts  

PurposeTo investigate the use of an expanded polytetrafluoroethylene–coated nitinol stent-graft in patients with failing hemodialysis access circuits and compare grafts with and without a heparin-coated surface. Materials and MethodsA single-institution retrospective review of 16 patients (average age, 55 years; seven men) treated for hemodialysis access circuit stenoses was performed. Patients had a prosthetic arteriovenous (AV) graft (n = 10) or autogenous AV fistula (n = 6), all with clinically relevant access stenoses that were refractory to angioplasty alone; 10 patients also had access circuit thrombosis at the time of treatment. Stents were placed in the basilic (n = 4), brachial (n = 7), cephalic (n = 4), and femoral (n = 1) veins. Study endpoints included primary treatment ...

15

21 CFR 582.10 - Spices and other natural seasonings and flavorings.  

...L. Anise, star Illicium verum Hook. f. Balm (lemon balm) Melissa officinalis L. Basil, bush Ocimum minimum L. Basil, sweet Ocimum basilicum L. Bay Laurus nobilis L. Calendula Calendula officinalis...

16

Typical atrial flutter in an atypical patient.  

Arrhythmias in adult congenital heart disease (ACHD) pose unique procedural challenges, especially with intravascular access. We report a unique case of ablation via a left-sided hepatic vein approach in a patient with situs inversus totalis. A 28-year-old woman with situs inversus totalis, ventriculoseptal defect, and dextro-transposition of the great arteries underwent ablation for documented narrow-complex tachycardia. Because of bilateral iliac venous occlusions, the coronary sinus (CS) was accessed through the left internal jugular vein. Rapid atrial pacing resulted in a tachycardia with an atrial cycle length of 225 msec and 2:1 atrioventricular association. Entrainment from the proximal and distal CS was consistent with typical atrial flutter around the left-sided tricuspid valve. Because of the iliac vein occlusions, access for ablation was obtained via a left-sided hepatic vein (Figure 1). Resetting from the cavotricuspid isthmus and three-dimensional electroanatomic mapping (Figure 2) confirmed typical atrial flutter, which, given the dextrocardia, occurred in a clockwise fashion around the tricuspid valve. Ablation was performed at the cavotricuspid isthmus resulting in arrhythmia termination and isthmus block. This case highlights the many unusual challenges that patients with ACHD can pose to the proceduralist, including atypical cardiac anatomy and difficult intravascular access. Unusual and creative approaches are often necessary to treat these patients successfully. PMID:21702889

17

Tendon vibration attenuates superficial venous vessel response of the resting limb during static arm exercise.  

ABSTRACT: BACKGROUND: The superficial vein of the resting limb constricts sympathetically during exercise. Central command is the one of the neural mechanisms that controls the cardiovascular response to exercise. However, it is not clear whether central command contributes to venous vessel response during exercise. Tendon vibration during static elbow flexion causes primary muscle spindle afferents, such that a lower central command is required to achieve a given force without altering muscle force. The purpose of this study was therefore to investigate whether a reduction in central command during static exercise with tendon vibration influences the superficial venous vessel response in the resting limb. METHODS: Eleven subjects performed static elbow flexion at 35% of maximal voluntary contraction with (EX + VIB) and without (EX) vibration of the biceps brachii tendon. The heart rate, mean arterial pressure, and rating of perceived exertion (RPE) in overall and exercising muscle were measured. The cross-sectional area (CSAvein) and blood velocity of the basilic vein in the resting upper arm were assessed by ultrasound, and blood flow (BFvein) was calculated using both variables. RESULTS: Muscle tension during exercise was similar between EX and EX + VIB. However, RPEs at EX + VIB were lower than those at EX (P heart rate and mean arterial pressure during exercise at EX + VIB were also lower than those at EX (P resting limb at EX decreased during exercise from baseline (P resting limb during sustained static arm exercise. PMID:23134654

18

Evaluation of in vitro antimicrobial activity of Thai basil oils and their micro-emulsion formulas against Propionibacterium acnes.  

The aim of this study was to evaluate the efficacy of Thai basil oils and their micro-emulsions, on in vitro activity against Propionibacterium acnes. An agar disc diffusion method was employed for screening antimicrobial activity of the essential oils of Ocimum basilicum L. (sweet basil), Ocimum sanctum L. (holy basil) and Ocimum americanum L. (hoary basil) against P. acnes. Minimum inhibitory concentration (MIC) values of the basil oils were determined using an agar dilution assay. The obtained results indicated that the MIC values of sweet basil and holy basil oils were 2.0% and 3.0% v/v, respectively, whereas hoary basil oil did not show activity against P. acnes at the highest concentration tested (5.0% v/v). Gas chromatography-mass spectrometry analysis revealed that methyl chavicol (93.0%) was the major compound in sweet basil oil, and eugenol (41.5%), gamma-caryophyllene (23.7%) and methyl eugenol (11.8%) were major compounds in holy basil oil. Hoary basil oil contained high amounts of geraniol (32.0%) and neral (27.2%) and small amounts of methyl chavicol (0.8%). The Oil-in-water (o/w) micro-emulsions of individual basil oils with concentrations corresponding to their MIC values were formulated. The stable o/w micro-emulsion system for basil oil consisted of 55.0% v/v water phase, 10.0% v/v oil phase (2.0 or 3.0% v/v sweet basil or 3.0% v/v holy basil oil plus 7.0% v/v isopropyl myristate), 29.2% v/v polysorbate 80 and 5.8% v/v 1,2-propylene glycol. Hydroxyethylcellulose at a concentration of 0.5% w/v was used as thickening agent. According to the disc diffusion assay, the formulations containing sweet basil oil exhibited higher activity against P. acnes than those containing holy basil oil, and the thickened formulations tended to give a lower activity against P. acnes than the non-thickened formulations. The prepared micro-emulsions were stable after being tested by a heat-cool cycling method for five cycles. These findings indicate the possibility to use Thai sweet and holy basil oil in suitable formulations for acne skin care. PMID:18492147

19

Regional anesthesia: preferred technique for venodilatation in the creation of upper extremity arteriovenous fistulae.  

Owing to the overall poor medical health of patients with end-stage renal disease, we have sought alternatives to the use of general anesthesia for access procedures. Furthermore, since local anesthesia (1) does not offer the motor block that is sometimes desired and (2) can be difficult to maintain when a large amount of vein needs to be transposed, we examined whether regional blocks can be useful for the creation of new arteriovenous fistulae (AVF). From August 2002 to January 2005, 41 patients scheduled for AVF placement underwent a regional block with the use of a lidocaine and ropivacaine mixture using a nerve stimulator. Either axillary, interscalene, or infraclavicular blocks or a combination was used. Intraoperative duplex ultrasonography was used to assess the degree of venodilatation of the basilic and cephalic veins before and after the block. The site of each measurement was marked on the skin and selected by a clearly identifiable branch point. Each measurement was recorded three times and was made in the (1) native state, (2) after application of a tourniquet with opening and closing of the hand for 15 seconds, and (3) after placement of the block. The average age of the patients was 65 +/- 14 years (SD), with ages ranging from 33 to 91 years, and the prevalence of diabetes mellitus was 50%. Complete brachial plexus block was achieved in 34 patients (83%). Sensory block was accomplished within 10 to 15 minutes and usually lasted 4 to 6 hours. Motor block was accomplished in 10 to 25 minutes. Venodilatation was not noted in patients whose blocks did not work (n = 7) or whose vein was found to be phlebitic on exploration (n = 3). The degree of venodilatation noted as a percentage increase after application of the tourniquet compared with the native state for these 34 patients (in whom the block worked) was 37% for the distal cephalic, 31% for the midcephalic, and 32% for the midbasilic vein. The degree of venodilatation noted as a percentage increase after placement of the block compared with after tourniquet application for these 34 patients was 42% for the distal cephalic, 19% for the midcephalic, and 26% for the midbasilic vein. No instances of systemic toxicity, hematomas, or nerve injury from the block were noted. Accesses placed included 20 radiocephalic AVF, 8 brachiobasilic AVF, 8 brachiocephalic AVF, 2 arteriovenous grafts, 2 radiobasilic AVF, and 1 brachial vein AVF.Regional block is a safe and, in our opinion, preferred technique for providing anesthesia for upper extremity vascular surgery. The venodilatation observed is augmented compared with that using a tourniquet and may allow more options for access placements. PMID:16849019

20

Placement of the VenaTech LP Caval Filter in the Elderly: Feasibility and Clinical Benefits of Insertion Via the Arm  

Purpose. To evaluate routine use of access sites in the arm for percutaneous caval filter placement (PCFP) in elderly patients. Neck arthritis, patient anxiety, access site thrombosis or fecal/urinary incontinence complicating jugular or femoral access may require alternative access sites in this population. Methods. Access via the right arm was chosen for PCFP (VenaTech LP). The indication for PCFP was deep vein thrombosis, a history of pulmonary embolism, and a contraindication to anticoagulant therapy. Ultrasound-guided puncture was performed after diameter measurement of the arm veins (O{sub AV}). The filter was inserted with standard imaging procedures. Procedural difficulty was graded and compared with O{sub AV} and the angle from the arm vein to the superior vena cava ({alpha}{sub AV/SVC}). Results. Over 2 years, 16 patients (14 women, 2 men) with an average age of 90 years (range 79-97 years) were included in the study. The average O{sub AV} value of the basilic or brachial veins was 4.2 mm (range 3.0-5.1 mm). The minimal O{sub AV} for successful access was determined after the first 15 patients. No hematoma occurred at the puncture sites. The average {alpha}{sub AV/SVC} value was 62 deg. (range 29 deg. - 90 deg.). Arm access was possible in 12 of 16 patients (75%) with O{sub AV} {>=} 3.5 mm and {alpha}{sub AV/SVC} {>=} 29 deg. Every procedure via the arm was graded 'easy' by the operator, regardless of angulation values. Femoral access was used in one case due to the impossibility of traversing the heart (patient no. 2), and jugular access was used in 3 of 16 (19%) patients due to puncture failure (patient no. 4), small O{sub AV} (3 mm) (patient no. 6), and stenosis of the distal right subclavian vein (patient no.16), respectively. Conclusion. PCFP via the arm can be routinely accomplished in patients older than 75 years, provided O{sub AV} {>=} 3.5 mm, and {alpha}{sub AV/SVC} {>=} 200119 d.

 
 
 
 
21

Venous rupture complicating hemodialysis access angioplasty: percutaneous treatments and outcomes  

To evaluate the usefulness of percutaneous management and prognosis in venous rupture during angioplasty of hemodialytic arteriovenous fistulas. Among 814 patients who underwent angioplasty on account of inadequate hemodialysis, 63(39 women and 24 men aged 20-78 (mean, 55.8) years) were included in this study. All 63 had peripheral venous stenosis. Venous rupture was diagnosed when contrast leakage was seen at venography after percutaneous angioplasty (PTA). In order to manage venous rupture, the sites at which this occurred were compressed manually for 3-5 minutes or blood flow was blocked with a balloon catheter for the same period. In one case, a stent was inserted at the rupture site. Using the Kaplan-Meier method, we investigated the patency rate of arteriovenous fistula (AVF) in cases of successful PTA. We also compared PTA patency rates in cases with and without peripheral venous rupture. Venous rupture occurred in 38 cephalic, 16 brachial, and 9 basilic veins. In 63 patients, bleeding stopped and in 54 (85.7 %) of thee, PTA was successful. Among the nine failed cases, dilatation was incomplete in five, though bleeding had stopped. In patients with brachial and cephalic vein rupture the venous tract at the rupture site was not located. Two patients underwent surgery: one of these experienced brachial venous rupture, with incontrollable bleeding, and the other had nerve compression symptoms due to hematoma. Among 54 patients in whom PTA was successful, the primary and secondary six-months rates for angioaccess were 47.9% and 81.2%, and the mean patency period was 6.1 and 15.8 months, respectively. In cases of non-venous rupture, the mean patency period was 9.6 months, significantly longer than in cases involving venous rupture (p=0.02). Venous rupture occurring during the PTA of hemodialytic AVF can be managed percutaneously.

22

Caffeic Acid Derivatives in Market Available Lamiaceae and Echinacea purpurea Products  

Fresh basil leaves contain chicoric acid, the principal phenolic compound of Echinacea purpurea and purportedly the active ingredient in its dietary supplements. Our group discovered and first reported chicoric acid in basil. This following study examined the distribution of chicoric acid within the...

23

Basil extract inhibits the sulfotransferase mediated formation of DNA adducts of the procarcinogen 1'-hydroxyestragole by rat and human liver S9 homogenates and in HepG2 human hepatoma cells  

The effects of a basil extract on the sulfation and concomitant DNA adduct formation of the proximate carcinogen 1¿-hydroxyestragole were studied using rat and human liver S9 homogenates and the human hepatoma cell line HepG2. Basil was chosen since it contains the procarcinogen estragole that can b...

24

Unranking permutations in transposition order and linear time  

An algorithm is presented for unranking permutations in transposition order: Given a seed s\\in N, the algorithm produces a permutation P(s) that differs from the permutation P(s+1) by the transposition of two elements.

25

Starch accumulation during hydroponic growth of spinach and basil plants under carbon dioxide enrichment  

The effects of CO[sub 2] enrichment, photoperiod duration, and inorganic phosphate levels on growth and starch accumulaton by spinach and basil plants were studied in a commercial hydroponic facility. During a 3-week growth period, both species exhibited increased whole-plant fresh weight as a result of an increase in atmospheric CO[sub 2] concentration from 400 to 1500 mul/1. However, basil leaves exhibited a 1.5- to 2-fold greater increase in specific leaf weight (SLW), and accumulated starch to much greater levels than did leaves of spinach. At 1500 mul CO[sub 2]/1, starch accounted for up to 38% of SLW with basil compared to [lt] 10% of SLW with spinach. The maximum ratio of starch/chlorophyll was 55.0 in basil leaves vs 8.0 in spinach leaves. High ratio values were associated with the appearance of chlorotic symptoms in leaves of basil grown under CO[sub 2] enrichment, whereas spinach did not exhibit chlorosis. Increasing inorganic phosphate concentrations from 0.7 to 1.8 mM in the hydroponic medium did not appreciably affect leaf starch accumulation in either species. Starch accumulation in basil leaves was not consistently related to the duration of the photoperiod. However, photoperiod-induced changes in leaf starch levels were much greater in basil than spinach. The results clearly indicate that different horticultural crops can show diverse responses to CO[sub 2] enrichment, and thus highlight the need to develop individual growth strategies to optimize production quality of each species.

26

Antioxidant properties of various solvent extracts from purple basil  

Water, ethanol and acetone extracts from leaves and flowers of purple basil, one of the most popular spices consumed in the Thrace region of Turkey, were tested in vitro for their ability to inhibit peroxidation of lipids, to scavenge DPPH, hydrogen peroxide, superoxide anion, to reduce Fe(III) to Fe(II) and to chelate Fe(II) ions. The results showed that purple basil contained naturally occurring antioxidant components and possessed antioxidant activity which may be attributed to its lipid peroxidation inhibitory, radical scavenging and metal chelating activities. It was concluded that purple basil might be a potential source of antioxidants.

27

Antioxidant properties of various solvent extracts from purple basil.  

Water, ethanol and acetone extracts from leaves and flowers of purple basil, one of the most popular spices consumed in the Thrace region of Turkey, were tested in vitro for their ability to inhibit peroxidation of lipids, to scavenge DPPH, hydrogen peroxide, superoxide anion, to reduce Fe(III) to Fe(II) and to chelate Fe(II) ions. The results showed that purple basil contained naturally occurring antioxidant components and possessed antioxidant activity which may be attributed to its lipid peroxidation inhibitory, radical scavenging and metal chelating activities. It was concluded that purple basil might be a potential source of antioxidants. PMID:22613128

28

Successful treatment of a LifeSite Hemodialysis Access System pocket infection with large-volume kanamycin solution irrigation.  

Bridge devices-dialysis catheters and subcutaneous access devices-play a critical role in increasing the placement of arteriovenous (AV) fistulas by providing hemodialysis vascular access while AV fistulas mature. The LifeSite Hemodialysis Access System (Vasca Inc, Tewskburg, MA), a fully implantable, subcutaneous dual valve access system, has been shown to have lower complication rates, higher blood flow rates, and better long-term device survival than conventional tunneled hemodialysis catheters, indicating it may better meet the requirements for optimally bridging to a fistula. This case study of a 48-year-old black man undergoing chronic hemodialysis for renal failure because of insulin-dependent diabetes describes a simple approach for resolving localized pocket infections associated with the LifeSite System by drip irrigation of the valves and tissue pockets with an antibiotic solution. Eight weeks after implantation of the LifeSite System, the patient exhibited symptoms of infection of the lateral LifeSite valve tissue pocket, which on culture was shown to be caused by Staphylococcus aureus. Flushing the LifeSite valve and tissue pocket with a large volume of kanamycin solution, in conjunction with intravenous vancomycin and routine irrigation of the valve with isopropyl alcohol, resolved the infection after 1 treatment. The LifeSite System successfully bridged the patient to a transposed basilic vein fistula created through a 2-stage surgical procedure. The LifeSite System provided uninterrupted access for hemodialysis over a period of 6 months while the fistula matured. The LifeSite System should allow surgeons to attempt fistula construction in more patients, including diabetics, access-challenged patients, and patients with small vessels, who may benefit from a nontraditional surgical approach toward fistula creation. PMID:14708081

29

Regional nerve block allows for optimization of planning in the creation of arteriovenous access for hemodialysis by improving superficial venous dilatation.  

Durable vascular access for hemodialysis remains a critical issue in end-stage renal disease patients. Creation of an autogenous arteriovenous (AV) fistula in the most distal location of the nondominant extremity is the preferred technique and provides superior patency over an AV graft. Others have shown that regional anesthesia in the form of axillary block results in the dilatation of the native veins and allows for their increased utilization in creating AV fistulae. We report on 26 patients undergoing creation of a vascular access for hemodialysis. Regional anesthesia consisting of axillary nerve block was used in all cases. All surgical plans with regard to the site and type of access were made based on the physical exam and ultrasound vein measurements taken prior to surgery. On the day of surgery patients were reevaluated with venous ultrasound using tourniquet before and after administration of the regional block. The previously determined operative plan either remained unchanged or was modified depending on the venous dilatation noted after administration of regional block. Among 26 patients, average vein diameter increased from 0.29 +/- 0.12 cm to 0.34 +/- 0.11 cm (P = 0.008). Twenty-one of 26 patients had no modification in operative plan (group 1). Five had some modification of the original operative plan (group 2): AV graft to a brachial vein transposition (n = 2), AV graft to a Cimino fistula (n = 2), and brachiocephalic to a Cimino (n = 1). The average follow-up for all patients was 82.6 +/- 75.6 days and did not differ between the groups. There was one failure in a patient from group 1, and there was no significant difference in the patency rate between study groups (P = 0.29). Following regional nerve block, operative plans in patients undergoing AV access surgery were modified in 29.4% of patients undergoing creation of an AV access for hemodialysis; either from graft to fistula creation or from the proximal to more distal fistula site. The routine use of regional anesthesia as well as intraoperative ultrasound during AV access surgery can lead to improved site selection and increased opportunity for AV fistula creation. PMID:17703918

30

Volatile composition of sweet basil essential oil (Ocimum basilicum L.) as affected by drying method  

The influence of drying method on aroma compounds of sweet basil (Ocimum basilicum L.) was evaluated. The drying methods tested were convective (CD) and vacuum-microwave (VMD), as well as a combination of convective pre-drying and VM finish-drying (CPD-VMFD). Sweet basil's drying kinetics for CD was described by a two term exponential model, while VMD kinetics consisted of two periods: linear until a critical point and exponential beyond that point. Volatile compounds of basil samples were extracted by hydrodistillation and analyzed by GC/FID and GC/MS. Forty compounds were tentatively identified, with methyleugenol, eugenol, eucalyptol, and linalool being the major components. The total quantity of volatiles of fresh sweet basil, 32.1gkg^-^1, decreased considerably during both CD and VMD,...

31

NTP Technical Report on the Toxicology and Carcinogenesis Studies of Isoeugenol (CAS No. 97-54-1) in F344/N Rats and B6C3F1 Mice. (Gavage Studies).  

Isoeugenol is one of several structurally similar phenylpropenoid compounds produced by plants. It has been extracted from calamus, savory, basil, ylang-ylang, clove, tuberose, jonquil, nutmeg, tobacco, sandalwood, dill seed, mace, gardenia, petunia, and ...

32

77 FR 4248 - Cyazofamid; Pesticide Tolerances for Emergency Exemptions  

...N-dimethyl-5-(4-methylphenyl)-1H- imidazole-1-sulfonamide,and its metabolites and degradates in or on basil, fresh...N-dimethyl-5-(4-methylphenyl)-1H-imidazole-1- sulfonamide and its metabolite CCIM,...

33

Essential Oils Against Foodborne Pathogens and Spoilage Bacteria in Minced Meat  

The antimicrobial activity of essential oils of oregano, thyme, basil, marjoram, lemongrass, ginger, and clove was investigated in vitro by agar dilution method and minimal inhibitory concentration (MIC) determination against Gram-positive (Staphylococcus aureus and Listeria monocytogenes) and Gram-...

34

Light reflected from colored mulches affects aroma and phenol content of sweet basil (Ocimum basilicum L.) leaves.  

Basil (Ocimum basilicum L.) is an herb the leaves of which are used to add a distinct aroma and flavor to food. It was hypothesized that the size and chemical composition of sun-grown basil leaves could be influenced by the color of light reflected from the soil surface and by the action of the reflected light through the natural growth regulatory system within the growing plants. Leaf morphology, aroma compounds, and soluble phenolics were compared in basil that had been grown over six colors of polyethylene row covers. Altering the ratios of blue, red, and far-red light reflected to growing plants influenced both leaf morphology and chemistry. Leaves developing over red surfaces had greater area, moisture percentage (succulence), and fresh weight than those developing over black surfaces. Basil grown over yellow and green surfaces produced significantly higher concentrations of aroma compounds than did basil grown over white and blue covers. Leaves grown over yellow and green mulches also contained significantly higher concentrations of phenolics than those grown over the other colors. Clearly, the wavelengths (color) of light reflected to growing basil plants affected leaf size, aroma, and concentrations of soluble phenolics, some of which are antioxidants. PMID:11312860

35

Interplasmid transposition of the mariner transposable element in non-drosophilid insects.  

Plasmid-based transposition assays were performed in developing embryos of the Australian sheep blowfly Lucilia cuprina and the Queensland fruit fly Bactrocera tryoni, using the mariner transposable element from Drosophila mauritiana. Transposition products were recovered that were identical in structure to those recovered from D. melanogaster. Only sequences delimited by the mariner terminal repeats were transposed and all insertions occurred at TA residues, and duplicated these. These are the hallmarks of mariner transpositions observed in the chromosomes of D. melanogaster and D. mauritiana, indicating that the plasmid-based assays are accurate indicators of mariner transposition activity. The recovery of precise transposition products from L. cuprina and B. tryoni demonstrates that mariner should be capable of producing germline transformants in these species. The results obtained from these assays suggests that they will be extremely useful in determining if mariner can transpose in other non-drosophilid insects and for investigating factors that might affect mariner transposition frequency. PMID:9079884

36

Association between the location of transposed ovary and ovarian function in patients with uterine cervical cancer treated with (postoperative or primary) pelvic radiotherapy  

ObjectiveTo evaluate the effectiveness of ovarian transposition procedures in preserving ovarian function in relation to the location of the transposed ovaries in patients who underwent surgery with or without pelvic radiotherapy. DesignRetrospective. SettingUterine cancer center. Patient(s)A total of 53 patients with cervical cancer who underwent ovarian transposition between November 2002 and November 2010. Intervention(s)Ovarian transposition to the paracolic gutters with or without radical hysterectomy and lymph node dissection. Main Outcome Measure(s)Preservation of ovarian function, which was assessed by patients symptoms and serum FSH level. Result(s)Lateral ovarian transposition was performed in 53 patients. Based on receiver operator characteristic curve analysis, optimum cutoff v...

37

Coronary Artery Anatomy in Complete Transposition with Situs Solitus and Dextrocardia  

The coronary artery anatomy of complete transposition with situs solitus/levocardia (CTSSL) has been well elucidated in the current era of arterial switch operation. However, coronary artery for complete transposition with situs solitus/dextrocardia (CTSSD) has never been documented. Coronary anatomy of transposition and aortopulmonary rotation were identified by angiography or surgical intervention from 1988 to 2007 at our hospital. The degree of aortopulmonary rotation was defined by the aortic sinus pattern on lateral angiogram. Apicocaval ipsilaterality was defined as situs solitus/dextrocardia or situs inversus/levocardia. The coronary artery anatomy in 3 cases of CTSSD was analyzed and correlated with those patients having transposition with the same coronary pattern but without apic...

38

Methods of Transposition of Nurses between Wards  

In this paper, a computer-implemented method for automating the transposition of a hospital’s nursing staff is proposed. The model is applied to the real case example ‘O’ hospital, which performs a transposition of its nursing staff once a year. Results are compared with real data obtained from this hospital’s current manual transposition system. The proposed method not only significantly reduces the time taken to construct the transposition, thereby significantly reducing management labor costs, but also is demonstrated to increase nurses’ levels of satisfaction with the process.   

39

Antimicrobial Activity of Basil (Ocimum basilicum) Oil against Salmonella Enteritidis in Vitro and in Food  

Nine essential oils were examined for antimicrobial activity against reference and clinical strains of Salmonella Enteritidis. Based on the size of the inhibition zone and the minimal inhibitory concentration, basil oil had the strongest antimicrobial activity against all the tested bacteria, and S. Enteritidis SE3 was the most sensitive strain to all the tested oils. Gas chromatography/mass spectrometry analysis revealed that the major constituents of the oil were linalool (64.35%), 1,8-cineole (12.28%), eugenol (3.21%), germacrene D (2.07%), ?-terpineol (1.64%), and ?-cymene (1.03%). When applied in nham, a fermented pork sausage, experimentally inoculated with S. Enteritidis SE3 and stored at 4 °C, basil oil inhibited the bacterium in a dose-dependent fashion. Basil oil at a concentration of 50 ppm reduced the number of bacteria in the food from 5 to 2log cfu/g after storage for 3 d. An unmeasurable level of the bacterium in the food was observed at days 2 and 3 of storage when 100 and 150 ppm of basil oil was used, respectively. Sensory evaluation suggested that the addition of 100 but not of 150 ppm to nham would be acceptable to consumers. The results from this study confirm the potential use of basil oil as an antimicrobial agent to control S. Enteritidis in food.   

40

Changes of Antioxidant Capacity and Phenolics in Ocimum Herbs after Various Cooking Methods  

Five different cooking methods - blanching, boiling, steaming, sautéing and high temperature (121°C) cooking - were applied to Ocimum herbs. Four Ocimum species - O. americanum (hairy basil), O. tenuiflorum (holy basil; syn. O. sanctum), O. basilicum (sweet basil) and O. gratissimum (wild basil) - were used to determine the effect of heating on their antioxidant capacity, total phenolic content, and presence of phytochemicals. Cooking with excess water, blanching, and boiling resulted in a reduction in both antioxidant capacity and phenolic content. HPLC chromatograms revealed that rosmarinic acid leached from the sweet basil leaves into the cooking water, in which sinapic acid was also detected. Meanwhile sautéing, as well as steaming at atmospheric and high pressures respectively, generally enhanced the antioxidant capacity of Ocimum, which was related to an increase in phenolic content. Similar chromatograms were detected in fresh, atmospheric steamed, and sautéed leaves, although the intensity varied. A major compound of the studied Ocimum herbs, rosmarinic acid, although found to increase in sautéed leaves, was substantially minimized in leaves steamed under pressure.   

 
 
 
 
41

Caudal Regression Syndrome and peno-scrotal transposition.  

Caudal Regression Syndrome is a rare anomaly affecting different systems in the caudal portion of the fetus. Peno-scrotal transposition is a rare condition of variable severity often associated with Caudal Regression Syndrome. We report a case of Caudal Regression Syndrome with perineal ano-rectal duplication, incomplete peno-scrotal transposition, perineal hypospadias, chordee, and thoracic hemivertebrae. PMID:11426250

42

Purification and characterization of TnsC, a Tn7 transposition protein that binds ATP and DNA.  

The bacterial transposon Tn7 encodes five transposition genes tnsABCDE. We report a simple and rapid procedure for the purification of TnsC protein. We show that purified TnsC is active in and required for Tn7 transposition in a cell-free recombination system. This finding demonstrates that TnsC par...

43

Female counterpart of shawl scrotum in aarskog-scott syndrome  

Abstract in english Aarskog-Scott syndrome (ASS) is an X-linked disorder characterized by facial, skeletal and genital anomalies, including penoscrotal transposition in males. We report on a girl from a family with ASS who exhibits a transposition of the clitoris.

44

Serratus Anterior Transposition Muscle Flaps for Bronchial Coverage: Technique and Functional Outcomes  

Because of its consistent anatomy, long vascular pedicle, malleability, low complication rate, and low donor site morbidity, we prefer serratus anterior transposition muscle flaps for prophylactic coverage of irradiated bronchi and treatment of bronchopleural fistulas. Our surgical technique is described, and our outcomes are discussed. Serratus anterior transposition muscle flaps can be performed with minimal morbidity and minimal impairment of upper extremity function.

45

Stereospecific synthesis of C-arabinofuranosides and carba-disaccharide analogues of Motif C of cell wall AG complex of Mtb  

A simple strategy for the synthesis of a- and b-C-arabinofuranosides featuring a furan ring transposition reaction has been developed. A novel double furan ring transposition reaction has proposed and executed for the synthesis of the carba-disaccharide analogue of Motif C of the cell wall AG complex of Mtb.

46

Sorting by Transpositions is Difficult  

In comparative genomics, a transposition is an operation that exchanges two consecutive sequences of genes in a genome. The transposition distance, that is, the minimum number of transpositions needed to transform a genome into another, is, according to numerous studies, a relevant evolutionary distance. The problem of computing this distance when genomes are represented by permutations, called the Sorting by Transpositions problem, has been introduced by Bafna and Pevzner in 1995. It has naturally been the focus of a number of studies, but the computational complexity of this problem has remained undetermined for 15 years. In this paper, we answer this long-standing open question by proving that the Sorting by Transpositions problem is NP-hard. As a corollary of our result, we also prove that the following problem is NP-hard: given a permutation pi, is it possible to sort pi using db(pi)/3 permutations, where db(pi) is the number of breakpoints of pi?

47

Atuação do enfermeiro no cuidado com o cateter central de inserção periférica no recém-nascido/ Action of the nurse with peripherally inserted central catheter in the infant newborn/ Actuación del enfermero en el cuidado con el cateter central de inserción periferica en el recién nacido  

Abstract in portuguese Os avanços tecnológicos em Neonatologia vêm beneficiando os recém-nascidos que necessitam de um acesso venoso seguro. Objetivou-se investigar a atuação do enfermeiro no cuidado com o Cateter Central de Inserção Periférica (PICC) na Unidade de Terapia Intensiva Neonatal em Fortaleza, CE. A amostra foi composta por 17 enfermeiros e os dados foram coletados de julho a agosto/2004 através de questionário estruturado. Nos resultados verificou-se que 09 citaram a vei (more) a basílica como a mais indicada para a punção; 17 mencionaram a lavagem das mãos antes e após o manuseio e a lavagem do cateter antes e após as medicações como os cuidados mais importantes. Conclui-se que o manuseio deste dispositivo requer conhecimento e habilidade por parte dos profissionais. Abstract in spanish Los avances tecnológicos en la Neonatología han beneficiando los recién nacidos de alto riesgo, que necesitan de un acceso venoso seguro. Este trabajo tuvo por objetivo investigar la actuación del enfermero en el cuidado con el Cateter Central de Inserción Periférica (PICC) en la Unidad de Terapia Intensiva Neonatal en Fortaleza, CE. Los datos fueron recolectados de julio a agosto de 2004 a través de un cuestionario. En los resultados se verificó que 09 citaron la (more) vena basílica como de más indicada para la punción; 17 mencionaron de entre los cuidados, el lavado de las manos antes y después de lo manoseo y el lavado del cateter antes y después de las medicaciones como los más importantes. Se concluye que lo manoseo de este dispositivo requiere conocimiento y habilidad por parte de los profesionales. Abstract in english Technological advances in Neonatology have benefited the infant newborn who need a safe venous access. This study aimed at investigating the actions of the nurse regarding Peripherally Inserted Central Catheter (PICC) in the Neonatal Intensive Care Unit in Fortaleza, CE. The sample was composed by 17 nurses; the data were collected from July to August 2004 through a structured questionnaire. In the results, it was verified that 09 nurses reported the basilic vein as the m (more) ost indicated for puncture; 17 reported the washing the hands before and after handling the catheter and washing it before and after the drug administration as the most important care. It was concluded that handling this device requires knowledge and hability on the part of the professionals.

48

Broadband infrared fluorescence in Er3+-doped BaO-SiO2 glasses  

Er3+-doped SiO2 glasses with or without BaO were fabricated by containerless processing. Scanning electron microscope observations and the scan profiles of electron-probe microanalysis demonstrated that the Ba-silicate glass was homogeneous and no aggregation of Er3+ ions occurred. The infrared fluorescence at around 1.55mm from Er3+ in the Ba-silicate glass excited by a 980-nm laser was broader and its lifetime was longer than that of the silica glass, indicating the difference in the local structures around Er3+ ions between the Ba-silicate and silica glasses; this was supported by Raman scattering measurements. These results demonstrated that the Ba-silicate-glass system might be a new candidate for a host glass for Er3+-doped fiber amplifiers.

49

Changes in nitrate and nitrite concentrations over 24h for sweet basil and scallions  

Nitrate and nitrite concentrations were determined for sweet basil and scallions over 24h to determine if time of sampling or harvest impacts concentrations in raw vegetables. Also, nitrate and nitrite concentrations were determined separately for various edible parts of these plants. Basil had significant changes in nitrate and nitrite concentrations over a 24h period. Nitrate was correlated to changes in light intensity with a 3h lag time. The highest nitrate concentrations in basil (2777ppm) occurred around 3h after the light intensity peaked and had low values (165-574ppm) during the dark period. The scallion nitrate and nitrite concentrations were always low but nitrate showed a peak a few hours before sunrise. Nitrate and nitrite concentrations in some raw vegetables may be reduced b...

50

Energy input-output analysis and application of artificial neural networks for predicting greenhouse basil production  

In this study, various Artificial Neural Networks (ANNs) were developed to estimate the production yield of greenhouse basil in Iran. For this purpose, the data collected by random method from 26 greenhouses in the region during four periods of plant cultivation in 2009-2010. The total input energy and energy ratio for basil production were 14,308,998 MJ ha-1 and 0.02, respectively. The developed ANN was a multilayer perceptron (MLP) with seven neurons in the input layer, one, two and three hidden layer(s) of various numbers of neurons and one neuron (basil yield) in the output layer. The input energies were human labor, diesel fuel, chemical fertilizers, farm yard manure, chemicals, electricity and transportation. Results showed, the ANN model having 7-20-20-1 topology can predict the yie...

51

Changes in nitrate and nitrite concentrations over 24h for sweet basil and scallions.  

Nitrate and nitrite concentrations were determined for sweet basil and scallions over 24h to determine if time of sampling or harvest impacts concentrations in raw vegetables. Also, nitrate and nitrite concentrations were determined separately for various edible parts of these plants. Basil had significant changes in nitrate and nitrite concentrations over a 24h period. Nitrate was correlated to changes in light intensity with a 3h lag time. The highest nitrate concentrations in basil (2777ppm) occurred around 3h after the light intensity peaked and had low values (165-574ppm) during the dark period. The scallion nitrate and nitrite concentrations were always low but nitrate showed a peak a few hours before sunrise. Nitrate and nitrite concentrations in some raw vegetables may be reduced by harvesting at the best time of day for each type of plant. Nitrate concentrations were different in the edible plant parts tested. PMID:23122149

52

Antioxidant and Antimicrobial Properties of Selected Spice Extracts  

Tinctures of eleven plants used as spices (basil, celery, dill, horsetail, lovage, marjoram, milfoil, oregano, parsley, rosemary, and thyme) were tested for their antiradical properties by means of the DPPH (1,1-diphenyl-2-picrylhydrazyl) assay over a two year period. Seven of these plants (basil, lovage, marjoram, milfoil, oregano, rosemary and thyme) were selected to obtain a mixture, which was tested in situ as antioxidant on vegetable and animal fats by an accelerated oxidation test at 110°C. The herbal extract also showed antimicrobial activity against Staphylococcus aureus (ATCC 25923), Streptococcus pyogenes (ATCC 49399), Escherichia coli (ATCC 25922) and Candida albicans (ATCC 24433).

53

Stomatal density and metabolic determinants mediate salt stress adaptation and water use efficiency in basil (Ocimum basilicum L.)  

Increasing salinity tolerance and water-use efficiency in crop plants are two major challenges that agriculture must face in the next decades. Many physiological mechanisms and molecular components mediating crop response to environmental stresses have been identified. However, the functional inter-links between stress adaptation responses have not been completely understood. Using two basil cultivars (Napoletano and Genovese) with contrasting ability to respond to salt stress, here we demonstrate that reduced stomatal density, high ascorbate level and polyphenol oxidase (PPO) activity coordinately contribute to improve basil adaptation and water use efficiency (WUE) in saline environment. The constitutively reduced stomatal density was associated with a ''delayed'' accumulation of stress ...

54

Sterilization of ground spices by electron beams irradiation  

Each ground spice (Black Pepper, Turmeric, Ginger, Paprika and Basil), which was packaged into polyethylene film, was irradiated by electron beams at 5 different levels: 2, 4, 6, 8 and 10 kGy. Bacteriological tests for total bacterial count were carried out on spices before and after irradiation, but the tests for microfiora were carried out only before irradiation. Total bacterial count decreased in proportion to the level of electron beams. But the decreasing rate for Turmeric, Ginger and Basil was lower compared with that of other spices. The reason seems that rate of contamination by B. pumilus, which is thought as radiation resistant bacteria, was higher on these spices. (author)

55

A retrospective study on 69 cases of maxillary tooth transposition  

The published literature on tooth transposition includes only a few studies that have involved more than 50 subjects. The aim of the present study was to investigate the prevalence of true maxillary tooth transposition and possible associated dental anomalies in a larger sample of children. The dental records and radiographs of children who had been diagnosed as having true maxillary tooth transposition at a School Dental Clinic in Hong Kong were studied retrospectively. Data were analyzed for sex and side distribution, as well as for associated dental anomalies. Trends of differences were analyzed statistically using the Fisher exact or chi-squared test. A total of 69 cases of true maxillary tooth transposition were identified and studied; its prevalence in Hong Kong Chinese children was 0.81%. More females than males were affected, and the difference between the sexes was statistically significant (P < 0.05). The prevalence of congenitally missing teeth, microdontia of the maxillary lateral incisors or dental impaction was higher in patients with maxillary tooth transposition than in the general population (P < 0.05, P < 0.0005, and P < 0.0001, respectively). The fact that patients with maxillary tooth transposition were more likely to have congenital absence or microdontia of the maxillary lateral incisors lent further support to the contention that a developmental field defect plays a role in the pathogenesis of maxillary tooth transposition. (J Oral Sci 54, 197-203, 2012)   

56

The role of the gut hormone GLP-1 in the metabolic improvements caused by ileal transposition  

BackgroundBariatric surgery alters the gastrointestinal hormonal milieu leading to improved glucose homeostasis, though the mechanism leading to these changes is poorly understood. Ileal transposition (IT) is a procedure that is neither restrictive nor malabsorptive but nevertheless produces profound improvements in glucose regulation. Ileal transposition involves a short segment of distal ileum being transposed to the proximal jejunum in an isoperistaltic direction, thereby avoiding any gastric resection or intestinal bypass. MethodsDiet-induced obese rats underwent either ileal transposition (IT) or Sham procedures. The Sham operated rats were pair-fed to the IT surgical group to control for the effects of reduced food intake. Body composition data were recorded at specific time points, ...

57

Efficient transposition algorithms for large matrices  

The authors present transposition algorithms for matrices that do not fit in main memory. Transposition is interpreted as a permutation of the vector obtained by mapping a matrix to linear memory. Algorithms are derived from factorizations of this permutation, using a class of permutations related to the tensor product. Using this formulation of transposition, they first obtain several known algorithms and then they derive a new algorithm which reduces the number of disk accesses required. The new algorithm was compared to existing algorithms using an implementation on the Intel iPSC/860. This comparison shows the benefits of the new algorithm.

58

2006-2007 International Space Station Science: Looking Back and ...  

Jul 25, 2007 ... Three million basil seeds have been placed in containers that are located ... assess the type of radiation and other oxidative impacts during space flight. ... growth of the two plants and compare seeds germinated on Earth to those ... Molecular and Plant Physiological Analyses of the Microgravity Effects on ...

59

2006-2007 International Space Station Science: Looking ... - Nasa  

Jul 25, 2007 ... Three million basil seeds have been placed in containers that are located ... assess the type of radiation and other oxidative impacts during space flight. ... growth of the two plants and compare seeds germinated on Earth to those ... Molecular and Plant Physiological Analyses of the Microgravity Effects on ...

60

TECHNIQUES TO IMPROVE GROWTH, MORPHOGENESIS, AND SECONDARY METABOLISM RESPONSES FROM LAMIACEAE SPECIES IN VITRO  

Cultural procedures to improve growth (fresh weight) and morphogenesis (leaves, shoots, and roots) responses from mint family (Lamiaceae) species (e.g., basil, catnip, oregano, and spearmint) in vitro are presented. Novel plant tissue culture systems were employed to increase biomass and shooting. ...

 
 
 
 
61

An investigation of the storage and biosynthesis of phenylpropenes in sweet basil.  

Plants that contain high concentrations of the defense compounds of the phenylpropene class (eugenol, chavicol, and their derivatives) have been recognized since antiquity as important spices for human consumption (e.g. cloves) and have high economic value. Our understanding of the biosynthetic pathway that produces these compounds in the plant, however, has remained incomplete. Several lines of basil (Ocimum basilicum) produce volatile oils that contain essentially only one or two specific phenylpropene compounds. Like other members of the Lamiaceae, basil leaves possess on their surface two types of glandular trichomes, termed peltate and capitate glands. We demonstrate here that the volatile oil constituents eugenol and methylchavicol accumulate, respectively, in the peltate glands of basil lines SW (which produces essentially only eugenol) and EMX-1 (which produces essentially only methylchavicol). Assays for putative enzymes in the biosynthetic pathway leading to these phenylpropenes localized many of the corresponding enzyme activities almost exclusively to the peltate glands in leaves actively producing volatile oil. An analysis of an expressed sequence tag database from leaf peltate glands revealed that known genes for the phenylpropanoid pathway are expressed at very high levels in these structures, accounting for 13% of the total expressed sequence tags. An additional 14% of cDNAs encoded enzymes for the biosynthesis of S-adenosyl-methionine, an important substrate in the synthesis of many phenylpropenes. Thus, the peltate glands of basil appear to be highly specialized structures for the synthesis and storage of phenylpropenes, and serve as an excellent model system to study phenylpropene biosynthesis. PMID:11161012

62

An Investigation of the Storage and Biosynthesis of Phenylpropenes in Sweet Basil1  

Plants that contain high concentrations of the defense compounds of the phenylpropene class (eugenol, chavicol, and their derivatives) have been recognized since antiquity as important spices for human consumption (e.g. cloves) and have high economic value. Our understanding of the biosynthetic pathway that produces these compounds in the plant, however, has remained incomplete. Several lines of basil (Ocimum basilicum) produce volatile oils that contain essentially only one or two specific phenylpropene compounds. Like other members of the Lamiaceae, basil leaves possess on their surface two types of glandular trichomes, termed peltate and capitate glands. We demonstrate here that the volatile oil constituents eugenol and methylchavicol accumulate, respectively, in the peltate glands of basil lines SW (which produces essentially only eugenol) and EMX-1 (which produces essentially only methylchavicol). Assays for putative enzymes in the biosynthetic pathway leading to these phenylpropenes localized many of the corresponding enzyme activities almost exclusively to the peltate glands in leaves actively producing volatile oil. An analysis of an expressed sequence tag database from leaf peltate glands revealed that known genes for the phenylpropanoid pathway are expressed at very high levels in these structures, accounting for 13% of the total expressed sequence tags. An additional 14% of cDNAs encoded enzymes for the biosynthesis of S-adenosyl-methionine, an important substrate in the synthesis of many phenylpropenes. Thus, the peltate glands of basil appear to be highly specialized structures for the synthesis and storage of phenylpropenes, and serve as an excellent model system to study phenylpropene biosynthesis.

63

High pressure-temperature processing as an alternative for preserving basil  

In this study the effect of sterilisation by high pressure (HP) on the quality of basil was compared to conventional processing techniques. By means of freezing, or blanching followed by drying, microbial reduction of spores was maximal one-log. Pulsed HP-temperature treatment yielded a reduction of...

64

Kontrol og dynamik i pædagogiske processer : Et diskursanalytisk studie af kommunikation i en "usynlig" pædagogisk læringskontekst med daghøjskolen som eksempel  

Afhandlingen kombinerer kritisk diskursanalyse (Fairclough) med Basil Bernsteins uddannelsessociologi mhp. at belyse, hvordan læring hhv. fremmes og hæmmes i pædagogisk praksis. Empirisk vises det bl.a. med en tekstnær, lingvistisk analyse af en klasserumssamtale fra en daghøjskole. Afhandlingen diskuterer ligeledes magt- og kontrolformer i "usynlig pædagogik", der præger moderne pædagogiske praktikker med fokus på selvudvikling osv.

65

Identification and quantification of a major anti-oxidant and anti-inflammatory phenolic compound found in basil, lemon, thyme, mint, oregano, rosemary, sage, and thyme  

Basil, lemon thyme, mint, oregano, rosemary, sage, and thyme are in the mint family of plants that are used as culinary herbs world-wide. These herbs contain phenolic compounds that are believed to have strong antioxidant and anti-inflammatory activities. Therefore, the major phenolic compounds fr...

66

Role of Epidermal Growth Factor Receptor in Ovine Fetal Pulmonary Vascular Remodeling Following Exposure to High Altitude Long-Term Hypoxia  

Sheng, Lavonne, Weilin Zhou, Alison A. Hislop, Basil O. Ibe, Lawrence D. Longo, and J. Usha Raj. Role of epidermal growth factor receptor in ovine fetal pulmonary vascular remodeling following exposure to high altitude long-term hypoxia. High Alt. Med. Biol. 10:365–372, 2009.—High altitude long-term...

67

Ursolic Acid, a Pentacyclin Triterpene, Potentiates TRAIL-induced Apoptosis through p53-independent Up-regulation of Death Receptors: EVIDENCE FOR THE ROLE OF REACTIVE OXYGEN SPECIES AND JNK*  

Discovery of the molecular targets of traditional medicine and its chemical footprints can validate the use of such medicine. In the present report, we investigated the effect of ursolic acid (UA), a pentacyclic triterpenoid found in rosemary and holy basil, on apoptosis induced by TRAIL. We found t...

68

In Vitro Characterization and Mosquito (Aedes aegypti) Repellent Activity of Essential-Oils-Loaded Nanoemulsions  

The nanoemulsions composed of citronella oil, hairy basil oil, and vetiver oil with mean droplet sizes ranging from 150 to 220 nm were prepared and investigated both in vitro and in vivo. Larger emulsion droplets (195–220 nm) shifted toward a smaller size (150–160 nm) after high-pressure homogenizat...

69

Graafikakiri Krakowist / Anne Untera  

Krakowi graafikatriennaalist, mis tähistab tänavu 40. aastapäeva. 1991. aastast muutus graafikabiennaali rütm kolmeaastaseks - triennaaliks. Ühe kümnest võrdsest preemiast pälvis Evi Tihemets töödega "Pühendus (Leib)" ja "Pühendus (Pirnid)". Grand prix' - Ingrid Ledent. Virge Jõekalda, Marje Üksise, Ülle Marksi, Jüri Kassi, Davida Kiddi ja Basil Colin Franki töödest triennaalil. Torunis kutsutud osalejatega näitusel "Värv graafikas" osalevad Eestist Benjamin Vasserman ja Virge Jõekalda

70

Basil Willey, Sixty Years after (October 22, 2007) : Lines Composed after Visiting Basil Willey's Poetry and Life during a Virtual Tour of the Anglo Files Homepage, October 22, 2007  

Artiklen ser i anledning af 60-års jubilæet for grundlæggelsen af Engelsklærerforeningens organ, Anglo Files, tilbage på indholdet af første nummer fra december 1947, Cambridge professor Basil Willeys tale til Engelsklærerforeningen 22. oktober 1947, 'Poetry and Life', og sætter Willeys liv og tekst i historisk kontekst. Udgivelsesdato: februar

71

Unusual teeth transpositions: two case reports  

Tooth transposition is a rare dental anomaly that is characterized by the interchanged position of two adjacent permanent teeth in the same quadrant or ectopic eruption of one tooth in the place of another. This article presents two case reports of transpositions. In the first case, a 21-year-old man presented with a left maxillary canine to molar site transposition. Radiographs showed that the canine was transposed completely. In the second case, a 35-year-old man presented with a right mandibular second premolar that had erupted between the first and second molars. Radiographs showed that the second premolar was positioned between the first and second molars. Maxillary canine to first molar site transpositions are extremely rare. To date, just eight cases have been reported in the Englis...

72

Brief communication: Additional cases of maxillary canine-first premolar transposition in several prehistoric skeletal assemblages from the Santa Barbara Channel Islands of California  

This article identifies and discusses seven new cases of complete maxillary canine-premolar transposition in ancient populations from the Santa Barbara Channel region of California. A high frequency of this tooth transposition has been previously documented within a single prehistoric cemetery on one of the Channel Islands. A total of 966 crania representing 30 local sites and about 7,000 years of human occupation were examined, revealing an abnormally high prevalence of this transposition trait among islanders during the Early period of southern California prehistory (5500-600 B.C.). One of the affected crania is from a cemetery more than 7,000-years-old and constitutes the earliest case of tooth transposition in humans so far reported. The results are consistent with findings by other st...

73

Trois cas de hernie perineale recidivante traites par transposition du muscle semi-tendineux  

Three dogs are presented for recurrent perineal hernia. The three patients were surgically treated several weeks or months ago, by internal obturator muscle transposition combined for two of them with an abdominal approach (colopexie and vasopexy). The three patients were presenting a major ventral perineal defect associated in two cases with left and right lateral defects (total pelvic diaphragm rupture). The three dogs were treated by semi-tendinosus muscle transposition, associated in the two cases of total pelvic diaphragm rupture with transposition of one of both internal obturator muscles. The semi-tendinosus muscle transposition although described for perineal hernia treatment was rarely published. No major complications were noted during or after the surgery. Results were judged go...

74

An unprecedented oxidative Wagner-Meerwein transposition.  

An oxidative Wagner-Meerwein transposition involving different functionalities mediated by a hypervalent iodine reagent has been accomplished. The strategy fits within the concept of "aromatic ring umpolung" and allows rapid access to highly functionalized cores. PMID:19769388

75

Effect of irradiation and mutagenic chemicals on the generation of ADH2- and ADH4-constitutive mutants in yeast; The inductibility of Ty transposition by UV and ethyl methanesulfonate  

A strain defective in fermentation due to a deletion in the ADH1 gene was used to generate revertants which are constitutive mutants of the genes ADH2 and ADH4. By analyzing the DNA of the mutants we determined the frequency of Ty insertions into the promoter region of these genes. The authors found an increase in transposition after UV irradiation and treatment with ethyl methanesulfonate (EMS). Chemical inhibition of DNA synthesis and translation decreased the induced mutant yield and the transposition frequency, whereas inhibition of transcription had no effect. Differences in transposition frequencies between different strains and between the 2 loci lead to the conclusion that not only the transposable element itself but also the insertion sites determine the frequency of Ty transposition to a given locus. (author). 38 refs.; 5 figs.; 1 tab.

76

A dynamic anatomical study of ulnar nerve motion after anterior transposition for cubital tunnel syndrome.  

Cubital tunnel syndrome is the second most commonly encountered compression neuropathy of the upper limb. Multiple techniques for surgical management have been proposed but no universally accepted algorithm for management exists. Six cadaveric upper limbs underwent ulnar nerve decompression and anterior transposition into subcutaneous and then submuscular positions. After marking nerves with tungsten, radiological examination of nerve motion was performed and nerve angulations were measured in the region of the flexor carpi ulnaris (FCU) origin. Comparison of ulnar nerves in each position revealed statistically significant greater angulation after subcutaneous transposition than after submuscular transposition with the elbow held in full flexion. This point of angulation may act as a secondary point of compression or as a focus for neuritis and scar formation. This finding can contribute to the understanding of why differing outcomes may be observed after different forms of anterior transposition. PMID:12596275

77

Double outlet right ventricle  

... DORV always includes a ventricular septal defect (VSD). Pulmonary valve stenosis or transposition of the great arteries may ... of DORV, and the presence or absence of pulmonary valve stenosis, affect the severity of signs and symptoms ...

78

Study of Quommutators of Quantum Variables and Generalized Derivatives  

A general deformation of the Heisenberg algebra is introduced with two deformed operators instead of just one. This is generalised to many variables, and permits the simultaneous existence of coherent states, and the transposition of creation operators.

79

Weighted genomic distance can hardly impose a bound on the proportion of transpositions  

Genomic distance between two genomes, i.e., the smallest number of genome rearrangements required to transform one genome into the other, is often used as a measure of evolutionary closeness of the genomes in comparative genomics studies. However, in models that include rearrangements of significantly different "power" such as reversals (that are "weak" and most frequent rearrangements) and transpositions (that are more "powerful" but rare), the genomic distance typically corresponds to a transformation with a large proportion of transpositions, which is not biologically adequate. Weighted genomic distance is a traditional approach to bounding the proportion of transpositions by assigning them a relative weight {\\alpha} > 1. A number of previous studies addressed the problem of computing weighted genomic distance with {\\alpha} \\leq 2. Employing the model of multi-break rearrangements on circular genomes, that captures both reversals (modelled as 2-breaks) and transpositions (modelled as 3-breaks), we prove th...

80

Successful repair of transposition of the great arteries with right aortic arch and coarctation of the aorta.  

A one-month-old girl with a diagnosis of situs solitus, d-transposition of the great arteries, coarctation of the aorta, and right aortic arch underwent a successful rapid two-stage repair. The combined anatomy of coarctation and right aortic arch is relatively rare, and even rarer in combination with transposition of the great arteries. We report the first successful surgical intervention to correct these anomalies. PMID:16482932

 
 
 
 
81

Surgical Treatment of Transposition of the Great Arteries With Bilateral Intramural Coronary Arteries  

A 33-day-old neonate with transposition of the great arteries, ventricular septal defect, and intramural course of both coronary arteries underwent successful arterial switch repair. At a follow-up time of 36 months, left ventricular function and coronary arterial anatomy at angiography were normal. Optimal treatment of such rare coronary arterial abnormality may allow functional and anatomic results comparable to usual coronary arterial patterns in transposition of the great arteries.

82

Clinical Perspectives: 7-Year-Old Girl Has 6 Organs Removed and Retransplanted  

... jugular vein. The jugular vein really has good quality and size, very nice size match, makes a perfect size match for the portal vein. And I'm putting a little growth factor and tying the knot after the artery- the ...

83

Blood Clots That Kill: Preventing DVT | NIH MedlinePlus the Magazine  

... Javascript on. Feature: Deep Vein Thrombosis Blood Clots That Kill: Preventing DVT Past Issues / Spring 2011 Table ... vein thrombosis, or DVT, is a blood clot that forms in a vein deep in the body. ...

84

Venogram - leg  

Phlebogram - leg; Venography - leg ... into a vein in the foot of the leg being looked at, so that an intravenous (IV) ... vein. A tourniquet may be placed on your leg so the dye flows into the deeper veins. ...

85

Brief communication: Additional cases of maxillary canine-first premolar transposition in several prehistoric skeletal assemblages from the Santa Barbara Channel Islands of California.  

This article identifies and discusses seven new cases of complete maxillary canine-premolar transposition in ancient populations from the Santa Barbara Channel region of California. A high frequency of this tooth transposition has been previously documented within a single prehistoric cemetery on one of the Channel Islands. A total of 966 crania representing 30 local sites and about 7,000 years of human occupation were examined, revealing an abnormally high prevalence of this transposition trait among islanders during the Early period of southern California prehistory ( approximately 5500-600 B.C.). One of the affected crania is from a cemetery more than 7,000-years-old and constitutes the earliest case of tooth transposition in humans so far reported. The results are consistent with findings by other studies that have indicated inbreeding among the early Channel Islands groups. Together with the normal transposition rates among mainland populations, the decreasing prevalence of maxillary canine-first premolar transposition among island populations across the Holocene suggests that inbreeding on the northern Channel Islands had all but ceased by the end of the first millennium B.C., most likely as a result of increased cross-channel migration and interaction. PMID:20564519

86

Coil Protruding into the Common Femoral Vein Following Pelvic Venous Embolization  

Pelvic venous embolization is performed for pelvic congestion syndrome and prior to lower limb varicose vein surgery in females with associated pelvic venous insufficiency. The procedure is analogous to varicocele embolization in males, although refluxing internal iliac vein tributaries may also be embolized. We report a case of inadvertent coil placement in the common femoral vein while embolizing the obturator vein, during pelvic vein embolization for recurrent lower limb varicose veins. There were no clinical consequences and the coil was left in situ. We advise caution when embolizing internal iliac vein tributaries where there is clinically significant communication with veins of the lower limb.

87

Applied anatomic study of testicular veins in adult cadavers and in human fetuses  

Abstract in english OBJECTIVES: Analyze the anatomic variations of the testicular veins in human cadavers and fetuses. MATERIALS AND METHODS: One hundred male adult cadavers and 24 fetuses were studied. Four anatomic aspects were considered: 1) Number of testicular veins, 2) The local of vein termination, 3) Type and number of collaterals present and 4) Testicular vein termination angle. RESULTS: Cadavers - Right side - One testicular vein occurred in 85% and 2 veins in 5% of the cases. Ther (more) e were communicating veins with the colon in 21% of the cases. Left side - One testicular vein occurred in 82%, two veins in 15%, three veins in 2% and four veins in 1% of the cases. There were communicating veins with the colon in 31% of the cases. Fetuses - Right side -One testicular vein occurred in all cases. This vein drained to the vena cava in 83.3% of the cases, to the junction of the vena cava with the renal vein in 12.5% and to the renal vein in 4.2%. There were communicating veins with the colon in 25% of the cases. Left side - One testicular vein occurred in 66.6% of the cases, and 2 veins in occurred 33.3%. Communicating veins with the colon were found in 41.6% of the cases. CONCLUSION: The testicular vein presents numeric variations and also variations in its local of termination. In approximately 30% of the cases, there are collaterals that communicate the testicular vein with retroperitoneal veins. These anatomic findings can help understanding the origin of varicocele and its recurrence after surgical interventions.

88

Hand vein recognition based on orientation of LBP  

Vein recognition is becoming an effective method for personal recognition. Vein patterns lie under the skin surface of human body, and hence provide higher reliability than other biometric traits and hard to be damaged or faked. This paper proposes a novel vein feature representation method call orientation of local binary pattern (OLBP) which is an extension of local binary pattern (LBP). OLBP can represent the orientation information of the vein pixel which is an important characteristic of vein patterns. Moreover, the OLBP can also indicate on which side of the vein centerline the pixel locates. The OLBP feature maps are encoded by 4-bit binary values and an orientation distance is developed for efficient feature matching. Based on OLBP feature representation, we construct a hand vein recognition system employing multiple hand vein patterns include palm vein, dorsal vein, and three finger veins (index, middle, and ring finger). The experimental results on a large database demonstrate the effectiveness of the proposed approach.

89

Padrões ecocardiográficos do fluxo venoso pulmonar nas malformações cardíacas congênitas com hiperfluxo pulmonar/ Echocardiograph pulmonary venous flow patterns in congenital heart defects with increased pulmonary flow  

Abstract in portuguese OBJETIVOS: Descrever os padrões do fluxo venoso pulmonar com ecocardiograma transtorácico em crianças com diferentes malformações cardíacas congênitas com hiperfluxo pulmonar. MÉTODOS: Estudo prospectivo, de seleção consecutiva de crianças com malformações cardíacas congênitas com hiperfluxo pulmonar. Foi utilizado ecocardiograma Doppler transtorácico, plano apical, posicionando-se a amostra de volume na veia pulmonar inferior esquerda a 4 mm da sua junç? (more) ?o com o átrio esquerdo. Os dados analisados foram: predomínio sistólico ou diastólico do fluxo venoso pulmonar, bem como as características da onda de contração atrial, sendo denominada "A" quando ausente e "R" quando reversa. RESULTADOS: Foram incluídos 29 pacientes, com idade média de 29,9±58,9 meses, com as seguintes malformações congênitas: comunicações interatrial e interventricular, persistência do canal arterial, defeito septal atrioventricular, transposição completa das grandes artérias e truncus arteriosus. Em todos, o fluxo venoso pulmonar apresentou um padrão contínuo, de maior velocidade, com predomínio da onda sistólica em 9 (31%) pacientes, diastólica em 18 (62%), e com igual amplitude em 2 pacientes (7%). A onda de contração atrial foi R em 6 pacientes (21%) e A em 23 (79%) pacientes. CONCLUSÃO: Nas doenças cardíacas congênitas com hiperfluxo pulmonar o fluxo venoso pulmonar apresenta um padrão contínuo, de alta velocidade, com alterações, principalmente no padrão reverso da contração atrial. Abstract in english OBJECTIVES: To describe pulmonary venous flow patterns using transthoracic echocardiograms on children suffering from different congenital heart defects with increased pulmonary flow. METHODS: Prospective study and consecutive selection of children suffering from congenital heart defects with increased pulmonary flow. The transthoracic, apical view, Doppler echocardiogram was used, positioning the sample-volume at the lower pulmonary vein, 4mm from its junction with the l (more) eft atrium. The data analyzed included: dominant systolic or diastolic pulmonary venous flow and atrial contraction waveform characteristics, designated as "A" for absent and "R" for reversed. RESULTS: The study included twenty-nine patients with a mean age of 29.9 ± 58.9 months, suffering from the following congenital heart conditions: interatrial and interventricular communication defects, patent ductus arteriosus, atrioventricular septal defects, total transposition of the great arteries and truncus arteriosus. All the patients presented a continuous pattern of high velocity pulmonary venous flow. Nine patients presented a dominant systolic waveform (31%), eighteen presented a dominant diastolic wave form (62%) and 2 patients had systolic and diastolic wave forms of equal amplitude (7%). Six patients (21%) presented a R atrial contraction waveform and 23 (79%) presented an A atrial contraction waveform. CONCLUSION: Congenital heart diseases with increased pulmonary flow present a continuous pattern of high velocity pulmonary venous flow with alterations mainly in the atrial contraction reversal pattern.

90

Transposon tagging in diploid strawberry.  

Fragaria vesca was transformed with a transposon tagging construct harbouring amino terminally deleted maize transposase and EGFP (Ac element), NPTII, CaMV 35S promoter (P35S) driving transposase and mannopine synthase promoter (Pmas) driving EGFP (Ds element). Of 180 primary transgenics, 48 were potential launch pads, 72 were multiple insertions or chimaeras, and 60 exhibited somatic transposition. T? progeny of 32 putative launch pads were screened by multiplex PCR for transposition. Evidence of germ-line transposition occurred in 13 putative launch pads; however, the transposition frequency was too low in three for efficient recovery of transposants. The transposition frequency in the remaining launch pads ranged from 16% to 40%. After self-pollination of the T? launch pads, putative transposants in the T? generation were identified by multiplex PCR. Sequencing of hiTAIL-PCR products derived from nested primers within the Ds end sequences (either P35S at the left border or the inverted repeat at the right border) of T? plants revealed transposition of the Ds element to distant sites in the strawberry genome. From more than 2400 T? plants screened, 103 unique transposants have been identified, among which 17 were somatic transpositions observed in the T? generation. Ds insertion sites were dispersed among various gene elements [exons (15%), introns (23%), promoters (30%), 3' UTRs (17%) as well as intergenically (15%)]. Three-primer (one on either side of the Ds insertion and one within the Ds T-DNA) PCR could be used to identify homozygous T? transposon-tagged plants. The mutant collection has been catalogued in an on-line database. PMID:22845757

91

Transpositional activation of mPing in an asymmetric nuclear somatic cell hybrid of rice and Zizania latifolia was accompanied by massive element loss.  

We have reported previously that the most active miniature inverted terminal repeat transposable element (MITE) of rice, mPing, was transpositionally mobilized in several rice recombinant inbred lines (RILs) derived from an introgressive hybridization between rice and wild rice (Zizania latifolia Griseb.). To further study the phenomenon of hybridization-induced mPing activity, we undertook the present study to investigate the element's behavior in a highly asymmetric somatic nuclear hybrid (SH6) of rice and Z. latifolia, which is similar in genomic composition to that of the RILs, though probably contains more introgressed alien chromatins from the donor species than the RILs. We found that mPing, together with its transposase-donor, Pong, underwent rampant transpositional activation in the somatic hybrid (SH6). Because possible effects of protoplast isolation and cell culture can be ruled out, we attribute the transpositional activation of mPing and Pong in SH6 to the process of asymmetric somatic hybridization, namely, one-step introgression of multiple chromatin segments of the donor species Z. latifolia into the recipient rice genome. A salient feature of mPing transposition in the somatic hybrid is that the element's activation was accompanied by massive loss of its original copies, i.e., abortive transpositions, which was not observed in previously reported cases of mPing activity. These data not only corroborated our earlier finding that wide hybridization and introgression may trigger transpositional activation of otherwise quiescent transposable elements, but also suggest that transpositional mobilization of a MITE like mPing can be accompanied by dramatic reduction of its original copy numbers under certain conditions, thus provide novel insights into the dynamics of MITEs in the course of genome evolution. PMID:19711051

92

Laparoscopic Adrenalectomy  

... leading to the kidney; we call it the renal vein. So this is the left renal vein, going to the left kidney, and the ... vein right there coming down into the left renal vein. Our job is to dissect all the ...

93

[Varicocele as a symptom of renal venous hypertension].  

Regional trans-scrotal antegrade venotesticulophlebography was used to study elements of renocaval anastomosis in 154 males suffering from varicocele. In 153 patients varicocele was caused by renal vein obstruction and hypertension, in 1 patient it resulted from iliac vein aneurysm obstructive for pelvic veins. In cases of renal vein obstruction on the left all the venous blood runs from the kidney along the testicular vein to the pampiniform plexus flowing further to the system of the iliac veins. Ligation or endovascular embolization of the testicular vein aggravates renal venous hypertension, but varicocele collapsed. The authors suggest discussion on methods of varicocele treatment. PMID:9036604

94

Internal jugular vein valve morphology in the patients with chronic cerebrospinal venous insufficiency (CCSVI); angiographic findings and schematic demonstrations.  

Chronic cerebrospinal venous insufficiency (CCSVI) is a syndrome recently described in multiple sclerosis patients. It is characterized by abnormal venous hemodynamics resulting from numerous obstacles in the main veins draining the central nervous system, usually: the internal jugular veins and the azygous vein. Internal jugular vein is the most commonly vein affected. Most of the abnormalities in this vein are located at the level of jugular valve. The aim of this review is to give venographic and schematic descriptions of the most common valvular and perivalvular anomalies found in the lower part of internal jugular vein. PMID:22338622

95

A Case of Persistent Sciatic Artery Aneurysm Accompanied by a Persistent Sciatic Vein  

A persistent sciatic artery is a rare anomaly. On the other hand, a persistent sciatic vein is frequently associated with Klippel-Trenaunay syndrome. In a 71-year-old female with a complete-type persistent sciatic artery aneurysm, we performed aneurysmectomy and right femoropopliteal bypass surgery. The right popliteal vein drained into the femoral vein via a lower-type persistent sciatic vein and the deep femoral vein. The superficial femoral artery and vein were hypoplastic. Since only 4 cases of a coexisting persistent sciatic artery and vein have been reported, we report this extremely rare case.   

96

In vitro antimicrobial effects and mechanism of action of selected plant essential oil combinations against four food-related microorganisms  

The aim of this study was to evaluate the antimicrobial efficacy of selected plant essential oil (EO) combinations against four food-related microorganisms. Ten EOs were initially screened against Escherichia coli, Staphylococcus aureus, Bacillus subtilis and Saccharomyces cerevisiae using agar disk diffusion and broth dilution methods. The highest efficacy against all the tested strains was shown when testing the oregano EO. EOs of basil and bergamot were active against the Gram-positive bacteria (S. aureus and B. subtilis), while perilla EO strongly inhibited the growth of yeast (S. cerevisiae). The chemical components of selected EOs were also analyzed by GC/MS. Phenols and terpenes were the major antimicrobial compounds in oregano and basil EOs. The dominant active components of bergam...

97

Detecção de Aethalion reticulatum (L., 1767) (Hemiptera: Aethalionidae) em alfavaca-cravo (Ocimum gratissimum L.) e observações sobre sua ocorrência/ Detection of Aethalion reticulatum (L., 1767) (Hemiptera: Aethalionidae) in clove basil (Ocimum gratissimum L.) and observations of its occurrence  

Abstract in portuguese O objetivo deste trabalho foi relatar a ocorrência da cigarrinha Aethalionidae em alfavaca-cravo (Ocimum gratissimum L.) no município de Bandeirantes-PR. Plantas com cerca de dois anos, na fase reprodutiva, com inflorescências, flores, frutos e sementes, serviram como fonte para a coleta de ninfas e adultos das cigarrinhas. Registrou-se em alfavaca-cravo a espécie Aethalion reticulatum e a interação com as formigas Camponotus rufipes e C. crassus. Abstract in english The aim of this work was to report the occurrence of the leafhopper Aethalionidae in clove basil (Ocimum gratissimum) in Bandeirantes Municipality, Paraná State, Brazil. Plants around two years old, in the reproductive phase, presenting inflorescences, flowers, fruits and seeds, were used as source for collection of leafhopper nymphs and adults. In clove basil, the species Aethalion reticulatum was recorded, in addition to its interaction with the ants Camponotus rufipes and C. crassus.

98

Stomatal density and metabolic determinants mediate salt stress adaptation and water use efficiency in basil (Ocimum basilicum L.).  

Increasing salinity tolerance and water-use efficiency in crop plants are two major challenges that agriculture must face in the next decades. Many physiological mechanisms and molecular components mediating crop response to environmental stresses have been identified. However, the functional inter-links between stress adaptation responses have not been completely understood. Using two basil cultivars (Napoletano and Genovese) with contrasting ability to respond to salt stress, here we demonstrate that reduced stomatal density, high ascorbate level and polyphenol oxidase (PPO) activity coordinately contribute to improve basil adaptation and water use efficiency (WUE) in saline environment. The constitutively reduced stomatal density was associated with a "delayed" accumulation of stress molecules (and growth inhibiting signals) such as abscisic acid (ABA) and proline, in the more tolerant Genovese. Leaf volatile profiling also revealed cultivar-specific patterns, which may suggest a role for the volatile phenylpropanoid eugenol and monoterpenes in conferring stress tolerance via antioxidant and signalling functions. PMID:22840325

99

The effect of different irrigation water levels on yield and quality characteristics of purple basil (Ocimum basilicum L.)  

A field study on purple basil (Ocimum basilicum L.) was carried out to determine the effect of different irrigation water levels in 2007 and 2008 in the research field of Ege University, Faculty of Agriculture, in Turkey. Four irrigation treatments were determined as the irrigation water being needed to raise root zone soil water to field capacity (I100: 100%, at field capacity) and a percentage of water applied to I100 treatment (I50: 50%, I75: 75% and I125: 125% of field capacity). The effect of different irrigation water levels on purple basil's plant height, green herb yield, drug herb yield, and drug leaf yield, the irrigation water use efficiency, essential oil ratio, and composition of essential oil were evaluated. According to the results, the highest plant height (38.6cm), green h...

100

Acaricidal effect and chemical composition of essential oils extracted from Cuminum cyminum, Pimenta dioica and Ocimum basilicum against the cattle tick Rhipicephalus (Boophilus) microplus (Acari: Ixodidae)  

Acaricidal activity of essential oils extracted from cumin seeds (Cuminum cyminum), allspice berries (Pimenta dioica) and basil leaves (Ocimum basilicum) were tested on 10-day-old Rhipicephalus (Boophilus) microplus tick larvae using the LPT. Two-fold dilutions of the three essential oils were tested from a starting dilution of 20% down to 1.25%. Results showed a high toxicological effect for cumin, producing 100% mortality in all tested concentrations on R. microplus larvae. Similarly, allspice essential oil produced 100% mortality at all concentrations with the exception of a dramatic decrease at 1.25% concentration. Conversely, basil essential oil was not shown to be toxic against R. microplus larvae. The most common compounds detected by gas chromatography-mass spectrometry were as fol...

 
 
 
 
101

Aromatic plant production on metal contaminated soils  

Field and container experiments were conducted to assess the feasibility of growing aromatic crops in metal contaminated areas and the effect of metals on herbage and oil productivity. The field experiments were conducted in the vicinities of the Non-Ferrous Metals Combine (Zn?Cu smelter) near Plovdiv, Bulgaria using coriander, sage, dill, basil, hyssop, lemon balm, and chamomile grown at various distances from the smelter. Herbage essential oil yields of basil, chamomile, dill, and sage were reduced when they were grown closer to the smelter. Metal removal from the site with the harvestable plant parts was as high as 180?g ha?1 for Cd, 660?g ha?1 for Pb, 180?g ha?1 for Cu, 350?g ha?1 for Mn, and 205?g ha?1 for Zn. Sequential extraction of soil demonstrated that metal fractionation was aff...

102

Effet hypolip?miant des fractions m?thanolique et aqueuse du basilic chez la souris hyperlipid?mique  

R?sum? Le basilic, (Ocimum basilicum L.) est une plante condimentaire et m?dicinale largement utilis?e au Maroc oriental pour le traitement des hyperlipid?mies et la pr?vention de l?ath?roscl?rose. Ce travail est con?u pour ?tudier l?effet hypocholest?rol?miant et hypotriglyc?rid?miant des fractions m?thanolique (FM) et aqueuse (FA) du basilic chez la souris hyperlipid?mique. L?hyperlipid?mie est d?velopp?e chez la souris pendant quatre semaines par un r?gime riche en lipides, pr?par? ? base de cholest?rol, de lard et d?acide cholique. Les animaux sont ensuite divis?s en cinq groupes de six souris chacun. Un groupe servant de t?moin normolipid?mique, le deuxi?me repr?sente le groupe hyperlipid?mique, le troisi?me est trait? ? la FM (200 mg/kg par jour), le quatri?me est gav? ? la FA (200 m...

103

The involvement of low-molecular antioxidants in cross-adaptation of medicine plants to successive action of UV-B radiation and salinity  

Artemisia (Artemisia lercheana Web.), common basil (Ocimum basilicum L.), and black cumin (Nigella sativa L.) plants grown in water culture until the stage of 4?5 true leaves were subjected to 10-min UV-B irradiation, treated with 100 mM NaCl, or subjected to the successive action of both stressors. The contents of proline, anthocyanins, flavonoids, soluble phenols, and carotenois were measured. Superoxide dismutase activity was also assayed. Experimental plants could tolerate UV-B irradiation due to the accumulation of phenolic compounds (anthocyanins, soluble phenols, and flavonoids). Anthocyanins contributed mostly in the defnse effect; their content in black cumin and common basil increased 3?5-fold after irradiation. Dynamics of the anthocyanin content in tested plants of all treatmen...

104

Short path evaporation for methyl chavicol enrichment from basil essential oil  

In this work, the evaluation of methyl chavicol enrichment from basil essential oil was carried out using short path evaporation. The evaluation was performed by experimental design using response surface methodology. Evaporator temperature (from 28 to 112^oC), condenser temperature (from -8.4 to 8.4^oC), and feed flow rate (from 8.3 to 21.7ml/min) were the studied factors. The results showed that it is possible to increase methyl chavicol concentration up to 89.79% from basil essential oil using a short path evaporator. Process analysis showed that a quadratic model is adequate to describe methyl chavicol concentration using short path evaporation and that evaporator temperature was the unique statistically significant variable of the process. Maximum methyl chavicol concentration was obt...

105

Inhibitory effect of lemongrass oil and its major constituents on Candida biofilm and germ tube formation  

Adhesion to a variety of host cells and the surface of biomaterials is a critical step in successful colonization and infection by Candida spp. Several essential oils are known to possess antifungal properties and are potentially used as antifungal agents. By studying the efficacy of essential oils against different pathogenic fungi in the genus Candida, we have evaluated the in vitro antifungal effects of eight essential oils used in aromatherapy, namely holy basil (Ocimum sactum L), lemongrass (Cymbopogon citratus DC), citronella grass (Cymbopogon winterianus Jowitt), kaffir lime (Citrus hystrix DC), sweet basil (Ocimum basilicum Linn), Plai (Zingiber cassumunar Roxb), Curcuma (Curcuma longa Linn), and ginger (Zingiber officinale Rose), against Candida albicans and Candida krusei in both...

106

Long Time, Large Scale Limit of the Wigner Transform for a System of Linear Oscillators in One Dimension  

We consider the long time, large scale behavior of the Wigner transform W ? (t,x,k) of the wave function corresponding to a discrete wave equation on a 1-d integer lattice, with a weak multiplicative noise. This model has been introduced in Basile et al. in Phys. Rev. Lett. 96 (2006) to describe a system of interacting linear oscillators with a weak noise that conserves locally the kinetic energy and the momentum. The kinetic limit for the Wigner transform has been shown in Basile et al. in Arch. Rat. Mech. 195(1):171?203 (2009). In the present paper we prove that in the unpinned case there exists ? 0>0 such that for any ??(0,? 0] the weak limit of W ? (t/? 3/2? ,x/? ? ,k), as ??1, satisfies a one dimensional fractional heat equation Formula Not Shown with Formula Not Shown . In the pinned...

107

Genetic Analysis of Chemosensory Traits in Human Twins  

We explored genetic influences on the perception of taste and smell stimuli. Adult twins rated the chemosensory aspects of water, sucrose, sodium chloride, citric acid, ethanol, quinine hydrochloride, phenylthiocarbamide (PTC), potassium chloride, calcium chloride, cinnamon, androstenone, Galaxolide™, cilantro, and basil. For most traits, individual differences were stable over time and some traits were heritable (h2 from 0.41 to 0.71). Subjects were genotyped for 44 single nucleotide polymorphisms within and near genes related to taste and smell. The results of these association analyses confirmed previous genotype–phenotype results for PTC, quinine, and androstenone. New associations were detected for ratings of basil and a bitter taste receptor gene, TAS2R60, and between c...

108

Umbilical Transposition in Functional Panniculectomy of the Massive Weight Loss Patient: Is It Aesthetic or Medically Necessary?  

Background: We review the procedures used in panniculectomy and explore the necessity of umbilical transposition when adequately treating the medical and functional problems associated with panniculus in the massive weight loss patient. Methods: Thirty-five consecutive patients with symptomatic panniculus after massive weight loss undergoing panniculectomy during the time period from November 2008 to October 2010 at Denver Health Medical Center were retrospectively analyzed. Inclusion criteria consisted of insurance approval for the panniculectomy. All patients had persistent skin problems in the lower abdomen. Seven patients had additional skin problems in the skin around navel and/or mid-abdomen. Eleven patients complained of difficulty in performing activities of daily living. Nine patients had a concomitant ventral hernia repair. Results: An infraumbilical panniculectomy was adequate in treating the medical and functional symptoms of the abdominal region in 3 patients with no need for umbilical transposition. The remaining 32 patients required a different procedure instead of only an infraumbilical panniculectomy. Among these 32 patients, 3 patients underwent panniculectomy with sacrifice of the umbilicus. Umbilical transposition following abdominal undermining was needed in the remaining 29 patients undergoing panniculectomy. Conclusions: Functional umbilical transposition was required to avoid unnatural displacement of the navel while treating chronic skin problems in the lower abdomen, or additional persistent skin problems around the navel or in the mid-abdomen, and to access the supraumbilical region, particularly for large ventral hernia repair during panniculectomy. Therefore, umbilical transposition in these cases was not aesthetic in nature but an integral part of achieving a functional surgical treatment.

109

Coronary artery anatomy in complete transposition with situs solitus and dextrocardia.  

The coronary artery anatomy of complete transposition with situs solitus/levocardia (CTSSL) has been well elucidated in the current era of arterial switch operation. However, coronary artery for complete transposition with situs solitus/dextrocardia (CTSSD) has never been documented. Coronary anatomy of transposition and aortopulmonary rotation were identified by angiography or surgical intervention from 1988 to 2007 at our hospital. The degree of aortopulmonary rotation was defined by the aortic sinus pattern on lateral angiogram. Apicocaval ipsilaterality was defined as situs solitus/dextrocardia or situs inversus/levocardia. The coronary artery anatomy in 3 cases of CTSSD was analyzed and correlated with those patients having transposition with the same coronary pattern but without apicocaval ipsilaterality, i.e., 276 cases with CTSSL and 8 cases with complete transposition with situs inversus/dextrocardia (CTSID). Fisher's exact test was used to determine statistical significance. All three cases with CTSSD (with apicocaval ipsilaterality) had a single coronary artery piercing into the left-hand sinus with a right coronary artery in the posterior atrioventricular groove, whereas all 284 cases without apicocaval ipsilaterality (CTSSL or CTSID) had the left circumflex artery in the posterior atrioventricular groove. The aorta was significantly less left laterally rotated in CTSSD than the other 2 cases of CTSSL and 3 cases of CTSSD with a similar coronary pattern (p < 0.05). One may anticipate coronary artery anatomy in the posterior atrioventricular groove based on apicocaval ipsilaterality, which in turn decreases aortopulmonary rotation to predict the central coronary pattern. PMID:20217063

110

Classification of maxillary canine transpositions in Japanese children: A report of 10 cases  

The aim of the present study was to examine the prevalence rate and treatment outcome of maxillary canine transposition in Japanese children according to the conventional standard and our new additional consideration of the classification. From 140 cases with ectopic canines diagnosed in the Pediatric Dental Clinic of Niigata University Medical and Dental Hospital, we selected 10 transposition cases as the present subjects. Out of 10 cases, 4 were males and 6 females. Six were classified into type A: the mesio-distal positional interchange of the canine and the first premolar, 2 cases into type B: the mesio-distal transposition of the canine and the lateral incisor, and the other 2 cases into type C: the present new classification that showed the vertical transposition of the canine and the first premolar within the developmental bone. The prevalence rate of types A and B resembled the previous papers regarding the ratio of sex and bilateral occurrence. Although 3 cases in type A, one case in type B and one case in type C could finally be aligned in the normal tooth order, every one of the types A and B cases were aligned in the reverse order. For every one case in types A and C, the transposed canines were extracted. It is recommended that pediatric dentists take an orthopantomogram during early mixed dentition as a routine practice in order to detect anomalies of tooth eruption, such as tooth transposition, as early as possible.   

111

Balloon-Occluded Retrograde Transvenous Obliteration of Gastric Varix Draining via the Left Inferior Phrenic Vein into the Left Hepatic Vein  

We encountered a patient with gastric varix draining not via the usual left suprarenal vein but via the left inferior phrenic vein joining the left hepatic vein. Transfemoral balloon-occluded retrograde transvenous obliteration (BRTO) of the varix was performed under balloon occlusion of the left inferior phrenic vein via the left hepatic vein and retrograde injection of the sclerosing agent (5% of ethanolamine oleate) into the gastric varix. Disappearance of the gastric varix was confirmed on endoscopic examination 2 months later.

112

Essential oil composition from twelve varieties of basil (Ocimum spp) grown in Colombia  

Abstract in portuguese Foi analizada a composição do óleo esencial das partes aéreas de doze variedades de alfavaca (Ocimum spp). A análise foi feita por cromatografía gasosa-espectrometria de massas (CG-EM) e encontrou-se que dez das amostras foram caracterizadas pela presença de uma alta porcentagem de cinamato de metila (35-80%), o qual define o químiotipo destas variedades. Somente uma das variedades apresentou o químiotipo cariofileno e mais uma o químiotipo linalol. As variedade (more) s "crespa morada", "virgen pequeña", e "virgen morada" apresentam o subtipo cinamato > linalol. A "blanca compacta" e a "crespa blanca" têm o subtipo cinamato de metila > linalol > 1,8-cineol. A "castilla morada" têm o subtipo cinamato de metila > metil eugenol. O subtipo linalol > cinamato de metila foi apresentado pela "verde de folhas grandes". Cariofileno > metil eugenol foi o subtipo da alfavaca "clavo". Cinamato de metila (constituindo mais do 62% do total do óleo esencial) foi o químiotipo para as outras variedades: "canela", "querendona morada", "dulce de castilla" e "zancona morada". Abstract in english Essential oil compositions of aerial parts from twelve basil cultivars (Ocimum spp) were analysed by gas chromatography-mass spectrometry (GC-MS). Ten of them were characterized by the presence of a high percentage of methyl cinnamate (35-80%), which defined the chemotype for these varieties. Only one presented the caryophyllene chemotype and another, the linalool chemotype. Three of the basils, "purple ruffles", "little virgin" and "purple virgin" exhibited the methyl ci (more) nnamate > linalool subtype. "White compact" and "white ruffles" showed the methyl cinnamate > linalool > 1,8-cineole subtype. Methyl cinnamate > methyl eugenol was the subtype for "purple castle". The variety "large green leaves" exhibited the linalool > methyl cinnamate subtype. Caryophyllene > methyl eugenol subtype was determined for "clove basil". The rest of the basils "cinnamon", "purple lovingly", "sweet castle" and "purple long-legged", belonged to the methyl cinnamate chemotype in which methyl cinnamate constituted more than 62% of the total essential oil content.

113

Pickering NGS-B used fuel dry storage building foundation. Report No. 92-294-K  

At Pickering Nuclear Generating Station B, Stage 1 of a used fuel dry storage facility is being built. The results of a geotechnical investigation suggested that a very dense basil till encountered at a depth of 13-15 m was competent to carry the heavy column loads of the building. This report summarizes the findings of the field supervision and engineering evaluation of plate load test and inspection of the augured holes for caisson construction.

114

Raman lidar characterization of PBL structure during COPS  

The planetary boundary layer includes the portion of the atmosphere which is directly influenced by the presence of the Earth's surface. Aerosol particles trapped within the PBL can be used as tracers to study boundary-layer vertical structure and time variability. Aerosols can be dispersed out of the PBL during strong convection or temporary breaks of the capping temperature inversion. As a result of this, elastic backscatter signals collected by lidar systems can be used to determine the height and the internal structure of the PBL. Our analysis considers a method based on the first order derivative of the range-corrected elastic signal (RCS), which is a modified version of the method defined by Seibert et al. (2000) and Sicard et al. (2006). The analysis is focused on selected case studies collected by the Raman lidar system BASIL during the Convective and Orographically-induced Precipitation Study (COPS), held in Southern Germany and Eastern France in the period 01 June - 31 August 2007. Measurements were performed by the Raman lidar system BASIL, which was operational in Achern (Black Forest, Lat: 48.64 ° N, Long: 8.06 ° E, Elev.: 140 m). During COPS, BASIL collected more than 500 hours of measurements, distributed over 58 measurement days and 34 intensive observation periods (IOPs), covering both night-time and daytime and the transitions between the two. Therefore BASIL data during COPS represent a unique source of information for the study of the boundary layer structure and evolution. Potential temperature profiles obtained from the radiosonde data were used to get an additional estimate of the boundary layer height. Estimates of the PBL height and structure for specific case studies obtained from the lidar data and their comparison with estimates obtained from the radiosonde data will be illustrated and discussed at the Conference.

115

Effects on Humans Elicited by Inhaling the Fragrance of Essential Oils: Sensory Test, Multi-Channel Thermometric Study and Forehead Surface Potential Wave Measurement on Basil and Peppermint  

The effects on humans inhaling the fragrance of essential oils were examined in terms of a sensory test, a multi-channel skin thermometer study and a portable forehead surface electroencephalographic (IBVA-EEG) measurement. The essential oils examined in this study were those of basil and peppermint, because our previous sensory test had indicated an opposite effect of these essential oils when mental work was undertaken; the inhalation of basil produced a more favorable impression after work than before work, whereas peppermint produced an unfavorable impression under these circumstances. For subjects administered basil or peppermint before and after mental work using an inhalator, a series of multi-channel skin thermometer studies and IBVA-EEG measurements were conducted. Using such paired odorants, our results showed that when compared between before and after mental work assigned to subjects: (1) the inhalation of basil, in which a favorable impression was predominant on the whole in terms of the sensory evaluation spectrum, was shown to be associated upward tendency in finger-tip skin temperature; (2) whereas these situations were opposite in the case of peppermint, in which the reversed (unfavorable) feature in sensory profiling was accompanied by a decrease in the magnitude of beta waves and a decrease in the finger-tip skin temperature both based on Welch’s method, even at p < 0.01, implying a decreasing propensity of the aroused state and of the arousal response. The elucidation of such sensory and physiological endpoints of paired odorants would be of primary importance for human chemoreception science, because these are only rarely recorded during the same experiments, and this paradigm is highly informative about non-verbal responses to odorants.   

116

[Surgery for deep venous reflux in the lower limb].  

Surgery for deep venous reflux (DVR) in the lower limb had displayed, for various reasons a much more limited development than arterial surgery including endovascular techniques. Importance and frequency of DVR in chronic venous disease and particularly in chronic venous insufficiency (CVI) has been fully identified only in the last 20 Years, thanks to the development of duplex-scanning. Despite its effectiveness, deep reconstructive surgery remains controversial which probably explains why this specific surgery is performed by few units worldwide. Furthermore as deep reconstructive surgery is usually combined with superficial and perforator surgery, assessment of its specific benefit is difficult. In patients with severe CVI, venous valvular reflux involves deep vein as an isolated abnormality in less than 10%, but is associated with superficial reflux or/and perforator incompetence in 46%. The most common etiology in DVR is post-thrombotic syndrome accounting for an estimated 60-85% of patients with CVI. Primary reflux is the result of structural abnormalities in the vein wall and the valve itself. A very rare cause of reflux is the absence of valves secondary to agenesis. Surgical techniques for treating DVR can be classified into two groups: those that do and those that do not involve phlebotomy. The first group includes internal valvuloplasty, transposition, transplantation, neo valve and cryopreserved allograft. The second group involves wrapping, Psathakis II procedure, external valvuloplasty (transmural and transcommissural) angioscopy assisted or not, external valve construction and percutaneous placed devices. There are some clinical features that enable distinguishing superficial venous insufficiency from deep venous insufficiency but they are not reliable enough as both are frequently combined. In addition primary reflux is difficult to identify from secondary deep reflux. INVESTIGATIONS: Duplex scanning provides both hemodynamic and anatomic information. Photoplethysmography as air plethysmography can help when superficial and deep venous reflux are combined to identify the predominant pathological component. It would seem logical to go beyond these investigations only in those patients in whom surgery for DVR may be considered. That means that the decision to continue investigations is dominated by the clinical context and absence of contraindication (uncorrectable coagulation disorder, ineffective calf pump). When surgery is considered, complementary investigations must be carried out: ambulatory venous pressure measurement and venography including ascending and descending phlebography. The goal of DVR surgery is to correct the reflux related to deep venous insufficiency at the subinguinal. But it must be kept in mind that DVR is frequently combined with superficial and perforator reflux, consequently all these mechanisms have to be corrected in order to reduce the permanent increased venous pressure. As mentioned previously, surgery results for DVR are somewhat difficult to assess as superficial venous surgery and/or perforator surgery have often been performed in combination with DVR surgery. Valvuloplasty is the most frequent procedure used for primary deep reflux. On the whole, valvuloplasty is credited with achieving a good result in 70% of cases in terms of clinical outcome defined as a freedom of ulcer recurrence and the reduction of pain, valve competence and hemodynamic improvement over a follow-up period of more than 5 years. In all series, a good correlation was observed between these three criteria. External transmural valvuloplasty does not seem to be as reliable as internal valvuloplasty in providing long-term valve competence or ulcer free-survival. In PTS, long-term results are available for transposition and transplantation. In terms of clinical result and valve competence, a meta-analysis demonstrates that a good result is achieved in 50% of cases over a follow-up period of more than 5 years, with a poor correlation between clinical and hemodynamic outcome. Results with others techniques including Psathakis II technique, neovalve and cryopreserved valves are less satisfactory. DVR surgery indications for reflux rely on clinical severity, hemodynamics and imaging: most of the authors recommend surgery in patients severe disease graded C4 and C 5-6. When superficial and perforator reflux are associated, they must be treated, for some Authors as a first step, for others shortly before DVR surgery in the same hospitalization stay. Contraindications as previously stipulated have to be kept in mind. Hemodynamics and imaging criteria: only reflux graded 3-4 according to Kistner are usually treated with DVR surgery. It is generally recognized that, to be significantly abnormal, venous refill time must be less than 12 s, and the difference between pressure at rest and after standardized exercise in the standing position must be less than 40%. The decision to operate should be based on the clinical status of the patient, not the non-invasive data, since the patient's symptoms and signs may not correlate with the laboratory findings. Indications according to etiology: the indications for surgery can be simplified according to the clinical, hemodynamic and imaging criteria described above. In primary reflux, reconstructive surgery is recommended after failure of conservative treatment and in young and active patients reluctant to wear permanent compression. Valvuloplasty is the most suitable technique, with Kistner, Perrin and Sottiurai favoring internal valvuloplasty and Raju transcommissural external valvuloplasty. In PTS, obstruction may be associated with reflux; most of the authors agree that when significant obstruction is localized above the inguinal ligament, obstruction must be treated first. Secondary deep venous reflux, mainly post-thrombotic syndrome may be treated only after failure of conservative treatment as the results achieved by subfascial endoscopic perforator surgery associated or not with superficial venous surgery are not convincing. It is recommended that this procedure might be carried out in combination with deep reconstructive surgery. The techniques to be used, given that valvuloplasty is rarely feasible, in order of recommendation, are: transposition, transplantation, neovalve and cryopreserved allograft. Patients must be informed that in PTS surgery for reflux has a relatively high failure rate. CONCLUSION: as large randomized control trials comparing conservative treatment and DVR surgery for DVR shall or should be difficult to conduct we must rely on the outcome of present series treated by DVR surgery. Analysis of those series provides recommendation grade C. Better results are obtained in the treatment of primary reflux compared with secondary reflux. Such surgery is not however, often indicated, and the procedure must be performed on specialized and high-trained centers. PMID:15229402

117

Optimizing edible fungal growth and biodegradation of inedible crop residues using various cropping methods.  

Long-term manned space flights to Mars require the development of an advanced life support (ALS) ecosystem including efficient food crop production, processing and recycling waste products thereof. Using edible white rot fungi (EWRF) to achieve effective biomass transformation in ALS requires optimal and rapid biodegradative activity on lignocellulosic wastes. We investigated the mycelial growth of Lentinula edodes and Pleurotus ostreatus on processed residues of various crops under various cropping patterns. In single cropping, mycelial growth and fruiting in all strains were significantly repressed on sweet potato and basil. However, growth of the strains was improved when sweet potato and basil residues were paired with rice or wheat straw. Oyster mushroom (Pleurotus) strains were better than shiitake (L. edodes) strains under single, paired, and mixed cropping patterns. Mixed cropping further eliminated the inherent inhibitory effect of sweet potato, basil, or lettuce on fungal growth. Co-cropping fungal species had a synergistic effect on rate of fungal growth, substrate colonization, and fruiting. Use of efficient cropping methods may enhance fungal growth, fruiting, biodegradation of crop residues, and efficiency of biomass recycling. PMID:18155518

118

Efficacy of plant essential oils against foodborne pathogens and spoilage bacteria associated with ready-to-eat vegetables: antimicrobial and sensory screening.  

The objectives of this study were to evaluate the antimicrobial activity of plant essential oils (EOs) against foodborne pathogens and key spoilage bacteria pertinent to ready-to-eat vegetables and to screen the selected EOs for sensory acceptability. The EOs basil, caraway, fennel, lemon balm, marjoram, nutmeg, oregano, parsley, rosemary, sage, and thyme were evaluated. The bacteria evaluated were Listeria spp., Staphylococcus aureus, Lactobacillus spp., Bacillus cereus, Salmonella, Enterobacter spp., Escherichia coli, and Pseudomonas spp. Quantitative antimicrobial analyses were performed using an absorbance-based microplate assay. Efficacy was compared using MIC, the half maximum inhibitory concentration, and the increase in lag phase. Generally, gram-positive bacteria were more sensitive to EOs than were gram-negative bacteria, and Listeria monocytogenes strains were among the most sensitive. Of the spoilage organisms, Pseudomonas spp. were the most resistant. Oregano and thyme EOs had the highest activity against all the tested bacteria. Marjoram and basil EOs had selectively high activity against B. cereus, Enterobacter aerogenes, E. coli, and Salmonella, and lemon balm and sage EOs had adequate activity against L. monocytogenes and S. aureus. Within bacterial species, EO efficacy was dependent on strain and in some cases the origin of the strain. On a carrot model product, basil, lemon balm, marjoram, oregano, and thyme EOs were deemed organoleptically acceptable, but only oregano and marjoram EOs were deemed acceptable for lettuce. Selected EOs may be useful as natural and safe additives for promoting the safety and quality of ready-to-eat vegetables. PMID:18810868

119

Distinctive characteristics of the splenic vein in the dog. Its morphological and pharmacological discontinuities with the portal vein and splenic capsule.  

Vascular characteristics of the splenic vein are entirely different from the portal vein in the dog. We compared the responsiveness of the splenic capsule, which contains abundant smooth muscle with the portal and splenic veins. With respect to potentiation of acetylcholine-induced contraction by neostigmine, the relaxation response to isoproterenol and the contractile response to 5-hydroxytryptamine, the splenic capsule differed from the splenic vein, but was rather similar to the portal vein. A site of morphological and pharmacological discontinuity between the portal vein and the splenic vein occurred at the junction of the splenic vein and the left gastric vein to form the gastrosplenic vein. This junction may coincide with the site of connection of the embryonic splenic vein, a newly formed efferent vein of the spleen, with the portal vein, which was reported by Miki [cf. Bevan et al.: 4th Int. Symp. on Vascular Neuroeffector Mechanisms; Raven Press, New York 1983]. On the splenic side, histological examination revealed that smooth muscle of the splenic capsule and trabeculae are interconnected, but did not extend to the splenic vein. At openings of the trabecular veins into the 'intrasplenic' portion of the splenic vein the trabecular smooth muscle continued to the extended capsule. The site of change in pharmacological responses was also found to be located between the trabeculae and the intrasplenic portion of the splenic vein. Thus the splenic vein can be regarded as a distinct segment of vessel inserted between the portal vein and the spleen. This may reflect differences in embryogenesis of their smooth muscle. PMID:3203139

120

The preservation of ovarian function in young women undergoing pelvic radiation therapy  

Because cervical carcinoma rarely metastasizes to the ovaries, it became logical to preserve ovarian function by the method of lateral ovarian transposition as part of the management of young women with this disease. This technique prevents castration should subsequent radiation therapy be planned or become necessary. Forty patients with carcinoma of the cervix or vagina underwent unilateral or bilateral ovarian transposition. Eighteen patients received radiation therapy. Of these, 16 had gonadotropin measurements and only 6 (37%) had levels elevated to the postmenopausal range. If patients whose ovaries were not shielded or who received paraaortic radiotherapy are excluded, then only two (17%) had elevated gonadotropin values. It is concluded that, if properly performed, lateral ovarian transposition and ovarian shielding will protect ovarian function in patients receiving pelvic radiotherapy.

 
 
 
 
121

Analysis of re-integrated Ac element positions in the genome of Populus provides a basis for Ac/Ds-transposon activation tagging in trees  

With a view to establish an efficient gene tagging system for forest tree species, we assessed the transposition behaviour of the maize transposable element Ac in poplar. In earlier work, we showed that new integration sites were often located within predicted or known coding sequences. However, somatic transposition behaviour of Ac with regard to conserved chromosome specificity or, more specifically, whether Ac transposition is restricted to the chromosome on which the primary insertion locus (donor) is located or whether it is able to pass chromosomal boundaries, remained unclear. To answer these questions, we took advantage of the publicly available Populus trichocarpa genome sequence (Phytozome v5.0; External Reference Not Shown ) and three 35S::Ac-rolC transgenic hybrid aspen lines t...

122

Study of the transcriptional and transpositional activities of the Tirant Retrotransposon in Drosophila melanogaster strains mutant for the flamenco locus  

Transpositions of the gypsy retrotransposon in the Drosophila melanogaster genome are controlled by the flamenco locus, which is represented as an accumulation of defective copies of transposable elements. In the present work, genetic control by the flamenco locus of the transcriptional and transpositional activities of the Tirant retrotransposon from the gypsy group was studied. Tissue-specific expression of Tirant was detected in the tissues of ovaries in a strain mutant for the flamenco locus. Tirant was found to be transpositionally active in isogenic D. melanogaster strains mutant for the flamenco locus. The sites of two new insertions have been localized by the method of subtractive hybridization. It has been concluded from the results obtained that the flamenco locus is involved in ...

123

Characterization of an Ac transposon system based on apt1-m1 (Ac) on the long arm of maize chromosome 9  

Activator/Dissociation (Ac/Ds) transposable elements have been used in maize insertional mutagenesis as a complement to Mutator (Mu). In this study, to further improve the efficiency of the Ac/Ds mutagenesis system, we adopted apt1-m1 (Ac) on the long arm of chromosome 9 (9L) as a donor Ac to create an Ac insertion library. This system is based on the negative selection pressure against the donor Ac, and it was highly efficient for isolating new transposition events. We obtained 9,625 transposition events from 1083 F1 ears with an average transposition rate of 8.66 % (rates ranged from 1.11 to 29.73 %). We also adopted a modified PCR-based genome walking strategy to improve the efficiency of the new method for isolating transposon-flanking sequences. This method is more efficient than th...

124

Characterization of transcriptional activation and inserted-into-gene preference of various transposable elements in the Brassica species  

Transposable elements (TEs) have attracted increasing attention because of their tremendous contributions to genome reorganization and gene variation through dramatic proliferation and excision via transposition. However, less known are the transcriptional activation of various TEs and the characteristics of TE insertion into genomes at the genome-wide level. In the present study, we focused on TE genes for transposition and gene disruption by insertion of TEs in expression sequences of Brassica, to investigate the transcriptional activation of TEs, the biased insertion of TEs into genes, and their salient characteristics. Long terminal repeat (LTR-retrotransposon) accounted for the majority of these active TE genes (70.8%), suggesting that transposition activation varied with TE type. 6.1...

125

Application of Platysma-Based Transpositional Flap for Through-and-Through Facial Defect When the Facial Artery Circulation Is Blocked or Compromised  

PurposeA novel use of site-limited platysma-based transpositional flap is demonstrated and discussed for the reconstruction of facial defects. Materials and MethodsBetween January 1985 and January 2001, 342 patients were operated on for advanced oral–oropharyngeal and orofacial cancers. In 6 cases, a platysma-based transpositional flap was used for external closure of facial through-and-through defects. Internally, the saved oral mucosa was used in 4 patients and fasciocutaneous forearm free flaps in 2 patients. The facial artery was blocked in all cases. ResultsThe postoperative course was uneventful except in 1 case, when partial loss of the flap was observed intraorally. The externally used transpositional platysma-based flap showed cosmetic and functional advantages: its consist...

126

Gene Expression Programming a New Adaptive Algorithm for Solving Problems  

Gene expression programming, a genome/phenome genetic algorithm (linear and non-linear), is presented here for the first time as a new technique for creation of computer programs. Gene expression programming uses character linear chromosomes composed of genes structurally organised in a head and a tail. The chromosomes function as a genome and are subjected to modification by means of mutation, transposition, root transposition, gene transposition, gene recombination, 1-point and 2-point recombination. The chromosomes encode expression trees which are the object of selection. The creation of these separate entities (genome and expression tree) with distinct functions allows the algorithm to perform with high efficiency: in the symbolic regression, sequence induction and block stacking problems it surpasses genetic programming in more than two orders of magnitude, whereas in the density-classification problem it surpasses genetic programming in more than four orders of magnitude. The suite of problems chosen t...

127

Diagnosis of an Accessory Portal Vein and Its Clinical Implications for Portosystemic Shunts  

Purpose: To present a peculiar anatomic portal veins variant and evaluate its clinical implications. Methods: Among 118 consecutive patients undergoing transjugular intrahepatic portosystemic shunting (TIPS), six male patients were found to have an accessory portal vein, which was seen during direct portography. Results: In all six patients, portograms showed an accessory small-caliber vein parallel to the trunk of the main portal vein ending in the right lobe of the liver. Two of the six accessory portal veins drained blood from coronary veins, precluding access to coronary vein embolization during TIPS. Conclusion: An accessory portal vein is a rare anatomical variation with clinical significance for both surgical shunt placement and TIPS, as well as for transportal embolization of coronary veins.

128

Angiographic demonstration of an aberrant abdominal umbilical artery in a patient with penoscrotal transposition and caudal regression.  

Penoscrotal transposition (PST) is a rare congenital anomaly characterized by caudal location of the penis with respect to the scrotum. PST may be seen in isolation or associated with caudal regression syndrome. We present a case of an infant born with penoscrotal transposition, bladder agenesis, a solitary dysplastic kidney, and caudal regression. The patient developed anuria and was referred for angiography for preoperative planning for renal transplantation and genital reconstruction. Angiography demonstrated an aberrant abdominal umbilical artery, an anomaly classically associated with sirenomelia but also has been described in caudal regression. PMID:18795221

129

Angiographic demonstration of an aberrant abdominal umbilical artery in a patient with penoscrotal transposition and caudal regression  

Penoscrotal transposition (PST) is a rare congenital anomaly characterized by caudal location of the penis with respect to the scrotum. PST may be seen in isolation or associated with caudal regression syndrome. We present a case of an infant born with penoscrotal transposition, bladder agenesis, a solitary dysplastic kidney, and caudal regression. The patient developed anuria and was referred for angiography for preoperative planning for renal transplantation and genital reconstruction. Angiography demonstrated an aberrant abdominal umbilical artery, an anomaly classically associated with sirenomelia but also has been described in caudal regression.

130

Unusual orthodontic approach to a maxillary canine-premolar transposition and a missing lateral incisor with long-term follow-up  

In this case report, we present an unusual approach that was used to treat a 14-year-old patient with a bilateral canine-premolar transposition and a missing maxillary lateral incisor. The orthodontic treatment involved maintaining the transposition and creating a space for lateral incisor replacement. Toward the end of the treatment, accentuated buccal root torque was performed, and lateral group function was established to improve the treatment outcome. Finally, an ideal esthetic and functional occlusion was achieved. The 8-year posttreatment follow-up records show the stability of this treatment.

131

Transpositions and malpositions of the great arteries  

The transposition of the great arteries afters to an abnormal connection and relation of the great arteries in which the aorta arises from the morphologic right ventricle and the pulmonary artery from the morphologic left ventricle, while the malposition of the great arteries indicates an abnormal relationship between the great arteries in which the great arteries are not transposed across the ventricular septum but they are malposed, as is seen in double outlet right ventricle, double outlet left ventricle and single ventricles. Transpositions and malpositions of the great arteries are understood as a spectrum of malformation caused by abnormal conal development and can be included in the common category of 'conotruncal malpositions'. Authors analized 32 cases of transpositions and malpositions of the great arteries in which cineangiocardiographies were done at the Department of Radiology, Seoul National University Hospital in recent 17 months, with specific references to the segmental combinations, the types of conus and the relations and courses of the great arteries. The results are as follows; 1. Cases included are 8 cases of complete transposition of the great arteries, 9 cases of corrected transposition of the great arteries, 12 cases of double outlet right ventricle, 1 case of anatomically corrected malposition of the great arteries, 1 cases of double inlet left ventricle and 1 case of double inlet right ventricle. 2. Types of conus are subaortic in 19 and bilateral in 13. In 19 cases with subaortic conus, 17 are transposition of the great arteries and 2 are double inlet left ventricle and double inlet right ventricle. In 13 cases with bilateral conus, 12 are double outlet right ventricle and 1 is anatomically corrected malposition of the great arteries. 3.High tendency of side-by-side interrelationship of semilunar valves is noted in cases with corrected transposition of the great arteries. But there is no characteristic tendency of side-by-side ro anterior-posterior semilunar interrelationship in cases with complete transposition of the great arteries and double outlet right ventricle. 4. There are two cases of exception to 'loop rule' 5. There are two cases of exception to 'visceroatrial concordance rule'. 6. Inappropriate position of aortic arch, i. e., right arch in situs solitus and left arch in situs inversus, is noted in 4 cases. 7. For more accurate diagnosis, selective biventriculography using biplane cineradiography is necessary.

132

Isolated Atrioventricular Discordance: Surgical Experience  

Background Isolated ventricular inversion (atrioventricular discordance with ventriculoarterial concordance) is an extremely rare presentation of cyanotic congenital heart disease. The mode of presentation is akin to D-transposition of great arteries as systemic venous drainage and systemic arterial output connect to the same side of the cardiac septae, and pulmonary venous drainage and pulmonary arterial outflow to the opposite. Systemic oxygenation relies on intracardiac or extracardiac modes of mixing, as does survival, similar to transposition of the great arteries. Published literature is scant, mainly because of the rarity of this cardiac anomaly. We review our surgical experience with this lesion. Methods Five children with isolated ventricular inversion presented to us between the ...

133

Reconstruction of the Irradiated Extended Abdominoperineal Excision (APE) Defect for Locally Advanced Colorectal Cancer  

Purpose There is substantial evidence for neoadjuvant chemoradiotherapy and extended abdominoperineal excision (APE) for improving local recurrence rates and overall survival for rectal carcinoma. While oncologic outcomes are improved, the large irradiated defect in the pelvic floor can potentiate poor operative outcomes. We describe a reconstructive option, the inferior gluteal artery myocutaneous (IGAM) transposition flap, which can enable wide tumour resections by providing substantial non-irradiated tissue bulk. Methods Ten consecutive patients underwent either standard APE with direct primary closure or extended APE with IGAM transposition flap reconstruction between 2007 and 2009 for mStage I?IIIC disease. Patients underwent staging computed tomography and pelvic magnetic resonance i...

134

Synthesis of Asperuloside Aglucon Silyl Ether and Garjasmine from (+)-Genipin via Gardenoside Aglucon Bis(silyl ether) as a Common Intermediate  

Syntheses of C6-functionalized iridoids represented by asperuloside aglucon silyl ether (4) and garjasmine were accomplished from (+)-genipin by utilizing the gardenoside aglucon bis(silyl ether) (3) as a common intermediate. During the transformation of 3 into 4, the acid-catalyzed transposition reaction of the tertiary hydroxyl group was found to proceed from more hindered concave side to give C6-hydroxylated compound having the same stereochemistry as that of C6 in 4. This observed hydroxyl group transposition reaction was interesting since such migration of hydroxyl group in the proposed biosynthetic pathway of gardenoside from geniposide proceeded to the opposite direction.   

135

Energy efficiency in intensive livestock Estonia. Final report  

Estonia joined the European Union in May 2004. As part of the planning, Estonia has prepared the transposition of a large number of EU directives into Estonian legislation. The present project will contribute to the transposition process. The main outputs from the project are: 1) Proposals for energy saving measures in large pig-, cattle- and poultry farming, 2) Pre-feasibility studies on production and use of biogas for electricity in pigs- and poultry farming, 3) Implementation and an in-touch-with-realities testing of the IPPC (Integrated Pollution Prevention and Control) application and permit schemes for intensive livestock farming. (BA)

136

Repeat Operation for Treatment of Persistent Pudendal Nerve Entrapment After Pudendal Neurolysis  

Study ObjectivesTo describe a new approach to transgluteal pudendal neurolysis and transposition and to review the outcome in 10 patients who underwent repeat operation because of persistent pudendal neuralgia after failing to improve after initial surgical decompression. DesignRetrospective analysis (Canadian Task Force classification II-3). SettingAcademic chronic pelvic pain practice at St. Joseph’s Hospital and Medical Center in Phoenix, Arizona. PatientsWomen and men with persistent pudendal neuralgia after undergoing transgluteal pudendal neurolysis and transposition. InterventionTransgluteal decompression of the pudendal nerve was performed in all 10 patients. In brief, a transgluteal incision was made, and the pudendal nerve was identified via a nerve integrity monitoring sy...

137

Gas in Europe at the eve of a second directive; Le gaz en europe a la veille d'une deuxieme directive  

This was the topic of one of the three workshops of this 7. summit of the natural gas industry leaders organized by the French institute of petroleum (IFP). This summit was concomitant to the debate that took place at the Senate about the project of law for the transposition of the second European gas directive. This article makes a status of this workshop, it recalls the context of the world gas market, the European energy policy (transposition of the first directive, discussion of the second directive), and presents the position of the different European countries and of the main suppliers of the European Union (Algeria, Norway). (J.S.)

138

Expected number of inversions after a sequence of random adjacent transpositions  

In the evolution of a genome, the gene sequence is sometimes rearranged, for example by transposition of two adjacent gene blocks. In biocombinatorics, one tries to reconstruct these rearrangement incidents from the resulting permutation. It seems that the algorithms used are too effective and find a shorter path than the real one. For the simplified case of adjacent transpositions, we give expressions for the expected number of inversions after t random moves. This average can be much smaller than t, a fact that has largely been neglected so far.

139

Mobilization of a retrotransposon in 5-azacytidine-treated fungus Fusarium oxysporum  

It is well known that DNA methylation is involved in the control of transposable elements in eukaryotic cells. Recent studies indicate that demethylation of DNA in a mutant of Chlamydomonas and Arabidopsis causes transcriptional activation and mobilization of transposons. In this report, transposition of a retrotransposon was investigated in the phytopathogenic fungus Fusarium oxysporum treated with 5-azacytidine (5azaC), a reagent that causes reduction in the DNA methylation level. The results showed elevated transposition frequency in 5azaC-treated isolates when they were incubated for a long time. However, increase of retrotransposon transcripts was not observed, suggesting that the retrotransposon was mobilized by a mechanism other than its transcriptional activation.   

140

Sorting of Permutations by Cost-Constrained Transpositions  

We address the problem of finding the minimum decomposition of a permutation in terms of transpositions with non-uniform cost. For arbitrary non-negative cost functions, we describe polynomial-time, constant-approximation decomposition algorithms. For metric-path costs, we describe exact polynomial-time decomposition algorithms. Our algorithms represent a combination of Viterbi-type algorithms and graph-search techniques for minimizing the cost of individual transpositions, and dynamic programing algorithms for finding minimum cost cycle decompositions. The presented algorithms have applications in information theory, bioinformatics, and algebra.

 
 
 
 
141

The effects of heat induction and the siRNA biogenesis pathway on the transgenerational transposition of ONSEN, a copia-like retrotransposon in Arabidopsis thaliana  

Environmental stress influences genetic and epigenetic regulation in plant genomes. We previously reported that heat stress activated a copia-like retrotransposon named ONSEN. To investigate the heat sensitivity and transgenerational activation of ONSEN, we analyzed the stress response by temperature shift and multiple heat stress treatments. ONSEN was activated at 37degreeC, and the newly inserted ONSEN was transcriptionally active and mobile to the next generation subjected to heat stress, indicating that the regulation of ONSEN is independent of positional effects on the chromosome. Reciprocal crosses with activated ONSEN revealed that the transgenerational transposition was inherited from both sexes, indicating that the transposition is suppressed independently of gametophytic regulati...

142

Ulnar neuropathy following distal humerus fracture fixation.  

Ulnar nerve dysfunction is a well-recognized phenomenon following distal humerus fractures. Its fixed anatomic position predisposes the nerve to injury. Injury can occur at the time of injury, during closed-fracture manipulation, intraoperatively during fracture fixation (when it is routinely identified), or during fracture healing. Intraoperative management varies widely and can include in situ decompression or anterior transposition. This article reviews the literature and presents 24 patient cases. A 38% incidence of late ulnar neuropathy following open reduction and internal fixation is identified. There is no statistical difference between an in situ release and all anterior transpositions, except for submuscular. PMID:23026466

143

Isotopic exchange during tectonic veining: example from Absaroka sheet in Wyoming overthrust belt  

Multiple stages of tectonic veining are preserved in the Mississippian Madison Group within the Absaroka thrust sheet. Three groups of veins have been defined on the basis of structural relationships and stable isotopic character. Group I veins consist of mineralized stylolite and joint surfaces which are oriented normal to both bedding and tectonic transport. Group II veins are filled fractures oriented normal to bedding and parallel to transport. Group III veins occur only in thin bedded limestones of the lower Madison Group and are mineralized bedding-parallel slip surfaces. Calcite twinning strains from each group indicate that, with rare exceptions, all veins formed pretectonically or syntectonically.

144

Venous variants and anomalies on routine abdominal multi-detector row CT  

Objective: This study aims to determine the types and prevalence rates of anatomic variations of the hepatic veins, portal vein, inferior vena cava and renal veins, and to establish statistical correlations between various anomalies and frequency differences between male and female using multi-detector row computed tomography (CT). Materials and methods: One thousand one hundred and twenty patients (588 men, 532 women) were evaluated with routine abdominal CT. Frequencies of different variants were noted and compared, and correlations between three categories of variation were tested. Results: In total, 1261 abdominal vein variants and anomalies were identified in 756 (67.5%) of 1120 patients. Six hundred and forty-two hepatic vein variants were detected in 468 (41.8%) patients. One or more inferior right hepatic veins were identified in 356 (31.8%) individuals, and tributary hepatic veins were detected in 147 (13.1%) patients. Portal vein variations and anomalies were observed in 307 (27.4%) cases. The most frequent of these was trifurcation (139 patients, 12.4%). A total of 311 inferior vena cava and renal vein variants were identified in 258 (23%) cases. Six patients (0.5%) exhibited inferior vena cava anomalies, 62 (5.5%) had circumaortic renal veins, 53 (4.7%) had retroaortic renal veins, and 210 (18.8%) had multiple renal veins. Conclusion: The prevalence of abdominal vein variations is high, and routine abdominal CT demonstrates these abnormalities very well. The data suggest that hepatic vein variants and multiple right renal veins are more frequent in women than in men, and that hepatic vein variation is correlated with portal vein variation.

145

Oversized vein grafts develop advanced atherosclerosis in hypercholesterolemic minipigs  

ABSTRACT: BACKGROUND: Accelerated atherosclerosis is the main cause of late aortocoronary vein graft failure. We aimed to develop a large animal model for the study of pathogenesis and treatment of vein graft atherosclerosis. METHODS: An autologous reversed jugular vein graft was inserted end-to-end into the transected common carotid artery of ten hypercholesteroemic minipigs. The vein grafts were investigated 12-14 weeks later with ultrasound and angiograpy in vivo and microscopy post mortem. RESULTS: One minipig died during follow up (patent vein graft at autopsy), and one vein graft thrombosed early. In the remaining eight patent vein grafts, the mean (standard deviation) intima-media thickness was 712 mum (276 mum) versus 204 mum (74 mum) in the contralateral control internal jugular veins (P diameter of artery). No plaques were found in four non-oversized vein grafts (P <.05). CONCLUSIONS: Our model of jugular vein graft in the common carotid artery of hypercholesterolemic minipigs displayed the components of human vein graft disease, i.e. thrombosis, intimal hyperplasia, and atherosclerosis. Advanced atherosclerosis, the main cause of late failure of human aortocoronary vein grafts was only seen in oversized grafts. This finding suggests that oversized vein grafts may have detrimental effects on patient outcome.

146

Pelvic Vein Embolisation in the Management of Varicose Veins  

Pelvic vein incompetence is common in patients with atypical varicose veins, contributing to their recurrence after surgery. Therefore, refluxing pelvic veins should be identified and treated. We present our experience with pelvic vein embolisation in patients presenting with varicose veins. Patients presenting with varicose veins with a duplex-proven contribution from perivulval veins undergo transvaginal duplex sonography (TVUS) to identify refluxing pelvic veins. Those with positive scans undergo embolisation before surgical treatment of their lower limb varicose veins. A total of 218 women (mean age of 46.3 years) were treated. Parity was documented in the first 60 patients, of whom 47 (78.3%) were multiparous, 11 (18.3%) had had one previous pregnancy, and 2 (3.3%) were nulliparous. The left ovarian vein was embolised in 78%, the right internal iliac in 64.7%, the left internal iliac in 56.4%, and the right ovarian vein in 42.2% of patients. At follow-up TVUS, mild reflux only was seen in 16, marked persistent reflux in 6, and new reflux in 3 patients. These 9 women underwent successful repeat embolisation. Two patients experienced pulmonary embolisation of the coils, of whom 1 was asymptomatic and 1 was successfully retrieved; 1 patient had a misplaced coil protruding into the common femoral vein; and 1 patient had perineal thrombophlebitis. The results of our study showed that pelvic venous embolisation by way of a transjugular approach is a safe and effective technique in the treatment of pelvic vein reflux.

147

Polymetallic and gold-silver mineralizations in and around the Akenobe ore deposits, south west Japan. Hyogoken Akenobe kosho oyobi sono shuhen chiiki ni okeru takinzoku koka sayo to kingin koka sayo  

Based on a result of both survey and ore analysis conducted for polymetallic ore vein (divided into Cu-Zn ore vein and Sn-W ore vein) and gold-silver ore vein both of which exist in and around the Akenobe ore deposits, explanation was made generally as follows: South of polymetallic ore vein area of which the center is the Akenobe ore deposits, there extends a gold-silver ore vein area. Between both those above areas, there lies a transitional zone where appers an ore vein which is also intermediate between both of them in properties of ore mineral's combination. As silver minerals, pearceite and copper-containing argentite are found the most abundant in each of all the Sn-W ore vein , gold-silver ore vein and trasitional zone's ore vein is intermediate in chemical composition between that produced in then polymetallic orevein and gold-silver ore vein suggest that both those veins were formed at an almost common stress field. It is highly possible that the polymetallic ore vein and gold-silver ore migh be formed by a series of mineralizations in the present district. 38 refs., 7 figs., 9 tabs.

148

White blood cell count - series (image)  

... puncture site is cleaned with antiseptic, and a tourniquet (an elastic band) or blood pressure cuff is ... through the vein. This causes veins below the tourniquet to distend (fill with blood). A needle is ...

149

7 CFR 29.2267 - Fiber.  

...INSPECTION Standards Official Standard Grades for Virginia Fire-Cured Tobacco (u.s. Type 21) § 29.2267 Fiber. The term applied to the veins in a tobacco leaf. The large central vein is called the midrib or stem. The smaller...

150

Varicose Veins  

... anesthetic. The entire procedure is performed under a local anesthetic, which is administered around the vein. Patient ... also performed in the office and under a local anesthetic. Small segments of the dilated veins are ...

151

Sores  

... history of blood clots in the legs • Being age 60 or older Normal Vein Abnormal Vein Arterial ... heal. Drink lots of fluids. Take all prescribed medicines. If you have pressure ulcers, make sure to ...

152

Varicose Veins  

... painful and unattractive. Vein doctors use non-invasive ultrasound imaging to find the source of the varicose ... vein will also need to be corrected. With ultrasound imaging, doctors may recommend treatment to correct the ...

153

Surgical Ventricular Reconstruction  

... bypass with vein. We mark the vein in blue so we maintain the proper orientation. That's the ... a standard therapy of beta blockers, statins and baby aspirin. It's very important. And some of these ...

154

Severe bleeding from esophageal varices resistant to endoscopic treatment in a non cirrhotic patient with portal hypertension  

A non cirrhotic patient with esophageal varices and portal vein thrombosis had recurrent variceal bleeding unsuccessfully controlled by endoscopy and esophageal transection. Emergency transhepatic portography confirmed the thrombosed right branch of the portal vein, while the left branch appeared an...

155

Getting New Islet Cells  

... into the main vein (portal vein) of the liver. Using a special x-ray machine (fluoroscopy) and dye, doctors will inject the solution containing the islet tissue. Then they will remove the tube and take ...

156

Vasculitis Syndromes of the Central and Peripheral Nervous Systems  

... blood vessels, which includes the veins, arteries, and capillaries. Depending on the type, vasculitis can affect blood ... may be involved—arteries, arterioles, veins, venules, or capillaries. What are the symptoms? Avasculitis syndrome may begin ...

157

Varicose Veins  

... varicose vein treatment options. Anatomy The heart pumps oxygen-rich blood into a large artery known as ... to the rest of the body. Once the oxygen has been delivered, veins carry the blood back ...

158

Petrography and Shock Metamorphism of the Tissint Olivine-Phyric Shergottite  

The Tissint olivine-phyric shergottite was heavily shocked, as indicated by maskelynite and shock-induced melt pockets and veins. Olivine grains in contact with the melt veins commonly show dissociation texture and has a Raman peak at ~666 cm-1.

159

Effects of alpha and beta adrenergic blockade on hepatic glucose balance before and after oral glucose. Role of insulin and glucagon.  

In conscious dogs, phentolamine infusion significantly increased fasting portal vein insulin, glucagon, and decreased net hepatic glucose output and plasma glucose. Propranolol significantly decreased portal vein insulin, portal flow, and increased hepatic glucose production and plasma glucose. Phen...

160

Medical Issues to Be Considered in Advance Care Planning  

... a vein. Often, the catheter is permanently or semi-permanently placed in a major vein. When is ... Medicare certified hospice, where she provided medical oversight, direct patient care and administrative program support. © 2005. American ...

 
 
 
 
161

Clinical Perspectives: 7-Year-Old Girl Has 6 Organs Removed and Retransplanted  

... severely (inaudible) by the tumor. There was almost no normal pancreas. We couldn’t save the pancreas. ... the liver needs the portal vein. But there's no portal vein because all the organs are removed. ...

162

Advances in Pancreatic Cancer Care  

... tail labeled PT, the left kidney, the left renal vein, and the left splenic vein. Not only ... be post-processed to show projections - vascular anatomy related to the relevant surgical anatomy. Here is an ...

163

Prolonged chemotherapy impairs liver regeneration after portal vein occlusion – an audit of 26 patients  

Abstract Aim The aim of the present retrospective study was to investigate the influence of neoadjuvant chemotherapy on liver regeneration after portal vein occlusion before major hepatectomy. Method Between 2003 and 2007, 26 patients underwent portal vein occlusion, ...

164

Varicose Veins  

... causes increased pressure in the veins, and over time can cause them to swell and become bulging, varicose veins. The increased pressure can lead to significant symptoms such as: swelling of the ...

165

A Case Simultaneously Presenting with a Rare Portal Collateral Pathway and Left Gastric Venous Anomaly  

We had the opportunity to dissect an autopsy case who had developed a rare portal collateral pathway due to increased portal pressure resulting from liver cirrhosis and simultaneous abnormal left gastric venous distribution. The portal collateral pathway consisted of a well-developed communicating branch located between the left renal vein and the left gastric vein. The left gastric vein did not merge into the portal vein, but directly entered the liver after bifurcating near the hepatic hilum. One branch had an anastomosis to the left branch of portal vein in the liver and the other distributed in the hepatic quadrate lobe. We considered this aberrant left gastric vein to be a congenital residue of the embryological left portal vein. The present case is the third Japanese case to have been described minutely in the literature, following the two cases reported by Miyaki et al. (1987). Persistence of the umbilical vein and the absence of the celiac trunk were also observed.   

166

Lie algebras and 3-transpositions  

We describe a construction of an algebra over the field of order 2 starting from a conjugacy class of 3-transpositions in a group. In particular, we determine which simple Lie algebras arise by this construction. Among other things, this construction yields a natural embedding of the sporadic simple group $\\Fi{22}$ in the group $^2E_6(2)$.

167

Intellectual function and age of repair in cyanotic congenital heart disease.  

Eighty one children, comprising 51 with tetralogy of Fallot and 30 children with transposition of the great arteries (TGA) were assessed using the Wechsler intelligence scale for children--revised, and a battery of neuropsychological measures. They were compared with a group of 33 children who had s...

168

What makes transposable elements move in the Drosophila genome?  

Transposable elements (TEs), by their capacity of moving and inducing mutations in the genome, are considered important drivers of species evolution. The successful invasions of TEs in genomes, despite their mutational properties, are an apparent paradox. TEs' transposition is usually strongly regulated to low value, but in some cases these elements can also show high transposition rates, which has been associated sometimes to changes in environmental conditions. It is evident that factors susceptible to induce transpositions in natural populations contribute to TE perpetuation. Different factors were proposed as causative agents of TE mobilization in a wide range of organisms: biotic and abiotic stresses, inter- and intraspecific crosses and populational factors. However, there is no clear evidence of the factors capable of inducing TE mobilization in Drosophila, and data on laboratory stocks show contradictory results. The aim of this review is to have an update critical revision about mechanisms promoting transposition of TEs in Drosophila, and to provide to the readers a global vision of the dynamics of these genomic elements in the Drosophila genome. PMID:21971178

169

An analysis using the hobo genetic system reveals that combinatorial signaling by the Dpp and Wg pathways regulates dpp expression in leading edge cells of the dorsal ectoderm in Drosophila melanogaster.  

Our laboratory has contributed to the development of a genetic system based upon the hobo transposable element in Drosophila melanogaster. We recently reported that hobo, like the better-known P element, is capable of local transposition. In that study, we mobilized a hobo enhancer trap vector and g...

170

The Saccharomyces cerevisiae DNA recombination and repair functions of the RAD52 epistasis group inhibit Ty1 transposition.  

RNA transcribed from the Saccharomyces cerevisiae retrotransposon Ty1 accumulates to a high level in mitotically growing haploid cells, yet transposition occurs at very low frequencies. The product of reverse transcription is a linear double-stranded DNA molecule that reenters the genome by either Ty1-integrase-mediated insertion or homologous recombination with one of the preexisting genomic Ty1 (or delta) elements. Here we examine the role of the cellular homologous recombination functions on Ty1 transposition. We find that transposition is elevated in cells mutated for genes in the RAD52 recombinational repair pathway, such as RAD50, RAD51, RAD52, RAD54, or RAD57, or in the DNA ligase I gene CDC9, but is not elevated in cells mutated in the DNA repair functions encoded by the RAD1, RAD2, or MSH2 genes. The increase in Ty1 transposition observed when genes in the RAD52 recombinational pathway are mutated is not associated with a significant increase in Ty1 RNA or proteins. However, unincorporated Ty1 cDNA levels are markedly elevated. These results suggest that members of the RAD52 recombinational repair pathway inhibit Ty1 post-translationally by influencing the fate of Ty1 cDNA. PMID:10655210

171

Toxic Waste Disposal in Escherichia coli  

About 10% of the nalidixic acid-resistant (Nalr) mutants in a transposition-induced library exhibited a growth factor requirement as the result of cysH, icdA, metE, or purB mutation. Resistance in all of these mutants required a functional AcrAB-TolC efflux pump, but the EmrAB-TolC pump played no ob...

172

Dacron conduit with a stented porcine xenograft valve in the anatomic correction of transposition of the great arteries and subpulmonary stenosis.  

A stented porcine xenograft valve, sutured into a woven Dacron tubular graft, has been used in the anatomic correction of D-loop, D-transposition of the great arteries, and subpulmonary stenosis. The main advantage of this technique is its simplicity and practicality, as both Dacron tubular grafts a...

173

Electric power. An ``a minima`` law project; Electricite. Un projet de loi ``a minima``  

A law project for the transposition of the European electric power directive to the French law has been recently voted by the French national assembly. According to some actors of this sector this project seems to be too minimalist and would lead to legal problems with respect to competition regulations and would be prejudicial to Electricite de France (EdF) company. (J.S.)

174

The insE open reading frame of IS1 is not required for formation of cointegrates.  

The role of the insE open reading frame in transposition of IS1 was reexamined by using an insE nonsense mutation that does not alter the amino acid sequence of InsA inhibitor or InsAB transposase. The mutant was active in all strains tested, showing that insE is not essential for formation of coint...

175

A Novel Conduit-Lengthening Technique to Facilitate the Arterial Switch Operation in an Infant with a Problematic Combination of Coronary Anomolies  

We report the technical aspects of the arterial switch operation as we performed it in a 5-month-old infant who had situs inversus, dextrocardia, transposition of the great arteries, and inverted origin of the circumflex and right coronary arteries. The successful performance of this procedure requi...

176

Neonatal Arterial Switch Operation for Transposition of the Great Arteries in a Patient with Mirror Image Dextrocardia and Situs Inversus Totalis  

The neonatal arterial switch operation has become the standard therapy for D-transposition of the great arteries in the absence of left ventricular outflow tract obstruction. We describe our experience of successful arterial switch operation after balloon atrial septostomy in a 5-day-old infant girl...

177

Atrial tachycardia originating from the atrial septum in a patient with dextrocardia and complex structural heart disease.  

We report a case with dextrocardia, corrected transposition of the great arteries. He also had an atrial septum defect (ASD) with patch repair. Activation map showed a centrifugal activation from a focal origin on the systemic lower left atrial ASD patch. Ablation of the origin can terminate the atrial tachycardia. (PACE 2012; 35:e306-e308). PMID:22734926

178

Acute amiodarone-induced pulmonary toxicity: an association of risk factors in a child operated by arterial switch operation.  

Amiodarone is an antiarrhythmic benzoflurane drug with an imposing adverse effect profile. Amiodarone pulmonary toxicity is the major complication. It is well described in adults, whereas it is extremely rare in pediatric patients. This is a case of a child with supraventricular tachycardia post repair of transposition of the great vessels who developed amiodarone toxicity. PMID:18837818

179

Cascade Approach to Stereoselective Polycyclic Ether Formation: Epoxides as Trapping Agents in the Transposition of Allylic Alcohols.  

Complexity from simplicity: Polycyclic ethers are synthesized by cascade reactions involving the use of epoxides as electrophilic traps in the transposition of allylic alcohols. Stereogenic centers are created by functionalizing prochiral sites under thermodynamic control, and remote stereoinduction can be achieved through the use of ketones as conduits. PMID:23172717

180

International Congress on Transposable Elements (ICTE) 2012 in Saint Malo and the sea of TE stories.  

ABSTRACT: An international conference on Transposable Elements (TEs) was held 21--24 April 2012 in Saint Malo, France. Organized by the French Transposition Community (GDR Elements Genetiques Mobiles et Genomes, CNRS) and the French Society of Genetics, the conference's goal was to bring together researchers from around the world who study transposition in diverse organisms using multiple experimental approaches. The meeting drew more than 217 attendees and most contributed through poster presentations (117), invited talks and short talks selected from poster abstracts (48 in total). The talks were organized into four scientific sessions, focused on: impact of TEs on genomes, control of transposition, evolution of TEs and mechanisms of transposition. Here, we present highlights from the talks given during the platform sessions. The conference was sponsored by Alliance pour les sciences de la vie et de la sante (Aviesan), Centre national de la recherche scientifique (CNRS), Institut national de la sante et de la recherche medicale (INSERM), Institut de recherche pour le developpement (IRD), Institut national de la recherche agronomique (INRA), Universite de Perpignan, Universite de Rennes 1, Region Bretagne and Mobile DNA. Chair of the organization committee Jean-Marc Deragon Organizers Abdelkader Ainouche, Mireille Betermier, Mick Chandler, Richard Cordaux, Gael Cristofari, Jean-Marc Deragon, Pascale Lesage, Didier Mazel, Olivier Panaud, Hadi Quesneville, Chantal Vaury, Cristina Vieira and Clementine Vitte. PMID:23110759

 
 
 
 
181

DNA rearrangements and antigenic variation in Trypanosoma equiperdum: expression-independent DNA rearrangements in the basic copy of a variant surface glycoprotein gene.  

Antigenic variation in Trypanosoma equiperdum is associated with the sequential expression of variant surface glycoprotein (VSG) genes in a process which involves gene duplication and transposition events. In this paper we present evidence that the genomic environment of the VSG-1 basic copy gene, t...

182

The transposition pattern of the Ac element in tobacco cultured cells  

We investigated physical distances and directions of transposition of the maize transposable element Ac in tobacco cultured cells. We introduced a T-DNA construct that carried a non-autonomous derivative of Ac (designated dAc-I-RS) that included sites for cleavage by restriction endonuclease MluI. Another cleavage site was also introduced into the T-DNA region outside of the dAc-I-RS transposable element. The tobacco cultured cell line BY-2 was transformed with the T-DNA and several transformed lines that had a single copy of the T-DNA at a different chromosomal location were isolated. These lines were co-cultured with Agrobacterium tumefaciens cells that carried a cDNA for the Ac transposase gene under the control of various promoters. Sublines of cultured cells in which dAc-I-RS had been transposed, were isolated. The genomic DNAs of these sublines were isolated and digested with MluI. Sizes of DNA segments generated by digestion were determined by pulse-field gel electrophoresis. Our results showed that 20 to 70% of transposition events had occurred within several hundreds kilo-base pairs (kb) on the same chromosome. These results demonstrate that the Ac-Ds element preferentially transposed to regions near the original site in a tobacco chromosome. In addition, the present results are an example of asymmetric transposition as demonstrated by the distance of transposition on the chromosome.   

183

Radiation protection in odontology: French regulation and new European standards; La radioprotection en odontologie: reglementation francaise et nouvelles normes europeennes  

This a point on the regulatory evolutions in the field of radiation protection in the daily practice of odontology, consecutive to the transposition in French law of European directives. This work proposes practical cards to manage installation in radiodiagnosis in order to protect professional personnel and patients. (N.C.)

184

New regulation of electromagnetic compatibility: its influence on suppliers and users; Nuevos reglamento de compatibilidad electromagnetica: su incidencia entre laos distribuidores y usuarios  

A general introduction of new law 444/1994 of electromagnetic compatibility, transposition of directive 89/336/CEE is described. The influence on electric industry is analyzed. Special attention is paid of harmonics, fluctuations, flicker, power desequilibrium, interruption and variation frequency. The influence on users is presented as well.

185

A novel mobile element inserted in the alpha spectrin gene: spectrin dayton. A truncated alpha spectrin associated with hereditary elliptocytosis.  

Nonviral retrotransposons, retropseudogenes, and short interspersed nuclear elements (SINEs) are mobile DNA segments capable of transposition to new genomic locations, where they may alter gene expression. De novo integration into specific genes has been described in both germ and somatic cells. We ...

186

Transposition of the retrotransposon MAGGY in heterologous species of filamentous fungi.  

MAGGY is a gypsy-like LTR retrotransposon isolated from the blast fungus Pyricularia grisea (teleomorph, Magnaporthe grisea). We examined transposition of MAGGY in three P. grisea isolates (wheat, finger millet, and crabgrass pathogen), which did not originally possess a MAGGY element, and in two he...

187

New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy  

Common peroneal nerve palsy has been reported to be the most frequent lower extremity palsy characterized by a supinated equinovarus foot deformity and foot drop. Dynamic tendon transposition represents the gold standard for surgical restoration of dorsiflexion of a permanently paralyzed foot. Betwe...

188

A new technique for ovarian transposition  

A technique of ovarian transposition is presented. The major modification of other techniques is the retention of the ovarian vascular pedicle in the retroperitoneum while placing the ovary intraperitoneally. The primary purpose of this technique is avoidance of castration due to radiation in women being treated for carcinoma of the uterine cervix.

189

Hérnia perineal em cães/ Perineal hernia in dogs  

Abstract in portuguese A hérnia perineal acomete mais freqüentemente cães machos de meia idade e idosos, sexualmente intactos, podendo ser uni ou bilateral. Por tratar-se de afecção com altos índices de recidiva e complicações pós-operatórias, o trabalho tem por objetivo abordar os sinais clínicos, métodos diagnósticos, com ênfase aos tratamentos cirúrgicos. Entre as técnicas mais efetivas de reconstrução do diafragma pélvico, estão as transposições musculares únicas ou c (more) ombinadas, tais como as do músculo obturador interno ou músculo glúteo superficial. Em casos de recidivas, podem ser utilizados métodos complementares como a colopexia e cistopexia por fixação dos ductos deferentes, ou procedimentos mais complexos como a transposição do músculo semitendinoso. Abstract in english The perineal hernia occurs more frequently in middle aged to aged male dogs, sexually intact, and it may be unilateral or bilateral. Because this disease may have high rate of recurrence and postoperative complications, the aim of this paper is to describe the clinical signs, diagnosis, foccusing to surgical treatments. Among the most effective techniques of pelvic diaphragm reconstruction are the single or associated muscular transpositions, such as internal obturator mu (more) scle transposition or superficial gluteal muscle transposition. In cases of recurrences, complementary methods such as colopexy and cystopexy by deferent duct fixation, or more complex procedures as semitendinosus muscle transposition may be used.

190

Investigation of the transposition of mitochondrial DNA and its relationship to fertility in zea mays. Progress report, May 15, 1981-May 14, 1982  

Progress is reported in achieving the following objectives: (1) to molecularly define the transposition event in maize mtDNA that is concomitant with the cytoplasmic reversion of S-type cytoplasmically male sterile to fertile plants, and (2) to seek altered expression of mtDNA measured as altered transcription of RNA from transposed mtDNA sequences in maize. (ACR)

191

Fourfold faster rate of genome rearrangement in nematodes than in Drosophila  

We compared the genome of the nematode Caenorhabditis elegans to 13% of that of Caenorhabditis briggsae, identifying 252 conserved segments along their chromosomes. We detected 517 chromosomal rearrangements, with the ratio of translocations to inversions to transpositions being ?1:1:2. We estimate ...

192

Synthesis of Asperuloside Aglucon Silyl Ether and Garjasmine from (+)-Genipin via Gardenoside Aglucon Disilyl Ether as a Common Intermediate  

Synthesis of asperuloside aglucon silyl ether (4) and garjasmine from (+)-genipin was accomplished by utilizing the gardenoside aglucon disilyl ether (3) as a common intermediate. During the transformation of 3 into 4 the acid catalyzed transposition reaction of hydroxy group was found to proceed from more hindered concave side.   

193

Liver blood flow measurements in the portacavally transposed rat before and after partial hepatectomy.  

The haemodynamic changes following partial hepatectomy (PH) in the portacavally transposed rat have been studied using an 85Kr clearance technique. Liver blood flow measurements (LBF) were made before and after portacaval transposition (PCT) and PH was performed either immediately or at 3 weeks afte...

194

SURGICAL CORRECTION OF COMBINED DOUBLE-OUTLET RIGHT VENTRICLE AND TAUSSIG-BING SYNDROME  

Total surgical correction of a Taussig-Bing type double outlet right ventricle (DORV) was successfully performed in a severely cyanotic 3-year-old girl. The malformation was associated with bilateral conus, d-transposition of the great arteries, d-loop, and a subpulmonary ventricular septal defect (...

195

Cine computed tomography for diagnosis of superior vena cava obstruction following the mustard operation  

Superior vena caval obstruction is a well described complication following Mustard's repair for transposition of the great arteries. We report a case of a 6-year-old child with superior vena cava obstruction correctly diagnosed by Cine-CT. The advantages of imaging with Cine-CT for this complication are discussed.

196

Report on behalf of the Economic Affairs and Plan Commission on the law project relative to the energy markets; Rapport au nom de la commission des affaires economiques et du plan sur le projet de loi relatif aux marches energetiques  

In the framework of the directive no. 98/30 concerning the common rules for the natural gas internal market, the Senate debates on the law project relative to the energy markets no. 406, adopted by the Minister Council the 25 september 2002. This project transposes the directive content in french law. This document presents the amendments allowing the directive transposition. (A.L.B.)

197

Reduction in Glycopeptide Resistance in Vancomycin-Resistant Enterococci as a Result of vanA Cluster Rearrangements  

The molecular characterization of five clinical isolates of vanA-containing vancomycin-resistant enterococci with altered resistance to glycopeptides was examined. One strain represented an IS1216V insertion accompanied by partial deletion of the reading frame of vanX following a transposition event...

198

Reactivity Control of a Dinuclear Xenophilic Species, Tp#Ni–RuCp(CO)2, via Spin Crossover across a Metal-metal Bond [Tp#: Hydrotris(4-bromo-3,5-dimethylpyrazolyl)borato  

A high-spin, triplet xenophilic complex, Tp#Ni-RuCp(CO)2, readily reacted with 2e-donors (L) via spin crossover at Ni associated with transposition of the resultant coordinatively unsaturated site from Ni to Ru to give diamagnetic adducts, Tp#Ni-RuCp(?-CO)2(L).   

199

Inability of Pseudomonas stutzeri denitrification mutants with the phenotype of Pseudomonas aeruginosa to grow in nitrous oxide  

Pseudomonas aeruginosa PAO1 reduced nitrous oxide to dinitrogen but did not grow anaerobically in nitrous oxide. Two transposition insertion Nos/sup -/ mutants of Pseudomonas stutzeri exhibited the P. aeruginosa phenotype. Growth yield studies demonstrated that nitrous oxide produced in vivo was productively respired, but nitrous oxide supplied exogenously was not. The defect may be in electron transport or in nitrous oxide uptake.

200

On the distance between the expressions of a permutation  

We prove that the combinatorial distance between any two reduced expressions of a given permutation of {1, ..., n} in terms of transpositions lies in O(n^4), a sharp bound. Using a connection with the intersection numbers of certain curves in van Kampen diagrams, we prove that this bound is sharp, a...

 
 
 
 
201

Apollo 14 mission: Failure to achieve docking probe capture latch engagement  

Six docking attempts were required in order to successfully achieve capture latch engagement during the transposition and docking phase following translunar injection. After docking, the probe and drogue were examined by the crew. Probe operation appeared normal and radial marks were noted on the drogue. During all subsequent operations, the probe operated properly.

202

Principles of Reconstruction of the Upper Extremities  

Successful surgical reconstruction of the upper extremities paralyzed by poliomyelitis depends largely on the careful analysis of the individual problem and replacement of critical motions of the upper extremity. These replacements or substitutions may be gained by muscle transposition, tendon trans...

203

Enacting computer icons. The dynamics of interpretation between forms and diagrams  

The transposition of icons and interfaces in a plurality of devices and software questions the processes of meaning construction involved in their use and interpretation. The analysis of four apparently simple icons used to send an email on an iPhone leads us to investigate C. S. Peirce's conception...

204

Mutational Analysis of the Open Reading Frames in the Transposable Element Is1  

IS1 is one of the smallest transposable elements found in bacteria (768 bp). It contains eight overlapping open-reading-frames (ORFs) greater than 50 codons, designated insA to insG and insB'. To determine which of the ORFs actually code for proteins involved in transposition, we have introduced amb...

205

Interplasmid transposition of Drosophila hobo elements in non-drosophilid insects.  

A modified hobo element from Drosophila melanogaster was introduced into embryos of the housefly, Musca domestica (family Muscidae) and the Queensland fruitfly, Bactrocera tryoni (family Tephritidae) to assess its ability to transpose. Hobo was capable of transposition in these species and transposition products had all of the hallmarks of hobo transposition products recovered from D. melanogaster, including the movement only of sequences precisely delimited by the inverted terminal repeats of hobo, the creation of an 8 bp duplication of the insertion site and an absolute requirement for hobo-encoded transposase. Transposition of hobo into the target gene resulted in a non-random distribution of insertion sites, with 10 of 38 independent insertions into the same nucleotide position. The results indicate that hobo can transpose in heterologous species, further demonstrating the similarity of hobo to Ac (Activator) of Zea mays and Tam3 of Antirrhinum majus. Hobo has excellent potential to act as a gene vector or gene tagging agent in nondrosophilid insects. PMID:8041366

206

Isolation and partial characterization of Rhodopseudomonas sphaeroides mutants defective in the regulation of ribulose bisphosphate carboxylase/oxygenase.  

Several mutants of Rhodopseudomonas sphaeroides defective in the derepression of the enzyme ribulose 1,5-bisphosphate carboxylase have been isolated by using the unstable Tn5 vectors pJB4JI and pRK340. Transpositional insertion mutants obtained with pJB4JI were demonstrated to be incapable of increa...

207

Functional analysis of N-terminal residues of ty1 integrase.  

The Ty1 retrotransposon of Saccharomyces cerevisiae is comprised of structural and enzymatic proteins that are functionally similar to those of retroviruses. Despite overall sequence divergence, certain motifs are highly conserved. We have examined the Ty1 integrase (IN) zinc binding domain by mutating the definitive histidine and cysteine residues and thirteen residues in the intervening (X(32)) sequence between IN-H22 and IN-C55. Mutation of the zinc-coordinating histidine or cysteine residues reduced transposition by more than 4,000-fold and led to IN and reverse transcriptase (RT) instability as well as inefficient proteolytic processing. Alanine substitution of the hydrophobic residues I28, L32, I37 and V45 in the X(32) region reduced transposition 85- to 688-fold. Three of these residues, L32, I37, and V45, are highly conserved among retroviruses, although their effects on integration or viral infectivity have not been characterized. In contrast to the HHCC mutants, all the X(32) mutants exhibited stable IN and RT, and protein processing and cDNA production were unaffected. However, glutathione S-transferase pulldowns and intragenic complementation analysis of selected transposition-defective X(32) mutants revealed decreased IN-IN interactions. Furthermore, virus-like particles with in-L32A and in-V45A mutations did not exhibit substantial levels of concerted integration products in vitro. Our results suggest that the histidine/cysteine residues are important for steps in transposition prior to integration, while the hydrophobic residues function in IN multimerization. PMID:19570857

208

Functional Analysis of N-Terminal Residues of Ty1 Integrase? †  

The Ty1 retrotransposon of Saccharomyces cerevisiae is comprised of structural and enzymatic proteins that are functionally similar to those of retroviruses. Despite overall sequence divergence, certain motifs are highly conserved. We have examined the Ty1 integrase (IN) zinc binding domain by mutating the definitive histidine and cysteine residues and thirteen residues in the intervening (X32) sequence between IN-H22 and IN-C55. Mutation of the zinc-coordinating histidine or cysteine residues reduced transposition by more than 4,000-fold and led to IN and reverse transcriptase (RT) instability as well as inefficient proteolytic processing. Alanine substitution of the hydrophobic residues I28, L32, I37 and V45 in the X32 region reduced transposition 85- to 688-fold. Three of these residues, L32, I37, and V45, are highly conserved among retroviruses, although their effects on integration or viral infectivity have not been characterized. In contrast to the HHCC mutants, all the X32 mutants exhibited stable IN and RT, and protein processing and cDNA production were unaffected. However, glutathione S-transferase pulldowns and intragenic complementation analysis of selected transposition-defective X32 mutants revealed decreased IN-IN interactions. Furthermore, virus-like particles with in-L32A and in-V45A mutations did not exhibit substantial levels of concerted integration products in vitro. Our results suggest that the histidine/cysteine residues are important for steps in transposition prior to integration, while the hydrophobic residues function in IN multimerization.

209

Finite dimensional pointed Hopf algebras over S_4  

Let k be an algebraically closed field of characteristic 0. We conclude the classification of finite dimensional pointed Hopf algebras whose group of group-likes is S_4. We also describe all pointed Hopf algebras over S_5 whose infinitesimal braiding is associated to the rack of transpositions.

210

Congenitally corrected transposition of great vessels: MRI and echocardiographic appearance  

This paper presents the case of a 36-year-old male with congenitally corrected transposition of great vessels (CTGV). This is a rare cardiac anomaly characterized by atrioventricular and ventriculoarterial discordance, occurring in less than 1 % of all congenital heart diseases. This was diagnosed by echocardiography and MRI. The MRI findings demonstrated cardiac abnormality. (orig.). With 7 figs., 1 tab.

211

Medium-term clinical results after the Senning procedure with haemodynamic and angiographic evaluation of the venous pathways.  

OBJECTIVE--To assess the clinical condition of patients and the adequacy of their newly constructed venous pathways after the Senning operation for simple transposition of the great arteries. PATIENTS AND DESIGN--All 34 patients who had the Senning operation between March 1983 and December 1986 were...

212

Nup124p Is a Nuclear Pore Factor of Schizosaccharomyces pombe That Is Important for Nuclear Import and Activity of Retrotransposon Tf1  

The long terminal repeat (LTR)-containing retrotransposon Tf1 propagates within the fission yeast Schizosaccharomyces pombe as the result of several mechanisms that are typical of both retrotransposons and retroviruses. To identify host factors that contribute to the transposition process, we mutage...

213

Efficient transposition of the Tol2 transposable element from a single-copy donor in zebrafish  

The Tol2 transposable element is a powerful genetic tool in model vertebrates and has been used for transgenesis, insertional mutagenesis, gene trapping, and enhancer trapping. However, an in vivo transposition system using Tol2 has not yet been developed. Here we report the in vivo Tol2 transpositi...

214

Results of Anterior Transposition of the Ulnar Nerve for Ulnar Neuritis  

A clinical and electrophysiological followup study was done on 23 patients with ulnar neuritis treated by surgical transposition of the nerve at the elbow. Pain was relieved in all those affected and other sensory symptoms showed some degree of improvement in most. Weakness tended to persist, but re...

215

DS EXCISION FROM EXTRACHROMOSOMAL GEMINIVIRUS VECTOR DNA IS COUPLED TO VECTOR DNA REPLICATION IN MAIZE  

Analysis of transposition products generated after Activator (Ac) excision from the P locus in maize suggest that Ac excises either during or after replication of the P locus. The frequency of excision of the non-autonomous Ac derivative, Dissociation (Ds), from extrachromosomal replicating and nonr...

216

Mutagenesis of dimeric plasmids by the transposon gamma delta (Tn1000).  

The Escherichia coli F factor mediates conjugal transfer of a plasmid such as pBR322 primarily by replicative transposition of transposon gamma delta (Tn1000) from F to that plasmid to form a cointegrate intermediate. Although resolution of this cointegrate always yields a plasmid containing a singl...

217

Transjugular Intrahepatic Portosystemic Shunt After Previous Recanalization of a Chronically Thrombosed Portal Vein via a Transmesenteric Approach  

We report a cirrhotic patient with complete occlusion of the portal vein with marked cavernous transformation due to chronic thrombosis in whom a transjugular intrahepatic portosystemic shunt (TIPS) was successfully created after direct minilaparotomy mesenteric vein catheterization, lysis and aspiration of the thrombus, and stenting in the portal vein. The methods used, we believe, provide a new technique for performing TIPS in chronically thrombosed portal veins in which previously no effective surgical therapeutic options were available.

218

Operação de Blalock-Taussig modificada para o tratamento paliativo de cardiopatias congênitas com hipofluxo pulmonar/ Blalock-Taussig operation for palliative treatment of congenital heart disease with low pulmonary flow  

Abstract in portuguese De janeiro de 1990 a novembro de 1994, 72 pacientes portadores de cardiopatias congênitas com hipofluxo pulmonar foram submetidos à operação de Blalock-Taussig. A idade variou entre 2 dias e 11 anos (M:9,0 meses); 44 (61,1%) eram do sexo masculino e 28 (38,8%) do feminino; 38 (52,8%) casos portadores de tétrade de Fallot; 7 (9,7%) atresia pulmonar com septo interventricular íntegro (AP c/ SIVI); 6 (8,4%) transposição das grandes artérias (TGA) + estenose pulmonar (more) (EP); 6 (8,4%) atresia tricúspide (AT) + EP; 6 (8,4%) dupla via de entrada (DVE) do ventrículo direito (VD) ou ventrículo esquerdo (VE) + (EP); 3 (4,2%) transposição corrigida das grandes artérias (TCGA) + comunicação interventricular (CIV) + EP; 2 (2,7%) dupla via de saída (DVS) de VD ou VE + EP; 2 (2,7%) defeito septal atrioventricular (DSAV) + EP; 2 (2,7%) isomerismo direito (D) ou (E) + EP. Os critérios de indicação foram: a) neonatos com cardiopatias "dueto dependente"; b) lactentes com piora de cianose ou crise de hipoxia; c) crianças durante a infância com cardiopatias sem chance de uma correção biventricular. A técnica empregada foi a operação de Blalock-Taussig modificada, interpondo prótese entre artéria subclávia e artéria pulmonar. A prótese de Polytetrafluoroethylene (PTFE) foi usada em 69 (94,5%) casos, veia umbilical em 3 (4,1%) casos e artéria mamária bovina em 1 (1,4%) caso. Durante o ato operatório foi administrada dose única de heparina (1mg x kg peso), não sendo neutralizada no pós-operatório (PO) e no seguimento tardio, dispensado o uso de anticoagulantes ou antiagregantes plaquetários. Houve 8 (11,1%) óbitos no PO imediato: 5 (6,9%) casos por obstrução da prótese (3 foram reoperados), 2 (2,7%) casos por morte súbita (AP c/ SIVI) e 1 (1,3%) devido a processo infeccioso pulmonar. A obstrução da prótese como principal causa de óbito esteve diretamente relacionada à anatomia dos vasos (calibre da artéria subclávia e pulmonar) e ou problemas de técnica cirúrgica. A operação de Blalock-Taussig modificada demonstrou ser um método confiável e seguro no tratamento paliativo das cardiopatias com hipofluxo pulmonar Abstract in english From January 1990 to November 1994, 72 patients with congenital heart defects and low pulmonary flow underwent modified Blalock-Taussig produce. There were 44 (61.1%) males and 28 (38.8%) females with ages ranging from 2 days to 11 years (average 9 months). Thirty eight (52,8%) patients had Tetralogy of Fallot; 7 (9,7%) had pulmonary atresia with intact ventricular septum (PA/IVS); 6 (8.4%), had transposition of the great arteries (TGA) with pulmonary stenosis (PS); 6 (8, (more) 4%) had tricuspid atresia (TA) with PS; 6 (8.4%) had double inlet of right ventricle (RV) or left ventricle (LV) and PS; 3 (4.2%) had corrected transposition of the great arteries (CTGA) with ventricular septal defects (VSD) and PS; 2 (2.7%) had double outlet of RV or LV and PS; 2 (2.7%) had atrio-ventricular canal defects (A-VC) and PS; 2 (2.7%) patients had right or left Isomerism and PS. The decision to surgical indication was based on: a) new borns with "ductus dependent" heart defects; b) lactents with important cianosis or hypoxia; c) infants with heart defects without possibilities of biventricular correction. The surgical technique employed was the Blalock-Taussig operation using 4 or 5 mm Polytetrafluoroethy (PTFE) prosthesis in 69 (94.5%) cases, umbilical vein in 3 (4.1%) cases and bovine thoracic artery in 1 (1.4%) case. Before the arteries were clamped 1 mg/kg of héparine was given without mobilization, with protamine, after the procedure. During the post-operative period, anticoagulants were not given. The prosthesis obstruction was the main cause of death and was related to artery anatomy: subclavian and pulmonary artery diameter and/or problems with the technique. The modified Blalock-Taussig operation showed itself to be a reliable palliative treatment to heart defects with low pulmonary flow

219

Pulsed Doppler duplex sonography and CT of portal vein thrombosis  

Five patients with partial or complete portal vein thrombosis were examined by both computed tomography (CT) and pulsed Doppler duplex scanning. Duplex scanning correctly identified portal vein thrombosis in all five. Duplex sonography may be the preferred technique to detect and follow portal vein thrombosis because of lower cost, lack of need for intravenous contrast material, and easier availability for multiple follow-up examinations.

220

How a Clot Can Become a Pulmonary Embolism  

Deep-vein thrombosis (DVT) is a type of clot that forms in a major vein of the leg or, less commonly, in the arms, pelvis, or other ... body. This video shows how in some cases, a clot in a vein may detach from its ...

 
 
 
 
221

Dynamic Pattern Formation for Wings of Pterygota in an Eclosion  

The vein and cell patterns for the fore and hind wing of Lepidoptera, Hemiptera, Orthoptera and Odonata are analyzed and discussed. For vein patterns of them, the fractal properties are shown and the inequality between four orders is obtained. The nature of wings observed by mass distributions for fractal dimensions of the vein pattern is presented.   

222

Systematic review: portal vein thrombosis in cirrhosis.  

As current imaging techniques in cirrhosis allow detection of asymptomatic portal vein thrombosis during routine ultrasonography, more patients with cirrhosis are diagnosed with portal vein thrombosis. Although a consensus on noncirrhotic extra-hepatic portal vein thrombosis has been published, no s...

223

Fibrous gypsum veins and regional tectonics in north-central New Mexico  

Gypsum veins are common in gypsiferous shale and siltstone of the Jurassic Summerville Fm. along the boundary between the Nacimiento uplift and the Rio Grande rift in north-central New Mexico. Antitaxial and syntaxial fibrous veins of satin spar and selenite occur in three sets. From oldest to youngest, they are non-systematic, bedding-parallel, and systematic. Fiber geometries are complex and often spectacular with strongly curved fibers reaching 10-15 cm in length (wall to median line). Fibers in non-systematic veins are generally normal to vein walls and are straight or slightly curved. Bedding-parallel veins have strongly curved fibers, the youngest portions of which are at low angles to the vein and parallel to the dip. Fiber geometries are the result of three events. Non-systematic veins formed as dissolution and/or dehydration led to collapse. Bedding-parallel veins are associated with flexural slip folding. Systematic veins are related to the normal faults and show a consistent down-to-the-east sense. The deformational history recorded by the vein fibers is consistent with the regional tectonic setting. Bedding-parallel veins and flexural slip are a result of the Nacimiento uplift. The systematic veins formed with the normal faults which are associated with the Rio Grande rift.

224

Hepatocellular carcinoma extending into the portal vein: Restoration of extended-term patency by placement of uncovered wallstents  

A 74-year-old man presented with hepatocellular carcinoma extending into the main portal vein. Two bare Wallstents were placed to maintain portal vein patency. The main portal vein remained patent for 6 months after treatment. No serious complications were observed during or after treatment.

225

Spinal dural arteriovenous fistulas with primary epidural shunting  

Two patients with spinal dural arteriovenous fistulas with remarkable angioarchitecture are presented. In both patients the primary shunt was from a radicular dural artery to the epidural veins with subsequent reflux into one or two radicular veins, instead of the common direct shunting to a radicular vein.

226

Environmental contamination associated with some abandoned mines in Central Portugal  

At Segura, aplite-pegmatite veins with casserite and lepidolite, Sn-W, and Ba-Pb-Zn quartz veins were exploited; mine tailings were left exposed. Sn, W, B, As, and Cu anomalies in stream sediments and soils are related to the Sn-W quartz veins, while Ba, Pb and Zn anomalies are associated with the B...

227

Norepinephrine metabolism in canine saphenous vein: prevalence of glycol metabolites.  

To examine the disposition of [3H]norepinephrine ([3H]NE) in adrenergically innervated veins, helical strips of canine saphenous veins were incubated in Krebs-Ringer solution containing D,L[3H]NE (2 X 10(-7) M) for 2 h. [3H]NE and its metabolites were measured in extracts of veins and in superfusate...

228

Transvenous implantation of a coronary sinus lead for left ventricular pacing after cutting balloon angioplasty.  

We describe a patient in whom a localized proximal vein stenosis at the only possible target vein precluded placement of a coronary sinus lead for left ventricular (LV) pacing. After multiple attempts to perform venoplasty with both compliant and noncompliant balloons, a cutting balloon relieved the obstruction, and an LV pacing lead was successfully placed in the midportion of this lateral vein. PMID:17437584

229

Surgical Treatment of a Giant External-Iliac-Vein Aneurysm in a Patient with a Post-Traumatic Femoral Arteriovenous Fistula  

Iliac vein aneurysm is a rare vascular abnormality. It has been reported as a primary aneurysm of unknown cause, or, when a cause could be identified, as a secondary iliac vein aneurysm. Occasionally, iliac vein aneurysm develops in association with distal arteriovenous fistula. Although venous aneu...

230

Extraluminal lipoma with common femoral vein obstruction: A cause of chronic venous insufficiency  

A 49-year-old man, with a misdiagnosis of common femoral vein deep vein thrombosis presented with advanced chronic venous insufficiency. Further imaging revealed a patent common femoral vein with augmentation that was compressed by an extrinsic mass. Exploration identified a lipoma that was extravascular and was resulting in venous outflow obstruction. Excision of the lipoma resulted in clinical improvement and ulcer healing.

231

Incidence of postoperative deep vein thrombosis in Hong Kong Chinese  

Postoperative deep vein thrombosis is considered to be rare in Chinese. The 125I-labeled fibrinogen test was used to determine the true incidence of postoperative deep vein thrombosis in Chinese. Deep vein thrombosis was found in 2.6%, a very low incidence compared with Caucasian series.

232

Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel "no-touch" technique: potential role of nitric oxide contribution to improved early graft patency rates.  

The use of the saphenous vein in coronary artery bypass graft surgery is associated with high 1-year occlusion rates of as much as 30%. A new "no-touch" technique of saphenous vein harvesting in which the vein is harvested with a pedicle of surrounding tissue and not distended may result in improved...

233

The thigh extension of the small saphenous vein: a hypothesis about its significance, based on morphological, embryological and anatomo-comparative reports.  

The small saphenous vein in its modal pattern flows into the popliteal vein by means of a terminal arch (sapheno-popliteal junction), and frequently gives off an anastomotic branch, ascending on the medial aspect of the thigh, to the great saphenous vein. This branch has often been termed thigh extension of the small saphenous vein. As resulted in this report from autopsy, the venous extension coursed on the midline of the posterior aspect of the thigh, tributary to the deep femoral vein, and the small saphenous vein presented neither a sapheno-popliteal terminal arch, nor evident intersaphenous anastomoses. As a consequence, the small saphenous vein by means of its prolongation continued directly from the calf into the deep femoral vein. In the human embryo the small saphenous vein appears as direct communication with the posterior cardinal vein, and accompanies the developing ischiatic artery and nerve, as the main vein (ischiatic vein) of the lower limb bud. At the end of development, its proximal part persists as inferior gluteal vein. Comparative anatomy indicates that in animals the small saphenous vein is the only superficial vein well developed and that in humans its termination into the popliteal one might be an adaptation to the elongation and relative rigidity of the lower limb. In the horse a posterior vein of the thigh connects the small saphenous with the ischiatic one, and ascends along the ischiatic nerve to anastomose with the deep femoral vein. It would appear also that in the lower animals the small saphenous vein ascends to a higher level on the posterior aspect of the thigh. Thus, a venous extension like that we observed might be an atavism. Therefore, on the basis of these embryological and phylogenetical data, the Authors hypothesized that a small saphenous vein and a thigh extension of such a feature might be regarded as a unique venous channel, wholly axial throughout its course, formed by the small saphenous vein proper in the leg and by a persistent and functional sciatic (ischiatic) vein, which usually disappears, satellite of the ischiatic nerve, in the thigh. PMID:17385275

234

Comparison of segmental and global systemic ventricular function at rest and during dobutamine stress between patients with transposition and congenitally corrected transposition.  

The aim of the study was to evaluate segmental and global right ventricular function at rest and during stress in patients having a systemic morphologically right ventricle. We studied 17 patients after atrial correction for transposition, 13 with congenitally corrected transposition, and 11 age-matched controls using cardiovascular magnetic resonance at rest and during stress with dobutamine given at 15 micrograms per kilogram per minute. Blood was drawn to obtain levels of brain natriuretic peptide. Right ventricular ejection fraction was calculated, and wall-motion and wall-thickening were assessed, in 4 segments of a midventricular slice. The findings for the systemic right ventricle were compared to the left ventricle in controls. Patients with transposition showed a decreased ejection fraction at rest (57 percent versus 69 percent, p equal to 0.005), decreased wall motion of the anterior, lateral and septal wall (p less than 0.01, p less than 0.01, and p less than 0.01) and decreased thickening of the lateral wall (p less than 0.01). Patients with congenitally corrected transposition showed normal ejection fraction, wall thickening, and wall motion at rest. During dobutamine stress, we found no significant differences in wall motion and thickening between the two groups. Ejection fraction, also increased to comparable values during stress, at 67 percent versus 66 percent, p not being significant. In both groups, we observed similarly increased levels of brain natriuretic peptide (p equal to 0.02 and 0.03, respectively). We conclude that only patients with transposition showed segmental wall motion and wall thickening abnormalities at rest. After dobutamine stress, however, segmental and global right ventricular dysfunction was similar in both groups. PMID:15845157

235

Computed tomography findings in 10 cases of iliac vein compression (May-Thurner) syndrome  

Objective: To present the computed tomography (CT) findings for the iliac veins of 10 patients who had left-sided lower extremity deep vein thrombosis due to iliac vein compression syndrome. Materials and methods: The CT findings for 10 cases of left-sided acute or chronic deep vein thrombosis caused by iliac vein compression syndrome were retrospectively evaluated. The patients were five women and five men (mean age {+-} S.D., 49.9 {+-} 15.6 years). In each patient with iliac vein compression syndrome, the diagnosis of the compression was established by venography performed during endovascular treatment. Diameter of the left common iliac vein was also measured in 14 control subjects without any lower extremity venous disease for comparison. Results: In all 10 cases, CT images in the transverse plane demonstrated the left common iliac vein being compressed by the overlying right common iliac artery. The mean diameter at the origin of the left common iliac vein (3.5 mm) in patients group was much smaller than the mean diameter of the same vein (11.5 mm) in the control group (p < 0.01). The mean percent stenosis of the left common iliac vein due to compression by the artery was 68%. Conclusion: Pelvic CT images in the transverse plane are useful for detecting iliac vein compression by the overlying right common iliac artery in patients with left-sided deep vein thrombosis. Radiologists should be aware of this imaging finding of iliac vein compression by the artery where the inferior vena cava bifurcates into the common iliac veins.

236

The diameter of the originating vein determines esophageal and gastric fundic varices in portal hypertension secondary to posthepatitic cirrhosis  

Abstract in english OBJECTIVE: The aim of this study was to determine whether and how the diameter of the vein that gives rise to the inflowing vein of the esophageal and gastric fundic varices secondary to posthepatitic cirrhosis, as measured with multidetector-row computed tomography, could predict the varices and their patterns. METHODS: A total of 106 patients with posthepatitic cirrhosis underwent multidetector-row computed tomography. Patients with and without esophageal and gastric fu (more) ndic varices were enrolled in Group 1 and Group 2, respectively. Group 1 was composed of Subgroup A, consisting of patients with varices, and Subgroup B consisted of patients with varices in combination with portal vein-inferior vena cava shunts. The diameters of the originating veins of veins entering the varices were reviewed and statistically analyzed. RESULTS: The originating veins were the portal vein in 8% (6/75) of patients, the splenic vein in 65.3% (49/75) of patients, and both the portal and splenic veins in 26.7% (20/75) of patients. The splenic vein diameter in Group 1 was larger than that in Group 2, whereas no differences in portal vein diameters were found between groups. In Group 1, the splenic vein diameter in Subgroup A was larger than that in Subgroup B. A cut-off splenic vein diameter of 8.5 mm achieved a sensitivity of 83.3% and specificity of 58.1% for predicting the varices. For discrimination of the varices in combination with and without portal vein-inferior vena cava shunts, a cut-off diameter of 9.5 mm achieved a sensitivity of 66.7% and specificity of 60.0%. CONCLUSION: The diameter of the splenic vein can be used to predict esophageal and gastric fundic varices and their patterns.

237

Raman lidar observations of particle hygroscopicity during COPS  

The characterization of particle hygroscopicity has primary importance for climate monitoring and prediction. Model studies have demonstrated that relative humidity (RH) has a critical influence on aerosol climate forcing. The relationship between aerosol backscattering and relative humidity has been investigated in numerous studies (among others, Pahlow et al., 2006; Wulfmeyer and Feingold, 2000; Veselovskii et al., 2009). Hygroscopic properties of aerosols influence particle size distribution and refractive index and hence their radiative effects. Aerosol particles tend to grow at large relative humidity values as a result of their hygroscopicity. Raman lidars with aerosol, water vapour and temperature measurement capability are potentially attractive tools for studying aerosol hygroscopicity as in fact they can provide continuous altitude-resolved measurements of particle optical, size and microphysical properties, as well as relative humidity, without perturbing the aerosols or their environment. Specifically, the University of Basilicata Raman lidar system (BASIL) considered for the present study, has the capability to perform all-lidar measurements of relative humidity based on the application of both the rotational and the vibrational Raman lidar techniques in the UV. BASIL was operational in Achern (Black Forest, Lat: 48.64 ° N, Long: 8.06 ° E, Elev.: 140 m) between 25 May and 30 August 2007 in the framework of the Convective and Orographically-induced Precipitation Study (COPS). During COPS, BASIL collected more than 500 hours of measurements, distributed over 58 measurement days and 34 intensive observation periods (IOPs). The present analysis is focused on selected case studies characterized by the presence of different aerosol types with different hygroscopic behaviour. The observed behaviour, dependent upon aerosol composition, may range from hygrophobic to strongly hygroscopic. Results from the different case studies will be illustrated and discussed at the Conference.

238

Fresh aromatic herbs containing methylchavicol did not exhibit the pro-oxidative effects of pure methylchavicol on a human hepatoma cell line, HepG2.  

Methylchavicol (CH(3)-CV), an important aromatic constituent of different plants like tarragon and basils, has been shown to be carcinogenic by a mechanism yet unclear, although it has been reported that carcinogenicity of CH(3)-CV in rodent might be linked to its metabolic conversion into a genotoxic electrophilic metabolite generated through a two steps bioactivation pathway catalyzed by cytochrome P450 enzymes and sulfotransferases. The induction of carcinogenesis by certain agents has been associated with the generation of oxidative stress. The aim of the present study was to determine whether pure methylchavicol applied on a human hepatoma cell line, HepG2, could promote oxidative stress and might alter the expression of procarcinogenic biomarkers such as the drug-metabolizing enzyme (CYP2E1), the inducible form of nitric oxide synthase (iNOS) and might induce the expression of Cu/Zn-superoxide dismutase (Cu/Zn-SOD) and Mn-SOD that control the redox equilibrium of the cells. CH(3)-CV was shown to cause a significant induction of oxidative stress, as revealed by luminol-dependent chemiluminescence (LDCL) and to alter dramatically the expression of CYP2E1, iNOS and Mn-SOD, indicating that the toxic effect of CH(3)-CV could be mediated through a nitric oxide dependent mechanism. Under similar experimental conditions, the extracts from tarragon, chervil and basil did not induce such biological changes. These results provide evidence that the generation of an oxidative stress may be a significant event occurring during CH(3)-CV-induced toxicity. It also suggests that natural extracts containing different amounts of CH(3)-CV (tarragon, chervil and basil) did not elicit such toxicity and might contain compounds able to counteract this detrimental property. PMID:23020916

239

Timing and mechanism of late-Pleistocene calcite vein formation across the Dead Sea Fault Zone, northern Israel  

The emplacement of calcite-filled veins perpendicular to the Dead Sea Fault Zone in northern Israel reflects strain partitioning during transpression. We present structural, geochemical, and U-Th geochronological data that constrain the mechanism, conditions and timing of vein formation. Vein walls are strongly brecciated and commonly cemented with coarsely crystalline calcite, whereas calcite-filled veins are composed of wall-parallel bands of calcite crystals. Elongated blocky and fibrous calcite crystals grew perpendicular to the vein walls and are characterised by a truncate sealing-hiatus morphology, indicating episodes of partial or complete sealing of the fractures during calcite precipitation. Stable isotope and rare-earth element and yttrium (REY) analyses indicate that calcite-fi...

240

Follicular carcinoma of the thyroid with massive invasion into the cervical and mediastinum great veins: Our own experience and literature review.  

Thyroid carcinomas with massive intralumen invasion of the great veins are extremely rare and reported to have poor prognosis. We report a case of a poorly differentiated follicular carcinoma of the thyroid with extensive invasion into the bilateral internal jugular veins, brachiocephalic vein, and superior vena cava. All of the seven major drainage veins from the thyroid were involved by tumor thrombus. The patient was successfully treated by surgical resection including removal of the tumor thrombus and repair of the great veins. The importance of preoperative radiological findings, treatment, and outcome are discussed along with a literature review. PMID:22951943

 
 
 
 
241

Patient with a Massive Idiopathic Thrombosis in the Inferior Vena Cava  

A 50 year-old man with no significant medical history was admitted for dyspnea and left femoral swelling. Contrast-enhanced computed tomography revealed pulmonary thromboembolism (PTE) and a thrombus in the inferior vena cava (IVC). The thrombus extended from the proximal IVC to the left popliteal vein. Therefore, we decided that an IVC filter insertion was difficult to indicate. Urgent IVC and peripheral vein thrombectomy was performed under cardiopulmonary bypass. On postoperative day 1, venous ultrasonography showed residual deep vein thrombosis in the left external iliac-femoral vein and the popliteal vein. The IVC filter insertion was performed to prevent the recurrence of PTE.   

242

Collateral veins in left renal vein stenosis demonstrated via CT.  

Twelve patients with left renal vein stenosis from tumor compression were studied with CT. All had distended collateral veins in the perirenal space which either formed a radiating or a cobweb pattern or appeared as marked longitudinal veins. Inferior phrenic vein branches were seen in seven patients and were considerably enlarged in two. Other major veins possibly taking part in collateral circulation could not be recognized due to obliteration of fat planes. The renal fascia was thickened in eleven patients, probably due to edema. A close study of the perirenal space with CT may give valuable information about collateral development. PMID:6840101

243

Collateral veins in left renal vein stenosis demonstrated via CT  

Twelve patients with left renal vein stenosis from tumor compression were studied with CT. All had distended collateral veins in the perirenal space which either formed a radiating or a cobweb pattern or appeared as marked longitudinal veins. Inferior phrenic vein branches were seen in seven patients and were considerably enlarged in two. Other major veins possibly taking part in collateral circulation could not be recognized due to obliteration of fat planes. The renal fascia was thickened in eleven patients, probably due to edema. A close study of the perirenal space with CT may give valuable information about collateral development.

244

Congenital absence of the portal vein in a middle-aged man  

Congenital absence of the portal vein with systemic diversion of mesenteric blood is extremely rare. We report a case of a congenital absence of the portal vein, accidentally discovered in a 59-year-old man, completely asymptomatic and not associated with other malformations or biochemical disorders. Ultrasonography imaging showed the absence of the portal vein and the distal tract of superior mesenteric and splenic veins draining together into a dilated left renal vein. Computed tomography and magnetic resonance confirmed the presence of a congenital portosystemic venous shunt and also revealed two hepatic arteries: one arising from the celiac trunk and the other from the superior mesenteric artery.

245

Chromosome Number Variation in Ocimum basilicum L.  

Meiotic analysis documented variation in chromosome number in Ocimum basilicum L. (family: Lamiaceae) in the form of 2n=72 chromosomes in O. basilicum var. citriodorum (lemon basil) and 2n=52 chromosomes (a new number in Ocimum) in variety crispum. Persistent presence of secondary association of chromosomes in 87.88% and 69.39% metaphase I cells of var. citriodorum and var. crispum respectively suggested secondary polyploid nature of the species. Statistical analysis of cytological data revealed x=12 as basic chromosome numbers for the varieties studied and polyploidy as well as aneuploidy might have been operative at different levels to give variable chromosome numbers within O. basilicum.   

246

Molecular Structure of Antimony  

Antimony was probably known to ancient civilizations, but the first accurate description of antimony was by Basil Valentine in 1604. Antimony is a brittle metal with low thermal conductivity, but it melts at 904 degrees Kelvin. It was commonly used in the production of bells. In the metals industry, antimony is added to other metals or alloys to increase their hardness. In the Semiconductor industry, antimony is used in making infra-red detectors and diodes. This metal is fairly rare and the main producing countries are China, Russia, Bolivia and South Africa.

247

Is Interdisciplinarity Old News? A Disciplined Consideration of Interdisciplinarity  

This paper draws on the theory of Basil Bernstein and on more recent applications of it by Rob Moore, John Beck and Michael Young to respond to recent calls for the replacement of discipline-based university faculties and departments with "problem-based" curricula and programmes of study. It considers, particularly, the potential consequences of such a shift in higher education policy for the identities of university teachers, researchers and students, and suggests that these calls for reform are premised especially on the problematic assumption that, in Bernsteinian terms, "regionalised" curricular inputs can be expected to produce "generic" knowledge outcomes within the university. (Contains 10 notes.)

248

Whitmore, Henschke, and Hilaris: The reorientation of prostate brachytherapy (1970-1987)  

PurposeUrologists had performed prostate brachytherapy for decades before New York’s Memorial Hospital retropubic program. This paper explores the contribution of Willet Whitmore, Ulrich Henschke, Basil Hilaris, and Memorial’s physicists to the evolution of the procedure. Methods and MaterialsLiterature review and interviews with program participants. ResultsMore than 1000 retropubic implants were performed at Memorial between 1970 and 1987. Unlike previous efforts, Memorial’s program benefited from the participation of three disciplines in its conception and execution. ConclusionsMemorial’s retropubic program was a collaboration of urologists, radiation therapists, and physicists. Their approach focused greater attention on dosimetry and radiation safety, and s...

249

Sterilization of foods with low-energy electrons ('soft-electrons')  

Electrons with an energy of 300 keV or lower were defined as 'Soft-electrons', which showed several advantages over conventional irradiation with gamma-rays or high-energy electrons in decontamination of grains and spices. Energies of electrons necessary to reduce microbial loads to levels lower than 10 CFU/g were 60 keV for brown rice, 75 keV for wheat, 100 keV for white pepper, coriander and basil, 130 keV for buckwheat, 160 keV for rough rice, and 210 keV for black pepper. Electrons with such energies did not significantly influence the quality.

250

Is interdisciplinarity old news? A disciplined consideration of interdisciplinarity  

This paper draws on the theory of Basil Bernstein and on more recent applications of it by Rob Moore, John Beck and Michael Young to respond to recent calls for the replacement of discipline-based university faculties and departments with 'problem-based' curricula and programmes of study. It considers, particularly, the potential consequences of such a shift in higher education policy for the identities of university teachers, researchers and students, and suggests that these calls for reform are premised especially on the problematic assumption that, in Bernsteinian terms, 'regionalised' curricular inputs can be expected to produce 'generic' knowledge outcomes within the university.

251

Meiotic Behavior and Chromosome Number of 5 Species of the Astragalus sect. Megalocystis Bunge (Fabaceae) in Iran  

Meiotic behavior of 7 Iranian populations of 5 Astragalus species from the section Megalocystis, A. submitis Boiss. & Hohen., A. raddei Basil., A. halicacabus Lam., A. ebenoides Boiss. and A. fuhsii Freyn & Sint. is presented. All species are diploid and possess 2n=2x=16 chromosome number, consistent with the proposed base number of x=8 from ICPN. Although the taxa displayed regular bivalent pairing and chromosome segregation at meiosis, some meiotic abnormalities observed include a varied degree of fragmented chromosomes in metaphase I; cytomixis in metaphase I; asynchronous nucleus in metaphase II and cytomixis in telophase II.   

252

Constituents of aromatic plants: II. Estragole.  

Estragole (ES) is a natural constituent of a number of plants (e.g. tarragon, sweet basil and sweet fennel) and their essential oils have been widely used in foodstuffs as flavouring agents. Several studies with oral, i.p. or s.c. administration to CD-1 and B6C3F1 mice have shown the carcinogenicity of ES. The 1-hydroxy metabolites are stronger hepatocarcinogens than the parent compound. Controversial results are reported for the mutagenicity of ES. However, the formation of hepatic DNA adducts in vivo and in vitro by metabolites of ES has been demonstrated. PMID:11077188

253

Cumulative and segmented learning: exploring the role of curriculum structures in knowledge-building  

The present article extends Basil Bernstein's theorisation of 'discourses' and 'knowledge structures' to explore the potential of educational knowledge structures to enable or constrain cumulative learning, where students can transfer knowledge across contexts and build knowledge over time. It offers a means of overcoming dichotomies in Bernstein's model by conceptualising knowledge in terms of legitimation codes (bases of achievement) and semantic gravity (context-dependency of knowledge). This developed framework is used to analyse two contrasting examples of curriculum - from professional education at university and secondary school English - that aim to enable cumulative learning. Analyses of students' work products show that both cases can constrain knowledge-building by anchoring mea...

254

Delayed venous repair for distal phalanx replantation.  

Background?Vein anastomosis is the most important factor determining the success in the replantation of distal phalanx amputations. It is very difficult to find the collapsed veins and to perform vein anastomosis immediately after arterial repair. We have chosen to delay the vein repair between 30 minutes and 1 hour to give time to the veins to expand to a more reasonable diameter for repair.Aim?The purpose of the study was to show that the delayed venous method provides a higher rate of success in distal phalanx replantations and does not require the use of specialized techniques.Methods?The delayed venous method for vein anastomosis was used for the past 2 years. This surgical procedure includes initial arterial anastomosis, delayed expansion of the vein, and subsequent vein anastomosis after 30 mins of waiting.Results?The delayed method was used in eight cases. Expansion of veins up to 1?mm or more resulted in a high success rate (75%). In contrast, the success rate for distal phalanx replantation is extremely low in other techniques because of the difficulty of vein finding and anastomosis.Conclusion?The delayed venous method allows easier anastomosis of the subdermal veins of the distal phalanx. Therefore, it is a useful operative technique for treatment of amputated distal phalanx amputation. PMID:22711193

255

Mechanisms of Vein Graft Adaptation to the Arterial Circulation  

For patients with coronary artery disease or limb ischemia, placement of a vein graft as a conduit for a bypass is an important and generally durable strategy among the options for arterial reconstructive surgery. Vein grafts adapt to the arterial environment, and the limited formation of intimal hyperplasia in the vein graft wall is thought to be an important component of successful vein graft adaptation. However, it is also known that abnormal, or uncontrolled, adaptation may lead to abnormal vessel wall remodeling with excessive neointimal hyperplasia, and ultimately vein graft failure and clinical complications. Therefore, understanding the venous-specific pathophysiological and molecular mechanisms of vein graft adaptation are important for clinical vein graft management. Of particular importance, it is currently unknown whether there exist several specific distinct molecular differences in the venous mechanisms of adaptation that are distinct from arterial post-injury responses; in particular, the participation of the venous determinant Eph-B4 and the vascular protective molecule Nogo-B may be involved in mechanisms of vessel remodeling specific to the vein. This review describes (1) venous biology from embryonic development to the mature quiescent state, (2) sequential pathologies of vein graft neointima formation, and (3) novel candidates for strategies of vein graft management. Scientific inquiry into venous-specific adaptation mechanisms will ultimately provide improvements in vein graft clinical outcomes.   

256

Mechanisms of Vein Graft Adaptation to the Arterial Circulation  

For patients with coronary artery disease or limb ischemia, placement of a vein graft as a conduit for a bypass is an important and generally durable strategy among the options for arterial reconstructive surgery. Vein grafts adapt to the arterial environment, and the limited formation of intimal hyperplasia in the vein graft wall is thought to be an important component of successful vein graft adaptation. However, it is also known that abnormal, or uncontrolled, adaptation may lead to abnormal vessel wall remodeling with excessive neointimal hyperplasia, and ultimately vein graft failure and clinical complications. Therefore, understanding the venous-specific pathophysiological and molecular mechanisms of vein graft adaptation are important for clinical vein graft management. Of particular importance, it is currently unknown whether there exist several specific distinct molecular differences in the venous mechanisms of adaptation that are distinct from arterial post-injury responses; in particular, the participation of the venous determinant Eph-B4 and the vascular protective molecule Nogo-B may be involved in mechanisms of vessel remodeling specific to the vein. This review describes (1) venous biology from embryonic development to the mature quiescent state, (2) sequential pathologies of vein graft neointima formation, and (3) novel candidates for strategies of vein graft management. Scientific inquiry into venous-specific adaptation mechanisms will ultimately provide improvements in vein graft clinical outcomes.??(Circ J?2010; 74: 1501?-?1512)   

257

Geology, geochemistry, and genesis of Axi: A Paleozoic low-sulfidation type epithermal gold deposit in Xinjiang, China  

Axi is a low-sulfidation type epithermal gold deposit hosted in Paleozoic subaerial volcanic rocks in the western Tianshan orogenic belt, Xinjiang, China. The resource is more than 50?t gold at an average grade of >4.4?ppm. The deposit occurs in the Tulasu volcanic fault-basin in the Paleozoic active continental margin on the northern side of the Yili-Central Tianshan plate. The host rocks are andesitic volcaniclastic rocks of the Paleozoic Dahalajunshan Formation, and the orebodies occur as veins in annular faults of a paleocaldera. Mineralization at Axi can be subdivided into five stages: quartz and/or chalcedony vein, quartz vein, quartz-carbonate vein, sulfide vein and carbonate vein. There are two types of ore host: quartz vein and altered rocks. Ore minerals are native gold, electrum...

258

Vein graft neointimal hyperplasia is exacerbated by CXCR4 signaling in vein graft-extrinsic cells  

Objective Because vein graft neointimal hyperplasia engenders vein graft failure, and because most vein graft neointimal cells derive from outside the vein graft, we sought to determine whether vein graft neointimal hyperplasia is affected by activity of the CXC chemokine receptor-4 (CXCR4), which is important for bone marrow-derived cell migration. Methods In congenic Cxcr4?/+ and wild-type (WT) recipient mice, we performed interposition grafting of the common carotid artery with the inferior vena cava (IVC) of either Cxcr4?/+ or WT mice to create four surgically chimeric groups of mice (n ? 5 each), characterized by vein graft donor/recipient: WT/WT; Cxcr4?/+/WT; WT/Cxcr4?/+; and Cxcr4?/+/Cxcr4?/+; vein grafts were harvested 6 weeks postop...

259

Thymic haemangioma presenting with a left innominate vein aneurysm: insight into the aetiology.  

Thymic haemangiomas and innominate vein aneurysms are rare with only 7 and 19 previous cases, respectively, reported in the medical literature. The aetiology of an innominate vein aneurysm remains unclear and there is no previous report of tumour involvement. We present the case of a 27-year old male with concomitant mediastinal tumour and innominate vein aneurysm who underwent surgical treatment. The tumour intruded into the lower section of the innominate vein, thus causing aneurysmal dilation. Pathologically, the tumour was diagnosed as a thymic cavernous haemangioma involving the left innominate vein. This is the first case of a thymic haemangioma presenting with an innominate vein aneurysm, and suggests that tumours may be involved in the aetiology of innominate vein aneurysms. PMID:22859512

260

Tracheid analysis and modeling of the minor veins of the coleus and smilax leaves.  

Tracheid analysis was carried out on the veinlets and minor veins of the coleus (Solenostemon scutellarioides [L.] Codd) leaf. Third- to fifth-order, or minor, veins average 3.4 tracheids in tandem and they bipartition islets when these enclosed islets reach a critical size; both these features of vein length and islet size contribute to a self-similar process of vein pattern generation. An areole was calculated to be initially comprised of about ten cells making the patterning event for vein formation requiring only a few cells. An algorithmic model developed here for minor vein formation includes five production rules, and this computer model explains the 3-4 tracheids per minor vein, presence of isolated tracheids, the structure of veinlets, and the elaborate branching patterns of veinlets in coleus and other plants. PMID:16557399

 
 
 
 
261

Anomalia anatômica da veia porta: uma causa rara de impossibilidade de doação do lobo direito em transplante hepático intervivos/ Anatomical anomaly of the portal vein: a rare cause of impossibility to right lobe donation in living related liver transplantation  

Abstract in english Living related liver transplantation is being increasingly used for patients that can not wait for a cadaveric organ. We describe a case of a right lobe donor who had a type III portal vein anomaly. On this anomaly the portal vein gives branches first to the right posterior vein and then to the right anterior vein and the left portal vein. The recipient had portal vein thrombosis that was recognized only during the surgery. The Doppler examination performed before the ope (more) ration did not detect this thrombosis. The transplant was not accomplished. Anatomical anomaly of the portal vein may be a rare cause impossibility to organ donation in living related liver transplantation.

262

The Problems in the Arrangement of the Azygos Vein  

The azygos veins in thirty six cadavers (26 adult bodies,10 human fetuses) were examined with special reference to the correlation with the midline of the vertebral column. The azygos veins were often observed to cross the middle of the ventral side of the vertebral column from right to left, and the occurrence of this crossing to the left is more frequent than that previously described - occurring in twenty two of the adult bodies. In three of the adult bodies, the vein ran upwards along the midline. In the remaining adult, the azygos vein ascended on the right side only of the vertebral column. In the fetuses, no azygos vein crossed the midline and the vein lay only on the right side or along the midline of the vertebral column. These results indicate the possibility of leftward displacement of the azygos vein during the ageing process.   

263

Resolution of Large Azygos Vein Aneurysm Following Stent-Graft Shunt Placement in a Patient with Ehlers-Danlos Syndrome Type IV  

Ehlers-Danlos syndrome (EDS) type IV is a rare connective tissue disorder associated with thin-walled, friable arteries and veins predisposing patients to aneurysm formation, dissection, fistula formation, and vessel rupture. Azygos vein aneurysm is an extremely rare condition which has not been reported in association with EDS in the literature. We present a patient with EDS type IV and interrupted inferior vena cava (IVC) with azygos continuation who developed an azygos vein aneurysm. In order to decrease flow through the azygos vein and reduce the risk of aneurysm rupture, a stent-graft shunt was created from the right hepatic vein to the azygos vein via a transhepatic, retroperitoneal route. At 6 month follow-up the shunt was open and the azygos vein aneurysm had resolved.

264

Thermoregulatory anatomy of pronghorn (Antilocapra americana)  

We have found that pronghorn (Antilocapra americana) use external heat exchange with the environment and internal heat exchange between the carotid artery rete and cavernous venous sinus blood to regulate body temperature. Now we have investigated the relationship between the histological structure of the skin, cephalic veins, and carotid rete?cavernous sinus system and the physiological mechanisms pronghorn use, and whether their thermoregulatory anatomy has adaptive advantages. We harvested tissue samples of skin, three veins (i.e., angularis oculi vein, dorsal nasal vein, and facial vein), and the carotid rete?cavernous sinus system from four pronghorn, two culled in summer and two in winter, and examined each histologically. The three veins had the typical structure of veins with large...

265

Centerline Tracking for Quantification of Reverse Structural Remodeling of the Pulmonary Veins Following Cardiac Ablation Therapy  

Rationale and ObjectivesPatients with atrial fibrillation undergo structural remodeling resulting in increased pulmonary vein sizes. Studies have demonstrated that these changes are reversible following successful ablation therapy. To date, analyses of pulmonary vein structure have focused on measurements at the pulmonary vein ostia, and the full extent of reverse remodeling along the length of the pulmonary veins has not yet been fully characterized. Materials and MethodsAn automated, three-dimensional method is proposed that quantifies pulmonary vein geometry starting at the ostia and extending several centimeters into the veins. A centerline is tracked along the length of the pulmonary vein, and orthogonal planes are computed along the curve. The method was validated against manual meas...

266

A novel biometric system based on palm vein image  

Vein pattern recognition is one of the newest biometric techniques researched today. In this paper, one of the reliable and robust personal identification authentication approaches using palm vein patterns is presented. We consider the palm vein as a piece of texture and apply texture-based feature extraction techniques to palm vein authentication in our work. A 2-D Gabor filter provides the optimized resolution in both the spatial and frequency domains, thus it is a basis for extracting local features in the palm vein recognition. In order to obtain effective pattern of palm vascular, we proposed an innovative and robust directional coding technique to encode the palm vein features in bit string representation. The bit string representation, called VeinCode, offers speedy template matchin...

267

Significance of the Soleal Vein and its Drainage Veins in Cases of Massive Pulmonary Thromboembolism  

In this report, we review the anatomical features of the crural veins and the importance of the soleal vein and its drainage veins for thrombi formation and propagation. The result of our investigation of 120 legs of 60 autopsy cases with fatal pulmonary thromboembolism showed that the soleal vein was the most frequent site of deep vein thrombosis, both for fresh and for organized thrombi. Furthermore, the detection rate of thrombi, both fresh and organized, showed that the most common site was in the soleal vein and then decreased progressively according to the drainage route of the soleal vein. Anatomical characteristics and physiological mechanisms play a major role in the occurrence and propagation of venous thrombi. Thus, an understanding of these features is essential for effective prophylaxis of venous thromboembolism.   

268

[Morphology and development of bovine testicular vein (V. testicularis) during the prenatal and neonatal periods].  

Investigation into the morphology and development of the testicular vein in bovine was carried out with 85 male foetuses from the 8-40th week of pregnancy and with 10 newborns aged 1 to 10 days of life, the total being 95 preparations. The age of the foetuses was determined by Kantorova method complemented with those by other authors. The observations were made with using rubber latex introduced into the lumen of the tested veins by means of an automatic device of our own construction. It was found out that the developmental transformations of the testicular veins, initiated in the embryo, progress very dynamically in foetuses up to about the 20th week of pregnancy and them gradually slow down in older foetuses. Finally, in a fully formed testicular vein of the oldest foetuses and newborns there can be distinguished the proximal and distal part of this vessel. The proximal part carries the blood away from labile components of the testicular vein, the only exceptions being the aortic branch and the ureteral vein. Now, the solid components escape into the distal part of testicular vein. In the course of the distal part of the vessel there are its three basic plexuses, i.e. the testicular plexus, the marginal plexus of testicular vein and the largest of them--the pampiniform plexus of testicular vein. The blood from the last plexus is carried away into the main trunk of testicular vein by two anastomotic branches--lateral and medial. Of the veins examined the right one usually escapes to the caudal vena cava or to the deep circumflex iliac vein, while the left one to deep circumflex iliac vein or to the common iliac vein. PMID:2132658

269

Conditions for veining and origin of mineralizing fluids in the Alpi Apuane (NW Tuscany, Italy): Evidence from structural and geochemical analyses on calcite veins hosted in Carrara marbles  

This work deals with structural and geochemical (chemical and isotopic) analyses of calcite veins hosted in Carrara marbles in the Alpi Apuane, NW Tuscany, Italy. Geometric features and spatial distribution of veins provided estimations of stress ratio (? = (?2 ? ?3)/(?1 ? ?3)), driving stress ratio (R? = (Pf ? ?3)/(?1 ? ?3)) and fluid overpressure (?si = Pf ? ?3) at the time of vein formation. The obtained values of ? = 32 and R? = 0.43 reveal that fluid pressure was higher than the intermediate principal stress at the time of veins formation, whereas the estimated ?si ranging from 129 to 207 MPa indicates that veins formed under supra-hydrostatic to lithostatic pressure conditions. Carbon (?13CV-PDB = 1.81-2.10‰ for veins and 1.95-2.51‰ for host marbles), oxygen (?18OV-SMOW = 28.71-29.57‰ for veins and 28.90-29.36‰ for host marbles) and strontium (87Sr/86Sr = 0.707716-0.707985 for veins and 0.0707708-0.707900 for host marbles) isotope compositions in vein/host marble pairs were internally quite consistent. Combining our structural and geochemical data, a modeling approach was performed to investigate the compositional features and temperatures of calcite depositing fluids. The results of our studies give evidence that (1) pore-fluids in Carrara marble, consisting of metamorphic formation waters, were re-mobilized during veining event and migrated within the veins in closed system conditions, (2) veins formed after ductile folding phases and before high-angle brittle faulting events, at temperature and pressure around 250 °C and 210 MPa, and finally (3) about 12 g H2O/m3 marble are calculated to have been available as vein parental fluid at the time of vein formation.

270

Computer-assisted diagnostic tool to quantify the pulmonary veins in sickle cell associated pulmonary hypertension  

Pulmonary hypertension is a common cause of death among patients with sickle cell disease. This study investigates the use of pulmonary vein analysis to assist the diagnosis of pulmonary hypertension non-invasively with CT-Angiography images. The characterization of the pulmonary veins from CT presents two main challenges. Firstly, the number of pulmonary veins is unknown a priori and secondly, the contrast material is degraded when reaching the pulmonary veins, making the edges of these vessels to appear faint. Each image is first denoised and a fast marching approach is used to segment the left atrium and pulmonary veins. Afterward, a geodesic active contour is employed to isolate the left atrium. A thinning technique is then used to extract the skeleton of the atrium and the veins. The locations of the pulmonary veins ostia are determined by the intersection of the skeleton and the contour of the atrium. The diameters of the pulmonary veins are measured in each vein at fixed distances from the corresponding ostium, and for each distance, the sum of the diameters of all the veins is computed. These indicators are shown to be significantly larger in sickle-cell patients with pulmonary hypertension as compared to controls (p-values < 0.01).

271

Radiological evaluation of congenital pulmonary vein obstruction  

Congenital obstruction of pulmonary vein is presented as chronic cough, hemoptysis, and recurrent pneumonias, which are caused by long-standing pulmonary congestion. Congenital obstruction of pulmonary vein without anomalous drainage can cause long-standing pulmonary congestion and pulmonary arterial hypertension, and it may include stenosis of individual pulmonary veins or total pulmonary vein atresia. We reviewed seven cases of pulmonary vein obstruction, five of which accompanied other cardiac anomalies. Right pulmonary veins were involved in all seven cases including one bilateral case. Pulmonary veins were occluded totally in five and partially in three lungs. Pulmonary catheterization and angiography were done for diagnosis. Chest radiographs of total occlusion cases showed decreased lung volume, features of pulmonary edema, interstitial lesions, and pleural thickening, which were quite specific, whereas pulmonary venous dilatation was dominant findings in partial obstruction cases. Pulmonary perfusion scans (n=3) showed total perfusion defects in the cases of total occlusion of veins. MR imaging (n=2) demonstrated total occlusion of pulmonary veins in the veno atrial junction in two, and membranous focal obstruction in one lung. Two patients had pneumonectomy and histological confirmation. Although catheterization and angiography are essential for the diagnosis, MR imaging is thought to be useful for the diagnosis of pulmonary vein obstruction.

272

Episodic fluid flow during underplating within an ancient subduction zone  

Quartz veins in the Kodiak Formation in SW Alaska record episodic passage of fluids along a pervasive array of vertical fractures. Syn-cleavage quartz veins are pervasive but restricted to the deeper structural level where cleavage is subhorizontal, folds verge seaward, and noncoaxial strain histories are consistent with simple shear related to seaward-directed overthrusts. Scan line surveys of veins in argillaceous lithologies indicate that veins (with thickness zones. Three-dimensional analysis of the fracture systems suggests that en echelon sets are at least intermittently interconnected both vertically and laterally. Based on textural characteristics there are three types of veins: crack seal veins with continuous solid inclusion bands which have repeatedly fractured and resealed along their length, discontinuously banded crack seal veins which have repeatedly fractured and resealed only partially, and euhedral growth veins with no solid inclusions but which retain evidence for episodic collapse of the fractures. Based mainly on textural observations, the authors believe that most of the quartz in veins is transported by pore fluid diffusion from matrix to crack, while the fluid within fractures may be externally-derived. Quartz veins in this well exposed accretionary complex document distributed fluid flow along a complex system of fracture conduits above an active basal decollement. These observations provide unique insights into the mechanism of fluid flow during underplating along deep portions of the accretionary wedge that are presently inaccessible along modern convergent margins.

273

Comparison of harmonic scalpel versus conventional knot tying for transection of short hepatic veins at liver transplantation: prospective randomized study.  

The objective of this study was to compare harmonic scalpel for short hepatic vein transection with conventional ligation during recipient hepatectomy with caval preservation. Sixteen patients undergoing elective living donor liver transplantation were randomized into 2 groups. We recorded number, diameter, and location of each short hepatic vein, procedure time, central venous pressure, and degree of liver failure (Child-Pugh and Model for End stage Liver Disease scores). As an end point, we observed the intraoperative and postoperative bleeding rates of the transected veins. We transected 144 veins of mean diameter of 2.6 ± 1.8 mm (range, 1-12 mm). Mean number of short hepatic veins in each person was 9 (range, 5-16). Harmonic scalpel was safe for veins with a diameter ? 2 mm; these veins were more prone to bleeding with conventional ligation. Bleeding rate was higher after ligation of veins in the upper half than the lower half of the cava (37% vs 21%; P = .04). Both total and per vessel procedure time did not differ between the groups. No postoperative bleeding complications occurred. Transection of veins with a diameter ? 2 mm by harmonic scalpel was as safe as conventional ligation. Harmonic scalpel transection of small hepatic veins (? 2 mm) can be even safer than conventional control by knot tying, particularly in narrow areas. PMID:22841252

274

Anatomical Relationship between Saphenous Vein and Cutaneous Nerves  

The anatomical relationship between the saphenous veins and cutaneous nerves was investigated in 148 lower limbs of 74 cadavers in order to re-examine the stripping technique for treatment of varicose veins. The great saphenous vein frequently ran intimately along the saphenous nerve (59.5% in the middle third and 83.1% in the lower third of the leg) in the leg region. More than half of the latter cases showed an adhesive relationship in which the perineurium of the saphenous nerve was seen histologically to be attached to the adventitia of the vein. Moreover, in the thigh region as well, the great saphenous vein had an intimate relationship with the cutaneous nerves of various origin. In contrast, the small saphenous vein was often located close to the cutaneous nerves of the calf like the sural nerve. However, the adhesive relation between the small saphenous vein and nerves was rarely observed, in contrast to the case of the great saphenous vein.From these results, the anatomical relationship between the superficial vein and nerve in the lower limb were characterized according to each part of the lower limb. Based on our observations, limited extraction of the vein was recommended to reduce the risk of nerve injury during the stripping operation.   

275

Digital subtraction angiography for lower extremity phlebography  

DSA was applied to the lower extremity phlebography on 21 cases (36 legs). The patient lay in the supine position and a tourniquet was placed around the ankle. Forty ml of contrast medium, diluted to 25% of the original concentration with normal saline, was injected into the dorsal vein of the foot. The anterior tibial vein, posterior tibial vein, peroneal vein and muscular vein of the calf were identified in 24(63.2%), 36(94.7%), 37(97.4%) and 7 legs (18.4%), respectively. The poor opacification of the anterior tibial vein was attributed partly to the compression effect of the tourniquet. The abnormal findings were deep vein thrombosis (5 legs), reflux from the deep to the superficial vein (14 legs) and irregularity of the vein wall (16 legs). The superficial varicose veins were not demonstrated in DSA phlebography. The examination was comfortable because the patient position was supine and the dilute contrast medium caused no burning sensation. We believe that DSA phelobography is a safe and useful method for diagnosing the deep venous system disorders. (author).

276

Genetic analysis of chemosensory traits in human twins.  

We explored genetic influences on the perception of taste and smell stimuli. Adult twins rated the chemosensory aspects of water, sucrose, sodium chloride, citric acid, ethanol, quinine hydrochloride, phenylthiocarbamide (PTC), potassium chloride, calcium chloride, cinnamon, androstenone, Galaxolide™, cilantro, and basil. For most traits, individual differences were stable over time and some traits were heritable (h(2) from 0.41 to 0.71). Subjects were genotyped for 44 single nucleotide polymorphisms within and near genes related to taste and smell. The results of these association analyses confirmed previous genotype-phenotype results for PTC, quinine, and androstenone. New associations were detected for ratings of basil and a bitter taste receptor gene, TAS2R60, and between cilantro and variants in three genes (TRPA1, GNAT3, and TAS2R50). The flavor of ethanol was related to variation within an olfactory receptor gene (OR7D4) and a gene encoding a subunit of the epithelial sodium channel (SCNN1D). Our study demonstrates that person-to-person differences in the taste and smell perception of simple foods and drinks are partially accounted for by genetic variation within chemosensory pathways. PMID:22977065

277

A relação dos técnicos de educação de adultos com o discurso pedagógico oficial: um caso a norte de Portugal/ The relation between adult education agents and the official pedagogical discourse: a case study in northern Portugal  

Abstract in portuguese O presente artigo pretende questionar, com base num estudo etnográfico realizado junto de uma equipa técnica de educação de adultos de uma associação de desenvolvimento local do norte de Portugal, a relação que este tipo de técnicos estabelece com o discurso pedagógico oficial proveniente de estruturas de informação que estão na dependência do Estado. Para realizar tal análise recorreu-se, do ponto de vista teórico, ao modelo da estrutura do discurso pedag (more) ógico de Basil Bernstein. Os resultados dizem-nos que, neste caso concreto, os técnicos, apesar de terem a sua acção fortemente normativizada, são capazes de estabelecer com o discurso oficial uma relação activa, pois no desenrolar da sua actividade fazem, muitas vezes, usos recontextualizados desse discurso. Abstract in english Based on an ethnographic study of a team of adult education agents in an association of local development in the North of Portugal, this paper is aimed at studying the relation that these agents establish with the official pedagogical discourse emerging from State-dependent information structures. In order to develop this analysis, Basil Bernstein's model of pedagogical discourse structure was used for a theoretical basis. The results have showed that, in this particular (more) case, the agents, in spite of having a strongly normative action, are able to establish an active relation with the official discourse. It can be observed that they often readapt this official discourse in their daily activity.

278

Desigualdad, democratización y pedagogías en el acceso a la educación superior de Uruguay  

Abstract in spanish Este estudio lo conforma un marco de referencia sobre la educación superior en Uruguay. Luego describe la segmentación social y académica en la educación superior, observa prospectivamente la población objetivo de la democratización, definiéndola como aquellos estudiantes que actualmente no están ingresando a la educación superior. Finalmente aborda el problema de la relación entre pedagogías y clases sociales en los estudiantes, tomando como referencia dos enf (more) oques de investigación a estos efectos complementarios: la teoría de los discursos pedagógicos de Basil Bernstein y la Perspectiva sobre las Escuelas Eficaces. Abstract in english This study conforms a reference frame on the superior education in Uruguay. We describe the social and academic segmentation on higher education. Later, observes the objective population of the democratization, defining it like those students which at the moment are not entering to higher education. Finally, it approaches the problem of the relation between pedagogy and social level in the students, taking as a reference two complementary approaches of investigation: the theory of the pedagogical speeches of Basil Bernstein and the Perspective on the Effective Schools.

279

Investida contra as profissões e reestruturação das identidades acadêmicas e profissionais/ The assault on the professions and the restructuring of academic and professional identities  

Abstract in portuguese Este artigo baseia-se em uma série de idéias e conceitos desenvolvidos pelo sociólogo britânico Basil Bernstein para analisar os desafios e as mudanças enfrentados recentemente por indivíduos com ocupações profissionais, inclusive os das áreas de ensino e pesquisa na educação superior. O artigo discute e procura desenvolver a análise de Bernstein sobre como estruturas particulares do conhecimento podem estar relacionadas com a formação de identidades ocupaci (more) onais, centradas naquilo a que o autor se refere como "interioridade" e "dedicação interna". A seguir, examina a gama de desafios para essas identidades, em especial aqueles que surgem da "regionalização" do conhecimento e do "genericismo". Na conclusão, avalia as perspectivas de perpetuação dessas identidades em uma era de crescente mercantilização e gerencialismo. Abstract in english This paper draws upon a range of ideas and concepts developed by the British sociologist Basil Bernstein to examine recent challenges and changes encountered by members of professional occupations, including those who teach and research in higher education. The paper discusses and seeks to develop Bernstein's analysis of how particular structurings of knowledge may to related to the formation of occupational identities centred in what Bernstein refers to as "inwardness" a (more) nd "inner dedication". It then examines a range of challenges to such identities - particularly those arising from the "regionalisations" of knowledge and from "genericim" -, it concludes by assessing the prospects for perpetuating such identities in an era of increasing marketization and managerialism.

280

Lidar and radar measurements of the melting layer: observations of dark and bright band phenomena  

Multi-wavelength lidar measurements in the melting layer revealing the presence of dark and bright bands have been performed by the University of BASILicata Raman lidar system (BASIL) during a stratiform rain event. Simultaneously radar measurements have been also performed from the same site by the University of Hamburg cloud radar MIRA 36 (35.5 GHz), the University of Hamburg dual-polarization micro rain radar (24.15 GHz) and the University of Manchester UHF wind profiler (1.29 GHz). Measurements from BASIL and the radars are illustrated and discussed in this paper for a specific case study on 23 July 2007 during the Convective and Orographically-induced Precipitation Study (COPS). Simulations of the lidar dark and bright band based on the application of concentric/eccentric sphere Lorentz-Mie codes and a melting layer model are also provided. Lidar and radar measurements and model results are also compared with measurements from a disdrometer on ground and a two-dimensional cloud (2DC) probe on-board the ATR42 SAFIRE. Measurements and model results are found to confirm and support the conceptual microphysical/scattering model elaborated by Sassen et al. (2005).

 
 
 
 
281

Microsurgical subinguinal varicocelectomy in children, adolescents, and adults: surgical anatomy and anatomically justified technique.  

Microsurgical varicocelectomy has become the gold standard in adults because of low recurrence and postoperative hydrocele rates; it is increasingly applied in children and adolescents. This review aims to provide the surgeon with the necessary surgical anatomy of the spermatic cord and with a step-by-step, anatomically justified description of technique, toward clearer comprehension and improved application. The anatomic compartments of the spermatic cord are delineated by the external and internal spermatic fasciae. Venous drainage of testis-epididymis is accomplished by the internal spermatic, deferential, and external spermatic (cremasteric) veins. All 3 anastomose at the caudal pole of testis, and then via gubernacular veins with the posterior scrotal veins. Another anastomosis exists between a cremasteric branch and anterior scrotal veins, which gives the external pudendal vein. Subinguinal approach offers access to varicose spermatic veins and collaterals. Use of surgical microscope offers identification of small veins, preservation of arteries, lymphatics, and nerves, and appreciation of spermatic cord fasciae, which permits the development of two surgical planes. In the surgical plane of internal spermatic vessels, internal spermatic veins are ligated, whereas the testicular artery and innervation, as well as lymphatics, are preserved. In the plane of cremasteric vessels and vas, cremasteric veins are ligated, whereas the cremasteric artery, vas deferens and its vasculature, lymphatics, and the genital branch of genitofemoral nerve are preserved. Delivery of the testis to ligate gubernacular veins is at the discretion of the surgeon. Finally, venous return is effected by deferential and scrotal veins, or, when gubernacular veins are ligated, by deferential veins only. PMID:21835913

282

Management of superficial vein thrombosis and thrombophlebitis: status and expert opinion document.  

Superficial vein thrombosis is characterized by clotting of superficial veins (ie, following direct trauma) with minimal inflammatory components. Superficial thrombophlebitis is a minimally thrombotic process of superficial veins associated with inflammatory changes and/or infection. Treatments generally include analgesics, elastic compression, anti-inflammatory agents, exercise and ambulation, and, in some cases, local or systemic anticoagulants. It is better to avoid bed rest and reduced mobility. Topical analgesia with nonsteroidal, anti-inflammatory creams applied locally to the superficial vein thrombosis/superficial thrombophlebitis area controls symptoms. Hirudoid cream (heparinoid) shortens the duration of signs/symptoms. Locally acting anticoagulants/antithrombotics (Viatromb, Lipohep, spray Na-heparin) have positive effects on pain and on the reduction in thrombus size. Intravenous catheters should be changed every 24 to 48 hours (depending on venous flow and clinical parameters) to prevent superficial vein thrombosis/superficial thrombophlebitis and removed in case of events. Low molecular weight heparin prophylaxis and nitroglycerin patches distal to peripheral lines may reduce the incidence of superficial vein thrombosis/superficial thrombophlebitis in patients with vein catheters. In case of superficial vein thrombosis/superficial thrombophlebitis, vein lines should be removed. In neoplastic diseases and hematological disorders, anticoagulants may be necessary. Exercise reduces pain and the possibility of deep vein thrombosis. Only in cases in which pain is very severe is bed rest necessary. Deep vein thrombosis prophylaxis should be established in patients with reduced mobility. Antibiotics usually do not have a place in superficial vein thrombosis/superficial thrombophlebitis unless there are documented infections. Prevention of superficial vein thrombosis should be considered on the basis of patient's history and clinical evaluation. PMID:17478877

283

Corrected transposition of the great arteries with several associated anomalies in a 68-year-old patient.  

Few patients with corrected transposition of the great arteries survive past 50 years of age because of the association with congenital defects, development of total atrioventricular block, and right ventricular dysfunction. We report the case of a male patient with dextrocardia in situs solitus and corrected transposition of the great arteries associated with a wide atrial septal defect and severe pulmonary valvar and subvalvar stenoses. The patient also developed a large aneurysm on the pulmonary artery, total atrioventricular block diagnosed 8 years earlier, symptoms of dysfunction of the systemic ventricle in the previous 2 years, insufficiency of the left atrioventricular valve, and aortic regurgitation. Despite all these associated anomalies, the patient developed class III cardiac decompensation only at the age of 68 years, which makes this case a rarity. The patient was clinically treated, and was discharged from the hospital in good condition. PMID:11733804

284

Inferior gluteal artery myocutaneous island transposition flap reconstruction of irradiated perineal defects  

SummaryBackground With the progressive use of more radical surgical resections and pre-operative chemo-radiotherapy for locally advanced anorectal cancers, there has become an increasing need for reconstructive options that import well-vascularised tissue of sufficient bulk to the perineum. We present our technique of inferior gluteal artery myocutaneous (IGAM) transposition flaps for reconstruction after extended abdomino-perineal excision (APE) for anorectal cancer. Methods Six consecutive male patients with T2/T3 rectal carcinoma underwent neoadjuvant chemo-radiotherapy followed by extended APE and immediate reconstruction with an islanded IGAM transposition flap. The operative technique and surgical outcomes were assessed with follow-up ranging from 3 to 18 months (median 5 months). Re...

285

Total vs hemi-aortic arch transposition for hybrid aortic arch repair  

ObjectiveTo compare the outcomes of total aortic arch transposition (TAAT) vs hemi-aortic arch transposition (HAAT) for hybrid aortic arch repair. MethodsA systematic search was performed using PubMed between November 1998 and May 2010 by two independent observers. Studies included reporting on patients treated by TAAT or HAAT and stent grafting in a proximal landing zone 0 or 1 by Ishimaru, respectively. Further articles were identified by following MEDLINE links, by cross-referencing from the reference lists, and by following citations for these studies. Case reports and case series of less than five patients were excluded. Primary technical and initial clinical success, perioperative, and late morbidity and mortality were extracted per study and were meta-analyzed. ResultsFourteen studi...

286

Ehlers-Danlos syndrome (classic type): report of a case presenting with an unusual dental anomaly.  

Ehlers-Danlos syndrome (EDS) comprises a group of generalised connective tissue disorders. Deficiency or alteration of the collagen present in the tissues results in some classic signs such as skin hyper extensibility, joint hypermobility, and vascular fragility. Multiple supernumerary teeth, congenitally missing teeth, and odontogenic keratocysts have been reported in some patients with EDS. To the author's knowledge, transposition of permanent canines has not previously been reported in any case of EDS. This case report presents the dental findings of a sporadic case of classic-type EDS in a 14-year-old Chinese male who had transposition of a permanent maxillary canine as well as the presence of two supernumerary premolars in the mandible. PMID:21968044

287

Transpositional activation of mPing in an asymmetric nuclear somatic cell hybrid of rice and Zizania latifolia was accompanied by massive element loss  

We have reported previously that the most active miniature inverted terminal repeat transposable element (MITE) of rice, mPing, was transpositionally mobilized in several rice recombinant inbred lines (RILs) derived from an introgressive hybridization between rice and wild rice (Zizania latifolia Griseb.). To further study the phenomenon of hybridization-induced mPing activity, we undertook the present study to investigate the element?s behavior in a highly asymmetric somatic nuclear hybrid (SH6) of rice and Z. latifolia, which is similar in genomic composition to that of the RILs, though probably contains more introgressed alien chromatins from the donor species than the RILs. We found that mPing, together with its transposase-donor, Pong, underwent rampant transpositional activation in t...

288

A Framework for Analysis of Music Similarity Measures  

To analyze specific properties of music similarity measures that the commonly used genre classification evaluation procedure does not reveal, we introduce a MIDI based test framework for music similarity measures. We introduce the framework by example and thus outline an experiment to analyze the dependency of a music similarity measure on the instrumentation of a song compared to the melody, and to analyze its sensitivity to transpositions. Using the outlined experiment, we analyze music similarity measures from three software packages, namely Marsyas, MA toolbox and Intelligent Sound Processing toolbox. The tested timbral similarity measures perform instrument recognition relatively well, although they are sensitive to transpositions and differences between sound fonts. The beat/rhythm/melody similarity measures are not always able to recognize the same melody played with different instruments.

289

Excision of a transposable element from a viral vector introduced into maize plants by agroinfection.  

The geminivirus maize streak virus (MSV) was used as a vector to introduce the maize transposable element Dissociation (Ds) and to study its excision in maize plants. MSV carrying Ds1 in its genome was introduced into maize plants by agroinfection. Excision of the Ds1 element from the MSV genome was detected only when functions from the transposable element Activator (Ac) were supplied in trans, either endogenously by the recipient maize plant or by co-transformation with Agrobacterium carrying a genomic Ac clone. The excision of Ds1 could easily be visualized by the appearance of viral symptoms induced by the revertant virus. The junction sequences left on the MSV genome after excision revealed 'footprints' typical of transposition as described for maize. From these results, we conclude that transposition functions in our system and that the use of the MSV replicon provides a rapid and simple tool for the investigation of the excision of transposable elements in maize plants. PMID:1338948

290

Case Report on Situs Inversus Totalis in Two Sprague-Dawley Rats  

We macro- and microscopically examined two cases of congenital visceral transposition (situs inversus totalis) in SD rats. We also investigated the possibility of situs inversus in association with immotile-cilia syndrome. The rats had grown normally with no clinical signs of disease. Although all organs including the vascular system were located opposite to the normal position and displayed a mirror image on macroscopic observation, no abnormality was found in any of the organs on microscopic examination. Electron-microscopic observation revealed in neither animal any structural abnormalities of the cilia and flagella, which are one of the diagnostic characterizations of immotile-cilia syndrome. Congenital transposition of the viscera is rare and there are few reports examining complications with situs inversus in rats. This report will be helpful in accumulating information on this condition.   

291

The Tol1 element of medaka fish is transposed with only terminal regions and can deliver large DNA fragments into the chromosomes  

Tol1 is an active DNA-based transposable element residing in the genome of the medaka fish Oryzias latipes. This element belongs to the hAT transposable element family, of which complete copies have relatively long sequences. In addition, we found that Tol1 elements as long as 18 and 20?kb occur in the medaka fish genome. These facts suggest that Tol1 is suitable for carrying large DNA fragments as a gene transfer vector. Focusing on this, we conducted two kinds of manipulations of the element. The first was to eliminate internal regions dispensable for transposition. It was revealed that a Tol1 element consisting of 157-bp left- and 106-bp right-terminal regions could be transposed without a loss of transposition efficiency. Next, we prepared long Tol1 elements by incorporating unrelated ...

292

Comparison of Outcomes in Adults With Congenitally Corrected Transposition With Situs Inversus Versus Situs Solitus  

The long-term outcome of patients with congenitally corrected transposition of the great arteries is mainly determined by progressive morphologically tricuspid valve regurgitation, heart block, atrial arrhythmias, and/or systemic ventricular dysfunction. Situs abnormalities have been reported in ?34% of cases, but whether clinical differences exist between a situs inversus and situs solitus arrangement has not yet been studied. The clinical records of 38 adults with congenitally corrected transposition of the great arteries (mean age 40 ± 15 years) followed for a mean period of 7.4 years were reviewed. Of these 38 patients, 8 presented with situs inversus and 30 with situs solitus. No significant differences were found between the 2 groups in age, gender, ventricular septal d...

293

Dorsal digital ganglia excision with the use of a local transposition flap  

Dorsal digital ganglia are ganglia arising out of the adjacent distal interphalangeal joint. They may be asymptomatic but can cause pain, leakage of mucous, and nail deformities. Multiple surgical and non-surgical techniques have been described for their treatment. The aim of this study was to record the preoperative symptoms experienced by our patients and to assess the effectiveness of our technique of ganglion excision and the use of a local transposition flap. Patients were identified retrospectively and their records reviewed. Surgery involved excision of the ganglion and any associated osteophytes and resurfacing of the area with a local transposition flap. Postoperatively, patients were surveyed regarding their preoperative symptoms, surgical outcomes, and satisfaction with the proc...

294

Evaluation of the lateral collateral ligament after fibular head transposition in dogs.  

Cranial transposition of the fibular head stabilizes the stifle joint by displacing the distal attachment of the lateral collateral ligament (LCL). The forces applied to the LCL after displacement may cause ligamentous elongation. This investigation evaluated the morphological, histological, and biomechanical changes of the LCL after fibular head transposition (FHT) in dogs. Unilateral cranial cruciate ligament (CCL) excision and FHT were performed on 25 dogs. Cross-sectional area, length, histological, and structural properties of the LCL were evaluated 3 weeks, 4 months, and 10 months after surgery. Ligament length means were significantly increased at week 3, month 4, and month 10 compared with intraoperative length means. No significant changes in elongation were observed after week 3. Fibrovascular proliferation within the LCL increased the cross-sectional area and associated structural properties. PMID:7871709

295

Anatomically based comparison of the different transthoracic routes for colon ascension after total esogastrectomy.  

Colon interposition is the method of choice to restore the digestive tract after esogastrectomy. The aim of this study was to compare the length of the four available routes for colon transposition (posterior mediastinum route, transpleural route, substernal route and subcutaneous route) and to achieve a specific evaluation of the transpleural route. Our study was conducted with anatomical (dissection) and radiological (2D CT scan reconstructions) protocols. For both, the posterior mediastinum route was always the shortest way and the subcutaneous route was always the longest. For the anatomical results, the transpleural route and the substernal route were similar in terms of length and for the radiological study, the transpleural route was shorter than the substernal route (P < 0.001) and shorter than the subcutaneous route (P < 0.001). We demonstrated that the transpleural route was acceptable for colon transposition in term of length, and could be an alternative when the substernal route is unavailable. PMID:19730768

296

A simple technique to circumvent the aorto-pulmonary size mismatch in arterial switch operation with arch repair: a report of five cases  

The discrepancy in the sizes of the aorta and the pulmonary artery is a major technical concern in arterial switch operations for transposition of great arteries with ventricular septal defect, arch hypoplasia/interruption and Taussig Bing anomaly. The size mismatch increases the difficulty in neoaortic reconstruction and securing hemostasis. It alters the Sino tubular anatomy and contributes to development of Neoaortic Regurgitation (NAR). We present five cases of successful repairs for Transposition of Great Arteries (TGA) with hypoplastic transverse arch and Coarctation where the extended homologous gluteraldehyde treated pericardial patch was used to augment the isthmus, transverse arch and the ascending aorta upto the line of transaction to avoid the aorto-pulmonary size mismatch.

297

Graph Theoretic Method for Determining non Hurwitz Equivalence in the Braid Group and Symmetric group  

Motivated by the problem of Hurwitz equivalence of $\\Delta ^2$ factorization in the braid group, we address the problem of Hurwitz equivalence in the symmetric group, obtained by projecting the $\\Delta ^2$ factorizations into $S_n$. We get $1_{S_n}$ factorizations with transposition factors. Looking at the transpositions as the edges in a graph, we show that two factorizations are Hurwitz equivalent if and only if their graphs have the same weighted connected components. The main result of this paper will help us to compute the "Braid Monodromy Type" invariant. The graph structure gives a weaker but very easy to compute invariant to distinguish between diffeomorphic surfaces which are not deformation of each other.

298

Fast and efficient generation of recombinant baculoviruses by in vitro transposition  

A novel recombinant bacmid, bEasyBac, that enables the easy and fast generation of pure recombinant baculovirus without any purification step was constructed. In bEasyBac, attR recombination sites were introduced to facilitate the generation of a recombinant viral genome by in vitro transposition. Moreover, the extracellular RNase gene from Bacillus amyloliquefaciens, barnase, was expressed under the control of the Cotesia plutellae bracovirus early promoter to negatively select against the non-recombinant background. The bEasyBac bacmid could only replicate in host insect cells when the barnase gene was replaced with the gene of interest by in vitro transposition. When bEasyBac was transposed with pDualBac-EGFP, the resulting recombinant virus, AcEasy-EGFP, showed comparable levels of EGF...

299

Sequencing of rhesus macaque Y chromosome clarifies origins and evolution of the DAZ (Deleted in AZoospermia) genes  

Abstract Studies of Y chromosome evolution often emphasize gene loss, but this loss has been counterbalanced by addition of new genes. The DAZ genes, which are critical to human spermatogenesis, were acquired by the Y chromosome in the ancestor of Old World monkeys and apes. We and our colleagues recently sequenced the rhesus macaque Y chromosome, and comparison of this sequence to human and chimpanzee enables us to reconstruct much of the evolutionary history of DAZ. We report that DAZ arrived on the Y chromosome about 38 million years ago via the transposition of at least 1.1-megabases of autosomal DNA. This transposition also brought five additional genes to the Y chromosome, but all five genes were subsequently lost through mutation or deletion. As the only surviving gene, DAZ experien...

300

Corrected transposition of the great arteries with several associated anomalies in a 68-year-old patient  

Abstract in english Few patients with corrected transposition of the great arteries survive past 50 years of age because of the association with congenital defects, development of total atrioventricular block, and right ventricular dysfunction. We report the case of a male patient with dextrocardia in situs solitus and corrected transposition of the great arteries associated with a wide atrial septal defect and severe pulmonary valvar and subvalvar stenoses. The patient also developed a larg (more) e aneurysm on the pulmonary artery, total atrioventricular block diagnosed 8 years earlier, symptoms of dysfunction of the systemic ventricle in the previous 2 years, insufficiency of the left atrioventricular valve, and aortic regurgitation. Despite all these associated anomalies, the patient developed class III cardiac decompensation only at the age of 68 years, which makes this case a rarity. The patient was clinically treated, and was discharged from the hospital in good condition.

 
 
 
 
301

Corrected transposition of great arteries; Skorygowane przelozenie wielkich pni tetniczych  

20 patients with the diagnosis of congenital corrected transposition of great arteries were analyzed. The diagnosis was based on routine clinical examination, echocardiography and in certain cases on heart catheterization and angiocardiography. In the most cases c-TGA coexists with additional heart defects. The commonest coexisting defects were: ventricular septal defect (60%), pulmonary stenosis (50%), atrio-ventricular valve regurgitation, predominantly systemic (tricuspid 45%). In the most cases 2D Doppler echo examination was sufficient for morphological assessment. In order to quality to cardiosurgical treatment heart catheterization and angiocardiography were necessary. 5 children were treated surgically. 3 of them underwent palliative procedures, one - Rastelli procedure and one had corrective surgery with bad result. Clinical picture of corrected transposition of great arteries is determined by coexisting additional heart defects. (author) 15 refs, 6 figs, 1 tab

302

Orthodontic correction of a transposed maxillary canine and first premolar in the permanent dentition.  

The patient was a 16-year-old Japanese girl whose chief complaints were crowding and transposition of the maxillary canine and first premolar. A setup model was used to preoperatively align the teeth in their transposed positions. The amount of postoperative reshaping was estimated for the occlusal surfaces of the teeth. However, the patient did not wish to have her teeth reduced by reshaping or to have composite materials for restorative camouflage. Because she strongly expected alignment of her teeth in the correct intra-arch position, her transposed teeth were corrected without extraction of the transposed teeth. Cone-beam computed tomography was used to obtain more detailed information about the transposition, and the direction of tooth movement was examined. Although the duration of the treatment was long, both the crowns and the roots of the transposed teeth were aligned correctly. PMID:22999676

303

Liver blood flow measurements in the portacavally transposed rat before and after partial hepatectomy.  

The haemodynamic changes following partial hepatectomy (PH) in the portacavally transposed rat have been studied using an 85Kr clearance technique. Liver blood flow measurements (LBF) were made before and after portacaval transposition (PCT) and PH was performed either immediately or at 3 weeks after transposition and further blood flow measurements made. No change in LBF was noted after PCT compared with preoperative values. Following PH in the portacavally transposed animals there was no marked increase in LBF. It is suggested that the liver atrophy consequent on portal diversion is due to deviation factors in portal blood and not to a decrease in absolute LBF. Regenerative hyperplasia occurs in the absence of the post-hepatectomy rise in LBF seen in normal animals. PMID:656313

304

An easy adjustable method of ectatic vertebrobasilar artery transposition for microvascular decompression  

Background: Microvascular decompression (MVD) of trigeminal neuralgia (TN) or hemifacial spasm (HFS) caused by an elongated, tortuous or enlarged vertebral or basilar artery has a higher rate of incomplete cure. Objective: We used an easily applied and adjustable method of vertebrobasilar artery transposition and fixation to improve the immediate surgical outcome of MVD of TN or HFS due to compression by an ectatic vertebrobasilar artery system. Methods: Vertebral or basilar artery transposition was performed using the vascular sling with a strip of unabsorbable dural tape. The vertebrobasilar artery-sling complex was then fixed to the dura over the petrous bone by aneurysm clip through the dural bridge. The direction and angle of traction on the vertebrobasilar artery was adjustable using...

305

Tn10/IS10 transposition is downregulated at the level of transposase expression by the RNA binding protein Hfq  

Summary We show in this work that disruption of the hfq gene in Escherichia coli causes a large increase in IS10 transposition when IS10 is present on a multi copy plasmid. Hfq is an RNA binding protein that regulates the expression of a large number of genes at the post transcriptional level by promoting the pairing of mRNAs with partially complementary short RNAs. As the translation of IS10 transposase mRNA (RNA IN) is inhibited by an IS10 encoded anti sense RNA (RNA OUT), it seemed likely that Hfq would negatively regulate Tn10/IS10 transposition by promoting anti sense inhibition of RNA IN translation. Consistent with this, we show that Hfq promotes pairing of RNA IN and RNA OUT in vitro and downregulates RNA IN expression in vivo. However, we also show that Hfq negatively regulates Tn...

306

Mixing times via super-fast coupling  

We provide a coupling proof that the transposition shuffle on a deck of n cards is mixing of rate $n\\log(n)$ with a moderate constant. This has already been shown by Diaconis and Shahshahani but no natural coupling proof has been demonstrated to date. We also enlarge the methodology of coupling to include intuitive but nonadapted coupling rules, for example, to take in account future events and to prepare for their occurrence.

307

Identification of Insertion Sequence from a ?-Hexachlorocyclohexane Degrading Bacterium, Sphingomonas paucimobilis UT26  

Tn5-derived mutants of the ?-hexachlorocyclohexane-degrading bacterium Sphingomonas paucimobilis UT26 were genetically characterized, and an endogenous insertion sequence (IS) which belongs to the IS1380 family was identified. The IS, named ISsp1, existed as multi copies in UT26, and its transposition appeared to be activated during the process of Tn5-mutagenesis. It was found that transposon mutagenesis can cause endogenous mutations.   

308

Dextrocardia with corrected transposition of large arteries in scintigraphic picture  

A case report is presented of a patient with dextrocardia complicated with corrected transposition of the large arteries. For comparison, some findings in another patient with isolated dextrocardia are presented. Scintigrams of the heart cavities and the large vessels performed by the method of radioisotope first flow cardioangiography are shown. The ease and simplicity are pointed out of this noninvasive method in diagnosis and differential diagnosis of dextrocardia and congenital heart defects in general.

309

A Transbaffle Approach to Ablation in a Child with an Extracardiac Fontan  

We present the case of an 11-year-old with D-transposition, double inlet left ventricle, and dextrocardia 8 years following an extracardiac Fontan with supraventricular tachycardia mediated by a concealed accessory pathway. A transbaffle puncture was performed with fluoroscopic and transesophageal echocardiography guidance and the pathway location as well as its proximity to the HIS bundle were identified. The pathway was successfully ablated and the patient is asymptomatic for 12 months postablation. (PACE 2010; 33:368-371)

310

Transvenous cardiac resynchronization therapy in complex congenital heart diseases: dextrocardia with transposition of the great arteries after Mustard operation  

Cardiac resynchronization therapy revealed first promising results in patients with a congenital heart disease and a systemic right ventricle. Contrast-enhanced magnetic resonance imaging showed accessibility of the coronary sinus in an 18-year-old male patient with mirror dextrocardia, D-transposition of the great arteries and ventricular septal defect (VSD) after Mustard operation and VSD patch closure. In literatures, transvenous lead placement is discussed in this anatomical setting, with opposed position of the ventricular leads and reliable lead characteristics.

311

Treatment of a shoulder luxation in a forelimb amputee dog.  

An eight-year-old, male, thoracic limb amputee Whippet presented with a traumatic lateral luxation of the scapulohumeral joint. Surgical reduction and stabilisation of the shoulder joint by means of a modified Campbell scapulohumeral prosthesis and capsulorrhaphy was unsuccessful and reluxation of the shoulder joint occurred. Subsequent surgical stabilisation using bicipital tendon transposition and a modified Campbell scapulohumeral encircling prosthesis in combination with a novel body cast / Spica splint resulted in a return to satisfactory function of this limb. PMID:17546218

312

The effects of heat induction and the siRNA biogenesis pathway on the transgenerational transposition of ONSEN, a copia-like retrotransposon in Arabidopsis thaliana.  

Environmental stress influences genetic and epigenetic regulation in plant genomes. We previously reported that heat stress activated a copia-like retrotransposon named ONSEN. To investigate the heat sensitivity and transgenerational activation of ONSEN, we analyzed the stress response by temperature shift and multiple heat stress treatments. ONSEN was activated at 37°C, and the newly inserted ONSEN was transcriptionally active and mobile to the next generation subjected to heat stress, indicating that the regulation of ONSEN is independent of positional effects on the chromosome. Reciprocal crosses with activated ONSEN revealed that the transgenerational transposition was inherited from both sexes, indicating that the transposition is suppressed independently of gametophytic regulation. We showed previously that ONSEN was transposed in mutants deficient in small interfering RNA (siRNA) biogenesis, including nrpd2 and rdr2, but not dcl3. To define the functional redundancy of Dicer-like (DCL) proteins in Arabidopsis, we analyzed ONSEN activation in mutants deficient in DCL proteins, including dcl2, dcl3 and dcl4. ONSEN was nearly immobile in a single Dicer mutant; however, some transgenerational transpositions were observed in dcl2/dcl3/dcl4 triple mutants subjected to heat stress. This indicated that the Dicer family is redundant for ONSEN transposition. To examine the activation of ONSEN in undifferentiated cells, ONSEN transcripts and synthesized DNA were analyzed in heat-stressed callus tissue. In contrast to vegetative tissue, high accumulation of the transcripts and amplified DNA copies of ONSEN were detected in callus. This result indicated that ONSEN activation is controlled by cell-specific regulatory mechanisms. PMID:22173101

313

Trions in a periodic potential  

The group-theoretical classification of trion states is presented. It is based on considerations of products of irreducible representations of the 2D translation group. For a given BvK period N degeneracy of obtained states is N^2. Trions consist of two identical particles so the symmetrization of states with respect to particles transposition is considered. Completely antisymmetric states can be constructed by introducing antisymmetric spin functions. Two symmetry adapted bases are considered. The third possibility is postponed for the further investigations.

314

Sympathetic dysfunction of systemic right ventricle in congenitally corrected transposition of the great arteries.  

We evaluate the systemic right ventricle (SRV) failure of congenitally corrected transposition of the great arteries using the scintigraphic studies in a case with 32-year-old male who improved the heart failure by the use of beta-adrenergic blockers. The myocardial perfusion sympathetic nervous system activity mismatch with preserved coronary flow and wall thickness indicates a distinctive feature as SRV cardiomyopathy, suggesting the importance of recovery of SRV sympathetic dysfunction for improving the prognosis. PMID:20041305

315

Intermittent cyanosis years after a mustard repair for dextro-transposition of the great arteries.  

A 28-year-old woman, who as an infant had undergone the Mustard atrial switch procedure for dextro-transposition of the great arteries, presented with a baffle leak and consequent intermittent cyanosis. In addition, an occlusive thrombus had formed in the systemic venous baffle after a failed attempt to remove infected pacemaker leads. Corrective surgery was successful. In addition to the case of our patient, we discuss long-term sequelae of the atrial switch procedure that present challenges in patient care. PMID:23109763

316

Health-related quality of life as a predictor of mortality and hospitalization: the Dialysis Outcomes and Practice Patterns Study (DOPPS)  

A 28-year-old woman, who as an infant had undergone the Mustard atrial switch procedure for dextro-transposition of the great arteries, presented with a baffle leak and consequent intermittent cyanosis. In addition, an occlusive thrombus had formed in the systemic venous baffle after a failed attempt to remove infected pacemaker leads. Corrective surgery was successful. In addition to the case of our patient, we discuss long-term sequelae of the atrial switch procedure that present challenges in patient care. PMID:12787427

317

On some operations suggested by genome evolution  

Three operations involved in the genome evolution namely, inversion, transposition and duplication, are considered as operations on strings and languages. We show that, for any pair of these operations, there is a language family which is closed under one of the operations and not closed under the second one; however, under some mild conditions the closure of a language family under one of the operations implies that it also closed with respect to another one. 15 refs.

318

Combined repair of upper sternal cleft and transposition of the great arteries in a newborn.  

We report the case of a newborn with the unusual association of an upper sternal defect and transposition of the great arteries. Surgical correction of the cardiac disease consisted of the arterial switch procedure. The already less compliant bony thorax of the infant made direct approximation of the upper sternal defect only possible with adjuvant bilateral chondrotomy. Sternal cleft repair is advised during the very first weeks of life. PMID:23098954

319

Combined Repair of Upper Sternal Cleft and Transposition of the Great Arteries in a Newborn  

We report the case of a newborn with the unusual association of an upper sternal defect and transposition of the great arteries. Surgical correction of the cardiac disease consisted of the arterial switch procedure. The already less compliant bony thorax of the infant made direct approximation of the upper sternal defect only possible with adjuvant bilateral chondrotomy. Sternal cleft repair is advised during the very first weeks of life.

320

A Canine Case of Partial Heterotaxia Detected by Radiography and Ultrasound  

With radiography and ultrasound, reversed positioning of the fundus ventriculi and pylorus, a duodenum running on the left side, transposition of the kidneys, and normal thoracic organs were found in a 5-month-old miniature dachshund that presented with anorexia and weight loss. The case was diagnosed as partial heterotaxia. Gross observation revealed partial heterotaxia, polysplenia, abnormal lobulation of the liver, and absence of the greater omentum. These findings were consistent with those observed in asplenia-polysplenia syndrome in humans.   

 
 
 
 
321

Tn5. 7 construction and physical mapping of pRPS404 containing photosynthetic genes from Rhodopseudomonas capsulata  

A transposon, Tn5.7, has been constructed incorporating the transposition functions of Tn5 and the antibiotic-resistance factors from Tn7. It was used to mutagenize the plasmid pRPS404 which contains the photosynthetic genes of Rhodopseudomonas capsulata and is Kanamycin. In conjunction with the mutagenesis, physical mapping of the restriction endonuclease recognition sites for XhoI. Bg/II, KnpI, and SstI has been accomplished. 13 references, 2 figures.

322

Entanglement conditions for tripartite systems via indeterminacy relations  

Based on the S-R indeterminacy relations in conjugation with the partial transposition, we derive a class of inequalities for detecting entanglement in several tripartite systems, including bosonic, SU(2), and SU(1,1) systems. These inequalities are in general stronger than those based on the usual Heisenberg relations for detecting entanglement. We also discuss the reduction from SU(2) and SU(1,1) to bosonic systems and the generalization to multipartite case.

323

Congenitally corrected transposition of the great arteries with severely stenotic bicuspid aortic valve in an adult: a case report.  

Congenitally corrected transposition of the great arteries (CCTGA) is a rare disease accounting for 0.5-1.4% of patients with congenital heart disease. In this congenital cardiopathy, the left atrium is connected to the right ventricle, from which the aorta stems. We present a case of an adult with CCTGA associated with aortic stenosis and bicuspid aortic valve-an association not yet described to our knowledge.? PMID:21967613

324

Stereospecific Epoxidation of 4-Hydroxycyclopent-2-enones  

The treatment of 4,5-dialkyl-4-hydroxy-6-cyclopent-2-en-1-ones with H2C2 and KOH gave in high yields 2,3-epoxy-2,3-dialkyl-4-hydroxycyclopentanones. Furthermore, only one stereoisomer, characterized by trans relationship between the hydroxy group and the epoxide was obtained. This behaviour can be explained considering that epoxidation occurs during a base catalyzed transposition of the starting cyclopentenone.   

325

The transposition properties of Tn2 in E. coli.  

We report the characterization of Tn2 transpositions into the chromosome and into an F' lacproB episome of E. coli. When Tn2 transposes into the chromosome a proportion of the insertions result in auxotrophy. These insertions can revert to prototrophs and lose ampicillin resistance concomitantly. However, Tn2 insertions in F' lacproB are often associated with deletions, and it seems probable that insertion and deletion occur simultaneously. PMID:6250714

326

Bilateral snapping ulnar nerve syndrome in a professional decathlete?a rare case report and review of the literature  

We highlight a case of bilateral ulnar nerve instability in a young, competitive decathlete. The symptoms proved disabling to the athlete?s daily training routine and required operative measures in the form of an anterior submuscular transposition without epicondylectomy. The procedure proved effective with complete resolution of troublesome symptoms. Within 6 months post-operatively, the patient returned to train and perform at an elite national standard in his sport.

327

Normal hepatic vein patterns on ultrasound  

Understanding of the anatomy of the hepatic vein is important in manipulation for transplantation of the liver, hepatectomy and the treatment of hepatic trauma with avulsion of the hepatic vein. Demonstrated of the inferior right hepatic vein (IRHV) is also important; in some cases of hepatocellular carcinoma, thrombus can be seen in the IRHV; in primary Budd-Chiari syndrome, the IRHV is main draining vein; during hepatectomy, the postero-inferior segment of the right lobe and draining IRHV can be preserved. For some 10 months ultrasound examination was done in a total of 124 patients with normal liver function with special emphasis on the hepatic vein, their branches, and the IRHV, and analysed in terms of branching pattern and relative size of the hepatic vein and the detection rate of the IRHV.

328

Percutaneous Retrieval of a Right Atrioventricular Embolus  

Percutaneous retrieval of a 12-cm-long serpiginous clot lodged in the right atrium and ventricle is reported. Following bilateral common femoral vein puncture, a Bird's Nest cava filter was first positioned ready to deploy immediately below the renal veins via the right femoral vein. From the left femoral vein, a Cook intravascular retrieval basket was advanced to the right atrium. Under transthoracic echocardiographic visualization, the basket was used to engage, trap, and gently withdraw the clot in a single long strand below the prepositioned inferior vena cava filter. The filter was immediately deployed, leaving the clot trapped inferior to the renal veins, in the cava and left iliac vein. The patient remained well and asymptomatic at discharge.

329

Bahren types III and IVa testicular vein anomalies as a reason for failure in left idiopathic varicocele retrograde sclerotherapy. Ontogenic discussion and clinical implications.  

Left testicular vein anatomy has received more attention due to the presence of competent or incompetent venous valves and bypassing anastomoses, which are involved in venographic diagnosis and embolisation of varicocele. The left gonadal vein develops, in both males and females, between the 5th and 7th intrauterine weeks, being derived from the distal or postrenal portion of the left subcardinal vein. The varicocele aetiologic hypothesis leads to ontogenetic disturbances in the development of the secondary venous system. Retrograde testicular venography shows the precise anatomy of the left pampiniform plexus, while anterograde testicular venography identifies the presence of the valve and possible continence. In the present case sclerotherapy could not be achieved due to testicular vein anomalies. Sclerotherapy versus surgical high ligature of the left testicular vein in cases of left idiopathic varicocele with testicular vein anomalies is discussed. PMID:11963626

330

Control of Blood Vessel Identity: From Embryo to Adult  

Arteries and veins have been historically defined by the direction of blood flow and oxygen tension within the vessel, in addition to their functional, hemodynamic, and anatomical differences. It is now known that the molecular identity of these vessels is genetically predetermined, with specific molecular pathways acti-vated during the development of arteries and veins. Eph-B4 is a determinant of venous differentiation and Ephrin-B2 is a determinant of arterial differentiation. Placement of a vein into the higher pressure and flow of the arterial circulation results in adaptation of the vein to the arterial environment. There is selec-tive loss of Eph-B4 expression without induction of Ephrin-B2 expression during vein graft adaptation. These findings suggest that loss of venous identity is the crucial mechanism in vein graft adaptation and that developmentally critical determinants of vessel identity are plastic during adult life.   

331

Modelling the liquid-water vein system within polar ice sheets as a potential microbial habitat  

Based on the fundamental and distinctive physical properties of polycrystalline ice Ih, the chemical and temperature profiles within the polar ice sheets, and the observed selective partitioning of bacteria into liquid water filled veins in the ice, we consider the possibility that microbial life could survive and be sustained within glacial systems. Here, we present a set of modelled vertical profiles of vein diameter, vein chemical concentration, and vein water volume variability across a range of polar ice sheets using their ice core chemical profiles. A sensitivity analysis of VeinsInIce1.0, the numerical model used in this study shows that the ice grain size and the local borehole temperature are the most significant factors that influence the intergranular liquid vein size and the am...

332

Dynamic changes in blood flow and oxygen consumption in the portal-drained viscera of growing pigs receiving acute administration of l-arginine  

This study tested the hypothesis that an increase in arginine concentration in the portal vein may affect blood flow and oxygen consumption in the portal-drained viscera (PDV) of swine. Eight barrows (70?kg body weight) were surgically fitted with chronic catheters in the portal vein, ileal vein, and carotid artery. Thirteen days after the surgery, pigs that had been fasted for 12?h were randomly allocated to receive administration of either l-alanine (103?mg/kg body weight, isonitrogenous control) or l-arginine?HCl (61?mg/kg body weight) via the portal vein. Portal vein blood flow (PVBF) was measured with infusion of p-aminohippuric acid into the ileal vein, and blood samples were simultaneously obtained every 0.5?h for 4?h. Compared with the control, arginine infusion increased PVBF at 3...

333

Usefulness of multidetector computed tomography coronary venous angiography examination before cardiac resynchronization therapy  

Purpose Cardiac resynchronization therapy (CRT) is a treatment option for selected heart failure patients. In this study, the aim was to evaluate the usefulness of noninvasive cardiac vein imaging using multidetector computed tomography (MDCT) angiography before CRT. Materials and methods The MDCT scans of 34 patients (20 men; age range 47?65 years) with a history of cardiac failure were studied for CRT in two centers prospectively. The anatomy of the cardiac venous system, particularly the target veins [left marginal vein (LMV) and posterior vein of the left ventricle (PVLV)], was evaluated with noninvasive MDCT. Result The coronary sinus, anterior interventricular vein, and posterior interventricular vein were observed in all patients. The PVLV was present in 30 (88.2%) patients. The PVL...

334

Fluid-rock interaction and element mobilization in UHP metabasalt: Constraints from an omphacite-epidote vein and host eclogites in the Dabie orogen  

A petrological study is carried out for a high-pressure (HP) omphacite-epidote vein and its host ultrahigh-pressure (UHP) eclogites at Ganghe in the Dabie orogen. The UHP eclogite shows systematic changes toward the HP vein in mineral assemblage, mineral proportion and bulk-rock composition. The eclogite far away from the vein (>20cm) contains abundant lawsonite pseudomorphs indicated by the aggregates of epidote, kyanite and quartz porphyroblasts. The abundance and grain size of these porphyroblasts decrease gradually toward the vein in the nearby eclogite (<20cm), and they are almost absent in the eclogite in direct contact with the vein (<2.5cm). The omphacite-epidote vein contains high amounts of the components hosted in the minerals that were lost in the host eclogite, suggesting sign...

335

Anatomical landmark for internal jugular vein catheterization for detection of jugular venous O2 saturation (SjvO2) in Thai people.  

Thirty-two (32) cadavers were dissected to find the anatomical landmark for puncturing the internal jugular vein. The point for the right internal jugular vein was 2 cm above and 2.17 cm lateral to the right clavicular head, and that for the left internal jugular vein was 2 cm above and 2.08 cm lateral to the left clavicular head. The right internal jugular vein was found to dominate eighty-eight per cent (88%) of the cadavers. The anatomical point 2 cm above and 2 cm lateral to the head of the clavicle was appropriate for puncturing the internal jugular vein. After puncturing the internal jugular vein, a catheter was inserted ascending to the jugular bulb where jugular venous O2 saturation (Sjv O2) related to the cerebral metabolism was detected. PMID:10087728

336

Dynamic changes in blood flow and oxygen consumption in the portal-drained viscera of growing pigs receiving acute administration of l-arginine  

This study tested the hypothesis that an increase in arginine concentration in the portal vein may affect blood flow and oxygen consumption in the portal-drained viscera (PDV) of swine. Eight barrows (70 kg body weight) were surgically fitted with chronic catheters in the portal vein, ileal vein, and carotid artery. Thirteen days after the surgery, pigs that had been fasted for 12 h were randomly allocated to receive administration of either l-alanine (103 mg/kg body weight, isonitrogenous control) or l-arginine?HCl (61 mg/kg body weight) via the portal vein. Portal vein blood flow (PVBF) was measured with infusion of p-aminohippuric acid into the ileal vein, and blood samples were simultaneously obtained every 0.5 h for 4 h. Compared with the control, arginine infusion increased PVBF at 3...

337

Insertional Mutagenesis by a Hybrid piggyBac and Sleeping Beauty Transposon in the Rat.  

A hybrid piggyBac/Sleeping Beauty transposon-based insertional mutagenesis system that can be mobilized by simple breeding was established in the rat. These transposons were engineered to include gene trap sequences and a tyrosinase (Tyr) pigmentation reporter to rescue the albinism of the genetic background used in the mutagenesis strategy. Single copy transposon insertions were transposed into the rat genome by co-injection of plasmids carrying the transposon and RNA encoding piggyBac transposase into zygotes. The levels of transgenic Tyr expression were influenced by chromosomal context, leading to transgenic rats with different pigmentation that enabled visual genotyping. Transgenic rats designed to ubiquitously express either piggyBac or Sleeping Beauty transposase were generated by standard zygote injection also on an albino background. Bigenic rats carrying single copy transposons at known loci and transposase transgenes exhibited coat color mosaicism, indicating somatic transposition. piggyBac or Sleeping Beauty transposase bigenic rats bred with wild-type albino rats yielded offspring with pigmentation distinct from the initial transposon insertions as a consequence of germline transposition to new loci. The germline transposition frequency for Sleeping Beauty and piggyBac was ~10% or about one new insertion per litter. ~50% of the insertions occurred in introns. Chimeric transcripts containing endogenous and gene trap sequences were identified in Gabrb1 mutant rats. This mutagenesis system based on simple crosses and visual genotyping can be used to generate a collection of single gene mutations in the rat. PMID:23023007

338

Corrected transposition of the great arteries  

The corrected transposition of the great arteries is an usual congenital cardiac malformation, which consists of transposition of great arteries and ventricular inversion, and which is caused by abnormal development of conotruncus and ventricular looping. High frequency of associated cardiac malformations makes it difficult to get accurate morphologic diagnosis. A total of 18 cases of corrected transposition of the great arteries is presented, in which cardiac catheterization and angiocardiography were done at the Department of Radiology, Seoul National University Hospital between September 1976 and June 1981. The clinical, radiographic, and operative findings with the emphasis on the angiocardiographic findings were analyzed. The results are as follows: 1. Among 18 cases, 13 cases have normal cardiac position, 2 cases have dextrocardia with situs solitus, 2 cases have dextrocardia with situs inversus and 1 case has levocardia with situs inversus. 2. Segmental sets are (S, L, L) in 15 cases, and (I, D,D) in 3 cases and there is no exception to loop rule. 3. Side by side interrelationships of both ventricles and both semilunar valves are noticed in 10 and 12 cases respectively. 4. Subaortic type conus is noted in all 18 cases. 5. Associated cardic malformations are VSD in 14 cases, PS in 11, PDA in 3, PFO in 3, ASD in 2, right aortic arch in 2, tricuspid insufficiency, mitral prolapse, persistent left SVC and persistent right SVC in 1 case respectively. 6. For accurate diagnosis of corrected TGA, selective biventriculography using biplane cineradiography is an essential procedure.

339

Patients After Atrial Switch Operation for Transposition of the Great Arteries Can Not Increase Stroke Volume Under Dobutamine Stress as Opposed to Patients With Congenitally Corrected Transposition  

Background Patients after atrial switch operation for transposition of the great arteries have limited exercise performance. Rigid atrial baffles may cause a relative preload reduction. Previous studies have had suboptimal control groups, which ideally should consist of patients with congenitally corrected transposition of the great arteries (ccTGA) without previous heart surgery, having a systemic right ventricle, but lacking rigid atrial baffles. Therefore the aim of this study was to test the impact of atrial baffles by comparing 12 atrial switch patients with 11 ccTGA patients. Methods and Results Systemic right ventricular stroke volume (SV), heart rate, cardiac index, and other parameters were assessed during rest and dobutamine stress magnetic resonance imaging. The most important difference between the groups was that the atrial switch patients could not increase SV during stress, whereas ccTGA patients increased it significantly. There was no difference between groups in the rise of the cardiac index. Heart rate increased significantly more in atrial switch patients than in ccTGA patients. Conclusions The results support the hypothesis that atrial baffles restrict a rise in SV under dobutamine stress in patients after atrial switch operation for transposition of the great arteries. (Circ J 2008; 72: 1130 - 1135)   

340

Cloning and characterization of a transposable-like repeat in the heterochromatin of the darkling beetle Misolampus goudoti.  

A long repeat unit of the PstI family in Misolampus goudoti (Coleoptera, Tenebrionodae) is characterized in this work. The 30 sequenced units have small differences in length (consensus 1169 bp), but very similar nucleotide composition (mean 61.1% A+T). PstI repeats contain a 36-bp-long inverted repeat at both the 5' and 3' ends, with a fully conserved 16-bp-long motif similar to those found in class II transposable elements. However, the transposable-like PstI repeats seems to be defective, since they do not encode for any protein related with transposition. Interestingly, energetically stable hairpins resembled the structure of a miniature interspersed transposable element, suggesting that the PstI satellite DNA family in M. goudoti may have originated from an ancestral active transposable element as also described in Drosophila guanche. The presence of transposable-like structure along with the non-detection of gene conversion or unequal crossing-over events suggest that transposition could be one of the putative molecular mechanisms involved in the strong amplification and (or) homogenization of these repeats. A putative transposition of PstI repeats allowing their genomic mobility also could explain why this satellite is widely distributed to all heterochromatic regions, telomeres, pericentromeric regions, and on the Y chromosome, whereas satellites of other tenebrionids lacking transposable-like structures are restricted only to pericentromeric regions. PMID:15284883

 
 
 
 
341

Pulmonary Aspergilloma Treated by Limited Thoracoplasty with Simultaneous Cavernostomy and Muscle Transposition Flap  

We describe the successful treatment of pulmonary aspergilloma by limited thoracoplasty used simultaneously with single-stage cavernostomy and a muscle transposition flap. An 80-year-old man with dyspnea on effort and hemoptysis consulted our hospital. Chest computed tomography revealed a thick wall cavity containing a fungus ball surrounded by a crescent of air and diseased lung parenchyma, indicating complex pulmonary aspergilloma (CPA). As curative pulmonary resection was considered too invasive for this patient, limited thoracoplasty with simultaneous single-stage cavernostomy and myoplasty was performed as an alternative treatment. During the operation, transposition flap of the latissimus dorsi muscle was created by preserving the feeding artery. Fungus, in the ball that was removed, proved to be aspergilloma by culture and histopathological examination. On postoperative day 15, the patient was discharged uneventfully, and 4 months after surgery, no relapse of the aspergilloma has been observed.We consider that limited thoracoplasty with simultaneous single-stage cavernostomy and a muscle transposition flap is effective for treatment of high-risk CPA.   

342

Snare Technique of Vascular Transposition for Microvascular Decompression  

Recurrence of trigeminal neuralgia (TN) or hemifacial spasm (HFS) after microvascular decompression (MVD) is not rare. The prosthesis material eventually adheres to the neurovascular structures and again transmits arterial pulsation to the nerve. A snare ligature technique using a Gore-Tex tape can be used for the transposition of the offending artery. No prosthesis is necessary once the transposition is complete. This technique requires introduction of either Gore-Tex tape or thread around the artery and suture over the petrous dura, so an adequate working space as if operating in a shallow basin is essential. Therefore, the osteoplastic craniotomy is a little larger than usual with the scalp flap entirely reflected using a semicircular skin incision. The Gore-Tex tape can be directly snared around the artery and sutured over the petrous dura. If this procedure is difficult, a thread can be attached to both ends of the Gore-Tex tape to pass the tape around the vessel. Seven patients with TN and 13 patients with HFS have undergone this surgery. Although the follow-up period is not yet long enough, there has been no case of recurrence. The present technique for MVD can provide complete and permanent transposition of the offending artery.   

343

Ulnar nerve transposition using a mini-invasive approach: case series of 30 patients.  

The treatment of ulnar nerve compression at the elbow remains controversial. No single technique has yet proven its superiority. We describe a technique combining the advantages of the mini-invasive approach with those of transposition. We present the results of 30 patients, of mean age 52 years, who underwent anterior subcutaneous transposition of the ulnar nerve using a mini-invasive approach with a follow-up of more than six months. The incision measures 3 cm. The results were evaluated by measuring pain intensity, quick disabilities of the arm shoulder and hand (DASH), grip strength and pinch, and McGowan score, pre- and post-operatively. All parameters were improved post-operative. The mean pain score went from 5.5 to 4, the quick DASH from 48 to 38, mean grip strength from 28 to 31 kg, and mean pinch strength from 4.7 to 6.4 kg. The McGowan score was also improved; pre-operatively, there were 16 patients at stage III, seven patients stage II, seven patients stage I, and post-operatively there was one patient stage III, three patients stage II, 16 patients stage I, and 10 patients stage 0. Analysis of our series shows that a 3 cm incision without endoscopy allows subcutanous transposition, with results at least as good as those with other techniques. The advantages of our technique are that it is easy, has a limited approach, preserves blood supply, allows placement of the nerve in a favourable environment, and decreases nerve stretching during elbow flexion. PMID:22869908

344

Air vent of vein graft in extracranial-intracranial bypass surgery.  

Revascularization with a vein graft is a mandatory method for treatment of dissecting or pseudoaneurysms of the internal carotid artery. We report the necessity for an air vent from the vein graft and explain its use in our two cases. In Case 1, we searched for a great saphenous vein around its junction with a femoral vein during the harvest of vein graft. An accessory branch of that great saphenous vein was also found around the junctional region with a femoral vein, and was temporarily ligated. At first, anastomosis was completed on both the distal and proximal sides. After the proximal side of a vein graft was opened and the ligation of the branch was loosened, an air vent could be made through the branch of the vein graft. Multiple air bubbles and a large quantity of white microemboli were discharged through this branch. The postoperative course was uneventful. In Case 2, the air vent was omitted to shorten ischemia. During the opening of the vein graft, the migrated air was observed to move to the middle cerebral artery. A computed tomography scan demonstrated that brain infarction and dysarthria occurred postoperatively. The air vent of the vein graft is essential in extracranial-intracranial bypass surgery, because the air bubbles or microthrombi are easily trapped around the valve and cause cerebral infarction. An air vent can be easily made if the branch of a vein graft exists in the outflow pathway, because intraluminal air or thrombus can be washed out through the branch at the final stage of surgery. PMID:23092106

345

Arteriovenous Fistula Complicated by Popliteal Venous Access for Endovascular Thrombolytic Therapy of Deep Vein Thrombosis  

We report a case of an iatrogenic arteriovenous fistula complicated by catheter- directed thrombolytic therapy in a patient with acute deep vein thrombosis of a lower extremity. To the best of our knowledge, this is the first report of an arteriovenous fistula between the sural artery and popliteal vein in that situation. As the vessels have a close anatomical relationship, the arteriovenous fistula seems to be a potential complication after endovascular thrombolytic therapy of acute deep vein thrombosis.

346

Ramification Pattern and Topographical Relationship Between the Portal and Hepatic Veins in the Left Anatomical Lobe of the Human Liver  

Sixty-one human livers obtained from donated Japanese adult cadavers were dissected to reveal the ramification pattern of the portal and hepatic veins, and their topographical relationship in the left anatomical lobe. The segmental portal vein supplying S2 (P2) tended to form a single stem, whereas that of S3 (P3) was usually double. An intermediate branch between P2 and P3 was observed in 23.0% of livers. In spite of variation between livers, definite P2 and P3 were identified in 47 specimens. One tributary of the left hepatic vein (LHV) was usually present for drainage of S2, and two tributaries were present for S3 (sometimes also for S2 and/or S4). The latter two tributaries of the LHV and the two subsegmental branches of S3 showed three patterns of three-dimensional interdigitations. From these results, the portal vein system did not seem to have a two segmental composition (i. e., S2 and S3) in 23.0% of specimens, whereas the hepatic vein system did not have an intersegmental course in 23.4%. Thus, there were obvious limitations in using each system to determine the liver segment. Taking the overlapping cases into consideration, the left anatomical lobe of 41.0% of specimens did not seem to fit the definition of Couinaud's liver segment. In addition, four patterns of fissure vein (or scissural vein), >5 mm in diameter at its terminal, were identified: (1) middle hepatic vein type (left median vein,9.8%); (2) LHV type (left medial vein,41.0%); (3) true fissure vein (3.3%); and (4) absent cases (45.9%). The former two types also suggested limitations of the hepatic vein system as an indicator of the segmental border.   

347

Transvenous Implantation of a Coronary Sinus Lead for Left Ventricular Pacing After Cutting Balloon Angioplasty  

We describe a patient in whom a localized proximal vein stenosis at the only possible target vein precluded placement of a coronary sinus lead for left ventricular (LV) pacing. After multiple attempts to perform venoplasty with both compliant and noncompliant balloons, a cutting balloon relieved the obstruction, and an LV pacing lead was successfully placed in the midportion of this lateral vein. (PACE 2007; 30:568-570)

348

Repair of a canine forelimb skin deficit by microvascular transfer of a caudal superficial epigastric flap  

Extensive skin loss from the forelimb of a Border collie was repaired by a microvascular caudal superficial epigastric flap, with secondary meshing of the flap to increase coverage. The caudal superficial epigastric artery and vein were anastomosed to the brachial artery and vein. End-to-end anastomosis to the brachial artery and vein did not compromise peripheral blood flow, and no flap necrosis was observed after subsequent limited meshing of the flap.

349

Efficacy of the computed tomographic scanning (CT) with contrast media injection from foot vein for abdominal mass of the child  

CT with contrast media injection from forearm vein revealed poor information about the inferior vena cava (IVC), in two cases of neuroblastoma from the right adrenal gland. While, CT with contrast media injection from foot vein well demonstrated the tumor extension around the IVC in one case of neuroblastoma, and the tumor, thrombus in the IVC in two cases of Wilms' tumor. Bolus injection from foot vein is helpful to evaluate the extension of malignant tumor around the IVC.

350

Saccular Aneurysm of Intraheparic Portal Vein Mimicking Hypervascular Hepatic Mass: A Case Report  

A portal vein aneurysm is divided into two groups: an extrahepatic portal vein aneurysm and an intrahepatic portal vein aneurysm. The morphology of an aneurysm can be divided into types such as fusiform, bilobulated and saccular. A saccular aneurysm that arises from the intrahepatic portal branch is extremely rare. We report here a case of a saccular aneurysm of the intrahepatic portal branch mimicking an intrahepatic hypervascular mass, as seen on a dynamic CT scan, with the radiological findings

351

Evaluating a Thrombosed Azygous Vein Aneurysm Combined with Pulmonary Arterial Thromboembolism by ECG-Gated Multidetector CT: a Case Report  

Azygous vein aneurysm is a rare congenital lesion that needs to be differentiated from mediastinal mass lesions. Although almost of these anomalies are asymptomatic lesions, we experienced an interesting case in which a thrombus within an azygous vein aneurysm in a 75-year-old woman caused pulmonary thromboembolism. The patient was managed by medical treatment for one month and then the thrombus within both the azygous vein aneurysm and the pulmonary arteries completely resolved.

352

Hepatic hemodynamics in 24 patients with nodular regenerative hyperplasia and symptomatic portal hypertension  

Abstract Background and Aim:- To evaluate hepatic hemodynamics in patients with nodular regenerative hyperplasia of the liver (NRH) with portal hypertension (PHT). Methods:- We retrospectively reviewed the charts of 24 patients referred for PHT related to biopsy-proven NRH. Hemodynamic measurements included wedged hepatic vein (WHVP) and inferior vena cava (IVCP), and, in 12 patients, portal vein pressure (PVP). Hepatic vein pressure gradient (HVPG: WHVP-IVCP) and portal vein pressure gradient (PVPG: PVP-IVCP) were calculated. Results:- Nodular regenerative hyperplasia was associated in 24 patients with various diseases (oxaliplatin chemotherapy, treatment with purine antagonists, post liver transplantation, hematologic and rheumatologic conditions and HIV infection). Liver function parame...

353

Anatomy of the spermatic venous plexus (pampiniform plexus) in men with and without varicocele: intraoperative venographic study.  

Venous anatomy of the testis was reexamined by retrograde spermatic venography during surgery in 17 men with and in 11 without a varicocele. The route of venous drainage of the testis was the internal spermatic vein and the external pudendal vein. The cremasteric and vasal veins were smaller collaterals. There was no cross communication between the right and left spermatic venous systems in the scrotal, retropubic or pelvic areas. In men with a varicocele the spermatic venous plexus was formed of numerous venous sinuses and large dilated veins. PMID:1569670

354

Effect of hypokinesia and the combined action of gravitational load and hypokinesia on the structure of the hepatic portal system.  

General hypokinesia during 1--6 weeks resulted in dilatation of the interlobular veins. sinusoids and central veins. The sequence of alterations corresponded to terms of hypokinesia. After exposure to "gravitation stress--hypokinesia for 1--6 weeks" stagnation in the portal system of the liver was less than after exposure to hypokinesia alone, but unevenness of lumens in the interlobular veins and sinusoids was more pronounced. The foci of the vessel spasm were determined. The signs of stagnation in the system of the portal vein and unevenness of the width of all the links of the portal bed were most pronounced after combination "hypokinesia for 1--6 weeks-- gravitation stress". PMID:1191061

355

A Phase 2b Study of DU-176b, Prevention of Venous Thromboembolism in Patients After Total Hip Arthroplasty  

Anticoagulants; Venous Thromboembolism; Thromboembolism; Thrombosis; Enoxaparin Sodium; Embolism and Thrombosis; Deep Vein Thrombosis; DU-176b; Edoxaban; Factor Xa; Oral; Arthroplasty, Replacement, Hip

356

Radiological evaluation of pulmonary vein obstruction including two examinations by magnetic resonance imaging  

Congenital obstruction of the pulmonary vein without anomalous drainage can cause long-standing pulmonary congestion and pulmonary arterial hypertension, and it may include stenosis of individual pulmonary veins and pulmonary vein atresia. We reviewed seven cases of pulmonary vein obstruction, five of which were accompanied by other cardiac anomalies. Right pulmonary veins were involved in all seven cases; one case was bilateral. Pulmonary veins were occluded totally in five and partially in three lungs. Diagnostic pulmonary catheterization and angiography were performed. Chest radiographs of total occlusion cases showed decreased lung volume, features of pulmonary edema, interstitial lesions, and pleural changes, which were quite specific, whereas pulmonary venous dilatation was the dominant finding in partial obstruction cases. Pulmonary perfusion scan (n=3) showed total perfusion defects in the cases with total occlusion of pulmonary veins. Magnetic resonance (MR) imaging (n=2) demonstrated totally occluded pulmonary veins at the venoatrial junction in two lungs and membranous focal obstruction in one lung. Two children underwent pneumonectomy and had the diagnosis histologically confirmed. Although catheterization and angiography are essential for the diagnosis of pulmonary vein obstruction, MR imaging is a useful adjunct. (orig.)

357

Indocyanine Green as Useful Guide for Retinal Vein Cannulation and Injection of Tissue Plasminogen Activator in Rabbits  

Central retinal vein occlusion (CRVO) is caused by a fibrin clot in central retinal vein and is one of the intractable diseases that deteriorate visual acuities. Tissue plasminogen activator (TPA) is a thrombolytic agent that has a high affinity for fibrin and that activates plasminogen into plasmin. Injection of TPA into the retinal vein was helpful to treat CRVO. But TPA injection into retinal vein was difficult for clinical use, because TPA solution was transparent and confirmation of its injection was not easy. Indocyanine green (ICG) has been used as an angiographic agent and a tissue-marking agent in ocular surgeries. We studied the effectiveness and safety of ICG assisted injection of TPA into the retinal vein in rabbits. The major retinal vein was punctured using a micropipette fabricated from a glass tube, then TPA/ICG was injected. Total of 12 eyes and 5 eyes were enucleated 7 days and 1 month after injection of TPA/ICG for histological observations including immunostaining of glial fibrillary acidic protein (GFAP) and TUNEL staining, respectively. GFAP is expressed in Müller cells under pathologic conditions and indicates retinal damages. TUNEL indicates apoptosis of sensory retina cells. Retinal vein cannulation was easily performed, as retinal vein became green following injection of TPA/ICG. Histologically, no retinal damages, due to the TPA/ICG solution, were observed. GFAP and TUNEL staining were negative. TPA/ICG causes no disturbance in retinal circulation when performed correctly. Because of its safety, ICG is a useful agent as a guide for retinal vein injection of TPA.   

358

Cruveilhier-von Baumgarten-Syndrom: evaluation by ultrasound and computerized tomography  

A desobliterated umbilical vein was sonographically detected in a 52 years old man suffering from liver cirrhosis. The vein was seen in the sonogram as a tubelike, sharply outlined, echofree formation, measuring 1-1,5 cm in diameter and located at the dorsal site of the abdominal wall; a circumscribed dilatation in the cranial part of the vein was remarkable. The findings were confirmed by CT-examination. Density values of the vein increased after contrast injection from 50 HE to 80 HE. The vessel could be followed along its way in the falciforme ligament und caudad of the umbilicus.

359

Hydraulic mining method  

A method of hydraulically mining an underground pitched mineral vein comprising drilling a vertical borehole through the earth's lithosphere into the vein and drilling a slant borehole along the footwall of the vein to intersect the vertical borehole. Material is removed from the mineral vein by directing a high pressure water jet thereagainst. The resulting slurry of mineral fragments and water flows along the slant borehole into the lower end of the vertical borehole from where it is pumped upwardly through the vertical borehole to the surface.

360

Deep Vein Thrombosis Associated with Femur Osteochondroma: Report of a Case  

The predisposing condition of deep vein thrombosis (DVT) is venous stasis or hypercoagulable state. Impaired venous blood flow caused by extrinsic compression is relatively rare situation. Only 3 cases of deep vein thrombosis due to osteochondroma have previously been reported in English literature. We report a case of a 21-year-old man, who presented with left lower leg pain and swelling due to extrinsic compression of femoral vein by an osteochondroma. In the case of vascular complications due to an osteochondroma, prompt surgical intervention should be made to avoid irreversible vein wall damages.   

 
 
 
 
361

Histologie de la sclerose en plaque  

Summary Background: Multiple sclerosis (MS) is a chronic disease with not well understood etiology. Recently, a possible association of MS with compromised venous outflow from the brain and spinal cord has been studied (chronic cerebrospinal venous insufficiency – CCSVI). Angioplasties of internal jugular veins (IJV) and azygous vein (AV) have given promising results, with improvements in patients’ clinical status. Material/Methods: 830 patients with clinically defined MS were scanned from the level of sigmoid sinuses to the junction with brachiocephalic veins, as well as at the level of AV. T2-weighted, 2D TOF and FIESTA sequences were used. Results: The examination revealed a slower blood flow in IJVs, in 98% of patients: on the right side – in 6%, on the left side – in 15%, on both sides with right-side predominance – in 22%, on both sides with left-side predominance – in 34%, bilaterally with no side predominance – in 19%. In 2%, there was a slower blood flow in IJVs, vertebral veins and subclavian veins and also in the left brachiocephalic vein. Moreover, in 5% of patients there was a decreased blood flow in the azygous vein. Conclusions: Abnormal flow pattern in IJVs is more common on the left side. Less often it can be found in azygous vein and in brachiocephalic veins. Further research is needed to investigate the significance of CCSVI in MS patients. The protocol we described can be used for most of modern magnetic resonance units. PMID:19840788

362

Diffuse Large B-cell Lymphoma with Massive Portal Vein Tumor Thrombosis in a Patient with Alcoholic Cirrhosis: A Case Report and Literature Review  

We describe a case of diffuse large B-cell lymphoma with massive portal vein tumor thrombosis in a patient with alcoholic cirrhosis. The tumor was detected only in the intrahepatic portal vein and the spermatic cord by FDG-PET/CT. Percutaneous liver biopsy and orchiectomy were performed and histological examination revealed diffuse large B-cell lymphoma. The tumor showed complete response after six courses of the combination chemotherapy. Portal vein tumor thrombosis of malignant lymphoma is extremely rare; moreover, it is possible that this is the first case of malignant lymphoma originating from the spermatic cord producing portal vein tumor thrombosis.   

363

The galenic venous system: Surgical anatomy and its angiographic and magnetic resonance venographic correlations  

Objective: This study aims at evaluating the adequacy of digital subtraction angiography and magnetic resonance venography in imaging of the galenic venous system for surgical planning of approaches to the pineal region. Anatomical dissections were carried out in 10 cadavers of several age groups and these were compared to imaging findings in 10 living subjects. Methods: The presence or absence of 10 predetermined veins or vein groupings belonging to the galenic venous system were prospectively analyzed in 10 cadaver dissections and imaging findings of 10 age matched human subjects. The studied vessels were the vein of galen, the internal cerebral veins, both basal vein of Rosenthals, internal occipital vein, occipitotemporal veins, precentral cerebellar veins, tectal veins, pineal veins, superior vermian veins (including superior cerebellar veins (SCVs)) and posterior pericallosal veins. Each of the subjects had both digital subtraction angiography and magnetic resonance venography studies performed. Diagnostic digital subtraction angiography was performed using the transfemoral route and the venous phase was used for the study. Magnetic resonance venography was performed in 1.5 T MRI equipment using the 2D-TOF sequence. All studies were reported to be normal. Results: There was wide variation in the anatomy of the galenic venous system. There were interpersonal, intrapersonal and age related variations. Both the digital subtraction angiography and the magnetic resonance venography were efficient at demonstrating large veins. However, smaller veins were less readily demonstrated in either study. The general sensitivities of the digital subtraction angiography and the magnetic resonance venography for the galenic venous system were 45.5% and 32.5%, respectively. Surgically important veins were missed in most studies. Conclusions: Anatomically, the galenic venous system is highly variable. This variability is caused by interpersonal, intrapersonal and age related differences and causes each individual galenic venous system to be unique. Therefore, modern neurosurgical procedures require anatomical information on individual differences. Current radiological methods of digital subtraction angiography and magnetic resonance venography fail short of providing the necessary information. New and more sophisticated MRI technology may fulfill this need.

364

A Rare Termination of Left Common Facial Vein into Left Subclavian Vein: A Case Report/ Terminación Rara de la Vena Facial Común Izquierda en la Vena Subclavia Izquierda: Reporte de Caso  

Abstract in spanish Durante una disección de rutina de cabeza y cuello, fue observado en un cadáver aduto masculino un inusual drenaje de los patrones venosos del lado izquierda de la cara. La vena temporal superficial se unía con la vena maxilar formando la vena retromandibular dentro del parénquima de la glándula parótida izquierda. La división anterior de la vena retromandibular se unió a la vena facial formando la vena facial común la cual drenó directamente en la vena subclavi (more) a izquierda. El conocimiento de estas variaciones es importante para los cirujanos de cabeza y cuello. A menudo, las venas faciales se injertan en la endarterectomía carotídea Abstract in english During routine dissection of head and neck, an unusual drainage in pattern of the veins on the left side of the face was observed in an adult male cadaver. In the present case, he superficial temporal vein united with maxillary vein to form retromandibular vein within the substance of the left parotid gland. The anterior division of retromandibular vein joined with facial vein to form common facial vein that drained into left subclavian vein directly. Knowledge of such va (more) riations is important for surgeons performing head and neck surgeries. Facial veins are often grafted into carotid endarterectomy

365

Redirection of anomalous venous pulmonary flow to left atrium using a vascular plug II.  

An 8-year-old male patient was sent to the catheterization laboratory for assessment of a partial anomalous pulmonary venous connection found by echocardiography. During the intervention, cineangiogram revealed left pulmonary veins draining to the right atrium through left innominate and vertical veins. Despite this anatomical feature, these pulmonary veins were also connected to the left atrium. In a second intervention, we successfully occluded the vertical vein using a vascular closure device (Amplatzer Vascular Plug II, AGA Medical), redirecting pulmonary venous flow towards the left atrium. Anatomy, technique, and management of the procedure are discussed here. PMID:22562930

366

Prügitelevisioonist / Andres Maimik  

Kodumaiste kommertstelekanalite saated nagu "Vein ja seltskond", "Kaunis kaunimaks", "Nurgakivi", millele autor vastandab "arrogantse rämpsu" Esto TV saadete näol, kus "trash õilistub kõrgema aate kandjaks"

367

Patterns of venous reflux in limbs with skin changes associated with chronic venous insufficiency.  

The distribution of venous reflux in patients with skin changes associated with chronic venous insufficiency presenting to a specialist clinic was assessed. A total of 300 limbs in 153 patients were examined by Doppler ultrasonography with colour-flow imaging for the presence of venous reflux in superficial veins, deep veins and medial perforating veins, both above and below the knee. Ninety-eight limbs had skin changes, which included hyperpigmentation, lipodermatosclerosis, atrophie blanche and ulceration. Of this group, 2 per cent had no evidence of venous reflux on duplex scanning, 39 per cent had deep vein incompetence, 57 per cent had superficial vein incompetence and 2 per cent had isolated medial perforating vein reflux. Of 25 limbs with ulceration, 13 had superficial and 12 deep vein reflux. A total of 202 legs, which included 20 normal control limbs, had no skin changes; 22.3 per cent of these had no venous reflux, 8.4 per cent had deep vein incompetence, 65.3 per cent had superficial incompetence and 4.0 per cent had isolated medial calf perforating vein incompetence. PMID:8330157

368

Retroaortic left renal vein joining the left common iliac vein  

Retroaortic left renal vein joining the left common iliac vein is a rare congenital anomaly in the development of the inferior vena cava. To our knowledge, only one case has been reported in the literature; however, its imaging features have never been described. A 27-year-old male presented with a 1-year history of recurrent right flank pain, dysuria, hematuria, and fever (39 C). Computed tomography and MR venography showed a retroaortic left renal vein joining the left common iliac vein. We present the CT and MR venography findings and discuss their feasibility in showing this congenital anomaly. (orig.)

369

Persistent varicocele following high ligation of the internal spermatic vein. Phlebography and vaso-occlusion with ethibloc  

The importance of phlebography and vaso-occlusion using ethibloc in diagnosis and treatment of the persistent varicocele following ligation ('Bernardis' technique') is demonstrated. We performed 280 surgical ligations of the internal spermatic vein. In 30 patients persistence of the varicocele was found. In 9 patients following phlebography embolisation of a long segment including smaller collaterals was performed using ethibloc. The other 21 patients were treated surgically because of unusual draining of the collaterals into renal capsular veins, into the hemiazygos vein and into renal segmental veins. In all cases following embolisation complete resolution of the varicocele was observed within 3 months.

370

Catheter Interventional Therapy in an Elderly Patient With Deep Vein Thrombosis and a Brain Tumor  

A 92-year-old woman with a brain tumor developed swelling of the left lower extremity. Venography showed considerable thrombi from the left common iliac vein to the femoral vein. Following implantation of a temporary inferior vena cava filter, catheter aspiration therapy and catheter-directed thrombolysis were performed. Venography after 3 days showed disappearance of the thrombi and an improvement in vein flow. A permanent inferior vena cava filter was implanted. Local intensive thrombectomy and thrombolysis by catheter together with a temporary inferior vena cava filter were effective treatments in this elderly patient with deep vein thrombosis.   

371

Dehydration reactions, mass transfer and rock deformation relationships during subduction of Alpine metabauxites: insights from LIBS compositional profiles between metamorphic veins  

In subduction zones, the significant amounts of aqueous fluid released in the course of the successive dehydration reactions occurring during prograde metamorphism are expected to strongly influence the rock rheology, as well as kinetics of metamorphic reactions and mass transfer efficiency. Mineralized veins, ubiquitous in metamorphic rocks, can be seen as preserved witnesses of fluid and mass redistribution that partly accommodate the rock deformation (lateral segregation). However, the driving forces and mechanisms of mass transfer towards fluid-filled open spaces remain somewhat unclear. The aim of this study is to investigate the modalities of mass transfer during local fluid-rock interactions, and their links with fluid production and rock deformation. This study focuses on karstic pockets (metre scale) of Triassic metabauxites embedded in thick carbonate units, that have been isolated from large-scale fluid flow during HP-LT Alpine metamorphism (W. Vanoise, French Alps). These rocks display several generations of metamorphic veins containing various Al-bearing minerals, which give particular insights into mass transfer processes. It is proposed that the internally-derived fluid (~13 vol% produced by successive dehydration reactions) has promoted the opening of fluid-filled open spaces (euhedral habits of vein minerals) and served as medium for diffusive mass transfer from rock to vein. Based on mineralogical and textural features, two vein types can be distinguished: (1) some veins are filled with newly formed products of either prograde (chloritoid) or retrograde (chlorite) metamorphic reactions; in this case, fluid-filled open spaces seem to offer energetically favourable nucleation/growth sites; (2) the second vein type is filled with cookeite (Li-Al-rich chlorite) or pyrophyllite, that were present in the host rock prior to the vein formation. In this closed chemical system, mass transfer from rock to vein was achieved through the fluid, in a dissolution-transport-precipitation process, possibly stress-assisted. Cookeite is highly concentrated (40-70 vol%) in regularly spaced veins. Laser Induced Breakdown Spectroscopy profiles show that cookeite is evenly distributed in the rock matrix comprised between two veins. The absence of diffusion profiles suggests that the characteristic diffusion length for Li, Al and Si is greater than or equal to the distance separating two cookeite veins (3-6 cm). This is in agreement with characteristic diffusion lengths calculated from both grain boundary and pore fluid diffusion coefficients, for the estimated duration of the peak of metamorphism. Phyllosilicates have very different morphologies in the rock matrix (fibers) compared to veins (euhedral crystals): fluid-mineral interfacial energy may be maximal in the small matrix pores, which can maintain higher cookeite solubility than in fluid-filled open spaces. Therefore, as soon as veins open, chemical potential gradients may develop and drive cookeite transfer from rock matrix to veins.

372

Incidence of Central Vein Stenosis and Occlusion Following Upper Extremity PICC and Port Placement  

The purpose of this study was to determine the incidence of central vein stenosis and occlusion following upper extremity placement of peripherally inserted central venous catheters(PICCs) and venous ports. One hundred fifty-four patients who underwent venography of the ipsilateral central veins prior to initial and subsequent venous access device insertion were retrospectively identified. All follow-up venograms were interpreted at the time of catheter placement by one interventional radiologist over a 5-year period and compared to the findings on initial venography. For patients with central vein abnormalities, hospital and home infusion service records and radiology reports were reviewed to determine catheter dwelltime and potential alternative etiologies of central vein stenosis or occlusion. The effect of catheter caliber and dwell time on development of central vein abnormalities was evaluated. Venography performed prior to initial catheter placement showed that 150 patients had normal central veins. Three patients had central vein stenosis, and one had central vein occlusion. Subsequent venograms (n = 154)at the time of additional venous access device placement demonstrated 8 patients with occlusions and 10 with stenoses. Three of the 18 patients with abnormal follow-up venograms were found to have potential alternative causes of central vein abnormalities. Excluding these 3 patients and the 4 patients with abnormal initial venograms, a 7% incidence of central vein stenosis or occlusion was found in patients with prior indwelling catheters and normal initial venograms. Catheter caliber showed no effect on the subsequent development of central vein abnormalities. Patients who developed new or worsened central vein stenosis or occlusion had significantly (p =0.03) longer catheter dwell times than patients without central vein abnormalities. New central vein stenosis or occlusion occurred in 7% of patients following upper arm placement of venous access devices.Patients with longer catheter dwell time were more likely to develop central vein abnormalities. In order to preserve vascular access for dialysis fistulae and grafts and adhere to Dialysis Outcomes Quality Initiative guidelines, alternative venous access sites should be considered for patients with chronic renal insufficiency and end-stage renal disease.

373

Right ovarian vein drainage variant: Is there a relationship with pelvic varices?  

Objective: To correlate right ovarian vein (ROV) variations that drain into the right renal vein (RRV) with the presence of pelvic varices. Materials and methods: Routine abdominal multidetector-row computed tomography scans of 324 women were analyzed for the presence and type of ROV variations in this retrospective study. The subjects were divided into 2 groups: those with ROV variations and those without such variations. The diameters of the subjects' ROV, left ovarian vein (LOV), and parauterine veins were measured. Pelvic varices and the presence and degree of ovarian vein reflux were noted and compared between the 2 groups. The {chi}{sup 2}-test and the Pearson correlation test were used for statistical analysis. Results: Thirty-two (9.9%) of 324 women studied exhibited ROV variant that drained into the right renal vein, and the remaining subjects (90.1%) exhibited a normal pattern of ROV drainage that flowed directly into the inferior vena cava. Pelvic varices were identified in 59 (18%) of the subjects. Reflux was not observed in any patient without pelvic varices. Fifty-seven of 59 women exhibited ovarian vein reflux. In 56 of those 57 individuals, reflux occurred only in the LOV, and in 1 subject, reflux was noted predominantly in the ROV. No significant relationship between the presence of an ROV that drained into the right renal vein and pelvic varices was noted. Conclusion: Although right-sided pelvic varices associated with right ovarian vein drainage variations are rare, anatomic variations of the right ovarian vein are not. This study did not find an association between the presence of right ovarian vein and pelvic varices.

374

Episodic fluid flow during underplating within an ancient subduction zone  

Quartz veins in the Kodiak Formation in SW Alaska record episodic passage of fluids along a pervasive array of vertical fractures. Syn-cleavage quartz veins are pervasive but restricted to the deeper structural level where cleavage is subhorizontal, folds verge seaward, and noncoaxial strain histories are consistent with simple shear related to seaward-directed overthrusts. Scan line surveys of veins in argillaceous lithologies indicate that veins (with thickness <1 mm) are spaced approximately 1 cm apart for over 10 km across the regional strike. Thicker veins (with thickness 1--10 mm) are spaced at 1 m, corresponding to the spacing of an echelon shear zones. Three-dimensional analysis of the fracture systems suggests that en echelon sets are at least intermittently interconnected both vertically and laterally. Based on textural characteristics there are three types of veins: crack seal veins with continuous solid inclusion bands which have repeatedly fractured and resealed along their length, discontinuously banded crack seal veins which have repeatedly fractured and resealed only partially, and euhedral growth veins with no solid inclusions but which retain evidence for episodic collapse of the fractures. Based mainly on textural observations, the authors believe that most of the quartz in veins is transported by pore fluid diffusion from matrix to crack, while the fluid within fractures may be externally-derived. Quartz veins in this well exposed accretionary complex document distributed fluid flow along a complex system of fracture conduits above an active basal decollement. These observations provide unique insights into the mechanism of fluid flow during underplating along deep portions of the accretionary wedge that are presently inaccessible along modern convergent margins.

375

Recontextualização da simulação clínica em enfermagem baseada em Basil Bernstein: semiologia da prática pedagógica/ Recontextualización de la simulación de enfermería clínica basada en Basil Bernstein: la semiología de la práctica pedagógica/ Recontextualization of Nursing clinical simulation based on Basil Bernstein: semiology of pedagogical practice  

Abstract in portuguese O presente artigo é um estudo de caso investigativo de caráter participante e descritivo, a partir da vivência pedagógica no disparador de aprendizagem Simulação em Enfermagem, do segundo semestre do primeiro ciclo da graduação da Faculdade de Enfermagem (FEn) da Universidade Federal de Pelotas (UFPel), onde se desenvolve a simulação clínica de semiologia e semiotécnica em Enfermagem. O objetivo é estudar a recontextualização da prática pedagógica da Simu (more) lação com base em teorizações do sociólogo da educação Basil Bernstein, contribuindo para o processo de aperfeiçoamento do planejamento de ensino e, especialmente, da avaliação deste disparador de aprendizagem. A partir das reflexões deste estudo, observa-se a teorização de Bernstein como uma potente ferramenta semiológica das práticas pedagógicas, a qual contribui para o planejamento e análise do dispositivo pedagógico curricular. Abstract in spanish Este artículo es un caso de estudio de carácter descriptivo y de investigación participante, desde la experiencia educativa de aprendizaje en el gatillo Simulación en Enfermería, de la segunda mitad del primer ciclo de la Escuela Enfermería (FEN) de la Universidade Federal de Pelotas (UFPel) donde se desarrolla la simulación de la semiología clínica y la semiótica en Enfermería. El objetivo es estudiar la recontextualización de la práctica pedagógica de teor (more) ías basadas en la simulación del sociólogo de la educación Basil Bernstein, contribuyendo al proceso de mejora de la educación, planificación y aprendizaje, especialmente la evaluación de gatillo. De las reflexiones de este estudio, existe la teoría de Bernstein como una poderosa herramienta de semiótica prácticas pedagógicas, lo que contribuye a la planificación y el análisis de dispositivos educativos curriculares. Abstract in english This article is a case study of investigative and descriptive participant character, from the educational experience of learning in the trigger Simulation in Nursing, the second half of the first cycle of Faculdade de Enfermagem (FEN), Universidade Federal de Pelotas (UFPel) where he develops simulation of clinical semiology and semiotics in Nursing. The goal is to study the recontextualization of pedagogic practice of simulation-based theories of the sociologist of educa (more) tion Basil Bernstein, contributing to the improvement process of planning education, and especially the evaluation of trigger learning. From reflections on this study, there is the theory of Bernstein as a powerful tool of semiotic pedagogical practices, which contributes to the planning and analysis of curricular educational device.

376

Estudo da atividade antioxidante do extrato e do óleo essencial obtidos das folhas de alfavaca (Ocimum gratissimum L.)/ Study of the antioxidant activity and essential oil from wild basil (Ocimum gratissimum L.) leaf  

Abstract in portuguese O isolamento e a identificação de antioxidantes naturais, extraídos de plantas, contribuem para a descoberta de novas fontes de compostos químicos. A alfavaca (Ocimum gratissimum L.) é uma planta conhecida por seus aspectos medicinais e pelo uso na culinária. A atividade antioxidante do extrato bruto e do óleo essencial das folhas de alfavaca foi comprovada através do método do tiocianato férrico. A porcentagem de inibição da oxidação lipídica foi de 96,89% (more) para o extrato bruto e de 92,44% para o óleo essencial, ambos na concentração de 0,02%. O extrato bruto foi purificado através da cromatografia em coluna com sílica-gel e fase móvel hexano:acetato de etila em diferentes proporções. Para a identificação, foram utilizadas análises espectrais (infravermelho, ressonância magnética de hidrogênio e carbono 13). A substância isolada foi o eugenol, que apresentou 86,56% de atividade antioxidante. Alguns constituintes do óleo essencial foram caracterizados por cromatografia de fase gasosa, sendo o eugenol o principal componente (53,90%). Desta forma, a alfavaca apresenta-se como uma nova fonte de eugenol e, conseqüentemente, de antioxidante natural. Abstract in english The isolation and identification of natural antioxidants from plants contribute to the discovery of new sources of chemical compounds. Wild basil (Ocimum gratissimum L.) is used as a herbal medicine and also as a culinary spice. The antioxidant activity of wild basil leaf crude extract and essential oil was confirmed by the ferric thiocyanate method. The crude extract showed 96.89% inhibition of lipid oxidation, while the essential oil showed 92.44% inhibition, both in a (more) 0.02% concentration. The crude extract was purified by column chromatography using silica gel and different proportions of hexane:ethyl acetate as an eluant. The plant?s chemical compounds were identified by spectral analyses using NMR (hydrogen and 13C) and infrared spectroscopy. The isolated substance was eugenol, which presented antioxidant activity of 86.56%. Some of the constituents of the essential oil were characterized by gas chromatography, which showed eugenol as the main component (53.90%). It was concluded that wild basil is a new source of eugenol and, hence, of natural antioxidant.

377

Propriedades do pólen e do estigma de Ocimum basilicum L. (cultivar Maria Bonita) para aumentar a eficiência de cruzamentos em programas de melhoramento/ Ocimum basilicum L. (cultivar Maria Bonita) pollen and stigma properties to improve the efficiency of crossings in plant breeding programs  

Abstract in portuguese Ocimum basilicum, cv. Maria Bonita (Lamiaceae), conhecido como manjericão, é espécie que apresenta propriedades aromáticas, condimentares e medicinais, por ser rico emóleos essenciais. É muito usado nas indústrias farmacêuticas e de alimentos em geral. O objetivo deste trabalho foi estudar as propriedades do pólen e estigma do manjericão (cultivar Maria Bonita) identificando procedimentos simples que possam contribuir para programas de melhoramento. Para anális (more) e da disponibilidade, viabilidade do pólen e receptividade de estigma, botões florais foram coletados de hora em hora ao longo do dia, e lâminas eram montadas e coradas, para observação em microscópio óptico. Foi verificado que o manjericão apresenta antese diurna, assincrônica e com a maioria das flores se abrindo entre 10:00 e 11:00 horas. Quanto ao estudo do pólen foi verificado que a viabilidade manteve-se elevada ao longo do dia e a conservação por até 90 dias demonstrou bons níveis de viabilidade. O estigma apresentou receptividade desde a pré-antese até a pós-antese. Estas informações são relevantes para os melhoristas que desejam fazer seleção de genótipos ou hibridações em programas de melhoramento, contribuindo para aumentar o potencial da espécie que já se destaca como produtora de óleos essenciais. Abstract in english Known as basil, Ocimum basilicum cv. Maria Bonita (Lamiaceae) is a species that presents aromatic, condimental and medicinal properties, since it is rich in essential oils. This species is largely used in pharmaceutical and food industries. The aim of this work was to study basil (cultivar Maria Bonita) pollen and stigma properties, identifying simple procedures that can contribute to plant breeding programs. To analyze pollen availability and viability, besides stigma re (more) ceptivity, flower buds were collected at every hour throughout the day, and slides were mounted, stained and observed under an optical microscope. Basil presented diurnal asynchronous anthesis and most flowers opened between 10:00 and 11:00 a.m. As regards pollen analysis, viability was high throughout the day and its conservation until 90 days was good. Stigma presented receptivity from pre- to post-anthesis. These data are relevant to breeders who wish to select genotypes or hybridizations in plant breeding programs, contributing to improve the potential of this species, which already represents a producer of essential oils.

378

Diverse Geological Applications For Basil: A 2d Finite-deformation Computational Algorithm  

Geological processes are often characterised by large finite-deformation continuum strains, on the order of 100% or greater. Microstructural processes cause deformation that may be represented by a viscous constitutive mechanism, with viscosity that may depend on temperature, pressure, or strain-rate. We have developed an effective com- putational algorithm for the evaluation of 2D deformation fields produced by Newto- nian or non-Newtonian viscous flow. With the implementation of this algorithm as a computer program, Basil, we have applied it to a range of diverse applications in Earth Sciences. Viscous flow fields in 2D may be defined for the thin-sheet case or, using a velocity-pressure formulation, for the plane-strain case. Flow fields are represented using 2D triangular elements with quadratic interpolation for velocity components and linear for pressure. The main matrix equation is solved by an efficient and compact conjugate gradient algorithm with iteration for non-Newtonian viscosity. Regular grids may be used, or grids based on a random distribution of points. Definition of the prob- lem requires that velocities, tractions, or some combination of the two, are specified on all external boundary nodes. Compliant boundaries may also be defined, based on the idea that traction is opposed to and proportional to boundary displacement rate. In- ternal boundary segments, allowing fault-like displacements within a viscous medium have also been developed, and we find that the computed displacement field around the fault tip is accurately represented for Newtonian and non-Newtonian viscosities, in spite of the stress singularity at the fault tip. Basil has been applied by us and colleagues to problems that include: thin sheet calculations of continental collision, Rayleigh-Taylor instability of the continental mantle lithosphere, deformation fields around fault terminations at the outcrop scale, stress and deformation fields in and around porphyroblasts, and deformation of the subducted oceanic slab. Application of Basil to a diverse range of topics is facilitated by the use of command syntax input files that allow most aspects of the calculation to be controlled easily, together with a post-processing package, Sybil, for display and interpretation of the results. Sybil uses a menu-driven graphical interface to access a powerful combination of commands, to- gether with log files that allow repetitive tasks to be more automated

379

Produção de mudas de manjericão (Ocimum basilicum L.) em diferentes substratos e luminosidades/ Sweet basil (Ocimum basilicum L.) seedling production in different substrates and luminosities  

Abstract in portuguese Apesar de vários usos na cultura popular, poucos trabalhos vêm sendo desenvolvidos em relação ao cultivo do manjericão, sendo a maior parte dos estudos relacionada à identificação dos compostos químicos e à farmacologia. Este trabalho foi realizado com o objetivo de avaliar o efeito de diferentes luminosidades e substratos na emergência, crescimento inicial e qualidade de mudas de manjericão. Utilizaram-se três substratos (substrato comercial Plantmax®, mist (more) ura de terra + areia + cama de frango (1:1:1) e terra + areia + Plantmax® (1:1:1) e dois níveis de luminosidade (Pleno Sol e 50%). O delineamento experimental foi de blocos casualizados em esquema fatorial 2 (Luz) x 3 (Substratos), com quatro repetições. Avaliou-se diariamente o percentual e o índice de velocidade de emergência, e aos 60 dias após a semeadura, o crescimento e a qualidade da muda. Os substratos e níveis de luz não alteraram a porcentagem de emergência das plântulas, entretanto a velocidade de emergência foi maior em Plantmax quando em pleno sol e não diferiu entre os substratos em 50% de sombreamento. No substrato terra + areia + cama-de-frango e a pleno sol as mudas apresentaram maior crescimento e qualidade. Recomenda-se a semeadura direta do manjericão em terra + areia + cama de frango pois evita-se o transplante minimizando as perdas e a necessidade de mão de obra. Abstract in english Although sweet basil has been frequently used in popular culture, few studies have been developed concerning its cultivation, and most of them are related to the identification of its chemical compounds and pharmacology. The aim of this study was to assess the effect of different luminosities and substrates on the emergence, initial growth and quality of sweet basil seedlings. Three substrates (Plantmax® commercial substrate, a mixture of soil + sand + chicken manure (1: (more) 1:1), and soil + sand + Plantmax® (1:1:1) were used, together with two light levels (Full sun and 50%). The experimental design was in randomized blocks, in 2 (Light) x 3 (Substrates) factorial arrangement with four replicates. The emergence percentage and velocity index were daily evaluated, and at 60 days after sowing seedling growth and quality were also evaluated. The substrates and light levels did not alter the percentage of seedling emergence; however, the emergence velocity was higher in Plantmax and full sun but did not differ among substrates under 50% shading. In the substrate soil + sand + chicken manure and full sun, seedlings had higher growth and quality. It is recommended thus that sweet basil be directly sown in soil + sand + chicken manure since it prevents transplanting, minimizing losses and the need of labor.

380

Robotic-Assisted Hysterectomy  

... ovarian vessels were divided. Underneath is the external iliac artery and vein and some lymph nodes lying along them. This patient does not have ... and you also see right below that her iliac vein. And the nodal tissue to be removed would be these lymph nodes here as well as lymph nodes tucked under ...

 
 
 
 
381

Ringwoodite lamellae in olivine: Clues to olivine–ringwoodite phase transition mechanisms in shocked meteorites and subducting slabs  

The first natural occurrence of ringwoodite lamellae was found in the olivine grains inside and in areas adjacent to the shock veins of a chondritic meteorite, and these lamellae show distinct growth mechanism. Inside the veins where pressure and temperature were higher than elsewhere, ringwoodite l...

382

Clean up varicose vein surgery--use a tourniquet.  

A controlled randomised trial has been carried out to ascertain if there are tangible benefits from using a tourniquet when avulsing varicose veins during routine varicose vein surgery. Twenty-six patients have been studied. Twenty limbs were operated on with a tourniquet and 20 limbs without a tour...

383

A prospective randomised trial of tourniquet in varicose vein surgery.  

A prospective randomised trial of 50 patients was carried out to assess the autoclavable Lofquist cuff (Boazal, Sweden) as a tourniquet in varicose vein surgery and determine the effect on bleeding, bruising, cosmesis and patient pain and activity. Patients undergoing unilateral long saphenous vein ...

384

Use of hand-held Doppler to identify 'difficult' forearm veins for cannulation.  

Intravenous cannulation is a necessary procedure in many hospital patients. Some patients are regarded as having 'impossible' veins that are invisible and impalpable despite venous tourniquet. We investigated the use of a hand-held Doppler to identify veins suitable for percutaneous cannulation in s...

385

Deep vein thrombosis: a mininvasive locoregional thrombolytic treatment  

Locoregional thrombolytic therapy has emerged in the last years as the treatment of choise for iliofemoral deep vein thrombosis, preserving the structural and functional integrity of vein walls. We studied the efficacy and complication rates of direct regional thrombolytic therapy in acute venous th...

386

Iliopopliteal Dacron graft in treatment of advanced ischaemia of the leg.  

This is a preliminary report of 14 patients treated for advanced ischaemic disease by iliopopliteal Dacron graft. In all the patients either the saphenous vein was not available for use or the occlusion was too long to be bypassed by saphenous vein. In these circumstances no alternative treatment ex...

387

Endovascular Treatment of a Portal Vein Tear During TIPSS  

During a transjugular portosystemic stent-shunt (TIPSS) procedure a portal vein laceration occurred with subsequent intraperitoneal hemorrhage. A PTFE-covered nitinol stent was successfully placed eliminating the leak and creating a functioning portosystemic shunt. This case demonstrates both the importance of portal vein puncture more than 1 cm from the bifurcation and the necessity of maintaining a stock of available stent-grafts.

388

Transjugular intrahepatic portosystemic stent shunt.  

The transjugular intrahepatic portosystemic stent shunt (TIPSS) is essentially a side-to-side portocaval shunt performed by interventional radiological methods which connects the hepatic vein to the portal vein via the liver parenchyma. It can be performed successfully in 85% to 95% patients. The pr...

389

7 CFR 29.2517 - Fiber.  

...Official Standard Grades for Kentucky and Tennessee Fire-Cured and Foreign-Grown Fire-Cured Tobacco (u.s. Types 22, 23, and Foreign...term applied to the veins in a tobacco leaf. The large central vein is called the midrib or stem. The...

390

Metastasis to pampiniform plexus from left renal adenocarcinoma presenting with acute varicocele.  

A case of metastatic adenocarcinoma from the left kidney to the veins of the pampiniform plexus is described following initial presentation with an acute varicocele. It provides further evidence to support the retrograde venous route for intrascrotal secondary malignancy and also for low ligation of the left testicular vein at radical nephrectomy. PMID:6506405

391

Does thoracic pump influence the cerebral venous return?  

We assessed the hemodynamic effects induced by the thoracic pump in the intra- and extracranial veins of the cerebral venous system on healthy volunteers. Activation of the thoracic pump was standardized among subjects by setting the deep inspiration at 70% of individual vital capacity. Peak velocity (PV), time average velocity (TAV), vein area (VA), and flow quantification (Q) were assessed by means of echo color Doppler in supine posture. Deep respiration significantly increases PV, TAV, and Q, but it is limited to the extracranial veins. To the contrary, no significant hemodynamic changes were recorded at the level of the intracranial venous network. Moreover, at rest TAV in the jugular veins was significantly correlated with Q of the intracranial veins. We conclude that the modulation of the atmospheric pressure operated by the thoracic pump significantly modifies the hemodynamics of the jugular veins and of the reservoir of the neck and facial veins, with no effect on the vein network of the intracranial compartment. PMID:22174396

392

Antimony quartz and antimony-gold quartz veins from northern Portugal  

Antimony- and Pb-Sb-quartz veins from the Bragança district, Portugal, are mainly hosted by Silurian phyllites. Antimony-Au-quartz veins from the Dúrico-Beirã region are mainly hosted by a Cambrian schist-metagraywacke complex, as well as Ordovician phyllites and quartzites. The deposits were mostly...

393

Comparative results of the experimental plantation of Langerhans islets in the portal vein, muscular tissue, general circulatory veins and peritoneum  

Different assays for transplantation of Langerhans islets in rats have been tried. Peritoneum and portal vein are the most profitable, but portal vein has a higher risk during the operation. Two other ways have been tried (i.v. and muscle) but with very poor results.

394

Effects of inhibitors of arachidonic acid metabolism and calcium entry on responses to acetylcholine, potassium and norepinephrine in the isolated canine saphenous vein  

The present study was designed to determine whether interference with the metabolism of arachidonic acid or the entry of extracellular calcium affects the responses of the canine saphenous vein to acetylcholine, potassium or norepinephrine. Rings of canine saphenous vein, with or without endothelium...

395

Differential effects of the antianginal drug nicorandil on canine arteries and veins  

Nicorandil, a potent coronary vasorelaxant used in the treatment of angina, has differental effects on arteries and veins in vivo. To explain this phenomenon, experiments were designed to characterize the relaxant and inhibitory actions of this compound on canine isolated arteries and veins. Paired ...

396

OUR EXPERIENCE WITH ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS  

Background: The surgical management of varicose veins has been subject to radical change due to both the effective use of endovenous laser therapy (EVLT) and greater knowledge regarding the venous haemodynamics of the lower limbs.Aim: The aim of our study was to evaluate the results of varicose vein treatment using EVLT. Based on our results we discuss the use of laser, the appropriate use of crossectomy (a ligation and dissection of the great saphenous vein and its tributaries), and deduce the amount of energy required for the occlusion of treated veins.Method: 326 subjects treated with EVLT using the 810 nm laser. Results were retrospectively evaluated. Patients were followed-up with Doppler US at 1 and then 3 weeks, and 6 and 12 months post procedure.Results: Long-term complications were experienced by 11 (3.4%) patients in our subject group whilst re-canalisation occurred in 12 patients. Complete vein recanalisation was not detected.Conclusion: Based on our experience, crossectomy should be performed, although not routinely, in all patients suffering from varices of the lower limbs. We find the application of over 40 J of energy per centimetre of vein length (J/cm) avoids the possibility of burns. The application of such energy will allow safe occlusion of the vein with minimal risk of recanalisation and burns. Before the operation, we recommend the length of the treated vein be measured in order to deduce the minimum amount of Jules that should be used for a successful occlusion.   

397

Adrenal Venous Sampling: Where Is the Aldosterone Disappearing to?  

Adrenal venous sampling (AVS) is generally considered to be the gold standard in distinguishing unilateral and bilateral aldosterone hypersecretion in primary hyperaldosteronism. However, during AVS, we noticed a considerable variability in aldosterone concentrations among samples thought to have come from the right adrenal glands. Some aldosterone concentrations in these samples were even lower than in samples from the inferior vena cava. We hypothesized that the samples with low aldosterone levels were unintentionally taken not from the right adrenal gland, but from hepatic veins. Therefore, we sought to analyze the impact of unintentional cannulation of hepatic veins on AVS. Thirty consecutive patients referred for AVS were enrolled. Hepatic vein sampling was implemented in our standardized AVS protocol. The data were collected and analyzed prospectively. AVS was successful in 27 patients (90%), and hepatic vein cannulation was successful in all procedures performed. Cortisol concentrations were not significantly different between the hepatic vein and inferior vena cava samples, but aldosterone concentrations from hepatic venous blood (median, 17 pmol/l; range, 40-860 pmol/l) were markedly lower than in samples from the inferior vena cava (median, 860 pmol/l; range, 460-4510 pmol/l). The observed difference was statistically significant (P < 0.001). Aldosterone concentrations in the hepatic veins are significantly lower than in venous blood taken from the inferior vena cava. This finding is important for AVS because hepatic veins can easily be mistaken for adrenal veins as a result of their close anatomic proximity.

398

Congenital Intrahepatic Portosystemic Shunts  

Intrahepatic portosystemic shunts are an anomalous connection between the portal vein and hepatic vein/IVC, which may be either congenital or acquired secondary to liver cirrhosis or portal hypertension. Cases of congenital intrahepatic shunts are usually encountered in children and may spontaneously resolve. We report 5 cases of congenital intrahepatic portosystemic shunts in neonates and an adult

399

Congenital absence of the portal vein associated with congenital hepatic fibrosis  

The radiological features of a 7-year-old boy with congenital absence of the portal vein, pathologically proven congenital hepatic fibrosis, double inferior vena cava, ventricular septal defect, vertebral anomalies, crossed fused renal ectopia, and facial anomalies with pathological correlation are reported. This association between congenital absence of the portal vein and congenital hepatic fibrosis is unique. (orig.)

400

Double Left Renal Veins and Multiple Right Renal Veins Found in Japanese Adults  

A case of circumaortic renal venous collar, the first such collar to be observed in a Japanese female cadaver, is presented, and its anatomical organization is compared with that in another case in which four right renal veins accompanied four right and three left renal arteries in a Japanese male cadaver. Dobule left renal veins are formed by persistence of a more central retroaortic venous anastomosis, in contrast to multiple right renal veins, which are formed by persistence of some embryonic renal veins arranged in ladder-like patterns. In our case, the dorsal limb of the renal collar communicated with the azygos system veins and lumbar veins. The azygos system veins were considered to have atrophied as a result of some persisting retroaortic venous anastomoses located in the thorax. Therefore, we believe that the renal collar was related to the atrophy of the azygos system veins. To determine whether there are racial differences in incidence of renal collar, further studies in Asians are required.   

 
 
 
 
401

Radiologic analysis of total anomalous pulmonary venous return;  

We reviewed cardiac cineangiographic and plain chest film findings of 48 patients aged from a half month to 14 years, with TAPVR which was documented by cineangiography. The numbers of supracardiac, cardiac, subdiapragmatic and mixed group were 20, 17, 3 and 8 in each. The frequency of the various types of TAPVR was: Left vertical vein, 15 pt's; right atrium, 11 pt's; Mixed, 8 pt's; coronary sinus, 6 pt's; subdiaphragmatic, 3 pt's; right SVC, 2 pt's etc. TAPVR occured without severe cardiac anomalies (isolated TAPVR) in 79%. In general, plain chest films revealed the tendency of pulmonary plethora, cardiomegaly and no evidence of congestion, but in the cases with stenosis of connecting vein showed the tendency of pulmonary congestion. Patients in whom the venous retum to left vertical vein or left SVC via right connecting vein and right innominate vein (mirror image of anomalous drainage to left vertical vein) showed a typical 'snowman' or unilateral superior mediastinal widening on the AP chest film (7 of 9 cases) and a density anterior to the trachea on the lateral film (3 of 9 cases). In a connection with azygos vein, the dilated azygos vein was recognized as an oval density in right tracheobronchial angle and right superior mediastinum was widened. Lateral chest film showed a posterior cardiac bulging shadow representing the dilated coronary sinus in 2 of 6 patients with anomalous drainage to the coronary sinus.

402

Morphometric study of andalusian bees Estudio morfométrico de las abejas andaluzas  

The biological and behavioral characteristics of the iberian bees are much less known than the other european races. This paper studies the morphological characteristics (Proboscis length; Forewing length; Forewing width; Cubital vein a; Cubital vein b; Cubital index a/b; Hindwing length; Hindwing w...

403

Petrogenesis of Fe-Ti oxides in amphibole-rich veins from the Lherz orogenic peridotite (Northeastern Pyrénées, France)  

Accessory, homogeneous ilmenite and rutile are important oxide phases in amphibole-rich high-pressure cumulate veins which crosscut the Lherz orogenic lherzolite massif. Those veins crystallized from alkaline melts at P = 1.2-1.5 GPa within the uppermost lithospheric mantle. Transitional basalts con...

404

MOBILE RIGHT HEART THROMBUS WITH PULMONARY EMBOLISM IN A PATIENT WITH POLYCYTHEMIA RUBRA VERA AND SPLANCHNIC VEIN THROMBOSIS  

Splanchnic vein thrombosis in patients with polycythemia rubra vera is well-known. Development of mobile right heart thrombus in these patients has not been reported previously. We describe a young patient with Polycythemia rubra vera and splanchnic vein thrombosis with ischemic bowel who underwent ...

405

Pharmacokinetics of mitomycin C following hepatic arterial chemoembolization with gelfoam.  

Twelve mongrel dogs were randomly allocated into two groups using matched paired-design. Catheters were inserted into the hepatic artery, hepatic vein and the femoral vein, respectively. In the first group, gelfoam supplemented with mitomycin C (MMC) was injected into the hepatic artery, whereas the...

406

GELATIN—ITS USEFULNESS AND TOXICITY : BLOOD PROTEIN PRODUCTION IMPAIRED BY CONTINUED GELATIN BY VEIN  

Gelatin given by vein to doubly depleted dogs (anemic and hypoproteinemic) gives no immediate toxic response, no anaphylactoid reactions, and may contribute something to the building of new hemoglobin and plasma protein. Gelatin given by vein during 1 to 2 weeks (total 3 to 17 gm. per kilo) usually...

407

Varicocele  

Varicose veins - scrotum ... often seen on the left side of the scrotum . The sudden appearance of a varicocele in an ... Enlarged, twisted veins in the scrotum Painless testicle lump , scrotal swelling , or bulge in the scrotum There may not be symptoms.

408

Transfemoral Superior Ophthalmic Vein Approach Via the Facial Vein for the Treatment of Carotid-Cavernous Fistulas  

Two elderly female patients with carotid-cavernous fistulas (CCFs) were treated by transvenous embolization through a transfemoral superior ophthalmic vein approach via the facial vein. Complete occlusion of CCFs was not achieved with this technique exclusively, but the technique was effective in these cases. This technique provides an alternative to other transvenous approaches for the treatment of CCFs.   

409

Comings and Goings  

Aug 6, 2012 ... These really kicked my butt and got my heart rate up in the 180s. ... The ARED ( Advanced Resistive Exercise Device) is amazing (more below). ... our kidney arterial and veins, our femoral artery and our tibial vein. ... over the world submitted biology and physics experiments via a 2-minute YouTube video.

410

USSR Space Life Sciences Digest, volume 2, no. 4  

and publications via a number of routes. While many .... was advanced that the beneficial effect on tissue and systems is due to the formation of .... general health of the heart in 927 individuals differing In the degree of exercise in which they ..... the femoral artery and vein and the arteries and veins at the back of the foot, ...

411

Anatomical pitfall of subclavian venepuncture.  

Dissection of 30 human cadavers demonstrated a 45% incidence of accessory phrenic nerves crossing in front of the subclavian vein. There was a small incidence of other anomalies, including instances of the phrenic nerve crossing anterior to the subclavian vein and of the accessory phrenic nerve pass...

412

Varicose Veins  

... 2 Preventive Measures Measures that help the blood flow toward the heart can be helpful in slowing the progression of varicose veins, and in minimizing discomfort associated with vein problems. Graduated compression stockings are helpful in getting fluid out of the legs and back up to ...

413

A review of the formation of tectonic veins and their microstructures  

Veins are common features in rocks and extremely useful structures to determine stress, strain, pressure, temperature, fluid composition and fluid origin during their formation. Here we provide an overview of the origin and terminology of veins. Contrary to the classical tripartite division of veins into syntaxial (inward growth), antitaxial (outward growth) and stretching veins (no consistent growth direction), we emphasise a continuum between syntaxial and stretching veins that form from the crack-seal process, as opposed to antitaxial veins that grow without the presence of an open fracture during growth. Through an overview of geochemical methods that can be applied to veins we also address the potential, but so far little-investigated link between microstructure and geochemistry. There are basically four mechanisms with increasing transport rates and concomitant decreasing fluid-rock interaction: (1) diffusion of dissolved matter through stagnant pore fluid; (2) flow of fluid with dissolved matter through pores; (3) flow of fluid with dissolved matter through fractures and (4) movement of fractures together with the contained fluid and dissolved matter (mobile hydrofractures). A vein system is rarely the product of a single transport and mineral precipitation mechanism, as these vary strongly both in space and time within a single system.

414

Coseismic damage and softening of fault rocks at seismogenic depths  

Elastic stiffness, a critical property for stress-orientation, propagation of earthquake ruptures and associated seismic waves, and the capability of crustal rocks to store strain energy, is expected to be highly variable throughout the seismic cycle due to complex sequences of damage and healing. Post-seismic healing and exhumation-related alteration render it impossible to assess how well rock stiffness as measured in the laboratory on samples collected from fault zones represents in situ, coseismic rock stiffness at seismogenic depths. Here we estimate the in situ, coseismic stiffness of fault rocks from the pseudotachylyte-bearing Gole Larghe Fault Zone (Italian Southern Alps), using aspect ratio measurements of pseudotachylyte injection veins and numerical simulations. Aspect ratios of injection veins cutting across tonalite and cataclasite exhibit a maximum vein aperture positively correlating with vein length. To model vein opening, fault and injection veins are assumed to be filled with pressurized melt. Consistent with recent results from studies of melt lubrication we assume that the magnitude of the melt pressure is in equilibrium with the fault-normal stress and the fault vein approximately maintains constant thickness during slip. The numerical simulations of injection vein opening due to pressurized frictional melt indicate that the average in situ coseismic stiffness of the wall rocks is 5–50 times smaller than the stiffness obtained from laboratory measurements on the same rocks in their present-day state. The disagreement between laboratory measurements and simulations brings into question the appropriateness of using laboratory-derived values for rock stiffness to model coseismic processes at depth.

415

Safety and necessity of including the middle hepatic vein in the right lobe graft in adult-to-adult live donor liver transplantation  

OBJECTIVE: To evaluate the safety of donors who have donated the middle hepatic vein in right lobe live donor liver transplantation (LDLT) and to determine whether such inclusion is necessary for optimum graft function. SUMMARY BACKGROUND DATA: The necessity to include the middle hepatic vein in a r...

416

Operative Anatomy and Classification of the Sylvian Veins for the Distal Transsylvian Approach  

Methods for preservation of the sylvian veins in the transsylvian approach have not been established because of the considerable variations. This study attempted to classify the sylvian veins to facilitate systematic dissection of the sylvian fissure for sylvian veins to be preserved. The operative anatomy of the sylvian vein was examined in 82 hemispheres. The type of drainage and the pattern of branching were investigated. The superficial sylvian vein (SSV) was classified into three types according to the number of stems draining into the dural sinus on the inner surface of the sphenoid bone: The SSV was absent or hypoplastic in eight cases, the SSV was single in 38 cases, and the SSV was double in 36 cases. The SSV drained into neither the sphenoparietal sinus nor the cavernous sinus in nine cases. An anastomosis between the SSV and the deep middle cerebral vein (DMCV) was observed in 42 cases. The frontobasal bridging vein (FBBV) drained into the sphenoparietal sinus in 47 cases. The type of connection was further subdivided into four types according to the connections with the DMCV and FBBV. The venous anatomy of sylvian fissure indicates that dissection (skeletonization) of the main stem of sylvian veins from the temporal lobe should be performed to preserve the tributaries from the frontal lobe.   

417

Economic evaluation of endoscopic versus open vein harvest for coronary artery bypass grafting  

A short saphenous vein segment is commonly used as a conduit for coronary artery bypass grafting, and clinicians must decide whether to obtain it by performing open (OVH) or endoscopic vein harvest (EVH). We conducted a health economic evaluation, using data on resource usage collected alongside a randomized controlled trial, to investigate whether EVH is cost-effective compared with OVH.

418

The role of adenosine in the hyperaemic response of the hepatic artery to portal vein occlusion (the 'buffer response').  

1. Adenosine has been shown to be responsible for the hyperaemic response of the hepatic artery to portal vein occlusion (the hepatic arterial 'buffer response'). 2. The effect of adenosine receptor blockade and of adenosine uptake inhibition on the hepatic arterial response to portal vein occlusion...

419

Pacing lead adhesions after long-term ventricular pacing via the coronary sinus.  

Left ventricular pacing via the coronary sinus is being increasingly used. There is little data to guide possible lead extractions that might be required in the future. Significant adhesions to the coronary veins were found 12 years after placing a pacing lead in the posterolateral coronary vein in ...

420

Transcatheter occlusion of a post-Fontan residual hepatic vein to pulmonary venous atrium communication using the Amplatzer septal occluder  

A residual hepatic vein to left atrial communication may result in progressive cyanosis after the Fontan procedure. This problem has usually been treated surgically by ligation or re-inclusion of the residual hepatic vein in the Fontan circulation. Previous attempts at transcatheter closure of such ...

 
 
 
 
421

Multimodality Imaging of the Peripheral Venous System  

The purpose of this article is to review the spectrum of image-based diagnostic tools used in the investigation of suspected deep vein thrombosis (DVT). Summary of the experience gained by the author as well as relevant publications, regarding vein imaging modalities taken from a computerized dat...

422

von Willebrand factor release and thrombomodulin and tissue factor expression in Rickettsia conorii-infected endothelial cells.  

Mediterranean spotted fever, a tick-borne rickettsiosis caused by Rickettsia conorii, may lead to small-vessel or deep-vein thrombosis. In order to evaluate the role of endothelial cell alteration in this lesion, we infected human endothelial cells derived from umbilical veins with R. conorii. We re...

423

P wave polarity during pacing in pulmonary veins  

Introduction: Recent studies have demonstrated that premature depolarizations that trigger atrial fibrillation often arise in pulmonary veins. The purpose of this study was to evaluate whether P wave polarity is helpful in distinguishing which of the 4 pulmonary veins is the site of orgin of a prema...

424

Dual-phase CT angiography of the normal canine portal and hepatic vasculature.  

A dual-phase computed tomography (CT) angiographic technique was developed to image the hepatic and portal vascular systems using a nonselective peripheral injection of contrast medium. The arterial phase of the dual-phase scan imaged the hepatic arteries and veins, and the portal phase imaged the portal vein as well as its tributaries and branches. There were three steps involved in acquiring the dual-phase scan: a survey helical scan for orientation, a dynamic scan for timing, and finally the dual-phase helical scan. Five normal dogs were imaged using a helical scan technique. The timing of the arterial and portal phases of the scan was calculated using time vs. attenuation graphs generated from a dynamic scan. The median time of appearance of contrast medium in the cranial abdominal aorta was 8.6 s and the median time of appearance of contrast medium in the hepatic artery occurred 0.4 s later. The median time of peak enhancement in the cranial abdominal aorta was 12.0 s. The median time of appearance of contrast medium in the portal vein was 14.6 s and median time of peak enhancement was 33.0 s. The dual-phase scans provided excellent vascular opacification. The hepatic arteries, hepatic veins, cranial and caudal mesenteric veins, splenic vein, gastroduodenal vein, and portal vein branches were all consistently well defined. Dual-phase CT angiography is a minimally invasive technique which provides an excellent three-dimensional representation of portal and hepatic vascular anatomy. PMID:15072142

425

Arterio-venous fistula following a lumbar disc surgery  

Vascular complications during posterior lumbar disc surgery are rare and its presentation with varicose veins is even rarer. A 23 year-old male patient presented with large varicose veins in right lower limb. He underwent a posterior lumbar spine discectomy surgery. He noticed mild swelling of the d...

426

CALCIUM OXALATE CRYSTAL MACROPATTERN IN LEAVES OF SPECIES FROM GROUPS GLYCINE AND SHUTERIA (GLYCININAE; PHASEOLEAE; PAPILIONOIDEAE; FABACEAE)  

Calcium oxalate crystals associated with leaf veins and mesophyll was determined for taxa in two groups Glycine and Shuteria of subtribe Glycininae. Trichomes and veins were identified as additional characters. The annual and wild perennial Glycine species have the most reduced characters by gener...

427

Ipomoviruses: Squash vein yellowing virus, Cucumber vein yellowing virus, Cassava brown streak virus, and Ugandan cassava brown streak virus  

Ipomoviruses including Squash vein yellowing virus, Cucumber vein yellowing virus and Cassava brown streak virus are currently causing significant economic impact on crop production in several regions of the world. Only recently have results of detailed characterization of their whitefly transmissi...

428

Effect of cooling on beta-receptor mechanisms in isolated cutaneous veins of the dog  

Alpha-adrenergic activation of cutaneous veins by nerve stimulation or norepinephrine has been shown to be facilitated by a decrease in temperature. In the present study, the effects of cooling on beta-adrenergic mechanisms in the cutaneous veins were investigated by recording changes in isometric t...

429

Superior and Inferior Ophthalmic Veins Thrombosis with Cavernous Sinus Meningioma  

Ophthalmic vein thrombosis is an extremely rare entity. We present a case of middle-aged female who presented with proptosis. Contrast-enhanced computed tomography and magnetic resonance imaging showed cavernous sinus meningioma with ipsilateral superior and inferior vein thrombosis. A brief review ...

430

Arteries and veins of the zebra fish  

Arteries and veins are blood vessels and are part of the circulatory system. Arteries take oxygenated blood away from the heart and veins bring blood back to the heart after it has circulated through the body. The circulatory system distributes oxygen to the body and also moves around nutrients.

431

Characterization of postjunctional alpha-1 and alpha-2 adrenoceptors activated by exogenous or nerve-released norepinephrine in the canine saphenous vein  

Experiments were designed to characterize alpha-1 and alpha-2 adrenoceptor-mediated effects in the canine saphenous vein. Rings of saphenous vein were mounted for isometric tension recording in physiological saline solution. Contractile responses evoked by alpha-1 adrenoceptor agonists, cirazoline o...

432

Effect of cooling on alpha-1 and alpha-2, adrenergic responses in canine saphenous and femoral veins  

Experiments were designed to determine the effect of cooling on alpha-1 and alpha-2 adrenergic responses in isolated canine veins. Rings saphenous and femoral veins were suspended for isometric tension recording in modified Krebs-Ringer bicarbonate solution, gassed with 95% O2 and 5% CO2. Cooling (f...

433

Balloon angioplasty for the the treatment of lesions in saphenous vein bypass grafts  

OBJECTIVES. The purpose of this review is to assess the value and limitations of balloon angioplasty for the treatment of saphenous vein bypass graft obstructions. The potential efficacy of new interventional techniques is discussed. BACKGROUND. Treatment of ischemia due to saphenous vein bypass gra...

434

High resolution imaging of a large calcite vein network from a polished limestone outcrop in the Oman Mountains : image acquisition, initial stereophotogrammetry and first interpretation  

This thesis presents a detailed high resolution image of a large calcite vein network on a polished limestone outcrop of the Natih formation. The outcrop is located in the Oman Mountains at the eastern slope of Jabal Sarrah. The observation is concentrated on a calcite vein network, which spread all...

435

The Distribution and Significance of Shock-induced High-Pressure Minerals in Chondrite Skip Wilson  

S6 chondrite Skip Wilson contains a thick (1-4 mm) shock-induced melt vein. The products of both crystallization and solid-state transformations in the melt vein allow us to interpret the shock and post-shock conditions of Skip Wilson.

436

Drug-eluting versus bare-metal stent for treatment of saphenous vein grafts: a meta-analysis.  

BACKGROUND: Saphenous vein grafts develop an aggressive atherosclerotic process and the efficacy of drug eluting stents (DES) in treating saphenous vein graft (SVG) lesions has not been convincingly demonstrated. The aim of this study was to review and analyze the current literature for controlled s...

437

Modeling the Impact Histories of Veined Chondrites  

Studies of the mineralogy of melt veins in chondrites constrain the pressure range of the vein-forming shock event. Heat flow calculations constrain the minimum shock pressure duration. The Autodyn(TM) wave propagation code was used to model impacts on a chondrite parent body.

438

Geometric Analysis of Vein Fracture Networks From the Awibengkok Core, Indonesia  

Fracture network systems within rocks are important features for the transportation and remediation of hazardous waste, oil and gas production, geothermal energy extraction and the formation of vein fillings and ore deposits. A variety of methods, including computational and laboratory modeling have been employed to further understand the dynamic nature of fractures and fracture systems (e.g. Ebel and Brown, this session). To substantiate these studies, it is also necessary to analyze the characteristics and morphology of naturally occurring vein systems. The Awibengkok core from a geothermal system in West Java, Indonesia provided an excellent opportunity to study geometric and petrologic characteristics of vein systems in volcanic rock. Vein minerals included chlorite, calcite, quartz, zeolites and sulphides. To obtain geometric data on the veins, we employed a neural net image processing technique to analyze high-resolution digital photography of the veins. We trained a neural net processor to map the extent of the vein using RGB pixel training classes. The resulting classification image was then converted to a binary image file and processed through a MatLab program that we designed to calculate vein geometric statistics, including aperture and roughness. We also performed detailed petrographic and microscopic geometric analysis on the veins to determine the history of mineralization and fracturing. We found that multi-phase mineralization due to chemical dissolution and re-precipitation as well as mechanical fracturing was a common feature in many of the veins and that it had a significant role for interpreting vein tortuosity and history of permeability. We used our micro- and macro-scale observations to construct four hypothetical permeability models that compliment the numerical and laboratory modeled data reported by Ebel and Brown. In each model, permeability changes, and in most cases fluctuates, differently over time as the tortuosity and aperture of veins are affected by the precipitation, dissolution, and re-precipitation of minerals, and also by mechanical fracturing. In all of our cases we interpret a first-phase mineral dissolution stage where permeability gradually declines as the vein is blocked by inward growing minerals. Hereafter, permeability may briefly increase with the onset of internal fracturing within the vein or by a phase of mineral dissolution opening up new pathways for fluid flow. Eventually we infer that permeability will decline again as second stage minerals are deposited in the fluid flow pathways.

439

Regional spread of cutaneous squamous cell carcinoma of the face via facial vein tumor thrombus: a case report.  

Cutaneous squamous cell carcinoma of the head and neck most often spreads via direct extension or through lymphatics to regional lymph nodes. This is a unique case of a cutaneous squamous cell carcinoma of the nasal dorsum with direct vascular invasion of the facial vein. This was initially incorrectly identified as a regional level Ib lymph node metastases, and the intervening venous structures were neither extirpated during an initial surgery nor recognized during subsequent radiation therapy. The patient then presented with a sizable recurrence in the right suborbital subcutaneous tissue region extending into the neck and internal jugular vein. During further resection, direct tumor invasion into the facial vein was pathologically confirmed. This unusual involvement is presented as the first documented report of regional spread via tumor thrombosis within the facial vein as demonstrated in the facial vein with a tumor thrombus, as demonstrated by computed tomography and microscopic findings. PMID:19144305

440

Geology, fluid inclusion geochemistry, and ^4^0Ar/^3^9Ar geochronology of the Wulasigou Cu deposit, and their implications for ore genesis, Altay, Xinjiang, China  

The Wulasigou Cu deposit occurs as veins controlled by a NW-trending structure in a Devonian volcano-sedimentary basin of the Altay orogenic belt, Xinjiang, China. Igneous and sedimentary rocks exposed in the area have undergone greenschist-facies metamorphism. The ore-forming process can be divided into early, middle, and late stages, represented by, respectively, pyrite-quartz, polymetallic sulfide-quartz, and carbonate-quartz veins, veinlets, and/or replacement bodies. The early veins were deformed and brecciated during a compressional or transpressional event. The middle-stage veinlets filled fractures in the early-stage vein and alteration assemblages, and are undeformed, suggesting a tensional shear setting. The late-stage veinlets are mainly open-space fissure fillings that cut vein...

 
 
 
 
441

Anatomical characteristics of the left testicular venous system in man.  

Autopsy was performed on 49 male cadavers and the entire course of the left testicular vein (LTV) was studied. The testicular venous pathway was divided into four levels: scrotal, inguinal, pelvic, and lumbar. At the scrotal level, many small testicular veins constituting the pampiniform plexus showed various anastomoses with the cremasteric and vasal veins. At the inguinal and pelvic level, 4-12 and 2-8 LTVs were recognized, respectively. At the pelvic level, absence of valves was seen in 33% of the cases. At the lumbar level, 1-5 LTVs were observed and were mainly anastomosed with the retroperitoneal, ureteral, and kidney capsular veins. Absence of valves at the lumbar level was seen in 37% of the cases. In 11 cases, the valves that were present were incompetent. The presence of more than one LTV at the lumbar level indicates the necessity for attentive identification of all of the testicular veins during surgical treatment of varicocele. PMID:8470944

442

Successful Endovascular Treatment of Iliac Vein Compression (May-Thurner) Syndrome in a Pediatric Patient  

A 10-year-old boy presented to our clinic with left lower extremity swelling present for 1 year with deterioration of symptoms during the prior month. Laboratory investigation for deep vein thrombosis was negative. Venography and computed tomography scan of the pelvis showed compression of the left common iliac vein by the right common iliac artery. A diagnosis of iliac vein compression syndrome was made. After venography, endovascular treatment was planned. The stenosis did not respond to balloon dilatation and a 12 mm Wallstent was placed with successful outcome. The patient's symptoms improved but did not resolve completely, probably due to a chronically occluded left superficial femoral vein that did not respond to endovascular recanalization. To the best of our knowledge, this is the first case of successful endovascular treatment of iliac vein compression syndrome with stent placement in a pediatric patient.

443

Ultrasonographic finding of internal jugular vein during anti-G straining maneuver: is it associated with gravity-induced loss of consciousness?  

Gravity-induced loss of consciousness (G-LOC) is caused by loss of cerebral blood flow during high +Gz (head-to-foot inertial forces). The resistance of the jugular vein is a significant factor in decrease in cerebral blood flow. Ultrasonography of thoracic inlet veins, including internal jugular vein, is feasible to visualize the internal jugular vein and hemodynamic information. Anti-gravity straining maneuver (AGSM) was widely recognized as one of the important factors in preventing G-LOC. The purpose of this study was to evaluate the relationship between the ultrasonographic shape and size of internal jugular vein during AGSM and G-LOC. 47 trainee pilots who participated in human centrifuge education program were enrolled. They were all men, and their mean age was 23.9???1.38?years. Qu...

444

Post-Variscan hydrothermal vein mineralization, Taunus, Rhenish Massif (Germany): Constraints from stable and radiogenic isotope data  

Post-Variscan hydrothermal base-metal mineralization of the Taunus ore district, SE Rhenish Massif (Germany), has been studied through combination of stable (S, C, O) and radiogenic (Pb) isotope geochemistry. Based on field and textural observations, five hydrothermal mineralization types can be distinguished. These are (1) tetrahedrite-tennantite bearing quartz-ankerite veins, (2) quartz veins with Pb-Zn-Cu ores, (3) giant quartz veins, (4) metasomatic dolomite in Devonian reef complexes, and (5) calcite-(quartz) mineralization in Devonian reefs. The d^1^8OV-SMOW quartz values of base-metal veins are in the range of 18.0-21.5%%, whereas those of giant quartz veins have lower values of 15.9-18.6%%. This difference reflects the higher fluid fluxes and smaller extent of rock-buffering for th...

445

A Case of Life-threatening Hemorrhagic Shock Due to Spontaneous Rupture of a Leg Varicose Vein  

We report a case of massive, life-threatening from a varicose lesion of the right lower extremity. An 81-year-old lady was brought to the emergency room at our hospital because of massive bleeding from her right leg. She had had high ligation of the right saphenous vein at another hospital 2 years ago. After hemostat and transfusion, she recovered from hemorrhagic shock. Three-dimensional enhanced computed tomography angiography revealed a residual right great saphenous vein and recurrent varicose lesion. We performed high ligation of the great saphenous vein and closed all of the residual perforators. The patient was discharged hospital 10 days after the surgery and experienced no bleeding episodes within 8 months after the surgery. Certain high ligation and elimination of perforators of the great saphenous vein in surgery for varicose vein of leg is necessary to prevent lethal bleeding.   

446

Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena Cava  

We present a 72-year-old man with interruption of inferior vena cava (IVC) with azygos continuation, who underwent radiofrequency catheter ablation of atrioventricular nodal reentrant tachycardia (AVNRT).We recorded a His bundle electrogram with an electrode catheter positioned in the aortic root. We also introduced an electrode catheter through the right femoral vein, advanced it via an enlarged azygos vein and the superior vena cava and positioned it at the right ventricular apex (RVA). AVNRT was induced by programmed pacing from a coronary sinus catheter introduced through the left subclavian vein. It was successfully ablated with an ablation catheter introduced through the right internal jugular vein.In a patient with interruption of IVC, it is impossible to access the right side of the heart directly via femoral vein and IVC. In this case, however, alternative routes to the His bundle, RVA and ablation site enabled us to perform an electrophysiologic study and a successful catheter ablation.   

447

Complex Vascular Reconstruction Using Donor's Vessel Grafts in Orthotopic Liver Transplantation  

The vascular abnormalities of recipients are associated with reconstructive difficulties with an increased risk of postoperative complications. We performed an orthotopic liver transplantation that required a complex vascular reconstruction using donor vascular grafts. A patient with hepatitis B virus cirrhosis received a liver from a brain-dead donor. Dynamic computed tomography revealed complete obstruction of the portal vein due to thrombosis as well as narrowing of the hepatic arteries. We employed orthotopic liver transplantation using the piggy-back technique with complex reconstruction of the portal vein and the hepatic arteries. For portal vein reconstruction, we used the donor's iliac vein as an interpositional conduit from the recipient's gastric coronary vein to graft the portal...

448

Asymmetric collimation can significantly reduce patient radiation dose during pulmonary vein isolation†  

Aims Current fluoroscopic and 3D image-guided treatment of atrial fibrillation (AF) by radiofrequency ablation is characterized by a substantial amount of X-ray radiation. We investigated the potential of an asymmetric collimation technique to reduce dose. Methods and results For 30 patients, referred for AF ablation, we determined the received fluoroscopy dose for various collimation scenarios: a single collimation window encompassing all veins as used in most labs (Sc 1), an optimal adjusted symmetric collimation window encompassing each two ipsilateral veins (Sc 2) or each individual vein (Sc 3) and an optimal asymmetric collimation window encompassing each two ipsilateral veins (Sc 4) or each individual vein (Sc 5). Twenty patients were studied retrospectively and 10 were studied prosp...

449

Normal and abnormal development of pulmonary veins: State of the art and correlation with clinical entities  

Interest for the pulmonary veins has increased in the past decade after the potential arrhythmogenicity of the myocardial sleeve surrounding these structures has been recognized. Furthermore, there are several clinical entities, such as anomalous connection pattern and pulmonary vein stenosis, that are related to abnormal pulmonary vein development. In this review, we will describe current literature and aim to elucidate and reorganize current opinions on normal and abnormal pulmonary vein development in relation to clinical (management of) diseases. Several unresolved questions will be addressed, as well as current conceptual controversies. First, a general overview of development of structures at the venous pole of the heart, including normal development of the pulmonary vein from a prim...

450

Branching patterns of the main portal vein: Effect on estimated remnant liver volume in preoperative evaluation of donors for liver transplantation  

Objectives: To compare estimated remnant liver volume (ERLV) ratios among the major main portal vein (MPV) variants. Methods: Eighty-five potential donors underwent multidetector CT examination. Arterial, portal and hepatic venous phase images were obtained. CT volumetric measurements were performed by using summation-of-area method. MPV variants were classified into three groups. In type 1 (group 1), the MPV branches into the right portal vein (RPV) and the left portal vein (LPV). In type 2 (group 2), the MPV trifurcates into the right anterior portal vein (RAPV), right posterior portal vein (RPPV) and LPV. In type 3 (group 3), the RPPV arises from the MPV as a first branch, and the RAPV emerges directly from the LPV. Results: No differences were observed between groups 1 and 2 with respe...

451

Internal thoracic vein draining into the extrapericardial part of the superior vena cava: a case report  

Abstract in portuguese As veias torácicas internas são veias comitantes de cada artéria torácica interna drenando o território suprido por ela e geralmente se unem em frente à terceira cartilagem costal. Esta única veia entra na veia braquicefálica correspondente. Apresentamos uma variação da veia mamária interna direita drenando para a veia cava superior em um cadáver masculino de 45 anos. O provável desenvolvimento e a significância clínica da veia são discutidos. Abstract in english The internal thoracic veins are venae comitantes of each internal thoracic artery draining the territory supplied by it and usually unite opposite the third costal cartilage. This single vein enters the corresponding brachiocephalic vein. We present a variation of right internal mammary vein draining into superior vena cava in a 45-year-old male cadaver. Likely development and clinical significance of the vein are discussed.

452

Epidemiology, demographics, and pathophysiology of acute spinal cord injury  

Testicular arteries arise from the abdominal aorta and the inferior suprarenal artery from the renal artery. There are reports about variant origin and course of these arteries. Accessory testicular artery is also a common finding but its providing origin to inferior suprarenal artery is an important observation. During a routine dissection of abdomen of approximately 55-year-old male cadaver, unique vascular abnormality was observed. On the left side, a common arterial trunk originating from abdominal aorta immediately branched to give rise to superior testicular and inferior suprarenal arteries, the former after a short course hooked by the left suprarenal vein. In addition, the left suprarenal vein, second left lumbar vein, and left testicular vein joined to form a common trunk which drained into the left renal vein. A sound knowledge of vascular variations in relation to the kidney and suprarenal gland is important to surgeons dissecting the abdominal cavity. PMID:11805601

453

Multiple vascular anomalies involving testicular, suprarenal arteries and lumbar veins.  

Testicular arteries arise from the abdominal aorta and the inferior suprarenal artery from the renal artery. There are reports about variant origin and course of these arteries. Accessory testicular artery is also a common finding but its providing origin to inferior suprarenal artery is an important observation. During a routine dissection of abdomen of approximately 55-year-old male cadaver, unique vascular abnormality was observed. On the left side, a common arterial trunk originating from abdominal aorta immediately branched to give rise to superior testicular and inferior suprarenal arteries, the former after a short course hooked by the left suprarenal vein. In addition, the left suprarenal vein, second left lumbar vein, and left testicular vein joined to form a common trunk which drained into the left renal vein. A sound knowledge of vascular variations in relation to the kidney and suprarenal gland is important to surgeons dissecting the abdominal cavity. PMID:22454832

454

Finger vein recognition using minutia-based alignment and local binary pattern-based feature extraction  

With recent increases in security requirements, biometrics such as fingerprints, faces, and irises have been widely used in many recognition applications including door access control, personal authentication for computers, Internet banking, automatic teller machines, and border-crossing controls. Finger vein recognition uses the unique patterns of finger veins to identify individuals at a high level of accuracy. This article proposes a new finger vein recognition method using minutia-based alignment and local binary pattern (LBP)-based feature extraction. Our study makes three novelties compared to previous works. First, we use minutia points such as bifurcation and ending points of the finger vein region for image alignment. Second, instead of using the whole finger vein region, we use s...

455

Hydrothermal CO2 degassing in seismically active zones during the late Quaternary  

Natural CO2 discharges are abundant in Turkey as evident from ongoing deposition of recent terrace-mound travertines and emplacement of significant travertine vein and breccia deposits in fractured damage zones of active fault systems. We report high-precision U-series age data for the vein carbonates combined with important field observations and geochemical data to evaluate the travertine veining and CO2 degassing history in seismically active areas. Field evidence suggests that travertine-filled veins and associated breccias represent hydrothermal eruption products, which probably formed by hydraulic fracturing in response to overpressure of CO2-rich fluids. Stable isotope and REE data support the field observations and indicate that travertine veins formed as thermogene deposits from r...

456

Endothelial preservation of the minimally manipulated saphenous vein composite graft: Histologic and immunohistochemical study  

ObjectiveWe evaluated the efficacy of minimally manipulative surgical strategies to harvest the saphenous vein for use in a Y-composite graft based on the left internal thoracic artery in terms of preservation of endothelial structure and function. MethodsTwenty patients who underwent off-pump coronary revascularization using the saphenous vein in a Y-composite graft based on the left internal thoracic artery were studied. The saphenous vein was harvested from each patient with minimal manipulation. An excess saphenous vein segment was removed before dilatation (control group), and a second segment was removed after dilation performed using a pressure-sensing syringe (conventional group). A third segment was obtained from a Y-composite vein graft dilated by flow and pressure from the left ...

457

Gd-enhanced subtraction MR venography  

We succeeded in distinctly imaging the calf veins using Gd-enhanced subtraction MR venography (Gd SMRV). Gd SMRV was performed in 15 normal legs, 33 varicose legs and 22 legs with suspected deep venous thrombosis. Conventional venography was performed in 46 legs in all. The deep veins of the calf, greater saphenous vein, and intramuscular veins had high rates of demonstration in normal legs and varicose legs (84, 100%, 87, 97%, 67, 73%). The varices were also well demonstrated (100%). When Gd SMRV was compared with conventional venography in terms of diagnosis of calf venous thrombosis, the sensitivity of this method was 100%, specificity was 92% and accuracy was 93%. We found high intensity thrombi on precontrast images in most cases, a finding that was important for the diagnosis of local thrombi. This method was non-invasive and was able to clearly visualize veins in the calf. We concluded that Gd SMRV was useful for calf venous disease, especially calf venous thrombosis. (author)

458

Impact of hepatic clearance of endotoxin using endotoxin activity assay  

Background Endotoxin (Et) in the portal vein blood is processed by the hepatic reticuloendothelial system, and therefore, it is possible that the hepatic clearance of Et may become a biological index for liver function. In this study, Et levels of preoperative peripheral and portal vein blood at the time of liver transplantation (LT) were measured in order to study the meaning. Methods The study population comprised 19 patients in whom pediatric living donor LT was performed. In the preoperative peripheral and the portal vein blood at the time of LT, we measured Et activity (EA) by the Et activity assay (EAA) and the Limulus amebocyte lysate (LAL) method. Results The preoperative peripheral vein blood showed a low EA in all cases. In the EA of the peripheral and the portal vein blood, the ...

459

Structural bionic design for high-speed machine tool working table based on distribution rules of leaf veins  

High-speed machine tool working table restrains the machining accuracy and machining efficiency, so lightweight design of the table is an important issue. In nature, leaf has developed a plate structure that maximizes the surface-to-volume ratio. It can be seen as a plate structure stiffened by veins. Compared with a high-speed machine tool working table, leaf veins play a role of supporting part which is similar to that of stiffening ribs, and they can provide some new design ideas for lightweight design of the table. In this paper, distribution rules of leaf veins were investigated, and a structural bionic design for the table was achieved based on regulation of leaf veins. First, statistical analysis on geometric structure of leaf veins was carried out, and four distribution rules were ...

460

Extrasinusal dural arteriovenous malformations. Report of three cases  

Of 60 cases of dural arteriovenous malformations (DAVM) explored and treated in the Vascular Neuroradiology Unit of the Hospital of Bicetre between 1980 and 1986, 3 presented in an extrasinusal location: intraorbital, middle cerebral fossa and the region of the superior orbital fissure. We have not found any prior description of DAVMs in these regions in the literature. The classic concept that DAVMs rise in direct relationship with the dural sinuses is limited. We believe that these lesions may also developed in relationship with the venous drainage system of the sinuses and the venous drainage of the peripheral nervous system. We note that the superior ophthalmic vein which drains DAVMs of the orbit and the olfactory vein which drains DAVMs of the anterior cranial fossa and other veins that accompany the cranial nerves through the skull base have the characteristics of emissary veins. It may be that DAVMs can develop wherever veins follow a transosseous trajectory.