RESUMO
A superconducting spin valve consists of a thin-film superconductor between two ferromagnetic layers. A change of magnetization alignment shifts the superconducting transition temperature (ΔΤc) due to an interplay between the magnetic exchange energy and the superconducting condensate. The magnitude of ΔΤc scales inversely with the superconductor thickness (dS) and is zero when dS exceeds the superconducting coherence length (ξ). Here, we report a superconducting spin-valve effect involving a different underlying mechanism in which magnetization alignment and ΔΤc are determined by nodal quasiparticle excitation states on the Fermi surface of the d-wave superconductor YBa2Cu3O7-δ sandwiched between insulating layers of ferromagnetic Pr0.8Ca0.2MnO3. We observe ΔΤc values that approach 2 K with the sign of ΔΤc oscillating with dS over a length scale exceeding 100ξ and, for particular values of dS, the superconducting state reinforces an antiparallel magnetization alignment. These results pave the way to all-oxide superconducting memory in which superconductivity modulates the magnetic state.
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At a superconductor-ferromagnet (S/F) interface, the F layer can introduce a magnetic exchange field within the S layer, which acts to locally spin split the superconducting density of states. The effect of magnetic exchange fields on superconductivity has been thoroughly explored at S-ferromagnet insulator (S/FI) interfaces for isotropic s-wave S and a thickness that is smaller than the superconducting coherence length. Here we report a magnetic exchange field effect at an all-oxide S/FI interface involving the anisotropic d-wave high temperature superconductor praseodymium cerium copper oxide (PCCO) and the FI praseodymium calcium manganese oxide (PCMO). The magnetic exchange field in PCCO, detected via magnetotransport measurements through the superconducting transition, is localized to the PCCO/PCMO interface with an average magnitude that depends on the presence or absence of magnetic domain walls in PCMO. The results are promising for the development of all-oxide superconducting spintronic devices involving unconventional pairing and high temperature superconductors.
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We report the first observation of nonlinear harmonic generation and sum frequency generation (SFG) coupled with stimulated Raman scattering (SRS) via the second-order (χ(2)) and the third-order (χ(3)) nonlinearities in a silica microbottle resonator. The visible light emission due to third-harmonic generation (THG) was observed in both the output of a tapered fiber and the optical microscope images, which can be used to identify the axial mode profiles. SFG enabled by three- and four-wave mixing processes between the pump light and the light generated via SRS was also observed. Second-harmonic generation (SHG) and the SFG are enabled by χ(2) induced in silica by surface effects and multipole excitations.
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The effect of turbulent clustering of water droplets on radiative transfer is investigated by means of both a three-dimensional direct numerical simulation of particle-laden homogeneous isotropic turbulence and a radiative transfer simulation based on a Monte Carlo photon tracing method. The results show that turbulent clustering causes the formation of void regions of droplets and hence increases the direct transmittance. This effect decreases as the turbulent Reynolds number increases and is estimated to be negligibly small under the conditions in real clouds.
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This study aimed to investigate how the trunk muscularity is related to sprint running performance. In 23 youth soccer players, the cross-sectional images at the mid level of each of L1-L2, L2-L3, L3-L4, L4-L5, and L5-S1 were obtained using magnetic resonance imaging to determine the cross-sectional areas (CSAs) of rectus abdominis, oblique, psoas major, quadratus lumborum and erector spinae muscles. The times taken to sprint over 20 m were measured, and the mean velocity of running was calculated for each of the 2 distances (V (10 m) and V (20 m)) and for the distance from 10 m to 20 m (V (10-20 m)). The CSA values of the 5 slice levels for all muscles except for the quadratus lumborum and those of the 3 slice levels (L1-L2, L2-L3 and L3-L4) for the quadratus lumborum were averaged and expressed relative to the two-third power of body mass (CSA/BM (2/3)). The CSA/BM (2/3) values of the erector spinae and quadratus lumborum were selected as significant contributors to predict V (10 m) ( R(2)=0.450), V (20 m) ( R(2)=0.504) and V (10-20 m) ( R(2)=0.420). The current results indicate that the muscularity of the erector spinae and quadratus lumborum contributes to achieving a high performance in sprint running over distances of less than 20 m.
Assuntos
Dorso/anatomia & histologia , Dorso/fisiologia , Contração Isométrica/fisiologia , Músculo Esquelético/fisiologia , Corrida/fisiologia , Abdome/fisiologia , Adolescente , Composição Corporal/fisiologia , Tolerância ao Exercício/fisiologia , Humanos , Masculino , Futebol/fisiologia , Estatística como Assunto , Análise e Desempenho de TarefasRESUMO
Materials with strongly correlated electrons often exhibit interesting physical properties. An example of these materials is the layered oxide perovskite Sr2RuO4, which has been intensively investigated due to its unusual properties. Whilst the debate on the symmetry of the superconducting state in Sr2RuO4 is still ongoing, a deeper understanding of the Sr2RuO4 normal state appears crucial as this is the background in which electron pairing occurs. Here, by using low-energy muon spin spectroscopy we discover the existence of surface magnetism in Sr2RuO4 in its normal state. We detect static weak dipolar fields yet manifesting at an onset temperature higher than 50 K. We ascribe this unconventional magnetism to orbital loop currents forming at the reconstructed Sr2RuO4 surface. Our observations set a reference for the discovery of the same magnetic phase in other materials and unveil an electronic ordering mechanism that can influence electron pairing with broken time reversal symmetry.
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PURPOSE: Immune checkpoint inhibitors (ICIs) show promising clinical activity in advanced cancers. However, the safety and efficacy of PD-1/PD-L1 blockade in patients with preexisting antinuclear antibodies (ANA) are unclear. METHODS: 191 patients treated with nivolumab, pembrolizumab, atezolizumab, or durvalumab for unresectable advanced cancers between September 2014 and December 2018 were identified retrospectively. Patients were divided into positive (ANA titers ≥ 1:160) and negative ANA groups (ANA titers < 1:160). Development of immune-related adverse events (irAEs), the overall response rate (ORR), and disease control rate (DCR) were monitored. RESULTS: Positive ANA titers were seen in 9 out of 191 patients. Four patients in the positive ANA group and 69 patients in the negative group developed irAEs of any grade without a significant difference between the groups. The development of endocrine, pulmonary, and cutaneous irAEs was not significant, whereas positive ANA was significantly higher in patients who developed colitis (2/9) than in patients who did not (3/182, P = 0.0002). DCR in the positive and negative ANA group was 37.5% and 67.5%, respectively, and was not statistically significant, but had better efficacy in patients without ANA (P = 0.08). ANA-related autoimmune diseases such as SLE, Sjögren's syndrome, MCTD, scleroderma, dermatomyositis, and polymyositis was not induced in either group. However, one patient with preexisting dermatomyositis had a flare up after initiation of atezolizumab. CONCLUSION: Further studies to identify predictive factors for the development of irAEs are required to provide relevant patient care and maximize the therapeutic benefits of ICIs.
Assuntos
Anticorpos Antinucleares/sangue , Antineoplásicos Imunológicos/uso terapêutico , Inibidores de Checkpoint Imunológico/uso terapêutico , Neoplasias/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Antígeno B7-H1/antagonistas & inibidores , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/sangue , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/sangue , Receptor de Morte Celular Programada 1/antagonistas & inibidores , Estudos Retrospectivos , Resultado do TratamentoRESUMO
The development of superconducting memory and logic based on magnetic Josephson junctions relies on an understanding of junction properties and, in particular, the dependence of critical current on external magnetic flux (i.e. Fraunhofer patterns). With the rapid development of Josephson junctions with various forms of inhomogeneous barrier magnetism, Fraunhofer patterns are increasingly complex. In this paper we model Fraunhofer patterns for magnetic Josephson junctions in which the barrier magnetic susceptibility is position- and external-magnetic-field dependent. The model predicts anomalous Fraunhofer patterns in which local minima in the Josephson critical current can be nonzero and non-periodic with external magnetic flux due to an interference effect between magnetised and demagnetised regions.
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Male reproductive tract CD52 (mrt-CD52) is known to be a pathogenic antigen for immunological infertility. Although human CD52 has been extensively investigated, the properties of mouse CD52 are not well elucidated. This study was conducted, therefore, to examine the tissue distribution, molecular composition and immunogenicity of mouse mrt-CD52. Immunohistological studies with an antibody to a synthetic peptide showed that mouse CD52 was localized mainly in the cauda epididymis and vas deferens, but not in the testis, liver, kidney or spleen. The molecule was composed of Asn (N)-linked and The/Ser (O)-linked carbohydrates as well as a glycosylphosphatidyl (GPI) anchor portion. Purified mrt-CD52 preparations produced antibodies by subcutaneous and intranasal immunization in both male and female mice. These antisera showed sperm-immobilizing activities with complement to mouse sperm. The research indicated mouse CD52 had similar biochemical and immunological properties to human CD52. This animal experiment is a good model for investigating human mrt-CD52 antibody detected in infertile patients.
Assuntos
Antígenos CD/imunologia , Antígenos de Neoplasias/imunologia , Epididimo/citologia , Genitália Masculina/imunologia , Glicoproteínas/imunologia , Infertilidade Masculina/imunologia , Espermatozoides/imunologia , Alemtuzumab , Animais , Anticorpos Monoclonais/biossíntese , Anticorpos Monoclonais/imunologia , Anticorpos Monoclonais/metabolismo , Anticorpos Monoclonais Humanizados , Anticorpos Antineoplásicos/biossíntese , Anticorpos Antineoplásicos/imunologia , Anticorpos Antineoplásicos/metabolismo , Antígenos CD/química , Antígenos CD/isolamento & purificação , Antígenos CD/metabolismo , Antígenos de Neoplasias/química , Antígenos de Neoplasias/isolamento & purificação , Antígenos de Neoplasias/metabolismo , Autoanticorpos/análise , Antígeno CD52 , Epididimo/metabolismo , Epitopos , Glicoproteínas/química , Glicoproteínas/isolamento & purificação , Glicoproteínas/metabolismo , Isoanticorpos/análise , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Motilidade dos Espermatozoides , Espermatozoides/fisiologiaRESUMO
We previously reported that male mice are more attracted to volatile odors from intact female mice than from ovariectomized female mice. In the present study, we investigated male attraction to volatile odors from soiled bedding collected from the cages of estrous or ovariectomized female mice. There was no difference in the total time spent sniffing volatile odors from estrous and ovariectomized female mice, suggesting that female mice emit volatile odors which are not excreted into bedding. To test this possibility, we investigated c-Fos expression in the mitral cell layer and granule cell layer of the accessory olfactory bulb 60 min after exposure of male mice to volatile odors without physical contact. Volatile odors from an estrous female mouse significantly increased the total number of c-Fos positive cells in each of the rostral and caudal granule cell layer, but not in the mitral cell layer. After exposure to volatile odors from estrous bedding, the total number of c-Fos positive cells did not increase. Volatile odors from a male mouse did not increase the total number of c-Fos positive cells. Volatile odors from an ovariectomized female mouse increased c-Fos expression only in the caudal granule cell layer. These results suggest that female mice emit specific volatile odors which are not excreted into bedding, and that the volatile odors activate the accessory olfactory system of male mice without physical contact. To characterize the female-specific volatile odors, we conducted habituation-dishabituation tests. Whereas sham-operated male mice discriminated between volatile odors of estrous and ovariectomized female mice, vomeronasal organ-removed male mice did not. These results suggest that male mice discriminated whether or not female mice were ovariectomized, by volatile odors via the accessory olfactory system, and that the female-specific volatile odors are involved in reproduction.
Assuntos
Odorantes , Condutos Olfatórios/fisiologia , Olfato/fisiologia , Órgão Vomeronasal/fisiologia , Análise de Variância , Animais , Contagem de Células/métodos , Estro , Feminino , Habituação Psicofisiológica , Imuno-Histoquímica/métodos , Masculino , Camundongos , Neurônios/metabolismo , Condutos Olfatórios/citologia , Ovariectomia/métodos , Proteínas Proto-Oncogênicas c-fos/metabolismo , Fatores SexuaisRESUMO
BACKGROUND AND PURPOSE: The functional roles of M(2) and M(3) muscarinic receptors in neurogenic cholinergic contractions in gastrointestinal tracts remain to be elucidated. To address this issue, we studied cholinergic nerve-induced contractions in the ileum using mutant mice lacking M(2) or M(3) receptor subtypes. EXPERIMENTAL APPROACH: Contractile responses to transmural electrical (TE) stimulation were isometrically recorded in ileal segments from M(2)-knockout (KO), M(3)-KO, M(2)/M(3)-double KO, and wild-type mice. KEY RESULTS: TE stimulation at 2-50 Hz frequency-dependently evoked a fast, brief contraction followed by a slower, longer one in wild-type, M(2)-KO or M(3)-KO mouse preparations. Tetrodotoxin blocked both the initial and later contractions, while atropine only inhibited the initial contractions. The initial cholinergic contractions were significantly greater in wild-type than M(2)-KO or M(3)-KO mice; the respective mean amplitudes at 50 Hz were 91, 74 and 68 % of 70mM K(+)-induced contraction. Pretreatment with pertussis toxin blocked the cholinergic contractions in M(3)-KO but not in M(2)-KO mice. Cholinergic contractions also remained in wild-type preparations, but their sizes were reduced by 20-30 % at 10-50 Hz. In M(2)/M(3)-double KO mice, TE stimulation evoked only slow, noncholinergic contractions, which were significantly greater in sizes than in any of the other three mouse strains. CONCLUSION AND IMPLICATIONS: These results demonstrate that M(2) and M(3) receptors participate in mediating cholinergic contractions in mouse ileum with the latter receptors assuming a greater role. Our data also suggest that the lack of both M(2) and M(3) receptors causes upregulation of noncholinergic excitatory innervation of the gut smooth muscle.
Assuntos
Músculo Liso/fisiologia , Sistema Nervoso Parassimpático/fisiologia , Receptor Muscarínico M2/fisiologia , Receptor Muscarínico M3/fisiologia , Anestésicos Locais/farmacologia , Animais , Atropina/farmacologia , Capsaicina/farmacologia , Estimulação Elétrica , Feminino , Íleo/efeitos dos fármacos , Contração Isométrica/efeitos dos fármacos , Masculino , Camundongos , Camundongos Knockout , Antagonistas Muscarínicos/farmacologia , Contração Muscular/efeitos dos fármacos , Contração Muscular/fisiologia , Músculo Liso/efeitos dos fármacos , Sistema Nervoso Parassimpático/efeitos dos fármacos , Toxina Pertussis/farmacologia , Receptor Muscarínico M2/efeitos dos fármacos , Receptor Muscarínico M2/genética , Receptor Muscarínico M3/efeitos dos fármacos , Receptor Muscarínico M3/genética , Tetrodotoxina/farmacologiaRESUMO
5-Hydroxytryptamine (5-HT) receptor subtypes involved in 5-HT-induced contraction of the chicken gastrointestinal tract were characterized pharmacologically using subtype-selective agonists and antagonists. The proventriculus (area of stomach adjacent to the oesophagus) and ileum are examined. 5-HT applied cumulatively caused sustained contraction of the proventriculus that was not decreased by tetrodotoxin, atropine or l-nitro-arginine methylester (l-NAME). alpha-Methyl-5-HT showed the same potency as that of 5-HT, indicating the involvement of the 5-HT(2) receptor. (+/-)-1-(2,5-dimethoxy-4-iodophenyl)-2-amino-propane (DOI), 5-methoxytryptamine and 1-(3-chlorophenyl)piperazine hydrochloride (mCPP) were potent, and 2-methyl-5-HT, 5-carboxamidotryptamine, BW723C86 and 6-chloro-2-(1-piperazinyl)pyrazine hydrochloride (MK212) were moderate, but (+/-)-8-hydroxy-2-dipropylaminotetralin hydrobromide (8-OH-DPAT), [endo-N-8-methyl-8-azabicyclo-(3,2,1)oct-3-yl]-2,3-dihydro-(1-methyl)ethyl-2-oxo-1H-benzimidazol-1-carboxamide (BIMU-8) and cisapride were weak agonists. Correlation of pEC(50) values of these agonists with documented pEC(50) values for 5-HT(2C) receptor was higher than 5-HT(2A) and 5-HT(2B). Cinanserin, ketanserin, methiothepin, methysergide, mianserin, (8-[5-(2,4-dimethoxy-5-(4-trifluoromethylphenylsulphonamido)phenyl-5-oxopentyl)-1,3,8-triazaspiro[4,5]decane-2,4-dione hydrochloride (RS102221), N-(1-methyl-1H-indolyl-5-yl)-N'-(3-methyl-5-isothiazolyl)urea (SB204741), spiperone and N-desmethylclozapine concentration-dependently inhibited the contractile responses to 5-HT. Correlation of pK(b)/pA(2) of antagonists with documented pK(i) for 5-HT(2C) receptor was highest among 5-HT(2) receptor subtypes. In the methysergide- and ketanserin-treated proventriculus, 5-HT, 2-methyl-5-HT and cisapride did not enhance the electrical field stimulation (5 Hz)-induced cholinergic contractions. 5-HT applied non-cumulatively caused transient contraction of ileum, and the responses were partly decreased by atropine or tetrodotoxin. 5-Methoxytryptamine, alpha-methyl-5-HT, 5-carboxamidotryptamine, L692,247 and DOI were potent agonists. However, 2-methyl-5-HT, cisapride, BW723C86, 8-OH-DPAT and 5-nonyloxytryptamine, mCPP and MK212 were less effective. Ketanserin and methysergide decreased the 5-HT-induced ileal contraction, but neither GR113808 nor SB269970 inhibited the responses. In conclusion, 5-HT causes contraction of the proventriculus via 5-HT(2C)-like receptors present on smooth muscle. 5-HT also causes contraction of the ileum, but the underlying mechanisms are complex, involving neural and smooth muscle components, and both 5-HT(1)- and 5-HT(2)-like receptors. Neural 5-HT receptors similar to 5-HT(3)/5-HT(4) receptors were not found in the chicken proventriculus and ileum.
Assuntos
Galinhas/fisiologia , Íleo/efeitos dos fármacos , Contração Muscular/efeitos dos fármacos , Proventrículo/efeitos dos fármacos , Receptor 5-HT1D de Serotonina/efeitos dos fármacos , Receptor 5-HT2A de Serotonina/efeitos dos fármacos , Receptor 5-HT2C de Serotonina/efeitos dos fármacos , Serotoninérgicos/farmacologia , Serotonina , Anestésicos Locais/farmacologia , Animais , Atropina/farmacologia , Relação Dose-Resposta a Droga , Estimulação Elétrica , Íleo/inervação , Íleo/metabolismo , Técnicas In Vitro , Ketanserina/farmacologia , Masculino , Antagonistas Muscarínicos/farmacologia , Músculo Liso/citologia , Músculo Liso/efeitos dos fármacos , Proventrículo/inervação , Proventrículo/metabolismo , Receptor 5-HT1D de Serotonina/metabolismo , Receptor 5-HT2A de Serotonina/metabolismo , Receptor 5-HT2C de Serotonina/metabolismo , Compostos de Espiro/farmacologia , Sulfonamidas/farmacologia , Tetrodotoxina/farmacologiaRESUMO
1 The muscarinic receptor plays a key role in the parasympathetic nervous control of various peripheral tissues including gastrointestinal tract. The neurotransmitter acetylcholine, via activating muscarinic receptors that exist in smooth muscle, produces its contraction. 2 There is the opening of cationic channels as an underlying mechanism. The opening of cationic channels results in influxes of Ca2+ via the channels into the cell and also via voltage-dependent Ca2+ channels which secondarily opened in response to the depolarization, providing an amount of Ca2+ for activation of the contractile proteins. 3 Electrophysiological and pharmacological studies have shown that the cationic channels as well as muscarinic receptors exist in many visceral smooth muscle cells. However, the activation mechanisms of the cationic channels are still unclear. 4 In this article, we summarize the current knowledge of the muscarinic receptor-operated cationic channels, focusing on the receptor subtype, G protein and other signalling molecules that are involved in activation of these channels and on the molecular characteristics of the channel. This will improve strategies aimed at developing new selective pharmacological agents and understanding the activation mechanism and functions of these channels in physiological systems.
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Sinalização do Cálcio , Trato Gastrointestinal/metabolismo , Contração Muscular , Músculo Liso/metabolismo , Receptores Muscarínicos/metabolismo , Acetilcolina/metabolismo , Animais , Proteínas de Ligação ao GTP/metabolismo , Trato Gastrointestinal/inervação , Humanos , Ativação do Canal Iônico , Potenciais da Membrana , Músculo Liso/inervação , Quinase de Cadeia Leve de Miosina/metabolismo , Sistema Nervoso Parassimpático/metabolismo , Proteínas Tirosina Quinases/metabolismo , Canais de Cátion TRPC/metabolismo , Fosfolipases Tipo C/metabolismoRESUMO
We performed aortic valve replacement in 24 patients aged over 70 with small calcified valves. The surgical management of such patients remains controversial as the extensive calcification compromises implantation. Hence, we used an ultrasonic debridement instrument to remove calcium and selected a small prosthesis with the largest possible orifice without enlargement of the aortic annulus. Echocardiography showed significant reductions in left ventricular mass index compared with preoperative values. Early and mid-term prognosis has been relatively good.
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Estenose da Valva Aórtica/cirurgia , Valva Aórtica/cirurgia , Calcinose/cirurgia , Implante de Prótese de Valva Cardíaca , Idoso , Idoso de 80 Anos ou mais , Estenose da Valva Aórtica/fisiopatologia , Superfície Corporal , Desbridamento/métodos , Feminino , Próteses Valvulares Cardíacas , Humanos , Litotripsia/métodos , Masculino , Prognóstico , Ajuste de Prótese , Estudos Retrospectivos , Índice de Gravidade de Doença , Terapia por Ultrassom , Função Ventricular EsquerdaRESUMO
Thirteen cases of functional single ventricle who had undergone bidirectional Glenn procedure were divided into 2 groups according to presence (5) or absence (8) of additional pulmonary blood flow. Additional flow was preserved in cases with relatively small pulmonary artery index (PA index), and their sources were antegrade pulmonary blood flow (2), and Blalock-Taussig (BT) shunt (3). In the control group, PA index was reduced to about 70% of the preoperative value, while in the additional group, pulmonary artery growth was recognized without significant elevation of mean pulmonary artery pressure. However, atrioventricular valve regurgitation progressed and systemic ventricular volume did not decrease after Glenn in the additional group. Therefore special consideration for the timing of Fontan procedure is mandatory.
Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Cardiopatias Congênitas/cirurgia , Ventrículos do Coração/anormalidades , Artéria Pulmonar/cirurgia , Circulação Pulmonar , Veia Cava Superior/cirurgia , Anastomose Cirúrgica , Técnica de Fontan , Cardiopatias Congênitas/fisiopatologia , Ventrículos do Coração/cirurgia , HumanosRESUMO
We experienced 2 infants in whom octreotide acetate was effective on intractable chylothorax after surgery for congenital heart diseases. They were 8- and 5-month-old. They were diagnosed as having corrected transposition of the great arteries (TGA) and tetralogy of Fallot respectively, and underwent bidirectional Glenn anastomosis and right modified Blalock Taussig shunt. Chylothorax was revealed on the 11th and the 1st postoperative day, and was not improved by any conventional therapy in either case. Then octreotide acetate was infused continuously with 0.1-0.6 micorg/kg/hour for 24 and 7 days. Chylothorax disappeared completely without any complications such as disturbance of blood sugar level or growth retardation. Octreotide acetate was effective and safe even in infants in intractable chylothorax after surgery for congenital heart diseases, as long as used for short period.
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Quilotórax/tratamento farmacológico , Cardiopatias Congênitas/cirurgia , Octreotida/uso terapêutico , Complicações Pós-Operatórias , Procedimentos Cirúrgicos Cardíacos/métodos , Humanos , Lactente , Masculino , Tetralogia de Fallot/cirurgia , Transposição dos Grandes Vasos/cirurgiaRESUMO
We have cloned a cDNA (p3C4 lambda 5) encoding a human immunoglobulin lambda-chain of human-mouse heterohybridoma, H6-3C4, which produces a human monoclonal antibody against human sperm surface antigen. Amino acid sequence deduced from the nucleotide sequence of V lambda (V lambda 3C4) of cloned cDNA was closely related to that of SHV lambda protein, a member of subgroup IV. Southern blot analysis of human genomic DNAs by using V lambda 3C4 as a probe detected at least 8 cross-hybridizing members of subgroup V lambda IV. Restriction enzyme fragment polymorphism (RFLP) appeared to be present in normal individuals with V lambda 3C4 gene.
Assuntos
DNA/imunologia , Cadeias lambda de Imunoglobulina/genética , Sequência de Aminoácidos , Sequência de Bases , Clonagem Molecular , Eletroforese em Gel de Ágar , Genes MHC da Classe II , Humanos , Dados de Sequência Molecular , Polimorfismo de Fragmento de RestriçãoRESUMO
We report our experience using a sutureless technique for oozing type postinfarction left ventricular free wall rupture. Several materials such as fibrin seat, autologous or heterologous pericardial patch, fibrin glue, and geratin-resorcin-formaldehyde (GRF) glue have been used. Nine patients, who developed postinfarction left ventricular free wall rupture, underwent surgical repair using a sutureless technique between 1999 and 2004. All patients survived and discharged our hospital without any postoperative complications. And all are alive an exellent condition in 5 to 44 months. A sutureless technique for the treatment of oozing type postinfarction left ventricular free wall rupture is simple, effective, and associated with a favorable outcome.
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Procedimentos Cirúrgicos Cardíacos/métodos , Adesivo Tecidual de Fibrina/uso terapêutico , Formaldeído/uso terapêutico , Gelatina/uso terapêutico , Resorcinóis/uso terapêutico , Ruptura do Septo Ventricular/cirurgia , Idoso , Combinação de Medicamentos , Feminino , Humanos , Masculino , Resultado do TratamentoRESUMO
Four cases of Jatene procedure with arch repair were performed since 2000 in our department. Two-stage repair was used in all cases and the extended end-to-end anastomosis and pulmonary artery banding (PAB) were performed in 3 cases as the initial repair. In a recent case of TGA type I with coarctation of the aorta (CoA), only subclavian flap aortoplasty was performed when he was 6-day-old and patent ductus arteriosus (PDA) was preserved and rapid two-stage Jatene procedure was performed when he was 8-day-old. There was no hospital or late death, or reoperation. The results of the two-stage Jatene procedure with arch repair was good and safe. Rapid two-stage repair was thought to be a useful choice especially for TGA type I with arch anomaly.
Assuntos
Aorta Torácica/anormalidades , Aorta Torácica/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Transposição dos Grandes Vasos/cirurgia , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Reoperação , Transposição dos Grandes Vasos/complicaçõesRESUMO
A 7-month-old girl was referred to us for further examination of absence of the right pulmonary artery. She had no symptom at that time. Diagnosis was made by chest computed tomography (CT) and cardiac catheterization. Though the size of the right pulmonary artery was not apparent, right pulmonary vein wedge angiography revealed the distal portion of right pulmonary artery sufficient for surgical repair. But the distance between the pulmonary trunk and right pulmonary artery was too far to perform direct anastomosis, and some systemic collaterals had already been recognized. Pulmonary vasculature was also not inadequate. Therefore we planned a palliative procedure. At the age of 7 months, right modified Blalock-Tausig shunt using 5mm expand-polytetrafluoroethylene (ePTFE) tube and angioplasty of the distal portion of right pulmonary artery using autologous pericardium roll with Dacron mesh was performed. Postoperative course was uneventful. She has been followed up for 6 months after the palliation. In the near future the completion of the definitive repair will be considered.