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1.
Acc Chem Res ; 56(11): 1295-1303, 2023 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-36917781

RESUMEN

ConspectusWhen molecules transition from the condensed phase to the gas phase, their spectra undergo a dramatic transformation as well; each peak in a condensed-phase spectrum can yield thousands of peaks in the gas phase because the molecules are free to rotate and those rotational motions are quantized. These gas-phase spectra contain a wealth of detailed information about molecular structure and behavior, but peak densities are often so high that congestion obscures the patterns needed to assign peaks and extract molecular constants. This Account describes how coherent multidimensional techniques not only reduce peak densities and congestion in gas-phase spectra but also create multidimensional patterns that are easy to recognize and interpret. First, all peaks with the same vibrational quantum numbers form rotational patterns such as X's, double parabolas, and asterisks. These rotational patterns are composed of basic units and can provide immediate information about the molecule's structure, behavior, and rotational selection rules. Second, groups of these rotational patterns can be arranged into vibrational patterns that form arrays of rectangles or parallelograms. These vibrational patterns can be used to determine wave-mixing processes and measure vibrational constants. Coherent multidimensional spectroscopy therefore automatically separates vibrational and rotational information and then sorts peaks by vibrational and rotational quantum number. Furthermore, if the sample is composed of a mixture, then these patterns can also sort peaks by species, and higher-dimensional techniques can even provide the ability to select a species in the mixture. These techniques have successfully produced highly patterned 2D and 3D spectra for samples that otherwise generate patternless spectra such as isotopologue mixtures and vibronically perturbed molecules such as NO2.High densities of states can lead to congestion and perturbations that make it difficult to accurately assign peaks using the information that is traditionally available from 1D spectra: a peak's intensity and its frequency. Coherent 2D and 3D techniques are well-suited for dealing with and learning from perturbations because the coordinate of each peak in multidimensional space includes multiple frequency values. Accurate assignments are possible when peaks in 2D or 3D spectra that are perturbed along one frequency axis are unperturbed along an orthogonal frequency axis. Furthermore, patterns often repeat in adjacent rows or columns, so regions that are less congested can be used to resolve or identify key peaks or patterns in regions that are severely congested. Perturbations can make the spacings within multidimensional rotational and vibrational patterns slightly irregular, but these automatically generated patterns remain easy to recognize and analyze.This Account describes three high-resolution coherent multidimensional spectroscopy techniques, the types of patterns they can produce, and how information can be extracted from these patterns. This work is being conducted at Spelman College, a historically Black college for women where all of the students are undergraduates. The resulting techniques are not only highly effective for dealing with some of the most congested, perturbed, and challenging spectroscopic systems, but they are relatively easy to use, moderate in price to set up, and quick to run.

2.
J Chem Phys ; 157(18): 184201, 2022 Nov 14.
Artículo en Inglés | MEDLINE | ID: mdl-36379781

RESUMEN

Two-dimensional infrared (2DIR) spectroscopy has become an established method for generating vibrational spectra in condensed phase samples composed of mixtures that yield heavily congested infrared and Raman spectra. These condensed phase 2DIR spectrometers can provide very high temporal resolution (<1 ps), but the spectral resolution is generally insufficient for resolving rotational peaks in gas phase spectra. Conventional (1D) rovibrational spectra of gas phase molecules are often plagued by severe spectral congestion, even when the sample is not a mixture. Spectral congestion can obscure the patterns in rovibrational spectra that are needed to assign peaks in the spectra. A method for generating high resolution 2DIR spectra of gas phase molecules has now been developed and tested using methane as the sample. The 2D rovibrational patterns that are recorded resemble an asterisk with a center position that provides the frequencies of both of the two coupled vibrational levels. The ability to generate easily recognizable 2D rovibrational patterns, regardless of temperature, should make the technique useful for a wide range of applications that are otherwise difficult or impossible when using conventional 1D rovibrational spectroscopy.

3.
J Chem Phys ; 154(19): 194201, 2021 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-34240898

RESUMEN

High resolution coherent multidimensional spectroscopy has the ability to reduce congestion and automatically sort peaks by species and quantum numbers, even for simple mixtures and molecules that are extensively perturbed. The two-dimensional version is relatively simple to carry out, and the results are easy to interpret, but its ability to deal with severe spectral congestion is limited. Three-dimensional spectroscopy is considerably more complicated and time-consuming than two-dimensional spectroscopy, but it provides the spectral resolution needed for more challenging systems. This paper describes how to design high resolution coherent 3D spectroscopy experiments so that a small number of strategically positioned 2D scans may be used instead of recording all the data required for a 3D plot. This faster and simpler approach uses new pattern recognition methods to interpret the results. Key factors that affect the resulting patterns include the scanning strategy and the four wave mixing process. Optimum four wave mixing (FWM) processes and scanning strategies have been identified, and methods for identifying the FWM process from the observed patterns have been developed. Experiments based on nonparametric FWM processes provide significant pattern recognition and efficiency advantages over those based on parametric processes. Alternative scanning strategies that use synchronous scanning and asynchronous scanning to create new kinds of patterns have also been identified. Rotating the resulting patterns in 3D space leads to an insight into similarities in the patterns produced by different FWM processes.

4.
J Card Surg ; 36(12): 4546-4550, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34580925

RESUMEN

BACKGROUND: Un-roofing is the most common technique utilized for repair of anomalous aortic origin of a coronary artery (AAOCA). There are very few publications directly comparing un-roofing to another surgical technique, like reimplantation. METHODS: The prospectively collected Children's Memorial Hermann Heart Institute Society of Thoracic Surgeon's Database was retrospectively reviewed from 2007 to 2021. Surgical patients were included if they underwent un-roofing or reimplantation of the AAOCA. The primary outcomes of this study were operative characteristics and postoperative outcomes. Secondary outcomes included angiographic outcomes, aortic regurgitation incidence, ventricular function, and symptom relief. RESULTS: From 2007 to 2021, there were 12 patients who underwent either a reimplantation (n = 9, 73%) or un-roofing (n = 3, 27%) for an AAOCA. The hospital length of stay was a median of 1.8 days longer for reimplantation compared to un-roofing. The last follow-up echocardiogram was a median of 52.2 days later in the reimplantation group. There was one patient (11%) in the reimplantation group that had more than or equal to mild aortic regurgitation and mild systolic ventricular dysfunction. Outpatient follow-up was incomplete and there was no postoperative computed tomographic angiography in the un-roofing cohort. CONCLUSIONS: Coronary artery reimplantation is a valuable alternative surgical technique to un-roofing for the repair of AAOCA. There are still some concerns with the creation of aortic regurgitation or incomplete symptom relief with any surgical technique. Longer-term follow-up and prospective studies will be needed to show an effective reduction of myocardial ischemia and risk of sudden cardiac death.


Asunto(s)
Anomalías de los Vasos Coronarios , Vasos Coronarios , Aorta/diagnóstico por imagen , Aorta/cirugía , Niño , Anomalías de los Vasos Coronarios/diagnóstico por imagen , Anomalías de los Vasos Coronarios/cirugía , Vasos Coronarios/diagnóstico por imagen , Vasos Coronarios/cirugía , Humanos , Estudios Prospectivos , Estudios Retrospectivos
5.
Br J Haematol ; 190(3): 450-457, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32307711

RESUMEN

The pathophysiology of sickle cell disease (SCD) includes vasculopathy as well as anaemia. Elevated plasma homocysteine is a risk factor for vascular disease and may be associated with increased risk of vascular complications in SCD patients. In the present study, microvascular characteristics were assessed in the bulbar conjunctiva of 18 paediatric and 18 adult SCD patients, using the non-invasive technique of computer-assisted intravital microscopy. A vasculopathy severity index (SI) was computed to quantify the degree of microvasculopathy in each patient. Plasma homocysteine and several of its determinants [serum folate and vitamin B12, plasma pyridoxal-5'-phosphate (vitamin B6 status) and creatinine (kidney function)] were measured. Age was strongly correlated with microvasculopathy in the SCD patients, with the SI increasing about 0·1 unit per one-year increase in age (P < 0·001). After adjusting for age, gender, B-vitamin status and creatinine, homocysteine concentration was directly correlated with severity index (P < 0·05). Age and homocysteine concentration were independent predictors of microvasculopathy in SCD patients. It remains to be determined whether lowering homocysteine concentrations using appropriate B-vitamin supplements (folate and vitamins B12 and B6) - particularly if started early in life - could ameliorate microvasculopathy and its associated complications in SCD patients.


Asunto(s)
Anemia de Células Falciformes/fisiopatología , Homocisteína/sangre , Microcirculación , Microangiopatías Trombóticas/etiología , Adolescente , Adulto , Anemia de Células Falciformes/sangre , Niño , Preescolar , Creatina/sangre , Ácido Fólico/sangre , Humanos , Microscopía Intravital , Persona de Mediana Edad , Fosfato de Piridoxal/sangre , Índice de Severidad de la Enfermedad , Microangiopatías Trombóticas/sangre , Microangiopatías Trombóticas/fisiopatología , Vitamina B 12/sangre
6.
J Phys Chem A ; 122(44): 8794-8801, 2018 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-30335386

RESUMEN

A new method for generating high-resolution coherent 3D (HRC3D) spectra has been developed that is based on the nonparametric four-wave mixing process MENS (multiply enhanced nonparametric spectroscopy). The resulting spectra have rotational patterns that are different from those produced previously using the parametric four-wave mixing process CARS. A change in the rotational pattern facilitates a new approach to scanning where orthogonal 2D slices in 3D space are combined to make a 3D rotational pattern. This 3D rotational pattern may then be used to calculate rotational constants for levels in the excited electronic state and upper regions of the ground electronic state. Unlike previous forms of HRC3D spectroscopy, this new approach provides a stand-alone rapid and simple tool for the rotational analysis of electronic spectra without the need for obtaining peak positions or molecular constants from other (1D or 2D) forms of spectroscopy.

7.
Cardiol Young ; 28(7): 978-980, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-29656724

RESUMEN

We report a 1-month-old infant diagnosed with an aorta-left ventricular tunnel, ventricular septal defect, and right coronary atresia with right ventricular sinusoids. The patient's anatomy and physiology did not indicate right-ventricular-dependent coronary circulation, and therefore right ventricular decompression could be performed without compromising coronary perfusion during surgical correction. A detailed understanding of the coronary anatomy is critical in managing this defect when coronary anomalies are present.


Asunto(s)
Capilares/diagnóstico por imagen , Anomalías de los Vasos Coronarios/cirugía , Defectos del Tabique Interventricular/cirugía , Corazón/diagnóstico por imagen , Aorta/cirugía , Angiografía por Tomografía Computarizada , Anomalías de los Vasos Coronarios/diagnóstico por imagen , Ecocardiografía , Defectos del Tabique Interventricular/diagnóstico por imagen , Humanos , Lactante , Masculino , Esternotomía
8.
J Chem Phys ; 142(21): 212426, 2015 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-26049446

RESUMEN

Expansion from coherent 2D spectroscopy to coherent 3D spectroscopy can provide significant advantages when studying molecules that have heavily perturbed energy levels. This paper illustrates such advantages by demonstrating how high resolution coherent 3D (HRC3D) spectroscopy can be used to study a portion of the visible spectrum of nitrogen dioxide. High resolution coherent 2D spectra usually contain rotational and vibrational patterns that are easy to analyze, but severe congestion and complexity preclude its effective use for many parts of the NO2 spectrum. HRC3D spectroscopy appears to be much more effective; multidimensional rotational and vibrational patterns produced by this new technique are easy to identify even in the presence of strong perturbations. A method for assigning peaks, which is based upon analyzing the resulting multidimensional patterns, has been developed. The higher level of multidimensionality is useful for reducing uncertainty in peak assignments, improving spectral resolution, providing simultaneous information on multiple levels and states, and predicting, verifying, and categorizing peaks.

9.
Int Orthop ; 39(1): 183-91, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25416119

RESUMEN

PURPOSE: The adult human posterior cruciate ligament (PCL) has poor functional healing response. The synovial tissue, which surrounds the PCL ligament, might be the major regulator of the microenvironment in the joint cavity after PCL injury, thus affecting the healing process. Here we establish a novel co-culture system for PCL fibroblasts and synovial cells (SC) in vitro to explore the direct influence of paracrine on PCL cells by characterizing the different expressions of the lysyl oxidase family (LOXs) and matrix metalloproteinases (MMP-1, 2, 3), which respectively facilitate extracellular matrix (ECM) repair and degradation. METHODS: Total RNA was harvested, reverse transcribed and assessed by semi-quantitative PCR and real-time PCR for the expression of LOXs and MMP-1, 2, 3 messenger RNAs. MMP-2 activity was assayed from the collected culture media samples by using zymography. RESULTS: We found co-culture could promote gene expressions of the LOXs and MMP-1, 2, 3 in normal PCL fibroblasts. But in injured PCL, we found that matrix crosstalk induced an increase of the MMP-1, 2, 3 expressions and a down-regulation of the LOXs. CONCLUSION: Based on these results, the crosstalk between PCL and SC strongly modified homeostatic balance of ECM and appeared to have a significant impact on PCL wound healing; decreased expression of cross-linking enzymes (LOXs) and increased expression of ECM-degrading proteinases (MMP-1, 2, 3) might be of great contribution to poor healing ability of PCL ligament.


Asunto(s)
Fibroblastos/metabolismo , Metaloproteinasas de la Matriz/metabolismo , Ligamento Cruzado Posterior/citología , Proteína-Lisina 6-Oxidasa/metabolismo , Membrana Sinovial/metabolismo , Adulto , Células Cultivadas , Técnicas de Cocultivo , Matriz Extracelular/metabolismo , Fibroblastos/citología , Expresión Génica , Humanos , Ligamento Cruzado Posterior/metabolismo , Reacción en Cadena en Tiempo Real de la Polimerasa , Membrana Sinovial/citología , Cicatrización de Heridas/fisiología
10.
Biophys J ; 106(1): 332-41, 2014 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-24411265

RESUMEN

The stiffness of the extracellular matrix (ECM) is known to influence cell behavior. The ability to manipulate the stiffness of ECM has important implications in understanding how cells interact mechanically with their microenvironment. This article describes an approach to manipulating the stiffness ECM, whereby magnetic beads are embedded in the ECM through bioconjugation between the streptavidin-coated beads and the collagen fibers and then manipulated by an external magnetic field. It also reports both analytical results (obtained by formal modeling and numerical simulation) and statistically meaningful experimental results (obtained by atomic force microscopy) that demonstrate the effectiveness of this approach. These results clearly suggest the possibility of creating desired stiffness gradients in ECM in vitro to influence cell behavior.


Asunto(s)
Módulo de Elasticidad , Matriz Extracelular/química , Campos Magnéticos , Animales , Colágeno/química , Microscopía de Fuerza Atómica/instrumentación , Microscopía de Fuerza Atómica/métodos , Microesferas , Modelos Biológicos , Ratas , Estreptavidina/química
11.
J Phys Chem A ; 118(34): 6846-57, 2014 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-24945734

RESUMEN

High-resolution coherent multidimensional spectroscopy provides an alternative to conventional methods for generating rotationally resolved electronic spectra of gas phase molecules. In addition to revealing information such as the relationships among peaks, it can provide clearly recognizable patterns for spectra that otherwise appear patternless due to rotational congestion. Despite this improvement, high-resolution coherent 2D spectroscopy can still exhibit congestion problems; expansion to the second dimension is often not sufficient to prevent overlapping of peaks from different patterns. A new 3D version of the technique that provides improved resolution and selectivity to help address cases with severe congestion was recently demonstrated. The experimental design and interpretation of data for the 3D technique are significantly more complicated than that for the 2D version. The purpose of this paper is to provide important information needed to plan, run, and interpret results from high-resolution coherent 3D spectroscopy experiments.

12.
J Arthroplasty ; 29(9): 1849-53, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24891003

RESUMEN

Large heads have been recommended to reduce the risk of dislocation after total hip arthroplasty. One of the issues with larger heads is the risk of increased wear and damage in thin polyethylene liners. Dual-mobility liners have been proposed as an alternative to large heads. We tested the wear performance of highly crosslinked dual-mobility liners under adverse conditions simulating microseparation and third-body wear. No measurable increase in polyethylene wear rate was found in the presence of third-body particles. Microseparation induced a small increase in wear rate (2.9mm(3)/million cycles). A finite element model simulating microseparation in dual-mobility liners was validated using these experimental results. The results of our study indicate that highly crosslinked dual-mobility liners have high tolerance for third-body particles and microseparation.


Asunto(s)
Artroplastia de Reemplazo de Cadera/efectos adversos , Análisis de Falla de Equipo/métodos , Análisis de Elementos Finitos , Prótesis de Cadera/efectos adversos , Polietilenos , Falla de Prótesis , Artroplastia de Reemplazo de Cadera/métodos , Reactivos de Enlaces Cruzados , Cabeza Femoral/cirugía , Luxación de la Cadera/etiología , Luxación de la Cadera/prevención & control , Humanos , Diseño de Prótesis
13.
J Phys Chem Lett ; 15(5): 1234-1240, 2024 Feb 08.
Artículo en Inglés | MEDLINE | ID: mdl-38277427

RESUMEN

The rovibrational spectra of freely rotating gas phase molecules are often plagued by spectral congestion due to the high density of rotational peaks. The congestion is especially severe at higher infrared frequencies due to the large numbers of overlapping overtones and combination bands that form polyads. As a result, rovibrational peaks in the near-infrared region of the spectrum are seldom assigned. This work describes how two-dimensional (2D) rovibrational spectroscopy can use the coupling between vibrational modes to isolate rovibrational bands that would otherwise remain overlapped and congested. Multidimensional spectroscopic techniques that make use of the large number of cross-peaks that form rich 2D rovibrational patterns are explored. Propyne is used to demonstrate 2D methods for identifying the frequencies and symmetries of coupled vibrations and for assigning rotational quantum numbers, even in regions that are heavily congested.

14.
Artículo en Inglés | MEDLINE | ID: mdl-38857129

RESUMEN

Over the past few years, monocular depth estimation and completion have been paid more and more attention from the computer vision community because of their widespread applications. In this paper, we introduce novel physics (geometry)-driven deep learning frameworks for these two tasks by assuming that 3D scenes are constituted with piece-wise planes. Instead of directly estimating the depth map or completing the sparse depth map, we propose to estimate the surface normal and plane-to-origin distance maps or complete the sparse surface normal and distance maps as intermediate outputs. To this end, we develop a normal-distance head that outputs pixel-level surface normal and distance. Afterthat, the surface normal and distance maps are regularized by a developed plane-aware consistency constraint, which are then transformed into depth maps. Furthermore, we integrate an additional depth head to strengthen the robustness of the proposed frameworks. Extensive experiments on the NYU-Depth-v2, KITTI and SUN RGB-D datasets demonstrate that our method exceeds in performance prior state-of-the-art monocular depth estimation and completion competitors.

15.
J Phys Chem A ; 117(29): 5981-6, 2013 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-23425525

RESUMEN

In the past, high-resolution spectroscopy has been limited to small, simple molecules that yield relatively uncongested spectra. Larger and more complex molecules have a higher density of peaks and are susceptible to complications (e.g., effects from conical intersections) that can obscure the patterns needed to resolve and assign peaks. Recently, high-resolution coherent two-dimensional (2D) spectroscopy has been used to resolve and sort peaks into easily identifiable patterns for molecules where pattern-recognition has been difficult. For very highly congested spectra, however, the ability to resolve peaks using coherent 2D spectroscopy is limited by the bandwidth of instrumentation. In this article, we introduce and investigate high-resolution coherent three-dimensional spectroscopy (HRC3D) as a method for dealing with heavily congested systems. The resulting patterns are unlike those in high-resolution coherent 2D spectra. Analysis of HRC3D spectra could provide a means for exploring the spectroscopy of large and complex molecules that have previously been considered too difficult to study.

16.
J Pediatr Hematol Oncol ; 34(3): 169-74, 2012 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-22278200

RESUMEN

Periodic blood exchange transfusion is a treatment modality commonly used to manage pediatric sickle cell anemia at the University of California Davis Medical Center. The goal of exchange transfusion therapy is to ameliorate vasoocclusion and improve tissue perfusion by removing sickled red blood cells and introducing normal red blood cells. Using computer-assisted intravital microscopy, pretransfusion and posttransfusion microvascular characteristics were analyzed. In this study, the bulbar conjunctiva exhibited a "blanched" avascular appearance in all 6 pediatric sickle cell anemia patients before transfusion, indicative of tissue hypoperfusion and ischemia. Immediately after transfusion, substantial improvement in vascularization and tissue perfusion resulted, reflected by the enhanced appearance of capillaries and arterioles. In addition, a decrease in red cell velocity was observed. These observations provide evidence that exchange transfusion therapy is beneficial in ameliorating vasoocclusion and improving tissue perfusion. However, with the paradoxical posttransfusion decrease in red cell velocity presumably due to induced hyperviscosity from the large transfusion volume, blood flow is still impaired. This decreased velocity may thwart efforts to improve oxygen delivery through transfusion and may, to some extent, promote vasoocclusion instead. This paradoxical result warrants further investigation on the effects of transfusion volume and viscosity in the exchange transfusion process.


Asunto(s)
Anemia de Células Falciformes/sangre , Anemia de Células Falciformes/terapia , Recambio Total de Sangre , Microcirculación , Microscopía por Video , Adolescente , Niño , Preescolar , Humanos , Estudios Longitudinales , Pronóstico
17.
Int Orthop ; 36(1): 207-13, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-21674292

RESUMEN

PURPOSE: The lysyl oxidase (LOX) family plays a crucial role in the formation and stabilisation of extracellular matrix (ECM) by catalysing the cross-linking of collagen and elastin, implicating its important fundamental roles in injury healing. A high level of transforming growth factor-ß(1) (TGF-ß(1)) accompanies the inflammatory phase of an injury of the knee joint. Our purpose was to detect the expressions of the LOX family in anterior cruciate ligament (ACL) and medial collateral ligament (MCL) response to TGF-ß(1). METHODS: This study used reversed transcript PCR, real time quantitative PCR and Western blot for analyses. RESULTS: The results showed significant increases in mRNA levels of LOX family members. At 5 ng/ml concentration of TGF-ß(1,) the gene profiles of LOXs showed most active, and LOX and LOXL-3 showed increasing peaks at 12 hours after TGF-ß(1) treatment (LOX: 7.2, 8.8-fold and LOXL-3: 3.8, 5.4-fold compared with normal controls in ACL and MCL, respectively); LOXL-1, LOXL-2 and LOXL-4 reached their highest amounts at six hours (LOXL-1: 1.9, 2.4-fold; LOXL-2: 14.8, 16.2-fold; LOXL-4: 2.5, 4.4-fold in ACL and MCL, respectively). Protein assays revealed that LOXs in ACL cells had relatively lower response to TGF-ß(1) compared with those in MCL cells. CONCLUSIONS: The differential expression and activities of LOXs might help to explain the intrinsic difference between ACL and MCL, and LOXs could imply a potential capability for ACL healing.


Asunto(s)
Ligamento Cruzado Anterior/citología , Fibroblastos/citología , Ligamento Colateral Medial de la Rodilla/citología , Proteína-Lisina 6-Oxidasa/genética , Factor de Crecimiento Transformador beta/farmacología , Regulación hacia Arriba/efectos de los fármacos , Adulto , Animales , Western Blotting , Células Cultivadas , Relación Dosis-Respuesta a Droga , Femenino , Fibroblastos/efectos de los fármacos , Fibroblastos/enzimología , Regulación de la Expresión Génica/efectos de los fármacos , Humanos , Masculino , Ratones , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa , Proteína-Lisina 6-Oxidasa/metabolismo
18.
Tex Heart Inst J ; 48(1)2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33946110

RESUMEN

Kartagener syndrome is characterized by situs inversus and defective cilia motion, the latter of which can lead to chronic infections and respiratory failure. If lung transplant is indicated, dextrocardia can pose surgical challenges. We report a rare case of sequential bilateral lung transplant in a 58-year-old man with Kartagener syndrome whose left pulmonary artery was abnormal in length, location, and direction. After placing the donor lungs in their orthotopic position, we augmented the recipient left pulmonary artery with a bovine pericardial patch. After 17 months of follow-up, the patient was in good condition with excellent graft function.


Asunto(s)
Anomalías Múltiples , Procedimientos Quirúrgicos Cardíacos/métodos , Síndrome de Kartagener/cirugía , Trasplante de Pulmón , Arteria Pulmonar/cirugía , Situs Inversus/cirugía , Donantes de Tejidos , Humanos , Síndrome de Kartagener/diagnóstico , Masculino , Persona de Mediana Edad , Arteria Pulmonar/diagnóstico por imagen , Situs Inversus/diagnóstico , Tomografía Computarizada por Rayos X
19.
Am J Hematol ; 85(11): 899-901, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20872552

RESUMEN

The conjunctival microcirculation in 14 pediatric and eight adult sickle cell anemia (SCA) patients was studied using computer-assisted intravital microscopy. The bulbar conjunctiva in SCA patients in both age groups exhibited a blanched/avascular appearance characterized by decreased vascularity. SCA patients from both age groups had many of the same abnormal morphometric [vessel diameter, vessel distribution, morphometry (shape), tortuosity, arteriole:venule (A:V) ratio, and hemosiderin deposits] and dynamic [vessel sludging/sludged flow, boxcar blood (trickled) flow, and abnormal flow velocity] abnormalities. A severity index (SI) was computed to quantify the degree of vasculopathy for comparison between groups. The severity of vasculopathy differed significantly between the pediatric and adult patients (SI: 4.2 ± 1.8 vs. 6.6 ± 2.4; P = 0.028), indicative of a lesser degree of overall severity in the pediatric patients. Specific abnormalities that were less prominent in the pediatric patients included abnormal vessel morphometry and tortuosity. Sludged flow, abnormal vessel distribution, abnormal A:V ratio, and boxcar flow appeared in high prevalence in both age groups. The results indicate that SCA microvascular abnormalities develop in childhood and the severity of vasculopathy likely progresses with age. Intervention and effective treatment/management modalities should target pediatric patients to ameliorate, slow down, or prevent progressive microvascular deterioration.


Asunto(s)
Anemia de Células Falciformes/fisiopatología , Microvasos/patología , Adolescente , Adulto , Factores de Edad , Velocidad del Flujo Sanguíneo , Niño , Conjuntiva/irrigación sanguínea , Humanos , Microcirculación , Microvasos/fisiopatología , Persona de Mediana Edad
20.
J Phys Chem A ; 114(43): 11365-75, 2010 Nov 04.
Artículo en Inglés | MEDLINE | ID: mdl-20863131

RESUMEN

The purpose of this article is to describe recent progress on the use of coherent two-dimensional spectroscopy for investigating the electronic spectroscopy of gas phase molecules. Unlike conventional high resolution spectra where peaks are distributed along a single axis, high resolution coherent 2D spectra reveal informative patterns along two orthogonal frequency domains. The technique can successfully produce these patterns in situations where one-dimensional spectra appear patternless due to complexity and congestion. Molecular spectra that are difficult to analyze because of strongly perturbing effects (e.g., conical intersections) may be studied using this new technique. Several innovations, such as the ability to graphically separate rotational and vibrational information by clustering peaks and the ability to use multiple clusters to overcome spectral congestion help provide high resolution coherent 2D spectroscopy with the ability to analyze spectra that have previously resisted analysis.


Asunto(s)
Análisis Espectral/métodos , Dióxido de Nitrógeno/análisis
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