Outcomes After Percutaneous Coronary Intervention in Women: Are There Differences When Compared with Men?

Despite advances in the diagnosis and treatment of coronary artery disease, there remains evidence of a disparity in the outcomes for women when compared with men. This article provides a review of the evidence for this discrepancy and discusses some of the potential contributing factors.

In Situ Raman Spectroscopic Studies of Liquid Carbon Tetrachloride (CCl4) Under Static and Laser-Driven Shock Compression.

High pressure (up to ∼2.2 GPa) Raman scattering studies were performed in carbon tetrachloride (CCl4) under static and dynamic compressions using diamond anvil cell (DAC) and laser-driven shock methods, respectively, and their results are compared. The laser-driven shock experiments were conducted in a glass-confined target geometry. The symmetric stretching mode ν1, symmetric bending mode ν2, and asymmetric bending mode ν4 blueshifts with pressure. Mode Gruneisen parameters were obtained for the above Raman modes. Time-resolved Raman spectroscopic (TRRS) studies were performed under laser-driven shock compression at different delay times. Shock velocity deduced from the intensity ratios of Raman signal scattered from unshocked and shocked regions of symmetric stretching mode is in agreement with the one obtained from one-dimensional hydrodynamic simulations.

Prevalence of antibodies to lung self-antigens (Kα1 tubulin and collagen V) and donor specific antibodies to HLA in lung transplant recipients and implications for lung transplant outcomes: Single center experience.

PURPOSE: For patients with end stage lung disease, lung transplantation (LT) remains the only definitive treatment option. Long term survival post LT is limited by acute and chronic allograft dysfunction. Antibodies to lung self-antigens Kα1Tubulin and collagen V (autoantibodies) have been implicated in adverse outcomes post LT. The aim of our study was to determine the prevalence of autoantibodies in pre- and post-transplant sera, evaluate the impact on post-transplant outcomes. METHODS: In a prospective observational cohort analysis, 44 patients were enrolled who received LT between 09/01/2014 and 10/31/2015. Pre- and post-transplant sera were analyzed using enzyme-linked immunosorbent assay (ELISA) for the presence of antibodies to collagen I, collagen V, and K-alpha 1 tubulin. The outcome variables are presence of primary graft dysfunction (PGD), cumulative acute cellular rejection (ACR), treatment with pulse steroids for clinical rejection, association with DSA, and onset of Bronchiolitis Obliterans Syndrome (BOS). RESULTS: In our cohort, 33 patients (75%) tested positive for the presence of autoantibodies. Pre-transplant autoantibodies were present in 23 patients (70%). Only a small percentage (26%) cleared these antibodies with standard immunosuppression. Some developed de novo post-transplant (n = 10). PGD was observed in 34% of our cohort, however the presence of autoantibodies did not correlate with increase in the incidence or severity of PGD. The prevalence of donor specific antibodies (DSA) in the entire cohort was 73%, with an increased prevalence of DSA noted in the autoantibody positive group (78.7% vs. 54.5%) than in the autoantibody negative group. BOS was observed in 20% of the cohort, with a median time to onset of 291 days' post-transplant. Patients with pre-transplant autoantibodies had a statistically significant decrease in BOS-free survival (p = 0.029 by log-rank test). CONCLUSIONS: In our cohort, we observed a high prevalence of autoantibodies and DSA in lung transplant recipients. Pre-transplant autoantibodies were associated with de novo development of DSA along with a decrease in BOS-free survival. Limitations to our study include the small sample size and single center enrollment, along with limited time for follow-up.

Time-Resolved Vibrational Spectroscopy of Polytetrafluoroethylene Under Laser-Shock Compression.

Shock-wave-induced high pressure and nanosecond time-resolved Raman spectroscopic experiments were performed to examine the dynamic response of polytetrafluoroethylene (PTFE) in confinement geometry targets. Time-resolved Raman spectroscopy was used to observe the pressure-induced molecular and chemical changes on nanosecond time scale. Raman spectra were measured as a function of shock pressure in the 1.2-2.4 GPa range. Furthermore, the symmetric stretching mode at 729 cm-1 of CF2 was compared to corresponding static high-pressure measurements carried out in a diamond anvil cell, to see if any general trend can be established. The symmetric stretching mode of CF2 at 729 cm-1 is the most intense Raman transition in PTFE and is very sensitive to change in pressure. Therefore, it can also be utilized as a pressure gauge for large amplitude shock wave compression experiments. A maximum blueshift of 12 cm-1 for the 729 cm-1 vibrational mode has been observed for the present experimental pressure range. A comparative study on the similarities and differences from the earlier work has been done in detail. One-dimensional radiation hydrodynamic simulations were performed to validate our shock compression results and are in very good agreement.

Molecular characterization of clinical isolates of Moraxella catarrhalis by randomly amplified polymorphic DNA fingerprinting.

Moraxella catarrhalis, a less virulent microorganism that colonizes the upper respiratory tract, has recently been associated with lower respiratory disease, especially in HIV-positive immunocompromised individuals and children. Here, we correlated the DNA clustering pattern of 24 clinical isolates of M. catarrhalis for ß-lactamase production and drug resistance, from different disease groups using three different arbitrarily selected primers, P1 (5'-TCACGATGCA-3'), P14 (5'-GATCAAGTCC-3') and P17 (5'-GATCTGACAC-3'). M. catarrhalis revealed three distinct banding patterns with primer P1, four with P14 and P17. 71% (n = 17) of the isolates revealed pattern 2 with primer P1, which discriminated majority (12/21) of the isolates grouped under the major branch of the dendrogram. The minor branch had only three isolates. Separation of M. catarrhalis into two subpopulations (major and minor clusters) with primer P1 is suggestive of diverse genetic lineage. A high level of concordance between RAPD and antibiotic profile was observed. Clustering of M. catarrhalis recovered from different disease groups reflect the identical clinical background or the common geographical/temporal factors. The presence or absence of ß-lactamase in a cluster confirmed their single source of origin.

Arrhythmogenic right ventricular cardiomyopathy (ARVC): case report and review of literature.

Arrhythmogenic right ventricular dysplasia (ARVD) is an inherited condition characterised by fibrofatty replacement of the right ventricle. It causes sudden death in 30% of young adults and in 5% of those less than 65 years of age. As the presentation is non-specific, ARVD can be a diagnostic challenge leading to delayed treatment. We report a case along with the review of literature, of a 63-year-old man who presented (atypical) with a history of palpitations, dizziness and raised cardiac enzymes associated with ECG changes in the inferior and anterior leads. Further investigation helped in confirming this rare and potentially fatal cardiac condition.

Atrial fibrillation induced and converted by domestic supply electric shock.

We present a case of persistent atrial fibrillation induced by a low-voltage electric shock reverting back to sinus rhythm after a similar repeat shock.

Idiopathic infantile arterial calcification with thrombotic microangiopathy--a unique case.

Idiopathic Infantile Arterial Calcification (IIAC) is a rare syndrome of unknown cause characterized by disruption and calcification of the internal elastic laminae of fetal arteries with calcium deposits leading to fibrosis and occlusion of the arteries. The diagnosis is often made at post-mortem examination. However, in a few cases it has been detected prenatally as in this case. Fewer than 10 cases of antenatal detection of this condition have been reported in the literature. In our case, thrombotic microangiopathy was an added feature, which has not been reported thus far in the literature to the best of our knowledge.