Echocardiographic evaluation of left ventricular outflow tract obstruction in complete transposition of the great arteries

Subpulmonic stenosis in complete d-transposition of the great arteries (d-TGA) is a frequently associated malformation, the precise diagnosis of which is essential for optimal medical and surgical treatment. Sixteen patients with d-TGA and subpulmonic stenosis have been studied by M-mode and two-dimensional (2DE) echocardiography and cardiac catheterization. Dynamic obstruction was found in six patients and fixed stenosis in 10. Systolic anterior motion of the mitral valve without fixed obstruction of the left ventricular outflow tract (LVOT) was present in patients with dynamic stenosis. Measurements of left ventricular end-diastolic posterior wall thickness to minor semiaxis ratio correlated well (p < 0.001) with the pressure gradient across the LVOT. Various types of anatomic fixed obstruction are described. M-mode echocardiography provides assessment of dynamic obstruction but does not allow quantitative evaluation of the length of the narrowed segment. The latter can be achieved by 2DE, which offers improved definition of different anatomic types

Field chemical immobilization of free-ranging crested porcupines with zoletil®: A reviewed dosage

The tiletamine-zolazepam mixture is a widely used anesthetic for chemical immobilization of wild mammals due to its short induction time, good muscle relaxation, smooth recovery with low convulsions occurrence, and minimal effect on respiration. An injection dose of 7–8 mg/kg of tiletamine-zolazepam has been proven to be an effective and safe immobilizing mixture for crested porcupines under field conditions. However, the occurrence of long immobilization and recovery times, with high excitement and convulsion during awakening, were recorded. In order to reduce such side effects after recovery, the effectiveness of a lower dosage (4–6 mg/kg) of tiletamine-zolazepam (Zoletil® ) was tested. The results obtained confirm that the use of tiletamine-zolazepam in crested porcupine immobilization provides a quick induction, wide safety margin, and predictable awakening under field conditions. A smaller injection dosage of 5 mg/kg has been proven to be sufficient to ensure a short induction time (average: 7.1 min), with good muscle relaxation and little excitement of the animals during awakening. The lower dosage of tiletamine-zolazepam, while providing a shorter recovery time (average: 53.6 min), proves to be adequate for standard handling procedures. Furthermore, the smaller amount of tiletamine-zolazepam also ensures safe immobilization for pregnant individuals and porcupettes

Surface Air-Pressure Measurements From Space Using Differential Absorption Radar on the Right Wing of the 60 GHz Oxygen Band

Abstract Surface air pressure is one of the most important parameters used in Numerical Weather Prediction (NWP) models. Although it has been measured using weather stations on the ground for many decades, the numbers of measurements are sparse and concentrated on land. Few measurements from buoys and ships are available over ocean. Global measurements can only be achieved by using remote sensing from Space, which is challenging; however, a novel design using Differential Absorption Radar (DAR) can provide a potential solution. The technique relies on two facts: first the electromagnetic fields are absorbed mainly by oxygen and water vapor, and second that oxygen is well mixed. In this work we discuss a space-borne concept, which aims at providing, over the ocean, consistent, and regular observations for determining surface air pressure from space by a design of a multi-tone radar operating on the upper wing of the O2 absorption band with tones from 64 to 70 GHz. Simulations of radar vertical profiles based on the output of a state of-the-art microphysical retrievals applied to the A-Train suite of sensors are exploited to establish the performance of such a system for surface pressure determination. In particular the identification and quantification of errors introduced by the presence of water vapor, cloud liquid water and rain water and the potential of a correction via the three-tone method is discussed. Errors introduced by surface measurement noise and temperature profile uncertainties are discussed as well. Results show that accuracy between 2 and 5 hPa is at reach

OSAS severity is associated to decreased heart rate turbulence slope

Obstructive sleep apnea syndrome (OSAS) has been associated to impaired baroreflex sensitivity (BRS) which has recently been shown to be non-invasively assessed by heart rate turbulence (HRT) analysis. Although HRT seems to be better suited than traditional heart rate variability indexes for autonomic assessment in presence of respiratory and arrhythmic disorders, very few papers addressed its evaluation in OSAS. Aim of the study is to find out whether and to which extend HRT is associated to OSAS severity. We studied HRT in polysomnographic recordings of 221 mild to severe OSAS pts. Results showed that, while HRT onset values did not significantly differ between mild (-0,78±1,50), moderate (-0,89±1,78) and severe (-0,70±1,28) pts., HRT slope significantly decreases (Kruskal-Wallis P value <0.05) from mild (3,27±2,7) to moderate (2,6±2,6) and severe (1,98±2,5) pts., with a significant Dunn's multiple comparisons post test only between mild vs. severe OSAS pts. Data indicate that the main BRS alterations do not appear in the early HRT phase triggered by transient vagal inhibition, but during the slow one, due to the sympathetic hyperactivity affecting the heart rate recovery. These findings support the conclusion that HRT assessment could have a prognostic value related to the development of cardiovascular disease in OSAS

Hematological and serum biochemistry values in free-ranging crested porcupine

The crested porcupine is a widespread naturalized Italian rodent of African origin; nevertheless, very little information on the population abundance and its health status is available. In this study, the hematological and serum chemistry profile of 10 free-ranging captured crested porcupines was established for the first time. The mean hematological values resulted: 5.7 SD 0.4 M/μL for red blood cells; 13.6 SD 0.8 g/dL for hemoglobin; 77.3 SD 5.7 fL for mean corpuscular volume and 30.1 SD 4.7 g/dL for mean corpuscular hemoglobin concentration; 14.4 SD 7.2 K/μL for white blood cells; and 557.0 SD 469.9 K/μL for platelets. The mean urea and creatinine values resulted with 19.8 SD 8.3 mg/dL and 1.6 SD 3.0 mg/dL, respectively. The mean value of total protein was 6.7 SD 1.0 g/dL, with values of albumin higher than globulins. The mean activity of creatine kinase, aspartate transaminase, gamma-glutamyl transpeptidase, and alkaline phosphatase was 927.3 SD 607.6 U/L, 199.2 SD 70.8 U/L, 16.9 SD 13.7 U/L, and 256 SD 75.8 U/L, respectively. Highest values of alkaline phosphatase were recorded in two porcupines presenting severe injuries with clear signs of infection. These preliminary results may be a helpful tool in order to assess porcupine health status

Statistical Analysis and Kinematic Assessment of Upper Limb Reaching Task in Parkinson’s Disease

The impact of neurodegenerative disorders is twofold; they affect both quality of life and healthcare expenditure. In the case of Parkinson’s disease, several strategies have been attempted to support the pharmacological treatment with rehabilitation protocols aimed at restoring motor function. In this scenario, the study of upper limb control mechanisms is particularly relevant due to the complexity of the joints involved in the movement of the arm. For these reasons, it is difficult to define proper indicators of the rehabilitation outcome. In this work, we propose a methodology to analyze and extract an ensemble of kinematic parameters from signals acquired during a complex upper limb reaching task. The methodology is tested in both healthy subjects and Parkinson’s disease patients (N = 12), and a statistical analysis is carried out to establish the value of the extracted kinematic features in distinguishing between the two groups under study. The parameters with the greatest number of significances across the submovements are duration, mean velocity, maximum velocity, maximum acceleration, and smoothness. Results allowed the identification of a subset of significant kinematic parameters that could serve as a proof-of-concept for a future definition of potential indicators of the rehabilitation outcome in Parkinson’s disease

Anti-inflammatory effects of diet and caloric restriction in metabolic syndrome

Background Weight loss in patients with metabolic syndrome has positive effects on cardiovascular and type 2 diabetes risks, but its effects on peripheral cytokines and lipid profiles in patients are still unclear. Aim To determine the effects of diet-induced weight loss on metabolic parameters, lipids and cytokine profiles. Methods Eighteen adult males with metabolic syndrome (defined according to IDF 2009) and Body Mass Index (BMI) between 25 and 35 kg/m(2) were subjected to a balanced hypocaloric diet for 6 months to reach at least a 5% body weight loss. Results After weight loss, a significant improvement in BMI, waist circumference, insulin, fasting blood glucose and HOMA-IR (homeostasis model assessment of insulin resistance) was observed. The analysis of LDL (low-density lipoprotein cholesterol) and HDL (high-density lipoprotein cholesterol) lipoproteins showed a change in their composition with a massive transfer of triacylglycerols from HDL to LDL. This was associated with a significant reduction in peripheral pro-inflammatory cytokines such as IL-6, TNF-alpha, IL-8 and MIP-1 beta, leading to an overall decreased inflammatory score. An interesting positive correlation was also observed among peripheral cytokines levels after diet and peripheral levels of CETP (cholesteryl ester transfer protein), an enzyme with a key role in lipid change. Conclusion Weight loss through caloric restriction is associated with an improvement in peripheral lipid and cytokine profiles that may play a major role in improving cardiovascular risk

Determinants of Covid19 disease and of survival after Covid19 in MPN patients treated with ruxolitinib

No abstract availabl