Coronary artery aneurysm in Kawasaki disease.

A 3-year-old male presents to the emergency department with chief complaints of fever and vomiting. He had a positive rapid streptococcus throat test with cervical lymphadenopathy. The patient was started on antibiotics. On examination, there was diffuse erythematous macular rash on the chest. Laboratory tests revealed elevated white cell count and C-reactive protein. Electrocardiogram was notable for prolonged PR interval indicating 1st degree atrioventricular block. Echocardiogram revealed ectasia of the right coronary artery (RCA). A presumptive diagnosis of Kawasaki disease was made and the patient was started on high-dose aspirin and intravenous immunoglobulins. Cardiac computed tomography angiography (CTA) showed an aneurysm of the proximal RCA measuring up to 7.4 mm. The RCA immediately proximal to the aneurysm measured 3 mm in diameter. The Z score was 13.4. Oblique coronal image from cardiac CTA and volume rendered images demonstrated an aneurysm of the proximal RCA. The patient improved with treatment

Electromechanical properties of self-assembled monolayers of tetrathiafulvalene derivatives studied by conducting probe atomic force microscopy

The electrical conduction of metal-molecule-metal junctions formed between Au-supported selfassembled monolayers (SAMs) of symmetric tetrathiafulvalene (TTF) derivatives and a Pt-coated atomic force microscope (AFM) tip has been measured under different compression forces using conducting probe AFM. The TTFs are linked to the metal through double metal-thiol linkers on both sides of the molecule. The TTF junctions exhibit remarkably high electrical conduction with estimated single molecule resistance of 14.7 ± 3.4 GΩ, corresponding to the molecular resistivity of 390 Ω·cm. A single molecule resistance of a comparable length 1-decanethiol molecule is estimated to be several orders of magnitude higher with the value of 950 ± 22 GΩ. The TTF junction resistance displayed a unique nonlinear dependence with the compression force. The dependence is attributed to the change in the intermolecular electronic coupling between the TTF molecules. © 2010 American Chemical Society