Radiofrequency catheter ablation of supraventricular tachycardia substrates after mustard and senning operations for d-transposition of the great arteries

OBJECTIVES The purpose of this study was to determine the efficacy and risks of radiofrequency ablation of various forms of supraventricular tachycardia after Mustard and Senning operations for d-transposition of the great arteries. BACKGROUND In this patient group, the reported success rate of catheter ablation of intraatrial reentry tachycardia is about 70% with a negligible complication rate. There are no reports of the use of radiofrequency ablation to treat other types of supraventricular tachycardia. METHODS Standard diagnostic criteria were used to determine supraventricular tachycardia type. Appropriate sites for attempted ablation included 1) intraatrial reentry tachycardia: presence of concealed entrainment with a postpacing interval similar to tachycardia cycle length; 2) focal atrial tachycardia: a P-A interval ≤-20 ms; and 3) typical variety of atrioventricular (AV) node reentry tachycardia: combined electrographic and radiographic features. RESULTS Nine Mustard and two Senning patients underwent 13 studies to successfully ablate all supraventricular tachycardia substrates in eight (73%) patients. Eight of eleven (73%) patients having intraatrial reentry tachycardia, 3/3 having typical AV node reentry tachycardia, and 2/2 having focal atrial reentry tachycardia were successfully ablated. Among five patients having intraatrial reentry tachycardia (IART) and not having ventriculoatrial (V-A) conduction, two suffered high-grade AV block when ablation of the systemic venous portion of the medial tricuspid valve/inferior vena cava isthmus was attempted. CONCLUSIONS Radiofrequency catheter ablation can be effectively and safely performed for certain supraventricular tachycardia types in addition to intraatrial reentry. A novel catheter course is required for slow pathway modification. High-grade AV block is a potential risk of lesions placed in the systemic venous medial isthmus

Positive and negative suicide ideation (PANSI) inventory: Psychometric properties in peruvian university students

Es necesario contar con instrumentos que evalúen la ideación suicida, dado que es uno de los primeros factores que conllevan al suicidio. La presente investigación realizó un proceso de adaptación del Inventario de Ideación Suicida Positiva y Negativa (PANSI) para que pueda ser empleado en universitarios peruanos. Se estudiaron dos muestras, una antes y otra durante la pandemia por COVID-19. A nivel metodológico, se siguió un procedimiento racional con jueces expertos y con sujetos de la población para conseguir la equivalencia cultural y conceptual del instrumento; mientras que, en el nivel estadístico, se probaron tres modelos teóricos, unidimensional, ortogonal y oblicuo. El modelo de dos factores correlacionados reveló mejores índices de ajustes para ambas muestras, con niveles óptimos de confiabilidad. Se concluye en una nueva versión del PANSI y se discuten sus bases teóricas para mejorar las inferencias a partir de este instrumento.It is necessary to rely on tools that evaluate suicidal ideation, given that it is one of the first factors that lead to suicide. This research performed an adaptation process of the Positive and Negative Suicidal Ideation (PANSI) so that it can be used in Peruvian university students. Two samples were studied, one before and one during the COVID-19 pandemic. At the methodological level, a rational procedure was followed with expert judges and individuals from the population to achieve cultural and conceptual equivalence of the tool; while, at the statistical level, three theoretical models were tested: unidimensional, orthogonal and oblique. The two-factor correlated model revealed better fit indexes for both samples, with optimal levels of reliability. We completed a new version of the PANSI and discussed its theoretical basis for improving inferences from this tool.Fil: Rodas Vera, Nikolai Martin. Universidad César Vallejo; PerúFil: Toro, Ronald. Universidad Católica de Colombia; ColombiaFil: Flores Kanter, Pablo Ezequiel. Universidad Católica de Córdoba; Argentina. Instituto Tecnológico de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentin

Late Cretaceous tectonic history of the Sierra‐Salinia‐Mojave arc as recorded in conglomerates of the Upper Cretaceous and Paleocene Gualala Formation, northern California

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95005/1/jgrb14012.pd

The case for strategic international alliances to harness nutritional genomics for public and personal health

Nutrigenomics is the study of how constituents of the diet interact with genes, and their products, to alter phenotype and, conversely, how genes and their products metabolise these constituents into nutrients, antinutrients, and bioactive compounds. Results from molecular and genetic epidemiological studies indicate that dietary unbalance can alter gene-nutrient interactions in ways that increase the risk of developing chronic disease. The interplay of human genetic variation and environmental factors will make identifying causative genes and nutrients a formidable, but not intractable, challenge. We provide specific recommendations for how to best meet this challenge and discuss the need for new methodologies and the use of comprehensive analyses of nutrient-genotype interactions involving large and diverse populations. The objective of the present paper is to stimulate discourse and collaboration among nutrigenomic researchers and stakeholders, a process that will lead to an increase in global health and wellness by reducing health disparities in developed and developing countrie

Social support and social structure

The burgeoning study of social support in relation to social stress and health would benefit from increased attention to issues of social structure. Three aspects of social relationships, all often referred to as social support, must be more clearly distinguished—(1) their existence or quantity (i.e., social integration), (2) their formal structure (i.e., social networks), and (3) their functional or behavioral content (i.e., the most precise meaning of “social support”)—and the causal relationships between the structure of social relationships (social integration and networks) and their functional content (social support) must be more clearly understood. Research and theory are needed on the determinants of social integration, networks, and support as well as their consequences for stress and health. Among potential determinants, macrosocial structures and processes particularly merit attention.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45658/1/11206_2005_Article_BF01107897.pd