Hybrid Open and Endovascular Treatment of Type A and Type B Aortic Dissection with Mesenteric Malperfusion

Purpose. The objective of this report is to present a novel technical hybrid (open/endovascular) approach to mesenteric malperfusion in patients with either acute type A or acute type B aortic dissection. Case Report #1. The patient presented with a type B aortic dissection with mesenteric malperfusion. This was treated by endovascular stenting and re-capture of the true lumen of the thoracic aorta without successful reperfusion of the SMA. Immediate laparotomy with retrograde stenting of the superior mesenteric artery (SMA) proved life-saving for the patient. Case Report #2. The patient presented with a type A aortic dissection and mesenteric malperfusion of the intestines and right leg. Due to the patient’s clinical presentation and a high suspicion of severe intestinal ischemia, exploratory laparotomy instead of ascending arch repair was undertaken. We were able to improve mesenteric perfusion by accessing the SMA in a retrograde fashion. The dissecting intimal flap was fenestrated and stented. The patient eventually succumbed to the disease despite a patent SMA. Conclusion. A hybrid open and endovascular approach can be performed when one is required to visualize the intestines to evaluate its viability in a type A or type B aortic dissection

Casein kinase iδ mutations in familial migraine and advanced sleep phase.

Migraine is a common disabling disorder with a significant genetic component, characterized by severe headache and often accompanied by nausea, vomiting, and light sensitivity. We identified two families, each with a distinct missense mutation in the gene encoding casein kinase Iδ (CKIδ), in which the mutation cosegregated with both the presence of migraine and advanced sleep phase. The resulting alterations (T44A and H46R) occurred in the conserved catalytic domain of CKIδ, where they caused reduced enzyme activity. Mice engineered to carry the CKIδ-T44A allele were more sensitive to pain after treatment with the migraine trigger nitroglycerin. CKIδ-T44A mice also exhibited a reduced threshold for cortical spreading depression (believed to be the physiological analog of migraine aura) and greater arterial dilation during cortical spreading depression. Astrocytes from CKIδ-T44A mice showed increased spontaneous and evoked calcium signaling. These genetic, cellular, physiological, and behavioral analyses suggest that decreases in CKIδ activity can contribute to the pathogenesis of migraine

Effects of Fermi energy, dot size and leads width on weak localization in chaotic quantum dots

Magnetotransport in chaotic quantum dots at low magnetic fields is investigated by means of a tight binding Hamiltonian on L x L clusters of the square lattice. Chaoticity is induced by introducing L bulk vacancies. The dependence of weak localization on the Fermi energy, dot size and leads width is investigated in detail and the results compared with those of previous analyses, in particular with random matrix theory predictions. Our results indicate that the dependence of the critical flux Phi_c on the square root of the number of open modes, as predicted by random matrix theory, is obscured by the strong energy dependence of the proportionality constant. Instead, the size dependence of the critical flux predicted by Efetov and random matrix theory, namely, Phi_c ~ sqrt{1/L}, is clearly illustrated by the present results. Our numerical results do also show that the weak localization term significantly decreases as the leads width W approaches L. However, calculations for W=L indicate that the weak localization effect does not disappear as L increases.Comment: RevTeX, 8 postscript figures include

Quasiparticle transport in the vortex state of YBa_2Cu_3O_6.9

The effect of vortices on quasiparticle transport in cuprate superconductors was investigated by measuring the low temperature thermal conductivity of YBa_2Cu_3O_6.9 in magnetic fields up to 8 T. The residual linear term (as T \to 0) is found to increase with field, directly reflecting the occupation of extended quasiparticle states. A study for different Zn impurity concentrations reveals a good agreement with recent calculations for a d-wave superconductor, thereby shedding light on the nature of scattering by both impurities and vortices. It also provides a quantitative measure of the gap near the nodes.Comment: 4 pages, 2 included eps figures, significant new analysis wrt other experiments, to appear in Phys Rev Lett 29 March 199

Imaging correlates of molecular signatures in oligodendrogliomas.

Molecular subsets of oligodendroglioma behave in biologically distinct ways. Their locations in the brain, rates of growth, and responses to therapy differ with their genotypes. Retrospectively, we inquired whether allelic loss of chromosomal arms 1p and 19q, an early molecular event and favorable prognostic marker in oligodendrogliomas, were reflected in their appearance on magnetic resonance imaging. Loss of 1p and 19q was associated with an indistinct border on T(1) images and mixed intensity signal on T(1) and T(2). Loss of 1p and 19q was also associated with paramagnetic susceptibility effect and with calcification, a common histopathological finding in oligodendrogliomas. These data encourage prospective evaluation of molecular alterations and magnetic resonance imaging characteristics of glial neoplasms

Portable X-Ray Fluorescence Spectroscopy for Rapid and Cost-Effective Determination of Elemental Composition of Ground Forage

The recent development of portable X-ray fluorescence spectrometers (PXRF) has created new avenues for rapid plant elemental concentration determination at reduced cost while avoiding hazardous chemicals. A few studies have indicated the potential use of PXRF for homogenous plant tissue analysis. However, there is a lack of information for analysis of heterogeneous plant samples like livestock forage, which consists of a mixture of several species and plant parts, each varying in elemental concentration. Our objective was to evaluate PXRF for forage analysis, specifically the effect of forage particle size and scan time on important elements including P, K, Ca, and Fe determination. Hay samples (n = 42) were oven dried (60◦C for 3 days) and ground into three particle sizes (≤0.5 mm, 0.25–0.5 mm and 1–2 mm). Prepared samples were scanned by PXRF using a vacuum (\u3c10 torr) without a filter. Samples were placed in cups over thin prolene X-ray film and scanned for 180 s. A subset (n = 29) were also scanned for 60 and 120 s. PXRF counts for P, K, Ca, and Fe were compared with laboratory Inductively Coupled Plasma Optical Emission Spectroscopy (ICP) determinations, using regression models. Results indicated that these elements could potentially be determined with PXRF (r 2 ≥ 0.70) in heterogeneous forage samples. Relationship strength increased with decreasing particle size, however, the relationship was still strong (r 2 ≥ 0.57) at the largest particle size. Scanning time did not affect the relationship with ICP concentration for any of the particle sizes evaluated. This work demonstrated that with the right sample preparation PXRF can obtain results comparable to acid digestion and ICP regardless of sample composition, and suggests the potential for in situ determination

Universal heat conduction in the iron-arsenide superconductor KFe2As2 : Evidence of a d-wave state

The thermal conductivity of the iron-arsenide superconductor KFe2As2 was measured down to 50 mK for a heat current parallel and perpendicular to the tetragonal c-axis. A residual linear term (RLT) at T=0 is observed for both current directions, confirming the presence of nodes in the superconducting gap. Our value of the RLT in the plane is equal to that reported by Dong et al. [Phys. Rev. Lett. 104, 087005 (2010)] for a sample whose residual resistivity was ten times larger. This independence of the RLT on impurity scattering is the signature of universal heat transport, a property of superconducting states with symmetry-imposed line nodes. This argues against an s-wave state with accidental nodes. It favors instead a d-wave state, an assignment consistent with five additional properties: the magnitude of the critical scattering rate for suppressing Tc to zero; the magnitude of the RLT, and its dependence on current direction and on magnetic field; the temperature dependence of the thermal conductivity.Comment: To appear in Physical Review Letter