487 research outputs found

    The Effect of Enamel Matrix Protein Derivative on Follicle Cells In Vitro

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141557/1/jper0679.pd

    Hemodynamic, angiographic and scintigraphic correlates of positive exercise electrocardiograms: Emphasis on strongly positive exercise electrocardiograms

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    The results of treadmill exercise electrocardiograms were analyzed in 179 patients with coronary artery disease ( ≥ 50% diameter narrowing of one or more vessels). Exercise thallium-201 images were available in 141 of these patients. The exercise electrocardiograms were strongly positive in 51 patients, mildly positive (1 to 1.9 mm ST depression) in 28 patients, falsely negative in 23 patients and uninterpretable in 77 patients.The degree of exercise-induced ST depression did not correlate with left ventricular function, extent of coronary artery disease, exercise heart rates and rate-pressure product and extent of exercise-induced thallium-201 perfusion abnormality. However, the presence of a strongly positive exercise electrocardiogram only at heart rates of 140 beats/min or more or stage III or higher of the Bruce protocol was predictive of less extensive coronary disease and perfusion abnormalities.Thus, the magnitude of ST depression as such during exercise is not predictive of the extent of coronary disease, even in patients with 3 mm or greater ST depression. However, a strongly positive exercise electrocardiogram in the first two stages of the Bruce protocol or at a heart rate of less than 140 beats/min was related to the extent of coronary artery disease and impaired myocardial perfusion, and identified patients with more extensive coronary artery disease and jeopardized myocardium. Therefore, caution should be used in interpreting prognostic data on the basis of the degree of exercise-induced ST depression alone

    Relative prognostic value of rest thallium-201 imaging, radionuclide ventriculography and 24 hour ambulatory electrocardiographic monitoring after acute myocardial infarction

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    Rest thallium-201 scintigraphy, radionuclide ventriculography and 24 hour Holter monitoring are acceptable methods to assess myocardial necrosis, performance and electrical instability. This study examined the relative value of the three tests, when obtained a mean of 7 days after acute myocardial infarction, in predicting 1 year mortality in 93 patients. Planar thallium-201 images were obtained in three projections and were scored on a scale of 0 to 4 in 15 segments (normal score = 60).Patients were classified as having high risk test results as follows: thallium score ≤45 (33 patients), left ventricular ejection fraction ≤40% (51 patients) and complex ventricular arrhythmias on Holter monitoring (36 patients). During the follow-up of 6.4 ± 3.4 months (mean ± SD), 15 patients died of cardiac causes. All three tests were important predictors of survival by univariate Cox survival analysis; the thallium score, however, was the only important predictor by multivariate analysis. The predictive power of the thallium score was comparable with that of combined ejection fraction and Holter monitoring (chi-square = 21 versus chi-square = 22).Thus, rest thallium-201 imaging performed before hospital discharge provides important prognostic information in survivors of acute myocardial infarction which is comparable with that provided by left ventricular ejection fraction and Holter monitoring. Patients with a lower thallium score (large perfusion defects) are at high risk of cardiac death during the first year after infarction

    Discovery of Gamma-ray Emission from M31 via FERMI-LAT

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    2 years worth of archival FERMI-LAT data was used to search for the gamma-ray emission from the Andromeda galaxy. The data show no noticeable elliptical image. Subsequent on-off source aperture photometry analysis using a CO image template show a 7 sigma excess in the number of on-source apertures in comparison to the off-source apertures, yielding a flux of (4.95+/-0.71)x10-8 photons cm-2 s-1 for E>100 MeV.Comment: 7 pages, 5 figure

    Bone Sialoprotein Gene Transfer to Periodontal Ligament Cells May Not Be Sufficient to Promote Mineralization In Vitro or In Vivo

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141649/1/jper0167.pd

    Clinical results of carotid artery stenting versus carotid endarterectomy

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    Objective: To review our results of carotid artery stenting (CAS) and carotid endarterectomy (CEA). Methods: We evaluated the medical records of patients undergoing carotid artery revascularization procedure, between 2001 and 2013 in Baskent University Hospital, Ankara, Turkey. Carotid artery stenting or CEA procedures were performed in patients with asymptomatic carotid stenosis (=70%) or symptomatic stenosis (=50%). Demographic data, procedural details, and clinical outcomes were recorded. Primary outcome measures were in 30-day stroke/transient ischemic attacks (TIA)/amaurosis fugax or death. Secondary outcome measures were nerve injury, bleeding complications, length of stay in hospital, stroke, restenosis (ICA patency), and all-cause death during long-term follow-up. Results: One hundred ninety-four CEA and 115 CAS procedures were performed for symptomatic and/or asymptomatic carotid artery stenosis. There is no significant differences 30-day mortality and neurologic morbidity between CAS (13%) and CEA procedures (7.7%). Length of stay in hospital were significantly longer in CEA group (p=0.001). In the post-procedural follow up, only in symptomatic patients, restenosis rate was higher in the CEA group (p=.045). The other endpoints did not differ significantly. Conclusions: Endovascular stent treatment of carotid artery atherosclerotic disease is an alternative for vascular surgery, especially for patients that are high risk for standard CEA. The increasing experience, development of cerebral protection systems and new treatment protocols increases CAS feasibility

    Merkel cell polyomavirus large T antigen disrupts lysosome clustering by translocating human Vam6p from the cytoplasm to the nucleus

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    Merkel cell polyomavirus (MCV) has been recently described as the cause for most human Merkel cell carcinomas. MCV is similar to simian virus 40 (SV40) and encodes a nuclear large T (LT) oncoprotein that is usually mutated to eliminate viral replication among tumor-derived MCV. We identified the hVam6p cytoplasmic protein involved in lysosomal processing as a novel interactor with MCV LT but not SV40 LT. hVam6p binds through its clathrin heavy chain homology domain to a unique region of MCV LT adjacent to the retinoblastoma binding site. MCV LT translocates hVam6p to the nucleus, sequestering it from involvement in lysosomal trafficking. A naturally occurring, tumor-derived mutant LT (MCV350) lacking a nuclear localization signal binds hVam6p but fails to inhibit hVam6p-induced lysosomal clustering. MCV has evolved a novel mechanism to target hVam6p that may contribute to viral uncoating or egress through lysosomal processing during virus replication
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