Cor triatriatum sinister.

The cor triatriatum sinister is an uncommon congenital cardiac anomaly and reports in the literature are limited. It is often associated with other cardiac malformations, such as atrial septal defect, transposition of the great arteries, tetralogy of Fallot or atrioventricular septal defect. We present here a 6-year old boy who was diagnosed with cor triatriatum sinister, initially showing symptoms similar to mitral valve stenosis and congestive heart failure, and who underwent subsequent surgical correction using a left atrial approach. The fibromuscular membrane, separating the pulmonary veins from the mitral valve, was completely resected and postoperative echocardiography showed unobstructed pulmonary venous flow.

Effects of short- and long-term variations in RLS severity on perceived health status - the COR-study.

In a cohort study among 2751 members (71.5% females) of the German and Swiss RLS patient organizations changes in restless legs syndrome (RLS) severity over time was assessed and the impact on quality of life, sleep quality and depressive symptoms was analysed. A standard set of scales (RLS severity scale IRLS, SF-36, Pittsburgh Sleep Quality Index and the Centre for Epidemiologic Studies Depression Scale) in mailed questionnaires was repeatedly used to assess RLS severity and health status over time and a 7-day diary once to assess short-term variations. A clinically relevant change of the RLS severity was defined by a change of at least 5 points on the IRLS scale. During 36 months follow-up minimal improvement of RLS severity between assessments was observed. Men consistently reported higher severity scores. RLS severity increased with age reaching a plateau in the age group 45-54 years. During 3 years 60.2% of the participants had no relevant (±5 points) change in RLS severity. RLS worsening was significantly related to an increase in depressive symptoms and a decrease in sleep quality and quality of life. The short-term variation showed distinctive circadian patterns with rhythm magnitudes strongly related to RLS severity. The majority of participants had a stable course of severe RLS over three years. An increase in RLS severity was accompanied by a small to moderate negative, a decrease by a small positive influence on quality of life, depressive symptoms and sleep quality.

Das Grosse Zumahlen Geistliche Elend Des Jüdischen Volckes Bey Gelegenheit Einer Juden-Tauffe : Aus 2. Cor. III, 15.16.17 In der Hospital-Kirche d. 29. Aug. 1743 Der Zahlreichen Gemeinde des Herrn vorgetragen, Und heraus gegeben Von Gottfried Thomas Zeitmann, Evangel. Prediger in Franckfurt am Mayn

Hss. auf Titelbl. Sign. aus Freimann-Kat.:Jud. Ff. 599

Elegia De Eclipsi, Qva in Vmbram Terrae Lvna Incvrrit Ivxta Cor Leonis : D. Vlt. M. Ianvar. H. IIX M. LIIX P. M. Anni Vertentis

Scripta ad Studiosos in Academia Erphordiana, Aut. Barth. Hubnero Philos. & Med. Doctore

Mus Hs 678 - Var: Cor, et Fagott ...

par C. Oestreich

Chronology and petrology of sediment cor DAPC2

Evidence from paleoclimatic archives suggests that Earth's climate experienced rapid temperature changes associated with pronounced interhemispheric asymmetry during the last glacial period. Explanations for these climate excursions have converged on nonlinear interactions between ice sheets and the ocean's thermohaline circulation, but the driving mechanism remains to be identified. Here we use multidecadal marine records of faunal, oxygen isotope, and sediment proxies from the northeast Atlantic proximal to the western margins of the last glacial British Ice Sheet (BIS) to document the coupling between ice sheet dynamics, ocean circulation, and insolation changes. The core data reveal successions of short-lived (80-100 years), high-amplitude ice-rafted debris (IRD) events that were initiated up to 2000 years before the deposition of detrital carbonate during Heinrich events (HE) 1 and 2. Progressive disintegration of the BIS 19-16 kyr before present (B.P.) occurred in response to abrupt ocean-climate warmings that impinged on the northeast Atlantic during the early deglaciation. Peak IRD deposition recurs at 180-220 year intervals plausibly involving repeated breakup of glacial tidewater margins and fringing marine ice shelves. The early deglaciation culminated in a major meltwater pulse at ~16.3 kyr B.P. followed by another discharge associated with HE1 some 300 years after. We conclude that temperature changes related to external forcing and marine heat transport caused a rapid response of the BIS and possibly other margins of the Eurasian Ice Sheet. Massive but short-lived meltwater surges influenced the Atlantic meridional overturning circulation thereby contributing to North Atlantic climate variability and bipolar climatic asymmetry.