Malformações branquiais : revisão bibliográfica

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Preparing for petrosal sinus sampling.

Mode of access: Internet.

Siebensteelige gemeine Logarithmen der Zahlen 1 bis 108000 und der Sinus, Cosinus, Tangenten und Cotangenten aller Winkel des Quadranten von 10 zu 10 Secunden.

Mode of access: Internet.

Traités des dépotˆs dans le sinus maxillaire, des fractures, et des caries de l'une et l'autre machoire; suivis de réflexions [et] d'observations sur toutes les operations de l'art du dentiste /

Mode of access: Internet.

La trigonometrie rectiligne et spherique, avec les tables de sinus tangentes et secantes ... et les tables des logarithmes des sinus et des tangentes ... /

Mode of access: Internet.

La trigonometrie rectiligne et spherique ou il est Traite de la construction des tables de sinus, tangentes, secantes et logarithmes : de l'usage de ces tables pour la résolution des triangles avec des questions astronomiques, & ces mêmes tables tres - exactement calculées sur un rayon de 10000000 parties /

Mode of access: Internet.

Cours de mathematique : qui comprend toutes les parties les plus utiles & les plus necessaires à un homme de guerre ... : tome second qui contient l'arithmetique, la trigonometrie, & les tables de sinus /

Mode of access: Internet.

Die Logarithmen der Sinus und Tangenten für 0⁰ bis 5⁰ und der Cosinus und Contangenten für 85⁰ bis 90⁰ von tausendstel zu tausendstel grad. : als ergänzung zu C. Bremiker's 5stelligen Logarithmentafeln /

Mode of access: Internet.

Tables de logarithmes à huit décimales des nombres entiers de 1 à 120 000 et des sinus et tangentes de dix secondes en dix secondes d'arc dans le système de la division centésimale du quadrant.

At head of title: Service géographique de l'Armée.

Trigonometrische Tafeln, darin die Sinus und Tangenten für jede Minute des Quadranten, nebst ihren Logarithmen, und den Logarithmen der gemeinen Zahlen von 1 bis 10000 wie auch die Quadrat- und Kubilszahlen von 1 bis 1000 enthalten sind ...

Mode of access: Internet.

Opus palatinum. Sinus- und Cosinus-Tafeln von 10" zu 10".

Mode of access: Internet.

Tables trigonométriques décimales, ou Table des logarithmes des sinus, sécantes et tangentes, suivant la division du quart de cercle en 100 degrés, du degré en 100 minutes, et de la minute en 100 secondes; précédées de la table des logarithmes des nombres depuis dix mille jusqu'à cent mille, et de plusieurs tables subsidiaires: calculées par Ch. Borda, rev., augm., et pub. par J. B. J. Delambre.

Mode of access: Internet.

Proteomic analysis of coronary sinus serum reveals leucine-rich α2-glycoprotein as a novel biomarker of ventricular dysfunction and heart failure

BACKGROUND: Heart failure (HF) prevention strategies require biomarkers that identify disease manifestation. Increases in B-type natriuretic peptide (BNP) correlate with increased risk of cardiovascular events and HF development. We hypothesize that coronary sinus serum from a high BNP hypertensive population reflects an active pathological process and can be used for biomarker exploration. Our aim was to discover differentially expressed disease-associated proteins that identify patients with ventricular dysfunction and HF.

METHODS AND RESULTS: Coronary sinus serum from 11 asymptomatic, hypertensive patients underwent quantitative differential protein expression analysis by 2-dimensional difference gel electrophoresis. Proteins were identified using mass spectrometry and then studied by enzyme-linked immunosorbent assay in sera from 40 asymptomatic, hypertensive patients and 105 patients across the spectrum of ventricular dysfunction (32 asymptomatic left ventricular diastolic dysfunction, 26 diastolic HF, and 47 systolic HF patients). Leucine-rich α2-glycoprotein (LRG) was consistently overexpressed in high BNP serum. LRG levels correlate significantly with BNP in hypertensive, asymptomatic left ventricular diastolic dysfunction, diastolic HF, and systolic HF patient groups (P≤0.05). LRG levels were able to identify HF independent of BNP. LRG correlates with coronary sinus serum levels of tumor necrosis factor-α (P=0.009) and interleukin-6 (P=0.021). LRG is expressed in myocardial tissue and correlates with transforming growth factor-βR1 (P<0.001) and α-smooth muscle actin (P=0.025) expression.

CONCLUSIONS: LRG was identified as a serum biomarker that accurately identifies patients with HF. Multivariable modeling confirmed that LRG is a stronger identifier of HF than BNP and this is independent of age, sex, creatinine, ischemia, β-blocker therapy, and BNP.

Sinus rhythm restoration with electrical cardioversion: acute effect of shock configuration and subsequent modifications in peripheral flow and sleep.

Atrial fibrillation (AF) is a widespread arrhythmia, associated with higher risk of stroke, sleep disorders and dementia. In some conditions, electrical cardioversion (ECV) represents the best choice for rhythm control. Nowadays, there is a growing interest in developing new devices for screening and monitoring of AF patients. We aimed to improve acute efficacy of ECV procedure and to explore the feasibility of the use of new wearable devices for monitoring in candidates to AF ECV. We compared antero-apical pads vs antero-posterior patches approach for AF ECV, and we elaborated a decision algorithm to improve acute efficacy. After, we evaluated the feasibility of the use of new wearable devices for monitoring of candidates to AF ECV. In particular, we analysed the effect of AF ECV on heart rate variability and vascular age parameters derived from PPG signals registered with Empatica (CE 1876/MDD 93/42/EEC), and on EEG pattern registered with Neurosteer (Israel). From December 2005 to September 2019, 492 patients were enrolled. We evaluated acute efficacy of the two approaches for AF ECV and we elaborated a decision algorithm based on body surface area, weight, and height. The decision algorithm improved first shock efficacy (93.2% vs. 87.2%, p=0.025). From 1st November 2021 to 1st April 2022, 24 patients were enrolled in PPEEG-AF pilot study. Considering vascular age parameters, a significant reduction in TPR and a wave was observed (p<0.001). Considering sleep patterns, a tendency to higher coherence was observed in registrations acquired during AF, or considering signals registered for each patient independently from AF. The new decision algorithm improved acute efficacy and reduced costs associated with adhesive patches. Significant modifications were observed on vascular age parameters measured before and after ECV, and a possible AF effect on sleep pattern was noticed. More data are necessary to confirm these preliminary results.

Rapidly Switching Multidirectional Defibrillation: Reversal Of Ventricular Fibrillation With Lower Energy Shocks.

Cardiac arrest after open surgery has an incidence of approximately 3%, of which more than 50% of the cases are due to ventricular fibrillation. Electrical defibrillation is the most effective therapy for terminating cardiac arrhythmias associated with unstable hemodynamics. The excitation threshold of myocardial microstructures is lower when external electrical fields are applied in the longitudinal direction with respect to the major axis of cells. However, in the heart, cell bundles are disposed in several directions. Improved myocardial excitation and defibrillation have been achieved by applying shocks in multiple directions via intracardiac leads, but the results are controversial when the electrodes are not located within the cardiac chambers. This study was designed to test whether rapidly switching shock delivery in 3 directions could increase the efficiency of direct defibrillation. A multidirectional defibrillator and paddles bearing 3 electrodes each were developed and used in vivo for the reversal of electrically induced ventricular fibrillation in an anesthetized open-chest swine model. Direct defibrillation was performed by unidirectional and multidirectional shocks applied in an alternating fashion. Survival analysis was used to estimate the relationship between the probability of defibrillation and the shock energy. Compared with shock delivery in a single direction in the same animal population, the shock energy required for multidirectional defibrillation was 20% to 30% lower (P < .05) within a wide range of success probabilities. Rapidly switching multidirectional shock delivery required lower shock energy for ventricular fibrillation termination and may be a safer alternative for restoring cardiac sinus rhythm.