584 resultados para Kobrin, Ted
How should I treat a patient with severe mitral regurgitation and acute decompensated heart failure?
Resumo:
Transcatheter mitral interventions has been developed to address an unmet clinical need and may be an alternative therapeutic option to surgery with the intent to provide symptomatic and prognostic benefit. Beyond MitraClip therapy, alternative repair technologies are being developed to expand the transcatheter intervention armamentarium. Recently, the feasibility of transcatheter mitral valve implantation in native non-calcified valves has been reported in very high-risk patients. Acknowledging the lack of scientific evidence to date, it is difficult to predict what the ultimate future role of transcatheter mitral valve interventions will be. The purpose of the present report is to review the current state-of-the-art of mitral valve intervention, and to identify the potential future scenarios, which might benefit most from the transcatheter repair and replacement devices under development.
Resumo:
Indirect plant-mediated interactions between herbivores are important drivers of community composition in terrestrial ecosystems. Among the most striking examples are the strong indirect interactions between spatially separated leaf- and root-feeding insects sharing a host plant. Although leaf feeders generally reduce the performance of root herbivores, little is known about the underlying systemic changes in root physiology and the associated behavioral responses of the root feeders. We investigated the consequences of maize (Zea mays) leaf infestation by Spodoptera littoralis caterpillars for the root-feeding larvae of the beetle Diabrotica virgifera virgifera, a major pest of maize. D. virgifera strongly avoided leaf-infested plants by recognizing systemic changes in soluble root components. The avoidance response occurred within 12 h and was induced by real and mimicked herbivory, but not wounding alone. Roots of leaf-infested plants showed altered patterns in soluble free and soluble conjugated phenolic acids. Biochemical inhibition and genetic manipulation of phenolic acid biosynthesis led to a complete disappearance of the avoidance response of D. virgifera. Furthermore, bioactivity-guided fractionation revealed a direct link between the avoidance response of D. virgifera and changes in soluble conjugated phenolic acids in the roots of leaf-attacked plants. Our study provides a physiological mechanism for a behavioral pattern that explains the negative effect of leaf attack on a root-feeding insect. Furthermore, it opens up the possibility to control D. virgifera in the field by genetically mimicking leaf herbivore-induced changes in root phenylpropanoid patterns.
Resumo:
Zoonoses, diseases affecting both humans and animals, can exert tremendous pressures on human and veterinary health systems, particularly in resource limited countries. Anthrax is one such zoonosis of concern and is a disease requiring greater public health attention in Nigeria. Here we describe the genetic diversity of Bacillus anthracis in Nigeria and compare it to Chad, Cameroon and a broader global dataset based on the multiple locus variable number tandem repeat (MLVA-25) genetic typing system. Nigerian B. anthracis isolates had identical MLVA genotypes and could only be resolved by measuring highly mutable single nucleotide repeats (SNRs). The Nigerian MLVA genotype was identical or highly genetically similar to those in the neighboring countries, confirming the strains belong to this unique West African lineage. Interestingly, sequence data from a Nigerian isolate shares the anthrose deficient genotypes previously described for strains in this region, which may be associated with vaccine evasion. Strains in this study were isolated over six decades, indicating a high level of temporal strain stability regionally. Ecological niche models were used to predict the geographic distribution of the pathogen for all three countries. We describe a west-east habitat corridor through northern Nigeria extending into Chad and Cameroon. Ecological niche models and genetic results show B. anthracis to be ecologically established in Nigeria. These findings expand our understanding of the global B. anthracis population structure and can guide regional anthrax surveillance and control planning.
Resumo:
Plants release herbivore-induced volatiles (HIPVs), which can be used as cues by plants, herbivores and natural enemies. Theory predicts that HIPVs may initially have evolved because of their direct benefits for the emitter and were subsequently adopted as infochemicals. Here, we investigated the potential direct benefits of indole, a major HIPV constituent of many plant species and a key defence priming signal in maize. We used indole-deficient maize mutants and synthetic indole at physiologically relevant doses to document the impact of the volatile on the generalist herbivore Spodoptera littoralis. Our experiments demonstrate that indole directly decreases food consumption, plant damage and survival of S. littoralis caterpillars. Surprisingly, exposure to volatile indole increased caterpillar growth. Furthermore, we show that S. littoralis caterpillars and adults consistently avoid indole-producing plants in olfactometer experiments, feeding assays and oviposition trials. Synthesis. Together, these results provide a potential evolutionary trajectory by which the release of a HIPV as a direct defence precedes its use as a cue by herbivores and an alert signal by plants. Furthermore, our experiments show that the effects of a plant secondary metabolite on weight gain and food consumption can diverge in a counterintuitive manner, which implies that larval growth can be a poor proxy for herbivore fitness and plant resistance.
Resumo:
Compressional (Vp) and shear (Vs) wave velocities have been measured to 1.0 kbar for 14 cores of well-consolidated sedimentary rock from Atlantic and Pacific sites of the Deep Sea Drilling Project. The range of VP (2.05-5.38 km/sec at 0.5 kbar) shows significant overlap with the range of oceanic layer-2 seismic velocities determined by marine refraction surveys, suggesting that sedimentary rocks may, in some regions, constitute the upper portion of layer 2. Differing linear relationships between VP and Vs for basalts and sedimentary rocks, however, may provide a method of resolving layer-2 composition. This is illustra ted for a refraction survey site on the flank of the Mid-Atlantic Ridge where layer-2 velocities agree with basalt, and two sites on the Saya de Malha Bank in the Indian Ocean where layer-2 velocities appear to represent sedimentary rock.
Resumo:
Sediments off northwest Africa were assayed for activities of the respiratory electron transport system (ETS) and for primary amino nitrogen. ETS activities were used to compute respiratory oxygen consuption, carbon oxidation, and nitrate reduction rates. Activities were correlated with depth of the water column, and their longshore distribution resembled that of euphotic zone phytoplankton productivity. Protein concentrations were closely correlated with ETS activities. Carbon biomass was calculated from protein and compared with other computed values. The carbon oxidation rate accounted for 13 % of the region's primary production.
Resumo:
Integrated Ocean Drilling Program (IODP) Expedition 320 recovered high-quality paleomagnetic records with over 800 dated reversals and decimeter-scale cyclic sediments which provide an outstanding framework to inter-calibrate major fossil groups and refine magnetic polarity chrons for the early Miocene, the entire Oligocene and the late Eocene Epoch. In order to reconstruct the climate history of the Equatorial Pacific one of the major objectives of the Pacific Equatorial Age Transect (PEAT) is the compilation of a Cenozoic Megasplice which integrates all available bio-, chemo-, and magnetostratigraphic data including key records from Ocean Drilling Program (ODP) Leg 199. Here we present extended post-cruise refinements of the shipboard composite depth scales and composite records of IODP Expedition 320 Sites U1331, U1332, U1333, U1334 as well as ODP Leg 199 Sites 1218, 1219 and 1220. The revised composite records were used to perform a site-to-site correlation and integration of Leg 199 and Exp. 320 sites. Based on this decimeter scale correlation a high resolution integrated paleomagnetic and biostratigraphic framework for the Equatorial Pacific is established covering the time from 20 to 40 Ma. This unprecedented sedimentary compendium from the Equatorial Pacific will be the backbone for paleoceanographic reconstructions for the late Paleogene.