Left Ventricle Modification After Endovascular Aortic Repair

INTRODUCTION Endograft deployment is a well-known cause of arterial stiffness increase as well as arterial stiffness increase represent a recognized cardiovascular risk factor. A harmful effect on cardiac function induced by the endograft deployment should be investigated. Aim of this study was to evaluate the impact of endograft deployment on the arterial stiffness and cardiac geometry of patients treated for aortic aneurysm in order to detect modifications that could justify an increased cardiac mortality at follow-up. MATHERIALS AND METHODS Over a period of 3 years, patients undergoing elective EVAR for infrarenal aortic pathologies in two university centers in Emilia Romagna were examined. All patients underwent pre-operative and six-months post-operative Pulse Wave Velocity (PWV) examination using an ultrasound-based method performed by vascular surgeons together with trans-thoracic echocardiography examination in order to evaluate cardiac chambers geometry before and after the treatment. RESULTS 69 patients were enrolled. After 36 months, 36 patients (52%) completed the 6 months follow-up examination.The ultrasound-based carotid-femoral PWV measurements performed preoperatively and 6 months after the procedure revealed a significant postoperative increase of cf-PWV (11,6±3,6 m/sec vs 12,3±8 m/sec; p.value:0,037).Postoperative LVtdV (90±28,3 ml/m2 vs 99,1±29,7 ml/m2; p.value:0.031) LVtdVi (47,4±15,9 ml/m2 vs 51,9±14,9 ml/m2; p.value:0.050), IVStd (12±1,5 mm vs 12,1±1,3 mm; p.value:0,027) were significantly increased if compared with preoperative measures.Postoperative E/A (0,76±0,26 vs 0,6±0,67; p.value:0,011), E’ lateral (9,5±2,6 vs 7,9±2,6; p.value:0,024) and A’ septal (10,8±1,5 vs 8,9±2; p.value0,005) were significantly reduced if compared with preoperative measurements CONCLUSION The endovascular treatment of the abdominal aorta causes an immediate and significant increase of the aortic stiffness.This increase reflects negatively on patients’ cardiac geometry inducing left ventricle hypertrophy and mild diastolic disfunction after just 6 months from endograft’s implantation.Further investigations and long-term results are necessary to access if this negative remodeling could affect the cardiac outcome of patient treated using the endovascular approach.

High Prevalence of bla(CTX-M) Extended Spectrum Beta-Lactamase Genes in Klebsiella pneumoniae Isolates from a Tertiary Care Hospital: First report of bla(SHV-12), bla(SHV-31), bla(SHV-38), and bla(CTX-M-15) in Brazil

The aim of this study was to investigate the presence and prevalence of bla(TEM), bla(SHV), and bla(CTX-M) and bla(GES)-like genes, responsible for extended spectrum beta-lactamases (ESBLs) production in clinical isolates of Klebsiella pneumoniae collected from a Brazilian tertiary care hospital. Sixty-five ESBL producing K. pneumoniae isolates, collected between 2005 and 2007, were screened by polymerase chain reaction (PCR). Identification of bla genes was achieved by sequencing. Genotyping of ESBL producing K. pneumoniae was performed by the enterobacterial repetitive intergenic consensus-PCR with cluster analysis by the Dice coefficient. The presence of genes encoding ESBLs was confirmed in 59/65 (90.8%) isolates, comprising 20 bla(CTX-M-2), 14 bla(CTX-M-59), 12 bla(CTX-M-15), 9 bla(SHV-12), 1 bla(SHV-2), 1 bla(SHV-2a), 1 bla(SHV-5), and 1 bla(SHV-31) genes. The ESBL genes bla(SHV-12), bla(SHV-31), and bla(CTX-M-15), and the chromosome-encoded SHV-type beta-lactamase capable of hydrolyzing imipenem were detected in Brazil for the first time. The analysis of the enterobacterial repetitive intergenic consensus-PCR band patterns revealed a high rate of multiclonal bla(CTX-M) carrying K. pneumoniae isolates (70.8%), suggesting that dissemination of encoding plasmids is likely to be the major cause of the high prevalence of these genes among the K. pneumoniae isolates considered in this study.

Recognising, measuring and disclosing intangible assets under IAS 38 and IFRIC 12: Evidence from the Portuguese listed companies

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and Economics

Iowa Crop and Weather Report, November 19, 2012, Vol. 12. no. 38

Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. Iowa Secretary of Agriculture Bill Northey today commented on the Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service. The report is released weekly from April through October.

Footnotes, December 2013, Vol. 38, no.10-12

Monthly newsletter of State Library

Kansalliset pyöräilykilpailut Karkkilan torilla sunnuntaina 12.6.-38

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1.° Tractatus pacis inter Ludovicum IX. Regem Francorum, et Henricum III. Regem Angliae : anno 1259. — 2.° Tractatus pacis inter Philippum III. Regem Francorum, et Edwardum I. Regem Angliae : anno 1279. — 3.° Tractatus pacis inter eosdem Reges : anno 1286. — 4.° Quarta et ultima pax facta inter Reges : anno 1303. translata de romancio in latinum, de verbo ad verbum. — 5.° Alia concordantia, seu compositio vel pax inter Reges : anno 1303. — 6.° Pronunciatio Bonifacii, Papae, super pacibus : anno pontificatus quarto. — 7.° De remediis Aquitanorum adversùs vexationem curiae Regis Franciae. — 8.° Copia arresti contra Arnaldum de Romynhano, dati anno 1312. — 9.° Variae litterae Philippi Pulchri et Ludovici X. de rebus Anglicis. — 10.° Bulla Clementis, Papae V. approbans donationem Motae et domorum de Pessaco, factam ecclesiae Burdegalensi à nobili viro Gaillardo de Guto, germano suo, anno primo pontificatus. — 11.° Traitté de paix conclu entre les Rois Philippe et Edouard ; sans date. — 12.° Lettres de Charles IV. Roy de France et de Navarre, touchant les excès commis au lieu de Saint-Sacerdos par le Senechal de Gascogne : l'an 1324. — 13.° Traitté entre la France et l'Angleterre : en la même année. — 14.° Judicium latum apud Oleronem, anno 1287. per D. Norwicensem Episcopum, contra D. Joannem de Greilliaco, dudum Senescallum Vasconiae. — 15.° Tractatus matrimonii inter Alienoram filiam Edwardi Regis Angliae, et Alphonsum filium majorem Petri Regis Aragonum. — 16.° Litterae Petri, Regis Aragonum, de matrimonio filii sui Alphonsi cum Alienora, filia primogenita Regis Edwardi. — 17.° Joannis XXII. bulla contra Michaëlem de Cesena, Ministrum generalem ordinis Minorum : VIII. idus Junii, pontificatus anno XII. — 18.° Edwardi, Regis Anglorum, constitutiones variae ad Aquitaniam spectantes et ad Angliam. — 19.° Traitté de paix entre les Rois de France et d'Angleterre, fait en l'an 1325. — 20.° Litterae Agennensium ad Carolum IV. Regem Franciae, pro Rege Angliae, nominatim de facto Sancti-Sacerdotis, scriptae anno 1324. — 21.° Tractatus matrimonii inter Alphonsum, Regem Castellae et Legionis, et Alienoram, filiam Edwardi Regis Angliae ; item alius inter Edwardum, Regis Angliae primogenitum, et Alienoram sororem Regis Castellae : anno 1325. — 22.° Instructions données par le Roy d'Angleterre à ses Ambassadeurs allans en Espagne pour le fait dudit mariage. — 23.° Abusiones quae exercentur in regno Angliae circa beneficia ecclesiastica ; et remedia sine quibus nunquam cessare creduntur. — 24.° Clementis V. bulla de saecularisatione monasterii de sancto Aemiliano, in dioecesi Burdigalensi ; data anno pontificatus quinto. — 25.° Litterae Edwardi II. Regis Angliae, de servanda pace facta cum Carolo IV. Rege Franciae. — 26.° Ejusdem litterae quibus Edmundum, Comitem Cantiae, fratrem suum, constituit Capitaneum in Ducatu Aquitaniae. — 27.° Lettres de Charles IV. Roy de France, contre le Roy d'Angleterre, qui refusoit de luy faire les foy et hommage pour la Duché d'Aquitaine : de l'année 1324. — 28.° Litterae ejusdem Caroli IV. Regis Francorum, de eadem re ; quibus Carolo, Comiti Valesiae, patruo suo, dat potestatem puniendi rebelles Aquitaniae ; datae anno 1324. — 29.° Litterae ejusdem de salvagardia Guillelmi Galteri, Clerici, datae anno 1323. — 30.° Ejusdem litterae pro Margareta de Guouda, tutrice Pontii domini de Castellione, filii sui, datae anno 1323. — 31.° Ejusdem litterae pro Comitissa Fuxi et Vicecomitissa Bearni et Marciani, tutrice Gastonis filii sui ; datae anno 1322. — 32.° Litterae Antonini Pessaigne, Senescalli Ducatus Aquitaniae, quibus Ostencium Jordani, Clericum ac Jurisperitum, constituit suum et Regis Angliae Procuratorem ; datae anno 1318. — 33.° Litterae Almarici domini de Credonio, Senescalli Ducatus Aquitaniae, quibus Roberto de la Vertadausa, Anglico, decem libras Turonensium parvorum singulis annis solvendas concedit vice et nomine Regis Angliae ; datae anno 1322. — 34.° Divers actes entre les Rois de France et d'Angleterre, pour assurer la paix ; faits depuis l'an 1259. jusques en 1323. — 35.° Acta processus habiti in curia Romana inter capitulum ecclesiae Coventrensis et capitulum ecclesiae Lichefeldiensis de electione Episcopi, tempore Joannis XXII. — 36.° Traitté d'alliance et de confederation entre la France et l'Ecosse contre l'Angleterre ; fait en 1325. — 37.° Articuli exhibiti à Procuratore ecclesiae Lichfeldensis. — 38.° Articuli exhibiti à Procuratore ecclesiae Coventrensis. — 39.° Joannis XXII. bulla de unione Episcopatuum Corkagiensis et Clonensis, data Avenione anno pontificatus XI. — 40.° Acta processus apud eumdem Papam agitati super praebenda sancti Stephani in ecclesia Beverlacensi.

Colbertinus

High Prevalence of bla(CTX-M) Extended Spectrum Beta-Lactamase Genes in Klebsiella pneumoniae Isolates from a Tertiary Care Hospital: First report of bla(SHV-12), bla(SHV-31), bla(SHV-38), and bla(CTX-M-15) in Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

京都府〓書館藏書目録 明治38年12月現在

Mode of access: Internet.