Short- and midterm follow-up results of valvuloplasty with balloon catheter for congenital aortic stenosis

OBJECTIVE: To report short and midtem follow-up results of balloon aortic valvuloplasty to treat congenital aortic stenosis. METHODS: Seventy-five patients (median age: 8 years) underwent the procedure through the retrograde femoral or carotid route. RESULTS: The procedure was completed in 74 patients (98.6%). The peak-to-peak systolic gradient dropped from 79.6±27.7 to 22.3±17.8 mmHg (P<0.001), the left ventricular systolic pressure dropped from 164±39.1 to 110±24.8 mmHg (P<0.001), and the left ventricular end diastolic pressure dropped from 13.3±5.5 to 8.5±8.3 mmHg (P< 0.01). Four patients (5.3%) died due to the procedure. Aortic regurgitation (AoR) appeared or worsened in 27/71 (38%) patients, and no immediate surgical intervention was required. A mean follow-up of 50±38 months was obtained in 37 patients. Restenosis and significant AoR were observed in 16.6% of the patients. The estimates for being restenosis-free and for having significant AoR in 90 months were 60% and 50%, respectively. CONCLUSION: Aortic valvuloplasty was considered the initial palliative method of choice in managing congenital aortic stenosis, with satisfactory short- and midterm results.

Fibrinolytic therapy for thrombosis in cardiac valvular prosthesis short and long term results

OBJECTIVE: To assess the short- and long-term results of the use of streptokinase (SK) for the treatment of thromboses in cardiac valvular prostheses. METHODS: Seventeen patients with cardiac prosthetic thrombosis diagnosed by clinical, echocardiographic, and radioscopic findings underwent fibrinolytic treatment with a streptokinase bolus of 250,000 U followed by 100.000 U/hour. Short- and long-term results were assessed by radioscopy and echocardiography. RESULTS: Of the 17 patients, 12 had mechanical double-disk prostheses (4 aortic, 6 mitral, 2 tricuspid), 4 had single-disk prostheses (2 aortic, 1 mitral, and 1 tricuspid), and 1 had a tricuspid bioprosthesis. The success rate was 64.8%, the partial success rate was 17.6%, and the nonsuccess rate was 17.6%. All patients with a double-disk prosthesis responded, completely or partially, to the treatment. None of the patients with a single-disk prosthesis had complete resolution of the thrombosis. The time of streptokinase infusion ranged from 6 to 80 hours (mean of 56 h). The mortality rate due to the use of streptokinase was 5.8% and was secondary to cerebral bleeding. During streptokinase infusion, 3 (17.6%) embolic episodes occurred as follows: 1 cerebral, 1 peripheral, and 1 coronary. The rethrombosis index was 33% in a mean follow-up of 42 months. CONCLUSION: The use of fibrinolytic agents was effective and relatively safe in patients with primary thrombosis of a double-disk prosthesis. A fatal hemorrhagic complication occurred in 1 (5.8%) patient, and embolic complications occurred in 3 (17.6%) patients. In a mean 42-month follow-up, 67% of the patients were free from rethrombosis.

A curious herbal :containing five hundred cuts, of the most useful plants, which are now used in the practice of physick engraved on folio copper plates, after drawings taken from the life /by Elizabeth Blackwell. To which is added a short description of ye plants and their common uses in physick.

1737 v. 1 #1010

A curious herbal :containing five hundred cuts, of the most useful plants, which are now used in the practice of physick engraved on folio copper plates, after drawings taken from the life /by Elizabeth Blackwell. To which is added a short description of ye plants and their common uses in physick.

1739 v. 2 #1011

Histoire des plantes de la Guiane Françoise : rangées suivant la méthode sexuelle, avec plusieurs mémoires sur différens objects intéressans, relatifs à la culture & au commerce de la Guiane Françoise, & une notice des plantes de l'Isle-de-France ... /

v.1

Histoire des plantes de la Guiane Françoise : rangées suivant la méthode sexuelle, avec plusieurs mémoires sur différens objects intéressans, relatifs à la culture & au commerce de la Guiane Françoise, & une notice des plantes de l'Isle-de-France ... /

v.2

Histoire des plantes de la Guiane Françoise : rangées suivant la méthode sexuelle, avec plusieurs mémoires sur différens objects intéressans, relatifs à la culture & au commerce de la Guiane Françoise, & une notice des plantes de l'Isle-de-France ... /

v.3

Histoire des plantes de la Guiane Françoise : rangées suivant la méthode sexuelle, avec plusieurs mémoires sur différens objects intéressans, relatifs à la culture & au commerce de la Guiane Françoise, & une notice des plantes de l'Isle-de-France ... /

v.4

Situación poblacional del cóndor andino (Vultur gryphus) en las sierras de Córdoba. Population status of the Andean Condor (Vultur gryphus) in Sierras de Córdoba mountain range.

Existe una clara necesidad de obtener información científica y comprensible sobre la distribución actual, abundancia y el estado de conservación del cóndor andino (Vultur gryphus) en Córdoba. Las justificaciones de ello incluyen: 1) la información disponible es muy limitada y fragmentada, y es insuficiente para las decisiones de manejo, 2) el aparente aislamiento de la población de cóndor andino de Córdoba respecto a la principal distribución de la especie a lo largo de los Andes sudamericanos, hecho que merece especial consideración, 3) indicaciones de que la especie muestra signos de declinación a lo largo de su rango de distribución, y 4) el valor de la especie como ave carismática y componente clave de atracción turística en la provincia de Córdoba. Esta propuesta pretende llenar el vacío de información existente mediante los siguientes objetivos específicos: 1) relevar la distribución del cóndor andino en Córdoba, 2) evaluar el tamaño poblacional de la especie a través de relevamientos en sus colonias no reproductivas, y 3) obtener la información disponible de la literatura publicada, material arqueológico y de informantes calificados. Los métodos incluyen: a) relevamientos sistemáticos a campo, b) conteos poblacionales en aquellos sitios identificados como colonias no reproductivas de la especie, c) revisión bibliográfica, y d) entrevistas a informantes selectos como ornitólogos, guías turísticos, pobladores rurales locales clave, etc. La información obtenida proveerá una línea de base de la situación actual del cóndor andino en Córdoba, como así también los criterios necesarios y la metodología para un monitoreo continuado de la especie en el territorio provincial.

An account of the Crustacea of Norway, with short descriptions and figures of all the species. By G.O. Sars ...

v.5 Copepoda-Harpacticoida

Management and evaluation of a range of forest species for use as cut foliage

This project explored the possibility of harvesting marketable foliage stems in addition to producing timber from plantations of Larix leptolepis, Cupressus macrocarpa ‘Goldcrest’ and Tsuga heterophylla. Data recorded from trial sites included both growth parameters, in the form of height and diameter increments, and production parameters in the form of foliage stem yields. Results varied with species and site type. In many cases, results achieved appear to have been influenced more by the biology of the trees than by the treatments alone. Trials were also established to investigate methods of managing old or over grown Abies procera Christmas tree plantations for forest foliage production. Shelf life testing and market research into the domestic trade of forest foliage were also conducted over the course of the project. Recommendations for managing forest plantations for foliage production as well as a general discussion on the industry are presented in this report.

An account of the Crustacea of Norway, with short descriptions and figures of all the species. By G.O. Sars ...

v.1 Amphipoda (text)

An account of the Crustacea of Norway, with short descriptions and figures of all the species. By G.O. Sars ...

v.2 Isopoda