Alternative parameters for echocardiographic assessment of fetal diastolic function

Alternative methods to assess ventricular diastolic function in the fetus are proposed. Fetal myocardial hypertrophy in maternal diabetes was used as a model of decreased left ventricular compliance (LVC), and fetal respiratory movements as a model of increased LVC. Comparison of three groups of fetuses showed that, in 10 fetuses of diabetic mothers (FDM) with septal hypertrophy (SH), the mean excursion index of the septum primum (EISP) (ratio between the linear excursion of the flap valve and the left atrial diameter) was 0.36 ± 0.09, in 8 FDM without SH it was 0.51 ± 0.09 (P = 0.001), and in the 8 normal control fetuses (NCF) it was 0.49 ± 0.12 (P = 0.003). In another study, 28 fetuses in apnea had a mean EISP of 0.39 ± 0.05 which increased to 0.57 ± 0.07 during respiration (P < 0.001). These two studies showed that the mobility of the septum primum was reduced when LVC was decreased and was increased when LVC was enhanced. Mean pulmonary vein pulsatility was higher in 14 FDM (1.83 ± 1.21) than in 26 NCF (1.02 ± 0.31; P = 0.02). In the same fetuses, mean left atrial shortening was decreased (0.40 ± 0.11) in relation to NCF (0.51 ± 0.09; P = 0.011). These results suggest that FDM may have a higher preload than normal controls, probably as a result of increased myocardial mass and LV hypertrophy. Prenatal assessment of LV diastolic function by fetal echocardiography should include analysis of septum primum mobility, pulmonary vein pulsatility, and left atrial shortening.

Oral triiodothyronine for the prevention of thyroid hormone reduction in adult valvular cardiac surgery

Treatment of non-thyroidal illness by intravenous triiodothyronine (T3) after cardiac surgery causes a disproportional elevation of hormone levels. The administration of oral T3, which has never been studied in this context, could cause physiological hormone levels. The aim of this study was to test oral T3 for the prevention of T3 reduction during the postoperative period of valvular cardiac surgery in adults. Eighteen patients who underwent cardiac surgery for valvular disease with invasive hemodynamic monitoring were randomly assigned to 2 groups: the T group received oral T3 (N = 8), 25 µg three times/day, initiated 24 h before surgery and maintained for 48 h and the NT group (N = 10) received placebo. Serum T3, thyroxine and thyrotropin were determined at baseline, 1 h before surgery, within 30 min of cardiopulmonary bypass and 6, 12, 24, and 48 h after removal of the aortic cross-clamp. Baseline T3 was similar in both groups (T: 119 ± 13; NT: 131 ± 9 ng/dL). Serum T3 increased during the first 24 h in the T group compared to the NT group (232 ± 18 vs 151 ± 13 ng/dL; P < 0.001). In the NT group, T3 was reduced by 24% (P = 0.007) 6 h after removal of the aortic cross-clamp, confirming the non-thyroidal illness syndrome. There were no differences in clinical or hemodynamic parameters between groups. Administration of oral T3 prevented its serum reduction after valvular cardiac surgery in adults, with normal serum levels for 48 h without disproportional elevations.

[William] Petersson, gagnant du saut en longueur [des Jeux olympiques d'Anvers, 18/8/20] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60610

An investigation into the oxidation of organic sulphides, organic selenides and simple hydrocarbons by Mortierella isabellina NRRL 1757

The work presented in this thesis is divided into three separate sections 4!> Each' 'section is involved wi th a different problem, however all three are involved with a microbial oxidation of a substrate~ A series of 'aryl substituted phenyl a.nd be,nzyl methyl sulphides were oxidized to the corre~pondi~g sulphoxides by 'Mo:rtierellai's'a'b'e'llina NRR.L17'S7 @ For this enzymic Qxidation, based on 180 labeled experiments, the oxygen atom is derived fr'orn the atmosphere and not from water. By way of an u~.traviolet analysis, the rates of oxidation, in terms of sulphox~ de appearance, were obtained and correlated with the Hatnmett p s~grna constants for the phenyl methyl sulphide series. A value of -0.67 was obtained and, is interpreted in terms of a mechanism of oxidation that involves an electrophilic attack on the sulphide sulphur by an enzymic ironoxygen activated complex and the conversion of the resulti!lg sulphur cation to sulphoxide. A series of alkyl phenyl selen~des have been incubated with the fu~gi, Aspergillus niger ATCC9l42, Aspergillus fO'etidus NRRL 337, MIIJisabellina NF.RLl757 and'He'lminth'osparium sp'ecies NRRL 4671 @l These fu?gi have been reported to be capable of carrying out the efficient oxidation of sulphide to sulphoxide, but in no case was there any evidence to supp'ort the occurrence of a microbialox,idation. A more extensive inves·t~gation was carried out with'M,e 'i's'a'b'e'l'l'i'na, this fu~gus was capable of oxidizing the correspondi~g sulphides to sulphoxi.de·s·$ Usi:ng a 1abel.edsubstra.te, [Methyl-l4c]-methyl phenyl selenide, the fate of this compound was invest~gated followi!lg an i'ncubation wi th Me isabellina .. BeSUldes th. e l4C-ana1YS1Q S-,'. a quant"ltta"lve selen'lum ana1Y"S1S was carried out with phenyl methyl selenide. These techniques indicate that thesel'enium was capable of enteri!1g thefu!1gal cell ef'ficiently but that s'ome metabolic cleav~ge of the seleni'um-carbon bond' may take plac'e Ie The l3c NMR shifts were assigned to the synthesized alkyl phenyl sulphides and selenides@ The final section involved the incubation ofethylben~ zene and p-e:rtr.hyltoluene wi th'M ~ 'isab'e'llina NRRL 17574b Followi~ g this incubation an hydroxylated product was isolated from the medium. The lH NMR and mass spectral data identify the products as I-phenylethanol and p-methyl-l-phenylethanol. Employi!lg a ch'iral shift re~gent,tri~ (3-heptafluorobutyl-dcamphorato)'- europium III, the enantiomeric puri ty of these products was invest~gated. An optical rotation measurement of I-phenylethanol was in ~greement with the results obtained with the chiral shift re~gen,te 'M.isabe'l'lina is capable of carryi~g out an hydroxylation of ethylbenzene and p-ethyltoluene at the ~ position.

Letter - E.C. Schmon to Arthur A. Schmon, 10 September 1918

This letter describes outings with Gus and going to the Broad Theatre to see the play "Oh! Boy". She also mentions her friend Margaret who will be married in Atlanta. This letter is labelled number 158.

Letter - E.C. Schmon to Arthur A. Schmon, 11 & 12 September 1918

Eleanore Celeste describes Arthur's departure for service one year ago. She also discusses a friend, Dick Hart, who was thought to have been a casualty of a torpedoed ship, but is now thought to be safe. She mentions that she will visit Mother Schmon and had played tennis with Gus. The letter is labelled number 159.

Letter - E.C. Schmon to Arthur A. Schmon, 2 December 1917

The letter talks about an evening playing pinochle and hang man with Gus. Eleanore Celeste then describes her plans for the next couple of days. This letter is labelled number 26.

Letter - E.C. Schmon to Arthur A. Schmon, 25 October

Eleanore Celeste mentions she has not received a letter from Arthur in over three weeks. She discusses her history studies, visits with friends and letters she has received from Arthur's brother Gus. In the second part of the letter, she has received a letter from Arthur. She then begins to tell a scenario of a day in the life of couple once they are living together. The letter is labelled number 13.

Letter - E.C. Schmon to Arthur A. Schmon, 4 April

She begins the letter by mentioning the marriage of her friend Maude to Leslie Douglass. She had a visit with Mother Schmon and Gus, Arthur's brother has returned to college. There is also a newspaper clipping titled "Can't Send Articles to Soldiers in France Unless Asked For". The letter is labelled number 80.

La jeunesse comme enjeu politique au cinéma états-unien contemporain : pour une polis audiovisuelle

Cette recherche s’intéresse aux propriétés politiques du médium audiovisuel, et plus spécifiquement de la pratique cinématographique, devant un problème concret : la marginalisation de la jeunesse dans la société américaine contemporaine, symptomatique d’une perte d’espoir en l’avenir. Guidé par la théorie politique de Hannah Arendt, l’argumentaire consiste d’abord en deux analyses filmiques : une première de Kids (1995), réalisé par Larry Clark, porte sur l’invisibilité sociale de la jeunesse et la faculté du médium audiovisuel à confronter le spectateur. La seconde se penche sur le pouvoir systématisé auquel sont soumis les jeunes dans une institution scolaire bureaucratique, tel qu’il est mis en scène dans Elephant (2003) de Gus Van Sant, et interroge la capacité du médium à susciter la pensée chez le spectateur. Dans un troisième temps, une réflexion plus globale sur la situation actuelle de la culture cinématographique au sein du domaine audiovisuel dominé par le divertissement de masse explore la possibilité d’une polis audiovisuelle. Cette troisième et dernière partie reprend les thèmes soulevés dans les précédentes dans une perspective politique basée directement sur la pensée d’Arendt : ils donnent lieu aux questions de l’apparaître et de la durabilité du monde, qui sont les principales fonction de la polis, ainsi qu’à la question du rôle du spectateur.

Interactive report writing from Edinburgh Napier University

Short general guide to report writing with drag and drop activities and sequenced (multiple choice) questions

El problema de conceptualización del terrorismo dentro de la disciplina de las Relaciones Internacionales: Un análisis desde la perspectiva histórico conceptual

Los hechos ocurridos durante el 11 de septiembre de 2001 se constituyeron como un momento fundamental en los intentos de conceptualización del terrorismo internacional dentro de la disciplina de las Relaciones Internacionales. A raíz del 9/11 tuvo lugar la resemantización del concepto de terrorismo internacional en función del terrorismo religioso y del fundamentalismo islámico. Lo anterior, marco una ruptura en el campo de experiencia y en el horizonte de expectativas del concepto mismo, pues este último adquirió un nuevo uso discursivo, y por ende, político. Por eso, ante la necesidad de emprender un análisis discursivo de los usos del concepto de terrorismo internacional, se evidencia cómo al estar inmersos en determinados juegos del lenguaje, el uso discursivo de este concepto termina por convertirse en una herramienta de acción política que promueve una forma de vida.

El gusto.

El vídeo observa el sentido del gusto, animado por juegos dedicados al reconocimiento de alimentos por su sabor, relacionando los sentidos gusto-olfato.

Along came Eric.

La historia se centra en el problema de la llegada de un nuevo bebé a la familia, los celos de su hermano mayor que ve alterada su vida y cómo con el tiempo el niño de más edad descubre lo agradable y divertido que es tener un hermano.