Percutaneous aortic valve replacement for severe aortic regurgitation in degenerated bioprosthesis: the first valve in valve procedure using the Corevalve Revalving system

Percutaneous valve replacement for severe aortic stenosis has shown to be an alternative treatment option for non-surgical candidates. We report on the first successful valve in valve procedure in an 80-year-old patient with a severe regurgitation of a degenerated aortic bioprosthesis using the Corevalve Revalving system.

Operators's [sic], organizational, and direct support maintenance manual for night vision sight, tripod mounted AN/TVS-4, (NSN 5855-00-906-0994) and AN/TVS-4A, (NSN 5855-00-760-3870).

"November 1978."

Organizational and direct support maintenance repair parts and special tools lists ... for night vision sights, tripod mounted AN/TVS-4 (NSN 5855-00-906-0994) and AN/TVS-4A (NSN 5855-00-760-3870).

"3 June 1981."

A novel rare variant in SCN1Bb linked to Brugada syndrome and SIDS by combined modulation of Na(v)1.5 and K(v)4.3 channel currents.

BACKGROUND Cardiac sodium channel β-subunit mutations have been associated with several inherited cardiac arrhythmia syndromes. OBJECTIVE To identify and characterize variations in SCN1Bb associated with Brugada syndrome (BrS) and sudden infant death syndrome (SIDS). METHODS All known exons and intron borders of the BrS-susceptibility genes were amplified and sequenced in both directions. Wild type (WT) and mutant genes were expressed in TSA201 cells and studied using co-immunoprecipitation and whole-cell patch-clamp techniques. RESULTS Patient 1 was a 44-year-old man with an ajmaline-induced type 1 ST-segment elevation in V1 and V2 supporting the diagnosis of BrS. Patient 2 was a 62-year-old woman displaying a coved-type BrS electrocardiogram who developed cardiac arrest during fever. Patient 3 was a 4-month-old female SIDS case. A R214Q variant was detected in exon 3A of SCN1Bb (Na(v)1B) in all three probands, but not in any other gene previously associated with BrS or SIDS. R214Q was identified in 4 of 807 ethnically-matched healthy controls (0.50%). Co-expression of SCN5A/WT + SCN1Bb/R214Q resulted in peak sodium channel current (I(Na)) 56.5% smaller compared to SCN5A/WT + SCN1Bb/WT (n = 11-12, P<0.05). Co-expression of KCND3/WT + SCN1Bb/R214Q induced a Kv4.3 current (transient outward potassium current, I(to)) 70.6% greater compared with KCND3/WT + SCN1Bb/WT (n = 10-11, P<0.01). Co-immunoprecipitation indicated structural association between Na(v)β1B and Na(v)1.5 and K(v)4.3. CONCLUSION Our results suggest that R214Q variation in SCN1Bb is a functional polymorphism that may serve as a modifier of the substrate responsible for BrS or SIDS phenotypes via a combined loss of function of sodium channel current and gain of function of transient outward potassium current.

Distribution of macrozooplankton at time series station MIGZOO-4

A large population of the colonial pelagic tunicate Pyrosoma atlanticum occurred in April 1991 in offshore waters of the Ligurian Sea (Northwestern Mediterranean). The high numbers of colonies caught allowed their vertical distribution and diel migration in the 0-965 m water column to be described as a function of their size. Daytime depths and amplitudes of the migration were correlated with colony size. The amplitude of the migration ranged from 90 m for 3-mm-length colonies to 760 m for 51-mm-length colonies, with a mean amplitude of 410 m for the whole population, all sizes pooled. The results of horizontal hauls at a given depth around sunrise and sunset showed a marked diurnal symmetry of the migratory cycle relative to noon, and that migration of the population was not cohesive. For example, the larger the colonies, the later after sunset they reached the upper layers during their upward migration.

Phycoerythrin concentration during POLARSTERN cruises ANT-XXIV/4, ANT-XXV/1, and ANT-XXVI/4

Phycobiliproteins are a family of water-soluble pigment proteins that play an important role as accessory or antenna pigments and absorb in the green part of the light spectrum poorly used by chlorophyll a. The phycoerythrins (PEs) are one of four types of phycobiliproteins that are generally distinguished based on their absorption properties. As PEs are water soluble, they are generally not captured with conventional pigment analysis. Here we present a statistical model based on in situ measurements of three transatlantic cruises which allows us to derive relative PE concentration from standardized hyperspectral underwater radiance measurements (Lu). The model relies on Empirical Orthogonal Function (EOF) analysis of Lu spectra and, subsequently, a Generalized Linear Model with measured PE concentrations as the response variable and EOF loadings as predictor variables. The method is used to predict relative PE concentrations throughout the water column and to calculate integrated PE estimates based on those profiles.