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  • 1
    ISSN: 0930-9225
    Keywords: Schlüsselwörter Rechte Koronararterie – Koronaranomalie – angeborene Herzfehler – Herzchirurgie ; Key words Right coronary artery – coronary anomaly – congenital heart defect – heart surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The anomalous origin of the right coronary artery from the pulmonary artery is one of the rarest coronary anomalies which often remains asymptomatic until the patients achieve advanced age but may also be clinically manifest already in infants and lead to sudden death. We report the diagnostics and surgical treatment in a 15-month-old asymptomatic child and the necessity of surgical repair. The diagnosis was incidentally made during an echocardiographic procedure and confirmed by coronary angiography. A reimplantation of the ano origin of the coronary artery was carried out wihtout using extra-corporal circulation. There were no postoperative complications. Due to the coronary steal phenomenon and the related coronary risk, surgical repair is recommended also for asymptomatic cases.
    Notes: Zusammenfassung Der Fehlabgang der rechten Koronararterie aus der Arteria pulmonalis gehört zu den seltensten Koronaranomalien, bleibt häufig asymptomatisch bis ins hohe Alter, kann aber auch bereits im Säuglingsalter klinisch manifest werden und bis zum plötzlichen Herztod führen. Wir berichten über die Diagnostik und chirurgische Therapie bei einem 15 Monate alten asymptomatischen Kind, sowie über die Notwendigkeit der operativen Korrektur. Die Verdachtsdiagnose entstand zufällig im Rahmen echokardiographischer Verfahren, die Sicherheitsdiagnose durch Koronarangiographie. Die Operation bestand in Umpflanzung des Koronararterien-Fehlabganges ohne Einsatz der extrakorporalen Zirkulation. Der postoperative Verlauf gestaltete sich komplikationslos. Die Indikation zur chirurgischen Korrektur ist auch in asymptomatischen Fällen empfohlen, wegen des Koronarstealphänomens und des damit verbundenen Koronarrisikos.
    Type of Medium: Electronic Resource
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  • 2
    Publication Date: 2013-02-12
    Description: Antibodies can protect from Plasmodium falciparum ( Pf ) infection and clinical malaria disease. However, in the absence of constant reexposure, serum immunoglobulin (Ig) levels rapidly decline and full protection from clinical symptoms is lost, suggesting that B cell memory is functionally impaired. We show at the single cell level that natural Pf infection induces the development of classical memory B cells (CM) and atypical memory B cells (AtM) that produce broadly neutralizing antibodies against blood stage Pf parasites. CM and AtM contribute to anti- Pf serum IgG production, but only AtM show signs of active antibody secretion. AtM and CM were also different in their IgG gene repertoire, suggesting that they develop from different precursors. The findings provide direct evidence that natural Pf infection leads to the development of protective memory B cell antibody responses and suggest that constant immune activation rather than impaired memory function leads to the accumulation of AtM in malaria. Understanding the memory B cell response to natural Pf infection may be key to the development of a malaria vaccine that induces long-lived protection.
    Print ISSN: 0022-1007
    Electronic ISSN: 1540-9538
    Topics: Medicine
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  • 3
    Publication Date: 2022-05-26
    Description: © The Author(s), 2015. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Biogeosciences 12 (2015): 5597-5618, doi:10.5194/bg-12-5597-2015.
    Description: Rapid changes in the volume and sources of discharge during the spring freshet lead to pronounced variations in biogeochemical properties in snowmelt-dominated river basins. We used daily sampling during the onset of the freshet in the Fraser River (southwestern Canada) in 2013 to identify rapid changes in the flux and composition of dissolved material, with a focus on dissolved organic matter (DOM). Previous time series sampling (at twice monthly frequency) of dissolved inorganic species in the Fraser River has revealed smooth seasonal transitions in concentrations of major ions and tracers of water and dissolved load sources between freshet and base flow periods. In contrast, daily sampling reveals a significant increase in dissolved organic carbon (DOC) concentration (200 to 550 μmol L−1) occurring over a matter of days, accompanied by a shift in DOM optical properties, indicating a transition towards higher molecular weight, more aromatic DOM composition. Comparable changes in DOM composition, but not concentration, occur at other times of year, underscoring the role of seasonal climatology in DOM cycling. A smaller data set of total and dissolved Hg concentrations also showed variability during the spring freshet period, although dissolved Hg dynamics appear to be driven by factors beyond DOM as characterized here. The time series records of DOC and particulate organic carbon (POC) concentrations indicate that the Fraser River exports 0.25–0.35 % of its annual basin net primary productivity. The snowmelt-dominated hydrology, forested land cover, and minimal reservoir impoundment of the Fraser River may influence the DOC yield of the basin, which is high relative to the nearby Columbia River and of similar magnitude to that of the Yukon River to the north. Anticipated warming and decreased snowfall due to climate changes in the region may cause an overall decrease in DOM flux from the Fraser River to the coastal ocean in coming decades
    Description: This work was partially supported by a WHOI Ocean Ventures Fund award to BMV and NSF grants EAR-1226818 to BPE, OCE-0851015 to TIE, BPE, and VG, and OCE-0851101 to RGMS, and support to BPE from Jane and James Orr.
    Repository Name: Woods Hole Open Access Server
    Type: Article
    Format: application/msword
    Format: image/tiff
    Format: application/pdf
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