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Exercise Catheterization for Hemodynamic Evaluation of Adults with Coarctation of the Aorta

Congenital Heart Disease 2022年第6期17卷 605-615页

作者： Irene martin de miguel C.Charles Jain Alexander C.Egbe Jason H.Anderson heidi m.connolly William R.miranda Department of Cardiovascular medicine Mayo ClinicRochesterMinnesotaUSA Department of Pediatric and Adolescent medicine Division of Pediatric CardiologyMayo ClinicRochesterMinnesotaUSA

Background: Coarctation of the aorta (CoA) is associated with a generalized arteriopathy and long-term complicationsdespite repair. Data on invasive exercise hemodynamics in this population are lacking. Accordingly, wereviewed adults with CoA undergoing exercise catheterization to assess 1. hemodynamic profile;2. feasibilityfor assessment of CoA severity. methods: Twenty patients undergoing exercise cardiac catheterization (12 armadduction and 8 supine cycle ergometry) at a quaternary care center between 2004 and 2021 were identified. Restingand exercise hemodynamic data were abstracted from the procedure logs. Results: mean age was 43.6 ±12.0 years. Eleven patients (55%) had resting pulmonary arterial wedge pressure (PAWP) >15 mmHg;amongthose undergoing arterial catheterization, left ventricular end-diastolic pressure was >15 mmHg in 63%. Elevenpatients (55%) had pulmonary hypertension: 7 (35%) combined and 4 (20%) isolated post-capillary. At peak exercise,ΔPAWP/Δcardiac output (CO) ≥2 and Δmean pulmonary artery pressure/ΔCO ≥3 mmHg/l/min were foundin 7 (78%) and 6 (67%) patients, respectively;the composite of exercise PAWP ≥25 mmHg or ΔPAWP/ΔCO>2 was seen in 12 (86%). CoA peak-to-peak gradients at baseline (n = 14) and during exercise (n = 9) were 12(3–16) and 16 mmHg (9–28), respectively. Only 2 patients had an increase in CoA gradient to >20 mmHg withexercise. Conclusions: Diastolic dysfunction and pulmonary hypertension were highly prevalent, with exerciseunmasking abnormal diastolic and pulmonary vascular reserve in some individuals. most patients failed to showsignificant increases in CoA peak-to-peak gradients with exercise. Further studies are warranted to establish thebest diagnostic method for CoA severity assessment.

关键词： Coarctation of the aorta exercise heart catheterization diastolic dysfunction hypertension

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4-1BB transcriptomic expression patterns across malignancies:Implications for clinical trials of 4-1BB agonists

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Cancer Communications 2024年第10期44卷 1168-1172页

作者： Yuji Uehara Shumei Kato Daisuke Nishizaki Hirotaka miyashita Suzanna Lee mary K.Nesline Sarabjot Pabla Jeffrey m.Conroy Paul DePietro heidi Ko Jason K.Sicklick Razelle Kurzrock Department of Thoracic Oncology and Respiratory medicine Tokyo Metropolitan Cancer and Infectious Diseases CenterKomagome HospitalTokyoJapan Department of Precision Cancer medicine Center for Innovative Cancer TreatmentTokyo Medical and Dental UniversityTokyoJapan Center for Personalized Cancer Therapy and Division of Hematology and Oncology Department of MedicineUniversity of California San DiegoMoores Cancer CenterLa JollaCaliforniaUnited States Dartmouth Cancer Center Hematology and Medical OncologyLebanonNew HampshireUnited States Labcorp Oncology DurhamNorth CarolinaUnited States OmniSeq Incorporation BuffaloNew YorkUnited States Division of Surgical Oncology Department of SurgeryCenter for Personalized Cancer TherapyUniversity of California San DiegoLa JollaCaliforniaUnited States medical College of Wisconsin Cancer Center and Genomic Sciences and Precision medicine Center Medical College of WisconsinMilwaukeeWisconsinUnited States Department of Oncology Medical College of Wisconsin Cancer CenterMilwaukeeWisconsinUnited States Department of Oncology University of NebraskaOmahaNebraskaUnited States

4-1BB,a member of the tumor necrosis factor receptor superfamily,is an important co-stimulatory molecule regulating the activity of immune cells across a range of physiological and pathological processes,which culminates in a potent immune response(Figure 1A and B)[1,2].Numerous clinical trials have been conducted utilizing 4–1BB agonists(Supplemental Table S1);however,previous and ongoing 4-1BB agonist trials are being conducted without biomarker selection,which potentially explains their modest ***,several studies suggest the potential value of utilizing transcriptomics in addition to genomics to identify the unique immunologic signature of individual tumors[3–7].

关键词： clinical utilizing Figure

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Echocardiography in centenarians： characteristics, utility and follow-up

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Journal of Geriatric Cardiology 2018年第5期15卷 328-333页

作者： Jorge A Brenes-Salazar Jaime de la Fuente Punnaiah marella Hari Chaliki Christopher Scott heidi m.connolly Roger L Click Department of Cardiovascular Diseases Mayo Clinic Rochester USA Department of Internal medicine Mayo Clinic Rochester USA Department of Cardiovascular Diseases Mayo Clinic Arizona USA Division of Biostatistics Mayo Clinic Rochester USA

Background Echocardiography has been shown to be a valuable resource in the diagnosis of many cardiac conditions, and can be used in all age groups, from the fetus to the oldest old. In the context of an increasingly aging population, the impact and utility of echocar- diography in centenarians is largely unknown. This study is to determine whether echocardiography in centenarians aids in making clinical patient management decisions. methods A retrospective review of echocardiograms from 1986 to 2014, at two affiliated tertiary centers, in individuals who were 100 years or older at the time of the examination. Patient and echocardiogram characteristics, management decisions based on echocardiography, and mortality were documented. Results 114 centenarians had echocardiograms, with ages ranging from 100 to 107 years （101 - 1.4 years）. In 82 of the centenarians evaluated （72%）, no changes in management occurred as a consequence of the echocardiogram. From all management changes directly related to the echocardiogram, 81% （n = 26） of these corresponded to medication adjustments; interventional or surgical procedures followed the echocardiogram only in 4% （n = 5） of the total number of centenarians. Echocardiogram-based changes in management were only significant in patients that were referred for congestive heart failure （P = 0.02）. After the echocardiogram was performed, 1-month and 1-year mortality were 15% and 47%, respectively. The median survival after the echocardiogram was obtained was 13 months （range 0.03 to 145 months）, with no difference if there was a change or no change in manage- ment （P = 0.21）. Conclusions Among centenarians undergoing echocardiography, despite additional diagnostic information, echocardio- grams in centenarians influence management in a minority of cases, most commonly in the form of medication changes for treatment of heart failure. A significant proportion of centenarians are deceased within a year of undergoing echocardiographic ass

关键词： Centenarian Echocardiography Geriatric

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Cardiovascular surgery in Turner syndrome-early outcome and long-term follow-up

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World Journal of Cardiology 2020年第3期12卷 97-106页

作者： margaret m Fuchs Christine Helena Attenhofer Jost Sameh m Said Donald J Hagler heidi m.connolly Joseph A Dearani Alexander C Egbe Department of Cardiovascular medicine Mayo ClinicRochesterMN 55905United States Division of Pediatric Cardiothoracic Surgery Masonic Children’s HospitalUniversity of MinnesotaMinneapolisMN 55905United States Division of Pediatric Cardiology Mayo ClinicRochesterMN 55905United States Department of Cardiovascular Surgery Mayo ClinicRochesterMN 55905United States

BACKGROUND Cardiovascular disease is the leading cause of death in patients with Turner syndrome(TS),and cardiovascular surgery is frequently required for management of these *** is associated with medical comorbidities than can complicate the care of this patient *** To describe the cardiovascular surgical outcomes of patients with *** A retrospective case series was compiled of 51 consecutive TS patients who had at least one cardiovascular surgery at mayo Clinic Rochester from *** baseline clinical data of these patients were reviewed including demographics,medical comorbidities,congenital heart disease history,and *** reports were analyzed in *** reports and surgical hospital courses were ***-term mortality was determined using medical records and the Social Security Death *** analysis was performed with the Kaplan meier *** The cohort comprised 51 TS patients,average age at the time of surgery at mayo Clinic was 28(8-41)years,and 23(45%)patients were under the age of *** the time of first mayo Clinic surgery,18(35%)patients had previously undergone cardiac surgery at another *** most common procedures were repair of aortic coarctation in 14(28%)patients,aortic valve replacement in 6(12%)patients,and composite aortic root/ascending aorta replacement in 7(14%)patients,with 7 patients undergoing repair of more than one *** dissection required operative intervention in 5 *** initial mayo Clinic surgery,subsequent operations were required in 6(13%)*** hospital length of stay was 6±2 *** were 4(8%)early surgical *** from death was 97%and 89%at 10 and 20 years,and the freedom from reoperation was 93%and 81%at 10 and 20 *** Cardiovascular surgery is associated with 8%early mortality given the medical complexity of TS *** who survive to dismissal have good *** cardiovas

关键词： Turner syndrome Cardiac surgery Congenital heart disease Aortic dissection Outcome Reoperation

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Effects of temperature and hydric environment on survival of the Panamanian Golden Frog infected with a pathogenic chytrid fungus

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Integrative Zoology 2010年第2期5卷 143-153页

作者： heidi m.BUSTAmANTE Lauren J.LIVO Cynthia CAREY Department of Integrative Physiology University of ColoradoBoulderColoradoUSA

Considerable controversy exists concerning whether or not climate changes(particularly global warming)are causing outbreaks of a lethal amphibian pathogen,the chytrid fungus Batrachochytrium dendrobatidis(Longcore,Pessier&*** 1999).In the present study,groups of Panamanian golden frogs(Atelopus zeteki Dunn,1993),a critically endangered amphibian thought to be nearly extinct in Panama,were exposed to varying dosages of zoospores of Batrachochytrium dendrobatidis,temperatures and hydric environments in order to learn whether this species is susceptible to this pathogen and,if so,how environmental factors affect *** pathogen proved to be highly lethal for *** exposed to a dosage of 100 Bd zoospores survived significantly(Pmate change and the decline of these frogs in the field,but they inform the discussion about how environmental conditions can have an impact on the interaction between a susceptible amphibian and this *** data do not support the contention that rising global temperatures are necessary to cause the death of amphibians infected with this pathogen because the pathogen was equally lethal at 17 as at 23℃,and frogs at the warmer temperature lived significantly longer than those at the cooler one.

关键词： amphibian declines Atelopus zeteki Batrachochytrium dendrobatidis chytridiomycosis climatelinked-epidemic hypothesis

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Applied and Environmental Chemistry of Animal manure:A Review

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Pedosphere 2016年第6期26卷 779-816页

作者： Zhongqi HE Paulo H.PAGLIARI heidi m.WALDRIP USDA-ARS Southern Regional Research Center Department of Soil Waterand ClimateUniversity of MinnesotaSouthwest Research and Outreach Center USDA-ARS Conservation and Production Research Laboratory

Animal manure consists of predominantly urine and feces, but also may contain bedding materials, dropped feed, scurf, and other farming wastes. manure is typically applied to soils as fertilizer for agricultural production. The estimated amount of manure produced in 12 major livestock-producing countries is 9 × 10^9 mg of manure annually. manure is rich in plant nutrients. However, manure is also considered as an environmental pollutant when it is over-applied to cropland or following runoff into surface water. manure can also influence global climate change via emissions of methane （CH4） and nitrous oxide （N2O）. Thus, increased and updated knowledge of applied and environmental chemistry of animal manure is needed to shed light on the research and development of animal manure utilization and minimization of its adverse environmental concerns. The advances in basic and applied studies of manure major components, organic matter, phosphorus, and nitrogen, primarily related to US livestock production are summarized in this review. Detailed focus was placed on three notable challenges for future manure research： 1） soil application of animal manure, 2） manure phytate phosphorus, and 3） manure nitrogen availability. This review may contribute to the global effort in sustainable and environmentally sound agriculture by stimulating new ideas and directions in animal manure research, and promoting application of knowledge and insight derived from manure research into improved manure management strategies.

关键词： environmental pollutant fertilizer nitrogen availability organic matter phosphorus phytate plant nutrients

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Population differentiation at a regional scale in spadefoot toads： contributions of distance and divergent selective environments

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Current Zoology 2016年第2期62卷 193-206页

作者： Amber m. RICE michael A. mCQUILLAN heidi A. SEEARS Joanna A. WARREN Department of Biological Sciences Lehigh University BethLehem PA 18015 USA

The causes of population differentiation can provide insight into the origins of early barriers to gene flow. Two key drivers of population differentiation are geographic distance and local adaptation to divergent selective environments. When reproductive isolation arises because some populations of a species are under selection to avoid hybridization while others are not, population differentiation and even speciation can result. Spadefoot toad populations Spea multiplicata that are sympatric with a congener have undergone reinforcement. This reinforcement has resulted not only in increased reproductive isolation from the congener, but also in the evolution of reproductive isolation from nearby and distant conspecific allopatric populations. We used multiple approaches to evaluate the contributions of geographic distance and divergent selective environments to population structure across this regional scale in S. multiplicata, based on genotypes from six nuclear microsatellite markers. We compared groups of populations varying in both geographic location and in the presence of a congener. Hierarchical F-statistics and results from cluster analyses and discriminant analyses of principal components all indicate that geographic distance is the stronger contributor to genetic differentiation among S. multiplicata populations at a regional scale. However, we found evidence that adaptation to divergent selective environments also contributes to population structure. Our findings highlight how variation in the balance of evolutionary forces acting across a species＇ range can lead to variation in the relative contributions of geographic distance and local adaptation to population differentiation across different spatial scales.

关键词： cascade reinforcement character displacement reproductive isolation spatial scale Spea multipficata speciation

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Improved source assessment of Si,Al and related mineral components to Pm_(10) based on a daily sampling procedure

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Journal of Environmental Sciences 2010年第4期22卷 582-588页

作者： Ge Peng Hans Puxbaum heidi Bauer Nicole Jankowski Yao Shi Chemical Engineering College Ningbo University of Technology Ningbo 315016 China. Institute for Chemical Technologies and Analytics Vienna University of Technology Vienna 1060 Austria College of Environmental and Resource Sciences Zhejiang University Hangzhou 310027 China

Samples obtained from an industrialized valley in the East Alpine region were collected daily for a half year and analyzed using X-ray fluorescence to examine the elements Si, Al, Fe, Ca, mg, Na, K, Zn, P, S and Cl. Some factors affecting the changes of these elements were considered, including time, elemental correlations, weekday, weekend and seasonal changes. Diagnostic analysis provided an insight into a decoupling behavior that occursin siliceous and carbonates minerals. A decrease in Si and Al and an increase in carbonates, Na, K, Zn and P were observed during the cold season. However, a consistently high correlation of Si and Al was observed in all seasons. It was established that such high levels originated from street surface abrasion. The increase in variability and absolute levels of carbonates during the cold season was demonstrated by adding carbonates to the street surface as gritting material to increase the grip on snowy surfaces. A marked increase in Na and Cl was observed in winter which may have been caused by thaw salt that is widely used in winter in Austria. This was associated with a significant increase in K, Zn, and P in the cold season that was the result of domestic space heating with wood. Pm10 levels in December were 12 μ/m^3 and were higher than levels detected in July. It was established that such high levels originated from mineral oxides, wood smoke, and inorganic ionic material（s）.

关键词： particulate matter Pm10 mineral aerosol silicates carbonates street dust wood combustion thaw salt

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mental Illness Education through Stories of Lived Experience: Validation Review of the DoNOHarm Framework

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International Journal of mental Health Promotion 2021年第4期23卷 455-469页

作者： Debra Rickwood Kerry Thomas Patricia m.Brown heidi Prowse Faculty of Health University of CanberraCanberra2600Australia mental Illness Education ACT Canberra2601Australia

The lived experience of people with mental illness is a powerful way to promote mental health literacy and reduce the stigma associated with mental ***,there is little guidance on how to do this *** Illness Education ACT is an Australian organisation that since 1993 has supported volunteer educators to share their individual stories of lived experience to school and community *** 2011,they developed the DoNOHarm Framework to assist volunteers to be able to talk about their experiences in a way that is safe for them and for their audience,a gap that they recognised in *** study reports a review of the Framework,considering the extent to which it is supported by the current literature and how it is being implemented and experienced by the volunteer *** research questions were addressed by a literature review and interviews with 14 volunteer educators and the staff that support *** review of published literature over the past 10 years showed strong evidence for three of the six principles of the Framework:Context and Purpose,Recovery Emphasis,and Safe *** the principle of Respectful and Inclusive Language is widely promoted in the mental healthfield,no recent studies investigated the benefits of this ***,there was no recent research into the two principles of Limits to Helping and Self *** interviews revealed strong support for the Frame-work among *** was seen to be effective to protect the safety of both presenter and audience,ensure the relevance of the presentation,give educators confidence in their message and delivery,convey a hopeful message,and make certain that presentations were engaging for the ***,this review shows that the DoNO-Harm Frameworkfills an important gap for mental health education,with a sound evidence base where there is published evidence available.

关键词： mental illness education lived experience storytelling harm safety framework

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Dietary mitigation of enteric methane emissions from ruminants:A review of plant tannin mitigation options

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Animal Nutrition 2020年第3期6卷 231-246页

作者： Byeng R.min Sandra Solaiman heidi m.Waldrip David Parker Richard W.Todd David Brauer United States Department of Agriculture(USDA) Agricultural Research Service(ARS)BushlandTX79012USA Tuskegee University TuskegeeAL36088USA

methane gas from livestock production activities is a significant source of greenhouse gas(GHG)emissions which have been shown to influence climate *** technologies offer a potential to manipulate the rumen biome through genetic selection reducing CH4 *** production may also be mitigated to varying degrees by various dietary intervention *** to reduce GHG emissions need to be developed which increase ruminant production efficiency whereas reducing production of CH4 from cattle,sheep,and *** emissions may be efficiently mitigated by manipulation of natural ruminal microbiota with various dietary interventions and animal production efficiency *** some CH4 abatement strategies have shown efficacy in vivo,more research is required to make any of these approaches pertinent to modern animal production *** objective of this review is to explain how anti-methanogenic compounds(e.g.,plant tannins)affect ruminal microbiota,reduce CH4 emission,and the effects on host ***,this review provides information relevant to understanding the impact of tannins on methanogenesis,which may provide a cost-effective means to reduce enteric CH4 production and the influence of ruminant animals on global GHG emissions.

关键词： Feed efficiency Greenhouse gas(GHG)emission methanogenesis Tannin Ruminant

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