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101.
A man with double inlet left ventricle and severe subpulmonary stenosis underwent a Fontan operation at the age of 29 years. Eight years later he developed atrial flutter with complete heart block. To avoid a further thoracotomy, a unipolar carbon tipped electrode was placed into the posterior cardiac vein via the coronary sinus. More than 8 years after implantation of the original lead, and after two generator changes, telemetric thresholds remain between 1.8-2.1 volts. Percutaneous transvenous ventricular pacing via the coronary sinus can produce an excellent long-term result and should be the initial approach of choice after a Fontan-type operation. 相似文献
102.
JM Larsen RL Rimoldi DA Capen RW Nelson S Nagelberg JC Thomas 《Canadian Metallurgical Quarterly》1996,9(2):117-120
Tribal warfare is a way of life in the highlands of Papua New Guinea. In earlier times direct confrontation with bushknives and axes, and shooting with bows and arrows were common. In recent years there have not been as many instances of direct confrontation with bushknives and axes, but the use of bows and arrows is on the rise. Since 1993, guns have been increasingly used, with devastating results. In 1993, 18 deaths were reported from tribal warfare in one area of the Southern Highlands Province, especially from gunshots, while in 1994, 24 deaths were reported from another area. A five-year review of tribal fight admissions to Mendi Hospital, from 1990 to 1994, showed an increase in the number and proportion of gunshot wounds; there were none in 1990-1992 but they constituted 18% of tribal fight injuries in 1993 and 33% in 1994. 相似文献
103.
M Majer DM Mott H Mochizuki JC Rowles O Pedersen WC Knowler C Bogardus M Prochazka 《Canadian Metallurgical Quarterly》1996,39(3):314-321
Skeletal muscle glycogen synthase (encoded by GYS1 on chromosome 19q13.3) is the rate-limiting enzyme in insulin-mediated non-oxidative glucose disposal. Our previous studies have demonstrated an impairment of insulin-stimulated GYS1 activities in insulin-resistant Pima Indians, and associations of non-insulin-dependent diabetes mellitus (NIDDM) with the GYS1 locus were reported recently in Finnish and Japanese populations. We have performed linkage and association analyses of GYS1 and seven additional DNA markers on 19q with NIDDM, and with parameters of insulin action in the Pima Indians. We have found a significant association of NIDDM with GYS1 genotypes (p = 0.009), and with common GYS1 alleles (p = 0.022) in the Pima Indians. We have performed a detailed comparative analysis of the GYS1 gene, mRNA, and protein product in insulin-sensitive and insulin-resistant Pima Indians. No mutations in GYS1 coding sequences were detected; nor did we find alterations of GYS1 mRNA expression or of its basal enzymatic activity in insulin-resistant Pima Indians. These results contrasted with a 25% reduction of immunoreactive protein in insulin-resistant subjects as detected by Western blotting with an antibody specific for the C-terminal end of GYS1 (t-test p = 0.024; Wilcoxon's rank-sum test, p = 0.04). Because no mutations were detected in the DNA encoding this epitope, the difference in immunoreactivity may reflect post-translational modification(s) of the protein rather than a difference in the gene itself, or it could have occurred by chance. We conclude that our data do not indicate alterations in the GYS1 gene as the cause for the observed association, and that a different locus near GYS1 may be the contributing genetic element. 相似文献
104.
105.
Microring resonator channel dropping filters 总被引:17,自引:0,他引:17
Little B.E. Chu S.T. Haus H.A. Foresi J. Laine J.-P. 《Lightwave Technology, Journal of》1997,15(6):998-1005
Microring resonators side coupled to signal waveguides provide compact, narrow band, and large free spectral range optical channel dropping filters. Higher order filters with improved passband characteristics and larger out-of-band signal rejection are realized through the coupling of multiple rings. The analysis of these devices is approached by the novel method of coupling of modes in time. The response of filters comprised of an arbitrarily large dumber of resonators may be written down by inspection, as a continued fraction. This approach simplifies both the analysis and filter synthesis aspects of these devices 相似文献
106.
Exfoliation and related microstructures in 2024 aluminum body skins on aging aircraft 总被引:3,自引:0,他引:3
Maria Posada L. E. Murr C. -S. Niou D. Roberson D. Little Roy Arrowood Debra George 《Materials Characterization》1997,38(4-5):259-272
Exfoliation, a directional attack along elongated grain boundaries, has been examined in some detail in rolled 2024 aluminum sheet and plate for KC-135 aging aircraft body skin samples utilizing optical (light) metallography, scanning electron microscopy, and transmission electron microscopy. A detailed analysis and comparison of precipitates within the grains and in the grain boundaries were performed, as well as an examination of elemental depletion profiles across grain boundaries. These observations suggest that corrosion-related anodic sites play a far less significant role in the propagation of exfoliation than do the hard corrosion products creating wedging stresses within the elongated grain boundaries, which seem to demonstrate unique and unusual structural or energetic features or both. 相似文献
107.
Ethidium was found to be efficiently cross-linked to DNA by glyoxal. Kinetic studies showed that the rate of the cross-linking reaction is strongly dependent on the glyoxal concentration. Comparative studies using a series of phenanthridines and acridines showed that NH2 groups at both the 2 and 7 positions on the phenanthridine ring are necessary for efficient cross-linking. Studies using synthetic polydeoxynucleotides showed that the 2-amino group of guanine is absolutely required for cross-linking. Fluorescence contact energy transfer and relative viscosity experiments showed that the cross-linked drug remains intercalated into DNA. DNA gel electrophoresis and melting studies demonstrated that cross-linked ethidium does not dissociate the DNA double helix to single strands. 相似文献
108.
LJ Rijks JC van den Bos PA van Doremalen GJ Boer K de Bruin T Doornbos JA Vekemans MA Posthumus AG Janssen EA van Royen 《Canadian Metallurgical Quarterly》1998,25(4):411-421
We have synthesized and evaluated E-11beta-nitrato-17alpha-iodovinylestradiol (E-NIVE; E-3c) and its 123I-labelled form, as a new potential radioligand for imaging of estrogen receptor (ER)-positive human breast tumors. E-[123I]NIVE was prepared by stereospecific iododestannylation of the E-tri-n-butylstannylvinyl precursor (E-2c), obtained from reaction of 11beta-nitrato-estrone (8) with E-tributylstannylvinyllithium. In competitive binding studies, E-NIVE proved to have high binding affinity for both the rat and the human ER (Ki 280-730 pM), without significant binding to human sex hormone binding globulin. Distribution studies in normal and mammary tumor-bearing rats showed specific ER-mediated uptake of E-[123I]NIVE in the estrogen target tissues, i.e., uterus, ovaries, pituitary, and hypothalamus, but not in the mammary tumors. Selective retention in these target tissues, including tumor tissue, resulted in significant increases over time for the target tissue-to-muscle uptake ratios, but not for the target tissue-to-fat uptake ratios. The tumor-to-fat uptake ratio even appeared constantly below 1. In the primary estrogen target tissues, E-[123I]NIVE displayed high specific ER-mediated uptake and retention, which resulted in moderate target-to-nontarget tissue uptake ratios. In contrast, in tumor tissue, E-[123I]NIVE uptake appeared to be rather low and not ER-specific. As a consequence, E-[123I]NIVE appears to be a less favorable radioligand for ER imaging in breast cancer than the previously studied stereoisomers of 11beta-methoxy-17alpha-[123I]iodovinylestradiol (E- and Z-[123I]MIVE; [123I]E- and [123I]Z-3b). 相似文献
109.
110.