Home About us Contact
|
Home About us Contact | ||
|
|
||
Reduced Flow (reduced + flow)
Selected AbstractsMyocardial growth before and after birth: clinical implications,ACTA PAEDIATRICA, Issue 2 2000AM Rudolph Perinatal changes in myocardial growth have recently evoked considerable interest with regard to cardiac chamber development with congenital cardiac lesions and to myocardial development in preterm infants. It is suggested that cardiac chamber development is influenced by blood flow. Experimental pulmonary stenosis in fetal lambs may induce either greatly reduced or markedly increased right ventricular volume. Ventricular enlargement appears to be associated with a large ventricular volume load resulting from tricuspid valve regurgitation. A small competent tricuspid valve is associated with reduced flow through the ventricle due to outflow obstruction and a small right ventricle. Postnatal growth of the ventricles in congenital heart disease is discussed. Increase in myocardial mass prenatally is achieved by hyperplasia, both during normal development and when myocardial mass is increased by right ventricular outflow obstruction. Postnatally, increases in myocardial mass with normal growth, as well as with ventricular outflow obstruction, are largely due to hypertrophy of myocytes. Myocardial capillary numbers do not increase in proportion with myocyte numbers in ventricular myocardium in association with outflow obstruction. The postnatal effects of these changes in congenital heart lesions are considered. Studies in fetal lambs suggest that the late gestational increase in blood cortisol concentrations is responsible for the change in the pattern of myocardial growth after birth. The concern is raised that prenatal exposure of the premature infant to glucocorticoids, administered to the mother to attempt to prevent hyaline membrane disease in the infant, may inhibit myocyte proliferation and result in a heart with fewer than normal myocytes. This would necessitate that each myocyte would have to hypertrophy abnormally to achieve a normal cardiac mass postnatally. [source] Origin and palaeo-environments of calcareous sediments in the Moshaweng dry valley, southeast BotswanaEARTH SURFACE PROCESSES AND LANDFORMS, Issue 6 2002S. Ringrose Abstract Quaternary sedimentation in the Moshaweng dry valley of southeastern Botswana is evaluated on the basis of geomorphological evolution and sedimentological analyses. Stratigraphic evidence reveals an upper surface (1095 m) containing abundant sil-calcrete, an intermediate surface (1085 m) in which sil-calcrete underlies nodular calcrete and lower (1075 m) surface in which sil-calcrete and nodular calcrete are interbedded. This subdivision is reflected in the geochemical composition of the sediments which show an overall trend of decreasing SiO2 content (and increasing CaCO3 content) with depth from the highest to the lowest surface levels. The calcretes and sil-calcretes represent modifications of pre-existing detrital Kalahari Group sand and basal Kalahari pebbles which thinned over a Karoo bedrock high. Modification took place during wet periods when abundant Ca++ -rich groundwater flowed along the structurally aligned valley system. With the onset of drier conditions, water table fluctuations led to the precipitation of nodular calcretes in the phreatic layer to a depth of about 20 m. A major geochemical change resulted in the preferential silicification of the nodular calcrete deposits. Conditions for silica mobilization may be related to drying-induced salinity and in situ geochemical differentiation brought about by pebble dissociation towards the top of the sediment pile. As calcretization and valley formation progressed to lower levels, silica release took place on a diminishing scale. Thermoluminescence dating infers a mid-Pleistocene age for sil-calcrete formation suggesting that valley evolution and original calcrete precipitation are much older. Late stage dissolution of CaCO3 from pre-existing surface calcretes or sil-calcretes led to the formation of pedogenic case-hardened deposits during a time of reduced flow through the Moshaweng system possibly during the upper or late Pleistocene. Copyright © 2002 John Wiley & Sons, Ltd. [source] The effects of low summer flow on wild salmon (Salmo salar), trout (Salmo trutta) and grayling (Thymallus thymallus) in a small streamFRESHWATER BIOLOGY, Issue 12 2009W. D. RILEY Summary 1.,The effects of an experimentally imposed low summer flow on habitat use, displacement and survival of wild populations of juvenile salmon (Salmo salar), trout (Salmo trutta) and grayling (Thymallus thymallus) were investigated in a chalk stream. The habitat use and mobility of the fish in response to reduced flow was determined using passive integrated transponder-tag detector systems. 2.,Habitat use was compared to that available under different flow regimes. These consisted of an initial control phase of normal summer flow, an abrupt step change to 21 days of low flow, followed by a second control phase when normal summer flow was reinstated. First year (0+) salmon showed little change in their preferred substratum during low flow, whilst 1+ salmon increased their use of gravel and reduced that of mud during the day. Both 0+ and 1+ salmon were found in relatively deep water by day under low flow, whilst 1+ salmon preferred relatively shallow water at night. First year trout increased their use of gravel and reduced their use of mud and submerged tree roots under low flow, using relatively deep and fast flowing water by day. Older trout increased their use of gravel and occupied relatively deep, slow flowing water by day and relatively fast and shallow water at night. Grayling showed little change in their preferred substratum, but occupied relatively shallow water following the introduction of low flow. 3.,The range of movement of juvenile salmon increased at night under low flow, and was greater by day under normal flow. There was also an initial increase in the range of movement of 0+ trout following the introduction of low flow. Older trout initially moved less under low flow. With reduced flow, the range of movement by grayling increased significantly during the day. 4.,There was no net downstream displacement of any species with reduced flow, but the mortality rate in 0+ salmon, trout and grayling increased. This may be related to their small size and increased vulnerability to predation under low flow, and due to the reduction in depth and loss of the stream margins that are normally the preferred habitat of 0+ trout and grayling. 5.,The findings of this field study have implications for the management of braided, and highly regulated, chalk stream systems. In particular, they underline the importance of the stream margins as juvenile salmonid habitat, and suggest that a flow management strategy is required to mitigate for drought conditions. Such a strategy might include pre-emptive controls on abstraction and the maintenance of river flow via a prioritised route, predetermined using fish or habitat surveys, to minimise the effects of drought conditions on the more vulnerable or valued fish groups. [source] Initial clinical experience with distal protection using the FilterWire in patients undergoing coronary artery and saphenous vein graft percutaneous interventionCATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, Issue 2 2002Jeffrey J. Popma MD Abstract Percutaneous coronary intervention (PCI) of saphenous vein grafts (SVG) and native coronary arteries may be associated with embolization of particulate debris into the distal microcirculation. The FilterWire uses a polyurethane filter bag contained on a radiopaque loop to trap embolic debris during native vessel and SVG intervention. The objectives of this study were to assess the feasibility and safety of the FilterWire during PCI and to examine the size and content of the particulate debris captured during SVG and native vessel intervention. Early angiographic, in-hospital, and 30-day clinical outcomes were reviewed in 35 patients with 36 lesions treated with the FilterWire during PCI. Lesions were located in 22 (61%) native coronary arteries and in 14 (39%) SVGs. Multivessel coronary artery disease was present in 75% of patients. Lesions were complex (ACC/AHA complexity B2 or C) in 81% of cases. The FilterWire was successfully delivered and deployed distal to the site of coronary intervention in 92% of lesions, including 95% of native vessels and 82% of SVG lesions. Embolic debris was entrapped in 82% of these cases. The average particulate debris had a mean major axis of 490 ,m (range, 45,3,302 ,m) and minor axis of 226 ,m (range, 33,1,677 ,m). Although reduced flow was common (36.1%) when the FilterWire was in place, there were no sustained episodes of abrupt closure and only one (2.8%) patient developed sustained no-reflow after FilterWire removal. Distal branch vessel embolization was found in four (11.1%) cases. Major adverse cardiac events occurred in 5 (14%) of 35 patients treated with the device, although 2 of these patients were evolving an acute myocardial infarction at the time of the procedure; in patients meeting the prospectively defined inclusion criteria, the major adverse cardiac event was 6%. These results suggest that the FilterWire is a feasible and safe method of collecting particulate debris released during SVG and native vessel coronary intervention. Its benefit over conventional therapy and other distal protection devices is currently under study. Cathet Cardiovasc Intervent 2002;57:125,134. © 2002 Wiley-Liss, Inc. [source] | ||||||||||