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Find video protocols related to scientific articles indexed in Pubmed.
Three-combination probiotics therapy in children with salmonella and rotavirus gastroenteritis.
J. Clin. Gastroenterol.
PUBLISHED: 09-10-2014
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Quantitative Vesikari scales and qualitative severe diarrhea (Vesikari scale ?11) assessments were used to grade the Salmonella-induced and rotavirus-induced gastroenteritis severity. A significant reduction in severe diarrhea (Vesikari score ?11) was used to evaluate the efficacy of three-combination probiotics (BIO-THREE).
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Genetic variants of CD209 associated with Kawasaki disease susceptibility.
PLoS ONE
PUBLISHED: 08-22-2014
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Kawasaki disease (KD) is a systemic vasculitis with unknown etiology mainly affecting children in Asian countries. Dendritic cell-specific intercellular adhesion molecule-3 grabbing non-integrin (DC-SIGN, CD209) in humans was showed to trigger an anti-inflammatory cascade and associated with KD susceptibility. This study was conducted to investigate the association between genetic polymorphisms of CD209 and the risk KD.
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IL-31 associated with coronary artery lesion formation in Kawasaki disease.
PLoS ONE
PUBLISHED: 08-14-2014
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Kawasaki disease (KD) is known to be associated with T help (Th) 2 reaction and subsequently allergic diseases. Interleukin-31 (IL-31) has also been reported to be involved in Th2 mediated diseases such as allergic diseases. However, the role of IL-31 in KD has not been previously reported. The aim of this study is to investigate whether IL-31 is associated with KD and its clinical outcome.
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Rapid spontaneous closure and remodelling of a medium-sized symptomatic congenital coronary artery fistula in an infant before the age of 3 months.
Cardiol Young
PUBLISHED: 06-24-2014
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It is controversial to observe or close symptomatic congenital coronary artery fistula in infants. We herein describe a medium-sized symptomatic congenital coronary artery fistula that underwent rapid spontaneous closure in an infant aged <3 months.
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Postoperative meningitis after spinal surgery: a review of 21 cases from 20,178 patients.
BMC Infect. Dis.
PUBLISHED: 04-07-2014
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Postoperative bacterial meningitis is a rare complication of spinal surgery and is considered to be a complication related to intraoperative incidental durotomy. A high index of suspicion for meningitis is essential in patients who have the clinical triad of fever, neck stiffness and consciousness disturbance during the postoperative period. A delay in diagnosis or treatment can lead to morbidity and mortality. Due to the low incidence of postoperative meningitis, very few studies have reported this complication. The purpose of this study was to report the clinical features, laboratory evaluations, treatment course and prognosis of 21 patients with post spinal surgery meningitis.
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Different impacts of ?- and ?-blockers in neurogenic hypertension produced by brainstem lesions in rat.
Anesthesiology
PUBLISHED: 03-12-2014
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Bilateral lesions of nucleus tractus solitarii in rat result in acute hypertension, pulmonary edema, and death within hours. The hypertension results from excessive catecholamine release. Catecholamine can activate connexin43 to regulate cell death. There is no study investigating the cardiopulmonary impacts of different adrenergic blockers and apoptosis mechanism in rat model.
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Percutaneous balloon kyphoplasty for the treatment of vertebral compression fractures.
BMC Surg
PUBLISHED: 01-10-2014
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Vertebral compression fractures (VCFs) constitute a major health care problem, not only because of their high incidence but also because of their direct and indirect negative impacts on both patients' health-related quality of life and costs to the health care system. Two minimally invasive surgical approaches were developed for the management of symptomatic VCFs: balloon kyphoplasty and vertebroplasty. The purpose of this study was to evaluate the effectiveness and safety of balloon kyphoplasty in the treatment of symptomatic VCFs.
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Automatic heart sounds detection and systolic murmur characterization using wavelet transform and AR modeling.
Conf Proc IEEE Eng Med Biol Soc
PUBLISHED: 10-11-2013
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This paper describes a signal processing procedure that identifies the first and the second heart sounds (S1 and S2), extracts the systole from the diastole, detects and characterizes the systolic murmur found within. The identification of heart sounds was facilitated by discrete wavelet transform (DWT) approximation using the Coiflet wavelet and followed by using indicators that quantify signal activity and strength. The systole was isolated and divided into smaller short segments where the signal activity measure and absolute amplitude were computed. S1 and S2, and the onset and duration of a systolic murmur were marked. Using the indices derived from AR modeling, a systolic murmur can be characterized by its timing, duration, pitch, and shape either as crescendo, decrescendo, crescendo-decrescendo, or plateau. The performance of the proposed procedure was evaluated and proved with clinically recorded systolic murmur episodes.
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Current concepts of percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: evidence-based review.
Biomed J
PUBLISHED: 08-31-2013
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Vertebral compression fractures constitute a major health care problem, not only because of their high incidence but also due to both direct and indirect consequences on health-related quality of life and health care expenditures. The mainstay of management for symptomatic vertebral compression fractures is targeted medical therapy, including analgesics, bed rest, external fixation, and rehabilitation. However, anti-inflammatory drugs and certain types of analgesics can be poorly tolerated by elderly patients, and surgical fixation often fails due to the poor quality of osteoporotic bone. Balloon kyphoplasty and vertebroplasty are two minimally invasive percutaneous surgical approaches that have recently been developed for the management of symptomatic vertebral compression fractures. The purpose of this study was to perform a comprehensive review of the literature and conduct a meta-analysis to compare clinical outcomes of pain relief and function, radiographic outcomes of the restoration of anterior vertebral height and kyphotic angles, and subsequent complications associated with these two techniques.
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Plasma globotriaosylsphingosine (lysoGb3) could be a biomarker for Fabry disease with a Chinese hotspot late-onset mutation (IVS4+919G>A).
Clin. Chim. Acta
PUBLISHED: 08-07-2013
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Previous studies revealed a high incidence of late-onset Fabry disease mutation, IVS4+919G>A, in Taiwan. However, the natural course is largely unclear and suitable biomarkers for monitoring disease progress are unavailable.
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Histone chaperone FACT action during transcription through chromatin by RNA polymerase II.
Proc. Natl. Acad. Sci. U.S.A.
PUBLISHED: 04-22-2013
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FACT (facilitates chromatin transcription) is a histone chaperone that promotes chromatin recovery during transcription, with additional roles in cell differentiation. Although several models of the action of FACT during transcription have been proposed, they remain to be experimentally evaluated. Here we show that human FACT (hFACT) facilitates transcription through chromatin and promotes nucleosome recovery in vitro. FACT action depends on the presence of histone H2A/H2B dimers in the nucleosome. Kinetic analysis suggests that hFACT decreases the lifetime of nonproductive RNA polymerase II (Pol II)-nucleosome complexes and facilitates the formation of productive complexes containing nucleosomal DNA partially uncoiled from the octamer. Taken together, our data suggest that hFACT interacts with DNA-binding surfaces of H2A/H2B dimers, facilitating uncoiling of DNA from the histone octamer. Thus, hFACT-H2A/H2B interactions play a key role in overcoming the nucleosomal barrier by Pol II and promoting nucleosome survival during transcription.
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Hexamethonium reverses the lethal cardiopulmonary damages in a rat model of brainstem lesions mimicking fatal enterovirus 71 encephalitis.
Crit. Care Med.
PUBLISHED: 02-08-2013
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Among enterovirus 71 infections, brainstem encephalitis progressing abruptly to cardiac dysfunction and pulmonary edema causes rapid death within several hours. However, no currently known early indicators and treatments can monitor or prevent the unexpectedly fulminant course. We investigate the possible mechanisms and treatment of fatal enterovirus 71 infections to prevent the abrupt progression to cardiac dysfunction and pulmonary edema by using an animal model.
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Estimation of the failure risk of a maxillary premolar with different crack depths with endodontic treatment by computer-aided design/computer-aided manufacturing ceramic restorations.
J Endod
PUBLISHED: 01-18-2013
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This study evaluated the risk of failure for an endodontically treated premolar with different crack depths, which was shearing toward the pulp chamber and was restored by using 3 different computer-aided design/computer-aided manufacturing ceramic restoration configurations.
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Interleukin-18 and coronary artery lesions in patients with Kawasaki disease.
J Chin Med Assoc
PUBLISHED: 01-15-2013
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Interleukin-18 (IL-18) plays an important role in mediating cytokine cascade leading to coronary artery lesions (CALs) in Kawasaki disease (KD). However, our research suggested that the literature regarding IL-18 and KD is limited. Consequently, this study aimed to evaluate the correlation between IL-18 and CALs in patients with KD.
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A replication study for association of ITPKC and CASP3 two-locus analysis in IVIG unresponsiveness and coronary artery lesion in Kawasaki disease.
PLoS ONE
PUBLISHED: 01-01-2013
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Single-nucleotide polymorphisms (SNPs) in inositol 1,4,5-trisphosphate 3-kinase C (ITPKC, rs28493229) and caspase-3 (CASP3, rs113420705) are associated with susceptibility to KD in Japanese and Taiwanese populations. This study was conducted to investigate the involvement of these 2 SNPs in the risk for intravenous immunoglobulin (IVIG) resistance and coronary artery lesion (CAL) in Taiwanese population. A total of 340 KD patients were subjected to assess by the identification of 2-locus genes model. A combinatorial association between ITPKC (rs28493229) and CASP3 (rs113420705) was found in CAL formation (P?=?0.0227, OR: 3.06). KD patients with high-risk genotype had a trend of overrepresentation in IVIG resistance compared with individual SNPs. Our findings suggest the existence of genetic factors affecting patients risk for CAL formation and IVIG responsiveness in a Taiwanese population.
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Corrosion control when using passively treated abandoned mine drainage as alternative makeup water for cooling systems.
Water Environ. Res.
PUBLISHED: 11-12-2011
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Passively treated abandoned mine drainage (AMD) is a promising alternative to fresh water as power plant cooling water system makeup water in mining regions where such water is abundant. Passive treatment and reuse of AMD can avoid the contamination of surface water caused by discharge of abandoned mine water, which typically is acidic and contains high concentrations of metals, especially iron. The purpose of this study was to evaluate the feasibility of reusing passively treated AMD in cooling systems with respect to corrosion control through laboratory experiments and pilot-scale field testing. The results showed that, with the addition of the inhibitor mixture orthophosphate and tolyltriazole, mild steel and copper corrosion rates were reduced to acceptable levels (< 0.127 mm/y and < 0.0076 mm/y, respectively). Aluminum had pitting corrosion problems in every condition tested, while cupronickel showed that, even in the absence of any inhibitor and in the presence of the biocide monochloramine, its corrosion rate was still very low (0.018 mm/y).
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Color Doppler echocardiographic study on the incidence and natural history of early-infancy muscular ventricular septal defect.
Pediatr Neonatol
PUBLISHED: 10-02-2011
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Most small muscular ventricular septal defect (M-VSD) types have been diagnosed using color Doppler echocardiography. The purpose of this study was to understand the incidence of small M-VSD in the neonatal period and analyze the natural history of these M-VSDs.
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Physical activity correlates for children with autism spectrum disorders in middle school physical education.
Res Q Exerc Sport
PUBLISHED: 10-01-2011
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This study examined potential correlates that might influence physical activity (PA) of adolescents with autism spectrum disorders (ASD) in physical education. Students with (n = 19) and without (n = 76) ASD wore an accelerometer during physical education. Data were collected in 38 physical education lessons. The results showed that (a) students with ASD were less physically active than their peers, (b) their PA was related positively to their social interaction with peers, and (c) their moderate to vigorous PA depended on PA content, physical environment, and instructor-related characteristics. The findings suggest a need for additional studies on the relationship between the needs of adolescents with ASD and the content offered in physical education so as to inform school policies and help to remove barriers to promoting PA among this population.
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Hemopericardium from right atrial laceration in a newborn.
J Chin Med Assoc
PUBLISHED: 09-23-2011
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We report the case of a newborn who suffered right atrial laceration during delivery. To our knowledge, there has been no previous report of blunt injury causing right atrial laceration with hemopericardium complicated by cardiac tamponade in the perinatal period.
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Simultaneous estimation of glass-water distribution and PDMS-water partition coefficients of hydrophobic organic compounds using simple batch method.
Environ. Sci. Technol.
PUBLISHED: 08-23-2011
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A simple batch method by use of refilling and nonrefilling experimental procedures and headspace solid phase microextraction was applied to simultaneously obtain the glass-water distribution coefficients (K(GW)) and polydimethylsiloxane(PDMS)-water partition coefficients (K(PW)) of hydrophobic organic compounds (HOCs). The simple batch method takes into consideration the glass-surface bound HOCs and the corresponding equilibrium distribution of HOCs among the glass, water, headspace, and polydimethylsiloxane (PDMS). The K(PW) and K(GW) values of 53 PCB congeners were determined. The glass-bound fraction predominated over other fractions for highly chlorinated PCBs. Ignoring glass adsorption and assuming a complete mass balance could thus substantially underestimate the K(PW) for HOCs in traditional work. Good linear correlations of log? (the overall mass transfer rate constant) vs logK(PW), logK(PW) vs logK(OW), and logK(GW) vs logK(OW) were observed, with log? = -0.91 logK(PW) + 1.13, R(2) = 0.93; logK(PW) = 1.032 logK(OW) - 0.493, R(2) = 0.947; and logK(GW) = 0.93 logK(OW) - 2.30, R(2) = 0.90. The K(PW) values from this study were compared with those in the literature. With an account of the glass adsorption, the accuracy of the K(PW) determination and the estimation of the dissolved concentration in water for highly hydrophobic compounds can be significantly improved.
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The safety and feasibility of bilateral radial approach in chronic total occlusion percutaneous coronary intervention.
Int Heart J
PUBLISHED: 06-08-2011
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Few studies have reported results for transradial (TR) percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) lesions. The purpose of this study was to evaluate the feasibility and safety of bilateral radial PCI for CTO lesions.Eighty-five consecutive patients with CTO lesions received PCI via a bilateral TR approach. A high radial artery puncture (10-15 cm above styloid process) accommodating a 7 Fr catheter (85 cm long) was used for a retrograde approach, and a 6 Fr catheter was used in the other radial artery for an antegrade approach. Retrograde wiring was conducted primarily or after failure of antegrade wiring. Mean duration of CTO was 42.8 ± 54.9 months. Vessels with occlusions attempted were the left anterior descending artery (40.0%; 34/85), right coronary artery (58.8%; 50/85), and left circumflex artery (1/85). PCI re-attempts were made in 41.2% of the cases. The overall success rate was 87.1%. Retrograde wiring was successful in 61/85 cases (71.8%), via septal collaterals followed by epicardial collaterals and saphenous vein graft. There were no major complications (30 day in-hospital death, Q wave myocardial infarction, or emergency bypass surgery), or serious access site complications.For experienced TR-PCI operators who are already doing complex TR coronary interventions, the bilateral radial approach for CTO lesions appears feasible and safe.
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Clinical relevance of the risk factors for coronary artery lesions in Kawasaki disease.
Kaohsiung J. Med. Sci.
PUBLISHED: 05-02-2011
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We aimed to investigate which factors are associated with coronary artery lesions (CALs) during the acute and chronic stages in Taiwanese children with Kawasaki disease (KD). A total of 216 children with KD were enrolled. Clinical and laboratory data were obtained for each child within 7 days of illness. The patients were classified into KD children without acute CALs (n=135) and those with acute CALs (n=81) according to echocardiography data at Week 2 after treatment. Then, KD children with acute CALs were further divided into those without chronic CALs (n=55) and with chronic CALs (n=26) according to annual echocardiography data. During acute stage of KD, neutrophil count (<54%) [odds ratio (OR)=0.44, p=0.041]; second dose of intravenous immunoglobulin (IVIG) treatment (OR=5.01, p=0.009); and platelet count (?400,000) (OR=0.42, p=0.006) were correlated with the risk of acute CALs. During chronic stage of KD, age (12-60 months) (OR=0.25, p=0.042); first dose of IVIG treatment (OR=0.12, p=0.005); and band count (?3%) (OR=3.51, p=0.032) were correlated with the risk of chronic CALs. Our results suggest that the effects of neutrophil count, doses of IVIG treatment, and platelet count on CALs in acute KD are important. Age, doses of IVIG treatment, and band count are related to the persistence of CALs in chronic stage of KD.
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IL-10 promoter genetic polymorphisms and risk of Kawasaki disease in Taiwan.
Dis. Markers
PUBLISHED: 04-22-2011
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Kawasaki disease (KD) is the most common cause of pediatric acquired heart disease. KD patients have spontaneously high plasma/serum levels of IL-10 during the acute phase. Therefore, two independent studies were carried out to investigate the association between genetic variants in IL-10 promoter (-1082, -819, and -592) and risk of KD. A total of 134 trios were included for the family-based association study. A significantly preferential transmission of the C allele at loci -819 T > C and -592 A > C for KD cases was observed (P permutation = 0.029 and P permutation = 0.034, respectively). There was a significant increase in the transmission of haplotype CC (p = 0.016) at the above two loci (OR, 1.632; 95% CI, 1.090-2.443; P permutation = 0.019). We also carried out a follow-up case-control study that included 146 KD cases and 315 unrelated healthy children. The haplotype CC (-819, -592) showed an increased risk of KD (but statistically non-significant; OR, 1.332; 95% CI, 0.987-1.797; p = 0.061). In diplotype analysis, a trend was found between number of CC haplotype and risk of KD (but non-significant, p =0.061). In conclusion, CC genotype and CC/CC diplotype at IL-10-819T > C and -592A > C were significantly associated with risk of KD in case-parent trio study, which were replicated partially in our follow-up case-control study.
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Recent advances in the treatment of Kawasaki disease.
J Chin Med Assoc
PUBLISHED: 04-20-2011
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Kawasaki disease (KD) is acute systemic vasculitis that occurs mainly in infants and children under 5 years of age. The etiology of KD remains unknown. KD is liable to be complicated by coronary artery lesions (CALs), which develop in approximately 15-25% of untreated KD children and in approximately 5% of KD children after intravenous immunoglobulin (IVIG) therapy. A single high dose of IVIG (2 g/kg) is the gold standard therapy in the acute stage of KD. However, approximately 8--38% of children are unresponsive to initial IVIG treatment and at increased risk for CAL development. Anti-inflammatory high doses of aspirin are recommended in conjunction with IVIG, but our study demonstrated that there is no evidence of efficacy in preventing CAL development. The usefulness of steroids in initial therapy for KD or treatment of IVIG-resistant patients is not well established. Other immunosuppressive therapies, including infliximab, have been used in the treatment of refractory KD, but merit additional investigation. Subclinical atherosclerosis may develop early in KD patients, which makes early initiation of therapy to improve chronic inflammation an important issue. Future multicenter studies may help to define the optimal management of KD patients.
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Postoperative anterior spondylodiscitis after posterior pedicle screw instrumentation.
Spine J
PUBLISHED: 04-16-2011
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Postoperative wound infection is a well-recognized complication of spinal surgery. The infection occurs usually at the posterior wound after posterior spinal surgery. To the best of our knowledge, no report exists regarding treatment of anterior spondylodiscitis after posterior pedicle screw instrumentation.
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Escalating water demand for energy production and the potential for use of treated municipal wastewater.
Environ. Sci. Technol.
PUBLISHED: 04-05-2011
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To ensure sufficient thermoelectric power production in the future, the use of alternative water sources to replace freshwater consumption in power plants will be required. The amount of municipal wastewater (MWW) being produced and its widespread availability merit the investigation of this potential source of cooling water. This is particularly important for thermoelectric power plants in regions where freshwater is not readily available. Critical regulatory and technical challenges for using MWW as makeup water in recirculating cooling systems are examined. The existing regulations do not prohibit wastewater reuse for power plant cooling. The challenges of controlling corrosion, mineral scaling, and biofouling in recirculating cooling systems need to be carefully considered and balanced in a holistic fashion. Initial investigations suggest that many of these challenges can be surmounted to ensure the use of MWW in recirculating cooling systems.
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Influence of age on heart rate variability during therapeutic hypothermia in a rat model.
Resuscitation
PUBLISHED: 04-02-2011
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To evaluate the effect of age on heart rate variability (HRV) in a rat model of therapeutic hypothermia.
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Parents views about the vaccination program in Taiwan.
Pediatr Neonatol
PUBLISHED: 03-21-2011
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To investigate parents views about new vaccines, we surveyed the attitudes and awareness toward immunization program among parents of children younger than 14 years in Taiwan.
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Comparison of prognostic outcome between left circumflex artery-related and right coronary artery-related acute inferior wall myocardial infarction undergoing primary percutaneous coronary intervention.
Clin Cardiol
PUBLISHED: 02-01-2011
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This study evaluated the 30-day clinical outcome of patients with acute inferior wall ST-elevation myocardial infarction (AIW-STEMI) from occlusion of the left circumflex artery (LCX) vs the right coronary artery (RCA) undergoing primary percutaneous coronary intervention (PCI).
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Nanochitosan crosslinked with polyacrylamide as the chiral stationary phase for open-tubular capillary electrochromatography.
Electrophoresis
PUBLISHED: 01-11-2011
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Nanoparticles exhibiting favorable surface-to-volume ratios create efficient stationary phases for electrochromatography. New nanomaterials derived from chitosan (CS) were immobilized onto modified capillaries for use as the chiral stationary phase (CSP) in open-tubular electrochromatography. This immobilization was achieved through the copolymerization of glycidyl methacrylate-modified nano-CS with methacrylamide (MAA) and bis-acrylamide crosslinkers (forming the MAA-CS capillary) rather than the attachment of nano-CS to the copolymer of glycidyl methacrylate, MAA, and bis-acrylamide (forming the MAA+CS capillary). The completed MAA-CS capillary and its precursors were examined by SEM and ATR-IR measurements. Before separating chiral samples, the MAA-CS capillary was characterized by electroosmotic flow measurements at varying pH values, concentrations, and volume percentages of organic modifiers in the running buffers. Tryptophan enantiomers were well separated by the MAA-CS capillary, whereas no enantioselectivity was observed in the MAA+CS capillary. With the addition of 80% MeOH into the phosphate buffer, the chiral separation of (±)-catechin was accomplished in a normal-phase mode. However, the new CSP has its limitations, as only two groups of ?-tocopherol stereoisomers were separated.
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Transradial approach percutaneous coronary interventions in an out-patient clinic.
Int Heart J
PUBLISHED: 12-22-2010
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Same-day discharge transradial percutaneous coronary intervention (TRI) has been reported to be safe and feasible in Western countries. However, Asia has not produced any reports related to this matter. The present study explored the safety and feasibility of patients with indications for TR coronary angiography and ad hoc PCI with a same-day discharge protocol. Between October 1995 and December 2002, 660 adult patients were admitted to our hospital for ad hoc PCIs. Of these, 214 patients were discharged on the day of their PCI (group A), while the remaining 446 patients were referred for out-patient department (OPD) PCI with subsequent admission (group B). Periprocedural complications were not significantly different between the groups. There were no differences in 1-month major adverse cardiac events including death, myocardial infarction, and target vessel revascularization (1.4% versus 0.2% for groups A and B, respectively; P = 0.068). Three group A cases (1.4%) experienced peri- and post-PCI myocardial infarction and one group B case (0.2%) experienced a post-PCI myocardial infarction. No patient died or required emergency bypass surgery. In group A, 8 cases (3.7%) required cutting balloon angioplasty and 2 cases (0.9%) needed rotational atherectomy. TRI is safe and feasible on an outpatient basis. For select patients, even though PCI can carry the potential risk of subsequent cutting balloon angioplasty or rotational atherectomy, the procedure should still be considered.
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Comparison of drug-eluting stent with bare metal stent for distal de novo unprotected left main coronary artery stenosis. A propensity score-matched cohort study.
Circ. J.
PUBLISHED: 12-10-2010
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Percutaneous coronary intervention (PCI) with stent implantation is now considered a safe and feasible treatment for stenosis of the unprotected left main coronary artery (ULMCA). Because few studies have focused on de novo distal ULMCA lesions, a propensity score-matched cohort study was conducted to compare bare metal stents (BMS) with drug-eluting stents (DES) for long-term outcomes following PCI.
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Polyacrylamide grafted on multi-walled carbon nanotubes for open-tubular capillary electrochromatography: comparison with silica hydride and polyacrylate phase matrices.
Electrophoresis
PUBLISHED: 11-16-2010
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A new nanoparticle-bound polymer stationary phase was prepared by in situ polymerization of methacrylamide (MAA), bis-acrylamide crosslinker, and carboxylated multi-walled carbon nanotubes (multi-walled CNTs; MWNTs), using the abundant double bonds in the cyclopentadienyl rings in MWNT structure, on a silanized capillary. Each intermediate capillary between the synthesis steps was characterized by SEM, by ATR-IR, and by EOF measurements varying the pH, concentration, and volumetric ratios of ACN in running buffers. The resulting EOF profile was comparable to those of two other capillaries with different phase matrices, silica hydride and polybutyl methacrylate (BMA) phases. With the complex functionality of MWNTs on the hydrophilic polyacrylamide network, the MAA-CNT capillary was capable of separating diverse samples with a wide range of polarity and dissociation properties using open-tubular CEC. Besides optimizing CEC conditions, the migration times of samples were analyzed with respect to velocity and retention factors to evaluate electrophoretic and chromatographic contributions to the CEC mechanism. The migration rates of benzoic acids were determined by the electrophoretic mobilities of the various phenolate ions, while phenolic aldehydes and ketones were additionally influenced by chromatographic interactions, such as ?-?, electrostatic effects, hydrogen bonding, and hydrophobic interactions. The retention factors were greater for flavonoids, which are polyphenolic, than for simple phenols, but were smaller than those obtained from the hydrophobic BMA-CNT column. A complete well-resolved separation of the cationic forms of tetracyclines was acheived either by electrophoresis or by chromatography in the MAA-CNT capillary, but not in the BMA-CNT and silica hydride-CNT capillaries.
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Cytokine genetic polymorphisms and susceptibility to Kawasaki disease in Taiwanese children.
Circ. J.
PUBLISHED: 10-30-2010
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The relationship between cytokine gene polymorphisms and susceptibility to Kawasaki diseases (KD) is still controversial, so the aim of the present study was to investigate the association of 14 various polymorphisms of 9 cytokine genes (interleukin (IL)-1A, IL-1B, IL-1RN, IL-4, IL-6, IL-8, IL-10, tumor necrosis factor-A and transforming growth factor-B) with KD risk.
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Atrial size independently correlates with the development of paroxysmal atrial fibrillation in patients with sick sinus syndrome.
Chang Gung Med J
PUBLISHED: 09-24-2010
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Atrial fibrillation arises in 20-30% of patients with sick sinus syndrome, increasing the risk of systemic embolization and mortality. The aim of this study was to examine the clinical determinants of development of paroxysmal atrial fibrillation in sick sinus syndrome patients before implantation of a pacemaker.
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Cobalt chromium coronary stents and drug-eluting stents in real practice.
Int Heart J
PUBLISHED: 08-19-2010
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Cobalt chromium stents (CCS) are seldom compared to drug-eluting stents (DES) for coronary intervention in published clinical trials. We evaluated the daily usage patterns of CCS in comparison to DES unconstrained by eligibility criteria. We compared consecutive patients (n = 303) with de novo lesions treated exclusively with a CCS to 432 patients treated exclusively with a DES. Patients in the CCS group were older, frequently had heart failure, renal failure, prior coronary balloon angioplasty, prior stroke, more comorbidities, and more multivessel disease than the DES group. The DES group had longer and more type C and left anterior descending (LAD) coronary artery lesions. The in-hospital major adverse cardiac events (MACE; death, myocardial infarction, stroke and target lesion revascularization (TLR)) were similar. At 6 months, the cumulative rate of MACE was 12.9% in the CCS group and 5.6% in the DES group (P < 0.001), and this was driven by TLR. The rates of stent thrombosis were similar in CCS (0.9%) and DES (1.0%) patients. In conclusion, the CCS were used in clinically higher risk patients, while DES were used in more severely diseased coronary arteries. Drug-eluting stent use resulted in lower rates of clinically driven repeat revascularization with similar rates of death, MI, stroke, and stent thrombosis.
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Role of multi-slice and three-dimensional computed tomography in delineating extracardiac vascular abnormalities in neonates.
Pediatr Neonatol
PUBLISHED: 08-18-2010
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Recent advances in multi-slice computed tomography (MSCT) and three-dimensional computed tomography (3D CT) provide good-resolution images and short scan time for complete diagnosis of congenital heart disease (CHD). In the present study, we found that MSCT rapidly provides clinically relevant information for diagnosing extracardiac vascular anatomy in neonates with CHD. It is less invasive, necessitating only minimum or no sedation and a relatively small amount of contrast material. These advantages are crucial, especially for critically ill neonates.
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Effects of flow rate on delivery of bubble continuous positive airway pressure in an in vitro model.
Pediatr Neonatol
PUBLISHED: 08-18-2010
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There has been concern over the effect of vigorous bubbling on the delivery pressure during the operation of the bubble nasal continuous positive airway pressure (CPAP) system. We investigated the relationship between intra-tubing pressure changes and flow rates in a closed bubble CPAP system in vitro.
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Repositioning osteotomy for intra-articular malunion of distal radius with radiocarpal and/or distal radioulnar joint subluxation.
J Trauma
PUBLISHED: 08-12-2010
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Intra-articular malunion of the distal radius may be complicated with radiocarpal and radioulnar joint subluxation, which may result in joint stiffness and loss of function. Conventional corrective osteotomy emphasizes on the restoration of the articular step-off. However, little information is available concerning the restoration of a concentric functioning joint through osteotomy.
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Acute community-acquired osteoarticular infections in children: high incidence of concomitant bone and joint involvement.
J Microbiol Immunol Infect
PUBLISHED: 08-07-2010
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Pediatric acute osteoarticular infections remain a challenging clinical issue for physicians. This paper provides recent clinical experiences on acute community-acquired osteoarticular infections in children in Taiwan.
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The effects of lazaroid U-74389G in a rat sepsis model.
Inflamm. Res.
PUBLISHED: 06-28-2010
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To examine the protective effects of a lazaroid, 21-aminosteroid U-74389G, in a rat septic shock model.
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Can a penetration catheter (Tornus) substitute traditional rotational atherectomy for recanalizing chronic total occlusions?
Int Heart J
PUBLISHED: 06-19-2010
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The efficacy of percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) has improved dramatically due to the development of new devices. Severe calcification of coronary lesions may be encountered even when the guidewire crosses the CTO, preventing the balloon from penetrating the lesion. A new "Tornus" penetration catheter has been developed for CTO recanalization. The purpose of this study was to evaluate the feasibility and safety of the Tornus catheter compared with traditional rotational atherectomy for CTO lesions. From August 2002 to July 2009, 77 patients with CTO of the coronary artery were selected to undergo PCI. Forty-one patients were treated with rotational atherectomy before the availability of the Tornus catheter when the smallest balloon failed to pass the CTO lesion. Later, 36 patients were treated with a Tornus catheter. Device and angiographic success rates as well as procedural complications were assessed. Device success was defined when the Tornus or Rota burr passed through the lesion. Major complications included death, Q-myocardial infarction, or emergency bypass surgery. Minor complications included perforation, cardiac tamponade, no reflow phenomenon, or long spiral dissection.The mean procedural time was significantly longer in the Tornus group (144 minutes versus 115 minutes, P = 0.01), while the device success rate was significantly lower (77% versus 95%, P = 0.024). Rotational atherectomy was subsequently performed in 3 of 8 Tornus failure cases. There were no between group differences in major complication rate (6% Tornus versus 5% rotational atherectomy). There was an insignificant trend for lower minor complication rates in the Tornus group (17% versus 20%).Use of the Tornus catheter was associated with significantly longer procedural duration and lower device success rates compared to rotational atherectomy. Major and minor complications were not different between the groups. Our findings suggest that Tornus catheter penetration is not superior to conventional rotational atherectomy for CTO recanalization.
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Repeated percutaneous vertebroplasty for refracture of cemented vertebrae.
Arch Orthop Trauma Surg
PUBLISHED: 06-17-2010
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Percutaneous vertebroplasty is an efficient procedure to treat painful osteoporotic vertebral compression fractures. However, refracture of cemented vertebrae occurs rarely after percutaneous vertebroplasty. This study was undertaken to investigate the incidence, characteristics, predisposing factors, and mistakes in technique associated with refracture of the same vertebra after percutaneous vertebroplasty.
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Early extracorporeal membrane oxygenator-assisted primary percutaneous coronary intervention improved 30-day clinical outcomes in patients with ST-segment elevation myocardial infarction complicated with profound cardiogenic shock.
Crit. Care Med.
PUBLISHED: 06-15-2010
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This study tested the hypothesis that early extracorporeal membrane oxygenator offered additional benefits in improving 30-day outcomes in patients with acute ST-segment elevation myocardial infarction complicated with profound cardiogenic shock undergoing primary percutaneous coronary intervention.
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Control of mineral scale deposition in cooling systems using secondary-treated municipal wastewater.
Water Res.
PUBLISHED: 06-10-2010
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Secondary-treated municipal wastewater (MWW) is a promising alternative to freshwater as power plant cooling system makeup water, especially in arid regions. A prominent challenge for the successful use of MWW for cooling is potentially severe mineral deposition (scaling) on pipe surfaces. In this study, theoretical, laboratory, and field work was conducted to evaluate the mineral deposition potential of MWW and its deposition control strategies under conditions relevant to power plant cooling systems. Polymaleic acid (PMA) was found to effectively reduce scale formation when the makeup water was concentrated four times in a recirculating cooling system. It was the most effective deposition inhibitor of those studied when applied at 10 mg/L dosing level in a synthetic MWW. However, the deposition inhibition by PMA was compromised by free chlorine added for biogrowth control. Ammonia present in the wastewater suppressed the reaction of the free chlorine with PMA through the formation of chloramines. Monochloramine, an alternative to free chlorine, was found to be less reactive with PMA than free chlorine. In pilot tests, scaling control was more challenging due to the occurrence of biofouling even with effective control of suspended bacteria. Phosphorous-based corrosion inhibitors are not appropriate due to their significant loss through precipitation reactions with calcium. Chemical equilibrium modeling helped with interpretation of mineral precipitation behavior but must be used with caution for recirculating cooling systems, especially with use of MWW, where kinetic limitations and complex water chemistries often prevail.
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RNA polymerase complexes cooperate to relieve the nucleosomal barrier and evict histones.
Proc. Natl. Acad. Sci. U.S.A.
PUBLISHED: 06-07-2010
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Maintenance of the chromatin states and histone modification patterns during transcription is essential for proper gene regulation and cell survival. Histone octamer survives moderate transcription, but is evicted during intense transcription in vivo by RNA polymerase II (Pol II). Previously we have shown that nucleosomes can survive transcription by single Pol II complexes in vitro. To study the mechanism of histone displacement from DNA, the encounter between multiple complexes of RNA polymerase and a nucleosome was analyzed in vitro. Multiple transcribing Pol II complexes can efficiently overcome the high nucleosomal barrier and displace the entire histone octamer, matching the observations in vivo. DNA-bound histone hexamer left behind the first complex of transcribing enzyme is evicted by the next Pol II complex. Thus transcription by single Pol II complexes allows survival of the original H3/H4 histones, while multiple, closely spaced complexes of transcribing Pol II can induce displacement of all core histones along the gene.
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Revascularization of a central vein total occlusion via antegrade and retrograde approach in a patient with hemodialysis access.
Catheter Cardiovasc Interv
PUBLISHED: 06-03-2010
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The occurrence of central vein total occlusion results in upper arm edema, pain, and hemodialysis access failure in uremic patient. Previous studies have proven the effectiveness of percutaneous balloon angioplasty for central vein total occlusion. Here, we report a rare case of successful revascularization of central vein total occlusion via antegrade and retrograde approach.
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Histone Sin mutations promote nucleosome traversal and histone displacement by RNA polymerase II.
EMBO Rep.
PUBLISHED: 05-27-2010
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Nucleosome traversal by RNA polymerase II (pol II) and recovery of chromatin structure after transcription are essential for proper gene expression. In this paper we show that nucleosomes assembled with Sin mutant histones present a much weaker barrier to traversal by pol II and are less likely to survive transcription. Increases in traversal from incorporation of Sin mutant histones and histones lacking H2A/H2B amino-terminal tails were in most cases additive, indicating that traversal can be facilitated by distinct mechanisms. We had identified a key intermediate in traversal, the zero (slashed circle)-loop, which mediates nucleosome survival during transcription. Sin mutations probably destabilize these intermediates and thus increase the likelihood of nucleosome disassociation.
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Staphylococcus lugdunensis infective endocarditis: a literature review and analysis of risk factors.
J Microbiol Immunol Infect
PUBLISHED: 04-20-2010
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Infective endocarditis caused by Staphylococcus lugdunensis is a rare disease. Since its first description in 1988, there have only been a few reports of this disease and the causative organism. These publications were primarily case reports and brief case series. We conducted a literature review to identify the nature of the disease and its risk factors.
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Conversion paralysis after surgery for lumbar disc herniation.
Spine
PUBLISHED: 04-17-2010
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New neurologic deficit after spinal surgery is a rare complication that must be promptly diagnosed and treated to reduce the risk of permanent neurologic disability.
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Level and value of circulating endothelial progenitor cells in patients with acute myocardial infarction undergoing primary coronary angioplasty: in vivo and in vitro studies.
Transl Res
PUBLISHED: 03-30-2010
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Levels of circulating endothelial progenitor cells (EPCs) in acute ST-elevation myocardial infarction (STEMI) patients undergoing primary coronary intervention (PCI) were investigated in this study. Flow cytometric analysis of the circulating EPC level (CD31/CD34 [E(1)], CD62E/CD34 [E(2)], and KDR/CD34 [E(3)]) was determined from blood samples of 161 consecutive patients with STEMI undergoing primary PCI. Angiogenesis was evaluated using mononuclear cell-derived EPCs on Matrigel. The EPC number (E(1-3)) was lower in STEMI patients than in normal subjects (n = 25) (P < 0.005). Patients with high EPCs (E(1-3)) (?1.2%) had a lower left ventricular ejection fraction, elevated white blood cell count and creatinine level, advanced Killip score (?class 3), more advanced congestive heart failure (CHF) (?class 3), and increased 30-day mortality than those with a low EPC (E(1-3)) level (<1.2%) (P < 0.0001). Angiogenesis was lower in patients with a high EPC level than those with a low EPC level and normal controls (P < 0.001). Both the advanced Killip score and the CHF were independent predictors of increased EPC levels (P < 0.05). Multivariate analysis identified a high EPC (E(3)) level to be the most important predictor of increased 30-day major adverse clinical outcome (MACO) (P < 0.0001). In conclusion, the circulating EPC level is a major independent predictor of 30-day MACO in patients with STEMI undergoing primary PCI.
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IL-10 polymorphisms are associated with coronary artery lesions in acute stage of Kawasaki disease.
Circ. J.
PUBLISHED: 03-26-2010
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The literature regarding interleukin (IL)-10 polymorphisms and coronary artery lesions (CALs) in Kawasaki disease (KD) is limited. We investigated whether 3 IL-10 genetic polymorphisms (-1082 A/G, -819 T/C, and -592 A/C) are associated with development of CALs in KD.
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IL-1B polymorphism in association with initial intravenous immunoglobulin treatment failure in Taiwanese children with Kawasaki disease.
Circ. J.
PUBLISHED: 01-18-2010
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Approximately 8-38% of children with Kawasaki disease (KD) will have persistent or recrudescent fever after initial intravenous immunoglobulin (IVIG) treatment and are at increased risk for development of coronary artery abnormalities. Using genetic markers may be helpful to identify the high-risk group of IVIG-resistant patients for aggressive treatment. The aim of this study was to evaluate the associations between 4 potential polymorphisms in the interleukin (IL)-1 family of genes and initial IVIG treatment failure in KD children.
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Corrosion control when using secondary treated municipal wastewater as alternative makeup water for cooling tower systems.
Water Environ. Res.
PUBLISHED: 01-07-2010
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Secondary treated municipal wastewater is a promising alternative to fresh water as power plant cooling water system makeup water, especially in arid regions. Laboratory and field testing was conducted in this study to evaluate the corrosiveness of secondary treated municipal wastewater for various metals and metal alloys in cooling systems. Different corrosion control strategies were evaluated based on varied chemical treatment. Orthophosphate, which is abundant in secondary treated municipal wastewater, contributed to more than 80% precipitative removal of phosphorous-based corrosion inhibitors. Tolyltriazole worked effectively to reduce corrosion of copper (greater than 95% inhibition effectiveness). The corrosion rate of mild steel in the presence of free chlorine 1 mg/L (as Cl2) was approximately 50% higher than in the presence of monochloramine 1 mg/L (as Cl2), indicating that monochloramine is a less corrosive biocide than free chlorine. The scaling layers observed on the metal alloys contributed to corrosion inhibition, which could be seen by comparing the mild steel 21-day average corrosion rate with the last 5-day average corrosion rate, the latter being approximately 50% lower than the former.
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Uric Acid is not an independent predictor of cardiovascular death in patients with angiographically proven coronary artery disease.
Chang Gung Med J
PUBLISHED: 12-29-2009
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The aim of this study is to investigate the impact of uric acid on clinical outcomes in patients with angiographically proven coronary artery disease.
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Assessment of growth from foot length in Taiwanese neonates.
Pediatr Neonatol
PUBLISHED: 12-23-2009
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Previous studies have demonstrated a positive correlation between foot length (FL) and birth body weight (BBW), birth body length (BBL), and head circumference (HC). However, there is no data on birth FL in Taiwan. The aim of this study was to evaluate FL measurement in Taiwanese neonates as a method of estimating other anthropometric indices.
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Ventilator-associated pneumonia after pediatric cardiac surgery in southern Taiwan.
J Microbiol Immunol Infect
PUBLISHED: 12-01-2009
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To determine the frequency, risk factors, associated pathogens, and outcomes of ventilator-associated pneumonia (VAP) after pediatric cardiac surgery.
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Pediatric critical care--a new frontier.
Pediatr Neonatol
PUBLISHED: 10-28-2009
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Pediatric intensive care is now a subspecialty of pediatric medicine. Different pathologic and physiologic processes occur in pediatric patients who require intensive care. Thus, the faculty and staffing requirement differ in many aspects from those of adult intensive care units (ICUs). In Taiwan, pediatric intensive care is relatively less developed than adult care. However, thanks to the implementation of national health insurance and increasing emphasis of childrens health, the scope and quality of pediatric intensive care has widened and rapidly improved. Research has shown that full time in-ICU staffing and patient care will result in improved outcomes for critically ill pediatric patients. In this article, we review the literature and recent advances in pediatric intensive care; we also outline the challenges arising. Special emphasis was made to the clinical context of Taiwan.
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Treatment with deferiprone for iron overload alleviates bone marrow failure in a Fanconi anemia patient.
Hemoglobin
PUBLISHED: 10-10-2009
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Fanconi anemia (FA) is a rare inherited disorder characterized by congenital abnormalities, progressive bone marrow failure and cancer susceptibility. There are no reports in the literature about a specific therapy effective in treating the progressive bone marrow failure of FA except for hematopoietic stem cell transplantation (HSCT). A FA patient started to receive deferiprone (L1) therapy due to iron overload. We report here that the white blood cell counts, hemoglobin (Hb) levels and platelet counts were significantly higher during the L1-treated period than when without L1 therapy. Therefore, L1 therapy may be worth considering for FA patients who cannot undergo HSCT.
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Significant relationship between serum high-sensitivity C-reactive protein, high-density lipoprotein cholesterol levels and children with Kawasaki disease and coronary artery lesions.
J. Formos. Med. Assoc.
PUBLISHED: 09-24-2009
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The aim of this study was to understand the association between Kawasaki disease (KD) in children and serum high-sensitivity C-reactive protein (hs-CRP), which is a sensitive indicator of inflammation, lipid profiles and coronary artery lesions.
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Safety and efficacy of transradial vs transfemoral arterial primary coronary angioplasty for acute myocardial infarction: single-center experience.
Circ. J.
PUBLISHED: 09-15-2009
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The aim of the present study was to test the hypothesis that the transradial arterial approach (TRA) is not inferior to the transfemoral arterial approach (TFA) for
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Noninvasive methods of accurately diagnosing in children anomalous origin of the left coronary artery from the pulmonary trunk.
Cardiol Young
PUBLISHED: 08-13-2009
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Anomalous origin of the left coronary artery from the pulmonary trunk is a rare congenital heart defect. Cardiac catheterization remains the standard means of diagnosis. Our purpose in this study is to emphasize the importance of assessing the electrocardiogram when making the diagnosis, in addition to taking note of transthoracic echocardiographic findings. We also analyzed the sensitivity of each parameter under investigation.
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Compound mutations in human anion exchanger 1 are associated with complete distal renal tubular acidosis and hereditary spherocytosis.
Kidney Int.
PUBLISHED: 07-22-2009
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Missense, nonsense, and frameshift mutations in the human anion exchanger 1 have been associated with inherited distal renal tubular acidosis and hereditary spherocytosis. These two disorders, however, are almost always mutually exclusive. We have found an important and unusual exception: a novel combination of heterozygous E522K and G701D mutations in the anion exchanger 1 manifested as complete distal renal tubular acidosis and severe hereditary spherocytosis in an affected patient. Analysis of protein trafficking and subcellular localization of the wild-type kidney isoform of human anion exchanger 1 and these mutants transfected into MDCK cells showed they formed homodimers or heterodimers with each other. Homodimers of the wild-type and E522K mutant were found at the plasma membrane, whereas the G701D mutant largely remained in the cytoplasm. Heterodimers of either E522K or G701D and the wild-type exchanger were located in the plasma membrane, whereas E522K/G701D heterodimers remained in the cytoplasm. Our study shows that the compound E522K/G701D mutation of human anion exchanger 1 causes a trafficking defect in kidney cells, and this may explain the complete distal renal tubular acidosis of the patient.
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Outcomes of interventions via a transradial approach for dysfunctional Brescia-Cimino fistulas.
Cardiovasc Intervent Radiol
PUBLISHED: 05-28-2009
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The transradial artery approach to angioplasty has rarely been reported as a method for treating dysfunctional Brescia-Cimino fistulas. This study evaluated the feasibility, safety, and 1-year efficacy of this method for treating dysfunctional Brescia-Cimino fistulas. We retrospectively evaluated 154 consecutive procedures in 131 patients (age, 58.3 +/- 11.6 years; male, 48.1%) who underwent the transradial approach in dysfunctional Brescia-Cimino fistulas in the 1-year period after the procedure. The operator determined the use of a regular or a cutting balloon (two cases) in combination with urokinase injection (one case) or catheter thromboaspiration. Radial artery puncture was successful in all cases. Fifty-two cases (33.8%) had totally occluded fibrotic lesions. The overall anatomic success rate and clinical success rate were 61% (94/154) and 81.1% (125/154), respectively. In cases with a totally occluded fibrotic lesion, the clinical success rate was 46%. Successful intervention was associated with a significant reduction in the radial arterial systolic and diastolic pressures. There were no complications of symptomatic arterial embolization or pulmonary embolism, and one complication of venous rupture was successfully treated by compression. The primary patency rates based on intention-to-treat were 75.3% at 30 days and 39.0% at 1 year after the procedure. Excluding the cases with a totally occluded lesion, the clinical success rate was 99% (101/102) and the primary patency rates were 84.3% (86/102) and 52.0% (53/102) at 3 months and 1 year after the procedure, respectively. In conclusion, the transradial approach is a feasible, safe, and effective alternative for catheter intervention for dysfunctional Brescia-Cimino fistulas. Its success rate in cases with a totally occluded fibrotic lesion is unsatisfactory.
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Comparison of 0.052-inch coils vs amplatzer duct occluder for transcatheter closure of moderate to large patent ductus arteriosus.
Circ. J.
PUBLISHED: 04-22-2009
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Percutaneous device closure is now the widely accepted management technique for patent ductus arteriosus (PDA). In the present study, current practice of closing moderate to large PDA using the Amplatzer duct occluder (ADO) was compared with the previous experience using 0.052-inch coils.
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Ten-year experience of children with tuberculosis in southern Taiwan.
J Microbiol Immunol Infect
PUBLISHED: 03-11-2009
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Data on the clinical characteristics of pediatric tuberculosis (TB) are limited. This retrospective study was performed to evaluate the demographic characteristics and clinical features of pediatric TB.
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Early and late outcomes of coil embolization of pulmonary sequestration in children.
Circ. J.
PUBLISHED: 03-11-2009
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Pulmonary sequestration (PS) is characterized by non-functioning lung tissue fed from 1 or several aberrant systemic arteries. The classical therapeutic approach is surgical resection. Several case reports have shown that coil embolization is feasible, but this technique has not been evaluated in a larger series of consecutively treated patients. The purpose of our study was to assess the early and long-term outcomes of coil embolization of PS in children and to determine the risk factors of early and late major adverse cardiovascular and pulmonary events.
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JoVE Visualize is a tool created to match the last 5 years of PubMed publications to methods in JoVE's video library.

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In developing our video relationships, we compare around 5 million PubMed articles to our library of over 4,500 methods videos. In some cases the language used in the PubMed abstracts makes matching that content to a JoVE video difficult. In other cases, there happens not to be any content in our video library that is relevant to the topic of a given abstract. In these cases, our algorithms are trying their best to display videos with relevant content, which can sometimes result in matched videos with only a slight relation.