Prevalence, Predictors, and Outcomes of Type 2 NSTEMI in Hospitalized Patients With COVID-19.

Background: Data on the incidence of type 2 non-ST-segment-elevation myocardial infarction (T2MI) in hospitalized patients with COVID-19 has been limited to single-center studies. Given that certain characteristics, such as obesity and type 2 diabetes, have been associated with higher mortality in COVID-19 infections, we aimed to define the incidence of T2MI in a national cohort and identify pre-hospital patient characteristics associated with T2MI in hospitalized patients with COVID-19.

Methods And Results: Using the national American Heart Association COVID-19 Cardiovascular Disease Quality Improvement Registry, we performed a retrospective 4:1 matched (age, sex, race, and body mass index) analysis of controls versus cases with T2MI.

Late-onset rupture of an intracranial dermoid cyst: a case report.

Background: Dermoid cysts are developmental abnormalities occurring between the third and fifth week of embryogenesis. These lesions can initially develop as intracranial or extracranial and persist throughout the patient's lifetime. While generally benign, their symptoms can be due to mass effect or local irritation secondary to rupture and release of contents, typically presenting as headaches and seizures.

Degenerative Mitral Stenosis: A Case-Based Review.

• DMS has a high morbidity and a 5-year mortality rate of >50%. • DMS frequently occurs as mixed mitral disease as well as multivalvular disease. • Assessment of severity requires use of TTE, TEE, and stress echocardiography.

CT-guided microwave ablation of the nonsurgical aspergilloma.

Background: Aspergillosis is a fungal infection that can lead to development of an aspergilloma, especially in patients with a history of cavitary lung disease. It is generally managed with antifungal therapy followed by surgical intervention. There are, however, limited options for the nonsurgical patient.

Collagen-Specific HSP47 Myofibroblasts and CD163 Macrophages Identify Profibrotic Phenotypes in Deceased Hearts With SARS-CoV-2 Infections.

Background Cardiac fibrosis complicates SARS-CoV-2 infections and has been linked to arrhythmic complications in survivors. Accordingly, we sought evidence of increased HSP47 (heat shock protein 47), a stress-inducible chaperone protein that regulates biosynthesis and secretion of procollagen in heart tissue, with the goal of elucidating molecular mechanisms underlying cardiac fibrosis in subjects with this viral infection. Methods and Results Using human autopsy tissue, immunofluorescence, and immunohistochemistry, we quantified Hsp47 cells and collagen α 1(l) in hearts from people with SARS-CoV-2 infections.

A Triad of Pericarditis, Pericardial Effusion, and Pleural Effusion as the Predominant Presentation of Rheumatoid Arthritis - A Case Report.

We describe a case of a 67-year-old African American man who presented to the emergency department with a sharp, pleuritic chest pain and shortness of breath. After several admissions and extensive workup, he ultimately was diagnosed with a persistent pleural effusion, pericardial effusion, and secondary constrictive pericarditis due to rheumatoid arthritis. By highlighting immunological disorders such as rheumatoid arthritis in the differential diagnosis, in the setting of a refractory pericardial effusion and serositis, this case report addresses key aspects of the presentation both in the emergency and inpatient settings, reviews the criteria for a rheumatoid arthritis diagnosis, and emphasizes areas of importance in predominantly cardiopulmonary extra-articular manifestations of a typically musculoskeletal disease.

Internal herniation of the right colon through the foramen of Winslow: A case report.

Introduction And Importance: Herniation through the Foramen of Winslow, also known as the epiploic foramen, is an extremely rare phenomenon with less than 200 cases reported in medical literature. Internal hernias account for less than 1% of all hernias and roughly 8% of all internal hernias occur through the foramen of Winslow. We present a case of a foramen of Winslow hernia that was not detected until direct visualization with laparoscopy.

Noninvasive Neurally Adjusted Ventilatory Assist Versus High Flow Cannula Support After Congenital Heart Surgery.

Background: Extubation failure rates for critical patients in pediatric intensive care units (ICUs) range from 5% to 29%. Noninvasive (NIV) ventilation has been shown to decrease extubation failure. We compared reintubation rates and outcomes of patients supported with NIV neurally adjusted ventilation assist (NAVA) versus historical controls supported with high-flow nasal cannula (HFNC).

Near-UV photolysis of substituted phenols. Part II. 4-, 3- and 2-methylphenol.

The photodissociation of jet-cooled 4-, 3- and 2-methylphenol molecules has been investigated using the experimental techniques of resonance enhanced multiphoton ionisation and H (Rydberg) atom photofragment translational spectroscopy. O-H bond fission is found to occur, via a repulsive (1)pisigma state, in a manner analogous to that occurring in phenol and 4-fluorophenol. Excitation to the (1)pipi manifold results in H-atom loss either directly (via a (1)pipi/(1)pisigma conical intersection) or indirectly, following internal conversion to the ground state and subsequent coupling to the (1)pisigma state via a second conical intersection at extended O-H bond lengths.

Quantitative (upsilon, N, Ka) product state distributions near the triplet threshold for the reaction H2CO --> H + HCO measured by Rydberg tagging and laser-induced fluorescence.

In this paper, we report quantitative product state distributions for the photolysis of H2CO --> H + HCO in the triplet threshold region, specifically for several rotational states in the 2(2)4(3) and 2(3)4(1) H2CO vibrational states that lie in this region. We have combined the strengths of two complementary techniques, laser-induced fluorescence for fine resolution and H atom Rydberg tagging for the overall distribution, to quantify the upsilon, N, and Ka distributions of the HCO photofragment formed via the singlet and triplet dissociation mechanisms. Both techniques are in quantitative agreement where they overlap and provide calibration or benchmarks that permit extension of the results beyond that possible by each technique on its own.

Exploring nuclear motion through conical intersections in the UV photodissociation of phenols and thiophenol.

High-resolution time-of-flight measurements of H atom products from photolysis of phenol, 4-methylphenol, 4-fluorophenol, and thiophenol, at many UV wavelengths (lambda(phot)), have allowed systematic study of the influence of ring substituents and the heteroatom on the fragmentation dynamics. All dissociate by X-H (X = O, S) bond fission after excitation at their respective S(1)((1)pipi*)-S(0) origins and at all shorter wavelengths. The achieved kinetic energy resolution reveals population of selected vibrational levels of the various phenoxyl and thiophenoxyl coproducts, providing uniquely detailed insights into the fragmentation dynamics.

Near-ultraviolet photodissociation of thiophenol.

H(D) Rydberg atom photofragment translational spectroscopy has been used to investigate the dynamics of H(D) atom loss C6H5SH(C6H5SD) following excitation at many wavelengths lambda phot in the range of 225-290 nm. The C6H5S cofragments are formed in both their ground (X(2)B1) and first excited ((2)B2) electronic states, in a distribution of vibrational levels that spreads and shifts to higher internal energies as lambda(phot) is reduced. Excitation at lambda(phot) > 275 nm populates levels of the first (1)pi pi* state, which decay by tunnelling to the dissociative (1)pi sigma* state potential energy surface (PES).

State-selective photodissociation dynamics of formaldehyde: near threshold studies of the H+HCO product channel.

The laser-induced photodissociation of formaldehyde in the wavelength range 309 View Article and Find Full Text PDF

Near-UV photolysis of substituted phenols, I: 4-fluoro-, 4-chloro- and 4-bromophenol.

The experimental techniques of H (Rydberg) atom photofragment translational spectroscopy and resonance-enhanced multiphoton ionisation time-of-flight spectroscopy have been used to investigate the dynamics of H atom loss processes from gas phase 4-fluorophenol (4-FPhOH), 4-chlorophenol (4-ClPhOH) and 4-bromophenol (4-BrPhOH) molecules, following excitation at many wavelengths, lambda(phot), in the range between their respective S(1)-S(0) origins (284.768 nm, 287.265 nm and 287.

Ultraviolet photolysis of adenine: dissociation via the 1pi sigma* state.

High resolution total kinetic energy release (TKER) spectra of the H atom fragments resulting from photodissociation of jet-cooled adenine molecules at 17 wavelengths in the range 280>lambda(phot)>214 nm are reported. TKER spectra obtained at lambda(phot)>233 nm display broad, isotropic profiles that peak at low TKER ( approximately 1800 cm(-1)) and are largely insensitive to the choice of excitation wavelength. The bulk of these products is attributed to unintended multiphoton dissociation processes.

High resolution photofragment translational spectroscopy studies of the near ultraviolet photolysis of imidazole.

The fragmentation dynamics of imidazole molecules following excitation at 193.3 nm and at many wavelengths in the range of 210< or =lambda(phot)< or =240 nm have been investigated by H Rydberg atom photofragment translational spectroscopy. Long wavelength excitation within this range results in population of the 1 (1)A(")((1)pisigma(*)) excited state, but the 2 (1)A(')<--X (1)A(')(pi(*)<--pi) transition becomes the dominant absorption once lambda(phot)< or =220 nm.

High resolution photofragment translational spectroscopy studies of the near ultraviolet photolysis of phenol.

The fragmentation dynamics of gas phase phenol molecules following excitation at many wavelengths in the range 279.145 > or = lambdaphot > or = 206.00 nm have been investigated by H Rydberg atom photofragment translational spectroscopy.

Near ultraviolet photolysis of deuterated pyrrole.

High resolution time-of-flight (TOF) measurements of the D atom fragments arising in the near ultraviolet (UV) photodissociation of deuterated pyrrole are reported. Structures evident in the measured TOF spectra are all interpretable in terms of N-D bond fission, and population of selected vibrational states of the pyrrolyl-d(4) co-fragment -- thereby clarifying previous uncertainties regarding the branching into different vibronic states of the pyrrolyl radical following UV excitation of pyrrole.

High resolution photofragment translational spectroscopy studies of the near ultraviolet photolysis of 2,5-dimethylpyrrole.

The photodissociation dynamics of 2,5-dimethylpyrrole (2,5-DMP) has been investigated following excitation at 193.3 nm and at many near ultraviolet (UV) wavelengths in the range 244 < lambda(phot) < 282 nm using H Rydberg atom photofragment translational spectroscopy (PTS). Complementary UV absorption and, at the longest excitation wavelengths, one photon resonant multiphoton ionisation spectra of 2,5-DMP are reported also; analysis of the latter highlights the role of methyl torsional motions in promoting the parent absorption.