Objective: To find out, whether the degenerative process of ascending aorta is limited to the aortic sinuses only or is extending to mid and distal ascending aorta of Bicuspid Aortic Valve patients. Method: A prospect...Objective: To find out, whether the degenerative process of ascending aorta is limited to the aortic sinuses only or is extending to mid and distal ascending aorta of Bicuspid Aortic Valve patients. Method: A prospective consecutive study on 25 patients of BAV (undergoing aortic valve with ± ascending aortic surgeries) was conducted from 1st Jan 2010 to 30th Dec 2011. Morphological and anatomical data of root and ascending aorta were recorded from echocardiography and computed tomography angiography. Intra-operatively, aortic tissue biopsy taken from three sites: sinus, mid, and distal ascending aorta. Histological evaluation of the aortic wall was based on criteria adapted from Schlatmann and Becker and from de Sa et al. The presence and degree of the 5 variables of degeneration were studied: Linear regression and correlation were used to get relationship between histopathological scoring (HPE-T) and aortic diameter for each site of ascending aorta. Results: Significant linear relation was found between aortic sinus diameter and HPE T score with R value = 0.590 (p value 0.001) and variance of 37.5%. Analysis suggests that HPE T Score = -5.139 + (0.188 x Ao. Sinus Diameter in mm). No significant linear relation could be established between mid and distal ascending aorta diameter and HPE T scoring. Conclusion: In BAV patient’s, a definite relationship between degenerative changes of aortic media and aortic diameter was found and was limited up to the sinus level only. Thus, the study reinforces the thought of replacing aortic sinus too while dealing with aortic valve, even without significant dilatation. By this aggressive management of aortic root, progression of aortic dilatation or dissection can be prevented in bicuspid aortic valve patients.展开更多
Single-phase diluted magnetic systems Zn1-xFexO have been prepared by chemical route. Structural and spectroscopic （UV-Vis and Mossbauer） studies indicate the incorporation of Fe^3＋ ions in the lattice sites. The U...Single-phase diluted magnetic systems Zn1-xFexO have been prepared by chemical route. Structural and spectroscopic （UV-Vis and Mossbauer） studies indicate the incorporation of Fe^3＋ ions in the lattice sites. The UV-Vis results point to a systematic increase in the band gap with increasing Fe doping. The room temperature magnetization of Zni-xFexO indicates a paramagnetic behavior which is in accordance with the Mossbauer results, illustrating quadrupolar doublet. At low temperature, the zero-field-cooled （ZFC） magnetization shows a cusp and this temperature increases systematically with decreasing particle size. The weak exchange bias effect manifested by a M-H loop shift is observed for x = 0.03. This shift is accompanied by the enhancement of coercivity. The dc magnetization results suggest the coexis tence of ferromagnetic and antiferromagnetic exchange interactions for low doping of Fe, i.e., for x = 0.03.展开更多
文摘Objective: To find out, whether the degenerative process of ascending aorta is limited to the aortic sinuses only or is extending to mid and distal ascending aorta of Bicuspid Aortic Valve patients. Method: A prospective consecutive study on 25 patients of BAV (undergoing aortic valve with ± ascending aortic surgeries) was conducted from 1st Jan 2010 to 30th Dec 2011. Morphological and anatomical data of root and ascending aorta were recorded from echocardiography and computed tomography angiography. Intra-operatively, aortic tissue biopsy taken from three sites: sinus, mid, and distal ascending aorta. Histological evaluation of the aortic wall was based on criteria adapted from Schlatmann and Becker and from de Sa et al. The presence and degree of the 5 variables of degeneration were studied: Linear regression and correlation were used to get relationship between histopathological scoring (HPE-T) and aortic diameter for each site of ascending aorta. Results: Significant linear relation was found between aortic sinus diameter and HPE T score with R value = 0.590 (p value 0.001) and variance of 37.5%. Analysis suggests that HPE T Score = -5.139 + (0.188 x Ao. Sinus Diameter in mm). No significant linear relation could be established between mid and distal ascending aorta diameter and HPE T scoring. Conclusion: In BAV patient’s, a definite relationship between degenerative changes of aortic media and aortic diameter was found and was limited up to the sinus level only. Thus, the study reinforces the thought of replacing aortic sinus too while dealing with aortic valve, even without significant dilatation. By this aggressive management of aortic root, progression of aortic dilatation or dissection can be prevented in bicuspid aortic valve patients.
文摘Single-phase diluted magnetic systems Zn1-xFexO have been prepared by chemical route. Structural and spectroscopic （UV-Vis and Mossbauer） studies indicate the incorporation of Fe^3＋ ions in the lattice sites. The UV-Vis results point to a systematic increase in the band gap with increasing Fe doping. The room temperature magnetization of Zni-xFexO indicates a paramagnetic behavior which is in accordance with the Mossbauer results, illustrating quadrupolar doublet. At low temperature, the zero-field-cooled （ZFC） magnetization shows a cusp and this temperature increases systematically with decreasing particle size. The weak exchange bias effect manifested by a M-H loop shift is observed for x = 0.03. This shift is accompanied by the enhancement of coercivity. The dc magnetization results suggest the coexis tence of ferromagnetic and antiferromagnetic exchange interactions for low doping of Fe, i.e., for x = 0.03.
