Type II heparin-induced thrombocytopenia （HIT） is a life-threatening adverse drug reaction initiated by heparin administration. We described a rare case of LMWH-induced HIT complicated with proven pulmonary embolism...Type II heparin-induced thrombocytopenia （HIT） is a life-threatening adverse drug reaction initiated by heparin administration. We described a rare case of LMWH-induced HIT complicated with proven pulmonary embolism （PE） in a 75-year-old male patient who hospitalized with diagnose of right knee osteoarthritis and was underwent total knee arthroplasty The patient was successfully treated with argatroban. Early recognition and timely altemative therapy are of great importance in the treatment of this severe disorder,展开更多
NOWADAYS,Fontan circulation always refers to the hemodynamic status after total cavo-pul-monary connection, which was first created in the 1990s. There are two modern surgeryforms, one creating a channel within the r...NOWADAYS,Fontan circulation always refers to the hemodynamic status after total cavo-pul-monary connection, which was first created in the 1990s. There are two modern surgeryforms, one creating a channel within the right atrium and another making an extra-cardiac channel to connect infe-rior venous cava directly to the right pulmonary artery. Parturients with Fontan circulation are at increased risk of cardiac morbidity and thrombotic complications. We pre-sented a parturient with reduced platelet status of un-known reason undergoing an emergent cesarean delivery.展开更多
Alarm calls are emitted by Richardson＇s ground squirrels Urocitellus richardsonii in response to avian and terrestrial predators. Conspecifics detecting these calls respond with increased vigilance, promoting predato...Alarm calls are emitted by Richardson＇s ground squirrels Urocitellus richardsonii in response to avian and terrestrial predators. Conspecifics detecting these calls respond with increased vigilance, promoting predator detection and evasion, but in doing so, lose time from foraging. That loss can be minimized if alarm call recipients discriminate among signalers, and weight their response accordingly. For juvenile ground squirrels, we predicted that the trade-off between foraging and vigilance could be optimized via selective response to alarm calls emitted by their own dam, and/or neighboring colony members over calls broad- cast by less familiar conspecifics. Alarm calls of adult female Richardson＇s ground squirrels were elicited in the field using a predator model and recorded on digital audio tape. Free-living focal juveniles were subjected to playbacks of a call of their mother, and on a separate occasion a call from either another adult female from their own colony, or an adult female from another colony. Neither immediate postural responses and escape behavior, nor the duration of vigilance manifested by juveniles differed with exposure to alarm calls of the three adult female signaler types. Thus, juveniles did not respond preferentially to alarm calls emitted by their mothers or colony members, likely reflecting the high cost of ignoring alarm signals where receivers have had limited opportunity to establish past signaler reliability [Current Zoology 58 （5）： 773-780, 2012].展开更多
文摘Type II heparin-induced thrombocytopenia （HIT） is a life-threatening adverse drug reaction initiated by heparin administration. We described a rare case of LMWH-induced HIT complicated with proven pulmonary embolism （PE） in a 75-year-old male patient who hospitalized with diagnose of right knee osteoarthritis and was underwent total knee arthroplasty The patient was successfully treated with argatroban. Early recognition and timely altemative therapy are of great importance in the treatment of this severe disorder,
文摘NOWADAYS,Fontan circulation always refers to the hemodynamic status after total cavo-pul-monary connection, which was first created in the 1990s. There are two modern surgeryforms, one creating a channel within the right atrium and another making an extra-cardiac channel to connect infe-rior venous cava directly to the right pulmonary artery. Parturients with Fontan circulation are at increased risk of cardiac morbidity and thrombotic complications. We pre-sented a parturient with reduced platelet status of un-known reason undergoing an emergent cesarean delivery.
文摘Alarm calls are emitted by Richardson＇s ground squirrels Urocitellus richardsonii in response to avian and terrestrial predators. Conspecifics detecting these calls respond with increased vigilance, promoting predator detection and evasion, but in doing so, lose time from foraging. That loss can be minimized if alarm call recipients discriminate among signalers, and weight their response accordingly. For juvenile ground squirrels, we predicted that the trade-off between foraging and vigilance could be optimized via selective response to alarm calls emitted by their own dam, and/or neighboring colony members over calls broad- cast by less familiar conspecifics. Alarm calls of adult female Richardson＇s ground squirrels were elicited in the field using a predator model and recorded on digital audio tape. Free-living focal juveniles were subjected to playbacks of a call of their mother, and on a separate occasion a call from either another adult female from their own colony, or an adult female from another colony. Neither immediate postural responses and escape behavior, nor the duration of vigilance manifested by juveniles differed with exposure to alarm calls of the three adult female signaler types. Thus, juveniles did not respond preferentially to alarm calls emitted by their mothers or colony members, likely reflecting the high cost of ignoring alarm signals where receivers have had limited opportunity to establish past signaler reliability [Current Zoology 58 （5）： 773-780, 2012].
