This study highlights the need to consider regional differences i

This study highlights the need to consider regional differences in climate, native vegetation, and the importance of macroinvertebrates, when assessing the effects of plantations on stream ecosystem processes such as carbon cycling. It also suggests that preservation of native riparian corridors, especially in drier areas, where the native vegetation provides high quality litter to the Selleck VX-689 streams, and where invertebrates play an important

role in aquatic processes, may mitigate the effects of plantations on stream communities and processes. (C) 2014 Elsevier B.V. All rights reserved.”
“Background. The standard of performing emergent surgical repair for acute aortic dissection type A has been questioned in patients with previous cardiac surgery. The effects of previous cardiac surgery on the presentation and operative outcome of these patients is understudied.\n\nMethods. Between 1998 and 2010, 190 patients were operated on for acute type A aortic

dissection; there were 159 first cardiac operations (FCO) and 31 redo operations (REDO). Stepwise logistic regression analysis identified independent predictors of hospital mortality. Propensity Fer-1 score-matching yielded 31 FCOs who matched the REDOs with respect to age, sex, hypertension history, chronic obstructive pulmonary disease, and renal failure. The presentation, operative outcome, and complications were compared between the two groups.\n\nResults. ALK inhibitor Hospital mortality rate was 16.8% (32 of 190). Regression analysis identified mental status change (odds ratio [OR] = 5.9), hypertension (OR = 4.6), concomitant coronary artery bypass grafting (OR = 3), reoperation (OR = 2.9), and age

of 70 years or older (OR = 2.8) as predictors of hospital mortality. After matching there was no difference between REDO and FCO groups in the presenting symptoms, but REDOs had a higher incidence of aortic rupture (29% [9 of 31] versus 3.2% [1 of 31]; p = 0.012). Cardiac tamponade was present in 3.2% (1 of 31) of REDOs versus 16.1% of FCOs (5 of 31; p = 0.195). Patients in the REDO group required more intraoperative blood transfusion, and had longer cardiopulmonary bypass time. Major complications occurred similarly between the two groups, except REDOs had worse renal function and a higher rate of sudden cardiac arrest (14.3% [4 of 28] versus 0; p = 0.045).\n\nConclusions. Although hospital mortality is higher among REDOs, it is still lower than the reported mortality for medical management, and major complications occurred at a rate similar to that of FCOs; hence, emergent surgery remains the prudent treatment. (Ann Thorac Surg 2012;93:1206-14) (C) 2012 by The Society of Thoracic Surgeons”
“The oxygenation of polyunsaturated fatty acids by lipoxygenases (LOX) is associated with a lag phase during which the resting ferrous enzyme is converted to the active ferric form by reaction with fatty acid hydroperoxide.

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