A congenital cardiovascular malformation in which the AORTA arises entirely from the RIGHT VENTRICLE, and the PULMONARY ARTERY arises from the LEFT VENTRICLE. Consequently, the pulmonary and the systemic circulations are parallel and not sequential, so that the venous return from the peripheral circulation is re-circulated by the right ventricle via aorta to the systemic circulation without being oxygenated in the lungs. This is a potentially lethal form of heart disease in newborns and infants.
Discrete segments of DNA which can excise and reintegrate to another site in the genome. Most are inactive, i.e., have not been found to exist outside the integrated state. DNA transposable elements include bacterial IS (insertion sequence) elements, Tn elements, the maize controlling elements Ac and Ds, Drosophila P, gypsy, and pogo elements, the human Tigger elements and the Tc and mariner elements which are found throughout the animal kingdom.
Enzymes that recombine DNA segments by a process which involves the formation of a synapse between two DNA helices, the cleavage of single strands from each DNA helix and the ligation of a DNA strand from one DNA helix to the other. The resulting DNA structure is called a Holliday junction which can be resolved by DNA REPLICATION or by HOLLIDAY JUNCTION RESOLVASES.
Any of the tubular vessels conveying the blood (arteries, arterioles, capillaries, venules, and veins).
The heart of the fetus of any viviparous animal. It refers to the heart in the postembryonic period and is differentiated from the embryonic heart (HEART/embryology) only on the basis of time.
Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.
General or unspecified injuries to the heart.
The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.
The inferior and superior venae cavae.
A congenital abnormality in which organs in the THORAX and the ABDOMEN are opposite to their normal positions (situs solitus) due to lateral transposition. Normally the STOMACH and SPLEEN are on the left, LIVER on the right, the three-lobed right lung is on the right, and the two-lobed left lung on the left. Situs inversus has a familial pattern and has been associated with a number of genes related to microtubule-associated proteins.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
Radiography of the heart and great vessels after injection of a contrast medium.
The first and largest artery branching from the aortic arch. It distributes blood to the right side of the head and neck and to the right arm.
A congenital heart defect characterized by downward or apical displacement of the TRICUSPID VALVE, usually with the septal and posterior leaflets being attached to the wall of the RIGHT VENTRICLE. It is characterized by a huge RIGHT ATRIUM and a small and less effective right ventricle.
Dynamic three-dimensional echocardiography using the added dimension of time to impart the cinematic perception of motion. (Mayo Clin Proc 1993;68:221-40)
Developmental abnormalities in any portion of the VENTRICULAR SEPTUM resulting in abnormal communications between the two lower chambers of the heart. Classification of ventricular septal defects is based on location of the communication, such as perimembranous, inlet, outlet (infundibular), central muscular, marginal muscular, or apical muscular defect.
The venous trunk which returns blood from the head, neck, upper extremities and chest.
Abnormalities in any part of the HEART SEPTUM resulting in abnormal communication between the left and the right chambers of the heart. The abnormal blood flow inside the heart may be caused by defects in the ATRIAL SEPTUM, the VENTRICULAR SEPTUM, or both.
The pathologic narrowing of the orifice of the PULMONARY VALVE. This lesion restricts blood outflow from the RIGHT VENTRICLE to the PULMONARY ARTERY. When the trileaflet valve is fused into an imperforate membrane, the blockage is complete.
The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.
Wounds caused by objects penetrating the skin.
A region, of SOMITE development period, that contains a number of paired arches, each with a mesodermal core lined by ectoderm and endoderm on the two sides. In lower aquatic vertebrates, branchial arches develop into GILLS. In higher vertebrates, the arches forms outpouchings and develop into structures of the head and neck. Separating the arches are the branchial clefts or grooves.
Neoplasms located in the vasculature system, such as ARTERIES and VEINS. They are differentiated from neoplasms of vascular tissue (NEOPLASMS, VASCULAR TISSUE), such as ANGIOFIBROMA or HEMANGIOMA.
The valve consisting of three cusps situated between the right atrium and right ventricle of the heart.
The main trunk of the systemic arteries.
General or unspecified injuries to the chest area.
A fetal blood vessel connecting the pulmonary artery with the descending aorta.
Malformations of CORONARY VESSELS, either arteries or veins. Included are anomalous origins of coronary arteries; ARTERIOVENOUS FISTULA; CORONARY ANEURYSM; MYOCARDIAL BRIDGING; and others.
Elements that are transcribed into RNA, reverse-transcribed into DNA and then inserted into a new site in the genome. Long terminal repeats (LTRs) similar to those from retroviruses are contained in retrotransposons and retrovirus-like elements. Retroposons, such as LONG INTERSPERSED NUCLEOTIDE ELEMENTS and SHORT INTERSPERSED NUCLEOTIDE ELEMENTS do not contain LTRs.
Mutagenesis where the mutation is caused by the introduction of foreign DNA sequences into a gene or extragenic sequence. This may occur spontaneously in vivo or be experimentally induced in vivo or in vitro. Proviral DNA insertions into or adjacent to a cellular proto-oncogene can interrupt GENETIC TRANSLATION of the coding sequences or interfere with recognition of regulatory elements and cause unregulated expression of the proto-oncogene resulting in tumor formation.
Surgical incision into the chest wall.
A membrane in the midline of the THORAX of mammals. It separates the lungs between the STERNUM in front and the VERTEBRAL COLUMN behind. It also surrounds the HEART, TRACHEA, ESOPHAGUS, THYMUS, and LYMPH NODES.
Tubular vessels that are involved in the transport of LYMPH and LYMPHOCYTES.
The sequence of PURINES and PYRIMIDINES in nucleic acids and polynucleotides. It is also called nucleotide sequence.
The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves directed into the body. The procedure may be applied with reference to the mother or the fetus and with reference to organs or the detection of maternal or fetal disease.
Abnormal communication between two ARTERIES that may result from injury or occur as a congenital abnormality.
Extrachromosomal, usually CIRCULAR DNA molecules that are self-replicating and transferable from one organism to another. They are found in a variety of bacterial, archaeal, fungal, algal, and plant species. They are used in GENETIC ENGINEERING as CLONING VECTORS.
Tumors in any part of the heart. They include primary cardiac tumors and metastatic tumors to the heart. Their interference with normal cardiac functions can cause a wide variety of symptoms including HEART FAILURE; CARDIAC ARRHYTHMIAS; or EMBOLISM.
Descriptions of specific amino acid, carbohydrate, or nucleotide sequences which have appeared in the published literature and/or are deposited in and maintained by databanks such as GENBANK, European Molecular Biology Laboratory (EMBL), National Biomedical Research Foundation (NBRF), or other sequence repositories.
Production of new arrangements of DNA by various mechanisms such as assortment and segregation, CROSSING OVER; GENE CONVERSION; GENETIC TRANSFORMATION; GENETIC CONJUGATION; GENETIC TRANSDUCTION; or mixed infection of viruses.
The blood vessels which supply and drain the RETINA.
The chambers of the heart, to which the BLOOD returns from the circulation.
Surgery performed on the heart.
Tumors or cancer of the MEDIASTINUM.
A class of enzymes that transfers nucleotidyl residues. EC 2.7.7.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
An infant during the first month after birth.
The veins and arteries of the HEART.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
The hollow, muscular organ that maintains the circulation of the blood.
A species of gram-negative, facultatively anaerobic, rod-shaped bacteria (GRAM-NEGATIVE FACULTATIVELY ANAEROBIC RODS) commonly found in the lower part of the intestine of warm-blooded animals. It is usually nonpathogenic, but some strains are known to produce DIARRHEA and pyogenic infections. Pathogenic strains (virotypes) are classified by their specific pathogenic mechanisms such as toxins (ENTEROTOXIGENIC ESCHERICHIA COLI), etc.
Deoxyribonucleic acid that makes up the genetic material of bacteria.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Elements of limited time intervals, contributing to particular results or situations.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
Sequences of DNA or RNA that occur in multiple copies. There are several types: INTERSPERSED REPETITIVE SEQUENCES are copies of transposable elements (DNA TRANSPOSABLE ELEMENTS or RETROELEMENTS) dispersed throughout the genome. TERMINAL REPEAT SEQUENCES flank both ends of another sequence, for example, the long terminal repeats (LTRs) on RETROVIRUSES. Variations may be direct repeats, those occurring in the same direction, or inverted repeats, those opposite to each other in direction. TANDEM REPEAT SEQUENCES are copies which lie adjacent to each other, direct or inverted (INVERTED REPEAT SEQUENCES).
An abnormality in the direction of a TOOTH ERUPTION.
A parasexual process in BACTERIA; ALGAE; FUNGI; and ciliate EUKARYOTA for achieving exchange of chromosome material during fusion of two cells. In bacteria, this is a uni-directional transfer of genetic material; in protozoa it is a bi-directional exchange. In algae and fungi, it is a form of sexual reproduction, with the union of male and female gametes.
The ordered rearrangement of gene regions by DNA recombination such as that which occurs normally during development.
Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations.
Enzymes that catalyze the incorporation of deoxyribonucleotides into a chain of DNA. EC 2.7.7.-.
Recombinases that involved in the propagation of DNA TRANSPOSONS. They bind to transposon sequences found at two different sites along the same stretch of DNA and bring them into close proximity. The enzymes then catalyze the double strand cleavage, exchange of double strands and rejoining of DNA helices so that the DNA transposon is formed into a circular PLASMID.
A plant species of the family POACEAE. It is a tall grass grown for its EDIBLE GRAIN, corn, used as food and animal FODDER.
Theoretical representations that simulate the behavior or activity of genetic processes or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.
A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.
Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.
A method (first developed by E.M. Southern) for detection of DNA that has been electrophoretically separated and immobilized by blotting on nitrocellulose or other type of paper or nylon membrane followed by hybridization with labeled NUCLEIC ACID PROBES.
The functional hereditary units of BACTERIA.
Structures within the nucleus of bacterial cells consisting of or containing DNA, which carry genetic information essential to the cell.
Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed)
Any method used for determining the location of and relative distances between genes on a chromosome.
Use of restriction endonucleases to analyze and generate a physical map of genomes, genes, or other segments of DNA.
A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine).
A species of fruit fly much used in genetics because of the large size of its chromosomes.
A number of syndromes with defective gonadal developments such as streak GONADS and dysgenetic testes or ovaries. The spectrum of gonadal and sexual abnormalities is reflected in their varied sex chromosome (SEX CHROMOSOMES) constitution as shown by the karyotypes of 45,X monosomy (TURNER SYNDROME); 46,XX (GONADAL DYSGENESIS, 46XX); 46,XY (GONADAL DYSGENESIS, 46,XY); and sex chromosome MOSAICISM; (GONADAL DYSGENESIS, MIXED). Their phenotypes range from female, through ambiguous, to male. This concept includes gonadal agenesis.
A multistage process that includes cloning, physical mapping, subcloning, determination of the DNA SEQUENCE, and information analysis.
The venous trunk of the upper limb; a continuation of the basilar and brachial veins running from the lower border of the teres major muscle to the outer border of the first rib where it becomes the subclavian vein.
The process of cumulative change at the level of DNA; RNA; and PROTEINS, over successive generations.
Surgical procedure by which a tendon is incised at its insertion and placed at an anatomical site distant from the original insertion. The tendon remains attached at the point of origin and takes over the function of a muscle inactivated by trauma or disease.
Compression of the ULNAR NERVE in the cubital tunnel, which is formed by the two heads of the flexor carpi ulnaris muscle, humeral-ulnar aponeurosis, and medial ligaments of the elbow. This condition may follow trauma or occur in association with processes which produce nerve enlargement or narrowing of the canal. Manifestations include elbow pain and PARESTHESIA radiating distally, weakness of ulnar innervated intrinsic hand muscles, and loss of sensation over the hypothenar region, fifth finger, and ulnar aspect of the ring finger. (Joynt, Clinical Neurology, 1995, Ch51, p43)
Nucleotide sequences repeated on both the 5' and 3' ends of a sequence under consideration. For example, the hallmarks of a transposon are that it is flanked by inverted repeats on each end and the inverted repeats are flanked by direct repeats. The Delta element of Ty retrotransposons and LTRs (long terminal repeats) are examples of this concept.
Proteins which bind to DNA. The family includes proteins which bind to both double- and single-stranded DNA and also includes specific DNA binding proteins in serum which can be used as markers for malignant diseases.
The order of amino acids as they occur in a polypeptide chain. This is referred to as the primary structure of proteins. It is of fundamental importance in determining PROTEIN CONFORMATION.
The insertion of recombinant DNA molecules from prokaryotic and/or eukaryotic sources into a replicating vehicle, such as a plasmid or virus vector, and the introduction of the resultant hybrid molecules into recipient cells without altering the viability of those cells.
An aberration in which a chromosomal segment is deleted and reinserted in the same place but turned 180 degrees from its original orientation, so that the gene sequence for the segment is reversed with respect to that of the rest of the chromosome.
Recombinases that insert exogenous DNA into the host genome. Examples include proteins encoded by the POL GENE of RETROVIRIDAE and also by temperate BACTERIOPHAGES, the best known being BACTERIOPHAGE LAMBDA.
This structure includes the thin muscular atrial septum between the two HEART ATRIA, and the thick muscular ventricular septum between the two HEART VENTRICLES.
Bacterial proteins that are used by BACTERIOPHAGES to incorporate their DNA into the DNA of the "host" bacteria. They are DNA-binding proteins that function in genetic recombination as well as in transcriptional and translational regulation.
The sequential correspondence of nucleotides in one nucleic acid molecule with those of another nucleic acid molecule. Sequence homology is an indication of the genetic relatedness of different organisms and gene function.
Deliberate breeding of two different individuals that results in offspring that carry part of the genetic material of each parent. The parent organisms must be genetically compatible and may be from different varieties or closely related species.
Single pavement layer of cells which line the luminal surface of the entire vascular system and regulate the transport of macromolecules and blood components.
Proteins found in any species of bacterium.
The degree to which BLOOD VESSELS are not blocked or obstructed.
A family of the order DIPTERA with over 700 species. Important species that may be mechanical vectors of disease include Musca domesticus (HOUSEFLIES), Musca autumnalis (face fly), Stomoxys calcitrans (stable fly), Haematobia irritans (horn fly) and Fannia spp.
The vessels carrying blood away from the capillary beds.
The development of new BLOOD VESSELS during the restoration of BLOOD CIRCULATION during the healing process.
In vitro method for producing large amounts of specific DNA or RNA fragments of defined length and sequence from small amounts of short oligonucleotide flanking sequences (primers). The essential steps include thermal denaturation of the double-stranded target molecules, annealing of the primers to their complementary sequences, and extension of the annealed primers by enzymatic synthesis with DNA polymerase. The reaction is efficient, specific, and extremely sensitive. Uses for the reaction include disease diagnosis, detection of difficult-to-isolate pathogens, mutation analysis, genetic testing, DNA sequencing, and analyzing evolutionary relationships.
A class of plasmids that transfer antibiotic resistance from one bacterium to another by conjugation.
Change brought about to an organisms genetic composition by unidirectional transfer (TRANSFECTION; TRANSDUCTION, GENETIC; CONJUGATION, GENETIC, etc.) and incorporation of foreign DNA into prokaryotic or eukaryotic cells by recombination of part or all of that DNA into the cell's genome.
Ulnar neuropathies caused by mechanical compression of the nerve at any location from its origin at the BRACHIAL PLEXUS to its terminations in the hand. Common sites of compression include the retroepicondylar groove, cubital tunnel at the elbow (CUBITAL TUNNEL SYNDROME), and Guyon's canal at the wrist. Clinical features depend on the site of injury, but may include weakness or paralysis of wrist flexion, finger flexion, and ulnar innervated intrinsic hand muscles, and impaired sensation over the ulnar aspect of the hand, fifth finger, and ulnar half of the ring finger. (Joynt, Clinical Neurology, 1995, Ch51, p43)
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
A sequence of successive nucleotide triplets that are read as CODONS specifying AMINO ACIDS and begin with an INITIATOR CODON and end with a stop codon (CODON, TERMINATOR).
Any of the covalently closed DNA molecules found in bacteria, many viruses, mitochondria, plastids, and plasmids. Small, polydisperse circular DNA's have also been observed in a number of eukaryotic organisms and are suggested to have homology with chromosomal DNA and the capacity to be inserted into, and excised from, chromosomal DNA. It is a fragment of DNA formed by a process of looping out and deletion, containing a constant region of the mu heavy chain and the 3'-part of the mu switch region. Circular DNA is a normal product of rearrangement among gene segments encoding the variable regions of immunoglobulin light and heavy chains, as well as the T-cell receptor. (Riger et al., Glossary of Genetics, 5th ed & Segen, Dictionary of Modern Medicine, 1992)
Recombinases involved in the rearrangement of immunity-related GENES such as IMMUNOGLOBULIN GENES and T-CELL RECEPTOR GENES.
Genes of IAP elements (a family of retrovirus-like genetic elements) which code for virus-like particles (IAPs) found regularly in rodent early embryos. ("Intracisternal" refers to the cisternae of the endoplasmic reticulum.) Under certain circumstances, such as DNA hypomethylation they are transcribed. Their transcripts are found in a variety of neoplasms, including plasmacytomas, neuroblastoma, rhabdomyosarcomas, teratocarcinomas, and colon carcinomas.
A pathologic process consisting of the proliferation of blood vessels in abnormal tissues or in abnormal positions.
Narrowing below the PULMONARY VALVE or well below it in the infundibuluar chamber where the pulmonary artery originates, usually caused by a defective VENTRICULAR SEPTUM or presence of fibrous tissues. It is characterized by restricted blood outflow from the RIGHT VENTRICLE into the PULMONARY ARTERY, exertional fatigue, DYSPNEA, and chest discomfort.
Process of generating a genetic MUTATION. It may occur spontaneously or be induced by MUTAGENS.
A congenital defect in which the heart is located on the right side of the THORAX instead of on the left side (levocardia, the normal position). When dextrocardia is accompanied with inverted HEART ATRIA, a right-sided STOMACH, and a left-sided LIVER, the combination is called dextrocardia with SITUS INVERSUS. Dextrocardia may adversely affect other thoracic organs.
Nonsusceptibility of bacteria to the antibiotic KANAMYCIN, which can bind to their 70S ribosomes and cause misreading of messenger RNA.
DNA molecules capable of autonomous replication within a host cell and into which other DNA sequences can be inserted and thus amplified. Many are derived from PLASMIDS; BACTERIOPHAGES; or VIRUSES. They are used for transporting foreign genes into recipient cells. Genetic vectors possess a functional replicator site and contain GENETIC MARKERS to facilitate their selective recognition.
Large veins on either side of the root of the neck formed by the junction of the internal jugular and subclavian veins. They drain blood from the head, neck, and upper extremities, and unite to form the superior vena cava.
The relationships of groups of organisms as reflected by their genetic makeup.
In a prokaryotic cell or in the nucleus of a eukaryotic cell, a structure consisting of or containing DNA which carries the genetic information essential to the cell. (From Singleton & Sainsbury, Dictionary of Microbiology and Molecular Biology, 2d ed)
Enzymes that are part of the restriction-modification systems. They catalyze the endonucleolytic cleavage of DNA sequences which lack the species-specific methylation pattern in the host cell's DNA. Cleavage yields random or specific double-stranded fragments with terminal 5'-phosphates. The function of restriction enzymes is to destroy any foreign DNA that invades the host cell. Most have been studied in bacterial systems, but a few have been found in eukaryotic organisms. They are also used as tools for the systematic dissection and mapping of chromosomes, in the determination of base sequences of DNAs, and have made it possible to splice and recombine genes from one organism into the genome of another. EC 3.21.1.
The third tooth to the left and to the right of the midline of either jaw, situated between the second INCISOR and the premolar teeth (BICUSPID). (Jablonski, Dictionary of Dentistry, 1992, p817)
The genetic complement of an organism, including all of its GENES, as represented in its DNA, or in some cases, its RNA.
The vessels carrying blood away from the heart.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
The outward appearance of the individual. It is the product of interactions between genes, and between the GENOTYPE and the environment.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Backflow of blood from the RIGHT VENTRICLE into the RIGHT ATRIUM due to imperfect closure of the TRICUSPID VALVE.
The muscles that move the eye. Included in this group are the medial rectus, lateral rectus, superior rectus, inferior rectus, inferior oblique, superior oblique, musculus orbitalis, and levator palpebrae superioris.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
The parts of a macromolecule that directly participate in its specific combination with another molecule.
The spatial arrangement of the atoms of a nucleic acid or polynucleotide that results in its characteristic 3-dimensional shape.
A genus of small, two-winged flies containing approximately 900 described species. These organisms are the most extensively studied of all genera from the standpoint of genetics and cytology.
The biosynthesis of RNA carried out on a template of DNA. The biosynthesis of DNA from an RNA template is called REVERSE TRANSCRIPTION.
Pathological processes involving the URETHRA.
Restoration of an organ or other structure to its original site.
A temperate inducible phage and type species of the genus lambda-like viruses, in the family SIPHOVIRIDAE. Its natural host is E. coli K12. Its VIRION contains linear double-stranded DNA with single-stranded 12-base 5' sticky ends. The DNA circularizes on infection.
Operative procedures for the treatment of vascular disorders.
A plasmid whose presence in the cell, either extrachromosomal or integrated into the BACTERIAL CHROMOSOME, determines the "sex" of the bacterium, host chromosome mobilization, transfer via conjugation (CONJUGATION, GENETIC) of genetic material, and the formation of SEX PILI.
A system of organs and tissues that process and transport immune cells and LYMPH.
The sequential location of genes on a chromosome.
Congenital absence of or defects in structures of the teeth.
Short sequences (generally about 10 base pairs) of DNA that are complementary to sequences of messenger RNA and allow reverse transcriptases to start copying the adjacent sequences of mRNA. Primers are used extensively in genetic and molecular biology techniques.
A test used to determine whether or not complementation (compensation in the form of dominance) will occur in a cell with a given mutant phenotype when another mutant genome, encoding the same mutant phenotype, is introduced into that cell.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
Congenital absence of the teeth; it may involve all (total anodontia) or only some of the teeth (partial anodontia, hypodontia), and both the deciduous and the permanent dentition, or only teeth of the permanent dentition. (Dorland, 27th ed)
Surgical portasystemic shunt between the portal vein and inferior vena cava.
Highly specialized EPITHELIAL CELLS that line the HEART; BLOOD VESSELS; and lymph vessels, forming the ENDOTHELIUM. They are polygonal in shape and joined together by TIGHT JUNCTIONS. The tight junctions allow for variable permeability to specific macromolecules that are transported across the endothelial layer.
A series of steps taken in order to conduct research.
A major nerve of the upper extremity. In humans, the fibers of the ulnar nerve originate in the lower cervical and upper thoracic spinal cord (usually C7 to T1), travel via the medial cord of the brachial plexus, and supply sensory and motor innervation to parts of the hand and forearm.
The functional hereditary units of INSECTS.
Deoxyribonucleic acid that makes up the genetic material of plants.
A species of the genus SACCHAROMYCES, family Saccharomycetaceae, order Saccharomycetales, known as "baker's" or "brewer's" yeast. The dried form is used as a dietary supplement.
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
The ability of microorganisms, especially bacteria, to resist or to become tolerant to chemotherapeutic agents, antimicrobial agents, or antibiotics. This resistance may be acquired through gene mutation or foreign DNA in transmissible plasmids (R FACTORS).
Biologically active DNA which has been formed by the in vitro joining of segments of DNA from different sources. It includes the recombination joint or edge of a heteroduplex region where two recombining DNA molecules are connected.
The circulation of the BLOOD through the MICROVASCULAR NETWORK.
Highly repeated sequences, 6K-8K base pairs in length, which contain RNA polymerase II promoters. They also have an open reading frame that is related to the reverse transcriptase of retroviruses but they do not contain LTRs (long terminal repeats). Copies of the LINE 1 (L1) family form about 15% of the human genome. The jockey elements of Drosophila are LINEs.
The minute vessels that connect the arterioles and venules.
Deoxyribonucleic acid that makes up the genetic material of fungi.
The smallest divisions of the arteries located between the muscular arteries and the capillaries.
A syndrome characterized by marked limitation of abduction of the eye, variable limitation of adduction and retraction of the globe, and narrowing of the palpebral fissure on attempted adduction. The condition is caused by aberrant innervation of the lateral rectus by fibers of the OCULOMOTOR NERVE.
Copies of nucleic acid sequence that are arranged in opposing orientation. They may lie adjacent to each other (tandem) or be separated by some sequence that is not part of the repeat (hyphenated). They may be true palindromic repeats, i.e. read the same backwards as forward, or complementary which reads as the base complement in the opposite orientation. Complementary inverted repeats have the potential to form hairpin loop or stem-loop structures which results in cruciform structures (such as CRUCIFORM DNA) when the complementary inverted repeats occur in double stranded regions.
The restriction of a characteristic behavior, anatomical structure or physical system, such as immune response; metabolic response, or gene or gene variant to the members of one species. It refers to that property which differentiates one species from another but it is also used for phylogenetic levels higher or lower than the species.
Circular duplex DNA isolated from viruses, bacteria and mitochondria in supercoiled or supertwisted form. This superhelical DNA is endowed with free energy. During transcription, the magnitude of RNA initiation is proportional to the DNA superhelicity.
The nonstriated involuntary muscle tissue of blood vessels.
A condition in which the RIGHT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE or MYOCARDIAL INFARCTION, and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the right ventricular wall.
A species of gram-negative bacteria in the genus PSEUDOMONAS, containing multiple genomovars. It is distinguishable from other pseudomonad species by its ability to use MALTOSE and STARCH as sole carbon and energy sources. It can degrade ENVIRONMENTAL POLLUTANTS and has been used as a model organism to study denitrification.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
A method for determining the sequence specificity of DNA-binding proteins. DNA footprinting utilizes a DNA damaging agent (either a chemical reagent or a nuclease) which cleaves DNA at every base pair. DNA cleavage is inhibited where the ligand binds to DNA. (from Rieger et al., Glossary of Genetics: Classical and Molecular, 5th ed)
Congenital abnormality characterized by the lack of full development of the ESOPHAGUS that commonly occurs with TRACHEOESOPHAGEAL FISTULA. Symptoms include excessive SALIVATION; GAGGING; CYANOSIS; and DYSPNEA.

Pregnancy after atrial repair for transposition of the great arteries. (1/426)

OBJECTIVE: To investigate the risk of pregnancy in patients with transposition of the great arteries (TGA) who have undergone atrial repair. DESIGN: Retrospective analysis (1962-94) of 342 TGA patients who underwent atrial repair. Of 231 known late survivors, 48 were women over 18 years old who were interviewed about possible reproductive plans and previous pregnancies. As a control, comparison was made with data of 57 500 women (mean age 26 years) obtained from the Swiss Statistical Bank in Bern. RESULTS: Mean follow up was 13.7 years; 66% remained asymptomatic, 29% had mild to moderate cardiac symptoms, and 5% suffered from severe cardiac symptoms (New York Heart Association grade III-IV). Thirty six of the 48 women wished to bear children and, to date, there have been 10 live births, two spontaneous first trimester abortions, and one induced abortion at 16 weeks. During pregnancy there was one case of cardiac deterioration and two cases of pneumonia. There was no evidence of congenital heart disease in the children. CONCLUSIONS: In this relatively small series the completion of pregnancy in women with TGA who had undergone atrial repair and who had normal functional cardiac status was uncomplicated  (+info)

Detection of transposition of the great arteries in fetuses reduces neonatal morbidity and mortality. (2/426)

BACKGROUND: Transposition of the great arteries (TGA) is a life-threatening malformation in neonates, but it is amenable to complete repair. Prenatal detection, diagnosis, and early management may modify neonatal mortality and mortality. METHODS AND RESULTS: Preoperative and postoperative morbidity and mortality were compared in 68 neonates with prenatal diagnosis and in 250 neonates with a postnatal diagnosis of TGA over a period of 10 years. The delay between birth and admission was 2+/-2.8 hours in the prenatal group and 73+/-210 hours in the neonatal group (P<0.01). Clinical condition at arrival, including metabolic acidosis and multiorgan failure, was worse in the neonatal group (P<0.01). Once in the pediatric cardiology unit, the management was identical in the 2 groups (atrioseptostomy, PGE1 infusion, operation date). Preoperative mortality was 15 of 250 (6%; 95% CI, 3% to 9%) in the neonatal group and 0 of 68 in the prenatal group (P<0.05). Postoperative morbidity was not different (25 of 235 versus 6 of 68), but hospital stay was longer in the neonatal group (30+/-17 versus 24+/-11 days, P<0.01). In addition, postoperative mortality was significantly higher in the neonatal group (20 of 235 versus 0 of 68, P<0.01); however, the known risk factors for operative mortality were identical in the 2 groups. CONCLUSIONS: Prenatal diagnosis reduces mortality and morbidity in TGA. Prenatal detection of this cardiac defect must be increased to improve early neonatal management. In utero transfer of fetuses with prenatal diagnosis of TGA in an appropriate unit is mandatory.  (+info)

Prenatal features of ductus arteriosus constriction and restrictive foramen ovale in d-transposition of the great arteries. (3/426)

BACKGROUND: Although most neonates with d-transposition of the great arteries (TGA) have an uncomplicated preoperative course, some with a restrictive foramen ovale (FO), ductus arteriosus (DA) constriction, or pulmonary hypertension may be severely hypoxemic and even die shortly after birth. Our goal was to determine whether prenatal echocardiography can identify these high-risk fetuses with TGA. METHODS AND RESULTS: We reviewed the prenatal and postnatal echocardiograms and outcomes of 16 fetuses with TGA/intact ventricular septum or small ventricular septal defect. Of the 16 fetuses, 6 prenatally had an abnormal FO (fixed position, flat, and/or redundant septum primum). Five of the 6 had restrictive FO at birth. Five fetuses had DA narrowing at the pulmonary artery end in utero, and 6 had a small DA (diameter z score of <-2.0). Of 4 fetuses with the most diminutive DA, 2 also had an abnormal appearance of the FO, and both died immediately after birth. One other fetus had persistent pulmonary hypertension. Eight fetuses had abnormal Doppler flow pattern in the DA (continuous high-velocity flow, n=1; retrograde diastolic flow, n=7). CONCLUSIONS: Abnormal features of the FO, DA, or both are present in fetuses with TGA at high risk for postnatal hypoxemia. These features may result from the abnormal intrauterine hemodynamics in TGA. A combination of restrictive FO and DA constriction in TGA may be associated with early neonatal death.  (+info)

Congenitally corrected transposition of the great arteries in an 80 year old woman. (4/426)

Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease characterised by atrioventricular as well as ventriculoarterial discordance. It is usually associated with a variety of severe intracardiac defects. Few patients with this abnormality survive past 50 years. An 80 year old woman was admitted to the hospital because of mild congestive heart failure. Cardiac examination revealed a 4/6 holosystolic and a 2/6 decrescendo diastolic murmur at the left sternal border. Radiography, echocardiography, and computed tomography confirmed newly diagnosed CCTGA without associated intracardiac defects.  (+info)

Double outlet right ventricle. Study of 27 cases. (5/426)

Out of 1610 children's hearts with congenital malformations there were 27 specimens showing double outlet right ventricle. Cases with dextrocardia, situs inversus, or l-venticular loop were excluded. Anatomical examination was performed with particular reference to the infundibular region, the great vessels, and the ventricular septum. The commonest associated malformations were ventricular septal defect and pulmonary stenosis. Aortic stenosis was the predominant finding in those cases dying in the neonatal period. An aortic conus was associated with pulmonary stenosis, ventricular septal defect, and d-transposition, a pulmonary conus with ventricular septal defect and a double conus with stenosis of either great vessel. The anterior vessel always had a muscular conus and the posterior vessel was commonly stenotic.  (+info)

Left ventricle to pulmonary artery conduit in treatment of transposition of great arteries, restrictive ventricular septal defect, and acquired pulmonary atresia. (6/426)

Progressive cyanosis after banding of the pulmonary artery in infancy occurred in a child with transposition of the great arteries and a ventricular septal defect, and a Blalock-Taussig shunt operation had to be performed. At the time of correction a segment of pulmonary artery between the left ventricle and the band was found to be completely occluded so that continuity between the left ventricle and the pulmonary artery could not be restored. A Rastelli type of operation was not feasible as the ventricular septal defect was sited low in the muscular septum. Therefore, in addition to Mustard's operation, a Dacron conduit was inserted from the left ventricle to the main pulmonary artery to relieve the obstruction. Postoperative cardiac catheterization with angiocardiography indicated a satisfactory haemodynamic result. The patient remains well 11 months after the operation. This operation, a left ventricle to pulmonary artery conduit, may be used as an alternative procedure in patients with transposition of the great arteries, intact interventricular septum, and obstruction to the left ventricular outflow, if the obstruction cannot be adequately relieved.  (+info)

Pregnancy among women with congenitally corrected transposition of great arteries. (7/426)

OBJECTIVES: The outcome of pregnancy in congenitally corrected transposition of the great vessels was studied in 22 women. BACKGROUND: Women with congenitally corrected transposition of the great vessels often reach childbearing age. Although reports on the outcome of pregnancy in these women are available, the number of patients is small. METHODS: The medical and surgical databases at the Mayo Clinic were reviewed, and 36 women >16 years old with congenitally corrected transposition of the great vessels were identified. All of them were contacted, and 22 who had pregnancies were identified and the outcome of pregnancy was evaluated. RESULTS: Twenty-two women had 60 pregnancies resulting in 50 live births (83%). Forty-four deliveries (88%) were vaginal and 6 (12%) were by cesarean section. One delivery was premature at 29 weeks. There was one successful twin pregnancy. There were 11 unsuccessful pregnancies. One patient developed congestive heart failure late in pregnancy because of systemic atrioventricular valve regurgitation and required valve replacement in the early postpartum period. One patient had a total of 12 pregnancies, including 1 twin pregnancy and 2 unsuccessful pregnancies. She had multiple pregnancy-related complications, including toxemia, congestive heart failure, endocarditis and myocardial infarction (single coronary artery). No other serious pregnancy-related maternal complications and no pregnancy-related deaths occurred. The mean birth weight of the infants (n = 32) was 3.2 +/- 0.4 kg. None of the 50 live offspring have been diagnosed with congenital heart disease. CONCLUSIONS: Successful pregnancy can be achieved in most women with congenitally corrected transposition of the great arteries. The rate of fetal loss and maternal cardiovascular morbidity is increased. Because of the small number of births, the risk of congenital heart disease in offspring of women with congenitally corrected transposition of the great arteries is uncertain.  (+info)

Evolution of risk factors influencing early mortality of the arterial switch operation. (8/426)

OBJECTIVES: The present study was undertaken to determine the independent risk factors for early mortality in the current era after arterial switch operation (ASO). BACKGROUND: Prior reports on factors affecting outcome of the ASO demonstrated that abnormal coronary arterial patterns were associated with increased risk of early mortality. As diagnostic, surgical and perioperative management techniques continue to evolve, the risk factors for the ASO may have changed. METHODS: All patients who underwent the ASO at Children's Hospital, Boston between January 1, 1992 and December 31, 1996 were included. Hospital charts, echocardiographic and cardiac catheterization data and operative reports of all patients were reviewed. Demographics and preoperative, intraoperative and postoperative variables were recorded. RESULTS: Of the 223 patients included in the study (median age at ASO = 6 days and median weight = 3.5 kg), 26 patients had aortic arch obstruction or interruption, 12 had Taussig-Bing anomaly, 12 had multiple ventricular septal defects, 8 had right ventricular hypoplasia and 6 were premature. There were 16 early deaths (7%), with 3 deaths in the 109 patients considered "low risk" (2.7%). Coronary artery pattern was not associated with an increased risk of death. Compared with usual coronary anatomy pattern, however, inverted coronary patterns and single right coronary patterns were associated with increased incidence of delayed sternal closure (p = 0.003) and longer duration of mechanical ventilation (p = 0.008). In a multivariate logistic regression model using only preoperative variables, aortic arch repair at a separate procedure before ASO and smaller birth weight were independent predictors of early mortality. In a second model that included both pre- and intraoperative variables, circulatory arrest time and right ventricular hypoplasia were independent predictors of early death. CONCLUSIONS: The ASO can be performed in the current era without excess early mortality related to uncommon coronary artery patterns. Aortic arch repair before ASO, right ventricular hypoplasia, lower birth weight and longer intraoperative support continue to be independent risk factors for early mortality after the ASO.  (+info)

Transposition of the Great Vessels is a congenital heart defect in which the two main vessels that carry blood from the heart to the rest of the body are switched in position. Normally, the aorta arises from the left ventricle and carries oxygenated blood to the body, while the pulmonary artery arises from the right ventricle and carries deoxygenated blood to the lungs. In transposition of the great vessels, the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. This results in oxygen-poor blood being pumped to the body and oxygen-rich blood being recirculated back to the lungs, which can lead to serious health problems and is often fatal if not corrected through surgery soon after birth.

DNA transposable elements, also known as transposons or jumping genes, are mobile genetic elements that can change their position within a genome. They are composed of DNA sequences that include genes encoding the enzymes required for their own movement (transposase) and regulatory elements. When activated, the transposase recognizes specific sequences at the ends of the element and catalyzes the excision and reintegration of the transposable element into a new location in the genome. This process can lead to genetic variation, as the insertion of a transposable element can disrupt the function of nearby genes or create new combinations of gene regulatory elements. Transposable elements are widespread in both prokaryotic and eukaryotic genomes and are thought to play a significant role in genome evolution.

Transposases are a type of enzyme that are involved in the process of transposition, which is the movement of a segment of DNA from one location within a genome to another. Transposases recognize and bind to specific sequences of DNA called inverted repeats that flank the mobile genetic element, or transposon, and catalyze the excision and integration of the transposon into a new location in the genome. This process can have significant consequences for the organization and regulation of genes within an organism's genome, and may contribute to genetic diversity and evolution.

Blood vessels are the part of the circulatory system that transport blood throughout the body. They form a network of tubes that carry blood to and from the heart, lungs, and other organs. The main types of blood vessels are arteries, veins, and capillaries. Arteries carry oxygenated blood away from the heart to the rest of the body, while veins return deoxygenated blood back to the heart. Capillaries connect arteries and veins and facilitate the exchange of oxygen, nutrients, and waste materials between the blood and the body's tissues.

The fetal heart is the cardiovascular organ that develops in the growing fetus during pregnancy. It starts to form around 22 days after conception and continues to develop throughout the first trimester. By the end of the eighth week of gestation, the fetal heart has developed enough to pump blood throughout the body.

The fetal heart is similar in structure to the adult heart but has some differences. It is smaller and more compact, with a four-chambered structure that includes two atria and two ventricles. The fetal heart also has unique features such as the foramen ovale, which is a hole between the right and left atria that allows blood to bypass the lungs, and the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta and diverts blood away from the lungs.

The fetal heart is responsible for pumping oxygenated blood from the placenta to the rest of the body and returning deoxygenated blood back to the placenta for re-oxygenation. The rate of the fetal heartbeat is faster than that of an adult, typically ranging from 120 to 160 beats per minute. Fetal heart rate monitoring is a common method used during pregnancy and childbirth to assess the health and well-being of the developing fetus.

The subclavian artery is a major blood vessel that supplies the upper limb and important structures in the neck and head. It arises from the brachiocephalic trunk (in the case of the right subclavian artery) or directly from the aortic arch (in the case of the left subclavian artery).

The subclavian artery has several branches, including:

1. The vertebral artery, which supplies blood to the brainstem and cerebellum.
2. The internal thoracic artery (also known as the mammary artery), which supplies blood to the chest wall, breast, and anterior mediastinum.
3. The thyrocervical trunk, which gives rise to several branches that supply the neck, including the inferior thyroid artery, the suprascapular artery, and the transverse cervical artery.
4. The costocervical trunk, which supplies blood to the neck and upper back, including the posterior chest wall and the lower neck muscles.

The subclavian artery is a critical vessel in maintaining adequate blood flow to the upper limb, and any blockage or damage to this vessel can lead to significant morbidity, including arm pain, numbness, weakness, or even loss of function.

Heart injuries, also known as cardiac injuries, refer to any damage or harm caused to the heart muscle, valves, or surrounding structures. This can result from various causes such as blunt trauma (e.g., car accidents, falls), penetrating trauma (e.g., gunshot wounds, stabbing), or medical conditions like heart attacks (myocardial infarction) and infections (e.g., myocarditis, endocarditis).

Some common types of heart injuries include:

1. Contusions: Bruising of the heart muscle due to blunt trauma.
2. Myocardial infarctions: Damage to the heart muscle caused by insufficient blood supply, often due to blocked coronary arteries.
3. Cardiac rupture: A rare but life-threatening condition where the heart muscle tears or breaks open, usually resulting from severe trauma or complications from a myocardial infarction.
4. Valvular damage: Disruption of the heart valves' function due to injury or infection, leading to leakage (regurgitation) or narrowing (stenosis).
5. Pericardial injuries: Damage to the pericardium, the sac surrounding the heart, which can result in fluid accumulation (pericardial effusion), inflammation (pericarditis), or tamponade (compression of the heart by excess fluid).
6. Arrhythmias: Irregular heart rhythms caused by damage to the heart's electrical conduction system.

Timely diagnosis and appropriate treatment are crucial for managing heart injuries, as they can lead to severe complications or even be fatal if left untreated.

The pulmonary artery is a large blood vessel that carries deoxygenated blood from the right ventricle of the heart to the lungs for oxygenation. It divides into two main branches, the right and left pulmonary arteries, which further divide into smaller vessels called arterioles, and then into a vast network of capillaries in the lungs where gas exchange occurs. The thin walls of these capillaries allow oxygen to diffuse into the blood and carbon dioxide to diffuse out, making the blood oxygen-rich before it is pumped back to the left side of the heart through the pulmonary veins. This process is crucial for maintaining proper oxygenation of the body's tissues and organs.

"Venae Cavae" is a term that refers to the two large veins in the human body that return deoxygenated blood from the systemic circulation to the right atrium of the heart.

The "Superior Vena Cava" receives blood from the upper half of the body, including the head, neck, upper limbs, and chest, while the "Inferior Vena Cava" collects blood from the lower half of the body, including the abdomen and lower limbs.

Together, these veins play a crucial role in the circulatory system by ensuring that oxygen-depleted blood is efficiently returned to the heart for reoxygenation in the lungs.

Situs Inversus is a congenital condition in which the major visceral organs are situated in mirror-image positions to their normal locations. Instead of being on the left side, the heart and its large blood vessels are on the right side, while the liver is on the left side and the lungs are reversed. The stomach, spleen, and pancreas may also be affected. It's important to note that this condition is generally asymptomatic and often goes unnoticed unless there are complications or associated abnormalities.

There are two types of Situs Inversus: total (complete reversal of all organs) and partial (reversal of only some organs). Total Situs Inversus is also sometimes referred to as "mirror-image dextrocardia" because the heart, which is usually on the left side, is located on the right side in a mirrored position.

While Situs Inversus itself does not typically cause health problems, people with this condition may have an increased risk for certain medical conditions, such as congenital heart defects or primary ciliary dyskinesia (PCD), which can lead to chronic respiratory infections and infertility.

Congenital heart defects (CHDs) are structural abnormalities in the heart that are present at birth. They can affect any part of the heart's structure, including the walls of the heart, the valves inside the heart, and the major blood vessels that lead to and from the heart.

Congenital heart defects can range from mild to severe and can cause various symptoms depending on the type and severity of the defect. Some common symptoms of CHDs include cyanosis (a bluish tint to the skin, lips, and fingernails), shortness of breath, fatigue, poor feeding, and slow growth in infants and children.

There are many different types of congenital heart defects, including:

1. Septal defects: These are holes in the walls that separate the four chambers of the heart. The two most common septal defects are atrial septal defect (ASD) and ventricular septal defect (VSD).
2. Valve abnormalities: These include narrowed or leaky valves, which can affect blood flow through the heart.
3. Obstruction defects: These occur when blood flow is blocked or restricted due to narrowing or absence of a part of the heart's structure. Examples include pulmonary stenosis and coarctation of the aorta.
4. Cyanotic heart defects: These cause a lack of oxygen in the blood, leading to cyanosis. Examples include tetralogy of Fallot and transposition of the great arteries.

The causes of congenital heart defects are not fully understood, but genetic factors and environmental influences during pregnancy may play a role. Some CHDs can be detected before birth through prenatal testing, while others may not be diagnosed until after birth or later in childhood. Treatment for CHDs may include medication, surgery, or other interventions to improve blood flow and oxygenation of the body's tissues.

Angiocardiography is a medical procedure used to examine the heart and blood vessels, particularly the chambers of the heart and the valves between them. It involves injecting a contrast agent into the bloodstream and taking X-ray images as the agent flows through the heart. This allows doctors to visualize any abnormalities such as blockages, narrowing, or leakage in the heart valves or blood vessels.

There are different types of angiocardiography, including:

* Left heart catheterization (LHC): A thin tube called a catheter is inserted into a vein in the arm or groin and threaded through to the left side of the heart to measure pressure and oxygen levels.
* Right heart catheterization (RHC): Similar to LHC, but the catheter is threaded through to the right side of the heart to measure pressure and oxygen levels there.
* Selective angiocardiography: A catheter is used to inject the contrast agent into specific blood vessels or chambers of the heart to get a more detailed view.

Angiocardiography can help diagnose and evaluate various heart conditions, including congenital heart defects, coronary artery disease, cardiomyopathy, and valvular heart disease. It is an invasive procedure that carries some risks, such as bleeding, infection, and damage to blood vessels or heart tissue. However, it can provide valuable information for diagnosing and treating heart conditions.

The brachiocephalic trunk, also known as the brachiocephalic artery or innominate artery, is a large vessel that branches off the aorta and divides into the right common carotid artery and the right subclavian artery. It supplies blood to the head, neck, and arms on the right side of the body.

Ebstein anomaly is a congenital heart defect that affects the tricuspid valve, which is the valve between the right atrium and right ventricle of the heart. In Ebstein anomaly, the tricuspid valve is abnormally formed and positioned, causing it to leak blood back into the right atrium. This can lead to various symptoms such as shortness of breath, fatigue, and cyanosis (bluish discoloration of the skin). Treatment for Ebstein anomaly may include medication, surgery, or a combination of both. It is important to note that the severity of the condition can vary widely among individuals, and some people with Ebstein anomaly may require more intensive treatment than others.

Four-dimensional echocardiography (4D echo) is a type of ultrasound imaging that captures the movement and function of the heart in three dimensions over time. It uses advanced software to create a real-time 3D image of the heart, allowing cardiologists to visualize and analyze its structure and motion from various angles. This technique provides detailed information about the size, shape, and function of the heart chambers, valves, and surrounding structures, which can help in the diagnosis and management of various heart conditions.

In 4D echo, the fourth dimension refers to time, as it allows for the analysis of motion and change over time. This technique provides more comprehensive information compared to traditional two-dimensional (2D) echocardiography, which only captures a single plane of the heart at a time. Four-dimensional echocardiography is a valuable tool in the field of cardiology, as it can help clinicians make more informed decisions about patient care and treatment planning.

A ventricular septal defect (VSD) is a type of congenital heart defect that involves a hole in the wall separating the two lower chambers of the heart, the ventricles. This defect allows oxygenated blood from the left ventricle to mix with deoxygenated blood in the right ventricle, leading to inefficient oxygenation of the body's tissues. The size and location of the hole can vary, and symptoms may range from none to severe, depending on the size of the defect and the amount of blood that is able to shunt between the ventricles. Small VSDs may close on their own over time, while larger defects usually require medical intervention, such as medication or surgery, to prevent complications like pulmonary hypertension and heart failure.

The superior vena cava is a large vein that carries deoxygenated blood from the upper half of the body to the right atrium of the heart. It is formed by the union of the left and right brachiocephalic veins (also known as the internal jugular and subclavian veins) near the base of the neck. The superior vena cava runs posteriorly to the sternum and enters the upper right portion of the right atrium, just posterior to the opening of the inferior vena cava. It plays a crucial role in the circulatory system by allowing blood returning from the head, neck, upper limbs, and thorax to bypass the liver before entering the heart.

A heart septal defect is a type of congenital heart defect, which means it is present at birth. It involves an abnormal opening in the septum, the wall that separates the two sides of the heart. This opening allows oxygen-rich blood to leak into the oxygen-poor blood chambers in the heart.

There are several types of heart septal defects, including:

1. Atrial Septal Defect (ASD): A hole in the atrial septum, the wall between the two upper chambers of the heart (the right and left atria).
2. Ventricular Septal Defect (VSD): A hole in the ventricular septum, the wall between the two lower chambers of the heart (the right and left ventricles).
3. Atrioventricular Septal Defect (AVSD): A combination of an ASD and a VSD, often accompanied by malformation of the mitral and/or tricuspid valves.

The severity of a heart septal defect depends on the size of the opening and its location in the septum. Small defects may cause no symptoms and may close on their own over time. Larger defects can lead to complications, such as heart failure, pulmonary hypertension, or infective endocarditis, and may require medical or surgical intervention.

Pulmonary Valve Stenosis is a cardiac condition where the pulmonary valve, located between the right ventricle and the pulmonary artery, has a narrowed opening. This stenosis (narrowing) can cause obstruction of blood flow from the right ventricle to the lungs. The narrowing can be caused by a fusion of the valve leaflets, thickened or calcified valve leaflets, or rarely, a dysplastic valve.

The severity of Pulmonary Valve Stenosis is classified based on the gradient pressure across the valve, which is measured during an echocardiogram. A mild stenosis has a gradient of less than 30 mmHg, moderate stenosis has a gradient between 30-59 mmHg, and severe stenosis has a gradient of 60 mmHg or higher.

Mild Pulmonary Valve Stenosis may not require treatment, while more severe cases may need to be treated with balloon valvuloplasty or surgical valve replacement. If left untreated, Pulmonary Valve Stenosis can lead to right ventricular hypertrophy, heart failure, and other complications.

The thoracic aorta is the segment of the largest artery in the human body (the aorta) that runs through the chest region (thorax). The thoracic aorta begins at the aortic arch, where it branches off from the ascending aorta, and extends down to the diaphragm, where it becomes the abdominal aorta.

The thoracic aorta is divided into three parts: the ascending aorta, the aortic arch, and the descending aorta. The ascending aorta rises from the left ventricle of the heart and is about 2 inches (5 centimeters) long. The aortic arch curves backward and to the left, giving rise to the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. The descending thoracic aorta runs downward through the chest, passing through the diaphragm to become the abdominal aorta.

The thoracic aorta supplies oxygenated blood to the upper body, including the head, neck, arms, and chest. It plays a critical role in maintaining blood flow and pressure throughout the body.

Penetrating wounds are a type of traumatic injury that occurs when an object pierces through the skin and underlying tissues, creating a hole or cavity in the body. These wounds can vary in severity, depending on the size and shape of the object, as well as the location and depth of the wound.

Penetrating wounds are typically caused by sharp objects such as knives, bullets, or glass. They can damage internal organs, blood vessels, nerves, and bones, leading to serious complications such as bleeding, infection, organ failure, and even death if not treated promptly and properly.

The management of penetrating wounds involves a thorough assessment of the wound and surrounding tissues, as well as the identification and treatment of any associated injuries or complications. This may include wound cleaning and closure, antibiotics to prevent infection, pain management, and surgery to repair damaged structures. In some cases, hospitalization and close monitoring may be necessary to ensure proper healing and recovery.

The branchial region, also known as the pharyngeal region or viscerocranium, is a term used in human anatomy to refer to the area of the developing embryo that gives rise to structures derived from the branchial (or pharyngeal) arches. The branchial arches are a series of paired, rod-like structures that appear early in embryonic development and give rise to various head and neck structures, including the bones and muscles of the face, jaws, and neck, as well as the associated nerves, blood vessels, and connective tissues.

The branchial region is divided into several subregions, each corresponding to a specific branchial arch. The first branchial arch gives rise to structures such as the mandible (lower jaw), maxilla (upper jaw), and muscles of mastication (chewing). The second branchial arch forms the stapes and styloid process in the ear, as well as some neck muscles. The third and fourth branchial arches contribute to the formation of the larynx, thyroid cartilage, and other structures in the neck.

Abnormalities in the development of the branchial region can lead to a variety of congenital defects, such as cleft palate, micrognathia (small jaw), and branchial cysts or sinuses. These conditions may require surgical intervention to correct.

Vascular neoplasms are a type of tumor that develops from cells that line the blood vessels or lymphatic vessels. These tumors can be benign (non-cancerous) or malignant (cancerous). Benign vascular neoplasms, such as hemangiomas and lymphangiomas, are usually harmless and may not require treatment unless they cause symptoms or complications. Malignant vascular neoplasms, on the other hand, are known as angiosarcomas and can be aggressive, spreading to other parts of the body and potentially causing serious health problems.

Angiosarcomas can develop in any part of the body but are most commonly found in the skin, particularly in areas exposed to radiation or chronic lymph edema. They can also occur in the breast, liver, spleen, and heart. Treatment for vascular neoplasms depends on the type, location, size, and stage of the tumor, as well as the patient's overall health. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches.

The tricuspid valve is the heart valve that separates the right atrium and the right ventricle in the human heart. It is called "tricuspid" because it has three leaflets or cusps, which are also referred to as flaps or segments. These cusps are named anterior, posterior, and septal. The tricuspid valve's function is to prevent the backflow of blood from the ventricle into the atrium during systole, ensuring unidirectional flow of blood through the heart.

The aorta is the largest artery in the human body, which originates from the left ventricle of the heart and carries oxygenated blood to the rest of the body. It can be divided into several parts, including the ascending aorta, aortic arch, and descending aorta. The ascending aorta gives rise to the coronary arteries that supply blood to the heart muscle. The aortic arch gives rise to the brachiocephalic, left common carotid, and left subclavian arteries, which supply blood to the head, neck, and upper extremities. The descending aorta travels through the thorax and abdomen, giving rise to various intercostal, visceral, and renal arteries that supply blood to the chest wall, organs, and kidneys.

Thoracic injuries refer to damages or traumas that occur in the thorax, which is the part of the body that contains the chest cavity. The thorax houses vital organs such as the heart, lungs, esophagus, trachea, and major blood vessels. Thoracic injuries can range from blunt trauma, caused by impacts or compressions, to penetrating trauma, resulting from stabbing or gunshot wounds. These injuries may cause various complications, including but not limited to:

1. Hemothorax - bleeding into the chest cavity
2. Pneumothorax - collapsed lung due to air accumulation in the chest cavity
3. Tension pneumothorax - a life-threatening condition where trapped air puts pressure on the heart and lungs, impairing their function
4. Cardiac tamponade - compression of the heart caused by blood or fluid accumulation in the pericardial sac
5. Rib fractures, which can lead to complications like punctured lungs or internal bleeding
6. Tracheobronchial injuries, causing air leaks and difficulty breathing
7. Great vessel injuries, potentially leading to massive hemorrhage and hemodynamic instability

Immediate medical attention is required for thoracic injuries, as they can quickly become life-threatening due to the vital organs involved. Treatment may include surgery, chest tubes, medications, or supportive care, depending on the severity and type of injury.

The Ductus Arteriosus is a fetal blood vessel that connects the pulmonary trunk (the artery that carries blood from the heart to the lungs) and the aorta (the largest artery in the body, which carries oxygenated blood from the heart to the rest of the body). This vessel allows most of the blood from the right ventricle of the fetal heart to bypass the lungs, as the fetus receives oxygen through the placenta rather than breathing air.

After birth, with the first breaths, the blood oxygen level increases and the pressure in the lungs rises. As a result, the circulation in the newborn's body changes, and the Ductus Arteriosus is no longer needed. Within the first few days or weeks of life, this vessel usually closes spontaneously, turning into a fibrous cord called the Ligamentum Arteriosum.

Persistent Patency of the Ductus Arteriosus (PDA) occurs when the Ductus Arteriosus does not close after birth, which can lead to various complications such as heart failure and pulmonary hypertension. This condition is often seen in premature infants and may require medical intervention or surgical closure of the vessel.

Coronary vessel anomalies refer to abnormalities in the structure, origin, or course of the coronary arteries or veins. These vessels are responsible for delivering oxygenated blood to the heart muscle. Some common types of coronary vessel anomalies include:

1. Anomalous Origin of the Coronary Artery (AOCA): This occurs when one or both of the coronary arteries originate from an abnormal location in the aorta. The left coronary artery may arise from the right sinus of Valsalva, while the right coronary artery may arise from the left sinus of Valsalva. This can lead to ischemia (reduced blood flow) and potentially life-threatening complications such as sudden cardiac death.
2. Coronary Artery Fistula: A fistula is an abnormal connection between a coronary artery and another chamber or vessel in the heart. Blood flows directly from the high-pressure coronary artery into a low-pressure chamber, bypassing the capillaries and leading to a steal phenomenon where oxygenated blood is diverted away from the heart muscle.
3. Coronary Artery Aneurysm: An aneurysm is a localized dilation or bulging of the coronary artery wall. This can lead to complications such as thrombosis (blood clot formation), embolism (blockage caused by a clot that travels to another location), or rupture, which can be life-threatening.
4. Myocardial Bridge: In this condition, a segment of the coronary artery passes between the muscle fibers of the heart, instead of running along its surface. This can cause compression of the artery during systole (contraction) and lead to ischemia.
5. Kawasaki Disease: Although not strictly an anomaly, Kawasaki disease is a pediatric illness that can result in coronary artery aneurysms and other complications if left untreated.

Coronary vessel anomalies may be asymptomatic or present with symptoms such as chest pain, shortness of breath, palpitations, or syncope (fainting). Diagnosis typically involves imaging techniques such as coronary angiography, computed tomography (CT) angiography, or magnetic resonance angiography. Treatment depends on the specific anomaly and may involve medications, percutaneous interventions, or surgical correction.

Retroelements are a type of mobile genetic element that can move within a host genome by reverse transcription of an RNA intermediate. They are called "retro" because they replicate through a retrotransposition process, which involves the reverse transcription of their RNA into DNA, and then integration of the resulting cDNA into a new location in the genome.

Retroelements are typically divided into two main categories: long terminal repeat (LTR) retrotransposons and non-LTR retrotransposons. LTR retrotransposons have direct repeats of several hundred base pairs at their ends, similar to retroviruses, while non-LTR retrotransposons lack these repeats.

Retroelements are widespread in eukaryotic genomes and can make up a significant fraction of the DNA content. They are thought to play important roles in genome evolution, including the creation of new genes and the regulation of gene expression. However, they can also cause genetic instability and disease when they insert into or near functional genes.

Insertional mutagenesis is a process of introducing new genetic material into an organism's genome at a specific location, which can result in a change or disruption of the function of the gene at that site. This technique is often used in molecular biology research to study gene function and regulation. The introduction of the foreign DNA is typically accomplished through the use of mobile genetic elements, such as transposons or viruses, which are capable of inserting themselves into the genome.

The insertion of the new genetic material can lead to a loss or gain of function in the affected gene, resulting in a mutation. This type of mutagenesis is called "insertional" because the mutation is caused by the insertion of foreign DNA into the genome. The effects of insertional mutagenesis can range from subtle changes in gene expression to the complete inactivation of a gene.

This technique has been widely used in genetic research, including the study of developmental biology, cancer, and genetic diseases. It is also used in the development of genetically modified organisms (GMOs) for agricultural and industrial applications.

Thoracotomy is a surgical procedure that involves making an incision on the chest wall to gain access to the thoracic cavity, which contains the lungs, heart, esophagus, trachea, and other vital organs. The incision can be made on the side (lateral thoracotomy), back (posterolateral thoracotomy), or front (median sternotomy) of the chest wall, depending on the specific surgical indication.

Thoracotomy is performed for various indications, including lung biopsy, lung resection, esophagectomy, heart surgery, and mediastinal mass removal. The procedure allows the surgeon to directly visualize and access the organs within the thoracic cavity, perform necessary procedures, and control bleeding if needed.

After the procedure, the incision is typically closed with sutures or staples, and a chest tube may be placed to drain any accumulated fluid or air from the pleural space around the lungs. The patient will require postoperative care and monitoring in a hospital setting until their condition stabilizes.

The mediastinum is the medical term for the area in the middle of the chest that separates the two lungs. It contains various vital organs and structures, including:

* The heart and its blood vessels
* The trachea (windpipe) and esophagus (tube connecting the throat to the stomach)
* The thymus gland
* Lymph nodes
* Nerves, including the vagus nerve and phrenic nerves
* Connective tissue and fat

The mediastinum is enclosed by the breastbone in front, the spine in back, and the lungs on either side. Abnormalities in the structures contained within the mediastinum can lead to various medical conditions, such as tumors or infections.

Lymphatic vessels are thin-walled, valved structures that collect and transport lymph, a fluid derived from the interstitial fluid surrounding the cells, throughout the lymphatic system. They play a crucial role in immune function and maintaining fluid balance in the body. The primary function of lymphatic vessels is to return excess interstitial fluid, proteins, waste products, and immune cells to the bloodstream via the subclavian veins near the heart.

There are two types of lymphatic vessels:

1. Lymphatic capillaries: These are the smallest lymphatic vessels, found in most body tissues except for the central nervous system (CNS). They have blind ends and are highly permeable to allow the entry of interstitial fluid, proteins, and other large molecules.
2. Larger lymphatic vessels: These include precollecting vessels, collecting vessels, and lymphatic trunks. Precollecting vessels have valves that prevent backflow of lymph and merge to form larger collecting vessels. Collecting vessels contain smooth muscle in their walls, which helps to propel the lymph forward. They also have valves at regular intervals to ensure unidirectional flow towards the heart. Lymphatic trunks are large vessels that collect lymph from various regions of the body and eventually drain into the two main lymphatic ducts: the thoracic duct and the right lymphatic duct.

Overall, lymphatic vessels play a vital role in maintaining fluid balance, immune surveillance, and waste removal in the human body.

A base sequence in the context of molecular biology refers to the specific order of nucleotides in a DNA or RNA molecule. In DNA, these nucleotides are adenine (A), guanine (G), cytosine (C), and thymine (T). In RNA, uracil (U) takes the place of thymine. The base sequence contains genetic information that is transcribed into RNA and ultimately translated into proteins. It is the exact order of these bases that determines the genetic code and thus the function of the DNA or RNA molecule.

Prenatal ultrasonography, also known as obstetric ultrasound, is a medical diagnostic procedure that uses high-frequency sound waves to create images of the developing fetus, placenta, and amniotic fluid inside the uterus. It is a non-invasive and painless test that is widely used during pregnancy to monitor the growth and development of the fetus, detect any potential abnormalities or complications, and determine the due date.

During the procedure, a transducer (a small handheld device) is placed on the mother's abdomen and moved around to capture images from different angles. The sound waves travel through the mother's body and bounce back off the fetus, producing echoes that are then converted into electrical signals and displayed as images on a screen.

Prenatal ultrasonography can be performed at various stages of pregnancy, including early pregnancy to confirm the pregnancy and detect the number of fetuses, mid-pregnancy to assess the growth and development of the fetus, and late pregnancy to evaluate the position of the fetus and determine if it is head down or breech. It can also be used to guide invasive procedures such as amniocentesis or chorionic villus sampling.

Overall, prenatal ultrasonography is a valuable tool in modern obstetrics that helps ensure the health and well-being of both the mother and the developing fetus.

An arterio-arterial fistula is an abnormal connection or passage between two arteries. Arteries are blood vessels that carry oxygen-rich blood from the heart to the rest of the body. Under normal circumstances, arteries do not directly communicate with each other; instead, they supply blood to capillaries, which then deliver the blood to veins.

An arterio-arterial fistula can result from various causes, including congenital defects, trauma, or as a complication of medical procedures such as arterial catheterization or surgical interventions. The presence of an arterio-arterial fistula may lead to several hemodynamic consequences, depending on the size, location, and chronicity of the communication. These can include altered blood flow patterns, increased pressure in the affected arteries, and potential cardiac complications due to volume overload.

Symptoms of an arterio-arterial fistula may vary widely, from being asymptomatic to experiencing palpitations, shortness of breath, fatigue, or even congestive heart failure in severe cases. The diagnosis typically involves imaging studies such as ultrasound, CT angiography, or MRI angiography to visualize the abnormal communication and assess its hemodynamic impact. Treatment options may include observation, endovascular interventions, or surgical repair, depending on the individual case.

A plasmid is a small, circular, double-stranded DNA molecule that is separate from the chromosomal DNA of a bacterium or other organism. Plasmids are typically not essential for the survival of the organism, but they can confer beneficial traits such as antibiotic resistance or the ability to degrade certain types of pollutants.

Plasmids are capable of replicating independently of the chromosomal DNA and can be transferred between bacteria through a process called conjugation. They often contain genes that provide resistance to antibiotics, heavy metals, and other environmental stressors. Plasmids have also been engineered for use in molecular biology as cloning vectors, allowing scientists to replicate and manipulate specific DNA sequences.

Plasmids are important tools in genetic engineering and biotechnology because they can be easily manipulated and transferred between organisms. They have been used to produce vaccines, diagnostic tests, and genetically modified organisms (GMOs) for various applications, including agriculture, medicine, and industry.

Heart neoplasms are abnormal growths or tumors that develop within the heart tissue. They can be benign (noncancerous) or malignant (cancerous). Benign tumors, such as myxomas and rhabdomyomas, are typically slower growing and less likely to spread, but they can still cause serious complications if they obstruct blood flow or damage heart valves. Malignant tumors, such as angiosarcomas and rhabdomyosarcomas, are fast-growing and have a higher risk of spreading to other parts of the body. Symptoms of heart neoplasms can include shortness of breath, chest pain, fatigue, and irregular heart rhythms. Treatment options depend on the type, size, and location of the tumor, and may include surgery, radiation therapy, or chemotherapy.

Molecular sequence data refers to the specific arrangement of molecules, most commonly nucleotides in DNA or RNA, or amino acids in proteins, that make up a biological macromolecule. This data is generated through laboratory techniques such as sequencing, and provides information about the exact order of the constituent molecules. This data is crucial in various fields of biology, including genetics, evolution, and molecular biology, allowing for comparisons between different organisms, identification of genetic variations, and studies of gene function and regulation.

Genetic recombination is the process by which genetic material is exchanged between two similar or identical molecules of DNA during meiosis, resulting in new combinations of genes on each chromosome. This exchange occurs during crossover, where segments of DNA are swapped between non-sister homologous chromatids, creating genetic diversity among the offspring. It is a crucial mechanism for generating genetic variability and facilitating evolutionary change within populations. Additionally, recombination also plays an essential role in DNA repair processes through mechanisms such as homologous recombinational repair (HRR) and non-homologous end joining (NHEJ).

Retinal vessels refer to the blood vessels that are located in the retina, which is the light-sensitive tissue that lines the inner surface of the eye. The retina contains two types of blood vessels: arteries and veins.

The central retinal artery supplies oxygenated blood to the inner layers of the retina, while the central retinal vein drains deoxygenated blood from the retina. These vessels can be visualized during a routine eye examination using an ophthalmoscope, which allows healthcare professionals to assess their health and any potential abnormalities.

Retinal vessels are essential for maintaining the health and function of the retina, and any damage or changes to these vessels can affect vision and lead to various eye conditions such as diabetic retinopathy, retinal vein occlusion, and hypertensive retinopathy.

The heart atria are the upper chambers of the heart that receive blood from the veins and deliver it to the lower chambers, or ventricles. There are two atria in the heart: the right atrium receives oxygen-poor blood from the body and pumps it into the right ventricle, which then sends it to the lungs to be oxygenated; and the left atrium receives oxygen-rich blood from the lungs and pumps it into the left ventricle, which then sends it out to the rest of the body. The atria contract before the ventricles during each heartbeat, helping to fill the ventricles with blood and prepare them for contraction.

Cardiac surgical procedures are operations that are performed on the heart or great vessels (the aorta and vena cava) by cardiothoracic surgeons. These surgeries are often complex and require a high level of skill and expertise. Some common reasons for cardiac surgical procedures include:

1. Coronary artery bypass grafting (CABG): This is a surgery to improve blood flow to the heart in patients with coronary artery disease. During the procedure, a healthy blood vessel from another part of the body is used to create a detour around the blocked or narrowed portion of the coronary artery.
2. Valve repair or replacement: The heart has four valves that control blood flow through and out of the heart. If one or more of these valves become damaged or diseased, they may need to be repaired or replaced. This can be done using artificial valves or valves from animal or human donors.
3. Aneurysm repair: An aneurysm is a weakened area in the wall of an artery that can bulge out and potentially rupture. If an aneurysm occurs in the aorta, it may require surgical repair to prevent rupture.
4. Heart transplantation: In some cases, heart failure may be so severe that a heart transplant is necessary. This involves removing the diseased heart and replacing it with a healthy donor heart.
5. Arrhythmia surgery: Certain types of abnormal heart rhythms (arrhythmias) may require surgical treatment. One such procedure is called the Maze procedure, which involves creating a pattern of scar tissue in the heart to disrupt the abnormal electrical signals that cause the arrhythmia.
6. Congenital heart defect repair: Some people are born with structural problems in their hearts that require surgical correction. These may include holes between the chambers of the heart or abnormal blood vessels.

Cardiac surgical procedures carry risks, including bleeding, infection, stroke, and death. However, for many patients, these surgeries can significantly improve their quality of life and longevity.

Mediastinal neoplasms refer to abnormal growths or tumors located in the mediastinum, which is the central compartment of the thoracic cavity that lies between the lungs and contains various vital structures such as the heart, esophagus, trachea, blood vessels, lymph nodes, and nerves. Mediastinal neoplasms can be benign (non-cancerous) or malignant (cancerous), and they can arise from any of the tissues or organs within the mediastinum.

Benign mediastinal neoplasms may include thymomas, lipomas, neurofibromas, or teratomas, among others. These tumors are typically slow-growing and rarely spread to other parts of the body. However, they can still cause symptoms or complications by compressing adjacent structures within the mediastinum, such as the airways, blood vessels, or nerves.

Malignant mediastinal neoplasms are cancerous tumors that can invade and destroy surrounding tissues and may spread (metastasize) to other parts of the body. Common types of malignant mediastinal neoplasms include thymic carcinomas, lymphomas, germ cell tumors, and neuroendocrine tumors. These tumors often require aggressive treatment, such as surgery, radiation therapy, and chemotherapy, to control their growth and spread.

It is important to note that mediastinal neoplasms can present with various symptoms depending on their location, size, and type. Some patients may be asymptomatic, while others may experience cough, chest pain, difficulty breathing, hoarseness, or swallowing difficulties. A thorough diagnostic workup, including imaging studies and biopsies, is necessary to confirm the diagnosis and determine the best course of treatment for mediastinal neoplasms.

Nucleotidyltransferases are a class of enzymes that catalyze the transfer of nucleotides to an acceptor molecule, such as RNA or DNA. These enzymes play crucial roles in various biological processes, including DNA replication, repair, and recombination, as well as RNA synthesis and modification.

The reaction catalyzed by nucleotidyltransferases typically involves the donation of a nucleoside triphosphate (NTP) to an acceptor molecule, resulting in the formation of a phosphodiester bond between the nucleotides. The reaction can be represented as follows:

NTP + acceptor → NMP + pyrophosphate

where NTP is the nucleoside triphosphate donor and NMP is the nucleoside monophosphate product.

There are several subclasses of nucleotidyltransferases, including polymerases, ligases, and terminases. These enzymes have distinct functions and substrate specificities, but all share the ability to transfer nucleotides to an acceptor molecule.

Examples of nucleotidyltransferases include DNA polymerase, RNA polymerase, reverse transcriptase, telomerase, and ligase. These enzymes are essential for maintaining genome stability and function, and their dysregulation has been implicated in various diseases, including cancer and neurodegenerative disorders.

X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.

The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.

CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.

In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.

CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.

In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.

A newborn infant is a baby who is within the first 28 days of life. This period is also referred to as the neonatal period. Newborns require specialized care and attention due to their immature bodily systems and increased vulnerability to various health issues. They are closely monitored for signs of well-being, growth, and development during this critical time.

Coronary vessels refer to the network of blood vessels that supply oxygenated blood and nutrients to the heart muscle, also known as the myocardium. The two main coronary arteries are the left main coronary artery and the right coronary artery.

The left main coronary artery branches off into the left anterior descending artery (LAD) and the left circumflex artery (LCx). The LAD supplies blood to the front of the heart, while the LCx supplies blood to the side and back of the heart.

The right coronary artery supplies blood to the right lower part of the heart, including the right atrium and ventricle, as well as the back of the heart.

Coronary vessel disease (CVD) occurs when these vessels become narrowed or blocked due to the buildup of plaque, leading to reduced blood flow to the heart muscle. This can result in chest pain, shortness of breath, or a heart attack.

Echocardiography is a medical procedure that uses sound waves to produce detailed images of the heart's structure, function, and motion. It is a non-invasive test that can help diagnose various heart conditions, such as valve problems, heart muscle damage, blood clots, and congenital heart defects.

During an echocardiogram, a transducer (a device that sends and receives sound waves) is placed on the chest or passed through the esophagus to obtain images of the heart. The sound waves produced by the transducer bounce off the heart structures and return to the transducer, which then converts them into electrical signals that are processed to create images of the heart.

There are several types of echocardiograms, including:

* Transthoracic echocardiography (TTE): This is the most common type of echocardiogram and involves placing the transducer on the chest.
* Transesophageal echocardiography (TEE): This type of echocardiogram involves passing a specialized transducer through the esophagus to obtain images of the heart from a closer proximity.
* Stress echocardiography: This type of echocardiogram is performed during exercise or medication-induced stress to assess how the heart functions under stress.
* Doppler echocardiography: This type of echocardiogram uses sound waves to measure blood flow and velocity in the heart and blood vessels.

Echocardiography is a valuable tool for diagnosing and managing various heart conditions, as it provides detailed information about the structure and function of the heart. It is generally safe, non-invasive, and painless, making it a popular choice for doctors and patients alike.

Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.

In medical terms, the heart is a muscular organ located in the thoracic cavity that functions as a pump to circulate blood throughout the body. It's responsible for delivering oxygen and nutrients to the tissues and removing carbon dioxide and other wastes. The human heart is divided into four chambers: two atria on the top and two ventricles on the bottom. The right side of the heart receives deoxygenated blood from the body and pumps it to the lungs, while the left side receives oxygenated blood from the lungs and pumps it out to the rest of the body. The heart's rhythmic contractions and relaxations are regulated by a complex electrical conduction system.

'Escherichia coli' (E. coli) is a type of gram-negative, facultatively anaerobic, rod-shaped bacterium that commonly inhabits the intestinal tract of humans and warm-blooded animals. It is a member of the family Enterobacteriaceae and one of the most well-studied prokaryotic model organisms in molecular biology.

While most E. coli strains are harmless and even beneficial to their hosts, some serotypes can cause various forms of gastrointestinal and extraintestinal illnesses in humans and animals. These pathogenic strains possess virulence factors that enable them to colonize and damage host tissues, leading to diseases such as diarrhea, urinary tract infections, pneumonia, and sepsis.

E. coli is a versatile organism with remarkable genetic diversity, which allows it to adapt to various environmental niches. It can be found in water, soil, food, and various man-made environments, making it an essential indicator of fecal contamination and a common cause of foodborne illnesses. The study of E. coli has contributed significantly to our understanding of fundamental biological processes, including DNA replication, gene regulation, and protein synthesis.

Bacterial DNA refers to the genetic material found in bacteria. It is composed of a double-stranded helix containing four nucleotide bases - adenine (A), thymine (T), guanine (G), and cytosine (C) - that are linked together by phosphodiester bonds. The sequence of these bases in the DNA molecule carries the genetic information necessary for the growth, development, and reproduction of bacteria.

Bacterial DNA is circular in most bacterial species, although some have linear chromosomes. In addition to the main chromosome, many bacteria also contain small circular pieces of DNA called plasmids that can carry additional genes and provide resistance to antibiotics or other environmental stressors.

Unlike eukaryotic cells, which have their DNA enclosed within a nucleus, bacterial DNA is present in the cytoplasm of the cell, where it is in direct contact with the cell's metabolic machinery. This allows for rapid gene expression and regulation in response to changing environmental conditions.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Gestational age is the length of time that has passed since the first day of the last menstrual period (LMP) in pregnant women. It is the standard unit used to estimate the age of a pregnancy and is typically expressed in weeks. This measure is used because the exact date of conception is often not known, but the start of the last menstrual period is usually easier to recall.

It's important to note that since ovulation typically occurs around two weeks after the start of the LMP, gestational age is approximately two weeks longer than fetal age, which is the actual time elapsed since conception. Medical professionals use both gestational and fetal age to track the development and growth of the fetus during pregnancy.

Repetitive sequences in nucleic acid refer to repeated stretches of DNA or RNA nucleotide bases that are present in a genome. These sequences can vary in length and can be arranged in different patterns such as direct repeats, inverted repeats, or tandem repeats. In some cases, these repetitive sequences do not code for proteins and are often found in non-coding regions of the genome. They can play a role in genetic instability, regulation of gene expression, and evolutionary processes. However, certain types of repeat expansions have been associated with various neurodegenerative disorders and other human diseases.

Ectopic tooth eruption is a condition where a tooth fails to erupt into its normal position in the dental arch. Instead, it emerupts in an abnormal location, such as in the wrong direction or through another tissue like the gums, palate, or jawbone. This can occur due to various reasons, including genetics, crowding of teeth, or trauma. Ectopic tooth eruption may cause problems with oral function and dental health, and treatment options depend on the severity and location of the ectopic tooth.

Genetic conjugation is a type of genetic transfer that occurs between bacterial cells. It involves the process of one bacterium (the donor) transferring a piece of its DNA to another bacterium (the recipient) through direct contact or via a bridge-like connection called a pilus. This transferred DNA may contain genes that provide the recipient cell with new traits, such as antibiotic resistance or virulence factors, which can make the bacteria more harmful or difficult to treat. Genetic conjugation is an important mechanism for the spread of antibiotic resistance and other traits among bacterial populations.

"Gene rearrangement" is a process that involves the alteration of the order, orientation, or copy number of genes or gene segments within an organism's genome. This natural mechanism plays a crucial role in generating diversity and specificity in the immune system, particularly in vertebrates.

In the context of the immune system, gene rearrangement occurs during the development of B-cells and T-cells, which are responsible for adaptive immunity. The process involves breaking and rejoining DNA segments that encode antigen recognition sites, resulting in a unique combination of gene segments and creating a vast array of possible antigen receptors.

There are two main types of gene rearrangement:

1. V(D)J recombination: This process occurs in both B-cells and T-cells. It involves the recombination of variable (V), diversity (D), and joining (J) gene segments to form a functional antigen receptor gene. In humans, there are multiple copies of V, D, and J segments for each antigen receptor gene, allowing for a vast number of possible combinations.
2. Class switch recombination: This process occurs only in mature B-cells after antigen exposure. It involves the replacement of the constant (C) region of the immunoglobulin heavy chain gene with another C region, resulting in the production of different isotypes of antibodies (IgG, IgA, or IgE) that have distinct effector functions while maintaining the same antigen specificity.

These processes contribute to the generation of a diverse repertoire of antigen receptors, allowing the immune system to recognize and respond effectively to a wide range of pathogens.

A mutation is a permanent change in the DNA sequence of an organism's genome. Mutations can occur spontaneously or be caused by environmental factors such as exposure to radiation, chemicals, or viruses. They may have various effects on the organism, ranging from benign to harmful, depending on where they occur and whether they alter the function of essential proteins. In some cases, mutations can increase an individual's susceptibility to certain diseases or disorders, while in others, they may confer a survival advantage. Mutations are the driving force behind evolution, as they introduce new genetic variability into populations, which can then be acted upon by natural selection.

DNA nucleotidyltransferases are a class of enzymes that catalyze the addition of one or more nucleotides to the 3'-hydroxyl end of a DNA molecule. These enzymes play important roles in various biological processes, including DNA repair, recombination, and replication.

The reaction catalyzed by DNA nucleotidyltransferases involves the transfer of a nucleotide triphosphate (NTP) to the 3'-hydroxyl end of a DNA molecule, resulting in the formation of a phosphodiester bond and the release of pyrophosphate. The enzymes can add a single nucleotide or multiple nucleotides, depending on the specific enzyme and its function.

DNA nucleotidyltransferases are classified into several subfamilies based on their sequence similarity and function, including polymerases, terminal transferases, and primases. These enzymes have been extensively studied for their potential applications in biotechnology and medicine, such as in DNA sequencing, diagnostics, and gene therapy.

Transposon resolvases are enzymes that catalyze the precise excision of transposable elements, also known as transposons or jumping genes, from DNA molecules. Transposons are mobile genetic elements that can move and integrate into different locations within a genome. This movement can lead to genetic variation, but it can also cause mutations, genomic instability, and other deleterious effects.

Transposon resolvases function by cleaving specific sites within the transposable element, resulting in the formation of a circular DNA molecule called a transposon circle. The transposon circle can then be reintegrated into the genome at a new location, or it can be degraded by cellular enzymes.

Transposon resolvases are essential for the proper regulation and mobility of transposable elements in many organisms, including bacteria, yeast, and plants. Defects in transposon resolvase function can lead to genomic instability, developmental abnormalities, and other phenotypic consequences.

'Zea mays' is the biological name for corn or maize, which is not typically considered a medical term. However, corn or maize can have medical relevance in certain contexts. For example, cornstarch is sometimes used as a diluent for medications and is also a component of some skin products. Corn oil may be found in topical ointments and creams. In addition, some people may have allergic reactions to corn or corn-derived products. But generally speaking, 'Zea mays' itself does not have a specific medical definition.

Genetic models are theoretical frameworks used in genetics to describe and explain the inheritance patterns and genetic architecture of traits, diseases, or phenomena. These models are based on mathematical equations and statistical methods that incorporate information about gene frequencies, modes of inheritance, and the effects of environmental factors. They can be used to predict the probability of certain genetic outcomes, to understand the genetic basis of complex traits, and to inform medical management and treatment decisions.

There are several types of genetic models, including:

1. Mendelian models: These models describe the inheritance patterns of simple genetic traits that follow Mendel's laws of segregation and independent assortment. Examples include autosomal dominant, autosomal recessive, and X-linked inheritance.
2. Complex trait models: These models describe the inheritance patterns of complex traits that are influenced by multiple genes and environmental factors. Examples include heart disease, diabetes, and cancer.
3. Population genetics models: These models describe the distribution and frequency of genetic variants within populations over time. They can be used to study evolutionary processes, such as natural selection and genetic drift.
4. Quantitative genetics models: These models describe the relationship between genetic variation and phenotypic variation in continuous traits, such as height or IQ. They can be used to estimate heritability and to identify quantitative trait loci (QTLs) that contribute to trait variation.
5. Statistical genetics models: These models use statistical methods to analyze genetic data and infer the presence of genetic associations or linkage. They can be used to identify genetic risk factors for diseases or traits.

Overall, genetic models are essential tools in genetics research and medical genetics, as they allow researchers to make predictions about genetic outcomes, test hypotheses about the genetic basis of traits and diseases, and develop strategies for prevention, diagnosis, and treatment.

The omentum, in anatomical terms, refers to a large apron-like fold of abdominal fatty tissue that hangs down from the stomach and loops over the intestines. It is divided into two portions: the greater omentum, which is larger and hangs down further, and the lesser omentum, which is smaller and connects the stomach to the liver.

The omentum has several functions in the body, including providing protection and cushioning for the abdominal organs, assisting with the immune response by containing a large number of immune cells, and helping to repair damaged tissues. It can also serve as a source of nutrients and energy for the body during times of starvation or other stressors.

In medical contexts, the omentum may be surgically mobilized and used to wrap around injured or inflamed tissues in order to promote healing and reduce the risk of infection. This technique is known as an "omentopexy" or "omentoplasty."

A surgical flap is a specialized type of surgical procedure where a section of living tissue (including skin, fat, muscle, and/or blood vessels) is lifted from its original site and moved to another location, while still maintaining a blood supply through its attached pedicle. This technique allows the surgeon to cover and reconstruct defects or wounds that cannot be closed easily with simple suturing or stapling.

Surgical flaps can be classified based on their vascularity, type of tissue involved, or method of transfer. The choice of using a specific type of surgical flap depends on the location and size of the defect, the patient's overall health, and the surgeon's expertise. Some common types of surgical flaps include:

1. Random-pattern flaps: These flaps are based on random blood vessels within the tissue and are typically used for smaller defects in areas with good vascularity, such as the face or scalp.
2. Axial pattern flaps: These flaps are designed based on a known major blood vessel and its branches, allowing them to cover larger defects or reach distant sites. Examples include the radial forearm flap and the anterolateral thigh flap.
3. Local flaps: These flaps involve tissue adjacent to the wound and can be further classified into advancement, rotation, transposition, and interpolation flaps based on their movement and orientation.
4. Distant flaps: These flaps are harvested from a distant site and then transferred to the defect after being tunneled beneath the skin or through a separate incision. Examples include the groin flap and the latissimus dorsi flap.
5. Free flaps: In these flaps, the tissue is completely detached from its original blood supply and then reattached at the new site using microvascular surgical techniques. This allows for greater flexibility in terms of reach and placement but requires specialized expertise and equipment.

Surgical flaps play a crucial role in reconstructive surgery, helping to restore form and function after trauma, tumor removal, or other conditions that result in tissue loss.

Southern blotting is a type of membrane-based blotting technique that is used in molecular biology to detect and locate specific DNA sequences within a DNA sample. This technique is named after its inventor, Edward M. Southern.

In Southern blotting, the DNA sample is first digested with one or more restriction enzymes, which cut the DNA at specific recognition sites. The resulting DNA fragments are then separated based on their size by gel electrophoresis. After separation, the DNA fragments are denatured to convert them into single-stranded DNA and transferred onto a nitrocellulose or nylon membrane.

Once the DNA has been transferred to the membrane, it is hybridized with a labeled probe that is complementary to the sequence of interest. The probe can be labeled with radioactive isotopes, fluorescent dyes, or chemiluminescent compounds. After hybridization, the membrane is washed to remove any unbound probe and then exposed to X-ray film (in the case of radioactive probes) or scanned (in the case of non-radioactive probes) to detect the location of the labeled probe on the membrane.

The position of the labeled probe on the membrane corresponds to the location of the specific DNA sequence within the original DNA sample. Southern blotting is a powerful tool for identifying and characterizing specific DNA sequences, such as those associated with genetic diseases or gene regulation.

A bacterial gene is a segment of DNA (or RNA in some viruses) that contains the genetic information necessary for the synthesis of a functional bacterial protein or RNA molecule. These genes are responsible for encoding various characteristics and functions of bacteria such as metabolism, reproduction, and resistance to antibiotics. They can be transmitted between bacteria through horizontal gene transfer mechanisms like conjugation, transformation, and transduction. Bacterial genes are often organized into operons, which are clusters of genes that are transcribed together as a single mRNA molecule.

It's important to note that the term "bacterial gene" is used to describe genetic elements found in bacteria, but not all genetic elements in bacteria are considered genes. For example, some DNA sequences may not encode functional products and are therefore not considered genes. Additionally, some bacterial genes may be plasmid-borne or phage-borne, rather than being located on the bacterial chromosome.

Bacterial chromosomes are typically circular, double-stranded DNA molecules that contain the genetic material of bacteria. Unlike eukaryotic cells, which have their DNA housed within a nucleus, bacterial chromosomes are located in the cytoplasm of the cell, often associated with the bacterial nucleoid.

Bacterial chromosomes can vary in size and structure among different species, but they typically contain all of the genetic information necessary for the survival and reproduction of the organism. They may also contain plasmids, which are smaller circular DNA molecules that can carry additional genes and can be transferred between bacteria through a process called conjugation.

One important feature of bacterial chromosomes is their ability to replicate rapidly, allowing bacteria to divide quickly and reproduce in large numbers. The replication of the bacterial chromosome begins at a specific origin point and proceeds in opposite directions until the entire chromosome has been copied. This process is tightly regulated and coordinated with cell division to ensure that each daughter cell receives a complete copy of the genetic material.

Overall, the study of bacterial chromosomes is an important area of research in microbiology, as understanding their structure and function can provide insights into bacterial genetics, evolution, and pathogenesis.

An arteriovenous shunt is a surgically created connection between an artery and a vein. This procedure is typically performed to reroute blood flow or to provide vascular access for various medical treatments. In a surgical setting, the creation of an arteriovenous shunt involves connecting an artery directly to a vein, bypassing the capillary network in between.

There are different types of arteriovenous shunts used for specific medical purposes:

1. Arteriovenous Fistula (AVF): This is a surgical connection created between an artery and a vein, usually in the arm or leg. The procedure involves dissecting both the artery and vein, then suturing them directly together. Over time, the increased blood flow to the vein causes it to dilate and thicken, making it suitable for repeated needle punctures during hemodialysis treatments for patients with kidney failure.
2. Arteriovenous Graft (AVG): An arteriovenous graft is a synthetic tube used to connect an artery and a vein when a direct AVF cannot be created due to insufficient vessel size or poor quality. The graft can be made of various materials, such as polytetrafluoroethylene (PTFE) or Dacron. Grafts are more prone to infection and clotting compared to native AVFs but remain an essential option for patients requiring hemodialysis access.
3. Central Venous Catheter (CVC): A central venous catheter is a flexible tube inserted into a large vein, often in the neck or groin, and advanced towards the heart. CVCs can be used as temporary arteriovenous shunts for patients who require immediate hemodialysis access but do not have time to wait for an AVF or AVG to mature. However, they are associated with higher risks of infection and thrombosis compared to native AVFs and AVGs.

In summary, a surgical arteriovenous shunt is a connection between an artery and a vein established through a medical procedure. The primary purpose of these shunts is to provide vascular access for hemodialysis in patients with end-stage renal disease or to serve as temporary access when native AVFs or AVGs are not feasible.

Chromosome mapping, also known as physical mapping, is the process of determining the location and order of specific genes or genetic markers on a chromosome. This is typically done by using various laboratory techniques to identify landmarks along the chromosome, such as restriction enzyme cutting sites or patterns of DNA sequence repeats. The resulting map provides important information about the organization and structure of the genome, and can be used for a variety of purposes, including identifying the location of genes associated with genetic diseases, studying evolutionary relationships between organisms, and developing genetic markers for use in breeding or forensic applications.

Restriction mapping is a technique used in molecular biology to identify the location and arrangement of specific restriction endonuclease recognition sites within a DNA molecule. Restriction endonucleases are enzymes that cut double-stranded DNA at specific sequences, producing fragments of various lengths. By digesting the DNA with different combinations of these enzymes and analyzing the resulting fragment sizes through techniques such as agarose gel electrophoresis, researchers can generate a restriction map - a visual representation of the locations and distances between recognition sites on the DNA molecule. This information is crucial for various applications, including cloning, genome analysis, and genetic engineering.

Deoxyribonucleic acid (DNA) is the genetic material present in the cells of organisms where it is responsible for the storage and transmission of hereditary information. DNA is a long molecule that consists of two strands coiled together to form a double helix. Each strand is made up of a series of four nucleotide bases - adenine (A), guanine (G), cytosine (C), and thymine (T) - that are linked together by phosphate and sugar groups. The sequence of these bases along the length of the molecule encodes genetic information, with A always pairing with T and C always pairing with G. This base-pairing allows for the replication and transcription of DNA, which are essential processes in the functioning and reproduction of all living organisms.

'Drosophila melanogaster' is the scientific name for a species of fruit fly that is commonly used as a model organism in various fields of biological research, including genetics, developmental biology, and evolutionary biology. Its small size, short generation time, large number of offspring, and ease of cultivation make it an ideal subject for laboratory studies. The fruit fly's genome has been fully sequenced, and many of its genes have counterparts in the human genome, which facilitates the understanding of genetic mechanisms and their role in human health and disease.

Here is a brief medical definition:

Drosophila melanogaster (droh-suh-fih-luh meh-lon-guh-ster): A species of fruit fly used extensively as a model organism in genetic, developmental, and evolutionary research. Its genome has been sequenced, revealing many genes with human counterparts, making it valuable for understanding genetic mechanisms and their role in human health and disease.

Gonadal dysgenesis is a condition characterized by the abnormal development of the gonads, which are the reproductive organs that produce sex hormones and gametes (sperm or eggs). In individuals with gonadal dysgenesis, the gonads may be underdeveloped, structurally abnormal, or completely absent. This condition can affect people of any gender and is often associated with other genetic disorders, such as Turner or Klinefelter syndromes.

The clinical presentation of gonadal dysgenesis varies widely depending on the severity of the disorder and the presence of other associated conditions. Some individuals may have normal sexual development and fertility, while others may experience delayed puberty, infertility, or ambiguous genitalia. Gonadal dysgenesis can also increase the risk of developing gonadal tumors, particularly in individuals with complete or partial absence of the gonads.

The diagnosis of gonadal dysgenesis is typically made through a combination of clinical evaluation, imaging studies, and genetic testing. Treatment may include hormone replacement therapy to support sexual development and prevent complications associated with hormonal imbalances. In some cases, surgical removal of the gonads may be recommended to reduce the risk of tumor development.

DNA Sequence Analysis is the systematic determination of the order of nucleotides in a DNA molecule. It is a critical component of modern molecular biology, genetics, and genetic engineering. The process involves determining the exact order of the four nucleotide bases - adenine (A), guanine (G), cytosine (C), and thymine (T) - in a DNA molecule or fragment. This information is used in various applications such as identifying gene mutations, studying evolutionary relationships, developing molecular markers for breeding, and diagnosing genetic diseases.

The process of DNA Sequence Analysis typically involves several steps, including DNA extraction, PCR amplification (if necessary), purification, sequencing reaction, and electrophoresis. The resulting data is then analyzed using specialized software to determine the exact sequence of nucleotides.

In recent years, high-throughput DNA sequencing technologies have revolutionized the field of genomics, enabling the rapid and cost-effective sequencing of entire genomes. This has led to an explosion of genomic data and new insights into the genetic basis of many diseases and traits.

The axillary vein is a large vein that runs through the axilla or armpit region. It is formed by the union of the brachial vein and the basilic vein at the lower border of the teres major muscle. The axillary vein carries deoxygenated blood from the upper limb, chest wall, and breast towards the heart. As it moves proximally, it becomes continuous with the subclavian vein to form the brachiocephalic vein. It is accompanied by the axillary artery and forms part of the important neurovascular bundle in the axilla.

Molecular evolution is the process of change in the DNA sequence or protein structure over time, driven by mechanisms such as mutation, genetic drift, gene flow, and natural selection. It refers to the evolutionary study of changes in DNA, RNA, and proteins, and how these changes accumulate and lead to new species and diversity of life. Molecular evolution can be used to understand the history and relationships among different organisms, as well as the functional consequences of genetic changes.

A tendon transfer is a surgical procedure where a healthy tendon is moved to rebalance or reinforce a muscle that has become weak or paralyzed due to injury, disease, or nerve damage. The transferred tendon attaches to the bone in a new position, allowing it to power a different movement or stabilize a joint. This procedure helps restore function and improve mobility in the affected area.

Cubital Tunnel Syndrome is a medical condition that affects the ulnar nerve, which runs down the arm and through a narrow tunnel inside the elbow, also known as the cubital tunnel. When this nerve becomes compressed or irritated in this area, it can lead to various symptoms such as numbness, tingling, and pain in the ring and little fingers, as well as weakness in the hand and forearm.

The condition is often caused by repetitive motion or prolonged pressure on the elbow, such as from leaning on the arm or bending the elbow for extended periods of time. In some cases, it may also be due to bone spurs, cysts, or other abnormalities that narrow the cubital tunnel and put pressure on the ulnar nerve.

Treatment for Cubital Tunnel Syndrome typically involves avoiding activities that aggravate the condition, wearing a splint or brace to keep the elbow straight during sleep, and taking anti-inflammatory medications to reduce swelling and pain. In more severe cases, surgery may be necessary to relieve pressure on the ulnar nerve and alleviate symptoms.

Terminal repeat sequences (TRS) are repetitive DNA sequences that are located at the termini or ends of chromosomes, plasmids, and viral genomes. They play a significant role in various biological processes such as genome replication, packaging, and integration. In eukaryotic cells, telomeres are the most well-known TRS, which protect the chromosome ends from degradation, fusion, and other forms of DNA damage.

Telomeres consist of repetitive DNA sequences (5'-TTAGGG-3' in vertebrates) that are several kilobases long, associated with a set of shelterin proteins that protect them from being recognized as double-strand breaks by the DNA repair machinery. With each cell division, telomeres progressively shorten due to the end replication problem, which can ultimately lead to cellular senescence or apoptosis.

In contrast, prokaryotic TRS are often found at the ends of plasmids and phages and are involved in DNA replication, packaging, and integration into host genomes. For example, the attP and attB sites in bacteriophage lambda are TRS that facilitate site-specific recombination during integration and excision from the host genome.

Overall, terminal repeat sequences are essential for maintaining genome stability and integrity in various organisms, and their dysfunction can lead to genomic instability, disease, and aging.

DNA-binding proteins are a type of protein that have the ability to bind to DNA (deoxyribonucleic acid), the genetic material of organisms. These proteins play crucial roles in various biological processes, such as regulation of gene expression, DNA replication, repair and recombination.

The binding of DNA-binding proteins to specific DNA sequences is mediated by non-covalent interactions, including electrostatic, hydrogen bonding, and van der Waals forces. The specificity of binding is determined by the recognition of particular nucleotide sequences or structural features of the DNA molecule.

DNA-binding proteins can be classified into several categories based on their structure and function, such as transcription factors, histones, and restriction enzymes. Transcription factors are a major class of DNA-binding proteins that regulate gene expression by binding to specific DNA sequences in the promoter region of genes and recruiting other proteins to modulate transcription. Histones are DNA-binding proteins that package DNA into nucleosomes, the basic unit of chromatin structure. Restriction enzymes are DNA-binding proteins that recognize and cleave specific DNA sequences, and are widely used in molecular biology research and biotechnology applications.

An amino acid sequence is the specific order of amino acids in a protein or peptide molecule, formed by the linking of the amino group (-NH2) of one amino acid to the carboxyl group (-COOH) of another amino acid through a peptide bond. The sequence is determined by the genetic code and is unique to each type of protein or peptide. It plays a crucial role in determining the three-dimensional structure and function of proteins.

Molecular cloning is a laboratory technique used to create multiple copies of a specific DNA sequence. This process involves several steps:

1. Isolation: The first step in molecular cloning is to isolate the DNA sequence of interest from the rest of the genomic DNA. This can be done using various methods such as PCR (polymerase chain reaction), restriction enzymes, or hybridization.
2. Vector construction: Once the DNA sequence of interest has been isolated, it must be inserted into a vector, which is a small circular DNA molecule that can replicate independently in a host cell. Common vectors used in molecular cloning include plasmids and phages.
3. Transformation: The constructed vector is then introduced into a host cell, usually a bacterial or yeast cell, through a process called transformation. This can be done using various methods such as electroporation or chemical transformation.
4. Selection: After transformation, the host cells are grown in selective media that allow only those cells containing the vector to grow. This ensures that the DNA sequence of interest has been successfully cloned into the vector.
5. Amplification: Once the host cells have been selected, they can be grown in large quantities to amplify the number of copies of the cloned DNA sequence.

Molecular cloning is a powerful tool in molecular biology and has numerous applications, including the production of recombinant proteins, gene therapy, functional analysis of genes, and genetic engineering.

A chromosome inversion is a genetic rearrangement where a segment of a chromosome has been reversed end to end, so that its order of genes is opposite to the original. This means that the gene sequence on the segment of the chromosome has been inverted.

In an inversion, the chromosome breaks in two places, and the segment between the breaks rotates 180 degrees before reattaching. This results in a portion of the chromosome being inverted, or turned upside down, relative to the rest of the chromosome.

Chromosome inversions can be either paracentric or pericentric. Paracentric inversions involve a segment that does not include the centromere (the central constriction point of the chromosome), while pericentric inversions involve a segment that includes the centromere.

Inversions can have various effects on an individual's phenotype, depending on whether the inversion involves genes and if so, how those genes are affected by the inversion. In some cases, inversions may have no noticeable effect, while in others they may cause genetic disorders or predispose an individual to certain health conditions.

Integrases are enzymes that are responsible for the integration of genetic material into a host's DNA. In particular, integrases play a crucial role in the life cycle of retroviruses, such as HIV (Human Immunodeficiency Virus). These viruses have an RNA genome, which must be reverse-transcribed into DNA before it can be integrated into the host's chromosomal DNA.

The integrase enzyme, encoded by the virus's pol gene, is responsible for this critical step in the retroviral replication cycle. It mediates the cutting and pasting of the viral cDNA into a specific site within the host cell's genome, leading to the formation of a provirus. This provirus can then be transcribed and translated by the host cell's machinery, resulting in the production of new virus particles.

Integrase inhibitors are an important class of antiretroviral drugs used in the treatment of HIV infection. They work by blocking the activity of the integrase enzyme, thereby preventing the integration of viral DNA into the host genome and halting the replication of the virus.

The heart septum is the thick, muscular wall that divides the right and left sides of the heart. It consists of two main parts: the atrial septum, which separates the right and left atria (the upper chambers of the heart), and the ventricular septum, which separates the right and left ventricles (the lower chambers of the heart). A normal heart septum ensures that oxygen-rich blood from the lungs does not mix with oxygen-poor blood from the body. Any defect or abnormality in the heart septum is called a septal defect, which can lead to various congenital heart diseases.

Integration Host Factors (IHF) are small, DNA-binding proteins that play a crucial role in the organization and regulation of DNA in many bacteria. They function by binding to specific sequences of DNA and causing a bend or kink in the double helix. This bending of the DNA brings distant regions of the genome into close proximity, allowing for interactions between different regulatory elements and facilitating various DNA transactions such as transcription, replication, and repair. IHF also plays a role in protecting the genome from damage by preventing the invasion of foreign DNA and promoting the specific recognition of bacterial chromosomal sites during partitioning. Overall, IHF is an essential protein that helps regulate gene expression and maintain genomic stability in bacteria.

Sequence homology in nucleic acids refers to the similarity or identity between the nucleotide sequences of two or more DNA or RNA molecules. It is often used as a measure of biological relationship between genes, organisms, or populations. High sequence homology suggests a recent common ancestry or functional constraint, while low sequence homology may indicate a more distant relationship or different functions.

Nucleic acid sequence homology can be determined by various methods such as pairwise alignment, multiple sequence alignment, and statistical analysis. The degree of homology is typically expressed as a percentage of identical or similar nucleotides in a given window of comparison.

It's important to note that the interpretation of sequence homology depends on the biological context and the evolutionary distance between the sequences compared. Therefore, functional and experimental validation is often necessary to confirm the significance of sequence homology.

"Genetic crosses" refer to the breeding of individuals with different genetic characteristics to produce offspring with specific combinations of traits. This process is commonly used in genetics research to study the inheritance patterns and function of specific genes.

There are several types of genetic crosses, including:

1. Monohybrid cross: A cross between two individuals that differ in the expression of a single gene or trait.
2. Dihybrid cross: A cross between two individuals that differ in the expression of two genes or traits.
3. Backcross: A cross between an individual from a hybrid population and one of its parental lines.
4. Testcross: A cross between an individual with unknown genotype and a homozygous recessive individual.
5. Reciprocal cross: A cross in which the male and female parents are reversed to determine if there is any effect of sex on the expression of the trait.

These genetic crosses help researchers to understand the mode of inheritance, linkage, recombination, and other genetic phenomena.

The endothelium is a thin layer of simple squamous epithelial cells that lines the interior surface of blood vessels, lymphatic vessels, and heart chambers. The vascular endothelium, specifically, refers to the endothelial cells that line the blood vessels. These cells play a crucial role in maintaining vascular homeostasis by regulating vasomotor tone, coagulation, platelet activation, inflammation, and permeability of the vessel wall. They also contribute to the growth and repair of the vascular system and are involved in various pathological processes such as atherosclerosis, hypertension, and diabetes.

Bacterial proteins are a type of protein that are produced by bacteria as part of their structural or functional components. These proteins can be involved in various cellular processes, such as metabolism, DNA replication, transcription, and translation. They can also play a role in bacterial pathogenesis, helping the bacteria to evade the host's immune system, acquire nutrients, and multiply within the host.

Bacterial proteins can be classified into different categories based on their function, such as:

1. Enzymes: Proteins that catalyze chemical reactions in the bacterial cell.
2. Structural proteins: Proteins that provide structural support and maintain the shape of the bacterial cell.
3. Signaling proteins: Proteins that help bacteria to communicate with each other and coordinate their behavior.
4. Transport proteins: Proteins that facilitate the movement of molecules across the bacterial cell membrane.
5. Toxins: Proteins that are produced by pathogenic bacteria to damage host cells and promote infection.
6. Surface proteins: Proteins that are located on the surface of the bacterial cell and interact with the environment or host cells.

Understanding the structure and function of bacterial proteins is important for developing new antibiotics, vaccines, and other therapeutic strategies to combat bacterial infections.

Vascular patency is a term used in medicine to describe the state of a blood vessel (such as an artery or vein) being open, unobstructed, and allowing for the normal flow of blood. It is an important concept in the treatment and management of various cardiovascular conditions, such as peripheral artery disease, coronary artery disease, and deep vein thrombosis.

Maintaining vascular patency can help prevent serious complications like tissue damage, organ dysfunction, or even death. This may involve medical interventions such as administering blood-thinning medications to prevent clots, performing procedures to remove blockages, or using devices like stents to keep vessels open. Regular monitoring of vascular patency is also crucial for evaluating the effectiveness of treatments and adjusting care plans accordingly.

I apologize for any confusion, but "Muscidae" is not a medical term. It is a taxonomic family of flies, also known as houseflies or muscoid flies. The Muscidae family includes over 4,000 species, some of which can be found in various environments, including human dwellings and agricultural settings. Some members of this family are considered pests due to their habits of feeding on decaying organic matter, transmitting diseases, or contaminating food sources.

Veins are blood vessels that carry deoxygenated blood from the tissues back to the heart. They have a lower pressure than arteries and contain valves to prevent the backflow of blood. Veins have a thin, flexible wall with a larger lumen compared to arteries, allowing them to accommodate more blood volume. The color of veins is often blue or green due to the absorption characteristics of light and the reduced oxygen content in the blood they carry.

Physiologic neovascularization is the natural and controlled formation of new blood vessels in the body, which occurs as a part of normal growth and development, as well as in response to tissue repair and wound healing. This process involves the activation of endothelial cells, which line the interior surface of blood vessels, and their migration, proliferation, and tube formation to create new capillaries. Physiologic neovascularization is tightly regulated by a balance of pro-angiogenic and anti-angiogenic factors, ensuring that it occurs only when and where it is needed. It plays crucial roles in various physiological processes, such as embryonic development, tissue regeneration, and wound healing.

Polymerase Chain Reaction (PCR) is a laboratory technique used to amplify specific regions of DNA. It enables the production of thousands to millions of copies of a particular DNA sequence in a rapid and efficient manner, making it an essential tool in various fields such as molecular biology, medical diagnostics, forensic science, and research.

The PCR process involves repeated cycles of heating and cooling to separate the DNA strands, allow primers (short sequences of single-stranded DNA) to attach to the target regions, and extend these primers using an enzyme called Taq polymerase, resulting in the exponential amplification of the desired DNA segment.

In a medical context, PCR is often used for detecting and quantifying specific pathogens (viruses, bacteria, fungi, or parasites) in clinical samples, identifying genetic mutations or polymorphisms associated with diseases, monitoring disease progression, and evaluating treatment effectiveness.

In the context of medical laboratory reporting, "R factors" refer to a set of values that describe the resistance of certain bacteria to different antibiotics. These factors are typically reported as R1, R2, R3, and so on, where each R factor corresponds to a specific antibiotic or class of antibiotics.

An R factor value of "1" indicates susceptibility to the corresponding antibiotic, while an R factor value of "R" (or "R-", depending on the laboratory's reporting practices) indicates resistance. An intermediate category may also be reported as "I" or "I-", indicating that the bacterium is intermediately sensitive to the antibiotic in question.

It's important to note that R factors are just one piece of information used to guide clinical decision-making around antibiotic therapy, and should be interpreted in conjunction with other factors such as the patient's clinical presentation, the severity of their infection, and any relevant guidelines or recommendations from infectious disease specialists.

Genetic transformation is the process by which an organism's genetic material is altered or modified, typically through the introduction of foreign DNA. This can be achieved through various techniques such as:

* Gene transfer using vectors like plasmids, phages, or artificial chromosomes
* Direct uptake of naked DNA using methods like electroporation or chemically-mediated transfection
* Use of genome editing tools like CRISPR-Cas9 to introduce precise changes into the organism's genome.

The introduced DNA may come from another individual of the same species (cisgenic), from a different species (transgenic), or even be synthetically designed. The goal of genetic transformation is often to introduce new traits, functions, or characteristics that do not exist naturally in the organism, or to correct genetic defects.

This technique has broad applications in various fields, including molecular biology, biotechnology, and medical research, where it can be used to study gene function, develop genetically modified organisms (GMOs), create cell lines for drug screening, and even potentially treat genetic diseases through gene therapy.

Ulnar nerve compression syndromes refer to a group of conditions characterized by the entrapment or compression of the ulnar nerve, leading to various symptoms. The ulnar nerve provides motor function to the hand muscles and sensation to the little finger and half of the ring finger.

There are several sites along the course of the ulnar nerve where it can become compressed, resulting in different types of ulnar nerve compression syndromes:

1. Cubital Tunnel Syndrome: This occurs when the ulnar nerve is compressed at the elbow, within the cubital tunnel - a narrow passage located on the inner side of the elbow. Symptoms may include numbness and tingling in the little finger and half of the ring finger, weakness in gripping or pinching, and pain or discomfort in the elbow.

2. Guyon's Canal Syndrome: This type of ulnar nerve compression syndrome happens when the nerve is compressed at the wrist, within the Guyon's canal. Causes can include ganglion cysts, bone fractures, or repetitive motion injuries. Symptoms may include numbness and tingling in the little finger and half of the ring finger, weakness or paralysis in the hand muscles, and muscle wasting in severe cases.

Treatment for ulnar nerve compression syndromes depends on the severity and location of the compression. Conservative treatments such as physical therapy, bracing, or anti-inflammatory medications may be recommended for milder cases. Severe or persistent symptoms may require surgical intervention to relieve the pressure on the ulnar nerve.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

An open reading frame (ORF) is a continuous stretch of DNA or RNA sequence that has the potential to be translated into a protein. It begins with a start codon (usually "ATG" in DNA, which corresponds to "AUG" in RNA) and ends with a stop codon ("TAA", "TAG", or "TGA" in DNA; "UAA", "UAG", or "UGA" in RNA). The sequence between these two points is called a coding sequence (CDS), which, when transcribed into mRNA and translated into amino acids, forms a polypeptide chain.

In eukaryotic cells, ORFs can be located in either protein-coding genes or non-coding regions of the genome. In prokaryotic cells, multiple ORFs may be present on a single strand of DNA, often organized into operons that are transcribed together as a single mRNA molecule.

It's important to note that not all ORFs necessarily represent functional proteins; some may be pseudogenes or result from errors in genome annotation. Therefore, additional experimental evidence is typically required to confirm the expression and functionality of a given ORF.

Circular DNA is a type of DNA molecule that forms a closed loop, rather than the linear double helix structure commonly associated with DNA. This type of DNA is found in some viruses, plasmids (small extrachromosomal DNA molecules found in bacteria), and mitochondria and chloroplasts (organelles found in plant and animal cells).

Circular DNA is characterized by the absence of telomeres, which are the protective caps found on linear chromosomes. Instead, circular DNA has a specific sequence where the two ends join together, known as the origin of replication and the replication terminus. This structure allows for the DNA to be replicated efficiently and compactly within the cell.

Because of its circular nature, circular DNA is more resistant to degradation by enzymes that cut linear DNA, making it more stable in certain environments. Additionally, the ability to easily manipulate and clone circular DNA has made it a valuable tool in molecular biology and genetic engineering.

VDJ Recombinases are a set of enzymes that play a crucial role in the adaptive immune system, specifically in the diversification of antigen receptors in vertebrates. The name "VDJ" refers to the variable (V), diversity (D), and joining (J) gene segments that undergo recombination to generate a vast array of unique antigen receptor genes.

The VDJ Recombinases are composed of two main enzymatic components: RAG1 and RAG2, which are responsible for initiating the recombination process, and Artemis, which is involved in the cleavage and joining of the gene segments. The recombination process mediated by these enzymes occurs during the development of B and T lymphocytes, allowing for the generation of a diverse repertoire of antigen receptors that can recognize and respond to a wide range of pathogens.

The RAG1 and RAG2 proteins recognize specific DNA sequences called recombination signal sequences (RSSs) that flank the V, D, and J gene segments. They introduce double-stranded breaks at the junctions between these gene segments, creating a hairpin structure at one end of each break. The hairpins are then cleaved by Artemis, and the resulting overhangs are joined together by another set of enzymes to form a functional antigen receptor gene.

Overall, VDJ Recombinases play a critical role in the adaptive immune system's ability to generate diverse and specific responses to pathogens, making them an essential component of vertebrate immunity.

An Intracisternal A-Particle (IAP) is a type of transposable element in the genome of mice and other rodents. Transposable elements are mobile pieces of DNA that can move or "jump" from one location in the genome to another. IAPs were first discovered in the 1970s and are named for their location within the cisterna of the endoplasmic reticulum in the cell.

IAPs are typically several hundred to a few thousand base pairs in length and contain two main regions: a long terminal repeat (LTR) region at each end, which contains regulatory elements that control the transposition of the IAP, and an internal region that contains genes encoding proteins involved in the transposition process.

IAPs are thought to play a role in genome evolution and have been implicated in various genetic disorders in mice. They can also affect the expression of nearby genes by providing promoter or enhancer elements, or by interfering with normal gene function through insertion into or near a gene.

It's important to note that while IAPs are present in the genomes of many organisms, including humans, they are not typically referred to as "genes" in the traditional sense, as they do not encode functional proteins or RNA molecules that have a direct role in the organism's phenotype.

Pathologic neovascularization is the abnormal growth of new blood vessels in previously avascular tissue or excessive growth within existing vasculature, which occurs as a result of hypoxia, inflammation, or angiogenic stimuli. These newly formed vessels are often disorganized, fragile, and lack proper vessel hierarchy, leading to impaired blood flow and increased vascular permeability. Pathologic neovascularization can be observed in various diseases such as cancer, diabetic retinopathy, age-related macular degeneration, and chronic inflammation. This process contributes to disease progression by promoting tumor growth, metastasis, and edema formation, ultimately leading to tissue damage and organ dysfunction.

Pulmonary subvalvular stenosis is a rare cardiac condition that refers to the narrowing or obstruction of the pulmonary valve or the outflow tract below it, within the right ventricle of the heart. This results in restricted blood flow from the right ventricle to the pulmonary artery and subsequently to the lungs.

The narrowing can be caused by various factors such as a membranous shelf-like structure (dysplasia), a fibrous ring, or a tunnel-like narrowing of the outflow tract (tunneling). The severity of the stenosis may vary from mild to severe, and symptoms can range from shortness of breath, fatigue, and chest pain to more serious complications like heart failure or arrhythmias.

Diagnosis typically involves imaging tests such as echocardiography, cardiac MRI, or cardiac catheterization. Treatment options depend on the severity of the stenosis and may include monitoring, medications, or invasive procedures such as balloon dilation or surgical repair.

Mutagenesis is the process by which the genetic material (DNA or RNA) of an organism is changed in a way that can alter its phenotype, or observable traits. These changes, known as mutations, can be caused by various factors such as chemicals, radiation, or viruses. Some mutations may have no effect on the organism, while others can cause harm, including diseases and cancer. Mutagenesis is a crucial area of study in genetics and molecular biology, with implications for understanding evolution, genetic disorders, and the development of new medical treatments.

Dextrocardia is a medical condition in which the heart is positioned on the right side of the chest instead of the left side. This is a congenital condition, meaning it is present at birth. In people with dextrocardia, the heart's structure and function are usually normal, but the orientation of the heart within the chest is reversed.

There are two main types of dextrocardia:

1. Dextrocardia without visceral situs inversus: In this type, the heart is on the right side of the chest, but the other organs in the chest and abdomen are in their normal positions. This is a rare condition and can be associated with other congenital heart defects.
2. Dextrocardia with visceral situs inversus: In this type, the heart is on the right side of the chest, and the other organs in the chest and abdomen are mirrored or reversed from their normal positions. This is a less common form of dextrocardia and is often referred to as "situs inversus totalis."

It's important to note that while dextrocardia itself is not a life-threatening condition, people with this condition may have other heart defects or medical issues that require treatment. If you or someone you know has been diagnosed with dextrocardia, it's essential to consult with a healthcare professional for proper evaluation and management.

Kanamycin resistance is a type of antibiotic resistance in which bacteria have the ability to grow in the presence of kanamycin, a type of aminoglycoside antibiotic. This resistance can be caused by various mechanisms, including:

1. Enzymatic inactivation: Bacteria can produce enzymes that modify or degrade kanamycin, rendering it ineffective.
2. Alteration of the drug target: Changes in the structure or function of the bacterial ribosome, the target of kanamycin, can prevent the antibiotic from binding and inhibiting protein synthesis.
3. Efflux pumps: Overexpression of efflux pumps can lead to increased expulsion of kanamycin from the bacterial cell, reducing its intracellular concentration and effectiveness.
4. Reduced permeability: Decreased uptake of kanamycin into the bacterial cell due to changes in membrane permeability or reduced expression of porin channels can also contribute to resistance.

The development and spread of antibiotic resistance, including kanamycin resistance, pose significant challenges for the treatment of bacterial infections and are a major public health concern.

A genetic vector is a vehicle, often a plasmid or a virus, that is used to introduce foreign DNA into a host cell as part of genetic engineering or gene therapy techniques. The vector contains the desired gene or genes, along with regulatory elements such as promoters and enhancers, which are needed for the expression of the gene in the target cells.

The choice of vector depends on several factors, including the size of the DNA to be inserted, the type of cell to be targeted, and the efficiency of uptake and expression required. Commonly used vectors include plasmids, adenoviruses, retroviruses, and lentiviruses.

Plasmids are small circular DNA molecules that can replicate independently in bacteria. They are often used as cloning vectors to amplify and manipulate DNA fragments. Adenoviruses are double-stranded DNA viruses that infect a wide range of host cells, including human cells. They are commonly used as gene therapy vectors because they can efficiently transfer genes into both dividing and non-dividing cells.

Retroviruses and lentiviruses are RNA viruses that integrate their genetic material into the host cell's genome. This allows for stable expression of the transgene over time. Lentiviruses, a subclass of retroviruses, have the advantage of being able to infect non-dividing cells, making them useful for gene therapy applications in post-mitotic tissues such as neurons and muscle cells.

Overall, genetic vectors play a crucial role in modern molecular biology and medicine, enabling researchers to study gene function, develop new therapies, and modify organisms for various purposes.

The brachiocephalic veins, also known as the innominate veins, are large veins in the human body. They are formed by the union of the subclavian vein and the internal jugular vein on each side of the body. The resulting vein then carries blood from the upper limbs, head, and neck to the superior vena cava, which is the large vein that returns blood to the heart.

Here's a more detailed medical definition:

The brachiocephalic veins are paired venous structures that result from the union of the subclavian vein and the internal jugular vein on each side of the body. These veins are located in the superior mediastinum, near the base of the neck, and are typically about 2 to 3 centimeters in length. The brachiocephalic veins receive blood from several sources, including the upper extremities, head, neck, and thoracic wall. They then transport this blood to the superior vena cava, which is a large vein that returns blood to the right atrium of the heart.

It's worth noting that the brachiocephalic veins are subject to various pathological conditions, including thrombosis (blood clots), stenosis (narrowing), and compression by nearby structures such as the first rib or the scalene muscles. These conditions can lead to a variety of symptoms, including swelling, pain, and difficulty breathing.

Phylogeny is the evolutionary history and relationship among biological entities, such as species or genes, based on their shared characteristics. In other words, it refers to the branching pattern of evolution that shows how various organisms have descended from a common ancestor over time. Phylogenetic analysis involves constructing a tree-like diagram called a phylogenetic tree, which depicts the inferred evolutionary relationships among organisms or genes based on molecular sequence data or other types of characters. This information is crucial for understanding the diversity and distribution of life on Earth, as well as for studying the emergence and spread of diseases.

Chromosomes are thread-like structures that exist in the nucleus of cells, carrying genetic information in the form of genes. They are composed of DNA and proteins, and are typically present in pairs in the nucleus, with one set inherited from each parent. In humans, there are 23 pairs of chromosomes for a total of 46 chromosomes. Chromosomes come in different shapes and forms, including sex chromosomes (X and Y) that determine the biological sex of an individual. Changes or abnormalities in the number or structure of chromosomes can lead to genetic disorders and diseases.

DNA restriction enzymes, also known as restriction endonucleases, are a type of enzyme that cut double-stranded DNA at specific recognition sites. These enzymes are produced by bacteria and archaea as a defense mechanism against foreign DNA, such as that found in bacteriophages (viruses that infect bacteria).

Restriction enzymes recognize specific sequences of nucleotides (the building blocks of DNA) and cleave the phosphodiester bonds between them. The recognition sites for these enzymes are usually palindromic, meaning that the sequence reads the same in both directions when facing the opposite strands of DNA.

Restriction enzymes are widely used in molecular biology research for various applications such as genetic engineering, genome mapping, and DNA fingerprinting. They allow scientists to cut DNA at specific sites, creating precise fragments that can be manipulated and analyzed. The use of restriction enzymes has been instrumental in the development of recombinant DNA technology and the Human Genome Project.

A cuspid, also known as a canine tooth or cuspid tooth, is a type of tooth in mammals. It is the pointiest tooth in the dental arch and is located between the incisors and bicuspids (or premolars). Cuspids have a single cusp or pointed tip that is used for tearing and grasping food. In humans, there are four cuspids, two on the upper jaw and two on the lower jaw, one on each side of the dental arch.

A genome is the complete set of genetic material (DNA, or in some viruses, RNA) present in a single cell of an organism. It includes all of the genes, both coding and noncoding, as well as other regulatory elements that together determine the unique characteristics of that organism. The human genome, for example, contains approximately 3 billion base pairs and about 20,000-25,000 protein-coding genes.

The term "genome" was first coined by Hans Winkler in 1920, derived from the word "gene" and the suffix "-ome," which refers to a complete set of something. The study of genomes is known as genomics.

Understanding the genome can provide valuable insights into the genetic basis of diseases, evolution, and other biological processes. With advancements in sequencing technologies, it has become possible to determine the entire genomic sequence of many organisms, including humans, and use this information for various applications such as personalized medicine, gene therapy, and biotechnology.

Arteries are blood vessels that carry oxygenated blood away from the heart to the rest of the body. They have thick, muscular walls that can withstand the high pressure of blood being pumped out of the heart. Arteries branch off into smaller vessels called arterioles, which further divide into a vast network of tiny capillaries where the exchange of oxygen, nutrients, and waste occurs between the blood and the body's cells. After passing through the capillary network, deoxygenated blood collects in venules, then merges into veins, which return the blood back to the heart.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

A phenotype is the physical or biochemical expression of an organism's genes, or the observable traits and characteristics resulting from the interaction of its genetic constitution (genotype) with environmental factors. These characteristics can include appearance, development, behavior, and resistance to disease, among others. Phenotypes can vary widely, even among individuals with identical genotypes, due to differences in environmental influences, gene expression, and genetic interactions.

A reoperation is a surgical procedure that is performed again on a patient who has already undergone a previous operation for the same or related condition. Reoperations may be required due to various reasons, such as inadequate initial treatment, disease recurrence, infection, or complications from the first surgery. The nature and complexity of a reoperation can vary widely depending on the specific circumstances, but it often carries higher risks and potential complications compared to the original operation.

Tricuspid valve insufficiency, also known as tricuspid regurgitation, is a cardiac condition in which the tricuspid valve located between the right atrium and right ventricle of the heart does not close properly, allowing blood to flow back into the right atrium during contraction of the right ventricle. This results in a portion of the blood being pumped inefficiently, which can lead to volume overload of the right side of the heart and potentially result in symptoms such as fatigue, weakness, shortness of breath, and fluid retention. The condition can be congenital or acquired, with common causes including dilated cardiomyopathy, infective endocarditis, rheumatic heart disease, and trauma.

The oculomotor muscles are a group of extraocular muscles that control the movements of the eye. They include:

1. Superior rectus: This muscle is responsible for elevating the eye and helping with inward rotation (intorsion) when looking downwards.
2. Inferior rectus: It depresses the eye and helps with outward rotation (extorsion) when looking upwards.
3. Medial rectus: This muscle adducts, or moves, the eye towards the midline of the face.
4. Inferior oblique: The inferior oblique muscle intorts and elevates the eye.
5. Superior oblique: It extorts and depresses the eye.

These muscles work together to allow for smooth and precise movements of the eyes, enabling tasks such as tracking moving objects, reading, and maintaining visual fixation on a single point in space.

A blood vessel prosthesis is a medical device that is used as a substitute for a damaged or diseased natural blood vessel. It is typically made of synthetic materials such as polyester, Dacron, or ePTFE (expanded polytetrafluoroethylene) and is designed to mimic the function of a native blood vessel by allowing the flow of blood through it.

Blood vessel prostheses are used in various surgical procedures, including coronary artery bypass grafting, peripheral arterial reconstruction, and the creation of arteriovenous fistulas for dialysis access. The choice of material and size of the prosthesis depends on several factors, such as the location and diameter of the vessel being replaced, the patient's age and overall health status, and the surgeon's preference.

It is important to note that while blood vessel prostheses can be effective in restoring blood flow, they may also carry risks such as infection, thrombosis (blood clot formation), and graft failure over time. Therefore, careful patient selection, surgical technique, and postoperative management are crucial for the success of these procedures.

In the context of medical and biological sciences, a "binding site" refers to a specific location on a protein, molecule, or cell where another molecule can attach or bind. This binding interaction can lead to various functional changes in the original protein or molecule. The other molecule that binds to the binding site is often referred to as a ligand, which can be a small molecule, ion, or even another protein.

The binding between a ligand and its target binding site can be specific and selective, meaning that only certain ligands can bind to particular binding sites with high affinity. This specificity plays a crucial role in various biological processes, such as signal transduction, enzyme catalysis, or drug action.

In the case of drug development, understanding the location and properties of binding sites on target proteins is essential for designing drugs that can selectively bind to these sites and modulate protein function. This knowledge can help create more effective and safer therapeutic options for various diseases.

Nucleic acid conformation refers to the three-dimensional structure that nucleic acids (DNA and RNA) adopt as a result of the bonding patterns between the atoms within the molecule. The primary structure of nucleic acids is determined by the sequence of nucleotides, while the conformation is influenced by factors such as the sugar-phosphate backbone, base stacking, and hydrogen bonding.

Two common conformations of DNA are the B-form and the A-form. The B-form is a right-handed helix with a diameter of about 20 Ã… and a pitch of 34 Ã…, while the A-form has a smaller diameter (about 18 Ã…) and a shorter pitch (about 25 Ã…). RNA typically adopts an A-form conformation.

The conformation of nucleic acids can have significant implications for their function, as it can affect their ability to interact with other molecules such as proteins or drugs. Understanding the conformational properties of nucleic acids is therefore an important area of research in molecular biology and medicine.

"Drosophila" is a genus of small flies, also known as fruit flies. The most common species used in scientific research is "Drosophila melanogaster," which has been a valuable model organism for many areas of biological and medical research, including genetics, developmental biology, neurobiology, and aging.

The use of Drosophila as a model organism has led to numerous important discoveries in genetics and molecular biology, such as the identification of genes that are associated with human diseases like cancer, Parkinson's disease, and obesity. The short reproductive cycle, large number of offspring, and ease of genetic manipulation make Drosophila a powerful tool for studying complex biological processes.

Genetic transcription is the process by which the information in a strand of DNA is used to create a complementary RNA molecule. This process is the first step in gene expression, where the genetic code in DNA is converted into a form that can be used to produce proteins or functional RNAs.

During transcription, an enzyme called RNA polymerase binds to the DNA template strand and reads the sequence of nucleotide bases. As it moves along the template, it adds complementary RNA nucleotides to the growing RNA chain, creating a single-stranded RNA molecule that is complementary to the DNA template strand. Once transcription is complete, the RNA molecule may undergo further processing before it can be translated into protein or perform its functional role in the cell.

Transcription can be either "constitutive" or "regulated." Constitutive transcription occurs at a relatively constant rate and produces essential proteins that are required for basic cellular functions. Regulated transcription, on the other hand, is subject to control by various intracellular and extracellular signals, allowing cells to respond to changing environmental conditions or developmental cues.

Urethral diseases refer to a range of conditions that affect the urethra, which is the tube that carries urine from the bladder out of the body. These diseases can cause various symptoms such as pain or discomfort during urination, difficulty in urinating, blood in urine, and abnormal discharge. Some common urethral diseases include urethritis (inflammation of the urethra), urethral stricture (narrowing of the urethra due to scar tissue or inflammation), and urethral cancer. The causes of urethral diseases can vary, including infections, injuries, congenital abnormalities, and certain medical conditions. Proper diagnosis and treatment are essential for managing urethral diseases and preventing complications.

Replantation is a surgical procedure in which a body part that has been completely detached or amputated is reattached to the body. This procedure involves careful reattachment of bones, muscles, tendons, nerves, and blood vessels to restore function and sensation to the greatest extent possible. The success of replantation depends on various factors such as the level of injury, the condition of the amputated part, and the patient's overall health.

Bacteriophage lambda, often simply referred to as phage lambda, is a type of virus that infects the bacterium Escherichia coli (E. coli). It is a double-stranded DNA virus that integrates its genetic material into the bacterial chromosome as a prophage when it infects the host cell. This allows the phage to replicate along with the bacterium until certain conditions trigger the lytic cycle, during which new virions are produced and released by lysing, or breaking open, the host cell.

Phage lambda is widely studied in molecular biology due to its well-characterized life cycle and genetic structure. It has been instrumental in understanding various fundamental biological processes such as gene regulation, DNA recombination, and lysis-lysogeny decision.

Vascular surgical procedures are operations that are performed to treat conditions and diseases related to the vascular system, which includes the arteries, veins, and capillaries. These procedures can be invasive or minimally invasive and are often used to treat conditions such as peripheral artery disease, carotid artery stenosis, aortic aneurysms, and venous insufficiency.

Some examples of vascular surgical procedures include:

* Endarterectomy: a procedure to remove plaque buildup from the inside of an artery
* Bypass surgery: creating a new path for blood to flow around a blocked or narrowed artery
* Angioplasty and stenting: using a balloon to open a narrowed artery and placing a stent to keep it open
* Aneurysm repair: surgically repairing an aneurysm, a weakened area in the wall of an artery that has bulged out and filled with blood
* Embolectomy: removing a blood clot from a blood vessel
* Thrombectomy: removing a blood clot from a vein

These procedures are typically performed by vascular surgeons, who are trained in the diagnosis and treatment of vascular diseases.

I'm not aware of a widely recognized or established medical term called "F factor." It is possible that it could be a term specific to certain medical specialties, research, or publications. In order to provide an accurate and helpful response, I would need more context or information about where you encountered this term.

If you meant to ask about the F-plasmid, which is sometimes referred to as the "F factor" in bacteriology, it is a type of plasmid that can be found in certain strains of bacteria and carries genes related to conjugation (the process by which bacteria transfer genetic material between each other). The F-plasmid can exist as an independent circular DNA molecule or integrate into the chromosome of the host bacterium.

If this is not the term you were looking for, please provide more context so I can give a better answer.

The lymphatic system is a complex network of organs, tissues, vessels, and cells that work together to defend the body against infectious diseases and also play a crucial role in the immune system. It is made up of:

1. Lymphoid Organs: These include the spleen, thymus, lymph nodes, tonsils, adenoids, and Peyer's patches (in the intestines). They produce and mature immune cells.

2. Lymphatic Vessels: These are thin tubes that carry clear fluid called lymph towards the heart.

3. Lymph: This is a clear-to-white fluid that contains white blood cells, mainly lymphocytes, which help fight infections.

4. Other tissues and cells: These include bone marrow where immune cells are produced, and lymphocytes (T cells and B cells) which are types of white blood cells that help protect the body from infection and disease.

The primary function of the lymphatic system is to transport lymph throughout the body, collecting waste products, bacteria, viruses, and other foreign substances from the tissues, and filtering them out through the lymph nodes. The lymphatic system also helps in the absorption of fats and fat-soluble vitamins from food in the digestive tract.

Gene order, in the context of genetics and genomics, refers to the specific sequence or arrangement of genes along a chromosome. The order of genes on a chromosome is not random, but rather, it is highly conserved across species and is often used as a tool for studying evolutionary relationships between organisms.

The study of gene order has also provided valuable insights into genome organization, function, and regulation. For example, the clustering of genes that are involved in specific pathways or functions can provide information about how those pathways or functions have evolved over time. Similarly, the spatial arrangement of genes relative to each other can influence their expression levels and patterns, which can have important consequences for phenotypic traits.

Overall, gene order is an important aspect of genome biology that continues to be a focus of research in fields such as genomics, genetics, evolutionary biology, and bioinformatics.

Tooth abnormalities refer to any variations or irregularities in the size, shape, number, structure, or development of teeth that deviate from the typical or normal anatomy. These abnormalities can occur in primary (deciduous) or permanent teeth and can be caused by genetic factors, environmental influences, systemic diseases, or localized dental conditions during tooth formation.

Some examples of tooth abnormalities include:

1. Microdontia - teeth that are smaller than normal in size.
2. Macrodontia - teeth that are larger than normal in size.
3. Peg-shaped teeth - teeth with a narrow, conical shape.
4. Talon cusps - additional cusps or points on the biting surface of a tooth.
5. Dens invaginatus - an abnormal development where the tooth crown has an extra fold or pouch that can trap bacteria and cause dental problems.
6. Taurodontism - teeth with large pulp chambers and short roots.
7. Supernumerary teeth - having more teeth than the typical number (20 primary and 32 permanent teeth).
8. Hypodontia - missing one or more teeth due to a failure of development.
9. Germination - two adjacent teeth fused together, usually occurring in the front teeth.
10. Fusion - two separate teeth that have grown together during development.

Tooth abnormalities may not always require treatment unless they cause functional, aesthetic, or dental health issues. A dentist can diagnose and manage tooth abnormalities through various treatments, such as fillings, extractions, orthodontic care, or restorative procedures.

DNA primers are short single-stranded DNA molecules that serve as a starting point for DNA synthesis. They are typically used in laboratory techniques such as the polymerase chain reaction (PCR) and DNA sequencing. The primer binds to a complementary sequence on the DNA template through base pairing, providing a free 3'-hydroxyl group for the DNA polymerase enzyme to add nucleotides and synthesize a new strand of DNA. This allows for specific and targeted amplification or analysis of a particular region of interest within a larger DNA molecule.

A genetic complementation test is a laboratory procedure used in molecular genetics to determine whether two mutated genes can complement each other's function, indicating that they are located at different loci and represent separate alleles. This test involves introducing a normal or wild-type copy of one gene into a cell containing a mutant version of the same gene, and then observing whether the presence of the normal gene restores the normal function of the mutated gene. If the introduction of the normal gene results in the restoration of the normal phenotype, it suggests that the two genes are located at different loci and can complement each other's function. However, if the introduction of the normal gene does not restore the normal phenotype, it suggests that the two genes are located at the same locus and represent different alleles of the same gene. This test is commonly used to map genes and identify genetic interactions in a variety of organisms, including bacteria, yeast, and animals.

Suture techniques refer to the various methods used by surgeons to sew or stitch together tissues in the body after an injury, trauma, or surgical incision. The main goal of suturing is to approximate and hold the edges of the wound together, allowing for proper healing and minimizing scar formation.

There are several types of suture techniques, including:

1. Simple Interrupted Suture: This is one of the most basic suture techniques where the needle is passed through the tissue at a right angle, creating a loop that is then tightened to approximate the wound edges. Multiple stitches are placed along the length of the incision or wound.
2. Continuous Locking Suture: In this technique, the needle is passed continuously through the tissue in a zigzag pattern, with each stitch locking into the previous one. This creates a continuous line of sutures that provides strong tension and support to the wound edges.
3. Running Suture: Similar to the continuous locking suture, this technique involves passing the needle continuously through the tissue in a straight line. However, instead of locking each stitch, the needle is simply passed through the previous loop before being tightened. This creates a smooth and uninterrupted line of sutures that can be easily removed after healing.
4. Horizontal Mattress Suture: In this technique, two parallel stitches are placed horizontally across the wound edges, creating a "mattress" effect that provides additional support and tension to the wound. This is particularly useful in deep or irregularly shaped wounds.
5. Vertical Mattress Suture: Similar to the horizontal mattress suture, this technique involves placing two parallel stitches vertically across the wound edges. This creates a more pronounced "mattress" effect that can help reduce tension and minimize scarring.
6. Subcuticular Suture: In this technique, the needle is passed just below the surface of the skin, creating a smooth and barely visible line of sutures. This is particularly useful in cosmetic surgery or areas where minimizing scarring is important.

The choice of suture technique depends on various factors such as the location and size of the wound, the type of tissue involved, and the patient's individual needs and preferences. Proper suture placement and tension are crucial for optimal healing and aesthetic outcomes.

Anodontia is a medical term that refers to the congenital absence or lack of development of all primary (deciduous) and/or permanent teeth. It is a rare dental condition that affects tooth development and can be isolated or associated with various syndromes and genetic disorders.

In anodontia, the dental tissues responsible for forming teeth, including the dental lamina, dental papilla, and dental follicle, fail to develop properly, resulting in missing teeth. The condition can affect all teeth or only some of them, leading to partial anodontia.

Anodontia is different from hypodontia, which refers to the congenital absence of one or more, but not all, teeth. It is also distinct from oligodontia, which is the absence of six or more permanent teeth, excluding third molars (wisdom teeth).

People with anodontia may experience difficulties in chewing, speaking, and maintaining oral hygiene, leading to various dental and social problems. Prosthodontic treatments, such as dentures or implants, are often necessary to restore oral function and aesthetics.

A portacaval shunt is a surgical procedure that creates an alternate pathway for blood flow between the portal vein and the inferior vena cava. The portal vein carries blood from the gastrointestinal tract, liver, spleen, and pancreas to the liver. In certain medical conditions, such as severe liver disease or portal hypertension, the blood pressure in the portal vein becomes abnormally high, which can lead to serious complications like variceal bleeding.

In a surgical portacaval shunt procedure, a surgeon creates a connection between the portal vein and the inferior vena cava, allowing a portion of the blood from the portal vein to bypass the liver and flow directly into the systemic circulation. This helps reduce the pressure in the portal vein and prevent complications associated with portal hypertension.

There are different types of portacaval shunts, including:

1. Direct portacaval shunt: In this procedure, the surgeon directly connects the portal vein to the inferior vena cava.
2. Side-to-side portacaval shunt: Here, the surgeon creates an anastomosis (connection) between a side branch of the portal vein and the inferior vena cava.
3. H-type shunt: This involves creating two separate connections between the portal vein and the inferior vena cava, forming an "H" shape.

It is important to note that while portacaval shunts can be effective in managing complications of portal hypertension, they may also have potential risks and side effects, such as worsening liver function, encephalopathy, or heart failure. Therefore, the decision to perform a portacaval shunt should be made carefully, considering the individual patient's medical condition and overall health.

Endothelial cells are the type of cells that line the inner surface of blood vessels, lymphatic vessels, and heart chambers. They play a crucial role in maintaining vascular homeostasis by controlling vasomotor tone, coagulation, platelet activation, and inflammation. Endothelial cells also regulate the transport of molecules between the blood and surrounding tissues, and contribute to the maintenance of the structural integrity of the vasculature. They are flat, elongated cells with a unique morphology that allows them to form a continuous, nonthrombogenic lining inside the vessels. Endothelial cells can be isolated from various tissues and cultured in vitro for research purposes.

In the context of medical research, "methods" refers to the specific procedures or techniques used in conducting a study or experiment. This includes details on how data was collected, what measurements were taken, and what statistical analyses were performed. The methods section of a medical paper allows other researchers to replicate the study if they choose to do so. It is considered one of the key components of a well-written research article, as it provides transparency and helps establish the validity of the findings.

The Ulnar nerve is one of the major nerves in the forearm and hand, which provides motor function to the majority of the intrinsic muscles of the hand (except for those innervated by the median nerve) and sensory innervation to the little finger and half of the ring finger. It originates from the brachial plexus, passes through the cubital tunnel at the elbow, and continues down the forearm, where it runs close to the ulna bone. The ulnar nerve then passes through the Guyon's canal in the wrist before branching out to innervate the hand muscles and provide sensation to the skin on the little finger and half of the ring finger.

Genes in insects refer to the hereditary units of DNA that are passed down from parents to offspring and contain the instructions for the development, function, and reproduction of an organism. These genetic materials are located within the chromosomes in the nucleus of insect cells. They play a crucial role in determining various traits such as physical characteristics, behavior, and susceptibility to diseases.

Insect genes, like those of other organisms, consist of exons (coding regions) that contain information for protein synthesis and introns (non-coding regions) that are removed during the process of gene expression. The expression of insect genes is regulated by various factors such as transcription factors, enhancers, and silencers, which bind to specific DNA sequences to activate or repress gene transcription.

Understanding the genetic makeup of insects has important implications for various fields, including agriculture, public health, and evolutionary biology. For example, genes associated with insect pests' resistance to pesticides can be identified and targeted to develop more effective control strategies. Similarly, genes involved in disease transmission by insect vectors such as mosquitoes can be studied to develop novel interventions for preventing the spread of infectious diseases.

DNA, or deoxyribonucleic acid, is the genetic material present in the cells of all living organisms, including plants. In plants, DNA is located in the nucleus of a cell, as well as in chloroplasts and mitochondria. Plant DNA contains the instructions for the development, growth, and function of the plant, and is passed down from one generation to the next through the process of reproduction.

The structure of DNA is a double helix, formed by two strands of nucleotides that are linked together by hydrogen bonds. Each nucleotide contains a sugar molecule (deoxyribose), a phosphate group, and a nitrogenous base. There are four types of nitrogenous bases in DNA: adenine (A), guanine (G), cytosine (C), and thymine (T). Adenine pairs with thymine, and guanine pairs with cytosine, forming the rungs of the ladder that make up the double helix.

The genetic information in DNA is encoded in the sequence of these nitrogenous bases. Large sequences of bases form genes, which provide the instructions for the production of proteins. The process of gene expression involves transcribing the DNA sequence into a complementary RNA molecule, which is then translated into a protein.

Plant DNA is similar to animal DNA in many ways, but there are also some differences. For example, plant DNA contains a higher proportion of repetitive sequences and transposable elements, which are mobile genetic elements that can move around the genome and cause mutations. Additionally, plant cells have cell walls and chloroplasts, which are not present in animal cells, and these structures contain their own DNA.

"Saccharomyces cerevisiae" is not typically considered a medical term, but it is a scientific name used in the field of microbiology. It refers to a species of yeast that is commonly used in various industrial processes, such as baking and brewing. It's also widely used in scientific research due to its genetic tractability and eukaryotic cellular organization.

However, it does have some relevance to medical fields like medicine and nutrition. For example, certain strains of S. cerevisiae are used as probiotics, which can provide health benefits when consumed. They may help support gut health, enhance the immune system, and even assist in the digestion of certain nutrients.

In summary, "Saccharomyces cerevisiae" is a species of yeast with various industrial and potential medical applications.

Blood flow velocity is the speed at which blood travels through a specific part of the vascular system. It is typically measured in units of distance per time, such as centimeters per second (cm/s) or meters per second (m/s). Blood flow velocity can be affected by various factors, including cardiac output, vessel diameter, and viscosity of the blood. Measuring blood flow velocity is important in diagnosing and monitoring various medical conditions, such as heart disease, stroke, and peripheral vascular disease.

Microbial drug resistance is a significant medical issue that refers to the ability of microorganisms (such as bacteria, viruses, fungi, or parasites) to withstand or survive exposure to drugs or medications designed to kill them or limit their growth. This phenomenon has become a major global health concern, particularly in the context of bacterial infections, where it is also known as antibiotic resistance.

Drug resistance arises due to genetic changes in microorganisms that enable them to modify or bypass the effects of antimicrobial agents. These genetic alterations can be caused by mutations or the acquisition of resistance genes through horizontal gene transfer. The resistant microbes then replicate and multiply, forming populations that are increasingly difficult to eradicate with conventional treatments.

The consequences of drug-resistant infections include increased morbidity, mortality, healthcare costs, and the potential for widespread outbreaks. Factors contributing to the emergence and spread of microbial drug resistance include the overuse or misuse of antimicrobials, poor infection control practices, and inadequate surveillance systems.

To address this challenge, it is crucial to promote prudent antibiotic use, strengthen infection prevention and control measures, develop new antimicrobial agents, and invest in research to better understand the mechanisms underlying drug resistance.

Recombinant DNA is a term used in molecular biology to describe DNA that has been created by combining genetic material from more than one source. This is typically done through the use of laboratory techniques such as molecular cloning, in which fragments of DNA are inserted into vectors (such as plasmids or viruses) and then introduced into a host organism where they can replicate and produce many copies of the recombinant DNA molecule.

Recombinant DNA technology has numerous applications in research, medicine, and industry, including the production of recombinant proteins for use as therapeutics, the creation of genetically modified organisms (GMOs) for agricultural or industrial purposes, and the development of new tools for genetic analysis and manipulation.

It's important to note that while recombinant DNA technology has many potential benefits, it also raises ethical and safety concerns, and its use is subject to regulation and oversight in many countries.

Microcirculation is the circulation of blood in the smallest blood vessels, including arterioles, venules, and capillaries. It's responsible for the delivery of oxygen and nutrients to the tissues and the removal of waste products. The microcirculation plays a crucial role in maintaining tissue homeostasis and is regulated by various physiological mechanisms such as autonomic nervous system activity, local metabolic factors, and hormones.

Impairment of microcirculation can lead to tissue hypoxia, inflammation, and organ dysfunction, which are common features in several diseases, including diabetes, hypertension, sepsis, and ischemia-reperfusion injury. Therefore, understanding the structure and function of the microcirculation is essential for developing new therapeutic strategies to treat these conditions.

Long Interspersed Nucleotide Elements (LINEs) are a type of mobile genetic element, also known as transposable elements or retrotransposons. They are long stretches of DNA that are interspersed throughout the genome and have the ability to move or copy themselves to new locations within the genome. LINEs are typically several thousand base pairs in length and make up a significant portion of many eukaryotic genomes, including the human genome.

LINEs contain two open reading frames (ORFs) that encode proteins necessary for their own replication and insertion into new locations within the genome. The first ORF encodes a reverse transcriptase enzyme, which is used to make a DNA copy of the LINE RNA after it has been transcribed from the DNA template. The second ORF encodes an endonuclease enzyme, which creates a break in the target DNA molecule at the site of insertion. The LINE RNA and its complementary DNA (cDNA) copy are then integrated into the target DNA at this break, resulting in the insertion of a new copy of the LINE element.

LINEs can have both positive and negative effects on the genomes they inhabit. On one hand, they can contribute to genomic diversity and evolution by introducing new genetic material and creating genetic variation. On the other hand, they can also cause mutations and genomic instability when they insert into or near genes, potentially disrupting their function or leading to aberrant gene expression. As a result, LINEs are carefully regulated and controlled in the cell to prevent excessive genomic disruption.

Capillaries are the smallest blood vessels in the body, with diameters that range from 5 to 10 micrometers. They form a network of tiny tubes that connect the arterioles (small branches of arteries) and venules (small branches of veins), allowing for the exchange of oxygen, carbon dioxide, nutrients, and waste products between the blood and the surrounding tissues.

Capillaries are composed of a single layer of endothelial cells that surround a hollow lumen through which blood flows. The walls of capillaries are extremely thin, allowing for easy diffusion of molecules between the blood and the surrounding tissue. This is essential for maintaining the health and function of all body tissues.

Capillaries can be classified into three types based on their structure and function: continuous, fenestrated, and sinusoidal. Continuous capillaries have a continuous layer of endothelial cells with tight junctions that restrict the passage of large molecules. Fenestrated capillaries have small pores or "fenestrae" in the endothelial cell walls that allow for the passage of larger molecules, such as proteins and lipids. Sinusoidal capillaries are found in organs with high metabolic activity, such as the liver and spleen, and have large, irregular spaces between the endothelial cells that allow for the exchange of even larger molecules.

Overall, capillaries play a critical role in maintaining the health and function of all body tissues by allowing for the exchange of nutrients, oxygen, and waste products between the blood and surrounding tissues.

Fungal DNA refers to the genetic material present in fungi, which are a group of eukaryotic organisms that include microorganisms such as yeasts and molds, as well as larger organisms like mushrooms. The DNA of fungi, like that of all living organisms, is made up of nucleotides that are arranged in a double helix structure.

Fungal DNA contains the genetic information necessary for the growth, development, and reproduction of fungi. This includes the instructions for making proteins, which are essential for the structure and function of cells, as well as other important molecules such as enzymes and nucleic acids.

Studying fungal DNA can provide valuable insights into the biology and evolution of fungi, as well as their potential uses in medicine, agriculture, and industry. For example, researchers have used genetic engineering techniques to modify the DNA of fungi to produce drugs, biofuels, and other useful products. Additionally, understanding the genetic makeup of pathogenic fungi can help scientists develop new strategies for preventing and treating fungal infections.

Arterioles are small branches of arteries that play a crucial role in regulating blood flow and blood pressure within the body's circulatory system. They are the smallest type of blood vessels that have muscular walls, which allow them to contract or dilate in response to various physiological signals.

Arterioles receive blood from upstream arteries and deliver it to downstream capillaries, where the exchange of oxygen, nutrients, and waste products occurs between the blood and surrounding tissues. The contraction of arteriolar muscles can reduce the diameter of these vessels, causing increased resistance to blood flow and leading to a rise in blood pressure upstream. Conversely, dilation of arterioles reduces resistance and allows for greater blood flow at a lower pressure.

The regulation of arteriolar tone is primarily controlled by the autonomic nervous system, local metabolic factors, and various hormones. This fine-tuning of arteriolar diameter enables the body to maintain adequate blood perfusion to vital organs while also controlling overall blood pressure and distribution.

Duane Retraction Syndrome (DRS) is a congenital eye movement disorder, characterized by limited abduction (lateral movement away from the nose) of the affected eye, and on attempted adduction (movement towards the nose), the eye retracts into the orbit and the lid narrows. It is often accompanied by other eye alignment or vision anomalies. The exact cause is not known, but it is believed to be a result of abnormal development of the cranial nerves that control eye movement during fetal development. DRS is usually idiopathic, but it can also be associated with other congenital anomalies. It is typically diagnosed in early childhood and managed with a combination of observation, prism glasses, and/or surgery, depending on the severity and impact on vision.

Inverted repeat sequences in a genetic context refer to a pattern of nucleotides (the building blocks of DNA or RNA) where a specific sequence appears in the reverse complementary orientation in the same molecule. This means that if you read the sequence from one end, it will be identical to the sequence read from the other end, but in the opposite direction.

For example, if a DNA segment is 5'-ATGCAT-3', an inverted repeat sequence would be 5'-GTACTC-3' on the same strand or its complementary sequence 3'-CAGTA-5' on the other strand.

These sequences can play significant roles in genetic regulation and expression, as they are often involved in forming hairpin or cruciform structures in single-stranded DNA or RNA molecules. They also have implications in genome rearrangements and stability, including deletions, duplications, and translocations.

Species specificity is a term used in the field of biology, including medicine, to refer to the characteristic of a biological entity (such as a virus, bacterium, or other microorganism) that allows it to interact exclusively or preferentially with a particular species. This means that the biological entity has a strong affinity for, or is only able to infect, a specific host species.

For example, HIV is specifically adapted to infect human cells and does not typically infect other animal species. Similarly, some bacterial toxins are species-specific and can only affect certain types of animals or humans. This concept is important in understanding the transmission dynamics and host range of various pathogens, as well as in developing targeted therapies and vaccines.

Superhelical DNA refers to a type of DNA structure that is formed when the double helix is twisted around itself. This occurs due to the presence of negative supercoiling, which results in an overtwisted state that can be described as having a greater number of helical turns than a relaxed circular DNA molecule.

Superhelical DNA is often found in bacterial and viral genomes, where it plays important roles in compacting the genome into a smaller volume and facilitating processes such as replication and transcription. The degree of supercoiling can affect the structure and function of DNA, with varying levels of supercoiling influencing the accessibility of specific regions of the genome to proteins and other regulatory factors.

Superhelical DNA is typically maintained in a stable state by topoisomerase enzymes, which introduce or remove twists in the double helix to regulate its supercoiling level. Changes in supercoiling can have significant consequences for cellular processes, as they can impact the expression of genes and the regulation of chromosome structure and function.

A smooth muscle within the vascular system refers to the involuntary, innervated muscle that is found in the walls of blood vessels. These muscles are responsible for controlling the diameter of the blood vessels, which in turn regulates blood flow and blood pressure. They are called "smooth" muscles because their individual muscle cells do not have the striations, or cross-striped patterns, that are observed in skeletal and cardiac muscle cells. Smooth muscle in the vascular system is controlled by the autonomic nervous system and by hormones, and can contract or relax slowly over a period of time.

Right ventricular dysfunction is a condition characterized by the impaired ability of the right ventricle (one of the two pumping chambers in the heart) to fill with blood during the diastolic phase or eject blood during the systolic phase. This results in reduced cardiac output from the right ventricle, which can lead to various complications such as fluid accumulation in the body, particularly in the abdomen and lower extremities, and ultimately congestive heart failure if left untreated.

Right ventricular dysfunction can be caused by various factors, including damage to the heart muscle due to a heart attack, high blood pressure in the lungs (pulmonary hypertension), chronic lung diseases, congenital heart defects, viral infections, and certain medications. Symptoms of right ventricular dysfunction may include shortness of breath, fatigue, swelling in the legs, ankles, or abdomen, and a decreased tolerance for physical activity.

Diagnosis of right ventricular dysfunction typically involves a combination of medical history, physical examination, imaging tests such as echocardiography, cardiac MRI, or CT scan, and other diagnostic procedures such as electrocardiogram (ECG) or cardiac catheterization. Treatment options depend on the underlying cause but may include medications to reduce fluid buildup, improve heart function, and manage symptoms, as well as lifestyle modifications such as reducing salt intake and increasing physical activity levels. In severe cases, more invasive treatments such as surgery or implantable devices like pacemakers or ventricular assist devices may be necessary.

"Pseudomonas stutzeri" is a gram-negative, rod-shaped bacterium that is widely found in various environments such as soil, water, and plants. It is a non-fermentative, motile bacterium that can survive in diverse conditions due to its metabolic versatility. While it is not typically considered a human pathogen, there have been reports of P. stutzeri causing infections in immunocompromised individuals or those with underlying medical conditions. These infections can include respiratory tract infections, urinary tract infections, and bacteremia. However, such cases are relatively rare, and the bacterium is generally considered to have low pathogenic potential for humans.

Blood vessel prosthesis implantation is a surgical procedure in which an artificial blood vessel, also known as a vascular graft or prosthetic graft, is inserted into the body to replace a damaged or diseased native blood vessel. The prosthetic graft can be made from various materials such as Dacron (polyester), PTFE (polytetrafluoroethylene), or bovine/human tissue.

The implantation of a blood vessel prosthesis is typically performed to treat conditions that cause narrowing or blockage of the blood vessels, such as atherosclerosis, aneurysms, or traumatic injuries. The procedure may be used to bypass blocked arteries in the legs (peripheral artery disease), heart (coronary artery bypass surgery), or neck (carotid endarterectomy). It can also be used to replace damaged veins for hemodialysis access in patients with kidney failure.

The success of blood vessel prosthesis implantation depends on various factors, including the patient's overall health, the location and extent of the vascular disease, and the type of graft material used. Possible complications include infection, bleeding, graft thrombosis (clotting), and graft failure, which may require further surgical intervention or endovascular treatments.

DNA footprinting is a laboratory technique used to identify specific DNA-protein interactions and map the binding sites of proteins on a DNA molecule. This technique involves the use of enzymes or chemicals that can cleave the DNA strand, but are prevented from doing so when a protein is bound to the DNA. By comparing the pattern of cuts in the presence and absence of the protein, researchers can identify the regions of the DNA where the protein binds.

The process typically involves treating the DNA-protein complex with a chemical or enzymatic agent that cleaves the DNA at specific sequences or sites. After the reaction is stopped, the DNA is separated into single strands and analyzed using techniques such as gel electrophoresis to visualize the pattern of cuts. The regions of the DNA where protein binding has occurred are protected from cleavage and appear as gaps or "footprints" in the pattern of cuts.

DNA footprinting is a valuable tool for studying gene regulation, as it can provide insights into how proteins interact with specific DNA sequences to control gene expression. It can also be used to study protein-DNA interactions involved in processes such as DNA replication, repair, and recombination.

Esophageal atresia is a congenital condition in which the esophagus, the tube that connects the throat to the stomach, does not develop properly. In most cases, the upper esophagus ends in a pouch instead of connecting to the lower esophagus and stomach. This condition prevents food and liquids from reaching the stomach, leading to difficulty swallowing and feeding problems in newborn infants. Esophageal atresia often occurs together with a congenital defect called tracheoesophageal fistula, in which there is an abnormal connection between the esophagus and the windpipe (trachea).

The medical definition of 'Esophageal Atresia' is:

A congenital anomaly characterized by the absence of a normal connection between the upper esophagus and the stomach, resulting in the separation of the proximal and distal esophageal segments. The proximal segment usually ends in a blind pouch, while the distal segment may communicate with the trachea through a tracheoesophageal fistula. Esophageal atresia is often associated with other congenital anomalies and can cause serious complications if not diagnosed and treated promptly after birth.

Levo-Transposition of the great arteries Dextro-Transposition of the great arteries Mustard Procedure "Transposition of the ... Transposition of the great vessels (TGV) is a group of congenital heart defects involving an abnormal spatial arrangement of ... Chest X-Ray: On chest X-ray (CXR), transposition of the great vessels typically shows a cardio-mediastinal silhouette appearing ... Transposition of the Great Vessels was first described in 1797 by Matthew Baillie. ...
Transposition of the great vessels". Am. J. Pathol. 97 (3): 562. PMC 2042426. PMID 389066. Prichard, R (December 1979). " ... He is credited with first identifying transposition of the great vessels (TGV) and situs inversus. The 1793 book went into ... credited with first identifying transposition of the great vessels (TGV) and situs inversus. He was born in the manse at Shotts ... He was bequeathed £5000n on the death of his uncle William Hunter in 1783, also inheriting his uncle's house in Great Windmill ...
These are: Superior vena cava Inferior vena cava Pulmonary arteries Pulmonary veins Aorta Transposition of the great vessels is ... Great vessels are the large vessels that bring blood to and from the heart. ... Warnes Carole A. (2006-12-12). "Transposition of the Great Arteries". Circulation. 114 (24): 2699-2709. doi:10.1161/ ... a group of congenital heart defects involving an abnormal spatial arrangement of any of the great vessels. Gray's anatomy : the ...
Transposition of the great vessels The so-called transposition of the great vessels is a congenital malformation in which the ... In Senning's neighbour's house in Sweden, a child died of a transposition of the great vessels. Inspired by this sad case, ... Surgical correction of transposition of the great vessels. Surgery. 1959;45(6):966-980 Reinhard Larsen: Anaesthesia and ... Besides curing numerous children with transposition of the great vessels, this idea also paved the way for many other heart ...
Levo-Transposition of the great arteries Transposition of the great vessels Tsai, Kevin Luke; Al'Aref, Subhi J.; van Rosendael ... dextro-Transposition of the great arteries (d-Transposition of the great arteries, dextro-TGA, or d-TGA) is a potentially life- ... Another term commonly used to refer to both d-TGA and l-TGA is transposition of the great vessels (TGV), although this term ... d-TGA is often referred to simply as transposition of the great arteries (TGA); however, TGA is a more general term which may ...
Transposition of the great vessels dextro-Transposition of the great arteries (d-TGA) levo-Transposition of the great arteries ... "transposition of the great vessels"). The two halves of the split tract must migrate into the correct positions over the ... transposition of the great vessels, and tricuspid atresia. Aortic stenosis Arrhythmogenic right ventricular cardiomyopathy ... Some conditions affect the great vessels or other vessels in close proximity to the heart, but not the heart itself, but are ...
The defect is called transposition of the great vessels, or transposition of the great arteries (TGV or TGA). Until the late ... The Mustard Procedure allows total correction of transposition of the great vessels. The procedure employs a baffle to redirect ... "Evaluation and management of the adult patient with transposition of the great arteries following atrial-level (Senning or ... "Long-Term Outcome of Mustard/Senning Correction for Transposition of the Great Arteries in Sweden and Denmark". Circulation. ...
It was devised as a palliative correction for transposition of the great vessels. The Blalock-Hanlon procedure was a ... C. Rollins Hanlon was also an American surgeon but was best known for his work in cardiology. The procedure that these two men ...
He is credited with first identifying transposition of the great vessels and situs inversus. John Bell begins publication in ...
Toon was born with a rare condition known as "transposition of the great vessels". At the age of three, he required open-heart ...
In this technique, a cardiologist feeds a catheter into the heart of a patient with transposition of the great vessels. This ... He introduced the Rashkind balloon atrial septostomy to treat transposition of the great vessels. Rashkind was born in Paterson ... 1-4. doi:10.1007/978-3-642-72472-5_1. ISBN 978-3-7985-0895-8. "Transposition of the great arteries". Children's Hospital of ... Wagner, Henry (1992). "Bill Rashkind's contribution to pediatric cardiology". Transposition of the Great Arteries 25 years ...
Stenosis of valves or vessels may also be present.[citation needed] When no other heart defects are present it is called ' ... Levo-Transposition of the great arteries is an acyanotic congenital heart defect in which the primary arteries (the aorta and ... l-TGA is often referred to simply as transposition of the great arteries (TGA); however, TGA is a more general term which may ... "Orphanet: Congenitally corrected transposition of the great arteries". www.orpha.net. Retrieved 2017-10-14. Aortic balloon ...
Transposition of Great Vessels Inova Heart and Vascular Institute: Arterial Switch for TGA Med-Lib: Transposition of the great ... Anatomic correction of transposition of the great vessels. J Thorac Cardiovasc Surg. 1976;72:364-70 Jonas RA, Giglia TM, ... 1950;90:1-15 Mustard WT, Chute AL, Keith JD, Sirek A, Rowe R, Vlad P. A surgical approach to transposition of the great vessels ... Surgical correction of transposition of the great vessels. Surgery. 1959;45:966-80 Mustard WT, Keith JD, Trusler GA, Fowler R, ...
In 2006, the Chicago Under Ground Film Festival premiered Lee Lynch's feature film titled Transposition of the Great Vessels. ... Allport, Lee (8 March 2013). "Oz the Great and Powerful: A Prequel at Its Best". Retrieved 10 March 2013. There are other ... When the Winged monkeys are sent by the Witch of the West against the group, they throw the Tin Woodman from a great height, ... Near the end of the novel, Glinda the Good Witch praises his brain as not quite that of the Scarecrow's. The Wizard turns out ...
Other pathologies of the truncus arteriosus include transposition of the great vessels (arteries in this case), and tetralogy ... It divides the distal part of the truncus into two vessels, the aorta and pulmonary artery, which lie side by side above, but ...
... credited with first identifying transposition of the great vessels and situs inversus. Heinrich von Bamberger (1822-1888), ... Franz Best (1878-1920), German pathologist (see Best's disease). Xavier Bichat (1771-1802), French anatomist and physiologist, ...
It is one of the few hospitals in China able to perform cardiac surgery on newborns, including transposition of great vessels. ...
If transposition of the great vessels is present in addition to a PDA, the PDA is not surgically closed since it is the only ... such as transposition of the great vessels. Drugs such as alprostadil, a PGE-1 analog, can be used to keep a PDA open until the ... The ductus arteriosus is a fetal blood vessel that normally closes soon after birth. In a PDA, the vessel does not close, but ... People with patent ductus arteriosus typically present in good health, with normal respirations and heart rate. If the PDA is ...
Transposition of the great vessels, cardiac transposition, a congenital heart defect with malformation of any of the major ... vessels Transposition of teeth Penoscrotal transposition Matsumoto, Mirian Aiko Nakane; Stuani, Maria Bernadete Sasso (2018). " ... Transposition is a group of congenital defects involving an abnormal spatial arrangement of tissue or organ. ... "Tooth transposition: a multidisciplinary approach". Dental Press Journal of Orthodontics. 23 (1): 97-107. doi:10.1590/2177- ...
... transposition of the great vessels and double outlet right ventricle. Overriding aorta is caused by the abnormal looping during ... The malformation of the heart and its associated great vessels depends on the extent and location of the cardiac neural crest ... FGF8 mouse mutants have a range of cardiac defects including underdeveloped arch arteries and transposition of the great ... Normally, early development of the outflow tract begins with a single vessel that forms bilateral symmetrical branches at the ...
... most commonly transposition of the great vessels. The incidence of congenital heart disease is 95% in situs inversus with ... For example, a person who requires a heart transplant needs all their great vessels reattached to the donor heart. However, the ... It is characterized by emergence of the retinal vessels in an anomalous direction (from the nasal rather than the temporal ... In the most common situation, situs inversus totalis, it involves complete transposition (right to left reversal) of all of the ...
... and transposition of the great vessels. Most cases of pentalogy of Cantrell are idiopathic (no known cause). However, some ...
He developed a new surgical approach named to the repair of transposition of the great vessels, also known as the Rastelli 1 ... have been fundamental in the classification of both truncus arteriosus and transposition of the great vessels. He never left ... an operation applicable to a great variety of cardiac anomalies including those children born with transposition of the great ... It is characterized by a lack of formation of the two main vessels that normally bring blood from the heart to the lungs and to ...
... a group of congenital defects involving an abnormal spatial arrangement of tissue or organ Transposition of the great vessels, ... Look up transposition in Wiktionary, the free dictionary. Transposition may refer to: Transposition (mathematics), a ... heart defect with malformation of any of the major vessels Transposition of teeth Penoscrotal transposition Transposition ( ... or genetic transposition, a mutation in which a chromosomal segment is transferred to a new position on the same or another ...
... transposition of the great vessels, and pulmonic stenosis. She has undergone 4 open heart surgeries between the ages of 14 days ...
Transposition of the great vessels (TGV) - Abnormal spatial arrangement of the great vessels (superior vena cava, inferior vena ... Diseases of blood vessels - diseases of the blood vessels can be multidisciplinary in nature. For example, medical treatment of ... Angioplasty in this manner is PTCA (described below) but may also involve the insertion of stents to keep vessels open. ... Vasculitis - Inflammation of blood vessels (veins & arteries) with a long list of causes. Aortitis - Inflammation of the aorta ...
Fallot's tetralogy transposition of the great vessels Ventricular and atrial septal defects. Deranged abdominal organ asymmetry ... Kuehl KS, Loffredo CA (March 2003). "Population-based study of l-transposition of the great arteries: possible associations ... They also experience complications with systemic and pulmonary blood vessels, significant morbidity, and sometimes death. All ... The most prevalent and best characterized genetic associations of heterotaxy include: Cardiac looping malformations: ...
Other symptoms include transposition of great vessels, respiratory distress secondary to surfactant defect, sacral agensis, ...
... heart diseases in which the mechanical shunting is required to sustain life such as in transposition of the great vessels.[ ... coaxially into the blood vessel.[citation needed] Once access is obtained, what is introduced into the vessel depends on the ... However, in cases where multiple vessels are blocked (so-called "three-vessel disease"), the interventional cardiologist may ... Finding the vessel with a needle can be challenging and both ultrasound and fluoroscopy can be used to aid in finding and ...
... a surgical technique to correct transposition of the great vessels in the newborn. Jatene was born on June 4, 1929, in the city ...
Levo-Transposition of the great arteries Dextro-Transposition of the great arteries Mustard Procedure "Transposition of the ... Transposition of the great vessels (TGV) is a group of congenital heart defects involving an abnormal spatial arrangement of ... Chest X-Ray: On chest X-ray (CXR), transposition of the great vessels typically shows a cardio-mediastinal silhouette appearing ... Transposition of the Great Vessels was first described in 1797 by Matthew Baillie. ...
... Dextro-Transposition of the Great Arteries or d-TGA is a birth defect of the ... Is transposition of the great arteries compatible with life?. When a newborn has a transposition of the great arteries TGA The ... Transposition of the great arteries (TGA) is a common congenital heart malformation, involving the inversion of both great ... What happens to the heart with transposition of the great arteries?. Other heart defects may occur along with transposition of ...
In this episode, well take a look at a congenital heart defect and the multiple operations that were developed to try to treat it. Along the way, well meet some giants of cardiovascular surgery and learn a bit more about them!
Transposition of the great arteries (TGA) is a heart defect that occurs from birth (congenital). The two major arteries that ... Transposition of the great arteries (TGA) is a heart defect that occurs from birth (congenital). The two major arteries that ... transposition; Birth defect - transposition; Transposition of the great vessels; TGV ... Transposition of the great arteries (TGA) is a heart defect that occurs from birth (congenital). The two major arteries that ...
Transposition of the great vessels. *Cleft lip with cleft palate. *Cleft lip without cleft palate ... As more schools are recognized, thousands of children will be attending schools that are better prepared to deal with poor air ...
The arterial switch procedure is now the operation of choice for typical D-transposition of the great arteries at The ... Coronary Vessel Anomalies / surgery * Heart / anatomy & histology * Humans * Infant, Newborn * Transposition of Great Vessels ... 1. The arterial switch procedure is now the operation of choice for typical D-transposition of the great arteries at The ... The arterial switch operation in transposition of the great arteries: anatomic indications and contraindications Thorac ...
for transposition of the great vessels Arterial switch operation. Mustard procedure. Senning procedure. for univentricular ... shunt from blood vessel to blood vessel. systemic circulation to pulmonary artery shunt Blalock-Taussig shunt. SVC to the right ... Cardiac vessels. CHD. Angioplasty. Bypass/Coronary artery bypass MIDCAB. Off-pump CAB. TECAB. Coronary stent. Bare-metal stent ... shunt from heart chamber to blood vessel. atrium to pulmonary artery Fontan procedure. left ventricle to aorta Rastelli ...
Transposition of the great vessels repair:. Transposition of the great vessels. Transposition of the great arteries (TGA) is a ... In transposition of the great vessels, these arteries come from the opposite sides of the heart. The child may also have other ... Correcting transposition of the great vessels requires open-heart surgery. If possible, this surgery is done shortly after ... Transposition of great vessels repair; Tricuspid atresia repair; VSD repair; ASD repair. ...
In corrected transposition of the great arteries, the left atrium is connected to a right ventricle, from which an aorta arises ... Congenitally corrected transposition of the great vessels. Radiology. 1962. 79:35-50. ... Surgical Approach to Corrected Transposition of the Great Arteries * Sections Surgical Approach to Corrected Transposition of ... Surgical Approach to Corrected Transposition of the Great Arteries) and Surgical Approach to Corrected Transposition of the ...
... transposition of the great vessels; Mox, moxifloxacine 400 mg 1×/d; MI, mitral insufficiency; CFA, complement fixation assay; ...
A pediatric cardiac surgeon performed 104 neonatal arterial switch operations for transposition of the great arteries with or ... A pediatric cardiac surgeon performed 104 neonatal arterial switch operations for transposition of the great arteries with or ... Transposition of Great Vessels / surgery* * Treatment Failure ...
Transposition of the great vessels repair *Truncus arteriosus repair *Ventricular septal defect (VSD) repair ... Our mission is good health for our people, our patients, our communities and our world. Above all, we will do the right thing. ... The electrical system is how the heart beats, while the plumbing system is made up of blood vessels and the blood flowing ... Some of the regions best specialists come together at Randall Childrens Hospital to provide care for newborns through young ...
Transposition of great vessels repair - discharge; Tricuspid atresia repair - discharge; VSD repair - discharge; ASD repair - ...
Avoid in first trimester due to risk of orofacial clefts (Naproxen), cardiac defects and Transposition of the Great Vessels ... However, appears safe in pregnancy and is best studied of the PPI agents ...
Keywords: Cardiopulmonary bypass, Transposition of great vessels, Albumins Abstract View Paper Research/Original Article ... Dexmedetomidine provides better sedation and good anxiety control with better maintainence of hemodynamic parameters as ... This cross-sectional study was performed on 30 transposition of the great arteries (TGA) patients, candidates for the arterial ... We conclude from the above study that short axis view approach is better with respect to success rate of first pass, number of ...
Surgery of transposition of the great vessels--experiences from 20-year case material]. ... Myocardial metabolism is better preserved after blood cardioplegia in infants. Kerstin Åmark, Håkan Berggren, Kerstin Björk, ...
These two main vessels, the aorta and the pulmonary artery, are backwards such that they arise from the opposite ventricles ... TGA stands for transposition of the great arteries and is a common condition in which the two main vessels that arise from the ... TGA stands for transposition of the great arteries and is a common condition in which the two main vessels that arise from the ... These two main vessels, the aorta and the pulmonary artery, are backwards such that they arise from the opposite ventricles ...
My baby sister was born with Transposition of the Great Vessels. She lived 7 days. She was operated on by a fantastic surgeon, ... He told us that his ego was small enough that he knew that she could get better care and more answers there. The ambulance ... Be a good mom. Raise a family. Teach a little person about my faith. ... So my dad did the good dad thing. He did the responsible thing. He overruled me. ...
My baby sister was born with Transposition of the Great Vessels. She lived 7 days. She was operated on by a fantastic surgeon, ... Me: Mommy and Daddy both try our best. We dont always get it right. But we are always trying our best. ... Mommy and Daddy both try our best. We dont always get it right. But we are always trying our best. ... Me: Great. Dinner is in ten minutes.. I am pleased that Sam says yes. I am pleased that he tried the stew at dinner last night ...
... great vessels, venous, valve insufficiencies, complex CHD and more. ... great vessels, venous, valve insufficiencies, complex CHD and more. Please enter the bolded codes only. (The other codes are ...
Transposition of the Great Vessels. *Transthoracic echo ( TTE TTE Imaging of the Heart and Great Vessels. ): *Used as an ... By echocardiogram Echocardiogram Transposition of the Great Vessels. *New regurgitation Regurgitation Gastroesophageal Reflux ... Echocardiogram Echocardiogram Transposition of the Great Vessels. may show global systolic dysfunction Systolic dysfunction ... cardiac MRI Cardiac MRI Imaging of the Heart and Great Vessels. will show edema Edema Edema is a condition in which excess ...
... transposition of the great vessels and pulmonary atresia.. Pediatric Surgical Suites. State-of-the-art minimally invasive ...
... transposition of great vessels corrected by Mustrad, Senning or Rastelli procedure. As for the other congenital or acquired ... Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a ... In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is ... for selection of best training program or sport discipline regarding its type (static, dynamic) and intensity (low, moderate, ...
L-transposition of the great vessels). Significantly depressed function may be observed in the setting of an acute arrhythmia ... transposition of the great arteries {S,L,L}.. A genetic locus linking hypertrophic cardiomyopathy to WPW syndrome has been ... Esmolol (Brevibloc) -- Excellent for patients at risk of complications from beta-blockade, particularly those with reactive ... Once identified and appropriately treated, WPW syndrome is associated with an excellent prognosis, including the potential for ...
... a complete atrioventricular canal defect and transposition of the great vessels with pulmonary atresia. He underwent Blalock- ... complete atrioventricular canal defect and transposition of the great vessels with pulmonary atresia, after performance of ... transposition of the great arteries and pulmonary atresia with a duct-like aortopulmonary collateral midline liver. The ... leading to complex cardiovascular malformations such as transposition of the great arteries (TGA), double outlet right ...
Transposition of Great Vessels ... patients with coronary anomalies and transposition of the great ...
  • Congenital heart diseases involving only the primary arteries (pulmonary artery and aorta) belong to a sub-group called transposition of the great arteries (TGA), which is considered the most common congenital heart lesion that presents in neonates. (wikipedia.org)
  • citation needed] Dextro-Transposition of the great arteries (also known as dextro-TGA) is a cyanotic heart defect in which the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. (wikipedia.org)
  • citation needed] Levo-Transposition of the great arteries (also known as Levo-TGA, congenitally corrected TGA, double discordance, or ventricular inversion) is a rare, acyanotic heart defect in which the primary arteries are transposed, with the aorta anterior and to the left of the pulmonary artery, and the morphological left and right ventricles with their corresponding atrioventricular valves are also transposed. (wikipedia.org)
  • Dextro-Transposition of the Great Arteries or d-TGA is a birth defect of the heart in which the two main arteries carrying blood out of the heart - the main pulmonary artery and the aorta - are switched in position, or "transposed. (cravencountryjamboree.com)
  • Transposition of the great arteries (TGA) is a common congenital heart malformation, involving the inversion of both great vessels (aorta and pulmonary artery). (cravencountryjamboree.com)
  • Is transposition of the great arteries compatible with life? (cravencountryjamboree.com)
  • When a newborn has a transposition of the great arteries TGA The only chance for survival is? (cravencountryjamboree.com)
  • What happens to the heart with transposition of the great arteries? (cravencountryjamboree.com)
  • Other heart defects may occur along with transposition of the great arteries. (cravencountryjamboree.com)
  • Although the two heart valves and the two great arteries (the pulmonary artery (5) and the aorta (6) are transposed or exit from the "wrong" ventricle, the blood flows to the correct place because the ventricles are also reversed. (cravencountryjamboree.com)
  • Transposition of the great arteries (TGA) is a heart defect that occurs from birth ( congenital ). (medlineplus.gov)
  • Permanent treatment involves heart surgery during which the great arteries are cut and stitched back to their correct position. (medlineplus.gov)
  • [5] This procedure allows for better imaging of the aorta, pulmonary artery, heart valves, atria, atrial septum, left atrial appendage, and coronary arteries. (wikipedia.org)
  • Corrected transposition of the great arteries (TGA) is a rare condition often associated with other heterogeneous cardiac anomalies. (medscape.com)
  • [ 4 ] In corrected transposition of the great arteries, the left atrium is connected to a right ventricle, from which an aorta arises. (medscape.com)
  • A pediatric cardiac surgeon performed 104 neonatal arterial switch operations for transposition of the great arteries with or without ventricular septal defect between June 1987 and February 1993. (nih.gov)
  • TGA stands for transposition of the great arteries and is a common condition in which the two main vessels that arise from the heart are backwards. (rchsd.org)
  • Stress imaging was generally rated "Appropriate" and "May Be Appropriate" in the detection of ischemia in patients with coronary anomalies and transposition of the great arteries. (acc.org)
  • patients with simple transposition of the great arteries (TGA), (without non restrictive ventricular septal defect) having for surgery after 8 weeks of life are considered a high risk for the arterial switch (AS) operation. (scielo.edu.uy)
  • Doppler echocardiography showed transposition of the great arteries with intact ventricular septum, non-restrictive atrial septal defect and nearly closed ductus arteriosus. (scielo.edu.uy)
  • in patients with transposition of the great arteries with intact ventricular septum, and presented after the first 3 weeks of life, every effort should be made. (scielo.edu.uy)
  • [ 11 ] Interestingly, they found that transposition of the great arteries was the most common recurrent defect in families with congenitally corrected transposition, suggesting a pathogenetic link between these 2 entities. (medscape.com)
  • Newly diagnosed with Congenitally corrected transposition of the great arteries? (globalgenes.org)
  • We all met with the cardiologist where he told us that Ava had a congenital heart disease known as Transposition of the Great Arteries/Vessels (TGA or TGV). (birthwithoutfearblog.com)
  • Transposition of the great arteries is a reversal of the normal connections of the aorta and the pulmonary artery with the heart. (msdmanuals.com)
  • Transposition of the great arteries usually results in severe cyanosis (bluish discoloration of the lips and skin) and difficulty breathing beginning at birth. (msdmanuals.com)
  • Our Pediatric Cardiac Catheterization Laboratory offers immediate lifesaving intervention for newborns with heart defects such as hypoplastic left heart syndrome, transposition of the great vessels and pulmonary atresia. (clevelandclinic.org)
  • 5) The mitral valve leaflets are better designed to occlude a circular systemic atrioventricular orifice than are the tricuspid valve leaflets. (nih.gov)
  • 2. There are many anatomic considerations suggesting the morphologically left ventricle (LV) may well be a better systemic pump than the morphologically right ventricle (RV) which, if true, would favor the arterial switch procedure as opposed to an atrial switch operation: (1) The LV consists almost entirely of the sinus or pumping portion, and has only a minimal distal infundibular (conal) component. (nih.gov)
  • This medicine helps keep a blood vessel called the ductus arteriosus open, allowing some mixing of the two blood circulations. (medlineplus.gov)
  • Before birth, the baby has a blood vessel that runs between the aorta (the main artery to the body) and the pulmonary artery (the main artery to the lungs), called the ductus arteriosus. (limamemorial.org)
  • The presence of ventricular inversion (ie, atrioventricular discordance) with ventriculoarterial discordance has been called corrected transposition or physiologically corrected transposition because these two anomalies in sequence ensure that blood flow continues in its usual physiologic pathway. (medscape.com)
  • However, other cardiovascular abnormalities such as anomalies of coronary vessels, arrhythmogenic dysplasia of right ventricle (ADRV), mitral valve prolapse, myocarditis, coronary vessel bridge, Marfan Syndrome, bicuspid aortic valve, pulmonary thrombo-embolism and channelopathies also significantly contribute to cardiovascular risk in athletes. (escardio.org)
  • Transposition of the great vessels (TGV) is a group of congenital heart defects involving an abnormal spatial arrangement of any of the great vessels: superior and/or inferior venae cavae, pulmonary artery, pulmonary veins, and aorta. (wikipedia.org)
  • Most of the clinical and surgical retrospective studies have reported a male predominance in corrected transposition. (medscape.com)
  • The aorta is a larger artery that carries blood from the heart to the vessels that supply the rest of the body with blood. (limamemorial.org)
  • These two main vessels, the aorta and the pulmonary artery, are backwards such that they arise from the opposite ventricles from those of normal patients. (rchsd.org)
  • During this procedure, they switched and divided the aorta and pulmonary artery, along with many smaller vessels. (birthwithoutfearblog.com)
  • These may include transposition of the great vessels, pulmonary stenosis, or pulmonary atresia. (chkd.org)
  • During this procedure, a catheter with a balloon on the end is guided through a blood vessel into the heart, inflated in the left ventricle and pulled through the right ventricle to create a temporary hole to allow for more blood flow. (birthwithoutfearblog.com)
  • At 6 months of age the patient is in good condition with normal growth and the echocardiogram revealed good ventricular function without residual defects. (scielo.edu.uy)
  • Transposed vessels can present with atriovenous, ventriculoarterial and/or arteriovenous discordance. (wikipedia.org)
  • With the introduction of the matrix TEE probe, 3D TEE can collect real-time 3D images that provide a comprehensive view of the heart structures, leading to better understanding and decision making during cardiac procedures. (wikipedia.org)
  • Congenitally corrected transposition (CCT) of the great vessels is a rare cardiac malformation characterized by the combination of discordant atrioventricular and ventriculo-arterial connections usually accompanied by other cardiovascular malformations. (globalgenes.org)
  • There are many nuances and subtypes of TGA, and it is important for your newborn to be evaluated and treated at a center with experience in managing all forms of this disease to obtain the best possible results. (rchsd.org)
  • Physiopathologic findings and surgical treatment in transposition of great vessels: our experience]. (bvsalud.org)
  • The effects may range from a slight change in blood pressure to an interruption in circulation depending on the nature and degree of the misplacement, and on which specific vessels are involved. (wikipedia.org)
  • Pregnant women who have diabetes should try to get good control over their blood sugar level. (medlineplus.gov)
  • Transesophageal echocardiography creates clearer images of the heart and surrounding blood vessels than traditional transthoracic echocardiography (TTE). (wikipedia.org)
  • The electrical system is how the heart beats, while the plumbing system is made up of blood vessels and the blood flowing through them. (legacyhealth.org)
  • Then a thin, flexible tube (catheter) is put into a blood vessel in your child's groin. (chkd.org)
  • or large blood vessels . (amboss.com)
  • Most kids who develop this inflammation of the blood vessels (marked by a raised red and purple rash) make a full recovery and have no long-term problems. (akronchildrens.org)
  • They are due to an error in the formation of the heart or the surrounding blood vessels. (coronazonessolidarios.org)
  • These small nerves enter the gland along with the blood vessels. (medscape.com)
  • Autonomic nervous regulation of the glandular secretion is not clearly understood, but most of the effect is postulated to be on blood vessels, hence the perfusion rates of the glands. (medscape.com)
  • Defects may involve abnormal formation of the heart's walls or valves or of the blood vessels that enter. (msdmanuals.com)
  • In the nomenclature advocated by Van Praagh in 1989, this form of transposition has been designated S,L,L. (medscape.com)
  • The great capabilities of MRI for anatomic and functional assessment of the heart but MRI is time-consuming and may require patient sedation. (blogspot.com)
  • People with repaired transposition, especially those who've had the Mustard or Senning operation, are at risk of developing heart rhythm abnormalities (arrhythmias). (cravencountryjamboree.com)
  • Some of the region's best specialists come together at Randall Children's Hospital to provide care for newborns through young adults. (legacyhealth.org)
  • This small vessel most often closes shortly after birth when the baby starts to breathe on their own. (limamemorial.org)
  • The AIA A-Plus BabyCare plan is a the comprehensive and best baby insurance plan in Malaysia by AIA , that gives financial cover for a wide range of costs due to birth risks and baby development risks . (redcover.com.my)
  • Stenosis, or other defects, of valves and/or vessels may also be present. (wikipedia.org)
  • Piezoelectric surgery, which is a high-frequency surgical ultrasound system, has been advocated for carrying out precise, less invasive surgical procedures, the main advantages being the selective cutting of hard tissue and preservation of the soft tissue, less vibration and noise, absence of trauma in adjacent tissue, reduction in bleeding and an excellent view of the operative field 1 . (bvsalud.org)
  • What happens to a baby with transposition of the heart? (cravencountryjamboree.com)
  • My baby sister was born with Transposition of the Great Vessels. (bandbacktogether.com)
  • She's also qualified to recommend and chose a good Chinese name for our baby girl. (mummiesclub.sg)
  • It is best to start to insure your baby in the womb as early as 14 weeks. (redcover.com.my)
  • If you are ready to protect your pregnancy and baby hospital costs, Call and Ask Levine for her special offer and promotion for this best selling Baby and Mother plan from AIA. (redcover.com.my)
  • Medicines may be given to help the heart and lungs work better. (chkd.org)
  • Help us make reference on Medscape the best clinical resource possible. (medscape.com)
  • To get the best experience using our website we recommend that you upgrade to a newer version. (escardio.org)
  • citation needed] Although "transposed" literally means "swapped", many types of TGV involve vessels that are in abnormal positions, while not actually being swapped with each other. (wikipedia.org)
  • This patient has levo- or L-looped transposition of the great vessels, also referred to as " ventricular inversion . (medscape.com)
  • At 5:30am they told us that she would have to be transferred to St. Vincent Hospital in Green Bay, WI (35 miles away) by ambulance because they had better testing equipment to figure out what was going on. (birthwithoutfearblog.com)
  • As more schools are recognized, thousands of children will be attending schools that are better prepared to deal with poor air quality conditions. (cdc.gov)
  • With one of only two catheter labs in Oregon dedicated to children, we perform more than 200 procedures a year with consistently excellent outcomes. (legacyhealth.org)
  • He told us that his ego was small enough that he knew that she could get better care and more answers there. (bandbacktogether.com)