Longitudinal Variation in Presence and Severity of Cardiac Valve Regurgitation in Healthy Children
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY
Authors: Colan, Steven D.; Sleeper, Lynn A.
Abstract
Background: The goal of this study was to document the frequency and longitudinal variation in the presence and severity of echocardiographically documented valvular regurgitation (VR) in healthy children free of evidence of heart disease. We hypothesized that significant variation is common, and our specific aim was to determine change in prevalence and severity of VR in children free of heart disease. Methods: The presence of VR was documented on each of the four valves, and the severity of regurgitation was assessed as the body surface area (BSA)-adjusted width of the vena contracta on each of two sequential echocardiograms in healthy children free of clinical and echocardiographic evidence of heart disease. Results: We included 200 children ages 10.0 +/- 4.5 years, BSA = 1.2 +/- 0.43 m(2), at the first exam and 12.8 +/- 4.9 years, BSA = 1.42 +/- 0.44 m(2), at the second exam. Frequency of VR was similar on the two exams (tricuspid = 61.5% vs 57.0%, pulmonary = 55.5 vs 57.5%, mitral = 14.5% vs 16.0%, aortic = 3.0 vs 3.5%). The frequency of new appearance was similar to the frequency of resolution of VR for all four valves. For instances where the severity of VR was classified as trace versus mild, the frequency of change from mild to trace between the two exams was similar to the frequency of change from trace to mild. Conclusions: In healthy children with no evidence of heart disease, there is substantial temporal variation in the presence and severity of tricuspid and pulmonary VR. The prevalence of mitral and aortic VR is lower in healthy children, but temporal variation is also noted for these valves. The finding of new-onset echocardiographic trace or mild VR cannot be assumed to represent incident valve pathology.
Two-dimensional Montmorillonite membranes with efficient water filtration
JOURNAL OF MEMBRANE SCIENCE
Authors: Huang, Min-Yue; Chen, Yan; Yan, Xi; Guo, Xiao-Jing; Dong, Lei; Lang, Wan-Zhong
Abstract
Two-dimensional (2D) Montmorillonite (MMT) membranes have been developed by exfoliation MMT nanosheets and vacuum filtration, and their separation performances were investigated in details. The hydrated lamellar MMT membrane with a thickness of 600 nm shows a water permeance of 212.2 L/m(2).h.bar and a rejection rate of 95.6% for Direct Black 38 (DB38). Moreover, the lamellar MMT membrane maintained high stability under acid and alkaline solutions, and the separation performance changed slightly after soaking in 0.5 M H2SO4, 0.5 M NaOH and 0.5 M HCl solutions, respectively. The MMT membrane also exhibited good resistance to shearing force during a 48 h of cross-flow filtration with a slight decrease of water permeance. In addition, a high flux recovery ratio of 88.2% was achieved for the MMT membrane after filtration of BSA solution, suggesting an excellent antifouling property of the MMT membrane. The high water permeance, excellent stability and antifouling property make these 2D MMT membranes promising in water filtration.