Live transplantation in children with biliary atresia and vascular anomalies

Eight of 29 infants and children undergoing orthotopic liver transplantation for extrahepatic biliary atresia had associated major vascular anomalies. A distinctive and highly unusual vascular malformation consisting of absent inferior vena cava, anomalous origin of the hepatic artery, and preduodenal portal vein was encountered in three of these children. Although at times technically difficult, single anomalies of hepatic vasculature were satisfactorily handled. In contrast, transplantation attempts were lethal in all three infants having the complex vascular malformation. The suggestion is made that this specific subgroup of patients with biliary atresia be identified in advance and that, at the moment, children with this composite anomaly are highly questionable candidates for liver transplantation. © 1974

Right trisegmentectomy for hepatic neoplasms

Thirty patients had right trisegmentectomy for 19 primary hepatic malignant tumors, 7 localized liver metastases and four benign lesions. A technical refinement that aided resection of bulky posterior and superior tumors was intrahepatic identification and control of the right hepatic vein. The operative mortality was 3.3%. Late hepatic insufficiency was not observed. More than one-half of the patients operated upon a year or more ago for primary hepatic malignant growths had a tumor-free state at the 12 month follow-up period. Beyond this time, there was only one recurrence. The results in children were twice as good as in adults. The results in treating localized liver metastases from distant primary sites were inferior to those in treating primary hepatic tumors. A hypothetical case was made for combining hepatic resection with adjuvant chemotherapy, even though our experience could not be construed as direct support for this practice

Bench surgery and renal autotransplantation in the pediatric patient

Surgery at the work bench has developed as a by-product of the extensive experience in renal homotransplantation. A basic tenet of the transplant operation is organ survival outside the human body for a finite period. Recent refinements in kidney preservation have extended the permissible ex vivo period to several days. Consequently, extracorporeal procedures have become highly feasible and a practical adjunct for operative renal surgery. Bench surgery and autotransplantation thus far have been underexploited in pediatric surgery despite potential applicability in a significant number of childhood lesions. At the University of Colorado Medical Center, 14 patients have been treated by extracorporeal renal surgery and have been reported in part.1-3 The purpose of this communication is to review the technical aspects of this new operative procedure, present two case reports, and discuss the potential role of extracorporeal surgery and renal autotransplantation as it pertains to the pediatric patient

Near-Infrared Observations of Powerful High-Redshift Radio Galaxies: 4C 40.36 and 4C 39.37

We present near-infrared imaging and spectroscopic observations of two FR II high-redshift radio galaxies (HzRGs), 4C 40.36 (z=2.3) and 4C 39.37 (z=3.2), obtained with the Hubble, Keck, and Hale Telescopes. High resolution images were taken with filters both in and out of strong emission lines, and together with the spectroscopic data, the properties of the line and continuum emissions were carefully analyzed. Our analysis of 4C 40.36 and 4C 39.37 shows that strong emission lines (e.g., [O III] 5007 A and H alpha+[N II]) contribute to the broad-band fluxes much more significantly than previously estimated (80% vs. 20-40%), and that when the continuum sources are imaged through line-free filters, they show an extremely compact morphology with a high surface brightness. If we use the R^1/4-law parametrization, their effective radii (r(e)) are only 2-3 kpc while their restframe B-band surface brightnesses at r(e) are I(B) ~ 18 mag/arcsec^2. Compared with z ~ 1 3CR radio galaxies, the former is x3-5 smaller, while the latter is 1-1.5 mag brighter than what is predicted from the I(B)-r(e) correlation. Although exponential profiles produce equally good fits for 4C 40.36 and 4C 39.37, this clearly indicates that with respect to the z~1 3CR radio galaxies, the light distribution of these two HzRGs is much more centrally concentrated. Spectroscopically, 4C 40.36 shows a flat (fnu=const) continuum while 4C 39.37 shows a spectrum as red as that of a local giant elliptical galaxy. Although this difference may be explained in terms of a varying degree of star formation, the similarities of their surface brightness profiles and the submillimeter detection of 4C 39.37 might suggest that the intrinsic spectra is equally blue (young stars or an AGN), and that the difference is the amount of reddening.Comment: 30 pages, 6 tables, 10 figures; Accepted for publication in Astronomical Journa

Reinforcing Additives for Ice Adhesion Reduction Coatings

Adhesion of contaminants has been identified as a ubiquitous issue for aeronautic exterior surfaces. In-flight icing is particularly hazardous for all aircraft and can be experienced throughout the year under the appropriate environmental conditions. On larger vehicles, the accretion of ice could result in loss of lift, engine failure, and potentially loss of vehicle and life were it not for active deicing or anti-icing equipment. Smaller vehicles though cannot support the mass and mechanical complexity of active ice mitigating systems and thus must rely upon passive approaches or avoid icing conditions altogether. One approach that may be applicable to all aircraft is the use of coatings. Durability remains an issue and has prevented realization of coatings for leading edge contamination mitigation. In this work, epoxy coatings were generated as a passive approach for ice adhesion mitigation and methods to improve durability were evaluated. Highly cross-linked epoxy systems can be extremely rigid, which could have deleterious consequences regarding application as a leading edge coating. Incorporation of flexible species, such as poly(ethylene glycol) may improve coating toughness.8 Additionally, core-shell rubber (CSR) particles have been utilized to improve fracture toughness of epoxies.9 Both of these more established additives are investigated in this work. An emerging additive that is also evaluated here is holey graphene. This nanomaterial possesses many of the advantageous properties of graphene (excellent mechanical properties, thermal and electrical conductivity, large surface area, etc.) while also exhibiting behaviors associated with flexible, porous materials (i.e., compressibility, increased permeation, etc.). Holey graphene, HG, was synthesized by the oxidation of defect-rich sites on graphene sheets through controlled thermal expo-sure.10 It is envisioned that the porous nature of HG would allow resin penetration through the graphitic plane, resulting in better interfacial interaction and therefore better translation of the nanomaterials properties to the surrounding matrix

Detection of Lyman-alpha Emitting Galaxies at Redshift z=4.55

Studies of the formation and early history of galaxies have been hampered by the difficulties inherent in detecting faint galaxy populations at high redshift. As a consequence, observations at the highest redshifts (3.5 < z < 5) have been restricted to objects that are intrinsically bright. These include quasars, radio galaxies, and some Ly alpha-emitting objects that are very close to (within ~10 kpc) -- and appear to be physically associated with -- quasars. But the extremely energetic processes which make these objects easy to detect also make them unrepresentative of normal (field) galaxies. Here we report the discovery using Keck spectroscopic observations of two Ly alpha-emitting galaxies at redshift z = 4.55, which are sufficiently far from the nearest quasar (~700 kpc) that radiation from the quasar is unlikely to provide the excitation source of the Ly alpha emission. Instead, these galaxies appear to be undergoing their first burst of star formation, at a time when the Universe was less than one billion years old.Comment: 8 pages, 1 landscape table, and 3 PostScript figures. Uses aaspp4.sty, flushrt.sty, aj_pt4.sty, overcite.sty (style macros available from xxx.lanl.gov) Figure 1 is bitmapped to 100 dpi. The original PostScript version of Fig. 1 is available via anonymous ftp to ftp://hubble.ifa.hawaii.edu/pub/preprints To appear in Natur