05) Furthermore, There was a statistically significant increase

05). Furthermore, There was a statistically significant increase in homocysteine concentration during folate deficiency in NSCs (p<0.05). These data suggest that folate affects the cell proliferation, apoptosis and homocysteine generation in NSC cells.”
“Background: An imbalance of cytokines is believed to contribute to the immunopathogenesis of inflammatory bowel diseases Small molecule library (IBD). Serum cytokine levels

may correlate with disease activity and acute phase reactivity.

Aim: To determine the correlation of systemic interleukin-18 (IL-18) levels with disease activity and other markers of inflammation using a cross-sectional pilot study in outpatients with IBD.

Methods: Peripheral venous blood was obtained from 84 patients with Crohn’s disease (CD) and from 46 patients with ulcerative selleck chemical colitis (UC). Serum levels of C-reactive protein (CRP), IL-8, IFN-gamma, IL-12p70 and IL-18 were assessed by ELISA. Disease activity was expressed by the Crohn’s Disease Activity Index (CDAI) and the Clinical Activity Index (CAI), respectively.

Statistical analysis comprised correlation coefficients and linear regression analysis.

Results: In CD IL-18 and other cytokine concentrations, CRP levels, leukocyte and platelet counts did not correlate with the CDAI. However, IL-18 as well as IL-8 and platelets positively correlated with CRP levels (p <0.001), while IFN-gamma and IL-12p70 did not. In contrast, in UC only the CAI and CRP levels showed a significant positive correlation.

Conclusions: In CD IL-18 lacks significant correlation with the CDAI, as do serum acute phase protein and other cytokine markers of inflammination. As opposed to UC, IL-18 and IL-8 may, however, serve as indicators of acute phase reactivity in CD and should be explored in a larger study.”
“The present study was performed to provide computed tomographic (CT) reference values for structures in the thorax of 26 clinically normal Saanen goats. Animals were anesthetized, positioned in sternal recumbency and transverse images with a reconstructed 1.5 mm slice thickness were obtained by use of a 40-slice CT scanner. Absolute and relative measurements

of the trachea, heart, cranial vena cava, thoracic aorta, caudal vena cava, see more right and left principal bronchus, right and left caudal lobar bronchus and the concomitant branch of the right and left pulmonary artery and vein, large caudal mediastinal lymph node and lung density were performed with dedicated software. Minimal to moderate interstitial or bronchopneumonia was incidentally found on CT in 24 animals. In conclusion, CT images obtained in this study can be used as a reference for the evaluation of thoracic diseases in goats. (C) 2010 Elsevier Ltd. All rights reserved.”
“An oxidized frying oil (OFO) diet has been reported to induce an increase in lipid peroxidation and a reduction in vitamin E status in animal tissues.

Conclusions The most significant increases in activity were in p

Conclusions. The most significant increases in activity were in procedures for ST-segment elevation acute myocardial infarction and in percutaneous valve implantation. There was only a modest increase in the use of all other diagnostic and therapeutic procedures.”
“Purpose: Microglia activation plays a pivotal role in the selleck chemical initiation

and progression of central nervous system (CNS) insult. The aim of the present work was to investigate the activation of microglia and involvement of signal transducer and activator of transcription 3 (STAT3) in microglia activation after 2.45 GHz electromagnetic fields (EMF) exposure.

Materials and methods: In this study, murine N9 microglial cells were exposed to 2.45 GHz EMF, the protein expressions of STAT3, Janus Tyrosine kinase 1 and 2(JAK1 and JAK2), phosphor-(Try705)STAT3 and DNA binding activity of STAT3 were examined by Western blot analysis and electrophoresis mobility

shift assay (EMSA). Levels of the nitric oxide (NO) derivative nitrite were determined in the culture medium by the Griess reaction. The mRNA expression of tumour necrosis factor alpha (TNF-alpha) and inducible nitric oxide synthase (iNOS) were detected by reverse transcription and polymerase chain reaction (RT-PCR).

Results: A significant click here increase of STAT3 DNA-binding ability was noted after exposure. Consistent with this, EMF rapidly induced phosphorylation of STAT3 and activated JAK1 and JAK2. In addition, EMF exposure increased transcription levels of the inflammation-associated genes, iNOS and TNF-alpha, which are reported to contain STAT-binding elements in their promoter region. P6, a JAK inhibitor, CUDC-907 mw reduced induction of iNOS and TNF-alpha, nuclear factor binding activity, and activation of STAT3 in EMF-stimulated microglia.

Conclusion: These results provide evidence that EMF exposure can initiate the activation of microglia cells and STAT3 signalling involves in EMF-induced microglial activation.”
“Calcium carbonate (CaCO(3)) with different phases and morphologies were prepared and characterized by scanning electron microscopy (SEM), powder Xray diffraction

(XRD), and Fourier transform infrared (FTIR) spectroscopy. The effect of polyethylene glycol (PEG) with different molecular weight and concentrations on the phase and morphology of CaCO(3) was studied. The results showed that aragonite was the only phase in the solution without PEG, while calcite phase could be obtained by the use of PEG as the additive. The possible crystallization mechanism for the formation of CaCO(3) polymorphs in the presence of different PEG was also discussed. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 119: 319-324, 2011″
“Introduction and objectives. The purpose of this report is to present the results obtained with heart transplantation in Spain from the first use of this therapeutic modality in May 1984.

Methods.

Its guidelines provide a user-friendly checklist of 22 items to b

Its guidelines provide a user-friendly checklist of 22 items to be reported in epidemiological studies, with items specific to the three main study designs: cohort studies, case-control studies and cross-sectional studies. The present STrengthening the Reporting of OBservational studies in Epidemiology – Molecular Epidemiology (STROBE-ME) initiative builds on the STROBE statement implementing 9 existing items of STROBE and providing 17 additional items to the 22 items of STROBE checklist. The additions relate to the use of biomarkers in epidemiological studies,

concerning Trichostatin A solubility dmso collection, handling and storage of biological samples; laboratory methods, validity and reliability of biomarkers; specificities of study

design; and ethical considerations. The STROBE-ME recommendations are intended to complement the STROBE recommendations. (C) 2011 The Authors. All rights reserved.”
“Object. Optic pathway/hypothalamic gliomas (OPHGs) are generally benign tumors situated in an exquisitely sensitive brain region. The location and natural history of OPHGs has led to much debate about optimal treatment. This paper revisits the role of and optimal timing www.selleckchem.com/Wnt.html of debulking surgery in OPHG.

Methods. This paper presents a series of cases managed by the neuro-oncology team at Alder: Hey Children’s Hospital and a single surgeon. Data were collected retrospectively for periods prior to 2009 and prospectively thereafter. Tailored treatment strategies were used, including observation and combinations of surgery, chemotherapy, and radiotherapy. Tumor control rates and outcomes are reviewed.

Results. Forty-two patients were treated between 1998 and 2011. Their median age at diagnosis was 5 years 7 months. Nineteen patients were positive for neurofibromatosis Type 1 (NF1) and 23 patients

Selleckchem Cl-amidine were negative for NF1 The median duration of follow-up was 77 months (range 21.8-142.3 months). Presenting symptoms included visual impairment (in 50% of cases), headache (in 24%), and hypothalamic/pituitary dysfunction (in 29%).

Twenty-two debulking procedures were performed in 21 patients. Four biopsies (3 open, 1 endoscopic) were also performed. The histological diagnosis was pilocytic astrocytoma in 21 patients and pilomyxoid astrocytoma in 2 patients. Ten patients (Group 1) had primary surgical debulking alone and were then observed. Four patients (Group 2) had surgical debulking, plus planned chemotherapy within 3 months. Seven patients (Group 3) required surgical debulking for progressive disease following a variety of treatments. Patient age had the greatest impact on subsequent tumor progression.

In total, 13 patients received chemotherapy, 4 on initial presentation, 4 in combination with surgery, and 5 for further tumor progression. Five patients were treated with radiotherapy, 3 prior to referral to Alder Hey.

Eleven patients required shunt insertion for hydrocephalus.

Oral Diseases (2012) 18, 410-416″
“Splenic arterial demarcat

Oral Diseases (2012) 18, 410-416″
“Splenic arterial demarcation has been observed during laparoscopic sleeve gastrectomy (LSG). The present study aims to detect its actual incidence during LSG and clarify its clinical significance. This is a prospective observational study of 287 consecutive patients

that underwent LSG by the same surgical team over 3 years. In all patients, the gastric fundus was mobilized using a standard technique. Before withdrawal of the pneumoperitoneum, the spleen was exposed and carefully inspected for evidence of arterial demarcation. Patients with a clear demarcation were followed with Doppler ultrasound. Computed tomography scan with oral contrast was performed to rule out septic complications. Median preoperative body mass index was 46 kg/m(2) (range 35.1-78). Median operative time was 58 min (range 42-185), median hospital learn more stay was 3 days (range 3-45), and overall morbidity rate was 8.6%. Intraoperative demarcation of the upper splenic pole was evident in 12 patients (4.1%). Eleven patients had uneventful postoperative course. One patient raised temperature of 38.5A degrees C at the 7th postoperative day and was readmitted for further treatment. Once

afebrile, the patient was discharged on the 10th postoperative day and continued on prophylactic low molecular weight heparin (tinzaparin, 7,500 U sc.) for 20 days. Splenic discoloration following LSG is an uncommon complication with minimal clinical significance, which could be related to hematoma, venous congestion, or ischemia. The possibility of a late splenic abscess cannot be ruled out. JPH203 in vivo No risk factors can be identified preoperatively.”
“Many viruses use a replication strategy involving the translation of a large polyprotein, which is cleaved by viral and/or cellular proteases. selleck inhibitor Several of these viruses severely impact human health around the globe, including HIV, HCV, Dengue virus, and West Nile virus. This method of genome organization

has many benefits to the virus such as condensation of genetic material, as well as temporal and spatial regulation of protein activity depending on polyprotein cleavage state. The study of polyprotein precursors is necessary to fully understand viral infection, and identify possible new drug targets; however, few atomic structures are currently available. Presented here are structures of four recent polyprotein precursors from viruses with a positive sense RNA genome.”
“Objective: To describe the presentation, diagnosis, and treatment of late-onset laryngomalacia in children with obstructive sleep apnea syndrome (OSAS).

Design: Retrospective study.

Setting: Tertiary care children’s hospital.

Patients: Seventy-seven children were identified who had OSAS diagnosed by polysomnography and underwent airway endoscopy to evaluate for laryngomalacia between July 2006 and December 2008. Children with significant neurologic disease or craniofacial malformations were excluded.

88) or good neurologic outcomes (26/37 (70%) v 42/51

88) or good neurologic outcomes (26/37 (70%) v 42/51 this website (82%), p = 0.21). We compared patients with marked pyrexia (greater than the median pyrexia of 38.7. C) versus those who experienced no pyrexia or milder

pyrexia (below the median) and found that survival to discharge was not statistically significant (40% v 56% p = 0.16). However, marked pyrexia was associated with a significantly lower proportion of CPC 1-2 survivors (58% v 80% p = 0.04).

Conclusions: Rebound pyrexia occurred in 41% of TTM-treated post-arrest patients, and was not associated with lower survival to discharge or worsened neurologic outcomes. However, among patients with pyrexia, higher maximum temperature (>38.7 degrees C) was associated with worse neurologic outcomes among survivors to hospital discharge. (C) 2012 Elsevier Ireland Ltd. All rights reserved.”
“Background: Recently, it has been proposed that epigenetic variation may contribute to the risk of complex genetic diseases like cancer. Compound C purchase We aimed to demonstrate that

epigenetic changes in normal cells, collected years in advance of the first signs of morphological transformation, can predict the risk of such transformation.

Methods: We analyzed DNA methylation (DNAm) profiles of over 27,000 CpGs in cytologically normal cells of the uterine cervix from 152 women in a prospective nested case-control study. We used statistics based on differential Selleckchem AZD5363 variability to identify CpGs associated with the risk of transformation

and a novel statistical algorithm called EVORA (Epigenetic Variable Outliers for Risk prediction Analysis) to make predictions.

Results: We observed many CpGs that were differentially variable between women who developed a non-invasive cervical neoplasia within 3 years of sample collection and those that remained disease-free. These CpGs exhibited heterogeneous outlier methylation profiles and overlapped strongly with CpGs undergoing age-associated DNA methylation changes in normal tissue. Using EVORA, we demonstrate that the risk of cervical neoplasia can be predicted in blind test sets (AUC = 0.66 (0.58 to 0.75)), and that assessment of DNAm variability allows more reliable identification of risk-associated CpGs than statistics based on differences in mean methylation levels. In independent data, EVORA showed high sensitivity and specificity to detect pre-invasive neoplasia and cervical cancer (AUC = 0.93 (0.86 to 1) and AUC = 1, respectively).

Conclusions: We demonstrate that the risk of neoplastic transformation can be predicted from DNA methylation profiles in the morphologically normal cell of origin of an epithelial cancer. Having profiled only 0.1% of CpGs in the human genome, studies of wider coverage are likely to yield improved predictive and diagnostic models with the accuracy needed for clinical application.”
“Pain on propofol injection is a common adverse effect.

Monovision patients also had significantly better intermediate vi

Monovision patients also had significantly better intermediate vision and less difficulty using computers without glasses.”
“Two-photon-induced photopolymerization (2PP) has gained increased interest due to the capability of manufacturing three-dimensional structures with very high feature resolution. To assess the suitability of photopolymer systems for 2PP, methods have to be developed that allow a screening of the efficiency of monomer-initiator combinations in the context of high throughput, large processing window and geometric quality

of the final parts. In this paper, a method for evaluating 2PP structures is described. For this purpose, the double-bond conversion of fabricated 2PP structures was measured giving quantifiable results about the Sonidegib cell line efficiency of the photoinitiator. The method is based on local measurement of the double-bond conversion of the photopolymer using a microscope in combination with infrared spectroscopy. The obtained double-bond conversion is a measure for the efficiency of the photopolymer system (initiator in combination with monomer), and thus allows to compare different photopolymers in a quantitative way. Beside this evaluation of 2PP structures, fabrication of complex 3D structures was done to determine the limits of the 2PP technology for miscellaneos components. (c) 2011 American Institute of Physics.

[doi: 10.1063/1.3639304]“
“Recent changes in Center for Medicare & Medicaid Services (CMS) condition for

participation, using benchmark volume/outcomes LCL161 cell line requirements for certification, have been implemented. Consequently, the ability of a transplant center to Selleckchem Buparlisib assess its risk tolerance is important in successful management. An analysis of SRTR data was performed to determine donor/recipient risk factors for graft loss or patient death in the first year. Each transplant performed was then assigned a prospective relative risk (RR) of failure. Using a Monte-Carlo simulation, transplants were selected at random that met the centers acceptable risk tolerance. Transplant center volume was fixed and its risk tolerance was adjusted to determine the impact on outcomes. The model was run 1000 times on centers with varying volume. The modeling demonstrates that centers with smaller annual volumes must use a more risk taking strategy than larger volume centers to avoid being flagged for CMS volume requirements. The modeling also demonstrates optimal risk taking strategies for centers based upon volume to minimize the probability of being flagged for not meeting volume or outcomes benchmarks. Small volume centers must perform higher risk transplants to meet current CMS requirements and are at risk for adverse action secondary to chance alone.”
“It is widely recognized that an early and high intake of colostrum is a major determinant of piglet survival during the early suckling period.

025 to 0 39 There was a complete absence of variants with freque

025 to 0.39. There was a complete absence of variants with frequencies in-between the extremely rare (n = 6) and the common (n = 7).

Conclusions: This is the first report of the deep sequencing of an OA susceptibility locus. The absence of rare variants informs

us that within the regions of the gene that we have sequenced GDF5 does not harbour any novel variants that are able to contribute, at a population level, to the OA association signal mediated by rs143383 nor does it harbour, at a population level, any novel variants that can influence OA susceptibility independent of rs143383. (C) 2011 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.”
“It has been suggested that the response to novelty and impulsivity

predict the latency to acquisition and maintenance of drug self-administration, respectively. The aim of this study was to examine Sapanisertib the relationship between these two traits and (1) the latency to acquisition and (2) maintenance (drug-seeking) of 3,4-methylenedioxymethamphetamine (MDMA) self -administration. JNK high throughput screening Impulsivity, measured as premature responding on the five-choice serial reaction time task (5-CSRTT), and novelty-seeking, measured as the locomotor response in a novel environment, were measured prior to self-administration. Latency to acquisition was determined as the number of test sessions required to self-administer an initial criterion DMXAA inhibitor of 90 infusions of 1.0mg/kg/infusion, as well as an additional 150 infusions of 0.5mg/kg/infusion MDMA. For some rats, the ability of MDMA [0, 5.0 or 10.0mg/kg, intraperitoneal (IP)] to produce drug-seeking was subsequently measured, and for others, impulsivity was again measured following self-administration.

Novelty-seeking was not significantly correlated with either the acquisition or drug-seeking measures of MDMA self-administration. Impulsivity was not significantly correlated with the latency to acquire self-administration of MDMA, but was significantly and positively correlated with the magnitude of MDMA-produced drug-seeking. Furthermore, MDMA self-administration produced a number of notable, but transient, deficits in the 5-CSRTT; there was an increase in omission rate and a delayed increase in premature responses in particular. These findings suggest that impulsivity, but not sensation seeking, might be a risk factor for the development of compulsive drug-seeking following withdrawal from MDMA self-administration.”
“Postoperative pain management is essential in the perioperative care of neonates and infants but it requires a high level of care. Wound infiltration with bupivacaine, a long-acting local anesthetic, is a simple method with minimal complications. However, studies on the effectiveness of wound infiltration in neonates and infants are lacking.

(c) 2013 Elsevier Inc All rights reserved “
“Background: Th

(c) 2013 Elsevier Inc. All rights reserved.”
“Background: The FSH starting dose is usually chosen according to women’s age, anamnesis, clinical criteria and markers AZD3965 of ovarian reserve. Currently used markers include antral follicle count (AFC), which is considered to have a very high performance in predicting

ovarian response to FSH. The objective of the present study to elaborate a nomogram based on AFC for the calculation of the appropriate FSH starting dose in IVF cycles.

Methods: This is a retrospective study performed at the Mother-Infant Department of Modena University Hospital. IVF patients (n=505) were subjected to blood sampling and transvaginal ultrasound for measurement of serum day3 FSH, estradiol and AFC. The variables predictive of the number of retrieved oocytes were assessed by backwards stepwise multiple regression. The variables reaching the statistical significance were then used in the calculation for the final predictive model.

Results: A model based

on age, AFC and FSH was able to accurately predict the ovarian sensitivity and accounted for 30% of the variability of ovarian response to FSH. An FSH dosage nomogram was constructed and overall it predicts a starting dose lower than 225 IU in 50.2% and 18.1% of patients younger and older than 35 years, respectively.

Conclusions: The daily FSH dose may be calculated on the basis of age and two markers of ovarian reserve, selleck namely AFC and FSH, with the last two variables being the most significant predictors. The nomogram seems selleck chemical easily applicable during the daily clinical practice.”
“Several studies have reported that excessive amounts of plasminogen activator inhibitor-1(PAI-1) might increase the incidence of polycystic ovary syndrome(PCOS), but so far the published results were inconsistent. The aim of this study was to further investigate the association between PAI-1 gene polymorphism and the susceptibility to PCOS by performing a meta-analysis.

A comprehensive literature search for relevant studies was conducted on google scholar, PubMed,

the Chinese National Knowledge Infrastructure (CNKI) and the Chinese Biomedical Literature Database (CBM). This meta-analysis was performed using the STATA 11.0 software and the pooled odds ratio (OR) with 95 % confidence interval (CI) was calculated.

Ten case-control studies were included in this meta-analysis with a total of 2,079 cases and 1,556 controls. The results showed that PAI-1 -675 4G/5G polymorphism may increase the risk of PCOS, especially among Asian populations. However, there was no statistically significant association between the polymorphism and PCOS risk in Caucasians.

Our meta-analysis suggests that PAI-1 -675 4G/5G polymorphism may contribute to increasing susceptibility to PCOS in Asians. Detection of the PAI-1 gene polymorphism might be a promising biomarker for the susceptibility of PCOS.

The possibility of hydralazine-induced vasculitis should be consi

The possibility of hydralazine-induced vasculitis should be considered when patients treated with hydralazine 17DMAG inhibitor develop a pulmonary-renal syndrome. Anti-histone antibodies may be present in the absence of full classification criteria of drug-induced lupus.”
“The thermokinetic behavior of polymethyl methacrylate

(PMMA)-based composites during the pultrusion of glass fiber reinforced composites was investigated using a mathematical model accounting for the heat transfer and heat generation during the reaction. The equations of continuity and energy balance, coupled with a kinetic expression for the reaction system were solved using a finite difference method to calculate the temperature profiles in the thickness direction in a rectangular pultrusion die. A kinetic see more model, dP/dt = -eta A(o)exp(-E(p)/RT) (2[I](o) – [Z](o)) P(m)(1-P/P(f))(n) (1 – exp ( – k(d)(t – t(z)))), was proposed to describe the reaction behavior of a PMMA resin. Kinetic parameters for the model were found from isothermal differential scanning calorimetry (DSC) scans using a multiple regression technique. The kinetic parameters gA(o) = 1.459 x 10(9) min(-1), E(p) = 10.62 kcal/mol, m = 1.095, and n = 0.893 were obtained. The predictions

of the model will be compared with experimental results. It can be found that the theoretical predicted values of temperature profiles along the pultrusion die length were in good agreement with experimental data, which implies that the mathematical model was suitable for the pultrusion CT99021 molecular weight processes. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 123: 2228-2233, 2012″
“Introduction and objectives: Currently air pollution is considered as an emerging risk factor for cardiovascular disease. Our objective was to study the concentrations of particulate matter in ambient air and analyze their relationship with cardiovascular risk factors in patients

admitted to a cardiology department of a tertiary hospital with the diagnosis of heart failure or acute coronary syndrome (ACS).

Methods: We analyzed 3950 consecutive patients admitted with the diagnosis of heart failure or ACS. We determined the average concentrations of different sizes of particulate matter (<10, <2.5, and <1 mu m and ultrafine particles) from 1 day or up to 7 days prior to admission (1 to 7 days lag time).

Results: There were no statistically significant differences in mean concentrations of particulate matter <10, <2.5 and <1 mu m in size in both populations. When comparing the concentrations of ultrafine particles of patients admitted due to heart failure and acute coronary syndrome, it was observed that the former had a tendency to have higher values (19 845.35 +/- 8 806.49 vs 16 854.97 +/- 8005.54 cm (3), P < .001).

First-line diagnostic examinations were inconclusive Myocardial

First-line diagnostic examinations were inconclusive. Myocardial perfusion single-photon emission tomography (SPET) was performed to exclude CAD, but the congenital abnormalities of the patient’s heart made interpretation of the images particularly difficult. A perfusion positron emission tomography-computed tomography (PET-CT) scan with N-13-ammonia then was

suggested, which unmasked an unexpected artifact. The case report demonstrates GNS-1480 cell line that hybrid imaging techniques such as SPET-CT and PET-CT should be used systematically when CAD is suspected for patients with abnormal anatomy of the heart, including ccTGA.”
“Right pulmonary artery-to-left atrial communication is a rare congenital vascular malformation that results in a right-to-left shunting. This report describes the case history of a neonate with a large right pulmonary artery-to-left atrial connection resulting in cyanosis and severe heart failure who underwent successful early catheter interventional therapy. In the neonate, this lesion can be diagnosed accurately using transthoracic echocardiography. Closure of the communication can be achieved even in infants via percutaneous interventional catheterization with a low procedure-related risk and a good midterm KU-57788 order follow-up result.”
“A right pulmonary artery-to-left atrium

connection is a very rare cyanotic congenital heart defect. Although it is generally

treated with surgery, we describe the case of a 5-year-old girl whose connection was successfully closed the Amplatzer muscular ventricular septal defect occluder. The patient was asymptomatic at last follow-up.”
“Total correction of tetralogy of Fallot (TOF) is typically performed within the first year of life. However, subsequently, right-ventricular dysfunction often progresses by pulmonary stenosis or regurgitation. Although most patients with corrected TOF require additional surgery for right-ventricular outflow tract, intervention could be an alternative to palliative surgery and associated morbidities, especially in children. We describe a palliative application of the self-expandable stent in a patient with pulmonary stenosis after total correction of TOF who lacked a conduit between the right ventricle and pulmonary LDK378 in vitro artery.”
“Severe left ventricular outflow obstruction often is associated with diastolic left ventricular myocardial dysfunction and tachycardia despite successful initial treatment. The authors have used esmolol to lower heart rate in this setting for successful weaning of patients from ventilation in postoperative recovery. Their limited experience supports the beneficial effect of continuous esmolol administration on infants with persistent tachycardia and severe left ventricular diastolic dysfunction in postoperative cardiac intensive care.