Long-term event-free and actuarial survival after balloon aortic valvuloplasty is dismal and resembles the natural history of untreated aortic stenosis. Aortic valve replacement may be performed in selected subjects with good results. However, the prognosis for the remainder of patients who are not candidates for aortic valve replacement is particularly poor.

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Radon is useful as a tracer of certain geophysical processes in marine and aquatic environments. Recent applications include detection of groundwater discharges into surface waters and assessment of air/sea gas piston velocities. Much of the research performed in the past decade has relied on continuous measurements made in the field using a radon stripping unit connected to a radon-in-air detection system. This approach assumes that chemical equilibrium is attained between the water and gas phases and that the resulting air activity can be multiplied by a partition coefficient to obtain the corresponding radon-in-water activity. We report here the results of a series of laboratory experiments that describes the dependence of the partition coefficient upon both water temperature and salinity. Our results show that the temperature dependence for freshwater closely matches results that were previously available. The salinity effect, however, has largely been ignored and our results show that this can result in an overestimation of radon concentrations, especially in cooler, more saline waters. Related overestimates in typical situations range between 10 (warmer less saline waters) and 20% (cooler, more saline waters).

Histologic evidence of myocarditis was demonstrated in 35 of 348 patients submitted to endomyocardial biopsy over 5 years. Analysis of the histologic findings and clinical course of these patients resulted in a new clinicopathologic classification of myocarditis in which four distinct subgroups are identified. Patients with fulminant myocarditis become acutely ill after a distinct viral prodrome, have severe cardiovascular compromise, multiple foci of active myocarditis by histologic study and ventricular dysfunction that either resolves spontaneously or results in death. Patients with acute, chronic active and chronic persistent myocarditis have a less distinct onset of illness. Patients with acute myocarditis present with established ventricular dysfunction and may respond to immunosuppressive therapy or their condition may progress to dilated cardiomyopathy. Those with chronic active myocarditis initially respond to immunosuppressive therapy, but they have clinical and histologic relapses and develop ventricular dysfunction associated with chronic inflammatory changes including giant cells on histologic study. Chronic persistent myocarditis is characterized by a persistent histologic infiltrate, often with foci of myocyte necrosis but without ventricular dysfunction despite other cardiovascular symptoms such as chest pain or palpitation.

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