HER2 expression in resectable colorectal adenocarcinoma cells was evaluated by immunohistochemistry in specimens taken from 202 patients. The percentage of cancer cells with membranous or cytoplasmatic reactions and the staining intensity of the reaction in the whole cell were recorded. A membranous Akt inhibitor reaction was present in 27% of cases, and cytoplasmatic reaction in 66% of cases. The total staining intensity in the entire cell was evaluated as moderate (2+) in 32% of cases and strong (3+) staining in 15%. There was no correlation found between either membranous or cytoplasmatic HER2 expression and survival. Furthermore

combined staining intensity did not provide any prognostic information. We conclude that HER2 expression in CRC does not correlate with prognosis.”
“Fontan fenestration closure is a topic of great debate. The body of data regarding the risks and benefits of fenestration closure is limited yet growing. Previous studies have demonstrated that Fontan patients have less exercise capacity than those

with normal cardiovascular Selleck MLN4924 anatomy. Differences also have been noted within various subgroups of Fontan patients such as whether Fontan is fenestrated or not. This study aimed to compare trends in regional oxygen saturations using near-infrared spectroscopy (NIRS) in patients with Fontan circulations during ramping exercise to further delineate differences between patients with and without a fenestration. It was hypothesized that Fontan patients with fenestrations have better exercise times, higher

absolute regional oxygen venous saturations, and smaller arteriovenous differences than Fontan patients without fenestrations. For this study, 50 consecutive Fontan patients and Nutlin-3 concentration 51 consecutive patients with normal cardiovascular anatomy were recruited. Placement of NIRS probes was performed to obtain regional oxygen saturations from the brain and the kidney. Readings were obtained at 1-min intervals during rest, exercise, and recovery. A standard Bruce protocol was used with a 5-min recovery period. Absolute regional tissue oxygenation values (rSO(2)) and arterial-venous oxygen saturation differences (AVDO(2)) calculated as arterial oxygen saturation (SPO2)-rSO(2) for normal versus Fontan patients and for fenestrated versus unfenestrated Fontan patients were compared using independent t tests. When normal and Fontan patients were compared, the Fontan patients had a significantly shorter duration of exercise (9.3 vs 13.2 min; p < 0.001). No statistically significant difference in rSO(2) change or AVDO(2) was evident at the time of peak exercise, at 2 min into the recovery, or at 5 min into the recovery. A small oxygen debt also was paid back to the brain in the Fontan patients after exercise, as evidenced by a narrower AVDO(2) than at baseline.

Despite different etiopathology of hemolytic diseases, many concomitant symptoms are comparable and include e.g. hypertension, hemoglobinuria GDC-0973 datasheet and hypercoagulation state. Studies in the last years have shown a growing list of mechanisms lying at the basis of those symptoms, in particular irreversible reaction between cell-free hemoglobin (Hb) and nitric oxide (NO) – endogenous vasorelaxant and anti-thrombotic agent. Saturation of protective physiological cell-free Hb-scavenging mechanisms results in accumulation of Hb in

plasma and hemoglobinemia. Extensive hemoglobinemia subsequently leads to hemoglobinuria, which may cause kidney damage and development of Fanconi syndrome. A

severe problem in patients with SCD and PNH is pulmonary and systemic hypertension. It may lead to circulation failure, including stroke, and it is related to abolition of NO bioavailability for vascular smooth muscle cells. Thrombotic events are the major cause of death in SCD and PNH. It ensues from lack of platelet inhibition evoked by Hb-mediated NO scavenging. A serious complication that affects patients with excessive hemolysis is erectile dysfunction. Also direct cytotoxic, prooxidant and proinflammatory effects of cell-free hemoglobin and heme compose the 5-Fluoracil price clinical picture of hemolytic diseases. The pathophysiological role of plasma Hb, mechanisms of its elimination, and direct and indirect (via NO scavenging) deleterious effects of cell-free Hb are presented in detail in this CA3 research buy review. Understanding the critical role of hemolysis and cell-free Hb is important in the perspective of treating patients with hemolytic diseases and

to design new effective therapies in future.”
“Background: There is almost no data describing the long-term functional outcome of patients after penetrating cardiac injury.

Methods: A retrospective study at a Level I trauma center from 2000 to 2009.

Results: Sixty-three patients had penetrating cardiac injuries from 28 stabbings and 35 gunshots. Men comprised 89% (56) of the patients. Overall, there were 21 survivors (33%) and 42 died in the emergency room or perioperative period. The mean age did not significantly differ between survivors (36 years +/- 12 years) compared with those who died (30 years +/- 11 years; p = 0.07). There was an increased chance of survival after being stabbed compared with being shot (17 patients vs. 4 patients; odds ratio = 12; p = 0.002). Thirteen (62%) had injuries to the right ventricle only. Three patients died during follow-up: one from lung cancer and two other patients died from myocardial infarctions, one 9 years later at the age of 45 years and the other 8 years later at the age of 55 years.

0 points in the control group. By twenty-four months, 95% (eighteen) of nineteen patients in the investigational group compared with 70% (fourteen)

of twenty in the control group had a radiographically documented selleck products fusion. The overall success rate was 81% (seventeen of twenty-one) in the investigational group and 55% (eleven of twenty) in the control group (p = 0.345).

Conclusions: Compared with an iliac crest bone graft, the combination of an absorbable collagen sponge soaked with rhBMP-2 and ceramic granules resulted in trends toward improvements in clinical outcomes and toward a higher rate of radiographic fusion. This combination of an osteoinductive agent with an osteoconductive matrix may be an effective replacement for autograft in single-level posterolateral lumbar arthrodeses with instrumentation.”
“SETTING:

In Malawi, human immunodeficiency virus (HIV) prevalence among newly registered tuberculosis (TB) patients is 60-70%. In 2008, an integrated TB-HIV clinic was established at a central hospital in Zomba. Despite the integration of TB-HIV activities and improved HIV service uptake, unacceptably high proportions of HIV-positive TB patients are still not receiving antiretroviral therapy (ART).

OBJECTIVE: To identify factors that motivate or discourage TB patients ML323 from accepting HIV services.

DESIGN: Retrospective analysis of patients registered for TB treatment (not yet on ART) between April 2008 and March 2009; qualitative interviews of 99 patients on TB treatment.

RESULTS: Of 1773 newly registered TB patients who were not already on ART at the time of TB registration, 86% accepted HIV testing and counselling. Among HIV-positive TB patients, 38% started ART during or after anti-tuberculosis treatment. Young adults aged 15 24 years were least likely to initiate ART. Motivation for accepting ART during TB treatment included prospects of regaining good health and longer life, and counselling by health care providers. Barriers to ART uptake included not being offered ART, high CD4 count, drug stockouts and fear of drug toxicities/interactions.

CONCLUSION: Selleckchem VX-680 Several factors that undermine uptake of ART have been highlighted; targeted measures urgently need to

be addressed by TB-HIV programmes to overcome these barriers.”
“For more bioactive compounds, phytochemical investigations of the acetone extract of the stems of Garcinia oligantha resulted in the isolation of three new xanthones (1-3) and five known analogues (4-8). Structural elucidations of 1-3 were performed by spectral methods such as 1D and 2D (HMQC, HMBC, and ROESY) NMR spectroscopy, in addition to high resolution mass spectrometry. Compounds 1, 2, 6, 7, and 8 showed anti-tobacco mosaic virus (anti-TMV) activities with inhibition rates above 10%. Crown Copyright (C) 2013 Phytochemical Society of Europe. Published by Elsevier B.V. All rights reserved.”
“Background: Hard-on-hard bearings offer the potential to improve the survivorship of total hip arthroplasty implants.

Three month-old THY-Tau22 mice were immunized with a peptide including the phosphoserine 422 residue while control mice received the adjuvant alone.

A specific antibody response against the phospho-Ser422 epitope was observed. We noticed a decrease in insoluble Tau species (AT100- and pS422 immunoreactive) by both biochemical and immunohistochemical means correlated with a significant cognitive improvement using the Y-maze. This Tau immunotherapy may facilitate NVP-LDE225 cell line Tau clearance from the brain toward the periphery since, following immunization, an increase in Tau concentrations was observed in blood.

Overall, the present

work is, to our knowledge, the first one to demonstrate that active immunotherapy targeting a real pathological epitope such as phospho-Ser422 epitope is efficient. This immunotherapy allows for Tau clearance and improves cognitive deficits promoted by Tau pathology in a well-defined Tau transgenic model.”
“The flux-pinning-induced stress and magnetostriction of a functionally graded type-II superconductor shaped as a rectangular slab are analyzed. By

using the plane strain approach, the exact solution of the three-dimensional GW4869 Apoptosis inhibitor (3D) magneto-elastic problem is found. All the stresses, strains, and magnetostriction in the graded direction are first expressed in terms of the flux-density profile in the slab, and all these expressions are valid for any critical-state model j(c) = j(c)(B). Then, based on the Bean model, i.e., j(c) =const, an extensive analysis is made for three cases of applied magnetic fields, i.e., increasing field, decreasing field, and field cooling. And the emphasis

is put on the effects of both the applied magnetic field and the graded index of the slab on the maximum tensile stress and the magnetostriction. (C) 2011 American Institute of Physics. [doi:10.1063/1.3639302]“
“Two experiments were conducted to determine the effects of ruminal protein degradability, supplementation frequency, and increasing dietary protein on the expression and distribution of urea transporter-B (UT-B) in lambs fed low-quality forage (mature crested wheatgrass hay; 4.2 to 4.7% CP). In Exp. 1, 15 Dorset wether lambs (initial BW = 45.8 +/- click here 1.3 kg) were blocked by initial BW and assigned to 1 of 3 treatments within a randomized complete block design for 28 d, with supplements fed to achieve 7, 10, or 13% total dietary CP. In Exp. 2, 13 Dorset wether lambs (initial BW = 34 +/- 4 kg) were used in a completely randomized design and given 1 of 4 isonitrogenous supplements: 1) ruminally degradable protein (RDP) fed daily (n = 3), 2) RDP fed on alternate days (n = 3), 3) ruminally undegradable protein (RUP) fed on alternate days (n = 3), or 4) a 50: 50 mixture of RDP and RUP fed on alternate days (n = 4) for 18 d. Alternate-day treatments were fed at twice that of daily supplementation. On the last day of both experiments, lambs were killed and samples taken for Western blot analyses for UT-B.

This resistance conferral process could be considered as an emulation of horizontal gene transfer occurring in nature and would be a useful tool for understanding mechanisms of evolution of multidrug-resistant strains.”
“We obtain the steady velocities and volume flow rates (up to the second order)

of polymeric electrolytes along the cross-section of an (approximated) wavy-rough microtube by using the verified Eyring’s transition rate model and boundary perturbation method. Our numerical results show that the wavy-roughness could tune the electric-field-driven transport especially for larger forcing due to the BTK inhibitor larger surface-to-volume ratio and slip-velocity effect. We also found a rather low electrical resistance for certain critical temperature after careful selection of geometric and material parameters. (C) 2010 American Institute of Physics. [doi:10.1063/1.3493156]“
“Larimichthys polyactis is a commercially important marine fish species in southeast Asia. The population crashed due

ABT-263 order to overfishing in the 1970s, but has since recovered. We developed 13 novel polymorphic microsatellite markers in L. polyactis using 5′ anchored PCR. The characteristics of these loci were estimated by analyzing a sample of 30 individuals. A total of 74 alleles were detected, with a mean of 5.7 alleles per locus. There were 2 to 12 alleles, 0.2760 to 0.8247 polymorphism information content,

and 0.3214 to 1.000 observed and 0.3097 to 0.8567 expected heterozygosity per locus. The mean observed and expected heterozygosity was 0.6816 and 0.6724, respectively. Three loci deviated significantly from Hardy-Weinberg equilibrium after Bonferroni’s correction, and no significant linkage disequilibrum between pairs of loci was found. This information will be useful for the analysis of population genetic diversity, and the management of this important fish MLN4924 ic50 resource.”
“A blue light emitting diode (LED) is grown on top of a (Ga, In)N/GaN multiple quantum well (QW) acting as a light converter from blue to green-yellow wavelength. The blue light is produced by electrical injection, while the green-yellow emitting QWs are optically pumped by the blue photons. It is shown that the final color of the LED is strongly dependent on the blue pumping wavelength, the absorption and the internal quantum efficiency of the light converter. Depending on these parameters, blue to green LEDs or even white LEDs can be obtained. In addition, the injection current dependence of the LED electroluminescence is measured and analyzed. A very low blueshift is observed as a function of the injection current. It is explained by the fact that the carrier density per QW in the light converter stays relatively low compared to the case of classical current-injected green LEDs.

Close monitoring of cardiorespiratory factors is valuable. Its rare circulatory effects are unrelated to the number of levels or the cement type.”
“Clinacanthus nutans (Burm. f.) Lindau (C. nutans), a medicinal herb belonging to the family Acanthaceae, has traditionally been used in herpes simplex virus (HSV) treatment in Thailand. Clinical trials have indicated that topical preparations produced from its extracts were effective in HSV-2 treatment. However, there is no clear evidence Selleckchem LY2603618 of the mechanism of action or a molecular target of C. nutans. In this study, the extracellular

activity of C. nutans extracts against HSV-2 infected on HEp-2 cells was investigated in terms of its molecular aspects. HSV-2 was treated with the extracts and adsorped into the HEp-2 cells. After infection, HSV-2 DNA quantities in the infected cells were assessed and compared by the quantitative dot blot hybridisation technique. The results showed that treating the viruses with either less or more highly purified extracts before infection resulted in great reductions of viral infectivity. Further investigation was performed by Western blot analysis to determine the activities of the extracts on the viral proteins. At least eight viral proteins of the infected cell

proteins (ICP) and some structural proteins, including 146, 125, 78, 69, 55, 44, 40 and 20 KDa proteins, were buy LOXO-101 depleted and reduced gradually with higher and lower concentrated herb extracts, respectively. These suggest that

the C. nutans extracts highly inactivated or inhibited HSV-2 before infection.”
“The majority of multiple vertebral fractures (MVFs) occur under high-energy conditions; however, some cases occurring under minor-energy conditions exist. Fractures in successive vertebrae (continuous type) and in skipped vertebrae (discontinuous type) can exist.

The objective of this study was to compare and evaluate the cause, level of injury, and relationship to osteoporosis between continuous AZD8055 supplier and discontinuous MVFs.

We studied 77 subjects (173 vertebrae) who had presented with acute back pain between September 2007 and April 2010 and who received diagnoses of fresh MVFs through magnetic resonance imaging. Subjects with continuous and discontinuous fractures were evaluated based on age, sex, bone mineral density (BMD), level of affected vertebrae, and cause of injury.

Subjects with discontinuous MVFs were significantly older and comprised more female patients. Mean BMD, measured by dual-emission X-ray absorptiometry, was 0.70 and 0.58 g/cm(3) for the continuous and discontinuous MVFs, respectively, demonstrating a significant difference. Of 34 patients with discontinuous MVFs, 32 (94%) exhibited vertebral fractures in the thoracolumbar junction.

The second session answered the question in 35 (81%) cases, whereas the question remained unanswered in 8 (19%). The repeated session was useful in 35 (81%) cases. Go 6983 chemical structure (C) 2010 Elsevier Inc. All rights reserved.”
“Detection of small concentrations of sub-200-nm-sized

SPBs (superparamagnetic beads with sizes similar to target molecules) used as ‘magnetic labels’ is critical for the development of rapid, highly sensitive, and portable point of care treatment (POCT) systems. Currently, magnetoresistive (MR) biosensors are used for the detection of large concentrations of SPBs but such an approach is not suitable for monitoring small numbers of sub-200-nm SPBs due to the intrinsic noise of these electronic devices. In

order to overcome this limitation of conventional MR sensors, we have developed a simple procedure for detecting small concentrations of sub-200-nm-diameter SPBs for biosensing by exploiting magnetically induced self-assembly of micrometer-sized SPBs onto nanometer targets. Here, our approach enables the physical amplification of the signal from otherwise undetectable nano-SPB targets using Hall biosensors without using the application of ac, magnetic fields or lock-in detection, thereby enabling the production of a simple POCT protocol for a wide range of applications. (C) 2011 American Institute of Physics. [doi:10.1063/1.3556957]“
“The aim of this study was to investigate serum fetuin-A, coenzyme Q(10) and plasma fatty acids profiles in obese and healthy subjects. Subjects & Methods: The study was performed on a total selleck inhibitor of 105 obese subjects (22 male and 83 female) aged 38.3 +/- 12.9 years and 80 healthy subjects (20 male and 60 female) aged 36.3 +/- 11.3 years. Plasma fatty acid composition was Givinostat purchase measured by gas chromatography-mass spectrometry, serum coenzyme Q(10) level was measured by high-performance liquid chromatography and

serum fetuin-A level was measured by ELISA methods. Results: Plasma myristic acid, palmitic acid, palmitoleic acid, 10c-heptadecanoic acid, linoleic acid, heneikosanoic acid, saturated fatty acids levels and Delta 9-desaturase activity of the obese subjects were significantly higher (p < 0.05), whereas behenic acid levels and elongase activity were significantly lower (p < 0.05) than the same parameters in the controls. There were no significant differences between plasma monounsaturated fatty acids, polyunsaturated fatty acids, serum coenzyme Q(10) and fetuin-A levels in either of the groups. Discussion: Our results demonstrate that plasma saturated fatty acid levels of obese subjects were significantly increased. Also, the plasma levels of some fatty acids and enzyme activities of both groups were significantly different from each other. The role of these findings in the development of obesity needs to be investigated further.

The development of effective rehabilitative strategies tailored to the needs of young MS patients is a priority for future research in the field.”
“We investigated the thickness-driven spin-reorientation transition (SRT) between in-plane and perpendicular easy axes in ultrathin magnetic films. Coherent rotation model calculations show that one can distinguish transition pathways via a canted state from those involving a state of coexisting phases by utilizing magnetic susceptibility measurements. Surface/interface

anisotropy constants and the influence of external fields on the SRT are also explored. Quantitative PARP inhibitor agreement between the experiment and our model is shown for the Co/Au(111) system. (C) 2011 American Institute of Physics. [doi:10.1063/1.3590709]“
“Macauba

(Acrocomia aculeata) is a palm of economic importance, widely distributed in natural forests from Mexico to Uruguay. We analyzed the genetic diversity of populations of macauba (A. aculeata) in LY2835219 in vitro the northern region of the State of Minas Gerais, Brazil. Young leaves from 10 Macauba individuals encompassing 49 genotypes of macauba were collected from Montes Claros, Itacambira, Brasilia de Minas, Mirabela, and Grao Mogol. After extraction and amplification of samples, the amplified fragments were separated by electrophoresis. We found high levels of genetic diversity within the populations. Genetic diversity indices were high,

except in the Itacambira and Mirabela populations. Results show that Mirabela and Itacambira populations can require conservation strategies because they present lower values of genetic diversity.”
“The aims of this article were to assess the methodological challenges of randomized controlled trials (RCTs) on cognitive interventions for people with multiple sclerosis, and to discuss specific problems related to rehabilitation trials. A bibliographic search was carried check details out. Selected articles were examined using five methodological quality criteria related to description of the target population, method of allocation, masking of patient and examiner, the outcome measures and analysis. A total of 12 RCTs, published between 1996 and 2010, were found. Five RCTs were on drug therapy (two on disease-modifying therapies, one on donepezil and two on drugs for fatigue). Seven RCTs were on rehabilitation (six on PC-based retraining techniques). The quality of the studies was overall low, inadequate selection of the target population and limited study size being the most frequent limitations. No clear improvement was found in the most recent studies. Additional methodological problems specific to rehabilitation trials are difficulties in defining and reproducing the study intervention.”
“Argon microplasmas generated at 0.9 GHz by a split-ring resonator form a single filament-shaped nonequilibrium glow discharge.

It almost always extends beyond clinically apparent margins and has a high rate of recurrence.

To establish treatment guidelines for EMPD in Asian patients.

A retrospective review was done on pertinent demographic data, tumor data, treatment characteristics, and follow-up data of 35 patients between 1996 and 2006. Review of literature for treatment modalities and recurrence rates of EMPD was also performed.

Thirty-four of the 35 patients (30 men

and 5 women) had GSK923295 mouse lesions in the genital area and one patient in the axilla. Mean follow-up duration was 62.7 months (8-156 months) and two of 11 (18.2%) recurred after Mohs micrographic surgery (MMS), compared with eight recurrences of 22 (36.4%) after standard wide excision. Two patients treated

with nonsurgical modalities did not achieve complete remission. Estimated 5-year tumor-free rate using Kaplan-Meier graph was 69.7% in all patients, with DMXAA cell line a rate of 81.8% for MMS and 63.6% for wide excision.

MMS is more effective, with lower recurrence rate than wide excision, and should be regarded as the first-line treatment for nonmetastatic EMPD.

The authors have indicated no significant interest with commercial supporters.”
“Objective: To review the current literature addressing the visualisation and clinical applicability of coronary artery blood flow in various foetal and neonatal settings.

Method: We reviewed original research papers, commentaries and review articles which studied the usefulness of coronary flow assessments in the growth restricted foetus, healthy neonates and neonates with clinical conditions such as asphyxia,

congenital heart disease and post-surgical duct ligation myocardial failure.

Results: Relevant literature showed that visualisation of coronary blood flow in growth restricted foetuses is considered an ominous sign and identifies a subgroup of foetuses with a poorer foetal and neonatal outcome. A direct relationship between coronary blood flow and echocardiographic parameters in healthy term infants was noted. These assessments also provided useful information in infants with heart disease and perinatal asphyxia. Coronary perfusion Alisertib molecular weight has been noted as an important haemodynamic marker in the peri-operative evaluation of preterm infants undergoing surgical duct ligation.

Conclusions: The available literature suggests that these assessments play an important role in improving the understanding of the underlying clinical physiology of the disease process in both the foetus and the newborn. Future research should focus on the evolution of coronary blood flow in clinical situations such as hypotension and inotropic support.”
“Having large, heavy breasts can be a problem for women. The widely accepted method of breast reduction is excision, but this procedure often leads to a large number of unwanted side effects and complications. There is, therefore, a need for an effective technique that produces fewer of these undesirable features.

We concluded that the nuclear donor cell lines have significant impact on the in vivo

development of cloned embryos and the incidence of LOS in cloned calves.”
“OBJECTIVE: Uterine synechiae have generally been considered benign findings in pregnancy. We used a large perinatal database to test the hypothesis that uterine synechiae are associated with pregnancy complications.

METHODS: We performed a retrospective cohort study of women with singleton pregnancies presenting for routine ultrasonographic examinations at 17-22 weeks Selleck JNK-IN-8 from 1990-2009. Pregnancies with multiple fetuses, amniotic bands, and congenital uterine anomalies were excluded. We compared pregnancy outcomes between women with and without uterine synechiae. Multivariable logistic regression was used to adjust

for confounders.

RESULTS: Of 65,518 pregnancies meeting inclusion criteria, 296 (0.45%) were diagnosed with uterine synechiae. Women with uterine synechiae were significantly more likely to have placental abruption (2.1% compared with 0.6%, adjusted odds ratio [OR] 3.25, 95% confidence interval [CI] 1.43-7.36), preterm premature rupture of membranes (PROM) (5.5% compared with 2.3%, adjusted PRIMA-1MET purchase OR 2.51, 95% CI 1.51-4.18), and cesarean delivery for malpresentation (5.1% compared with 3.0%, adjusted OR 1.75, 95% CI 1.04-2.95). The risks of placenta previa, fetal growth restriction, stillbirth, and preterm delivery were not significantly different.

CONCLUSION: Uterine synechiae are associated with significant increase in the risk of preterm PROM, placental abruption, and cesarean delivery for malpresentation. EPZ-6438 Epigenetics inhibitor The notion of uterine synechiae

as benign findings in pregnancy should be re-evaluated. (Obstet Gynecol 2012;119:810-4) DOI: 10.1097/AOG.0b013e31824be28a”
“A study was carried out to assess the spatial distribution of arsenic in the intertidal sediments of the River Scheldt in Belgium. Sediment samples were collected from different locations along the River Scheldt up to 100 cm depth and analysed for the major physicochemical properties. The study reveals that the arsenic contents in the sediment samples vary in a wide range, from 2.3 to 140.2 mg kg(-1) dry weight. Moreover, the arsenic concentrations are generally below the background concentrations and remediation thresholds of arsenic in Flanders, Belgium. The occurrence of arsenic is found closely related to some physicochemical properties of the sediments. Arsenic has a strong positive correlation with organic matter and clay contents. On the contrary, a negative correlation exists between arsenic, sand and pH. It is recommended to develop and use organic matter control practices for lowering further accumulation of arsenic within the sediments. (C) 2008 Elsevier Ltd. All rights reserved.”
“We describe the use of extracorporeal membrane oxygenation (ECMO) in a 30-year old woman at 37 weeks’ gestation, following cardiac arrest from pulmonary embolism immediately post-partum from an emergent Caesarean section.