The interleukin-10 promoter genotype predicts diastolic dysfunction in maintenance hemodialysis patients

Interleukin-10 (IL-10) predominantly acts as an anti-inflammatory factor. Polymorphisms in the IL-10 gene promoter determine quantitative cytokine production. Doppler echocardiography and tissue Doppler imaging (TDI) are superior to conventional echocardiography to evaluate diastolic dysfunction. The IL-10 gene promoter polymorphism at position (-1082) was studied for its association with conventional and Doppler echocardiographic and TDI parameters in 112 hemodialysis (HD) patients. Blood pressure, serum C-reactive protein (CRP), and albumin levels were also examined for the association study. The genetic association study showed that among the HD patients, there was no difference in the prevalence of systolic and diastolic dysfunction between genotypes on conventional echocardiography. However, using Doppler echocardiography and TDI, high producers for the IL-10 -1082 promoter (-1082/GG) have higher E velocities, E/A values, lateral, and septal E' velocities and a lower isovolumic ventricular relaxation time than low (-1082/AA) and intermediate producers (-1082/GA). Significantly higher levels of serum CRP levels and lower plasma albumin levels were found in low and intermediate producers for the IL-10 -1082 promoter than high producers. The IL-10 genotype may balance the effects of inflammatory cytokines on the myocardium and may be a determinant of LV function in HD patients.     

Balanced parallel sort on hypercube multiprocessors

A parallel sorting algorithm for sorting n elements evenly distributed over 2^d p nodes of a d-dimensional hypercube is presented. The average running time of the algorithm is O((n log n)/p+p log 2n). The algorithm maintains a perfect load balance in the nodes by determining the (kn/p)th elements (k1,. . ., (p-1)) of the final sorted list in advance. These p-1 keys are used to partition the sorted sublists in each node to redistribute data to the nodes to be merged in parallel. The nodes finish the sort with an equal number of elements (n/ p) regardless of the data distribution. A parallel selection algorithm for determining the balanced partition keys in O(p log2n) time is presented. The speed of the sorting algorithm is further enhanced by the distance-d communication capability of the iPSC/2 hypercube computer and a novel conflict-free routing algorithm. Experimental results on a 16-node hypercube computer show that the sorting algorithm is competitive with the previous algorithms and faster for skewed data distributions     

Differentiation of benign and malignant cervical lymph nodes: value of B-mode and color Doppler sonography

AIM: Acute mesenteric ischemia is difficult to diagnose and is combined with a high mortality. In a retrospective analysis it was investigated how to improve the poor prognosis of the disease. PATIENTS AND METHODS: Between January 1988 through December 1994 a total of 46 patients were operated on for acute mesenteric ischemia. Mesenteric artery occlusion was present in three quarters of the cases (n = 35). These were analysed according to symptoms, diagnosis, mechanism of occlusion, operative procedure and prognosis. Distribution of gender was almost balanced (19 women, 16 men) with a median age of 70.5 years. RESULTS: Embolic arterial occlusion was predominant (n = 22). Most frequently, the superior mesenteric artery was exclusively concerned (n = 22). Serum levels of lactate and leucocytes were preoperatively elevated in over 90% (median values: lactate 53 U/l, leucocytes 15050/ml). In 16 patients diagnosis was made on the ground of clinical parameters and/or angiography, but 19 patients were not diagnosed until operation. 19 patients were operated within 6 hours, 12 patients within 24 hours after admission (> 24 hours: n = 4). Vascular reconstructive procedures only, such as thrombectomy and/or aortomesenteric bypass were performed in 9 cases, in a further 7 cases combined with bowel resection. Bowel resection alone was done in 7 patients, 12 patients had only diagnostic laparotomy. 13 patients survived, 10 of them had been treated with vascular reconstruction. CONCLUSION: Acute mesenteric ischemia ought to be suspected in every patient with uncertain abdominal pain, because only early diagnosis can improve prognosis. Measurement of serum lactate is diagnostically helpful, although not proving. In case of elevated lactate levels and uncertain abdominal symptoms angiography of the mesenteric vessels should be performed early. At operation, blood flow in the mesenteric arteries should be restored whenever possible.     

An RTM densification method of manufacturing carbon-carbon composites using Primaset PT-30 resin

This paper presents a development of carbon-carbon (C-C) composite by resin transfer molding (RTM) process. The RTM was used for both manufacturing of the resin matrix composite part as well as impregnation of the carbonized parts. Materials chosen were heat-treated T300 2-D carbon fabric and Primaset PT-30 cyanate ester. The PT-30 resin has a char yield similar to that of phenolics, very low volatiles, low viscosity at processing temperatures, and no by-products during cure, and hence, an excellent choice for RTM process. The process consists of RTM of the composite part, carbonization, RTM impregnation, and re-carbonization. The last two steps were repeated to achieve the desired density. The measured density and mechanical properties of just two times-densified C-C composite panels were superior to or nearly the same as the data in the literature by other processes. The RTM densification is about twice as fast as the resin solution method and it is environment friendly.     

Evaluation of blends tincal waste, volcanic tuff, bentonite and fly ash for use as a cement admixture

The evaluation of blends tincal waste (TW), fly ash (FA), bentonite (BE), volcanic tuff (VT) for use as a cement admixture was investigated. The properties examined include setting time, expansion, water requirement, specific surface and compressive strength of cement mixtures. The results revealed that the early compressive strength decrease with increasing tincal waste, due to tincal waste increasing initial setting time of the cement. The tincal waste and volcanic tuff of cement mixtures increased and there was reduction in compressive strength. The more the tincal waste increased the greater retardation there was initial setting time this may be attributed to containing high amount B2O3 and MgO content. The tincal waste and fly ash increased with expansion increased. Water requirement increased as the Blaine fineness of the cement mixtures increased. The results obtained were compared with standards and five batches were advised as suitable for the standard.