Preparation and storage of platelet concentrates. I. Factors influencing the harvest of viable platelets from whole blood

Abnormalities of the systemic atrioventricular (A-V) valve are frequently present in patients with corrected transposition. Systemic A-V valve regurgitation is usually present and may be amenable to operative correction with valve replacement if the regurgitation is caused by normally positioned but deformed valve leaflets or a dilated valve ring, or both. Systemic A-V valve regurgitation secondary to the more common Ebstein-type malformation of the inverted tricuspid valve is an inoperable conditon at present. Displacement of the valve leaflets below the level of the valve ring may be seen in the angiocardiograms of patients with this finding and is the differentiating feature between the two lesions. Ten cases of systemic A-V valve regurgitation in patients with corrected transposition are reviewed to illustrate these features.     

Attaching community psychiatric nurses to general practice

A scheme for attachment of psychiatric nurses from hospital to group practice in Oxford is described. One community psychiatric nurse can work satisfactorily with eight general practitioners covering a population of about 18,000. From analysis of a working year, it is concluded that this arrangement improves the care of patients in the community by providing psychiatric help at times when it was previously unavailable or unacceptable.The implications of such a scheme for the workings of the primary health care team and the hospital psychiatric service are considered, and a case is made for a further study involving a comparison between practices with and without the attachment of a community psychiatric nurse.     

In Search of the "Ideal" Pear (pyrus spp.): Results of a Multidisciplinary Exploration

Preference mapping with 10 pears identified 3 segments among New Zealand consumers. While 1 segment preferred ripe European cultivars, another rejected only the seedling with strong off‐flavors. A 3rd segment combined the 2 former segments, but also rejected 2 hybrid samples. Survey responses to the question “To me, the ideal pear is ?” from a 2nd consumer sample confirmed the general preference for juicy and sweet pears, the key characteristics of ripeness. A separate appearance evaluation revealed 4 segments based on color and shape. Combining information from several sources resulted in suggestions for new breeding directions for pears, while highlighting the importance of appearance and the need for more extensive measurements.     

Antithrombotic potency of hirudin is increased in nonhuman primates by fibrin targeting

BACKGROUND: Inhibition of thrombin by either the indirect thrombin inhibitor heparin or by more potent direct thrombin inhibitors such as hirudin reduces thrombus formation after arterial injury. The present study was designed to determine if a fibrin-specific thrombin inhibitor could, by local thrombin inhibition, prevent thrombosis more effectively. METHODS AND RESULTS: We first studied antithrombotic potency in vitro, comparing fibrin-targeted hirudin (recombinant hirudin covalently linked to the Fab' fragment of the anti-fibrin monoclonal antibody 59D8) to recombinant hirudin in baboon plasma. Fibrin-targeted hirudin was nine times more effective than recombinant hirudin in inhibiting fibrin deposition on experimental clot surfaces in baboon plasma (P < .01). The potency of fibrin-targeted hirudin was then compared with that of recombinant hirudin in a baboon model of thrombus formation. 111In-labeled platelet deposition was measured in a synthetic graft segment of an extracorporeal arteriovenous shunt in control animals and in animals receiving either fibrin-targeted hirudin or hirudin. In these experiments, fibrin-targeted hirudin was 10-fold more potent than hirudin in inhibiting platelet deposition and thrombus formation (P < .05). CONCLUSIONS: These data indicate that targeting a thrombin inhibitors such as hirudin to an epitope present in thrombi results in increased antithrombotic potency.     

Nuclear waste solids

Glass and polycrystalline materials for high-level radioactive waste immobilization are discussed. Borosilicate glass has been selected as the waste form for defence high-level radwaste in the US. Since release of the radionuclides to the biosphere is the major concern, this paper focuses on the potential interactions between the waste form and its surroundings. In addition to laboratory data, results from field testing are also presented in order to provide a comprehensive overview of glass leaching under near repository-like conditions.     

Ionospheric wave spectrum measurements

A significant quantity to be measured in the ionosphere is the local spectrum, S(k,ω), of either potential or electron density fluctuations. One can determine from S(k,ω) characteristics of the macroscopic plasma such as the local density and temperature, transport coefficients, and drift current. Determination of S(k,ω) may be carried out by measurement of the cross-power spectrum. Signals from two probes are passed through a cross-power spectrum analyzer, and the measurement is repeated for a series of probe separations. The resulting cross-power spectra, H(r,ω), must be Fourier-transformed to obtain S(k,ω). A number of questions pertinent to the use of this method in space are discussed. These include the expected signal-to-noise ratio, and the frequency and wave-number resolution attainable.     

Microstructures of Simulated Nuclear Waste

The microstructures of simulated tailored ceramic forms for the Idaho Chemical Processing Plant (ICPP) high-level waste were characterized by TEM. The ceramic forms were consolidated from simulated ICPP waste calcines with either silicayttria-based or silica–lithia-based additives by hot isostatic pressing. The hot isostatically pressed ceramic waste forms are composed of cubic CaF₂, monoclinic ZrO₂, stabilized cubic ZrO₂, tetragonal ZrSiO₄, and amorphous silicate phases which can be phase separated. The phaseseparated glass is a result of phase immiscibility in the soda aluminosilicate glass to the compositions of albite and mullite.     

The TFTR Lithium Blanket Module program

The Lithium Blanket Module (LBM) is an approximately 80×80×80 cm cubic module, representative of a helium-cooled lithium oxide fusion reactor blanket module, that will be installed on the TFTR (Tokamak Fusion Test Reactor) in late 1986. The principal objective of the LBM Program is to perform a series of neutron transport and tritium-breeding measurements throughout the LBM when it is exposed to the TFTR toroidal fusion neutron source, and to compare these data with the predictions of Monte Carlo (MCNP) neutronics codes. The LBM consists of 920 2.5-cm diameter breeder rods constructed of lithium oxide (Li₂O) pellets housed in thin-walled stainless steel tubes. Procedures for mass-producing 25,000 Li₂O pellets with satisfactory reproducibility were developed using purified Li₂O powder, and fabrication of all the breeder rods was completed in early 1985. Tritium assay methods were investigated experimentally using both small lithium metal samples and LBM-type pellets. This work demonstrated that the thermal extraction method will be satisfactory for accurate evaluation of the minute concentrations of tritium expected in the LBM pellets (0.1–1 nCi/g).