Postsurgical wound progression monitored by temporal changes in the expression of matrix metalloproteinase-9

It is important to monitor the early stages of postoperative wound repair in order to identify those problems associated with impaired healing. Many of the crucial cellular responses of early wound healing, such as inflammatory infiltration, angiogenesis and re-epithelialization, are made possible through the action of matrix metalloproteinases (MMPs). Expression of MMP-2 and MMP-9 is elevated in acute wounds, and still greater levels are found in chronic wounds, indicating that uncontrolled proteolysis is a characteristic of retarded healing. Therefore, comparative measurements of MMPs may be used to monitor the progression of early wound healing. To investigate this, wound fluids and sera were collected from mastectomy and colectomy patients throughout early stages of repair, and the temporal expression profile established. Wounds which were healing were expressed maximal levels of MMP-9 at 24 h, followed by a significant decline by 48 h. Persistent elevation of MMP-9 expression was associated with infected and chronic wounds, and was identified in postoperative wounds by the absence of the significant decline between 24 and 48 h. Measurement of MMP-9 in postoperative wound fluids, therefore, provides an early indicator of impaired healing, which may be evaluated non-invasively within 48 h of closure.     

A surface distortion analysis applied to the hoop/column deployablemesh reflector antenna

A practical approach is demonstrated for the deterministic analysis of surface distortions in reflector antennas, based on a first-order approximation to the aperture field phase. Measured pattern results from the 15-m-diameter hoop/column deployable mesh reflector antenna are used to demonstrate the accuracy which can be obtained with this surface distortion analysis. The only practical limitation of the first-order approximation is determined by the slope derivations of the distorted surface from the best-fit paraboloid     

A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County, Minnesota, 1953-1989

BACKGROUND: Virtually all natural history studies of Wolff-Parkinson-White (WPW) syndrome have been case series and, as such, have been constrained by referral biases, skewed age and sex distributions, or brief follow-up periods. The purpose of our study was to examine the natural history, the development of arrhythmias, and the incidence of sudden death in an entire cohort of pediatric and adult WPW patients from a community-based local population. METHODS AND RESULTS: We identified 113 residents of Olmsted County, Minnesota, during the period 1953-1989 using the centralized records-linkage system provided by the Mayo Clinic and the Rochester Epidemiology Program Project. Medical records and ECGs were reviewed to confirm the diagnosis and to establish pathway location by ECG criteria. Follow-up, via record review and telephone interview, was complete in 95% of subjects through 1990. The incidence of newly diagnosed cases was approximately four per 100,000 per year. Preexcitation was not present on the initial ECG of 22% of the cohort. Approximately 50% of the population was asymptomatic at diagnosis, with 30% subsequently having symptoms related to arrhythmia at follow-up. Two sudden cardiac deaths (SCD) occurred over 1,338 patient-years of follow-up, yielding an overall SCD rate of 0.0015 (95% confidence interval, 0.0002-0.0054) per patient-year. No SCD occurred in patients asymptomatic at diagnosis. CONCLUSIONS: The incidence of sudden death in a local community-based population is low and suggests that electrophysiological testing should not be performed routinely in asymptomatic patients with WPW syndrome. Nevertheless, young, asymptomatic patients, particularly those < 40 years old, should return for medical follow-up should symptoms develop.     

Statistical properties of out-of-frame detection schemes fordigital transmission systems

The importance of the misframe times for DS1 frame synchronization has often been addressed in designing and using network elements and mediation units. By extending the work of J. H. Eu and W. W. Rollins (1991), Markov chain first passage time analysis is used to derive higher moments of the misframe times in both random and burst error environments. This methodology is of great value in evaluating frame synchronization techniques for digital transmission systems. By experimenting with several out-of-frame detection schemes and reasonable values for bit error ratio (BER), it is shown that misframe times are always approximately exponentially distributed for all schemes     

Perceptually meaningful image editing

We introduce a novel concept called perceptually meaningful image editing and present techniques for manipulating the apparent depth of objects and creating the illusion of motion in 2D images. Our techniques combine principles of human visual perception with approaches developed by traditional artists. For our depth manipulation technique, the user loads an image, selects an object and specifies whether the object should appear closer or further away. The system automatically determines luminance or color temperature target values for the object and/or background that achieve the desired depth change. Our approach for creating the illusion of motion exploits the differences between our peripheral vision and our foveal vision by introducing spatial imprecision to the image.     

Aorto-iliac thrombosis in a foal

A six-day-old Missouri foxtrotter colt was examined because it had had diarrhoea since it was 24 hours old. A diagnosis of colitis, septicaemia, and disruption of the arterial blood flow to the pelvic limbs was made on the basis of clinical and laboratory findings. Despite intensive medical therapy, the foal died 13 hours after being examined. Postmortem examination revealed diffuse fibrinous enteritis with lymphoid necrosis, multifocal fibrinonecrotic typhlocolitis, disseminated intravascular coagulation, and a large occluding thrombus at the aortic termination. The results of bacteriological culturing supported the diagnosis of septicaemia leading to activation of the clotting cascade, disseminated intravascular coagulation, aorto-iliac thrombosis and infarction of the pelvic limbs.     

Comparison of PCR and pp65 antigenemia assay with quantitative shell vial culture for detection of cytomegalovirus in blood leukocytes from solid-organ transplant recipients

This study compared PCR and an assay for cytomegalovirus (CMV) pp65 antigenemia (CMV-vue; INCSTAR Corp.) with a quantitative shell vial culture (QSVC) technique for the detection of CMV in serial blood specimens from 46 solid-organ transplant recipients. In a comparison based on 535 specimens tested by PCR and QSVC, CMV was detected by PCR in 41 and by QSVC in 37 of 43 recipients at risk of CMV infection. The mean number of days after transplantation of initial detection of CMV was 29.9 for PCR and 34.0 for QSVC (P = 0.01). The antigenemia assay was performed on 395 specimens, including 304 of those also tested by PCR. In these specimens, CMV was detected by the antigenemia assay, QSVC, and PCR in 30, 32, and 35 (respectively) of 38 patients at risk, with no statistically significant difference in the time to detection. Each of the assays detected CMV in similar proportions of patients with and without clinically significant CMV infection. PCR stayed positive longer after transplantation than the other assays but frequently returned to negative when more than 6 months had elapsed after transplantation. The antigenemia assay and PCR stayed positive longer after institution of antiviral therapy than QSVC. PCR can provide highly sensitive detection of CMV viremia, but a PCR assay for CMV is not yet available in kit form. The pp65 antigenemia assay and shell vial culture are quantifiable and comparable in sensitivity. Either is recommended for rapid detection of CMV in blood specimens from solid-organ transplant recipients.     

Microstructure and fracture behaviour of short and long fibre-reinforced polypropylene composites

Microstructure and fracture mechanical behaviour of injection-moulded, longer glass fibrereinforced polypropylene (Verton* aspect ratio 320) were studied as a function of fibre volume fraction and compared to that of shorter fibre-filled polypropylene (aspect ratio 70). Toughness was measured using instrumented notched lzod and falling weight impact tests, as well as compact tension specimens. It was found that the addition of longer fibres generally increased the toughness of the material, although more significant increases were seen in the impact tests than were seen in the compact tension test. For the latter results, a correlation between toughness improvement and microstructural details was performed on the basis of the microstructural efficiency concept, a semi-empirical approach of the formK _c,C = (a* +nR)K _c,M, where,K _c,C andK _c,M are the fracture toughnesses of the composite and the matrix, respectively,_a* is a matrix stress correction factor,n is a scaling parameter andR is a fibre reinforcement effectiveness factor. The latter corrects for differences in the composite microstructures, and incorporates effective fibre orientation factors, layering of injection moulded parts, and fibre volumes in the different layers.Nomenclature a crack length - a ^* matrix toughness correction factor - A cross-sectional area - B thickness of the sample plaques - C thickness of the composite core regions - E _peak energy adsorbed up to the maximum force in the impact load-displacement curve - E _t tensile modulus - F _max maximum force in impact force-displacement curves - f _p fibre orientation factor - f _pe effective orientation factor - f _pe,C effective orientation parameter, core region - f _{pe, s} effective orientation parameter, surface region - F critical load in the tensile test load-displacement curves - K _c critical stress intensity factor/fracture toughness - K _L fracture toughness of the composite materials - K _d dynamic fracture toughness - K _L fracture toughness of the matrix - L test with crack parallel to the mould filling direction - M microstructural efficiency factor - n scaling parameter for reinforcement effectiveness factor (energy absorbtion ratio) - R reinforcement effectiveness factor - S thickness of the composite surface regions - T test with crack perpendicular to the mould filling direction - V _f fibre volume fraction - V _m matrix volume fraction (= 1 —V _f) - W specimen width - W _f fibre weight fraction - W _m matrix weight fraction (= 1 —W _f) - X _n number average fibre length - X _v volume average fibre length - Y(a/ W) polynomial correction for compact tension specimens - variable in effective orientation factor formula - variable in effective orientation factor formula - _B strain to break - _c density of the composite - _f fibre density - _m matrix density - _F fracture strength - fibre angle with respect to a reference direction