Coexistence of life threatening chemotherapy related leukoencephalopathy, saggital sinus thrombosis and multiple organ failure in a child with acute lymphoblastic leukemia: an unusual case with clinical recovery

A nine-year old girl with T cell acute lymphoblastic leukemia (ALL) had acute severe neurologic complications at the end of the remission-induction chemotherapy course. Thirty-six hours following triple intrathecal (IT) therapy and intravenous (IV) administration of L-asparaginase (L-asp), tetraplegia developed and she became unconscious. She had bouts of hypertension and persistent tachycardia unresponsive to digitalis therapy. Magnetic resonance imaging (MRI) showed multiple brain white matter hyperintensities and filling defects in the saggital sinus, suggesting thrombosis. Over the 40 days, in addition to her neurologic compromise she also had transient diabetes mellitus, severe hyperlipidemia, hypoproteinemia and edema, liver and heart failure and staphylococcus aureus sepsis with prolonged bone marrow depression. Despite, coexistence of all these chemotherapy related complications, her neurologic functions and multiple organ failure improved gradually. After a 70 days' period of interruption, chemotherapy was resumed and continued without any further complications. Although, the etiology of her extensive sensitivity to some drugs remains unclear, we believe that it is important to document these unusual events in this child.     

A NIC with Impedance Scaling Properties Using Unity Gain Cells

A novel negative impedance converter (NIC) is proposed. This configuration is based on unity gain cells (a cascade of current and voltage followers with unity gains). The proposed circuit has wide band impedance scaling property, and it is suitable for practical implementation of realizing high-negative-valued passive components.     

Metal Organic Framework Crystals in Mixed‐Matrix Membranes: Impact of the Filler Morphology on the Gas Separation Performance

Mixed‐matrix membranes comprising NH₂‐MIL‐53(Al) and Matrimid or 6FDA‐DAM have been investigated. The metal organic framework (MOF) loading has been varied between 5 and 20 wt%, while NH₂‐MIL‐53(Al) with three different morphologies, nanoparticles, nanorods, and microneedles has been dispersed in Matrimid. The synthesized membranes have been tested in the separation of CO₂ from CH₄ in an equimolar mixture. At 3 bar and 298 K for 8 wt% MOF loading, incorporation of NH₂‐MIL‐53(Al) nanoparticles leads to the largest improvement compared to nanorods and microneedles. The incorporation of the best performing filler, i.e., NH₂‐MIL‐53(Al) nanoparticles, into the highly permeable 6FDA‐DAM has a larger effect, and the CO₂ permeability increases up to 85% with slightly lower selectivities for 20 wt% MOF loading. Specifically, these membranes have a permeability of 660 Barrer with a CO₂/CH₄ separation factor of 28, leading to a performance very close to the Robeson limit of 2008. Furthermore, a new non‐destructive technique based on Raman spectroscopy mapping is introduced to assess the homogeneity of the filler dispersion in the polymer matrix. The MOF contribution can be calculated by modeling the spectra. The determined homogeneity of the MOF filler distribution in the polymer is confirmed by focused ion beam scanning electron microscopy analysis.     

A low-voltage CMOS switch with a novel clock boosting scheme

There is a strong demand for an input switch in switched-capacitor circuits, covering rail-to-rail signal swing when low power-supply voltages are used. This brief proposes a novel clock-boosting scheme. The generated clock voltages of this new circuit are applied to a regular CMOS transmission gate to implement a simple and robust sampling switch when the supply voltages are very low. In this new approach, during the sampling phase, the gate-voltage of an nMOS switch is boosted up to V/sub dd/+k/spl middot/V/sub dd/, and the gate voltage of a pMOS switch is lowered to V/sub gnd/-k/spl middot/V/sub dd/, where k can be made programmable, and is usually smaller than 1. This allows sampling of the full signal swing, even when supply voltages are lower than |V/sub th/,p|+V/sub th/,n without applying extreme stress to the gate oxide of a transistor.     

Switched-capacitor resonator structure with improved performance

A novel switched-capacitor resonator circuit is proposed. Its centre frequency is insensitive to the finite bandwidth and gain of the opamps used     

Tensile Bond Strength of a Highly Cross-Linked Denture Tooth to the Compression-Molded and Injection-Molded Denture Base Polymers

This study compared tensile bond strengths between conventional compression-molded heat (HC)-, auto (AP)-, and microwave-polymerized (MC) poly(methyl methacrylate)-based denture resins and a relatively new injection-molded, microwave-polymerized polyurethane based resin (MI) bonded to a highly cross-linked denture tooth. In the first part of the experiments, denture teeth were used as received. In the second part, they were treated with dichloromethane to see its effect on bonding of conventional denture bases (HCS and APS). Bond strength was tested in tension according to ADA specification No.15. The results showed that the HC group failed cohesively because of higher interface bonding (49.95 MPa) compared with those of the others (AP: 25.41 MPa; MC: 22.06 MPa; MI: 20.02 MPa). The application of dichloromethane improved bond strengths of HCS and APS groups (60.61 and 32.03 MPa, respectively). It was suggested that dichloromethane could be applied on the denture teeth ridge lap area prior to denture base processing to enhance adhesion between the tooth/resin.     

Characterization of Terebinth Fruit Oil and Optimization of Acidolysis Reaction with Caprylic and Stearic Acids

Characterization of the fatty acid and triacylglycerol composition of terebinth fruit oil and the synthesis of structured lipids (SL) were performed in this study. Interesterification reaction of terebinth fruits oil (Pistacia terebinthus L.) with caprylic acid (CA) and stearic acid (SA) to produce a SL was performed in n-hexane using immobilized sn-1,3 specific lipase from Mucor miehei. The effect of reaction conditions and relationship among them were analyzed by response surface methodology (RSM) with a four-factors five-level central composite rotatable experimental design. The four major factors chosen were enzyme load (10–30 wt% based on substrates), reaction time (7–18 h), reaction temperature (40–60 °C) and substrate mole ratio (terebinth oil:SA:CA 1:1:1–1:1:3). The best fitting quadratic model was determined by regression and backward elimination. Based on the fitted model, the optimal reaction conditions for the incorporation of CA and SA were found to be temperature 50 °C; time 18 h; enzyme load 30 wt%; substrate ratio 1:1:3. Under these optimum conditions, the incorporation of SA and CA could be obtained as 19 and 14%, respectively.     

Transient protein-protein interactions

Transient complexes are crucial for diverse biological processes such as biochemical pathways and signaling cascades in the cell. Here, we give an overview of the transient interactions; the importance of transient interactions as drug targets; and the structural characterization of transient protein-protein complexes based on the geometrical and physicochemical features of the transient complexes' interfaces. To better understand and eventually design transient protein-protein interactions (TPPIs), a molecular perspective of the protein-protein interfaces is necessary. Obtaining high-quality structures of protein-protein interactions could be one way of achieving this goal. After introducing the association kinetics of TPPIs, we elaborate on the experimental techniques detecting TPPIs in combination with the computational methods which classify transient and/or non-obligate complexes. In this review, currently available databases and servers that can be used to identify and predict TPPIs are also compiled.     

Varnish layer hardness of oriental beech (fagus orientalist L.) wood as affected by impregnation and bleaching

The impacts of impregnation and bleaching on the varnish layer hardness of Oriental beech (Fagus orientalist L.) wood were investigated. A number of bleaching combinations {[NaOH−H₂O₂], [NaOH−Ca(OH)₂−H₂O₂], [NaOH−MgSO₄−H₂O₂] [NaHSO₃−H₂C₂O₄], [NaSiO₃−H₂O₂], [KMnO₄+NaHSO₃+H₂O₃]} were applied at 18% concentration for bleaching to both impregnated and unimpregnated specimens of Oriental beech wood. Subsequently, water-based (WB) varnish was coated over the samples and the varnish layer hardness values were determined in accordance with ASTM D 4366-95. All of the chemicals used for bleaching reduced the surface hardness. However, after varnish coating, the hardness of most samples was similar to that of the varnish-coated natural (control) samples.     

Histone Methylation Marks on Circulating Nucleosomes as Novel Blood-Based Biomarker in Colorectal Cancer

Circulating nucleic acids (CNAs) are under investigation as a liquid biopsy in cancer as potential non-invasive biomarkers, as stable structure in circulation nucleosomes could be valuable sources for detection of cancer-specific alterations in histone modifications. Our interest is in histone methylation marks with a focus on colorectal cancer, one of the leading cancers respective the incidence and mortality. Our previous work included the analysis of trimethylations of lysine 9 on histone 3 (H3K9me3) and of lysine 20 on histone 4 (H4K20me3) by chromatin immuno- precipitation-related PCR in circulating nucleosomes. Here we asked whether global immunologic measurement of histone marks in circulation could be a suitable approach to show their potential as biomarkers. In addition to H3K9me3 and H4K20me3 we also measured H3K27me3 in plasma samples from CRC patients (n = 63) and cancer free individuals (n = 40) by ELISA-based methylation assays. Our results show that of three marks, the amounts of H3K27me3 (p = 0.04) and H4K20me3 (p < 0.001) were significantly lower in CRC patients than in healthy controls. For H3K9me3 similar amounts were measured in both groups. Areas under the curve (AUC) in receiver operating characteristic (ROC) curves indicating the power of CRC detection were 0.620 for H3K27me3, 0.715 for H4K20me3 and 0.769 for the combination of both markers. In conclusion, findings of this preliminary study reveal the potential of blood-based detection of CRC by quantification of histone methylation marks and the additive effect of the marker combination.