A comparative laboratory study of liquid nitrogen and argon gas cryosurgery systems

Impaired adrenal function during perioperative stress carries the risk of acute cortisol (Cs) deficiency (Addisonian crisis), which may be critical without Cs supplementation. Thus, with evidence of dysfunction of the adrenal glands perioperative substitution is indicated. However, it is unclear whether unilateral adrenalectomy may attenuate the adrenocorticoid response. Glucocorticosteroids are potent agents with several well-known side effects. The purpose of the present study was to evaluate if routine Cs supplementation is justified and necessary in patients undergoing adrenalectomy during nephrectomy for renal-cell cancer. METHODS: Ten consecutive patients with renal-cell cancer (5 male, 5 female; age 58 +/- 10 years; ASA class I-II) who underwent adrenalectomy with radical nephrectomy were included in this study. None of them had received steroids for at least 5 years prior to the current surgery. Anaesthesia was induced with propofol, fentanyl, and vecuronium and maintained with isoflurane (PetIso: 0.8 +/- 0.3 vol.%) in nitrous oxide (66%) and oxygen. The patients did not receive any Cs treatment perioperatively. Monitoring included heart rate (beats/min), mean arterial pressure (mm Hg), central venous pressure (mm Hg), O2 saturation (%), and body temperature (degrees C, rectal). Plasma analyses included Cs (Cs radioimmunoassay IBL; normal 120-250 ng/ml), adrenocorticotropic hormone (ACTH) (ACTH-II IRMA; normal (10-50 pg/ml), glucose, and electrolytes determined as follows: preoperatively (8 a.m.); 1-6 h (60-min intervals) after surgery; pre-corticotropin-releasing hormone (CRH) (Corticobiss: 2 micrograms/kg i.v.) administration (1st postop. day at 8 a.m. and after 30, 60, 90, and 120 min. The study was completed with plasma analyses on postoperative days 2 and 3 (8 a.m.). RESULTS: None of the patients showed any clinical signs of plasma parameter of adrenal insufficiency due to the unilateral adrenalectomy. Serum levels (median: 25%/75% percentiles) of Cs (maximum [max.]:253 [217/288] ng/ml) and ACTH (max.:347 ([68/405] pg/ml) were elevated above the normal range postoperatively). After intravenous stimulation with CRH (1st postoperative day), Cs (max.:273 [248/310] ng/ml) and ACTH (max.: 107 ([75/275] pg/ml) were also increased above normal. During postoperative days 2 and 3 (8 a.m.) Cs and ACTH remained in the high-normal range. CONCLUSIONS: Data from this study indicate that unilateral adrenalectomy was associated with adequate spontaneous Cs secretion by the remaining adrenal gland. Moreover, stimulation with CRH demonstrated adequate reactivity of the pituitary-adrenal axis. None of the patients showed any signs of Cs deficiency by clinical or serum parameters. Therefore, we do not recommend routine Cs supplementation in patients undergoing adrenalectomy during tumor nephrectomy, nevertheless, Cs supplementation remains necessary for patients with primary hypothalamic-pituitary-adrenal dysfunction (Addison's disease) or hyperfunction (Cushing's disease).     

Modelling sweetness and texture perception in model emulsion systems

Model emulsion samples, prepared subject to a d-optimal response surface design, were used to investigate the effect of rapeseed oil, sugar and hydroxypropyl methyl cellulose thickener (HPMC) on perceived sweetness, textural attributes (thickness, stickiness, mouth-coating, dispersing), instrumental measures of apparent viscosity 50 s⁻¹ and Kokini oral shear stress. An increase in oil, sugar and HPMC resulted in an increase in perceived thickness, stickiness and mouth-coating, and a decrease in dispersion; sweetness was enhanced by the addition of both sugar and oil but suppressed by the addition of HPMC. Viscosity and Kokini oral shear stress were well correlated with oral thickness (r ² > 0.9). Validated multiple linear regression models highlighted several 2-factor interactions between ingredients. Model statistics indicated that the variation in data was well explained; the models were predictive and could be used to navigate the design space. Samples predicted to be iso-thick and iso-sweet could not be discriminated (P > 0.10) in a 3-alternative forced choice (3-AFC) test using 35 panellists.     

Treatment of posttraumatic stress disorder with comorbid panic attacks: Combining cognitive processing therapy with panic control treatment techniques.

A large proportion of patients who present for treatment of posttraumatic stress disorder (PTSD) experience comorbid panic attacks, yet currently available PTSD treatment programs do not address this problem. This report provides an initial evaluation of a newly developed treatment, multiple channel exposure therapy (M-CET), for comorbid PTSD and panic attacks. The treatment uses elements of cognitive processing therapy treatment for PTSD and elements of panic control treatment to target physiological, cognitive, and behavioral symptoms. Results suggest that M-CET may be a promising treatment program for a subset of PTSD patients who experience panic attacks. Preliminary guidelines for conducting M-CET in a group format with participants exposed to diverse traumatic events are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treatment and Decolorization of Dyes in an Anaerobic Baffled Reactor

Synthetic organic colorants, the majority of which are recalcitrant in nature, are used universally in many different manufacturing processes. The dyes are released into the environment in industrial effluents and are highly visible even at low concentrations (<1 mg∕L). Added to this, certain dyes, dye precursors, and aromatic amines have been shown to be carcinogenic. Thus, appropriate treatment of dye wastewaters to remove color and the dye compounds is clearly an important issue. Methanogenic toxicity tests on several food dyes provided a range of toxicity results, from noninhibitory (IC50 >20 g∕L) to inhibitory (IC50 0.2 mg∕L). Batch biodegradability assays indicated that the dyes were not readily utilized by the anaerobic microorganisms as a sole substrate. Decolorization of the dye tartrazine was investigated in a laboratory-scale anaerobic baffled reactor at a concentration of 250 mg∕L. Reduction in COD of 50–60% and color reduction of about 95% was achieved. Initially the tartrazine was not readily decolorized; however, decolorization improved with acclimation of the biomass. An industrial wastewater from a food dye manufacturer was fed to a second laboratory-scale anaerobic baffled reactor at a concentration of 5% (volume-to-volume ratio) and then increased to 10% (volume-to-volume ratio). Anaerobic degradation of the wastewater was efficient. Methanogenic activity was high; the organic content of the influent was reduced by about 70%, and color was reduced by almost 90%     

Children's use of the common ground in interpreting ambiguous referential utterances.

Common ground is contextual information shared by a listener and speaker that enables the listener to convert an ambiguous utterance to an informative communication. Four experiments examined young children's understanding of the common ground in interpreting ambiguous referential utterances. Kindergarten and 2nd-grade children and college students were read short vignettes containing statement, joint activity, status common ground, and an ambiguous or informative utterance about a display of 4–6 object drawings. The subjects were asked (a) whether the listener knew which object to pick (Experiment 1), (b) to pick an object themselves or choose "none" (Experiment 2), (c) the source of the listener's knowledge in the context or utterance (Experiment 3), and (d) whether a designated object was the "right one," the one the speaker "meant," or the one the speaker "could have meant" (Experiment 4). Even the kindergarten children used statement information effectively in interpreting ambiguous utterances, and all groups had difficulty using status information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recovery of cellulases by adsorption/desorption using cation exchange resins

Cellulases from Trichoderma reesei were recovered by adsorption in sodium acetate buffer at lower pH using cation exchange resins followed by desorption at higher pH. The weakly acidic ion exchange resin WK10 was found to be the best among the six resins tested in terms of the enzyme activity recovery. The optimal pH values for the adsorption and desorption were 4.0 and 8.0, respectively, and the optimal adsorption and desorption times were both 5 h. Almost 100% of the initial cellulase activity was recovered under the optimal conditions with the supplement of β-glucosidase, which was unable to be efficiently recovered due to its strong adsorption (95.7%) but poor desorption (1.9%).     

Discharge Measurement Using Portable Dilution Gauging Flowmeters

This paper suggests that the relative salt (sodium chloride) dilution method should be more widely used for the routine measurement of stream discharge, and has been written to increase awareness of the technique among flow-gauging practitioners. Recent improvements in instrumentation have increased accuracy and simplified practical application, making the method better suited (in many circumstances) than the more widely used alternatives. The paper (a) reports on a field study to evaluate the performance of a portable dilution-gauging flowmeter, and (b) considers the environmental issues which are associated with the method. The review reveals that the use of salt (in the quantities typically required) is unlikely to have any significant ecological impact, and argues that environmental concerns are founded upon little scientific basis.