Orthostatic postural tachycardia: study of 8 patients

Foreign body aspiration (FBA) is a leading cause of accidental death in children less than one year old and is the cause of death in 7% of children less than four. Food items, especially peanuts, are the most common items aspirated in infants and toddlers, whereas older children are more likely to aspirate non-food items such as pen caps, pins, and paper clips. A high degree of suspicion is required to diagnose FBA. A history of a witnessed choking episode is most important in early diagnosis. An asymptomatic period is common after aspiration and contributes to a delay in diagnosis of greater than one week in 12% to 26% of patients. This delay in diagnosis causes increased morbidity from bronchial inflammation, obstruction, and pneumonia which is resistant to treatment. Prompt endoscopic removal of the foreign body with an open rigid bronchoscope under general anesthesia is the mainstay of therapy.     

Genetic analysis of the chitinase system of Serratia marcescens 2170

To carry out a genetic analysis of the degradation and utilization of chitin by Serratia marcescens 2170, various Tn5 insertion mutants with characteristic defects in chitinase production were isolated and partially characterized. Prior to the isolation of the mutants, proteins secreted into culture medium in the presence of chitin were analyzed. Four chitinases, A, B, C1, and C2, among other proteins, were detected in the culture supernatant of S. marcescens 2170. All four chitinases and a 21-kDa protein (CBP21) lacking chitinase activity showed chitin binding activity. Cloning and sequencing analysis of the genes encoding chitinases A and B of strain 2170 revealed extensive similarities to those of other strains of S. marcescens described previously. Tn5 insertion mutagenesis of strain 2170 was carried out, and mutants which formed altered clearing zones of colloidal chitin were selected. The obtained mutants were divided into five classes as follows: mutants with (i) no clearing zones, (ii) fuzzy clearing zones, (iii) large clearing zones, (iv) delayed clearing zones, and (v) small clearing zones. Preliminary characterization suggested that some of these mutants have defects in chitinase excretion, a negatively regulating mechanism of chitinase gene expression, an essential factor for chitinase gene expression, and a structural gene for a particular chitinase. These mutants could allow researchers to identify the genes involved in the degradation and utilization of chitin by S. marcescens 2170.     

NMR and modeling studies of protein-carbohydrate interactions: synthesis, three-dimensional structure, and recognition properties of a minimum hevein domain with binding affinity for chitooligosaccharides

HEV32, a 32-residue, truncated hevein lacking eleven C-terminal amino acids, was synthesized by solid-phase methodology and correctly folded with three cysteine bridge pairs. The affinities of HEV32 for small chitin fragments--in the forms of N,N',N"-triacetylchitotriose ((GlcNAc)3) (millimolar) and N,N',N",N"',N",N"'-hexaacetylchitohexaose ((GlcNAc)6) (micromolar)--as measured by NMR and fluorescence methods, are comparable with those of native hevein. The HEV32 ligand-binding process is enthalpy driven, while entropy opposes binding. The NMR structure of ligand-bound HEV32 in aqueous solution was determined to be highly similar to the NMR structure of ligand-bound hevein. Solvated molecular-dynamics simulations were performed in order to monitor the changes in side-chain conformation of the binding site of HEV32 and hevein upon interaction with ligands. The calculations suggest that the Trp21 side-chain orientation of HEV32 in the free form differs from that in the bound state; this agrees with fluorescence and thermodynamic data. HEV32 provides a simple molecular model for studying protein-carbohydrate interactions and for understanding the physiological relevance of small native hevein domains lacking C-terminal residues.     

MR imaging of baker cysts—prevalence and relation to internal derangements of the knee

Rationale and objectives: To evaluate the prevalence of popliteal cysts in patients studied with magnetic resonance (MR) imaging. Cyst presence and volume will be related to other internal derangement of the knee.Materials and methods: Three hundred and eighty-two consecutive patients with a MR study of the knee were included. Images were obtained in the three spatial orthogonal planes and evaluated through consensus. Four categories were established for the Baker cyst and synovial fluid (absence, minimum, moderate and massive), and the presence of meniscal, cruciate ligaments and cartilage lesions were recorded. Statistical analysis was carried out with bivariate analysis (χ² of Pearson and Gamma tests).Results: From the 382 patients, 145 had Baker cysts (38.0%). Cyst content was minimum in 99, moderate in 34 and massive in 12. Joint effusion was observed in 269 patients (70.4%), being minimal in 140 patients, moderate in 119 and massive in ten. Meniscal lesions were observed in 195 patients (51%), while 58 patients (15%) had a cruciate ligament lesion. Baker cyst has a statistically significant direct relationship with the presence and quantity of synovial fluid (P=0.002) and with the presence and type of meniscal lesion (P=0.01) but not with cruciate ligaments or cartilage lesions.Conclusions: The prevalence of Baker cysts in MR studies of the knee is high. Its presence and volume are related to the quantity of synovial fluid, and to the presence and severity of meniscal lesions.     

改进光电晶体管线性运行的反馈电路

当设计者用光电晶体管将一个调制后的光信号转换成电信号时,如果有高亮度的背光使光电晶体管饱和,就会遇到麻烦.当光电晶体管基极端悬浮时,其集电极/射极电压只取决于信号与背光重叠而产生的光电流.光电晶体管增益及其作用区范围由R1阻值(见图1)确定.R1阻值较高时,电路的增益增加,但光电晶体管会很快饱和.图1中没有背光照射时,晶体管工作在其线性区的偏置点φ2,Q1的集电极电压围绕VCE作线性变化.其输出VOUT准确地重复使调制光信号产生幅度波动.当施加外部稳定的背光照明时,电路的工作点移至偏置点φ3,输出电压被压缩并出现失真.     

Changes in the physico-chemical properties of casein micelles during ultrafiltration combined with diafiltration

The objective of this work was to determine if after membrane processing, the physical properties of casein micelles change. Milk was concentrated by ultrafiltration, and also subjected to various levels of diafiltration, by addition of water to the retentate. After the membrane concentration process, the retentates were diluted back to their original concentration, to study their physico-chemical properties. For better comparison, all the samples were dialyzed against the original milk, to obtain similar serum compositions. For the first time, the effect of different levels of diafiltration was studied. Diafiltration induced losses of colloidal calcium phosphate and caused changes in the turbidity parameter (1/l*) measured by light scattering, as well as in the ultrasonic properties (velocity and attenuation) of the casein micelles. When tested in a similar serum environment, the reconstituted micelles after diafiltration showed a lower susceptibility to aggregation and the rennet induced gels had a lower storage modulus than those formed with the original milk, at the same protein concentration. This work brings for the first time evidence of the differences in the physical properties of the casein micelles as a function of membrane processing history.     

An approach to integrate manufacturing process information in part design phases

Design for Manufacturing (DFM) is the integrated practice of designing components while considering their manufacture (O’Driscoll, M., 2002. Design for manufacture. Journal of Material Processing Technology, 122, 318–321). The benefits of this practice have been widely acknowledged in the industry. Several techniques fall under the umbrella of Design for Manufacturing, and their implementation depends heavily on the context in which they will be applied. How to enhance their use by designers is still an issue. The use of a formalized design process, in which a software application is used to bring manufacturing knowledge to the forefront, would improve DFM implementation. In such a context, a fundamental issue is to define the manufacturing information that should be presented to the designer.This work addresses the capture and documentation of essential DFM information to make design decisions. Essential manufacturing information is that which can affect the fulfilment of functional requirements and product constraints. The proposed approach combines DFM techniques and principles of Axiomatic Design (AD) theory. The manufacturing information is represented by the concepts of Process Property (PP) and process Execution Variable (EV). The ultimate aim of the approach is to define manufacturing knowledge structures and develop a knowledge-based application for DFM.The approach was applied to a case study in which a connecting rod was the part to de designed and manufactured. The manufacturing processes selected were forging and powder metallurgy. The DFM information about these manufacturing processes, related to the connecting rod, was identified and formalized in a table-based data structure.     

Image processing techniques in a preliminary morphometric characterization of corneal epithelium by scanning electron microscopy

Several processing techniques of digital images allowed us to quantify the percentage of cell surface covered by microprojections (microvilli or microplicae) (SCM), the adhesion between epithelial cells by the parameter intercellular junctions (IJ), the size (cell area), shape (cell shape) and shade (cell shade) of cells on the corneal epithelium of nine rabbits. The data were analyzed and the epithelial cells were classified into three groups by cluster analysis. Assuming the representativeness of the sample, our findings suggest that for a normal corneal epithelium, 80% of the cells could show SCM >41%, and IJ >0.98 (being one a cell to cell junction without disruptions). Standard deviations of cell shade lower than 21 gray levels could indicate a tendency to lose the cell shade mosaic. Normal corneas could show a majority of cells (54–69%) included in group 2 with smaller mean size (80% of cells with cell area <242 μm²), higher SCM (80% of cells with SCM >44.83%), polygonal mean shape and brighter shade. Group 1 (15–30% of cells) could show a larger mean size (80% of cells with cell area >494 μm²), lower SCM (although 80% of cells with SCM >32.61%), circular mean shape and darker electron reflex. Group 3 could display a medium mean size, higher SCM (similar to group 2), circular mean shape (similar to group 1), and brighter shade. These analyses could possibly be used to further assess the corneal response to ocular drugs, contact lens, and surgical procedures or to discriminate between pathology stages. Microsc. Res. Tech. 73:1059–1066, 2010. © 2010 Wiley‐Liss, Inc.     

Toxic epidemics caused by alimentary exposure to pesticides: a review.

Toxic epidemics have become a serious problem during the twentieth century, due mainly to the huge expansion over the last 50 years of the chemical industry, which has placed tens of thousands of new synthetic organic compounds in the human environment. In the particular case of chemical pesticides, their undiscriminating, widespread use, and harmful potential has been demonstrated by the epidemics generated by accidental contamination by pesticides of foods consumed by man, resulting in high mortality and morbidity rates. We have analysed the main characteristics of 63 outbreaks of toxicity caused by alimentary exposure to pesticides described in the scientific literature of this century, with the aim of increasing knowledge and understanding of the factors that are conducive to them or that trigger their onset. Such episodes are good indicators of the incorrect use of these products and serve to demonstrate failures of the available safety systems. We conclude by identifying some preventive measures that could be used to avoid their future repetition.