Augmented platelet aggregation as predictor of reocclusion after thrombolysis in acute myocardial infarction

RATIONALE: Reocclusion after thrombolysis diminishes the benefits of early reperfusion after acute myocardial infarction (AMI). No clinical or laboratory variables have been identified as predictors for reocclusion yet. METHODS AND RESULTS: To evaluate hemostatic variables as potential risk determinants platelet aggregation (PA, representing platelet activity), thrombin/antithrombin complexes (TAT, representing thrombin generation), and plasminogen activator inhibitor type 1 (PAI-1, representing endogenous fibrinolysis) were determined in 31 patients with AMI at 0, 1, 2. and 12 h after the start of thrombolysis as well as at hospital discharge. Reocclusion (defined as reinfarction or angiographically confirmed, clinically silent coronary reocclusion) occurred in 5 patients within 5-14 days and in 8 patients within 1 year. TAT plasma concentrations were lower in patients with reocclusion than in those without (9.9+/-5.7 vs. 22.9+/-22.2 ng/ml at 2 h, 6.5+/-3.1 vs. 1 1.2+/-6.4 ng/ml at 12 h, means+/-SD, p <0.05 each). Neither concentration nor activity of PAI-1 in plasma differed between both patient groups. However, both slope and maximum of PA (induced by 2 micromol/l ADP) were augmented in patients with reocclusion (slope: 39.4+/-1.7 vs. 32.5+/-7.4 at 2 h, p <0.001; 42.6+/-2.6 vs. 36.6+/-8.9 at 12 h, p <0.01). Results were independent of the thrombolytic agent used (alteplase or reteplase). A PA slope at 2 h higher than the average slope before thrombolysis (37.2+/-5.7) could be identified as best predictor for early (within 5-14 d, p=0.017, sensitivity 1.00, specificity 0.69) and late reocclusion (within 1 y, p=0.009, 0.88 and 0.74, respectively). CONCLUSIONS: Increased PA following coronary thrombolysis appears to be associated with early and late reocclusion. This marker could be useful in identifying patients who may benefit from more aggressive antiplatelet (such as GP IIb/IIIa receptor antagonists), interventional, or both strategies.     

Aeromagnetic compensation using neural networks

Airborne magnetic surveys in geophysical exploration can be subject to interference effects from the aircraft. Principal sources are the permanent magnetism of various parts of the aircraft, induction effects created by the earth's magnetic field and eddy-current fields produced by the aircraft's manoeuvres. Neural networks can model these effects as functions of roll, pitch, heading and their time derivatives, together with vertical acceleration, charging currents to the generator, etc., without assuming an explicit physical model. Separation of interference effects from background regional and diurnal fields can also be achieved in a satisfactory way.     

Personal Exposure in Displacement Ventilated Rooms

Personal exposure in a displacement ventilated room is examined. The stratified flow and the considerable concentration gradients necessitate an improvement of the widely used fully mixing compartmental approach. The exposure of a seated and a standing person in proportion to the stratification height is examined by means of full-scale measurements. A breathing thermal manikin is used to simulate a person. It is found that the flow in the boundary layer around a person is able to a great extent to entrain and transport air from below the breathing zone. In the case of non-passive, heated contaminant sources, this entrainment improves the indoor air quality. Measurements of exposure due to a passive contaminant source show a significant dependence on the flow field as well as on the contaminant source location. Poor system performance is found in the case of a passive contaminant released in the lower part of the room close to the occupant. A personal exposure model for displacement ventilated rooms is proposed. The model takes the influence of gradients and the human thermal boundary layer into account. Two new quantities describing the interaction between a person and the ventilation are defined.     

German Materials Science: A self-portrait

An influential and refreshingly frank report on the state of health of non-university materials research in Germany has recently been published. National Research Centers, Max Planck Institutes, and Fraunhofer Institutes are among the organizations covered. Recommendations are made on the basis of materials type, and on the performances of the individual institutes. The conclusions of this self-portrait, painted by representatives of the organizations themselves along with participants from the universities, industry, and state, will provide food for thought for both German materials scientists and those in other European countries concerned with the future development of this crucial economic sector.     

Benzylation of thiophene using zinc and iron chloride modified montmorillinite clay

Montmorillinite clays, modified with either Zn(II) or Fe(III) chlorides have been used to catalyze the Friedel-Crafts alkylation of thiophene. High yields (ca. 80%) of 2- and 3-benzylthiophene mixtures were obtained using either catalyst in chlorobenzene or nitrobenzene solvent at 80°C. The ratio of 2–3-products was found to be controlled by their relative stability. Reactions were most rapid in nitrobenzene solution (<5 min) and resulted in formation of the 2-isomer as the only mono-substituted product. This is believed to be the first example in which an alkylation of thiophene has been limited to one regio-isomer.     

When West meets East: Contributions of Eastern traditions to the future of psychotherapy.

Discusses 2 interrelated traditions as they are reflected in contemporary and traditional approaches to psychotherapy in Japan. One uses various meditational and self-focusing instructional sets whose common goal is to facilitate the slowing down, deepening, and clearer focusing of sensory and interpersonal awareness. The 2nd tradition focuses on physical self-regulation and autonomic self-control through exercises that foster enhanced voluntary control over physical states and processes. Eastern psychology offers a set of practices that help the individual overcome the inherent selfishness of his/her isolated experience. The goals of such work include recognition of gratitude to important people in the client's life, rediscovery of the joy of meaningful work, and the experience of a unifying cosmic consciousness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)