Progression of asymptomatic carotid stenosis: a natural history study in 1004 patients

PURPOSE: The purpose of this study was to delineate the natural history of the progression of asymptomatic carotid stenosis. METHODS: In a 10-year period, 1701 carotid arteries in 1004 patients who were asymptomatic were studied with serial duplex scans (mean follow-up period, 28 months; mean number of scans, 2.9/patient). At each visit, stenoses of the internal carotid artery (ICA) and the external carotid artery (ECA) were categorized as none (0 to 14%), mild (15% to 49%), moderate (50% to 79%), severe (80% to 99%), preocclusive, or occluded. Progression was defined as an increase in ICA stenosis to >/=50% for carotid arteries with a baseline of <50% or as an increase to a higher category of stenosis if the baseline stenosis was >/=50%. The Cox proportional hazards model was used for data analysis. RESULTS: The risk of progression of ICA stenosis increased steadily with time (annualized risk of progression, 9.3%). With multivariate modeling, the four most important variables that affected the progression (P <.02) were baseline ipsilateral ICA stenosis >/=50% (relative risk [RR], 3.34), baseline ipsilateral ECA stenosis >/=50% (RR, 1.51), baseline contralateral ICA stenosis >/=50% (RR, 1.41), and systolic pressure more than 160 mm Hg (RR, 1. 37). Ipsilateral neurologic ischemic events (stroke/transient ischemic attack) occurred in association with 14.0% of the carotid arteries that were studied. The progression of ICA stenosis correlated with these events (P <.001), but baseline ICA stenosis was not a significant predictor. CONCLUSION: In contrast to recently published studies, we found that the risk of progression of carotid stenosis is substantial and increases steadily with time. Baseline ICA stenosis was the most important predictor of the progression, but baseline ECA stenosis also was identified as an important independent predictor. Contralateral ICA stenosis and systolic hypertension were additional significant predictors. We found further that the progression of ICA stenosis correlated with ischemic neurologic events but not baseline stenosis. The data provide justification for the use of serial duplex scans to follow carotid stenosis and suggest that different follow-up intervals may be appropriate for different patient subgroups.     

Breakthrough Curves and Simulation of Virus Transport through Fractured Porous Media

In this paper, an advective dispersive virus transport equation, including first-order adsorption and an inactivation constant, is used for simulating the movement of viruses in fractured porous media. The implicit finite-difference numerical technique is used to solve the governing equations for viruses in the fractured porous media. In this work, the focus is (1)?to investigate the transport processes of the movement of viruses in both fractured rock and porous rock without fracture and (2)?to simulate the experimental data of biocolloids through a fractured aquifer model. It is seen that movement of the contaminant is faster in the fractured rock than in the porous rock formation. Higher values of diffusion coefficient, matrix porosity, mass transfer constant, and inactivation rate reduce both temporal and spatial virus concentrations in the fracture. Also, experimental data of biocolloids in the fractured aquifer model with constant and time-dependent inactivation rates were simulated successfully.     

Efficient centrifugal recovery of Bacillus thuringiensis biopesticides from fermented wastewater and wastewater sludge

Studies were conducted on harvesting of Bacillus thuringiensis (Bt)-based biopesticides from fermented broths of starch industry wastewater (SIW), wastewater sludge (raw and hydrolyzed-NH and TH, respectively) and semi-synthetic soyameal to enhance entomotoxicity (Tx) by centrifugation. Pertinent factors influencing Tx, solids concentration, pH, temperature and centrifugal force were investigated. The centrifugate solids concentration beyond 100 g/l did not enhance Tx, instead caused pellet formation. Centrifugation efficiency (Tx recovery) was higher at pH 4, and temperature 20 degrees C for starch wastewater (98%), wastewater sludge (98% and 97.8% for non-hydrolyzed and hydrolyzed, respectively) and soya broth (83%). For maximum Tx recovery (SIW-95%; NH-90%; TH-98% and soya-78%), the centrifugal force and time required was 48,000 g and 30 min, respectively. Losses in recovery efficiency were lower for SIW and wastewater sludge in comparison to soya on adopting commercially recommended centrifugal force of 9000 g. The settling velocity computations for different fermented broths enabled calculation of Sigma factor for continuous commercial centrifuge of a given capacity and hence simulation of power requirements. It was established that power requirements for a given Tx recovery efficiency were highest for conventional medium (soya) in comparison to other waste-based fermented broths.     

Dual control of heat shock response: involvement of a constitutive heat shock element-binding factor

Heat shock factor (HSF) has been implicated as the key regulatory protein in the heat shock response. Our studies on the response of rodent cells to heat shock or sodium arsenite indicate that a high level of HSF-DNA-binding activity, by itself, is not sufficient for the induction of hsp70 mRNA synthesis; furthermore, a high level of HSF binding is also not necessary for this induction. Analysis of the binding of protein factors to the heat shock element (HSE) in extracts of stressed rodent cells indicates that the regulation of heat shock response involves the heat-inducible HSF and a constitutive HSE-binding factor. Our results also suggest that overexpression of human hsp70 may decrease the level of heat-induced HSF-HSE-binding activity in rat cells.     

Squamous cell carcinoma of the urachus

The third documented case of primary squamous cell carcinoma of the urachus in the English literature is reported. The interesting coincidental occurrence of the dermoid cyst of the right ovary and a complete longitudinal septum of the vagina and uterine cervix is described.     

Polymer production by bacterial strains isolated from activated sludge treating municipal wastewater.

Polyhydroxyalkanoates (PHAs) accumulating bacteria were isolated from activated sludge samples collected from municipal wastewater treatment plants in Quebec. Twelve bacterial strains were screened for PHA production with acetate as sole carbon source. PHA granules exhibited a strong orange fluorescence when stained with Nile blue A observed under microscope (X100x). PHA was also analyzed by Gas Chromatography Linked to Mass Spectroscopy (GCMS) to further confirm the presence and the concentration of PHA. To compare the abilities of these PHA accumulating bacterial strains, synthetic media with acetate as carbon source was prepared to accumulate PHA in 500 mL Erlenmeyer flask containing 150 of the medium. These flasks were then inoculated with the isolated bacterial strains, incubated at 25 degrees C for 48 hours in a rotary shaker at 220 rpm. The results showed that the bacterial strains isolated from sludge possess different abilities for accumulating PHA. The maximum PHA content of 27.50% was obtained by strain PHA-SB3. The PHB/PHV ratio of the copolymer produced in the study changed in accordance with operating time and strains.