Continuous epidural analgesia in the obstetric patient: a feasibility study using a mechanical infusion pump

Eleven patients in uncomplicated labour received a continuous infusion of 0-125 or 0-25% bupivacaine solutions into the epidural space, using a simple rotary pump. Maternal and umbilical cord venous plasma bupivacaine levels were measured and were found to be within safe limits for mother and baby. Incidence of complications were noted.     

The Role of Oxygen Storage in NO Conversion in Automotive Catalysts

An asymmetry in NO conversion efficiency is apparent during trans-stoichiometric air–fuel ratio steps over a three-way catalyst. After a lean-to-rich step, NO conversion becomes high very rapidly and asymptotes to a higher value, followed by a reduction to a high, but reduced level. Following a rich-to-lean step, conversion remains high for a period before gradually decreasing to the low level seen at steady lean operation. This dynamic response in NO conversion can be modelled by a three-way catalyst model which includes ceria reoxidation by way of NO dissociative adsorption. Five, periodic, different aspect triangular waveforms were tested to try to exploit the asymmetry by waveform shaping. No strong trends in average NO conversion efficiency resulted; however, some shapes seemed to give a better overall conversion.     

Diabetic-like retinopathy: early and late intervention therapies in galactose-fed rats

PURPOSE: To determine whether the diabetic-like thickening of retinal capillary basement membrane (RCBM) that develops in the galactose-fed rat model of diabetic ocular complications could be halted or ameliorated after 4 or 8 months of galactosemia by treatment with ARI-509, a potent new aldose reductase inhibitor (ARI), or by withdrawal of the galactose diet. METHODS: Weanling female Sprague-Dawley rats were randomized into eight groups and fed laboratory chow plus 50% starch, control group (CON); 50% D-galactose, galactose-fed group (GAL); 50% D-galactose with ARI-509 at 25 mg/kg or 10 mg/kg body wt per day, high-dose prevention group (HDP) and low-dose prevention group (LDP), respectively; 50% D-galactose for 4 or 8 months and then intervention by addition of ARI-509 (25 mg/kg body wt per day), 4-month intervention group (4IN) and 8-month intervention group (8IN), respectively; or 50% D-galactose for 4 or 8 months and then intervention by withdrawing galactose and replacing it with the 50% starch diet, 4-month galactose withdrawal group (4GW) and 8-month galactose withdrawal group (8GW), respectively. After 4, 8, 16, and 24 months of the experimental diets, the levels of carbohydrates in tissues and the extent of RCBM thickening in capillaries of the outer plexiform layer were determined in all groups. RESULTS: Retinal polyol was reduced by 95% in all ARI-treated groups and by 100% in the 4GW and 8GW groups after withdrawal of the galactose. The mean RCBM thickness increased rapidly in GAL rats, becoming almost two times greater (189 +/- 9.4 nm) than in CON rats (103 +/- 3.4 nm) by 24 months. Treatment with ARI-509 in high and low doses (HDP, LDP) initiated with the introduction of the galactose diet significantly prevented RCBM thickening at all time points (P < 0.05). In contrast, intervention by withdrawing galactose from the diet or by adding the high dose of ARI-509 had no significant effect (P < 0.05) on RCBM thickening until the 24-month time point (4IN, 166 +/- 10.3 nm; 8IN, 161 +/- 8.2 nm; 4GW, 136 +/- 5.1 nm; 8GW, 163 +/- 9.6 nm). CONCLUSIONS: Both early and late interventions decreased RCBM thickening compared with that in untreated GAL rats. The decreased thickening, however, was not evident until 16 to 20 months after the intervention. Because RCBM thickening is one of the earliest changes in diabetic and galactosemic retinopathy, the findings suggest that RCBM thickening and possibly subsequent retinal lesions are caused by early biochemical alterations induced by the galactose diet that are not readily reversed. The delayed response to therapy is consistent with that observed in the Diabetes Control and Complications Trial. The cumulative evidence indicates that intervention should begin as early after onset of diabetes as possible, and long follow-up periods should be used to evaluate efficacy.     

The chi psi subunits of DNA polymerase III holoenzyme bind to single-stranded DNA-binding protein (SSB) and facilitate replication of an SSB-coated template

A complex of the chi and psi proteins is required to confer resistance to high levels of glutamate on the DNA polymerase III holoenzyme-catalyzed reaction (Olson, M., Dallmann, H. G., and McHenry, C. (1995) J. Biol. Chem. 270, 29570-29577). We demonstrate that this salt resistance also requires templates to be coated with the Escherichia coli single-stranded DNA-binding protein (SSB). We show that this is the result of a direct chipsi-SSB interaction that is strengthened approximately 1000-fold when SSB is bound to DNA. On model oligonucleotide templates, DNA polymerase III core is inhibited by SSB. We show that the minimal polymerase assembly that will synthesize DNA on SSB-coated templates is polymerase III-tau-psi chi. gamma, the alternative product of the dnaX gene, will not replace tau in this reaction, indicating that tau's unique ability to bind to DNA polymerase III holding chipsi in the same complex is essential. All of our findings are consistent with chipsi strengthening DNA polymerase III holoenzyme interactions with the SSB-coated lagging strand at the replication fork, facilitating complex assembly and elongation.     

A unified modeling and solution framework for combinatorial optimization problems

Combinatorial optimization problems are often too complex to be solved within reasonable time limits by exact methods, in spite of the theoretical guarantee that such methods will ultimately obtain an optimal solution. Instead, heuristic methods, which do not offer a convergence guarantee, but which have greater flexibility to take advantage of special properties of the search space, are commonly a preferred alternative. The standard procedure is to craft a heuristic method to suit the particular characteristics of the problem at hand, exploiting to the extent possible the structure available. Such tailored methods, however, typically have limited usefulness in other problems domains.An alternative to this problem specific solution approach is a more general methodology that recasts a given problem into a common modeling format, permitting solutions to be derived by a common, rather than tailor-made, heuristic method. Because such general purpose heuristic approaches forego the opportunity to capitalize on domain-specific knowledge, they are characteristically unable to provide the effectiveness or efficiency of special purpose approaches. Indeed, they are typically regarded to have little value except for dealing with small or simple problems.This paper reports on recent work that calls this commonly held view into question. We describe how a particular unified modeling framework, coupled with latest advances in heuristic search methods, makes it possible to solve problems from a wide range of important model classes.Correspondence to: Gary A. Kochenberger.This research was supported in part by ONR grants N000140010598 and N000140310621.     

In vitro dissolution characteristics of aged and recrystallised high-fired 232ThO2

The dissolution characteristics of 232Th from ThO2 in the lung have been determined in an in vitro study. Two types of ThO2 were examined to determine if the age of the material had any effect; an aged high-fired ThO2 that had its progeny in secular equilibrium, and a recently recrystallised and high-fired ThO2 in disequilibrium. The results show the amount of 232Th that dissolved from the aged ThO2 was approximately 10 times greater than the amount that dissolved from the recrystallised and fired ThO2 which was the result of recoil damage to the crystal structure of the aged material. A model based on nuclear track theory was developed to relate the size of the observed rapidly soluble fraction of 232Th to the age of the material and its experimentally determined surface area.     

Knowledge-based interpretation of bioelectrical signals

The integration into one automated system of the qualitative knowledge of the physician, who is accustomed to visually scanning a paper record, with possibly sophisticated signal analysis tools that must replace the visual scanning is addressed. The automated interpretation of bioelectrical signals must combine signal analysis knowledge with knowledge about the application domain of the signal and, as such, requires the knowledge of two experts. The role of event-oriented interpretation and the use of spatial and temporal context is discussed. An architecture for a system tailored to fit the characteristics of automated bioelectrical signal interpretation is described. It contains two separate, cooperating knowledge bases, and it makes use of object-oriented knowledge representation and spatial and temporal operators. An example of the automated detection of epileptogenic electroencephalograph sharp transients is presented.     

Filial therapy with Native Americans on the Flathead Reservation.

[Correction Notice: An erratum for this article was reported in Vol 18(1) of International Journal of Play Therapy (see record 2009-00564-006). This article was originally published with the wrong first page. Printed issues contain the first page for the preceding article, "Effectiveness of Filial Therapy for Korean Parents," by Mikyung Jang. The online version has been revised to present the correct first page. The URL for the corrected online version is provided in the erratum.] Examined the effectiveness of the 10-wk filial therapy model as an intervention for 25 Native American parents (aged 23–46 yrs) and their 21 children (aged 3–10 yrs) residing on the Flathead Reservation in Montana. Results show that Native American parents significantly increased their level of empathy in their interactions with their children. Children significantly increased their level of desirable play behaviors with their parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)