Analyses of coronary graft patency after aprotinin use: results from the International Multicenter Aprotinin Graft Patency Experience (IMAGE) trial

OBJECTIVE: We examined the effects of aprotinin on graft patency, prevalence of myocardial infarction, and blood loss in patients undergoing primary coronary surgery with cardiopulmonary bypass. METHODS: Patients from 13 international sites were randomized to receive intraoperative aprotinin (n = 436) or placebo (n = 434). Graft angiography was obtained a mean of 10.8 days after the operation. Electrocardiograms, cardiac enzymes, and blood loss and replacement were evaluated. RESULTS: In 796 assessable patients, aprotinin reduced thoracic drainage volume by 43% (P < .0001) and requirement for red blood cell administration by 49% (P < .0001). Among 703 patients with assessable saphenous vein grafts, occlusions occurred in 15.4% of aprotinin-treated patients and 10.9% of patients receiving placebo (P = .03). After we had adjusted for risk factors associated with vein graft occlusion, the aprotinin versus placebo risk ratio decreased from 1.7 to 1.05 (90% confidence interval, 0.6 to 1.8). These factors included female gender, lack of prior aspirin therapy, small and poor distal vessel quality, and possibly use of aprotinin-treated blood as excised vein perfusate. At United States sites, patients had characteristics more favorable for graft patency, and occlusions occurred in 9.4% of the aprotinin group and 9.5% of the placebo group (P = .72). At Danish and Israeli sites, where patients had more adverse characteristics, occlusions occurred in 23.0% of aprotinin- and 12.4% of placebo-treated patients (P = .01). Aprotinin did not affect the occurrence of myocardial infarction (aprotinin: 2.9%; placebo: 3.8%) or mortality (aprotinin: 1.4%; placebo: 1.6%). CONCLUSIONS: In this study, the probability of early vein graft occlusion was increased by aprotinin, but this outcome was promoted by multiple risk factors for graft occlusion.     

Delaminations at the free edge of a composite laminate

The concept of a fracture process zone where damage takes place is used to analyse the delaminations at the free edges of angle ply laminates under uniaxial tension. The use of a fracture process zone removes the singularity in the interlaminar stresses and enables the initiation and growth of delaminations to be modelled for a perfect laminate without any assumed prior defects. Two different models for the stress displacement relationship in the fracture process zone are examined: a constant stress up to critical displacement and a linear relationship. Finite element analysis shows that there is little difference in the predictions obtained from the two models. An approximate analysis is presented for the constant stress stress-displacement model which is shown to agree with a finite element solution and experimental data. Hence it is argued that the approximate method using a constant stress model for the fracture process zone is sufficient for accurate prediction of delaminations.     

Evaluating a graphical notation for modelling software development methodologies

This work aims at evaluating a graphical notation for modelling software (and other kinds of) development methodologies, thus demonstrating how useful the graphical aspects can be for sharing knowledge between the people responsible for documenting information and those responsible for understanding and putting it into practice. We acknowledge the importance of having a common set of symbols that can be used to create, use and disseminate information for a larger audience than is possible today with a variety of alternatives and lack of a common ground. Using a cognitive dimensions framework, we make a standard evaluation of the elements and diagrams of the notation proposed to support the ISO/IEC 24744 methodology metamodel standard, considering the trade-offs between different dimensions. We suggest improvements to this existing notation based on this analysis, in the context of improving communication between creators and users of methodologies.     

The dielectric response of doped semiconducting glasses

Measurements are reported of the dielectric properties of two semiconducting glasses of composition SiO₂ · Na₂O with admixtures of Sb_{2O 5} and SnO₂, covering a wide range of temperatures and a range of six decades of frequency 10^–2 to 10⁴ Hz. Both glasses show a gradual evolution of growing low frequency dispersion (LFD) with increasing temperature, with both the real and imaginary components of the complex susceptibility following a power law of the type ^n–1, with n 1 at the lowest frequencies. There are also clear indications of reversible phase transitions taking place which manifest themselves by changes in the spectral shape of the dielectric response.     

Characterization and Reconstitution of Human Lipoyl Synthase (LIAS) Supports ISCA2 and ISCU as Primary Cluster Donors and an Ordered Mechanism of Cluster Assembly

Lipoyl synthase (LIAS) is an iron–sulfur cluster protein and a member of the radical S-adenosylmethionine (SAM) superfamily that catalyzes the final step of lipoic acid biosynthesis. The enzyme contains two [4Fe–4S] centers (reducing and auxiliary clusters) that promote radical formation and sulfur transfer, respectively. Most information concerning LIAS and its mechanism has been determined from prokaryotic enzymes. Herein, we detail the expression, isolation, and characterization of human LIAS, its reactivity, and evaluation of natural iron–sulfur (Fe–S) cluster reconstitution mechanisms. Cluster donation by a number of possible cluster donor proteins and heterodimeric complexes has been evaluated. [2Fe–2S]-cluster-bound forms of human ISCU and ISCA2 were found capable of reconstituting human LIAS, such that complete product turnover was enabled for LIAS, as monitored via a liquid chromatography–mass spectrometry (LC–MS) assay. Electron paramagnetic resonance (EPR) studies of native LIAS and substituted derivatives that lacked the ability to bind one or the other of LIAS’s two [4Fe–4S] clusters revealed a likely order of cluster addition, with the auxiliary cluster preceding the reducing [4Fe–4S] center. These results detail the trafficking of Fe–S clusters in human cells and highlight differences with respect to bacterial LIAS analogs. Likely in vivo Fe–S cluster donors to LIAS are identified, with possible connections to human disease states, and a mechanistic ordering of [4Fe–4S] cluster reconstitution is evident.     

Characterizing steel tube for hydroforming applications

With the increased use of tubular steel products, especially for hydroforming applications, it is important to be able to predict the performance of tube from sheet tensile tests. In the present study, two aluminum killed draw quality (AKDQ) steels and one high strength low alloy (HSLA) steel were evaluated. Tensile properties and plastic strain ratios were measured on sheet material in the longitudinal and transverse directions. Axial tensile tests were performed on material extracted from production tubes. Material from quasi tubes, which are strip material bent to the same curvature as the tubes but not welded or sized, was also tested. Residual stresses in the production and quasi tube were determined by displacement methods. A hydraulic burst test was performed on the production tubes to simulate a hydroforming operation. Effective strains resulting from tubemaking are calculated for two discrete operations: bending and sizing. For the production tubes, a linear relationship was found between a load factor (strength times thickness) and effective sizing strain. The relationship between load factor and residual stress was also linear. Predictions of the maximum pressure and the strain at instability during a hydraulic burst test are shown to compare favorably with experimental values, based on flat sheet properties and tubemaking strains. The prediction of the yield strength in the tube based on flat sheet properties is shown to be fairly accurate when the effective sizing strain is small compared to the effective bending strain.     

Some aspects of the analysis of coal by X-ray fluorescence spectroscopy

Bituminous coal samples from 84 distinct sources were analysed by conventional British Standards (BS) methods for phosphorus, sulphur, chlorine, ash and the ash-forming elements (calcium, silicon, aluminium, iron, sodium, magnesium, potassium, titanium and manganese). In most cases four determinations were made per element per source. Samples were crushed to ?212 μm (72 BS mesh) and pressed into aluminium cups at 20 t in^?2 (309 MPa) without binder or backing. Two pellets from each sample were analysed by wave-length dispersive X-ray fluorescence techniques, using a spectrometer equipped with a rhodium rube; the X-ray count took 60 s. The X-ray results were calibrated against the conventional results using multiple regression. The accuracy obtained was comparable with routine ‘wet chemical’ techniques. The X-ray technique is suitable for the routine determination of large numbers of samples.     

High resolution STEM/EDX spectral imaging to resolve metal distributions within ∼100 nm combustion generated ash particles

Ultrafine ash particles play an important role in establishing a sticky inner deposit layer on heat transfer surface for power plants, but it is still unclear whether a thin surface alkali coating on these ultrafine particles might control this deposition behavior. In this research, we used a high resolution FE-TEM/STEM equipped with twin SDD EDX detectors for high X-ray detection efficiency, to determine the presence and absence of surface enrichment of alkali metals on ultrafine solid fuel ash samples that had low bulk alkali compositions but high deposition rates. Results from two types of combustion generated nano-sized ash particles are presented. One was from the oxy-combustion of pulverized bituminous coal, the other from oxy-combustion of pulverized rice husks, both being burned in a 100?kW rated down-flow laboratory combustor. Elemental mapping results from STEM/EDX uncovered some surface enrichment of alkali metals in ultrafine ash particles, where it existed, as it did for combustion of rice husks. However, it was not able to discern similar alkali metal surface enrichment for the bituminous coal ultrafines that had resulted in even higher deposition rates. Since deposition rates from both of these cases lie on the same correlation with PM₁, one can conclude that although surface enrichment of alkali metals is present for some ～100?nm particles, it is not a prerequisite to achieve high inner surface deposition rates. This is in contrast to prevailing theories that point to alkali metals as “bad actors” as far as the sticky inner deposition rate is concerned.

Copyright © 2019 American Association for Aerosol Research     

Evidence for the Participation of Singlet Oxygen in the Vat–dye Photosensitized Degradation of Cellulose

A study has been made of the vat–dye photosensitized degradation of cellulose. Whilst the part played by the dyes in direct hydrogen abstraction from a cellulose substrate cannot be overlooked, it is apparent that the role played by singlet oxygen is important. The ability of a dye to produce singlet oxygen has been studied by measuring the amount of tetraphenylcyclopentadienone the dye can photo–oxidize. It would appear that the singlet oxygen is initially formed in its high energy g state by energy transfer from the triplet state of the dye to ground state molecular oxygen. Luminescence spectroscopy has been employed in order to gain information about the excited state energies of the dye molecules, and an electron spin resonance study of the dyes in rigid media has been carried out in order to obtain information about the triplet state.