Drug treatment of Crohn's disease]

The medical management of Crohn's disease has changed in recent years, but the mainstay of treatment is still prednisone. A substantial fraction of steroid-treated patients are refractory to therapy and addition of azathioprine or methotrexate has a corticosteroid-sparing effect and increases duration of remission. Controlled ileal release budesonide (9 mg daily) induces clinical remission in 60-70% of patients with Crohn's ileitis or right-sided colitis, and continued budesonide treatment has a finite effect on the duration of remission. The efficacy of mesalazine in active Crohn's disease is limited and high doses are required (4000 mg/day). The role of mesalazine in Crohn's disease in remission is disputed, and there is no evidence of a corticosteroid-sparing effect.     

The biological properties of Aerococcus antagonists, representatives of human microbiocenoses

The paper deals with the data on biology of Aerococcus, a slightly studied group of microorganisms. Physiological-biochemical properties of Aerococcus are described, data of their distribution in nature are given. Peculiar attention is paid to the estimate of the role of Aerococcus in human microbiocenoses. As a result of the profound and all-round study of this group of microorganisms the authors have developed new bacterial drug "A-bakterin" based on the aerococcus strain. Data presented about the results of clinical tests of "A-bakterin" are presented, a possibility to use Aerococcus lysate in the elaboration of new drugs is discussed.     

The digital divide and t-government in the United States: using the technology acceptance model to understand usage

This paper applies the technology acceptance model to explore the digital divide and transformational government (t-government) in the United States. Successful t-government is predicated on citizen adoption and usage of e-government services. The contribution of this research is to enhance our understanding of the factors associated with the usage of e-government services among members of a community on the unfortunate side of the divide. A questionnaire was administered to members, of a techno-disadvantaged public housing community and neighboring households, who partook in training or used the community computer lab. The results indicate that perceived access barriers and perceived ease of use (PEOU) are significantly associated with usage, while perceived usefulness (PU) is not. Among the demographic characteristics, educational level, employment status, and household income all have a significant impact on access barriers and employment is significantly associated with PEOU. Finally, PEOU is significantly related to PU. Overall, the results emphasize that t-government cannot cross the digital divide without accompanying employment programs and programs that enhance citizens’ ease in using such services.     

Design of a composite sulfuric acid decomposition reactor,concentrator, and preheater for hydrogen generation processes

The Hybrid Sulfur Process, as well as similar sulfur cycles for the production of nuclear hydrogen, requires the decomposition of sulfuric acid into sulfur dioxide, oxygen, and water at temperatures above 800 °C and at pressures up to 9 MPa. The design of a reactor for this process presents numerous challenges in terms of maintaining small pressure differentials and utilizing currently available materials of construction. This paper focuses on design calculations for a composite reactor that preheats, concentrates, and decomposes sulfuric acid for use in the production of hydrogen. The decomposition reaction takes place within individual tubes of a multitube reactor.     

Regulation in the heart field of zebrafish

In many vertebrates, removal of early embryonic heart precursors can be repaired, leaving the heart and embryo without visible deficit. One possibility is that this 'regulation' involves a cell fate switch whereby cells, perhaps in regions surrounding normal progenitors, are redirected to the heart cell fate. However, the lineage and spatial relationships between cells that are normal heart progenitors and those that can assume that role after injury are not known, nor are their molecular distinctions. We have adapted a laser-activated technique to label single or small patches of cells in the lateral plate mesoderm of the zebrafish and to track their subsequent lineage. We find that the heart precursor cells are clustered in a region adjacent to the prechordal plate, just anterior to the notochord tip. Complete unilateral ablation of all heart precursors with a laser does not disrupt heart development, if performed before the 18-somite stage. By combining extirpation of the heart precursors with cell labeling, we find that cells anterior to the normal cardiogenic compartments constitute the source of regulatory cells that compensate for the loss of the progenitors. One of the earliest embryonic markers of the premyocardial cells is the divergent homeodomain gene, Nkx2.5. Interestingly, normal cardiogenic progenitors derive from only the anterior half of the Nkx2.5-expressing region in the lateral plate mesoderm. The posterior half, adjacent to the notochord, does not include cardiac progenitors and the posterior Nkx2.5-expressing cells do not contribute to the heart, even after ablation of the normal cardiogenic region. The cells that can acquire a cardiac cell fate after injury to the normal progenitors also reside near the prechordal plate, but anterior to the Nkx2.5-expressing domain. Normally they give rise to head mesenchyme. They share with cardiac progenitors early expression of GATA 4. The location of the different elements of the cardiac field, and their response to injury, suggests that the prechordal plate supports and/or the notochord suppresses the cardiac fate.     

Protein kinase C in platelets of depressed patients

Though described in 1769, the etiology of Zenker's diverticulum remains unclear. Various primary esophageal motor disorders have been proposed, but no consistent manometric pattern or anatomic etiology has been uniformly recognized. An association with clinical neurologic disease at our institution prompted a review of 12 cases of Zenker's diverticulum in patients over 60 years of age, treated in the last 8 years. Nine patients (75%) underwent cricopharyngeus myotomy and diverticulectomy, with uniformly good results. Ten patients (83%) had an associated neurologic disorder, substantiated by cranial CT or MRI, in most cases. A wide range of neurologic problems were identified, but a strong trend toward brainstem or basilar lesions was present. As expected, the etiology of the neurologic abnormality in most patients in this group was cerebrovascular disease, but two patients had peripheral neuropathies. We suggest that the etiology of Zenker's diverticulum in the elderly may be neurologic in origin. Esophageal motor disorders, including incomplete upper esophageal sphincter opening and increased hypopharyngeal pressures, which may result in Zenker's diverticulum, may be a manifestation of central or peripheral neurologic disease in the elderly.     

Alternating current electrical field effects on lettuce (Lactuca sativa) growing in hydroponic culture with and without cadmium contamination

The aim of the present study was to investigate the effect of a 10 Hz alternating current (10 Hz 1 V cm⁻¹) and a 50 Hz alternating current (50 Hz 1 V cm⁻¹) on the lettuce plant (Lactuca sativa) growing in a hydroponic (soil-free) culture. Thirty lettuce plants were pre-germinated, and then 15 of them were treated with cadmium solution (CdCl₂) of 5 mg/L in concentration. Ten plants (five plants with Cd and five plants without Cd) were subjected to a 10 Hz alternating current (AC) electrical field; 10 plants were subjected to a 50 Hz AC field. The rest of the plants were used as a control. The lettuce plants were harvested after a growth of 60 days. The chlorophyll content, biomass and metal content of the lettuce plants were determined. The biomass of the plants growing in non-contaminated medium was 28 and 106% higher under the 10 and the 50 Hz AC fields respectively compared to the control. Although the plant biomass was reduced by the presence of Cd in the growth medium, the biomass of the plants growing in Cd contaminated medium was 40 and 63% higher respectively for 10 and 50 Hz AC field compared to the plant growing in Cd contaminated medium without electrical treatment. Increased uptake of Cd in the plant shoot was found with the 50 Hz AC field. Significant accumulation and uptake of Cu in plant roots and shoots was found under both electrical treatments.     

Challenges in modelling the evolution of stress corrosion cracks from pits

The evolution of stress corrosion cracks from pits is important in many industrial applications but continues to be a challenge in both measurement and prediction. Life prediction in these circumstances has to account for pit growth kinetics, the conditions for the transition from pits to cracks, and the growth rate of cracks in the short and long crack domain. An example of importance is the performance of steam turbine rotors in power generation. Although stress corrosion failures are comparatively rare, the consequences can be severe and occasionally catastrophic. Consequently, considerable effort is being focused on evaluating the effect of operational variables on pitting and crack growth and in developing an improved basis for structural integrity assessment. A preliminary mathematical model based on deterministic equations with statistically variable input parameters was developed for simulating the evolution of the pit depth distribution at different exposure times, and the transformation to stress corrosion cracks was based on the Kondo criteria. The model predicted some features of the damage well but recent novel measurements of the evolution of stress corrosion cracks from pits combined with finite element analysis of the strain distribution suggest that the transition from a pit to a crack is more complex than can be accounted for by the Kondo approach.     

Unique and common mechanisms of change across cognitive and dynamic psychotherapies.

The goal of this article was to examine theoretically important mechanisms of change in psychotherapy outcome across different types of treatment. Specifically, the role of gains in self-understanding, acquisition of compensatory skills, and improvements in views of the self were examined. A pooled study database collected at the University of Pennsylvania Center for Psychotherapy Research, which includes studies conducted from 1995 to 2002 evaluating the efficacy of cognitive and psychodynamic therapies for a variety of disorders, was used. Patient samples included major depressive disorder, generalized anxiety disorder, panic disorder, borderline personality disorder, and adolescent anxiety disorders. A common assessment battery of mechanism and outcome measures was given at treatment intake, termination, and 6-month follow-up for all 184 patients. Improvements in self-understanding, compensatory skills, and views of the self were all associated with symptom change across the diverse psychotherapies. Changes in self-understanding and compensatory skills across treatment were predictive of follow-up symptom course. Changes in self-understanding demonstrated specificity of change to dynamic psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)