Preventing congestive heart failure

The morbidity, mortality and health care costs associated with congestive heart failure make prevention a more attractive public health strategy than treatment. Aggressive management of etiologic factors, including hypertension, coronary artery disease, valvular disease and excessive alcohol intake, can prevent the left ventricular remodeling and dysfunction that lead to heart failure. Early intervention with angiotensin converting enzyme inhibitors in patients with chronic left ventricular dysfunction can prevent, as well as treat, the syndrome. Several intervention strategies in patients with acute myocardial infarction can slow or prevent the left ventricular remodeling process that antedates congestive heart failure. The primary care physician must be alert to the need for aggressive intervention to reduce the burden of heart failure syndrome on the patient and on society.     

Completeness of reporting of diagnosed HIV-infected hospital inpatients

To assess the completeness of human immunodeficiency virus (HIV) reporting among hospital inpatients whose records listed diagnostic codes for HIV infection but who did not meet the 1987 AIDS case definition, we conducted a statewide hospital study of admissions between January 1, 1986 and December 31, 1990. Of the 396 HIV-infected hospital inpatients identified, 313 (79%) had been reported to the State HIV Registry. HIV reporting was less complete for patients who were older and/or were blood product recipients. Of the 313 reported patients, 189 (60%) had been reported prior to their first hospital admission. Temporal improvements were noted in the completeness of HIV reporting among the hospital patients (1986: 65%; 1987: 81%; 1988: 64%; 1989: 82%; 1990: 86%; Chi square for linear trend 9.6, p < 0.01) and prior to their first hospital admission (1986: 31%; 1987: 34%; 1988: 49%; 1989: 64%; 1990: 72%; Chi square for linear trend 26.6; p < 0.01). Women were more likely than men to be reported prior rather than during or after their first hospital admission (71% vs. 55%; p < 0.01). Of the 155 patients with CD4+ T-lymphocyte test results, 41 had CD4+ counts < 200 mm3 and met the 1993 but not the 1987 AIDS case definition. In South Carolina most (79%) diagnosed, hospitalized, HIV-infected patients had been reported to the State HIV REgistry, with improvements in reporting occurring over time. Findings suggest that the 1993 AIDS case definition will improve our ability to monitor severe morbidity related to HIV.     

A directed shrinkage approach to the provision of foundations for decimated teeth

The directed shrinkage approach was developed to create sealed tooth-restoration interfaces in posterior composite restorations. Creative application of this technique can result in foundations that are suitable for a variety of applications, including salvaging broken-down teeth and supporting free-hand restorations. The sealed interface reduces microleakage and postoperative tooth sensitivity. The components required for this technique are readily available and are usually part of the practice's armamentarium.     

NMR studies of a D2 single crystal in the ordered phase

We report the first experimental study of the NMR lineshape anisotropy in the orientationally ordered cubic phase of a D₂ single crystal. The para-D₂ concentration covered the range 0.72<X<0.82. The observed line shapes were obtained by means of Fourier transform techniques from the solid echoes recorded with a pulsed NMR spectrometer operating at 5.9 MHz. Theoretical line shapes and their second moments forp-D₂ (with angular momentumJ=1 and spinI=1) and foro-D₂ (withJ=0, I=2) were calculated as a function of the applied field direction from the theory by A. B. Harris. Good agreement was obtained for all directions, provided that, just as for solid H₂, a Gaussian function for the distribution of molecular axial alignment was assumed with an rms spreading angle of 6 deg forX=0.77. No change in the anisotropy of the second moment in the disordered phase was detected between the initial (hcp) crystal and after repeated thermal cyclings through the martensitic transition. This result implies no change in the orientation of the plane for the sliding nets during repeated passages through the transition. Furthermore, we report measurements of the longitudinal relaxation time for bothp-D₂ ando-H₂ versusT over the temperature range 0.5<T<3.5 K. The complex behavior reported previously for both H₂ and D₂ was confirmed. Measurements of the relaxation times as a function of the applied field direction in the ordered phase at 1.2 K showed no anisotropy within experimental error, and this result is discussed in the light of predictions by Hardy and Berlinsky. Finally, the polarization of theJ=0 molecules is studied as a function of the concentrationX of theJ=1 molecules and their state of orientational order over a wide range ofX andT in the ordered and disordered states. The results are compared with predictions of A. B. Harris and with previous data on polycrystalline samples.     

Thermal transport properties and size effects in very dilute superfluid mixtures of3He in4He

The effective thermal conductivity _eff has been measured for 1.6 K for mixtures with 10^–6–2. Both _eff and the derived impurity mass diffusion coefficient D_iso show an unexpected dependence on the height h of the fluid layer. A scaled representation of D_iso leads to a purely phenomenological model involving an effective length scale, proportional to X^–1 and temperature independent. The relations so obtained are consistent with the observations as well as with the observed transition curve Q_C(X) to non-linear behavior.     

Three-Chromophore Compounds I. Reductive Transformations of the 3,5-diaryl-2-cyclohexen-1-ones

The preparation of three 3,5-diarylcyclohexanones by rhodiumchlorotris(triphenyl-phosphine)—catalyzed reduction of the parent olefines (IIa—IIc) is described. Other reducing agents produced several intermediate products of the total hydrogenolysis.     

Electrochemical behavior of Sn8Hg (gamma-2) and dental amalgam in a phosphate buffer solution

The gamma-2 phase (Sn₈Hg) and a dental amalgam in phosphate buffer have been studied by means of potentiostatic and galvanostatic techniques, along with a rotating ring-disc electrode (RRDE). The analysis of results has shown that phosphate ions play an important role in the corrosion of amalgam. The anodic reaction leads to the formation of soluble species and a passivating film, which is probably composed of tin hydroxide and tin phosphate.     

Function of sulfur dioxide in the kinetic mechanism of oxidation of carbon

Retardation of the gasification reaction of carbon with oxygen by SO₂ was observed. Rates of oxidation were determined by thermal gravimetric analysis (TGA) of a nuclear graphite in the temperature range of 550–700°C, and of a coconut charcoal in the temperature range of 400–505°C. The oxidant gases were dry air containing 0–6% SO₂. Reduction of the rate by SO₂ varied with burn-off. Differential thermal analysis (DTA) was also applied to detect the retardation effect of SO₂. The technique of infrared internal reflection spectroscopy (IRS) was used to examine the surface species of reacted charcoal samples. Absorption bands were assigned to surface carbonyls, lactones, and a chemisorbed SO₂ in the form of sulfate. Chemisorption of SO₂ was attributed to cause the retardation of the oxidation reaction.     

On the mechanical performance of closed cell Al alloy foams

The mechanical properties of three different commercially available closed cell Al alloys all made by foam casting are examined. The objective is to assess the roles of cell morphology and of imperfections in governing the basic properties: stiffness, yield strength and fracture resistance. This assessment provides goals for manufacturing strategies that enable attainment of good mechanical performance with affordable process technologies. A prevalent role of curves and wiggles in the cell walls on stiffness and strength (anticipated by models) is affirmed by the present measurements. Systematically larger stiffnesses and yield strengths found in tension than in compression are consistent with a prominent role exerted by such imperfections. Moreover, foam casting is apparently capable of cell morphologies that impart properties approaching the best achievable values for an isotropic closed cell solid, devoid of imperfections. There are associated implications for performance and affordability. Fracture measurements indicate crack growth occurring along the cell walls by a mechanism analogous to the plastic tearing of thin sheets. The crack growth resistances are in the range of 1 kJm⁻². This mechanism infers a toughness that scales with the cell wall thickness and its yield strength.