Prediction of efficacy of octreotide therapy in patients with acromegaly

Octreotide (OCT) administration provides a biochemical cure in most acromegalic patients. This drug, however, causes several side effects and is very expensive. Acute testing has been reported to predict chronic responsiveness to OCT administration. The aim of this retrospective study was to evaluate which test, if any, among acute testing, short-term (1 month) administration, and 111In-pentetreotide (111In-DTPA-Phe-D-OCT) scintigraphy, is best in predicting response to long-term OCT treatment. Sixty-eight patients with active acromegaly were studied. An acute test (100 micrograms sc OCT) was performed as usual: a GH decrease greater than or equal to 50% of baseline was considered a positive response. GH and insulin-like growth factor I (IGF-I) were then assayed after 1 month (300 micrograms daily) and 3 months (150-600 micrograms daily) of OCT administration. GH was considered normalized when decreased less than or equal to 5 micrograms/L. Twenty-six of 68 patients were subjected to 111In-pentetreotide scintigraphy. Linear correlation analysis of the results was performed. Sensitivity, specificity, and positive and negative predictive values of the three tests were also calculated. Thirty-eight of 68 patients (56%) responded to the acute test. Among these 38 patients, 20 experienced normalization of GH and IGF-I levels during long-term therapy, as did 8 patients who did not respond to the acute test. No significant correlation was found between GH percent decrease during acute testing and long-term therapy (r = 0.11). Seven patients who responded to the acute test and 2 who did not respond had adenoma shrinkage during therapy. Conversely, GH and IGF-I decrease after short-term treatment significantly correlated with long-term treatment (r = 0.76 and 0.64, P < 0.01). Of the 26 patients subjected to 111In-pentetreotide scintigraphy, 13 had significant tracer uptake: normalization of GH and IGF-I was obtained in 8 patients. A significant correlation was found between tracer uptake and GH/IGF-I inhibition after 3 months of therapy (r = 0.6; P < 0.05). In the whole population, the positive predictive value of acute testing, short-term OCT administration, and 111In-penetreotide scintigraphy was 53%, 70%, and 73%, respectively, when the GH normalization (< 5 micrograms/L) after 3 months of therapy was considered. Moreover, 111-In-pentetreotide scintigraphy had the highest specificity (100% in patients with baseline GH values below 50 micrograms/L) compared with that of acute testing and short-term OCT administration. The acute test cannot be considered as a valuable index to identify patients' responsiveness to long-term OCT therapy, but it can be useful to test tolerability. By contrast, 1 month of OCT administration or the in vivo imaging of somatostatin receptors by 111-In-pentetreotide might better indicate the patients who might effectively benefit from this treatment.     

Use of compatible blends to fabricate carbon black composite vapor detectors

The aim of this work was the development of materials to be used in the field of gas sensing for the detection of organic vapors. Conductive sensors were prepared with carbon black filled blends of poly(vinyl chloride) and diol‐terminated poly(?‐caprolactone), an oligomeric plasticizer. For comparison, blends with di(2‐ethylhexyl)phthalate, a traditional low‐molecular‐weight plasticizer, were also prepared. All sensors were tested upon exposure to different organic vapors. In general, the plasticizer content affected the response rates of the sensors, and a linear variation of the relative resistance with the analyte concentration was observed. © 2003 Wiley Periodicals, Inc. J Appl Polym Sci 91: 1816–1821, 2004     

Data vs. Capta or Sumpta.

In a recent book called Becoming, Gordon Allport points out that there are two approaches to psychology which historically have been called empiricism and rationalism and which he prefers to designate as Lockean and Leibnitzian. The former put the emphasis on the external world and described the human mind as essentially passive; the latter stressed the activity of the individual rather than the environment. With considerable philosophical insight, Allport showed that American psychology followed the leadership of British empiricism-behaviorism and operationalism are good examples of it. The rational position has been more current in Europe. In the psychology of personality, the Leibnitzian position has slowly gained some prominence. But despite the emphasis we are putting on the self and its creative nature, the terminology we use unfortunately is the old language of empiricism. When the word data is used, whether the writer is trying to emphasize what is empirically given or what is phenomenally taken is uncertain. This article recommends a different terminology for the phenomenologist. One might use the word capta for that which is taken from experience or sumpta for that which one takes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mood regulation expectancies, anxiety sensitivity, and emotional distress.

Mood regulation expectancy is a behavior–outcome response expectancy; anxiety sensitivity can be conceptualized as a stimulus–outcome response expectancy. Current expectancy models of emotion and distress focus on stimulus–outcome expectancies, potentially neglecting behavior–outcome expectancies. In a sample of 502 college students, measures of each expectancy were independently related to distress, measured by the Beck Depression Inventory and Trait Anxiety Inventory: Those with weak beliefs about their ability to regulate negative moods and strong beliefs that the experience of anxiety causes further negative consequences reported the highest levels of distress. Implications for integrating behavior–outcome and stimulus–outcome response expectancies in models of emotion are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The guanosine monophosphate reductase gene is conserved in rats and its expression increases rapidly in brown adipose tissue during cold exposure

Non-shivering thermogenesis is required for survival of rodents during cold stress. Uncoupling protein-1 acts in brown adipose tissue (BAT) to transport protons, thus dissipating the proton gradient across the inner mitochondrial membrane. This permits respiration uncoupled from ATP synthesis. UCP-1 function is inhibited by the binding of purine nucleotides, with GTP/GDP being more potent than ATP/ADP. We used a cDNA subtraction analysis to identify cDNAs rapidly induced by cold exposure. One of these encodes rat guanosine monophosphate reductase (GMP-r). This was surprising in that previous data had suggested that this enzyme was absent in rodents. Rat GMP-r is 96% identical to human GMP-r, and its mRNA is increased 30-fold in BAT within 6 h of cold exposure. The gene is also expressed (but not cold-responsive) in muscle and kidney, but not in white fat. We speculate that the physiological function of the marked increase in BAT GMP-r during cold stress may be to deplete the brown adipocyte of guanine nucleotides, converting them to IMP, thus permitting enhanced UCP-1 function. This is a previously unrecognized regulatory aspect of thermogenesis, an essential physiological response of rodents to cold.     

Liquid injection molding II. Mechanical design and characterization of a RIM machine

A unique liquid injection molding machine for polyurethane was designed and built to process a large quantity of polyurethane in a short period of time. This machine has a continuously variable flow rate. Using inexpensive, low capacity gear pumps, 5 gallon hydraulic accumulators were charged with fluid components. The fluid can be pumped into the accumulators at low pressure followed by nitrogen gas addition to the bladders to raise the fluid pressure, or the charging pumps can pump up the accumulators against an existing pressure. The two components were then discharged under pressure through linkage activated ball valves and mixed together in a mixing chamber. The system provided for a very low pressure loss during discharge, resulting in high fluid velocity. Extremely high flow rates were possible: approximately 1440 lb/min at 2500 psi, a pressure less than the maximum possible system pressure. This system delivers large flow rates of high quality urethane while still maintaining its simplicity, light weight, and relative low cost.