Autonomic cardiovascular neuropathy in Sj?gren's syndrome. A controlled study

OBJECTIVE: To test patients with primary Sj?gren's syndrome (SS) for evidence of autonomic neuropathy. METHODS: Thirty-two patients with primary SS and 22 age and sex matched healthy individuals were asked specific questions about symptoms suggestive of autonomic neuropathy, and were subjected to a battery of 5 cardiovascular tests: response of blood pressure to sustained hand grip, Valsalva maneuver, heart rate response to deep breathing, and heart rate and blood pressure response to standing up. The chi-squared test with Yates' correction and 95% confidence intervals were used for statistical analysis of the results. RESULTS: Sixteen patients (50%) had symptoms of autonomic neuropathy when specifically asked versus none of the controls (p < 0.0005). The frequency of abnormal responses to the tests was 68.8% in patients and 12.7% in controls (p < 0.0001). Severe autonomic cardiovascular neuropathy was found in 87.5% of the patients but in none of the healthy individuals (p < 0.0001). CONCLUSION: Our results suggest that autonomic neuropathy is a feature of a significant portion of the SS population, and such patients should have appropriate evaluation. Similarly, patients with unexplained autonomic neuropathy should be investigated for evidence of SS.     

Design and synthesis of small semi-mimetic peptides with immunomodulatory activity based on myelin basic protein (MBP)

Bile reflux has been implicated in the pathogenesis and malignant degeneration of Barrett's esophagus, but clinical studies in patients with adenocarcinoma arising in Barrett's esophagus are lacking. Ambulatory esophageal measurement of acid and bile reflux was performed with the previously validated fiberoptic bilirubin monitoring system (Bilitec) combined with a pH probe in 20 asymptomatic volunteers, 19 patients with gastroesophageal reflux disease (GERD) but no mucosal injury, 45 patients with GERD and erosive esophagitis, 33 patients with GERD and Barrett's esophagus, and 14 patients with early adenocarcinoma arising in Barrett's esophagus. Repeat studies were done in 15 patients under medical acid suppression and 16 patients after laparoscopic Nissen fundoplication. The mean esophageal bile exposure time showed an exponential increase from GERD patients without esophagitis to those with erosive esophagitis and benign Barrett's esophagus and was highest in patients with early carcinoma in Barrett's esophagus (P <0.01). Pathologic esophageal bile exposure was documented in 18 (54.5%) of 33 patients with benign Barrett's esophagus and 11 (78.6%) of 14 patients with early adenocarcinoma in Barrett's esophagus. Nissen fundoplication but not medical acid suppression resulted in complete suppression of bile reflux. Bile reflux into the esophagus is particularly prevalent in patients with Barrett's esophagus and early cancer. Bile reflux into the esophagus can be completely suppressed by Nissen fundoplication but not medical acid suppression alone.     

Fatigue Behavior of Inconel 718 TIG Welds

Mechanical behavior of reference and TIG-welded Inconel 718 specimens was examined in the present work. Tensile, constant amplitude fatigue, and fracture toughness tests were performed in ambient temperature for both, reference and welded specimens. Microstructure revealed the presence of coarse and fine-grained heat-affected zones. It has been shown that without any post-weld heat treatment, welded specimens maintained their tensile strength properties while their ductility decreased by more than 40%. It was found that the welded specimens had lower fatigue life and this decrease was a function of the applied fatigue maximum stress. A 30% fatigue life decrease was noticed in the high cycle fatigue regime for the welded specimens while this decrease exceeded 50% in the low cycle fatigue regime. Cyclic stress-strain curves showed that Inconel 718 experiences a short period of hardening followed by softening for all fatigue lives. Cyclic fatigue response of welded specimens’ exhibited cyclically stable behavior. Finally, a marginal decrease was noticed in the Mode I fracture toughness of the welded specimens.     

On the reflection of light from an inhomogeneous shell

The main contribution to the reflected field from a radially inhomogeneous spherical shell is determined. It is shown that it is much smaller in amplitude than the field reflected by a perfectly conducting sphere coated with the same type of radially inhomogeneous dielectric.     

A dynamic model for microstrip-slotline transition and relatedstructures

An analysis of microstrip-to-slotline transition is presented. The method of moments is applied to the coupled integral equations. In the formulation, the Green's function for the grounded dielectric substrate, which takes into account all the radiation, surface wave, and substrate effects, is used. Meanwhile, all the mutual coupling effects are included in the method of moments solution. Certain related structures, such as slotline and microstrip discontinuities, a slot fed by a microstrip line, and a printed strip dipole fed by a slotline, can also be solved with this analysis. This approach may find applications to other related transitions in MIC (microwave integrated circuit) design     

On the prediction of internal particle morphology in suspension polymerization of vinyl chloride. Part I:: The effect of primary particle size distribution

The present study provides a comprehensive investigation on the determination of the primary particle size distribution in the suspension “powder” polymerization of vinyl chloride. The primary particle size distribution inside the polymerizing monomer droplets is determined by the solution of a population balance equation governing the nucleation, growth, and aggregation of the primary particles. The stability of the colloidal primary particles is expressed in terms of the electrostatic and steric stabilization forces. The primary particle stability model includes the effects of agitation, temperature, electrolyte as well as primary and secondary stabilizer concentrations. It also includes both diffusive and shear-induced particle destabilization mechanisms. The proposed stability model is shown to accurately describe existing experimental data on particle number, mean particle size and particle size distribution for both bulk and suspension vinyl chloride polymerizations. The primary particle population balance model can predict the critical monomer conversion at which massive particle aggregation occurs leading to the formation of a continuous network of primary polymer particles inside the polymerizing monomer droplets. A detailed investigation on the predicted critical monomer conversion is carried out including its dependence on the rate of agitation, temperature, electrolyte concentration, as well as the concentrations of the primary and secondary stabilizers.     

A dose titration study on the effect of virginiamycin on specific blood parameters and milk quality in the sow

The present study investigates the changes in blood cholesterol and total lipids concentrations, as well as changes in milk fat, protein, lactose and total solids content of sows after the long-term administration of virginiamycin (VM) in the feed. Seventy-two (72) healthy Dalland gilts, in 18 groups of four (2 + 2) siblings were used in total. The gilts of each group of siblings were randomly allocated to one of the following four dietary treatments: VM0 = negative control, virginiamycin 0 mg/kg, VM20 = virginiamycin 20 mg/kg feed, VM40 = virginiamycin 40 mg/kg feed and VM60 = virginiamycin 60 mg/kg of feed. Treatments started at the age of 6 months covering three complete breeding cycles (up to the third weaning). The first eight groups of siblings (eight gilts per treatment/32 gilts in total) were used for blood sampling (blood group), while the remaining 10 groups of siblings (10 gilts per treatment/40 gilts in total) were used for milk sampling (milk group). Feeds given at insemination, pregnancy and lactation did not contain any other antibacterial or performance enhancer. The results indicate that all three levels of VM supplementation of gilt/sow feed influenced certain blood parameters by increasing (P < 0.05) both cholesterol and total lipids concentrations on the 30th and 60th day of each pregnancy, at each farrowing and at each weaning. The effect of dietary VM on these blood parameters remained constant throughout three consecutive parities. Moreover, the results indicate a beneficial effect of dietary VM on the milk quality of the sows during the third lactation by increasing (P < 0.05) (i) the mean fat content, (ii) the mean protein content, (iii) the mean lactose content and (iv) the mean total solids content. The highest (P < 0.05) levels in both blood and milk parameters were noticed at the inclusion level of 40 mg/kg of feed.     

High-Q radio-frequency structures using one-dimensionally periodicmetallic films

High-Q structures are very interesting theoretically, and very important practically, for a variety of engineering applications in communication systems. We address the issue of designing a thin-film metal structure of reflectivity higher than the intrinsic reflectivity of the bulk metal itself. We study a finite array of planar conducting layers of arbitrary thickness periodically placed an arbitrary distance apart, and we arrive at an exact analytical formula for the reflection and transmission coefficients. These structures are equivalent to a one-dimensional metallic photonic bandgap (PBG) system. We apply our formulas to the microwave regime and fully explore the system's three-dimensional parameter space, consisting of the number of layers, their thickness, and their spacing. We find very significant enhancements of the radio frequency-Q, relative to the bulk metal, in narrow regions of the parameter space     

Metamorphic materials: bulk electromagnetic transitions realized in electronically reconfigurable composite media

We present what we believe is a new class of composite electromagnetic materials characterized by the concept of metamorphism, which we define in general terms. Metamorphic materials exhibit bulk electromagnetic transitions among states characterized by distinct ranges of values of their reflection coefficient. Each such state has unique physical properties induced by the corresponding values of the reflection coefficient. We present a variety of physical realizations of the concept of metamorphic materials in microwave frequencies, showing with specific metallodielectric designs how transitions among metamorphic states can be obtained at the same frequency, for fixed material geometries, by electronic reconfigurability. We further show how a given material exhibiting certain metamorphic states at a given frequency can transform into a different combination of metamorphic states at different frequencies; i.e., metamorphic materials have a useful dispersive degree of freedom.