Pitfalls in quantitative contrast echocardiography: the steps to quantitation of perfusion

Current methods used clinically to assess myocardial perfusion are invasive and expensive. As the technology of ultrasound imaging improves, CE may provide a relatively inexpensive, noninvasive means of quantitating myocardial perfusion. Issues regarding stability of microbubble contrast agents must be studied more closely under physiologic conditions. As such, encapsulated microbubbles may provide more stability under physiologic pressures than free gas microbubbles. Introducing high concentrations of contrast, either by hyperconcentrating the contrast agent or by increasing the injection rate, may provide greater stability under physiologic conditions. Further, before quantitative statement of tissue perfusion can be made, the relationship between tracer concentration and system response must be established. Further, a "linear" postprocessing ultrasound setting does not eliminate this requirement as data must still undergo nonlinear transformation during log compression and time-gain compensation. Additionally, issues regarding "electronic thresholding" must be explored more extensively in vivo. Commercial ultrasound scanners, in their present form, may not offer adequate sensitivity for absolute quantitative studies. Further development of modified ultrasound systems may provide sufficient sensitivity for quantitative perfusion imaging. CE offers a potentially powerful tool in the clinical management of patients with ischemic heart disease. Conventional coronary angiography provides information on the size of a lesion, but accompanying tissue perfusion distal to the lesion cannot be determined. Doppler ultrasonography determines velocity of blood flow in large vessels but does not offer the potential to quantitate tissue perfusion. Clearly, CE has a place in the future of diagnostic imaging. The recent work of Ito et al. demonstrated the qualitative potential of CE in the identification of "areas at risk" in patients who had undergone thrombolysis or percutaneous transluminal coronary angioplasty after an acute myocardial infarction. With further improvement in the ultrasound imaging techniques and microbubble stability, CE may offer an inexpensive, noninvasive means of assessing myocardial perfusion.     

Activation of the mouse heart adenosine 5',5"'-P1-P4-tetraphosphate receptor

We have previously demonstrated that mouse brain membrane fractions have a specific, saturable receptor for diadenylated nucleotides. Binding is specific for two adenosines, and the length of the phosphate bridge is critical, with four phosphates being optimal [Hilderman et al. (1991) J. Biol. Chem. 266, 6915-6918]. In this report, we demonstrate that adenosine 5',5"'-P1,P4-tetraphosphate (Ap4A) binding to its receptor is dependent upon an activation step that requires divalent cations and a serine protease. Monoclonal antibodies (Mabs) are identified that inhibit Ap4A binding to its membrane receptor. These antibodies recognize a 212-kDa membrane protein. However, SDS-PAGE analysis of Ap4A cross-linked to membrane fractions reveals that Ap4A is not attached to the 212-kDa peptide but to a 30-kDa polypeptide. Appearance of the 30-kDa polypeptide is dependent on the activation step, and one of the inhibitory antibodies blocks its appearance. We suggest that the protease-dependent processing step involves cleavage of the 212-kDa component with the appearance of an active 30-kDa receptor.     

Perthes' disease treated by prolonged recumbency and femoral head containment: a long-term appraisal

The results of a long-term review of 102 hips in eighty-seven patients with Perthes' disease are described, the mean follow-up interval being seventeen years. All had been treated by an extremely rigorous conservative regime in which the patients were kept in hospital for an average period of twenty-six months, during which time they were confined to bed with the legs in wide abduction, first in traction and later in "broomstick" plasters to ensure "containment" of the femoral head. The patients were assessed by the joint clincial and radiological method described by Ratliff (1956). The results were very satisfactory, with only 2 per cent poor results and 10 per cent fair. The remaining 88 per cent were good. The radiological results at the end of treatment have also been compared with control series described by Catterall (1972) and with the osteotomy series of Lloyd-Roberts, Catterall and Salamon (1976). From this it appears that the described regime offers no benefit compared with the natural history in Catterall's Groups I and II, and in Group III the results were only marginally better than those following osteotomy. In Group IV cases, however, where the femoral head was totally involved, the benefit was important, and since these are the cases which carry the worst natural prognosis it is suggested that the use of the method described in such instances must be seriously considered in spite of its social disadvantages. The theoretical implications of the findings are considered, and it is concluded that the benefits of the method cannot be ascribed wholly to the application of the "containment" principle.     

Nature of the porosity in American coals

The nature of the porosity in a number of 40 × 70 (i.e. − 40 + 70) mesh size American coals, varying in rank from anthracite to lignite, has been studied using the following characterization techniques: gas adsorption, helium and mercury displacement, and mercury porosimetry. Surface areas calculated from carbon dioxide adsorption at 298 K are consistently higher than those calculated from nitrogen at 77 K, indicating the molecular sieve character of the coals. Total pore volumes have been measured in the diameter range 12–29 600 Å and then divided into macropores (300-29 600 Å), transitional pores (12–300 Å), and micropores (4–12 Å). Coals vary widely in their total pore volumes (porosities range between 4.1 and 23.2%). In the lower-rank coals (carbon content less than 75%), porosity is primarily due to the presence of macropores. In coals having a carbon content in the range 76–84%, about 80% of the total open pore volume is due to micro and transitional pores, whereas in the coals of higher carbon content microporosity predominates. Coals having about 35–55% of their total open pore volume in the transitional range are expected to be most suitable for use for adsorption of organic molecules from solution. Thus, they are of interest as possible materials to be used in water purification. In general, these results are considered to be of importance in understanding the extent and rate of interaction of coals with gases and liquids.     

Friendship Jealousy in Young Adolescents: Individual Differences and Links to Sex, Self-Esteem, Aggression, and Social Adjustment.

Children's vulnerability to jealousy surrounding their best friends was explored in 2 studies. Study 1 involved 94 adolescents who reported on their friendship jealousy on a newly created measure. Results indicated that the jealousy measure had sound psychometric properties and produced individual differences that were robust over time and free from socially desirable responding. As expected, girls and adolescents with low self-worth reported the greatest friendship jealousy. Study 2 involved 399 young adolescents and extended the measurement of self-report jealousy to a broader age range. In addition, Study 2 included assessments of jealousy provided by friends and other peers. Self- and peer-reported jealousy were only modestly associated and had somewhat distinct correlates. Structural modeling revealed that young adolescents' reputation for friendship jealousy was linked to behaving aggressively and to broader peer adjustment difficulties. Both self- and peer-reported jealousy contributed to loneliness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interference-based micromechanical spectral equalizers

Dynamic gain equalization filters (DGEFs) are important for high-performance wavelength division multiplexed (WDM) communications. One of the first demonstrated DGEF used a micromechanical etalon filter array illuminated with free-space spectral demultiplexing optics. Here, we present subsequent research on etalon-based dynamic spectral filters, including vertical device structures which linearize and reduce the drive voltage from 70 to 40 V, and spatially-segmented etalons which allow channelized spectral equalization and further reduce drive voltage. We describe a prototype using a simplified cylindrical optomechanical package with a 104-nm broadband spectral response, 7.5-dB insertion loss and less than 16-V operation voltage. Finally, we show the use of a 42-nm bandwidth DGEF prototype with feedback stabilization to more than double the number of channels and operating bandwidth of a conventional Erbium-doped fiber amplifier while maintaining < 1-dB power uniformity.     

Differing Conceptions of Moral Exemplarity: Just, Brave, and Caring.

People's conceptions of different types of moral exemplarity were examined in an attempt to augment the current emphasis on moral rationality with a fuller understanding of moral personality. In Study 1 (with 805 adults), a free-listing procedure was used to generate the attributes of 3 types of moral exemplars (just, brave, and caring). In Study 2 (with 401 undergraduates), prototypicality- and personality-rating procedures were used to generate a personality profile for each type of moral exemplar and to examine the relations among them. In Study 3 (with 240 undergraduates), a similarity-sorting procedure was used to identify the typologies implicit in people's understanding of these different types of moral exemplarity. The findings indicate that moral excellence can be exemplified in rather divergent ways and that understanding of moral functioning would be enhanced by attention to this wider range of moral virtues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)