papG alleles among Escherichia coli strains causing urosepsis: associations with other bacterial characteristics and host compromise

Alleles I, II, and III of the P adhesin gene papG were sought by PCR among 75 Escherichia coli blood isolates from adults with urosepsis, and the papG genotype was compared with associated bacterial characteristics and host compromise status. Allele II predominated over allele III in the total population (71% of the strains versus 7% for allele III; P < 0.01). Allele I was not encountered. In comparison with allele II, allele III was significantly associated with the presence of hly and the absence of iuc (which encode hemolysin and aerobactin biosynthesis), nonagglutination of digalactoside-coated beads, absence of aerobactin production, membership in serogroups O6 and O18, and host compromise, particularly cancer and upper urinary tract abnormalities.     

The clinical and physiological effect of whole-lung lavage in pulmonary alveolar proteinosis: a ten-year experience

We have utilized whole-lung lavage in the successful treatment of 18 patients with pulmonary alveolar proteinosis. Our ten-year experience includes serial evaluations of patients with disabling lung dysfunction who had a total of 49 whole-lung lavages under general anesthesia. Clinical and physiological responses were documented both before and after each lavage. There were no complications or deaths. All patients were radiographically, physiologically, and symptomatically improved within hours after the procedures. Five patients required from two to four repeat lavages one to three years later. The treatment of this disorder has included a wide variety of techniques. We attribute our results to the use of a lung lavage technique that includes: (1) unilateral whole-lung lavages at two to three day intervals; (2) isotonic saline as the lavage solution; (3) use of a mechanical chest percussor during lavage; and (4) measuring the total thoracic compliance of each side in the immediate postlavage period as a guide for extubation. We conclude that whole-lung lavage is a safe, highly effective, repetitively applicable treatment for pulmonary alveolar proteinosis.     

Effect of Grinding on Flaw Geometry and Fracture of Glass

Fracture mechanics is combined with fracture surface analysis to analyze brittle failure of glass bars which were tested relative to the direction of grinding. Grinding essentially produces two sets of flaws from which failure occurs. In the most severe set, formed basically parallel to the grinding direction, the ratio of the average depth ( a ) to the half-width ( b ) is 0.5. In the less severe set, formed perpendicular to the grinding direction, the average a / b ratio is 1.6. In both sets the most severe flaws are generally associated with a particularly deep grinding groove or gouge. The strength reduction resulting from testing perpendicular to the grinding direction results from the larger flaw size and slightly higher stress-intensity factor resulting from the greater ellipticity of the flaws formed parallel to the grinding grooves and perpendicular to the tensile axis. Detailed analysis of these 2 sets of flaws causing failure of appropriately oriented specimens shows that (1) the fracture mirror radius, r , occurs at a constant stress-intensity level independent of flaw geometry; (2) unsymmetric fracture mirrors result from unsymmetric, irregular flaws leading to unsymmetric stress-intensity distributions; (3) is constant for semielliptical flaws; and (4) fracture energy calculated from an expression including mirror constants, the flaw-to-mirror size ratio, and the flaw geometry agrees with measured values over a wide range of a / b values.     

The effects of CO2 on the components of breathing pattern

Experiments were performed on 12 rabbits in 4 experimental groups: A. breathing spontaneously; B. nonparalysed and ventilated by means of a pump driven by the integrated phrenic nerve activity; C. paralysed and ventilated as mentioned above; D. like in the group C, but subjected to bilateral vagotomy. The relationships were investigated between the chosen basic parameters describing the rhythm and depth of respiration in steady states during exposure to hypercapnic mixtures. A high correlation was found between the amplitude of the integrated phrenic nerve activity and the time of inspiration which is modified by the afferent activities from the lungs and thorax TI and TE seem to be controlled by different mechanisms, and the contribution of TE to the control of the cycle duration is greater than that of TI.     

Strain Effects and Spalling in Alpha-Bombarded ThO2

Samples of bulk polycrystalline ThO₂ were bombarded with 5-MeV α-particles to doses between 9.4×10¹⁶ and 6.0×10¹⁷ ions/cm². The sample which received the highest dose spalled during bombardment; those receiving lower doses either did not spall or did so only after postirradiation annealing. The spalling was investigated by X-ray analysis and replica and transmission electron microscopy. It is concluded that spalling resulted from severe lattice strains at the interface between damaged and undamaged material and that sintering pores played a part in the fracture process. The role of lattice defects in initiating fracture is discussed.