Acute effects of haemodialysis on cutaneous microcirculation in patients with peripheral arterial occlusive disease

BACKGROUND: Peripheral arterial occlusive disease (PAOD) is an increasing problem in patients on maintenance haemodialysis. Alterations in microvascular perfusion accompany and complicate arteriosclerosis of large vessels and might contribute to the disease process. The aim of the study was to investigate the acute effects of haemodialysis on the cutaneous microcirculation in 26 patients with and without intermittent claudication. METHODS: Cutaneous perfusion was assessed by measuring transcutaneous oxygen pressure (tcPO2) and skin temperature at the dorsum of the foot. After standardized cooling to 15 degrees C of a 2cm2 skin area, the time to reach baseline skin temperature was evaluated as an indirect parameter of reactive hyperaemia. RESULTS: During haemodialysis, tcPO2 dropped significantly in both groups. The decrease in tcPO2 was more pronounced in patients with PAOD (20% vs 15% n.s.). The reactive hyperaemia response was reduced significantly in patients with intermittent claudication indicated by a prolonged time to reach baseline skin temperature after cooling. Values of tcPO2 and reactive hyperaemia did not reach baseline values at the end of haemodialysis in either group. CONCLUSIONS: Nutritive skin perfusion is impaired during haemodialysis. These changes are more pronounced in patients with PAOD and persist after dialysis. These findings are relevant for the treatment of patients with vascular disease on maintenance haemodialysis.     

Pair-breaking effects in the superconducting Kondo alloy LaCe

The depression of the superconducting transition temperature of LaCe alloys and the upper critical fieldH _c2 (T) of La and LaCe was measured, down to 0.05 K. The results disagree with calculations, based on recent theories, including the temperature dependence of the spin-flip amplitude.     

Multibody simulation tool for the calculation of lashing loads on RoRo ships

Approximately 80% of the international transport of goods is carried on by means of ships. A large portion of the transport capacity is represented by Roll-on-Roll-off (RoRo) ships. Especially in Europe this is a relevant potential for the RoRo segment. Consequently, the design and construction of RoRo ships plays an increasing role for German shipyards and their suppliers. In order to make the loading and unloading procedure of trailer economically more competitive, ship owners would like to improve the lashing of trailers on the ship. On the basis of a multibody system formalism, a software tool has been developed which allows for an optimization of the loading of trailers on RoRo ships. Commemorative Contribution.     

Quality of subcutaneous,intermuscular and intramuscular fat tissue using elevated quantities of medium chain fatty acids in pig fattening

The present study comprised fat tissue samples of 46 (partly 23) pig carcasses randomly obtained from each one of four production systems: common fattening, pigs fattened on a low-fat diet and pigs grown on diets enriched with medium chain fatty acids (MCFA) in low or high amounts (0.3% and 3.6% C₈ with C₁₄, respectively). As models for subcutaneous, intermuscular and intramuscular fat tissues, back fat, dissected belly fat tissue and belly meat were used. In all fat tissues, the contents of MCFA were significantly elevated only with the high dietary content of MCFA, with a preferential retention of the MCFA in the storage tissues. In the MCFA supplemented groups, linoleic acid contents were slightly lower in subcutaneous and intermuscular fat as compared to the control group, in the group with the low-fat diet linoleic acid was considerably lower in all tissues. In spite of the only marginal differences in fatty acid pattern, the penetrometrically assessed firmness of backfat as well as the oxidative resistance of back and belly fat were almost twice as high in the high-MCFA group as in the other groups. In the low-fat group, water content of the back fat (16.9%) was higher than the average of the other groups (14.5%). The implications for routing assessment of fat tissue properties at slaughter plants are discussed.     

Analog VLSI synaptic matrices as building blocks for neuralnetworks

An associative memory circuit that may let designers expand neural networks around a matrix of analog synapses is described. The architecture of the chip and its basic cell are discussed, and some SPICE simulation results are presented and compared with measures provided by the first prototype. In particular, the linearity and dynamic response of the complete chip, which includes an array of 25 synapses and two address decoders used for programming the weights, are examined     

Thermodynamic and Experimental Investigations of High-Temperature Refractory Corrosion by Molten Slags

Corrosion mechanisms between MgO refractory substrates and FeNi slags were investigated. The FeNi slags taken into consideration represent a simple synthetically mixed slag with specific oxides and a real slag from a ferroalloy producer. The MgO refractory substrates with the specimens of FeNi slag were heated in a hot-stage microscope at 10 K/min from room temperature to three different temperatures 1573 K, 1723 K, and 1923 K (1300 °C, 1450 °C, and 1650 °C). The experiments were carried out under a controlled gas atmosphere that simulates the relevant process conditions. The corrosion mechanisms of each system were followed by scanning electron microscope analyses. The results obtained showed that slag corrosion dominates, with a pronounced partial dissolution of refractory fines forming Mg-silicates of type forsterite. It was also observed that iron oxide present in the slag diffused into the coarse refractory grains forming magnesiowustite. Finally, the results obtained were compared with those predicted by FACTSAGE software to understand the corrosion mechanisms and draw implications for improving the refractory performance and lifetime.     

Single-center randomized trial comparing tacrolimus (FK506) and cyclosporine in the prevention of acute myocardial rejection

BACKGROUND: To compare the efficacy and safety of tacrolimus and cyclosporine in heart transplantation, this single-center, prospective, randomized, open-label clinical trial was undertaken. METHODS: Seventy-three adult patients were randomly assigned at the time of transplantation to receive either tacrolimus (n=43) or cyclosporine (n=30) as the primary immunosuppressant. Ten of the 43 patients in the tacrolimus group received the drug intravenously in the perioperative period; all other patients received only oral tacrolimus. RESULTS: With a mean follow-up of 27 months, patient survival rates (tacrolimus 83%, cyclosporine 81%) were similar. Fewer patients experienced acute rejection in the tacrolimus group (79%) than in the cyclosporine group (100%), but the difference was not statistically significant. The number of infections and dialysis and insulin requirements were similar for the 2 treatment groups, but the proportion of patients requiring multidrug antihypertensive regimens was lower in the tacrolimus group (12.5% vs 50.0% at month 6; p=.025). The interpatient variance in pharmacokinetic parameters in a subset of 10 patients was much higher after the first oral dose of tacrolimus than at steady-state (eg, first-dose time at which maximal concentration is reached (t(max)): 3.5+/-2.5h, steady-state t(max): 2.0+/-0.7h), and patients treated with intravenous tacrolimus (n=13) rather than oral tacrolimus (n=30) reached target concentrations faster and with less interpatient variability (eg, at day 0: 9.72+/-10.9 ng/mL intravenously vs 3.31+/-8.1 orally). CONCLUSIONS: Tacrolimus was associated with similar efficacy and safety profiles compared with cyclosporine. The higher interpatient variance in absorption associated with oral tacrolimus during the first few days after transplantation would suggest that intravenous tacrolimus should be used during the perioperative period.