Surface-bound heparin fails to reduce thrombin formation during clinical cardiopulmonary bypass

The hypothesis that heparin-coated perfusion circuits reduce thrombin formation and activity; fibrinolysis; and platelet, complement, and neutrophil activation was tested in 20 consecutive, randomized adults who had cardiopulmonary bypass. Twenty identical perfusion systems were used; in 10, all blood-contacting surfaces were coated with partially degraded heparin (Carmeda process; Medtronic Cardiopulmonary, Anaheim, Calif.). All patients received a 300 U/kg dose of heparin. Activated clotting times were maintained longer than 400 seconds. Cardiopulmonary bypass lasted 36 to 244 minutes. Blood samples for platelet count, platelet response to adenosine diphosphate, plasma beta-thromboglobulin, inactivated complement 3b, neutrophil elastase, fibrinopeptide A, prothrombin fragment F1.2, thrombin-antithrombin complex, tissue plasminogen activator, plasminogen activator inhibitor-1, plasmin alpha 2-antiplasmin complex, and D-dimer were obtained at these times: after heparin was given, 5 and 30 minutes after cardiopulmonary bypass was started, within 5 minutes after bypass was stopped, and 15 minutes after protamine was given. After cardiopulmonary bypass, tubing segments were analyzed for surface-adsorbed anti-thrombin, fibrinogen, factor XII, and von Willebrand factor by radioimmunoassay. Heparin-coated circuits significantly (p < 0.001) reduced platelet adhesion and maintained platelet sensitivity to adenosine diphosphate (p = 0.015), but did not reduce release of beta-thromboglobulin. There were no significant differences between groups at any time for fibrinopeptide A, prothrombin fragment F1.2, or thrombin-antithrombin complex or in the markers for fibrinolysis: D-dimer, tissue plasminogen activator, plasminogen activator inhibitor-1, and alpha 2-antiplasmin complex. In both groups, concentrations of prothrombin fragment F1.2 and thrombin-antithrombin complex increased progressively and significantly during cardiopulmonary bypass and after protamine was given. Concentrations of D-dimer, alpha 2-antiplasmin complex, and plasminogen activator inhibitor-1 also increased significantly during bypass in both groups. Fibrinopeptide A levels did not increase during bypass but in both groups increased significantly after protamine was given. No significant differences were observed between groups for levels of inactivated complement 3b or neutrophil elastase. Radioimmunoassay showed a significant increase in surface-adsorbed antithrombin on coated circuits but no significant differences between groups for other proteins. We conclude that heparin-coated circuits used with standard doses of systemic heparin reduce platelet adhesion and improve platelet function but do not produce a meaningful anticoagulant effect during clinical cardiopulmonary bypass. The data do not support the practice of reducing systemic heparin doses during cardiac operations with heparin-coated extracorporeal perfusion circuitry.     

The role of "indirect" recognition in initiating rejection of skin grafts from major histocompatibility complex class II-deficient mice

In vitro studies have revealed several pathways by which T cells can respond to alloantigens, including CD4+ direct responses to allogeneic class II antigens, CD8+ direct responses to allogeneic class I antigens, and CD4+ "indirect" responses to peptides of alloantigens presented in association with responder class II molecules. In vivo studies of skin graft rejection, however, have so far provided clear evidence for the contribution of only the two direct pathways and not for indirect recognition. We have used major histocompatibility complex class II-deficient mice as donors to test the role of indirect recognition in rejection of skin grafts. Class II-deficient skin was always rejected without delay by normal recipients. Removal of recipient CD8+ cells (to leave the animals dependent on CD4+ function) or depletion of recipient CD4+ cells revealed that CD4+ cells were usually involved and sometimes absolutely required in this rapid rejection. Since the donor grafts lacked class II antigens, the CD4+ cells must have recognized donor antigens presented in association with recipient class II molecules. These results therefore indicate that indirect recognition can initiate rapid skin graft rejection.     

Hearing and Sj?gren's syndrome

Immune sensorineural hearing loss is manifested in several systemic immune diseases. Although hearing loss has been previously documented in patients with Sj?gren's syndrome (SS), the effect of SS on hearing is unclear. This prospective study was designed to assess the presence of hearing loss in 14 patients with SS and, if sensorineural hearing loss was present, to determine if the hearing loss was immune-mediated. Patients were evaluated with basic audiologic tests as well as for cellular immune inner ear reactivity as measured by the lymphocyte transformation test (LTT). Three patients had evidence of sensorineural hearing loss. Two patients had a positive LTT without evidence of sensorineural hearing loss. This preliminary study suggests that SS may not directly cause sensorineural hearing loss, immuno-mediated or otherwise.     

Effect of not breastfeeding on the risk of diarrheal and respiratory mortality in children under 2 years of age in Metro Cebu, The Philippines

The effects of not breastfeeding on mortality due to diarrhea and acute lower respiratory infection (ALRI) in children under 2 years of age were examined using data from a 1988-1991 longitudinal study of 9,942 children in Metro Cebu, The Philippines. Cox regression methods were used to study the magnitude of the risks, possible interactions with birth weight and nutritional status, and the effect of additional confounding factors. Not breastfeeding had a greater effect on diarrheal mortality than on ALRI mortality. In the first 6 months of life, failing to initiate breastfeeding or ceasing to breastfeed resulted in an 8- to 10-fold increase in the rate of diarrheal mortality. The rate of mortality associated with both ALRI and diarrhea was increased nearly six times by not breastfeeding, but the rate of ALRI mortality alone was not increased. The data also suggested that the risk of mortality associated with not breastfeeding was greater for low birth weight infants and infants whose mothers had little formal education. After age 6 months, the protective effects of breastfeeding dropped dramatically. These findings underscore the importance of promoting breastfeeding, especially during the first 6 months of life, and of targeting high risk groups such as low birth weight babies and those of low socioeconomic status.     

Performance analysis of hybrid/single nanofluids on augmentation of heat transport in lid-driven undulated cavity

This numerical study reveals the heat transfer performance of hybrid/single nanofluids inside a lid-driven sinusoidal trapezoidal-shaped enclosure. The right and left inclined surfaces of the trapezium have been considered as insulated, whereas the bottom sinusoidal wavy and the flat top surfaces of the enclosure as hot and cold, respectively. The governing partial differential equations of fluid's velocity and temperature have been resolved by applying the finite element method. The implications of Prandtl number (4.2-6.2), Richardson number (0.1-10.0), undulation number (0-3), nanoparticles volume fraction (0%-3%), and nanofluid/base fluid (water, water–copper (Cu), water–Cu–carbon nanotube, water–Cu–copper oxide (CuO), water–Cu–TiO₂, and water–Cu–Al₂O₃) on the velocity and temperature profiles have been studied. Simulated findings have been represented by means of streamlines, isothermal lines, and average Nusselt number of above-mentioned hybrid nanofluids for varying the governing parameters. The comparison of heat transfer rates using hybrid nanofluids and pure water has been also shown. The heat transfer rate is increased about 15% for varying Richardson number from 0.1 to 10.0. Blending of two nanoparticles suspension in base fluid has a higher heat transfer rate—approximately 5% than a mononanoparticle. Moreover, a higher average Nusselt number is obtained by 14.7% using the wavy surface than the flat surface of the enclosure. Thus, this study showed that applying hybrid nanofluid may be beneficial to obtain expected thermal performance.     

Pulsed hydrogen/deuterium exchange MS/MS for studying the relationship between noncovalent protein complexes in solution and in the gas phase after electrospray ionization

Electrospray ionization mass spectrometry (ESI-MS) has become a standard method for monitoring noncovalent protein-protein interactions. Studies employing this approach tend to operate on the premise that the ionic species observed in the mass spectrum directly reflect the corresponding solution-phase protein quaternary structures. However, dissociation or clustering events taking place during ESI may lead to disparities between the ions observed in the mass spectrum and the protein binding state in bulk solution. Recognizing the occurrence of dissociation or clustering artifacts is not straightforward, leading to possible ambiguities in the interpretation of ESI-MS data. This work employs on-line pulsed hydrogen-deuterium exchange (HDX) for probing the origin of various species in the ESI mass spectrum of hemoglobin. In addition to the canonical hemoglobin tetramer, ESI-MS reveals the presence of monomers, dimers, hexamers, and octamers. Tandem mass spectrometry (MS/MS) is used for extracting HDX levels in a subunit-specific manner. Dimeric species exhibit exchange levels that are significantly above those of the tetramer. Monomeric hemoglobin subunits are labeled to an even greater extent. This HDX pattern implies that monomers and dimers do not represent dissociation artifacts generated during ESI. Instead, they are derived from preexisting solution-phase structures. In contrast, hexamers and octamers exhibit HDX levels that resemble those of the tetramer, thus identifying these larger species as nonspecific clustering artifacts. Overall, it appears that the pulsed HDX MS/MS approach introduced in this work represents a widely applicable tool for deciphering the relationship between ESI mass spectra and protein quaternary structures in solution.     

Optimal locations of on-line and off-line rework stations in a serial production system

The production rate and product quality are two vital concerns for any manufacturing industry. Number of defective items reduces production rate and increases unit production cost. Moreover, if nonconforming items reach to the customers then manufacturer’s goodwill may drastically go down. Thus, quality inspection is treated as an inherent part of manufacturing. In this research, an N-stage serial production line with an inspection station at the end of it is considered to make decisions concerning this issue. On detecting a defective item at the end of the line it is scrapped or repaired at regular workstation or is sent to an off-line rework station for repair. Assuming each workstation produces a single type of defect a unit cost function is developed for alternative decisions on each type of defect. In order to minimise the unit cost of production and determine an appropriate decision for individual defect types, a fractional mixed integer nonlinear programming is formulated. After transformation to a mixed integer linear programming problem it is solved optimally. A small problem from garments industry is described in detail to show the solution procedure with a branch and bound method. Empirical tests with up to 40 workstations are permed to show the efficiency of the solution process.     

Autocorrelation model-based identification method for ARMA systems in noise

A novel method for parameter estimation of minimum-phase autoregressive moving average (ARMA) systems in noise is presented. The ARMA parameters are estimated using a damped sinusoidal model representation of the autocorrelation function of the noise-free ARMA signal. The AR parameters are obtained directly from the estimates of the damped sinusoidal model parameters with guaranteed stability. The MA parameters are estimated using a correlation matching technique. Simulation results show that the proposed method can estimate the ARMA parameters with better accuracy as compared to other reported methods, in particular for low SNRs.     

Biochemical Conversion of Microalgae Biomass into Biofuel

Biofuel production via microalgae is a promising and sustainable alternative to replace the typical fossil fuel that is the main contributor to the global warming. However, for a cost‐effective biofuel production, further advanced research is still needed for large‐scale operation. This article is a tutorial review on conversion processes of microalgae into biofuel, with emphasis on biochemical conversion. The following topics are discussed: (i) microalgae biomass and its composition, (ii) thermochemical conversion, (iii) chemical conversion, and (iv) biochemical conversion. In addition, various aspects of anaerobic digestion, digester designs, and effects of operating conditions on the production of methane, bioethanol, and biohydrogen are discussed. The general kinetics of biomass conversion into biofuel is presented. This study suggests, if that biomass contains less than 50 % moisture, then it is recommended to use the direct combustion method; otherwise, biochemical conversion is the most suitable process to biofuel production.