Adenosine in the termination of albuterol-induced supraventricular tachycardia

Five percent of children in the United States have asthma. Status asthmaticus is one of the most common conditions for which children seek care in a pediatric emergency department. beta 2-Agonists such as albuterol are the mainstay of emergency therapy for such children. We present a case of a 4-year-old boy who experienced supraventricular tachycardia (SVT) following albuterol therapy. This is believed to be the first report of adenosine being successfully used to treat a child with albuterol-induced SVT. We also briefly review the recognition and management of SVT in children and the pharmacokinetics of and indications for adenosine.     

Structural and electrophysiological analysis of annexin V mutants. Mutagenesis of human annexin V, an in vitro voltage-gated calcium channel, provides information about the structural features of the ion pathway, the voltage sensor and the ion selectivity filter

Annexin V binds to phospholipids in a calcium-dependent manner and exhibits calcium channel activity in vitro. We prepared a variety of mutants yielding information about the structure-function relationship of the ion channel activity. All mutants were characterized by X-ray crystallography, electron microscopy and electrophysiological measurements. Their structures are insignificantly changed whereas their electrophysiological properties are drastically different. Glu95, located in the central hydrophilic pore of the molecule, is crucial for the ion selectivity filter as its exchange leads to reduced calcium and increased sodium conductance. The removal of Glu17, located on the protein surface and far from the ion conduction pathway, leads to the appearance of a second conductance level of 9 pS in addition to the conductance level of about 30 pS in the wild-type molecule. This was also the case for Glu78, which is part of a weak calcium binding site. The exchange of Glu17 and Glu78 produced a mutant retaining only the smaller conductance level. We conclude that these two residues influence the angle between the two halves of the molecule, which determines the diameter of the ion conduction pathway, thereby leading to the occurrence of a second conductance level.     

Serum amyloid P component scintigraphy and turnover studies for diagnosis and quantitative monitoring of AA amyloidosis in juvenile rheumatoid arthritis

OBJECTIVE: To evaluate aspects of the natural history of AA amyloidosis complicating juvenile rheumatoid arthritis (JRA), and its response to therapy with chlorambucil. METHODS: Scintigraphy and 7-day turnover studies were performed in JRA patients with histologically proven (n = 35) or clinically suspected (n = 30) AA amyloidosis, following intravenous injection of 123I and 125I-labeled serum amyloid P component (SAP). Prospective monitoring studies were performed over 2-3 years in 20 patients with amyloidosis. All but 2 amyloidosis patients were treated with chlorambucil. RESULTS: Positive scanning results were obtained in all patients in whom imaging was performed within 12 years of positive biopsy findings of amyloid and in 5 patients with clinically suspected amyloidosis. Negative scanning results with normal SAP metabolism, indicating regression of amyloid, were obtained in 4 patients whose amyloidosis had been in full clinical remission for more than 12 years. Prospective monitoring studies in patients whose JRA-associated inflammatory activity was in remission demonstrated regression of amyloid in 8 patients and no substantial changes in 8 others; however, in 4 further patients with active inflammation, there was accumulation of amyloid. There was a very poor correlation between the amount of amyloid present at a particular site and the resultant organ dysfunction. CONCLUSION: Radiolabeled SAP scintigraphy and turnover studies are useful complementary tools in the diagnosis, screening, and quantitative monitoring of type AA amyloidosis in JRA. The amyloid deposits may progress and/or regress at different rates in different anatomic sites over short periods.     

Review of The saturated self: Dilemmas of identity in contemporary life.

Reviews the book, The saturated self: Dilemmas of identity in contemporary life by Kenneth J. Gergen (see record 1991-97621-000). There is, perhaps, no other concept as seminal for psychology as the self. For this reason alone, Kenneth Gergen's book represents an important contribution to our understanding of this influential concept. However, Gergen's vision is so broad, his arguments so compelling, and the implications so revolutionary, that the work defies confinement exclusively within the walls of academia. In essence, Gergen is articulating his vision of a postmodern world, and he lays an invitation squarely before the reader to come and partake. The conception of the self as private and autonomous is the focus of Gergen's postmodern challenge. In his chapter, "Social Saturation and the Populated Self," Gergen postulates that technological innovation in contemporary society has made possible a rapid proliferation of relationships. This he refers to as the "process of social saturation." Gergen's book constitutes a substantive contribution to psychology's on going understanding of the self. Copious examples are provided throughout, drawing on and extending scholarly debates. Also included are anecdotes and evidences from such far ranging domains as art, film, music, literature, and architecture. These not only clarify and reinforce his arguments, but also illustrate the scope and practicality of the position he espouses. Although readers may not embrace the gestalt of Gergen's vision of a postmodern culture, they are certain to find this book to be a provocative and rewarding read. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Bayesian approach to the multivariate Behrens-Fisher problem under the assumption of proportional covariance matrices

Summary Two independent random samples of sizesN ₁ andN ₂ from multivariate normal populationsN _p (θ₁,∑₁) andN _p (θ₂,∑₂) are considered. Under the null hypothesisH ₀: θ₁=θ₂, a single θ is generated from aN _p(μ, Σ) prior distribution, while underH ₁: θ₁≠θ₂ two means are generated from the exchangeable priorN _p(μ,σ). In both cases Σ will be assumed to have a vague prior distribution. For a simple covariance structure, the Bayes factorB and minimum Bayes factor in favour of the null hypotheses is derived. The Bayes risk for each hypothesis is derived and a strategy is discussed for using the Bayes factor and Bayes risks to test the hypothesis.     

The Role of Plasma Science in Graduate Education

In many academic institutions plasma science is currently viewed as a basic physics discipline encompassing a broad range of applications including fusion, astrophysics, space physics, low temperature plasma physics for the semiconductor industry, and environmental remediation of nuclear and chemical waste. Although the applications are broad, it is accurate to state that the major development of the field has been driven by the scientific needs of a single program, fusion. As such, plasma science and engineering has played an important role in graduate education since the early days of the fusion program, late 50's, early 60's.     

Salmonella excretion in adult cattle on the Maltese island of Gozo

A cross-sectional study was conducted, between June and November 1993, to determine the prevalence of Salmonella excretion in a representative sample (n = 300) of adult cattle, chosen by strict random sampling of the isolated bovine population in Gozo. Salmonellae were found in 41.3% of the cattle investigated, and seven animals yielded multiple Salmonella serovars. The total number of Salmonella isolates was 131. These included Salmonella Croft (55 isolates), S. Telaviv (29), S. Montevideo (17), S. Kpeme (7), S. Infantis (2) and S. Abadina (1). A seventh serovar (14 isolates) was found to have a novel antigenic structure: the name S. Gozo was proposed, and was accepted by the World Health Organisation Salmonella Reference Centre. All isolates were sensitive to four antibiotics, while 43% of the Salmonella strains were sensitive to nine antibiotics. No resistance was detected to cefuroxime, ciprofloxacin and gentamicin.     

Heterochromatin effects on the frequency and duration of LCR-mediated gene transcription

Organ transplantation is associated with an early bone loss that subsequently increases the risk of osteopenia and bone fractures. It is not known whether bone loss continues in long-term survivors, but persistent bone demineralization could further jeopardize an already diminished bone mass. To better define long-term bone status of kidney transplant recipients (KTR), we conducted cross-sectional and longitudinal evaluations of bone mineral density (BMD) in 70 KTR with a mean posttransplantation time of 8.1 years. BMD was determined by dual-energy X-ray absorptiometry and was repeated in 55 of the patients after a mean follow-up period of 22 +/- 5 months. Lumbar and femoral osteopenia, defined as a BMD lower than 2 standard deviations from mean value of sex- and age-matched controls, was present in 28.6% and 10.5% of patients, respectively. There was a significant negative correlation between cumulative prednisone dose and adjusted lumbar as well as femoral BMD (R = 0.45, P < 0.001 and R = 0.29, P < 0.05, respectively). Five patients had a vertebral BMD below a fracture threshold of 0.777 g/cm2. Vertebral fractures (VF) were found in four men and were associated with higher prednisone dosage (P < 0.05), larger cumulative prednisone dose (P < 0.05), and significantly lower BMD values. According to World Health Organization recent criteria for women, prevalences of lumbar and femoral osteopenia and lumbar and femoral osteoporosis in female patients reach 75%, 65%, 33%, and 10%, respectively. The longitudinal part of the study showed a persistent pathological lumbar demineralization process. Over the study period, BMD, expressed as a percentage of that of controls, decreased from 89 +/- 14% to 86 +/- 14% (P < 0.001). Annual change of bone mass was -1.7 +/- 2.8% per year. Accelerated vertebral bone loss (defined as a decrease of BMD, expressed as a percentage of that of controls, of more than 1% per year) was present in 56% of patients and was associated with higher prednisone dosage (P < 0.01). In conclusion, although VF are relatively infrequent in long-term survivors of renal transplantation, osteopenia is a frequent finding, and a substantial proportion of women present lumbar osteoporosis. An ongoing demineralization process of the spine is also demonstrated and probably contributes to long-term spinal osteoporosis incidence. Prednisone dosage remains the most constantly isolated risk factor.