Ursodiol for primary sclerosing cholangitis. Mayo Primary Sclerosing Cholangitis-Ursodeoxycholic Acid Study Group

BACKGROUND: There is no satisfactory medical therapy for patients with primary sclerosing cholangitis. Ursodiol (ursodeoxycholic acid) benefits patients with primary biliary cirrhosis, another cholestatic liver disease. METHODS: From May 1989 to July 1995, we enrolled 105 patients with well-documented primary sclerosing cholangitis in a randomized, double-blind study comparing ursodiol (13 to 15 mg per kilogram of body weight per day in divided doses) with placebo. The primary outcome was the time to treatment failure, defined as death; liver transplantation; histologic progression by two stages (of four) or progression to cirrhosis; the development of varices, ascites, or encephalopathy; sustained quadrupling of the serum bilirubin concentration; marked worsening of fatigue or pruritus; inability to tolerate the drug; or voluntary withdrawal from the study. RESULTS: We analyzed data on the 51 patients in each group with at least 3 months of follow-up; the median follow-up was 2.2 years. There was no significant difference between the groups in time to treatment failure (relative risk of treatment failure in the ursodiol group, 1.01; 95 percent confidence interval, 0.6 to 1.7). During the first two years of follow-up, treatment was unsuccessful in 17 of 32 patients (53 percent) in the placebo group and 16 of 31 (52 percent) in the ursodiol group. There were also no differences in time to treatment failure for patients with early-stage disease or in time to liver transplantation. Ursodiol, but not placebo, was associated with improvement in serum alkaline phosphatase, aspartate aminotransferase, bilirubin, and albumin levels at one and two years. CONCLUSIONS: In a group of patients with well-defined primary sclerosing cholangitis, ursodiol provided no clinical benefit.     

Preparation, Hardness, and Fracture Toughness of Tantalum Oxynitride Ceramics

Tantalum oxynitride powder with a baddeleyite crystal structure was synthesized and densified by hot pressing in Ar and under high pressure using a belt-type high-pressure apparatus. The tantalum oxynitride powder could not be densified completely under hot-pressing conditions at 1400°C. The use of high pressure resulted in dense materials. The samples showed a hardness of 16–17 GPa and a fracture toughness of 3–4 MPa·m^1/2. The hardness is higher compared with that of ZrO₂ and HfO₂ ceramics. The fracture toughness corresponds to the value of fully stabilized ZrO₂ due to the absence of any transformation toughening mechanism.     

Studies on the processing and properties of soymilk. II. Effect of processing conditions on the trypsin inhibitor activity and the digestibility in vitro of proteins in various soymilk preparations

Soymilks prepared from beans which had been soaked either in water or 0.4 M sodium carbonate solution for 24 h as a pretreatment were subjected to heat treatment under different conditions for varying lengths of time, to destroy the trypsin inhibitor activity. The rate of inactivation oftrypsia inhibitor in soy milks prepared from carbonate presoaked beans was faster than that of the water presoaked preparation when processed at 98°C and this effect was primarily associated with the change that occurred in the pH of the former system; The effect of alkaline pH's at 98°C on the inactivation of trypsin inhibitor was examined and it was found that the rate of inactivation was changed from zero order at pff 6.8 to first-order kinetics at pH 9.9. Regression equation relating pH of the system and time of heating at 98°C for 100% destruction of the inhibitor activity is presented. This effect of pretreatment was eliminated when both milks were processed at 115°C in cans because of the constancy of pH under these conditions. The influence of heat processing conditions on the enzymic digestibility of proteins in both soymilks was also studied. The pepsin digestion showed no significant differences between milks prepared from the water and the carbonate presoaked soybeans, and was highest in milks which had not been heat treated. With trypsin the digestibility increased with the degree of heal treatment up to the point where the trypsin inhibitor was destroyed, after which further heating resulted in lower digestibilities. A 19% increase in digestibility by trypsin was observed in the milk prepared from carbonate presoaked beans when compared with that from water presoaked beans and after both milks had been heated at 98°C for just sufficient time to destroy the trypsin inhibitor. When the milk prepared from water presoaked beans was autoclaved at 115°C to the same end point, its digestibility increased but it was still about 6% lower than that of the milk prepared by alkali presoaking method and processed at 98°C. The digestibility of casein using pepsin under the conditions used was lower than that of both soymilks. When trypsin was used the digestibility of casein was approximately the same as that of the adequately processed soymilk from carbonate presoaked soybeans or the autoclavtd soymilk from water presoaked beans. Other effects of using a carbonate presoaking treatment far the production of soymilk have also been discussed.     

Preparation and characterization of a polyaniline/poly(butyl acrylate–vinyl acetate) composite as a novel conducting polymer composite

This is the first report on the preparation and characterization of a polyaniline/poly(butyl acrylate–vinyl acetate) composite. The composite was prepared by the emulsion polymerization of aniline in a medium containing poly(butyl acrylate–vinyl acetate). Films prepared from the composite (cast from an aqueous medium) had excellent mechanical properties and could be stretched up to 900%. The resultant composite was soluble in common organic solvents, and a stable water‐based dispersion could also be prepared. An electrical conductivity of 2.2 S cm^?1 was obtained. Cyclic voltammograms revealed that the composite was electroactive. It had excellent adhesion to either glass or steel plate. © 2003 Wiley Periodicals, Inc. J Appl Polym Sci 90: 2525–2531, 2003     

Synthesis of freestanding HfO<Subscript>2</Subscript> nanostructures

Two new methods for synthesizing nanostructured HfO₂ have been developed. The first method entails exposing HfTe₂ powders to air. This simple process resulted in the formation of nanometer scale crystallites of HfO₂. The second method involved a two-step heating process by which macroscopic, freestanding nanosheets of HfO₂ were formed as a byproduct during the synthesis of HfTe₂. These highly two-dimensional sheets had side lengths measuring up to several millimeters and were stable enough to be manipulated with tweezers and other instruments. The thickness of the sheets ranged from a few to a few hundred nanometers. The thinnest sheets appeared transparent when viewed in a scanning electron microscope. It was found that the presence of Mn enhanced the formation of HfO₂ by exposure to ambient conditions and was necessary for the formation of the large scale nanosheets. These results present new routes to create freestanding nanostructured hafnium dioxide.     

Bar Lip Welding?A New High-Frequency Current Penetration Process

Current penetration welding is a new technique utilizing unusual high-frequency current phenomena. A new and fast current penetration finite-length lip welding process is described. Metal lips to be joined are heated by high-frequency current and are squeezed to produce a forge weld.     

Effect of Mechanical Constraint on Domain Reorientation in Predominantly {111}‐Textured Lead Zirconate Titanate Films

Ferroelectric/ferroelastic domain reorientation was measured in 2.0 μm thick tetragonal {111}‐textured PbZr_0.30Ti_0.70O₃ thin films using synchrotron X‐ray diffraction (XRD). Lattice strain from the peak shift in the 111 Bragg reflection and domain reorientation were quantified as a function of applied electric field amplitude. Domain reorientation was quantified through the intensity exchange between the 112 and 211 Bragg reflections. Results from three different film types are reported: dense films that are clamped to the substrate (as‐processed), dense films that are partially released from the substrate, and films with 3% volume porosity. The highest amount of domain reorientation is observed in grains that are misoriented with respect to the {111} preferred (domain engineered) orientation. Relative to the clamped films, films that were released from the substrate or had porosity exhibited neither significant enhancement in domain reorientation nor in 111 lattice strain. In contrast, similar experiments on {100}‐textured and randomly oriented films showed significant enhancement in domain reorientation in released and porous films. Therefore, {111}‐textured films are less susceptible to changes in properties due to mechanical constraints because there is overall less domain reorientation in {111} films than in {100} films.     

Microstructural Analysis and Transport Properties of Thermally Sprayed Multiple-Layer Ceramic Coatings

Multilayer, graded ceramic/metal coatings were prepared by an air plasma spray method on Ti-6Al-4V, 4140 steel and graphite substrates. The coatings were designed to provide thermal barriers for diesel engine pistons to operate at higher temperatures with improved thermal efficiency and cleaner emissions. A systematic, progressive variation in the mixture of yttria-stabilized zirconia and bondcoat alloys (NiCoCrAlYHfSi) was designed to provide better thermal expansion match with the substrate and to improve thermal shock resistance and cycle life. Heat transfer through the layers was evaluated by a flash diffusivity technique based on a model of one-dimensional heat flow. The aging effect of the as-sprayed coatings was captured during diffusivity measurements, which included one heating and cooling cycle. The hysteresis of thermal diffusivity due to aging was not observed after 100-h annealing at 800 °C. The measurements of coatings on substrate and freestanding coatings allowed the influence of interface resistance to be evaluated. The microstructure of the multilayer coating was examined using scanning electron microscope and electron probe microanalysis.