Trends in mortality of childhood-onset insulin-dependent diabetes mellitus in Leicestershire: 1940-1991

The relative risk of death by calendar date of diagnosis was investigated in a population-based incident cohort of 845 (463 males:382 females) IDDM diagnosed in Leicestershire before the age of 17 years between 1940 and 1989. The mortality status of 844 (99.9%) patients was determined as of the 31 December 1991, representing 14,346 person-years of risk. Trends in relative risk of death were investigated using Cox proportional hazards modelling for within cohort comparisons and age/sex and calendar time adjusted standardized mortality ratios (SMR) using generalized linear modelling for external comparisons. Median age at diagnosis was 10 years (range 3 months to 16 years); median duration of diabetes 15 years (range 1-51 years). Forty-four patients had died (5.2%; median age at death 31 years, range 11-51 years). A further four patients died at presentation (within 24 h) from ketoacidosis and are excluded from all analyses. Calendar date of diagnosis was found to be an important predictor of mortality. Adjusting for attained age there was evidence of a decline in relative risk of death with calendar date of diagnosis of 3.4% (95% CI, 0.005-6.9%) per annum, equivalent to a 32% fall per decade (95% CI, 5-51%), or 84% (95% CI, 21-97) from 1940 to 1989. The data are consistent with a large fall in mortality between the 1940s and 1950s representing over 50% of the total reduction in mortality between 1940 and 1991. Neither sex nor age at diagnosis were significant predictors of mortality. Over the study period 1940-89 the SMR (male and female combined) fell from 981 (541-1556) to 238 (60-953) relative to the general population. This population-based study shows that the prognosis for Type 1 (insulin-dependent) diabetes mellitus has improved markedly over the period 1940-1991.     

EAE TCR motifs and antigen recognition in myelin basic protein-induced anterior uveitis in Lewis rats

T cells infiltrating the iris/ciliary body of Lewis rats with anterior uveitis (AU) that had been induced by myelin basic protein (MBP) immunization were previously found to share surface markers common to the T cells that cause experimental autoimmune encephalomyelitis (EAE). To determine whether these AU-associated T cells are in fact the same as those that infiltrate the central nervous system to cause EAE, we examined TCR V gene expression in T cells infiltrating the anterior chamber in rats with AU. As with EAE, we found a biased expression of Vbeta8.2 and Valpha2 in the iris/ciliary body and, although one would expect an influx of nonspecific inflammatory T cells, these biases were still evident at the peak of AU. An analysis of the TCR Vbeta8.2 and Valpha2 sequences derived from the iris/ciliary body demonstrated the presence of the same complementarity determining region 3 motifs found in MBP-specific T cells that are pathogenic for EAE and found in T cells derived from the central nervous system of rats with EAE. Finally, T cells isolated from the iris/ciliary body of rats with AU were found to proliferate in a specific fashion to MBP Ags. Thus, it appears that MBP-specific T cells are pathogenic for AU as well as EAE in the Lewis rat. In addition, the long-term presence of this highly restricted MBP response in the iris/ciliary body indicates that distinct immunoregulatory mechanisms exist in the environment of the eye. This provides an interesting model with which to address questions pertaining to the nature of T cells infiltrating the eye and their regulation during EAE and other systemic diseases.     

High-output congestive heart failure following transjugular intrahepatic portal-systemic shunting

A hyperdynamic circulatory state with elevated cardiac output, decreased peripheral vascular resistance, and sodium retention occurs in patients with portal cirrhosis. Surgical portal-systemic shunts and transjugular intrahepatic portal-systemic shunts (TIPS) have been shown to worsen the high-output state in these patients. However, clinical evidence of high-output congestive heart failure has been reported only rarely to complicate cirrhosis. We describe a patient who developed high-output congestive heart failure with markedly elevated filling pressures after TIPS and had complete resolution of heart failure after liver transplantation.     

A genetic analysis of aromatic amino acid hydroxylases involvement in DOPA synthesis during Drosophila adult development

This study was designed to examine whether cyclosporine (CyA) acts on the endocrine system by modifying the pulsatile secretion pattern of prolactin and LH. Both pituitary-grafted and sham-operated rats were submitted to a subcutaneous vehicle or CyA (5 mg/kg) treatment daily for 10 days beginning on the day of surgery. Pituitary grafting and/or CyA administration changed the pulsatile pattern of prolactin observed in sham-operated animals. The mean values of serum prolactin were significantly increased by pituitary grafting and the treatment with CyA further increased them. The mean half-life of prolactin was significantly increased in pituitary-grafted rats and was not changed by CyA administration, although it was decreased in sham-operated rats. The frequency of prolactin pulses was significantly decreased in pituitary-grafted as compared to sham-operated controls and was not further modified by CyA administration. However, in sham-operated rats a significant decrease of this parameter was observed. Duration of the prolactin peaks was significantly increased by pituitary grafting, and was not modified by CyA administration in any of the groups studied. The absolute amplitude of the prolactin peaks was significantly increased in pituitary-grafted as compared to sham-operated animals, and the treatment with CyA further increased this parameter in both groups. Mean values of LH were significantly increased in pituitary-grafted as compared to control rats. CyA administration significantly increased LH levels in sham-operated rats and decreased them in pituitary-grafted animals. The mean half-life, the pulse frequency and the duration of LH peaks were not modified by either pituitary grafting or CyA administration.(ABSTRACT TRUNCATED AT 250 WORDS)     

An intelligent hybrid approach for hepatitis disease diagnosis: Combining enhanced k‐means clustering and improved ensemble learning

In real world, the automatic detection of liver disease is a challenging problem among medical practitioners. The intent of this work is to propose an intelligent hybrid approach for the diagnosis of hepatitis disease. The diagnosis is performed with the combination of k‐means clustering and improved ensemble‐driven learning. To avoid clinical experience and to reduce the evaluation time, ensemble learning is deployed, which constructs a set of hypotheses by using multiple learners to solve a liver disease problem. The performance analysis of the proposed integrated hybrid system is compared in terms of accuracy, true positive rate, precision, f‐measure, kappa statistic, mean absolute error, and root mean squared error. Simulation results showed that the enhanced k‐means clustering and improved ensemble learning with enhanced adaptive boosting, bagged decision tree, and J48 decision tree‐based intelligent hybrid approach achieved better prediction outcomes than other existing individual and integrated methods.     

Ionic conductivity and interfacial properties of polymer electrolytes based on PEO and boroxine ring polymer

Blended polymer electrolytes based on poly(ethylene oxide) (PEO) and boroxine ring polymer (BP) solvated with lithium triflate were formulated and evaluated. Compared to PEO–salt polymer electrolyte, ionic conductivities of blended polymer electrolytes were two orders of magnitude higher in a low‐temperature range; as well, lithium transference numbers were increased to ～ 0.4. These were due to the increased mobility and anion trapping of boroxine rings. BP also exhibited the stabilizing effect on lithium–polymer electrolyte interface, and a reduced interfacial resistance between lithium metal and the polymer electrolyte was found with increasing of BP content. Polymer electrolytes based on PEO and BP are suitable for use in lithium secondary battery. © 2002 Wiley Periodicals, Inc. J Appl Polym Sci 84: 17–21, 2002; DOI 10.1002/app.10090     

Antioxidative effect of Ajowan in a model system

Model conditions were utilized to test the antioxidative activity of a methanolic extract of ajowan (Carum coptimum) (MEA). MEA was less effective than butylated hydroxytoluene in protecting against oxidation of emulsified linoleic acid measured by coupled oxidation of linoleic acid-β-carotene, conjugated diene values, and the thiobarbituric acid values. Ajowan may have potential as a source of natural antioxidant.     

Synthesis and physicochemical study of bisphenol‐C‐formaldehyde‐toluene diisocyanate polyurethane–jute and jute–rice husk/wheat husk composites

Bisphenol‐C‐formaldehyde‐toluene‐2,4‐di isocyanate polyurethane (PU) has been synthesized at room temperature and used for the fabrication of jute and jute–rice husk/wheat husk hybrid composites. PU–jute and PU–jute–RH/WH composites were prepared under pressure of 30.4 MPa at room temperature for 8 h, while PU–jute–RH/WH composites were prepared under same pressure at 110°C for 5 h. PU–jute composite has good tensile strength and flexural strength (50–53 MPa), while PU–jute–RH/WH hybrid composites have moderate tensile strength (9–11 MPa) and a fairly good flexural strength (15–31 MPa). Composites possess 1.1–2.2 kV electric strength and 0.94–1.26 × 10¹² ohm cm volume resistivity. Water absorption in PU–jute composite is different in water (9.75%), 10% HCl (12.14%), and 10% NaCl (6.05%). Equilibrium water uptake time in salt environment is observed 96 h, while in pure water and acidic environments it is 192 h. In boiling water equilibrium water content and equilibrium time are found to be 21.7% and 3 h, respectively. Water absorption increased 2.2 times in boiling water, whereas equilibrium time reduced 64 times. Thus, PU–jute composite has excellent hydrolytic stability against boiling water, 10% HCl, and 10% NaCl solutions. Fairly good mechanical and electrical properties and excellent hydrolytic stability of composites signify their usefulness for low cost housing units and in electrical and marine industries. © 2006 Wiley Periodicals, Inc. J Appl Polym Sci 101: 2363–2370, 2006     

Water Desalination a perspective for membrane processes in India

A crying need of the day in India is to supply safe drinking water to its villages, towns and cities. Though the urban needs are partially met by organized water supply schemes, acute water shortages are felt at various times in this sector also with the expanding industrialization of the country. In many areas of arid and semi-arid regions, only brackish waters are available which are unfit for human consumption.Research and development effort at CSMCRI on the two membrane processes, reverse osmosis and electrodialysis, during the past decade has been reviewed. Some of the current activities in the rural sector and the future potential for these two processes in tackling the pressing needs of potable water to the rural masses in India are outlined. In the industrial sector, these two processes have immense potentialities in pollution abatement and water reuse.