Overcoming language barriers when teaching the Advanced Trauma Life Support course

OBJECTIVES: To determine whether blurred vision caused by exposure to triethylamine (TEA) can be detected by the measurement of contrast sensitivity. METHODS: 41 cold box core makers of three foundries and 82 control workers were examined. A detailed ocular and medical history was obtained from the subjects. The contrast sensitivity of the core makers was measured on Monday and Friday of the same week both before and immediately after work and also on a third day, when air samples of TEA were collected. Contrast sensitivity and visual acuity were measured by optotype figures at full contrast, 2.5% contrast, and 0.6% contrast. The changes in contrast sensitivity were used for the analysis. The results of binocular vision and the results of the dominant eye were analysed. Urine specimens for the analysis of TEA were collected on every occasion when contrast sensitivity was measured. RESULTS: 78% of the core makers had had symptoms of blurred vision, and 31% had had trouble driving or working. The breathing zone eight hour time weighted average TEA concentrations were 0.3-60 mg/m3. The mean urinary TEA concentration after the shift was 35 mmol/mol creatinine. Continuous monitoring showed high peaks of TEA leakage at a core making machine. Changes in binocular visual acuity did not differ between the exposed and unexposed workers. The contrast sensitivity decreased in 49% of the core makers and 21% of the controls (P = 0.002). CONCLUSIONS: The blurred vision caused by exposure to TEA can be documented by measuring contrast sensitivity. The mechanism by which TEA produces symptoms remains an issue of further study.     

Carbothermic reduction of anatase and rutile

The carbothermic reduction of anatase and rutile to TiC was investigated using a combination of thermogravimetric analysis and X-ray diffraction. Samples premilled for 50 h prior to heat treatment showed a much greater extent of reduction compared with the unmilled powders. Heating the rutile up to 800 °C and anatase up to 870 °C showed no evidence for reduction with the observed mass loss attributed to desorption of gas. After heating to 800 °C, most of the anatase has transformed to rutile. The reduction of rutile started at 830 °C whilst anatase underwent reduction at 870 °C. The initial identified products were Ti₅O₉ and Ti₄O₇ with the latter being the last apparently stable phase prior to TiC formation. The TiC formed from anatase was apparently stoichiometric whilst that from rutile was clearly sub-stoichiometric. Reasons for the difference in reduction behaviour are discussed.     

Genetic polymorphism in the human UGT1A6 (planar phenol) UDP-glucuronosyltransferase: pharmacological implications

Two missense mutations were uncovered in the UGT1A6 (HLUG P1) cDNA which codes for a human phenol-metabolizing UDP-glucuronosyltransferase. The mutant and a wild-type UGT1A6 cDNAs were isolated from a custom synthesized human liver lambda Zap cDNA library. Both an A to G transition at nucleotide 541 (T181 A) and an A to C transversion at nucleotide 552 (R184S) occurred in exon 1 of the UGT1A6 (UGT1F) gene at the UGT1 locus. The two mutations on a single allele created a heterozygous genotype. Newly created BsmI and BsoFI sites at the T181 A and R184S locations, respectively, were confirmed by endonuclease treatment of PCR-generated DNA using the donor-liver genomic DNA as template. Screens with endonuclease treatment showed that 33/98 DNA samples were heterozygous with both mutations on one allele. One other individual also carried the R184S mutation on the second allele. Wild-type UGT1A6 generated a broad plateau of activity from pH 5.0 to pH 8.0 with certain experimental phenols, while activity was 1.3-2.5-fold higher at pH 6.4 than at pH 7.2 for others. UGT1A6*2 (181 A+ and 184S+) metabolized 4-nitrophenol, 4-tert-butylphenol, 3-ethylphenol/4-ethylphenol, 4-hydroxycoumarin, butylated hydroxy anisole and butylated hydroxy toluene, with the pH 6.4 preference, at only 27-75% of the rate of the wild-type isozyme whereas 1-naphthol, 3-iodophenol, 7-hydroxycoumarin, and 7-hydroxy-4-methylcoumarin were metabolized at essentially the normal level. Furthermore, UGT1A6*2 metabolized 3-O-methyl-dopa and methyl salicylate at 41-74% of that of the wild-type, and a series of beta-blockers at 28-69% of the normal level. This evidence suggests that the UGT1A6 enzyme activity is affected by different amino acids depending upon the substrate selection.     

Thermo‐economic‐environmental multiobjective optimization of a gas turbine power plant with preheater using evolutionary algorithm

In this study, the gas turbine power plant with preheater is modeled and the simulation results are compared with one of the gas turbine power plants in Iran namely Yazd Gas Turbine. Moreover, multiobjective optimization has been performed to find the best design variables. The design parameters of the present study are selected as: air compressor pressure ratio (r_AC), compressor isentropic efficiency (η_AC), gas turbine isentropic efficiency (η_GT), combustion chamber inlet temperature (T₃) and gas turbine inlet temperature. In the optimization approach, the exergetic, economic and environmental aspects have been considered. In multiobjective optimization, the three objective functions, including the gas turbine exergy efficiency, total cost rate of the system production including cost rate of environmental impact and CO₂ emission, have been considered. The thermoenvironomic objective function is minimized while power plant exergy efficiency is maximized using a genetic algorithm. To have a good insight into this study, a sensitivity analysis of the results to the interest rate as well as fuel cost has been performed. In addition, the results showed that at the lower exergetic efficiency in which the weight of thermoenvironomic objective is higher, the sensitivity of the optimal solutions to the fuel cost is much higher than the location of Pareto Frontier with the lower weight of thermoenvironomic objective. Copyright © 2010 John Wiley & Sons, Ltd.     

Declining sperm counts in the United States? A critical review

PURPOSE: Recent reports suggest declining sperm counts in the United States. These reports did not include all available data and did not account for geographic variations noted in prior studies. We examined all available data on U.S. sperm counts and evaluated whether geographic variations account for the decline suggested. MATERIALS AND METHODS: We reviewed all 29 U.S. studies from 1938 to 1996 reporting manually counted semen analyses of 9,612 fertile or presumably fertile men. We determined mean sperm concentrations by geographic location with weighted analysis of variance, and assessed any changes with time by linear regression analysis. RESULTS: Mean sperm concentrations from New York were significantly higher than from all other U.S. cities (98.6 versus 71.6 x 10(6) sperm per cc, respectively, p = 0.006). There has been no statistically significant change with time for mean sperm concentrations reported from New York (p = 0.49) or from U.S. cities other than New York (p = 0.62). Analysis without separating by location revealed a decline (p = 0.047). CONCLUSIONS: Sperm concentrations are highest in New York compared to other U.S. cities. When accounting for this geographic difference and examining all available data, there appears to be no significant change in sperm counts in the U.S. during the last 60 years. Further studies addressing the causes of geographic variations are needed.     

Directed mutagenesis studies of the metal binding site at the subunit interface of Escherichia coli inorganic pyrophosphatase

Recent crystallographic studies on Escherichia coli inorganic pyrophosphatase (E-PPase) have identified three Mg2+ ions/enzyme hexamer in water-filled cavities formed by Asn24, Ala25, and Asp26 at the trimer-trimer interface (Kankare, J., Salminen, T., Lahti, R., Cooperman, B., Baykov, A. A., and Goldman, A. (1996) Biochemistry 35, 4670-4677). Here we show that D26S and D26N substitutions decrease the stoichiometry of tight Mg2+ binding to E-PPase by approximately 0.5 mol/mol monomer and increase hexamer stability in acidic medium. Mg2+ markedly decelerates the dissociation of enzyme hexamer into trimers at pH 5.0 and accelerates hexamer formation from trimers at pH 7.2 with wild type E-PPase and the N24D variant, in contrast to the D26S and D26N variants, when little or no effect is seen. The catalytic parameters describing the dependences of enzyme activity on substrate and Mg2+ concentrations are of the same magnitude for wild type E-PPase and the three variants. The affinity of the intertrimer site for Mg2+ at pH 7.2 is intermediate between those of two Mg2+ binding sites found in the E-PPase active site. It is concluded that the metal ion binding site found at the trimer-trimer interface of E-PPase is a high affinity site whose occupancy by Mg2+ greatly stabilizes the enzyme hexamer but has little effect on catalysis.     

Exact solution for stability analysis of moderately thick functionally graded sector plates on elastic foundation

In this article, an exact analytical solution for buckling analysis of moderately thick functionally graded (FG) sector plates resting on Winkler elastic foundation is presented. The equilibrium equations are derived according to the first order shear deformation plate theory. Because of the coupling between the bending and stretching equilibrium equations of FG plates, these plates have deflection under in-plane loads lower than the critical buckling load acting on the mid-plane. The conditions under which FG plates remain flat in the pre-buckling configuration are investigated and the stability equations are obtained based on the flat plate assumption in the pre-buckling state. The stability equations are simplified into decoupled equations and solved analytically for plates having simply supported boundary condition on the straight edges. The critical buckling load is obtained and the effects of geometrical parameters and power law index on the stability of functionally graded sector plates are studded. The results for the critical buckling load of moderately thick functionally graded sector plates resting on elastic foundation are reported for the first time.     

Heat Transfer Coefficient for a Packed Bed of Shredded Materials at Low Peclet Numbers

The application of the Nusselt number (Nu) correlation of a packed bed of spherical particles overestimates the rate of heat transfer in the packed beds of shredded materials. This is due to the dependence of flow distribution on the particle geometry. This discrepancy is even more pronounced due to a channeling effect at low Peclet numbers (Pe). In this study, the heat transfer coefficient for a packed bed of shredded materials was derived at low Peclet numbers. In deriving the correlation, both numerical simulation and experimental work were employed. The experimental work was carried out in a packed bed of combustible materials for the flow rates of 15 × 10^{? 6} to 50 × 10^{? 6} m ³/s and a temperature range of 30 to 60°C. Using the results of experimental work along with numerical modeling and applying a power law formulation, the best-fit Nusselt number for the packed bed of shredded materials for Pe < 25 was derived to be Nu = 0.015 0.11 + Pe ^0.73 . The Nusselt number calculated from this correlation is in good agreement with the experimental data.