Experimental evaluation of a new device for percutaneous transrenal ureteral occlusion

PURPOSE: To develop a device for percutaneous transrenal ureteral occlusion. MATERIALS AND METHODS: The device was a double-body Gianturco-R?sch biliary stent constrained at the junction of the two stents to create an hourglass shape. One stent was coated with silicone. One device was percutaneously placed in each of nine pigs through a 9-F Teflon sheath. Urographic and hematologic follow-up was performed for up to 12 weeks. RESULTS: Seven pigs showed immediate, complete ureteral occlusion, and two pigs exhibited persistent incomplete high-grade obstruction. All animals exhibited varying degrees of hydronephrosis and hydroureter. No device migration was noted. Minor complications were encountered during device placement in three pigs. Mucosal folds and villus-like projections that arose from the lamina propria protruded into the lumen of the ureter at the cranial end of the covered stent and around the wire of the caudal stent. Varying degrees of mural inflammation and edema were noted. CONCLUSION: Transrenal ureteral occlusion with the described device appears to be a viable method for treating urinary fistulas.     

Analysis of cytokine mRNA profiles in the lungs of Pneumocystis carinii-infected mice

Severe combined immunodeficient (scid) mice lack functional CD4+ lymphocytes, and therefore develop life-threatening Pneumocystis carinii infection. However, when scid mice are immunologically reconstituted with spleen cells, including CD4+ cells, a protective inflammatory response is mounted against the organism. To determine whether these lymphocytes induce elevated cytokine mRNA levels in response to P. carinii infection, steady-state levels of cytokine mRNAs were measured in the lungs of both reconstituted and unaltered scid mice. Despite significant numbers of organisms and the presence of functional alveolar macrophages in the lungs of 8- and 10-wk-old scid mice, there was neither evidence of pulmonary inflammation, nor increased proinflammatory cytokine expression. However, when 8-wk-old scid mice were immunologically reconstituted, signs of intense, focal pulmonary inflammation were observed, and levels of interleukin (IL)-1alpha, IL-1beta, IL-3, IL-6, interferon-gamma (IFN-gamma), tumor necrosis factor (TNF)-alpha, and TNF-beta mRNAs were all significantly elevated. Cytokine expression was increased at day 10 post-reconstitution (PR), maximal at day 12 PR, and returned to baseline by day 22 PR. In situ hybridization demonstrated that at day 12 PR, increased IL-1beta and TNF-alpha expression was localized to sites of intense inflammation and focal P. carinii colonization. Many of the cells expressing high levels of IL-1beta and TNF-alpha in these regions were in direct contact with organisms, or contained degraded organisms within their cytoplasm. Thus, even though functional macrophages are present in scid mice, CD4+ T cells are required for proinflammatory cytokine expression, which is associated with the generation of a protective inflammatory response at sites of P. carinii infection.     

Double cracking in brittle cylindrical specimens subjected to quenching

A series of quench tests on hollow cylindrical specimens made of the machinable ceramic, Pyrophyllite, has been performed. The specimens consistently fractured with two diametrically opposite longitudinal cracks. Finite element analysis indicates that the primary crack occurred at the stage when the strain energy of the cylinder reached its maximum during the thermal transient process, while the secondary crack was caused by stress waves generated following the primary crack. This is supported by experimental observation of the time of fracture and the crack morphology. The work reported here helps to shed light on the fracture criterion for brittle cylindrical components under transient thermal and dynamic loadings.     

Prevention and Mitigation Strategies to Address Recent Brittle Fractures in Steel Bridges

Brittle fracture results in unplanned loss of service, very costly repairs, concern regarding the future safety of the structure, and potential loss of life. These types of failures are most critical when there is no evidence of fatigue cracking leading up to the fracture and the fracture origin is concealed from view. Hence, the failure occurs without warning and the details are, essentially, noninspectable. In these cases, it appears desirable to take a proactive approach and introduce preventative retrofits to reduce the potential for future crack development. These efforts will help ensure that the likelihood of unexpected fractures is minimized. This paper examines the behavior of two bridge structures in which brittle fractures have developed in recent times, discusses the causes of the failures, and offers suggested design strategies for prevention and retrofit mitigation techniques. In situations where considerable uncertainty exists in the prediction of accumulated damage or in the ability to reliably inspect critical details, preemptive retrofit strategies appear to be highly desirable.     

The structure of glycogen phosphorylase b with an alkyldihydropyridine-dicarboxylic acid compound, a novel and potent inhibitor

BACKGROUND: In muscle and liver, glycogen concentrations are regulated by the reciprocal activities of glycogen phosphorylase (GP) and glycogen synthase. An alkyl-dihydropyridine-dicarboxylic acid has been found to be a potent inhibitor of GP, and as such has potential to contribute to the regulation of glycogen metabolism in the non-insulin-dependent diabetes diseased state. The inhibitor has no structural similarity to the natural regulators of GP. We have carried out structural studies in order to elucidate the mechanism of inhibition. RESULTS: Kinetic studies with rabbit muscle glycogen phosphorylase b (GPb) show that the compound (-)(S)-3-isopropyl 4-(2-chlorophenyl)-1,4-dihydro-1-ethyl-2-methyl-pyridine-3,5, 6-tricarboxylate (Bay W1807) has a Ki = 1.6 nM and is a competitive inhibitor with respect to AMP. The structure of the cocrystallised GPb-W1807 complex has been determined at 100K to 2.3 A resolution and refined to an R factor of 0.198 (Rfree = 0.287). W1807 binds at the GPb allosteric effector site, the site which binds AMP, glucose-6-phosphate and a number of other phosphorylated ligands, and induces conformational changes that are characteristic of those observed with the naturally occurring allosteric inhibitor, glucose-6-phosphate. The dihydropyridine-5,6-dicarboxylate groups mimic the phosphate group of ligands that bind to the allosteric site and contact three arginine residues. CONCLUSIONS: The high affinity of W1807 for GP appears to arise from the numerous nonpolar interactions made between the ligand and the protein. Its potency as an inhibitor results from the induced conformational changes that lock the enzyme in a conformation known as the T' state. Allosteric enzymes, such as GP, offer a new strategy for structure-based drug design in which the allosteric site can be exploited. The results reported here may have important implications in the design of new therapeutic compounds.     

A new silver sulfadiazine water soluble gel

Silver sulfadiazine is the most commonly used topical antibacterial agent for the treatment of burn wounds. It has many clinical advantages, including a broad spectrum of antimicrobial activity, low toxicity, and minimal pain on application. The current formulation of silver sulfadiazine contains a lipid soluble carrier, polypropylene glycol, that has certain disadvantages, including pseudo-eschar formation and the need for twice daily application. The purpose of this investigation was to describe a new formulation of silver sulfadiazine in a water soluble gel, poloxamer 188. The antibacterial activity of this new gel has been compared to that of the commercially available silver sulfadiazine cream by in vitro and in vivo testing. The results of the in vitro antibacterial testing of these two different agents demonstrated the superiority of the new gel formulation. In experimental wounds, the antibacterial activity of the gel and the commercially available silver sulfadiazine cream were not significantly different when applied once a day. The antibacterial activity of the gel when applied once a day was comparable to that encountered by twice daily applications of the silver sulfadiazine cream by experimental wounds. The major advantage of this gel was its ease of application and removal that is attributed to its water solubility.     

Heat loss coefficients and effective πα products for flat-plate collectors with diathermanous covers

This paper presents an efficient algorithm for solving the set of nonlinear equations governing the total heat transfer across an arbitrary number of parallel flat plate solar collector covers, each of which can be partly transparent to longwave thermal radiation. The governing equations are sufficiently general to permit each cover to have assymetric radiative properties and to account for absorption of solar energy on the individual covers. This theory is shown to be in good agreement with the approximate equations of Whillier (provided certain interpretations are placed on his quantities) and with experiments using a plastic inner cover and bounding plates of various emissivities. Using this theory, it is demonstrated that if the absorber plate has a selective surface, an inner cover transparent to long wave radiation is to be preferred over one which is opaque.     

The response of a hot-wire anemometer in flows of gas mixtures

An investigation of the problem of measuring turbulence quantities in flows of gas mixtures by means of hot-wire anemometry is described. In view of the lack of a reliable heat-transfer law for fine wires in flows with variable gas properties, an entirely empirical approach is adopted. Attention is paid initially to the air/carbon dioxide system and it is shown that a simple calibration procedure is possible. An assessment is made to determine a suitable gas as a marker for flows in which turbulence measurements are to be made, and it is concluded that argon is to be preferred to carbon dioxide. The procedure for measuring turbulence quantities in air/argon mixtures is discussed; the optimum arrangement is a largediameter wire operated at low overheat ratio combined with a small-diameter wire operated at high overheat ratio.     

Satellite-Based Energy Balance to Assess Within-Population Variance of Crop Coefficient Curves

Quantifying evapotranspiration (ET) from agricultural fields is important for field water management, water resources planning, and water regulation. Traditionally, ET from agricultural fields has been estimated by multiplying the weather-based reference ET by crop coefficients (Kc) determined according to the crop type and the crop growth stage. Recent development of satellite remote sensing ET models has enabled us to estimate ET and Kc for large populations of fields. This study evaluated the distribution of Kc over space and time for a large number of individual fields by crop type using ET maps created by a satellite based energy balance (EB) model. Variation of Kc curves was found to be substantially larger than that for the normalized difference vegetation index because of the impacts of random wetting events on Kc, especially during initial and development growth stages. Two traditional Kc curves that are widely used in Idaho for crop management and water rights regulation were compared against the satellite-derived Kc curves. Simple adjustment of the traditional Kc curves by shifting dates for emergence, effective full cover, and termination enabled the traditional curves to better fit Kc curves as determined by the EB model. Applicability of the presented techniques in humid regions having higher chances of cloudy dates was discussed.