Metastatic carcinoma of the prostate mimicking primary carcinoid tumor of the lung and mediastinum

AIMS: To investigate the current use of thrombolytic therapy in the management of patients with acute myocardial infarction and to determine the potential for an increased use of thrombolysis or percutaneous transluminal coronary angioplasty (PTCA). METHODS AND RESULTS: All hospitalised cases of acute myocardial infarction were identified in three health districts in the UK (population of 960,000) in patients under the age of 76 years during a 2-year period; 2439 patients had acute myocardial infarction, of whom 1264 (52%) received thrombolytic therapy. Failure to administer thrombolytic therapy was a result of the absence of diagnostic electrocardiograms in 712 (29.2%) patients, late presentation in 127 (5.2%), therapeutic error in 112 (4.6%), presence of a bleeding risk in 139 (5.7%) and other miscellaneous reasons in 80 (3.3%) patients. Thirty-eight of the 139 patients in whom bleeding risk was reported as a contra-indication could, in retrospect, have received thrombolytic therapy and a further 76 would have been suitable for primary PTCA. CONCLUSIONS: The potential for increasing the use of thrombolytic therapy seems to be limited and is unlikely to make a major impact on the in-hospital mortality from acute myocardial infarction. However, primary PTCA should be considered in those who are ineligible for thrombolysis because of bleeding risk as a contra-indication.     

Phosphatidylinositol 3-kinase-gamma activates Bruton's tyrosine kinase in concert with Src family kinases

Bruton's tyrosine kinase (Btk) is essential for normal B lymphocyte development and function. The activity of Btk is partially regulated by transphosphorylation within its kinase domain by Src family kinases at residue Tyr-551 and subsequent autophosphorylation at Tyr-223. Activation correlates with Btk association with cellular membranes. Based on specific loss of function mutations, the Btk pleckstrin homology (PH) domain plays an essential role in this activation process. The Btk PH domain can bind in vitro to several lipid end products of the phosphatidylinositol 3-kinase (PI 3-kinase) family including phosphatidylinositol 3,4,5-trisphosphate. Activation of Btk as monitored by elevation of phosphotyrosine content and a cellular transformation response was dramatically enhanced by coexpressing a weakly activated allele of Src (E378G) and the two subunits of PI 3-kinase-gamma. This activation correlates with new sites of phosphorylation on Btk identified by two-dimensional phosphopeptide mapping. Activation of Btk was dependent on the catalytic activity of all three enzymes and an intact Btk PH domain and Src transphosphorylation site. These combined data define Btk as a downstream target of PI 3-kinase-gamma and Src family kinases.     

Extracorporeal photochemotherapy (photopheresis) induces apoptosis in lymphocytes: a possible mechanism of action of PUVA therapy

The mechanism of action of psoralen plus UVA (PUVA) and photopheresis is not entirely understood. These therapies are assumed to be immunomodulating partly by gradually decreasing leukocyte viability. We investigated whether this delayed form of cell death was due to apoptosis. Untreated and treated (PUVA exposed) leukocytes obtained from six patients with systemic sclerosis and (untreated) leukocytes from healthy control individuals were studied. Qualitative gel electrophoresis and quantitative in situ nick translation analysis of DNA fragmentation was performed. Apoptosis of the treated cells did occur (gel electrophoresis) after 24 h. At t = 0 h, immediately after exposure to PUVA, there was no evidence of DNA fragmentation in the treated cells. The percentage of treated cells undergoing apoptosis was 20-55% at t = 24 h (in situ nick translation). The untreated leukocytes of the patients and the healthy individuals showed no distinctive rise in apoptotic cells. Apoptosis of the leukocytes after PUVA or photopheresis treatment might be a mechanism of action and might explain the therapeutic response.     

Characterization of PAX‐21 Insensitive Munition Detonation Residues

Insensitive high explosives are being used in military munitions to counteract unintended detonations during storage and transportation. These formulations contain compounds such as 2,4‐dinitroanisole (DNAN) and 3‐nitro‐1,2,4‐triazol‐5‐one (NTO), which are less sensitive to shock and heat than conventional explosives. We conducted a series of four tests on snow‐covered ice utilizing 60‐mm mortar cartridges filled with 358 g of PAX‐21, a mixture of RDX, DNAN, and ammonium perchlorate. Rounds were detonated high‐ and low‐order using a fuze simulator to initiate detonation. Blow‐in‐place (BIP) operations were conducted on fuzed rounds using an external donor charge or a shaped‐charge initiator. Results indicate that 0.001 % of the original mass of RDX and DNAN were deposited during high‐order detonations, but up to 28 % of the perchlorate remained. For the donor block BIPs, 1 % of the RDX and DNAN remained. Residues masses for these operations were significantly higher than for conventional munitions. Low‐order detonations deposited 10–15 % of their original explosive filler in friable chunks up to 5.2 g in mass. Shaped‐charge BIPs scattered 15 % of the filler and produced chunks up to 15 g. Ammonium perchlorate residue masses were extremely high because of the presence of large AP crystals, up to 400 μm in the recovered particles.     

Phospholipids and oxophospholipids in atherosclerotic plaques at different stages of plaque development

We identified and quantified the hydroperoxides, hydroxides, epoxides, isoprostanes, and core aldehydes of the major phospholipids as the main components of the oxophospholipids (a total of 5–25 pmol/μmol phosphatidylcholine) in a comparative study of human atheroma from selected stages of lesion development. The developmental stages examined included fatty streak, fibrous plaque, necrotic core, and calcified tissue. The lipid analyses were performed by normal-phase HPLC with on-line electrospray MS using conventional total lipid extracts. There was great variability in the proportions of the various oxidation products and a lack of a general trend. Specifically, the early oxidation products (hydroperoxides and epoxides) of the glycerophosphocholines were found at the advanced stages of the plaques in nearly the same relative abundance as the more advanced oxidation products (core aldehydes and acids). The anticipated linear accumulation of the more stable oxidation products with progressive development of the atherosclerotic plaque was not apparent. It is therefore suggested that lipid infiltration and/or local peroxidation is a continuous process characterized by the formation and destruction of both early and advanced products of lipid oxidation at all times. The process of lipid deposition appears to have been subject to both enzymatic and chemical modification of the normal tissue lipids. Clearly, the appearance of new and disproportionate old lipid species excludes randomness in any accumulation of oxidized LDL lipids in atheroma.     

Control of volatile organic compounds by an AC energizedferroelectric pellet reactor and a pulsed corona reactor

Two laboratory-scale plasma reactors, an alternating current (AC) energized ferroelectric (high dielectric ceramic) packed bed reactor and a nanosecond pulsed corona reactor, were constructed. This study was done to develop baseline engineering data to demonstrate the feasibility of the application of plasma reactors to the destruction of various volatile organic compounds (VOCs) at PPM levels. Complete destruction was obtained for toluene. Conversions of methylene chloride at 95% and trichlorotrifluoroethane (known as CFC-113) at 67% were achieved for the plasma reactors used. The conversion was dependent on the mean electron energy in the reactor and was also related to how strongly halogen species were bonded with carbon     

Implant and biological type effects on beef carcass characteristics

Beef carcasses (n = 1574) were evaluated at Excel Corp. beef slaughtering facility, Friona, Texas, to determine the effects of implants (double Revalor and Ralgro/Revalor) and biological type (Continental European, Continental European × British and British) on carcass characteristics. No differences (P > 0.05) were found between implants for marbling score, USDA quality grade, adjusted preliminary yield grade, percentage kidney, pelvic and heart fat, or carcass weight. Carcasses from cattle implanted with double Revalor had a larger (P < 0.05) ribeye area and a lower USDA yield grade. No differences were found among breed types for marbling score, USDA quality grade, preliminary yield grade, ribeye area or USDA yield grade (P > 0.05). Steers classed as continental European had the lowest adjusted preliminary yield grade and percentage kidney, pelvic and heart fat, the heaviest carcasses and were most muscular as determined by the Excel muscle score (P < 0.05).     

The good,the bad,and the algae: Perceiving ecosystem services and disservices generated by zebra and quagga mussels

Dreissenid (zebra and quagga) mussels are widely recognized as having strong, adverse ecological and economic impacts, e.g., biofouling and loss of water column primary production. We assessed perceptions and values associated with two less often considered ecological outcomes of dreissenid mussel influences on coastal ecosystems along Lake Ontario and the western St. Lawrence River in New York State. One, the generation of water clarity through filtration, we define as an ecosystem service; the other, the production of large amounts of nuisance algae (e.g., Cladophora and Microcystis) is defined as an ecosystem disservice. Surveys of business owners and homeowners quantified their preferences and the formation of values regarding these products of zebra mussel influence. Water clarity increased greatly, particularly in the eastern portion of Lake Ontario, and algal problems increased throughout. Businesses attributed increases and decreases in revenues associated with water clarity and algae; homeowners reported analogous changes in property values. Water clarity was positively associated, and algae negatively associated, with changes in revenues and property values. Threshold responses of costs as functions of filamentous algae were evident. Given the likely continued influx of invasive species due to human activities, further development of the ecosystem service concept should consider potential “goods” and “bads” of invasives and their influence on ecosystem and social system resiliency.     

Long RT-PCR Amplification of the entire coding sequence of the polycystic kidney disease 1 (PKD1) gene

The peptidoglycan cortex of endospores of Bacillus species is required for maintenance of spore dehydration and dormancy, and the structure of the cortex may also allow it to function in attainment of spore core dehydration. A significant difference between spore and growing cell peptidoglycan structure is the low degree of peptide cross-linking in cortical peptidoglycan; regulation of the degree of this cross-linking is exerted by D,D-carboxypeptidases. We report here the construction of mutant B. subtilis strains lacking all combinations of two and three of the four apparent D, D-carboxypeptidases encoded within the genome and the analysis of spore phenotypic properties and peptidoglycan structure for these strains. The data indicate that while the dacA and dacC products have no significant role in spore peptidoglycan formation, the dacB and dacF products both function in regulating the degree of cross-linking of spore peptidoglycan. The spore peptidoglycan of a dacB dacF double mutant was very highly cross-linked, and this structural modification resulted in a failure to achieve normal spore core dehydration and a decrease in spore heat resistance. A model for the specific roles of DacB and DacF in spore peptidoglycan synthesis is proposed.     

Method detection limit determination and application of a convenient headspace analysis method for methyl tert-butyl ether in water

Methyl tert-butyl ether (MTBE) is a common groundwater contaminant, introduced to the environment by leaking petroleum storage tanks, urban runoff, and motorized watercraft. In this study. a simplified (static) headspace analysis method was adapted for determination of MTBE in water samples and soil water extracts. The MDL of the headspace method was calculated to be 2.0 microg L(-1) by the EPA single-concentration design method(1) and 1.2 microg L(-1) by a calibration method developed by Hubaux and Vos (Hubaux, A.; Vos, G. Anal. Chem. 1970,42, 849-855). The MDL calculated with the Hubaux and Vos method was favored because it considers both a true positive and a false positive. The static headspace method was applied to analysis of a tap water sample and a monitoring well sample from a gasoline service station, a river sample, and aqueous extracts from soil excavated during removal of a leaking underground storage tank (LUST). The water samples examined in this study had MTTBE concentrations ranging from 6 to 19 microg L(-1). Aqueous extracts of a soil sample taken from the LUST site had 8 microg L(-1) MTBE.