Renal effects of aspirin and low dose methotrexate in rheumatoid arthritis

OBJECTIVES: The aim of this investigation was to study the glomerular and tubular effects of low doses (15 mg) of methotrexate in patients with rheumatoid arthritis with and without combined treatment with aspirin (2 g single dose). METHODS: Renal function was measured by the plasma clearance of EDTA labelled with chromium-51 (51Cr-EDTA) and mercaptoacetyltriglycine labelled with technetium-99m (99mTc-MAG-3). RESULTS: Clearance of 51Cr-EDTA was reduced from 98 (6) to 87 (5) ml/min (mean (SEM)) for patients receiving methotrexate only and further reduced to 76 (5) ml/min for patients receiving methotrexate and aspirin. This effect was reversible as 51Cr-EDTA increased to 85 (6) ml/min during continued treatment with methotrexate alone. Clearance of 99mTc-MAG-3 also decreased from 366 (18) to 315 (17) ml/min in patients receiving methotrexate alone and further to 295 (17) ml/min during treatment with aspirin and methotrexate. Continued treatment with methotrexate alone resulted in a further decrease in the 99mTc-MAG-3 clearance to 253 (17) ml/min. CONCLUSIONS: The study shows that treatment with low doses of methotrexate particularly when combined with aspirin affects glomerular and tubular function. These effects may be of clinical importance and renal function should therefore be monitored with more sensitive methods than serum creatinine as this may not reflect these changes.     

Frequent detection of human herpesvirus-6 sequences by polymerase chain reaction in paraffin-embedded lymph nodes from patients with angioimmunoblastic lymphadenopathy and angioimmunoblastic lymphadenopathy-like lymphoma

In search of a possible involvement of viral agents in angioimmunoblastic lymphadenopathy with dysproteinaemia (AILD) and AILD-like lymphoma (AILD-L), we studied the presence of human herpesvirus-6 (HHV-6) in the lymph node biopsies of 12 cases by polymerase chain reaction (PCR). Given the rarity of this lymphoproliferative disorder, we investigated archival specimens, consisting of formalin-fixed and paraffin-embedded tissues, obtained from patients with a clinical and histologic diagnosis of AILD and AILD-L. HHV-6 sequences were detected in the lymph node biopsies of 7 out of the 12 AILD and AILD-L cases examined. HHV-6 sequences were identified also in the involved liver and spleen tissues of one patient and in the PBMCs of two patients, all carrying viral sequences in the affected lymph nodes. We also used PCR to characterize the HHV-6 genomes, showing that two different viral strains are represented in the pathologic tissues. This study provides evidence of the presence of HHV-6 specific sequences in an unexpectedly high proportion of our series of AILD and AILD-L cases, suggesting a possible involvement of this lymphotropic virus in the pathogenesis of at least some cases of the disease.     

Evaluation of Soybean Seedcoat Cracking During Drying:PART II. Using MRI

MRI techniques were developed and employed for non-destructive and noninvasive study of seedcoat cracking in low moisture soybean kernels during heated air drying. Proton density image and transient moisture distribution profile of a single soybean kernel can be obtained using MRI. These MRI techniques proved to be particularly useful for the continuous observation of initiation and propagation of seedcoat cracking during the entire period of drying process without interruption.

The proton density images of soybean kernels showed that seedcoat cracking was initiated perpendicular to the long axis of the kernel near the hilum. The transient moisture distribution profiles in soybean kernels during drying indicate that moisture gradient developed during drying was higher in the seedcoat than in the cotyledon. Drying temperature and initial average moisture content were positively correlated with the soyhean seedcoat crackig. The location of the     

Adaptive control in a heating vessel: A comparative study

This paper presents experimental results obtained in temperature adaptive control of a heating vessel. A non-linear model of the process showed that the feed flow rate causes severe variations in time constant and process gain. An extended horizon self-tuning controller and two different model reference adaptive controllers were tested. The influence of design parameters on control performance for each algorithm was assessed. The control system was disturbed with load and setpoint changes.     

An interactive multiple-response simulation optimization method

This study proposes a new interactive multicriteria method for determining the best levels of the decision variables needed to optimize a stochastic computer simulation with multiple response variables. The method, called the Pairwise Comparison Stochastic Cutting Plane (PCSCP) method, combines good features from interactive multiple objective mathematical programming and response surface methodology. The major characteristics of the PCSCP method are: (1) it interacts progressively with the decision-maker (DM) to obtain her preferences, (2) it uses experimental design to explore the decision space adequately while reducing the burden on the DM, and (3) it uses the preference information provided by the DM and the sampling error in the responses to reduce the decision space. The mechanics of the method are illustrated with a numerical example. Some computational studies evaluating the method are also reported.     

Characterization of optoacoustic surgical devices

Describes a measurement technique specially developed to characterize optoacoustic sources. The technique provides a convenient baseline for a comparison of different surgical ultrasonic systems utilizing optoacoustic and ultrasonic transducers. In addition, it provides a well-defined tool to optimize the performance of a variety of designs. Attention is focused on the laser-assisted devices in which appropriately delivered light energy is converted into acoustic shock wave. A meaningful comparison of such devices with other therapeutic equipment designed for a direct interaction with tissue requires knowledge of energy needed for a successful surgical treatment. It is demonstrated that knowledge of the key shock wave parameters allows the total acoustic energy associated with the shock wave to be determined. The procedure developed to calculate this energy is discussed and it is shown that the value of this energy can be conveniently used as an indicator of efficacy of an optoacoustic converter in a clinical environment. The influence of the performance of the polyvinylidene fluoride (PVDF) hydrophone probes on the measurement results was also analyzed. It was determined that when appropriately selected, the wide-band PVDF probes are well suited for characterization of the optoacoustic devices in the frequency range 1-100 MHz. The characterization procedure developed is applicable to surgical ultrasonic systems including conventional and laser-assisted phacoemulsifiers