Percutaneous transjejunal biliary intervention: 10-year experience with access via Roux-en-Y loops

Ancylostoma duodenale is still the dominant hookworm species in the Mediterranean area, India, China and Japan. In the present study, biopsied materials were taken from the small intestine of 30 patients infected only with A. duodenale and 12 cross matched controls. The results showed some pathological changes in severely infected cases. However, normal or insignificant changes were seen in the enzymatic activity of the intestinal mucosa.     

Comparison of the resistance of C57BL/6 and C3H/He mice to infection with Mycobacterium paratuberculosis

Susceptibility of C57BL/6 (Bcgs) and C3H/HeN (Bcgr) mice to an intraperitoneal infection with Mycobacterium paratuberculosis strain 19698 was compared (by histopathology and the number of mycobacteria isolated from the spleen). Mycobacterial counts from the spleen of Bcgr mice progressively decreased over the course of infection but remained unchanged in Bcgs mice. Granulomatous lesions and acid-fast bacteria were consistently present in the liver and lymph nodes of Bcgs mice, whereas lesions were transient or absent in Bcgr mice. These results indicate that Bcgr mice are inherently resistant to M. paratuberculosis, whereas Bcgs mice are inherently susceptible. These differences may prove useful in elucidating the mechanisms of resistance and susceptibility to paratuberculosis and other mycobacterial infections.     

Retinal arteriovenous malformation with fluctuating vision and ischemic central retinal vein occlusion and its sequelae: 25-year follow-up of a case

A comparison was made of the outcome of 73 neonates born with their birth weight of 500-999 gm in National Taiwan University Hospital during the period between January 1, 1993 and December 31, 1996 (Period II), with the outcome of 21 such neonates born between April 1, 1988 and October 31, 1992 (Period I). Exclusion criteria included parental refusal for resuscitation, and major anomalies. Data were collected via a predetermined record sheet. The incidences of the extremely-low-birth-weight infants were 23/10,173 (0.23%) and 81/13,835 (0.59%) in Periods I and II, respectively. Early neonatal mortality rate was significant decreased in Period II (43% versus 14%). The limit of viability was improved from gestational age of 26 weeks or 700 gm to gestational age of 24 weeks or 600 gm. The incidence of neonatal morbidity (80% versus 50%) and total survival rate (48% versus 60%) have not changed significantly as seen in this limited number of cases. This study concluded that, with the introduction of exogenous surfactant and modern neonatal care, early neonatal survival rate and the limit of viability were improved.     

Suppression of in vitro IgM rheumatoid factor production by diphtheria toxin interleukin 2 recombinant fusion protein (DAB 486IL-2) in patients with refractory rheumatoid arthritis

OBJECTIVE: To investigate the effect of diphtheria toxin interleukin 2 recombinant fusion protein (DAB 486IL-2) on in vitro synthesis of immunoglobulin and rheumatoid factor (RF) in patients with severe refractory rheumatoid arthritis (RA) enrolled in a phase II, double blind, placebo controlled study. METHODS: Anticoagulated venous blood samples were obtained before (Day 1) and after (Day 28) intravenous infusion of either DAB 486IL-2 at 0.075 mg/kg/day (12 patients) or saline placebo (10 patients) on Days 1-5. Peripheral blood leukocytes (PBL) were prepared by density gradient centrifugation, cultured in the presence and absence of pokeweed mitogen (PWM) for one week, and culture supernatants assayed for immunoglobulins and IgM RF by ELISA. RESULTS: Compared to placebo treated patients, PWM induced IgM RF synthesis by PBL decreased after treatment with DAB 486IL-2 (p = 0.043). However, there was no apparent correlation with clinical improvement. PWM induced IgM, IgA, and IgG synthesis also tended to decrease, although the changes did not attain statistical significance. In contrast, PWM induced IgM RF, IgM, IgA, and IgG synthesis by PBL from patients treated with placebo tended to increase during the observation period. Spontaneous immunoglobulin and IgM RF production by PBL from either the DAB 486IL-2 or placebo patients remained stable. CONCLUSION: These observations raise the possibility that DAB 486IL-2 may diminish B cell function either directly or indirectly through effects on T cell function, but the change may not correspond to clinical response.     

Highly active antiretroviral therapy results in a decrease in CD8+ T cell activation and preferential reconstitution of the peripheral CD4+ T cell population with memory rather than naive cells

Criteria for detection of chromosome aberrations by Comparative Genomic Hybridization (CGH) are not standardized and improvement of this part of the analysis is of paramount importance to the applicability of the technique. The aim of this work was to suggest CGH detection criteria that increase the specificity and sensitivity and at the same time include chromosome regions previously excluded from CGH analysis. We analyzed 33 hybridizations with normal DNA and modified our CGH software in order to use a selection of these normal analyses as a model for interpretation of analyses of unknown samples. This approach was successfully tested on 14 samples with known aberrations.     

Analysis of the Functioning of Automatic Synchronous Generator Excitation Regulators with Various Input Signals of Frequency Stabilization Channels in the Certification Scheme1

Power Technology and Engineering - Anecessary requirement for automatic excitation regulation systems is ensuring the stability of the electric energy systems (EES) and the required quality of the...     

Hydrogen effect on the molecular weight distribution of polymers obtained by polymerization of ethylene and α-olefins over supported titanium-magnesium catalysts

Comparative data on the molecular weight distribution of polymers obtained by polymerization of ethylene, propylene and 1-hexene, and copolymerization of ethylene with α-olefins over the titanium-magnesium catalysts (TMC) in the absence and presence of hydrogen are presented. In contrast to the ethylene polymerization, in the cases of propylene and 1-hexene polymerization and copolymerization of ethylene with α-olefins, the hydrogen addition is characterized by noticeable narrowing of the molecular weight distribution (MWD) due to lower contribution of the MWD component with high molecular weight. This result is an evidence of the increased reactivity of TMC active sites producing high molecular weight poly-α-olefins and copolymers of ethylene with α-olefins in the chain transfer reaction with hydrogen. It is suggested that the increased reactivity of these sites in the transfer reaction with hydrogen appears after the 2,1-addition of α-olefin to the growing polymer chain.     

Thermoelastic stresses in ribbons and tubes grown from the melt by the Stepanov method

Ribbons and tubes grown from the melt by the Stepanov technique have a wide range of technical applications. Sapphire ribbons are used as substrates in microelectronics and sapphire tubes are used as gas-discharge balloons in laser engineering, fine chemical technology and high-vacuum equipment. Practice has shown that misorientation angles of small-angle boundaries in sapphire crystals should not exceed several degrees because an increase in the misorientation angles between blocks drastically lowers the strength and worsens the dielectric properties of these crystals. One of the main mechanisms of formation of the block structure of melt-grown crystals, including shaped sapphire crystals, is dislocation polygonization that begins when the dislocation density exceeds a certain critical value. In turn, dislocations are formed under deformations due to thermal stresses. Calculations of thermal fields in crystals and the corresponding thermoelastic stress fields can be used as an input to improve and optimize the growth process. The dependence of thermoelastic stresses in ribbons and tubes on the technological parameters has been calculated.Nomenclature ₁ Thermal diffusivity of the melt - ₂ Thermal diffusivity of the crystal - k ₁ Thermal conductivity of the melt - k ₂ Thermal conductivity of the crystal - V ₁ Velocity vector of the melt - V ₂ Velocity vector of the growing crystal - V ₀ Crystal pulling rate - H _f Latent heat of fusion - ₁ Density of the melt - ₂ Density of the crystal - in Interface normal vector - Crystal-melt interface normal vector - t Interface tangential vector - s Sided crystal-melt tangential vector - T _m Melting temperature - T _e Ambient temperature - T ₁ ⁰ Temperature at the bottom of the meniscus - T ₂ ⁰ Crystal temperature at the top of the meniscus - Normal vector at lateral surfaces of the crystal and meniscus - Stefan-Boltzmann constant - ₁ Emissivity of the meniscus lateral surface - ₂ Emissivity of the crystal lateral surface - g Acceleration due to gravity - _LG Melt-gas surface tension - a Die half dimension - ₀ Angle of growth - _t Thermal expansion coefficient - h ₁ Heat transfer coefficient of the melt - h ₂ Heat transfer coefficient of the crystal - C s Heat capacity - E Young's modulus - Poisson's coefficient - Melt kinematic viscosity - P Pressure in the melt