Enzyme structure with two catalytic sites for double-sieve selection of substrate

High-fidelity transfers of genetic information in the central dogma can be achieved by a reaction called editing. The crystal structure of an enzyme with editing activity in translation is presented here at 2.5 angstroms resolution. The enzyme, isoleucyl-transfer RNA synthetase, activates not only the cognate substrate L-isoleucine but also the minimally distinct L-valine in the first, aminoacylation step. Then, in a second, "editing" step, the synthetase itself rapidly hydrolyzes only the valylated products. For this two-step substrate selection, a "double-sieve" mechanism has already been proposed. The present crystal structures of the synthetase in complexes with L-isoleucine and L-valine demonstrate that the first sieve is on the aminoacylation domain containing the Rossmann fold, whereas the second, editing sieve exists on a globular beta-barrel domain that protrudes from the aminoacylation domain.     

Perceptions of caring. Comparison of antepartum and postpartum patients

An exploratory, comparative survey design was used to describe and compare similarities and differences in perception of caring behaviors between hospitalized antepartum and short-stay postpartum patients. Forty-two patients completed the 63-item Caring Behavior Assessment instrument (CBA). The scale, based on Watson's theory of caring, contains seven categories. There were no statistically significant differences in age, education, gravida, or para between the two groups. Significantly more women in the postpartum group were married. There were no statistically significant differences or correlations in the total CBA scores and the demographic variables. No statistically significant differences in total CBA scores were found between antepartum participants and postpartum participants. These findings corroborate the results of "caring" studies in other patient populations, that satisfying basic needs--that is, evidence of technical knowledge and skills--is more important to patients than meeting higher order needs.     

US-guided core breast biopsy: use and cost-effectiveness

OBJECTIVES: We sought to determine, using serial echocardiography, the hydrodynamic mechanisms involved in the occurrence of hemolysis after mitral valve repair. BACKGROUND: Recently, fluid dynamic simulation models have identified distinct patterns of mitral regurgitant flow disturbances in patients with mitral prosthetic hemolysis that were associated with high shear stress and may therefore produce clinical hemolysis. Rapid acceleration, fragmentation, and collision jets were associated with high shear stress and hemolysis whereas slow deceleration and free jets were not. METHODS: We reviewed serial echocardiographic studies of 13 consecutive patients with hemolytic anemia after mitral valve repair who were referred for mitral reoperation between January 1985 and December 1996 (group 1). Thirteen patients undergoing reoperation for mitral regurgitation after mitral valve repair but without hemolysis served as controls (group 2). RESULTS: The mitral regurgitant jet was central in origin in 12 group 1 patients and 9 group 2 patients (Fisher exact test, p= 0.3). The other patients had para-ring regurgitation. Group 1 patients had collision (n=11), rapid acceleration (n=2) or fragmentation (n=1) jets whereas group 2 patients had slow deceleration (n=11) or free jets (n=2) (Fisher exact test, p < 0.0001). One patient with hemolysis had both collision and rapid acceleration jets. The "culprit" jet could be identified on the postbypass transesophageal echocardiography (TEE) study in only 1 patient at the time of initial mitral repair. Twelve group 1 patients underwent reoperation, with subsequent resolution of hemolysis in all patients. At reoperation, the initial repair was found to be intact in 8 (67%) patients. CONCLUSION: Distinct patterns of flow disturbance associated with high shear stress were identified by color Doppler imaging in patients with hemolysis after mitral valve repair. The majority (92%) of these color flow disturbances were not present during intraoperative postbypass TEE study after initial mitral repair and subsequently developed in the early postoperative period.     

Comparison of the frequency and enjoyability of pleasant events in cocaine abusers vs. non-abusers using a standardized behavioral inventory

AIMS: To examine whether cocaine abusers differ from non-abusers in their frequency and enjoyability of engaging in various "pleasant events", in order to approximate the density of positive reinforcement experienced in their natural environment. DESIGN: Comparisons of cocaine abusers to normative data and matched controls. SETTING: An outpatient substance abuse treatment center in Burlington, Vermont, USA. PARTICIPANTS: Subjects included 100 individuals enrolled in outpatient treatment for cocaine abuse or dependence and 50 community volunteers without histories of drug abuse or other major psychiatric illness and matched to cocaine-dependent patients on age, sex and SES. MEASUREMENTS: Diagnostic assessments were based upon clinical interviews using the DSM-III-R checklist. The primary focus of this study was the Pleasant Events Schedule (PES), a self-rated behavioral inventory of the frequency and enjoyability of engaging in "pleasant" activities. Cocaine use history, treatment outcome and other relevant variables were also assessed. FINDINGS: Cocaine abusers reliably reported lower frequency of non-social, introverted, passive outdoor and mood-related activities than controls. These differences remained after controlling for demographic and life-style differences between groups, with the exception of mood-related activities. Perceived enjoyability of the activities did not differ across groups. Intravenous cocaine use and prior treatment for cocaine abuse predicted particularly low frequency of pleasant activities. Greater frequency of non-social activities predicted better treatment outcome. CONCLUSIONS: Drug abuse is associated with low density of certain types of non-drug reinforcement. Systematic increases in these activities may improve treatment outcome.     

Pediatric pain management in an adult critical care unit

Many children every year will be treated in "adult" critical care units because of the limited pediatric trauma centers currently available. Assessment is an integral part of all pain management. Ideally, self-report is the gold standard for assessing pain; however, some children may not have the ability to use these tools. Nonverbal children may be assessed with behavioral tools such as the CHEOPS or FLACC. In children as young as 3 years old, the self-report tool called an OUCHER can be administered to assess their pain. Easy to apply nonpharmacological approaches are discussed with recommendations for nurses to incorporate into their daily care.     

Nonlinear filtering approach to 3-D gray-scale image interpolation

Three-dimensional (3-D) images are now common in radiology. A 3-D image is formed by stacking a contiguous sequence of two-dimensional cross-sectional images, or slices. Typically, the spacing between known slices is greater than the spacing between known points on a slice. Many visualization and image-analysis tasks, however, require the 3-D image to have equal sample spacing in all directions. To meet this requirement, one applies an interpolation technique to the known 3-D image to generate a new uniformly sampled 3-D image. The authors propose a nonlinear-filter-based approach to gray-scale interpolation of 3-D images. The method, referred to as column-fitting interpolation, is reminiscent of the maximum-homogeneity filter used for image enhancement. The authors also draw upon the paradigm of relaxation labeling to devise an improved column-fitting interpolator. Both methods are typically more effective than traditional gray-scale interpolation techniques.     

Characterizing and improving HIV/AIDS knowledge among cocaine-dependent outpatients.

The present study was an experimental test of efficacy of a brief education intervention for increasing HIV/AIDS knowledge among cocaine-dependent outpatients. Participants were randomly assigned to an HIV/AIDS education intervention (experimental condition) or a sham intervention (control condition). Control participants were subsequently crossed over to the HIV/AIDS education intervention. Experimental participants had higher scores on tests of HIV/AIDS knowledge after receiving the education intervention than did control participants. Further supporting the intervention's efficacy, control participant scores also increased once participants were crossed over and received the education intervention. Scores at follow-up were lower than at postintervention but remained higher than baseline scores. Results support the intervention's efficacy for increasing HIV/AIDS knowledge among cocaine-dependent outpatients. This intervention is brief, inexpensive, and easily implemented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of the PenTile Matrix™ color AMLCD subpixel architecture and rendering algorithms

Abstract— Color subpixel rendering is enhanced by co‐optimizing the color subpixel architecture and algorithms with respect to human vision. This has resulted in the PenTile? display technology, which provides double the information content per subpixel when compared to a conventional RGB Stripe display. Output performance results from mathematical modeling, software simulations, and prototype AMLCDs displays demonstrate significant quality improvements to both text and full‐color images in comparison to images from RGB Stripe displays that have the same number of subpixels and column drivers.     

Design and testing of the Minotaur advanced grid-stiffened fairing

A composite grid-stiffened structure concept was selected for the payload fairing of the Minotaur launch vehicle. Compared to sandwich structures, this concept has an advantage of smaller manufacturing costs and lighter weight. To reduce weight the skin pockets are allowed to buckle visibly up to about 0.5 cm peak displacement.

Various failure modes were examined for the composite grid-stiffened structure. The controlling criterion for this design was a joint failure in tension between the ribs and skin of the structure. The identification of this failure mechanism and the assessment of bounding strains required to control it required extensive test and analysis effort. Increasing skin thickness to control skin buckling resulted in reduced strains between the skin and ribs.

Following the identification of the relevant failure criteria, a final design for the fairing was generated. The resulting 6 m tall fairing was constructed of a tow-placed carbon fiber composite grid structure that was over-wrapped to create a laminated skin. Upon completion of curing and machining, the fairing was cut in half to create the classic “clam-shell” fairing. Static qualification testing demonstrated the structural integrity of the fairing, thereby proving the design and manufacturing process. Loads were applied incrementally in a static loading scenario. The applied load envelope exceeded worst-case dynamic flight conditions with an added safety factor of 25%. At peak load the fairing maintained structural integrity while remaining within the required displacement envelope for payload safety.

Data were collected during the test from a variety of sensors including traditional displacement transducers and strain gages. In addition, full field displacement was monitored at critically loaded fairing sections by means of digital photogrammetry. This paper summarizes the test results, presents the overall performance of the fairing under the test loads, correlates test response and analysis, and identifies lessons learned.

Work continues at the Air Force Research Laboratory (AFRL) and Boeing to identify means of further controlling tensile failure of the un-reinforced polymer bonded joint between the ribs and skin. Stiffening of skin adjacent to the joints and introduction of lightweight foam jackets at the interior of the fairing both show promise of delaying joint failure to higher loads.     

Contingent reinforcement of marijuana abstinence among individuals with serious mental illness: A feasibility study.

The feasibility of using monetary incentives to promote abstinence from marijuana use among individuals with serious mental illness was examined by using a within-subjects experimental design. Participants were 18 adults with schizophrenia or other serious mental illness who reported regular marijuana use. During 2 baseline conditions, participants received payment for submitting urine specimens independent of urinalysis results. During 3 incentive conditions, participants received varying amounts of money if urinalysis results were negative for recent marijuana use. The number of marijuana-negative specimens obtained was significantly greater during incentive than baseline conditions. These results provide evidence that marijuana use among at least some mentally ill individuals is sensitive to contingent reinforcement and support the potential feasibility of using contingency management interventions to reduce substance abuse among the mentally ill. (PsycINFO Database Record (c) 2010 APA, all rights reserved)