Restoration of squamous mucosa after ablation of Barrett's esophageal epithelium

BACKGROUND: Antireflux therapy has generally failed to induce regression of Barrett's epithelium. It was hypothesized that squamous epithelium could be restored if the columnar tissue was ablated while gastric acid secretion was suppressed. METHODS: Ten white men with Barrett's esophagus received 40 mg of omeprazole daily. Thereafter, every 2-5 weeks they underwent videotaped endoscopies to argon laser photoablate columnar tissue, obtain biopsy specimens, and assess results. Squamous re-epithelialization was assessed by correlation of videotapes and directed biopsies. RESULTS: Patients had one to eight areas ablated, totaling 0.5-12.0 cm2. Videotape assessments were corroborated by biopsy in all but one instance. Thirty-eight of 40 treatment locations partially or completely re-epithelialized with squamous tissue. Squamous regrowth appeared to occur by spread from contiguous squamous borders and de novo from glandular tissue. Regrowth was influenced by the extent of squamous borders and completeness of ablations. Nonablated glandular tissue persisted beneath squamous epithelium. CONCLUSIONS: Ablation of Barrett's epithelium and suppression of acid secretion facilitated squamous re-epithelialization. A progenitor cell within the metaplastic tissue has the potential to differentiate normally.     

Frequency tuning technique for Gm-C filters

A frequency tuning technique based on an envelope locked loop is proposed for Gm-C filters. A degenerated integrator is used as the master circuit to eliminate the problems associated with the DC offset of the operational transconductance amplifier (OTA)     

Results of treatment of inferior vena cava syndrome with expandable metallic stents

A 73-year-old male was admitted to our hospital because of detection of Shigella flexneri 2a from his stool. Antimicrobial treatment with levofloxacin (LVFX) was started, but could not eliminate the organism in the stool. In the examination of drug susceptibility, this strain was highly resistant to all new quinolones. The minimal inhibitory concentration of norfloxacin, ofloxacin and ciprofloxacin to this strain was 12.5 micrograms/ml, 6.25 micrograms/ml and 6.25 micrograms/ml, respectively. The dual mutations were detected in the codon 83 and 87 of the gyrA gene by sequencing the quinolone-resistance determining region (QRDR). There was, however, no significant difference between the intracellular uptake of ciprofloxacin in this strain and in the ciprofloxacin-sensitive strain. The amount of ciprofloxacin in this strain unchanged when carbonyl cyanide m-chlorophenyl hydrazone (CCCP) was added. These results suggest that the advanced resistance in Shigella flexneri against new quinolones could be acquired by only this dual mutations without the change of the active efflux mechanism.     

Double melting behavior of cyclic tris(ethylene terephthalate)

Summary Cyclic tris(ethylene terephthalate) (CTET) was separated from oligomeric extract of poly(ethylene terephthalate) by the conventional solvent separation method. The structure of CTET was characterized by differential scanning calorimetry, X-ray diffraction, and scanning electron microscopy. It is shown that the double melting behavior of meltcrystallized CTET is attributed to the morphological change created by heat-treatment. The effect of the morphological change on the crystal structure of CTET was also examined.     

Surface characterization of PET nonwoven fabric treated by He/O2 atmospheric pressure plasma

The surface of polyethyleneterephthalate (PET) nonwoven fabric was modified by He/O₂ atmospheric pressure plasma treatment, varying plasma exposure time. The plasma treated PET surfaces have been analyzed to investigate the chemical nature and morphology of surface by X‐ray photoelectron spectroscopy (XPS) and atomic force microscopy (AFM), respectively. The change of wettability was measured depending on plasma exposure time. XPS results indicated the presence of oxygen‐based functional groups on the PET nonwoven fabric surface after plasma treatment and oxygen content increased as exposure time increased. The mean roughness increased after 30 s exposure and further increase in exposure to 60 s led to decrease of the roughness and then again increase. The root mean square roughness followed the similar trend to mean roughness. The average difference in height, Rz, increased after plasma exposure for 30 s, while it slightly decreased after 60 s exposure. Despite of redeposition, the Rz of 90 s exposed sample increased more than two times compared with those of 30 and 60 s exposed. Wettability increased progressively up to 10 times after 90 s exposure compared with the untreated. It is attributed to the increases of hydrophilicity and surface roughness. © 2008 Wiley Periodicals, Inc. J Appl Polym Sci, 2008     

Thermal convection in a horizontal porous layer with spatially periodic boundary temperatures: small Ra flow

This study considers a small Rayleigh number thermal convection in a fluid-saturated porous medium between two infinite-horizontal walls. The lower and upper walls have sinusoidal temperature distributions with a wave number and a phase difference, and the effect of the parameters on the flow and heat transfer characteristics is investigated. For a given wave number, an out-of-phase configuration yields minimum heat transfer at the walls. Maximum heat transfer occurs at the wave number of 2.286 with an in-phase configuration.     

Extrahepatic metabolism of 4-methylumbelliferone and lidocaine in the anhepatic rabbit

OBJECTIVE: The initially well-fixed implants of total hip replacement (THR) are in the long-term subject to aseptic loosening. Many cytokines can contribute to osteolysis due to osteoclast recruitment and/or activation. However, in this respect tumor necrosis factor-alpha (TNF-alpha) plays a pivotal role, because it upregulates interleukin-1 and 6 and granulocyte-macrophage colony stimulating factor. The aim of this study was to assess the eventual presence, cellular localization and extent of expression of TNF-alpha in the synovial-like membrane at the implant or at the cement to bone interface compared to control synovial membrane. METHODS: Twenty samples from the synovial-like membrane of the periprosthetic tissues were compared to control samples. TNF-alpha containing cells were visualized using an avidin-biotin-peroxidase complex (ABC) method and analyzed by light microscopy, double labelling and image analysis. RESULTS: TNF-alpha was found in the periprosthetic tissues in fibroblasts and vascular endothelial cells, but mainly in the macrophages was it found to coincide with areas containing implant-derived debris. TNF-alpha containing cells were more numerous in the synovial-like membrane in the interface tissue from the proximal stem area (2816 +/- 318 cells) than in the control synovial membrane (565 +/- 93 cells, p < 0.01). Interestingly, similarly high TNF-alpha expression (3452 +/- 582 cells) was also seen in the synovial-like membrane of the pseudocapsule. CONCLUSION: These findings suggest that the foreign body-type host reaction caused by THR is characterized by the high expression of TNF-alpha. Because such expression occurred in the interface tissue between the implant and surrounding bone, TNF-alpha, due to its pivotal direct and indirect role in the activation and recruitment of osteoclasts, may contribute to periprosthetic osteolysis and to the loosening of THR.