A case of paraquat poisoning and subsequent fatality presenting to an emergency department

Paraquat (1,1'-dimethyl-4,4'-dipyridylium) is an herbicide associated with both accidental and intentional ingestion, leading to severe and often fatal toxicity. Prognosis is largely dependent on the amount of paraquat absorbed. Rapid identification of the symptoms of paraquat toxicity (burns or ulceration at the site of ingestion or injection, acute respiratory distress, and renal failure) can facilitate early treatment intervention to limit absorption. We report a case of a 71-year-old man with a suicidal ingestion of paraquat 2 days prior to presentation. Serum paraquat levels, time elapsed since ingestion, and clinical symptoms all indicated poor prognosis. The patient developed severe respiratory distress and progressive renal failure, and died 6 days after admission to the hospital.     

Numerical models of creep and boundary sliding mechanisms in single-phase, dual-phase, and fully lamellar titanium aluminide

Finite element simulations of the high-temperature behavior of single-phase γ, dual-phase α₂+γ, and fully lamellar (FL) α₂+γTiAl intermetallic alloy microstructures have been performed. Nonlinear viscous primary creep deformation is modeled in each phase based on published creep data. Models were also developed that incorporate grain boundary and lath boundary sliding in addition to the dislocation creep flow within each phase. Overall strain rates are compared to gain an understanding of the relative influence each of these localized deformation mechanisms has on the creep strength of the microstructures considered. Facet stress enhancement factors were also determined for the transverse grain facets in each model to examine the relative susceptibility to creep damage. The results indicate that a mechanism for unrestricted sliding of γ lath boundaries theorized by Hazzledine and co-workers leads to unrealistically high strain rates. However, the results also suggest that the greater creep strength observed experimentally for the lamellar microstructure is primarily due to inhibited former grain boundary sliding (GBS) in this microstructure compared to relatively unimpeded GBS in the equiaxed microstructures. The serrated nature of the former grain boundaries generally observed for lamellar TiAl alloys is consistent with this finding.     

Experimental peri-implant tissue breakdown around hydroxyapatite-coated implants

Factor V Leiden mutation was initially detected in thrombophilic patients and relatives by PCR RFLP (Restriction Fragment Length Polymorphism) according to Bertina (1). This technique presents some drawbacks and the current trend is to simplify the diagnosis. We describe a technique of Allele Specific Amplification (ASA) which is optimized in terms of reliability: an additional mismatch in antepenultimate position enables to obtain the same specificity as PCR RFLP. Furthermore, coamplification of internal control warrants an optimal sensitivity. All the PCR have been simplified: the DNA extraction improvement allows to analyse the genotype with only a few microliters of whole blood whatever the anticoagulant and the procedure of preservation (freezing, dried blood spots, storage at +4 degrees C for several days). This technique saves time. Moreover, full automation of the ASA technique may be shortened thanks to the lack of extraction and the positive/negative reading of the PCR signal.     

Implementing Employee Empowerment

The road to employee empowerment runs between true commitment on the one side and enforced compliance and chaos on the other. By following this column's guidelines, IS managers can steer their organizations to success and help free employees to be more creative in terms of both quality and productivity.     

A CONSTITUTIVE MODEL FOR ELASTIC-PLASTIC DEFORMATION UNDER CYCLIC MULTIAXIAL STRAINING

Abstract— The yield criterion is interpreted as defining the metric of the stress space. Hydrostatic stresses correspond to null geodesies. The plastic strain increment represents a normal projection of the increment undergone by a certain scalar function (hardening function) which depends only on the distance between stress points. This establishes a flow rule formally equivalent to the Prandtl-Reuss equations. Consideration of un-loading processes leads to the analysis of equivalent paths and to the definition of a generalized length or separation which provides a new representation of kinematic hardening.     

A PMLRARalpha transgene initiates murine acute promyelocytic leukemia

The malignant cells of acute promyelocytic leukemia (APL) contain a reciprocal chromosomal translocation that fuses the promyelocytic leukemia gene (PML) with the retinoic acid receptor alpha gene (RAR alpha). To test the hypothesis that the chimera PMLRAR alpha plays a role in leukemogenesis, we expressed a PMLRAR alpha cDNA in myeloid cells of transgenic mice. PMLRAR alpha transgenic mice exhibited impaired neutrophil maturation early in life, which progressed at a low frequency over the course of several months to overt APL. Both the preleukemic state and the leukemia could be transplanted to nontransgenic mice, and the transplanted preleukemia could progress to APL. The APL recapitulated features of the human disease, including a response to retinoic acid. Retinoic acid caused the leukemic cells to differentiate in vitro and in vivo, eliciting remissions of both the preleukemic state and APL in mice. Our results demonstrate that PMLRAR alpha impairs neutrophil differentiation and initiates the development of APL. The transgenic mice described here provide an apparently accurate model for human APL that includes clear evidence of tumor progression. The model should be useful for exploring the molecular pathogenesis of APL and the mechanisms of the therapeutic response to retinoic acid, as well as for preclinical studies of therapeutic regimens.     

Helical distributions of stokeslets

Helical distributions of stokeslets can valuably model microbial locomotion through a fluid, and also the flow field generated, wherever a flagellum actively executes helical undulations (as in many single-celled algae and protozoa) or where (as in many bacteria) the action of rotary motors causes a passive structure of helical shape (which may be a flagellum or else the cell body itself) to rotate. Here, previous biomechanical studies of such modes of locomotion are extended to include analyses of three-dimensional flow fields. In some cases, a rotlet field (curl of a stokeslet) needs to be incorporated in the models. For example, spirochete swimming is modelled by combined helical distributions of stokeslets and rotlets; the computed flow field being confined to within distances of less than twice the radius of the cell body's helical shape from its axis, while including a powerful jet-like interior flow through the coils of the swimming spirochete.     

Reinterpreting the basic theorem of flagellar hydrodynamics

Lorentz [1] pioneered the representation of flows at very low Reynolds number by a surface distribution of stokeslets — whose strengths, nowadays, are computed by surface-velocity collocations. That method is here compared with a representation widely used in flagellar hydrodynamics, by a curvilinear distribution of stokeslets and dipoles along the flagellar centreline; with the velocity of each cross-section expressed as a centreline value of the combined fields of singularities beyond a certain cutoff distance. The latter is also a good representation, and offers moreover some computational advantages. This paper establishes the equivalence of the two representations, and identifies those properties of Stokes flows which make both the dipoles and the cutoff essential to that equivalence.