Use of an Internet-based journal club

The on-line journal club is a useful example of the educational advantages created by the combination of current Internet technology with traditional journal club methods.     

A rapid reversed phase high performance liquid chromatographic method for the determination of docetaxel (Taxotere) in human plasma using a column switching technique

A rapid, simple and sensitive isocratic high performance liquid chromatography (HPLC) method was developed to measure the concentration of docetaxel in plasma samples with UV detection at 227 nm. The method uses a column switching technique with an Ultrasphere C18 column (75 x 4.6 mm ID, 3 mu, Altex, USA) as clean-up column and a CSC-nucleosil C8 column (150 x 4.6 mm ID, 5 mu, CSC, Montreal, Canada) as the analytical column. The mobile phase consisted of Phosphate buffer (30 mM, pH = 3)-acetonitrile (47:53, v/v) with the flow rates of 1.1 and 1.3 ml min-1 for clean-up and analytical columns, respectively. Paclitaxel was used as an internal standard. The plasma samples were extracted using a solid phase extraction method with Ammonium acetate (30 mM, pH = 5)-acetonitrile (50:50, v/v) as final eluent. The extraction method showed a recovery of 92% for docetaxel. In this system, the retention times of docetaxel and Paclitaxel were 7.2 and 8.5 min, respectively. The detection limit of docetaxel in plasma is 2.5 ng ml-1. This analytical method has a very good reproducibility (7.2% between-day variability at a concentration of 10 ng ml-1). It is applicable in clinical and pharmacokinetic studies.     

Hopf-steady-state mode interactions with 0(2) symmetry

Bifurcations in systems of ordinary or partial differential equations often involve nonlinear interactions between two or more modes, and such mode interactions have been widely studied. Here we fill a gap in the literature by considering the interaction of a steady-state bifurcation and a Hopf bifurcation in a system with 0(2) (circular) symmetry. One such interaction has been analysed previously, m the context of Taylor-Couette flow of a fluid confined between coaxial rotating cylinders, but only when both mode numbers are 1. Here we consider arbitrary mode numbers (l, m) under the assumption that both modes correspond to double eigenvalues of the jacobian. We describe the isotropy lattice, which governs the possible patterns of symmetry breaking, and find the general form of the reduced bifurcation equations by computing the 0(2)-equivariant mappings. We use this information to determine the local branching equations and stability coefficients, and solve the branching equations for non-degenerate systems. We observe that the case when l is even and m = 1 is exceptional, and analyse the simplest example: (l, m) = (2, 1). In this exceptional case the standing-wave branch associated with the Hopf bifurcation fails to exist at the mode-interaction point     

Platelet-activating factor may participate in signal transduction processes in rabbit leukocytes

The bacterial chemotactic peptide, formyl-methionyl-leucyl-phenylalanine (fMLP), induces the generation of platelet-activating factor (PAF), the mobilization of arachidonic acid and generation of superoxide anion (O₂ ⁻) in rabbit polymorphonuclear leukocytes (PMNs). The PAF receptor antagonists, WEB 2086 (10–100 μM) and CV 6209 (1–10 μM), reduced the mobilization of arachidonic acid and the O₂ ⁻ generation in response to fMLP but not that in response to A23187. Pretreatment of PMNs with the phospholipase A₂ inhibitor, chloroquine, or the serine protease inhibitor, tosyl-phenylalanine chloromethyl ketone, reduced the fMLP-stimulated generation of PAF and also reduced the generation of O₂ ⁻. The respiratory burst induced by a submaximal concentration of phorbol myristate acetate was not affected by these compounds. These data are consistent with the suggestion that endogenous PAF may contribute to the signal transduction cascade initiated by fMLP. Based on a paper presented at the Third International Conference on Platelet-Activating Factor and Structurally Related Alkyl Ether Lipids, Tokyo, Japan, May, 1989.     

Copper metabolism and requirements in total parenteral nutrition

Copper metabolism and requirements in patients receiving total parenteral nutrition were studied in 28 patients with gastrointestinal diseases. During each of the 3 wk of the study period, each of 24 patients received in their total parenteral nutrition solutions, a daily dose of copper amounting to 0.25 mg, 1.05 mg, or 1.85 mg, in a random order. The other 4 patients received a fixed daily dose of 1 mg throughout the 3 wk. Increased losses of copper through the gastrointestinal tract occurred in patients with diarrhea or high-output stomas or fistulas. Patients with abnormalities of liver excretory functions had decreases in gastrointestinal copper losses. Urinary copper excretion was twice that of normal subjects. Copper infused in excess of the requirements was retained and not excreted. Plasma copper did not reflect the copper balance and cannot be used as a guide for copper supplementation. Copper requirements were found to be 0.3 mg/day in patients with normal amounts of gastrointestinal excretion. In the presence of diarrhea or increased fluid loss through gastrointestinal stomas or fistulas, the copper requirements for total parenteral nutrition are 0.4--0.5 mg/day.     

The effect of category variability in perceptual categorization.

Exemplar and distributional accounts of categorization make differing predictions for the classification of a critical exemplar precisely halfway between the nearest exemplars of 2 categories differing in variability. Under standard conditions of sequential presentation, the critical exemplar was classified into the most similar, least variable category, consistent with an exemplar account. However, if the difference in variability is made more salient, then the same exemplar is classified into the more variable, most likely category, consistent with a distributional account. This suggests that participants may be strategic in their use of either strategy. However, when the relative variability of 2 categories was manipulated, participants showed changes in the classification of intermediate exemplars that neither approach could account for. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Tricuspid valve surgery and intraoperative echocardiography: factors affecting survival, clinical outcome, and echocardiographic success

BACKGROUND: The impact of echocardiographic-guided treatment on outcome after tricuspid valve (TV) surgery is not well defined. OBJECTIVES: The purpose of this study was to determine clinical and echocardiographic factors associated with adverse outcomes after TV surgery and determine the role of intraoperative echo (IOE) in facilitating successful outcomes after TV surgery. METHODS: Four hundred and one patients (279 females, mean age 60 years) underwent TV surgery and other concomitant cardiac surgery at a single institution and were followed clinically and by echocardiography during a 10-year period. RESULTS: Decreased survival after TV surgery was associated with: preoperative increased New York Heart Association (NYHA) functional classification (relative risk [RR]=2.02), increased left ventricular dysfunction by echocardiography (RR=1.28), and use of a TV replacement strategy (RR=2.92). Decreased event-free survival after TV surgery was associated with concomitant coronary artery bypass grafting (RR=2.97). Late echocardiographic failure (3 to 4+ tricuspid valve regurgitation [TR]) after TV surgery was associated with increased severity of TR on preoperative echocardiogram (odds ratio [OR]=1.91). Decreased late echocardiographic failure after TV surgery was associated with the use of a TV annuloplasty ring with a repair strategy (OR=0.40). The surgical plan was altered at the time of surgery to insure a successful outcome in 32 (10%) of 335 patients based on IOE findings. CONCLUSIONS: Adverse outcomes after TV surgery can be predicted by several preoperative clinical and echocardiographic variables. IOE is useful in improving immediate, but not late, outcomes after TV surgery.     

Spontaneous tibial artery thrombosis associated with varicella pneumonia and free protein S deficiency

Pneumonia is the most common serious complication of varicella infection in adults. A variety of thrombotic complications including purpura fulminans and disseminated intravascular coagulation have been reported in children with varicella but not in adults. Two men with varicella pneumonia who had profound lower extremity ischemia caused by thrombosis of the profunda femoris and tibial arteries are reported. Both patients had free protein S deficiency and vascular thrombosis in association with varicella pneumonia without overt evidence of disseminated intravascular coagulation or purpura fulminans. Antiphospholipid immunoglobulin G and immunoglobulin M antibodies were present in one, whereas the other had evidence of the lupus anticoagulant. The proposed pathogenesis and management options including intraarterial thrombolytic therapy with urokinase and the need for long-term anticoagulation are discussed.     

Polydienes possessing terminal ionic groups part 1 preparation of polydienes with terminal quaternary ammonium groups

Methods are described by which living anionic polydienes are reacted with α, ω-alkylene-chloroamines to generate polymers possessing terminal tertiary amine groups. Subsequent reaction with alkyl halides yields materials with quaternary ammonium terminal ligands. Evidence is presented to show that both reaction steps proceed with high efficiency, so that overall conversion is virtually quantitative. The ionically terminated polydienes exhibit two phase morphology, and the difunctional materials have thermoplastic elastomeric properties.