Gynecologic problems in older women

Regular gynecologic evaluation in older women is an integral part of medical care, just as it is for women of reproductive age. This should be emphasized since older women often neglect early symptoms of gynecologic diseases, some of which are potentially lethal. With this in mind, the health care provider must be cognizant of not only gynecologic problems that affect all women, but also those disease processes which are either specific to or more prevalent in an older population. This article emphasizes these aspects in caring for the older gynecologic patient.     

免疫细胞素Hu14.18-IL-2对黑色素瘤病人的免疫激活作用

目的评估免疫细胞素Hu14.18-IL-2对黑色素瘤病人体内免疫作用。方法33位黑色素瘤病人用一种人源化抗神经节苷脂GD-2的单抗与IL-2融合的免疫细胞素进行治疗,按每天0.8、1.6、3.2、4.8、6.0、7.5 mg/m2静脉滴注,连续3 d为一疗程,病情稳定或缓解后,在第5周接受第2疗程治疗。观察病人外周血单核淋巴细胞抗体依赖的细胞毒性、自然杀伤细胞活性、IL-2的体外增殖以及IL-2可溶性受体的变化。结果Hu14.18-IL-2能诱导病人淋巴细胞的吞噬作用,增强外周血中自然杀伤细胞的杀伤能力和数目,使血清中IL-2受体复合体的可溶性受体α链水平上升。结论免疫细胞素Hu14.18-IL-2对黑色素瘤病人具有免疫激活作用。     

Construction, properties and specific fluorescent labeling of a bovine prothrombin mutant engineered with a free C-terminal cysteine

To define the role of phosphatidylserine-induced conformationalchanges in prothrombin activation during blood coagulation,a recombinant bovine prothrombin was constructed, characterizedand shown to have a globally native-like conformation. We introduceda cysteine to replace the penultimate residue (Gly581) of apreviously constructed active site mutant, and expressed thedouble mutant in Chinese hamster ovary cells at the level of0.6 µg/ml of cell culture medium. Specific labeling withfluorescein maleimide was accomplished by limited reductionwith dithiothreitol to free the engineered cysteine while maintainingthe native-like functional properties of the molecule. The averagestoichiometry of labeling was 0.84 probe/protein. The locationof the probe at the C-terminus was confirmed by proteolysisby native thrombin, by Taipan venom, and by carboxypeptidaseY. Both the double mutant and labeled prothrombin could be activatedby snake venoms and the prothrombinase but, as expected, thedouble mutant meizothrombin did not autolyze as does nativemeizothrombin. Thus, for the first time, a native-like but specificallylabeled prothrombin has been constructed. This molecule willbe an essential tool for elucidating the structural role ofmembranes during prothrombin activation. In addition, the methodsdescribed might be usefully applied to labeling of an odd, engineeredcysteine in other disulfide bond-containing proteins.     

Regional aboveground forest biomass using airborne and spaceborne LiDAR in Québec

Aboveground dry biomass was estimated for the 1.3 M km² forested area south of the treeline in the eastern Canadian province of Québec by combining data from an airborne and spaceborne LiDAR, a Landsat ETM+ land cover map, a Shuttle Radar Topographic Mission (SRTM) digital elevation model, ground inventory plots, and vegetation zone maps. Plot-level biomass was calculated using allometric relationships between tree attributes and biomass. A small footprint portable laser profiler then flew over these inventory plots to develop a generic airborne LiDAR-based biomass equation (R² = 0.65, n = 207). The same airborne LiDAR system flew along four portions of orbits of the ICESat Geoscience Laser Altimeter System (GLAS). A square-root transformed equation was developed to predict airborne profiling LiDAR estimates of aboveground dry biomass from GLAS waveform parameters combined with an SRTM slope index (R² = 0.59, n = 1325).Using the 104,044 quality-filtered GLAS pulses obtained during autumn 2003 from 97 orbits over the study area, we then predicted aboveground dry biomass for the main vegetation areas of Québec as well as for the entire Province south of the treeline. Including cover type covariances both within and between GLAS orbits increased standard errors of the estimates by two to five times at the vegetation zone level and as much as threefold at the provincial level. Aboveground biomass for the whole study area averaged 39.0 ± 2.2 (standard error) Mg ha^? 1 and totalled 4.9 ± 0.3 Pg. Biomass distributions were 12.6% northern hardwoods, 12.6% northern mixedwood, 38.4% commercial boreal, 13% non-commercial boreal, 14.2% taiga, and 9.2% treed tundra. Non-commercial forests represented 36% of the estimated aboveground biomass, thus highlighting the importance of remote northern forests to C sequestration. This study has shown that space-based forest inventories of northern forests could be an efficient way of estimating the amount, distribution, and uncertainty of aboveground biomass and carbon stocks at large spatial scales.     

Mie scattering from a sonoluminescing air bubble in water

A single bubble of air in water can emit pulses of blue-white light that have durations of less than 50 ps while it is oscillating in an acoustic standing wave. The emission is called sonoluminescence. A knowledge of the bubble diameter throughout the cycle, and in particular near the time of sonoluminescence emission, can provide important information about the phenomenon. A new Mie scattering technique is developed to determine the size of the bubble through its expansion and collapse during the acoustic cycle. The technique does not rely on an independent means of calibration or on accurate measurements of the scattered intensity.     

Visualization and Analysis‐Oriented Reconstruction of Material Interfaces

Reconstructing boundaries along material interfaces from volume fractions is a difficult problem, especially because the under‐resolved nature of the input data allows for many correct interpretations. Worse, algorithms widely accepted as appropriate for simulation are inappropriate for visualization. In this paper, we describe a new algorithm that is specifically intended for reconstructing material interfaces for visualization and analysis requirements. The algorithm performs well with respect to memory footprint and execution time, has desirable properties in various accuracy metrics, and also produces smooth surfaces with few artifacts, even when faced with more than two materials per cell.     

Cytochemical localization of acetylcholine receptors at the neuromuscular junction by means of horseradish peroxidase-labeled alpha-bungarotoxin

The cytochemical localization of acetylcholine (ACh) receptors at the neuromuscular junction was investigated with a procedure utilizing alpha-bungarotoxin (alpha-BtX) labeled directly with horseradish peroxidase (HRP). Following incubation of tissues in the conjugate and reaction for peroxidase, activity was observed on the junctional folds of the motor endplate. A uniform layer of reaction product approximately 15 nm thick occurred over the apical portions of the junctional folds. Membranes at the bases of the synaptic cleft showed only small amounts of reaction product. Non-junctional regions of the muscle fiber were unreactive. Activity was also observed in the membrane of the axon facing the muscle surface, often including the axolemma overlying the "active zones" of the nerve terminal. Such presynaptic activity was still evident on nerve terminals disjuncted from the synapse by enzymatic treatment prior to incubation in the conjugate. This localization indicates the possible presence of presynaptic ACh receptors within the axolemma. In muscle denervated for 7-12 days, motor endplates were reactive and parajunctional sarcolemma showed slight activity, but most extrajunctional regions contained no obvious accumulations of reaction product. Activity at all sites was prevented by preincubation of tissues in native alpha-BTX prior to incubation in the conjugate and reaction for HRP. This procedure represents a simple and convenient method for the high resolution localization of ACh receptors.     

Remote sensing of canopy light use efficiency in temperate and boreal forests of North America using MODIS imagery

Light use efficiency (LUE) is an important variable characterizing plant eco-physiological functions and refers to the efficiency at which absorbed solar radiation is converted into photosynthates. The estimation of LUE at regional to global scales would be a significant advantage for global carbon cycle research. Traditional methods for canopy level LUE determination require meteorological inputs which cannot be easily obtained by remote sensing. Here we propose a new algorithm that incorporates the enhanced vegetation index (EVI) and a modified form of land surface temperature (T_m) for the estimation of monthly forest LUE based on Moderate Resolution Imaging Spectroradiometer (MODIS) imagery. Results demonstrate that a model based on EVI × T_m parameterized from ten forest sites can provide reasonable estimates of monthly LUE for temperate and boreal forest ecosystems in North America with an R² of 0.51 (p < 0.001) for the overall dataset. The regression coefficients (a, b) of the LUE–EVI × T_m correlation for these ten sites have been found to be closely correlated with the average EVI (EVI_ave, R² = 0.68, p = 0.003) and the minimum land surface temperature (LST_min, R² = 0.81, p = 0.009), providing a possible approach for model calibration. The calibrated model shows comparably good estimates of LUE for another ten independent forest ecosystems with an overall root mean square error (RMSE) of 0.055 g C per mol photosynthetically active radiation. These results are especially important for the evergreen species due to their limited variability in canopy greenness. The usefulness of this new LUE algorithm is further validated for the estimation of gross primary production (GPP) at these sites with an RMSE of 37.6 g C m^? 2 month^? 1 for all observations, which reflects a 28% improvement over the standard MODIS GPP products. These analyses should be helpful in the further development of ecosystem remote sensing methods and improving our understanding of the responses of various ecosystems to climate change.