Differential Impact of Hyperglycemia in Critically Ill Patients: Significance in Acute Myocardial Infarction but Not in Sepsis?

Hyperglycemia is a common condition in critically ill patients admitted to an intensive care unit (ICU). These patients represent an inhomogeneous collective and hyperglycemia might need different evaluation depending on the underlying disorder. To elucidate this, we investigated and compared associations of severe hyperglycemia (>200 mg/dL) and mortality in patients admitted to an ICU for acute myocardial infarction (AMI) or sepsis as the two most frequent admission diagnoses. From 2006 to 2009, 2551 patients 69 (58–77) years; 1544 male; 337 patients suffering from type 2 diabetes (T2DM)) who were admitted because of either AMI or sepsis to an ICU in a tertiary care hospital were investigated retrospectively. Follow-up of patients was performed between May 2013 and November 2013. In a Cox regression analysis, maximum glucose concentration at the day of admission was associated with mortality in the overall cohort (HR = 1.006, 95% CI: 1.004–1.009; p < 0.001) and in patients suffering from myocardial infarction (HR = 1.101, 95% CI: 1.075–1.127; p < 0.001) but only in trend in patients admitted to an ICU for sepsis (HR = 1.030, 95% CI: 0.998–1.062; p = 0.07). Severe hyperglycemia was associated with adverse intra-ICU mortality in the overall cohort (23% vs. 13%; p < 0.001) and patients admitted for AMI (15% vs. 5%; p < 0.001) but not for septic patients (39% vs. 40%; p = 0.48). A medical history of type 2 diabetes (n = 337; 13%) was not associated with increased intra-ICU mortality (15% vs. 15%; p = 0.93) but in patients with severe hyperglycemia and/or a known medical history of type 2 diabetes considered in combination, an increased mortality in AMI patients (intra-ICU 5% vs. 13%; p < 0.001) but not in septic patients (intra-ICU 38% vs. 41%; p = 0.53) could be evidenced. The presence of hyperglycemia in critically ill patients has differential impact within the different etiological groups. Hyperglycemia in AMI patients might identify a sicker patient collective suffering from pre-diabetes or undiagnosed diabetes with its’ known adverse consequences, especially in the long-term. Hyperglycemia in sepsis might be considered as adaptive survival mechanism to hypo-perfusion and consecutive lack of glucose in peripheral cells. AMI patients with hyperglycemic derailment during an ICU-stay should be closely followed-up and extensively screened for diabetes to improve patients’ outcome.     

The infrared thermography control of the laser welding of amorphous polymers

In laser welding technique, a real-time control of temperature distribution inside the irradiated materials is essential when attempting to optimize the process. For all laser welding methods that operate by the transmission principle, the difficulty of recording the developed temperature at the interface derives from the fact that materials to be welded are in contact throughout the entire process. In the present study, in order to overcome this issue, a contact-free method such the infrared thermography is used for surface temperature measurement. Corroborating this data with a numerical simulation of the temperature field evolution inside the components, an assessment of optimal process parameters is possible. The experimental investigations are made on amorphous polymers, in a typical configuration for through-transmission laser welding. The fine agreement obtained between the experimentally and calculated data, validate the infrared thermography as a non-destructive method for real-time monitoring of the welding process.     

Optical determination of thallium(I) and cesium(I) with a fluorogenic calix[4]arenebis(crown-6 ether) containing one pendent dansyl group

A fluorogenic derivative of 1,3-alternate calix[4]arenebis(crown-6) (1) containing a dansyl group in the proton-ionizable side arm has been employed in selective sensing of Tl+ and Cs+ at low concentration levels in MeCN-H2O (1:1) mixed solvent. Optical recognition of these two metal cations by 1 occurs in contrasting modes. On the basis of the results of fluorescence, matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS), and 1H NMR studies, Tl+ and Cs+ react with 1 via formation of 1:1 complexes that differ in coordination arrangement around the metal ion.     

Boolean logic gates that use enzymes as input signals

Biochemical systems that demonstrate the Boolean logic operations AND, OR, XOR, and InhibA were developed by using soluble compounds, which represent the chemical "devices", and the enzymes glucose oxidase (GOx), glucose dehydrogenase (GDH), alcohol dehydrogenase (AlcDH), and microperoxidase-11 (MP-11), which operated as the input signals that activated the logic gates. The enzymes were used as soluble materials and as immobilized biocatalysts. The studied systems are proposed to be a step towards the construction of "smart" signal-responsive materials with built-in Boolean logic.     

Modelling Crack Closure for an Interface Crack Under Harmonic Loading

The paper is devoted to a linear crack located between two dissimilar elastic half-spaces under normally incident harmonic tension-compression loading. The system of boundary integral equations for displacements and tractions is derived from the dynamic Somigliana identity. The dynamic stress intensity factors (the opening and the transverse shear modes) are computed as functions of the loading frequency taking the contact interaction of the opposite crack faces into account. The results are compared with those obtained neglecting the crack closure.     

Metformin Influence on the Intestinal Microbiota and Organism of Rats with Metabolic Syndrome

Metformin is a first-line drug for DM2 treatment and prevention, but its complex effect on impaired glucose tolerance (IGT), including its influence on myocardial resistance to ischemia-reperfusion injury, is not completely studied. We aimed to evaluate the influence of metformin on the intestinal microbiota (IM), metabolism, and functional and morphological characteristics of myocardium in rats with IGT. IGT was modelled in SPF Wistar rats with a high-fat diet and streptozotocin and nicotinamide injection. Rats were divided into three groups: IGT (without treatment), IGT MET (metformin therapy), and CRL (without IGT induction and treatment). IGT group was characterized by: higher body weight, increased serum glucose and total cholesterol levels, atherogenic coefficient, impairment in the functional parameters of the isolated heart during perfusion, and larger myocardium infarction (MI) size in comparison with the CRL group. IM of IGT rats differed from that of CRL: an increase of Bacteroides, Acinetobacter, Akkermansia, Roseburia, and a decrease of Lactobacillus genera representation. Metformin therapy led to the diminishing of metabolic syndrome (MS) symptoms, which correlated with IM restoration, especially with the growth of Akkermansia spp. and decline of Roseburia populations and their influence on other members of IM. The obtained results allow us to consider from a new point of view the expediency of probiotic A. muciniphila use for MS treatment.     

Influence of Calcium Phosphates on the Morphology and Properties of Polylactide Composites

Materials Science - We developed polylactide composite materials with calcium-containing fillers; in particular, calcium orthophosphate and calcium hydroorthophosphate. It is shown that the degree...     

Influence of Modified Condensed Foamed Polystyrene on the Morphology and Properties of Polycaprolactam

Materials Science - According to the data of X-ray phase diffraction analysis and differential scanning calorimetry, it is shown that the materials based on polycaprolactam (PL-6) and foamed...