Adrenocorticotropin and cortisol hyperresponsiveness to hexarelin in patients with Cushing's disease bearing a pituitary microadenoma, but not in those with macroadenoma

We previously reported that in Cushing's disease (CD) the ACTH- and cortisol (F)-releasing activity of Hexarelin (HEX), a GH secretagogue, is exaggerated with respect to that in normal subjects and is higher than that of human CRH (hCRH), but it is absent in Cushing's syndrome. Our aim was to extend the study about the effects of HEX (2.0 microg/kg, iv) on ACTH and F secretion in 21 patients with CD (3 men and 18 women, 16-68 yr old). Based on magnetic resonance imaging, 15 CD patients had pituitary microadenoma, and 6 had macroadenoma. The results in CD patients were compared with those in 27 normal age-matched controls (NS; 10 men and 17 women, 24-69 yr old). Basal ACTH and F levels in CD were similar in patients with microadenom (mean+/-SEM, 78.3+/-7.2 pg/mL and 237.1+/-23.6 microg/L, respectively) and macroadenoma (57.4+/-9.0 pg/mL and 196.9+/-20.1 microg/L, respectively) and were higher (P < 0.001) than those in NS (17.7+/-2.0 pg/mL and 115.3+/-6.7 microg/L, respectively). In microadenoma CD patients, HEX induced marked ACTH and F increases (delta peak, mean+/-SEM: 261.2+/-77.6 pg/mL and 226.1+/-87.2 microg/L, respectively), which were higher (P < 0.04) than those induced by hCRH (45.6+/-16.9 pg/mL and 84.6+/-25.7 microg/L, respectively). Moreover, in microadenoma CD patients, the ACTH and F responses to HEX were higher (P < 0.001) than those in NS (18.5+/-4.0 pg/mL and 36.1+/-6.8 microg/L, respectively). In macroadenoma CD patients, HEX induced a slight, but significant increase (P < 0.02) in ACTH and F levels (33.9+/-18.0 pg/mL and 89.6+/-34.3 microg/L, respectively), which was not significantly different from that elicited by hCRH (20.0+/-7.0 pg/mL and 54.8+/-21.3 microg/L, respectively). In macroadenoma CD patients, the ACTH and F responses to HEX and hCRH were, in turn, similar to those in NS. In conclusion, our findings demonstrate that the ACTH and F hyperresponsiveness to HEX is present in Cushing's disease with micro-, but not macro- ACTH-secreting pituitary adenoma. This finding agrees with other evidence pointing toward differences in the hormonal behavior between micro- and ACTH-secreting pituitary macroadenomas.     

Evidence of High Vertical Wave-Number Behavior in a Continuously Stratified Reservoir: Boadella, Spain

High vertical wave-number modes clearly dominate the internal wave field during the stratification period in Boadella reservoir in northeast Spain. In this period, the extraction of hypolimnetic water, due to summer irrigation, brought the surface level down by 6 m in one month and the epilimnetic water progressively occupied the whole water column. The temperature profile, with the exception of a few meters at the surface layer, presented an almost constant temperature gradient of about 0.7°C/m. The period of the main vertical mode is 24 h with an amplitude of around 1 m. Thermistor chain records and meteorological data allow us to deduce that this mode is, at least, a third vertical mode forced by the wind, which normally has a typical periodicity of 24 h. However, when the wind changes direction from south to north, the circulation cells developed due to this forced nonstationary oscillation are destroyed. When this occurs, the Bulk Richardson number is Rib ～ 1. Similar vertical structures as a response to wind forcing should be expected in similar systems, although this has not been reported in the literature.     

Nanocrystalline TiO2 photosensitized with natural polymers with enhanced efficiency from 400 to 600 nm

TiO₂ sensitization for solar applications requires not only efficient but also stable and inexpensive sensitizers. Different condensed tannins extracted from bark wastes of tropical wood trees were studied as possible sensitizers of TiO₂. These natural polymers adhere strongly to the TiO₂ even from aqueous solutions. Absorption spectra are presented for 1 mM aqueous sensitizing solutions prepared with lyophilized condensed tannins which absorb light in the visible range. Spectral photocurrent measurements and I–V characterization show that no bias is required for electron injection to the TiO₂ from all studied condensed tannins. Incident photon to current efficiency (IPCE) analysis indicates that surface complexation originates absorption bands with different electron injection efficiencies. These play a dominant role in determining IPCE spectral shape. We propose that surface modification by the sensitizer changes the surface trap density, thereby decreasing recombination losses.     

Medical treatment of multinodular goiter

Thyroid nodules are among the most common clinical problems in endocrinology. Among several factors responsible for the development of goiter, circulating TSH plays a major role because of its direct growth-promoting effects on the thyroid cells; moreover TSH may enhance the effects of other local growth factors which act in a paracrine mode in the thyroid gland. In addition, autoimmune thyroiditis can clinically appear as thyroid nodules frequently with the functional aspect of a subclinical hypothyroidism. For these reasons a therapeutical approach based on the thyroxine suppression of TSH secretion has become largely used by 1970s and is correctly employed in 75% of the patients with thyroid nodules whose biopsies result benign.     

Economic evaluation of long-distance hydrogen transmission by chemical closed-loop cycle

All over the world there are enormous unexploited renewable energy reserves (hydro, geothermic, solar, wind, etc.). Most originate far from the location of the users, so their exploitation would greatly benefit from the disclosure of new, more economical, and technically feasible transmission systems.A possible alternative to electricity is the use of hydrogen as a medium for transportation of energy. This work proposes a chemical closed-loop cycle based upon catalytic reversible reactions as a means to transmit hydrogen. A real example for the application of the proposed system for transportation of secondary energy was considered. In particular, choosing a large hydro-electric source as reference, a comparison was made between costs and efficiencies in transferring energy as hydrogen (in its different forms) over long distances, with respect to transportation of the same energy as electricity.     

Fluctuation conductivity in Li-doped YBa2Cu3O7−x

The paraconductivity of Li-doped YBa₂Cu₃O_7?x was measured. We have found that the character of the fluctuation changes as lithium content increases: instead of a crossover from 2D to 3D behavior (D is the dimensionality), as we have observed for a low doping level, a double crossover to the 2D percolative and 3D percolative regimes becomes manifest by increasing the lithium content.     

Experimental Study of Alumina Particle Removal From a Plane surface

Micron and submicron alumina particles are often used for the mechanical polishing of the GaAs wafers processed in the microelectronic industry. A better understanding of the adhesion mechanisms is the key factor for the particle removal and for the optimisation of the industrial chemical cleaning. However, the nature and the strength of the complex interactions occurring between asymmetrical alumina particles and the surface remain unclear. Thus, an experimental study of the detachment of asymmetrical alumina particles in adhesive contact with a glass plate was done using a specially designed shear stress flow chamber. A series of experiments was performed to measure the shear stress necessary to remove individual alumina particles (of 3 and 0.3 µm nominal size) under various chemical solutions (diluted ammonia, surfactant and glycerol). Then the effects of the particle size, the resting time, the pH and the nature of the chemical solutions used for the removal of the alumina particles was characterised in terms of percentage of alumina particles detached. Results have shown that the longer the resting time, the more adherent the particles are. Moreover, it was found that the ammonia solution gives the best particle removal rate (80%) because of the strong repulsive electrostatic interactions between the alumina particles and the glass surface, both being charged negatively in a basic solution.