A long-term follow-up study of patients with ischaemic heart disease versus patients with nonspecific chest pain

Ninety consecutive patients who were admitted to hospital with acute chest pain were followed-up five years later. At the time of the original admission, all of the patients received a detailed physical and psychiatric evaluation. Seventy-one patients were diagnosed as having ischaemic heart disease, and 19 were diagnosed as having nonspecific chest pain. Patients with nonspecific pain were younger, consumed greater amounts of alcohol, smoked more than their organic counterparts, and were more likely to suffer from psychiatric disorder. The five-year assessment was carried out using a self-report questionnaire. Of the original 71 patients with ischaemic heart disease, 14 had died; 43 questionnaires were returned, 80.2% of the original sample. Sixteen (84.9%) of the patients with nonspecific pain were followed up; none had died. Both groups were predominantly male. The patients with nonspecific pain still smoked more than the patients with ischaemic heart disease, and they had significantly more symptoms of anxiety. The overall prevalence of psychiatric morbidity remained high, however, in both groups. Patients who had psychiatric illness at the time of the original assessment were more anxious at follow-up and more likely to complain of chest pain than those who had been well. Patients with nonspecific chest pain continued to seek treatment on a regular basis from their general practitioners either for chest pain or for other symptoms, but few were in frequent contact with hospital services. The possible preventive effects of psychiatric intervention at an earlier stage in both groups of patients needs to be investigated.     

Detection of a small left atrial myxoma: value and limitations of four imaging modalities

Coronary angiography in a 52-year-old woman with angina-type chest pain showed tumor circulation with feeding arteries arising from the circumflex artery. Transthoracic echocardiography and magnetic resonance imaging both failed to show any intracardiac masses. A sessile mass measuring 1.5 cm in diameter attached to the atrial septum was readily detected by transesophageal echocardiography. Histologic analysis confirmed the tumor to be a myxoma. Coronary angiography may provide the first clue to the presence of a small myxoma. Transesophageal echocardiography is the imaging modality of choice for further evaluation.     

Water quality surveys: A statistical method based on determinism, quantiles and the binomial distribution

A statistical method for surveying water quality and analysing the results in terms of quantiles is described. The value of a water quality variable in a grab-sample is taken as a deterministic function of the temporal and spatial coordinates of the sampling point. Quantiles can then be defined for any specified region in time and space as unique, fixed values, and randomly located grab-samples may be used to estimate them for the purposes of describing or regulating water quality. Robust statistical inferences are possible using the binomial distribution. Properties of the quantiles, confidence limits, comparisons with fixed values or between regions, assessment of trends, simultaneous inferences and estimation of sample sizes are discussed. Two examples of water quality surveys, one of Port Phillip Bay, the other of the Maribyrnong River, Victoria, are used to illustrate the theory, paying particular attention to practical problems which arose. The proposed method is compared with others based on stochastic models, and is claimed to be simpler and more reliable.     

Intrinsically patterned electrical systems: physical requirements and experimental demonstration

Microsystem Technologies - This paper introduces a method of replicating electrical circuits through a series of specific requirements as part of a design methodology referred to as Intrinsically...     

Polycrystalline Silicon-Film™ Thin-film Solar Cells: Advanced Products

Thin-film polycrystalline silicon has the potential to achieve the cost reduction and performance improvement necessary for large-scale electricity markets. Reduced cost is achieved by capitalizing on the benefits of thin films grown on low-cost, large-area substrates. Improved efficiency is realized, in spite of reduced material quality, by incorporating enhanced optical absorption and back-surface passivation. The cornerstone of AstroPower's thin-film solar cell technology is the Silicon-Film™ process: a method for the manufacture of solar cell-quality, polycrystalline films of silicon on a variety of low-cost, supporting substrates. Three thin-film solar cell designs, based on this technology, are currently under development. This paper presents the key design features of these three products and briefly reviews the current status of the development of the key technologies that comprise the advanced thin-film solar cell products.     

Atmospheric pressure MALDI/ion trap mass spectrometry

A new sample ionization technique, atmospheric pressure matrix-assisted laser desorption/ionization (AP MALDI), was coupled with a commercial ion trap mass spectrometer. This configuration enables the application-specific selection of external atmospheric ionization sources: the electrospray/APCI (commercially available) and AP MALDI (built in-house), which can be readily interchanged within minutes. The detection limit of the novel AP MALDI/ion trap is 10-50 fmol of analyte deposited on the target surface for a four-component mixture of peptides with 800-1700 molecular weight. The possibility of peptide structural analysis by MS/MS and MS3 experiments for AP MALDI-generated ions was demonstrated for the first time.     

Fragmentation of sialylated carbohydrates using infrared atmospheric pressure MALDI ion trap mass spectrometry from cation-doped liquid matrixes

Infrared atmospheric pressure matrix-assisted laser desorption/ionization on an ion trap mass spectrometer is used to study sialylated oligosaccharides desorbed from the liquid phase. Glycerol doped with various cations provides the opportunity to produce cation-adducted intact molecular ions of sugars. Distinct combinations of cations allow for sialic acid stabilization, as well as differential cleavage, resulting in more complete fragmentation coverage of the oligosaccharide. Alkali and transition metal cations are utilized to create three distinct molecular ion species, involving the adduction of a singly charged cation, two singly charged cations, or a doubly charged cation. From these different molecular ion types, complementary sequence, branching, and linkage information for sialylated oligosaccharides can be deduced.     

Role of the glutamate decarboxylase acid resistance system in the survival of Listeria monocytogenes LO28 in low pH foods

The glutamate decarboxylase (GAD) acid resistance system of the foodborne pathogen Listeria monocytogenes plays a major role in its survival at low pH. It was found that survival of the wild-type strain. LO28, in acidified reconstituted skim milk, diluted to reduce free glutamate levels. improves in response to supplementation with monosodium glutamate. A mutant, in which the two listerial GAD homologs have been deleted (and in which there is no discernible GAD activity), did not respond to glutamate supplementation and displayed greatly enhanced sensitivity in a number of low pH foods, even when levels of free glutamate were as low as 0.22 mM. We thus show that the GAD system plays a major role in the survival of L. monocytogenes in acidic foods even when levels of free glutamate are low.