Diagnosis of hemochromatosis probands in a community hospital

PURPOSE: To evaluate factors that lead to the diagnosis of hemochromatosis probands in a community hospital, including education of physicians about hemochromatosis and iron overload, specialty of physicians, diagnostic indicators of hemochromatosis, and clinical manifestations of hemochromatosis probands. PATIENTS AND METHODS: We conducted a hemochromatosis education program for health care personnel associated with a community hospital and the public during 1990 to 1994. Data on physicians who diagnosed probands, diagnostic indicators of hemochromatosis, and manifestations of hemochromatosis and associated illnesses were tabulated. Iron grades of all hospital liver biopsy specimens obtained from Caucasian subjects during 1990 to 1994 were also analyzed. RESULTS: We identified 162 hemochromatosis probands; 66.7% were diagnosed by physicians who participated in our education program. Primary care and internal medicine subspecialty physicians diagnosed 66.7% and 29.6% of probands, respectively, based on elevated serum iron parameters and hepatic enzyme concentrations (51.9% and 36.4% of probands, respectively). Iron overload occurred in 90.7%, and was associated with clinical manifestations in most. Of 844 hospital liver biopsy specimens from Caucasians, 8.5% had increased iron grades; 4.6% represented hemochromatosis. CONCLUSIONS: Physicians with current education readily diagnose hemochromatosis probands during routine health care delivery, but most probands identified in this manner have iron overload. Our results suggest that community physicians and hospitals could contribute substantially to hemochromatosis screening programs, permitting detection of more homozygotes before the development of iron overload.     

Dielectric Properties of the "Twinned" 8H-Hexagonal Perovskite Ba8Nb4Ti3O24

The dielectric properties of dense ceramics of the "twinned" 8H-hexagonal perovskite Ba₈Nb₄Ti₃O₂₄ are reported. Single-phase powders were obtained from the mixed-oxide route at 1325°C and ceramics (>92% of the theoretical X-ray density) by sintering in air or flowing O₂ at 1400°–1450°C. The ceramics are dc insulators with a band gap >3.4 eV that resonate at microwave frequencies with relative permittivity, ɛ_r∼44–48, quality factor, Q × f _r∼21 000–23 500 GHz (at f _r∼5.5 GHz) and temperature coefficient of resonant frequency, TC _f,∼+115 ppm/K.     

Fiber optic sensing technology for detecting gas hydrate formation and decomposition

A fiber optic-based distributed sensing system (DSS) has been integrated with a large volume (72 l) pressure vessel providing high spatial resolution, time-resolved, 3D measurement of hybrid temperature-strain (TS) values within experimental sediment-gas hydrate systems. Areas of gas hydrate formation (exothermic) and decomposition (endothermic) can be characterized through this proxy by time series analysis of discrete data points collected along the length of optical fibers placed within a sediment system. Data are visualized as an animation of TS values along the length of each fiber over time. Experiments conducted in the Seafloor Process Simulator at Oak Ridge National Laboratory clearly indicate hydrate formation and dissociation events at expected pressure-temperature conditions given the thermodynamics of the CH(4)-H(2)O system. The high spatial resolution achieved with fiber optic technology makes the DSS a useful tool for visualizing time-resolved formation and dissociation of gas hydrates in large-scale sediment experiments.     

Mutation analysis of the MEN1 gene in multiple endocrine neoplasia type 1, familial acromegaly and familial isolated hyperparathyroidism

Multiple endocrine neoplasia type 1 (MEN 1) is an autosomal dominant disease characterized by neoplasia of the parathyroid glands, the endocrine pancreas, and the anterior pituitary gland. In addition, families with isolated endocrine neoplasia, notably familial isolated hyperparathyroidism (FIHP) and familial acromegaly, have also been reported. However, whether these families constitute MEN 1 variants or separate entities remains speculative as the genetic bases for these diseases are unclear. The gene for MEN 1 has recently been cloned and characterized. Using single strand conformation analysis (SSCA) and sequencing, we performed mutation analysis in: a) a total of 55 MEN 1 families from 7 countries, b) 13 isolated MEN 1 cases without family history of the disease, c) 8 acromegaly families, and d) 4 FIHP families. Mutations were identified in 27 MEN 1 families and 9 isolated cases. The 22 different mutations spread across most of the 9 translated exons and included frameshift (11), nonsense (6), splice (2), missense mutations (2), and in-frame deletions (1). Among the 19 Finnish MEN 1 probands, a 1466del12 mutation was identified in 6 families with identical 11q13 haplotypes and in 2 isolated cases indicating a common founder. One frameshift mutation caused by 359del4 (GTCT) was found in 1 isolated case and 4 kindreds of different origin and haplotypes; this mutation therefore represents a common "warm" spot in the MEN1 gene. By analyzing the DNA of the parents of an isolated case one mutation was confirmed to be de novo. No mutation was found in any of the acromegaly and small FIHP families, suggesting that genetic defects other than the MEN1 gene might be involved and that additional such families need to be analyzed.     

Cottonseed protein food products

Upward trending world population and increasing costs for traditional food proteins provide many incentives for utilization of oilseed proteins directly in human diets. Cotton, as one of the world's major oilseed crops, represents a potential source of food protein. Acceptability of oilseed protein products in terms of functional properties in food systems and nutritional value will largely determine the extent of their utilization by the food industry. Liquid cyclone process cottonseed flour, defatted glandless cottonseed flour, storage protein isolates, and cottonseed whey proteins have been evaluated by various functionality tests and in a number of food systems. The cottonseed flours have been subjected to processing by extrusion texturization. Human feeding studies have also been conducted. Results indicate a good potential for use of cottonseed protein products in a variety of food systems.     

Manufacture and measurement of combinatorial libraries of dielectric ceramics: Part II. Dielectric measurements of Ba1−xSrxTiO3 libraries

Applying combinatorial methods to materials science offers the opportunity to accelerate the discovery of more efficient dielectric ceramics. High-throughput methods have the potential to investigate the effects of a wide range of dopants on the dielectric properties, and to optimise existing systems, encouraging the short innovation cycles that the communications technology industry requires. The London University Search Instrument (LUSI) is a fully automated, high-throughput combinatorial robot that has the potential capability to produce large numbers of sintered bulk ceramic samples with varying composition in 1 day, as combinatorial libraries on alumina substrates. Ba_1−xSr_xTiO₃ (BST) libraries were produced by LUSI as a proof-of-principle, with x = 0–1 in steps of 0.1, and fired to 1350 and 1400 °C for 1 h. Part I of this paper described the manufacture and physical characterisation of BST libraries, showing a regular change in composition with x across the libraries. In this second part, the dielectric properties of BST libraries produced by LUSI are assessed at frequencies between 100 Hz and 1 MHz, and at temperatures between 150 and 500 K. Local piezoelectric properties were also characterised by scanning probe microscope (SPM). All measurements showed evidence of a clear functional gradient varying with x across the library, with measured _r corresponding to expected values for BST.     

Physical properties of high strength cement pastes

Recent developments in methods of processing ordinary Portland cement have shown that above average strengths (in flexure) are easily obtained without expending energy on high pressure compaction techniques. This paper reports strengths and other physical properties of both ordinary pastes and modified (macro defect free) pastes and attempts to compare and contrast the two types. The apparently greater notch sensitivity of the modified pastes is explained in terms of a reduced inherent flaw size. Optical microscopy shows that large pores are absent in the modified paste but transmission electron microscopy (TEM) shows that the fine scale microstructures of ordinary pastes and high strength pastes are very similar.