Cell adhesion on modified polyethylene

Polyethylene (PE) was irradiated with 10 and 63 keV Ar⁺ ions to fluences of 1 × 10¹⁷ to 3 × 10¹⁹ m^–2 and then it was grafted with aminoacid (alanine). The changes of surface polarity, electrical conductivity, and oxygen concentration were examined on pristine, as-irradiated, and irradiated-grafted PE. The in vitro adhesion of mice fibroblasts on the modified PE was evaluated 24 hours after inoculation. It was proved that for the PE irradiated at 10 keV ion energy, the presence of chemically bound alanine increases cell adhesion and its homogenity. For PE irradiated with 63 keV ions, however, the alanine grafting leads to a reduction of the number of adhering cells. It was found that a rising surface polarity increases cell adhesion, but when its value is too high the cell adhesion starts to decrease. No correlation between electrical conductivity and cell adhesion was observed. In general, higher cell adhesion is observed on modified PE in comparison with pristine one.     

The incidence, morbidity, and mortality of surgical procedures after orthotopic heart transplantation

OBJECTIVE: The authors present their experience with patients having undergone orthotopic heart transplantation (OHT) in whom surgical conditions subsequently developed that required operative intervention. The incidence, morbidity, and mortality of these procedures are reported. SUMMARY BACKGROUND DATA: Several studies have evaluated the management options of biliary tract disease after OHT. Multiple reports of patients having undergone OHT who subsequently underwent peripheral vascular reconstructions, plastic reconstructive, and thoracic procedures also have been published. METHODS: A chart review of 349 patients who underwent OHT between 1985 and 1996 was conducted to identify surgical procedures that were required in the post-transplant period. Their outcomes are reported. RESULTS: Of 349 patients who underwent OHT, conditions requiring 94 surgical procedures developed in 54 patients (15%). Biliary tract disease developed in 17 patients (5%) who required cholecystectomy, 2 of the 5 patients with acute cholecystitis died. Eight patients (2%) underwent orthopedic procedures with no operative mortality. Flap advancements for sternal wound infections were performed in five patients and four deaths occurred. Seventeen thoracic procedures were performed in 11 patients with an overall mortality of 45%. Twenty-one vascular procedures were performed on 17 patients with 1 delayed death due to a malignancy. Seven patients underwent procedures of the colon and rectum with no mortality. Seven patients underwent repair of inguinal or incisional hernias with no mortality. Various infections occurred with one resultant death after operative intervention. Six procedures were performed for diseases of the small intestine with no resultant mortalities. CONCLUSIONS: Patients having undergone OHT and chronic immunosuppression are at increased risk of having complications develop from infection. Acute cholecystitis and sternal wound infection caused an inordinate risk of complications and death. Malignancies developed in four patients who required surgical intervention. A heightened awareness of coexisting peripheral vascular disease in patients transplanted for ischemic cardiomyopathy should exist. Close screening before surgery and surveillance after surgery to identify risk factors for infection and vascular disease and to screen for malignancies are essential.     

Citation analysis with microsoft academic

In this article, we compare publication and citation coverage of the new Microsoft Academic with all other major sources for bibliometric data: Google Scholar, Scopus, and the Web of Science, using a sample of 145 academics in five broad disciplinary areas: Life Sciences, Sciences, Engineering, Social Sciences, and Humanities. When using the more conservative linked citation counts for Microsoft Academic, this data-source provides higher citation counts than both Scopus and the Web of Science for Engineering, the Social Sciences, and the Humanities, whereas citation counts for the Life Sciences and the Sciences are fairly similar across these three databases. Google Scholar still reports the highest citation counts for all disciplines. When using the more liberal estimated citation counts for Microsoft Academic, its average citations counts are higher than both Scopus and the Web of Science for all disciplines. For the Life Sciences, Microsoft Academic estimated citation counts are higher even than Google Scholar counts, whereas for the Sciences they are almost identical. For Engineering, Microsoft Academic estimated citation counts are 14% lower than Google Scholar citation counts, whereas for the Social Sciences this is 23%. Only for the Humanities are they substantially (69%) lower than Google Scholar citations counts. Overall, this first large-scale comparative study suggests that the new incarnation of Microsoft Academic presents us with an excellent alternative for citation analysis. We therefore conclude that the Microsoft Academic Phoenix is undeniably growing wings; it might be ready to fly off and start its adult life in the field of research evaluation soon.

     

Long-term memory for the terrorist attack of September 11: Flashbulb memories, event memories, and the factors that influence their retention.

More than 3,000 individuals from 7 U.S. cities reported on their memories of learning of the terrorist attacks of September 11, as well as details about the attack, 1 week, 11 months, and/or 35 months after the assault. Some studies of flashbulb memories examining long-term retention show slowing in the rate of forgetting after a year, whereas others demonstrate accelerated forgetting. This article indicates that (a) the rate of forgetting for flashbulb memories and event memory (memory for details about the event itself) slows after a year, (b) the strong emotional reactions elicited by flashbulb events are remembered poorly, worse than nonemotional features such as where and from whom one learned of the attack, and (c) the content of flashbulb and event memories stabilizes after a year. The results are discussed in terms of community memory practices. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pericardiectomy for pericardial constriction

Constrictive pericarditis is a pathologic condition that may lead to significant morbidity. Definitive management of constrictive pericarditis requires pericardiectomy. A retrospective review of pericardiectomy for constrictive pericarditis at the Ochsner Clinic was undertaken. Twenty-one patients (17 male, four female) underwent pericardiectomy for constrictive pericarditis between January 1969 and June 1994. Ages ranged from 15 to 66 years (mean 41.5 years). Pedal edema, dyspnea, fatigue, and chest pain were the most common symptoms. Fifteen patients had important comorbidities. Preoperative New York Heart Association (NYHA) class was I (2), II (8), III (6), IV (5). Mean preoperative catheterization data, available in 17 patients (81%), demonstrated elevated intracardiac pressures (right atrial 17.4 mm Hg, right ventricular end-diastolic 22.4 mm Hg, pulmonary artery 26.2 mm Hg, pulmonary capillary wedge 20.2 mm Hg, left ventricular end-diastolic 20.1 mm Hg). A total pericardiectomy was performed in nine patients (sternotomy 8, thoracotomy 1). Pericardiectomy limited anteriorly to the phrenic nerves was performed in 11 patients (sternotomy 9, thoracotomy 2). One partial pericardiectomy was performed through a sternotomy. Cardiopulmonary bypass was used in six patients (29%). Mean hospital stay was 12 days (preoperative 4.2, postoperative 7.67). All patients achieved NYHA Class I postoperatively. Sixteen patients were discharged in sinus rhythm. No early mortality (<30 days), or major postoperative complications were observed. Pericardiectomy for pericardial constriction can be performed safely low morbidity and mortality and can favorably impact the natural history of this debilitating condition.     

Understanding the Holocaust through The U.S. Holocaust Memorial Museum

The opening of the United States Holocaust Memorial Museum attracted significant attention in both the popular and the architectural press. This attention and the continuing large numbers of visitors to the Holocaust Museum raise significant questions involving both the paradoxes inherent in the museum as a building type and the particular difficulties in creating a museum specific to the Holocaust. This article addresses a single question: How do visitors come to understand the reality of the Holocaust as they pass through the museum? The focus is primarily on the exhibit sequence, although the building is also discussed. In particular, this article focuses on the question of the “distance” in time and context between the museum's visitors and those who were participants in the Holocaust. I argue that the psychological phenomenon described as “identification” is critical in overcoming this distance in the Holocaust Museum experience.     

Reminiscences on venous thrombosis and pulmonary embolism

In a one week study of 236 patients, soft gelatine capsules containing 10 mg temazepam (Euhypnos) were evaluated as a hypnotic in general practice. Doses of 10-30 mg were generally well tolerated and performed satisfactorily in 76% of the patients. Seventy-two per cent experienced no hangover effect and 72% rated Euhypnos as good as or better than their previous hypnotic drugs.     

Non-operative treatment versus tension-band osteosynthesis in three- and four-part proximal humeral fractures. A retrospective study of 34 fractures from two different trauma centers

Thirty-four patients with three- and four-part proximal humeral fractures from two different trauma centres were studied retrospectively. Sixteen were treated without osteosynthesis and compared with 18 patients treated with tension-band fixation. Fracture classification and clinical examination were made by the same persons in both groups. Most of the three-part fractures healed with good pain relief and good function in daily life but often with a loss of motion. Four-part fractures often led to pain, loss of motion and of function. Conservative treatment seemed superior to tension-band fixation for three-part fractures. Four-part fractures healed with better function and range of motion after tension-band fixation.     

Direct-Sequence Spread-Spectrum Receiver for Communication on Frequency-Selective Fading Channels

The reception of direct-sequence spread-spectrum signals on frequency-selective fading communication channels is considered. The fading statistics are described using the wide-sense-stationary uncorrelated-scattering (WSSUS) channel model. It is shown that, under certain assumptions about this channel such as time-invariance over the duration of a data symbol, an orthogonal representation for the received distorted signal can be found. The optimum incoherent receiver can then be realized with reasonable complexity. The analysis shows that exploiting the inherent diversity of a frequency-selective channel can reduce the receiver error probability by several orders of magnitude. The optimum selective channel and the jamming susceptibility of the receiver are discussed.