Fibrinolysis, antithrombin III, and protein C in neonates during cardiac operations

Fibrinolysis and coagulation were studied in 10 neonates undergoing cardiac operations for congenital heart defects. Coagulation was activated during cardiopulmonary bypass as evidenced by highly increased prothrombin fragment 1 + 2 levels compared with preoperative values. Prothrombin fragment 1 + 2 levels remained elevated until postoperative day 3. Unlike coagulation, fibrinolysis was not activated during cardiopulmonary bypass but did show late activation on postoperative day 3, as evidenced by elevated levels of the fibrin degradation product D-dimer. Lack of fibrinolytic activation during bypass and its appearance on postoperative day 3 were partly explained by changes observed in tissue plasminogen activator and its inhibitor. During bypass, levels of tissue plasminogen activator and its inhibitor increased by 3.4-fold and 3.2-fold, respectively. In the postoperative period, levels of plasminogen activator inhibitor normalized rapidly whereas tissue plasminogen activator remained elevated, resulting in late fibrinolytic activation on postoperative day 3. In accordance with elevated prothrombin fragment 1 + 2, platelet count, antithrombin III, protein C, prothrombin, and factor VII were decreased on postoperative day 2, indicating ongoing consumptive coagulopathy. Nine patients had antithrombin III and six had protein C levels below age-specific normal ranges, consistent with an acquired deficiency state. Three had central venous thrombosis by postoperative day 4 or 5. In all three, thrombosis was preceded by antithrombin III deficiency, protein C deficiency, and highly elevated plasminogen activator inhibitor (3.7 to 37 times the mean of the other patients) on postoperative days 1 to 3. In conclusion, cardiopulmonary bypass in neonates caused rapid and profound alterations in the coagulation and fibrinolytic systems and initiated consumptive coagulopathy lasting until at least postoperative day 3. Thrombophilic abnormalities in antithrombin III, protein C, and fibrinolysis were frequently found and were associated with serious thrombotic complications.     

Comparison of analytical and numerical modeling approaches for sizing of seasonal storage solar heating systems

Analytical and numerical approaches for the predesign of central solar heating plants with seasonal storage (CSHPSS) systems are compared. The results indicate that the analytical approach employed in SOLCHIPS predesign tool is significantly faster and more powerful than the traditional numerical methods for predesign of high solar fraction seasonal storage solar heating systems.     

Infants' reactions to perceptual paradox during mother–infant interaction.

36 3-mo-old infants interacted with their mothers under conditions in which they could see and hear their mothers (correlated auditory plus visual information: A?+?V), see but not hear their mothers (V), and hear but not see their mothers (A); the latter 2 conditions are termed perceptual paradox. The interactions were videotaped, and the Ss' behavior was judged by naive observers who used a subjective 7-point rating scale of infant affect. For 2 groups of Ss, 3 1-min presentations of the A?+?V condition were alternated with 3 1-min presentations of either A (Group 1) or V (Group 2) conditions. In both groups, Ss were judged as being more distressed during unimodal presentations than during bimodal presentations. In a 3rd group, unimodal (A) presentations were alternated with unimodal (V) presentations. Ss in this group were significantly more distressed when they could hear but not see their mothers than when they could see but not hear their mothers. Results demonstrate the suitability of global subjective ratings of affective state in studies of infant perception. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recovery rates of logging residue harvesting in Norway spruce (Picea abies (L.) Karsten) dominated stands

A significant amount of logging residues is available for recovery in clear-cut areas. The forest residues’ potential has usually been estimated using biomass models. In Norway spruce (Picea abies) dominated stands, a large share of material is left on site especially due to dropping of needles as residues are left on site to dry in small heaps. In this study, we compared the measured dry weight of logging residues at a power plant with the potential biomass estimations made at a stand level. The study was performed in eight Norway spruce dominated stands, three of which were located in eastern Finland (North Karelia region) with the remainder being in Central Finland. The dry weights of branches, needles and stem tops were estimated using biomass models developed for individual trees by Repola et al. [1]. These dry weights were also compared with Swedish biomass models produced by Marklund [2]. The diameter and tree height information of each harvested tree served as input data in these model-based computations. Tree diameter information was obtained straight from the harvester’s stem value files, while the height information was obtained from models using the data from the stem value files as input. Inventory data before logging was used as a control material for harvester based estimates to spot possible measurement errors on the harvester measurement data. In addition, inventory data were used to get the crown height information, which was not available in the harvester measurement data. It was found that the average recovery rate was approximately 62% when applying Repola’s et al. [1] models and 61% when applying Marklund’s [2] models. However, variation between the logging sites was high. According this study, at least a third of the residues remains on the logging site if they are seasoned during the spring and summertime in small heaps.     

Etiology of pneumonia and other common childhood infections requiring hospitalization and parenteral antimicrobial therapy. SE-TU Study Group

The etiology of acute lower respiratory tract infections (mostly pneumonia) in children is well characterized, but these are only some of the community-acquired infections warranting parenteral antimicrobial therapy. We prospectively evaluated all such infections among children aged 3 months to 15 years by use of blood cultures, examination of nasopharyngeal aspirates, and serologies for 15 viral, 7 bacterial, and 1 protozoal agent. Immunocompromised patients and those with urinary tract infection, meningitis, or osteoarticular infection were excluded. In all, 170 children were included. The pathogenic agent was identified in 62% of the cases. Bacteria were detected in 54%, and a pneumococcus was found in 59% of the cases identified. Viruses were found in 15% overall. Sole bacterial or viral infections were detected in 47.1% and 8.1%, respectively. Since thorough screening established the etiology in less than two-thirds of patients ill enough to be hospitalized and treated parenterally, better diagnostics are needed, especially to identify those who would truly benefit from antimicrobial therapy.     

Several cooperating binding sites mediate the interaction of a lysosomal enzyme with phosphotransferase

Lysosomal targeting of soluble lysosomal hydrolases is mediated by mannose 6-phosphate receptors, which recognize and bind mannose 6-phosphate residues in the oligosaccharide chains of proteins destined for delivery to lysosomes. This recognition marker is generated by the sequential action of two enzymes, the first of which, UDP-N-acetylglucosamine phosphotransferase, recognizes lysosomal enzymes on the basis of a structural determinant in their polypeptide chains. This recognition event is a key step in lysosomal targeting of soluble proteins, but the exact nature of the recognition determinant is not well understood. In this study we have characterized the phosphotransferase recognition signals of human lysosomal aspartylglucosaminidase (AGA) using transient expression of polypeptides carrying targeted amino acid substitutions. We found that three lysine residues and a tyrosine residing in three spatially distinct regions of the AGA polypeptide are necessary for phosphorylation of the oligosaccharides. Two of the lysines are especially important for the lysosomal targeting efficiency of AGA, which seems to be mostly dictated by the degree of phosphorylation of the alpha subunit oligosaccharide. On the basis of the results of this and previous studies we suggest a general model for recognition of lysosomal enzymes by the phosphotransferase.     

The mitochondrial toxin produced by Streptomyces griseus strains isolated from an indoor environment is valinomycin

Actinomycete isolates from indoor air and dust in water-damaged schools and children's day care centers were tested for toxicity by using boar spermatozoa as an indicator. Toxicity was detected in extracts of four strains which caused a loss of sperm motility, and the 50% effective concentrations (EC50) were 10 to 63 ng (dry weight) ml of extended boar semen-1. The four strains were identified as Streptomyces griseus strains by 16S ribosomal DNA and chemotaxonomic methods. The four S. griseus strains had similar effects on sperm cells, including loss of motility and swelling of mitochondria, but we observed no loss of plasma membrane integrity or depletion of cellular ATP. None of the effects was observed with sperm cells exposed to extracts of other indoor actinomycete isolates at concentrations of >/=5,000 to 72,000 ng ml-1. The toxin was purified from all four strains and was identified as a dodecadepsipeptide, and the fragmentation pattern obtained by tandem mass spectrometry was identical to that of valinomycin. Commercial valinomycin had effects in sperm cells that were identical to the effects of the four indoor isolates of S. griseus. The EC50 of purified toxin from the S. griseus strains were 1 to 3 ng ml of extended boar semen-1, and the EC50 of commercial valinomycin was 2 ng ml of extended boar semen-1. To our knowledge, this is the first report of the presence of ionophoric toxin producers in an indoor environment and the first report of valinomycin-producing strains identified as S. griseus.