Lactate clearance and survival following injury

Previous reports cite optimization of O2 delivery (DO2) to 660 mL/min/m2, O2 consumption (VO2) to 170 mL/min/m2, and cardiac index (CI) of 4.5 L/min as predicting survival. We prospectively evaluated 76 consecutive patients with multiple trauma admitted directly to the ICU from the operating room or emergency department. Patients had serum lactate levels and oxygen transport measured on ICU admission and at 8, 16, 24, 36, and 48 hours. Patients were analyzed with respect to survival (S) versus nonsurvival (NS), lactate clearance to normal (< or = 2 mmol/L) by 24 and 48 hours, hemodynamic optimization as defined above, as well as Injury Severity Score (ISS), ICU stay (LOS), and admission blood pressure. All patients achieved non-flow-dependent VO2. There was no difference in CI, DO2, VO2, or ISS when S was compared with NS. All 27 patients whose lactate level normalized in 24 hours survived. If lactate levels cleared to normal between 24 and 48 hours, the survival rate was 75%. Only 3 of the 22 patients who did not clear their lactate level to normal by 48 hours survived. Ten of the 25 nonsurvivors (40%) achieved the above arbitrary optimization criteria. Fifteen of the survivors never achieved any of these criteria. Optimization alone does not predict survival. However, the time needed to normalize serum lactate levels is an important prognostic factor for survival in severely injured patients.     

Pharmacokinetic and pharmacodynamic effects of vaginal rings releasing levonorgestrel at a rate of 27 micrograms/24 hours: a pilot study

The pharmacokinetic and pharmacodynamic effects of vaginal rings releasing levonorgestrel (L-NOG) at an initial rate of 27 micrograms/24 h were studied in a group of 12 normally menstruating women during 90 days of continuous use (i.e., during three 30-day treatment segments). Blood samples were drawn immediately before insertion, 15 and 30 min, as well as 1, 2, 4, 8, 12 and 24 h after insertion of the rings, and thereafter three times weekly throughout the study for the analysis of L-NOG, estradiol, progesterone and sex hormone-binding globulin (SHBG). Endometrial biopsies were obtained for a morphometric analysis in a pre-treatment (control) cycle and in the 6th and 10th weeks of treatment. The peak of average L-NOG levels was reached within two hours after the insertion of rings. Until 24 h after insertion, the levels did not change significantly. Thereafter, a decrease at a rate of 0.2% per day was initiated. The L-NOG and SHBG levels were highly correlated. This was seen for both the pre-treatment SHBG vs L-NOG (r = 0.96) and the treatment SHBG vs L-NOG levels (r = 0.92). There was a significant (p < 0.001) decrease of SHBG levels due to treatment. During the total of 36 treatment segments, a normal ovarian function was seen in 47% of the segments. The women were anovulatory and had an inadequate lutal function in 28% and 25% of segments, respectively. No correlation between the L-NOG levels and ovarian reaction to treatment was found. The use of L-NOG induced significant changes in the endometrium; the number of glands/mm2 decreased after 6 (p < 0.02) and 10 weeks of use (p < 0.01). Also, the diameter of glands and the occurrence of vacuolated cells decreased significantly (p < 0.02 and p < 0.005, respectively). None of the endometrial parameters or dating was correlated with the ovarian reaction to treatment, indicating independent endometrial effects of L-NOG.     

Thermal and thermoelastic properties of fast extrusion furnace (FEF) carbon black loaded SBR vulcanizates

The effect of FEF carbon black as filler on the thermal capacity c, diffusivity a, and thermal conductivity λ, of styrene butadiene rubber (SBR) composites in the temperature range 300–420 K was studied. The filler strongly increases the thermal diffusivity, whilst strongly decreasing the thermal capacity and the thermal conductivity (except at high FEF content ≥80 phr). The influence of the filler on the thermoelastic behaviour of the same composites was also investigated. It was found that the thermoelastic temperature change (ΔT) increased with carbon black concentration as well as the entropy change per unit extension.     

Adeno-associated virus 2-mediated high efficiency gene transfer into immature and mature subsets of hematopoietic progenitor cells in human umbilical cord blood

Recombinant adeno-associated virus 2 (AAV) virions were constructed containing a gene for resistance to neomycin (neoR), under the control of either the herpesvirus thymidine kinase (TK) gene promoter (vTK-Neo), or the human parvovirus B19 p6 promoter (vB19-Neo), as well as those containing an upstream erythroid cell-specific enhancer (HS-2) from the locus control region of the human beta-globin gene cluster (vHS2-TK-Neo; vHS2-B19-Neo). These recombinant virions were used to infect either low density or highly enriched populations of CD34+ cells isolated from human umbilical cord blood. In clonogenic assays initiated with cells infected with the different recombinant AAV-Neo virions, equivalent high frequency transduction of the neoR gene into slow-cycling multipotential, erythroid, and granulocyte/macrophage (GM) progenitor cells, including those with high proliferative potential, was obtained without prestimulation with growth factors, indicating that these immature and mature hematopoietic progenitor cells were susceptible to infection by the recombinant AAV virions. Successful transduction did not require and was not enhanced by prestimulation of these cell populations with cytokines. The functional activity of the transduced neo gene was evident by the development of resistance to the drug G418, a neomycin analogue. Individual high and low proliferative colony-forming unit (CFU)-GM, burst-forming unit-erythroid, and CFU-granulocyte erythroid macrophage megakaryocyte colonies from mock-infected, or the recombinant virus-infected cultures were subjected to polymerase chain reaction analysis using a neo-specific synthetic oligonucleotide primer pair. A 276-bp DNA fragment that hybridized with a neo-specific DNA probe on Southern blots was only detected in those colonies cloned from the recombinant virus-infected cells, indicating stable integration of the transduced neo gene. These studies suggest that parvovirus-based vectors may prove to be a useful alternative to the more commonly used retroviral vectors for high efficiency gene transfer into slow or noncycling primitive hematopoietic progenitor cells, without the need for growth factor stimulation, which could potentially lead to differentiation of these cells before transplantation.     

Cotton Seed Oil Oxidation Catalysed by Amino Acids and Albumin in Aqueous and Non-Aqueous Media

The oxidation of refined cotton seed oil catalysed by various α-amino acids and albumin have been studied in aqueous and non-aqueous media. Cysteine, phenylalanine and albumin possessed pro-oxidant effect in cotton seed oil in aqueous and non-aqueous media. Serine exhibited pro-oxidant activity in aqueous media and minor anti-oxidant effect in non-aqueous media. The effectiveness of the amino acids on cotton seed oil oxidation was in the following descending order in both aqueous and non-aqueous media: cysteine > phenylalanine > serine. The pro-oxidant effect in aqueous media might be due to the predominant presence of the protonated amino nitrogen. Whilst, amino acid-metal complex might be responsible for the pro-oxidant effect in non-aqueous media.     

Chemical factors affecting soiling and soil release from cotton-containing durable press fabric. VIII. Grafting of polyester/cotton blend fabrics with carboxyl-containing polymer

Fabric samples of polyester/cotton blend were graft copolymerized to different levels (add-ons) with poly(acrylic acid) and poly(methacrylic acid) using the mutual γ-irradiation technique and the Fe²⁺–H₂O₂ redox system, respectively. The copolymers so obtained were given durable press treatments with and without conventional nonionic softener using DMDEU as the crosslinking agent. The susceptibility of the copolymers before and after crosslinking to aqueous and nonaqueous oily soiling and their ability to release the soils were examined. It was found that hydrophilization of the surface of polyester/cotton blend through grafting with the said carboxyl-containing polymers brings about a significant improvement in the resistance of the blend to aqueous and nonaqueous oily soil particularly after crosslinking in presence of nonionic softener. A certain improvement in the ease of oily soil removal could be achieved by grafting. The opposite holds true for aqueous soil release. Soiling and soil release depends on the magnitude and method of grafting, medium of soiling, as well as the formulation of crosslinking treatments. The effect of grafting on some properties of the blend fabric before and after crosslinking was also examined.     

Progress and challenges in sustainability,compatibility, and production of eco-composites: A state-of-art review

Owing to economic and environmental benefits, new generations of materials/commodities follow “from waste to wealth” strategy. Recently, there has been a huge upsurge in research on the development of eco-composites using recycled plastic polymers and agro-residues because the eco-composites satisfy the stringent environment regulations and are cost-effective. Herein, we present a detailed review on the potential use of several types of natural fillers as an efficient reinforcement for recycled plastic polymers. In particular, the characterization of different categories of eco-composites according to their morphological, physical, thermal, and mechanical properties is extensively reviewed and their results are analyzed, compared, and highlighted. Furthermore, a framework to produce functional eco-composites, which includes functionalization of ingredients, critical issues on microstructural parameters, processing, and fabrication methods, is outlined and supported with sufficient data from the literature. Finally, the review outlines the emerging challenges and future prospects of eco-composites to be addressed by interested researchers to bridge the gap between research and commercialization of such a class of material. Overall, the acquired knowledge will guide researchers, scientists, and manufacturers to plan, select, and develop various forms of eco-composites with enhanced properties and optimized production processes.     

Localization of atrial natriuretic peptide receptors in the rat tongue and hard palate

The effect of a naturally occurring plant phenolic constituent (the acylphloroglucinol derivative, jensenone, derived from Eucalyptus jensenii) on the food intake of two folivorous marsupials, the common ringtail (Pseudocheirus peregrinus) and the common brushtail possum (Trichosurus vulpecula) was studied. When fed diets containing varying concentrations of jensenone, both species regulated their intake of jensenone so as not to exceed a ceiling intake. This ceiling was about twice as high for common ringtails as for common brushtails from northern Australia. Southern populations of common ringtails showed greatly reduced capacities to tolerate jensenone. When common brushtails were injected (0.5 mg.kg-0.75 body mass) with ondansetron (a selective antagonist of serotonin 5HT3 receptors), they ate significantly more jensenone than animals injected with physiological saline. The same pattern was observed when common ringtails were fed diets containing both jensenone and ondansetron (0.0035 mg.g-1 wet mass of diet). Ondansetron injection had no effect on food intake when the food did not contain jensenone while the addition of higher doses of ondansetron to diets of common ringtails very slightly reduced food intakes of a non-jensenone diet. When common brushtails were given 50 mg of jensenone by gastric lavage, their average subsequent intake of dietary jensenone matched the difference between the daily threshold and the dose given, although the response of individuals was highly variable. Lavage with water alone had no effect on subsequent jensenone intake compared with the pre-dose period. We interpret these results as evidence that the antifeedant effects of jensenone and related compounds are partly mediated by serotonin action on 5HT3 receptors most likely via "nausea" to condition a food aversion.