Hyperhomocysteinemia: detection, risk assessment, and treatment

OBJECTIVE: The aim of this study was to evaluate both the importance of the screening strategy and the familial aggregation characteristics of families with hypercholesterolemic children. PATIENTS AND METHODS: Ninety-one families (369 subjects) with one hypercholesterolemic child were studied. In addition to clinical and general biochemical evaluation, lipids including apo A-I and B-100 were examined. LDL was quantified under ultracentrifugation. RESULTS: Among the 91 children studied, 10 (10.99%) suffered heterozygous hypercholesterolemia, while 81 (89.01%) suffered polygenic hypercholesterolemia. Following a diet, polygenic children exhibited normal lipid parameters. In heterozygous children a decrease of 19% for total cholesterol, 19.9% for LDL-cholesterol and 16.3% for apo B were observed. When starting the study, 77.5% of the family members thought that they had normal serum lipid values. At the end of the study it was confirmed that only 28% were really normolipemic, indicating that 49.4% of the individual did not know that they were suffering dyslipemia. The study also showed that fathers exhibited the highest incidence of hypercholesterolemia (80.2%) followed by brothers (65.6%) and mothers (61.5%). Therefore, 69.4% of the individuals studied exhibited dyslipemia. CONCLUSIONS: The screening strategy allows one to diagnose a high percentage (almost 50%) of individuals suffering hypercholesterolemia in families with a child previously diagnosed of this pathology. Moreover, in these families there is a high degree of familiar aggregation of dyslipemia.     

Chances of cure are not compromised with sphincter-saving procedures for cancer of the lower third of the rectum

BACKGROUND: The goal of this study was to compare patterns of recurrence and long-term outcome after sphincter-saving procedures (SSPs) and abdominoperineal resection (APR) in patients with tumors located in the lower third of the rectum. METHODS: We reviewed the charts of 1001 patients operated on for primary rectal adenocarcinoma between 1980 and 1991. All patients with tumors located between 5 and 7 cm from the anal verge and treated with curative intent were included. RESULTS: Of the 261 patients who met our criteria, 162 had undergone SSP and 99 had undergone APR. The local recurrence rates for SSP and APR were 8% and 11%, respectively (p = 0.41), and the distant metastases rates were 23% and 28%, respectively (p = 0.35). Recurrence and distant metastases rates for SSP and APR, respectively, did not differ by TNM classification: state I, 10% versus 9% (p = 0.9); stage II, 25% versus 43% (p = 0.13); and stage III, 56% versus 57% (p = 0.92). Five-year disease-free survival rates for SSP and APR patients were 70.5% and 62.3%, respectively (p = 0.2). CONCLUSIONS: Tumors in the lower third of the rectum can be treated with sphincter-saving procedures without compromising the chance of cure.     

The role of urodynamics in the evaluation of voiding dysfunction in men after cerebrovascular accident

PURPOSE: The etiology of voiding dysfunction was determined in men after a cerebrovascular accident who were at risk for obstructive uropathy to evaluate whether the cause of voiding dysfunction could be predicted by the type (obstructive or irritative) or onset of symptoms. MATERIALS AND METHODS: We evaluated 38 men with complaints of voiding dysfunction following a cerebrovascular accident. All patients were of the age when bladder outlet obstruction secondary to benign prostatic hyperplasia would otherwise be prevalent. After a comprehensive history and physical examination, all patients underwent multichannel urodynamic studies at a medium fill rate (20 to 50 ml. per minute). Findings were classified by the Abrams-Griffiths nomogram as obstruction, no obstruction or equivocal. RESULTS: Mean patient age was 70 years (range 54 to 87). Patients were grouped according to the presenting voiding complaints (purely irritative in 42%, purely obstructive in 34% or mixed in 24%). In 34 patients (89%) the onset of symptoms paralleled the occurrence of the cerebrovascular accident. Detrusor hyperreflexia was noted in 82% of the patients. There was no statistically significant difference in the occurrence of detrusor hyperreflexia among the 3 symptom groups (Fisher's exact test). Pressure-flow analysis clearly showed obstruction in 24 patients (63%), no obstruction in 9 (24%) and equivocal results in 5 (13%) according to the nomogram. There was no statistically significant difference in the incidence of obstruction among the 3 symptom groups (Fisher's exact test). CONCLUSIONS: Presenting symptoms did not predict the urodynamic findings of bladder outlet obstruction or detrusor hyperreflexia. The significant incidence of onset of symptoms after stroke suggests that the cerebrovascular accident induced voiding dysfunction in the face of preexisting bladder outlet obstruction may exacerbate the symptoms of the latter condition or vice versa.     

Improving graduate student performance in cognitive assessment: The saga continues.

Investigators have concluded that excessive numbers of errors in test administration and scoring are routinely committed by both graduate students and practicing psychologists. Developing new methods for teaching assessment is viewed as a major means of improving competency. Unlike previous studies, this investigation examined the impact of both lecture and laboratory interventions designed to improve graduate student performance in assessment. Interventions consisted of weekly lecture quizzes and a variety of laboratory interventions. The results suggest that the interventions used can significantly improve students' lecture and laboratory performance when compared with controls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Radical styrene polymerization in the presence of trace levels of sulfonic acids

The bulk polymerization of styrene in the presence of the vinyl functional sulfonic acid 2‐sulfoethylmethacrylate (SEM) was found to have utility for making polystyrenes with narrow polydispersity, bimodal polydispersity, and ultrahigh molecular weight at fast polymerization rates. Narrow polydispersity polymers were made by the addition of SEM to nitroxide‐mediated polymerizations. Bimodal polydispersity polymers were made by the ultrahigh molecular weight component being made in the presence of SEM in the absence of an initiator and the low molecular weight component being made in the presence of an initiator and/or chain‐transfer agent. Ultrahigh molecular weight monomodal polystyrenes were prepared at much faster polymerization rates than possible via spontaneous polymerization in the absence of SEM. SEM was found to be more effective, by an order of magnitude, than camphor sulfonic acid on a weight basis and, because it is copolymerized into the polymer chain, should not lead to corrosion problems during fabrication of the polymer. © 2002 Wiley Periodicals, Inc. J Appl Polym Sci 87: 869–875, 2003     

Solid-solution hardening and softening by Fe additions to NiAl

Solid-solution hardening in the case of a ternary alloy addition to a B2 compound with the triple defect structure has been investigated. The fact that the ternary element may occupy either of two sublattices or may affect the concentration of other types of point defects present in the material makes this a very interesting problem to consider. Ni-rich (40 at% Al), stoichiometric (50 at% Al), and Al-rich (52 at% Al) alloys were doped with up to 12 at% Fe. Lattice parameter, bulk density and hardness measurements were performed on samples quenched from 1000 °C. It was found that solid-solution softening actually occurs in the Ni-rich alloys, while hardening was observed in the stoichiometric and Al-rich alloys. The vacancy concentration was determined from the experimental data, and the site occupancies of the Fe atoms were estimated from a thermodynamic model. Through careful consideration of all point defect concentrations the solid-solution hardening and softening behaviors could be effectively rationalized.     

Effects of temperature on a.c. magnetostriction in grain-oriented silicon-iron

The a.c. magnetostriction of conventional grain-oriented 3 1/4% silicon-iron and more highly oriented silicon-iron has been measured from room temperature up to the Curie point using high temperature strain gauges. Curves of magnetostriction plotted against flux density showed that a definite change in the magnetization process occurred at about 300° C extending to 400° C for both types of material. This was considered to be due to the onset of magnetic annealing, considerably modified by the effect of the coating on the materials. From the experimental results the magnetostriction constant ₁₀₀ has been calculated using a predicted domain structure and was found to agree well with single crystal values apart from within the 300 to 400° C region.     

Plasma-sprayed coatings as adherend surface pretreatments

As part of the National Center for Manufacturing Sciences contract on adhesive bonding of dissimilar materials, UTRC, as a sub-contractor, is evaluating environmentally acceptable surface preparation techniques for selected metals and composites. The selected processes are automatable and capable of being transferred into the manufacturing arena. One aspect of the programme is the evaluation of plasma-sprayed, microporous, thin coatings as surface pretreatments for both resin-based composites and metals. Mechanical test results are presented which demonstrate the viability of this approach to achieve acceptable joint strengths with steel, titanium and aluminium bonded to several types of resin-matrix composite. The environmental impact, by elimination of organic primer systems and strong acid etching and anodizing solutions, will be discussed.