Weaving a tapestry of holism

Throughout history, master weavers have described the weaving of a tapestry as a calling, as transformation, as healing, or as a sacred work. The early, single threads of my tapestry have taken on new meaning over time as I have become clearer in mind and spirit about my mission of bringing holism and healing to the forefront of nursing. This article reveals some of the threads, dominant patterns, and pearls that have been woven into my tapestry of holism.     

Characterization of the tryptic map of recombinant DNA derived tissue plasminogen activator by high-performance liquid chromatography-electrospray ionization mass spectrometry.

A detailed tryptic map is presented for recombinant human tissue plasminogen activator (rt-PA). Electrospray ionization mass spectrometry is utilized as an on-line HPLC detector for tryptic mapping of this glycoprotein. The additional dimension provided by mass spectrometry gives considerably more detail about the complex tryptic map and significantly enhances the high-resolution chromatographic separation by distinguishing by mass any coeluting components. Through this improvement, the proline isomers of a tryptic peptide were observed eluting over a broad range of retention times. The glycopeptides of rt-PA are observed as well as any corresponding nonglycosylated peptides. In addition, the carbohydrate heterogeneity is readily observed, allowing analysis of the carbohydrate composition. The characteristic diagonal patterns formed by glycopeptides in a contour plot of the data allow rapid recognition of the glycopeptides.     

Liquid Metals-Assisted Synthesis of Scalable 2D Nanomaterials: Prospective Sediment Inks for Screen-Printed Energy Storage Applications

The advents in flexible and smart technology like wearable electronics have accelerated the demand for high-performance energy-storage devices. These devices could significantly reduce the size of the next-generation wearable smart electronics. A selection of suitable printing technology and its product typically offer a reasonable manufacturing pathway like high deposition rate, low materials waste, scalable fabrication, and high-performance production. Therefore, the production of novel functional inks with desirable rheological properties that authorize high-resolution printing, are some major challenges of this technology. This work has an emphasis on the recent advancements in supporting and utilizing liquid metals chemistry to synthesis high-quality and scalable 2D nanomaterials by liquid-phase free exfoliation and facile sonication-assisted methods. These are novel concepts in synthesizing 2D nanomaterials particularly for those which either have not intrinsic layered crystal structures or those with strong interaction between their crystal layers which are difficult to synthesized using conventional approaches. It also provides some potentials to make sustainable ink formulation of such 2D nanostructures for the fabrication of high-quality screen-printed patterns for sustainable energy applications. Subsequently, it deals with the possibilities and challenges of printing such 2D nanomaterials (namely, 2D metal oxides) for micro-supercapacitor and micro-battery applications on an industrially viable scale.     

Antegrade continent enema management of chronic fecal incontinence in children

BACKGROUND/PURPOSE: Fecal incontinence impedes social and psychological development in children. Conventional bowel management with rectal enemas, medication, and biofeedback frequently will provide intervals free of fecal soiling sufficient for children to be socially continent. METHODS: This report details the improvement achieved by antegrade irrigation of the colon when conventional bowel management programs have failed to provide satisfactory intervals free of fecal soiling. Twenty-three children had conduits performed to administer antegrade continent enemas in the colon from December 1993 to May 1997. RESULTS: Twenty of the children were available for evaluation. One child was lost to follow-up, and two were noncompliant with the irrigation program. Fourteen of the 20 children are out of diapers. Four of the six wearing diapers, do so for urinary, not fecal incontinence. Two patients (10%) still require diapers for fecal incontinence. Parents were pleased with the efficacy of antegrade irrigation and the decrease in family stress with the elimination of fecal soiling. CONCLUSIONS: Ninety percent of the children available for follow-up benefited from antegrade irrigations of the colon. The antegrade irrigations were an improvement over conventional bowel management programs because a predictable interval free of soiling could be established. This allowed families to plan activities and improved the self-esteem of their children.     

Acquisition and transfer of empathy by the parents of early adolescents through structured learning training.

Measured the effectiveness of A. P. Goldstein's (1973) structured learning training (modeling, role playing, and social reinforcement) in teaching parents of adolescents to respond empathically to their children; also measured was the extent to which transfer of training occurs when adolescents participate in training with their parents. 37 mothers of 6th-8th graders volunteered to attend a minicourse on communication. The mothers were divided into 4 groups, including the control group. All groups except the control group received structured learning training in empathy; in 1 group the children did not participate, in a 2nd group the children participated separately, and in the 3rd group they participated with their parents. After 3 wks (6 hrs) of training, the treatment groups showed significantly more empathy. The closeness of the mean empathy scores on the behavioral measure to the scores on the written measure suggested that all 3 treatment groups transferred the skill they had learned. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Deamidation and isoaspartate formation during in vitro aging of recombinant tissue plasminogen activator

When incubated at pH 7.3, 37 degrees C, human recombinant tissue plasminogen activator accumulated 0.77 mol of isoaspartate per mol of plasminogen activator over a 14-day period. Isoaspartate was detected by enzymatic transfer of 3H-labeled methyl groups from S-adenosyl-L-methionine in a reaction catalyzed by protein L-isoaspartyl methyltransferase. Analysis of tryptic peptides derived from aged plasminogen activator revealed that the two major sites of isoaspartate accumulation resulted from deamidation of Asn58 in the sequence -FNGG- and Asn177 in the sequence -GNSD-. Significant levels of isoaspartate also accumulated via deamidation of Asn37 in the sequence -CNSG-. All three sites occur in sequences predicted from studies with synthetic peptide to be unstable. All three sites appear to be on the surface of the protein, and all three occur in regions of the protein predicted to have higher than average chain mobility. These findings add support to the idea that sequence and flexibility play major roles in determining susceptibility to deamidation and peptide bond isomerization at Asn and Asp sites under mild conditions. These studies also illustrate the utility of enzymatic methylation for characterizing sites of deamidation in a large protein that contains numerous disulfide bonds and several sites of glycosylation.     

Hematologic and economic impact of aprotinin in reoperative pediatric cardiac operations

BACKGROUND: Aprotinin consistently reduces blood loss and transfusion requirements in adults during and after cardiac surgical procedures, but its effectiveness in children is debated. We evaluated the hemostatic and economic effects of aprotinin in children undergoing reoperative cardiac procedures with cardiopulmonary bypass. METHODS: Control, low-dose aprotinin, and high-dose aprotinin groups were established with 15 children per group. Platelet counts, fibrinogen levels, and thromboelastographic values at baseline and after protamine sulfate administration, number of blood product transfusions, and 6-hour and 24-hour chest tube drainage were used to evaluate the effects of aprotinin on postbypass coagulopathies. Time needed for skin closure after protamine administration and lengths of stay in the intensive care unit and the hospital were recorded prospectively to determine the economic impact of aprotinin. RESULTS: Coagulation tests performed after protamine administration rarely demonstrated fibrinolysis but did show significant decreases in platelet and fibrinogen levels and function. The thromboelastographic variables indicated a preservation of platelet function by aprotinin. Decreased blood product transfusions, shortened skin closure times, and shortened durations of intensive care unit and hospital stays were found in the aprotinin groups, most significantly in the high-dose group with a subsequent average reduction of nearly $3,000 in patient charges. CONCLUSIONS: In children undergoing reoperative cardiac surgical procedures, aprotinin is effective in attenuating postbypass coagulopathies, decreasing blood product exposure, improving clinical outcome, and reducing patient charges.     

A New,Thorough Look on Unusual and Neglected Group III-VI Compounds Toward Novel Perusals

The attention on group III-VI compounds in the last decades has been centered on the optoelectronic properties of indium and gallium chalcogenides. These outstanding properties are leading to novel advancements in terms of fundamental and applied science. One of the advantages of these compounds is to present laminated structures, which can be exfoliated down to monolayers. Despite the large knowledge gathered toward indium and gallium chalcogenides, the family of the group III-VI compounds embraces several other noncommon compounds formed by the other group III elements. These compounds present various crystal lattices, among which a great deal is offered from layered structures. Studies on aluminium chalcogenides show interesting potential as anodes in batteries and as semiconductors. Thallium (Tl), which is commonly present in the +1 oxidation state, is one of the key components in ternary chalcogenides. However, binary Tl–Q (Q = S, Se, Te) systems and derived films are still studied for their semiconducting and thermoelectric properties. This review aims to summarize the biggest features of these unusual materials and to shed some new light on them with the perspective that in the future, novel studies can revive these compounds in order to give rise to a new generation of technology.