Can anti-HLA antibody analyses postcardiac transplantation predict acute allograft rejection and survival?

The immunosuppressive agent FK 506 is widely used in liver transplant patients. Neurotoxicity is a major complication of its use. We report progressive and irreversible neurologic complications occurring in a 39-year-old woman who underwent liver transplantation and was treated with FK 506. Neuropathologic examination revealed multiple vasculitic lesions. The possibility of an FK 506-mediated toxic effect on the cerebral vessels is suggested.     

Diagnosis and rehabilitation strategies for patients with hysterical hemiparesis: a report of four cases

BACKGROUND: Sulphidoleukotrienes (slt) are important mediators in allergic diseases that are synthesized after allergen-specific stimulation. OBJECTIVES: The aim of this study is to determine in vitro slt production after allergen-specific (Dermatophagoides pteronyssinus) stimulus of peripheral blood leucocytes and to observe whether histamine release in whole blood with the same allergen correlates with slt production. We also wanted to evaluate whether a correlation exists between the release of slt and histamine and other diagnostic procedures as well as various clinical situations. METHODS: We studied 62 patients sensitive to Dermatophagoides pteronyssinus (Der p), 30 atopic controls and 12 healthy donors. We determined slt production using the CAST-ELISA technique and histamine release using two concentrations of Der p extract (20 and 2 ng/mL). We also carried out quantification of specific and total IgE levels, skin tests and pulmonary function test on each patient. RESULTS: We observed a significantly increased slt release after in vitro stimulation with Der p. There was a significant difference in the slt release between controls and sensitive patients (P < 0.001) and between atopic controls and sensitive patients (P < 0.001). The data are similar to those obtained with histamine release. We noted a positive correlation (P < 0.001) between slt and histamine release (r = 0.71, at 2 ng/mL and r = 0.83 at 20 ng/mL). We also found a positive (P<0.001), although weak (r=0.4 with at 2ng/mL, and r = 0.34 with P = 0.003 at 20 ng/mL) correlation between slt release and specific IgE levels as well as between slt release and skin-test reactivity (r = 0.49 at 2 ng/mL and r = 0.45 at 20 ng/mL; P < 0.001). No significant correlation between slt release and asthma severity was observed, although a trend toward higher slt production in severe and moderate asthma was detected. We found a significant (P<0.001) but weak (r=-0.3) negative correlation between age and slt release. With respect to sex-related differences, we found significant differences (P < 0.05) in slt release between the sexes with a higher slt release in men than in women. CONCLUSION: We conclude that CAST-ELISA for quantification of slt production is a useful in vitro method for diagnosing sensitization to Der p. There also exists a close correlation between slt release and other parameters of allergic sensitization in vitro as well as in vivo.     

Articular cartilage volume in the knee: semiautomated determination from three-dimensional reformations of MR images

PURPOSE: To determine the accuracy of semiautomated quantification of articular cartilage volume from three-dimensional (3D) reformations of magnetic resonance (MR) images. MATERIALS AND METHODS: Sagittal, fat-suppressed, 3D, spoiled gradient-recalled-echo MR imaging of two bovine and two human cadaver knees was performed. Articular cartilage volume was calculated from 3D reformations of the MR images by using a semiautomated program written at the authors' institution. Calculated volumes were compared with directly measured volumes of the surgically removed articular cartilage. RESULTS: The percentage of error of the MR imaging-determined volumes was 6.53% +/- 4.75 (mean +/- standard deviation). A strong correlation between the two sets of observations was shown (r=.997). Linear regression showed the calculated volumes to be highly accurate (slope=1.002, P>.25). Repeated reformations yielded volumes that were reproducible (mean absolute error, 0.013 mL +/- 0.019) and not significantly different from the measured volume (P>.10). CONCLUSION: Semiautomated quantification of knee articular cartilage from MR images yields highly accurate cartilage volumes.     

Production of human normal adult and fetal hemoglobins in Escherichia coli

A hemoglobin expression system in Escherichia coli is described. In order to produce authentic human hemoglobin, we need to co-express both methionine aminopeptidase and globin genes under the control of a strong promoter. We have constructed three plasmids, pHE2, pHE4 and pHE7, for the expression of human normal adult hemoglobin and a plasmid, pHE9, for the expression of human fetal hemoglobin, in high yields. The globin genes can be derived from either synthetic genes or human globin cDNAs. The extra amino-terminal methionine residues of the expressed globins can be removed by the co-expressed methionine aminopeptidase. The heme is inserted correctly into the expressed alpha- globin from our expression plasmids. A fraction (approximately 25%) of the heme is not inserted correctly into the expressed beta- or gamma- globin. However, the incorrectly inserted hemes can be converted into the correct conformation by carrying out a simple oxidation-reduction process on the purified hemoglobin molecule. We have investigated the functional properties of the expressed hemoglobins by measuring their oxygen-binding properties and their structural features by obtaining their 1H-NMR spectra. Our results show that authentic human normal adult and fetal hemoglobins can be produced from our expression plasmids in E. coli and in high yields. Our expression system allows us to design and to produce any recombinant hemoglobins needed for our research on the structure-function relationship in hemoglobin.      

Traction Characteristics of Siloxanes with Aryl and Cyclohexyl Branches

The molecular structures, rheological properties, and friction coefficients of several new siloxane-based polymers were studied to explore their traction characteristics. The molecular structures including branch content were established by nuclear magnetic resonance spectroscopy, while the molecular mass distributions were determined by gel permeation chromatography. Density, viscosity, elastohydrodynamic film formation, and friction were investigated over a temperature range of 303–398 K. Film thickness and friction measurements were studied under the conditions that are representative of boundary, mixed, and full-film lubrication regimes, aiming at maximizing traction performance and temperature stability by simultaneous optimization of the size and content of ring-shaped branch structures. This study provides quantitative insight into the effect of siloxane molecular structure on the tribological performance for traction drive applications such as continuously variable transmissions.     

Recognition of depressed affect in hospitalized psychiatric patients: staff and patient perceptions

A comparison of self-report vs. observer rating of depressed mood in a heterogenous inpatient population revealed wide variations in concordance among diagnostic groups. Patients diagnosed as having Affective Psychosis and "Other' illnesses showed the highest correlation between four self-report scales and an observer rating scale. Patients with a diagnosis of depressive Neurosis showed only modest correlation, while Schizophrenics revealed no significant correlation, on these instruments, suggesting inconsistent communication of affect from Schizophrenic patients to observers. In contrast, when self-report scales were intercorrelated, patients in all four diagnostic categories showed highly significant correlations, indicating that they were consistently reporting their affective state on these instruments. The implications of these findings for future research as well as for practical clinical management are discussed.     

Carbon Free and Noble Metal Free Ni2Mo6S8 Electrocatalyst for Selective Electrosynthesis of H2O2

Electrocatalytic two-electron reduction of oxygen is a promising method for producing sustainable H₂O₂ but lacks low-cost and selective electrocatalysts. Here, the Chevrel phase chalcogenide Ni₂Mo₆S₈ is presented as a novel active motif for reducing oxygen to H₂O₂ in an aqueous electrolyte. Although it has a low surface area, the Ni₂Mo₆S₈ catalyst exhibits exceptional activity for H₂O₂ synthesis with >90% H₂O₂ molar selectivity across a wide potential range. Chemical titration verified successful generation of H₂O₂ and confirmed rates as high as 90 mmol H₂O₂ g_cat⁻¹ h⁻¹. The outstanding activities are attributed to the ligand and ensemble effects of Ni that promote H₂O dissociation and proton-coupled reduction of O₂ to HOO*, and the spatial effect of the Chevrel phase structure that isolates Ni active sites to inhibit O O cleavage. The synergy of these effects delivers fast and selective production of H₂O₂ with high turn-over frequencies of ≈30 s⁻¹. In addition, the Ni₂Mo₆S₈ catalyst has a stable crystal structure that is resistive for oxidation and delivers good catalyst stability for continuous H₂O₂ production. The described Ni-Mo₆S₈ active motif can unlock new opportunities for designing Earth-abundant electrocatalysts to tune oxygen reduction for practical H₂O₂ production.     

Book Review of Blackjacking: Security Threats to Blackberry Devices,PDAs and Cell Phones in the Enterprise by Daniel V. Hoffman

Abstract

Telecommunications Management, Control, and Audit, by Bernard Plagman and Anne O'Laughlin. Altamonte Springs FL: The Institute of Internal Auditors Research Foundation, 1988, 207 pp, $45.00 (order item 776). (Discount available to IIA members).

Handbook for Information Security: A Guide Toward Information Security Standards, by J.C.H. Aalders, I.S. Herschberg, A. van Zanten, A. Augustinus, J. Brouwer, C.A. Hendricks, H. Onderstal, and C.J. Dickerson. New York: North Holland, 1985, 761 pp, $175.

The Complete Guide to Software Testing, second ed, by Bill Hetzel. Wellesley MA: QED Information Sciences, 1988, 280 pp, $24.95.