Modulation of the renin-angiotensin-aldosterone system for the secondary prevention of stroke.

Recurrent stroke is a major public health concern and new treatment strategies are needed. While modulation of the renin angiotensin aldosterone system (RAAS) has proven effective in reducing recurrent cardiac events, its role in preventing recurrent cerebrovascular events remains unclear. RAAS is both a circulating and tissue based hormonal system that regulates homeostasis and tissue responses to injury in both the CNS and the periphery, via the activity of angiotensin II (Ang II). Vascular and hematologic effects induced by Ang II including endothelial dysfunction, vascular structural changes, inflammation, hemostasis, and fibrinolysis are increasingly linked to the occurrence of cerebrovascular events. Animal models have shown that RAAS modulation may be protective in cerebrovascular disease. The HOPE and LIFE trials support the role of blood pressure independent mechanisms of RAAS modulation for improving outcomes in a broad range of patients with cardiovascular disease but do not specifically address recurrent stroke prevention. PROGRESS, a trial of secondary stroke prevention, demonstrates that blood pressure reduction with a combination strategy including the routine use of ACE inhibitors prevents recurrent stroke. Current evidence suggests that the RAAS plays an important role in the development and progression of cerebrovascular disease. Modulation of the RAAS holds promise for the secondary prevention of stroke, however, ongoing clinical trials will better define the exact role of ACE inhibitor and angiotensin II Type 1 receptor blocker therapy in stroke survivors.

A clinical comparison of plaque removal performance of three manual toothbrushes.

A clinical study was performed to evaluate and compare the plaque-removal performance of a recently introduced, computer-designed manual toothbrush with that of two commercially available products; the Oral-B 40 and the Reach Full-Head soft toothbrushes. Seventy-five adult male and female subjects participated, each refraining from toothbrushing for twenty-four hours. Plaque was scored according to the Rustogi, et al. refinement of the Modified Navy Plaque Index. Following screening, the subjects were divided into three balanced groups on the basis of initial plaque scores. Each group, in an alternate weekly cross-over design, used each of the three toothbrushes. At Visit 1, each group, having refrained from toothbrushing for twenty-four hours, was evaluated for plaque before brushing for sixty seconds with the assigned toothbrush, after which plaque was again scored. At Visit 2 one week later, the same procedure was followed except for the assignment of a different toothbrush. The same procedure was employed for Visit 3. On completion of the study, the data were subjected to statistical analyses which indicated that the Colgate Precision Full Head soft toothbrush removed significantly more plaque than either of the other two toothbrushes.

Canopy photosynthesis and respiration of kiwifruit (Actinidia deliciosa var. deliciosa) vines growing in the field.

Net CO(2) assimilation (A) for canopies of kiwifruit (Actinidia deliciosa var. deliciosa) vines enclosed in a whole-canopy cuvette was measured continuously for three periods of 15-20 days during late summer, near Hamilton, New Zealand (latitude 38.2 degrees S). Canopy A showed an asymptotic response to incident radiation (PAR), saturating at about 1300 micromol m(-2) s(-1) for one vine and about 800 micromol m(-2) s(-1) for two other vines. Radiation interception at low solar angles and low leaf area apparently limited the response of A to PAR. Radiation saturated rates of A were 25-30 micromol CO(2) m(-2) s(-1) for one vine, and 12-18 micromol CO(2) m(-2) s(-1) for two other vines. At any PAR, canopy A was often lower in the afternoon than in the morning. Canopy respiration averaged 8.9 micromol CO(2) m(-2) s(-1) at 12 degrees C, but increased only 24-34% over the range 7-17 degrees C. Net daily C gains for the whole canopy, calculated as the temporal integral of A, ranged from -0.8 g C m(-2) for a cloudy day (PAR

Refinement of the Modified Navy Plaque Index to increase plaque scoring efficiency in gumline and interproximal tooth areas.

To improve the assessment of plaque present on teeth, a new index, based on the original Modified Navy Plaque Index, has been developed. The primary modifications to the original Modified Navy Plaque Index were: (1) extending areas F (distal) and D (mesial) into the region just below the interproximal contact point, and (2) extending areas C and A so as to increase the gumline (or marginal gingiva) region. The new index assesses the amount of plaque in the tooth area bounded by the tooth contact, the free gingival margin, and mesial or distal line angles. The use of this new index enables the examiner to evaluate and record both the gumline (or marginal areas) and interproximal areas of the tooth, thus giving these an anatomical areas an increased importance. A pilot clinical assessment study was conducted to utilize this new index in evaluating the plaque removal efficacy of five manual toothbrushes. The results from this pilot study indicated that, when the new plaque scoring index was used, significant differences between pre-toothbrushing and post-toothbrushing plaque scores (as well as among toothbrush groups) could be demonstrated. Further, these differences (plaque removal efficacy) were demonstrated on an interproximal (mesial and distal) basis and a gumline (or gingival margin) basis, as well as on a whole mouth basis.

Public school teachers in the U.S. evaluate the educational impact of student space experiments launched by expendable vehicles, aboard Skylab, and aboard Space Shuttle.

Space education is a discipline that has evolved at an unprecedented rate over the past 25 years. Although program proceedings, research literature, and historical documentation have captured fragmented pieces of information about student space experiments, the field lacks a valid comprehensive study that measures the educational impact of sounding rockets, Skylab, Ariane, AMSAT, and Space Shuttle. The lack of this information is a problem for space educators worldwide which led to a national study with classroom teachers. Student flown experiments continue to offer a unique experiential approach to teach students thinking and reasoning skills that are imperative in the current international competitive environment in which they live and will work. Understanding the history as well as the current status and educational spin-offs of these experimental programs strengthens the teaching capacity of educators throughout the world to develop problem solving skills and various higher mental processes in the schools. These skills and processes enable students to use their knowledge more effectively and efficiently long after they leave the classroom. This paper focuses on student space experiments as a means of motivating students to meet this educational goal successfully.

DNA-DNA and DNA-protein crosslinking and repair in Neurospora crassa following exposure to nitrogen mustard.

A new method was developed for the analysis of DNA-protein crosslinks in Neurospora crassa. The formations of DNA-protein and DNA-DNA crosslinks were assayed following exposure of spheroplasts to HN2. Both types of crosslink were detected and were found to be repaired during recovery. Moreover a mutant sensitive to HN2 was defective in the removal of both types of crosslink.