Analgesic effect of nasal salmon calcitonin during the early post-fracture period of the distal radius fracture.

OBJECTIVES: To investigate the analgesic effect of nasal salmon calcitonin on the post-fracture period of distal radius fracture. METHODS: In this prospective randomized double-blind study, forty-one postmenopausal women with a recent distal radius fracture treated conservatively were randomly assigned to receive either 200 IU of intranasal salmon calcitonin or placebo daily for 3 months following fracture. The assessment of the patient's pain was recorded using the Visual Analogue Scale (VAS). RESULTS: The average age of the calcitonin group was 67.11 (SD, ±8.68) years and 64.91 (SD, ±7.48) of the placebo group. In the calcitonin group, the mean VAS score improved from 4.05 to 0.53 while in the placebo group from 3.36 to 0.32. A higher decrease of VAS score during the first post-fracture period was observed in the calcitonin group. CONCLUSIONS: In the study, there is a statistically significant calcitonin mediated analgesic effect in the immediate post fracture period (at 10 days) when compared to placebo group. These results are in accordance with literature referring to the analgesic effect of calcitonin in the acute osteoporotic vertebral compression fracture. Thus calcitonin administration could be recommended to a short term course in acute osteoporotic conservatively treated distal radius fractures.

Bioelectronics meets nanomedicine for cardiovascular implants: PEDOT-based nanocoatings for tissue regeneration.

BACKGROUND: An exciting direction in nanomedicine would be to analyze how living cells respond to conducting polymers. Their application for tissue regeneration may advance the performance of drug eluting stents by addressing the delayed stent re-endothelialization and late stent thrombosis. METHODS: The suitability of poly (3, 4-ethylenedioxythiophene) (PEDOT) thin films for stents to promote cell adhesion and proliferation is tested in correlation with doping and physicochemical properties. PEDOT doped either with poly (styrenesulfonate) (PSS) or tosylate anion (TOS) was used for films' fabrication by spin coating and vapor phase polymerization respectively. PEGylation of PEDOT: TOS for reduced immunogenicity and biofunctionalization of PEDOT: PSS with RGD peptides for induced cell proliferation was further applied. Atomic Force Microscopy and Spectroscopic Ellipsometry were implemented for nanotopographical, structural, optical and conductivity measurements in parallel with wettability and protein adsorption studies. Direct and extract testing of cell viability and proliferation of L929 fibroblasts on PEDOT samples by MTT assay in line with SEM studies follow. RESULTS: All PEDOT thin films are cytocompatible and promote human serum albumin adsorption. PEDOT:TOS films were found superior regarding cell adhesion as compared to controls. Their nanotopography and hydrophilicity are significant factors that influence cytocompatibility. PEGylation of PEDOT:TOS increases their conductivity and hydrophilicity with similar results on cell viability with bare PEDOT:TOS. The biofunctionalized PEDOT:PSS thin films show enhanced cell proliferation. CONCLUSIONS: The application of PEDOT polymers has evolved as a new perspective to advance stents. GENERAL SIGNIFICANCE: In this work, nanomedicine involving nanotools and novel nanomaterials merges with bioelectronics to stimulate tissue regeneration for cardiovascular implants. This article is part of a Special Issue entitled Organic Bioelectronics - Novel Applications in Biomedicine.

Cotton-textile wastewater management: investigating different treatment methods.

The cotton-textile industry consumes significant amounts of water during manufacturing, creating high volumes of wastewater needing treatment. The organic-load concentration of cotton-textile wastewater is equivalent to a medium-strength municipal wastewater; the color of the water, however, remains a significant environmental issue. This research, in cooperation with a cotton-textile manufacturer, investigated different treatment methods and different combinations of methods to identify the most cost-effective approaches to treating textile wastewater. Although activated-sludge is economical, it can only be used as part of an integrated wastewater management system because it cannot decolorize wastewater. Coagulation/flocculation methods are able to decolorize cotton-wastewater; however, this process creates high amounts of wastewater solids, thus significantly increasing total treatment costs. Chemical oxidation is an environmentally friendly technique that can only be used as a polishing step because of high operating costs. Anaerobic digestion in a series of fixed-bed bioreactors with immobilized methanogens using acetic acid as a substrate and a pH-control agent followed by activated-sludge treatment was found to be the most cost-effective and environmentally safe cotton-textile wastewater management approach investigated.

A study of entropy/clarity of genetic sequences using metric spaces and fuzzy sets.

The study of genetic sequences is of great importance in biology and medicine. Sequence analysis and taxonomy are two major fields of application of bioinformatics. In the present paper we extend the notion of entropy and clarity to the use of different metrics and apply them in the case of the Fuzzy Polynuclotide Space (FPS). Applications of these notions on selected polynucleotides and complete genomes both in the I(12×k) space, but also using their representation in FPS are presented. Our results show that the values of fuzzy entropy/clarity are indicative of the degree of complexity necessary for the description of the polynucleotides in the FPS, although in the latter case the interpretation is slightly different than in the case of the I(12×k) hypercube. Fuzzy entropy/clarity along with the use of appropriate metrics can contribute to sequence analysis and taxonomy.

Use of fuzzy clustering technique and matrices to classify amino acids and its impact to Chou's pseudo amino acid composition.

In this paper we present a study of classification of the 20 amino acids via a fuzzy clustering technique. In order to calculate distances among the various elements we employ two different distance functions: the Minkowski distance function and the NTV metric. In the clustering procedure we take into account several physical properties of the amino acids. We examine the effect of the number and nature of properties taken into account to the clustering procedure as a function of the degree of similarity and the distance function used. It turns out that one should use the properties that determine in the more important way the behavior of the amino acids and that the use of the appropriate metric can help in defining the separation into groups.

Thiol redox state and related enzymes in sclerotium-forming filamentous phytopathogenic fungi.

Thiol redox state (TRS) reduced and oxidized components form profiles characteristic of each of the four main types of differentiation in the sclerotiogenic phytopathogenic fungi: loose, terminal, lateral-chained, and lateral-simple, represented by Rhizoctonia solani, Sclerotinia sclerotiorum, Sclerotium rolfsii, and Sclerotinia minor, respectively. A common feature of these fungi is that as their undifferentiated mycelium enters the differentiated state, it is accompanied by a decrease in the low oxidative stress-associated total reduced thiols and/or by an increase of the high oxidative stress-associated total oxidized thiols either in the sclerotial mycelial substrate or in its corresponding sclerotium, indicating a relationship between TRS-related oxidative stress and sclerotial differentiation. Moreover, the four studied sclerotium types exhibit high activities of TRS-related antioxidant enzymes, indicating the existence of antioxidant protection of the hyphae of the sclerotium medulla until conditions become appropriate for sclerotium germination.

Absorption of carbon dioxide by raw and treated dye-bath effluents.

A bench-scale experimental apparatus, consisting of a glass column randomly packed with cylindrical glass rings, was utilized for the removal of carbon dioxide (CO(2)) by chemical absorption. Various liquid solvents were used, in a batch mode, circulating between the column and a reservoir vessel, and contacting the gas in counter current flow. The absorptive capacity of the liquid solvents and the absorption kinetics were studied by obtaining the respective 'breakthrough curves'. Aqueous solutions of sodium hydroxide (NaOH) were initially utilized in order to demonstrate the experimental apparatus function. Dye-bath effluent proved highly effective due to its high alkalinity and the capacity of the hydrolyzed "azo-reactive" dyes to react with CO(2). Decolorized dye-bath effluent (treated with FeSO(4)) can also be used as a chemical solvent for the absorption of CO(2); however, its absorptive capacity is much lower compared to the raw wastewater. The above technique is also a very effective method to neutralize industrial effluents.

Fuzzy polynucleotide spaces and metrics.

The study of genetic sequences is of great importance in biology and medicine. Mathematics is playing an important role in the study of genetic sequences and, generally, in bioinformatics. In this paper, we extend the work concerning the Fuzzy Polynucleotide Space (FPS) introduced in Torres, A., Nieto, J.J., 2003. The fuzzy polynucleotide Space: Basic properties. Bioinformatics 19(5); 587-592 and Nieto, J.J., Torres, A., Vazquez-Trasande, M.M. 2003. A metric space to study differences between polynucleotides. Appl. Math. Lett. 27:1289-1294: by studying distances between nucleotides and some complete genomes using several metrics. We also present new results concerning the notions of similarity, difference and equality between polynucleotides. The results are encouraging since they demonstrate how the notions of distance and similarity between polynucleotides in the FPS can be employed in the analysis of genetic material.

Phenotypic and cellular expression of two novel connexin32 mutations causing CMT1X.

OBJECTIVE: To determine the phenotypic and cellular expression of two novel connexin32 (Cx32) mutations causing X-linked Charcot-Marie-Tooth disease (CMT1X). METHODS: The authors evaluated several members of two families with CMT1X clinically, electrophysiologically, pathologically, and by genetic testing. The Cx32 mutations were expressed in vitro and studied by immunocytochemistry. RESULTS: In both families, men were more severely affected than women with onset in the second decade of life. In the first family, the phenotype was that of demyelinating polyneuropathy with variable involvement of peripheral nerves. There was clinical evidence of CNS involvement in at least three of the patients, with extensor plantar responses and brisk reflexes. In the second family, the affected man presented with symmetric polyneuropathy and intermediate slowing of conduction velocities, whereas affected women had prominent asymmetric atrophy of the leg muscles. The authors identified two novel missense mutations resulting in L143P amino acid substitution in the first family and in V140E substitution in the second family, both located in the third transmembrane domain of Cx32. Expression of these Cx32 mutations in communication-incompetent HeLa cells and immunocytochemical analysis revealed that both mutants were retained intracellularly and were localized in the Golgi apparatus. In contrast to wild-type protein, they did not form gap junctions. CONCLUSION: These novel connexin32 (Cx32) mutations cause a spectrum of clinical manifestations characteristic of Charcot-Marie-Tooth disease (CMT1X), including demyelinating or intermediate polyneuropathy, which is often asymmetric, and CNS involvement in one family. The position and cellular expression of Cx32 mutations alone cannot fully predict these phenotypic variations in CMT1X.

Decoloration of textile wastewater by means of a fluidized-bed loop reactor and immobilized anaerobic bacteria.

Textile wastewater was treated by means of a fluidized-bed loop reactor and immobilized anaerobic bacteria. The main target of this treatment was decoloration of the wastewater and transformation of the non-biodegradable azo-reactive dyes to the degradable, under aerobic biological conditions, aromatic amines. Special porous beads (Siran) were utilized as the microbial carriers. Acetic acid solution, enriched with nutrients and trace elements, served both as a pH-regulator and as an external substrate for the growth of methanogenic bacteria. The above technique was firstly applied on synthetic wastewater (an aqueous solution of a mixture of different azo-reactive dyes). Hydraulic residence time was gradually decreased from 24 to 6 h over a period of 3 months. Full decoloration of the wastewater could be achieved even at such a low hydraulic residence time (6 h), while methane-rich biogas was also produced. The same technique was then applied on real textile wastewater with excellent results (full decoloration at a hydraulic residence time of 6 h). Furthermore, the effluent proved to be highly biodegradable by aerobic microbes (activated-sludge). Thus, the above-described anaerobic/aerobic biological technique seems to be a very attractive method for treating textile wastewater since it is cost-effective and environment-friendly.

Treatment of cotton textile wastewater using lime and ferrous sulfate.

This technical note summarizes the results of a textile wastewater treatment process aiming at the destruction of the wastewater's color by means of coagulation/flocculation techniques using ferrous sulfate and/or lime. All the experiments were run in a pilot plant that simulated an actual industrial wastewater treatment plant. Treatment with lime alone proved to be very effective in removing the color (70-90%) and part of the COD (50-60%) from the textile wastewater. Moreover, the treatment with ferrous sulfate regulating the pH in the range 9.0+/-0.5 using lime was equally effective. Finally, the treatment with lime in the presence of increasing doses of ferrous sulfate was tested successfully, however; it proved to be very costly mainly due to the massive production of solids that precipitated.

Use of a microbial sensor: inhibition effect of azo-reactive dyes on activated sludge.

This paper summarizes the methodology utilized for measuring the toxic and inhibitory effects of azo-reactive dyes on the activity of activated sludge. The microbial sensor employed in this study consisted of a small-fluidized bed reactor in which the microbial mass was immobilized on spherical (diameter =1-2 mm) reticulated sinter glass carriers. To sustain a highly dense population of aerobic microbes, pure oxygen was supplied via a cylindrical chamber, which comprised part of the sample re-circulation system. The mean hydraulic retention time in the microbial sensor ranged between 30 and 40 min, while temperature was maintained at 30 degrees C and pH at 6.4. Inhibition of microbial activity (toxicity) was determined as the mean percent reduction in carbon dioxide production from microorganisms' respiration. Several azo-reactive dyes demonstrated toxicity when applied at a high concentration (2 g/l), however, a portion of the microbes showed tolerance to the dyes. Moreover, textile wastewater demonstrated very efficient biodegradation.

Use of a microbial sensor: a new approach to the measurement of inhibitory effects on the microbial activity of activated sludge.

This paper presents a new method for the measurement of inhibitory effects in wastewater treatment plants on the basis of a continuous measurement of the microbial respiration product (CO(2)). The microbial sensor developed for this purpose consists of a small conical fluidized bed reactor connected to a cylindrical chamber that comprises part of the sample recirculation system. Activated sludge microbes are immobilized on spherical (diameter=1-2 mm) reticulated sinter glass carriers. Pure oxygen is supplied via the cylindrical chamber in order to sustain a highly dense population of microbial mass. The mean hydraulic retention time in the microbial sensor ranges between 30 and 40 min, while temperature is maintained at 30 degrees C, and pH 6.4. Carbon dioxide in the off-gas, which reflects the microbial activity, is continuously analyzed by means of an infrared analyzer. Inhibition of microbial activity (toxicity) can be determined as the mean percent reduction in carbon dioxide concentration. Several substances were tested and proved toxic to the microbes. With this microbial sensor, early detection of toxic substances becomes feasible, preventing them from entering an activated sludge unit operation.

Mapping of the second Friedreich's ataxia (FRDA2) locus to chromosome 9p23-p11: evidence for further locus heterogeneity.

Friedreich's ataxia (FRDA), the most-common form of autosomal recessive ataxia, is inherited in most cases by a large expansion of a GAA triplet repeat in the first intron of the frataxin (X25) gene. Genetic heterogeneity in FRDA has been previously reported in typical FRDA families that do not link to the FRDA locus on chromosome 9q13. We report localization of a second FRDA locus (FRDA2) to chromosome 9p23-9p11, and we provide evidence for further genetic heterogeneity of the disease, in a family with the classic FRDA phenotype.

Screening patients with chest pain in the emergency department using electron beam tomography: a follow-up study.

OBJECTIVES: The high sensitivity of electron beam tomography (EBT) in the detection of coronary artery calcium (CAC) and obstructive coronary artery disease prompted us to investigate the association between CAC detection and future cardiac events in patients with acute chest pain syndromes requiring hospitalization. BACKGROUND: Three studies have documented that EBT is a rapid and efficient screening tool for patients admitted to the emergency department (ED) with chest pain, but there is a paucity of long-term follow-up data on these chest pain patients. METHODS: We conducted a prospective observational study of 192 patients admitted to the ED of a large tertiary care hospital for chest pain syndromes. Upon admission, patients underwent EBT scanning in addition to the usual care for chest pain syndromes. During the 17-month enrollment period, 221 patients were scanned (54% men with a mean age of 53 +/- 9 years). Average follow-up was 50 +/- 10 months using chart review. RESULTS: Fifty-eight patients had coronary events confirmed by a blinded medical record review. The presence of CAC (a total calcium score >0) and increasing score quartiles were strongly related to the occurrence of hard cardiac events including myocardial infarction and death (p < 0.001) and all cardiovascular events (p < 0.001). Stratification by age- and gender-matching further increased the prognostic ability of EBT (for scores above vs. below the age- and gender-matched CAC scores; odds ratio: 13.1, 95% confidence intervals: 5.62, 35.9). CONCLUSIONS: These data support previous reports demonstrating that the presence of CAC in a symptomatic cohort is a strong predictor of future cardiac events. This study supports the use of EBT in a symptomatic cohort with prompt discharge of those patients with negative scans. Furthermore, the absence of CAC is associated with a very low risk of future cardiac risk events in this population over the subsequent seven years (annual event rate <1%).

Exercise training intervention after coronary angioplasty: the ETICA trial.

OBJECTIVES: The goal of this study was to determine the effects of exercise training (ET) on functional capacity and quality of life (QOL) in patients who received percutaneous transluminal coronary angioplasty (PTCA) or coronary stenting (CS), the effects on the restenosis rate and the outcome. BACKGROUND: It is unknown whether ET induces beneficial effects after coronary angioplasty. METHODS: We studied 118 consecutive patients with coronary artery disease (mean age 57+/-10 years) who underwent PTCA or CS on one (69%) or two (31%) native epicardial coronary arteries. Patients were randomized into two matched groups. Group T (n = 59) was exercised three times a week for six months at 60% of peak VO2. Group C (n = 59) was the control group. RESULTS: Only trained patients had significant improvements in peak VO2 (26%, p < 0.001) and quality of life (26.8%, p = 0.001 vs. C). The angiographic restenosis rate was unaffected by ET (T: 29%; C: 33%, P = NS) and was not significantly different after PTCA or CS. However, residual diameter stenosis was lower in trained patients (-29.7%, p = 0.045). In patients with angiographic restenosis, thallium uptake improved only in group T (19%; p < 0.001). During the follow-up (33+/-7 months) trained patients had a significantly lower event rate than controls (11.9 vs. 32.2%, RR: 0.71, 95% confidence interval [CI]: 0.60 to 0.91, p = 0.008) and a lower rate of hospital readmission (18.6 vs. 46%, RR: 0.69, 95% CI: 0.55 to 0.93, p < 0.001). CONCLUSIONS: Moderate ET improves functional capacity and QOL after PTCA or CS. During the follow-up, trained patients had fewer events and a lower hospital readmission rate than controls, despite an unchanged restenosis rate.

Statistical evaluation of PCDD/F emission data during solid waste combustion by fuzzy clustering techniques.

An advanced statistical analysis technique using the fuzzy clustering method was employed in this work, for the evaluation of PCDD/F emissions during solid waste combustion. In addition, this technique was applied for the assessment of the effect of an inhibitor (urea) on the toxic compound releases and on the various isomer distributions. Municipal solid wastes were combusted in a lab-scale reactor and the toxic gas emissions were measured at the unit outlet. Combustion tests of urea-fuel mixtures were classified in the same group, indicating that urea affected the formation mechanisms of toxic gases. Combustion tests of single fuel were not included in the same group. Furthermore, urea ability to modify the gas emissions pathways was not affected by the method of its addition to the fuel.

Cost-effectiveness analysis of long-term moderate exercise training in chronic heart failure.

The purpose of this study is to perform a cost-effectiveness analysis of long-term moderate exercise training (ET) in patients with stable chronic heart failure. In particular, the study focuses on the survival analysis and cost savings from the reduction in the hospitalization rate in the exercise group. In the past 10 years, ET has been shown to be beneficial for patients with stable class II and III heart failure in many randomized clinical trials. However, the cost-effectiveness of a long-term ET program has not been addressed for outcomes related to morbidity/mortality end points or health care utilization. We examined the cost-effectiveness of a 14-month long-term training in patients with stable chronic heart failure. The estimated increment cost for the training group, $3,227/patient, was calculated by subtracting the averted hospitalization cost, $1,336/patient, from the cost of ET and wage lost due to ET, estimated at $4,563/patient. For patients receiving ET, the estimated increment in life expectancy was 1.82 years/person in a time period of 15.5 years, compared with patients in the control group. The cost-effectiveness ratio for long-term ET in patients with stable heart failure was thus determined at $1,773/life-year saved, at a 3% discount rate. Long-term ET in patients with stable chronic heart failure is cost-effective and prolongs survival by an additional 1.82 years at a low cost of $1,773 per/life-year saved.

Charcot-Marie-Tooth type 4B is caused by mutations in the gene encoding myotubularin-related protein-2.

A gene mutated in Charcot-Marie-Tooth disease type 4B (CMT4B), an autosomal recessive demyelinating neuropathy with myelin outfoldings, has been mapped on chromosome 11q22. Using a positional-cloning strategy, we identified in unrelated CMT4B patients mutations occurring in the gene MTMR2, encoding myotubularin-related protein-2, a dual specificity phosphatase (DSP).