To d , or not to d : recent developments and comparisons of regularization schemes.

We give an introduction to several regularization schemes that deal with ultraviolet and infrared singularities appearing in higher-order computations in quantum field theories. Comparing the computation of simple quantities in the various schemes, we point out similarities and differences between them.

Prevalence and ultrastructure of sarcocystis in American woodcock harvested in Connecticut.

The range-wide population of American woodcock Scolopax minor has been in slow, steady decline since the late 1960s. The parasite load carried by woodcock and its possible role in the population decline has not been investigated since the early 1970s. A survey of parasites in American woodcock in Connecticut was undertaken in 2002: Sarcocystis spp. was found in 32 of 78 (42%) individuals examined. Elongate sarcocysts, 25 x 125 micro, containing numerous packed bradyzoites with distinct, tightly packed villar projections of the cyst wall, were found scattered throughout skeletal type and myocardial muscle. Sarcocystis spp. was also recorded during the earlier surveys and considered common, but was not examined with the use of electron microscopy. The present study includes the first ultrastructural description of Sarcocystis sp. in the skeletal muscle of woodcock and will serve as a basis for future comparisons in woodcock.

Pharmacokinetics and pharmacodynamics of hydroxyethyl starch in hypovolemic pigs; a comparison of peripheral and intraosseous infusion.

Intraosseous (i.o.) infusion is considered a useful technique for the administration of medications and fluids in emergency situations when peripheral intravascular access is not possible. This study investigated the effectiveness of i.o. versus intravenous (i.v.) infusion of hydroxyethyl starch (HES 200/0.5) in hypovolemic pigs. Twenty-three pigs (8- to 9-week-old) were anaesthesized, instrumented and blood was withdrawn (25-30 ml/kg) to < 50 mmHg mean arterial pressure (MAP). The animals were left untreated in haemorrhage for 30 min. Relevant haemodynamic parameters were monitored and blood samples were collected for blood gas and HES concentration analysis. Infusion of HES via i.v. or i.o. line (20 ml/kg per h) carried out over a period of 30 min for volume resuscitation and measurements were taken every 5 min. Infusion was discontinued after 30 min and the animals were monitored for 1 h. Analysis of HES-pharmacokinetics and pharmacodynamics revealed no significant differences between i.o. and the i.v. administration. The results demonstrate i.o. infusion of HES to be a rapid and effective method for fluid resuscitation in hypovolemic shock.

The hydrostatic measurement of systolic toe blood pressure: a preliminary validation of the method.

BACKGROUND: The hydrostatic method of measuring systolic toe blood pressure has not been validated. A comparison with established non-invasive methods is presented. PATIENTS AND METHODS: Conventional sphygmomanometry was applied to assess systolic arterial pressure at the ankle and brachial level; systolic arterial toe pressure was assessed by the hydrostatic method. An 8 MHz Doppler probe was used to demonstrate arterial pulsation in brachial, ankle, and toe arteries, respectively. 50 legs of patients with peripheral arterial occlusive disease were studied before and after successful arterial revascularisation. RESULTS: In all legs, ankle pressure and ankle/brachial pressure index (ABPI) increased postoperatively. Hydrostatic toe blood pressure (HSTBP) increased in 96% of cases, in 58% of cases above the upper detection limit of 70 mmHg. HSTBP and sphygmomanometric ankle pressures were significantly correlated (r = 0.754, p < 0.05). CONCLUSION: Successful arterial revascularisation in legs with peripheral arterial occlusive disease was associated with an increase in systolic ankle pressure and ABPI, assessed with sphygmomanometry. Similar changes were observed in systolic toe arterial pressure, assessed with the hydrostatic method. The correlation of the results obtained with both methods can be taken as a preliminary indication of the accuracy of the hydrostatic method, which may be particularly useful in cases of medial arterial calcification.

Quasispecies analysis in hepatitis C virus infection by fluorescent single strand conformation polymorphism.

Hepatitis C virus (HCV) results frequently in chronic hepatitis and its sequelae liver cirrhosis and hepatocellular carcinoma. Interferon-alpha is at present the most effective treatment, resulting in a sustained response in about 20-25% of patients. HCV genotype, titer and quasispecies determine the success of treatment. In this study, fluorescent single strand conformation polymorphism (f-SSCP) was evaluated for the analysis of HCV quasispecies. Two sera from a chronically HCV-infected patient, obtained 6 years apart, were examined. The hypervariable region I (HVRI) of the HCV genome was amplified by reverse transcription and PCR. The PCR products were cloned and sequenced or fluorescein-labeled and subjected to f-SSCP. Both methods demonstrated a single HCV species in the early serum and multiple quasispecies in the late serum. Single clones of the heterogeneous virus population were used to optimize conditions for f-SSCP. The most important factors were the gel temperature and virus titer. At the optimal running temperature one base exchange in 218 bases was detectable. Repeat extractions and amplifications gave identical results. Dilution of the serum containing multiple quasispecies resulted in a 'loss' of species. Provided the running temperature is optimal and virus titer is sufficient, f-SSCP is shown to be fast and reliable for HCV quasispecies analysis.

[The effect of preischemic blood sugar concentration on hemodynamics and regional organ blood flow during and following cardiopulmonary resuscitation (CPR) in swine]. / Zum Einfluss der präischämischen Blutzuckerkonzentration auf Hämodynamik und regionale Organdurchblutung während und nach kardiopulmonaler Reanimation (CPR) beim Schwein.

UNLABELLED: Blood glucose alterations prior to cerebral ischaemia are associated with poor neurologic outcome, possibly due to extensive lactic acidosis or energy failure. Cerebral effects of hyper- or hypoglycaemia during cardiopulmonary resuscitation (CPR) are less well known. In addition, little information is available concerning cardiac effects of blood glucose alterations. The aim of this study was to evaluate the effects of pre-cardiac-arrest hypo- or hyper-glycaemia compared to normoglycaemia upon haemodynamics, cerebral blood flow (CBF) and metabolism (CMRO2), and regional cardiac blood flow during CPR subsequent to 3 min of cardiac and respiratory arrest and after restoration of spontaneous circulation. METHODS: After approval by the State Animal Investigation Committee, 29 mechanically ventilated, anaesthetised pigs were instrumented for haemodynamic monitoring and blood flow determination by the radiolabeled microsphere technique. The animals were randomly assigned to one of three groups: in group 1 (n = 9) blood glucose was not manipulated; in group II (n = 10) blood glucose was increased by slow infusion of 40% glucose to 319 +/- 13 mg/dl; in group III (n = 10) blood glucose was lowered by careful titration with insulin to 34 +/- 2 mg/dl. After 3 min of untreated ventricular fibrillation and respiratory arrest, CPR (chest compressor/ventilator (Thumper) and epinephrine infusion) was commenced and continued for 8 min. Thereafter, defibrillation was attempted, and if successful, the animals were observed for another 240 min. Cerebral perfusion pressure (CPP), CBF, CMRO2, coronary perfusion pressure (CorPP), and regional cardiac blood flow were determined at control, after 3 min of CPR, and at 10.30, and 240 min post-CPR. RESULTS: In group 1. 4/9 animals (44%) could be successfully resuscitated; in group II 4/10 (40%); and in group III 0/10 (0%). Prior to cardiac arrest, mean arterial pressure, CPP, and CorPP in group III were significantly lower compared to groups I and II. In group I. CPP during CPR was 26 +/- 6 mmHg; CBF 31 +/- 9 ml/ min/100g CMRO2 3.8 +/- 1.2 ml/ min/100 g; CorPP 18 +/- 5 mmHg; and left ventricular (LV) flow 35 +/- 15 ml/min/100 g. In group II; CPP = 21 +/- 5; CBF 21 +/- 7; CMRO2 1.8 +/- 0.8; CorPP 16 +/- 6; and LV flow 22 +/- 9; and in group III: CPP 15 +/- 3; CBF 11 +/- 8; CMRO2 1.5 +/- 1.1; CorPP 4 +/- 2; and LV flow 19 +/- 10. During the 240-min post-resuscitation period, there were no differences in CBF, CMRO2, or LV flow between groups I and II. CONCLUSION: Hypoglycaemia prior to cardiac arrest appears to be predictive for a poor cardiac outcome, whereas hyperglycaemia does not impair resuscitability compared to normoglycaemia. In addition, hyperglycaemia did not affect LV flow, CBF, or CMRO2. However, it has to be kept in mind that haemodynamics and organ blood flow do not permit conclusions with respect to functional neurologic recovery or histopathologic damage to the brain, which is very likely to be associated with hyperglycaemia.

[Presentation of the international, emergency medicine relevant periodical spectrum and ethics and authorship and publication]. / Vorstellung des internationalen, notfallmedizinisch relevanten Zeitschriftenspektrums und Ethik bei Autorenschaft und Publikation.

International scientific journals dealing with the broad subject of emergency medicine are listed. The following standards were applied: only journals from Europe or North America published in English or German were selected; whenever possible, the actual number of copies printed is mentioned; listing in the "Index Medicus" is stated; and, finally, the time course of the so-called "impact factor" from 1984 to 1992 is shown. The impact factor is a measure of how often the "average article" in a journal has been cited in a particular year. Basically it describes a ratio between actual citations and citable items published. It permits some qualification of quantitative data since it discounts the advantage of large journals over small journals and that of frequently published journals over less frequently issued ones. Journals from 12 different medical specialties have been selected for analysis: Emergency Medicine; Anesthesiology and Critical Care Medicine; Biomedical Engineering; Neurosciences; General Internal Medicine; Internal Medicine: Cardiology, Pulmonary Medicine, Infectious Diseases, and Public Health; Surgery; Pediatrics; Pharmacology; Physiology; Experimental Medicine. In addition, a few remarks are made dealing with ethics of publication and the increasing number of medical authors per article published. The terms "irresponsible authorship", "author inflation", "wasteful publication", and "abstract creep" are introduced and explained. Furthermore, strategies adopted from the literature to restrain those developments are introduced.

[A respiratory microvalve for spontaneously breathing anesthetized small animals]. / Ein Mikro-Atemstromventil für spontan atmende narkotisierte Kleintiere.

For the accurate functional analysis of the gas exchange in the lungs or evaluation of artificial oxygen carriers in spontaneously breathing anaesthetized small animals, we developed a new respiratory micro-valve. The body of the valve is made of aluminium, and the flaps are made of silicone rubber. The maximum flow rate in a rat measured with a pneumotachograph and the micro-valve was an average of 19.9 ml/s during inspiration, and 17.8 ml/s during expiration. The pressure measured in the tracheal tube was -0.85 during inspiration, and +0.39 cm H2O during expiration; the end-expiratory pressure in the tube was zero. In two experiments with anaesthetised rats lasting 4-5 hours, ventilation, oxygen uptake, carbon dioxide release and the respiratory exchange ratio were 638 ml/min/kg, 21.7 ml O2(STPD)/min/kg, 16.6 ml CO2(STPD)/min/kg, and 0.77, respectively. There was no significant change in any parameter during the experiment. The micro-valve increases the dead space by approximately 35%, but this is well tolerated by the rats, which compensate by increasing their tidal volume by about 10 to 15%. The major advantage of using the micro-valve in comparison with other methods is the fact that the true difference between inspiratory and mean mixed expiratory gas can be measured with great accuracy. The micro-valve can readily be adjusted for optimal use with a range of animals.

Tn 5Map, a transposon for the rapid mapping of restriction sites in plasmids.

A transposon was constructed allowing the rapid restriction mapping of plasmids. This transposon, Tn 5Map, contains a cleavage site for the I-SceI endonuclease which recognizes an 18-mer. After in vivo transposition of Tn5Map into the plasmid of interest, the plasmid is isolated and linearized with I-SceI. Splinkers labelled with digoxygenin and complementary to the left and right end of the linearized molecule are added and ligated. After partial digestion of the splinkered molecules with the restriction enzyme of interest, separation of the cleavage products in an agarose gel, and Southern transfer, the labelled fragments are visualized by the addition of the chemiluminescent substrate AMPPD and alkaline phosphatase. The restriction map can be directly read from the bottom to the top of the gel.

Simultaneous planar measurements of velocity and pressure fields in gas flows using laser-induced fluorescence.

The development of a nonintrusive spectroscopic technique is reported which permits simultaneous spatially resolved measurements of two velocity components and pressure in a plane of a compressible gaseous flow field. The technique is based on the detection of fluorescence from an absorption line excited with a narrowbandwidth laser. Doppler shift and pressure broadening of the line are exploited to extract velocity and pressure information, respectively. The fluorescence is detected at a 90 degrees angle with an image-intensified 100 x 100 element photodiode-array camera which is interfaced with a laboratory computer. Results of the implementation in a Mach 1.5 underexpanded supersonic jet are presented.

Two-frequency laser-induced fluorescence technique for rapid velocity-field measurements in gas flows.

A technique is presented for measurements of two-dimensional velocity fields in gas flows. The single-mode frequency of an argon-ion laser is fixed in the wing of an absorption line of iodine molecules that are seeded at low level in the flow of interest. The emitted fluorescence is detected with an image-intensified 100 x 100 photodiode-array camera. Two pairs of counterpropagating laser sheets sequentially probe the flow to determine two velocity components. The frequency in one pair is shifted with respect to the other by an acousto-optic modulator. This two-frequency scheme eliminates the need to determine the slope of the line externally and offers the potential for combined pressure and velocity-field measurements.

Simultaneous multiple-point velocity measurements using laser-induced iodine fluorescence.

A technique is demonstrated for measuring velocity at multiple locations in a plane of a gaseous flowfield using Doppler-shifted absorption with fluorescence detection from iodine molecules, excited by a sheet of tunable single-axial-mode argon-ion laser radiation at 514.5 nm. Measurements were made simultaneously at 10,000 points in an iodine-seeded supersonic flowfield with a 100 x 100 element photodiode array camera and were found to agree well with a numerical solution for the velocity field. The accuracy with which a component of velocity can be measured is limited, in the current approach, by the iodine linewidth to about +/-5 m/sec.

Laser-induced fluorescence technique for velocity field measurements in subsonic gas flows.

A nonintrusive optical technique is reported for multiple-point velocity measurements in subsonic flows. The technique is based on the detection of fluorescence from a Doppler-shifted absorption line of seeded iodine molecules excited at a laser frequency fixed in the wing of the line. Counterpropagating laser sheets are used to illuminate the flow, in the present case a nitrogen round jet, thereby eliminating the need for an unshifted reference signal. The fluorescence is detected simultaneously at 10,000 points in a plane of the flow using a 100 x 100 element photodiode-array camera. The velocity at each point is computed from four successive camera frames, each recorded with a different beam direction. The measured mean velocities between 5 and 50 m/sec agree well with data from the literature.