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1.
ACS Nano ; 18(1): 612-617, 2024 Jan 09.
Article in English | MEDLINE | ID: mdl-38127507

ABSTRACT

Control of van der Waals interfaces is crucial for fabrication of nanomaterial-based high-performance thermoelectric devices because such interfaces significantly affect the overall thermoelectric performances of the device due to their relatively high thermal resistance. Such interfaces could induce different thermoelectric power from the bulk, i.e., interfacial thermoelectric power. However, from a macroscopic point of view, a correct evaluation of the interfacial thermoelectric power is difficult owing to various interface configurations. Therefore, the study of the thermoelectric properties at a single interface is crucial to address this problem. Herein, we used in situ transmission electron microscopy and nanomanipulation to investigate the thermoelectric properties of carbon nanotubes and their interfaces. The thermoelectric power of the bridged carbon nanotubes was individually measured. The existence of the interfacial thermoelectric power was determined by systematically changing the contact size between the two parallel nanotubes. The effect of interfacial thermoelectric power was qualitatively supported by Green's function calculations. When the contact length between two parallel nanotubes was less than approximately 100 nm, the experimental results and theoretical calculations indicated that the interface significantly contributed to the total thermoelectric power. However, when the contact length was longer than approximately 200 nm, the total thermoelectric power converged to the value of a single nanotube. The findings herein provide a basis for investigating thermoelectric devices with controlled van der Waals interfaces and contribute to thermal management in nanoscale devices and electronics.

2.
Eur Heart J Case Rep ; 6(1): ytab534, 2022 Jan.
Article in English | MEDLINE | ID: mdl-35075442

ABSTRACT

BACKGROUND: The worldwide spread of coronavirus disease 2019 (COVID-19) is still not under control and vaccination in Japan started in February 2021, albeit later than in Europe and the USA. The COVID-19 vaccination frequently leads to minor adverse reactions, which may be more intense after the second dose. The number of case reports of myocarditis following COVID-19 vaccination have been recently increased. CASE SUMMARY: We report a case of a 26-year-old healthy man who presented to our hospital with chest pain on 24 May 2021, 4 days after his second COVID-19 vaccination. The electrocardiogram showed ST elevation with upward concavity in I, II, aVL, aVF, V4 to V6, and small Q wave in II, III, aVF. Laboratory studies revealed elevation of troponin I, creatine kinase, C-reactive protein, and negative viral serologies. Acute aortic dissection and pulmonary thromboembolism were ruled out by contrast-enhanced thoracoabdominal computed tomography. An urgent coronary angiogram was performed because an acute coronary syndrome was suspected, but no significant stenosis was found. Cardiac magnetic resonance imaging demonstrated oedema and late gadolinium enhancement of the left ventricle in a mid-myocardial and epicardial distribution. DISCUSSION: Although the temporal association does not prove causation, the very short span between the second vaccination and the onset of myocarditis suggests that this acute myocarditis seemed to be an adverse reaction to COVID-19 vaccine. To the best of our knowledge, this is the first published case of acute myocarditis following COVID-19 vaccine in Asia.

3.
Mater Horiz ; 8(9): 2463-2474, 2021 Aug 31.
Article in English | MEDLINE | ID: mdl-34870304

ABSTRACT

The discovery of novel materials for thermoelectric energy conversion has potential to be accelerated by data-driven screening combined with high-throughput calculations. One way to increase the efficacy of successfully choosing a candidate material is through its evaluation using transport descriptors. Using a data-driven screening, we selected 12 potential candidates in the trigonal ABX2 family, followed by charge transport property simulations from first principles. The results suggest that carrier scattering processes in these materials are dominated by ionised impurities and polar optical phonons, contrary to the oft-assumed acoustic-phonon-dominated scattering. Using these data, we further derive ground-state transport descriptors for the carrier mobility and the thermoelectric powerfactor. In addition to low carrier mass, high dielectric constant was found to be an important factor towards high carrier mobility. A quadratic correlation between dielectric constant and transport performance was established and further validated with literature. Looking ahead, dielectric constant can potentially be exploited as an independent criterion towards improved thermoelectric performance. Combined with calculations of thermal conductivity including Peierls and inter-branch coherent contributions, we conclude that the trigonal ABX2 family has potential as high performance thermoelectrics in the intermediate temperature range for low grade waste heat harvesting.

4.
ACS Appl Mater Interfaces ; 11(40): 37295-37301, 2019 Oct 09.
Article in English | MEDLINE | ID: mdl-31525013

ABSTRACT

Thermal boundary conductance between graphite and metal plays an important role in developing thermally conductive composites and contacts for thermal management. On the basis of the premise that the thermal boundary conductance (TBC) correlates with interfacial bonding strength, we conducted triazine-based molecular-bonding process to improve interfacial adhesion forces between a-axis of highly oriented pyrolytic graphite and aluminum. The surface coverage of molecular bonding at the interface is estimated by the X-ray photoelectron spectroscopy and thermal boundary conductance is measured by the time-domain thermoreflectance method. It is found that the TBC is directly proportional to the surface coverage of covalently bonded triazine linkers, with the proportionality constant for their increment rates being about unity. The experimental finding is supported by the corresponding simulation using the atomic Green's function method, which exhibits the same linear dependence on the surface coverage.

5.
Sci Adv ; 4(6): eaar4192, 2018 06.
Article in English | MEDLINE | ID: mdl-29922713

ABSTRACT

Materials development often confronts a dilemma as it needs to satisfy multifunctional, often conflicting, demands. For example, thermoelectric conversion requires high electrical conductivity, a high Seebeck coefficient, and low thermal conductivity, despite the fact that these three properties are normally closely correlated. Nanostructuring techniques have been shown to break the correlations to some extent; however, optimal design has been a major challenge due to the extraordinarily large degrees of freedom in the structures. By taking graphene nanoribbons (GNRs) as a representative thermoelectric material, we carried out structural optimization by alternating multifunctional (phonon and electron) transport calculations and Bayesian optimization to resolve the trade-off. As a result, we have achieved multifunctional structural optimization with an efficiency more than five times that achieved by random search. The obtained GNRs with optimized antidots significantly enhance the thermoelectric figure of merit by up to 11 times that of the pristine GNR. Knowledge of the optimal structure further provides new physical insights that independent tuning of electron and phonon transport properties can be realized by making use of zigzag edge states and aperiodic nanostructuring. The demonstrated optimization framework is also useful for other multifunctional problems in various applications.

6.
Nat Mater ; 16(9): 892-897, 2017 09.
Article in English | MEDLINE | ID: mdl-28759031

ABSTRACT

The potential impact of encapsulated molecules on the thermal properties of individual carbon nanotubes (CNTs) has been an important open question since the first reports of the strong modulation of electrical properties in 2002. However, thermal property modulation has not been demonstrated experimentally because of the difficulty of realizing CNT-encapsulated molecules as part of thermal transport microstructures. Here we develop a nanofabrication strategy that enables measurement of the impact of encapsulation on the thermal conductivity (κ) and thermopower (S) of single CNT bundles that encapsulate C 60, Gd@C 82 and Er 2@C 82. Encapsulation causes 35-55% suppression in κ and approximately 40% enhancement in S compared with the properties of hollow CNTs at room temperature. Measurements of temperature dependence from 40 to 320 K demonstrate a shift of the peak in the κ to lower temperature. The data are consistent with simulations accounting for the interaction between CNTs and encapsulated fullerenes.

7.
J Agric Food Chem ; 64(45): 8516-8524, 2016 Nov 16.
Article in English | MEDLINE | ID: mdl-27776413

ABSTRACT

Vitamin B12 was determined and characterized in 19 dried Chlorella health supplements. Vitamin contents of dried Chlorella cells varied from <0.1 µg to approximately 415 µg per 100 g of dry weight. Subsequent liquid chromatography/electrospray ionization-tandem mass spectrometry analyses showed the presence of inactive corrinoid compounds, a cobalt-free corrinoid, and 5-methoxybenzimidazolyl cyanocobamide (factor IIIm) in four and three high vitamin B12-containing Chlorella tablets, respectively. In four Chlorella tablet types with high and moderate vitamin B12 contents, the coenzyme forms of vitamin B12 5'-deoxyadenosylcobalamin (approximately 32%) and methylcobalamin (approximately 8%) were considerably present, whereas the unnaturally occurring corrinoid cyanocobalamin was present at the lowest concentrations. The species Chlorella sorokiniana (formerly Chlorella pyrenoidosa) is commonly used in dietary supplements and did not show an absolute requirement of vitamin B12 for growth despite vitamin B12 uptake from the medium being observed. In further experiments, vitamin B12-dependent methylmalonyl-CoA mutase and methionine synthase activities were detected in cell homogenates. In particular, methionine synthase activity was significantly increased following the addition of vitamin B12 to the medium. These results suggest that vitamin B12 contents of Chlorella tablets reflect the presence of vitamin B12-generating organic ingredients in the medium or the concomitant growth of vitamin B12-synthesizing bacteria under open culture conditions.


Subject(s)
Chlorella/chemistry , Dietary Supplements/analysis , Vitamin B Complex/chemistry , Vitamin B Complex/isolation & purification
8.
Plant Cell Physiol ; 56(4): 640-9, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25588388

ABSTRACT

Stomatal movements are regulated by multiple environmental signals. Recent investigations indicate that photoperiodic flowering components, such as CRY, GI, CO, FT and TSF, are expressed in guard cells and positively affect stomatal opening in Arabidopsis thaliana. Here we show that SOC1, which encodes a MADS box transcription factor and integrates multiple flowering signals, also exerts a positive effect on stomatal opening. FLC encodes a potent repressor of FT and SOC1, and FRI acts as an activator of FLC. Thus, we examined stomatal phenotypes in FRI-Col, which contains an active FRI allele of accession Sf-2 by introgression. We found higher expression of FLC and lower expression of FT, SOC1 and TSF in guard cells from FRI-Col than in those from Col. Light-induced stomatal opening was significantly suppressed in FRI-Col. Interestingly, vernalization of FRI-Col partially restored light-induced stomatal opening, concomitant with a decrease of FLC and increase of FT, SOC1 and TSF. Furthermore, we observed the constitutive open-stomata phenotype in transgenic plants overexpressing SOC1-GFP (green fluorescent protein) in guard cells (SOC1-GFP overexpressor), and found that light-induced stomatal opening was significantly suppressed in a soc1 knockout mutant. RNA sequencing using epidermis from the SOC1-GFP overexpressor revealed that the expression levels of several genes involved in stomatal opening, such as BLUS1 and the plasma membrane H(+)-ATPases, were higher than those in background plants. From these results, we conclude that SOC1 is involved in the regulation of stomatal opening via transcriptional regulation in guard cells.


Subject(s)
Arabidopsis Proteins/metabolism , Arabidopsis/physiology , Flowers/metabolism , MADS Domain Proteins/metabolism , Plant Stomata/physiology , Arabidopsis/genetics , Cold Temperature , Gene Expression Regulation, Plant , Gene Knockout Techniques , Genes, Plant , Green Fluorescent Proteins/metabolism , Light , Mutation/genetics , Phenotype , Plant Stomata/cytology , Plant Stomata/radiation effects , Up-Regulation/radiation effects
9.
Plant Physiol ; 162(3): 1529-38, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23669744

ABSTRACT

FLOWERING LOCUS T (FT) is the major regulatory component controlling photoperiodic floral transition. It is expressed in guard cells and affects blue light-induced stomatal opening induced by the blue-light receptor phototropins phot1 and phot2. Roles for other flowering regulators in stomatal opening have yet to be determined. We show in Arabidopsis (Arabidopsis thaliana) that TWIN SISTER OF FT (TSF), CONSTANS (CO), and GIGANTEA (GI) provide a positive effect on stomatal opening. TSF, which is the closest homolog of FT, was transcribed in guard cells, and light-induced stomatal opening was repressed in tsf-1, a T-DNA insertion mutant of TSF. Overexpression of TSF in a phot1 phot2 mutant background gave a constitutive open-stomata phenotype. Then, we examined whether CO and GI, which are upstream regulators of FT and TSF in photoperiodic flowering, are involved in stomatal opening. Similar to TSF, light-induced stomatal opening was suppressed in the GI and CO mutants gi-1 and co-1. A constitutive open-stomata phenotype was observed in GI and CO overexpressors with accompanying changes in the transcription of both FT and TSF. In photoperiodic flowering, photoperiod is sensed by photoreceptors such as the cryptochromes cry1 and cry2. We examined stomatal phenotypes in a cry1 cry2 mutant and in CRY2 overexpressors. Light-induced stomatal opening was suppressed in cry1 cry2, and the transcription of FT and TSF was down-regulated. In contrast, the stomata in CRY2 overexpressors opened even in the dark, and FT and TSF transcription was up-regulated. We conclude that the photoperiodic flowering components TSF, GI, and CO positively affect stomatal opening.


Subject(s)
Arabidopsis Proteins/metabolism , Arabidopsis/physiology , DNA-Binding Proteins/metabolism , Phosphatidylethanolamine Binding Protein/metabolism , Plant Stomata/physiology , Transcription Factors/metabolism , Arabidopsis Proteins/genetics , Cryptochromes/genetics , Cryptochromes/metabolism , DNA-Binding Proteins/genetics , Flowers/physiology , Gene Expression Regulation, Plant , Light , Mutation , Phosphatidylethanolamine Binding Protein/genetics , Photoperiod , Plants, Genetically Modified , Transcription Factors/genetics
10.
Curr Biol ; 21(14): 1232-8, 2011 Jul 26.
Article in English | MEDLINE | ID: mdl-21737277

ABSTRACT

Stomatal pores surrounded by a pair of guard cells in the plant epidermis control gas exchange for photosynthesis in response to light, CO(2), and phytohormone abscisic acid. Phototropins (phot1 and phot2) are plant blue-light receptor kinases and mediate stomatal opening via activation of the plasma membrane H(+)-ATPase. However, the signaling mechanism from phototropins to the H(+)-ATPase has yet to be determined. Here, we show that FLOWERING LOCUS T (FT) is expressed in guard cells and regulates stomatal opening. We isolated an scs (suppressor of closed-stomata phenotype in phot1 phot2) 1-1 mutant of Arabidopsis thaliana and showed that scs1-1 carries a novel null early flowering 3 (elf3) allele in a phot1 phot2 background. scs1-1 (elf3 phot1 phot2 triple mutant) had an open-stomata phenotype with high H(+)-ATPase activity and showed increased levels of FT mRNA in guard cells. Transgenic plants overexpressing FT in guard cells showed open stomata, whereas a loss-of-function FT allele, ft-1, exhibited closed stomata and failed to activate the H(+)-ATPase in response to blue light. Our results define a new cell-autonomous role for FT and demonstrate that the flowering time genes ELF3 and FT are involved in the regulation of H(+)-ATPase by blue light in guard cells.


Subject(s)
Arabidopsis Proteins/genetics , Arabidopsis/genetics , Plant Stomata/physiology , Transcription Factors/genetics , Arabidopsis/enzymology , Arabidopsis/physiology , Arabidopsis Proteins/metabolism , Enzyme Activation/radiation effects , Light , Phosphoproteins/genetics , Phosphoproteins/metabolism , Plant Stomata/metabolism , Plants, Genetically Modified/genetics , Plants, Genetically Modified/metabolism , Protein Serine-Threonine Kinases , Proton-Translocating ATPases/genetics , Proton-Translocating ATPases/metabolism , RNA, Messenger/metabolism , Signal Transduction , Transcription Factors/metabolism
11.
Biosci Biotechnol Biochem ; 74(6): 1315-9, 2010.
Article in English | MEDLINE | ID: mdl-20530878

ABSTRACT

We constructed two series of Gateway binary vectors, pGWBs and R4pGWBs, possessing the bialaphos resistance gene (bar) as a selection marker for plant transformation. The reporters and tags employed in this system are sGFP, GUS, LUC, EYFP, ECFP, G3GFP, mRFP, TagRFP, 6xHis, FLAG, 3xHA, 4xMyc, 10xMyc, GST, T7 and TAP. Selection of Arabidopsis transformants with BASTA was successfully carried out using both plate-grown and soil-grown seedlings. Transformed rice calli and suspension-cultured tobacco cells were selected on plates containing BASTA or glufosinate-ammonium. These vectors are compatible with existing pGWB and R4pGWB vectors carrying kanamycin and hygromycin B resistance.


Subject(s)
Arabidopsis/genetics , Drug Resistance/genetics , Genes, Plant/genetics , Genetic Engineering/methods , Genetic Vectors/genetics , Organophosphorus Compounds/pharmacology , Transformation, Genetic , Arabidopsis/drug effects , Arabidopsis/physiology , Genetic Markers/genetics , Plants, Genetically Modified , Promoter Regions, Genetic/genetics
12.
Environ Sci Technol ; 42(12): 4472-7, 2008 Jun 15.
Article in English | MEDLINE | ID: mdl-18605573

ABSTRACT

A coin-sized passive emission colorimetric sensor (PECS) based on an enzymatic reaction and a portable reflectance photometry device were developed to determine the emission rates of formaldehyde from building materials and other materials found indoors in only 30 minutes on-site. The color change of the PECS linearly correlated to the concentration of formaldehyde aqueous solutions up to 28 microg/mL. The correlation between the emission rates measured by using the PECS and those measured by using a desiccator method or by using a chamber method was fitted with a linear function and a power function, and the determination coefficients were more than 0.98. The reproducible results indicate that the emission rates could be obtained with the correlation equations from the data measured by using the PECS and the portable reflectance photometry device. Limits of detection (LODs) were 0.051 mg/L for the desiccator method and 3.1 microg/m2/h for the chamber method. Thus, it was confirmed that the emission rates of formaldehyde from the building materials classified as F four-star (< 0.3 mg/L (desiccator method) or < 5.0 microg/m2/h (chamber method)), based on Japanese Industrial Standards (JIS), could be measured with the PECS. The measurement with PECS was confirmed to be precise (RSD < 10%). Other chemicals emitted from indoor materials, such as methanol, ethanol, acetone, toluene, and xylene, interfered little with the measurement of formaldehyde emission rates by using the PECS.


Subject(s)
Colorimetry/instrumentation , Enzymes/chemistry , Formaldehyde/analysis , Photometry/methods , Reproducibility of Results , Sensitivity and Specificity
13.
Circ J ; 72(5): 740-6, 2008 May.
Article in English | MEDLINE | ID: mdl-18441453

ABSTRACT

BACKGROUND: In patients with chronic heart failure (CHF), it remains unclear whether perindopril is more cardioprotective than enalapril. METHODS AND RESULTS: Forty-five stable CHF outpatients undergoing conventional therapy including enalapril therapy were randomized to 2 groups [group I (n=24): continuous enalapril treatment; group II (n=21): enalapril was changed to perindopril]. Cardiac sympathetic nerve activity was evaluated using cardiac 123I-metaiodobenzylguanidine (MIBG) scintigraphy, hemodynamic parameters and neurohumoral factors before and 6 months after treatment. There was no difference in baseline characteristics between the 2 groups. In group I, there were no changes in MIBG parameters, left ventricular ejection fraction (LVEF) or plasma level of brain natriuretic peptide (BNP). In contrast, in group II the delayed heart/mediastinum count ratio was significantly increased (2.0+/-0.07 vs 2.15+/-0.07, p=0.013) and the washout rate was significantly decreased (33.0+/-1.4 vs 30.5+/-1.2, p=0.030) after 6 months compared with the baseline value. In addition, LVEF was significantly increased and the plasma BNP level was significantly decreased. CONCLUSION: These findings suggest that for the treatment of CHF, perindopril is superior to enalapril with respect of cardiac sympathetic nerve activity and BNP.


Subject(s)
Angiotensin-Converting Enzyme Inhibitors/administration & dosage , Enalapril/administration & dosage , Heart Failure/drug therapy , Perindopril/administration & dosage , Sympathetic Nervous System/drug effects , 3-Iodobenzylguanidine , Chronic Disease , Female , Follow-Up Studies , Heart/innervation , Heart Failure/epidemiology , Humans , Iodine Radioisotopes , Male , Middle Aged , Natriuretic Peptide, Brain/blood , Norepinephrine/blood , Radionuclide Imaging , Risk Factors , Stroke Volume/drug effects , Sympathetic Nervous System/diagnostic imaging , Treatment Outcome
14.
J Bacteriol ; 190(4): 1359-65, 2008 Feb.
Article in English | MEDLINE | ID: mdl-17965169

ABSTRACT

Pyrobaculum islandicum is an anaerobic hyperthermophilic archaeon that is most active at 100 degrees C. A pyridoxal 5'-phosphate-dependent serine racemase called Srr was purified from the organism. The corresponding srr gene was cloned, and recombinant Srr was purified from Escherichia coli. It showed the highest racemase activity toward L-serine, followed by L-threonine, D-serine, and D-threonine. Like rodent and plant serine racemases, Srr is bifunctional, showing high L-serine/L-threonine dehydratase activity. The sequence of Srr is 87% similar to that of Pyrobaculum aerophilum IlvA (a putative threonine dehydratase) but less than 32% similar to any other serine racemases and threonine dehydratases. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis and gel filtration analyses revealed that Srr is a homotrimer of a 44,000-molecular-weight subunit. Both racemase and dehydratase activities were highest at 95 degrees C, while racemization and dehydration were maximum at pH 8.2 and 7.8, respectively. Unlike other, related Ilv enzymes, Srr showed no allosteric properties: neither of these enzymatic activities was affected by either L-amino acids (isoleucine and valine) or most of the metal ions. Only Fe2+ and Cu2+ caused 20 to 30% inhibition and 30 to 40% stimulation of both enzyme activities, respectively. ATP inhibited racemase activity by 10 to 20%. The Km and Vmax values of the racemase activity of Srr for L-serine were 185 mM and 20.1 micromol/min/mg, respectively, while the corresponding values of the dehydratase activity of L-serine were 2.2 mM and 80.4 micromol/min/mg, respectively.


Subject(s)
Archaeal Proteins/metabolism , Pyrobaculum/enzymology , Racemases and Epimerases/metabolism , Adenosine Triphosphate/pharmacology , Amino Acid Sequence , Archaeal Proteins/chemistry , Archaeal Proteins/genetics , Electrophoresis, Polyacrylamide Gel , Enzyme Activation/drug effects , Hydrogen-Ion Concentration , Ions/pharmacology , Models, Genetic , Molecular Sequence Data , Pyrobaculum/genetics , Racemases and Epimerases/genetics , Racemases and Epimerases/isolation & purification , Recombinant Proteins/isolation & purification , Recombinant Proteins/metabolism , Sequence Analysis, Protein , Serine/genetics , Serine/metabolism , Stereoisomerism , Substrate Specificity , Threonine/genetics , Threonine/metabolism
15.
Eur J Heart Fail ; 9(10): 1032-7, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17766177

ABSTRACT

BACKGROUND: Cardiotrophin-1 (CT-1) is a member of the interleukin (IL-6) family of cytokines and is increased in patients with chronic heart failure (CHF). AIMS: To evaluate the prognostic role of CT-1 in patients with CHF. METHODS AND RESULTS: We measured the plasma levels of CT-1, brain natriuretic peptide (BNP), and IL-6 in 125 patients with CHF. Patients were monitored for a mean follow-up period of 2.9 years. Plasma levels of CT-1 increased with severity of CHF. There was a significant negative correlation between plasma CT-1 and left ventricular ejection fraction. There was a significant correlation between plasma CT-1 and log IL-6. During the follow-up period, 37 patients died. High plasma levels of CT-1, BNP, and IL-6 were independent predictors of mortality on stepwise multivariate analysis. The hazard ratio for mortality in patients with plasma BNP>170 pg/mL and CT-1>658 fmol/mL was 2.48 (95% confidence interval, 1.217-5.060) compared to those with plasma BNP>170 pg/mL and CT-1<658 fmol/mL (p=0.0124). CONCLUSION: These findings indicate that plasma CT-1 measurement provides additional prognostic information and that combined levels of CT-1 and BNP are more accurate at predicting mortality in patients with CHF than either marker alone.


Subject(s)
Cytokines/blood , Heart Failure/blood , Adult , Aged , Aged, 80 and over , Biomarkers/blood , Chronic Disease , Female , Heart Failure/mortality , Heart Failure/physiopathology , Humans , Interleukin-6 , Male , Middle Aged , Natriuretic Peptide, Brain/blood , Prognosis , Prospective Studies , RNA, Messenger , Stroke Volume
17.
Circ J ; 71(6): 915-21, 2007 Jun.
Article in English | MEDLINE | ID: mdl-17526990

ABSTRACT

BACKGROUND: Plasma renin activity (PRA) may be limited to angiotensinogen levels, which decrease in patients with heart failure (HF) because of liver congestion. METHODS AND RESULTS: To evaluate whether the plasma active renin concentration (ARC) is a more useful prognostic predictor than PRA, the plasma levels of ARC, PRA, angiotensin II, aldosterone, brain natriuretic peptide (BNP), norepinephrine, and hemodynamic parameters were measured in 214 consecutive HF patients who were already taking angiotensin-converting enzyme inhibitors (ACEI) or angiotensin-receptor blockers (ARB). Median follow-up period was 1,197 days. Of the clinical variables, including pulmonary capillary wedge pressure, right atrial pressure, left ventricular ejection fraction, and neurohumoral factors, only high plasma levels of log ARC (p<0.0001) and log BNP (p=0.0009), but not log PRA, were significant independent prognostic predictors. Log ARC/PRA ratio was significantly higher in nonsurvivors than in survivors. Log ARC/PRA significantly correlated with pulmonary capillary wedge pressure (r=0.305, p<0.0001), right atrial pressure (r=0.222, p=0.0011), and log BNP (r=0.242, p=0.0004). CONCLUSIONS: Plasma ARC is superior to PRA and a high plasma ARC is an independent prognostic predictor in HF patients who are already receiving ACEI or ARB.


Subject(s)
Heart Failure/blood , Renin/blood , Aldosterone/blood , Angiotensin II/blood , Angiotensin Receptor Antagonists , Angiotensin-Converting Enzyme Inhibitors/therapeutic use , Blood Pressure , Female , Follow-Up Studies , Heart Failure/diagnosis , Heart Failure/drug therapy , Heart Failure/mortality , Heart Failure/physiopathology , Humans , Male , Middle Aged , Natriuretic Peptide, Brain/blood , Norepinephrine/blood , Predictive Value of Tests , Prognosis , Retrospective Studies , Survival Rate , Ventricular Function, Left/drug effects
18.
Eur J Heart Fail ; 9(6-7): 667-73, 2007.
Article in English | MEDLINE | ID: mdl-17360233

ABSTRACT

BACKGROUND: Direct comparison of transcardiac increase in brain natriuretic peptide (BNP) and NT-pro-BNP has not been performed previously. AIMS: To evaluate the relation between BNP and NT-pro-BNP secretion, plasma levels and renal function. METHODS: We measured the plasma levels of BNP and NT-pro-BNP in the aortic root and coronary sinus in 326 consecutive patients with chronic heart failure (CHF). Patients were divided into two groups [group I: estimated glomerular filtration rate (eGFR)>or=60 mL/min and group II: eGFR<60 mL/min]. RESULTS: The molar level of the transcardiac increase in NT-pro-BNP is lower than that of BNP. There were no differences in haemodynamics or the transcardiac gradient of BNP and NT-pro-BNP between group I and group II. The molar ratio of the plasma NT-pro-BNP to BNP was significantly higher in group II than in group I. By stepwise multivariate analyses, not only the left ventricular (LV) ejection fraction and LV end-diastolic pressure, but also eGFR, LV mass index (LVMI) and haemoglobin were independent predictors of plasma NT-pro-BNP and BNP. CONCLUSION: The molar level of the transcardiac increase in NT-pro-BNP is lower than that of BNP; however, the influence of renal function on plasma NT-pro-BNP is greater than that on BNP.


Subject(s)
Glomerular Filtration Rate/physiology , Heart Failure/blood , Natriuretic Peptide, Brain/blood , Peptide Fragments/blood , Aged , Blood Pressure/physiology , Cardiac Catheterization , Cardiac Output/physiology , Female , Heart Failure/diagnosis , Heart Rate/physiology , Humans , Male , Middle Aged , Stroke Volume/physiology , Ventricular Dysfunction, Left/blood , Ventricular Dysfunction, Left/diagnosis
19.
J Am Coll Cardiol ; 47(3): 582-6, 2006 Feb 07.
Article in English | MEDLINE | ID: mdl-16458140

ABSTRACT

OBJECTIVES: This study sought to evaluate the relationship between brain natriuretic peptide (BNP), renal function, and the severity of congestive heart failure (CHF). BACKGROUND: Both BNP and renal function are prognostic predictors in CHF patients. METHODS: We measured the plasma BNP level in the aortic root and coronary sinus in 366 consecutive patients with CHF. Estimated glomerular filtration rate (eGFR) by the Cockcroft-Gault equation was used as an indicator of renal function. RESULTS: By stepwise multivariate analyses, hemodynamic parameters such as left ventricular ejection fraction (LVEF) and left ventricular end-diastolic pressure (LVEDP) but not eGFR were independent predictors of a transcardiac increase (coronary sinus-aortic root) in BNP. Regarding the plasma level of BNP in the aortic root, not only LVEF (p < 0.0001) and LVEDP (p < 0.0001) but also eGFR (p < 0.0001) were independent predictors. Patients were divided into two groups, patients with an eGFR > or =60 ml/min (group 1, n = 229) and patients with an eGFR <60 ml/min (group 2, n = 137). There was no difference in LVEF, LVEDP, or the transcardiac gradient of BNP between the two groups, but the plasma level of BNP in the aortic root was approximately two-fold greater in group 2 than in the group 1. CONCLUSIONS: These findings suggest that decreased clearance from the kidney contributes to the elevated BNP in CHF patients with renal dysfunction, especially in patients with an eGFR <60 ml/min.


Subject(s)
Glomerular Filtration Rate , Heart Failure/physiopathology , Natriuretic Peptide, Brain/blood , Aged , Biomarkers/blood , Female , Heart Failure/blood , Heart Failure/diagnosis , Humans , Male , Middle Aged , Prognosis , Stroke Volume , Ventricular Pressure
20.
AMIA Annu Symp Proc ; : 984, 2006.
Article in English | MEDLINE | ID: mdl-17238603

ABSTRACT

In this study, we have developed nursing care support using Personal Digital Assistants (PDA) with web service architecture. With the survey of the log nursing care support system, we have found out the nurse use the emergency to bypass the authentication and to access the operation quickly. We have concluded the compression of response time is the key of correct these abuse. We have developed rich-client with web service to cut down the response time. We can achieve to shorten it into 80% of total operation time.


Subject(s)
Computers, Handheld , Nursing Care/organization & administration , Humans , Internet , Japan , Nursing Staff/supply & distribution , Systems Integration
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