Ultrasound triggered organic mechanoluminescence materials.

Ultrasound induced organic mechanoluminescence materials have become one of the focal topics in wireless light sources since they exhibit high spatiotemporal resolution, biocompatibility and excellent tissue penetration depth. These properties promote great potential in ultrahigh sensitive bioimaging with no background noise and noninvasive nanodevices. Recent advances in chemistry, nanotechnology and biomedical research are revolutionizing ultrasound induced organic mechanoluminescence. Herein, we try to summarize some recent researches in ultrasound induced mechanoluminescence that use various materials design strategies based on the molecular conformational changes and cycloreversion reaction. Practical applications, like noninvasive bioimaging and noninvasive optogenetics, are also presented and prospected.

Cancer survivor identity shared in a social media intervention.

This study investigates how cancer survivors construct their identities and the impact on their psychological health, as measured by depression and survivor self-efficacy. Fourteen young adult survivors of pediatric cancer participated in a customized social networking and video blog intervention program, the LIFECommunity, over a 6-month period. Survivors were asked to share their stories on various topics by posting video messages. Those video blog postings, along with survey data collected from participants, were analyzed to see how cancer survivors expressed their identities, and how these identities are associated with survivors' psychosocial outcomes. In survivors who held negative stereotypes about cancer survivors, there was a positive relationship with depression while positive stereotypes had a marginal association with cancer survivor efficacy. Findings indicate that although pediatric cancer survivors often do not publicly discuss a "cancer survivor identity," they do internalize both positive and negative stereotypes about cancer survivorship. It is important for practitioners to be aware of the long-term implications of cancer survivor identity and stereotypes.

Applications and mechanisms of wax-based semiochemical dispenser technology for disruption of grape root borer mating.

Grape root borer, Vitacea polistiformis (Harris) (Lepidoptera: Sesiidae), is an important pest of cultivated grapes (Vitis spp.) in the eastern United States from Michigan to Florida. There are few registered insecticides for control of this pest, and their efficacy is limited. Pheromone-based mating disruption is a potential alternative to insecticides for management of V. polistiformis. Wax-based Specialized Pheromone & Lure Application Technology (SPLAT) was tested as a mating disruption method. Deployment densities of 150 dispensers per ha dosed with 5 mg of V. polistiformis pheromone were sufficient to achieve 95% mating disruption during a 7-wk trapping period. The disruption mechanism was determined to be competitive attraction. The release rate of pheromone from these dispensers was quantified to be approximately linear, 77.4 microg/g SPLAT/d. At this release rate, a minimum initial load of 5.4 mg of pheromone per dispenser would be needed to maintain disruption over a 9-10-wk V. polistiformis flight season, approximately 19 August to 21 October in central Florida. It should be noted, however, that the main pheromone component alone, (E,Z)-2,13-octadecadienyl acetate (ODDA), was effective (presumably by a noncompetitive mechanism) at higher loads per area of crop. Due to the cost of synthesis of highly pure isomers of the V. polistiformis pheromone components, mating disruption of V. polistiformis may be more practical with higher doses of commercially produced Zeuzera pyrina L. blend [95% (E,Z)-2,13-ODDA:5% (E,Z)-3,13-octadecadien-1-ol] or with (E,Z)-2,13-ODDA alone than with the V. polistiformis blend at lower rates.

[Myositis as a 'radiation-recall phenomenon' following palliative chemotherapy with carboplatin-gemcitabin for non-small-cell pulmonary carcinoma]. / Myositis als 'radiatie-recallfenomeen' na palliatieve chemotherapie met carboplatine-gemcitabine voor niet-kleincellig longcarcinoom.

A 58-year-old woman suffered pain due to a stage-IV adenocarcinoma of the right upper-lung lobe with signs of growth into the right axilla. Palliative local radiotherapy directed at the primary tumour followed by combination chemotherapy with carboplatin-gemcitabin led to partial remission. During the fourth and last cycle of her three-months course of chemotherapy, the patient again complained of pain in the right half of the thorax; later, a local swelling of the pectoralis muscles was found. She was diagnosed with myositis as a delayed reaction to irradiation (radiation-recall phenomenon) based on the clinical symptoms (redness of the skin, pain and distinct swelling) but especially on the basis of a CT-scan. This revealed a clear swelling of the pectoralis muscles, even though the tumour was in remission. The possibility of myositis as a radiation-recall phenomenon should be borne in mind whenever a patient presents with skin changes or pain within a previous irradiation field during chemotherapy with, for example, gemcitabin.

Anaerobic biodegradability and digestion in accumulation systems for concentrated black water and kitchen organic-wastes.

The feasibility of two accumulation-systems (AC) for anaerobic digestion and storage of concentrated black water with (AC1) or without (AC2) urine + kitchen organic-wastes was investigated. The waste(water) was collected by two vacuum toilet/transport systems. The influent-total COD of the AC2 (53,000 mg/L) was more concentrated by four times than that of the AC1. The suspended COD represented the major part (71-73%) of influent total COD of the two systems. The batch-experiments results showed a high anaerobic biodegradability of the waste(water) (> 85%). The AC systems demonstrated stable performance. There was no inhibition effect of NH4 and VFA concentration decreased in time. Total COD removal of 58% was achieved in both systems, after 105 days at 20 degrees C. Moreover, if only the supernatant in AC1 is withdrawn and the settled sludge stays for the next runs, only 20% of the influent total COD will be in the supernatant. In AC2, 74% of influent ortho-P was removed by precipitation. Therefore, the settled sludge in the AC2 had a high total-P concentration of 1,300 mg/L. The C:N:P ratios of the supernatant and the sludge were 26:13:1 and 35:4.5:1, respectively, in the AC1, and were 28:14:1 and 32:2.4:1, respectively, in AC2.

The effect of operational conditions on the performance of UASB reactors for domestic wastewater treatment.

In this investigation, the performance of Upflow Anaerobic Sludge Blanket (UASB) reactors treating municipal wastewater was evaluated on the basis of: (i) COD removal efficiency, (ii) effluent variability, and (iii) pH stability. The experiments were performed using 8 pilot-scale UASB reactors (120 L) from which some of them were operated with different influent COD (CODInf ranging from 92 to 816 mg/L) and some at different hydraulic retention time (HRT ranging from 1 to 6 h). The results show that decreasing the CODInf, or lowering the HRT, leads to decreased efficiencies and increased effluent variability. During this experiment, the reactors could treat efficiently sewage with concentration as low as 200 mg COD/L. They could also be operated satisfactorily at an HRT as low as 2 hours, without problems of operational stability. The maximum COD removal efficiency can be achieved at CODInf exceeding 300 mg/L and HRT of 6h.

Treatment of domestic sewage in a combined UASB/RBC system. Process optimization for irrigation purposes.

A Rotating Biological Contactor (RBC) was fed with raw domestic wastewater or anaerobic effluents. The experiments were conducted at increasing operational temperatures viz. 11, 20 and 30 degrees C to assess the potential increase in removal efficiencies for the different COD fractions (COD(total), COD(suspended), COD(colloidal) and COD(soluble)), E. coli and in the nitrification rate. The results clearly show that, the RBC at HRT of 2.5 h and OLR of 47 g COD/m2 x d provided a very high residual COD(total) value of 228 mg/l when treating domestic wastewater. This was not the case as compared to the results obtained for the system when operated at the same HRT but at lower OLR's of 27, 20 and 14.5 g COD/m2 x d with a UASB effluent at operational temperatures of 11, 20 and 30 degrees C respectively. The residual COD(total) values amounted to 100, 85 and 72 mg/l in the final effluents. Moreover, a high removal of ammonia and low residual values of E. coli was found for the RBC when treating a UASB effluent at operational temperature of 30 degrees C as compared to the situation for treatment of domestic wastewater and UASB effluent at lower temperatures of 11 and 20 degrees C. It can be concluded that an efficient pre-treatment of sewage implies a substantial reduction of OLR applied to the RBC and consequently improves the residual of COD(total) ammonia and E. coli in the final effluent. Therefore, this study supports using a combined system UASB/RBC for treatment of domestic wastewater for reuse in irrigation.

The IWA Anaerobic Digestion Model No 1 (ADM1).

The IWA Anaerobic Digestion Modelling Task Group was established in 1997 at the 8th World Congress on Anaerobic Digestion (Sendai, Japan) with the goal of developing a generalised anaerobic digestion model. The structured model includes multiple steps describing biochemical as well as physicochemical processes. The biochemical steps include disintegration from homogeneous particulates to carbohydrates, proteins and lipids; extracellular hydrolysis of these particulate substrates to sugars, amino acids, and long chain fatty acids (LCFA), respectively; acidogenesis from sugars and amino acids to volatile fatty acids (VFAs) and hydrogen; acetogenesis of LCFA and VFAs to acetate; and separate methanogenesis steps from acetate and hydrogen/CO2. The physico-chemical equations describe ion association and dissociation, and gas-liquid transfer. Implemented as a differential and algebraic equation (DAE) set, there are 26 dynamic state concentration variables, and 8 implicit algebraic variables per reactor vessel or element. Implemented as differential equations (DE) only, there are 32 dynamic concentration state variables.

Hydrolysis kinetics of dissolved polymer substrates.

In this paper, the relation between the hydrolysis rate of dissolved polymer substrates and sludge concentration was investigated in two ways, viz. by laboratory experiments and by computer simulations. In the simulations, the hydrolysis of dissolved polymer components was regarded as a general depolymerisation process in which the bonds of the parent molecule break randomly until only monomer and dimer components remain. The results illustrate that for the hydrolysis of dissolved polymer substrates the enzyme activity is the rate-limiting factor. Moreover, a general depolymerisation process can describe the enzymatic hydrolysis of these components.

Potential of anaerobic digestion of complex waste(water).

Although they differ greatly in origin complex waste(water)s mainly consist of proteins, lipids, carbohydrates and sometimes lignin in addition. Hydrolysis is the first and generally rate-limiting step in the process of anaerobic digestion of particulate organic substrates. Hydrolysis of particulate polymers can be described by Surface Based Kinetics, but for use in practice the empirical first order relation is advised. Unlike the hydrolysis of protein and carbohydrate, lipid hydrolysis is hardly occurring in the absence of methanogenesis. The latter is probably a physical rather than a biological process and affects the choice for either a one- or a two-step (phase) anaerobic reactor. In the chain of collection and transport, complex wastes often become complex wastewaters simply because of dilution. Dilution not only changes the reactor technology to be applied but also complicates the post-treatment and possibilities for resource recovery. Combining concentrated with diluted waste streams will almost always end up in much more complicated treatment technologies.

Synthesis of cyclic sulfates by halocyclization.

[reaction: see text]. We report the synthesis of cyclic sulfates by halocyclization. The resulting cyclic sulfate products can be opened selectively with sodium azide to transform them into highly functionalized compounds that contain azide, alcohol, and halide groups.

Imaging-guided injection techniques with fluoroscopy and CT for spinal pain management.

Local spinal pain and radiculopathy are common conditions that debilitate millions of Americans annually. Most cases are successfully treated conservatively with rest or physical therapy. Chiropractic manipulation or, in some cases, surgery may also be performed. Percutaneous injection has been used for spinal pain management for many years, but many of these procedures have historically been performed without imaging guidance. Recently, however, newer minimally invasive, imaging-guided percutaneous techniques have been added to the list of available treatment options for spinal pain. Imaging-guided techniques with fluoroscopy or computed tomography increase the precision of these procedures and help confirm needle placement. Cervical, thoracic, lumbosacral, and sacroiliac pain can be evaluated and treated safely and effectively with injections of local anesthetics or long-acting steroids into facet joints, sacroiliac joints, selective nerve roots, spondylolytic areas, and the epidural space. Because imaging-guided techniques appear to provide better results and reduce complication rates, they are becoming more popular despite controversy regarding their effectiveness. Controversy will continue to surround these imaging-guided techniques until large, double-blinded studies become available. In the meantime, there is an increased demand for these procedures from referring physicians, and it is important to be able to safely perform them with a minimum of patient discomfort.

Column robustness case study for a liquid chromatographic method validated in compliance with ICH, VICH, and GMP guidelines.

This article presents a case study in dealing with robustness investigations and attempts by our analytical laboratory to address these issues without sacrificing valuable time in revamping the method validation prior to submission. A liquid chromatographic method is developed for the analysis of a novel triazinetrione anticoccidial product. The method effectively separates the active pharmaceutical ingredient (API), impurities, and preservatives in the API and product formulation. For much of the validation, the method holds up to the rigorous guidelines of the International Conference of Harmonization, the International Cooperation on Harmonization of Technical Requirements for Registration of Veterinary Medicinal Products, and the Good Manufacturing Practices. However, in analyzing a base-degraded sample one of the impurity peaks yields inconsistent retention times (RTs) during a series of injections. When switching the system to another analytical column from the same supplier, this impurity peak elutes at a different retention window and the remaining peaks in the chromatographic profile remain essentially the same. This RT variation of a single peak in the chromatographic profile is observed with additional columns from the same supplier and from different manufacturing lots. This suitability problem is not encountered with the columns used in the method development stage. The method no longer meets the robustness criteria established for pharmaceutical methods. An investigation is commenced and it is discovered that with the addition of tetrabutylammonium hydroxide to the mobile phases, the impurity peak gives a consistent RT in relation to the active peak. The peak shows comparable RTs relative to that of the API peak with columns of different silica lots and bond lots. All peaks, including the aforementioned impurity peak, are well-resolved under the revised high-performance liquid chromatographic conditions. This temporary solution enables continued submission work for FDA, but the robustness of this method is still a concern. After further investigation, it is determined that inhomogeneity of the active sites on the column's stationary phase is the likely culprit. Fortunately, a new column is found to be more suitable for this method and a column qualification study is initiated.

Potential impact of the VITEK 2 system and the Advanced Expert System on the clinical laboratory of a university-based hospital.

A study was designed to assess the impact of the VITEK 2 automated system and the Advanced Expert System (AES) on the clinical laboratory of a typical university-based hospital. A total of 259 consecutive, nonduplicate isolates of Enterobacteriaceae members, Pseudomonas aeruginosa, and Staphylococcus aureus were collected and tested by the VITEK 2 system for identification and antimicrobial susceptibility testing, and the results were analyzed by the AES. The results were also analyzed by a human expert and compared to the AES analyses. Among the 259 isolates included in this study, 245 (94.6%) were definitively identified by VITEK 2, requiring little input from laboratory staff. For 194 (74.9%) isolates, no inconsistencies between the identification of the strain and the antimicrobial susceptibility determined by VITEK 2 were detected by the AES. Thus, no input from laboratory staff was required for these strains. The AES suggested one or more corrections to results obtained with 65 strains to remove inconsistencies. The human expert thought that most of these corrections were appropriate and that some resulted from a failure of the VITEK 2 system to detect certain forms of resistance. Antimicrobial phenotypes assigned to the strains by the AES for beta-lactams, aminoglycosides, quinolones, macrolides, tetracyclines, and glycopeptides were similar to those assigned by the human expert for 95.7 to 100% of strains. These results indicate that the VITEK 2 system and AES can provide accurate information in tests for most of the clinical isolates examined and remove the need for human analysis of results for many. Certain problems were identified in the study that should be remediable with further work on the software supporting the AES.

Paraganglioma of the temporal bone: role of magnetic resonance imaging versus computed tomography.

Paragangliomas, also known as glomus tumors or chemodectomas, are tumors arising from chemoreceptor tissue (paraganglia), which are neural crest in origin and found in higher concentration along the glossopharyngeal and vagal cranial nerve. Three types of paragangliomas are related with the temporal bone: glomus tympanicum, glomus jugulare, and glomus vagale. The role of computed tomography (CT) and magnetic resonance imaging (MRI) in diagnosing these types of tumors is discussed, along with the importance of arteriography in aiding the diagnosis and treatment. This article discusses the choice between CT and MR based on clinical symptoms and tumor location, and illustrates the newest CT, MR, and angiography applications. A brief discussion on treatment options is given.

Radiofrequency catheter ablation of supraventricular tachycardia substrates after mustard and senning operations for d-transposition of the great arteries.

OBJECTIVES: The purpose of this study was to determine the efficacy and risks of radiofrequency ablation of various forms of supraventricular tachycardia after Mustard and Senning operations for d-transposition of the great arteries. BACKGROUND: In this patient group, the reported success rate of catheter ablation of intraatrial reentry tachycardia is about 70% with a negligible complication rate. There are no reports of the use of radiofrequency ablation to treat other types of supraventricular tachycardia. METHODS: Standard diagnostic criteria were used to determine supraventricular tachycardia type. Appropriate sites for attempted ablation included 1) intraatrial reentry tachycardia: presence of concealed entrainment with a postpacing interval similar to tachycardia cycle length; 2) focal atrial tachycardia: a P-A interval < or =-20 ms; and 3) typical variety of atrioventricular (AV) node reentry tachycardia: combined electrographic and radiographic features. RESULTS: Nine Mustard and two Senning patients underwent 13 studies to successfully ablate all supraventricular tachycardia substrates in eight (73%) patients. Eight of eleven (73%) patients having intraatrial reentry tachycardia, 3/3 having typical AV node reentry tachycardia, and 2/2 having focal atrial reentry tachycardia were successfully ablated. Among five patients having intraatrial reentry tachycardia (IART) and not having ventriculoatrial (V-A) conduction, two suffered high-grade AV block when ablation of the systemic venous portion of the medial tricuspid valve/inferior vena cava isthmus was attempted. CONCLUSIONS: Radiofrequency catheter ablation can be effectively and safely performed for certain supraventricular tachycardia types in addition to intraatrial reentry. A novel catheter course is required for slow pathway modification. High-grade AV block is a potential risk of lesions placed in the systemic venous medial isthmus.

Ability of the VITEK 2 advanced expert system To identify beta-lactam phenotypes in isolates of Enterobacteriaceae and Pseudomonas aeruginosa.

The Advanced Expert System (AES) was used in conjunction with the VITEK 2 automated antimicrobial susceptibility test system to ascertain the beta-lactam phenotypes of 196 isolates of the family Enterobacteriaceae and the species Pseudomonas aeruginosa. These isolates represented a panel of strains that had been collected from laboratories worldwide and whose beta-lactam phenotypes had been characterized by biochemical and molecular techniques. The antimicrobial susceptibility of each isolate was determined with the VITEK 2 instrument, and the results were analyzed with the AES to ascertain the beta-lactam phenotype. The results were then compared to the beta-lactam resistance mechanism determined by biochemical and molecular techniques. Overall, the AES was able to ascertain a beta-lactam phenotype for 183 of the 196 (93.4%) isolates tested. For 111 of these 183 (60.7%) isolates, the correct beta-lactam phenotype was identified definitively in a single choice by the AES, while for an additional 46 isolates (25.1%), the AES identified the correct beta-lactam phenotype provisionally within two or more choices. For the remaining 26 isolates (14.2%), the beta-lactam phenotype identified by the AES was incorrect. However, for a number of these isolates, the error was due to remediable problems. These results suggest that the AES is capable of accurate identification of the beta-lactam phenotypes of gram-negative isolates and that certain modifications can improve its performance even further.

A pilot study of antibiotic cycling in a hematology-oncology unit.

OBJECTIVE: To determine the safety and treatment efficacy of cycling antibiotic regimens for prophylaxis or treatment of patients with profound neutropenia. DESIGN: A prospective, nonrandomized, observational trial. SETTING: A 20-bed adult hematology-oncology inpatient unit at a university referral hospital. PATIENTS: Hospitalized adult patients with chemotherapy- or radiation-induced neutropenia (absolute neutrophil count less than 500 cells/mm3). INTERVENTION: Between July 1994 and January 1996, 295 hospitalized patients were evaluated on an intent-to-treat basis for the cycling protocol. Of these, 271 were eligible and assigned to one of four antibiotic regimens being used at the time of enrollment: (1) ceftazidime+vancomycin; (2) imipenem; (3) aztreonam+cefazolin; (4) ciprofloxacin+clindamycin. Data on infection rates and types, and antibiotic resistance patterns, toxicity, and effectiveness were collected. RESULTS: Twenty-four patients were excluded. Of the 271 evaluable patients, 123 (42%) were able to complete treatment on the assigned regimen. Of the 148 patients (50%) unable to do so, the reasons for failure included persistent fever (79%), breakthrough bacteremia (14%), and drug toxicity (7%). The antibiotic susceptibility profiles over the study period showed no increase in resistance. However, there was a marked increase in enterococcal infections. CONCLUSIONS: Our data show no significant increase in side effects or decrease in efficacy while cycling antibiotics among neutropenic patients and thus support further study of its role.

Anaerobic hydrolysis kinetics of particulate substrates.

A mathematical description of the surface related hydrolysis kinetics for spherical particles in a batch digestion is presented as well as a verification of this model with particulate starch as a substrate. Three substrates containing starch with different particle size distributions (PSD) were used. Two were obtained from fresh potatoes by wet sieving and for the third substrate a commercially available starch was used. The substrates were batch digested at 30 degrees C with granular sludge as inoculum and the hydrolysis efficiency was measured and fitted with the model. The results revealed that the hydrolysis rates for the three substrates were equal, viz. 0.4 +/- 0.1 g starch/m2/hour. Moreover, for the commercial starch not only the hydrolysis efficiency but also the changes within the PSD of the starch was determined several times with the use of light microscopy and image analysis. The obtained experimental PSD showed good similarity with the theoretical PSD from model calculations. This shows that the surface of the particulate substrate is the key factor for the hydrolysis process.