Biofilm resilience to desiccation in groundwater aquifers: a laboratory and field study.

Groundwater is used as a precious resource for drinking water worldwide. Increasing anthropogenic activity is putting increasing pressure on groundwater resources. One impact of increased groundwater abstraction coupled with increasing dry weather events is the lowering of groundwater levels within aquifers. Biofilms within groundwater aquifers offer protection to the groundwater by removing contaminants entering the aquifer systems from land use activities. The study presented investigated the impact of desiccation events on the biofilms present in groundwater aquifers using field and laboratory experiments. In both field and laboratory experiments a reduction in enzyme activity (glucosidase, esterase and phosphatase) was seen during desiccation compared to wet controls. However, comparing all the data together no significant differences were seen between either wet or desiccated samples or between the start and end of the experiments. In both field and laboratory experiments enzyme activity recovered to start levels after return to wet conditions. The study shows that biofilms within groundwater systems are resilient and can withstand periods of desiccation (4 months).

Low-level laser therapy improves peri-implant bone formation: resonance frequency, electron microscopy, and stereology findings in a rabbit model.

Previous studies have reported positive effects of low-level laser therapy (LLLT) on bone healing. This study evaluated the effects of LLLT on peri-implant healing in vivo. Thirty-two rabbits had their mandibular left incisors removed, followed by immediate insertion of a dental implant into the fresh socket. Animals were assigned randomly to four groups: control (non-irradiated) or LLLT at three different doses per session: 5J/cm(2), 10J/cm(2), and 20J/cm(2). A GaAlAs laser (830nm, 50mW) was applied every 48h for 13 days, starting immediately after surgery. The implant stability quotient (ISQ) was measured using resonance frequency analysis upon implant insertion and immediately after death, 30 days after the last application. Tissues were prepared for scanning electron microscopy (SEM) and stereology. Variables measured were bone-implant contact (BIC) and bone neoformation within implant threads at three different sites. The results showed better ISQ for the 20J/cm(2) group (P=0.003). BIC values were significantly higher (P<0.05) in the 20J/cm(2) group, on both SEM and stereology. Bone area values were better in the 10J/cm(2) (P=0.036) and 20J/cm(2) (P=0.016) groups compared to the control group. Under these conditions, LLLT enhanced peri-implant bone repair, improving stability, BIC, and bone neoformation. The findings support and suggest parameters for the design of clinical trials using LLLT after implant placement.

Failure to ventilate with supraglottic airways after drowning.

We report the failure of an i-gel and an Ambu AuraOnce supraglottic airway to ventilate a drowning victim. Failure was attributed to changes in lung physiology following submersion and inhalation of water that may have required ventilation pressures up to 40 cmH2O to treat the victim's hypoxaemia. The ease of use and rapid insertion of supraglottic airways without interrupting cardiac compression has prompted recommendations for their use during resuscitation. The relatively low leak pressures attainable from many supraglottic airways, however may cause inadequate lung ventilation and entrainment of air into the stomach when these devices are used in drowning victims.

Binary liquid mixtures in porous solids.

The technique of nuclear magnetic resonance cryoporometry has been used to study the behavior of binary liquid mixtures of water and decane in porous sol-gel silicas. It was observed that the water preferentially adsorbed onto the silica surface and so was able to displace the decane from the pores.

Pore surface exploration by NMR.

A carefully chosen set of experimental techniques applied to porous media characterization provides results that can be much greater than the sum of the individual parts. The inter-relation and complementarity of a number of techniques will be considered. NMR cryoporometry provides a valuable method of pore size measurement. An NMR method that is more widely used to assess pore dimensions relies on relaxation time analysis of a liquid that fills the pores and the enhanced relaxation that occurs in a liquid at the solid/liquid interface. Thermoporometry, a method based on the application of Differential Scanning Calorimetry (DSC), is closely related to cryoporometry, but employs a different set of assumptions to evaluate pore size distributions. Comparison of the results obtained on the same samples using all these methods together with gas adsorption serves to validate the methods and provide significantly more information about surface-fluid interaction and the behavior of nano-scale material within pores than each method employed in isolation. Technique developments will be discussed and applications of these methods to ideal silicas will be used to illustrate their power, particularly in combination.

An evaluation of NMR cryoporometry, density measurement and neutron scattering methods of pore characterisation.

Sol-gel silicas with nominal pore diameters ranging from 25A to 500A were studied by NMR cryoporometry, and by neutron diffraction and small angle scattering from dry silicas over the Q range 8. 10(-4)A(-1) < or = Q < or = 17A(-1). Density and imbibation experiments were also performed. Geometric models of porous systems were constructed and were studied by both analytic techniques and Monte-Carlo integration. These models, combined with the information from the above measurements, enabled the calculation of the fully density corrected solid-solid density correlation functions G(r) for the sol-gel silicas, deduction of the (voidless) silica matrix density, measurement of the silica fraction in the grain and of the packing fraction of the silica grains and an estimation of the water equivalent residual hydrogen on the dried silica surface. In addition, the pore diameter D, pore diameter to lattice spacing ratio D/a, and pore and lattice variance sigma could also be measured. While the NMR cryoporometry pore diameter measurements for the sol-gel silicas show excellent co-linearity with the nominal pore diameters as measured by gas adsorption, and the calculated pore diameters from the measured neutron scattering show surprisingly good agreement with these measurements at large pore diameters, there is a divergence between the calibrations for pore diameters below about 100A.

Pore size distribution mapping.

Pore size distribution mapping has been demonstrated using NMR cryoporometry in the presence of a magnetic field gradient. This novel method is extendable to 2D and 3D mapping. It offers a unique nondestructive method of obtaining full pore-size distributions in the range 3 to 100 nm at any point within a bulk sample.

MR imaging of the pediatric airway.

The mainstays of initial evaluation of the airway in infants and children are chest radiography and esophagography. Magnetic resonance (MR) imaging is frequently used next to diagnose specific abnormalities and obviates angiocardiography. MR imaging usually allows distinction between a double aortic arch and a right aortic arch with an aberrant left subclavian artery. In cases of pulmonary artery sling, MR imaging enables full evaluation of the vascular anatomy and may also demonstrate the tracheobronchial anomalies. MR imaging may aid in diagnosis of innominate artery compression syndrome by demonstrating the extent of the tracheal luminal narrowing, the tracheal configuration, the structure causing the compression, and the size of the thymus. Finally, MR imaging usually allows distinction of long-segment tracheal stenosis from tracheomalacia and is especially helpful in cases of isolated stenosis. Three-dimensional reconstructions are also useful in assessing relationships between vascular structures and the adjacent trachea.

Magnetic resonance imaging after arterial portography with manganese dipyridoxal diphosphate.

RATIONALE AND OBJECTIVES: The authors assess performing hepatic magnetic resonance imaging (MRI) after arterial portography with manganese dipyridoxal diphosphate (MnD-PDP), a hepatobiliary contrast agent, as an invasive but potentially highly sensitive means of focal lesion detection. METHODS: Eight pigs underwent superior mesenteric artery catheterization and injection of 10 mumol/kg MnDPDP. Magnetic resonance imaging at 1.5 T (SE-140/10) was performed before, then at 15 and 30 minutes after injection. Seven or more days later, the same MRI protocol was performed after intravenous injection of 10 mumol/kg MnDPDP. RESULTS: Fifteen minutes after intra-arterial injection, enhancement of the liver predominated (86 +/- 13%), followed by the renal cortex (44 +/- 14%), pancreas (26 +/- 9%), and spleen (14 +/- 9%). At 30 minutes, enhancement of renal cortex significantly increased (50 +/- 14%). There was no significant difference in enhancement of the liver, spleen, pancreas, or renal cortex when we compared intra-arterial and intravenous administration. CONCLUSION: After the injection of 10 mumol/kg MnDPDP into the superior mesenteric artery of pigs there is no significant difference in visceral organ enhancement compared to intravenous administration. The data suggests that the hepatocyte binding sites may be overwhelmed by this dose and/or injection rate of MnDPDP.

Index finger pollicization for congenital aplasia or hypoplasia of the thumb.

Sensation, strength, dexterity, length, and range of motion were evaluated after index finger pollicization in 10 patients (14 hands). Diagnoses included congenital absence of the thumb (10 hands) and hypoplasia (4 hands). Average age at operation was 7 years, and follow-up averaged 9 years. Patients with unilateral pollicization averaged 67% grip strength, 60% lateral pinch, 56% palmar pinch, and 39% three-point pinch as compared with the normal contralateral hand. Manual dexterity averaged 70% efficiency as compared with normal standards defined according to age and sex. However, 55% of the patients, when stressed, used side-to-side pinch. It was noted that in those patients who used side-to-side pinch performance averaged 54% of normal standards, compared with 93% in patients who used tip-to-tip pinch for prehension.

Stabilization of the distal ulna.

Stabilization of the remaining distal ulna following its resection for various disorders resulting in pain and instability of this joint is necessary for long-term satisfactory results. The method described uses a distally based flap of the extensor carpi ulnaris to provide stability of the distal ulna and support to the carpus along its ulnar border.