A method to determine the combined effects of climate change (temperature and humidity) and eggshell thickness on water loss from bird eggs.

Differences in bird eggshell thicknesses occur due to numerous factors, including thinning due to persistent organic pollutants. Not only does thinning weaken the shell; weaker shells combined with elevated ambient temperature and changes in humidities may result in changes in water loss rates from the egg contents. Therefore, thinner eggshells raise concern of water being lost faster than normal at lower relative humidities, which may affect hatching. To investigate the combined effects, we developed and tested an effective method that measures water loss through different thickness eggshells at controlled temperatures and relative humidities to assist in ascertaining the combined effects of climate change (temperature and humidity) and changes in eggshell thickness on bird reproduction. The fastest rate of loss was at 40% RH at 40 °C (0.1 mL/cm2/day), and the slowest was at 22 °C at 80% RH (0.02 mL/cm2/day). Eggshell thickness had a significant effect on water loss at all humidity treatments, except at the highest temperature and humidity treatment (80% RH and 40 °C). Temperature explained 40% of the variance, RH explained 20%, and interactions between temperature and humidity explained 15% of the variance (repeated-measures, two-way ANOVA). Generalized linear analyses revealed that both factors temperature and humidity contributed significantly in any two-way combinations. We have laid the ground for a system to test the combined effects of temperature and humidity changes associated with climate change and eggshell thinning associated with pollutants, on water loss across eggshells.

The (a)-Symptomatic Vertebral Fracture: A Frequently Discovered Entity With Clinical Relevance in Fracture Patients Screened on Osteoporosis.

OBJECTIVE: Description of the prevalence of vertebral fractures in a fracture and osteoporosis outpatient clinic (FO-Clinic) and evaluation of the value of spinal radiographs by screening on osteoporosis. DESIGN: Retrospective data collection, description, and analysis. METHODS: All patients admitted to the FO-Clinic during the period of December 2005 until October 2006 were enrolled in this study. At the FO-Clinic spinal radiographs were obtained and bone mineral density (BMD) was measured by Dual energy X-ray-Absorptiometry (DXA). RESULTS: During the study period, a total of 176 patients were screened at our FO-Clinic. In 41.5% of these patients, a vertebral fracture was diagnosed. There appeared to be an indication for anti-osteoporotic medication in 95 of the 176 patients. Of these 95 patients, 77% could be identified by spinal radiographs. Moreover, only 36% of all patients with a vertebral fracture did suffer from osteoporosis. CONCLUSION: The prevalence of vertebral fractures in patients screened at an FO-Clinic is high and spinal radiographs can identify up to 77% of patients in which anti-osteoporotic medication should be considered. However, fracture risk is not only dependent on bone quality but also on bone density. Therefore, the preferred method of screening on osteoporosis is DXA with vertebral fracture assessment and, if necessary, spinal radiographs. If DXA is not available, spinal radiographs might be used as a first step in osteoporosis screening.

The role of endorectal ultrasound in therapeutic decision-making for local vs. transabdominal resection of rectal tumors.

INTRODUCTION: In rectal tumors, preoperative biopsies frequently fail to diagnose an invasive carcinoma. Endorectal ultrasound is considered a useful adjunct in preoperative staging of rectal tumors. However, feasibility of endorectal ultrasound and its role in therapeutic decision-making in presumed rectal adenomas is sparsely studied. METHODS: Endorectal ultrasound was performed in 268 tumors referred for local excision because biopsies showed tubulovillous adenoma. Feasibility of endorectal ultrasound was studied and ultrasound staging was compared with definite histopathologic findings. RESULTS: In 231 tumors, endorectal ultrasound was technically feasible (86 percent). Median distance from the dentate line was 11 cm in nonassessable tumors and 7 cm in assessable tumors (P < 0.001). In 21 tumors, endorectal ultrasound was not conclusive, mainly in tumors being recurrent or after recent endoscopic manipulation (P < 0.001). With endorectal ultrasound the rate of preoperative missed carcinomas could be reduced from 21 to 3 percent (P < 0.01). In diagnosing tubulovillous adenomas, sensitivity and specificity of endorectal ultrasound was 89 and 86 percent, respectively. CONCLUSIONS: Endorectal ultrasound is technically feasible in almost all presumed rectal adenomas, referred for local excision. Proper endorectal ultrasound interpretation is possible in 78 percent of all presumed rectal adenomas. Endorectal ultrasound is very reliable in diagnosing tubulovillous adenomas, and therapeutic decision-making regarding local excision vs. radical surgery based on endorectal ultrasound is valid.

The mechanism of red cell (dis)aggregation investigated by means of direct cell manipulation using multiple optical trapping.

We used multiple optical trapping to study the mechanism of red cell (dis)aggregation. Two sets of optical 'tweezers' were used to bring two red blood cells together to form a two-cell aggregate and then to pull them apart, to study the interaction between the cells. We found that cross-bridging occurred in normal reversible aggregation as we observed binding and the occurrence of small tethers between opposite cell membranes. Furthermore, the cells could only be parted by sliding them side by side with a maximum velocity in the order of microm/s indicating accumulation of the cross-bridges.

A new method to study shape recovery of red blood cells using multiple optical trapping.

In this new method for studying the shape recovery of deformed red blood cells, three optical traps ("optical tweezers") induce a parachute-shaped red cell deformation, which is comparable to the deformation in small capillaries. The shape recovery is recorded, and a relaxation time is obtained for each individual red blood cell. The sensitivity of this technique for the detection of differences in relaxation times is demonstrated on subpopulations of density-separated red blood cells: "young" cells have shorter (162 ms) and "old" cells have longer (353 ms) relaxation times compared with the total population (271 ms). The relaxation time is remarkably shorter (114 ms) when the plasma surrounding the cells is replaced by a phosphate-buffered saline solution. The main advantages of this technique are the relatively short measuring and preparation time and the physiological type of deformation and shape recovery in which all relevant cell properties play a role. Therefore, especially when automated further, the technique may be a powerful tool for the study of (sub)populations of pathological red blood cells.

The effect of recombinant human erythropoietin on hemostasis, fibrinolysis, and blood rheology in autologous blood donors.

Treatment with recombinant human erythropoietin (rhEPO) for the anemia of end-stage renal disease has been associated with thrombotic complications. To detect prothrombotic changes in autologous blood donors given 500 U/kg rhEPO subcutaneously (twice weekly during a 3-week period), changes in variables of hemostasis and fibrinolysis and in blood rheology before and at the end of treatment were investigated. In 21 patients, platelet count increased from 272 +/- 55 x 10(9)/L to 313 +/- 55 x 10(9)/L (p < 0.05). Although activated partial thromboplastin time and protein C antigen decreased significantly during rhEPO treatment, these changes remained within normal ranges. No changes in the hemostatic variables prothrombin time, fibrinogen, factor V, von Willebrand factor antigen, antithrombin III activity, protein S antigen, and prothrombin fragments F 1 + 2 were found. Measurements of plasminogen activity, alpha 2-antiplasmin activity, tissue plasminogen activator, and plasminogen activator inhibitor-1, representing variables of fibrinolysis, were normal and constant during the study. In 5 patients no changes in red cell deformability and whole blood viscosity, corrected for differences in hematocrit, were observed. Plasma viscosity showed a slight but clinically not relevant increase in 4 out of 5 patients. The absence of evident (pro)thrombotc changes in this study confirms the safety of high-dose rhEPO therapy in autologous blood donors, who donate 2 units (i.e., 2 x 450 ml) of blood.

Near-wall excess of platelets induced by lateral migration of erythrocytes in flowing blood.

In this study we present experimental data on the inhomogeneous distribution of platelets in polyethylene tubes (200 microns diam) based on the inverse Fåhraeus effect for platelets. It is shown that platelets are expelled toward the red blood cell-depleted marginal layer near the tube wall by mutual interaction with erythrocytes. By means of a straightforward model, the near-wall concentration of platelets could be estimated from measurements on the average tubular platelet concentration. The marginal layer originates from the hydrodynamic interaction of the deformable erythrocytes with the tube wall. If the tube diameter is large compared with the size of the erythrocytes, the lateral migration effects can effectively be scaled on the absolute distance between the erythrocytes and the tube wall. This results in the main conclusion that the near-wall concentration of platelets is significantly enhanced up to about seven times the average concentration, practically irrespective of the tube diameter in the range of 100-500 microns. Where comparable, the results of this study are in accordance with experimental data of other authors.