Maternal diabetes and fetal cardiac output.

BACKGROUND: The intrauterine environment is a key determinant for long-term health outcomes. Adverse fetal environments, such as maternal diabetes, obesity and placental insufficiency are strongly associated with long-term health risks in children. Little is known about differences in fetal cardiac output hemodynamics of diabetic mothers (DM) vs. non-diabetic mothers (NDM). Our study aims to investigate the left-sided, right-sided, and combined cardiac output (CCO) in fetuses of DM vs. NDM. METHODS: Retrospective data were collected in fetuses of DM (N = 532) and NDM (103) at mean gestational age 24 weeks. Examination included 2D echo and pulse wave Doppler. Wilcoxon rank sum tests and Chi-square tests were used to test for distribution difference of maternal and fetal continuous and categorical measures respectively between DM and NDM. Intraclass correlation coefficients were calculated to assess intra-observer reliability of fetal cardiac measurements. RESULTS: DM mothers had higher mean weight (89.7±22.2 kg) than NDM (76.8±19.8 kg), p < 0.0001 and higher mean BMI (33.4±7.5) than NDM (28.3±5.8), p < 0.0001. C-section delivery occurred in 66% of DM vs. 35% of NDM fetuses. Fetuses of DM mothers had significantly larger semilunar valve diameter, higher left ventricular (LV) output, higher combined cardiac output and lower right ventricle /left ventricle ratio compared to NDM. CONCLUSION: The greater CCO (adjusted for fetal weight), left sided cardiac output in the fetuses of DM, compared to NDM, represent differences in cardiac adaptation to the diabetic environment.

HP-sequence design for lattice proteins--an exact enumeration study on diamond as well as square lattice.

We present an exact enumeration algorithm for identifying the native configuration--a maximally compact self-avoiding walk configuration that is also the minimum energy configuration for a given set of contact-energy schemes; the process is implicitly sequence-dependent. In particular, we show that the 25-step native configuration on a diamond lattice consists of two sheet-like structures and is the same for all the contact-energy schemes, {(-1, 0, 0); (-7, -3, 0); (-7, -3, -1); (-7, -3, 1)}; on a square lattice also, the 24-step native configuration is independent of the energy schemes considered. However, the designing sequence for the diamond lattice walk depends on the energy schemes used whereas that for the square lattice walk does not. We have calculated the temperature-dependent specific heat for these designed sequences and the four energy schemes using the exact density of states. These data show that the energy scheme (-7, -3, -1) is preferable to the other three for both diamond and square lattice because the associated sequences give rise to a sharp low-temperature peak. We have also presented data for shorter (23-, 21-, and 17-step) walks on a diamond lattice to show that this algorithm helps identify a unique minimum energy configuration by suitably taking care of the ground-state degeneracy. Interestingly, all these shorter target configurations also show sheet-like secondary structures.

Dynamics of a driven surface.

We present a Monte Carlo study of an Edwards-Wilkinson type of surface when it is driven by another random surface which drifts with a rate 0

A growth walk model for estimating the canonical partition function of interacting self-avoiding walk.

We have explained in detail why the canonical partition function of interacting self-avoiding walk (ISAW) is exactly equivalent to the configurational average of the weights associated with growth walks, such as the interacting growth walk (IGW), if the average is taken over the entire genealogical tree of the walk. In this context, we have shown that it is not always possible to factor the density of states out of the canonical partition function if the local growth rule is temperature dependent. We have presented Monte Carlo results for IGWs on a diamond lattice in order to demonstrate that the actual set of IGW configurations available for study is temperature dependent even though the weighted averages lead to the expected thermodynamic behavior of ISAW.

Coil-globule transition of a single short polymer chain: an exact enumeration study.

The authors present an exact enumeration study of short self-avoiding walks in two as well as in three dimensions that addresses the question, "what is the shortest walk for which the existence of all the three scaling regimes--coil, globule, and the theta--could be demonstrated." Even though they could easily demonstrate the coil and the globule phase from free energy considerations, they could demonstrate the existence of a theta temperature only by using a scaling form for the distribution of gyration radius. That even such short walks have a scaling behavior is an unexpected result of this work.

Interacting growth walk: a model for hyperquenched homopolymer glass?

We show that the compact self-avoiding walk configurations, kinetically generated by the recently introduced interacting growth walk (IGW) model, can be considered as members of a canonical ensemble if they are assigned random values of energy. Such a mapping is necessary for studying the thermodynamic behavior of this system. We have presented the specific heat data for the IGW, obtained from extensive simulations on a square lattice; we observe a broad hump in the specific heat above the theta point, contrary to expectation.

Interacting growth walk: a model for generating compact self-avoiding walks.

We propose an algorithm based on local growth rules for kinetically generating self-avoiding walk configurations at any given temperature. This algorithm, called the interacting growth walk (IGW) model, does not suffer from attrition on a square lattice at zero temperature, in contrast to the existing algorithms. More importantly, the IGW model facilitates growing compact configurations at lower temperatures--a feature that makes it attractive for studying a variety of processes such as the folding of proteins. We demonstrate that our model correctly describes the collapse transition of a homopolymer in two dimensions.

Sticky spheres, entropy barriers, and nonequilibrium phase transitions.

A sticky spheres model to describe slow dynamics of a nonequilibrium system is proposed. The dynamical slowing down is due to the presence of entropy barriers. An exact steady state analysis of the representative mean field equations, in the case when the clusters are chosen with the same a priori probability, demonstrates a nonequilibrium phase transition from an exponential cluster size distribution to a power law.

Reaction of porcine pancreatic elastase with 7-substituted 3-alkoxy-4-chloroisocoumarins: design of potent inhibitors using the crystal structure of the complex formed with 4-chloro-3-ethoxy-7-guanidinoisocoumarin.

The crystal structure of the acyl enzyme formed upon inhibition of porcine pancreatic elastase (PPE) by 4-chloro-3-ethoxy-7-guanidinoisocoumarin has been determined at a 1.85-A effective resolution. The chlorine atom is still present in this acyl enzyme, in contrast to the previously reported structure of the 7-amino-4-chloro-3-methoxyisocoumarin-PPE complex where the chlorine atom has been replaced by an acetoxy group. The guanidino group forms hydrogen bonds with the carbonyl group and side-chain hydroxyl group of Thr-41, and the acyl carbonyl group has been twisted out of the oxyanion hole. Molecular modeling indicates that the orientation of the initial Michaelis enzyme-inhibitor complex is quite different from that of the acyl enzyme since simple reconstruction of the isocoumarin ring would result in unfavorable interactions with Ser-195 and His-57. Molecular models were used to design a series of new 7-(alkylureido)- and 7-(alkylthioureido)-substituted derivatives of 3-alkoxy-7-amino-4-chloroisocoumarin as PPE inhibitors. All the 3-ethoxyisocoumarins were better inhibitors than those in the 3-methoxy series due to better interactions with the S1 pocket of PPE. The best ureido inhibitor also contained a tert-butylureido group at the 7-position of the isocoumarin. Due to a predicted interaction with a small hydrophobic pocket on the surface of PPE, this isocoumarin and a related phenylthioureido derivative are among the best irreversible inhibitors thus far reported for PPE (kobs/[I] = 8100 M-1 s-1 and 12,000 M-1 s-1). Kinetic studies of the stability of enzyme-inhibitor complexes suggest that many isocoumarins are alkylating the active site histidine at pH 7.5 via a quinone imine methide intermediate, while at pH 5.0, the predominant pathway appears to be simple formation of a stable acyl enzyme derivative.

Pseudomonas maltophilia bacteremia associated with a prolapsed mitral valve.

A 53-year-old man had had recurrent episodes of transient visual loss, malaise and a heart murmur. Blood cultures repeatedly grew Pseudomonas maltophilia, a frequent opportunistic pathogen, and echocardiogram documented mitral-valve prolapse. The risk of bacterial endocarditis is stressed.