Cavernous hemangiomas in children

Cavernous angiomas are histologically benign hamartomas, showing no potential for metastasis. Clinically, patients present with convulsions, hemorrhage, or signs of mass effect. Although many cases exhibit ossification on X-ray, the main means of diagnosis is computed tomography. This, in turn, has led to earlier diagnoses being made in much younger patients. Early diagnosis is a matter of urgency as patients are otherwise exposed to the continuing threat of rupture. As cavernous angiomas are operable, the prognosis is usually good.

Synthesis of an aza analogue of 2-deoxy-D-ribofuranose and its homologues

Azasugars were obtained in one-pot reactions by catalytic reduction reactions of amino group precursors in aldosugars followed by intramolecular reductive amino alkylation reactions. (3R,4S)-4-[(1S)-1,2-Dihydroxyethyl]pyrrolidin-3-ol was obtained from D-xylose by two different strategies through 3-C-cyano-3-deoxy-D-ribo-pentofuranose or 3-C-azidomethyl-3-deoxy-D-ribo-pentofuranose in 6 and 16% overall yields, respectively. The oxidative cleavage of the diol group in the corresponding Fmoc-azasugar followed by deprotection afforded (3R,4R)-4-(hydroxymethyl)pyrrolidin-3-ol. (3R,4S)-4-[(1S,2R)-1,2,3-Trihydroxypropyl]pyrrolidin-3-ol was synthesized from diacetone-D-glucose through 3-deoxy-3-C-nitromethyl-D-allose and the overall yield was 7%.

Mechanistic studies with solubilized rat liver steroid 5 alpha-reductase: elucidation of the kinetic mechanism

A solubilized preparation of steroid 5 alpha-reductase (EC 1.3.1.30) from rat liver has been used in studies focused toward an understanding of the kinetic mechanism associated with enzyme catalysis. From the results of analyses with product and dead-end inhibitors, a preferentially ordered binding of substrates and release of products from the surface of the enzyme is proposed. The observations from these experiments were identical with those using the steroid 5 alpha-reductase activity associated with rat liver microsomes. The primary isotope effects on steady-state kinetic parameters when [4S-2H]NADPH was used also were consistent with an ordered kinetic mechanism. Normal isotope effects were observed for all three kinetic parameters (Vm/Km for both testosterone and NADPH and Vm) at all substrate concentrations used experimentally. Upon extrapolation to infinite concentration of testosterone, the isotope effect on Vm/Km for NADPH approached unity, indicating that the nicotinamide dinucleotide phosphate is the first substrate binding to and the second product released from the enzyme. The isotope effects on Vm/Km for testosterone at infinite concentration of cofactor and on Vm were 3.8 +/- 0.5 and 3.3 +/- 0.4, respectively. Data from the pH profiles of these three steady-state parameters and the inhibition constants (1/Ki) of competitive inhibitors versus both substrates indicate that the binding of nicotinamide dinucleotide phosphate involves coordination of its anionic 2'-phosphate to a protonated enzyme-associated base with an apparent pK near 8.0. From these results, relative limits have been placed on several of the internal rate constants used to describe the ordered mechanism of the rat liver steroid 5 alpha-reductase.

Inhibition of rat liver steroid 5 alpha-reductase by 3-androstene-3-carboxylic acids: mechanism of enzyme-inhibitor interaction

The interactions of a series of newly discovered inhibitors of delta 4-3-oxo-steroid 5 alpha-reductase (SR; EC 1.3.1.30), the 3-androstene-3-carboxylic acids (steroidal acrylates), have been studied by using a solubilized rat liver enzyme preparation. As exemplified by one member of this series, 17 beta-[N,N-diisopropyl-carbamoyl)androst-3,5-diene-3-carboxylic acid (1a), the dead-end inhibition patterns of selected compounds in this class are best evaluated by a linear uncompetitive kinetic model versus either substrate, testosterone (T) or NADPH. These results were interpreted within the context of the preferentially ordered kinetic mechanism for rat liver SR to arise from the association of inhibitor to the binary complex of enzyme and NADP+. This proposed inhibition mechanism was supported by data from double-inhibition experiments implicating the synergistic binding of steroidal acrylate and NADP+ to SR. Further evidence for the preferential formation of this ternary complex was obtained from filtration binding assays with [3H]-1a, where radioligand association to protein was greatly enhanced in the presence of NADP+. The amount of [3H]-1a binding to protein was proportional to the specific activity of SR in the enzyme preparations, and the estimated dissociation constant from binding data by Scatchard analysis (Kd = 25 nM) was comparable to the inhibition constants estimated for SR activity (Ki = 12-26 nM). From the pH profile for inhibition of the solubilized liver SR with 1a, it is proposed that the anion of the steroidal acrylate (pK1 = 4.7 +/- 0.2) is the active inhibitory species, coordinating to a protonated active site functionality (pK2 = 7.5 +/- 0.1). On the basis of data from similar experiments with structural analogues of 1a, the determinants for binding recognition and inhibitory potency are compared to structural features of the putative enzyme-bound intermediate states. These compounds represent a potential therapeutic alternative in the treatment of 5 alpha-dihydrotestosterone specific androgen dependent disease states.

"Reduction of tree cover in West African woodlands and promotion in semi-arid farmlands"

Woody vegetation in farmland acts as a carbon sink and provides ecosystem services for local people, but no macro-scale assessments of the impact of management and climate on woody cover exists for drylands. Here we make use of very high spatial resolution satellite imagery to derive wall-to-wall woody cover patterns in tropical West African drylands. Our study reveals a consistently high woody cover in farmlands along all semi-arid and sub-humid rainfall zones (16%), on average only 6% lower than in savannas. In semi-arid Sahel, farmland management increases woody cover to a greater level (12%) than found in neighbouring savannas (6%), whereas farmlands in sub-humid zones have a reduced woody cover (20%) as compared to savannas (30%). In the region as a whole, rainfall, terrain and soil are the most important (80%) determinants of woody cover, while management factors play a smaller (20%) role. We conclude that agricultural expansion cannot generally be claimed to cause woody cover losses, and that observations in Sahel contradict simplistic ideas of a high negative correlation between population density and woody cover.

Coupling of ecosystem-scale plant water storage and leaf phenology observed by satellite

Plant water storage is fundamental to the functioning of terrestrial ecosystems by participating in plant metabolism, nutrient and sugar transport, and maintenance of the integrity of the hydraulic system of the plant. However, a global view of the size and dynamics of the water pools stored in plant tissues is still lacking. Here, we report global patterns of seasonal variations in ecosystem-scale plant water storage and their relationship with leaf phenology, based on space-borne measurements of L-band vegetation optical depth. We find that seasonal variations in plant water storage are highly synchronous with leaf phenology for the boreal and temperate forests, but asynchronous for the tropical woodlands, where the seasonal development of plant water storage lags behind leaf area by up to 180 days. Contrasting patterns of the time lag between plant water storage and terrestrial groundwater storage are also evident in these ecosystems. A comparison of the water cycle components in seasonally dry tropical woodlands highlights the buffering effect of plant water storage on the seasonal dynamics of water supply and demand. Our results offer insights into ecosystem-scale plant water relations globally and provide a basis for an improved parameterization of eco-hydrological and Earth system models.

Modulating the distribution of fluxes among respiration and fermentation by overexpression of HAP4 in Saccharomyces cerevisiae

The tendency of Saccharomyces cerevisiae to favor alcoholic fermentation over respiration is a complication in aerobic, biomass-directed applications of this yeast. Overproduction of Hap4p, a positive transcriptional regulator of genes involved in respiratory metabolism, has been reported to positively affect the balance between respiration and fermentation in aerobic glucose-grown batch cultures. In this study, the effects of HAP4 overexpression have been quantified in the prototrophic S. cerevisiae strain CEN.PK 113-7D under a variety of growth conditions. In aerobic glucose-limited chemostat cultures, overexpression of HAP4 increased the specific growth rate at which aerobic fermentation set in by about 10% relative to the isogenic wild-type. Upon relief of glucose-limited conditions, the HAP4-overexpressing strain produced slightly less ethanol than the wild-type strain. The effect of Hap4p overproduction was most drastic in aerobic, glucose-grown chemostat cultures in which ammonium was limiting. In such cultures, the biomass yield on glucose was double that of the wild-type.

Tropical forests did not recover from the strong 2015-2016 El Niño event

Severe drought and extreme heat associated with the 2015-2016 El Niño event have led to large carbon emissions from the tropical vegetation to the atmosphere. With the return to normal climatic conditions in 2017, tropical forest aboveground carbon (AGC) stocks are expected to partly recover due to increased productivity, but the intensity and spatial distribution of this recovery are unknown. We used low-frequency microwave satellite data (L-VOD) to feature precise monitoring of AGC changes and show that the AGC recovery of tropical ecosystems was slow and that by the end of 2017, AGC had not reached predrought levels of 2014. From 2014 to 2017, tropical AGC stocks decreased by1.3 1.2 1.5 Pg C due to persistent AGC losses in Africa (- 0.9 - 1.1 - 0.8 Pg C) and America (- 0.5 - 0.6 - 0.4 Pg C). Pantropically, drylands recovered their carbon stocks to pre-El Niño levels, but African and American humid forests did not, suggesting carryover effects from enhanced forest mortality.

Antenatal diagnosis of ovarian cysts: natural history and therapeutic implications

A retrospective study from 1980 to 1990 shows 29 ovarian cysts in 27 patients diagnosed by prenatal ultrasound performed between 28 and 38 weeks of gestation. Ten patients underwent surgery, 17 patients were observed with serial ultrasound. Delayed good quality sonograms after spontaneous resolution of the cyst in a selected group of 7 patients showed restoration of a normal ovarian anatomy. The size of the cyst and/or its sonographic characteristics are the 2 main factors for deciding a conservative or a surgical management.

Quinolones affect thymidine incorporation into the DNA of human lymphocytes

The incorporation of [3H]thymidine into DNA was increased in phytohemagglutinin-stimulated human lymphocytes exposed to four of the new quinolone derivatives (ciprofloxacin, norfloxacin, ofloxacin, and A 56620) at concentrations achievable in clinical situations. However, proliferation of phytohemagglutinin-stimulated lymphocytes was not influenced by ciprofloxacin at concentrations of 0.5 to 10 micrograms/ml.

Evaluation of the chronic inhalation toxicity of a manganese oxide aerosol. III. Pulmonary function, electromyograms, limb tremor, and tissue manganese data

Monkeys and rats were exposed to 11.6, 112.5, and 1152 micrograms Mn/m3 as an Mn3O4 aerosol twenty-four hours per day for nine months. Various evaluations of pulmonary function, electromyographic activity, limb tremor, and tissue manganese levels were conducted. No exposure related effects on pulmonary function, limb tremor, or electromyographic activity were observed. After nine months of exposure Mn levels were elevated in a near dose related manner in kidney, lung, spleen, and blood. However, by six months postexposure there were no differences as compared to the control group in tissue Mn levels which could be attributed to the exposure conditions.

Ecosystem structural changes controlled by altered rainfall climatology in tropical savannas

Tropical savannas comprise mixed woodland grassland ecosystems in which trees and grasses compete for water resources thereby maintaining the spatial structuring of this ecosystem. A global change in rainfall climatology may impact the structure of tropical savanna ecosystems by favouring woody plants, relative to herbaceous vegetation. Here we analysed satellite data and observed a relatively higher increase in woody vegetation (5%) as compared to the increase in annual maximum leaf area index (LAImax, an indicator of the total green vegetation production) (3%) in arid and semi-arid savannas over recent decades. We further observed a declining sensitivity of LAImax to annual rainfall over 56% of the tropical savannas, spatially overlapping with areas of increased woody cover and altered rainfall climatology. This suggests a climate-induced shift in the coexistence of woody and herbaceous vegetation in savanna ecosystems, possibly caused by altered hydrological conditions with significance for land cover and associated biophysical effects such as surface albedo and evapotranspiration.

Squeezing of Quantum Noise of Motion in a Micromechanical Resonator

A pair of conjugate observables, such as the quadrature amplitudes of harmonic motion, have fundamental fluctuations that are bound by the Heisenberg uncertainty relation. However, in a squeezed quantum state, fluctuations of a quantity can be reduced below the standard quantum limit, at the cost of increased fluctuations of the conjugate variable. Here we prepare a nearly macroscopic moving body, realized as a micromechanical resonator, in a squeezed quantum state. We obtain squeezing of one quadrature amplitude 1.1±0.4  dB below the standard quantum limit, thus achieving a long-standing goal of obtaining motional squeezing in a macroscopic object.

Toxicology screening in acute spinal cord injury

The validity of self-reported intoxication at time of spinal cord injury (SCI) was examined for 88 cases at admission to an acute SCI center by comparing self-reports with serum and urine analyses. Serum ethanol greater than 50 mg/dl was the most frequently found substance (observed in 40% of the cases) followed by urine analysis evidence of cocaine (14%), cannabinoids (8%), benzodiazipines (5%), and opiates (4%). Evidence of substances with abuse potential was found in urine for 35% of the sample. While 62% of the sample had either serum ethanol greater than 50 mg/dl or a positive urine analysis, only 42% of the sample reported being under the influence of some substance at the time of SCI. Although the relationship between these two measures was statistically significant, self-report and toxicology analyses were discordant in 34% of the cases. These results suggest that routine drug testing at admission to an SCI center will produce both false-negative and false-positive results if substance presence alone is interpreted as evidence of intoxication.

The advantage of positive text-background polarity is due to high display luminance

Reading text from computer screens is better when text is printed in dark letters on light background (positive polarity) than when it is printed in light letters on dark background (negative polarity). An experiment is presented that tests whether this positive polarity advantage is due to the fact that overall display luminance is typically higher for positive than for negative polarity displays. To this end, text-background polarity and display luminance were manipulated independently. No positive polarity advantage was observed when overall display luminance of positive and negative polarity displays was equivalent. There was only an effect of display luminance, with better performance for the higher-luminance displays. This suggests that the positive polarity advantage is in fact due to the typically higher luminance of positive polarity displays. Readability of text presented on computer screens (e.g. on websites) is better when the overall display luminance level is high, as in positive polarity displays (dark letters on light background). Display polarity per se does not affect readability.

The Dresden approach for complete multivessel revascularization

BACKGROUND

In a prospective clinical trial, a group of patients receiving less invasive surgical procedure, including minithoracotomy in combination with cardiopulmonary bypass (group 1), was compared to a group of patients receiving conventional bypass surgery (group 2) for the treatment of coronary artery disease.

METHODS

Group 1 included 85 patients (71 men, 14 women, aged 39 to 82 years, median 61.1 +/- 9.0 years); group 2 included 53 patients (38 men, 15 women, aged 51 to 79 years, median 62.0 +/- 6.1 years).

RESULTS

There were no perioperative deaths in the whole series of patients. Time of operation was 256 +/- 43 minutes in group 1 and 150.0 +/- 53.6 minutes in group 2. Hospitalization was 6.0 +/- 1.4 days and intensive care unit stay 1 day for both groups. Back pain assessment on postoperative day 3 showed less pain in group 1. Three-month follow-up revealed ischemia in stress electrocardiogram in 2 patients (2.5%) in group 1 and in 2 patients (4.1%) in group 2. Coronary angiograms confirmed the stress-electrocardiogram findings.

CONCLUSIONS

Surgical results are equal for both techniques. Even though time of operation is longer in patients receiving less invasive procedures, intensive care unit stay and hospital stays are the same length. Early postoperative back pain is less in group 1 and combined with faster convalescence.

Polyethylene wear, osteolysis and acetabular loosening with an HA-coated hip prosthesis

We have followed up for a period of seven to nine years 100 consecutive arthroplasties of the hip in which an entirely HA-coated implant had been used.

The clinical results were excellent and bony incorporation was extensive in all components. No stem became loose or subsided but five cups were revised because of loosening after 3.8 to 5.5 years, having functioned painlessly and shown radiological ingrowth.

Revision procedures because of excessive polyethylene wear have been performed on 18 hips and are planned for six more. Two eroded metal backings with worn-through polyethylene were exchanged; six hips showed metallosis without polyethylene wear-through. There were two cases of granulomatous cysts in the groin and 66 hips had osteolysis located periarticularly, in the greater trochanter or in the acetabulum.

The use of DiI-marked hepatocytes to demonstrate orthotopic, intrahepatic engraftment following hepatocellular transplantation

A novel method is described for marking primary hepatocytes with the fluorescent dye DiI prior to hepatocellular transplantation and identifying these cells within the hepatic parenchyma of recipient animals by fluorescence microscopy and flow cytometry. Optimal conditions are described for marking cells with DiI in suspension or in monolayer cultures prior to transplantation. DiI is shown to be nontoxic to hepatocytes and not to be exchanged between adjacent cells in vitro. Histological analysis of transplanted tissues shows DiI staining of engrafted hepatocytes and phagocytotic cells (Kupffer cells). This analysis shows that hepatocytes engraft within the hepatic parenchyma and exhibit a histological appearance indistinguishable from normal by conventional hematoxylin and eosin staining. Many previous reports of hepatocellular transplantation have been limited by their inability to unequivocally identify transplanted cells within the liver. These data illustrate the importance of having specific markers for transplanted cells that engraft in an orthotopic location and assume a normal morphological appearance.

Further evidence for systematic reliability differences between explicit and implicit memory tests

Meier and Perrig (2000) as well as Buchner and Wippich (2000) have shown that simple dissociations between explicit and implicit memory measures need not reflect functional dissociations of hypothetical underlying memory systems. Instead, such dissociations may also result from the fact that some widely used implicit memory measures are simply less reliable than the explicit measures with which they have been compared. We extend this argument in two ways. First, we show that illusion-based memory measures such as the priming measures derived from fame and preference judgement tasks are also subject to the reliability problem. Second, we show that yes-no and two-alternative forced-choice paradigms should, and in fact do, yield virtually identical results as far as the reliability of the memory tests is concerned.