Taylor–Couette flow of a generalized second grade fluid due to a constant couple

The velocity field and the adequate shear stress, corresponding to the flow of a generalized second grade fluid in an annular region between two infinite coaxial cylinders, are determined by means of Laplace and finite Hankel transforms. The motion is produced by the inner cylinder which is rotating about its axis due to a constant torque f per unit length. The solutions that have been obtained satisfy all imposed initial and boundary conditions. For β → 1 or β → 1 and α1 → 0, the corresponding solutions for an ordinary second grade fluid, respectively, for the Newtonian fluid, performing the same motion, are obtained as limiting cases.

Surface-plasmon-polariton assisted diffraction in periodic subwavelength holes of metal films with reduced interplane coupling

Metal films grown on an Si wafer perforated with a periodic array of subwavelength holes have been fabricated and anomalous enhanced transmission in the midinfrared regime has been observed. High order transmission peaks up to Si(2,2) are clearly revealed due to the large dielectric constant contrast of the dielectrics at the opposite interfaces. The Si(1,1) peak splits at oblique incidence both in TE and TM polarization, which confirms that anomalous enhanced transmission is a surface-plasmon-polariton (SPP) assisted diffraction phenomenon. Theoretical transmission spectra agree excellently with the experimental results and confirm the role of SPP diffraction by the lattice.

Planar imaging versus gated blood-pool SPECT for the assessment of ventricular performance: a multicenter study

Gated blood-pool SPECT (GBPS), inherently 3-dimensional (3D), has the potential to replace planar equilibrium radionuclide angiography (ERNA) for computation of left ventricular ejection fraction (LVEF), analysis of regional wall motion (RWM), and analysis of right heart function. The purpose of this study was to compare GBPS and ERNA for the assessment of ventricular function in a large, multicenter cohort of patients.

METHODS

One hundred seventy-eight patients referred in the usual manner for nuclear medicine studies underwent ERNA followed by GBPS. Each clinical site followed a GBPS acquisition protocol that included 180 degrees rotation, a 64 by 64 matrix, and 64 or 32 views using single- or double-head cameras. Transverse GBPS images were reconstructed with a Butterworth filter (cutoff frequency, 0.45-0.55 Nyquist; order, 7), and short-axis images were created. All GBPS studies were processed with a new GBPS program, and LVEF was computed from the isolated left ventricular chamber and compared with standard ERNA LVEF. Reproducibility of GBPS LVEF was evaluated, and right ventricular ejection fraction (RVEF) was computed in a subset of patients (n = 33). Using GBPS, RWM and image quality from 3D surface-shaded and volume-rendered cine displays were evaluated qualitatively in a subset of patients (n = 30).

RESULTS

The correlation between GBPS LVEF and planar LVEF was excellent (r = 0.92). Mean LVEF was 62.2% for GBPS and 54.1% for ERNA. The line of linear regression was GBPS LVEF = (1.04 x ERNA LVEF) + 6.1. Bland-Altman plotting revealed an increasing bias in GBPS LVEF with increasing LVEF (Y = 0.13x + 0.61; r = 0.30; mean difference = 8.1% +/- 7.0%). Interoperator reproducibility of GBPS LVEF was good (r = 0.92). RVEF values averaged 59.8%. RWM assessment using 3D cine display was enhanced in 27% of the studies, equivalent in 67%, and inferior in 7%.

CONCLUSION

GBPS LVEF was reproducible and correlated well with planar ERNA. GBPS LVEF values were somewhat higher than planar ERNA, likely because of the exclusion of the left atrium.

Clinical impact of arrhythmias on gated SPECT cardiac myocardial perfusion and function assessment

BACKGROUND

We reported previously that mean quantified cardiac functional parameters computed by one gated single photon emission computed tomography (SPECT) technique were not significantly altered by common gating errors. However, it is not known to what extent other gated SPECT approaches that are based on different ventricular modeling assumptions are influenced by arrhythmias, nor are the effects of gating errors on visual analyses and their subsequent clinical implications known.

METHODS

Projection data for 50 patients (aged 64 +/- 12 years; 68% men; 76% with myocardial perfusion defects) undergoing technetium-99m sestamibi gated SPECT who were in sinus rhythm during data acquisition were altered to simulate common arrhythmias. To determine quantitative effects, we performed calculations for original control and altered images by Gaussian myocardial detection (Quantitative Gated SPECT [QGS] program) and by wall thickening derived from gated perfusion polar maps (Emory Cardiac Toolbox program). To evaluate visual assessment in control and simulated-arrhythmia tomograms, 2 experienced blinded observers independently interpreted perfusion from polar maps and wall motion and thickening from tomographic cines, using a 4-point scale.

RESULTS

Although mean functional parameters were scarcely altered, paired t tests showed ejection fraction fluctuations to be significantly different from control values, causing patients to change between abnormal and normal ejection fraction categories (2% of patients by QGS and 14% by Emory Cardiac Toolbox). Visual examination of QGS polar perfusion and function maps showed changes for 72% of cases, although in only 4% were these considered to have potential clinical consequences. The kappa statistic for visual analysis of concordance between control and arrhythmia readings showed that agreement was "excellent" for perfusion, "good" for motion, and "marginal" for thickening.

CONCLUSIONS

As with quantitative measurements, thickening is the parameter most prone to error in the presence of arrhythmias. It is important to test data for gating errors to avoid potentially erroneous measurements and visual readings.

Artifactual reverse distribution pattern in myocardial perfusion SPECT with technetium-99m sestamibi

BACKGROUND

The reverse distribution pattern (RDP), in which resting perfusion imaging demonstrates a de novo or more marked regional defect than that present in stress images, is observed frequently in patients with a low likelihood of coronary artery disease.

METHODS AND RESULTS

To determine whether this scan pattern is artifactual and to investigate its causes, we retrospectively evaluated scans in 202 patients with a low likelihood of coronary artery disease (77 men and 125 women) undergoing single-day rest/stress technetium-99m sestamibi single photon emission computed tomography (SPECT). The presence and location of RDP was correlated with relevant body habitus parameters. RDP was observed in 15.3% of patients. The finding was significantly more frequent in patients who were obese (P<.02 in men, P<.03 in women), in men with abdominal protuberance (P<.05), and in women with prominent breast "shadows" observed on planar projection images (P<.008). RDP was most frequent in the right coronary artery territory in men and the left anterior descending coronary artery territory in women. It was demonstrated by means of a cardiac SPECT phantom experiment that soft tissue attenuation effects were most evident in low count density SPECT studies with localized soft tissue attenuation, accounting for the higher than clinical observation of RDP in obese patients undergoing low-dose rest/high-dose imaging.

CONCLUSIONS

RDP is a frequently encountered artifact in obese patients undergoing rest/stress Tc-99m sestamibi SPECT, particularly in men with abdominal protuberance and in women with large, dense breasts.

Overexpression of GLUT2 gene in renal proximal tubules of diabetic Zucker rats

Renal tubular reabsorption of glucose is substantially increased in humans and rats with diabetes mellitus. The influx of luminal glucose is mediated by Na+/glucose cotransporter system and glucose efflux from tubules to interstitium by facilitative glucose transporters (GLUT). In Zucker diabetic rats, GLUT2 protein levels of renal proximal tubules were higher than in control litter mates: 9.67 +/- 1.95 versus 4.72 +/- 1.55 (P = 0.0073). In the same proximal tubules, diabetes was associated with minor decreases in GLUT1 protein levels: 1.96 +/- 0.37 for diabetics and 2.37 +/- 0.34 for controls (P = 0.12). Na+/glucose cotransporter system protein levels were similar in both groups, whereas Na+/K+ ATPase levels were slightly decreased in diabetic rats, but the difference was not statistically significant. In this report, it is suggested that in long-term uncontrolled diabetes, GLUT2 transporters are overexpressed in renal tubules. This adaptation promotes low-affinity, high-capacity glucose efflux. The higher number of high K(m) GLUT2 ensures that glucose reabsorption is increased by promoting glucose efflux, which could be rate-limiting in the face of hyperglycemia.

Surface receptors and immune activity of purified human circulating mononuclear cells. V. Circulating null cells and a factor secreted by the null cells inhibit the synthesis of receptors for Fc mu by T cells in culture

Receptors for Fc mu (Fc mu R) were not detected on freshly isolated unfractionated circulating human mononuclear cells (MNC) or purified T cells. However, a significant percentage of the T cells (20% to 40%), but not of the unfractionated MNC, exhibited Fc mu receptors following culture for 24 h at 37 degrees C in medium enriched with fetal calf serum. These receptors were newly synthesized by the T cells since they were not detected on T cells cultured for 24 h with cycloheximide in a non-cytotoxic concentration. The absence of Fc mu R on the cultured unfractionated MNC (of which 70% are T cells) suggested that non-T cells within the MNC-B cells and/or null cells and/or monocytes suppressed the synthesis of Fc mu R by the T cells. These cells were individually assayed for their capacity to suppress Fc mu R synthesis by co-cultured T cells. The null cells were able to totally suppress Fc mu R synthesis whereas the B cells and monocytes exhibited no suppressive activity. Null cells cultured for 24 h at 37 degrees C secreted a factor which inhibited the synthesis of receptors for Fc mu by the cultured T cells. This factor is referred to as receptor synthesis suppressor factor or RSSF. On the basis of these findings, it is concluded that (a) the circulating T cells do not possess Fc mu R; these receptors are synthesized de novo by the T cells in culture, (b) the null cells, but neither the B cells nor the monocytes, suppress the synthesis of the Fc mu R by the T cells and (c) the null cells, but neither the B cells nor the monocytes, secrete a factor, receptor synthesis suppressor factor, which can suppress the synthesis of Fc mu R by the T cells.