Fabrication of impedimetric sensors for label-free point-of-care immunoassay cardiac marker systems, with passive microfluidic delivery

Miniaturised point-of-care cardiac marker sensors are being developed, based on impedimetric sensing of cardiac enzyme capture by an antibody layer immobilised on a planar gold electrode sensor. Gold/Ti-on-glass substrates have been used, in a 2 electrode configuration, with antibodies immobilised on the working electrode. Microfluidic structures have been fabricated by a CO2 laser, in 25 mum thick pressure sensitive adhesive (PSA), on a PMMA lid, and the structure bonded on top of the planar sensor. Microfluidic blood/serum delivery has been investigated using a visualisation dye. Some flow problems are observed if the sensor is exposed to air for several days, suggesting that flow channel nanopillars and hermetic encapsulation may be required to guarantee flow properties in commercially produced modules. Work is ongoing to characterise the impedimetric signal changes for myoglobin capture by antimyoglobin, using these sensors. Fifty micron thick PSA, incorporating a robust spacer layer, will be used to give better definition of channel walls.

Relative element levels in the paired samples of scalp hair and fingernails of patients from New Delhi

Specific elements are bioconcentrated in human hair and nails, which have unique advantages of application in population monitoring studies thereby, recognized as biological tools for disease diagnosis and prevention. However, investigations are meager for relative element profile in hair and nails of same subjects. In this study, hair and nails were analyzed to find effects of age, sex, smoking habit, diet, urban and rural exposure gradients, occupation, and health on element levels. Scalp hair and fingernails were sampled along with a questionnaire from urban and rural subjects of New Delhi; patients of hypertension, coronary heart disease, and diabetes were identified clinically. Cadmium, chromium, copper, nickel, lead and zinc concentrations were determined by AAS in both the samples; CRM (human hair powder) analysis showed acceptable precision and accuracy in element measurement. In comparison to controls, Cr-H and Zn-H levels were lower respectively in female hypertensive and total hypertensive subjects, whereas, Zn-N and Cu-N were lower respectively in total CHD and diabetic subjects, and hypertensive and CHD urban subjects. Cd concentrations were higher in both the samples of tobacco smoking rural subjects than that of non-smokers. Farmers had lower Pb-H than rural businessmen did. Cr, Cu, Ni, and Zn concentrations were different due to rural and urban gradient but not to the influence of age, sex, and diet. Pb value was alone correlated between the paired samples. Thus, higher Cd levels in the smokers and lower Cr, Cu and Zn levels in the patients were observed.

Source apportionment of molecular markers and organic aerosol. 2. Biomass smoke

Chemical mass balance analysis was performed using a large dataset of molecular marker concentrations to estimate the contribution of biomass smoke to ambient organic carbon (OC) and fine particle mass in Pittsburgh, Pennsylvania. Source profiles were selected based on detailed comparisons between the ambient data and a large number of published profiles. The fall and winter data were analyzed with fireplace and woodstove source profiles, and open burning profiles were used to analyze the spring and summer data. At the upper limit, biomass smoke is estimated to contribute on average 520+/-140 ng-C m(-3) or 14.5% of the ambient OC in the fall, 210+/-85 ng-C m(-3) or 10% of the ambient OC in the winter, and 60 + 21 ng-C/m(-3) or 2% of the ambient OC in the spring and summer. In the fall and winter, there is large day-to-day variability in the amount of OC apportioned to biomass smoke. The levels of biomass smoke in Pittsburgh are much lower than in some other areas of the United States, indicating significant regional variability in the importance of biomass combustion as a source of fine particulate matter. The calculations face two major sources of uncertainty. First, the ambient ratios of levoglucosan, resin acids, and syringhaldehyde concentrations are highly variable implying that numerous sources with distinct source profiles contribute to ambient marker concentrations. Therefore, in contrast to previous CMB analyses, we find that at least three distinct biomass smoke source profiles must be included in the CMB model to explain this variability. Second, the marker-to-OC ratios of available biomass smoke profiles are highly variable. This variability introduces uncertainty of more than a factor of 2 in the amount of ambient OC apportioned to biomass smoke by different statistically acceptable CMB solutions. The marker-to-OC ratios of source profiles are critical parameters to consider when evaluating CMB solutions.

Source apportionment of molecular markers and organic aerosol. 3. Food cooking emissions

The chemical mass balance model is applied to a large dataset of organic molecular marker concentrations to apportion ambient organic aerosol to food cooking emissions in Pittsburgh, Pennsylvania. Ambient concentrations of key cooking markers such as palmitoleic acid, oleic acid, and cholesterol are well correlated, which implies the existence of well-defined source profiles. However, significant inconsistencies exist between the ambient data and published source profiles. Most notably, the ambient ratio of palmitoleic-acid-to-oleic-acid is more than a factor of 10 greater than essentially all published source profiles. This problem is not unique to Pittsburgh. The reason for this discrepancy is not known but it means that both acids cannot be fit simultaneously by CMB. CMB analysis is performed using three different combinations of food cooking source profiles and molecular markers. Although all three solutions have high statistical quality, the amount of OC apportioned to food cooking emissions varies by a factor of 9. Differences in fitting species and source profile marker-to-organic-carbon ratios cause most of the large systematic biases between the different solutions. The best CMB model includes two alkanoic acids as fitting species in addition to other cooking markers, which helps constrain the source contribution estimates. It also includes two meat cooking source profiles to account for the variability in the ambient data. This model apportions 320+/-140 ng-C m(-3) or 10% of the study average ambient organic carbon to food cooking emissions. Although these results illustrate the significant challenges created by source profile variability, the strong correlations in the ambient dataset underscore the significant promise that molecular markers hold for source apportionment analysis.

Source apportionment of molecular markers and organic aerosol--1. Polycyclic aromatic hydrocarbons and methodology for data visualization

Individual organic compounds often referred to as molecular markers are used in conjunction with the chemical mass balance (CMB) model to apportion sources of primary organic aerosol. This paper presents a methodology to visualize molecular marker data; it allows comparison of ambient data and source profiles and allows assessment of chemical stability and aging. The method is intended to complement traditional quantitative source apportionment analysis. The core of the technique involves construction of plots of ratios of species concentrations (ratio-ratio plots) in which source profiles appear as points connected by linear mixing lines. The approach is illustrated using data collected over a 1-year period in Pittsburgh, Pennsylvania. The analysis considers for elemental carbon and a number of high molecular weight polycyclic aromatic hydrocarbons (PAHs) commonly used as molecular markers in CMB: benzo(b+j+k)fluoranthene, benzo(e)pyrene, benzo[g,h,i]perylene, coronene, and indeno(1,2,3-cd)pyrene. In Pittsburgh, the ambient concentrations of these PAHs are higher than in other cities in the United States; they are also strongly correlated consistent with a single, dominant source. Both ratio-ratio plots and CMB analysis indicate that this source is metallurgical coke production. Although emissions from coke production dominate ambient PAH concentrations, on most study days they contributed little fine particle mass. Ratio-ratio plots are then used to investigate the feasibility of using PAHs to help differentiate between gasoline and diesel vehicle emissions. Ambient concentrations of these large PAHs provide little information on the gasoline-diesel split because of the strong influence of local emissions from coke production combined with evidence of photochemical decay of PAHs in the regional air mass. Decay of PAHs will bias estimates of the gasoline-diesel split toward diesel emissions.

Caspofungin: a major breakthrough in treatment of systemic fungal infections

Invasive fungal infections are difficult to eradicate especially in immuno-compromised host. Amphotericin B and voriconazole have been the mainstay of treatment but both have significant toxicity. Caspofungin belongs to a new class of antifungal agents, the echinocandins. It acts on the fungal cell wall by selective inhibition of beta-(1,3)-D-glucan syntheses, which is not present in mammalian cells. In vitro data and experimental studies have demonstrated that it has antifungal activity against yeasts of the genus Candida (including those resistant to amphotericin B and azoles), severe species of filamentous fungi, including aspergillosis and certain dimorphic fungi. As an empirical antifungal therapy in neutropenic patients, it has comparable clinical efficacy but superior tolerability compared with liposomal amphotericin B. In patients with invasive candidiasis, it is as effective as amphotericin B deoxycholate. In addition, it showed a significantly superior safety profile. Same has been shown in patients with oropharyngeal/oesophageal candidiasis. In patients with invasive aspergillosis refractory to or intolerant to other antifungal agents, 45% showed a partial or complete response to Caspofungin given as a salvage treatment. Caspofungin is cidal for all Candida species and is static against Aspergillus species. It also possesses activity against Pneumocystis jiroveci. In vitro and in animals, Caspofungin shows additive or synergic antifungal activity with amphotericin B and triazoles. Recently, it's use in paediatric patients, including after bone marrow transplantation, has also been shown to be safe. With compare to other antifungal agents known to be effective in systemic fungal infections, Caspofungin has the best safety profile, tolerability with very low potential for drug interactions. This makes Caspofungin an interesting and extremely valuable new antifungal agent that broadens the available therapeutic armamentarium for the treatment of systemic fungal infections.

Membrane Technology in Degumming, Dewaxing, Deacidifying, and Decolorizing Edible Oils

A membrane process offers several advantages over the conventional method of oil refining. Conceptually, membranes could be used in almost all stages of processing. In the present review, various attempts made by the researchers towards degumming, dewaxing, deacidifying, and decolorizing edible oils using membrane technology with and without using solvents have been discussed. Attempts made with UF and nonporous membranes have demonstrated the ability of these membranes to separate phospholipids from undiluted and hexane-diluted oils and a high oil flux was obtained with UF membranes in hexane-diluted oils. MF membranes were very effective for dewaxing undiluted oils while UF membranes were effective in dewaxing hexane-diluted oils without a precooling step. Deacidification was successful only with either addition of an alkali followed by membrane filtration or by following an indirect route of selective solvent extraction of FFA followed by membrane separation. Consistent color reduction in terms of pigments (chlorophyll and xanthophylls) and other instrumental measurements (Lovibond and visible spectra) could be achieved only with nonporous membranes. Interestingly, these membranes did not have selectivity for alpha-and beta-carotenes. UF membranes are best suited for degumming and dewaxing applications, while nonporous membranes appear to be a better choice for achieving simultaneous degumming, dewaxing, and decolorization of oils. Hexane-dilution improved the oil flux of nonporous membranes by one order of magnitude, but further improvement is desirable for industrial adoption.

Smoking reduction does work: Resulting alterations in the incidence and histological subtypes of lung cancer in New South Wales in the last 20 years

BACKGROUND

There is irrefutable evidence of the association between lung cancer and smoking. The effects of public health campaigns to reduce population-smoking rates on the incidence and the histological distribution of lung cancer were examined.

METHODS

The data held in the New South Wales Cancer Registry from 1972 to 2001 was accessed.

RESULTS

The data revealed a decreasing incidence of lung cancer amongst males and a rate that continued to increase amongst females. Interestingly, there was also an effect on the histological distribution of lung cancers, with falling rates of small cell lung cancer and squamous cell cancer, both of which have a high association with smoking; and an increasing incidence of adenocarcinomas.

CONCLUSIONS

These trends reveal patterns seen worldwide. The increasing proportion of adenocarcinomas in particular may be related to the changing composition of cigarettes and filters.

Isolation and structural characterization of the photolysis products of etoricoxib

Etoricoxib is a potent and novel selective inhibitor of cyclooxygenase-2 (COX-2) which has been developed for the treatment of osteoarthritis, rheumatoid arthritis and several other inflammatory conditions. To support clinical pharmacokinetics studies, a method for the determination of etoricoxib in human plasma was developed. During the development of the method it was found that highly fluorescent products were formed when etoricoxib was exposed to UV light (254 nm). The formation of highly fluorescent products was the basis for the development of a highly sensitive HPLC/fluorescent assay for the indirect determination of etoricoxib in human plasma; the limit of quantification (LOQ) was 1 ng/mL. To unequivocally determine the chemical structures of the photolysis products of etoricoxib, a series of studies was conducted. When etoricoxib was irradiated online in a photochemical reactor, three products were detected in an HPLC-UV system. These products were characterized by HPLC-UV-fluorescence and HPLC-MS/MS. Possible structures of these products were proposed based on these data. The major photolysis products of etoricoxib were further isolated and their structures were elucidated using NMR and HPLC-NMR. The results of these experiments indicate that etoricoxib undergoes a photocyclization reaction when irradiated with UV light (254 nm), leading to the formation of two major isomeric photocyclization products.

Cyclic voltammetric and electrochemical impedance studies on the structure, adsorption kinetics, and barrier properties of some organic dithiol self-assembled monolayers on gold

We have studied the orientation and barrier properties of self-assembled monolayers (SAMs) of two alkanedithiols, hexanedithiol, octanedithiol, and an aromatic dithiol, 1,4-benzene dimethanethiol (BDMT), on gold in acetonitrile. From our studies, we conclude that BDMT molecules can form more organized monolayers on gold than aliphatic dithiol SAMs due to extremely strong lateral van der Waals interaction among the phenyl rings in the former. A study of the adsorption kinetics of octanedithiol in ethanol indicates that the adsorption rate law is concentration dependent just as for alkanethiols. However, the rate of adsorption is considerably faster than for simple alkanethiols.

Trauma as an etiologic factor of primary bone lymphoma: a report of 4 cases

Primary bone lymphoma (PBL) is a rare entity. Nevertheless, very high long-term complete remission and survival rates following adriamycin-based chemotherapy alone or combined with involved-field radiation therapy have been reported. While the etiology is unknown, factors comprising local or general immunocompromised states have been suggested. Sporadic cases of local trauma followed by the emergence of primary bone lymphoma have been described. We describe 4 patients who developed primary bone lymphoma following direct trauma to a specific bone area. All 4 are alive with no evidence of disease after being treated with a combined chemo-radiotherapy regimen.