Early aspirin use, allograft rejection, and cardiac allograft vasculopathy in heart transplantation

BACKGROUND

Early aspirin (ASA) use after orthotopic heart transplantation (OHT) has been associated with lower rates of cardiac allograft vasculopathy (CAV). We hypothesized that the inverse association between ASA use and CAV incidence may be most pronounced in patients with allograft rejection.

METHODS

Patients receiving OHT at a single center 2004-2010 (n = 120) were categorized by early ASA use post-transplant (ASA use for > 6 months in the first year) and the presence of biopsy-defined acute cellular rejection (ACR) and/or antibody-mediated rejection (AMR) during 5-year follow-up. Propensity scores for ASA treatment were estimated using boosting models and applied by inverse probability of treatment weighting. The association between ASA use and time to moderate/severe CAV (ISHLT ≥ 2) was investigated.

RESULTS

Among patients with ACR or AMR, ASA therapy was associated with significantly lower rates of CAV≥ 2 (3.3 vs. 30.1%; P = .001; HR_adj .07; 95% CI .01-.52), whereas ASA therapy was not associated with lower rates of CAV in patients with no rejection (5.6 vs. 5.3%; P = .90; HR_adj 1.26; 95% CI .08-20.30; p_interaction  = .09).

CONCLUSIONS

Early ASA use after OHT was associated with lower rates of moderate to severe CAV only in those patients with episodes of allograft rejection.

Are sea otters being exposed to subsurface intertidal oil residues from the Exxon Valdez oil spill?

Twenty years after the Exxon Valdez oil spill, scattered patches of subsurface oil residues (SSOR) can still be found in intertidal sediments at a small number of shoreline locations in Prince William Sound, Alaska. Some scientists hypothesize that sea otters continue to be exposed to SSOR by direct contact when otters dig pits in search of clams. This hypothesis is examined through site-specific examinations where SSOR and otter-dug pits co-occur. Surveys documented the exact sediment characteristics and locations on the shore at the only three subdivisions where both SSOR and otter pits were found after 2000. Shoreline characteristics and tidal heights where SSOR have persisted are not suitable habitat for sea otters to dig pits during foraging. There is clear separation between areas containing SSOR and otter foraging pits. The evidence allows us to reject the hypothesis that sea otters encounter and are being exposed by direct contact to SSOR.

Resolving the origin of the petrogenic hydrocarbon background in Prince William Sound, Alaska

The dominant sources of the petrogenic hydrocarbon background in benthic sediments of Prince William Sound, AK (PWS), site of the 1989 Exxon-Valdez oil spill, are eroding Tertiary shales and residues of natural oil seepage. Mass balance considerations and statistical analyses of hydrocarbon fingerprints independently indicate that coal contributes generally less than 1% of the polycyclic aromatic hydrocarbons (PAH) and chemical biomarkers in this background. This is environmentally significant because of presumed differences in the bioavailability of PAH in coal, seep oil residues, and shales. Coal particles are present in PWS sediments, but their PAH and chemical biomarker contributions are overwhelmed by those of seep oil residues and organic particles from shales of low-to-high thermally maturity. In the late Tertiary or early Quaternary, the currently exposed and eroding shale formations were heated into the oil-generation window and, consequently, are now relatively rich in extractable PAH and chemical biomarkers. The exposed and eroding coals in the area, in contrast, experienced long hot burial and are now thermally overmature with respect to oil generation. The concentrations of thermally sensitive PAH and biomarker compounds in PWS sediments are not consistent with a mature coal origin but are consistent with the low-to-high maturity shales and seep oils in the area.

Concentration of butyltin species in sediments associated with shipyard activity

Tributyltin (TBT) and dibutyltin (DBT) were analyzed in sediment samples collected from intertidal locations in Portland and Boothbay Harbor, Maine (USA) in 1990 and 1992. Surface sediment TBT concentrations ranged from 24 to 12 400 ng gm(-1) (dry wt basis). Sediments with the highest TBT concentrations were associated with shipyard hull washing/refinishing activities. Analysis of different layers in core samples found that butyltin concentrations decreased with depth at the Boothbay site and remained relatively constant with depth at the Portland site. Elutriate analysis showed that soluble TBT was released from a heavily contaminated sediment. The resulting TBT seawater concentration 1400 ng liter(-1) was < 0.03% of reported seawater solubilities of TBT and was only 0.14% of the total TBT in the sediment sample. This suggests that the TBT in the sediments analyzed is in a bound matrix form, such as paint particles, that releases the biocide slowly. The results indicate that there is a potential for future release of TBT from the resuspension of fine sediments at certain locations in Maine.

Kallikrein and prekallikrein on the basolateral membrane of rat kidney tubules

Basolateral membrane (BLM) enriched fraction was isolated from homogenized rat kidney cortex by differential centrifugation. We also obtained a fraction enriched in plasma membrane (PM). The morphology of the isolated BLM fragments was studied by transmission and freeze fracture electron microscopy. The relative specific activity of Na+-K+-ATPase was enriched 7-fold, while that of marker enzymes for PM, endoplasmic reticulum, and lysosomes was lower than in the crude homogenate. There was a 10-fold difference in the ratios of activities of Na+-k+-ATPase to Mg2+-ATPase in the BLM and in the PM enriched fractions. Kallikrein activity was determined with S-2266 substrate and by radioimmunoassay of kinin released. It was low in the BLM fraction prior to adding detergent, but Triton X-100 increased the activity 12 to 16-fold. Both free trypsin and Sepharose 4B-bound insoluble trypsin increased kallikrein activity 2- to 3-fold in both the membrane-bound and soluble fractions, probably by activating a prekallikrein. The results were interpreted that the kallikrein studied originated from the distal tubular BLM.

A comparative study of two tests of supervisory knowledge

The objective of the present study was to obtain a comparative assessment of two supervisory knowledge tests (the Supervisory Practices Inventory and the Supervisory Inventory on Human Relations) in terms of face and concurrent validity, time required for administration—and correlation with age, supervisory experience, and college education. Both tests were administered to 55 supervisors with the Emerson Electric Company, after which they were asked to indicate which test, in their opinion, would do the better job of measuring a man's knowledge of supervisory procedure, and which would yield, for them, the better score. Statistical analysis revealed that neither test had a significant correlation with supervisory effectiveness, using Personnel Department rankings as the criterion. In terms of relative face validity (i.e., acceptance by supervisors) the Supervisory Inventory on Human Relations was superior. This test also had a significant relationship with college training, although neither test was significantly related to age of employee or supervisory experience. The tests were equivalent in time required for administration.