Computer modeling of the human systemic arterial tree

A model of the human systemic arterial tree has been devised, based on a lumped-parameter-circuit approximate form. This model has been set up and studied on an analog computer. A feature of this simulation is the division of the arterial system into sections whose lengths are inversely proportional (approximately) to their cross-sectional area-or what is termed ‘equal-volume’ modeling.

Great care was exercised in the determination of the model parameters, using expressions for these parameters from a recent paper by Rideout and Dick on fluid flow in distensible tubes, with numerical values based on measurements reported in the medical literature.

The simulated pressure and flow waveforms obtained with the model compare favorably with data recorded from the normal adult human, and exhibit such well-known features as distal delay and peaking of pressure pulses. The aortic input impedance vs. frequency curve checks well against measurements on the human. The model also provides a simple means for determination of cardiac output, cardiac work and cardiac power under various assumed conditions such as variation of heart rate.     

The three steps to cancer: A new concept of cancerigenesis

A new theory of carcinogenesis is presented. It is based on the premise that the initial step in the development of cancer is injury by a carcinogen of the coding units in the specialized cells which direct or control the elaboration of a specific “product” or “function”. Carcinogens are varied and number in the thousands, yet the end result, following exposure to them by target stem cells, is always the same, i.e. unbridled cell multiplication with invasion and metastasis. There must be one common denominator which, as stated, is the injury of the coding units of the specialist cells. This is the first step toward cancer; the carcinogen need no longer be present. The second is the uninhibited activity by a pertinent stimulator on functionally deficient cells which remain refractory to the demands for the differentiated “product” or “function”. However, the cells do remain responsive to the second aspect of the dual-roled stimulator, namely, the stimulus to divide. This results in hyperplasia and neoplasia. The events characterizing the third step are coincidental or accidental. There is cellular overcrowding, but the neovasculature is often initially or eventually inadequate. As a result, foci deficient in nutrients form, some cells die, and others become detached and thrive in the culture medium provided by the host through the rupture of capillaries, venules and/or arterioles, forming an area of hemorrhage and necrosis. Surviving cells become autonomous, anaplastic, cataplastic, cannibalistic, invasive and metastatic, i.e. cancer (Fig. 4). Since cancer is only possible in multicellular organisms, the author traces evolution of multicells from unicells. The latter are autonomous and cancer among them is a nonentity. The multicellular organism, on the other hand, is composed of inter-dependent organs, whose component cells are specialists by virtue of contained specific coding apparatuses. Concomitant with this development, an exquisitely sensitive “checks and balances” system of Inductors, Differentiators, Stimulators and Inhibitors, involving Neuroendocrine, Immune and other humeral factors evolved whereby harmonious orchestration of functions was attained and chaos avoided. The article includes clinical and experimental evidence in support of the thesis that the defective stem cell represents the initial step in the development of cancer. A discussion of the characteristics of the cancer cell follows, and an evaluation of the present modalities of treatment. Some of the shortcomings and failures are reviewed and suggestions for a completely different approach to therapy is presented. The essence of new therapy is the realization that cancer is not an infection, is not caused by foreign predators, but is the manifestation of the response of the body to its own, i.e. idiosomatic, predators. The cancer cell mass is not a cause but an effect, and its total eradication or destruction following spread is not feasible. The future may lie in measures which “reform”, rehabilitate and differentiate the anaplastic cell.     

Cytotoxic cells suppress in vitro generation of cellular immunity by stimulator cell lysis

Irradiated BALB/c spleen-cell populations actively cytotoxic to BL/6 alloantigens (modulator cells) were capable of suppression of the in vitro generation of BALB/c anti-BL/6 cellular cytotoxicity. This suppression was abrogated by anti-θ serum plus complement. The suppression was dose dependent on the number of modulator cells and correlated directly with the magnitude of their cytotoxicity. By varying the number of stimulator cells, specific suppression for a relevant stimulator cell and nonspecific suppression for an irrelevant stimulator cell were demonstrated in the same cultures. These data suggest that cytotoxic cells caused specific suppression in mixed lymphocyte culture by lysing stimulator cells although evidence for other nonspecific suppressor factors was seen. A model was proposed suggesting that cell populations possessing high levels of cytotoxicity may feed back negatively on an ongoing immune response by competing with proliferating T cells for cellular antigen.     

Integrating LIMS with MS Windows programs

PCs with MS-Office products (WORD, EXCEL) are commonly available at every workplace in analytical laboratories. These programs are used for data processing (EXCEL) and reporting (WORD). If a LIMS is available to store information the question often arises, if and how these WINDOWS programs can be integrated into a LIMS environment. The advantages are obvious: (a) the user can still employ his everyday programs; (b) a spreadsheet is often more appropriate for data input and processing than a LIMS; (c) automatic insertion of LIMS data into a Word document can simplify reporting considerably. Nevertheless, few points must be considered: (a) fast direct data access is necessary; (b) data validity must be guaranteed; (c) data are usually not transferred directly into the database but are presented to the LIMS as a file, which has to pass through a checking procedure; (d) GLP validation of all components (LIMS as well as EXCEL) is required. Our solutions. We employ SQL1LIMS from PE installed on an Alpha Vax under OpenVMS. For data input and reporting we developed several EXCEL spreadsheets. To extract data from the LIMS database we used the ODBC mechanism based on ORACLE SQL1NET 2. The ODBC connection is integrated into a visual-basic module of the EXCEL sheet. To ensure data validity we use the ‘LIST of Values’ method. A necessary prerequisite is a download from LIMS of a set of allowed values. Since with analytical data a check against a set of allowed values is often not possible, the amount of values necessary for checks is limited. Plausibility checks can well be performed within an EXCEL spreadsheet. To transfer data to LIMS we employ two mechanisms. A third (stored procedures) is being tested: (a) an NFS connection between a NOVELL-Netware Server and the LIMS—VAX; (b) ORACLE tables on the VAX, into which the data are loaded and then automatically spooled into the respective files. The NFS-connection between the Novell Server (Netware 4.1) and the VAX avoids the necessity for special drivers on the PC. This connection maps a VAX directory onto the PC.     

Disruption of Sarcoendoplasmic Reticulum Calcium ATPase Function in Drosophila Leads to Cardiac Dysfunction

Abnormal sarcoendoplasmic reticulum Calcium ATPase (SERCA) function has been associated with poor cardiac function in humans. While modifiers of SERCA function have been identified and studied using animal models, further investigation has been limited by the absence of a model system that is amenable to large-scale genetic screens. Drosophila melanogaster is an ideal model system for the investigation of SERCA function due to the significant homology to human SERCA and the availability of versatile genetic screening tools. To further the use of Drosophila as a model for examining the role of SERCA in cardiac function, we examined cardiac function in adult flies. Using optical coherence tomography (OCT) imaging in awake, adult Drosophila, we have been able to characterize cardiac chamber dimensions in flies with disrupted in Drosophila SERCA (CaP60A). We found that the best studied CaP60A mutant, the conditional paralytic mutant CaP60A^kum170, develops marked bradycardia and chamber enlargement that is closely linked to the onset of paralysis and dependent on extra cardiac CaP60A. In contrast to prior work, we show that disruption of CaP60A in a cardiac specific manner results in cardiac dilation and dysfunction rather than alteration in heart rate. In addition, the co-expression of a calcium release channel mutation with CaP60A ^kum170 is sufficient to rescue the cardiac phenotype but not paralysis. Finally, we show that CaP60A overexpression is able to rescue cardiac function in a model of Drosophila cardiac dysfunction similar to what is observed in mammals. Thus, we present a cardiac phenotype associated with Drosophila SERCA dysfunction that would serve as additional phenotyping for further large-scale genetic screens for novel modifiers of SERCA function.     

Navigation-synchronized multimodal control wheelchair from brain to alternative assistive technologies for persons with severe disabilities

Currently, electric wheelchairs are commonly used to improve mobility in disabled people. In severe cases, the user is unable to control the wheelchair by themselves because his/her motor functions are disabled. To restore mobility function, a brain-controlled wheelchair (BCW) would be a promising system that would allow the patient to control the wheelchair by their thoughts. P300 is a reliable brain electrical signal, a component of visual event-related potentials (ERPs), that could be used for interpreting user commands. This research aimed to propose a prototype BCW to allowed severe motor disabled patients to practically control a wheelchair for use in their home environment. The users were able to select from 9 possible destination commands in the automatic mode and from 4 directional commands (forward, backward, turn left and right) in the shared-control mode. These commands were selected via the designed P300 processing system. The wheelchair was steered to the desired location by the implemented navigation system. Safety of the user was ensured during wheelchair navigation due to the included obstacle detection and avoidance features. A combination of P300 and EOG was used as a hybrid BCW system. The user could fully operate the system such as enabling P300 detection system, mode shifting and stop/cancelation command by performing a different consecutive blinks to generate eye blinking patterns. The results revealed that the prototype BCW could be operated in either of the proposed modes. With the new design of the LED-based P300 stimulator, the average accuracies of the P300 detection algorithm in the shared-control and automatic modes were 95.31 and 83.42% with 3.09 and 3.79 bits/min, respectively. The P300 classification error was acceptable, as the user could cancel an incorrect command by blinking 2 times. Moreover, the proposed navigation system had a flexible design that could be interfaced with other assistive technologies. This research developed 3 alternative input modules: an eye tracker module and chin and hand controller modules. The user could select the most suitable assistive technology based on his/her level of disability. Other existing assistive technologies could also be connected to the proposed system in the future using the same protocol.     

一种新的体外细胞牵张刺激装置

体外细胞机械刺激装置是研究细胞对机械牵张反应的一种研究设备。目前此类装置有多种,但是这些装置都存在一些不便之处。本文以商品化的Flexercell Strain Unit刺激装置为参照,设计一套离心力牵张装置。通过使贴壁细胞生长的培养板以一定的速度旋转,从而使心肌细胞受到固定大小的离心力的牵张作用。酶解分离3～5d SD大鼠心肌细胞,并分别给予12和24h机械刺激:传统的20%牵张刺激和180r/min的离心力刺激。以~3H-亮氨酸掺入量反映细胞的肥大指标,并测定牵张引起的血管紧张素Ⅱ的自分泌。同对照组相比,~3H-亮氨酸掺入在离心力牵张组显著升高[(1295.17±51.19)vs(1122.67± 51.63)in 12h;(1447.5±35.96)vs(1210.67±90.92)in 24h,P<0.05]。AngⅡ在离心力牵张组均比同期末牵张组均明显升高,12h为128%(P<0.05)和24h为139%(P<0.01)。经24h的牵张,培养液中乳酸脱氢酶活性在膜牵张组显著高于离心力牵张组[(14.5±8.7)U/Lvs (7.8±4.3)U/L,P<0.05]。新型改进的机械牵张装置能够有效刺激心肌细胞蛋白合成增加和AngⅡ的分泌增加,与FlexercellStrain Unit相比,离心力牵张装置对细胞的损害较轻微。     

Analysis of T-T lymphocytes and T-accessory cell interactions using cloned T cells: MHC I restricted cloned T cells activate MHC II restricted T helper cells

We evaluated the role of molecules of the major histocompatibility complex (MHC) involved in the cellular interactions of two T-cell clones by testing the effect of monoclonal antibodies on the responses of the clones in vitro. The two T-cell clones used in the study are specific for minor histocompatibility antigens and restricted to the H-2K^k. In the absence of exogenous IL-2 the clones require the presence of Ia⁺, Thy-1⁻ accessory cells and of Thy-1⁺, Lyt-1⁺2⁻ cells in the irradiated spleen cell suspension used as stimulator. It is also necessary that both the accessory cells and the T cells in the stimulator cell populations are recognized specifically by the clones. Monoclonal antibodies specific for the H-2K product inhibited the lytic effector function of the cytolytic clone. These antibodies when added to cultures of stimulator cells and clones inhibited also the proliferation of this clone and of a nonlytic clone. When antigen recognition was measured by the increase in sensitivity of the clones to IL-2 while confronted with uv-irradiated stimulator cells, both clones were blocked efficiently by anti-H-2K antibodies. Thus, these results suggest that the interaction of monoclonal antibodies with the restricting H-2K molecule is sufficient to block the recognition signal, a prerequisite for proliferation. In contrast, monoclonal antibodies specific for A_αA_β and/or E_αE_β had no effect on cytolysis or on restricted recognition. However, they inhibited the proliferative responses as efficiently as the H-2K specific antibodies. Inhibition by class II-specific antibodies was not abolished when stimulator cell populations were depleted of Lyt-2⁺ cells. The blocking effect, however, was reversed by the addition of IL-2. No inhibition was obtained with antibody specific for E_αE_β when B10.A(4R) spleen cells, which do not express E_αE_β, or when B10.A(4R) accessory cells, which were reconstituted with (BALB/c X B10.A(4R)) F1 T cells, were used as stimulators. Stimulator cells heterozygous for H-2 could be inhibited by antibodies to the parental haplotype not encoded in the clones (H-2K^d). These and previous results suggest that H-2K-restricted minor histocompatibility antigen-specific recognition transmits an activating signal to the clones and to the stimulator cells. The clones probably are induced to express more IL-2 receptors. The stimulator T cells seem to interact through A_αA_β and E_αE_β molecules with syngeneic accessory cells. This interaction results in IL-2 production by the stimulator T cells and thus in the proliferation of the clones.     

Specification of the mouse cardiac conduction system in the absence of Endothelin signaling

Coordinated contraction of the heart is essential for survival and is regulated by the cardiac conduction system. Contraction of ventricular myocytes is controlled by the terminal part of the conduction system known as the Purkinje fiber network. Lineage analyses in chickens and mice have established that the Purkinje fibers of the peripheral ventricular conduction system arise from working myocytes during cardiac development. It has been proposed, based primarily on gain-of-function studies, that Endothelin signaling is responsible for myocyte-to-Purkinje fiber transdifferentiation during avian heart development. However, the role of Endothelin signaling in mammalian conduction system development is less clear, and the development of the cardiac conduction system in mice lacking Endothelin signaling has not been previously addressed. Here, we assessed the specification of the cardiac conduction system in mouse embryos lacking all Endothelin signaling. We found that mouse embryos that were homozygous null for both ednra and ednrb, the genes encoding the two Endothelin receptors in mice, were born at predicted Mendelian frequency and had normal specification of the cardiac conduction system and apparently normal electrocardiograms with normal QRS intervals. In addition, we found that ednra expression within the heart was restricted to the myocardium while ednrb expression in the heart was restricted to the endocardium and coronary endothelium. By establishing that ednra and ednrb are expressed in distinct compartments within the developing mammalian heart and that Endothelin signaling is dispensable for specification and function of the cardiac conduction system, this work has important implications for our understanding of mammalian cardiac development.     

Immunologic effects of whole-body ultraviolet (uv) irradiation. III Defective splenic adherent cell function in alloantigen-stimulated T-cell proliferation

The daily exposure of a mouse to ultraviolet (uv) radiation causes a selective depletion of Ia-bearing adherent cells in that animal's spleen. This depletion manifests itself in functional deficiencies in the presentation of protein antigens and haptens to T cells. The present studies demonstrate a defect in splenic adherent cells (SAC) from uv-irradiated mice resulting in defective alloantigen presentation. We show that unfractionated splenocytes and SAC from uv-irradiated mice show decreased stimulatory activity in allogeneic MLR. We then utilize this phenomenon induced by uv radiation to characterize the stimulator cell in the M locus (Mls) determinant-driven MLR. We show that the stimulator cell in Mls determinant-driven MLR is an adherent cell and demonstrate that this stimulator cell bears Ia determinants by showing that whole spleen cells and SAC from mice treated with uv radiation are inefficient stimulators of the Mls determinant-driven MLR. The importance of the Ia determinant on the stimulator cells in Mls determinant-driven MLR is corroborated by the demonstration that a monoclonal antibody directed at this determinant fully blocks the Mls determinant-driven MLR. The significance of these studies to the problem of alloreactions in vivo is discussed.     

Spleen cells from athymic mice are ineffective stimulator cells for cytotoxic responses in microcultures and in vivo

The stimulator cells for the activation of cytotoxic T lymphocyte (CTL) precursor cells were studied in vivo and in microculture systems with limiting concentrations of helper factor (interleukin-2). We found in both cases that mixtures of irradiated spleen cells from athymic and euthymic donors of different haplotypes activated CTL responses preferentially against alloantigens which were carried by the euthymic donors. This applied also if athymic and euthymic donors shared parts of the H-2 gene complex. Stimulator cells from athymic and euthymic donors activated, on the other hand, equally strong responses in microcultures which were supplemented with additional helper factor or in conventional macrocultures. This and direct cell mixing experiments showed that the ineffective stimulation by the nude spleen cells in vivo and under conditions of limiting helper factor was not mediated by active suppression. Our experiments are therefore best explained by the assumption that cytotoxic responses under conditions of limiting helper factor require a close proximity between CTL precursor cells and helper T cells. This proximity may be most efficiently provided by the receptors of the CTL precursor cells when helper T cells serve as stimulator cells. Lymph node cells were consistently inferior to spleen cells as stimulator cells, and the nylon wool nonadherent fraction of spleen cells was on the average also inferior to unfractionated spleen cells, indicating that the stimulator T cells belong to a spleen seeking and partly nylon wool adherent T-cell subpopulation or require an additional cell type for optimal stimulation.     

Selective suppression of the murine autologous mixed lymphocyte reaction by physiological concentrations of hydrocortisone: effects on cell-surface Ia antigens

Strong, adult (Type II) autologous mixed lymphocyte reactions (AMLR) were observed in cultures of lymphoid cells from both A.TH and A.TL mice. These were suppressed by more than 90% in the continuous presence of 7.5 × 10^?8M hydrocortisone-21-sodium succinate. This concentration of hormone had minimal effects on the allogeneic mixed lymphocyte response (MLR) and the mitogenic response to concanavalin A (Con A). Higher concentrations suppressed all three responses. Treatment of autologous cell mixtures for the first 30 hr with 7.5 × 10^?8M hydrocortisone resulted in a 78% suppression of the AMLR. This was not associated with a detectable decrease in the quantity of Ia antigens on the stimulator-cell surface, as evaluated by the susceptibility of treated cells to antibody dependent, complement-mediated lysis, using [A.TH × B.10M]F₁ anti-A.TL antiserum. Hence, this suppression did not appear to result from an alteration of the antigens putatively associated with stimulation of the AMLR. Separate pretreatment of stimulator and responder cells with 7.5 × 10^?8M hydrocortisone followed by culturing with appropriate companion cells had no major effect on the AMLR. Therefore, low-dose hydrocortisone did not appear to selectively eliminate or permanently inactivate subpopulations of responder or stimulator cells. Rather, it appeared to regulate active cellular processes that are initiated by the coculturing of these cells and are required for the early stages of autologous lymphocyte activation.     

In vitro alloreactivity of mouse bone marrow lymphocytes

Before characterizing alloreactive cells of the bone marrow, it was necessary to reevaluate the alloantigen response in this tissue. The results of previous studies using the parental-F₁ system in the mixed-lymphocyte reaction (MLR) are open to question because of the recently documented proliferation of F₁ stimulator cells (W. H. Adler, T.Takiguchi, B. Marsh, and R. T. Smith,J. Immunol. 105, 984, 1970; P. F. Piguet, H. K. Dewey, and P. Vassalli, J. Exp. Med. 146, 735, 1977). The culture system was optimized for measuring the MLR of bone marrow lymphocytes enriched on sucrose density gradients. The proliferative response of the enriched fraction (BML) to 2000-R irradiated allogeneic spleen cells was three times as high as the response of unfractionated bone marrow. For maximal responses, antigen concentration had to be twice as high for the BML as for the lymph node, and in a time course study the highest [³H]TdR uptake occurred on Day 3 in BML cultures and on Day 5 in the LN. In lymph node semiallogeneic cultures stimulator cell proliferation can be disregarded, while semiallogeneic BML MLR err significantly on the high side. When BML were matched with allogeneic stimulator cells at the H-2 locus, they gave good MLR responses, provided there was a minor Mls histocompatibility locus difference, while in the lymph node the response was greatly diminished in similar mixtures. The differences in the BML and lymph node alloantigen responses with respect to antigen concentration, kinetics and susceptibility to F₁ and Mls stimulation, suggest that the bone marrow alloantigen response is mediated by a cell population that is different than alloresponsive cells in the lymph node.     

Long-term cardiac allograft survival across an MHC mismatch after "pruning" of alloreactive CD4 T cells

Specific tolerance to allografts has been achieved by a variety of means. We have previously shown that ex vivo removal of dividing CD4(+) T cells from an MLR or "pruning" delays skin allograft rejection. We tested pruning of alloreactive T cells as a strategy for retaining a broad T cell repertoire while removing alloreactive T cells in a model of cardiac allograft transplant. Using CFSE staining of responder BALB/c cells with stimulator C57BL/6 cells in an MLR, SCID mice were reconstituted with either dividing (D) or nondividing (ND) CD4(+) T cells derived from an MLR and then challenged with heterotopic cardiac allografts. Mice reconstituted with D CD4(+) T cells rejected cardiac allografts from the stimulator strain with a median survival time (MST) of 29 days, while mice reconstituted with ND CD4(+) T cells maintained allografts from the stimulator strain (MST of >100 days) while rejecting third-party allografts (B10.BR) (MST = 11 days). ELISPOT assays demonstrate donor-specific hyporesponsiveness of the ND CD4(+) T cells. TCR beta-chain V region (TRBV) repertoire analysis demonstrates clonal expansion within both rejecting D cardiac allografts and ND cardiac allografts surviving for the long-term. Histology showed greater allograft infiltration by the D CD4(+) T cells. The surviving ND cardiac allografts demonstrated reduced cellular infiltration and reduced incidence of allograft vasculopathy, but with the development of chronic fibrosis. Thus, pruning of alloreactive T cells allows long-term-specific cardiac allograft survival while retaining the ability to reject third-party allografts.     

Optical mapping system with real-time control capability

Real-time, closed-loop intervention is an emerging experiment-control method that promises to provide invaluable new insight into cardiac electrophysiology. One example is the investigation of closed-loop feedback control of cardiac activity (e.g., alternans) as a possible method of preventing arrhythmia onset. To date, such methods have been investigated only in vitro using microelectrode systems, which are hindered by poor spatial resolution and are not well suited for atrial or ventricular tissue preparations. We have developed a system that uses optical mapping techniques and an electrical stimulator as the sensory and effector arms, respectively, of a closed-loop, real-time control system. The system consists of a 2,048 x 1 pixel line-scan charge-coupled device camera that records optical signals from the tissue. Custom-image processing and control software, which is implemented on top of a hard real-time operation system (RTAI Linux), process the data and make control decisions with a deterministic delay of <1 ms. The system is tested in two ways: 1) it is used to control, in real time, simulated optical signals of electrical alternans; and 2) it uses precisely timed, feedback-controlled initiation of antitachycardia pacing to terminate reentrant arrhythmias in an arterially perfused swine right ventricle stained with voltage-sensitive fluorescent dye 4{beta-[2-(di-n-butylamino)-6-napathy]vinyl}pyridinium (di-4-ANEPPS). Thus real-time control of cardiac activity using optical mapping techniques is feasible. Such a system is attractive because it offers greater measurement resolution than the electrode-based systems with which real-time control has been used previously.     

Comparison of the mechanisms of latency shift in pattern reversal visual evoked potential induced by blurring and contrast reduction

Reduction of visual acuity or of the contrast of the stimulus induces a prolongation of the pattern reversal visual evoked potential (PR-VEP) latencies, perhaps because these conditions cause deterioration of the visual capacity to recognize objects and may preferentially activate the slower central retina channel. The PR-VEP was obtained with a video stimulator and 3 kinds of stimuli: total video field, video with a central scotoma and a restricted central stimulus. The subjects were tested under conditions of normal (20/20) and reduced visual acuity (20/200) with 14′ and 56′ checks and 60% contrast, and under conditions of normal visual acuity (20/20) with 14′ checks and with stimulus contrast of 60% and 25%. Blurring increased latencies and decreased amplitudes only with the 14′ checks stimulus but no with 56′ checks, and the amplitudes obtained with the central stimulus became greater than those obtained with a central scotoma. Reducing contrast increased only latency, and there was not difference between amplitudes obtained with a central stimulus or a central scotoma. We conclude that blurring small checks induces a preferential stimulation of receptors in the central retina, but the same effect was not observed when stimulus contrast was reduced.     

COVID-19 global pandemic planning: Performance and electret charge of N95 respirators after recommended decontamination methods

Shortages of N95 respirators for use by medical personnel have driven consideration of novel conservation strategies, including decontamination for reuse and extended use. Decontamination methods listed as promising by the Centers for Disease Control and Prevention (CDC) (vaporous hydrogen peroxide (VHP), wet heat, ultraviolet irradiation (UVI)) and several methods considered for low resource environments (bleach, isopropyl alcohol and detergent/soap) were studied for two commonly used surgical N95 respirators (3M™ 1860 and 1870+ Aura™). Although N95 filtration performance depends on the electrostatically charged electret filtration layer, the impact of decontamination on this layer is largely unexplored. As such, respirator performance following decontamination was assessed based on the fit, filtration efficiency, and pressure drop, along with the relationship between (1) surface charge of the electret layer, and (2) elastic properties of the straps. Decontamination with VHP, wet heat, UVI, and bleach did not degrade fit and filtration performance or electret charge. Isopropyl alcohol and soap significantly degraded fit, filtration performance, and electret charge. Pressure drop across the respirators was unchanged. Modest degradation of N95 strap elasticity was observed in mechanical fatigue testing, a model for repeated donnings and doffings. CDC recommended decontamination methods including VHP, wet heat, and UV light did not degrade N95 respirator fit or filtration performance in these tests. Extended use of N95 respirators may degrade strap elasticity, but a loss of face seal integrity should be apparent during user seal checks. NIOSH recommends performing user seal checks after every donning to detect loss of appropriate fit. Decontamination methods which degrade electret charge such as alcohols or detergents should not be used on N95 respirators. The loss of N95 performance due to electret degradation would not be apparent to a respirator user or evident during a negative pressure user seal check.     

Adoptive transfer of delayed-type hypersensitivity to Sendai virus: II. Different modes of antigen presentation determine K,D-region or I-region restriction of T cells mediating delayed-type hypersensitivity to Sendai virus

Requirements for antigen presentation for in vitro stimulation of two subpopulations of Td lymphocytes were investigated. One subset was K,D-region-restricted and required infection or fusion of virus particles with stimulator cells for induction. The other subpopulation was I-region-restricted and required presentation of antigen by adherent cells (presumably macrophages). Presentation of antigen on Ia antigen positive stimulator cells (LPS blasts) failed to lead to stimulation of I-region-restricted T lymphocytes, thus suggesting that phagoctyosis and processing of antigen rather than association of viral antigens via fusion or infection was required for stimulation of these T lymphocytes.     

Practical low cost stand/sit system for midthoracic paraplegics

The use of functional electrical stimulation (FES) to enable paraplegics to stand is not new or indeed difficult to undertake under laboratory conditions. However, there are substantial problems to overcome before such systems can be used routinely by patients without professional supervision. The overriding consideration has to be one of safety, i.e. the system must be ‘fail safe’. Secondly, the system must be quick and easy to use in a wide variety of locations, otherwise it will not provide any increase in function. Finally, it must be inexpensive enough to be available to a large number of paraplegics. The primary aim of our work was to provide such a system to enable mid-thoracic lesion paraplegics to stand wherever they wish. This involved the development of a microprocessor-based stimulator to enable the stimulating envelope to be individually tailored to a given patient's requirements and the provision of closed loop control to minimize fatigue. A folding standing frame was also designed which replaces the arm rests on a standard wheelchair. Using this system, the user is able to stand within 30 s of stopping and can remain standing for up to 10 min. Cosmetic calipers (knee-ankle-foot orothoses) are also being used for paraplegics who require to stand for longer periods. It is hoped that such a system will provide stable standing for a large number of paraplegics at a unit cost of approximately £750.