In Vivo Blood Glucose Quantification Using Raman Spectroscopy

We here propose a novel Raman spectroscopy method that permits the noninvasive measurement of blood glucose concentration. To reduce the effects of the strong background signals produced by surrounding tissue and to obtain the fingerprint Raman lines formed by blood analytes, a laser was focused on the blood in vessels in the skin. The Raman spectra were collected transcutaneously. Characteristic peaks of glucose (1125 cm^-1) and hemoglobin (1549 cm^-1) were observed. Hemoglobin concentration served as an internal standard, and the ratio of the peaks that appeared at 1125 cm^-1 and 1549 cm^-1 peaks was used to calculate the concentration of blood glucose. We studied three mouse subjects whose blood glucose levels became elevated over a period of 2 hours using a glucose test assay. During the test, 25 Raman spectra were collected transcutaneously and glucose reference values were provided by a blood glucose meter. Results clearly showed the relationship between Raman intensity and concentration. The release curves were approximately linear with a correlation coefficient of 0.91. This noninvasive methodology may be useful for the study of blood glucose in vivo.     

One-dimensional model of the acid hydrolysis of cellulosic substrates in a solid-liquid cyclone reactor

The use of rotating flow in an annulus is investigated as a means of enhancing the yield of glucose and xylose in the acid hydrolysis of cellulosic slurries. A one-dimensional model of such a cyclone reactor is developed for flow cases, co-current and counter-current flow. For the case of 250°C, 1% w/w acid, the one-dimensional model indicates an increase in the maximum glucose yield from 48.1% in a plug flow reactor to 69.3% in a co-current cyclone reactor, and up to 81.0% in a countercurrent cyclone reactor. The corresponding xylose yields are 91.6% for co-current operation and 97.7% for countercurrent operation. In the co-current case the maximum glucose and xylose yields do not occur at the same location in the reactor; however, in the countercurrent case they do. Although product yields are dramatically improved over those obtained in a plug flow reactor, the product concentrations are lower than would typically be obtained in a plug flow reactor.List of Symbols A cm² cross sectional area perpendicular to radial flow - A _c cm² cross sectional area of slurry inlet - A _c cm² cross sectional area of steam inlet - A _w cm² cross sectional area of water inlet - C _c concentration of cellulose as potential glucose (grams of potential glucose/cm³ of total stream) - C _c ^* grams cellulose/cm³ of solids concentration of cellulose as potential glucose - C _ginitial ^* grams glulose/cm³ of solids concentration of cellulose entering reactor - C _g grams glucose/cm³ of total stream concentration of glucose - C _g ^* grams glucose/cm³ of liquid stream concentration of glucose - C _cinitial ^* grams cellulose/cm³ of liquid concentration of glucose entering reactor - C _xn concentration of xylan as potential xylose (grams of potential xylose/cm³ of total stream) - C _xs grams xyclose/cm³ of total stream concentration of nylose - d _f dilution factor - dr cm radial increment - g cm/s² gravitational acceleration - g ^* centrifugal acceleration proportionality constant - h cm height of cyclone reactor - j cm/s flux - K constant in general equation for vortex flow, Eq. (4.9) - k ₁ 1/s kinetic rate constant of cellulose hydrolysis - k _a 1/s kinetic rate constant of xylan hydrolysis - k ₂ 1/s kinetic rate constant of glucose decomposition - k _2a 1/s kinetic rate constant of xylose decomposition - m vortex exponent - M _steam g/s mass rate of steam addition at outer radius - M _water g/s mass rate of cold water addition at outer radius - n cm³/s empirically determined settling parameter - Q cm³/s net volumetric flow in outward radial direction - Q _tot cm³/s total volumetric flow through reactor - q _c cm³/s volumetric flow of slurry feed - q _s cm³/s volumetric flow of stream feed - q _water cm³/s volumetric flow of cold water feed - r cm radial position - r _c 1/s rate of cellulose hydrolysis - r _g 1/s rate of glucose decomposition - r _i cm inner radius - r _o cm outer radius - r _xn 1/s rate of xylan hydrolysis - r _xs 1/s rate of xylose decomposition - s _mom cm g/s² inlet steam momentum - T _bulk s bulk residence time in reactor - T °C reactor temperature - v _c cm³/g specific volume of slurry feed - v _s cm³/g specific volume of steam - v _w cm³/g specific volume of water - V _f cm/s velocity of liquid as a function of radius - V _i cm/s inlet velocity - V _s cm/s velocity of solids as a function of radius - V _steam cm/s inlet steam velocity to cyclone - V cm/s terminal settling velocity - V _q cm/s tangential velocity - w _mom cm g/s² water inlet momentum - Y grams product out/grams reactant in yield of product - solids volumetric fraction - _f solids volumetric fraction in slurry feed - _i initial solids volumetric fraction of slurry - Pi     

Flow dynamics of immobilized enzyme reactors

Summary Enzymic conversion of glucose to fructose was carried out in a packed bed and in a fluidized bed reactor. The flow dynamics of these two flow systems, loaded with two different types of immobilized loaded with two different types of immobilized glucose isomerase particles, were studied. The theoretical RTD curve calculated from the axial dispersed plug flow model equation was matched to the experimental RTD curve by an optimization technique. The effect of fluid velocity on the extent of liquid dispersion was established. Theoretical predictions on the conversion of glucose to fructose were calculated using three mathematical models, namely, a plug flow model, a continuous stirred tank reactor (CSTR) model and an axial dispersed plug flow model. The experimental results showed that the axial dispersed plug flow model was superior in predicting the performance of both the packed bed and fluidized bed reactor.Abbreviations C Dimensionless concentration - D Dispersion coefficient [cm²/sec] - d _p Mean particle diameter [cm] - E Enzyme concentration [mol/gm] - F Fructose concentration [mol/cm³] - F _e Equilibrium fructose concentration [mol/cm³] - G Glucose concentration [mol/cm³] - G _e Equílibrium glucose concentration [mol/cm³] - G _o Initial glucose concentration [mol/cm³] - Reduced glucose concentration [mol/cm³] - K Equilibrium constant - K _mf Forward reaction rate constant [mol/cm³] - K _mr Reserve reaction rate constant [mol/cm³] - K _m Rate constant [mol/cm³] - L Total length of the reactor bed [cm] - l Length [cm] - Q Flow rate [cm³/s] - r Rate of reaction based on volume of substrate - u Superficial liquid velocity [cm/s] - v Interstitial liquid velocity [cm/s] - V Reactor bed volume [cm³] - V _mf Forward reaction rate constant [mol/s·g enzyme] - V _mr Reserve reaction rate constant [mol/s·g enzyme] - z Dimensionless distance along the reactor - Density [g/cm²]     

Photoautotrophy established in multiple-shoot cultures of ruta graveolens

During the growth of multiple-shoot cultures of Ruta graveolens, oxygen and carbon dioxide exchanges were continuously and simultaneously measured. The shoots subcultured on a medium containing 166 mM glucose showed a marked respiration rate. Even under light, CO₂ concentrations reached 4000 to 6000 cm³ m^-3. Photosynthesis never compensated for respiration. These cultures were photomixotrophic. A change of respiration and photosynthesis occurred between the 30th and the 32nd day of culture, with a high respiration rate. When the shoots were subcultured on a medium containing 41 mM glucose, it was possible to obtain photoautotrophy after two weeks under high irradiance (150 umol m^-2 s^-2), and after three weeks under low irradiance (60 μmol m^-2 s^-1), the CO₂ concentrations being 1100 and 600 cm³ m^-3 respectively.     

Association between DNA Methylation in Whole Blood and Measures of Glucose Metabolism: KORA F4 Study

Epigenetic regulation has been postulated to affect glucose metabolism, insulin sensitivity and the risk of type 2 diabetes. Therefore, we performed an epigenome-wide association study for measures of glucose metabolism in whole blood samples of the population-based Cooperative Health Research in the Region of Augsburg F4 study using the Illumina HumanMethylation 450 BeadChip. We identified a total of 31 CpG sites where methylation level was associated with measures of glucose metabolism after adjustment for age, sex, smoking, and estimated white blood cell proportions and correction for multiple testing using the Benjamini-Hochberg (B-H) method (four for fasting glucose, seven for fasting insulin, 25 for homeostasis model assessment-insulin resistance [HOMA-IR]; B-H-adjusted p-values between 9.2x10^-5 and 0.047). In addition, DNA methylation at cg06500161 (annotated to ABCG1) was associated with all the aforementioned phenotypes and 2-hour glucose (B-H-adjusted p-values between 9.2x10^-5 and 3.0x10^-3). Methylation status of additional three CpG sites showed an association with fasting insulin only after additional adjustment for body mass index (BMI) (B-H-adjusted p-values = 0.047). Overall, effect strengths were reduced by around 30% after additional adjustment for BMI, suggesting that this variable has an influence on the investigated phenotypes. Furthermore, we found significant associations between methylation status of 21 of the aforementioned CpG sites and 2-hour insulin in a subset of samples with seven significant associations persisting after additional adjustment for BMI. In a subset of 533 participants, methylation of the CpG site cg06500161 (ABCG1) was inversely associated with ABCG1 gene expression (B-H-adjusted p-value = 1.5x10^-9). Additionally, we observed an enrichment of the top 1,000 CpG sites for diabetes-related canonical pathways using Ingenuity Pathway Analysis. In conclusion, our study indicates that DNA methylation and diabetes-related traits are associated and that these associations are partially BMI-dependent. Furthermore, the interaction of ABCG1 with glucose metabolism is modulated by epigenetic processes.     

Resonance coherent anti-Stokes Raman scattering (CARS) spectra of flavin adenine dinucleotide,riboflavin binding protein and glucose oxidase

Coherent anti-Stokes Raman scattering spectra, in resonance with the isoalloxazine visible electronic transition, have been obtained down to 300 cm^?1 for flavin adenine dinucleotide, riboflavin binding protein and glucose oxidase, in H₂O and D₂O. Several isoalloxazine vibrational modes can be identified by analogy with those of uracil. Of particular interest is a band at ～1255 cm^?1 in H₂O, which is replaced by another at ～1295 cm^?1, in D₂O. The H₂O band appears to be a sensitive monitor of H-bonding of the N3 isoalloxazine proton to a protein acceptor group. It shifts down by 10 cm^?1 in riboflavin binding protein, and disappears altogether in glucose oxidase. Other band shifts, of 3–5 cm^?1, are similar for the two flavoproteins, and may reflect environmental changes between aqueous solution and the protein binding pockets.     

In situ determination of nitrogen fixation in Antarctica using a high sensitivity portable gas chromatograph

A portable gas chromatograph was employed in the Vestfold Hills, Antarctica, during the austral summer of 1979-80 for determining nitrogenase activity of the blue-green alga Nostoc commune Vaucher by the acetylene reduction assay. Acetylene reduction was measured in samples taken along a transect where the vegetation changed with respect to differing topography and water availability. Submerged colonies of Nostoc recorded the highest fixation rates (6.89 nmol C₂H₄. cm^-2 h^-1). Damp mosscyanophyte associations growing on shallow slopes showed moderate rates of acetylene reduction (1.99 nmol C₂H₄. cm^-2 h^-1) whilst the drier vegetation of the steeper terrain was the least active (0.19 nmol C₂H₄. cm^-2 h^-1. The employment of a high sensitivity portable gas chromatograph provided an accurate and reliable method of measuring acetylene reduction.     

Comparative study of sulfite pretreatments for robust enzymatic saccharification of corn cob residue

Background

Corn cob residue (CCR) is a kind of waste lignocellulosic material with enormous potential for bioethanol production. The moderated sulphite processes were used to enhance the hydrophily of the material by sulfonation and hydrolysis. The composition, FT-IR spectra, and conductometric titrations of the pretreated materials were measured to characterize variations of the CCR in different sulfite pretreated environments. And the objective of this study is to compare the saccharification rate and yield of the samples caused by these variations.

Results

It was found that the lignin in the CCR (43.2%) had reduced to 37.8%, 38.0%, 35.9%, and 35.5% after the sulfite pretreatment in neutral, acidic, alkaline, and ethanol environments, respectively. The sulfite pretreatments enhanced the glucose yield of the CCR. Moreover, the ethanol sulfite sample had the highest glucose yield (81.2%, based on the cellulose in the treated sample) among the saccharification samples, which was over 10% higher than that of the raw material (70.6%). More sulfonic groups and weak acid groups were produced during the sulfite pretreatments. Meanwhile, the ethanol sulfite treated sample had the highest sulfonic group (0.103 mmol/g) and weak acid groups (1.85 mmol/g) in all sulfite treated samples. In FT-IR spectra, the variation of bands at 1168 and 1190 cm^-1 confirmed lignin sulfonation during sulfite pretreatment. The disappearance of the band at 1458 cm^-1 implied the methoxyl on lignin had been removed during the sulfite pretreatments.

Conclusions

It can be concluded that the lignin in the CCR can be degraded and sulfonated during the sulfite pretreatments. The pretreatments improve the hydrophility of the samples because of the increase in sulfonic group and weak acid groups, which enhances the glucose yield of the material. The ethanol sulfite pretreatment is the best method for lignin removal and with the highest glucose yield.

     

An FT-IR Study of DNA and RNA Conformational Transitions at Low Temperatures

Abstract

Fourier Transform Infrared (FT-IR) spectra of solid samples of DNA and RNA obtained from freeze-drying at solid CO₂ and liquid nitrogen temperatures, have been recorded and correlation between the conformational transitions and spectral changes is proposed. It is concluded that an equilibrium exists between A, B and Z conformations at low temperatures for the DNA molecule, which is temperature dependent, whereas the RNA molecule exhibits only the A conformation. The results have been compared with the metal-adducts of DNA and RNA, where one of the conformations is predominant.

Marker infrared bands for the B conformer have been found to be the strong band at 825 cm^?1 (sugar conformer mode) and a band with medium intensity at 690 cm^?1 (guanine breathing mode). The A conformation showed characteristic bands at 810 and 675 cm^?1. The B to Z conformational transition was characterized by the strong absorption bands near 820-810 cm^?1 and at 665-600 cm^?1.     

Engineering of Mesoscale Pores in Balancing Mass Loading and Rate Capability of Hematite Films for Electrochemical Capacitors

Design and synthesis of metal oxide‐based pseudocapacitive materials to simultaneously achieve high mass loading (e.g., up to 10 mg cm^?2) and excellent rate capability for electrochemical capacitors is a long‐lasting challenge. These two characteristics are usually mutually exclusive due to the poor ion diffusion kinetics of most metal oxides. Here, a glucose‐assisted hydrothermal method to prepare thick hematite film (>1 µm) with engineerable mesopore size through controlled variation of glucose concentration is demonstrated. The capability of controlling the size of mesopores offers a unique opportunity to investigate for the first time the interplay between mesopore size and electrochemical performance of hematite films. The hematite film with an average mesopore size of 3 nm at an ultrahigh loading of 10 mg cm^?2 exhibits an areal capacitance of 1502 mF cm^?2 at 1 mA cm^?2, and retains 871.2 mF cm^?2 at 50 mA cm^?2. Such performance, to the best of the authors' knowledge, is at the top of the reported hematite electrodes with comparable or even lower mass loadings. The strategy demonstrated herein may be extended to fabricate diverse types of mesoporous metal oxide architectures with improved ion diffusion kinetics, which is critical for a broad range of devices for energy storage and conversion.     

Control of Listeria spp. by Competitive-Exclusion Bacteria in Floor Drains of a Poultry Processing Plant

In previous studies workers determined that two lactic acid bacterium isolates, Lactococcus lactis subsp. lactis C-1-92 and Enterococcus durans 152 (competitive-exclusion bacteria [CE]), which were originally obtained from biofilms in floor drains, are bactericidal to Listeria monocytogenes or inhibit the growth of L. monocytogenes both in vitro and in biofilms at 4 to 37°C. We evaluated the efficacy of these isolates for reducing Listeria spp. contamination of floor drains of a plant in which fresh poultry is processed. Baseline assays revealed that the mean numbers of Listeria sp. cells in floor drains sampled on six different dates (at approximately biweekly intervals) were 7.5 log₁₀ CFU/100 cm² for drain 8, 4.9 log₁₀ CFU/100 cm² for drain 3, 4.4 log₁₀ CFU/100 cm² for drain 2, 4.1 log₁₀ CFU/100 cm² for drain 4, 3.7 log₁₀ CFU/100 cm² for drain 1, and 3.6 log₁₀ CFU/100 cm² for drain 6. The drains were then treated with 10⁷ CE/ml in an enzyme-foam-based cleaning agent four times in 1 week and twice a week for the following 3 weeks. In samples collected 1 week after CE treatments were applied Listeria sp. cells were not detectable (samples were negative as determined by selective enrichment culture) for drains 4 and 6 (reductions of 4.1 and 3.6 log₁₀ CFU/100 cm², respectively), and the mean numbers of Listeria sp. cells were 3.7 log₁₀ CFU/100 cm² for drain 8 (a reduction of 3.8 log₁₀ CFU/100 cm²), <1.7 log₁₀ CFU/100 cm² for drain 1 (detectable only by selective enrichment culture; a reduction of 3.3 log₁₀ CFU/100 cm²), and 2.6 log₁₀ CFU/100 cm² for drain 3 (a reduction of 2.3 log₁₀ CFU/100 cm²). However, the aerobic plate counts for samples collected from floor drains before, during, and after CE treatment remained approximately the same. The results indicate that application of the two CE can greatly reduce the number of Listeria sp. cells in floor drains at 3 to 26°C in a facility in which fresh poultry is processed.     

Determination of the structural changes by FT-IR, Raman, and CP/MAS C NMR spectroscopy on retrograded starch of maize tortillas

The nixtamalization, production and storage of tortillas in refrigeration cause several changes on the starch structure, resulting in an increased crystallinity and therefore a higher content of resistant starch. The IR analysis for resistant starch (RS) showed a band at 1047 cm⁻¹ associated to the retrogradation process; this band was due to the weakening of the intermolecular H-bonds. These associated together to form ordered regions. The Raman analysis shows a characteristic band at 856 cm⁻¹ corresponding to C-C skeletal modes of glucose of α-1,4 glycosidic linkage starches, and a band at 480 cm⁻¹ attributed to skeletal vibrations of the pyranose ring in the glucose unit of starches. These changes may be related to the polymerization degree of the starch molecules, as well as to the retrogradation of amylose and amylopectin. The spectrum of ¹³C CP-MAS/NMR for RS3 supports the results obtained by IR and Raman. Lipidic and proteic groups were observed which may be in the form of complexes with amylose. One can proclaim that the existence of the salt form is induced and stabilized by the interactions dominating the V amylose structure in the solid state.     

Glucose transport across the intestinal wall of the freshwater snail Biomphalaria glabrata

• 1.1. Isolated midguts of the freshwater snail Biomphalaria glabrata were mounted in an incubation chamber in saline containing 2 mM glucose and perfused with the same solution. External and internal media were continuously gassed with carbogen gas (95% O₂, 5% CO₂). In order to measure the flux rates of glucose [¹⁴C]glucose was applied in the perfusion medium or in the incubation medium. Net fluxes of glucose were calculated as the differences between unidirectional in- and effluxes.
• 2.2. A directed net flux from the mucosal to the serosal side of the intestine was demonstrated (mucosal to serosal = 50 ± 10 nmol cm⁻²hr⁻¹(N = 6) serosal to mucosal 7 ± 1 nmol cm⁻²hr⁻¹ (N = 6), net flux = 43 nmol cm⁻²hr⁻¹).r
• 3.3. The active transport of glucose was reduced by the presence of metabolic inhibitors, cyanide (1 mM) and dinitrophenol (1 mM) on the mucosal as well as on the serosal side. Ouabain (1 mM) inhibited the transport rate only when it was added on the serosal side. Amiloride (1 mM) had no effect on the transport rate whether added on the mucosal or on the serosal side.
• 4.4. Inhibition of glucose transport by oubain, a specific inhibitor of Na⁺/K⁺-ATPase, suggests that glucose transport is secondary active and coupled to Na⁺-transport.

     

Raman Spectroscopy Analysis of the Biochemical Characteristics of Molecules Associated with the Malignant Transformation of Gastric Mucosa

Objective

The purpose of this study was to comparatively analyze the signature Raman spectra of genomic DNA, nuclei, and tissue of normal gastric mucosa and gastric cancer and to investigate the biochemical transformation of molecules associated with gastric mucosa malignancy.

Method

Genomic DNA, nuclei, and tissue from normal gastric mucosa and gastric cancer were analyzed by Raman spectroscopy.

Results

1) The Raman spectrum of gastric cancer genomic DNA showed that two peaks appeared, one at approximately 1090 cm^-1 with a higher intensity than the peak at 1050 cm^-1 in the spectrum. Characteristic peaks appeared at 950 cm^-1, 1010 cm^-1, and 1100-1600 cm^-1. 2) Using a hematoxylin and eosin (H&E)-stained section, the intensity of the characteristic peak of nucleic acids at 1085 cm^-1 was increased and shifted to 1088 cm^-1 in cancer cells. The relative intensity of the characteristic peaks of nucleoproteins at 755 cm^-1 and 1607 cm^-1 was significantly increased in cancer cells compared with normal cells. 3) Compared with normal tissues, the peak representing PO^2- symmetric stretching vibration shifted from 1088 cm^-1 to 1083 cm^-1 in cancer tissue, and the characteristic peak for collagen at 938 cm^-1 shifted to 944 cm^-1. In addition, an extra characteristic peak indicating C = C stretching vibration appeared at 1379 cm^-1 in the lipid spectrum in cancer tissue.

Conclusions

The position, intensity, and shape of peaks in the Raman spectra of DNA, nuclei, and tissue from gastric cancer were significantly different compared with those of normal cells. These results indicate that the DNA phosphate backbone becomes unstable in cancer cells and might be broken; the relative content of histones is increased and stable; the relative collagen content is reduced, facilitating cancer cell metastasis; and the relative content of unsaturated fatty acids is increased, increasing the mobility of the plasma membrane of cancer cells.     

Cost-effectiveness of self-monitoring of blood glucose in patients with type 2 diabetes mellitus managed without insulin

Background

The benefits of self-monitoring blood glucose levels are unclear in patients with type 2 diabetes mellitus who do not use insulin, but there are considerable costs. We sought to determine the cost effectiveness of self-monitoring for patients with type 2 diabetes not using insulin.

Methods

We performed an incremental cost-effectiveness analysis of the self-monitoring of blood glucose in adults with type 2 diabetes not taking insulin. We used the United Kingdom Prospective Diabetes Study (UKPDS) model to forecast diabetes-related complications, corresponding quality-adjusted life years and costs. Clinical data were obtained from a systematic review comparing self-monitoring with no self-monitoring. Costs and utility decrements were derived from published sources. We performed sensitivity analyses to examine the robustness of the results.

Results

Based on a clinically modest reduction in hemoglobin A_1C of 0.25% (95% confidence interval 0.15–0.36) estimated from the systematic review, the UKPDS model predicted that self-monitoring performed 7 or more times per week reduced the lifetime incidence of diabetes-related complications compared with no self-monitoring, albeit at a higher cost (incremental cost per quality-adjusted life year $113 643). The results were largely unchanged in the sensitivity analysis, although the incremental cost per quality-adjusted life year fell within widely cited cost-effectiveness thresholds when testing frequency or the price per test strip was substantially reduced from the current levels.

Interpretation

For most patients with type 2 diabetes not using insulin, use of blood glucose test strips for frequent self-monitoring (≥ 7 times per week) is unlikely to represent efficient use of finite health care resources, although periodic testing (e.g., 1 or 2 times per week) may be cost-effective. Reduced test strip price would likely also improve cost-effectiveness.Self-monitoring of blood glucose in patients with diabetes who use insulin may contribute to improved glycemic control and reduced hypoglycemia by allowing for self-adjustments in insulin dose to be made based on meter readings.¹ Self-monitoring may also allow for appropriate changes in diet and physical activity to be made. However, the benefits of self-monitoring of blood glucose for patients not using insulin are less clear. Hypoglycemia is less frequent in this population² and is confined mainly to those taking secretagogues. The degree to which patients can adjust the dose of oral antidiabetes drugs in response to readings is limited.Nevertheless, self-monitoring of blood glucose is routinely recommended for patients who are not using insulin.¹ This results in major investments in this technology by patients and payers.³ In 2006, $250 million was spent on blood glucose test strips in 8 publicly funded drugs plans in Newfoundland and Labrador, Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan and British Columbia, while over $120 million was spent in privately funded drug plans in Canada.⁴ In some publicly funded drug plans in Canada, blood glucose test strips are among the top 5 classes in terms of total expenditure,⁵ with costs exceeding those for all oral antidiabetes drugs combined.^4,6 It is estimated that more than 50% of the total expenditure on blood glucose test strips is for patients with type 2 diabetes who are not using insulin.³ Costs related to test strips are expected to rise steadily^5,7 because of the increasing prevalence of type 2 diabetes.⁸Decisions about the prescribing and reimbursement of blood glucose test strips require consideration of information about the costs and clinical benefits.^9,10 As part of a larger initiative to determine the optimal use of this technology, we sought to determine the cost-effectiveness of self-monitoring of blood glucose for patients with type 2 diabetes who do not use insulin, based on data from our systematic review¹¹ of the available clinical evidence.     

SERS-based sensor for direct L-selectin level determination in plasma samples as alternative method of tumor detection

Selectin ligands are present on the surface of tumor cells, for this reason lowering the L-selectin level in the blood and lymph can indicate presence of the tumor. Therefore the selectin level in the plasma are potential targets for anticancer therapy. We demonstrate the surface enhanced Raman spectroscopy (SERS)-based sensor for the determination of L-selectin level in biological samples that can be used in medical diagnosis. The combination of SERS with the method of multivariate analysis as principle component analysis (PCA) allows to strengthen the presented data analysis. The loadings of PCA permit to indicate those vibration modes, that are the most important for the assumed identification (bands at 1574, 1450, 1292 cm⁻¹). Two bands at 1286 and 1580 cm⁻¹ were selected for the determination of the calibration curve (bands intensities I₁₂₈₆/I₁₅₈₀ ratio). The L-selectin level of biological samples can be read, directly from the calibration curve. The presented sensor is as a sensitive tool with good specificity and selectivity of L-selectin, even in the case of coexistence of P- and E-selectin.     

A new approach to the characterization of the B and A forms of DNA by I.R. spectroscopy

The RNA conformational changes of B, A and C forms are reflected in the infrared absorption spectra in the region of 800 cm^?1 to 900 cm^?1 and allow one to investigate unoriented samples. The transition to the A form is characterized by the appearence of bands at about 870 cm^?1 and at 813 cm^?1 whereas the B and the C forms exhibit a band at 837 cm^?1, these bands undoubtedly arise from phosphate diester stretching vibrations and yield information about backbone conformation. The presence of these infrared bands provides a criterion for testing the simultaneous presence of two coexisting forms of DNA. It represents a useful method for structural studies of nucleic acid complexes such as protein-DNA for which it is difficult to obtain orientation.     

Electric-Field-Induced Shifts in the Infrared Spectrum of Conducting Nerve Axons

Difference spectra between resting and excited nerve in the infrared region between 2000 and 1000 cm^-1 have been examined with a resolution of 0.5 cm^-1. Spectra were obtained with a modified Perkin-Elmer model 521 grating infrared spectrophotometer (Perkin-Elmer Corp., Instrument Div., Norwalk, Conn.), and the signal-to-noise (S/N) ratio was improved by time averaging and digital smoothing. Peaks occurring in the regions around 1030 and 1066 cm^-1 are identified as P-O-C stretch, at 1410-1414 cm^-1 as C-H deformation, and at 1750 cm^-1 as carbonyl stretch. The difference peaks appear to be due to a shift of about 1 cm^-1 in the absorption band to lower frequencies for the three lower frequency bands and to a higher frequency for 1750 cm^-1 band. Since the difference peaks appear when the nerve is modulated by a propagated action potential it is concluded that the changing electrical field across the nerve membrane is perturbing the absorption spectrum. From evidence presented it appears likely that these difference peaks are due to phospholipids in the nerve membrane and that they may be related to conformational changes associated with membrane permeability.     

Dependence of oxygen uptake on ambient PO 2 in isolated perfused frog skin

Summary Rates of O₂ uptake across isolated perfused skin of bullfrogs (Rana catesbeiana) were measured in relation to blood flow at three levels of ambient O₂ tension: normoxia (O₂ tension=152 torr), hypoxia (12% O₂, 87 torr) and hyperoxia (42% O₂, 306 torr). At bulk perfusion rates ranging from 3.4 to 10.1 l·cm^-2·min^-1, O₂ uptake was positively correlated with hemoglobin delivery rate in both normoxia and hyperoxia, but was independent of delivery rate in hypoxia. Mean O₂ uptake in normoxia was 3.8 nmol O₂·cm^-2·min^-1 at a delivery rate of 9.8 nmol·cm^-2·min^-1 and 6.5 nmol O₂·cm^-2·min^-1 at a delivery rate of 28.3 nmol·cm^-2·min^-1. At any given bulk perfusion rate, oxygen uptake averaged about 49% lower in hypoxia than in normoxia, decreasing in proportion to the reduction of O₂ tension difference between medium and blood. In hyperoxia, O₂ uptake did not increase proportionally with the difference in O₂ tension between blood and medium, averaging only 50% higher at a 2.4-fold greater O₂ tension difference. Cutaneous diffusing capacity for O₂ averaged 0.041 nmol O₂·cm^-2·torr^-1·min^-1 during the first hour of perfusion in normoxia, and was not affected by reduction of ambient O₂ tension. The results indicate that cutaneous O₂ uptake in hypoxia is highly diffusion limited, and consequently, increases in cutaneous perfusion can not effectively compensate for reduction of ambient O₂ tension. In hyperoxia, O₂ uptake may be substantially perfusion limited because of reduced blood O₂ capacitance at high O₂ saturations.Abbreviations O₂ capacitance - C _Hb hemoglobin concentration - D diffusing capacity - PO₂ medium-blood PO₂ difference - Hb flow, hemoglobin delivery rate - Hepes N-[2-Hydroxyethyl]piperacine-N-[2 ethanesulfonic acid] - L _diff extent of diffusion limitation - MO₂ oxygen uptake rate - PO₂ oxygen tension - S O₂ saturation