Impact of Intermittent Apnea on Myocardial Tissue Oxygenation—A Study Using Oxygenation-Sensitive Cardiovascular Magnetic Resonance

Background

Carbon dioxide (CO₂) is a recognized vasodilator of myocardial blood vessels that leads to changes in myocardial oxygenation through the recruitment of the coronary flow reserve. Yet, it is unknown whether changes of carbon dioxide induced by breathing maneuvers can be used to modify coronary blood flow and thus myocardial oxygenation. Oxygenation-sensitive cardiovascular magnetic resonance (CMR) using the blood oxygen level-dependent (BOLD) effect allows for non-invasive monitoring of changes of myocardial tissue oxygenation. We hypothesized that mild hypercapnia induced by long breath-holds leads to changes in myocardial oxygenation that can be detected by oxygenation-sensitive CMR.

Methods and Results

In nine anaesthetized and ventilated pigs, 60s breath-holds were induced. Left ventricular myocardial and blood pool oxygenation changes, as monitored by oxygenation-sensitive CMR using a T2*-weighted steady-state-free-precession (SSFP) sequence at 1.5T, were compared to changes of blood gas levels obtained immediately prior to and after the breath-hold. Long breath-holds resulted in an increase of paCO₂, accompanied by a decrease of paO₂ and pH. There was a significant decrease of blood pressure, while heart rate did not change. A decrease in the left ventricular blood pool oxygenation was observed, which was similar to drop in SaO₂. Oxygenation in the myocardial tissue however, was maintained throughout the period. Changes in myocardial oxygenation were strongly correlated with the change in paCO₂ during the breath-hold (r = 0.90, p = 0.010).

Conclusion

Despite a drop in blood oxygen levels, myocardial oxygenation is maintained throughout long breath-holds and is linearly correlated with the parallel increase of arterial CO₂, a known coronary vasodilator. Breathing maneuvers in combination with oxygenation-sensitive CMR may be useful as a diagnostic test for coronary artery function.     

Production of Biodiesel Using Immobilized Lipase—A Critical Review

Increase in volume of biodiesel production in the world scenario proves that biodiesel is accepted as an alternative to conventional fuel. Production of biodiesel using alkaline catalyst has been commercially implemented due to its high conversion and low production time. For the product and process development of biodiesel, enzymatic transesterification has been suggested to produce a high purity product with an economic, environment friendly process at mild reaction conditions. The enzyme cost being the main hurdle can be overcome by immobilization. Immobilized enzyme, which has been successfully used in various fields over the soluble counterpart, could be employed in biodiesel production with the aim of reducing the production cost by reusing the enzyme. This review attempts to provide an updated compilation of the studies reported on biodiesel production by using lipase immobilized through various techniques and the parameters, which affect their functionality.     

Localization of Mechanisms of Amplitude–Frequency Modulation of Pulse Blood Perfusion of the Soft Tissue Microvasculature. Pilot Study

Doklady Biochemistry and Biophysics - Peripheral blood flow analysis is used for noninvasive assessment of the cardiovascular system. The aim was to investigate the possibility of applying...     

Synthesis of Silver Nanoparticles Using Callus Extract of Carica papaya — A First Report

This is the first report of synthesis of silver nanoparticles by using callus extract of Carica papaya. MS medium supplemented with the growth hormones, 2.0 mg l^?1 IBA and 0.5 mg l^?1 BAP was found to be more suitable for the induction of callus and multiple shoots in papaya. The extract of callus obtained by grinding showed ability of synthesis of silver nanoparticles when treated with silver nitrate (1 mM). The formation of brown colour in the reaction mixture indicates the synthesis of silver nanoparticles. The further detection and characterization of these synthesized silver nanoparticles was carried by spectrophotometry. FTIR spectrum analysis showed peaks between 1000–2000 cm^?1 which confirmed the presence of proteins and other ligands required for the synthesis and stabilization of silver nanoparticles. SEM micrograph confirmed the synthesis of spherical silver nanoparticles in the size range of 60–80 nm.     

Viliui Sakha Post-Soviet Adaptation: A Subarctic Test of Netting's Smallholder—Householder Theory

The Sakha of northeastern Siberia, Russia, are the highest latitude contemporary agropastoralists practicing horse and cattle husbandry. In the last 100 years their rural livelihood has gone from household-level subsistence food production in clan clusters of single-family homesteads scattered across the landscape, to village-level state agribusiness farm production in compact settlements dependent on Soviet socialist infrastructure, to the present-day post-socialist reliance on household-level subsistence food production. This paper explores how Viliui Sakha are adapting in the post-Soviet context. Since the fall of the Soviet Union and the concomitant dissolution of the centralized state farm system, rural inhabitants have developed household and interhousehold food production capacities based on keeping cows and relying on exchange among kin. One of the basic tenets of Robert Netting's smallholder–householder theory is that in times of change, the household system is the most resilient subsistence production unit because of specific qualities including intimate ecological knowledge and implicit labor contracts. This research shows in what ways Netting's householder theory applies for subarctic agropastoralists.     

9. Bead Centrifuge Tube Inserts—A Semi-Quantitative Theory

ABSTRACT

A semi-quantitative theory is proposed for the sedimentation of particles in centrifuge tubes filled with polymer beads acting as sedimentation aids. The theory concerns the attainment of approximate sedimentation-diffusion equilibrium in minimum time of centrifiigation. It is shown empirically that the time to reach this state is approximately proportional to the diameter of the polymer beads as predicted by the theory.     

Development and Evaluation of the Brief Sexual Openness Scale—A Construal Level Theory Based Approach

Obtaining reliable and valid data on sensitive questions represents a longstanding challenge for public health, particularly HIV research. To overcome the challenge, we assessed a construal level theory (CLT)-based novel method. The method was previously established and pilot-tested using the Brief Sexual Openness Scale (BSOS). This scale consists of five items assessing attitudes toward premarital sex, multiple sexual partners, homosexuality, extramarital sex, and commercial sex, all rated on a standard 5-point Likert scale. In addition to self-assessment, the participants were asked to assess rural residents, urban residents, and foreigners. The self-assessment plus the assessment of the three other groups were all used as subconstructs of one latent construct: sexual openness. The method was validated with data from 1,132 rural-to-urban migrants (mean age = 32.5, SD = 7.9; 49.6% female) recruited in China. Consistent with CLT, the Cronbach alpha of the BSOS as a conventional tool increased with social distance, from .81 for self-assessment to .97 for assessing foreigners. In addition to a satisfactory fit of the data to a one-factor model (CFI = .94, TLI = .93, RMSEA = .08), a common factor was separated from the four perspective factors (i.e., migrants’ self-perspective and their perspectives of rural residents, urban residents and foreigners) through a trifactor modeling analysis (CFI = .95, TLI = .94, RMSEA = .08). Relative to its conventional form, CTL-based BSOS was more reliable (alpha: .96 vs .81) and valid in predicting sexual desire, frequency of dating, age of first sex, multiple sexual partners and STD history. This novel technique can be used to assess sexual openness, and possibly other sensitive questions among Chinese domestic migrants.     

Loss of Control of HIV Viremia With OTC Weight‐Loss Drugs: A Call for Caution?

Improved survival achieved by HIV‐infected patients has complicated their medical care, as increasing numbers of comorbidities have led to polypharmacy and a higher risk of drug–drug interactions. Here, evidence is provided that weight‐loss drugs should be used with caution in HIV‐infected patients treated with lipophilic antiretroviral drugs because of the risk of virologic failure. This is particularly relevant considering that these agents are available on the market as over‐the‐counter medications, thus escaping the control of the physician.     

INJURIES OF THE HAND AND FOREARM—Treatment of Damaged Soft Tissues

Successful primary repair of soft tissue injuries of the hand and forearm holds the ultimate disability to a minimum. The kinds of trauma and the resultant soft tissue damage may be classified. Attention to details and technique in carrying out the primary reparative operation on the injured hand largely obviates a crippling deformity or the need for much reconstruction later.     

Cost-Effectiveness of HBV and HCV Screening Strategies – A Systematic Review of Existing Modelling Techniques

Introduction

Studies evaluating the cost-effectiveness of screening for Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) are generally heterogeneous in terms of risk groups, settings, screening intervention, outcomes and the economic modelling framework. It is therefore difficult to compare cost-effectiveness results between studies. This systematic review aims to summarise and critically assess existing economic models for HBV and HCV in order to identify the main methodological differences in modelling approaches.

Methods

A structured search strategy was developed and a systematic review carried out. A critical assessment of the decision-analytic models was carried out according to the guidelines and framework developed for assessment of decision-analytic models in Health Technology Assessment of health care interventions.

Results

The overall approach to analysing the cost-effectiveness of screening strategies was found to be broadly consistent for HBV and HCV. However, modelling parameters and related structure differed between models, producing different results. More recent publications performed better against a performance matrix, evaluating model components and methodology.

Conclusion

When assessing screening strategies for HBV and HCV infection, the focus should be on more recent studies, which applied the latest treatment regimes, test methods and had better and more complete data on which to base their models. In addition to parameter selection and associated assumptions, careful consideration of dynamic versus static modelling is recommended. Future research may want to focus on these methodological issues. In addition, the ability to evaluate screening strategies for multiple infectious diseases, (HCV and HIV at the same time) might prove important for decision makers.