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We used an unmanned aircraft system (UAS) to lift and suspend distributed temperature sensing (DTS) technologies to observe the onset of an early morning transition from stable to unstably stratified atmospheric conditions. DTS employs a fiber optic cable interrogated by laser light, and uses the temperature dependent Raman scattering phenomenon and the speed of light to obtain a discrete spatial measurement of the temperature along the cable. The UAS/DTS combination yielded observations of temperature in the lower atmosphere with high resolution (1 s and 0.1 m) and extent (85 m) that revealed the detailed processes that occurred over a single morning transition. The experimental site was selected on the basis of previous experiments and long term data records; which indicate that diurnal boundary layer development and wind sectors are predictable and consistent. The data showed a complex interplay of motions that occur during the morning transition that resulted in propagation and growth of unstable wave modes. We observed a rapid cooling of the air aloft (layer above the strong vertical temperature gradient) layer directly after sunrise due to vertical mixing followed by an erosion of the strong gradient at the stable layer top. Midway through the transition, unstable wave modes were observed that are consistent with Kelvin-Helmholtz motions. These motions became amplified through the later stages of the transition. [ABSTRACT FROM AUTHOR]

Noise and decoherence due to spurious two-level systems located at material interfaces are long-standing issues for solid-state quantum devices. Efforts to mitigate the effects of twolevel systems have been hampered by a lack of knowledge about their chemical and physical nature. Here, by combining dielectric loss, frequency noise and on-chip electron spin resonance measurements in superconducting resonators, we demonstrate that desorption of surface spins is accompanied by an almost tenfold reduction in the charge-induced frequency noise in the resonators. These measurements provide experimental evidence that simultaneously reveals the chemical signatures of adsorbed magnetic moments and highlights their role in generating charge noise in solid-state quantum devices. [ABSTRACT FROM AUTHOR]

The acquisition of time-stamped list data provides additional information useful to gamma-spectrometry analysis. A novel technique is described that uses non-linear least-squares fitting and the Levenberg-Marquardt algorithm to simultaneously determine parent-daughter atoms from time sequence measurements of only the daughter radionuclide. This has been demonstrated for the radioactive decay of short-lived radon progeny (Pb/Bi, Pb/Bi) described using the Bateman first-order differential equation. The calculated atoms are in excellent agreement with measured atoms, with a difference of 1.3-4.8% for parent atoms and 2.4-10.4% for daughter atoms. Measurements are also reported with reduced uncertainty. The technique has potential to redefine gamma-spectrometry analysis. [ABSTRACT FROM AUTHOR]

An On-site Inspection (OSI) is an important component of the verification regime of the Comprehensive Nuclear-Test-Ban Treaty (CTBT), with the objective of gathering evidence of a possible Treaty violation. This includes the use of gamma-spectrometry equipment to identify 17 particulate radionuclides that are indicative of a nuclear explosion. This research provides an evaluation of high- (germanium), medium- (cadmium zinc telluride) and low-resolution (sodium iodide and lanthanum bromide) detectors using modelled radionuclide signatures from a nuclear explosion and Monte Carlo simulations of a detector response. The complex radionuclide signatures are shown to only be distinguishable using a high-resolution system for 1 week and 1 year post-detonation cases. [ABSTRACT FROM AUTHOR]

A high-sensitivity multidimensional gamma-spectrometer is being developed within the shallow underground laboratory at Pacific Northwest National Laboratory (PNNL, USA). The system consists of two broad energy germanium detectors, inside a low-background shield, fitted with a cosmic veto system. The detector has advanced functionality, including operation in single or combined detector mode, with reductions in the cosmic background of 49.6% and Compton suppression of 6.5%. For selected radionuclides this provides increased peak identification, reductions in uncertainty of 27.6% and MDA improvements of 52.7%. The design uses commercially off-the-shelf components to provide a powerful solution for low-level nuclear measurements. [ABSTRACT FROM AUTHOR]

Passer montanus became established in a small area of central North America following its introduction in 1870. P. montanus underwent minimal range expansion in the first 100 years following introduction. However, the North American population of P. montanus is now growing in size and expanding in geographic distribution, having expanded approximately 125 km to the north by 1970. We quantify the distance of spread by P. montanus from its introduction site in the greater St. Louis, Missouri-Illinois, USA area, using distributional (presence) data from the National Audubon Society Christmas Bird Count surveys for the period of 1951 to 2014. Linear regressions of the average annual range center of P. montanus confirmed significant shifts to the north at a rate of 3.3 km/year ( P < 0.001) km/year. Linear regressions of the linear and angular distance of range center indicates significant northern movement (change in angle of mean range center; P < 0.001) since 1951. Our results quantify the extent of a northward range expansion, and suggesting a probable spread of this species northward. [ABSTRACT FROM AUTHOR]

Under the Comprehensive Nuclear-Test-Ban Treaty an on-site inspection (OSI) may be undertaken to identify signatures from a potential nuclear explosion. This includes the measurement of 17 particulate radionuclides (Zr, Nb, Mo, Tc, Ru, Rh, Te, I, I, Cs, Cs, Ba, La, Ce, Ce, Pr, Nd). This research provides an assessment of the potential to detect these radionuclides during an OSI within 1 week to 2 years after a nuclear explosion at two locations. A model has been developed that simulates the underground detonation of a 1 kT U nuclear weapon with 1 % venting. This indicates a requirement to minimise the time since detonation with accurate determination of the test location. [ABSTRACT FROM AUTHOR]

Due to criticisms of potential identification issues within spatial panel data models, this study contributes to the literature by comparing forecasts of province-level carbon dioxide emissions against empirical reality using dynamic, spatial panel data models with and without fixed effects. From a policy standpoint, understanding how to predict emissions is important for designing climate change mitigation policies. From a statistical standpoint, it is important to test spatial econometrics models to see if they are a valid strategy to describe the underlying data. We find that the best model is the spatio-temporal panel data model which controls for fixed effects. Our findings demonstrate the importance of considering not only spatial and temporal dependence but also the individual or heterogeneous characteristics within each province. [ABSTRACT FROM AUTHOR]

The Comprehensive Nuclear-Test-Ban Treaty (CTBT) is supported by a global network of monitoring stations that perform high-resolution gamma-spectrometry on air filter samples for the identification of radionuclides indicative of nuclear weapons tests and reactor incidents. These daily measurements have created an invaluable resource for understanding variations in natural background radioactivity, including the contribution of Be. Statistical analysis has been performed on Be data collected by CTBT stations hosted by the United Kingdom including at British Indian Ocean Territory (RN66), St Helena (RN67) and Tristan da Cunha (RN68) during 2005-2013. The results have been found to follow a lognormal distribution which implies that the Be activity is the multiplicative product of many small independent factors, such as meteorology, elevation, local station conditions, sample acquisition and analysis. This has the potential to identify discrepant measurements not attributable to the intrinsic variability of the distribution and indicative of station malfunction. Variations in Be activity have been considered on monthly, weekly and daily timescales and characterised using the geometric mean in accordance with the properties of the lognormal probability density function. Seasonal variations have been identified, with summer maxima and winter minima that are attributable to changes in mixing within the stratosphere and troposphere. Such fluctuations have been examined using the Fast Fourier Transform which may indicate variations associated with the 27 day solar cycle. [ABSTRACT FROM AUTHOR]

GEANT4 Monte Carlo simulations have been successfully utilised to characterise a Compton suppressed broad-energy HPGe detector. The detector setup has been fully recreated in the simulation, which has been optimised to consistently reproduce the detector response. The peak efficiencies for both the primary BEGe detector and NaI(Tl) guard detectors agree with the simulated values for multiple test sources within 3 %. Compton suppression has also been simulated, with good agreement seen between the simulated and actual CSF values (<10 %) for multiple radionuclides. A secondary reference source was also simulated, which contained up to 30 radionuclides in a different geometry to that of the previous source. This showed excellent agreement with experimental data in both unsuppressed and suppressed modes of operation. [ABSTRACT FROM AUTHOR]

A GEANT4 based Monte Carlo simulation has been successfully utilised to calculate peak efficiency characterisations and cascade summing (true coincidence summing) corrections in two source geometries commonly used for environmental monitoring. The cascade summing corrections are compared with values generated using an existing (validated) system, and found to be in excellent agreement for all radionuclides simulated. The calculated correction factors and peak efficiencies were also tested by analysing well defined sources used in the operation of the International Monitoring System, which undertakes radionuclide monitoring for verification of the Comprehensive Nuclear-Test-Ban Treaty. All abundances of the radionuclides measured matched the values that were previously determined using proprietary software. Using GEANT4 in this way, cascade summing corrections can now be extended to complex detector models and source matrices, such as Compton Suppression systems. [ABSTRACT FROM AUTHOR]

The performance of a radiation shielding system for a hyper-pure germanium detector has been characterised for Terrestrial radiation sources, Cosmic muons, X-ray fluorescence and the Compton scattering of source photons. Several methods to reduce the background seen are quantified, including increasing the inner radius of the Pb cave, and increasing the thickness of the shielding. Substantial improvements in the reduction of fluorescence X-rays are found to be achievable by modifying the liner thicknesses used. Increasing the Sn liner from 1.5 to 2.5 mm will increase the shielding of Pb X-rays from 95 to 99.5 %. Reducing the Cu liner from 1.0 to 0.5 mm maintains a 99.5 % level of shielding for Sn/Cd X-rays, however it greatly reduces the amount of Compton scattering of source photons into the detector (a process that is shown to cause an order of magnitude more events in the background than X-ray fluorescence). Cosmic muons were found to increase the amount of background radiation seen, both through direct interaction and the production of secondary radiation. The Cosmic muon contribution, however, was found to produce a much smaller effect than that caused by Terrestrial radiation and Compton scattered photons/fluorescence from the source. The total level of background radiation entering the detector chamber was found to decrease up to the full 200 mm of Pb shielding simulated. [ABSTRACT FROM AUTHOR]

The Comprehensive Nuclear-Test-Ban Treaty (CTBT) is supported by a network of certified laboratories that perform high-resolution gamma-spectrometry on global air filter samples for the identification of 85 radionuclides. At the UK CTBT Radionuclide Laboratory (GBL15), a novel cosmic veto gamma-spectrometer has been developed to improve the sensitivity of measurements for treaty compliance. The system consists of plastic scintillation plates operated in time-stamp mode to detect coincident cosmic-ray interactions within an HPGe gamma-spectrometer. This provides a mean background reduction of 75.2 % with MDA improvements of 45.6 %. The CTBT requirement for a Ba MDA is achievable after 1.5 days counting compared to 5-7 days using conventional systems. The system does not require dedicated coincidence electronics, and remains easily configurable with dual acquisition of unsuppressed and suppressed spectra. Performance has been significantly improved by complete processing of the cosmic-ray spectrum (0-25 MeV) combined with the Canberra Lynx™ multi-channel analyser. The improved sensitivity has been demonstrated for a CTBT air filter sample collected after the Fukushima incident. [ABSTRACT FROM AUTHOR]

Transforming growth factor-beta (TGF-β) has a dual role in epithelial malignancies, including head and neck squamous cell carcinoma (HNSCC). Attenuation of canonical TGF-β signaling enhances de novo tumor development, whereas TGF-β overexpression and signaling paradoxically promotes malignant progression. We recently observed that TGF-β-induced growth arrest response is attenuated, in association with aberrant activation of nuclear factor-κB (NF-κB), a transcription factor, which promotes malignant progression in HNSCC. However, what role cross-talk between components of the TGF-β and NF-κB pathways plays in altered activation of these pathways has not been established. Here, we show TGF-β receptor II and TGF-β-activated kinase 1 (TAK1) are predominantly expressed in a subset of HNSCC tumors with nuclear activation of NF-κB family member RELA (p65). Further, TGF-β1 treatment induced sequential phosphorylation of TAK1, IKK, IκBα and RELA in human HNSCC lines. TAK1 enhances TGF-β-induced NF-κB activation, as TAK1 siRNA knockdown decreased TGF-β1-induced phosphorylation of IKK, IκB and RELA, degradation of IκBα, RELA nuclear translocation and DNA binding, and NF-κB-induced reporter and target gene transcription. Functionally, TAK1 siRNA inhibited cell proliferation, migration and invasion. Celastrol, a TAK1 inhibitor and anti-inflammatory compound used in traditional Chinese medicine, also decreased TGF-β1-induced phosphorylation of TAK1 and RELA, and suppressed basal, TGF-β1- and tumor necrosis factor-alpha (TNF-α)-induced NF-κB reporter gene activity. Celastrol also inhibited cell proliferation, while increasing sub-G0 DNA fragmentation and Annexin V markers of apoptosis. Furthermore, TGF-β and RELA activation promoted SMAD7 expression. In turn, SMAD7 preferentially suppressed TGF-β-induced SMAD and NF-κB reporters when compared with constitutive or TNF-α-induced NF-κB reporter gene activation. Thus, cross-talk by TGF-β via TAK1 and NF-κB promotes the malignant phenotype of HNSCC. Moreover, NF-κB may contribute to the downstream attenuation of canonical TGF-β signaling through increased SMAD7 expression. Celastrol highlights the therapeutic potential of agents targeting TAK1 as a key node in this pro-oncogenic TGF-β-NF-κB signal pathway. [ABSTRACT FROM AUTHOR]

Broad-energy HPGe detectors have a useful range of 3 keV to 3 MeV, making them ideal for the assay of environmental samples. Such measurements however, are hindered by variations in the sample matrix, summing effects, and the Compton continuum. Detectors may be characterised by proprietary software in such a situation, however Monte-Carlo modelling is a useful, inexpensive alternative that also provides greater flexibility when determining the detector response and efficiency during a measurement. In the current work, a full GEANT4 model of a broad-energy HPGe detector is presented, and simulations of various samples are compared to experimental data. These are found to be accurate within 3 % at a confidence level of 95 % for energies from 30 to 3,000 keV, with greater variations below 100 keV due to an increased sensitivity to geometrical inaccuracies. [ABSTRACT FROM AUTHOR]

This paper discusses preliminary work into the modelling and processing of coincidence measurements, for which a Monte-Carlo simulation and a post-processing program have both been developed. In the current work, a GEANT4 code is used to simulate a pair of NaI(Tl) scintillators, which are used experimentally to both develop the post-processing program and validate the GEANT4 model. This is found to be accurate to within 9 % at a confidence level of 93.0 % for energies from 30 to 3,000 keV. [ABSTRACT FROM AUTHOR]

A novel manganese dioxide (MnO) resin is suitable for the determination and decontamination of lead isotopes (Pb, Pb, Pb) in aqueous solutions at trace concentrations. This is desirable due to the toxic nature and high abundance of lead in the environment. Current techniques are both time consuming, expensive and not suitable for low-level lead decontamination. The MnO resin has been demonstrated to pre-concentrate with extraction efficiency above 90% for a range of pH values, and with a mean extraction of 92.5% from fresh waters at a flow rate of 100 ml min. The lead distribution coefficient is 1.3 × 10 (pH 7) with tolerance to calcium and sodium. Adsorption isotherms have been investigated and the resin shown to follow the Langmuir adsorption isotherm with a saturation point of 41.5 mg per g of MnO resin. [ABSTRACT FROM AUTHOR]

Cosmic radiation contributes significantly towards the background radiation measured by a gamma-spectrometer. A novel cosmic veto gamma-spectrometer has been developed that provides a mean background reduction of 54.5%. The system consists of plastic scintillation plates operated in time-stamp mode to detect coincident muon interactions within an HPGe gamma-spectrometer. The instrument is easily configurable and provides improved sensitivity for radionuclides indicative of nuclear weapons tests and reactor incidents, including Ba, Zr, Mo, Ce, Nd, I, Cs and Cs. This has been demonstrated for Comprehensive Nuclear-Test-Ban Treaty applications to obtain the required Ba MDA of 24 mBq within 2 days counting. Analysis of an air filter sample collected during the Fukushima incident indicates improved sensitivity compared to conventional gamma-spectrometers. [ABSTRACT FROM AUTHOR]

Hospitalization for worsening chronic heart failure results in high post-discharge mortality, morbidity, and cost. However, thorough characterization, soon after discharge of patients with early post-discharge events has not been previously performed. The objectives of this study were to describe the baseline, in-hospital, and post-discharge clinical, laboratory, and neurohormonal profiles of patients hospitalized for worsening heart failure with reduced ejection fraction (EF) who die or are re-admitted for cardiovascular (CV) causes within 90 days of initial hospitalization. Retrospective analysis of 4,133 patients hospitalized for worsening heart failure with EF ≤40% in the Efficacy of Vasopressin Antagonism in Heart Failure: Outcome Study with Tolvaptan (EVEREST) trial, which randomized patients to tolvaptan or placebo, both in addition to standard therapy. Clinical and laboratory parameters were obtained within 48 h of admission, during hospitalization, and post-discharge weeks 1, 4, 8, and every 8 weeks thereafter for a median of 9.9 months. Patients with events within 90 days were compared with those with later/no events. All-cause mortality (ACM) and CV re-hospitalization were independently adjudicated. Within 90 days of admission, 395 patients (9.6%) died and 801 patients (19.4%) were re-hospitalized for CV causes. Significant baseline and longitudinal differences were seen between groups with early versus later (>90 days) or no events at 12 months post-randomization. Post-discharge outcomes were similar in the tolvaptan and placebo groups. Patients with early post-discharge events experienced clinically significant worsening in signs and symptoms, laboratory values, and neurohormonal parameters soon after discharge. Identifying these abnormalities may facilitate efforts to reduce post-discharge mortality and re-hospitalization. [ABSTRACT FROM AUTHOR]

Rapid determination of Rn and Rn progeny (Pb, Pb, Bi, Bi) is achievable using manganese dioxide (MnO) precipitation with analysis by γ-spectrometry. This is of interest to environmental monitoring programmes that utilise gross activity methods to screen for anthropogenic radionuclides. The contribution from these naturally occurring radionuclides (NOR) varies, and is difficult to experimentally measure due to short half-lives ( t = 19.9 m-10.64 h) and low environmental activity (<0.1 Bq L). The extraction efficiency of the technique is above 90%, and above 80% for other nuclides (Th, U, U, Ac, Ra, Ra, Pb, Mn). Short-lived NOR have been measured at two surface water locations, and indicates elevated Bi activity of 4.0 ± 1.1 Bq L. [ABSTRACT FROM AUTHOR]

Statistical analysis has been performed on the gross alpha- and beta-activity measurements of surface waters collected at the Atomic Weapons Establishment at Aldermaston (UK) during the period January 2002-September 2005. The results have been found to follow a lognormal distribution and this has important applications when considering gross activity exemption thresholds. This implies that the gross activity is the multiplicative product of many small independent factors, such as meteorology, flow conditions and site operations. The influence of meteorological parameters has been investigated using linear regression, and some correlation has been identified between gross beta-activity and parameters indicative of fine weather. Variations in gross activity have been considered on monthly, weekly and daily timescales and characterised using the geometric mean and geometric standard deviation in accordance with the properties of the lognormal probability density function. [ABSTRACT FROM AUTHOR]

Multidimensional gamma-spectrometry is a powerful technique for making low-level nuclear measurements. The systems typically utilise multiple sodium iodide detectors to measure coincident or anti-coincident gamma-energies. This allows significant background reduction and high selectivity of cascading radionuclides including Na. As events are rejected or selected based on their event time, the timing resolution of the multi-channel analyser (MCA) is important. This has been assessed for three compact MCA systems produced by Canberra and Ortec. The Canberra Osprey and Lynx provided the best timing performance, capturing 88.3 and 97.9% of Na positron emissions within 200 ns. In comparison only 12.5% of events were measured within 200 ns by the Ortec digiBASE-E. However all systems captured the majority of events within 1000 ns, providing multidimensional spectra that allow the evaluation of simultaneous energy combinations. [ABSTRACT FROM AUTHOR]

Objective:Thrombocytosis has been reported in neonates and young infants, but little is known of its prevalence, timing of onset, associated conditions, sequelae and outcomes. To better understand this condition, we used the data repositories of a multi-hospital health-care system to identify all individuals 140 days old (20 weeks) who, during the past 6 years, had a platelet count of 1 000 000 [mu]l-1.Study Design:We identified all infants with extreme thrombocytosis (using the Sutor definition of a platelet count of 1 000 000 [mu]l-1) during the period of January 2003 through December 2008 in any Intermountain Healthcare facility. We obtained the information provided in this report from electronic and paper records.Result:Among 40 471 infants who had one or more platelet counts performed in this period, 25 had extreme thrombocytosis. No cases were identified in the first week after birth, 40% were recognized between the second and fourth weeks and 40% between the fifth and eighth week. The prevalence of thrombocytosis had no relationship with birth weight or gestational age but a slight predominance of female patients (15/25) was noted. In all, 26 episodes were found among the 25 infants: 12 episodes involved an antecedent infectious disease, 8 had an antecedent surgical procedure, 4 had the anemia of prematurity and 1 each had congenital adrenal hyperplasia and opiate withdrawal syndrome. No pathological thromboses or hemorrhages or other sequelae were detected and all episodes resolved with no deaths.Conclusion:The thrombocytosis cases that we report were all consistent with reactive thrombocytosis (also known as secondary thrombocytosis); none seemed to be essential (primary) thrombocytosis. We speculate that the pathogenesis involves increased platelet production due to megakaryopoietic stimulators induced by an infectious or inflammatory condition. From this series and previous reports, young infants with platelet counts up to 1 300 000 [mu]l-1 do not seem to have a significant risk of thrombotic or hemorrhagic problems, and do not generally require anti-platelet or cytoreductive treatment. [ABSTRACT FROM AUTHOR]

Objective:Thrombocytosis has been reported in neonates and young infants, but little is known of its prevalence, timing of onset, associated conditions, sequelae and outcomes. To better understand this condition, we used the data repositories of a multi-hospital health-care system to identify all individuals 140 days old (20 weeks) who, during the past 6 years, had a platelet count of 1 000 000 μl−1.Study Design:We identified all infants with extreme thrombocytosis (using the Sutor definition of a platelet count of 1 000 000 μl−1) during the period of January 2003 through December 2008 in any Intermountain Healthcare facility. We obtained the information provided in this report from electronic and paper records.Result:Among 40 471 infants who had one or more platelet counts performed in this period, 25 had extreme thrombocytosis. No cases were identified in the first week after birth, 40% were recognized between the second and fourth weeks and 40% between the fifth and eighth week. The prevalence of thrombocytosis had no relationship with birth weight or gestational age but a slight predominance of female patients (15/25) was noted. In all, 26 episodes were found among the 25 infants: 12 episodes involved an antecedent infectious disease, 8 had an antecedent surgical procedure, 4 had the anemia of prematurity and 1 each had congenital adrenal hyperplasia and opiate withdrawal syndrome. No pathological thromboses or hemorrhages or other sequelae were detected and all episodes resolved with no deaths.Conclusion:The thrombocytosis cases that we report were all consistent with reactive thrombocytosis (also known as secondary thrombocytosis); none seemed to be essential (primary) thrombocytosis. We speculate that the pathogenesis involves increased platelet production due to megakaryopoietic stimulators induced by an infectious or inflammatory condition. From this series and previous reports, young infants with platelet counts up to 1 300 000 μl−1 do not seem to have a significant risk of thrombotic or hemorrhagic problems, and do not generally require anti-platelet or cytoreductive treatment. [ABSTRACT FROM AUTHOR]

Objective:New biopharmaceuticals hold promise for preventing or treating necrotizing enterocolitis. However, it is unclear whether any such biopharmaceutical that requires enteral administration could be administered using an ‘early-treatment’ paradigm. This study was undertaken to assess this issue based on data from every case of Bell stage III NEC cared for during the past 7 years at Intermountain Healthcare.Study Design:Patients with Bell stage III NEC were identified from electronic medical record repositories and the diagnosis was validated using operative reports. Electronic and paper records of each patient were then used to identify potential clinical and laboratory antecedents occurring within the 48 h period preceding the diagnosis of NEC.Result:One hundred eighteen patients had Stage III NEC. The earliest recognized antecedents were nonspecific for NEC (apnea/bradycardia, skin mottling and irritability). These were recorded at 2.8±2.1, 4.5±3.1 and 5.4±3.7 (mean±s.d.) hours, respectively, before NEC was diagnosed. The most commonly identified gastrointestinal antecedents were blood in the stools, increased abdominal girth and elevated pre-feeding gastric residuals or emesis. These were identified 2.0±1.9, 2.8±3.1 and 4.9±4.0 h before NEC was recognized. Thirty-eight percent had a blood transfusion (18±12 h) preceding the NEC. Tachycardia, tachypnea, hypotension and diarrhea were rarely identified as antecedents and no consistent laboratory antecedents were discovered.Conclusion:We judge that an ‘early treatment of NEC’ paradigm testing any pharmacological agent that must be administered enterally is not feasible. The first recognized antecedents of Bell stage III NEC are nonspecific for gastrointestinal pathology and insufficient time exists for dosing between the first gastrointestinal signs and placement of the gastric decompression tube. [ABSTRACT FROM AUTHOR]

Objective:The Intermountain Healthcare hospitals use a clinical pathway algorithm for early-onset infection, which is based on the 2002 Centers for Disease Control and Prevention (CDC) guidelines for perinatal group B streptococcal disease. As part of this pathway, neonates in the well baby nursery, who seem to be well but have risk factors for infection, receive a ‘limited laboratory evaluation including a CBC’, and if the complete blood cell count (CBC) is abnormal, antibiotic treatment and neonatal intensive care unit (NICU) monitoring are initiated. We recently found that reference ranges for absolute neutrophil counts (ANCs) are much wider at our altitude (4800 to 5000 ft) than at sea level. On this basis, we speculated that some well babies with risk factors for infection are mistakenly judged as having an abnormal CBC, and are unnecessarily admitted to the NICU .Study Design:This was a retrospective observational cohort study of neonates of >37 weeks gestation admitted to either of two Intermountain Healthcare NICUs for intravenous antibiotic treatment during a recent 36-month period.Results:During the study period 3217 patients were admitted to the two NICUs, 1049 (32.6%) of which were born at>37 weeks gestation. Of these, 14 (1.3%) were found to have been admitted to the NICU on the basis of an abnormal CBC (elevated ANC), when in retrospect, using the appropriate ANC chart, their CBCs were completely normal. None of the 14 neonates had a leukocyte left shift (immature to total neutrophil ratio >0.3) or thrombocytopenia. None were treated with supplemental oxygen or mechanical ventilation in the NICU. All 14 had sterile blood cultures. All had antibiotics stopped in 48 to 72 h, and all were discharged home as well babies.Conclusion:We identified 14 neonates who, while in the well baby nursery, were found to have risk factors for early-onset infection, but did not seem to be infected, and were subsequently admitted to a NICU for intravenous antibiotic treatment and monitoring under the mistaken impression that they had an abnormal CBC. We maintain that use of an appropriate neutrophil reference range chart can reduce NICU admissions and can limit unnecessary antibiotic exposure. [ABSTRACT FROM AUTHOR]

Objective:We assessed umbilical cord tissue as a means of detecting fetal exposure to five classes of drugs of abuse.Study Design:In a multicentered study in Utah and New Jersey, we collected umbilical cord tissue when high-risk criteria were met for maternal illicit drug use. The deidentified umbilical cord specimens were analyzed for five drug classes: methamphetamine, opiates, cocaine, cannabinoids and phencyclidine. For each umbilical cord specimen, an enzyme-linked immunosorbent assay (ELISA)-based screening test was compared with a ‘gold standard’ test, consisting of gas or liquid chromatography tandem mass spectrometry.Result:A total of 498 umbilical cord samples were analyzed of which 157 (32%) were positive using mass spectrometric detection. The sensitivity and specificity of the ELISA-based test for each class of drugs tested were as follows: methamphetamine 97 and 97%, opiates 90 and 98%, cocaine 90 and 100%, cannabinoids 96 and 98% and phencyclidine (only 1 of the 498 umbilical cord sample was positive for phencyclidine) 100 and 100%.Conclusion:We judge that the performances of the ELISA-based tests are sufficient for clinical testing of fetal exposure to methamphetamine, opiates, cocaine and cannabinoids. Studies obtained on umbilical cord tissue can result in a more rapid return to the clinician than meconium testing, because waiting for meconium to be passed sometimes requires many days. Moreover, in some cases the meconium is passed in utero making collection impossible, whereas umbilical cord tissue should always be available for drug testing.Journal of Perinatology (2008) 28, 750–753; doi:10.1038/jp.2008.97; published online 3 July 2008 [ABSTRACT FROM AUTHOR]

OBJECTIVE: Necrotizing enterocolitis (NEC) is rare during the first week of life; most cases occur after 2 to 4 weeks. We hypothesized that when NEC develops in the first week, certain predisposing factors and feeding practices are identifiable. To test this, we sought to identify every case of NEC diagnosed during the first week within the Intermountain Healthcare system during the most recent 6-year period. STUDY DESIGN: Data were collected from neonates admitted to any Intermountain Healthcare neonatal intensive care unit (NICU) with a date of birth from 1 January 2001 through 31 December 2006. Electronic and paper records were obtained for all with a diagnosis of NEC (Bell stage >or=II) within the first 168 h. X-rays, physician notes, nursing records, laboratory reports and operative reports were subjected to critical review to reexamine the diagnosis of NEC. Among those with confirmed NEC, we recorded underlying conditions and every feeding given prior to the diagnosis of NEC. Comparisons were made with patients that did not develop NEC, yet were cared for in the same NICUs, during the same period of time, and of the same gestational ages. RESULT: A total of 28 neonates were identified electronically as having NEC during the first week. Critical review confirmed this in 21, but 5 were determined at laparotomy to have had spontaneous intestinal perforation, and 2 others were found on surgical reports to have had a congenital infarction of the colon. Total 20 of the 21 confirmed cases developed NEC while in a NICU being treated for another condition. The exception was a small-for-gestational-age neonate in a well baby nursery. Compared to 6100 controls, the 21 with early NEC were more likely to have had a meconium-positive test for illicit drug exposure (P<0.005), early onset sepsis (P<0.034) and respiratory distress (P<0.039). They were less likely than case-controls to have been fed human milk (P=0.003) and were more likely to have been fed formula exclusively (P=0.019). None who were fed human milk exclusively developed early NEC. Twelve of the twenty-one were fed (by gavage or bottle) amounts exceeding the upper limit of volumes taken by breastfed neonates. CONCLUSION: We speculate that the prevalence of NEC during the first week could be reduced by identifying at-risk patients, feeding them human milk exclusively for the first week and using feeding volumes that do not exceed that taken by healthy breastfed neonates. [ABSTRACT FROM AUTHOR]

Objective:We critically reviewed every NICU blood component transfusion (packed erythrocytes, platelets, frozen plasma (FP) and cryoprecipitate) administered during a one-year period. This was done to determine the proportion of transfusions given out of compliance with the Intermountain Healthcare transfusion guidelines, and to look for patterns of non-compliance that could be addressed by quality improvement measures.Study Design:A detailed review was made of every transfusion administered to patients with a date of birth of 1 January 2006 through 31 December 2006, in any of three level III, perinatal-center-associated NICUs within Intermountain Healthcare.Result:During 2006 the three NICUs cared for 1759 neonates. Seventeen percent of these received one or more (median 3) erythrocyte transfusions, 4% received one or more (median 3) platelet transfusions, 6% received one or more (median 1) FP infusions and 2% received cryoprecipitate (median 1 dose). Seventy percent of the erythrocyte transfusions were given in compliance with the guidelines, as were 69% of the platelet transfusions, 65% of the FP transfusions and 94% of the cryoprecipitate administrations. Patients who received large numbers of transfusions were more likely to receive transfusion that violated the guidelines. Forty-five percent of patients who received 1 to 3 transfusions received all transfusions within guidelines. However, only 18% of patients who received 4 to 10 transfusions received all within guidelines. No patient who received >10 transfusions received all within the guidelines. Erythrocyte transfusions given early in the hospital course were likely to be within guidelines; 72% (588/818) in the first 29 days were compliant with guidelines, but compliance fell to 61% (144/237) for transfusions administered after 29 days (P=0.002). About half of the platelet transfusions given early in the hospital course were in violation of guidelines, but after day 9, 83% of platelet transfusions were compliant with guidelines (P=0.000).Conclusion:Opportunities exist in our healthcare system to improve compliance with our transfusion guidelines. Such opportunities are greatest among neonates receiving multiple transfusions, among those receiving erythrocyte transfusions late in their NICU course and among those receiving platelet transfusions early in their NICU course.Journal of Perinatology (2008) 28, 492–497; doi:10.1038/jp.2008.23; published online 13 March 2008 [ABSTRACT FROM AUTHOR]

Background:Small quantities of normal saline are sometimes instilled into the endotracheal tube of intubated neonates, to assist with the removal of thick secretions and maintain patency of the endotracheal tube. However, saline is detrimental to the innate immune system of the upper airway mucosa, rapidly unfolding and inactivating antimicrobial peptides such as LL-37. We previously reported the preparation and feasibility testing of ‘ETCare’, a low-sodium, physiologically based solution for airway care, and we now report results of a randomized, masked, controlled, two-centered study testing ETCare vs sterile saline among 60 intubated NICU patients.Study design:Sixty intubated NICU patients were randomized to having their airway care with ETCare vs saline. Three hypotheses were tested: (1) tolerance – patients will tolerate ETCare for airway care as well as they tolerate saline, (2) nosocomial infections – ETCare will result in fewer tracheal aspirates where organisms grow and fewer cases of nosocomial sepsis, and (3) chronic lung disuse – ETCare will result in fewer patients discharged home on supplemental O2.Results:Thirty NICU patients with an endotracheal tube in place were randomized to receive their airway care with ETCare, and 30 to receive their care with saline. Only the pharmacist was aware of the randomization; the two solutions were visually indistinguishable and were dispensed in identical syringes. Tolerance of the solutions was similar. The ETCare recipients had trends toward fewer positive blood cultures (odds ratios (OR), 0.48; 95% confidence interval (CI), 0.13 to 1.68), and fewer discharges home on supplemental O2 (OR, 0.43; 95% CI, 0.14 to 1.32; P=0.075).Conclusions:On the basis of this study and our previous 10-patient feasibility trial, we maintain that, for airway care, intubated NICU patients tolerate ETCare as well as saline. Data from this study can be used in estimating the sample sizes needed for a phase III trial. We speculate that such a trial will demonstrate that, compared with saline, ETCare will result in fewer nosocomial infections and less chronic lung disease.Journal of Perinatology (2007) 27, 479–484; doi:10.1038/sj.jp.7211779; published online 14 June 2007 [ABSTRACT FROM AUTHOR]

Objective:In the past 5½ years, 30 term or near-term neonates in the Intermountain Healthcare system developed necrotizing enterocolitis (NEC) Bell's stage II. We sought to identify possible explanations for why these patients developed NEC, by comparing them with 5847 others that did not develop NEC, from the same hospitals and of the same gestational ages, cared for during the same 5½-year period.Study design:Data were collected from neonates admitted to any of the Intermountain Healthcare NICUs with a birth date from 1 January 2001 to 30 June 2006, and a gestational age >36 weeks. A variety of patient features and feeding practices were compared between those that did vs did not develop NEC.Result:Forty-one neonates >36 weeks gestation were listed in the discharge records as having NEC of Bell's stage II or higher. However, on review of these 41 medical records, 11 were seen to have had NEC of Bell's stage I, whereas the remaining 30 had radiographs and clinical courses indicative of Bell's stage II. Those 30 formed the basis of this study. Twenty-eight of the 30 developed NEC after having been admitted to an NICU for some other reason; the other two developed NEC at home, within 2 days of being discharged from an NICU. The 30 that developed NEC were more likely than the 5847 that did not develop NEC, to have congenital heart disease (P=0.000), polycythemia (P=0.002), early-onset bacterial sepsis (P=0.004) or hypotension (P=0.017). All 30 received enteral feedings before NEC developed; 29 were fed either artificial formula or a mixture of formula and breast milk. The one that was exclusively fed human milk was fed human milk with added fortifier (24 cal/oz). The 30 that developed NEC were more likely to be fed formula exclusively (P=0.000). Seven of the 30 had a laparotomy for NEC; two of the seven had total bowel necrosis and support was withdrawn. The other five had perforations and bowel resections. The mortality rate was 13% (4/30).Conclusion:In our series, NEC among term or near-term neonates was exclusively a complication developing among patients already admitted to a NICU for some other reason. We speculate that the combination of reduced mesenteric perfusion and feeding with artificial formula were factors predisposing them to develop NEC.Journal of Perinatology (2007) 27, 437–443; doi:10.1038/sj.jp.7211738; published online 29 March 2007 [ABSTRACT FROM AUTHOR]

Phenylketonuria (PKU; OMIM 261600) is an autosomal recessive inborn error of phenylanaline metabolism. PKU is characterized by deficient or defective phenylalanine hydroxylase activity and persistantly increased levels of the essential amino acid phenylalanine in the circulation. The present article examines current understanding of the etiology of PKU, along with a meta-analysis examining neuropsychological and intellectual presentations in continuously treated adolescents and adults. Patients with PKU differed significantly from controls on Full-Scale IQ, processing speed, attention, inhibition, and motor control. Future research utilizing an integrative approach and detailed analysis of specific cognitive domains will assist both the scientist and clinician, and ultimately the patient. [ABSTRACT FROM AUTHOR]

Background:Prolonged use of parenteral nutrition (PN) in neonates can lead to parenteral nutrition-associated liver disease (PNALD), manifested by elevated direct bilirubin concentrations, and in some cases progressing to hepatic failure. When new potential means of preventing PNALD in the neonatal intensive care unit (NICU), such as Omegaven usage, are tested in clinical trials, the studies should enroll neonates at a very high risk of developing PNALD. However, it is not always clear, in the first days of life, which neonates are most likely to develop PNALD. Therefore, preparatory to devising studies of prophylaxis against PNALD, we conducted an evaluation of all NICU patients who received PN for 14 day, assessing their likelihood of developing PNALD.Methods:We performed an historic cohort analysis of all neonates in the Intermountain Healthcare system, receiving PN for 14 days or more during their stay, with dates of birth between 1 January, 2002 and 30 June, 2006.Results:During the 4½-year period, 9861 neonates were cared for in the Intermountain Healthcare NICUs. Of these, 9547 (96.8%) survived for at least 28 days, and of these 6543 (68.5%) received PN. Twenty-one percent (1366 patients) of those receiving PN, received it for 14 days. PNALD was ascertained in this group by a direct bilirubin 2.0 mg/dl. Neonates receiving PN for 14–28 days had a 14% incidence of PNALD, those receiving PN for 29–56 days had a 43% incidence, those receiving PN for 57–100 days had a 72% incidence and those receiving PN for >100 days had a 85% incidence. Groups of patients identifiable on the first day of life as having the highest risk of developing PNALD were birth weight <500 g (odds ratio (OR), 30.7), birth weight 500–749 g (OR, 13.1), gastrochisis (OR, 20.3) and jejunal atresia (OR, 24.0). Among 357 patients who developed PNALD, the highest direct bilirubin concentrations correlated with the highest serum alkaline phosphatase and transaminase concentrations. Deaths after 28 days were much more common in those with the highest direct bilirubin and transaminase concentrations (P<0.0001).Conclusions:In the first days of life, certain NICU patients can be identified as being at very high risk for developing PNALD. These are patients <750 g birth weight, those with gastrochisis and those with jejunal atresia. We speculate that these groups would be reasonable subjects for including in a PNALD prophylaxis trial, testing new preventative strategies such as Omegaven usage.Journal of Perinatology (2007) 27, 284–290. doi:10.1038/sj.jp.7211686; published online 8 March 2007 [ABSTRACT FROM AUTHOR]

A 26-year-old male, the index patient, presented with persecutory delusions and suicidal behavior. He had 10 paternal male relatives in two prior generations. Five of them died by violent suicide and one, of the five, also committed a double homicide. The index patient was found to be hypocholesterolemic due to being heterozygous for a novel mutation of apolipoprotein B (apoB-29.4). His mother and paternal grandmother were normocholesterolemic, whereas a surviving paternal uncle was hypocholesterolemic and heterozygous for the apoB-29.4 mutation. This indicated that the index patient's father and paternal grandfather, both of which died by violent suicide, were obligate heterozygotes for the apoB-29.4 mutation and that the index patient inherited the mutation from his paternal grandfather. The odds ratio for the association between hypocholesterolemia and violent behavior in this family, where cholesterol status was known, was 16.9 (95% confidence interval 1.1–239.3). Therefore, our results support an inheritable relationship between violent behavior and hypocholesterolemia.Molecular Psychiatry (2007) 12, 258–263. doi:10.1038/sj.mp.4001910; published online 17 October 2006 [ABSTRACT FROM AUTHOR]

Objective:We compared the development of retinopathy of prematurity (ROP) among 49 preterm neonates:; 15 who were treated during the first 2 weeks of life with D-penicillamine and 34 who were not.Methods:During a 15-month period beginning 1 March, 2005, 15 preterm neonates <1000 g birth weight or 29 weeks gestation enterally received a 14-day course of D-penicillamine, and 34 did not, in an open-label non-randomized trial. We compared the outcomes of developing ‘ROP any stage’ and ‘ROP requiring surgery’ in the recipients vs the non-recipients. Potential toxicities of the D-penicillamine were examined by comparing specific laboratory tests, growth velocities, transfusion requirements, discharge hemoglobin concentrations and supplemental O2 at discharge.Results:The 34 non-treated and the 15 D-penicillamine treated patients were of similar gestational age (26.5±1.8 vs 26.6±2.2 weeks, mean±s.d.) and birth weight (887±222 vs 849±187 g). Four of the 34 non-recipients died. Eighteen of the 30 survivors (60%) developed ROP and seven of the 30 (23%) had ROP surgery. One of the 15 D-penicillamine recipients died. Three of the 14 survivors (21%) developed ROP (P=0.01 vs non-recipients) and all three had ROP laser surgery. No increase in elevated creatinine, direct or indirect bilirubin, thrombocytopenia or neutropenia was apparent in those treated with D-penicillamine. The D-penicillamine recipients did not receive more transfusions and did not have lower hemoglobin concentrations at discharge. They did not have lower velocities of weight gain at 14, 28 and 56 days, and were not discharged on supplemental O2 at a rate exceeding that of the non-recipients.Conclusions:In this non-randomized, single-centered comparison analysis, a 14-day course of D-penicillamine resulted in no apparent short-term toxicity. The treatment was associated with elimination of Stage I and Stage II ROP, decreasing the overall odds of developing ROP from 60 to 21%. However, this approach did not reduce the odds of ROP surgery. Perhaps higher doses of D-penicillamine or longer treatment periods or other prophylactic approaches will be required to reduce ROP surgery among the most immature neonates.Journal of Perinatology (2007) 27, 103–111. doi:10.1038/sj.jp.7211653 [ABSTRACT FROM AUTHOR]

Experiments with the long-lived, high- K isomer 178Hfm2 have been recognized as intriguing tests of multi-quasiparticle state structures and their interactions with external radiation. A triggered release of the energy stored by this isomer, 2.5 MeV per nucleus or 1.2 GJ/gram, in the form of a gamma-ray burst might prove valuable for numerous applications. The observation of “accelerated” decay of 178Hfm2 during irradiation by 90-keV bremsstrahlung has already been reported, but with poor statistical accuracy due to the experimental approach. That approach employed single Ge detectors to seek increases in the areas of peaks at energies corresponding to transitions in the spontaneous decay of the isomer. The need for better quality data to confirm those results has motivated the development of improved detection concepts. One such concept was utilized here to perform an initial search for low-energy (<20 keV) triggered gamma emission from 178Hfm2 using the YSU miniball detector array. [ABSTRACT FROM AUTHOR]

Preliminary survey experiments have been performed to examine the triggering of gamma emission from the 31-year Hf-178m2 isomer using intense monochromatic synchrotron radiation from the X15A beamline at the National Synchrotron Light Source at Brookhaven National Laboratory. Initial studies were performed to probe incident photon energies over the L 1, L 2, and L 3 X-ray edges of Hf and the 12–13 keV range. Resonances larger than the experimental minimum detectable level of 10−25 cm2 keV were not observed. [ABSTRACT FROM AUTHOR]

OBJECTIVES: In patients who have had major surgery or trauma, early enteral feeding is safer and more effective than parenteral or nasogastric feeding but is frequently associated with diarrhea. Limited recordings have shown that the patterning of duodenal interdigestive motor activity is frequently abnormal after surgery or in patients who are critically ill. The aims of this study were to evaluate the effects of major abdominal surgery on small intestinal motility, and to elucidate the motor patterns that occur postoperatively in critically ill patients in response to enteral feeding. METHODS: The effects of elective aortic aneurysm repair on small intestinal motility were studied in II patients aged 63-77 yr. A 3.5-mm diameter multilumen extrusion was used to monitor pressures at 12 points, distributed between the antrum and KK) cm distal to the pylorus. An additional lumen allowed enteral feeding into the duodenum. Recordings commenced immediately postoperatively and continued for up to 4 days. Data are given as means and SEMs. RESULTS: Bursts (frequency > 10/min) of small intestinal pressure waves that resembled phase III interdigestive motor activity occurred in all patients immediately after surgery. During mechanical ventilation, the timing of bursts along the segment evaluated was frequently abnormal for true interdigestive phase III activity, with simultaneous on-set in multiple channels (46%), multiple or distal origins (8%). or retrograde migration (20%). When patients were not being ventilated, the migration pattern of the bursts was more typical of interdigestive phase III activity. The interval between bursts was unusually short for interdigestive motor activity, although it increased from 30 ± 12 min on day 1 to 41 ± 18 min on day 3 (p < 0.05). A phase 11 pattern of pressure waves was virtually absent in all patients on all study days. In six patients who received postoperative enteral nutrition, the bursts of pressure waves were not abolished by feeding, contrary to normal phase III activity. CONCLUSIONS: Small intestinal pressure wave bursts are seen immediately after elective aortic aneurysm repair, but the migration of these bursts is frequently abnormal for phase III interdigestive activity. Duodenal nutrient delivery did not interrupt the occurrence of these bursts. Persistence of pressure wave bursts in this setting may be important in the delivery of enteral nutrition. [ABSTRACT FROM AUTHOR]

The endothelium modulates vascular tone by the release of vasodilator and vasoconstrictor substances, among them nitric oxide (NO) and endothelin (ET). Abnormalities in NO generation have been demonstrated in various cardiac pathophysiological states, specifically atherosclerotic vascular disease, congestive heart failure, and essential and pulmonary hypertension. Moreover, increases in plasma ET has been reported as well in these disease states. When these observations are taken together, these states may be characterized by an attenuated release of NO, whereas the release of ET is augmented. An imbalance between NO and ET may contribute to the alteration in vascular tone characteristic of cardiovascular disease. The following review summarizes the present knowledge of the role of NO and ET in such disease processes with a major focus on coronary endothelial dysfunction. [ABSTRACT FROM AUTHOR]

Complete diallel crosses were made within each of three populations of Vicia faba to examine the genetic control of morphological and yield characters. The Afghanistan and USSR populations consisted of five and the European of four genotypes. The phenotypic range of the genotypes in each population was similar for the characters studied. In each character additive gene effects were partly responsible for genetic variation but non-additive effects varied greatly in importance depending on the population examined. Differences were found in: a) the presence or absence of dominance; b) the partitioning of the dominant effects; c) the degree and direction of dominance; d) the presence or absence of epistasis; and e) the size of narrow-sense heritability estimates. It appears that in V. faba there exists much greater genetic variability than is evident by the examination of plant phenotypes. As different breeding techniques can be used to exploit different components of genetic variability, it is recommended that the possibility of differences in genetic architecture between geographical populations be taken into account in the planning of plant breeding programs. Advantage could then be taken of interactions between breeding methods and populations that are phenotypically but not genetically similar. [ABSTRACT FROM AUTHOR]

Copyright of Kolloid Zeitschrift is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This report describes a cytotoxic effect of fowlpox virus on human amnion cells. Changes began after 48 hours and were complete within a week following inoculation. The infective property and the cytotoxic property were compared. Suspensions which were cytotoxic nearly always contained at least 10 PFU/ml. Titers of both properties fell to undetectable levels during 30 days in human amnion cell culture. Titers of both properties were reduced by centrifugation, filtration, heat, ultraviolet light, acid, chloroform, and ether. Exposure to ultraviolet light reduced infectivity more rapidly than cytotoxicity. Treatment with ultrasound regularly increased cytotoxicity titer; infectivity increased to a much smaller and less predictable degree. Cytotoxicity-neutralizing serum antibodies developed in guinea pigs inoculated with fowipox virus. Cytotoxicity was identical in normal and IDUR-treated human amnion cells, but no plaques appeared in IDUR-treated chick embryo cells. The data suggest a mechanism of cytotoxicity that requires contact between virus and cell that does not require assembly of infectious viral particles. [ABSTRACT FROM AUTHOR]

The Comprehensive Nuclear-Test-Ban Treaty (CTBT) is supported by a network of certified laboratories that perform high-resolution gamma-spectrometry on global air filter samples for the identification of 85 radionuclides. At the UK CTBT Radionuclide Laboratory (GBL15), the use of advanced Compton suppressed systems has been investigated to reduce the Compton continuum and improve detection sensitivity. Samples collected from the Philippines and during the Fukushima incident have been measured, demonstrating Compton continuum reductions of 28-59 % with suppression factors of 0.1-147.0. Detection sensitivity has been improved with typically 40 % lower MDAs, including Ba to meet CTBT requirements. True coincidence summing effects have been considered, including the application to remove interferences by the elimination of gamma-rays in cascade. This has been demonstrated for the removal of Cs allowing improved I measurement. [ABSTRACT FROM AUTHOR]

A micro enzyme-linked immunosorbent assay has been developed to detect serum antibodies to sea nettle venom. This sensitive assay is useful for monitoring specific immunological response in envenomated patients or in immunized animals. [ABSTRACT FROM AUTHOR]

The article focuses on the Phase 2 clinical trial conducted by Mitsuyasu and colleagues which showed the potential of gene therapy strategy for HIV infections through an anti-HIV ribozyme and hematopoietic stem cells (HSCs). It notes that the clinical study has been conducted for 100 weeks, and involved 74 HIV-1-infected patients. It examines the importance of the study and several medical issues related with the results, such as the risks associated with the gammaretroviral vectors.

Copyright of Experientia is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)