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At least 451 records · Page 25Linked to original sources
PubMed1999

Micromechanics of the equine hoof wall: optimizing crack control and material stiffness through modulation of the properties of keratin.

Small-scale components of the equine hoof wall were tested to determine their mechanical roles in the morphological hierarchy. Macroscale tensile tests conducted on samples of the inner wall tubules and intertubular material showed a sixfold difference in mean initial stiffnesses (0.47 and 0.08 GPa, respectively), indicating that the inner wall tubules stiffen the wall along its longitudinal axis. The similarity in material properties of tubule and intertubular samples from the mid-wall suggests that tubules in this region offer only minor reinforcement along the longitudinal axis. Microscale tests conducted on rows of keratin strands from the inner wall tubules and intertubular material, and on intertubular keratin strands of the mid-wall, produced estimates of the stiffnesses of the hydrated matrix (0.03 GPa) and intermediate filament (IF; 3-4 GPa) components of the nanoscale ( &agr; -keratin) composite. The results from these tests also suggest that the properties of the keratin composite vary through the wall thickness. Birefringence measurements on inner wall and mid-wall regions agree with these observations and suggest that, although the keratin IF volume fraction is locally constant, the volume fraction changes through the thickness of the wall. These findings imply that modulation of the hoof wall properties has been achieved by varying the IF volume fraction, countering the effects of specific IF alignments which serve another function and would otherwise adversely affect the modulus of a particular region.

Animals↗
PubMed2006

Optimizing locoregional control and survival for women with breast cancer: a review of current developments in postmastectomy radiotherapy.

For women who opt for mastectomy as primary surgery in breast cancer, indications for adjuvant radiotherapy are also being redefined in light of evidence demonstrating that postmastectomy radiotherapy (PMRT), when given in conjunction with systemic therapy, improves, not only locoregional control, but also survival. However, in certain settings, particularly in patients wih intermediate-risk disease, and in some patients treated with neoadjuvant chemotherapy, the role of PMRT remains controversial. Here, the authors review modern data pertaining to the benefits and risks of PMRT and discuss controversies related to the indications for PMRT, focusing on patients with T1-2 breast cancer with 0-3 positive nodes and patients treated with neoadjuvant chemotherapy. They also summarize key issues related to the integration of PMRT with other treatment modalities.

Breast Neoplasms↗
PubMed2006

beta-Glucuronidase is an optimal normalization control gene for molecular monitoring of chronic myelogenous leukemia.

Quantitative monitoring of breakpoint cluster region (BCR)-Abelson kinase (ABL) transcripts has become indispensable in the clinical care of patients with chronic myelogenous leukemia. Because quantity and quality of RNA in clinical samples are highly variable, a suitable internal normalization control is required for accurate BCR-ABL quantification. However, few studies have examined suitability of the control genes using criteria relevant to residual disease testing. In this study, we evaluated a number of control genes with the application of several novel criteria, including control gene performance on serial patient sample testing and in a residual disease model. We also examined expression of the control genes in BCR-ABL-positive K562 cells in response to Gleevec treatment. We found that beta-glucuronidase is the best control gene among those studied. Importantly, ABL, a widely used control gene, generates misleading BCR-ABL changes that potentially affect the clinical management of chronic myelogenous leukemia patients.

Benzamides↗
PubMed1984

Optimizing metoclopramide control of cisplatin-induced emesis.

Using an original high-pressure liquid chromatographic assay, we measured serum levels of metoclopramide and defined a concentration-response relationship for metoclopramide control of cisplatin-induced emesis. Using a metoclopramide regimen of 2 mg/kg body weight intravenously every 2 hours for four doses, we found that serum levels greater than 850 ng/mL immediately before the third dose were associated with complete control of emesis (less than three episodes) in 78% of patients and partial control (three to five episodes) in 18%. No patient with levels less than 850 ng/mL had complete control of emesis; only 42% had partial control (p less than 0.001). Increases in dosage for patients with low levels and poor responses improved control in four of five patients. Elderly patients had drug levels similar to those of young patients but had fewer episodes of emesis (p = 0.044), suggesting that elderly patients have increased sensitivity to this drug. The metoclopramide dose can be raised up to 2.75 mg/kg with an improvement in emetic control in patients who have an inadequate response to doses of 2 mg/kg and no toxicity.

Adult↗
PubMed2000

Long-term results of the Kumamoto Study on optimal diabetes control in type 2 diabetic patients.

OBJECTIVE: To examine whether intensive glycemic control could decrease the frequency or severity of diabetic microvascular complications, an 8-year prospective study of Japanese patients with type 2 diabetes was performed. RESEARCH DESIGN AND METHODS: A total of 110 patients with type 2 diabetes (55 with no retinopathy [the primary prevention cohort] and 55 with simple retinopathy [the secondary intervention cohort]) were randomly assigned to multiple insulin injection therapy (MIT) groups and administered three or more daily insulin injections or assigned to conventional insulin injection therapy (CIT) groups and administered one or two daily intermediate-acting insulin injections. Worsening of microvascular complications was regularly assessed during 8 years. Two or more steps up in the 19 stages of the modified Early Treatment of Diabetic Retinopathy Study classification in retinopathy and one or more stages up among three stages in nephropathy (normoalbuminuria, microalbuminuria, and albuminuria) were defined as worsening of complications. RESULTS: In both primary prevention and secondary intervention cohorts, the cumulative percentages of worsening in retinopathy and nephropathy were significantly lower (P < 0.05) in the MIT group than in the CIT group. In neurological tests after 8 years, the MIT group showed significant improvement (P < 0.05) in the median nerve conduction velocities (motor and sensory nerves), whereas the CIT group showed significant deterioration (P < 0.05) in the nerve conduction velocities and vibration threshold. From this study, the glycemic threshold to prevent the onset and progression of diabetic microvascular complications was as follows: HbA1c < 6.5%, fasting blood glucose concentration < 110 mg/dl, and 2-h postprandial blood glucose concentration < 180 mg/dl. CONCLUSIONS: Intensive glycemic control can delay the onset and progression of the early stages of diabetic microvascular complications in Japanese patients with type 2 diabetes.

Adult↗
PubMed1999

Optimal infection control. Utilizing an autoclave in the dental laboratory.

Articles in recent dental journals are strongly advising our dentist customers to require their laboratories to provide them with information regarding in-laboratory cross contamination control procedures. New strains of infectious diseases are emerging. Because of over use, some antibiotics are losing their effectiveness. The Center for Disease Control and The World Health Organization assert that emerging infections represent a global threat. Disinfection (use of glutaraldehyde, iodophors, and chlorine compounds) is generally less lethal to pathogenic organisms than sterilization. By using an autoclave in our laboratory we have taken the logical "next step" to protect our dentists and their patients.

Dental Equipment↗
PubMed2001

Optimization of control parameters for petroleum waste composting.

Composting is being widely employed in the treatment of petroleum waste. The purpose of this study was to find the optimum control parameters for petroleum waste in-vessel composting. Various physical and chemical parameters were monitored to evaluate their influence on the microbial communities present in composting. The CO2 evolution and the number of microorganisms were measured as the activity of composting. The results demonstrated that the optimum temperature, pH and moisture content were 56.5-59.5 degrees C, 7.0-8.5 and 55%-60%, respectively. Under the optimum conditions, the removal efficiency of petroleum hydrocarbon reached 83.29% after 30 days composting.

Bacteria↗
PubMed2003

[Optimizing microbiological controls of corneal organ culture media].

BACKGROUND/AIMS: To compare the efficiency of an automated method using blood bottles with conventional microbiological tests for controlling sterility in cornea organ culture media. METHODS: Two complementary studies were conducted. Experimental study: standard organ culture media were contaminated with four different inocula of 14 bacteria and 3 fungi. The bactericidal activity of organ culture media were evaluated after 48 hours of incubation at 31C. Observational study: 357 samples of organ culture media were collected over 1 year in our cornea bank. For both studies, media were inoculated in three blood bottles (aerobic, anaerobic, fungal) placed in an automat with automated detection every 10 minutes, and in three conventional microbiological media as a control. Changes in organ culture medium color and growth on conventional broth were checked daily by visual inspection. All samples were observed experimentally for 14 days. The sensitivity and rapidity of contamination detection were compared across the three methods: blood bottles, conventional method, and visual inspection of medium color. RESULTS: Experimental study: organ culture medium eradicated five bacteria: S. pneumoniae, B. catarrhalis, E. coli, P. acnes and H. influenzae. For the others, (Methicillin-resistant S. aureus, Methicillin-sensitive S. aureus, S. epidermidis, S. haemolyticus, P. aeruginosa, A. baumannii, B. subtilis, K. pneumoniae, E. faecalis, C. albicans, C. kruzei, A. fumigatus) the blood bottle method, the conventional microbiological method, and the visual inspection detected microbiological growth respectively in 100%, 76.5%, and 70% of cases. Mean detection time using blood bottles was 15.1 hours (standard deviation, 13.8; range, 2-52). In cases of detection by the blood-bottle method and the conventional method, the former was always faster: 95.5% versus 65.2% detection within 24 hours (p=0.022). Observational study: the global contamination rate was 8% (29/357 analysis). The gain in sensitivity with blood bottles was 25% compared with the conventional method. Five bacteria (three coag. neg Staphylococcus, one E. faecalis, one P. paucimobilis) were detected only by the blood bottles. In addition, these were always detected more quickly with, respectively, 66.6% versus 26.6% detection with 24 hours (p=0.028). CONCLUSIONS: Blood bottles detect contaminations of cornea organ culture media more efficiently and faster than conventional microbiological methods. They make it possible to reduce the quarantine period with an equally high security level. Consequently, they should be recommended in cornea preservation guidelines.

Bacteria↗
PubMed2004

Use of industrial wastewaters for the optimization and control of nitrogen removal processes.

In this experimental study the characterization of 2 industrial wastewaters, coming from an ice cream production industry (IW1) and a beet-sugar factory (IW2), with respect to their readily biodegradable fraction and denitrification potential, has been performed. To this end physical-chemical and biological characterization methods, both anoxic and aerobic, were used. Moreover a pilot scale SBR fed with municipal wastewater was started to verify the effect of the gradual addition of the concentrated organic wastewaters during the anoxic phase. The SBR was initially fed only with a primary municipal wastewater, then the organic load was increased by adding to the feed, during the anoxic phase, a small amount of the IW1 (second period). Once the initial conditions were restored the load was again raised using the second industrial wastewater (IW2) (third period). With those additions the nitrogen removal efficiency increased from 26% to 50%, in the case of the IW1 and from 23% to 53% in the case of the wastewater IW2, without any negative effect on the global performance of the system. In addition, periodical kinetic studies of denitrification and nitrification in the SBR, were performed.

Ammonia↗