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The number of molecules taken up by electroporated cells: quantitative determination.

Fluorescent and fluorescent-labeled molecules were used with calibrated flow cytometric fluorescence measurements of electrically pulsed cells (intact yeast: Saccharomyces cerevisiae) to demonstrate a method for determining the net number of molecules transported into electroporated cells. For the conditions used, a single pulse of width 50 microseconds and magnitude 8.0 +/- 0.5 kV/cm resulted in an average net molecular uptake which is large, n = 1.4 x 10(5) molecules of 70 kDa FITC-dextran (supplied extracellular concentration of 500 microM), and n = 1.0 x 10(8) molecules of 660 Da propidium iodide (PI; 80 microM). Both molecules were present in pulsed cells at less than equilibrium values, consistent with a transient uptake mechanism. Intracellular FITC-dextran is present in soluble form, while PI is predominantly bound to nucleic acids. A broad, statistically significant distribution of molecular uptake was also observed. Such quantitative determinations should be important for guiding applications of electroporation, and for testing models of electroporation mechanisms. Further, the use of PI, which is well established as a membrane exclusion dye, provides additional support for the interpretation that both PI and FITC-dextran were internalized as a result of an electrical pulse.

Binding Sites↗

Improved quantification of cellular cytotoxicity reactions: determination of kinetic parameters for natural cytotoxicity by a distribution-free procedure.

A distribution-free statistical procedure for estimating kinetic parameters for cellular cytotoxicity reactions is described. Estimates of cytotoxic activity obtained using this procedure are considerably more precise than percent cytotoxicity values, lytic unit values, and V max values determined by least-squares analysis of the same sets of experimental data. Application of this procedure to the study of natural cytotoxicity allows for precise quantitative comparisons of the lytic activity of different lymphocyte preparations for a given target cell line, of a single lymphocyte preparation for different target cell lines, or of a given lymphocyte and target cell combination under different experimental conditions. This procedure, which does not involve a more complex experimental protocol than other methods, should also allow for more accurate assessment of the relative cytotoxic activity of lymphocytes obtained from patient populations.

Adult↗

Oral lichen planus in patients with diabetes. An epidemiologic study.

The prevalence of oral lichen planus was studied in 729 persons with diabetes and was found to be in 0.55% of cases. This result was compared with the results obtained from a group of controls without diabetes and from a sample of the general population of similar age and sex distribution. No statistical differences were observed.

Adolescent↗

Physiologic variables affecting thromboxane B2 production in human whole blood.

Thrombin-induced thromboxane (TX) A2 production in whole blood, as reflected by serum TXB2 measurements, has proven to be a simple and reproducible capacity-related index of platelet TXA2 production ex vivo. In the present study we have determined the influence of a number of physiologic variables on serum TXB2 measurements performed by radioimmunoassay in a group of 177 subjects undergoing evaluation for atherosclerosis risk factors. Serum TXB2 averaged 300 +/- 108 ng/ml in the whole group, with a normal distribution. No statistically significant correlation was found between serum TXB2 and the continuous variables examined (age, BMI, blood pressure, cigarettes, serum cholesterol, triglyceride, glucose and wine consumption) except for the number of platelets. Platelet TXB2 production did not differ between men and women (296 +/- 119 vs 302 +/- 100 ng/ml). We conclude that, within the limits of the examined variables, serum TXB2 is an easily measurable and highly reproducible capacity index primarily related to platelet cyclooxygenase and TX-synthase activity, which can be used for monitoring drug- or disease-induced changes of these enzyme activities.

Adolescent↗

Non-globular domains in protein sequences: automated segmentation using complexity measures.

Computational methods based on mathematically-defined measures of compositional complexity have been developed to distinguish globular and non-globular regions of protein sequences. Compact globular structures in protein molecules are shown to be determined by amino acid sequences of high informational complexity. Sequences of known crystal structure in the Brookhaven Protein Data Bank differ only slightly from randomly shuffled sequences in the distribution of statistical properties such as local compositional complexity. In contrast, in the much larger body of deduced sequences in the SWISS-PROT database, approximately one quarter of the residues occur in segments of non-randomly low complexity and approximately half of the entries contain at least one such segment. Sequences of proteins with known, physicochemically-defined non-globular regions have been analyzed, including collagens, different classes of coiled-coil proteins, elastins, histones, non-histone proteins, mucins, proteoglycan core proteins and proteins containing long single solvent-exposed alpha-helices. The SEG algorithm provides an effective general method for partitioning the globular and non-globular regions of these sequences fully automatically. This method is also facilitating the discovery of new classes of long, non-globular sequence segments, as illustrated by the example of the human CAN gene product involved in tumor induction.

Algorithms↗

SCAN, an exploratory program for preliminary analysis of bioassay and immunoassay data.

We describe the program SCAN which has been designed for use in conjunction with analysis of variance of immunoassay or bioassay data and which may also be used with more general one-way analysis of variance. Data within treatment groups are examined for outliers and normality of distribution. Overall statistics for normality and homogeneity of variance are also computed. Contributions of individual groups to these statistics are tabulated to permit the detection of aberrant groups. Means and variances are available in a form which facilitates detection of any response error relationship.

Analysis of Variance↗

Precise calculation of the cumulative distribution function and its inverse function for Fisher's F and Student's t tests.

A computer program to calculate precise solutions (exact to the limit of computer accuracy) for the cumulative distribution function of the statistical t and F distributions is detailed. A routine that makes iterative calls of this algorithm to calculate precisely the inverse function of these distributions by successive approximation is also provided. The program provided yields precise levels of probability confidence for both Fisher's F and Student's t tests, and the inverse calculation of critical values given p. It is written in a subset of BASIC which should run on any small computer, requiring only 1538 bytes on the Commodore 64.

Biometry↗

Serotonergic, cholinergic and nociceptive inhibition or excitation of raphe magnus neurons in barbiturate-anesthetized rats.

Neurons in the nucleus raphe magnus were recorded extracellularly from barbiturate-anesthetized rats, and were classified by their responses to noxious mechanical stimulation as either pinch-excited, pinch-inhibited or biphasic (inhibited then excited). They were then subjected to iontophoresis of serotonin, some serotonergic agonists and antagonists, acetylcholine, and gamma-amino-n-butyric acid. Serotonin reduced the spontaneous firing of most pinch-inhibited cells (79%). Significantly fewer (P < 0.05) pinch-excited and biphasic cells were inhibited by serotonin (40% and 45%, respectively); in these two cell classes, the observed response was often excitation (30% and 14%), or inhibition for 10-30s followed by excitation for the next 1-2 min (25% and 36%). Acetylcholine showed a similar, statistically significant distribution of effects (P < 0.05), inhibiting all pinch-inhibited neurons (n = 10) but fewer pinch-excited (53%, n = 17) and biphasic neurons (20%, n = 10). Excitation, or excitation then inhibition, was again found frequently among the remaining pinch-excited and biphasic cells. The effect of gamma-amino-n-butyric acid was only inhibitory. In all three nociceptive classes, the serotonin-1A agonist buspirone (n = 15) was inhibitory (87%) and the serotonin-1C/2 antagonist ketanserin (n = 20) was excitatory (35%). The mixed serotonin-1/2 antagonist methysergide (n = 10) was inhibitory (50%) or excitatory (40%). 8-Hydroxy-dipropylaminotetralin (n = 3) was found to increase spontaneous activity (possibly because of partial serotonin-1A agonsim), and +/- propranolol (n = 4) to reduce it (possibly through beta-adrenoceptor antagonism, not serotonin-1A antagonism).(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia↗

Methods of data analysis in the emergency medicine literature.

The authors hypothesized that data analysis in the current emergency medicine literature uses relatively few methods and sought to determine the frequency distributions of each method of analysis. The authors defined their population as original contributions in three refereed emergency medicine journals from September, 1985 through July, 1989. Letters to the editor, brief reports, reviews, and case reports were excluded. The authors reviewed 250 randomly selected articles and identified the method(s) of data analysis in each. The absolute frequency distribution of statistics were as follows: descriptive statistics only, 31%; contingency tables, 35% (chi 2, 28.4%; Fisher's exact test, 13.2%; McNemar's test, 0.4%); Student's t-test, 34%; ANOVA/ANCOVA, 12%; regression techniques, 8% (simple linear regression, 4.0%; multiple regression, 3.6%; logistic regression, 1.6%); nonparametric tests, 7% (Mann-Whitney, 2.8%; Wilcoxon, 2.4%; Dunnett, 0.8%; Kolmogorv-Smirnov, 0.4%; Kruskal-Wallis, 0.4%); multiple comparisons, 6% (Scheffé, 4.4%; Newman-Keuls, 2.0%); correlation techniques, 4% (Pearson product-moment correlation coefficient, 2.8%; Kendall's tau, 0.8%; Spearman's rho, 0.4%); confidence intervals, 2%. Correction techniques were used in 9% (Dunn-Bonnferoni, 4.8%; Yates correction, 4.4%). No statistics were found in 2% of the articles reviewed. Five statistical methods account for the vast majority (97% cumulative) of statistical uses in emergency medicine literature. This information should prove useful in deciding which tests should be emphasized in educating emergency physicians.

Curriculum↗

Accident prediction model for railway-highway interfaces.

Considerable past research has explored relationships between vehicle accidents and geometric design and operation of road sections, but relatively little research has examined factors that contribute to accidents at railway-highway crossings. Between 1998 and 2002 in Korea, about 95% of railway accidents occurred at highway-rail grade crossings, resulting in 402 accidents, of which about 20% resulted in fatalities. These statistics suggest that efforts to reduce crashes at these locations may significantly reduce crash costs. The objective of this paper is to examine factors associated with railroad crossing crashes. Various statistical models are used to examine the relationships between crossing accidents and features of crossings. The paper also compares accident models developed in the United States and the safety effects of crossing elements obtained using Korea data. Crashes were observed to increase with total traffic volume and average daily train volumes. The proximity of crossings to commercial areas and the distance of the train detector from crossings are associated with larger numbers of accidents, as is the time duration between the activation of warning signals and gates. The unique contributions of the paper are the application of the gamma probability model to deal with underdispersion and the insights obtained regarding railroad crossing related vehicle crashes.

Accidents↗

Progressive morphometric and cognitive changes in vascular dementia.

Evidence for progressive cognitive decline in vascular dementia (VaD) is mixed, with some studies showing little or no decline over time. One possible explanation for these inconsistent findings is the heterogeneity of pathology encompassed by the VaD diagnosis. It is possible that subtypes of VaD (i.e. those resulting from different lesion distributions) show different patterns of cognitive decline. In the present study, a heterogeneous VaD group demonstrated cognitive decline from baseline to 12-month follow-up. Although this decline was coincident to morphometric changes (i.e. increased subcortical hyperintensities (SH), decreased whole brain volume (WBV)), no relationship emerged between cognitive decline and morphometric changes. Preliminary examination of VaD subtypes revealed patients with subcortical infarct or SH-only exhibited greater decline than VaD patients with cortical lesions. Further research is needed to determine whether this observed decline is attributable to differential lesion distribution or statistical artifact.

Aged↗

Prevalence of factor XIII Val34Leu polymorphism in patients affected by spontaneous subconjunctival hemorrhage.

PURPOSE: To verify the prevalence of Val34Leu polymorphism in factor XIII A-chain gene (FXIII Val34Leu) in patients with spontaneous subconjunctival hemorrhage (SCH). DESIGN: Nonrandomized case-control study. METHODS: One hundred seven white patients suffering from one or more episodes of idiopathic SCH and 107 healthy subjects were matched for age and gender, and genotyped for FXIII Val34Leu. Anamnestic, ophthalmologic, cardiovascular, and serologic examinations were performed. RESULTS: Frequency of FXIII mutated allele (Leu34) was significantly higher in SCH patients than in controls. Computing together heterozygotes (Val/Leu) and homozygotes (Leu/Leu), genotype distribution was statistically different. In a conditional logistic regression model, the comparison of the three separated genotypes, performed among 25 patients with recurrent idiopathic SCHs and controls, gave significant differences for both Val/Leu and Leu/Leu variables. CONCLUSION: Both homozygosity and heterozygosity for FXIII Val34Leu predispose to idiopathic SCH, emphasizing the role of Leu34 allele as inherited risk factor for spontaneous, especially recurrent, SCHs.

Adolescent↗

Time trends in warfarin-associated hemorrhage.

The annual incidence of warfarin-related bleeding at Brigham and Women's Hospital increased from 0.97/1,000 patient admissions in the first time period (January 1995 to October 1998) to 1.19/1,000 patient admissions in the second time period (November 1998 to August 2002) of this study. The proportion of patients with major and intracranial bleeding increased from 20.2% and 1.9%, respectively, in the first time period, to 33.3% and 7.8%, respectively, in the second.

Adult↗

Learning curve for laparoscopic ventral hernia repair.

PURPOSE: To test if there was any difference in the indications and early outcomes of laparoscopic ventral hernia repair (LVHR) during a 36-month period at a single institution. METHODS: From August 1999 to August 2002, 64 consecutive, unselected patients underwent attempted LVHR. The patients were retrospectively divided into two groups: group 1 included the first 32 patients, and group 2 included the second 32 patients. Data regarding patient demographics, results, and postoperative follow-up were compared between the groups. RESULTS: Demographic characteristics, types of hernia, preoperative records, and hernia defects were well matched between the groups. Four patients in group 1 required conversion to laparotomy for bowel injuries, whereas no conversion was required in group 2 (12% vs 0%, P = 0.11 [NS]). The operative times and complication rates were similar, but bowel injuries were significantly more common in group 1 (19% vs 0%, P = 0.02), including the patients who were converted. The analgesic requirement was small and the hospital stay short in both groups; the differences were not significant. Three recurrences were noted in group 1 and none were noted in group 2, although follow-up was not comparable in the second group. CONCLUSIONS: A learning curve is needed to decrease conversions and bowel injuries during LVHR. The improved experience could permit the treatment of larger defects laparoscopically.

Adult↗

The impact of anesthetic modality on the outcome of carotid endarterectomy.

BACKGROUND: Carotid endarterectomy (CEA) reduces the risk of stroke in patients with high-grade carotid artery stenosis. This study evaluates the clinical outcome of CEA performed under local anesthesia (LA) versus general anesthesia (GA). METHODS: Clinical variables and treatment outcomes were analyzed in 548 CEAs performed under either LA or GA during a 30-month period. Factors associated with morbidity were also analyzed. RESULTS: A total of 263 CEAs under LA and 285 CEA under GA were analyzed. The LA group was associated with a lower incidence of shunt placement, operative time, and perioperative hemodynamic instability compared to the GA group. No differences in neurologic complications or mortality were found between the 2 groups. Hyperlipidemia was a risk factor for postoperative morbidity in both the LA and GA groups, while age greater than 75 years was associated with increased overall morbidity in the GA group but not the LA group. CONCLUSIONS: This study demonstrates that increased age is associated with increased morbidity in CEA under GA, while hyperlipidemia is associated with increased morbidity in CEA regardless of the anesthetic choice.

Age Distribution↗

Incidence and outcome of complications following restorative proctocolectomy.

BACKGROUND: Complications were analyzed in 296 patients with ulcerative colitis who underwent restorative proctocolectomy. METHODS: In 96.3% of patients, the pouch was anastomosed using the double stapling method. A total of 44.6% of patients underwent restorative proctocolectomy in 1 stage without ileostomy and 53% in 2 stages. Complications were divided into 2 stages: early (within 1 month) and late (after 1 month); moreover, the annual incidences were calculated, mean onset time, and pouch survival rate. RESULTS: The overall incidence of complications was 52.7%. Early complications (13.2%) occurred significantly less often than late complications (46.3%) (P < .05). Thirty-five (17.7%) of 198 complications required surgery. The cumulative 5- and 10-year pouch survival rate was 99%, respectively. CONCLUSIONS: The rate of complications after restorative proctocolectomy was almost equivalent to that in other reports, but the pouch survival rate was very high.

Adult↗

Does socio-demographic status influence the effect of pollens and molds on hospitalization for asthma? Results from a time-series study in 10 Canadian cities.

PURPOSE: Social status influences asthma morbidity but the mechanisms are not well understood. To determine if sociodemographics influence the susceptibility to ambient aeroallergens, we determined the association between daily hospitalizations for asthma and daily concentrations of ambient pollens and molds in 10 large Canadian cities. METHODS: Daily time-series analyses were performed and results were adjusted for day of the week, temperature, barometric pressure, relative humidity, ozone, carbon monoxide, sulfur dioxide, and nitrogen dioxide. Results were then stratified by age, gender, and neighborhood family education and income. RESULTS: There appeared to be age and gender interactions in the relation between aeroallergens and asthma. An increase in basidiomycetes equivalent to its mean value, about 300/m3, increased asthma admissions for younger males (under 13 years of age) by 9.3% (95% CI, 4.8%, 13.8%) vs. 4.2% (95% CI, - 0.1%, 8.5%) for older males. The reverse was true among females with increased effect in the older age group: 2.3% (95% CI, 1.2%, 5.8%) in those under 13 years vs. 7.1% (95% CI, 4.1%, 10.1%) for older females. Associations were seen between aeroallergens and asthma hospitalization in the lowest but not the highest education group. CONCLUSIONS: Our results suggest that younger males and those within less educated families may be more vulnerable to aeroallergens as reflected by hospitalization for asthma.

Adolescent↗