50 research outputs found
On the importance of ship-bottom fouling by marine organisms: a techno-economic survey
A high attention has been paid for constant research on the preservation of materials in the marine environment. This includes all phases of design, development, applied engineering and economics which may influence the construction and operation of ships and underwater installations
Effect of chloride dialysate concentration on metabolic acidosis in aintenance hemodialysis patients
A comparison of prognostic significance of strong ion gap (SIG) with other acid-base markers in the critically ill: a cohort study
BACKGROUND: This cohort study compared the prognostic significance of strong ion gap (SIG) with other acid-base markers in the critically ill. METHODS: The relationships between SIG, lactate, anion gap (AG), anion gap albumin-corrected (AG-corrected), base excess or strong ion difference-effective (SIDe), all obtained within the first hour of intensive care unit (ICU) admission, and the hospital mortality of 6878 patients were analysed. The prognostic significance of each acid-base marker, both alone and in combination with the Admission Mortality Prediction Model (MPM0 III) predicted mortality, were assessed by the area under the receiver operating characteristic curve (AUROC). RESULTS: Of the 6878 patients included in the study, 924 patients (13.4 %) died after ICU admission. Except for plasma chloride concentrations, all acid-base markers were significantly different between the survivors and non-survivors. SIG (with lactate: AUROC 0.631, confidence interval [CI] 0.611-0.652; without lactate: AUROC 0.521, 95 % CI 0.500-0.542) only had a modest ability to predict hospital mortality, and this was no better than using lactate concentration alone (AUROC 0.701, 95 % 0.682-0.721). Adding AG-corrected or SIG to a combination of lactate and MPM0 III predicted risks also did not substantially improve the latter's ability to differentiate between survivors and non-survivors. Arterial lactate concentrations explained about 11 % of the variability in the observed mortality, and it was more important than SIG (0.6 %) and SIDe (0.9 %) in predicting hospital mortality after adjusting for MPM0 III predicted risks. Lactate remained as the strongest predictor for mortality in a sensitivity multivariate analysis, allowing for non-linearity of all acid-base markers. CONCLUSIONS: The prognostic significance of SIG was modest and inferior to arterial lactate concentration for the critically ill. Lactate concentration should always be considered regardless whether physiological, base excess or physical-chemical approach is used to interpret acid-base disturbances in critically ill patients
Biophysical Basis for Three Distinct Dynamical Mechanisms of Action Potential Initiation
Transduction of graded synaptic input into trains of all-or-none action
potentials (spikes) is a crucial step in neural coding. Hodgkin identified three
classes of neurons with qualitatively different analog-to-digital transduction
properties. Despite widespread use of this classification scheme, a
generalizable explanation of its biophysical basis has not been described. We
recorded from spinal sensory neurons representing each class and reproduced
their transduction properties in a minimal model. With phase plane and
bifurcation analysis, each class of excitability was shown to derive from
distinct spike initiating dynamics. Excitability could be converted between all
three classes by varying single parameters; moreover, several parameters, when
varied one at a time, had functionally equivalent effects on excitability. From
this, we conclude that the spike-initiating dynamics associated with each of
Hodgkin's classes represent different outcomes in a nonlinear
competition between oppositely directed, kinetically mismatched currents. Class
1 excitability occurs through a saddle node on invariant circle bifurcation when
net current at perithreshold potentials is inward (depolarizing) at steady
state. Class 2 excitability occurs through a Hopf bifurcation when, despite net
current being outward (hyperpolarizing) at steady state, spike initiation occurs
because inward current activates faster than outward current. Class 3
excitability occurs through a quasi-separatrix crossing when fast-activating
inward current overpowers slow-activating outward current during a stimulus
transient, although slow-activating outward current dominates during constant
stimulation. Experiments confirmed that different classes of spinal lamina I
neurons express the subthreshold currents predicted by our simulations and,
further, that those currents are necessary for the excitability in each cell
class. Thus, our results demonstrate that all three classes of excitability
arise from a continuum in the direction and magnitude of subthreshold currents.
Through detailed analysis of the spike-initiating process, we have explained a
fundamental link between biophysical properties and qualitative differences in
how neurons encode sensory input
Human malarial disease: a consequence of inflammatory cytokine release
Malaria causes an acute systemic human disease that bears many similarities, both clinically and mechanistically, to those caused by bacteria, rickettsia, and viruses. Over the past few decades, a literature has emerged that argues for most of the pathology seen in all of these infectious diseases being explained by activation of the inflammatory system, with the balance between the pro and anti-inflammatory cytokines being tipped towards the onset of systemic inflammation. Although not often expressed in energy terms, there is, when reduced to biochemical essentials, wide agreement that infection with falciparum malaria is often fatal because mitochondria are unable to generate enough ATP to maintain normal cellular function. Most, however, would contend that this largely occurs because sequestered parasitized red cells prevent sufficient oxygen getting to where it is needed. This review considers the evidence that an equally or more important way ATP deficency arises in malaria, as well as these other infectious diseases, is an inability of mitochondria, through the effects of inflammatory cytokines on their function, to utilise available oxygen. This activity of these cytokines, plus their capacity to control the pathways through which oxygen supply to mitochondria are restricted (particularly through directing sequestration and driving anaemia), combine to make falciparum malaria primarily an inflammatory cytokine-driven disease