Anti-phospholipid-antibodies in patients with relapsing polychondritis

Relapsing polychondritis (RP) is an extremly rare multisystemic disease thought to be of autoimmune origin. In order to assess if RP is associated with anti-phospholipid antibodies (aPL), clinical data and sera of 21 patients with RP were collected in a multicentre study. Concentration of anti-cardiolipin antibodies (aCL) (IgG-, IgM-and IgA-isotypes), anti-phosphatidylserine-antibodies (aPS) (IgG-and IgM-isotypes) and anti-β-2-glycoprotein I-antibodies (aβ2 GPI) were measured by ELISA. In eight patients aCL were found to be elevated. One patient had elevated aPS. No patient had elevated aβ2 GPI. No patient had clinical signs and symptoms of a aPL syndrome. Interestingly, the two RP patients with the highest aPL had concomitant systemic lupus erythematosus (SLE). Therefore the presence of elevated aPL in RP is probably more closely related to an associated SLE than to RP itself. There is no convincing evidence that aPL are associated with RP

Un nuevo anestésico intravenoso: propofol : evaluación clínica y experimental en el perro

El propofol es un anestésico intravenoso no relacionado químicamente con ningún otro anestésico conocido. La inducción anestésica con propofol es rápida y el mantenimiento puede realizarse, bien mediante infusión continua, bien con dosis de mantenimiento en «bolus», y no presenta efecto acumulativo como ocurre con el tiopental sódico, anestésico muy similar en cuanto a acción anestésica y que sirve de referencia. Puede complementarse con analgésicos opiáceos u óxido nitroso para proporcionar analgesia. Al ser la recuperación anestésica más rápida en comparación con otros agentes anestésicos intravenosos o intramusculares, se reduce la aparición de complicaciones.Propofol is a new intravenous anaesthetic agent chemically unrelated to any other anaesthetic. When propofol is used, anaesthetic induction is fast and maintenance can be achieved by continuous infusion or by incremental doses in «bolus», without the cumulative effect seen with thiopentone, a well known barbiturate with similar anaesthetic activity and used as a reference drug. Complementation with opioids or nitrous oxide can provide adequate analgesia. Compared to other intravenous or intramuscular anaesthetic agents, anaesthetic recovery is fast, reducing the complications associated with more prolonged recoveries

Percolation properties of the 2D Heisenberg model

We analyze the percolation properties of certain clusters defined on configurations of the 2--dimensional Heisenberg model. We find that, given any direction \vec{n} in O(3) space, the spins almost perpendicular to \vec{n} form a percolating cluster. This result gives indications of how the model can avoid a previously conjectured Kosterlitz-Thouless phase transition at finite temperature T.Comment: 4 pages, 3 eps figures. Revised version (more clear abstract, some new references

Low-frequency excitations in glassy selenium: A comparison of neutron-scattering and molecular-dynamics results

12 págs.; 9 figs.; 1 tab.The microscopic low-frequency dynamics of glassy selenium is investigated by means of the concurrent use of neutron inelastic scattering and computer simulations. A separation of the dynamic response in terms of intra- and interchain processes is achieved from the analysis of the simulation results. The S(Q,E) dynamic structure factors are analyzed in terms of the frequency moments or from a model scattering law, and the wave-vector dependence of the relevant quantities is established. Finally, the anomalous behavior of the heat capacity at moderately low temperatures is shown to be originated by mostly interchain interactions. © 1993 The American Physical Society.This work has been supported in part by DGICYT Grant No. PB89-0037-C03.Peer Reviewe

Is there something of the MCT in orientationally disordered crystals ?

Molecular Dynamics simulations have been performed on the orientationally disordered crystal chloroadamantane: a model system where dynamics are almost completely controlled by rotations. A critical temperature T_c = 225 K as predicted by the Mode Coupling Theory can be clearly determined both in the alpha and beta dynamical regimes. This investigation also shows the existence of a second remarkable dynamical crossover at the temperature T_x > T_c consistent with a previous NMR and MD study [1]. This allows us to confirm clearly the existence of a 'landscape-influenced' regime occurring in the temperature range [T_c-T_x] as recently proposed [2,3].Comment: 4 pages, 5 figures, REVTEX

Care dependency in patients with heart failure: A cross-sectional study in Spain

Background: Heart failure (HF) is a progressive and debilitating condition that represents an ever-growing problem for health systems worldwide. HF patients feel that they are a burden on their families, they feel socially isolated and have a low perception of their health. Accordingly, the objectives of this study were to: (1) to explore the profile of care dependency in a representative sample of Spanish HF patients through the Care Dependency Scale (CDS), and (2) to identify correlates of care dependency in this population. Material and Methods: We performed a cross-sectional study of 187 patients admitted for HF decompensation to the Hospital Clínico of Zaragoza (Spain). Results: Only 15% of our sample was highly or completely dependent on care from others. More specifically, our results indicate that HF patients felt a greater level of dependency on care from others when it comes to moving, getting dressed and undressed, maintaining good personal hygiene, participating in daily and recreational activities and being continent. Conclusions: We find association between the CDS categories that present a low score for care dependency in HF patients and the patients’ physical deterioration

An alternative surgical approach to subclavian and innominate stenosis: a case series

We report three cases of symptomatic stenosis of the great vessels or supra-aortic trunks successfully treated surgically with aorto-subclavian and aorto-innominate bypass. Two were performed via manubriotomy and a third case via standard median sternotomy because of concomitant coronary revascularisation. There was complete symptomatic relief on follow-up, and radiological imaging confirmed good flow in the grafts and post-stenotic arteries