It’s a Bleed: Pediatric Hemophilia and Length of Stay, Rural vs Urban Hospitals

Hemophilia is a rare genetic disorder that requires specialty care and treatment. Pediatric patients with hemophilia have unique medical issues that may lead to permanent disability or death if not properly diagnosed and treated in a timely manner. Due to lack of resources and proper training of staff, rural hospitals are not equipped to properly treat pediatric hemophilia patients. Utilizing the Healthcare Cost and Utilization Project (HCUP) Kids´ Inpatient Database (KID) of the Agency for Healthcare Research and Quality. I have found, across all hospital types, pediatric hemophilia patients have longer lengths of stay, 2.7 days for rural hospitals, 4.6 days for urban hospitals, and 5.1 days for teaching hospitals, compared to the national mean for pediatric LOS of 1.8 days (Heys et al. 2017)

Materials research and beam line operation utilizing NSLS

MATRIX, a participating research team of Midwest x-ray scattering specialists, continues to operate beam line X-18A at NSLS. Operations of this line now provides state-of-the-art capabilities to a wide range of people in the Materials Science and Engineering research community. Improvements of the beam line continue to be a focus of MATRIX. Throughout this past year the emphasis has been shifting towards improvement in user friendly'' aspects. Simplified control operations and a shift to single-user personal computer has been a major part of the effort. Over the past year the full 242 operational days were utilized. Beam line test and evaluation consumed 21 days with eight MATRIX groups combining to use 170 days. General user demand for use of the beam line continues to be strong and three groups were provided 51 operating days. Research production has been growing as NSLS and the beam line become a more stable type of operation. For 1990 the MATRIX group published nine articles. To data for 1991 the same group has published, submitted, or has in preparation twelve articles. Among the milestones achieved last year on MATRIX member obtained the first data from a new ultra high vacuum chamber with low temperature capability. This is a unique capability at NSLS. Another member demonstrated grazing incidence small angle x-ray scattering capability for kinetic studies of film growth

Polycapillary based μXRF station for 3D colour tomography

The “Rainbow X-Ray” (RXR) experimental station at XLab Frascati of the Frascati’s National Laboratories (LNF) INFN is a dedicated station for X-ray fluorescence studies based on the use of polycapillary lenses in a confocal geometry. The flexible RXR layout allows investigating specimens of the dimensions ranging from several millimeters up to half meter and weighting up to several tens of kilograms. Compared to similar existing XRF stations, apart of the possibility for investigating large samples, the main advantage of this equipment is the detection system with two spectrometers optimized to work separately at high and at low X-ray energie

Features of changes in the nanostructure and colorizing of copper during scanning with a femtosecond laser beam

We have studied the nanostructuring and colorizing of the copper surface by scanning with a femtosecond laser beam with a near-Gaussian beam profile. The experimental studies were conducted using a femtosecond laser comprising a Ti:Sapphire oscillator and a multi-pass amplifier with the maximum pulse energy of 0.7 mJ, pulse frequency of 1 kHz, and pulse duration <30 fs. It is shown that the use of a short-pulsed femtosecond laser leads to the formation of wavelength scale periodic surface structures and eventually increases the brightness of the color of the copper surface. It is revealed that via reciprocally scanning the copper surface by multiple ultrashort laser pulses with a weakly asymmetric spatial energy density distribution and an energy density below the material ablation threshold, it is possible to create a combined nanostructure composed of low-spatial-frequency laser-induced periodic surface structures coated with nanoscale roughness. It is shown that relatively minor changes in the nanostructures obtained by scanning the copper surface by multiple ultrashort laser pulses can lead to a significant change in the color during surface colorizing

The effects of collagen concentration and crosslink density on the biological, structural and mechanical properties of collagen-GAG scaffolds for bone tissue engineering.

In this study, we examined the effects of varying collagen concentration and crosslink density on the biological, structural and mechanical properties of collagen-GAG scaffolds for bone tissue engineering. Three different collagen contents (0.25%, 0.5% and 1% collagen) and two different dehydrothermal (DHT) crosslinking processes [1] 105 degrees C for 24 h and [2] 150 degrees C for 48 h were investigated. These scaffolds were assessed for (1) pore size, (2) permeability (3) compressive strength and (4) cell viability. The largest pore size, permeability rate, compressive modulus, cell number and cell metabolic activity was all found to occur on the 1% collagen scaffold due to its increased collagen composition and the DHT treatment at 150 degrees C was found to significantly improve the mechanical properties and not to affect cellular number or metabolic activity. These results indicate that doubling the collagen content to 1% and dehydrothermally crosslinking the scaffold at 150 degrees C for 48 h has enhanced mechanical and biological properties of the scaffold making it highly attractive for use in bone tissue engineering

Procjena utjecaja operativnih parametara Nd:YAG pulsnog lasera na metalurška svojstva različitih alatnih čelika pomoću DOE softvera

To ensure the reliability of repair welded tool surfaces, clad quality should be improved. The relationships between metallurgical characteristics of cladding and laser input welding parameters were studied using the design of experiments software. The influence of laser power, welding speed, focal point position and diameter of welding wire on the weld-bead geometry (i.e. penetration, cladding zone width and heat-affected-zone width), microstructural homogeneity, dilution and bond strength was investigated on commonly used tool steels 1,2083, 1,2312 and 1,2343, using DOE software.Poboljšanje kvalitete navarenog sloja nužno je za osiguranje pouzdanosti površina alata, obrađenih postupkom reparaturnog navarivanja. Odnos između metalurških osobina navarenog sloja i ulaznih parametara laserskog zavarivanja istražen je pomoću softvera Design of experiments. Utjecaj snage lasera, brzine zavarivanja, položaja žarišta i promjera žice za zavarivanje na geometriju navara (t.j. na penetraciju, širinu navara i širinu zone utjecaja topline), mikrostrukturna homogenost, miješanje i snaga spoja istraženi su na uobičajenim alatnim čelicima 1,2083, 1,2312 i 1,2343 pomoću softvera DOE

Mechanisms Responsible for omega-Pore Currents in Ca-v Calcium Channel Voltage-Sensing Domains

Mutations of positively charged amino acids in the S4 transmembrane segment of a voltage-gated ion channel form ion-conducting pathways through the voltage-sensing domain, named ω-current. Here, we used structure modeling and MD simulations to predict pathogenic ω-currents in CaV1.1 and CaV1.3 Ca2+ channels bearing several S4 charge mutations. Our modeling predicts that mutations of CaV1.1-R1 (R528H/G, R897S) or CaV1.1-R2 (R900S, R1239H) linked to hypokalemic periodic paralysis type 1 and of CaV1.3-R3 (R990H) identified in aldosterone-producing adenomas conducts ω-currents in resting state, but not during voltage-sensing domain activation. The mechanism responsible for the ω-current and its amplitude depend on the number of charges in S4, the position of the mutated S4 charge and countercharges, and the nature of the replacing amino acid. Functional characterization validates the modeling prediction showing that CaV1.3-R990H channels conduct ω-currents at hyperpolarizing potentials, but not upon membrane depolarization compared with wild-type channels

Micro-endoscopy of the human vas deferens: a feasibility study of a novel device in several ex vivo models

The aim of this study was to show limitation as well as potential of micro-endoscopy techniques as an innovative diagnostic and therapeutic approach in andrology. Two kinds of custom-made micro-endoscopes (ME) were tested in ex vivo vas deferens specimen and in post-mortem whole body. The semi-rigid ME included a micro-optic (0.9mm outer diameter [OD], 10.000 pixels, 120 degrees vision angle [VE], 3-20mm field depth [FD]) and an integrated fibre-optic light source. The flexible ME was composed of a micro-optic (OD=0.6mm, 6.000 pixels, 120 degrees VE, 3-20mm FD). The ex vivo study included retrograde investigation of the vas deferens (surgical specimen n=9, radical prostatectomy n=3). The post-mortem investigation (n=4) included the inspection of the vas deferens via both approaches. The results showed that antegrade and retrograde rigid endoscopy of the vas deferens were achieved as a diagnostic tool. The working channel enabled therapeutic use including biopsies or baskets. Using the flexible ME, the orifices of the ejaculatory ducts were identified. In vivo cadaveric retrograde cannulation of the orifices was successful. Post-mortem changes of verumontanum hindered the examinations beyond. Orifices were identified shaded behind a thin transparent membrane. Antegrade vasoscopy using flexible ME was possible up to the internal inguinal ring. Further advancement was impossible because of anatomical angle and lack adequate vision guidance. The vas deferens interior was clearly visible and was documented by pictures and movies. Altogether, the described ME techniques were feasible and effective, offering the potential of innovative diagnostic and therapeutic approaches for use in the genital tract. Several innovative indications could be expected

Reciprocal regulation of PKA and rac signaling

Activated G protein-coupled receptors (GPCRs) and receptor tyrosine kinases relay extracellular signals through spatial and temporal controlled kinase and GTPase entities. These enzymes are coordinated by multifunctional scaffolding proteins for precise intracellular signal processing. The cAMP-dependent protein kinase A (PKA) is the prime example for compartmentalized signal transmission downstream of distinct GPCRs. A-kinase anchoring proteins tether PKA to specific intracellular sites to ensure precision and directionality of PKA phosphorylation events. Here, we show that the Rho-GTPase Rac contains A-kinase anchoring protein properties and forms a dynamic cellular protein complex with PKA. The formation of this transient core complex depends on binary interactions with PKA subunits, cAMP levels and cellular GTP-loading accounting for bidirectional consequences on PKA and Rac downstream signaling. We show that GTP-Rac stabilizes the inactive PKA holoenzyme. However, β-adrenergic receptor-mediated activation of GTP-Rac–bound PKA routes signals to the Raf-Mek-Erk cascade, which is critically implicated in cell proliferation. We describe a further mechanism of how cAMP enhances nuclear Erk1/2 signaling: It emanates from transphosphorylation of p21-activated kinases in their evolutionary conserved kinase-activation loop through GTP-Rac compartmentalized PKA activities. Sole transphosphorylation of p21-activated kinases is not sufficient to activate Erk1/2. It requires complex formation of both kinases with GTP-Rac1 to unleash cAMP-PKA–boosted activation of Raf-Mek-Erk. Consequently GTP-Rac functions as a dual kinase-tuning scaffold that favors the PKA holoenzyme and contributes to potentiate Erk1/2 signaling. Our findings offer additional mechanistic insights how β-adrenergic receptor-controlled PKA activities enhance GTP-Rac–mediated activation of nuclear Erk1/2 signaling