Diagnostic accuracy of ultrasonography compared to unenhanced CT for stone and obstruction in patients with renal failure

BACKGROUND: To determine accuracy of ultrasound (US) kidney, ureter and bladder (KUB) compared to un-enhanced helical CT (UHCT) in patients with renal failure in the diagnosis of stone and obstruction. METHODS: This is a case controlled study conducted in the period from June 2000 to July 2003 at a university hospital. All patients had both US and UHCT scan. Patients with serum creatinine ≥ 1.8 mg/dl were included in the study. Only direct visualization of stone was considered as confirmatory. In both the studies, UHCT and US, presence of stone and obstruction were noted. The relevant biochemicals, radiological and clinical records of all the patients were analyzed. Data was analyzed using commercially available software. RESULTS: During the period of study 864 patients had UHCT for evaluation of the urinary tract in patients presenting with flank pain. Out of these 34 patients had both UHCT and US done within a span of one day and had serum creatinine of ≥1.8 mg/dl. Mean age was 48 ±15.8 years and 59% of patients were males. UHCT identified renal stones in 21 (62%), whereas 17 of these were identified on US, with a sensitivity of 81%. Of the four patients with renal stones missed on US, three were identified on plain x-ray; the mean size of stones missed was 6.3 mm. Of the 22 (65%) patients with ureteric stone on UHCT, US could only identify 10; a further 7 were identified on x-ray KUB, giving a sensitivity of 45% (US alone) and 77% (US with x-ray KUB). CONCLUSIONS: US is sensitive and specific for renal stones, 81% and 100% and for hydronephrosis, 93% and 100%, respectively. Its sensitivity to pick ureteric stone (46%) and to identify hydroureter (50%) is low. Addition of x-ray KUB abdomen increases the sensitivity for ureteric stones to 77%

Rapid Fabrication of Oxygen Defective α-Fe2O3(110) for Enhanced Photoelectrochemical Activities

This is the author accepted manuscript.Defect engineering is increasingly recognized as a viable strategy for boosting the performance of photoelectrochemical (PEC) water splitting by metal oxide-based photoelectrodes. However, previously developed methods for generating point defect associated with oxygen vacancies is rather time-consuming. Herein, high density oxygen deficient α-Fe2O3 with dominant (110) crystal plane is developed in very short timescale of 10 minutes by employing aerosol-assisted chemical vapor deposition and pure nitrogen as gas carrier. The oxygen defective film exhibits almost 8 times higher photocurrent density compared to hematite photoanode with low concentration of oxygen vacancies which is prepared in purified air. The existence of oxygen vacancies improves light absorption ability, accelerates charge transport in the bulk of film, and promotes charge separation at electrolyte/semiconductor interface. DFT simulations verify that oxygen defective hematite has a narrow band gap, electron-hole trapped centre, and strong adsorption energy of water molecules compared to that of pristine hematite. This strategy might bring PEC technology another step further towards large-scale fabrication for future commercialization.Universiti Kebangsaan Malaysi

Hemoglobin E syndromes in Pakistani population

<p>Abstract</p> <p>Background</p> <p>Hemoglobin E is an important hemoglobin variant with a worldwide distribution. A number of hemoglobinopathies have been reported from Pakistan. However a comprehensive description of hemoglobin E syndromes for the country was never made. This study aimed to describe various hemoglobin E disorders based on hematological parameters and chromatography. The sub-aim was to characterize hemoglobin E at molecular level.</p> <p>Methods</p> <p>This was a hospital based study conducted prospectively for a period of one year extending from January 1 to December 31, 2008. EDTA blood samples were analyzed for completed blood counts and hemoglobin variants through automated hematology analyzer and Bio-Rad beta thalassaemia short program respectively. Six samples were randomly selected to characterize HbE at molecular level through RFLP-PCR utilizing <it>Mnl</it>I restriction enzyme.</p> <p>Results</p> <p>During the study period, 11403 chromatograms were analyzed and Hb E was detected in 41 (or 0.36%) samples. Different hemoglobin E syndromes identified were HbEA (n = 20 or 49%), HbE/β-thalassemia (n = 14 or 34%), HbEE (n = 6 or 15%) and HbE/HbS (n = 1 or 2%). Compound heterozygosity for HbE and beta thalassaemia was found to be the most severely affected phenotype. RFLP-PCR utilizing <it>Mnl</it>I successfully characterized HbE at molecular level in six randomly selected samples.</p> <p>Conclusions</p> <p>Various HbE phenotypes are prevalent in Pakistan with HbEA and HbE/β thalassaemia representing the most common syndromes. Chromatography cannot only successfully identify hemoglobin E but also assist in further characterization into its phenotype including compound heterozygosity. Definitive diagnosis of HbE can easily be achieved through RFLP-PCR.</p

A redox switch in angiotensinogen modulates angiotensin release.

Blood pressure is critically controlled by angiotensins, which are vasopressor peptides specifically released by the enzyme renin from the tail of angiotensinogen-a non-inhibitory member of the serpin family of protease inhibitors. Although angiotensinogen has long been regarded as a passive substrate, the crystal structures solved here to 2.1 Å resolution show that the angiotensin cleavage site is inaccessibly buried in its amino-terminal tail. The conformational rearrangement that makes this site accessible for proteolysis is revealed in our 4.4 Å structure of the complex of human angiotensinogen with renin. The co-ordinated changes involved are seen to be critically linked by a conserved but labile disulphide bridge. Here we show that the reduced unbridged form of angiotensinogen is present in the circulation in a near 40:60 ratio with the oxidized sulphydryl-bridged form, which preferentially interacts with receptor-bound renin. We propose that this redox-responsive transition of angiotensinogen to a form that will more effectively release angiotensin at a cellular level contributes to the modulation of blood pressure. Specifically, we demonstrate the oxidative switch of angiotensinogen to its more active sulphydryl-bridged form in the maternal circulation in pre-eclampsia-the hypertensive crisis of pregnancy that threatens the health and survival of both mother and child

Hf–Zr anomalies in clinopyroxene from mantle xenoliths from France and Poland: implications for Lu–Hf dating of spinel peridotite lithospheric mantle

Clinopyroxenes in some fresh anhydrous spinel peridotite mantle xenoliths from the northern Massif Central (France) and Lower Silesia (Poland), analysed for a range of incompatible trace elements by laser ablation inductively coupled plasma mass spectrometry, show unusually strong negative anomalies in Hf and Zr relative to adjacent elements Sm and Nd, on primitive mantle-normalised diagrams. Similar Zr–Hf anomalies have only rarely been reported from clinopyroxene in spinel peridotite mantle xenoliths worldwide, and most are not as strong as the examples reported here. Low Hf contents give rise to a wide range of Lu/Hf ratios, which over geological time would result in highly radiogenic εHf values, decoupling them from εNd ratios. The high 176Lu/177Hf could in theory produce an isochronous relationship with 176Hf/177Hf over time; an errorchron is shown by clinopyroxene from mantle xenoliths from the northern Massif Central. However, in a review of the literature, we show that most mantle spinel peridotites do not show such high Lu/Hf ratios in their constituent clinopyroxenes, because they lack the distinctive Zr–Hf anomaly, and this limits the usefulness of the application of the Lu–Hf system of dating to garnet-free mantle rocks. Nevertheless, some mantle xenoliths from Poland or the Czech Republic may be amenable to Hf-isotope dating in the future

Numerical study of hydrodynamic flow of a Casson nanomaterial past an inclined sheet under porous medium

The main aim of the current paper is to investigate the mass and heat transportation of a Casson nanomaterial generated by the inclination of the surface. The magnetic field effect along with suction or injection are considered. The working nanomaterial is taken into consideration based on the concept of the Buongiorno nanofluid theory, which explores the thermal efficiencies of liquid flows under movement of Brownian and thermophoretic phenomena. The emergent system of differential expressions is converted to dimensionless form with the help of the appropriate transformations. This system is numerically executed by the implementation of Keller–Box and Newton's schemes. A good agreement of results can be found with the previous data in a limiting approach. The behavior of the physical quantities under concern, including energy exchange, Sherwood number, and wall shear stress are portrayed through graphs and in tabular form. The Nusselt number and Sherwood number are found to diminish against the altered magnitudes of Brownian motion and the inclination parameter. Moreover, the velocity profile decreases with the growth of the inclination effect. In the same vein, the buoyancy force and solutal buoyancy effects show a direct relation with the velocity field. The outcomes have promising technological uses in liquid-based systems related to stretchable constituents

Numerical study of nano-biofilm stagnation flow from a nonlinear stretching/shrinking surface with variable nanofluid and bioconvection transport properties

A mathematical model is developed for stagnation point flow toward a stretching or shrinking sheet of liquid nano-biofilm containing spherical nano-particles and bioconvecting gyrotactic micro-organisms. Variable transport properties of the liquid (viscosity, thermal conductivity, nano-particle species diffusivity) and micro-organisms (species diffusivity) are considered. Buongiorno’s two-component nanoscale model is deployed and spherical nanoparticles in a dilute nanofluid considered. Using a similarity transformation, the nonlinear systems of partial differential equations is converted into nonlinear ordinary differential equations. These resulting equations are solved numerically using a central space finite difference method in the CodeBlocks Fortran platform. Graphical plots for the distribution of reduced skin friction coefficient, reduced Nusselt number, reduced Sherwood number and the reduced local density of the motile microorganisms as well as the velocity, temperature, nanoparticle volume fraction and the density of motile microorganisms are presented for the influence of wall velocity power-law index (m), viscosity parameter (c2), thermal conductivity parameter (c4), nano-particle mass diffusivity (c6), micro-organism species diffusivity (c8), thermophoresis parameter (Nt), Brownian motion parameter (Nb), Lewis number (Le), bioconvection Schmidt number (Sc), bioconvection constant (σ) and bioconvection Péclet number (Pe). Validation of the solutions via comparison related to previous simpler models is included. Further verification of the general model is conducted with the Adomian decomposition method (ADM). Extensive interpretation of the physics is included. Skin friction is elevated with viscosity parameter (c2) whereas it is suppressed with greater Lewis number and thermophoresis parameter. Temperatures are elevated with increasing thermal conductivity parameter (c4) whereas Nusselt numbers are reduced. Nano-particle volume fraction (concentration) is enhanced with increasing nano-particle mass diffusivity parameter (c6) whereas it is markedly reduced with greater Lewis number (Le) and Brownian motion parameter (Nb). With increasing stretching/shrinking velocity power-law exponent (m), skin friction is decreased whereas Nusselt number and Sherwood number are both elevated. Motile microorganism density is boosted strongly with increasing micro-organism diffusivity parameter (c8) and Brownian motion parameter (Nb) but reduced considerably with greater bioconvection Schmidt number (Sc) and bioconvection Péclet number (Pe). The simulations find applications in deposition processes in nano-bio-coating manufacturing processes