Possible role of the phagocytic proteinases, cathepsin B and elastas, in orthotopic liver transplantation

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Mediators of leukocyte yctivation play a role in disseminated intravascular coagulation during orthotopic liver transplantation

Leukocytes play an important role in the development of disseminated intravascular coagulation (DIC). In the reperfusion phase of OLT a DIC-like situation has been described and has been held responsible for the high blood loss during this phase. We investigated the role of leukocytes in the pathogenesis of DIC in OLT by measuring the leukocytic mediators released upon activation (cathepsin B, elastase, TNF, neopterin) and the levels of thrombin-antithrombin III (TAT) complexes, seen as markers of prothrombin activation. Arterial blood samples were taken at 10 different time points during and after OLT. Samples were also taken of the perfusate released from the liver graft vein during the flushing procedure before the reperfusion phase. Aprotinin was given as a continuous infusion (0.2-0.4 Mill. KlU/hr) and its plasma levels were determined. Significantly elevated levels of neopterin (15-fold; P<0.01), cathepsin B (440-fold; P<0.01) in the perfusate, as compared with the systemic circulation, as well as their significant increases in the early reperfusion phase suggested that they were released by the graft liver. This was paralleled by elevated levels of elastase (1.3-fold, P<0.05), TNF (1.5-fold, P=NS), and TAT complexes (1.4-fold; P<0.1) in the perfusate. Significant correlations could be identified between the parameters of leukocyte activation and TAT complexes, whereas no correlation was observed between any of the parameters investigated and the aprotinin levels. Our results strongly indicate a release of leukocytic mediators from the graft liver during its reperfusion which seems to be related to the parallely increased prothrombin activation. No correlation could be seen between levels of aprotinin and levels of leukocytic mediators

The role of Mie scattering in the seeding of matter-wave superradiance

Matter-wave superradiance is based on the interplay between ultracold atoms coherently organized in momentum space and a backscattered wave. Here, we show that this mechanism may be triggered by Mie scattering from the atomic cloud. We show how the laser light populates the modes of the cloud, and thus imprints a phase gradient on the excited atomic dipoles. The interference with the atoms in the ground state results in a grating, that in turn generates coherent emission, contributing to the backward light wave onset. The atomic recoil 'halos' created by the scattered light exhibit a strong anisotropy, in contrast to single-atom scattering

Phase-sensitive detection of Bragg scattering at 1D optical lattices

We report on the observation of Bragg scattering at 1D atomic lattices. Cold atoms are confined by optical dipole forces at the antinodes of a standing wave generated by the two counter-propagating modes of a laser-driven high-finesse ring cavity. By heterodyning the Bragg-scattered light with a reference beam, we obtain detailed information on phase shifts imparted by the Bragg scattering process. Being deep in the Lamb-Dicke regime, the scattered light is not broadened by the motion of individual atoms. In contrast, we have detected signatures of global translatory motion of the atomic grating.Comment: 4 pages, 4 figure

Direct Measurement of intermediate-range Casimir-Polder potentials

We present the first direct measurements of Casimir-Polder forces between solid surfaces and atomic gases in the transition regime between the electrostatic short-distance and the retarded long-distance limit. The experimental method is based on ultracold ground-state Rb atoms that are reflected from evanescent wave barriers at the surface of a dielectric glass prism. Our novel approach does not require assumptions about the potential shape. The experimental data confirm the theoretical prediction in the transition regime.Comment: 4 pages, 3 figure

Different aprotinin applications influencing hemostatic chances in orthotopic liver transplantation

The effect of different aprotinin applications on hemmtatic changes and blood product requirements in orthotopic liver transplantation was investigated in a prospective, open, and randomized study. From November 1989 to June 1990, 13 patients received aprotinin as a bolus of 0.5 Mill, kallikrein inac-tivator units (KIU) on three occasions in the course of an OLT, whereas 10 other patients were treated with continuous aprotinin infusion of 0.1-0.4 Mill. KIU/hr. Before and after reperfusion of the graft liver, signs of hyperfibrinolysis, measured by thrombelastography, were significantly lower in the infusion group. Tissue-type plasminogen activator (t-PA) activity increased during the anhepatic phase but to a significantly lesser extent in the infusion group. Blood product requirements during OLT were tendentiously higher in the bolus group but not significantly so. However, the use of packed red blood cells was significantly lower in the postoperative period, whereas there was no significant difference in fresh frozen plasma requirements between the two groups. All 23 patients have survived, and only one woman of each group required retransplantation due to severe host-versus-graft reactions. Furthermore, we investigated the perfusate of the graft liver in both groups and detected signs of a decreased t-PA release in the infusion group. Our results demonstrate an advantage of aprotinin given as continuous infusion over bolus application in OLT

Multiple Reflections and Diffuse Scattering in Bragg Scattering at Optical Lattices

We study Bragg scattering at 1D atomic lattices. Cold atoms are confined by optical dipole forces at the antinodes of a standing wave generated inside a laser-driven cavity. The atoms arrange themselves into an array of lens-shaped layers located at the antinodes of the standing wave. Light incident on this array at a well-defined angle is partially Bragg-reflected. We measure reflectivities as high as 30%. In contrast to a previous experiment devoted to the thin grating limit [S. Slama, et al., Phys. Rev. Lett. 94, 193901 (2005)] we now investigate the thick grating limit characterized by multiple reflections of the light beam between the atomic layers. In principle multiple reflections give rise to a photonic stop band, which manifests itself in the Bragg diffraction spectra as asymmetries and minima due to destructive interference between different reflection paths. We show that close to resonance however disorder favors diffuse scattering, hinders coherent multiple scattering and impedes the characteristic suppression of spontaneous emission inside a photonic band gap