3,501 research outputs found

    Correlation between the reliability of HEMT devices and that of a combined oscillator-amplifier

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    We evaluate an oscillator-amplifier MMIC submitted to high-temperature operating life time tests. To relate adequately these results with individual components’ results, it is important to realise that failure mechanisms in non-linear MMICs are governed by the maximally instantaneous voltages/currents and hence that comparisons should be conducted at equal instantaneous conditions

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

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    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

    Possible role of extracellularly released phagocytic proteinases in the coagulation disorder during liver transplantation

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    Orthotopic liver transplantation is frequently associated with a complex coagulation disorder, influencing the outcome of the procedure. In this respect, disseminated intravascular coagulation (DIC) had been suggested to be of causative importance for bleeding complications after reperfusion of the liver graft. In 10 consecutive patients undergoing orthotopic liver transplantations, we studied the occurrence of two phagocyte proteinases of different origin in the graft liver perfus-ate and in systemic blood during the operation, as well as their effects on hemostasis. As compared with plasma samples taken at the end of the anhepatic phase, highly significant increases of cathepsin B and thrombin-anti-thrombin III complexes (TAT), as well as highly significant decreases in antithrombin III, protein C, and C1-inhibitor were observed in graft liver perfusate. Von Willebrand factor and fibrinogen were slightly decreased, whereas the elastase-alpha1 proteinase inhibitor complexes (EPI) were elevated. In plasma the activity of cathepsin B remained unchanged during the prereperfusion phases, but immediately after revascularization of the graft this cysteine proteinase increased. The EPI showed a gradual increase in plasma during the preanhepatic and anhepatic phases but a more pronounced increase in the reperfusion phase. In parallel with the rise in these two proteinases TAT increased and the activities of antithrombin III and C1-inhibitor in plasma decreased after reperfusion. At 12 hr after revascularization plasma levels of TAT, antithrombin III, and C1-inhibitor had returned to the prereperfusion ranges, whereas cathepsin B and EPI were significantly above the baseline levels. These observations are consistent with the hypothesis that extracellularly released lysosomal proteinases may play a role in the development of a DIC-like constellation, including thrombin formation after revascularization of the liver graft. For the first time we could prove the occurrence of phagocyte proteinases in graft liver perfusate and evaluate the importance of these proteinases for the understanding of the pathophysiology leading to bleeding complications in patients undergoing orthotopic liver transplantation

    Properties of the non-Gaussian fixed point in 4D compact U(1) lattice gauge theory

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    We examine selected properties of the gauge-ball spectrum and fermionic variables in the vicinity of the recently discussed non-Gaussian fixed point of 4D compact U(1) lattice gauge theory within the quenched approximation. Approaching the critical point from within the confinement phase, our data support scaling of T1+T1^{+-} gauge-ball states in units of the string tension square root. The analysis of the chiral condensate within the framework of a scaling form for the equation of state suggests non mean-field values for the magnetic exponents δ\delta and βexp\beta_{exp}.Comment: 73K postscript fil

    Dietary control of the renal reabsorption and excretion of α2u-globulin

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    Dietary protein supply is a factor in controlling the excretion of proteins in the urine. As early as 1926, Addis, Mackay, and Mackay observed that male rats on a 69% protein diet excreted more urinary proteins than did those on a 17% diet [1]. Protein deficiency had the opposite effect, resulting in a suppression of the proteinuria [2]. Of the total urinary proteins excreted by the adult male rat, approximately 30% is a sex-dependent globulin called α2u [3,4], which is synthesized by the liver [5] and controlled synergistically by androgens and glucocorticoids [6]. Dietary protein supply also had a profound influence on the excretion of α2u [4]. On a 0% casein diet, the excretion was reduced to approximately 1 mg/24 hours compared with a normal of 10 to 15mg. On a 50% casein diet, rats excreted 30 to 50 mg/24 hours, an increase of more than 100% above the normal [4].Early studies also suggested that high protein diets exaggerated the leakage of plasma proteins caused by a spontaneous nephrotic syndrome observed in male rats [7, 8]. Rats previously castrated did not exhibit an increased excretion of urinary protein on a 50% casein diet, whereas supplementation with testosterone restored the augmented proteinuria [9]. This suggested that the elevated excretion of urinary protein was dependent on the presence of androgens. It is now known that a high-protein diet caused an increased excretion of α2u without at the same time leading to a compensatory, stimulated hepatic biosynthesis. Conceivably, the increased excretion of α2u was the consequence of an altered state of renal reabsorption [4]. The purpose of the present communication was to compare the degree of renal reabsorption under three different dietary conditions and to determine whether the kidneys controlled the urinary excretion of α2u by altering its reabsorption

    Different aprotinin applications influencing hemostatic chances in orthotopic liver transplantation

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    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

    Ultrafast band-gap renormalization and build-up of optical gain in monolayer MoTe2_2

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    The dynamics of band-gap renormalization and gain build-up in monolayer MoTe2_2 is investigated by evaluating the non-equilibrium Dirac-Bloch equations with the incoherent carrier-carrier and carrier-phonon scattering treated via quantum-Boltzmann type scattering equations. For the case where an approximately 300300 fs-long high intensity optical pulse generates charge-carrier densities in the gain regime, the strong Coulomb coupling leads to a relaxation of excited carriers on a few fs time scale. The pump-pulse generation of excited carriers induces a large band-gap renormalization during the time scale of the pulse. Efficient phonon coupling leads to a subsequent carrier thermalization within a few ps, which defines the time scale for the optical gain build-up energetically close to the low-density exciton resonance.Comment: This is a post-peer-review version of an article published in Physical Review
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