Systemic effects of tissue plasminogen activator-associated fibrinolysis and its relation to thrombin generation in orthotopic liver transplantation

Orthotopic liver transplantation is frequently associated with hyperfibrinolysis, the origin and clinical relevance of which is largely unknown. In 20 orthotopic liver transplantations, we studied the occurrence and systemic effects of hyperfibrinolysis. Severe fibrinolysis was defined to be present when the euglobulin-clot lysis time and the whole-blood-clot lysis time, as measured by thrombelastography, were shorter than 60 and 90 min, respectively, at some time during the operation. Based on these criteria, 7 patients had minimal fibrinolysis (group I), and 13 patients had severe fibrinolysis (group II). In group II a gradual increase of tissue-type plasminogen activator (t-PA) activity was seen during the anhepatic stage, followed by an “explosive” increase immediately after graft reperfusion (P=0.0004, compared with group I), and a reduction of plasminogen activator inhibitor (PAI) activity. Plasma degradation products of fibrinogen and fibrin increased parallel to t-PA activity, and levels were significantly higher at 45 min after graft reperfusion in group II compared with group I (P<0.04). Thrombin-antithrombin III complexes showed an identical steady increase in both groups, indicating that increased t-PA activity was not related to thrombin formation. A combination of increased endothelial release and reduced hepatic clearance may have caused the increased t-PA activity. The t-PA—associated destruction of fibrinogen and fibrin after graft reperfusion is consistent with the clinical signs of severe oozing often seen in this period. These observations may have important clinical implications for the treatment of bleeding in patients undergoing orthotopic liver transplantation. © 1989 by The Williams and Wilkins Co

Tunneling of two-dimensional surface polaritons through nanogaps in atomically thin crystals

We theoretically investigate the tunneling of two-dimensional surface polaritons (2DSPs) through nanometer-wide gaps in atomically thin crystals. For quantitatively accurate results, we developed a rigorous model based on the diffraction of 2DSPs for strongly confined surface polaritons (i.e., the polariton wavelength much shorter than the free-pace photon wavelength). We find distinctive features of the tunneling of 2DSPs. First, radiation loss during the tunneling is shown to be negligible. Second, the reflection coefficient R and tunneling coefficient T are shown to exhibit an anomalous logarithm singularity in their dependency on the gap width. Even for a gap size over two orders of magnitude smaller than the surface polariton wavelength, an appreciable reflection coefficient was observed in our calculation. Finally, we show that when the gap size increases, the phase of R saturates very rapidly to a nontrivial value of π/4. Based on these results, we further examine resonant tunneling of 2DSP through two identical gaps separated by a distance L, and establish a resonance condition defined by L≈λsp(4n-1)/8 with a positive integer n

Fatigue in martensitic 100Cr6: Relationship between rolling contact fatigue microstructural transitions and repetitive push testing

Repetitive uniaxial fatigue testing is introduced to reproduce a similar magnitude of compressive stress to rolling contact during bearing operation, and to investigate the associated microstructural transitions. During the test, the strain per cycle responsible for fatigue damage can be measured. The observed hardness increase suggests that the developed residual stress level is similar to that formed on ball-on-rod bearing testing. The suggested methodology would be helpful in determining the strain responsible for plastic deformation in rolling contact fatigue, as well as for appraising the quality of bearing materials employed for bearing elements.This work was supported by SKF Engineering & Research Centre and financed by SKF ABThis is the author accepted manuscript. The final version is available from Elsevier at http://www.sciencedirect.com/science/article/pii/S0921509314008351. © 2014 Elsevie

Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation

The blood coagulation system of 66 consecutive patients undergoing consecutive liver transplantations was monitored by thrombelastograph and analytic coagulation profile. A poor preoperative coagulation state, decrease in levels of coagulation factors, progressive fibrinolysis, and whole blood clot lysis were observed during the preanhepatic and anhepatic stages of surgery. A further general decrease in coagulation factors and platelets, activation of fibrinolysis, and abrupt decrease in levels of factors V and VIII occurred before and with reperfusion of the homograft. Recovery of blood coagulability began 30-60 min after reperfusion of the graft liver, and coagulability had returned toward baseline values 2 hr after reperfusion. A positive correlation was shown between the variables of thrombelastography and those of the coagulation profile. Thrombelastography was shown to be a reliable and rapid monitoring system. Its use was associated with a 33% reduction of blood and fluid infusion volume, whereas blood coagulability was maintained without an increase in the number of blood product donors

Enhancing 2D Growth of Organic Semiconductor Thin Films with Macroporous Structures via a Small-Molecule Heterointerface

The physical structure of an organic solid is strongly affected by the surface of the underlying substrate. Controlling this interface is an important issue to improve device performance in the organic electronics community. Here we report an approach that utilizes an organic heterointerface to improve the crystallinity and control the morphology of an organic thin film. Pentacene is used as an active layer above, and m-bis(triphenylsilyl) benzene is used as the bottom layer. Sequential evaporations of these materials result in extraordinary morphology with far fewer grain boundaries and myriad nanometre-sized pores. These peculiar structures are formed by difference in molecular interactions between the organic layers and the substrate surface. The pentacene film exhibits high mobility up to 6.3 cm(2)V(-1)s(-1), and the pore-rich structure improves the sensitivity of organic-transistor-based chemical sensors. Our approach opens a new way for the fabrication of nanostructured semiconducting layers towards high-performance organic electronics.X116049Nsciescopu

Rolling contact fatigue in martensitic 100Cr6: Subsurface hardening and crack formation

Rolling contact fatigue tests on 100Cr6 steel were carried out with a ball-on-rod tester. Microstructural damage was manifested by gradual hardness changes under the subsurface, and microcracks formed adjacent to inclusions; both being evidence of plastic deformation. The hardness increase appears to be due to the development of residual stress, while the microcracks form as a result of the concentration of stress around inclusions. The microcrack orientation is suggested to be affected by the stress state, depending on the degree of residual stresses generated. The residual stress development may be a key factor for optimising the bearing element testing methods, by considering its influence on the damage morphology.This work was supported by SKF Engineering & Research Centre and financed by SKF AB.NOTICE: this is the author’s version of a work that was accepted for publication in Materials Science and Engineering: A. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Materials Science and Engineering: A, Volume 607, 23 June 2014, Pages 328–333. DOI: http://dx.doi.org/10.1016/j.msea.2014.03.143. http://www.sciencedirect.com/science/article/pii/S0921509314004365

Variation of structural, electrical, and optical properties of Zn <inf>1-x</inf>Mg <inf>x</inf>O thin films

Zn 1-xMg xO thin films on (001) sapphire substrates were deposited using pulsed laser deposition. As the substrate temperature increased, the Mg content in the Zn 1-xMg xO thin films increased and the photoluminescence (PL) peak position of the Zn 1-xMg xO thin films shifted from 370 to 356 nm, indicating a band gap expansion. Variations of the structural, electrical, and optical properties of Zn 1-xMgO thin films have been observed and analyzed by x-ray diffraction, Hall measurements, and PL measurements. © 2006 American Institute of Physics

Comparison of Stemness and Gene Expression between Gingiva and Dental Follicles in Children

published_or_final_versio