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Notes: The short mean-free path expansion used in fluid modeling of scrape-off layer plasmas is often violated for typical discharge parameters, especially by the superthermal particles, which carry most of the heat flux. Thus, the tail of the distribution function can strongly depart from Maxwellian due to nonlocal mean-free path effects, which can modify plasma transport, impurity radiation, and plasma–neutral gas interactions. These nonlocal effects become particularly pronounced for detached plasma conditions that are characterized by sharp gradients in the plasma parameters along the magnetic field. These problems are being addressed by developing one spatial dimension and two velocity variables, fully kinetic, collisional, and time-dependent particle-in-cell code, W1 [Contrib. Plasma Phys. 34, 436 (1994)], and its parallel-computer version, PW1 [Contrib. Plasma Phys. 34, 424 (1996)]. Comparisons are made with the Fokker–Planck code ALLA [Phys. Plasmas 3, 1634 (1996)] and with experimental results. Kinetic effects on probe measurement interpretation, impurity radiation, and parallel heat conductivity due to non-Maxwellian features in scrape-off layer plasmas are considered. Heat conductivity is compared with ad hoc heat flux limit models. © 1997 American Institute of Physics.

Notes: Wound healing is a complex process resulting from an interplay of processes including coagulation, inflammation, angiogenesis, and epithelialization. The chemokine family has been shown to contain members that are potent regulators of many of these pathways. Because we have previously shown that chemokines “pool” in biologic wound dressings, we studied the levels of CXC and CC chemokines, along with key inflammatory mediators, serially from a group of patients undergoing therapy for chronic venous leg ulcers. After 8 weeks, all patients had marked clinical healing of their ulcers (median 63.3% reduction in size) with two of 10 completely healed. Wound fluids extracted from dressings showed high levels of platelet factor-4 and interferon-γ-inducible protein, with a trend toward increases in the ratio of the sums of the angiogenic versus angiostatic CXC chemokines (p = 0.082) in the tissues collected from the center of the ulcers during wound closure. Neutrophil-activating peptide-2 and interleukin-8 accounted for the most changes in wound fluid angiogenic chemokines, with significant differences both as compared with baseline levels and with patients' plasma level noted at various time points between weeks 0 and 8. The level of angiostatic (cont.)

Notes: This study evaluates the short-term changes in coronary artery segments treated with high speed rotational atherectomy (HSRA). Quantitative coronary angiographic (QCA) analysis indices, such as degree of expected ablation, elastic recoil, and segmental spasm, were examined in 133 patients and restudied 24 hours after HSRA. The study was also designed to compare the early results of three different HSRA strategies: stand-alone (SA) HSRA; HSRA with adjunctive high (≥ 4 atm) pressure (HP BA) and low (≥ 2 atm) pressure balloon angioplasty (LP BA). Previous studies have suggested negligible elastic recoil after HSRA as well as demonstrated the possibility of further continuous improvement in vessel patency up to 24 hours postprocedure. From a total of 656 patients treated with HSRA, a cohort of 133 patients with successful HSRA of 167 lesions were restudied angiographically at 24 hours. Serial QCA evaluation of the treatment site was performed. Analysis of the relative gain in minimal luminal diameter (MLD) assessed at 24 hours postprocedure showed that the highest gain group (〉 40%) had narrower initial lesions compared to moderate gain (1%–40%), or MLD loss groups (MLD 0.5 ± 0.4 mm vs 1.0 ± 0.3 and 1.5 ± 0.4, respectively, P 〈 0.01). The initial percent diameter stenosis was also higher in the high gain group (77.1 ± 16.0 vs 61.9 ± 11.8 and 53.0 ± 11.9, P 〈 0.01). Immediately postprocedure there was a significant increase in MLD and a decrease in percent diameter stenosis. There was no difference in residual lesion characteristics postprocedure. While progressive MLD decrease was observed in the loss group (MLD postprocedure 1.6 ± 0.5 and 1.2 ± 0.6 at 24 hours, P 〈 0.01), a continuous increase in MLD was noted in the high gain group (MLD postprocedure 1.7 ± 0.5 mm vs at 24 hours 2.0 ± 0.5 mm, P 〈 0.01). The high gain group was characterized by the most lesion debulking, the most pronounced segmental spasm, and the least elastic recoil. Adjunctive HP BA was associated with the largest size vessels (D ref. in SA HSRA group was 2.6 ± 0.8 mm vs 2.9 ± 0.6 mm in LP BA and 3.0 ± 0.7 mm in HP BA groups, P 〈 0.01), the lowest elastic recoil (SA HSRA 23.8%± 20.9% vs LP BA 15%± 16.8% and HP BA 5.7%± 14.4%, P 〈 0.05), and the highest incidence of vessel dissection (SA HSRA 8.1% vs LP BA 14.7% and HP BA 34.0%, P 〈 0.05). However, these larger vessels underwent the least amount of lesion debulking (SA HSRA 46.4%± 27.2% vs LP BA 38.6%± 24.0% and HP BA 30.5%± 19.5%, P SA HSRA vs. HP BA 〈 0.001). There are measurable degrees of elastic recoil and local spasm observed after HSRA. HSRA of the most severe lesions yields the highest procedural gain, the lowest elastic recoil and the highest index of lesion ablation. In addition, some late increase in the MLD due to the resolution of spasm is observed at 24 hours postprocedure. SA HSRA is associated with higher degrees of expected lesion ablation. This is comparable to the degree of improvement in MLD, where adjunctive percutaneous transluminal coronary angioplasty is utilized as assessed at 24 hours postprocedure. HSRA with adjunctive HP BA yields immediate results showing the least elastic recoil and spasm at the expense of the highest incidence of dissection and side branch loss.

Notes: Abstract Between 1977 and 1994, 42 patients were treated surgically for hypertrophic obstructive cardiomyopathy (HOCM). Patients have been followed up between 2 months to 17 years, mean of 107 months. There were 26 (62%) males and 16 (38%) females. There was only one pediatric case. There was no correlating factor among the ethnic groups (Maori, European, Indian, Asian, etc.). Family history was noted in 12% of the cases. Seventy-one percent of patients had aortic/left ventricular (LV) combined approach while 29% had aortic approach alone at the time of surgery. Five patients underwent other procedures, along with coronary artery bypass grafting in 3, mitral valve replacement in 1, and aortic valve replacement in 1. Persistant postoperative arrhythmias were found in 7 cases, atrial fibrillation (AF) in 3, and left bundle branch block in 4.

Notes: Abstract: Two isoforms of the Ca2+-sensitive, actin-binding protein gelsolin have been identified thus far; one is an intracellular protein, cytoplasmic gelsolin, and the other is a secretory protein called plasma gelsolin. Gelsolin expression in the mammalian CNS appears to be localized mainly to oligodendrocytes where it is presumed that the cytoplasmic isoform predominates. Here, we show that oligodendrocytes not only contain cytoplasmic gelsolin, but they also express a novel gelsolin isoform that we have named gelsolin-3. Cytoplasmic gelsolin, plasma gelsolin, and gelsolin-3 arise by alternative splicing from the same gene. The N-terminal amino acid sequence unique to gelsolin-3 is shown to be encoded by a single exon in a region previously thought to be an intron in the human gelsolin gene. In situ hybridization analysis confirmed that gelsolin-3 mRNA is localized primarily to oligodendrocytes in rat brain. In other tissues, gelsolin-3 shows a more restricted pattern of expression than cytoplasmic gelsolin. These data support the view that the gelsolin isoforms have differential roles in the regulation of the actin cytoskeleton.

Notes: Abstract: The sulphonylureas tolbutamide and glibenclamide were shown to stimulate acetylcholine release from rat striatal slices. To determine the mechanism of this effect, whole-cell patch-clamp recordings were made from large neurones within the striatum that displayed morphological, electrophysiological, and pharmacological characteristics typical of cholinergic interneurones. Dialysis of these neurones with a pipette solution containing low concentrations of ATP produced a gradual hyperpolarisation that could be reversed by bath application of the sulphonylureas. In voltage-clamp studies, these compounds were shown to act through the inhibition of a potassium conductance. It is concluded that cholinergic interneurones within the rat striatum express sulphonylurea-sensitive ATP-sensitive potassium channel activity. These channels are probably cytoprotective and may prove to be novel sites of therapeutic modulation.

Notes: Abstract: To identify effectors of neuropeptide Y Y1 receptor gene expression predicted by putative regulatory elements in its 5′ flanking region, we examined the effects of several transcriptionally active agents on Y1 receptor mRNA levels and 125I-peptide YY binding capacity in SK-N-MC cells. Phorbol ester caused a rapid, transient 2.6-fold increase in Y1R mRNA levels. However, all trans-retinoic acid caused a rapid, sustained decrease in Y1 receptor mRNA levels (to 25% of control). Cycloheximide pretreatment did not attenuate the maximal inhibitory effect of retinoic acid, but it prolonged the time to achieve maximal efficacy. The retinoic acid effect was secondary to both a significant decrease in Y1 receptor mRNA stability and a decreased Y1 receptor gene transcription rate. Y1 receptor binding capacity was also significantly decreased after retinoic acid treatment (368 ± 25 vs. 496 ± 28 fmol/mg of protein for control). These data support a role for retinoic acid as an important agent regulating Y1 receptor gene expression and mediating Y1 receptor down-regulation.

Notes: Abstract: The influence of the adenosine A2A receptor on the A1 receptor was examined in rat striatal nerve terminals, a model for other cells in which these receptors are coexpressed. Incubation of striatal synaptosomes with the A2A receptor agonist 2-p-(2-carboxyethyl)phenethylamino-5′-N-ethylcarboxamidoadenosine (CGS 21680) caused the appearance of a low-affinity binding site for the A1 receptor agonist 2-chloro-N6-cyclopentyladenosine (CCPA). This effect was blocked by the A2A receptor antagonist ZM241385 and by the protein kinase C inhibitor chelerythrine, but not by the protein kinase A inhibitor N-(2-guanidinoethyl)-5-isoquinolinesulfonamide (HA 1004). The effect was not seen with striatal membranes or with hypotonically lysed synaptosomes. These results demonstrate a protein kinase C-mediated heterologous desensitisation of the A1 receptor by the A2A receptor.

Notes: Two concurrent measures of the evoked startlé response, the elicited blink reflex and the event-related potential, were measured while individuals viewed pictures that varied in pleasure and arousal. Replicating previous findings, the blink response was modulated by picture pleasantness, with larger reflexes elicited in the context of viewing unpleasant versus pleasant pictures. However, the probe P3 was primarily modulated by picture arousal, with smaller P3 responses elicited when viewing affective (pleasant or unpleasant) than when viewing neutral pictures. Both modulatory effects were sustained for probes presented in a subsequent picture imagery period. These data suggest that two measurable responses to the same startle probe are differentially modified by emotional context, with blink magnitude varying with pleasure and probe P3 varying with stimulus arousal.