Oxidative α,ω-diyne coupling as an approach towards novel peptidic macrocycles.

The Glaser-Hay diyne coupling proved to be an efficient cyclisation approach towards diyne containing peptidic macrocycles. A variety of tetrapeptide-based macrocyclic 1,3-diynes were obtained from O-propargylated serine or tyrosine residues using Cu(OAc)2·H2O and NiCl2 under an O2-atmosphere. The effect of the linear 1,3-diyne on peptide conformations was studied by NMR and compared with a macrocycle bearing a saturated linker.

[Ultrasonography and rheumatology]. / L'échographie dans la pratique rhumatologique.

Muskuloskeletal ultrasound has been incorporated by rheumatologist to the clinical practice over the past decade. The technical improvements of the devices allowed the production of high quality images contributing to better identification of joint inflammation and structural damage. In this review, we highlight the applications of ultrasound in the study of different rheumatic conditions.

[A 'psychogenic psychosis' turns out to be a subarachnoid haemorrhage. A case study]. / Een 'psychogene psychose' blijkt een subarachnoïdale bloeding te zijn.

A 50-year-old woman is admitted to the emergency ward by reason of her psychotic state. Because she has a history of psychiatric problems and has been previously diagnosed as having borderline personality disorder it is assumed that she has had a brief psychogenic psychosis. When the psychosis recurs and the symptoms increase in intensity the patient is given a computerized tomography brain scan. The scan reveals a subarachnoid haemorrhage. In discussing this case history we try to interpret the symptoms of this neurological disorder against the background of the premorbid psychiatric diagnosis. We supplement our interpretation with data from case histories reported in the literature.

Dosimetry of digital panoramic imaging. Part I: Patient exposure.

OBJECTIVES: To measure patient radiation dose during panoramic exposure with various panoramic units for digital panoramic imaging. METHODS: An anthropomorphic phantom was filled with thermoluminescent dosemeters (TLD 100) and exposed with five different digital panoramic units during ten consecutive exposures. Four machines were equipped with a direct digital CCD (charge coupled device) system, whereas one of the units used storage phosphor plates (indirect digital technique). The exposure settings recommended by the different manufacturers for the particular image and patient size were used: tube potential settings ranged between 64 kV and 74 kV, exposure times between 8.2 s and 19.0 s, at fuse current values between 4 mA and 7 mA. The effective radiation dose was calculated with inclusion of the salivary glands. RESULTS: Effective radiation doses ranged between 4.7 microSv and 14.9 microSv for one exposure. Salivary glands absorbed the most radiation for all panoramic units. When indirect and direct digital panoramic systems were compared, the effective dose of the indirect digital unit (8.1 microSv) could be found within the range of the effective doses for the direct digital units (4.7-14.9 microSv). CONCLUSIONS: A rather wide range of patient radiation doses can be found for digital panoramic units. There is a tendency for lower effective doses for digital compared with analogue panoramic units, reported in previous studies.

Dosimetry of digital panoramic imaging. Part II: Occupational exposure.

OBJECTIVES: To measure occupational radiation dose during panoramic exposure from five digital panoramic X-ray units. METHODS: Exposures were made with five different digital panoramic units, of which four were equipped with a direct digital CCD (charge coupled device, "direct digital" technique), and one used storage phosphor plates ("indirect digital" technique). An anthropomorphic phantom served as the patient. An ionization chamber recorded the scattered radiation at 1 m from the phantom at five different locations around the panoramic units, both at the level of the thyroid gland and the level of the gonads, and effective organ doses were calculated. Exposure parameters were set as recommended by the manufacturers for the particular image and patient size: tube potential settings ranged between 64 kV and 74 kV, exposure times between 8.2 s and 19.0 s, tube current values between 4 mA and 7 mA. RESULTS: The maximum organ equivalent dose at 1 m from the panoramic unit was 0.60 microGy, the maximum organ effective dose was 0.10 microSv. Organ equivalent doses varied between 0.18 microGy and 0.30 microGy and organ effective doses between 0.01 microSv and 0.05 microSv for the different positions around the units (average for the different panoramic units). The variations in organ doses for the various machines were 0.04-0.53 microGy organ equivalent dose and 0.01-0.08 microSv organ effective dose. CONCLUSIONS: Assuming that 500 panoramic radiographs per year are taken by a dental practitioner at 1 m distance from the panoramic unit, he or she will receive an annual additional organ effective dose between 5 microSv and 15 microSv for the thyroid gland and between 5 microSv and 40 microSv for the gonads, depending on the type of digital panoramic unit.

Risk factors in school shootings.

Nine incidents of multiple-victim homicide in American secondary schools are examined and common risk factors are identified. The literature dealing with individual, family, social, societal, and situational risk factors for youth violence and aggression is reviewed along with existing risk assessment methods. Checklists of risk factors for serious youth violence and school violence are used in reviewing each school shooting case. Commonalties among the cases and implications for psychologists practicing in clinical and school settings are discussed.

Intrinsic potential of phenotypically defined human hemopoietic stem cells to self-renew in short-term in vitro cultures.

In search for culture conditions that will facilitate hemopoietic stem cell (HSC) replication while preserving their primitive properties, we have made use of a multi-parameter FACS assay to define HSCs on basis of their phenotypic characteristics, i.e., CD34++CD33,38,71(-). Bone marrow and umbilical cord blood samples of CD34(+) cells from 31 donors were loaded with the membrane dye PKH26 and each exposed to various culture conditions for 6 days. The cells that retained the primitive CD34(++)CD33,38,71(-) phenotype were analysed for the number of cell replications they underwent, by measuring loss of PKH26 fluorescence after 6 days. A most striking observation was the large inter-sample variation in the proliferative response of cells that retained the CD34(++)CD33,38,71(-) phenotype. In general, samples could be characterised as either good- or poorly-replicating, according to the proliferation property of their CD34(++)CD33,38,71(-) subset. In comparison to this 'intrinsic' potential, the effects of the applied growth stimuli on CD34(++)CD33,38,71(-) cell replication were negligible. In contrast, the overall recovery of the CD34(++)CD33,38,71(-) cells was clearly dependent on the culture stimuli. Of the various conditions tested, serum-free cultures with pre-established stroma maintained the cells with this primitive phenotype most effectively. In cultures supplemented with various combinations of recombinant HGFs, HSC differentiation prevailed. These findings with phenotypically defined HSCs should assist in the design of systems for expansion and ex vivo gene therapy of early hemopoietic cells.

Serial bone marrow sampling for long-term follow up of human hematopoiesis in NOD/SCID mice.

The study of long-term human hematopoiesis in immunodeficient mice is greatly facilitated by sequential bone marrow (BM) sampling in individual animals. Until now, however, the only way to obtain these samples was by sacrificing the mice. In this paper we describe a novel technique for obtaining BM cells by aspiration from the femur of living mice. The technique is simple and efficient and does not disable the animals. On average 1.6+/-1x10(6) nucleated cells can be collected from one femur at a time, which is sufficient for flow cytometry analysis, cytospin preparations, and polymerase chain reaction assays. The cellular composition of the samples obtained by puncture is identical to that of BM harvested by flushing the femur after sacrificing the animals. We present the results of 81 punctures of the femur in Hu-NOD/SCID chimeras engrafted with Ficoll-separated or CD34bright purified cells from human umbilical cord blood.

T lymphocytes determine the development of xeno GVHD and of human hemopoiesis in NOD/SCID mice following human umbilical cord blood transplantation.

Over the past decade the human-immunodeficient mouse chimera has become a well-established in vivo model for studying the human immune system and/or hemopoiesis. Under certain experimental conditions and depending on the composition of the human cell graft, the recipient mice may develop a fatal disease, designated as discordant xenogenic graft-versus-host-disease (GVHD), which differs in target tissues and histopathology from allogenic GVHD. Experimental evidence is presented that immunodeficient mice are equally susceptible to allogenic GVHD as normal immunocompetent mice. Whole human cord blood and distinct cellular subpopulations from a single cord blood harvest were transplanted in NOD/severe combined immunodeficient mice and the repopulation of human cells was monitored over time. Depending on the ratio of lymphocytes to hemopoietic stem cells, proliferation of human T cells, hemopoiesis or a combination of the two is observed in widely varying proportions. When the graft contains a preponderance of lymphocytes, fatal protracted discordant xenogenic GVHD develops. Mice receiving purified CD34 cells survived up to 207 days in good health with more than 95% human cells in the bone marrow. In those mice all lineages (B and T lymphocytes, monocytes, granulocytes, erythrocytes and thrombocytes) were demonstrated in the bone marrow and peripheral blood.