Standardizing 25-hydroxyvitamin D data from the HunMen cohort.

Standardization of 25-hydroxyvitamin D (25OHD) values is still a challenge. We propose standardization by correction of the measured 25OHD values using the linear regression bias from the National Institute of Standards and Technology (NIST) 'total' target values reported by Vitamin D External Quality Assessment Scheme (DEQAS). Our approach could perhaps be a practical solution to the anomaly surrounding non-standardized 25OHD values. INTRODUCTION: Standardization of 25OHD values is still a challenge. We propose standardization by correction of the measured 25OHD values using the linear regression equation derived from the analysis of relationship between total 25OHD values measured by the methodology used by the laboratory and the NIST total target values (TV) reported by the DEQAS for all 5 of the DEQAS samples in a given survey. METHODS: We applied our approach to standardize total 25OHD values of the HunMen cohort. RESULTS: All 206 samples for the HunMen cohort were evaluated using the automated Liaison DiaSorin total 25OHD chemiluminescence immunoassay (CLIA). The timing of these measurements coincided with that of the October 2015 DEQAS survey using samples 481 to 485. Following standardization, the mean total 25OHD changed from 53 to 62 nmol/L and the prevalence of hypovitaminosis D (<75 nmol/L) decreased significantly from 84 to 72%. CONCLUSION: A simple approach readily applicable at the routine diagnostic laboratory could perhaps be a practical solution to the anomaly surrounding non-standardized 25OHD values.

Vitamin D status in men with psoriatic arthritis: a case-control study.

UNLABELLED: We determined hypovitaminosis D prevalence in men with psoriatic arthritis. This is a cross-sectional, analyst blinded, age- and sex-matched, case-control study. Men with psoriatic arthritis have significantly lower 25-hydroxyvitamin D levels. Men with psoriatic arthritis are at increased odds of suffering from hypovitaminosis D. INTRODUCTION: Skeletal manifestations as a result of abrupted bone metabolism may be predominant in psoriatic arthritis (PsA). Vitamin D plays a vital role in maintenance of skeletal health and is known to modulate the immune system in various autoimmune diseases including PsA. The aim of the present study was to determine the prevalence of hypovitaminosis D in a treatment naïve, de novo psoriatic arthritis male cohort in a cross-sectional, analyst blinded, age- and sex-matched, case-control study. METHODS: 25 hydroxyvitamin D (25OHD), parathyroid (PTH), osteocalcin (OC) and C-terminal telopeptides of type-I collagen (CTx) levels, and lumbar spine and femoral neck bone mineral density were compared between 53 PsA and controls. RESULTS: The prevalence of hypovitaminosis D (25 hydroxyvitamin D (25OHD) levels <75 nmol/L) was 81 and 57 % in the PsA and control groups, respectively. Compared to the healthy controls, 25OHD (67.2 (12-137) nmol/L vs. 51.9 (15-95) nmol/L; p = 0.001) was significantly lower, and osteocalcin (13.6 (5-33) µg/L vs. 18.2 (6-35) µg/L; p = 0.003) and C-terminal telopeptides of type-I collagen (0.20 (0.01-0.71) µg/L vs. 0.28 (0.06-0.69) µg/L; p = 0.008) were significantly higher in the PsA group. A significant association was found between hypovitaminosis D and PsA; the odds for patients with PsA of having hypovitaminosis D was 3.297 (95 % confidence interval 1.372 to 7.922). CONCLUSION: The results of this study suggest that men with PsA have significantly lower 25-hydroxyvitamin D levels, and furthermore, men with PsA are at statistically significant increased odds of suffering from hypovitaminosis D.

Effect of slow pyrolysis conditions on biocarbon yield and properties: Characterization of the volatiles.

Slow pyrolysis of spruce and birch was performed at various heating programs and conditions in a horizontal quartz tube reactor heated by an electric furnace. The effects of feedstock and carbonization conditions on the yield of biocarbon, liquid and gaseous products were studied. The thermal properties, volatile matter (VM) content and the evolution profiles of volatiles from the biocarbons were characterized by thermogravimetry/mass spectrometry. The composition of volatiles was analyzed in detail by pyrolysis-gas chromatography/mass spectrometry. Increased char yield was observed when staged pyrolysis program, low purging flow rate or covered sample holder were applied. Spruce produced more charcoal than birch due to the higher lignin content of softwood. The amount and the evolution profiles of the main gaseous products were similar from spruce and birch biocarbons prepared under the same conditions. The relative amount of aromatic and polyaromatic compounds in VM drastically decreased with increasing carbonization temperature.

Functionalization of carbon nanotubes via dissolving metal reductions.

In this study we present direct sidewall functionalization of single-walled nanotubes, carried out via two different dissolving metal reduction methods. A modified Birch reduction scheme and a novel synthetic route were applied to form carbanion complexes on the surface of the nanotubes in liquid NH3 and tetrahydrofuran, respectively. The carbanion complex was reacted with a series of alkyl and aryl halogenides resulting in the corresponding SWNT derivatives. We determined the chemical composition and the thermal stability of the functionalized nanotubes by thermogravimetry/mass spectrometry and pyrolysis-gas chromatography. Characteristic decomposition peaks, observed in the temperature range of 350-600 degrees C, suggest the formation of covalent derivatives upon functionalization that is also supported by Raman spectroscopic studies. The influence of the functional groups and the type of nanotubes on the thermal stability, as well as the relationship between the functional group content and the intensity of the Raman D peak are discussed.

Silica@zirconia@poly(malic acid) nanoparticles: promising nanocarriers for theranostic applications.

Silica@zirconia@poly(malic acid) nanocarriers of 110 nm mean diameter were designed, synthesized and characterized for the targeted delivery of diagnostic and therapeutic 99mTc to folate-overexpressing tumors. An important achievement was that a multifunctional l-(-)-malic-acid-based copolymer was formed in situ at the surface of the inorganic cores in a single synthetic step incorporating l-(-)-malic acid, ß-cyclodextrin rings, folic acid moieties, and polyethylene glycol chains. Morphological and in-depth structural analysis of the particles proved their core@shell structure. Stability experiments in aqueous media evidenced that stable suspensions can be obtained from the lyophilized powder in 10 mM phosphate buffer at pH 7.4. During 14-day degradation experiments, the nanoparticles were found to be slowly dissolving (including inorganic core) in saline and also in total cell medium. An in vitro toxicity assay on hepatocytes showed a concentration-dependent decrease of cell viability down to 63 ± 1% at the highest applied concentration (0.5 mg ml-1). Proof of concept experiments of technetium-99m radiolabelling and in vivo labelling stability are presented.

Inherently fluorescent and porous zirconia colloids: preparation, characterization and drug adsorption studies.

Porous, fluorescent zirconia particles of nearly 380 nm diameter were prepared without template molecules or labeling dyes. The porous structure is the result of aggregation-induced particle formation. The inherent fluorescence is assigned to coordinatively unsaturated Zr4+ ions at the sol-gel derived ZrO2 surface. After physico-chemical characterization of the native zirconia particles carboxyl and/or amine bearing drug molecules (d,l-α-difluoromethylornithine - DFMO, ursolic acid - UA and doxorubicin - DOX) were adsorbed onto their surface, and the products were analyzed with Fourier-transform infrared spectroscopy (FTIR), thermogravimetry (TG), small-angle X-ray scattering (SAXS), fluorimetry and zeta potential vs. pH measurements. We have found that DOX complexes coordinatively unsaturated Zr4+ ions without dislocating them, while carboxyl-bearing drugs interact with basic surface Zr-OH sites eliminating some of the carbonate species. The adsorption of UA at the zirconia surface shifts considerably the isoelectric point of the surface and thus provides kinetic stability to the particles at physiological pH. An in vivo biodistribution study in two healthy dogs performed by SPECT/CT detection after 99mTc labeling of the nanocarriers has shown the possibility of drug delivery application.

Expression of vitronectin and fibronectin binding by Candida albicans yeast cells.

Expression of binding to vitronectin (Vn or S-protein) and fibronectin (Fn) was common among clinical isolates of Candida albicans. Growth at 37 degrees C enhanced expression of both Vn and Fn binding. Some strains expressed higher binding after growth in liquid media and others after growth on solid media. Most strains expressed higher cell surface hydrophobicity after growth on agar media. Vn binding was less influenced by expression of cell surface hydrophobicity than Fn binding. Vn binding to yeast cells was optimal around pH 4 and Fn binding around pH 6. Binding to soluble Vn was inhibited by unlabelled Vn and to a lesser extent by Fn. Fn binding to the same C. albicans strain was inhibited by unlabelled Fn, Vn, fibrinogen and to some extent collagens. C. albicans strain 3248 expressed specific high binding of Vn, and high binding of Fn. Binding of both proteins was sensitive to heat and protease treatment, but in different ways. Vn binding differed significantly from the earlier reported Fn binding and may represent a novel type of tissue adherence.

Reduction of E. coli adherence to rubber slices treated with phospholipids.

The present study aimed at modifying the surface of biliary drain material to reduce bacterial adherence. The adherence of cells of seven E. coli strains to rubber slices treated with phosphatidylcholin (PC) or phosphatidylinositol (PI) and the adherence of cells of E. coli strain NG7C to PC- or PI-treated rubber slices implanted in the common bile duct in rats were studied in vitro. The rubber slices were incubated with 1 x 10(7) cfu radiolabeled E. coli cells/ml at 37 degrees C for 60 min and then drained and washed thrice in 2 ml PBS, and adherent E. coli cells were quantified by radioactivity counting. The results show that both PC and PI absorbed on the surface of slices reduced the adherence of E. coli cells in at least two ways, i.e. by changing surface properties in vitro and by reducing deposition of host-derived molecules on phospholipid-treated surfaces in vivo. The results may be of use for modification of the biomaterial surface in the clinical situation.

Human plasma fibronectin possesses second binding site(s) to Staphylococcus aureus on its C-terminal region.

The existence of a second binding site to Staphylococcus aureus on fibronectin was explored by using a recombinant protein, alb-FnBPA, which was obtained from an Escherichia coli clone containing a part of the gene for fibronectin-binding protein of S. aureus. Limited digestion with trypsin produced a 215K fragment from the B chain of fibronectin by releasing an N-terminal 32 kDa region. This C-terminal large fragment captured alb-FnBPA in spite of lacking the N-terminal binding region to S. aureus. This treatment also produced a 185K fragment from A chain by releasing N-terminal 32 kDa and C-terminal 37 kDa regions, and the 185K fragment possessed no binding ability. Thermolysin digestion was also performed to investigate the effect on the binding of releasing the C-terminal region from both of the chains and to locate the binding region to alb-FnBPA on the tryptic 215K fragment. But this digestion produced no fragment binding to alb-FnBPA except for the N-terminal 24K and its transient precursory fragments. These results indicate that both the N-terminal and the C-terminal regions of fibronectin bind to S. aureus, and suggest that the binding appears to involve cooperation between type III repeats and C-terminal type I repeats.

Promotion of Escherichia coli adherence to rubber slices by adsorbed fibronectin.

Biomaterial-associated infections are a problem in the use of endoprosthetic materials in the palliative treatment of malignant obstructive jaundice. Fibronectin has been reported to mediate adherence of bacteria to host tissue and biomaterials. Adsorption of fibronectin to rubber--representing material used for biliary drainage--and subsequent adherence of Escherichia coli strain PSS1 and E. coli strain NG7C (which binds to immobilised fibronectin) were investigated. Quantitative adsorption of fibronectin to rubber slices was studied with 125I-labelled, purified human plasma fibronectin. In buffer solutions, fibronectin showed a high affinity for rubber slices. Adherence of the E. coli strains to uncoated rubber slices was similar and was significantly inhibited by the presence of plasma components and bile. Adherence of E. coli PSS1 to fibronectin-coated slices was poor. In contrast, E. coli NG7C adhered efficiently to coated slices in proportion to the amount of adsorbed fibronectin; adherence was not reduced by the presence of albumin or bile, or the fibronectin-binding ligands gelatin, heparin and fibrinogen. However, pre-digestion of coated slices with trypsin significantly reduced adherence.

Isolated intra-articular fracture of the ulnar head.

Although injuries involving the distal radioulnar joint are common, articular fractures of the ulnar head without concomitant fractures of the radius are rare. This report details an isolated fracture of the ulnar head as it articulates with the sigmoid notch of the radius. This fracture pattern, not previously described in the literature, may be more common than presently appreciated. Herbert screw fixation was used with an excellent final outcome at 2-year follow-up.

MR demonstration of an anomalous muscle in a patient with coexistent carpal and ulnar tunnel syndrome. Case report and literature summary.

An aberrant muscle is demonstrated by magnetic resonance (MR) imaging in a patient presenting with focal wrist swelling and compression neuropathy of median and ulnar nerves following 4 months of carpentry work. The muscle originated from the palmaris longus tendon and ulnar antebrachial fascia at the lower half of the forearm as a single belly, then diverged medially from palmaris longus tendon and bifurcated. Both portions of the split muscle extended into the distal ulnar tunnel or Guyon's canal. One segment joined with the abductor digiti minimi muscle and the other with the flexor retinaculum. MR was able to clearly delineate this hypertrophied, symptomatic muscle anomaly. It may be helpful when mass effect is suspected in either tunnel, or in patients with atypical work-related carpal tunnel syndrome with evidence of significant ulnar neuropathy for evaluation of underlying anomalous musculature. Normal MR images of the wrist are included for comparison and the literature is reviewed.

Temperature and saturation dependence in the vapor sensing of butterfly wing scales.

The sensing of gasses/vapors in the ambient air is the focus of attention due to the need to monitor our everyday environment. Photonic crystals are sensing materials of the future because of their strong light-manipulating properties. Natural photonic structures are well-suited materials for testing detection principles because they are significantly cheaper than artificial photonic structures and are available in larger sizes. Additionally, natural photonic structures may provide new ideas for developing novel artificial photonic nanoarchitectures with improved properties. In the present paper, we discuss the effects arising from the sensor temperature and the vapor concentration in air during measurements with a photonic crystal-type optical gas sensor. Our results shed light on the sources of discrepancy between simulated and experimental sensing behaviors of photonic crystal-type structures. Through capillary condensation, the vapors will condensate to a liquid state inside the nanocavities. Due to the temperature and radius of curvature dependence of capillary condensation, the measured signals are affected by the sensor temperature as well as by the presence of a nanocavity size distribution. The sensing materials used are natural photonic nanoarchitectures present in the wing scales of blue butterflies.

Purification and some properties of Candida albicans DNA polymerases.

DNA polymerases of Candida albicans were purified to near homogeneity. Three well distinguished peaks of DNA polymerase activity (Enzyme I, II and III respectively) were obtained by DEAE-Sephacel chromatography. This purification step was followed by column chromatographies on Sepharose 6B and denatured DNA-cellulose. The enzymes' molecular mass and biochemical properties, including their inhibition by aphidicolin, were studied. Molecular mass was determined by polyacrylamide gel electrophoresis in the presence of sodium dodecyl sulfate and was found to be 110 kDa for Enzyme I, 80 kDa for Enzyme II and 50 kDa for Enzyme III.

Simplified technique for scapulocostal fusion in facioscapulohumeral dystrophy.

Surgical stabilization of the scapula by a simplified technique is suggested. An average gain of nearly 30 degrees in both shoulder abduction and flexion with elimination of scapular winging resulted. In all cases, this allowed elevation of the arm above the head, with concomitant improvement in activities of daily living (ADL). There were no instances of pleuritic chest pain, hemothorax, or pneumothorax. There was no substantive change in pulmonary function. Scapulocostal fusion in patients with facioscapulohumeral (FSH) dystrophy is an effective operation to improve upper extremity function. Patients report a subjective increase in endurance and are uniformly pleased with the cosmetic result.

[Water content of the skin following salicylic acid and urea treatment]. / Wassergehalt der Epidermis nach Salizylsäure- und Harnstoffbehandlung.

Water content of the epidermis was measured before and after a 3-h , 4-day, and 10-day treatment using 10% salicylic acid or 10% carbamide ointment. The measurement was performed using the Corneometer CM 420 from the firm "Schwarzhaupt Medizintechnik GmbH". Salicylic acid ointment was applied on one and carbamide ointment on the other back of the hand. Neither salicylic acid nor carbamide seem to influence significantly the water content of the healthy epidermis. In two patients with more severe hyperkeratosis carbamide increased the water content more than salicylic acid did.

Transverse carpal ligament reconstruction in surgery for carpal tunnel syndrome: a new technique.

We present a two-year follow-up of a technique to reconstruct the transverse carpal ligament in surgery for carpal tunnel syndrome. The transverse carpal ligament is exposed through a four to five centimeter palmar incision in line with the axis of the ring finger. The ligament is divided in step-wise fashion, creating a distal radially-based flap and a proximal ulnarly-based flap. The apices of these flaps are approximated, lengthening the ligament six to ten millimeters. All seventy-three patients (one hundred-four hands) reported substantial improvement with 93% having complete resolution of symptoms. Ninety-seven percent returned to work (average disability, two months). There were no recurrences or significant operative complications. In those with unilateral reconstruction (60%), there was no diminution in grip strength (p less than 0.05). This technique of transverse carpal ligament reconstruction stabilizes the transverse carpal arch, provides protection to the median nerve, prevents bowstringing of the flexor tendons, and maximizes postoperative grip strength.

The ulnar tunnel at the wrist (Guyon's canal): normal MR anatomy and variants.

The ulnar tunnel (Guyon's canal) is a fibroosseous tunnel along the anteromedial portion of the wrist that contains the ulnar nerve and artery. As with the adjacent carpal tunnel, its main clinical significance is that it may cause nerve compression. The purpose of this study was to determine whether the anatomy of this area could be depicted in sufficient detail by MR imaging for MR to be useful in the evaluation of patients with ulnar neuropathy. MR studies of 36 wrists of volunteers were reviewed with attention to the size and shape of the canal, its anatomic boundaries, the presence of anomalous muscles, the size and bifurcation of the ulnar nerve, and the presence of a fibrous or muscular arch overlying the deep motor branch of the ulnar nerve. T1-weighted transverse MR images of 3-mm-thick sections were obtained by using either an extremity coil or dedicated wrist coil. Excellent anatomic delineation was achieved. The boundaries and shape of the canal varied from proximal to distal, but no statistical differences were present in the mean cross-sectional area of the canal. Anomalous muscles were present in the canal in nine (25%) of 36 wrists; six (67%) of the nine were bilateral. The ulnar nerve had a mean diameter of 3 mm and bifurcated an average distance of 12 mm from the proximal margin of the pisiform bone. Delineation of the fibromuscular arch at the origin of the flexor digiti minimi brevis muscle was limited by imager resolution, but 50% were judged to be fibrous and 50% to be muscular. Our results show that MR images depict the ulnar tunnel in excellent detail. Since those structures associated with ulnar neuropathy are clearly delineated by MR, the procedure should be useful in the evaluation of patients suspected of having ulnar nerve compression within the tunnel.