Carbodiimide-Driven Toughening of Interpenetrated Polymer Networks.

Recent work has demonstrated that temporary crosslinks in polymer networks generated by chemical "fuels" afford materials with large, transient changes in their mechanical properties. This can be accomplished in carboxylic-acid-functionalized polymer hydrogels using carbodiimides, which generate anhydride crosslinks with lifetimes on the order of minutes to hours. Here, the impact of the polymer network architecture on the mechanical properties of transiently crosslinked materials was explored. Single networks (SNs) were compared to interpenetrated networks (IPNs). Notably, semi-IPN precursors that give IPNs on treatment with carbodiimide give much higher fracture energies (i.e., resistance to fracture) and superior resistance to compressive strain compared to other network architectures. A precursor semi-IPN material featuring acrylic acid in only the free polymer chains yields, on treatment with carbodiimide, an IPN with a fracture energy of 2400 J/m2, a fourfold increase compared to an analogous semi-IPN precursor that yields a SN. This resistance to fracture enables the formation of macroscopic complex cut patterns, even at high strain, underscoring the pivotal role of polymer architecture in mechanical performance.

Pilot study of detection, radiologist confidence and image quality with sinogram-affirmed iterative reconstruction at half-routine dose level.

OBJECTIVE: The objective of this study was to determine the effect of Sinogram-Affirmed Iterative Reconstruction (SAFIRE) on radiological detection, diagnostic confidence, and image quality at half-dose, contrast-enhanced abdominopelvic computed tomography. METHODS: Forty dual-source examinations were reconstructed using routine-dose with filtered back projection, half-dose filtered back projection, and half-dose SAFIRE. Three radiologists detected lesions in abdominopelvic organs, reporting findings of potential medical significance, diagnostic confidence, and image quality. RESULTS: There was greater than 78% concordance between full- and half-dose images ± SAFIRE, and no difference in the detection of lesions within organs between half-dose images ± SAFIRE (P = 0.22 - 1.0). Detection of potentially important findings varied by reader, but not between dose/reconstruction methods. Diagnostic confidence varied widely (P < 0.001 to P > 0.91). Sinogram-Affirmed Iterative Reconstruction significantly improved image quality in the pelvis (P ≤ 0.04). CONCLUSIONS: Half-dose images ± SAFIRE had organ-specific detections similar to routine-dose images. Sinogram-Affirmed Iterative Reconstruction improved image quality in the pelvis, but diagnostic confidence and image quality scores in the abdomen depended on the reader.

Evaluation of Two Disease Warning Systems for Botryosphaeria Panicle and Shoot Blight of California Pistachio and Efficient Control Based on Early-Season Sprays.

Two empirical models to predict infection events were evaluated for control of Botryosphaeria panicle and shoot blight, caused by a Fusicoccum sp., as well as the effectiveness of early-season fungicide sprays on the control of this disease of pistachio. A model incorporating wetness duration was superior to one based solely on duration of rains ≥1 mm/h for ≥4 h and with temperature ≥11°C. The wetness duration threshold (W) for rain events ≥4 mm at a given temperature (T) for high-risk infection events was W = -7.8 + 397/T and the threshold for medium-risk events was W = -6.9 + 220/T. Wet periods interrupted by ≤12 h were added together to calculate W. In two orchards with high levels of inoculum, one high-risk event resulted in 20 to 23% blighted fruit at harvest and two or three high-risk events resulted in 31 to 80% blighted fruit. Latent infections were 0 to 1% in instances where only low-risk events (one to two events) occurred prior to collection of pistachio fruit for determination of latent infections and were 17 to 36% with one to three high-risk events. Early-season fungicide sprays in April to May effectively controlled panicle and shoot blight when applied up to 12 days before predicted infection events or 5 days after.

Inoculum dynamics, fruit infection, and development of brown rot in prune orchards in california.

ABSTRACT Brown rot, caused by Monilinia fructicola, is a destructive disease of stone fruit in California. Disease management requires information on inoculum dynamics and development of latent and visible fruit infections during the season to help make decisions on timing of fungicide treatments and choice of cultural practices. In this study, the daily spore concentration (ascospores and conidia) of M. fructicola in the air was monitored with spore traps in two prune orchards during the growing seasons in 2001 and 2002. The spore concentrations were low to moderate at early bloom, increased at full bloom, and decreased to the lowest level at the end of bloom. Improper timing of fruit thinning and irrigation in midseason increased spore concentration in the air and fruit infections late in the season. Artificial fruit inoculations were conducted periodically in 10 prune orchards in 2002 and 2004, and incidence of fruit rot at different inoculation dates was assessed. Fruit rot development rate increased linearly with inoculation date during the growing season. Natural blossom and fruit infections were monitored periodically in 10 prune orchards, and incidence of latent fruit infection was determined by using the overnight freezing-incubation technique. Incidence of fruit rot also was assessed 2 weeks before harvest in these orchards. The incidence of latent fruit infection at the pit hardening stage significantly correlated with that at the late stages and with the incidence of fruit rot at harvest.

Presentation of gastric carcinoma on a radionuclide gastric-emptying study.

We present a case of unsuspected gastric carcinoma discovered as a result of abnormalities seen on a sulfur colloid gastric-emptying study. Considered a functional or physiological analysis, often relatively little attention is given to the morphology of the stomach except for the purpose of drawing a region of interest. This case, in which the images suggested a space-occupying lesion(s), emphasizes the importance of careful examination for "pathoanatomy" as well as pathophysiology in functional imaging.

Radiotherapy after high-dose chemotherapy and peripheral blood stem cell support in high-risk breast cancer.

PURPOSE: To assess the toxicity and efficacy of radiotherapy with respect to locoregional control after adjuvant high-dose chemotherapy for patients with breast cancer. At first, radiotherapy was withheld because of toxicity concerns, but it was introduced in 1995 because of reported high locoregional relapse rates. METHODS AND MATERIALS: Between 1992 and 1998, 40 patients with Stage II-III high-risk breast cancer received adjuvant high-dose chemotherapy consisting of thiotepa, mitoxantrone, and cyclophosphamide and peripheral blood stem cell support after four cycles of induction chemotherapy. The chest wall or breast, as well as the supraclavicular nodes, were irradiated with electrons and photons to a median dose of 50.4 Gy in 20 patients. Six additional patients received only supraclavicular irradiation to a median dose of 50.4 Gy. Acute toxicity was scored clinically. Pulmonary function tests were performed in 14 irradiated patients before high-dose chemotherapy and 1.1-4.4 years (median 1.6) after irradiation. The median follow-up time of living patients was 33 vs. 67 months in irradiated (n = 26) and nonirradiated (n = 14) patients, respectively. RESULTS: G2 and G3 hematologic toxicity occurred in 1 patient each. No clinical pneumonitis or clinical impairment of lung function was observed. After 1-2 years, the lung function tests showed only minor changes in 4 patients. The 3-year locoregional control rate was 92% in the irradiated patients vs. 58% in the nonirradiated patients (p = 0.049, actuarial analysis). CONCLUSION: In this series, adjuvant radiotherapy after adjuvant chemotherapy for breast cancer appeared well tolerated, with improved local regional control and without significant side effects. Longer follow-up and more patient accrual, as well as Phase III trials, are necessary for confirmation.

Competition for Resources Between Understory Vegetation and Overstory Pinus Ponderosa in Northeastern Oregon.

The objective of this research was to determine which environmental resources, light, water, and/or nutrients, control understory plant production in a Pinus ponderosa forest in northeastern Oregon. A split-plot experimental design, with three 5.0-ha blocks, four treatments, and 44 plots, was established in the summer of 1985. Twenty plots (4 X 4 m) were trenched (root-reduction treatment) °1 m in depth, and 24 non-trenched plots (root-control treatment) were used to assess the effects of root competition of overstory trees on understory plants. Trees were commercially thinned (canopy-reduction treatment) in half of each block (2.5 ha) during the winter and early spring of 1986, from a density of 345 to 148 trees/ha to increase light levels to the understory. Thinning significantly increased photosynthetically active radiation, decreased midday relative humidity, and increased midday air temperatures. Xylem potential of the dominant graminoid (Carex geyeri), soil water potential, mineralizable nitrogen, and pH were increased within the root-reduction vs. the root-control treatments. Micro- and macronutrients in C. geyeri and Symphoricarpos albus, the dominant shrub, were influenced in both treatments. Increasing light did not increase understory biomass production. Reducing root competition for soil water and nutrients increased understory aboveground biomass by 53 and 94% in 1986 and 1987, respectively. This research demonstrated that belowground resources were the primary controlling factors of understory production in P. ponderosa forests in northeastern Oregon.

Toxicity of storm-water runoff after dormant spray application in a french prune orchard, Glenn County, California, USA: temporal patterns and the effect of ground covers.

Organophosphorous (OP) insecticides, especially diazinon, have been detected routinely in surface waters of the Sacramento and San Joaquin River watersheds, coincident with rainfall events following their application to dormant orchards during the winter months. Preventive best management practices (BMP) aim at reducing off-site movement of pesticides into surface waters. Two proposed BMPs are: The use of more hydrophobic pyrethroid insecticides believed to adsorb strongly to organic matter and soil and the use of various types of ground cover vegetation to increase the soil's capacity for water infiltration. To measure the effectiveness of these BMPs, storm water runoff was collected in a California prune orchard (Glenn County, CA, USA) during several rainstorms in the winter of 2001, after the organophosphate diazinon and the pyrethroid esfenvalerate were applied to different orchard sections. We tested and compared acute toxicity of orchard runoff from diazinon- and esfenvalerate-sprayed sections to two species of fish (Pimephales promelas, Onchorhynchus mykiss) and three aquatic invertebrates (Ceriodaphnia dubia, Simocephalus vetelus, Chironomus riparius), and determined the mitigating effect of three ground cover crops on toxicity and insecticide loading in diazinon-sprayed orchard rows. Runoff from the esfenvalerate-sprayed orchard section was less toxic to waterflea than runoff from the diazinon-sprayed section. However, runoff from the orchard section sprayed with esfenvalerate was highly toxic to fish larvae. Samples collected from both sections one month later were not toxic to fish, but remained highly toxic to invertebrates. The ground cover crops reduced total pesticide loading in runoff by approximately 50%. No differences were found between the types of vegetation used as ground covers.

Effects of Timing of Copper Sprays, Defoliation, Rainfall, and Inoculum Concentration on Incidence of Olive Knot Disease.

The olive knot pathogen, Pseudomonas savastanoi, causes galls on shoots, branches, fruit, and leaves. Shoots girdled by galls die. Any fresh wound is susceptible to infection, but the most common entry sites are leaf scars. Leaf scars are most susceptible to infection during the first 2 days after leaf fall and remain susceptible for 7 more days. Simulated leaf scars on 'Manzanillo' olive trees were created by removing leaves from healthy shoots at approximately monthly intervals from December through June 1997-98, 1998-99, and 1999-2000. Trees were treated with a water suspension of cupric hydroxide (Kocide DF40) at 3 g/liter one, two, or three times in 1998-99 and 1999-2000 with a hand-gun sprayer. Generally, disease control improved with more applications (P = 0.008 and 0.032 in 1999 and 2000, respectively). Disease incidence was greatest on shoots that were defoliated in March 1998, April and June 1999, and March and May 2000. Cumulative rainfall 2 and 9 days after each defoliation was recorded. Disease incidence was positively correlated (P = 0.031 and 0.023 for 2 and 9 days, respectively) with spring (March through June) but not winter (December through February) rainfall. Comparable simulated leaf scars were inoculated in December and April 1997-98 and 1998-99 with 104, 106, and 108 CFU/ml of the pathogen and treated with a water suspension of cupric hydroxide at 3 g/liter using a handheld pump sprayer. Inoculated and noninoculated, nontreated shoots were included. More disease developed in April than in December inoculations (P = <0.0001) in both years. Disease incidence increased with increasing inoculum concentration (P = <0.0001) in both years and was lower in shoots treated with Kocide DF40 (P = <0.0001). Our work demonstrated that the common grower practice of one post-harvest application of copper bactericide provides only minimal protection against olive knot, and that additional sprays in spring are needed to substantially improve disease control.

Binding of activated platelets to WBCs in vivo after transfusion.

BACKGROUND: During preparation and storage of apheresis concentrates, platelets are being activated. One of the alterations that occur during this process is an increased expression of P-selectin (CD62p) on the cytoplasmic surface of platelets. This neoepitope represents a ligand for the binding of platelets to WBCs. It has been suggested that the activation of platelets is associated with the sequestration of platelets after transfusion. In this in vivo study, the binding of platelets to WBCs was analyzed following transfusion of platelet concentrates (PCs). STUDY DESIGN AND METHODS: Double apheresis concentrates were prepared with two different cell separators. One of the split products was stored for 1 to 2 days and the other one for 3 to 5 days. Flow cytometry was applied to analyze the degree of platelet activation in vitro, and also to measure the extent of platelet binding to WBC subclasses in vivo after transfusion into patients. RESULTS: The results of this study show that platelet activation occurs during apheresis and storage of PCs. After transfusion of the PCs, no significant binding of platelets to T or B-cells could be detected. However, a significant binding of platelets to monocytes and neutrophil granulocytes occurs. While in Baxter PCs stored for 1-2 days the amount of platelet-leukocyte aggregates in vivo was higher compared to COBE PCs, no such difference could be detected anymore for the PCs stored for 3-5 days. CONCLUSION: This study demonstrates that binding of activated platelets occurs to monocytes and neutrophil granulocytes but not to T- and B-cells in the circulation after transfusion. In addition, the interaction of platelets and WBCs is dependent on the degree of P-selectin expression. Platelets showing a higher degree of activation adhere to WBCs to a higher degree than nonactivated platelets.

Correlation of endorectal coil magnetic resonance imaging of the prostate with pathologic stage.

The aim was to evaluate the pretreatment efficacy of endorectal coil (ERC) MRI in accurately predicting extracapsular extension in a group of intermediate risk patients. A total of 40 intermediate risk patients were identified who underwent pretreatment ERC MRI and subsequent radical prostatectomy (RP). Imaging studies and pathologic analysis were compared with respect to presence of extracapsular extension (ECE), involvement of seminal vesicles, and appearance of regional nodes. Mean age was 62 years, PSA 14.8, and most common stage was cT2a/pT2c and Gleason 6. ERC MRI has a positive predictive value of 81%, specificity 89%, and odds ratio 6.47 in determining extracapsular extension. Conversely, its sensitivity is only 43%, with a negative predictive value of 59%. ERC MRI may be useful as an adjunctive study for intermediate risk patients due to its high specificity and positive predictive value, thereby adding information to the clinical decision-making process.

Contrast-enhanced CT colonography in recurrent colorectal carcinoma: feasibility of simultaneous evaluation for metastatic disease, local recurrence, and metachronous neoplasia in colorectal carcinoma.

OBJECTIVE: Contrast-enhanced CT colonography has the potential to detect local recurrence, metachronous disease, and distant metastases in patients with a history of invasive colorectal cancer. The purpose of our study was to determine whether colonic anastomoses prohibit adequate colonic distention on contrast-enhanced CT colonography and to estimate the performance of contrast-enhanced CT colonography in detecting recurrent colorectal carcinoma. MATERIALS AND METHODS: Fifty patients with a history of resected invasive colorectal carcinoma underwent contrast-enhanced CT colonography and colonoscopy. Colonic distention was graded for different colonic segments. Two radiologists evaluated for the presence of local recurrence, metachronous disease, and metastatic disease. Results were compared with colonoscopy, histology, and clinical follow-up. RESULTS: Most patients had adequate colonic inflation (37/50, 74%). Eleven of 13 patients with inadequate distention had collapse in the sigmoid colon, usually associated with ileocolic anastomoses. Contrast-enhanced CT colonography detected local recurrences with an accuracy of 94% (95% confidence interval, 83-99%). The accuracy of contrast-enhanced CT colonography for metachronous lesions greater than or equal to 1 cm was 92% (95% confidence interval, 80-98%), but there was only one such lesion, which was missed on initial colonoscopy. Stool, granulation tissue, and inflammation can mimic the CT appearance of local recurrence or metachronous disease and account for false-positive examinations. Contrast-enhanced CT colonography identified five patients with metastatic disease. CONCLUSION: Suboptimal sigmoid distention can be seen on contrast-enhanced CT colonography, predominantly in patients with right hemicolectomies. Contrast-enhanced CT colonography is a promising method for detecting local recurrence, metachronous disease, and distant metastases in patients with prior invasive colorectal carcinoma. The technique can also serve as a useful adjunct to colonoscopy by detecting local recurrences or metachronous disease that are endoscopically obscure or by serving as a full structural colonic examination when endoscopy is incomplete.