Mechanoactive materials in cardiac science.

Over 4000 people in the US are on the heart transplant waiting list. The lack of donor hearts and complications with ventricular assist devices motivates the development of alternative solutions for end stage heart disease patients. Mechanically active biomaterials such as shape memory materials, liquid crystal elastomers, dielectric elastomer actuators, and conductive polymers could be used in mechanical devices to augment heart function or condition cardiac cells and artificial tissues for regenerative medicine solutions. These materials are likened to natural muscle, with applications varying from intraventricular devices, ventricular support, and annuloplasty rings. Other novel materials in cardiac science are also discussed along with their potential application for the treatment of cardiac diseases.

Nanostructures of liquid crystal phases in mixtures of bent-core and rod-shaped molecules.

We report small angle x-ray scattering (SAXS) studies of isotropic, nematic, and smectic mesophases formed by binary mixtures of bent-core (BC) and rod-shaped (RS) molecules. While optical studies indicate that the components are fully miscible, SAXS reveals fascinating structures that are consistent with segregation on a nanoscopic scale. We find that tilted smectic clusters, which have been previously reported in both the nematic and isotropic states of the pure BC materials, are also present in mixtures with up to 50 wt% of the RS compound; this is consistent with previous dielectric and flexoelectric studies on such mixtures. Unexpectedly in this concentration range the clusters are present in the isotropic and in the induced smectic phase range, as well as throughout the nematic phase. The results in the smectic phase also reveal complex layering phenomena, providing important insight into the interaction between bent and rod-shaped molecules. These studies will be crucial in the design of promising new functional nanomaterials.

Large flow birefringence of nematogenic bent-core liquid crystals.

We have found that bent-core liquid crystalline materials show exceptionally large intrinsic flow birefringence in their isotropic liquid phase. This effect is more than 100 times larger than typical values measured for low molecular weight liquid crystals. The specific flow birefringence (i.e., normalized by the flow viscosity) is an order of magnitude larger than in both side-chain polymeric as well as low molecular weight liquid crystals. We propose that this large enhancement for bent-core compounds may be attributed to nanoscale smecticlike clusters that persist above the nematic-isotropic transition temperature, and shear align under shear flow; however, this mechanism has not yet been definitively confirmed.

[Acid-base balance in the newborn infant. II. 3 technics of sample collection and the difference between amniotomy]. / El equilibrio ácido-base en el recién nacido normal (II. Tres técnicas de obtención de muestras y diferencia entre amniotomía.

The study included 32 healthy newborns to evaluate the acid-base balance between two groups of newborns whose mothers underwent early or late amniotomy. The results were compared to the first study finding important differences, unquestionable due to amniotomy and age. Significant difference was found only in PO2 between arterial blood and arterialized capillary showing difference in pH, PCO2 and CO2 between the two capillaries. With the criterion pointed out in this work, the usefulness of late amniotomy and the stabilization of acid-base balance is established in newborns under 4 hours of age. Arterial blood is still being proposed to obtain an "ideal" acid-base balance and the arterialized capillary as a practical and useful method.

Hyaline membrane disease in twins. A 7 year review with a study on zygosity.

We reviewed 294 pairs of twins born from January, 1966 to December, 1972. In 19 pairs one or both members developed hyaline membrane disease (HMD). Of these, both twins were affected in 12 pairs, twin B alone in six pairs, and twin A alone in one pair. The group affected (19 pairs) had lower gestational age, birth weight, Apgar score, increased incidence of monozygotic (MZ) twins, and higher mortality rate than the group without HMD (275 pairs). MZ twins were more immature than dizygotic (DZ) twins (p less than 0.02). When both twins were affected they had lower gestational age, birth weight, and increased monozygosity than when B alone was affected (p less than 0.05). When twin B alone was affected, he had lower Apgar score than twin A (p less than 0.05). We suggested that (1) HMD occurs in twins because of lung immaturity, as it does in singletons; (2) monozygosity may be a predisposing factor to HMD because of the associated prematurity; and (3) the greater risk of twin B is probably related to birth asphyxia.

Effects of O2 on the ventilatory response to CO2 in preterm infants.

To measure the effects of O2 on the ventilatory response to CO2 in preterm infants, we studied eight babies (birth wt 1-2 kg; gestational age 32-36 wk) 10 times during the first 11 days of life. After breathing 21% O2 for 3 min, they were given 15%, 21%, 40%, or 100% O2 for 4 min and then 2% CO2 plus the various concentrations of O2 for 4 min each. The mean slopes of the CO2 response curves were 0.013, 0.027, 0.034, and 0.056 1/(min-kg-mmHg PACO2) with 15%, 21%, 40%, and 100% inspired O2, respectively. Thus, the more hypoxic the infant, the flatter was the response to CO2. These findings suggest that in preterm infants 1) the response to inhaled CO2 is the reverse of that seen in adult man where the higher the inspired O2 concentration, the flatter the response, and 2) the respiratory center is depressed during hypoxia.

Chemoreceptor reflexes in preterm infants: I. The effect of gestational and postnatal age on the ventilatory response to inhalation of 100% and 15% oxygen.

We studied 16 "healthy" preterm infants (birthweight, 1,000 to 2,000 gm) 94 times during postnatal life to define the effect of gestational and postnatal age on the ventilatory response to 100% and 15% oxygen. They were given air, then 100% oxygen for two and five minutes respectively (No.=63) or 21%, 15% and then 21% oxygen for five minutes each (No.=31). We measured respiratory minute and tidal volumes, frequency, heart rate, and alveolar PCO2 and PO2. We used the magnitude of the immediate change in ventilation during during 100% and 15% oxygen breathing to test peripheral chemoreceptor function. The immediate decrease in ventilation with 100% oxygen and the immediate increase in ventilation with 15% oxygen were statistically similar at different gestational and postnatal ages. The late increase in ventilation (five minutes) with 100% oxygen was also similar at different ages. However, the late decrease in ventilation with 15% oxygen was not present at 18 days of age. These findings suggest that: (1) the peripheral chemo-receptors are active at least from 28 weeks of gestation and are probably not important in triggering periodic breathing or apnea in preterm infants, and (2) the preterm infant matures his response to hypoxia and is able to sustain hyperventilation with low oxygen by 18 days of age.

Chemoreceptor reflexes in preterm infants: II. The effect of gestational and postnatal age on the ventilatory response to inhaled carbon dioxide.

We studied nine "healthy" preterm infants (birthweight, 1,000 to 2,000 gm) 58 times during postnatal life to define the effects of gestational and postnatal age on the ventilatory response to carbon dioxide. The infants were given air and 2% and 4% carbon dioxide in air to breathe for five minutes each. We determined respiratory minute and tidal volumes, frequency,heart rate, and alveolar PCO2 and PO2. We measured ventilation with a nosepiece and a screen flowmeter, using a constant flow-through to eliminate valves and reduce diad space. Analysis were made during the fifth minute while the baby breathed the various gas mistures. The slope of the carbon dioxide response increased 42% from 32 to 37 weeks gestation (P smaller than .05) and 62% from 2 to 27 days of age (P smaller than. 025). However, the intercept at .3 liter/min/kg was the same at different gestational ages, but significantly greater at 2 compared with 27 days of age (P smaller than.05). We sugest that the unresposiveness primarily dependent on the mechanical abnormalities of the lung.