Rapid detection of contaminant bacteria in platelet concentrate using differential impedance.

BACKGROUND AND OBJECTIVES: Current FDA-approved culture-based methods for the bacterial testing of platelet concentrate (PC) can yield false-negative results attributed to Poisson-limited sampling errors incurred near the time of collection that result in undetectable bacterial concentrations. Testing PC at the point of issue (POI) extends the incubation period for any contaminant bacteria increasing the probability of detection. Data are presented from time-course experiments designed to simulate POI testing of bacterially contaminated PCs at different stages of growth using differential impedance sensing. STUDY DESIGN AND METHODS: Whole-blood-derived PCs were typically spiked with low numbers of bacteria (approximately 100 CFU/ml) and incubated under standard PC storage conditions. Each infected unit was evaluated every two hours over a 12-h period. All samples were treated with a chemical compound that induces stress in the bacterial cells only. The development of any bacterial stress was monitored by detecting changes in the dielectric properties of the PC using differential impedance. RESULTS: Differential impedance measurements and corresponding cell counts at the different time-points are presented for six organisms implicated in post-transfusion-septic reactions. All infected PCs were detected once contaminant bacteria reached concentrations ranging between 0·6 × 10(3) and 6 × 10(3)  CFU/ml irrespective of the phase of growth. Results were obtained within 30 min after the start of the assay and without the need for cell lysis or centrifugation. CONCLUSION: Differential impedance sensing can detect bacterial contamination in PC rapidly at concentrations below clinical thresholds known to cause adverse effects.

The Opportunity Rover's Athena science investigation at Meridiani Planum, Mars.

The Mars Exploration Rover Opportunity has investigated the landing site in Eagle crater and the nearby plains within Meridiani Planum. The soils consist of fine-grained basaltic sand and a surface lag of hematite-rich spherules, spherule fragments, and other granules. Wind ripples are common. Underlying the thin soil layer, and exposed within small impact craters and troughs, are flat-lying sedimentary rocks. These rocks are finely laminated, are rich in sulfur, and contain abundant sulfate salts. Small-scale cross-lamination in some locations provides evidence for deposition in flowing liquid water. We interpret the rocks to be a mixture of chemical and siliciclastic sediments formed by episodic inundation by shallow surface water, followed by evaporation, exposure, and desiccation. Hematite-rich spherules are embedded in the rock and eroding from them. We interpret these spherules to be concretions formed by postdepositional diagenesis, again involving liquid water.

In situ evidence for an ancient aqueous environment at Meridiani Planum, Mars.

Sedimentary rocks at Eagle crater in Meridiani Planum are composed of fine-grained siliciclastic materials derived from weathering of basaltic rocks, sulfate minerals (including magnesium sulfate and jarosite) that constitute several tens of percent of the rock by weight, and hematite. Cross-stratification observed in rock outcrops indicates eolian and aqueous transport. Diagenetic features include hematite-rich concretions and crystal-mold vugs. We interpret the rocks to be a mixture of chemical and siliciclastic sediments with a complex diagenetic history. The environmental conditions that they record include episodic inundation by shallow surface water, evaporation, and desiccation. The geologic record at Meridiani Planum suggests that conditions were suitable for biological activity for a period of time in martian history.

Soils of Eagle crater and Meridiani Planum at the Opportunity Rover landing site.

The soils at the Opportunity site are fine-grained basaltic sands mixed with dust and sulfate-rich outcrop debris. Hematite is concentrated in spherules eroded from the strata. Ongoing saltation exhumes the spherules and their fragments, concentrating them at the surface. Spherules emerge from soils coated, perhaps from subsurface cementation, by salts. Two types of vesicular clasts may represent basaltic sand sources. Eolian ripples, armored by well-sorted hematite-rich grains, pervade Meridiani Planum. The thickness of the soil on the plain is estimated to be about a meter. The flatness and thin cover suggest that the plain may represent the original sedimentary surface.

Chemistry of rocks and soils at Meridiani Planum from the Alpha Particle X-ray Spectrometer.

The Alpha Particle X-ray Spectrometer on the Opportunity rover determined major and minor elements of soils and rocks in Meridiani Planum. Chemical compositions differentiate between basaltic rocks, evaporite-rich rocks, basaltic soils, and hematite-rich soils. Although soils are compositionally similar to those at previous landing sites, differences in iron and some minor element concentrations signify the addition of local components. Rocky outcrops are rich in sulfur and variably enriched in bromine relative to chlorine. The interaction with water in the past is indicated by the chemical features in rocks and soils at this site.

The Spirit Rover's Athena science investigation at Gusev Crater, Mars.

The Mars Exploration Rover Spirit and its Athena science payload have been used to investigate a landing site in Gusev crater. Gusev is hypothesized to be the site of a former lake, but no clear evidence for lacustrine sedimentation has been found to date. Instead, the dominant lithology is basalt, and the dominant geologic processes are impact events and eolian transport. Many rocks exhibit coatings and other characteristics that may be evidence for minor aqueous alteration. Any lacustrine sediments that may exist at this location within Gusev apparently have been buried by lavas that have undergone subsequent impact disruption.

Magnetic properties experiments on the Mars exploration Rover Spirit at Gusev Crater.

The magnetic properties experiments are designed to help identify the magnetic minerals in the dust and rocks on Mars-and to determine whether liquid water was involved in the formation and alteration of these magnetic minerals. Almost all of the dust particles suspended in the martian atmosphere must contain ferrimagnetic minerals (such as maghemite or magnetite) in an amount of approximately 2% by weight. The most magnetic fraction of the dust appears darker than the average dust. Magnetite was detected in the first two rocks ground by Spirit.

Chemistry of rocks and soils in Gusev Crater from the alpha particle x-ray spectrometer.

The alpha particle x-ray spectrometer on the Spirit rover determined major and minor elements of soils and rocks in Gusev crater in order to unravel the crustal evolution of planet Mars. The composition of soils is similar to those at previous landing sites, as a result of global mixing and distribution by dust storms. Rocks (fresh surfaces exposed by the rock abrasion tool) resemble volcanic rocks of primitive basaltic composition with low intrinsic potassium contents. High abundance of bromine (up to 170 parts per million) in rocks may indicate the alteration of surfaces formed during a past period of aqueous activity in Gusev crater.

Basaltic rocks analyzed by the Spirit Rover in Gusev Crater.

The Spirit landing site in Gusev Crater on Mars contains dark, fine-grained, vesicular rocks interpreted as lavas. Pancam and Mini-Thermal Emission Spectrometer (Mini-TES) spectra suggest that all of these rocks are similar but have variable coatings and dust mantles. Magnified images of brushed and abraded rock surfaces show alteration rinds and veins. Rock interiors contain

Curium-244 alpha-sources for space research

Special alpha-proton-X-ray spectrometric complexes (APXS) have been developed in order to perform chemical analyses of the Mars atmosphere and rock surface compounds by alpha back-scattering, alpha-proton measurements, and X-ray fluorescence. The sources were prepared by high temperature condensation of metal curium vapour onto silicon substrates. They are silicon disks with curium-244 fixed on their surfaces as a silicide. The sources have overall dimensions as follows: disk diameter 8 mm; thickness 0.3 mm; and 6 mm diameter active spot. The source activities are 5 +/- 1 mCi and the alpha-line half-widths are equal to (1.7-2.5) and (2.9-4.5)% of full width at 10% of Maximum (Maximum is equal to 5.8 MeV). Thermovacuum (from 196 to 1000 degrees C), mechanical, and resource tests were performed and demonstrated that the sources maintained their characteristics. The applicability of the sources for the above-mentioned analytical purposes was confirmed during NASA Mars Pathfinder mission.

The relationship of prenatal and perinatal complications to cognitive functioning at age 7 in the New England Cohorts of the National Collaborative Perinatal Project.

Previous literature shows that children who later develop schizophrenia have elevated rates of prenatal and perinatal complications (PPCs) and neuropsychological deficits in childhood. However, little is known about the relationship of these risk factors to each other. We evaluated the relationship between PPCs and neuropsychological functioning at age 7 in a large epidemiological study of pregnancy, birth, and development: the National Collaborative Perinatal Project (NCPP). Thirteen standardized measures of cognitive abilities were acquired on 11,889 children at approximately age 7. Principal components analysis was used to create three neuropsychological measures: academic achievement skills, verbal-conceptual abilities, and perceptual-motor abilities. We measured the relationship between these factors and three measures of PPCs: low birth weight (LBW), probable hypoxicischemic complications, and chronic hypoxia. All three measures of PPCs were significantly associated with lower neuropsychological performance, after controlling for various confounders. LBW had the strongest association with neuropsychological performance, followed by an index of presumed hypoxic insults. The effect sizes between PPCs and cognitive factors at age 7 were consistently largest with perceptual-motor abilities, followed by academic achievement skills and verbal-conceptual abilities. Future studies will evaluate the effects of specific PPCs and genetic risk factors for psychosis on cognitive functioning in childhood.

Impact of genetic vulnerability and hypoxia on overall intelligence by age 7 in offspring at high risk for schizophrenia compared with affective psychoses.

Risk factors for schizophrenia, such as genetic vulnerability and obstetric complications, have been associated with cognitive deficits in schizophrenia. We tested the association of these risk factors with general intellectual ability in offspring at high risk for psychoses and normal control subjects. Offspring of 182 parents with DSM-IV schizophrenia or affective psychoses were recruited and diagnosed from the Boston and Providence cohorts of the National Collaborative Perinatal Project (NCPP). Control subjects from the NCPP were selected to be comparable with affected parents based on the parent's age, ethnicity, study site, number of offspring enrolled in the NCPP, and payment status, and on the offspring's age, sex, and history of obstetric complications. Based on data prospectively acquired from pregnancy and events of gestation, labor, delivery, and the neonatal period, we derived a measure of probable hypoxic-ischemic insult. We also report on standardized measures of general intelligence (intelligence quotient [IQ]) collected at age 7. General linear mixed models were used to test for the simultaneous effects of genetic vulnerability, defined as parental diagnosis, and probable hypoxic insult on age 7 IQ. Specificity of the effects for schizophrenia compared with affective psychoses and sex effects were also tested. Low IQ at age 7 was significantly associated with genetic vulnerability to psychoses, in particular with schizophrenia.

Hematological effects of atypical and Cameroon beta-globin gene haplotypes in adult sickle cell anemia.

To examine the effects of unusual or atypical beta-globin gene cluster haplotypes on the hematological features and Hb F levels of sickle cell anemia, we studied African Americans who had an atypical or Cameroon haplotype chromosome in association with a typical haplotype. We identified over 20 atypical haplotypes. The distribution of 5' sub-haplotypes of the atypical chromosomes mirrored the distribution of common haplotypes in African Americans with sickle cell anemia. Neither 5' nor 3' subhaplotypes of the atypical chromosomes affected Hb F levels, packed cell volume, or mean corpuscular volume in individuals with a Benin chromosome. That the 5' subhaplotype is unaffected might be a consequence of the small numbers of Senegal 5' subhaplotypes in our sample, the need for linkage of both 5' and 3' subhaplotypes of any haplotype for an effect on Hb F to be present, or the likelihood that a normal beta-globin gene contributed the 5' subhaplotypes of some atypical haplotypes.

Limitations of the symptom-oriented approach to psychiatric research.

BACKGROUND: We critically reviewed the arguments of the symptom-oriented researchers who propose to replace syndromes and diagnostic categories with symptoms as units of analysis in psychiatric research. METHOD: Three central arguments were examined: (a) current diagnostic categories lack reliability and validity; (b) using diagnostic categories leads to misclassification and confounding; and (c) symptom-oriented theories are clearer, easier to test, and more likely to lead to an explanation of psychopathology. These arguments are based on three assumptions respectively: (a) symptoms have higher reliability and validity; (b) underlying pathological processes are symptom-specific; and (c) elucidation of the process of symptom development will lead to (and must precede) the discovery of the causes of syndromes. RESULTS: We found little evidence supporting these assumptions and arguments based on them. CONCLUSION: There are no clear advantages in replacing syndromes with symptoms as units of analysis for psychiatric research.

Characterization of sulfur mustard vapor-induced cutaneous lesions on haired guinea pigs.

BACKGROUND/AIMS: Sulfur mustard (2,2'-dichlorodiethyl sulfide, HD) is a potent vesicating (blistering) agent. In this report, we describe the time-course and the dose-dependent response following cutaneous exposure to sulfur mustard (HD) in the haired guinea pig model. The purpose of this study was to evaluate the usefulness of the haired guinea pig as a vesicant research model. METHODS: Seventy-two animals were divided into nine groups of eight animals each. Hair on the dorsal side of each animal was removed by clipping with an electric clipper followed by application of a chemical depilating agent (MAGIC Shaving Powder). Six dorsal skin sites on each animal of a given group were exposed to saturated HD vapor (1.4 mg/l) for one of nine exposure times between 0-8 min. Lesions were evaluated for erythema (reflectance colorimeter) and edema (ultrasound imaging) at 4, 6, 12, and 24 h postexposure. Damage at the dermal-epidermal junction (DEJ) was evaluated by histopathology at 24 h postexposure. RESULTS: We observed that the hair removal process was time-consuming, produced significant initial erythema, and resulted in increased dorsal skin sensitivity to low HD exposure levels. The time-course of exposure response to HD was observed to be dose-dependent and similar to the hairless guinea pig model. CONCLUSIONS: The haired guinea pig is inferior to the hairless guinea pig as a vesicant model due to the complications resulting from the hair removal process. However, the haired guinea pig is a useful model for evaluating the cutaneous effects of HD vapor and can be developed into a routine screening tool for the evaluation of topical barriers against HD vapor exposure.

Overview of the Mars Pathfinder mission and assessment of landing site predictions.

Chemical analyses returned by Mars Pathfinder indicate that some rocks may be high in silica, implying differentiated parent materials. Rounded pebbles and cobbles and a possible conglomerate suggest fluvial processes that imply liquid water in equilibrium with the atmosphere and thus a warmer and wetter past. The moment of inertia indicates a central metallic core of 1300 to 2000 kilometers in radius. Composite airborne dust particles appear magnetized by freeze-dried maghemite stain or cement that may have been leached from crustal materials by an active hydrologic cycle. Remote-sensing data at a scale of generally greater than approximately 1 kilometer and an Earth analog correctly predicted a rocky plain safe for landing and roving with a variety of rocks deposited by catastrophic floods that are relatively dust-free.

The chemical composition of Martian soil and rocks returned by the mobile alpha proton X-ray spectrometer: preliminary results from the X-ray mode.

The alpha proton x-ray spectrometer (APXS) on board the rover of the Mars Pathfinder mission measured the chemical composition of six soils and five rocks at the Ares Vallis landing site. The soil analyses show similarity to those determined by the Viking missions. The analyzed rocks were partially covered by dust but otherwise compositionally similar to each other. They are unexpectedly high in silica and potassium, but low in magnesium compared to martian soils and martian meteorites. The analyzed rocks are similar in composition to terrestrial andesites and close to the mean composition of Earth's crust. Addition of a mafic component and reaction products of volcanic gases to the local rock material is necessary to explain the soil composition.

The multisite field trial of the consultation-liaison psychiatry assessment instrument.

A multisite field trial was conducted at 11 institutions to test the clinical reliability of a 29-item consultation-liaison (C-L) psychiatry assessment instrument. Twenty-five raters viewed videotapes of two "trainees" conducting clinical interviews with a simulated patient. One trainee was a medical student, the other was a fellow in psychiatry. Raters completed the 29-item assessment instrument for each trainee. The mean value scores reflected the skill of each trainee. The medical student had a mean score of 1.93, whereas the C-L fellow had a mean score of 3.13 which parallels the expected level of skill for the two interviewers. Eighty-six percent of the items (25/29) had a standard deviation (SD) of less than 1.0. Each of the remaining four items (14%) had a SD minimally greater than 1.0. These results reflect clear wording of items with measurable parameters defined for assessing trainees' skills. The authors present different uses for the assessment instrument, including giving feedback to trainees regarding interviewing techniques and skills; setting "gold" and "lead" standards for clinical C-L interviewing skills; and training supervisors in evaluation using a standardized assessment instrument.

Nikolsky's sign: a novel way to evaluate damage at the dermal-epidermal junction.

BACKGROUND/AIMS: Sulfur mustard (2,2'-dichlorodiethyl sulfide, HD) is a potent vesicating (blistering) agent. Cutaneous exposure causes the destruction of basal cells and leads to a separation at the dermal-epidermal junction. To evaluate the efficacy of candidate antivesicant compounds, suitable animal models are needed. A tape stripping method and the Dermal Torque Meter (DTM) have been used in novel applications to evaluate for the Nikolsky's sign in the hairless guinea pig. The Nikolsky's sign is the separation and loss of the epidermis from the dermis when the skin is pressed with a sliding or twisting motion. The purpose of this study was to find an objective, reproducible, and quantitative method that could be used as an end-point to evaluate the degree of damage at the dermal-epidermal junction following cutaneous HD vapor exposure. METHODS: Hairless guinea pigs were exposed to saturated HD vapor (1.4 mg/l) for time intervals between 2 and 9 min using 14-mm vapor cups. At 24 h post-exposure, both tape stripping (fabric carpet tape) and a DTM were used to produce the Nikolsky's sign in animals under anesthesia. Using the tape stripping method, 15-mm disks of tape were applied to each skin site. After 5 s the tape was peeled off. The D T M was used to apply a horizontal twisting motion to the skin. The parameters included a 15-mm center disk, a ring gap of 1 mm, a torque of 30 mNm, and a 5-s cycle time. A cyanoacrylate adhesive was used to secure the center disk and guard ring to the skin. The loss of the epidermis was determined by visual observation and confirmed by histopathological examination. The standard D T M unit was modified to use multiple center disk/guard ring assemblies so that several sites on each animal could be evaluated at the same time. RESULTS: The mean (±S E M) percent incidence of positive Nikolsky's sign observations using the tape stripping method for HD vapor exposures of 3,5,7, and 9 min was 0,50 (±16), 94 (±6.2), and 100, respectively. The mean (±S E M) percent incidence of positive Nikolsky's sign observations using the D T M method for HD vapor exposures of 2, 3, 4, and 5 min was 0, 25 (±7.1), 91 (±2.9), and 96 (±2.3), respectively. CONCLUSIONS: The Nikolsky's sign produced by the tape stripping method and the D T M were useful in evaluating damage at the dermal-epidermal junction following cutaneous HD vapor exposures. These methods have the potential to replace histopathology as an end-point for routine screening procedures designed to evaluate the efficacy of antivesicant compounds.