1. Crude globulin from more than 1,000 liters of citrated bovine plasma has been used in developing a procedure for moderately large scale separation of clotting factors. Fraction A, prothrombin, kinase, and thrombin fractions were prepared. Fraction A contained both kinase and accessory thromboplastin, the latter predominating when fraction A was diluted. 2. When prothrombin was activated by kinase, the rate of thrombin production was enhanced by the addition of platelets, or brain lipid, or dilute fraction A. These accessory thromboplastins caused this acceleration only when calcium chloride was added. Even with calcium, they were not effective unless kinase was present. 3. In contrast, the action of kinase was not entirely dependent on either ionic calcium or accessory thromboplastin. The concentrated kinase fraction activated prothrombin in the presence of excess oxalate. Although kinase often contaminates highly purified thrombins, it is probably distinct from thrombin. The ratio of kinase to thrombin was 100 times as great in the kinase fraction as in the thrombin fraction. 4. The kinase fraction, diluted 45,000-fold, to protein-nitrogen concentrations as low as 0.02 microgram per ml., accelerated the conversion of crude prokinase in three-stage tests. 5. The findings are consistent with the following concept of the basic enzymatic mechanism: See PDF for Structure It is now added that calcium and accessory thromboplastin exert their effects by impinging on the basic mechanism, in a chemically secondary or indirect manner.

This paper describes a new method for carrying out flow cytometry, which employs optical gradient forces to guide and focus particles in the fluid flow. An elliptically shaped Gaussian beam was focused at the center of a microchannel to exert radiation pressure on suspended nanoparticles that are passing through the channel, such that these particles are guided to the center of the channel for efficient detection and sorting. To verify the efficiency of this optical-gradient-flow-focusing method, we present numerical simulations of the trajectories of the nanoparticles in both electroosmotic flow (EOF) and pressure-driven flow (PDF).

The relationship between endothelial cell growth and surface properties of plasma-deposited films (PDFs) was investigated using partial least-squares regression (PLS). PDFs of oxygen-containing precursors were prepared under various conditions, and bovine arterial endothelial cells (BAECs) were grown on these substrates. Secondary ion mass spectrometry (SIMS) in the static mode was used to characterize the surface chemistry of these substrates. The growth of BAECs on the PDFs was correlated to the positive and negative static SIMS spectra of the PDFs by PLS. A good correlation between the SIMS spectra of PDFs and endothelial cell growth was obtained. Qualitative information was also extracted from the multivariate model, giving some information as to the most important variables influencing BAEC growth.

We develop a methodology for the construction of a Hessian representation of Monte Carlo sets of parton distributions, based on the use of a subset of the Monte Carlo PDF replicas as an unbiased linear basis, and of a genetic algorithm for the determination of the optimal basis. We validate the methodology by first showing that it faithfully reproduces a native Monte Carlo PDF set (NNPDFPDF set (MMHT14) which was transformed into a Monte Carlo set, it gives back the starting PDFs with minimal information loss. We then show that, when applied to a large Monte Carlo PDF set obtained as combination of several underlying sets, the methodology leads to a Hessian representation in terms of a rather smaller set of parameters (MC-H PDFs), thereby providing an alternative implementation of the recently suggested Meta-PDF idea and a Hessian version of the recently suggested PDF compression algorithm (CMC-PDFs). The mc2hessian conversion code is made publicly available together with (through LHAPDFPDFPDF set.

This study shows how a probabilistic microstructural model for fibrous connective tissue behavior can be used to objectively describe soft tissue low-load behavior. More specifically, methods to determine tissue reference length and the transition from the strain-stiffening "toe-region" to the more linear region of the stress-strain curve of fibrous connective tissues are presented. According to a microstructural model for uniaxially loaded collagenous tissues, increasingly more fibers are recruited and bear load with increased tissue elongation. Fiber recruitment is represented statistically according to a Weibull probability density function (PDF). The Weibull PDF location parameter in this formulation corresponds to the stretch at which the first fibers begin to bear load and provides a convenient method of determining reference length. The toe-to-linear region transition is defined by utilizing the Weibull cumulative distribution function (CDF) which relates the fraction of loaded fibers to the tissue elongation. These techniques are illustrated using representative tendon and ligament data from the literature, and are shown to be applicable retrospectively to data from specimens that are not heavily preloaded. The reference length resulting from this technique provides an objective datum from which to calculate stretch, strain, and tangent modulus, while the Weibull CDF provides an objective parameter with which to characterize the limits of low-load behavior.

Diffusion spectrum magnetic resonance imaging (DSI) allows the estimation of the displacement probability density function (pdf) of water molecules, which contain valuable information about the microgeometry of the medium where the diffusion process occurs. It provides a more general approach to disentangle complex fiber structures in biological tissues because it does not assume any particular model of diffusion; even so, it has a number of limitations that remain unstudied. For instance, the theoretical model used to compute the displacement pdf is based on a Fourier transformation defined in the whole measurement space; however, in practice, it is computed using discrete signals with a finite support. As a consequence, the displacement pdf obtained from the experiments is the convolution between the true pdf and a point spread function (PSF) that completely depends on the experimental sampling scheme. In this work, a general framework to rectify and decontaminate the displacement pdf reconstructed from DSI is introduced. This framework is based on model-free deconvolution techniques that allow obtaining clearer and sharper DSI estimates. The method was tested in synthetic data as well as in real data measured from a healthy human volunteer. The results demonstrated that the angular resolution of DSI can be increased, potentially revealing new real fiber components and reducing both the artefactual peaks and the uncertainty of the local diffusion orientational distribution. Furthermore, the deconvolution process provides scalar maps of quantities derived from the propagator, such as the zero displacement probability, with higher tissue contrast.

Because of its dynamic structure, the omentum plays a key role in the immunity of the peritoneal cavity by orchestrating peritoneal cell recruitment. Because mast cells accumulate in the omentum upon experimental peritoneal dialysis (PD) and may produce angiogenic/profibrotic factors, it was hypothesized that mast cells mediate omental tissue remodeling during PD. Daily treatment with conventional PD fluid (PDF) for 5 wk resulted in a strong omental remodeling response, characterized by an approximately 10-fold increase in mast cell density (P < 0.01), an approximately 20-fold increase in vessel density (P < 0.02), an approximately 20-fold increase in the number of milky spots (P < 0.01), and a four-fold increase in submesothelial matrix thickness (P < 0.0003) in wild-type rats. In contrast, all PDF-induced omental changes were significantly reduced in mast cell-deficient Ws/Ws rats or in wild-type rats that were treated orally with a mast cell stabilizer cromoglycate. A time-course experiment showed mast cell accumulation immediately before the formation of blood vessels and milky spots. Functionally, PDF evoked a peritoneal cell influx, which was significantly reduced in Ws/Ws rats (P < 0.04) and in wild-type rats that were treated with cromoglycate (P < 0.03). Cromoglycate treatment also completely prevented PDF-induced omental adhesions to the catheter tip (P = 0.0002). Mesothelial damage, angiogenesis, and fibrosis of mesentery and parietal peritoneum as well as glucose absorption rate and ultrafiltration capacity proved to be mast cell independent. Data strongly support the hypothesis that mast cells mediate PDF-induced omental tissue remodeling and, subsequently, peritoneal cell influx and adhesion formation, providing therapeutic possibilities of modulating omental function.

It is increasingly apparent that many important classes of molecular framework material exhibit a variety of interesting and useful types of structural disorder. This tutorial review summarises a number of recent efforts to understand better both the complex microscopic nature of this disorder and also how it might be implicated in useful functionalities of these materials. We draw on a number of topical examples including topologically-disordered zeolitic imidazolate frameworks (ZIFs), porous aromatic frameworks (PAFs), the phenomena of temperature-, pressure- and desorption-induced amorphisation, partial interpenetration, ferroelectric transition-metal formates, negative thermal expansion in cyanide frameworks, and the mechanics and processing of layered frameworks. We outline the various uses of pair distribution function (PDF) analysis, dielectric spectroscopy, peak-shape analysis of powder diffraction data and single-crystal diffuse scattering measurements as means of characterising disorder in these systems, and we suggest a number of opportunities for future research in the field.

We present an unbiased determination of the charm content of the proton, in which the charm parton distribution function (PDF) is parametrized on the same footing as the light quarks and the gluon in a global PDF analysis. This determination relies on the NLO calculation of deep-inelastic structure functions in the FONLL scheme, generalized to account for massive charm-initiated contributions. When the EMC charm structure function dataset is included, it is well described by the fit, and PDF uncertainties in the fitted charm PDF are significantly reduced. We then find that the fitted charm PDF vanishes within uncertainties at a scale [Formula: see text] GeV for all [Formula: see text], independent of the value of [Formula: see text] used in the coefficient functions. We also find some evidence that the charm PDF at large [Formula: see text] and low scales does not vanish, but rather has an "intrinsic" component, very weakly scale dependent and almost independent of the value of [Formula: see text], carrying less than [Formula: see text] of the total momentum of the proton. The uncertainties in all other PDFs are only slightly increased by the inclusion of fitted charm, while the dependence of these PDFs on [Formula: see text] is reduced. The increased stability with respect to [Formula: see text] persists at high scales and is the main implication of our results for LHC phenomenology. Our results show that if the EMC data are correct, then the usual approach in which charm is perturbatively generated leads to biased results for the charm PDF, though at small x this bias could be reabsorbed if the uncertainty due to the charm mass and missing higher orders were included. We show that LHC data for processes, such as high [Formula: see text] and large rapidity charm pair production and [Formula: see text] production, have the potential to confirm or disprove the implications of the EMC data.

We express the performance of the N-class "guessing" observer in terms of the N2-N conditional probabilities which make up an N-class receiver operating characteristic (ROC) space, in a formulation in which sensitivities are eliminated in constructing the ROC space (equivalent to using false-negative fraction and false-positive fraction in a two-class task). We then show that the "guessing" observer's performance in terms of these conditional probabilities is completely described by a degenerate hypersurface with only N-1 degrees of freedom (as opposed to the N2-N-1 required, in general, to achieve a true hypersurface in such a ROC space). It readily follows that the hypervolume under such a degenerate hypersurface must be zero when N>> 2. We then consider a "near-guessing" task; that is, a task in which the N underlying data probability density functions (pdfs) are nearly identical, controlled by N-1 parameters which may vary continuously to zero (at which point the pdfs become identical). With this approach, we show that the hypervolume under the ROC hypersurface of an observer in an N-class classification task tends continuously to zero as the underlying data pdfs converge continuously to identity (a "guessing" task). The hypervolume under the ROC hypersurface of a "perfect" ideal observer (in a task in which the N data pdfs never overlap) is also found to be zero in the ROC space formulation under consideration. This suggests that hypervolume may not be a useful performance metric in N-class classification tasks for N>> 2, despite the utility of the area under the ROC curve for two-class tasks.

The structural transformations that occur when FeF(3) is cycled at room temperature in a Li cell were investigated using a combination of X-ray diffraction (XRD), pair distribution function (PDF) analysis, and magic-angle-spinning NMR spectroscopy. Two regions are seen on discharge. The first occurs between Li = 0 and 1.0 and involves an insertion reaction. This first region actually comprises two steps: First, a two-phase reaction between Li = 0 and 0.5 occurs, and the Li(0.5)FeF(3) phase that is formed gives rise to a Li NMR resonance due to Li(+) ions near both Fe(3+) and Fe(2+) ions. On the basis of the PDF data, the local structure of this phase is closer to the rutile structure than the original ReO(3) structure. Second, a single-phase intercalation reaction occurs between Li = 0.5 and 1.0, for which the Li NMR data indicate a progressive increase in the concentration of Fe(2+) ions. In the second region, the conversion reaction, superparamagnetic, nanosized ( approximately 3 nm) Fe metal is formed, as indicated by the XRD and NMR data, along with some LiF and a third phase that is rich in Li and F. The charge process involves the formation of a series of intercalation phases with increasing Fe oxidation state, which, on the basis of the Li NMR and PDF data, have local structures that are similar to the intercalation phases seen during the first stage of the discharge process. The solid-state NMR and XRD results for the rutile phase FeF(2) are presented for comparison, and the data indicate that an insertion reaction also occurs, which is accompanied by the formation of LiF. This is followed by the formation of Fe nanoparticles and LiF via a conversion reaction.

The objective of this research was to study the chemical compositions, functional properties, and microstructure of partially defatted flours (PDF, 12-15% fat, dry basis (db)) and totally defatted flours (TDF, 1% db fat) from three macadamia cultivars, PY 741, DS 344, and DS 800, grown in Northern Thailand. The defatted flours were high in protein (30.40-36.45% db) and carbohydrate (49.29-57.09% db). For each macadamia cultivar, while emulsion activities and emulsion stabilities of the TDF tended not to be different from those of the PDF (p>0.05), TDF had significantly greater water absorption capacities (WAC), oil absorption capacities and foaming capacities (FC), but had significantly lower foaming stability (FS) than the PDF (p⩽0.05). The TDF from PY 741 cultivar possessed the highest WAC and FC but the lowest FS. The variation in the functional properties of the defatted flours could mainly arise from the difference in the quantity and characteristics of the proteins in the flours. Structure determination of macadamia flours showed that the proteins bodies and starch granules were embedded in kernel tissues. The starch granules were oval and approximately 10μm in diameter.

The cockroach Leucophaea maderae is an established model in circadian rhythm research. Its circadian clock is located in the accessory medulla of the brain. Pigment-dispersing factor-immunoreactive (PDF-ir) neurons of the accessory medulla act as circadian pacemakers controlling locomotor activity rhythms. To characterize the neuronal network of the circadian system in L. maderae, the PDF-ir neurons were implemented into a standardized three-dimensional atlas of the cockroach brain. Serial confocal images from 20 wholemount brains were used for the construction of the atlas comprising 21 neuropils. Two different standardization protocols were employed: the iterative shape averaging (ISA) procedure using an affine transformation followed by iterative non-rigid registrations, and the virtual insect brain (VIB) protocol employing local non-rigid transformations after global and local rigid transformations. Quantitative analysis of the 20 brains revealed that volumes of the accessory medulla are directly correlated with the volumes of the medulla, the protocerebral bridge, and the upper division of the central body, suggesting functional connections among these neuropils. For a standardized reconstruction of the circadian pacemaker network, the ISA protocol was used to register PDF-ir neurons in the standard cockroach brain. The registration revealed that two PDF-ir arborization areas in the brain are highly interconnected with other PDF-ir projection sites and appear to be contacted both by fibers in the posterior and the anterior optic commissures. The distances between PDF-ir branching areas show specific numerical relationships that might be physiologically relevant for temporal encoding.

BACKGROUND

Glucose-containing peritoneal dialysis fluids (PDF) show impaired biocompatibility, which is related partly to their high glucose content, presence of glucose degradation products, low pH, and lactate buffer, or a combination of these factors. In a rat chronic peritoneal exposure model, we compared effects of an amino acid-based PDF (AA-PDF) with a glucose-containing PDF on the peritoneal microcirculation and morphology.

METHODS

Two groups of rats received 10 mL of either fluid daily for 5 weeks via peritoneal catheters connected to implanted subcutaneous mini vascular access ports. Leukocyte-endothelium interactions in the mesenteric venules were investigated by intravital microscopy. Quantification of angiogenesis and fibrosis and inspection of the mesothelial cell layer were performed by light and electron microscopy.

RESULTS

Daily exposure to glucose-containing PDF resulted in a significant increase in the number of rolling leukocytes in mesenteric venules, whereas instillation of AA-PDF did not change the level of leukocyte rolling. Glucose-containing PDF evoked a significantly higher number of milky spots in the omentum, whereas this response was significantly reduced in animals exposed to the AA-PDF (p < 0.02). Chronic instillation of glucose-containing PDF induced angiogenesis in various peritoneal tissues, accompanied by fibrosis in the mesentery and parietal peritoneum. Quantitative morphometric evaluation of omentum and mesentery showed a clear trend toward less angiogenesis after treatment with the AA-PDF compared to the glucose-containing PDF, which reached statistical significance in the parietal peritoneum (p < 0.04). Instillation of AA-PDF resulted in approximately 50% reduction of fibrosis in the mesentery (p < 0.04) and approximately 25% reduction in the parietal peritoneum (p < 0.009) compared to glucose-containing PDF. Glucose-containing PDF damaged the mesothelial cell layer, whereas the mesotheium was intact after AA-PDF treatment, as evidenced by electron microscopy.

CONCLUSIONS

Our data in a rat chronic peritoneal exposure model clearly demonstrate reduced immune activation (evidenced by decreased number of rolling leukocytes and decreased induction of omental milky spots) and reduced neoangiogenesis, fibrosis, and mesothelial damage of the peritoneal membrane after treatment with AA-PDF compared to glucose-containing PDF.

Animal models of peritoneal dialysis fluid (PDF) exposure are key tools in the study of mechanisms involved in alterations of the peritoneal membrane and in the design of therapies. We recently developed a mouse model of chronic peritoneal exposure to high glucose dialysate. Herein, we make a sequential analysis of the effects of glucose-based PDF on mouse peritoneal membrane and on mesothelium. We demonstrate that chronic exposure to PDF induces thickness and fibrosis of the peritoneal membrane in a time-dependent manner. We also show that mesothelial cells progressively detach and lose cytokeratin expression. In addition, we demonstrate that some mesothelial cells invade the submesothelial space, where they appear as cytokeratin- and alpha-smooth muscle actin-positive cells. These findings demonstrate that epithelial-to-mesenchymal transition (EMT) of mesothelial cells takes place in mouse peritoneum exposed to PDF, validating this model for the study of effects of drugs on the EMT process as a therapy for peritoneal deterioration.

BACKGROUND

Peritoneal dialysis fluid (PDF) containing amino acids has been introduced recently aiming to improve the nutritional status of PD patients. Dextrose-based PDFs have been implicated in progressive functional and structural deterioration of the peritoneal membrane. Limited data are currently available regarding the effect of amino acid-based PDF on the function and ultrastructure of human peritoneal mesothelial cells (HPMCs), which play a critical role in peritoneal membrane pathophysiology.

METHODS

We investigated the effects of two commercially available PDFs, which utilized dextrose (1.5% Dianeal) or amino acids (1.1% Nutrineal) as the osmotic agent, obtained from patients after a 4 h dwell, on HPMC proliferation (MTT assay and cell counting) and viability [lactate dehydrogenase (LDH)release], interleukin-6 (IL-6) secretion (commercial enzyme-linked immunosorbent assay) and ultrastructure (scanning and transmission electron microscopy).

RESULTS

Exposure of HPMCs to 1.5% Dianeal reduced cell proliferation, total cellular protein synthesis, IL-6 secretion and cell attachment, but prolonged the cell doubling time on recovery, and increased LDH release (P<0.001, P<0.001, P<0.0001, P<0.0001, P<0.001 and P<0.001, respectively). The 1.1% Nutrineal reduced HPMC proliferation (P<0.001) and increased IL-6 secretion (P<0.0001), but did not affect cell attachment, LDH release, protein synthesis or cell doubling time. Ultrastructural studies of HPMCs exposed to Dianeal showed cell flattening, increased cell surface area, reduced microvilli, and intracellular organelles compatible with dysfunctional mitochondria. In contrast, the ultrastructural morphology of HPMCs was relatively preserved after incubation with Nutrineal.

CONCLUSIONS

Our results showed that HPMC ultrastructure, viability and protein synthesis were better preserved with amino acid-based PDF, compared with conventional dextrose-based PDF. The significance of IL-6 induction by Nutrineal remains to be elucidated.

BACKGROUND

In vitro experiments point to a better biocompatibility profile of new pH-neutral peritoneal dialysis fluids (PDFs) containing low levels of glucose degradation products (GDPs). The present study examines the impact on human peritoneal mesothelial cells (HPMCs) of equilibrated dialysates obtained during dialysis with either conventional or new PDFs.

METHODS

Peritoneal dialysate was collected from 17 patients participating in a randomized, controlled, cross-over trial comparing a pH-neutral low-GDP solution (Balance) to a conventional solution (S-PDF). All patients were treated sequentially for 3 months with both PDFs. At the end of each treatment phase, peritoneal effluent was drained after a timed 10 h dwell. Samples of dialysate were then mixed with standard culture medium and added to in vitro cultures of HPMCs from healthy donors. Cells were assessed for proliferation, viability and cytokine release.

RESULTS

Proliferation and viability of HPMCs were better preserved in the presence of effluent obtained during dialysis with Balance (P<0.046 and P<0.035, respectively). The proliferative response of HPMCs correlated with the concentration of fibronectin in dialysates (P = 0.0024). Effluent drained following a 3 month dialysis with Balance contained significantly increased levels of fibronectin (P = 0.004) and CA125 antigen (P = 0.0004) compared with S-PDF. There was no significant difference in constitutive and stimulated cytokine (IL-6, MCP-1, VEGF) synthesis by HPMCs treated with either Balance- or S-PDF-derived effluents.

CONCLUSIONS

These results suggest that therapy with new pH-neutral low-GDP solutions contribute to an intraperitoneal milieu that improves mesothelial cell proliferation and viability. It may positively impact on the preservation of the peritoneal membrane integrity during long-term dialysis.

OBJECTIVE

The aim of this study was to validate intake of energy, macro- and micronutrients assessed from pre-coded food diaries (PFDs) by using weighed records (WRs) as the reference method among a group of Norwegian 9-year-olds. We also examined how under-reporters (UR) differed from acceptable reporters (AR) according to the energy intake during the 4-day recording period and energy intake distribution during the day.

METHODS

One hundred 9-year-olds, 45 girls and 55 boys, were recruited to complete a 4-day record with a PFD followed 3 days later with a 4-day WR.

RESULTS

There were no differences between energy and nutrient intake from the two recording methods among boys, but girls reported significantly higher intakes with PFD compared with WR. The median Spearman correlation coefficient between PFD and WR for energy and nutrients was 0.43 for girls and 0.49 for boys. Twelve participants were classified as UR with the PDF method. Energy percentages from macronutrients were not significantly different between UR and AR with the PFD method. UR had significantly lower energy intake in the last two recording days and from 1000 to 2200 hours during the day compared to AR.

CONCLUSIONS

The PFD method is promising as a tool for assessing food intake in large surveys among children. The present study indicates that the PFD gives more valid data for boys than girls according to the group intake and ranking of nutrient intake when WR is the reference method. However, UR seemed to develop a study fatigue during the day and during the recording period. Increased awareness about the tendency of study fatigue can lead to more specific instructions on how participants can handle the problem.

1. Continuous segments of synaptic noise were recorded, in 12 experiments, from the voltage-clamped goldfish Mauthner (M-)-cell soma during depolarizations beyond the Cl- equilibrium potential so that spontaneous inhibitory postsynaptic currents (IPSCs) were outward going, i.e., opposite in polarity to excitatory transients. Inhibitory components constituting the noise were detected with a program based on their expected waveforms, and their amplitude distributions were analyzed according to a quantal model to determine whether these responses, presumably because of asynchronous impulses in a population of presynaptic cells, were integral multiples of the same minimal unit. 2. Synaptic noise in the M-cell is predominantly inhibitory, as it is abolished by the glycine antagonist strychnine. IPSC amplitudes varied by 20-fold or more and about one-third were grouped in bursts, with one or several components often occurring during the falling phase of a preceding one. To measure individual amplitudes, a base-line correction procedure was designed to extrapolate the decay of the leading IPSC, on the assumption that it was exponential with a time constant, tau, equal to that obtained by fitting averaged waveforms of distinct IPSCs recorded in quiet periods. Currents were expressed in nanoamperes and, for comparison between experiments, as percentages of the full-sized IPSC evoked by activation of the collateral network. 3. The probability distribution functions (PDFs) of inhibitory events generated with such an analysis had from 5 to 12 clear and equally spaced peaks, larger transients not being included because of their sparsity. These PDFs were fit with a sum of Gaussians, on the assumption that all peaks were integral multiples of the smallest unit and had the same standard deviation, sigma. The fits were statistically satisfactory, according to a chi 2 test, and mean quantal size was 0.63 +/- 0.17% (SD; range, 0.42-1.0%) of the collateral IPSC. 4. In eight experiments, tetrodotoxin (TTX) was subsequently applied topically to block presynaptic impulses and isolate "miniature" responses because of single exocytotic events. It had no apparent nonspecific effects, as indicated by the constancy of M-cell input conductance (8.01 +/- 3.11 microS vs. 7.90 +/- 2.89 microS). Amplitude distributions of residual IPSCs were unimodal and Gaussian, with their mean size (0.60 +/- 0.19%) and average rise time (0.548 +/- 0.128 ms) the same as those of the first peaks of control histograms. The latter parameter was also comparable with that of unitary IPSCs studied previously. These results thus confirmed that spontaneous and evoked events are due to transmitter release from the same afferent population.(ABSTRACT TRUNCATED AT 400 WORDS)

A study was made of variation in weight of the host lymph nodes, spleen, and thymus, after implantation of transplantable tumors in susceptible and See PDF for Structure non-susceptible hosts. The lymph nodes and spleens of non-susceptible hosts increased in weight during the period when the organs were participating in the immunological response, though an increase also took place in susceptible hosts. Variations in protein nitrogen and pentose- and desoxypentosenucleic acid of the draining lymph nodes of non-susceptible mice were also studied. The protein nitrogen content increased with the weight of the nodes. Increase in the PNA/DNA ratio occurred while the lymph node cells were engaged in production of antibody. Increase in the PNA/DNA ratio was interpreted as an increase in PNA per cell, and therefore of the rate of protein synthesis.

The above data relating to the antistaphylococcus phage and single strain of S. aureus with which previous papers have been concerned (9, 10, 11, 12), bring out the following points. (a) For live, resting, susceptible B suspended in broth as well as for B in a P-B mixture during the logarithmic phases of B growth and P formation, P is distributed in a manner typical of numerous materials soluble in both phases of a two phase system, i.e., distribution proceeds in accordance with the equation C(b)/C(a) = K where C(b) = extracellular P/ml. of broth and C(a) = intracellular P/ml. of B. The combination is quantitatively reversible. (b) With heat-killed, susceptible B, P distribution is of the adsorptive type, expressible in the form of the adsorption isotherm equation a = kC(1/n). The average value of 1/n is 0.80 in agreement with the results of von Angerer (2). Under ordinary conditions dead B take up much more P than do live B, the reaction proceeding to>> 99 per cent completion. The combination of P with dead B is not demonstrably reversible and with high initial P/B ratios saturation of B with P is effected. Bacteria killed at 65 degrees C., 80 degrees C. and 100 degrees C. show no differences in adsorptive ability. (c) The rates at which live, resting, susceptible B and heat-killed, susceptible B remove P from solution do not differ significantly. Velocity constants of the process calculated from See PDF for Equation agree satisfactorily. It is shown that the time interval consumed is concerned with an actual reaction between P and B and not with diffusion of P through the broth to B. (d) P determinations have been found to serve as satisfactory indicators for B growth in P-B mixtures where [B] is to be maintained at a constant level. Very small increments in [B] give rise to measurable increases in P by virtue of the fact that dP/dt is proportional to a power of the rate dB/dt (9). (e) Similarly [P] estimations will detect death of B cells in P-live B suspensions. Dead B take up large amounts of P irreversibly; such P cannot function in the titration and the result is a sharp drop in [P] of controls.

OBJECTIVE

Glucose degradation products (GDPs) and low pH are potential causes of bioincompatibility of peritoneal dialysis fluids (PDFs). The aim of the present study was to compare the effect of 6 weeks' exposure of the peritoneum in rats to two different PDFs: a standard PDF with a low pH and high level of GDPs (CAPD 3: Fresenius Medical Care, Bad Homburg, Germany), and a modified PDF with a low level of GDPs and a physiologic pH (CAPD 3 Balance: Fresenius Medical Care).

METHODS

After catheter implantation, rats were exposed twice daily for 6 weeks to CAPD 3 fluid or to CAPD 3 Balance. At the beginning and at the end of the study, a 4-hour dwell was performed in every rat to evaluate intraperitoneal inflammation and its effect on total collagen synthesis in the in vitro cultured rat mesothelial cells (ex vivo study). Additionally, after 6 weeks' exposure, the peritoneal cavity was opened, and macroscopic changes were evaluated according to a semiquantitative scale. Peritoneal samples were also taken for morphology study.

RESULTS

In rats treated with CAPD 3 fluid, intraperitoneal inflammation was comparable at the beginning and at the end of the experiment. In animals exposed to CAPD 3 Balance, the intensity of the intraperitoneal inflammation decreased during the study (cell count, p = 0.0781; neutrophil:macrophage ratio, p < 0.01; nitrite concentration, p < 0.05; hyaluronan level, p < 0.05). The capacity of effluent dialysate from CAPD 3 rats to activate collagen synthesis in in vitro-cultured mesothelial cells was the same at the beginning and at the end of the study. In the CAPD 3 Balance group, this capacity was statistically significantly lower at the end of the study than at the beginning (p < 0.05). The mean thickness of the visceral peritoneum was comparable in both groups of animals, but, macroscopically, more severe fibrosis was found in the peritoneum of rats exposed to CAPD 3 as compared with animals treated with CAPD 3 Balance (p < 0.05).

CONCLUSIONS

We showed that, in the rat model of peritoneal dialysis, chronic exposure of the peritoneum to PDFs with low GDPs and a physiologic pH diminished the intraperitoneal inflammatory reaction induced by dialysis, and reduced peritoneal fibrosis.

Relationships between health professionals and pharmaceutical manufacturers can unduly influence clinical practice. These relationships are the focus of global transparency efforts, including in Europe. We conducted a descriptive content analysis of the transparency provisions implemented by February 2017 in nine European Union (EU) countries concerning payments to health professionals, with duplicate independent coding of all data. Using an author-generated, semi-structured questionnaire, we collected information from each disclosure policy/code on: target industries, categories of healthcare professionals covered, scope of payments included, location and searchability of the disclosed data. Our analysis shows that although important improvements have been put in place in the past few years, significant gaps remain in disclosure requirements and their implementation. The situation differs substantially from country to country and the most striking differences are between governmental and self-regulatory approaches, especially with regard to the comprehensiveness of the disclosed data. In many cases, individuals can still opt out and reporting is incomplete, with common influential gifts such as food and drink excluded. Finally, in several countries data are only available as separate PDFs from companies, thus making the payment reports difficult to access and analyse. In order to overcome these gaps, minimum standards for disclosures should be implemented across Europe. All payments to healthcare professionals and organizations should be included, all health-related industries should be required to submit reports, and usability of disclosed data should be guaranteed.