Novel multiphoton microscopy probe and feasibility study for colon cancer: Probe on trace elements–related antioxidant

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Background: Multiphoton microscopy (MPM) has gained increasing popularity during the past few years because of the distinct advantages over single-photon microscopy, which includes increased penetration depth and low out-of-focus photodamage. However, there had been no report on multiphoton probes for malignancy. Previous studies reported that Zn and Cu ions which are co-factor of antioxidants such as superoxide dismutase (SOD), altered in malignancy tissue. The aim of this study was to evaluate application of the multiphoton (MP) probe of Zn and Cu for colon cancer tissues.

Methods: We monitored the Zn/Cu ions in the colon cancer cell lines with multiphoton probe Microscopy. The multiphoton probe AZn2+ (C38H38N6O3) and ACu+ (C34H47N3O3S4), we developed and obtained the patent on it, were stained in live cancer cell lines. The tissues of colon cancer, adenoma and normal mucosa were obtained by biopsy during colonoscopy. Then the tissues were stained with 20μM of the MP probes for Zn/Cu ions. The distribution and concentration of zinc and copper ions were monitored by MPM by following the change in MPEF along the depth of tissue.

Results: The majority of Zn2+ and Cu+ ions distributed in cytosole. The average multi-photon excited fluorescence (MPEF) intensities due to Cu, Zn, and Cu/Zn ratio were remarkably different between the normal mucosa and adenoma/adenocarcinoma tissues. The Zn2+ content was significantly lower and the Cu2+ content was significantly higher to result in a much lower the Zn/Cu ratio in adenoma/adenocarcinoma than in normal mucosa tissues.

Conclusions: We have obtained multiphoton microscopy images of normal and cancer cell lines as well as mucosa and adenoma/adenocarcinoma tissues labeled with newly developed MP probes AZn1 and ACu1.

No significant financial relationships to disclose.

Biosorption of nanoparticles to heterotrophic wastewater biomass

Sorption to activated sludge is a major removal mechanism for pollutants, including manufactured nanoparticles (NPs), in conventional activated sludge wastewater treatment plants. The objectives of this work were to (1) image sorption of fluorescent NPs to wastewater biomass; (2) quantify and compare biosorption of different types of NPs exposed to wastewater biomass; (3) quantify the effects of natural organic matter (NOM), extracellular polymeric substances (EPS), surfactants, and salt on NP biosorption; and (4) explore how different surface functionalities for fullerenes affect biosorption. Batch sorption isotherm experiments were conducted with activated sludge as sorbent and a total of eight types of NPs as sorbates. Epifluorescence images clearly show the biosorption of fluorescent silica NPs; the greater the concentration of NPs exposed to biomass, the greater the quantity of NPs that biosorb. Furthermore, biosorption removes different types of NPs from water to different extents. Upon exposure to 400 mg/L total suspended solids (TSS) of wastewater biomass, 97% of silver nanoparticles were removed, probably in part by aggregation and sedimentation, whereas biosorption was predominantly responsible for the removal of 88% of aqueous fullerenes, 39% of functionalized silver NPs, 23% of nanoscale titanium dioxide, and 13% of fullerol NPs. Of the NP types investigated, only aq-nC(60) showed a change in the degree of removal when the NP suspension was equilibrated with NOM or when EPS was extracted from the biomass. Further study of carbonaceous NPs showed that different surface functionalities affect biosorption. Thus, the production and transformations in NP surface properties will be key factors in determining their fate in the environment.

Applicability of quantitative PCR for determination of removal efficacy of enteric viruses and Cryptosporidium by water treatment processes

This study aims to assess the applicability of quantitative PCR (qPCR) for removal studies of adenovirus, coxsackievirus, echovirus and Cryptosporidium by water treatment processes. Bench-scale coagulation jar tests were performed using the enteric viruses and Cryptosporidium. Standard methods (conventional cell-culture methods for the viruses and an immunofluorescence assay (IFA) for Cryptosporidium) were used to compare to qPCR. A significant correlation between microbial removals determined by qPCR and the standard detection methods and an approximate 1:1 correlation were observed for the challenge microorganisms. The results indicated that qPCR could be a satisfactory alternate for microbial removal studies using a relative quantification approach.

Development and validation of an integrated cell culture-qRTPCR assay for simultaneous quantification of coxsackieviruses, echoviruses, and polioviruses in disinfection studies

This study demonstrated the applicability of integrated cell culture-quantitative RTPCR (ICC-qRTPCR) for the simultaneous quantification of coxsackievirus, echovirus, and poliovirus in disinfection studies. Buffalo green monkey cells were inoculated with a 10-fold dilution series of mixed enteroviruses and incubated prior to qRTPCR quantification. Optimal assay conditions included three post infection washes and a 24-hour post infection incubation period based on successful differentiation between infectious and noninfectious viruses and significant and consistent viral replication rates. Ultraviolet disinfection studies were performed to validate the ICC-qRTPCR assay. Using the optimized assay, three-log microbial inactivation was achieved at UV doses of 30-44, 28-42, and 28-29 mJ/cm(2) for coxsackievirus B6, echovirus 12, and poliovirus 1, respectively. These results compare favorably to side-by-side assessments using conventional cultural techniques and values previously reported in the literature. This indicates that ICC-qRTPCR is a practical alternative for the simultaneous quantification of enteroviruses in disinfection studies.

Identification of microbial faecal sources in the New River in the United States-Mexican border region

Water samples were analysed to differentiate human and animal faecal contamination of the New River, Mexico/USA, by genotyping bacterial viruses detected in the samples. From 46 water samples collected from the New River, 372 plaques of male-specific coliphages were isolated and genotyped; 44% of the plaques were identified as F-RNA coliphages and further characterized into four groups. Group I was the most prevalent (56%), followed by group IV (25%), group III (10%) and group II (9%). Group III coliphages were only detected at the sampling site in the vicinity of the international boundary, indicating human faecal contamination. As the New River traverses through the US region, groups I and IV coliphages were predominantly identified, but no human-specific genotypes were detected. The study also found that water temperature influenced the prevalence of the relative proportions of F-RNA coliphages in the environmental water samples. The strategy used in this study appears to be a practical and reliable tool for monitoring and distinguishing between human and animal faecal contamination.

A comparison of pilot-scale photocatalysis and enhanced coagulation for disinfection byproduct mitigation

This study evaluated pilot-scale photocatalysis and enhanced coagulation for their ability to remove or destroy disinfection byproduct (DBP) precursors, trihalomethane (THM) formation potential (FP), and THMs in two Arizona surface waters. Limited photocatalysis (<5 kWh/m(3)) achieved reductions in most of the DBP precursor parameters (e.g., DOC, UV(254), and bromide) but led to increased chlorine demand and THMFP. In contrast, enhanced coagulation achieved reductions in the DBP precursors and THMFP. Extended photocatalysis (<320 kWh/m(3)) decreased THMFP once the energy consumption exceeded 20 kWh/m(3). The photocatalytic energy requirements for THM destruction were considerably lower (EEO=20-60 kWh/m(3)) than when focusing on precursor destruction and THMFP. However, rechlorination increased the total THM (TTHM) concentration well beyond the raw value, thereby negating the energy benefits of this application. Enhanced coagulation achieved consistent 20-30% removals of preformed THMs. Outstanding issues need to be addressed before TiO(2) photocatalysis is considered feasible for DBP mitigation; traditional strategies, including enhanced coagulation, may be more appropriate.

Riverbank filtration: comparison of pilot scale transport with theory

Pilot-scale column experiments were conducted in this study using natural soil and river water from Ohio river to assess the removal of microbes of size ranging over 2 orders of magnitude, i.e., viruses (0.025-0.065 microm), bacteria (1-2 microm), and Cryptosporidium parvum oocysts (4-7 microm) under conditions representing normal operation and flood scour events. Among these different organisms, the bacterial indicators were transported over the longest distances and highest concentrations; whereas much greater retention was observed for smaller (i.e., viral indicators) and larger (i.e., Cryptosporidium parvum oocysts) microbes. These results are in qualitative agreement with colloid filtration theory (CFT) which predicts the least removal for micrometer size colloids, suggesting that the respective sizes of the organisms was a dominant control on their transport despite expected differences in their surface characteristics. Increased fluid velocity coupled with decreased ionic strength (representative of major flood events) decreased colloid retention, also in qualitative agreement with CFT. The retention of organisms occurred disproportionately near the source relative to the log-linear expectations of CFT, and this was true both in the presence and absence of a colmation zone, suggesting that microbial removal by the RBF system is not necessarily vulnerable to flood scour of the colmation zone.

UV inactivation of adenovirus type 4 measured by integrated cell culture qPCR

Recent changes to water quality regulations may increase the prevalence of ultraviolet (UV) disinfection in water treatment applications. Adenoviruses currently pose a tremendous challenge to UV disinfection due to the high dose requirements for inactivation. This study validates a strategy combining cell culture and quantitative polymerase chain reaction (qPCR) for direct quantification of infectious adenoviruses in disinfection studies. Using primary liver carcinoma cell monolayers grown in well trays or flasks, post-infection washing, and a 24-hr incubation period, the time and material requirements for the infectivity assays were reduced significantly in comparison to traditional assays based on cytopathogenic effects. With this integrated cell culture quantitative PCR (ICC-qPCR) strategy, a standard curve was used to quantify infectious adenoviruses and ultimately determine relative inactivation for a disinfection study. Using ICC-qPCR, UV doses of approximately 10, 34, 69, and 116 mJ/cm(2) corresponded to 1, 2, 3, and 4-log inactivation of adenovirus 4 in water, respectively. The results indicate that the new ICC-qPCR strategy represents a practical alternative for the quantification of adenoviruses in disinfection studies.

Treatability of U.S. Environmental Protection Agency contaminant candidate list viruses: removal of coxsackievirus and echovirus using enhanced coagulation

Enhanced coagulation was evaluated for removal efficacy of coxsackievirus and echovirus (Contaminant Candidate List [CCL] enteroviruses), poliovirus, four potential surrogate bacteriophages, and dissolved organic carbon (DOC). Viruses and DOC were effectively removed using enhanced coagulation, with removals generally improving as dose increased and pH decreased. Optimal enhanced coagulation conditions of 40 mg/L FeCl3 and pH between 5 and 6.5 resulted in a maximum removal of 3.0 logs of coxsackievirus B6, 1.75 logs of echovirus 12, 2.5 logs of poliovirus 1, 1.8 logs of fr, 1.3 logs of phi-X174, 0.36 logs of MS2, 0.29 logs of PRD1, and 41% DOC. Bacteriophages fr and phi-X174 appear to be the most representative surrogates for the physical removal of coxsackievirus, while MS2 and PRD1 are more conservative. For echovirus, MS2 and PRD1 appearto bethe most appropriate surrogates. The relative removal profiles of the enteroviruses (greatest removal of coxsackievirus followed by poliovirus and then echovirus) suggest that studies of the physical removal of poliovirus may be extended to the CCL enteroviruses. These results contribute to evaluations of the CCL and regulatory status of coxsackievirus and echovirus and aid in building a database of the treatment efficiencies of enteroviruses and their surrogates.

Photocatalytic inactivation of viruses using titanium dioxide nanoparticles and low-pressure UV light

The carcinogenic potential of chlorine disinfection by-products and recent changes in water quality regulations have led to a greater emphasis on alternative disinfection mechanisms. In this study, the efficacy of bench-scale and pilot-scale titanium dioxide (TiO(2)) photocatalytic disinfection was explored using four bacteriophages (MS2, PRD1, phi-X174, and fr). The optimized bench-scale experiments indicated that 1 mg/L of Degussa P25 TiO(2) irradiated by low-pressure ultraviolet (UV) light reduced the dose requirements for viral inactivation in comparison to UV light alone. The highest UV dose reductions for 4-log inactivation of PRD1, MS2, phi-X174, and fr were 19%, 15%, 6%, and 0%, respectively. Bench-scale photocatalysis was inhibited by limited adsorption of the viruses onto the TiO(2) nanoparticles, as indicated by the poor results for high TiO(2) concentrations. Subsequently, pilot-scale experiments were completed using the Photo-Cat Lab from Purifics. The annular reactor configuration and increased viral adsorption dramatically improved photocatalytic inactivation for samples with high TiO(2) concentrations. Using the Photo-Cat Lab, 2-log inactivation of the bacteriophages was achieved with 400 mg/L of Degussa P25 TiO(2) and a UV dose of approximately 34 mJ/cm(2) (energy consumption of 0.33 kWh/m(3))-a 700-fold decrease in energy use compared to bench-scale photocatalysis.

Regulation of M2-type pyruvate kinase mediated by the high-affinity IgE receptors is required for mast cell degranulation

BACKGROUND AND PURPOSE

M2-type pyruvate kinase (M2PK) was found to interact directly with the 'ITAM' region of the gamma chain of the high-affinity IgE receptor (FcvarepsilonRI). Our hypothesis was that mast cell degranulation might require the FcvarepsilonRI-mediated inhibition of M2PK activity.

EXPERIMENTAL APPROACH

In rat basophilic leukaemia (RBL-2H3) cells, the effects of directly inhibiting M2PK or preventing the FcvarepsilonRI-mediated inhibition of M2PK (disinhibition) on degranulation was measured by hexosaminidase release. Effects of blocking the FcvarepsilonRI-mediated inhibition of M2PK was also assessed in vivo in a mouse model of allergen-induced airway hyper-responsiveness.

KEY RESULTS

Activation of FcvarepsilonRI in RBL-2H3 cells caused the rapid phosphorylation of tyrosine residues in M2PK, associated with a decrease in M2PK enzymatic activity. There was an inverse correlation between M2PK activity and mast cell degranulation. FcvarepsilonRI-mediated inhibition of M2PK involved Src kinase, phosphatidylinositol 3-kinase, PKC and calcium. Direct inhibition of M2PK potentiated FcvarepsilonRI-mediated degranulation and prevention of the FcvarepsilonRI-mediated inhibition of M2PK attenuated mast cell degranulation. Transfection of RBL-2H3 cells with M1PK which prevents FcvarepsilonRI-induced inhibition of M2PK, markedly reduced their degranulation and exogenous M1PK (i.p.) inhibited ovalbumin-induced airway hyper-responsiveness in vivo.

CONCLUSIONS AND IMPLICATIONS

We have identified a new control point and a novel biochemical pathway in the process of mast cell degranulation. Our study suggests that the FcvarepsilonRI-mediated inhibition of M2PK is a crucial step in responses to allergens. Moreover, the manipulation of glycolytic processes and intermediates could provide novel strategies for the treatment of allergic diseases.

Long-term study of Cryptosporidium and Giardia occurrence and quantitative microbial risk assessment in surface waters of Arizona in the USA

A four-year systematic study of microbial water quality in the surface waters of central Arizona was performed. The objectives of this study were to investigate the occurrence of microbial pathogens and indicators in the waters. A total of 192 water samples from five sites were analyzed for Cryptosporidium, Giardia, and various microbial and physical indicators. Ten percent (16/162) of the samples collected using EnviroChek filters were positive for Cryptosporidium oocysts, whereas no oocysts (<1 in 5 L) were detected in the grab samples (0/30). Giardia cysts were detected in 10% (3/30) of the grab samples and in 27% (44/162) samples collected using EnviroChek filters. Mean concentrations of oocysts in the source waters at the treatment plants were lower than the Bin 1 category of the USEPA Long Term 2 Enhanced Surface Water Treatment Rule; therefore no additional treatment is required by the plants. The annual risks of infection from Cryptosporidium met the annual acceptable risk of 10(-4) at all sampling sites, whereas the risks of Giardia infection at the Verde River and the Salt River were 5.70E-04 and 2.66E-04, respectively.

Photocatalytic inactivation of Cryptosporidium parvum with TiO(2) and low-pressure ultraviolet irradiation

This study investigated the efficacy of low-pressure ultraviolet (UV) irradiation and the synergistic effect of UV/titanium dioxide (TiO(2)) photocatalysis on Cryptosporidium parvum oocyst inactivation. At UV doses of 2.7, 8.0, and 40mJ/cm(2), oocyst inactivation was 1.3, 2.6, and 3.3log(10), respectively. Reactive oxygen species (ROS) generated by longwave UV radiation (>315nm) and TiO(2) achieved less than 0.28-log inactivation. However, the synergistic effect of germicidal (254nm) UV and TiO(2) resulted in 2-log and 3-log oocyst inactivation with 4.0 and 11.0mJ/cm(2), respectively. Therefore, using TiO(2) in combination with UV reduced the dose requirement for 3-log inactivation by 56%. An approximate 1-log decrease in inactivation of oocysts was observed with nanopure water in comparison to buffered water, whereas changes in pH from 6 to 8 had little effect on the photocatalytic inactivation of oocysts in either matrix (P>0.1).

Removal of adenovirus, calicivirus, and bacteriophages by conventional drinking water treatment

This study was conducted to evaluate the removal of adenovirus, feline calicivirus (FCV), and bacteriophages MS-2, fr, PRD-1, and Phi X-174 during conventional drinking water treatment using ferric chloride as a coagulant. Adenovirus and FCV were removed to a greater extent than PRD-1 and Phi X-174, indicating that these bacteriophages may be appropriate surrogates for both adenovirus and FCV. Of the four bacteriophages studied in the pilot plant, MS-2 was removed to the greatest extent (5.1 log), followed by fr (4.9 log), PRD-1 (3.5 log), and Phi X-174 (1.3 log). The virus removal trend in the pilot-scale testing was similar to the bench-scale testing; however, the bench-scale testing seemed to provide a conservative estimate of the pilot plant performance. In the pilot-scale testing, MS-2 and fr were removed with the greatest efficiency during filtration, whereas PRD-1 and Phi X-174 showed the greatest removal during sedimentation.

Glial activation and matrix metalloproteinase release in cerebral malaria

Although neurological symptoms associated with cerebral malaria (CM) are largely reversible, recent studies suggest that lasting neurological sequelae can occur. This may be especially true for children, in whom persistent deficits include problems with memory and attention. Because the malaria parasite is not thought to enter the brain parenchyma, lasting deficits are likely related to factors including the host response to disease. Studies with a rodent model, and with human postmortem tissue, suggest that glial activation occurs with CM. In this review, the authors will highlight studies focused on such activation in CM. Likely causes will be discussed, which include ischemia and activation of blood brain barrier endothelial cells. The potential consequences of glial activation will also be discussed, highlighting the possibility that glial-derived proteinases contribute to structural damage of the central nervous system (CNS). Of note, for the purposes of this focused review, glial activation will refer to the activation of astrocytes and microglial cells; discussion of oligodendroglial cells will not be included. In addition, although events thought to be critical to the pathogenesis of CM and glial activation will be covered, a comprehensive review of cerebral malaria will not be presented. Excellent reviews are already available, including Coltel et al (2004; Curr Neurovasc Res 1: 91-110), Medana and Turner (2006; Int J Parasitol 36: 555-568), and Hunt et al (2006; Int J Parasitol 36: 569-582).

Multicenter phase II study of docetaxel plus oxaliplatin combination chemotherapy in patients with advanced gastric cancer

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Background: The present study was conducted to evaluate the efficacy and safety of a combination regimen of docetaxel plus oxaliplatin in patients with advanced gastric cancer. Methods: Patients with previously untreated metastatic or recurrent, measurable gastric cancer received intravenous docetaxel 65 mg/m2 plus oxaliplatin (Oxalpla®, Yuhan.Co. Seoul, Korea) 120 mg/m2 on days 1 in a 3-week cycle. Treatment was continued until disease progression, patient refusal, or an unacceptable toxicity up to 9 cycles. Results: Forty-two patients were enrolled in the current study. Of these, 39 were assessable for efficacy and 41 assessable for toxicity. Seventeen partial responses were confirmed, giving an overall response rate of 40.5% (95% CI: 26.0% to 54.1%, intention-to-treat analysis). At a median follow-up of 160.5 days, the median time to progression was 6.1 months, whereas median overall survival was not reached yet. Grade 3/4 neutropenia occurred in 10 patients, plus febrile neutropenia was observed in 3 patients. Most common non-hamatologic toxicity was nausea (grade 1/2 56.9%). There were two treatment-related deaths. Conclusions: Docetaxel and oxaliplatin combination was found to be well-tolerated and effective in patients with advanced gastric cancer. Accordingly, this regimen can be regarded as an important first-line treatment option for advanced gastric cancer.

No significant financial relationships to disclose.

Efficacy of removal of CCL viruses under enhanced coagulation conditions

The focus of coagulation as a water treatment process is shifting to accommodate recent regulatory additions that strive to balance the risks between microbial and chemical contamination of drinking water. In this work, enhanced coagulation using increased ferric chloride dose and/or pH adjustment was evaluated for removal efficacy of viruses on the United States Environmental Protection Agency (USEPA) Contaminant Candidate List (CCL), their surrogates, and dissolved organic carbon (DOC). Jar tests demonstrated that optimal DOC removal was achieved using 40 mg/L FeCl3 at a pH between 5 and 6. Under these conditions, bench-scale testing resulted in a maximum removal of 2.58 log units of adenovirus type 4, 2.50 log units of feline calicivirus, 2.32 log units of MS2, 1.75 log units of PRD1, 1.52 log units of phi-X174, 2.49 log units of fr, and 56% of DOC. The trend in virus removals (MS2 and fr > PRD1 and phi-X174) was consistent between bench- and pilot-scale testing; however, pilot-plant removals exceeded bench-scale removals. Feline calicivirus was more efficiently removed than the bacteriophages, thereby suggesting potential for the bacteriophages as suitable surrogates, with MS2 and fr being more representative and PRD1 and phi-X174 (which were removed to a lesser extent) more conservative. The bacteriophages do not appear to be appropriate surrogates for adenovirus.

Assessment of the risk of infection by Cryptosporidium and Giardia in non-potable reclaimed water

Quantitative risk assessment for Cryptosporidium oocysts and Giardia cysts was performed to determine the public health significance of non-potable use of tertiary treated reclaimed water. Seven reclaimed water treatment plants in the southwestern United States participated in this study. The average public exposure to oocysts and cysts was estimated, based on concentrations, recovery efficiency, viability and three exposure scenarios. The exponential dose-response model was chosen to determine the probability of infection from ingestion of various numbers of oocysts and cysts. The risks of infection for Giardia were approximately one or two orders of magnitude higher than those for Cryptosporidium. The combined risks of infection from oocysts and cysts at sites using a combination of chlorination and UV disinfection would meet the annual acceptable risk of 1.00E-04, whereas those at the other utilities using only chlorination indicated higher probability of infection than the 1.00E-04 resulting from accidental consumption of a small amount of non-potable reclaimed water.

Community structure and function in a H2-based membrane biofilm reactor capable of bioreduction of selenate and chromate

Two different H(2)-based, denitrifying membrane-biofilm reactors (MBfRs) initially reduced Se(VI) or Cr(VI) stably to Se(0) or Cr(III). When the oxidized contaminants in the influent were switched, each new oxidized contaminant was reduced immediately, and its reduction soon was approximately the same or greater than it had been in its original MBfR. The precipitation of reduced selenium and chromium in the biofilm was verified by scanning electron microscopy and energy dispersive X-ray analysis. These results on selenate and chromate reduction are consistent with the interpretation that the H(2)-based biofilm community had a high level of functional diversity. The communities' structures were assessed by cloning analysis. Dechloromonas spp., a known perchlorate-reducing bacteria, dominated the clones from both reactors during selenate and chromate reductions, which suggests that it may have functional diversity capable of reducing selenate and chromate as secondary and dissimilatory acceptors.

Removal and inactivation of Cryptosporidium and microbial indicators by a quaternary ammonium chloride (QAC)-treated zeolite in pilot filters

A set of pilot filters packed with Zeolite filter media treated with a quaternary ammonium chloride (QAC) were evaluated to verify the proof of concept of their combined antimicrobial capabilities. Escherichia coli was removed and inactivated the most (2.83 log), followed by MS-2 (2.75 log), Klebsiella terriena (2.21 log), PRD-1 (1.95 log), Chlorella vulgaris (1.92 log), and Cryptosporidium parvum oocysts (1.78 log). Especially, inactivation of C. parvum oocysts (1.19 log) was higher than physical removal (0.54 log). The data suggest that QAC-treated Zeolite in the pilot filters has microbial inactivation capabilities and may have useful applications in other types of filter media.

Microbial characterization and population changes in nonpotable reclaimed water distribution systems

Changes in the microbial quality of nonpotable reclaimed water distribution systems in seven metropolitan areas of the southwestern United States were investigated by performing pathogen monitoring and bacterial growth. Water samples were collected from tertiary-treated effluents at point of entry and point of use in the distribution systems. The samples were analyzed for Cryptosporidium oocysts, Giardia cysts, enteroviruses, microbial indicators, and assimilable organic carbon (AOC). Cryptosporidium and Giardia were detected in 16% (12/77) and 43% (33/77) of nonpotable reclaimed water samples, whereas no infectious Cryptosporidium parvum were detected in any of the samples. No infectious enteroviruses were detected in any sample (0/27). At point of entry total coliform and fecal coliforms ranged from 0.7 to 280 and from 0 to 1.9 colony-forming units (cfu)/100 mL, respectively. Increases in the number of coliforms were observed as water passed through the reclaimed water distribution systems. However, no such increase in the number of coliphages was found. The chlorination practices at some utilities were not sufficient to inactivate coliforms and coliphages, but supplemental ultraviolet disinfection resulted in lower numbers of these microbial indicators. AOC levels decreased by 3-fold as water passed through the distribution systems, which inversely correlated with bacterial regrowth.

An assessment of water quality and microbial risk in Rio Grande Basin in the United States-Mexican border region

Increased reliance of urban populations on Rio Grande water has necessitated an expanded microbial surveillance of the river to help identify and evaluate sources of human pathogens, which could pose a public health risk. The objectives of this study were to investigate microbial and chemical water quality in Rio Grande water and to perform risk assessment analyses for Cryptosporidium. No oocysts in any of the ten-litre samples were detected. However, the limit of detection in the water samples ranged between 20 and 200 oocysts/100 L. The limits of detection obtained in this study would result in one to two orders of magnitude higher risk of infection for Cryptosporidium than the U.S.EPA annual acceptable risk level of 10(-4). The bacterial data showed the significance of animal farming and raw sewage as sources of fecal pollution. Male specific and somatic coliphages were detected in 52% (11/21) and 62% (24/39) of the samples, respectively. Somatic coliphages were greater by one order of magnitude, and were better correlated with total (r2 = 0.6801; p < or = 0.05) and fecal coliform bacteria (r2 = 0.7366; p < or = 0.05) than male specific coliphages. The dissolved organic carbon (DOC) and specific ultraviolet absorbance (SUVA) values ranged 2.58-5.59mg/L and 1.23-2.29 m(-1) (mg/I)(-1), respectively. Low SUVA values of raw water condition make it difficult to remove DOC during physical and chemical treatment processes. The microbial and chemical data provided from this study can help drinking water utilities to maintain balance between greater microbial inactivation and reduced disinfection by-products (DBPs) formation.

Frequency specific hearing improvement in microvascular decompression of the cochlear nerve

BACKGROUND

Microvascular compressions of the cochlear nerve can lead to hearing loss. Due to the tonotopic organization of the cochlear nerve any focal compression of the cochlear nerve will result in a frequency specific hearing loss. Decompressing the cochlear nerve could result in a frequency specific hearing improvement, without improving overall hearing.

METHOD

Thirty one patients underwent microvascular decompression operations of the vestibulocochlear nerve for vertigo or tinnitus. Preoperative audiograms were substracted from postoperative audiograms obtained 2 years after microvascular decompression. The frequencies of maximal hearing improvement postoperatively were determined.

FINDINGS

Of the 31 patients studied, 19 had improvements of 5 dB or more at one or more frequencies postoperatively, and 15 patients had improvements of 10 dB or more. Three patients had improvements of 25 dB or more postoperatively. The postoperative hearing improvement was frequency-specific and related to the anatomical location of the vascular contact on the auditory nerve. The improvement of hearing becomes diluted when the difference between pre- and postoperative hearing thresholds are averaged over all audiometric frequencies. We therefore present results for each frequency that was tested.

CONCLUSIONS

Microvascular decompression of the cochlear nerve can improve hearing in selected patients. The improvement seems too small to justify decompressive surgery for the sole purpose of hearing improvement, but it could be considered if associated short vertigo spells, ipsilateral tinnitus, otalgia and cryptogenic hemifacial spasm are present. Decompression should be performed early, before BAEP changes become noticeable. 3D-MRI could become a valuable tool for selecting good surgical candidates.

Waveguides, resonators and their coupled elements in photonic crystal slabs

The design, fabrication, and measurement of photonic-band-gap (PBG) waveguides, resonators and their coupled elements in two-dimensional photonic crystal (PhC) slabs have been investigated. We have studied various loss mechanisms in PBG waveguides and have achieved a very low propagation loss (~1 dB/mm). For these waveguides, we have observed a large group delay (>100 ps) by time-domain measurement. As regards PBG resonators, we realize very high-Q and small volume resonators in PhC slabs by appropriate design. Finally, we demonstrate various forms of coupled elements of waveguides and resonators: 2-port resonant-tunneling transmission devices, 4-port channel-drop devices using the slow light mode, and 3-port channel-drop devices using the resonant-tunneling process.

Removal of Encephalitozoon intestinalis, calicivirus, and coliphages by conventional drinking water treatment

The removal of the Microsporidia, Encephalitozoon intestinalis, feline calicivirus and coliphages MS-2, PRD-1, and Fr were evaluated during conventional drinking water treatment in a pilot plant. The treatment consisted of coagulation, sedimentation, and mixed media filtration. Fr coliphage was removed the most (3.21 log), followed by feline calicivirus (3.05 log), E. coli (2.67 log), E. intestinalis (2.47 log), MS-2 (2.51 log). and PRD-1 (1.85 log). With the exception of PRD-1 the greatest removal of the viruses occurred during the flocculation step of the water treatment process.

Qi therapy as an intervention to reduce chronic pain and to enhance mood in elderly subjects: a pilot study

Qi therapy (or external Qi) is an oriental complementary therapy preventing, curing disease and strengthens health and improving the human potentiality through regulation of body. It is increasingly being used to improve the quality of life, but there is little direct evidence of its efficacy. This study assessed the effects of Qi therapy (QT) on reducing pain and enhancing mood states in elderly subjects with chronic pain. We studied 40 elderly participants with chronic pain, who were randomly allocated to receive QT (n=20) or standard care (n=20). The experimental group receives Qi therapy twice a week for 2 weeks (total 4 times), and control group received general care at the same time and the same amount of duration. We measured pain level and Profile of Mood State (POMS) to explore participants' response to Qi therapy. There was a significant reduction in pain (p<0.0001) after QT and an improved positive mood state (p<0.0001). These findings suggest that Qi therapy may have a role in helping the elderly to cope with their pain and mood disturbances.

Korean American health insurance and health services utilization

The purpose of this ethnic group study was to describe the unique pattern of Korean Americans, as compared with the aggregate of Asian Americans, for: (a) the predisposing, enabling, and need factors for health service utilization, focusing specifically on the role of health insurance coverage; and (b) predictors of health insurance coverage. Using the behavioral model for health service utilization, data were selected from the 1992 National Health Insurance Survey (NHIS, 1994) for Korean Americans (n = 345) and Asian Americans (n = 3,059). Results differed between the Korean American group and the Asian American group. Health insurance coverage was the strongest predictor of Korean American utilization, and need factors lacked significance, suggesting that uninsured Korean Americans have less access regardless of need. For the aggregate Asian American group, need factors tempered the influence of health insurance on utilization. Results of this type of study may be helpful for designing and implementing health care services tailored for specific ethnic at-risk markets.

Abnormal exploratory eye movements in schizophrenic patients vs healthy subjects

OBJECTIVE

We examined previously described exploratory eye movements abnormalities as biologic markers in schizophrenic patients in comparison with age-matched healthy subjects.

MATERIAL AND METHODS

Using an eye-mark recorder, eye movements were analysed for mean gazing time, total number of gazing points, mean eye scanning length, total eye scanning length, and total gazing times as subjects viewed six simple pictures in preparation for copying them.

RESULTS

In-patients, and to a lesser extent, out-patients, with schizophrenia showed a longer gazing time, fewer gazing points, a shorter mean and total eye scanning length. and longer gazing time than healthy subjects. In schizophrenic patients. negative symptom scores were positively correlated with mean gazing time (r = 0.33), and negatively correlated with the total number of gazing points (r = -0.29) as well as, the mean (r = -0.40) and total scanning length (r = -0.46).

CONCLUSION

Exploratory eye movements are a biologic marker useful for evaluation of schizophrenia.

Effects of emitted Qi on in vitro natural killer cell cytotoxic activity

The present study investigated the effects of Korean Qi-therapy, ChunSoo Energy Healing, on natural killer (NK) cell cytotoxicity in vitro depending on Qi-treatment time and the types of cells treated. NK cell cytotoxicity was assayed by measuring LDH release from tumor target cells (K562 cell lines). NK activity was significantly increased by emitted-Qi treatment of 30 sec duration. Three and 5 minutes of Qi projection created the greatest increase in NK cell activity when mixtures of NK cells and K562 cells were treated (1.81 and 2.12 fold for 4 hr culture; 1.54 and 1.36 for 16 hr culture, respectively). NK cell activity increased significantly in Qi-treated K562 cells alone (1.13 fold, p<0.05) compared to control. These results are consistent with in vivo Qi-therapy on humans and suggests that emitted-Qi has an acute stimulatory effect on NK cell activity. This study provides direct scientific support that Qi as such may positively affect human cellular immunity.

Sequence-selective DNA binding drugs mithramycin A and chromomycin A3 are potent inhibitors of neuronal apoptosis induced by oxidative stress and DNA damage in cortical neurons

Global inhibitors of RNA or protein synthesis such as actinomycin D or cycloheximide abrogate neuronal apoptosis induced by numerous pathological stimuli in vitro and in vivo. The clinical application of actinomycin D or cycloheximide to human neurological disease has been limited by the toxicities of these agents. To overcome these toxicities, strategies must be developed to inhibit selectively the expression of deleterious proapoptotic proteins, while leaving the expression of antiapoptotic, proregeneration, and other critical homeostatic proteins unperturbed. Mithramycin A (trade name Plicamycin) is an aureolic acid antibiotic that has been used in humans to treat hypercalcemia and several types of cancers. This class of agents is believed to act, in part, by selectively inhibiting gene expression by displacing transcriptional activators that bind to G-C-rich regions of promoters. Here we demonstrate that mithramycin A and its structural analog chromomycin A3 are potent inhibitors of neuronal apoptosis induced by glutathione depletion-induced oxidative stress or the DNA-damaging agent camptothecin. We correlate the protective effects of mithramycin A with its ability to inhibit enhanced DNA binding of the transcription factors Sp1 and Sp3 to their cognate "G-C" box induced by oxidative stress or DNA damage. The protective effects of mithramycin A cannot be attributed to global inhibition of protein synthesis. Together, these results suggest that mithramycin A and its structural analogs may be effective agents for the treatment of neurological diseases associated with aberrant activation of apoptosis and highlight the potential use of sequence-selective DNA-binding drugs as neurological therapeutics.

Cnidicin, a coumarin, from the root of Angelica koreana, inhibits the degranulation of mast cell and the NO generation in RAW 264.7 cells

Cnidicin (1) and five related coumarins were isolated from the root extract of Angelica koreana (Umbelliferae) as active principles responsible for the inhibitory effect on the degranulation process of cultured mast cells. Cnidicin (1) demonstrated a significant inhibition upon the release of beta-hexosaminidase from the cultured RBL-2H3 cells in a dose dependent manner (IC50 value, 25 microM) and upon the nitric oxide production from the activated RAW264.7 cells (IC50 value, 7.5 microM). In agreement with this, cnidicin inhibited the expression of nitric oxide synthase in RAW264.7 cells.

Usefulness of high-resolution magnetic resonance cisternography in patients with hemifacial spasm

To analyse the usefulness of preoperative magnetic resonance (MR) cisternography in patients with hemifacial spasm (HFS), MR observations were compared with surgical findings. High-definition images were obtained using MR cisternography which employed a long echo train length, fast spin-echo sequence, which revealed both nerves and blood vessels without any contrast media. In 35 HFS patients, certified radiologists examined the presence of vascular compression of the facial nerve and identified the offending vessels. MR cisternography depicted neurovascular compression in 31 patients (sensitivity 88.6%) and correctly determined the offending vessels in 28 patients. In 4 patients, MR cisternography revealed the presence of the vessel near the facial nerve, but the radiologist evaluated the compression as questionable (false-negative rate 11.4%). Even in these patients, MR cisternography revealed the precise anatomy of cerebellopontine (CP) cistern. High-resolution MR cisternography is useful in identifying the vessels and nerve bundles in the CP cistern, and in so doing can provide surgeons with valuable information regarding neurovascular decompression for HFS.

Escherichia coli strain RDEC-1 AF/R1 endogenous fimbrial glycoconjugate receptor molecules in rabbit small intestine

Escherichia coli strain RDEC-1 causes a diarrheagenic infection in rabbits with AF/R1 fimbriae, which have been identified as an important colonization factor in RDEC-1 adherence leading to disease. The AF/R1-mediated RDEC-1 adherence model has been used as a model systems for E. coli diarrheal diseases. In this study, RDEC-1 adhered specifically to small intestinal brush borders, with both sialic acid and beta-galactosyl residues apparently involved. The AF/R1-mediated adherence activity of [(14)C]-labeled RDEC-1 was analyzed quantitatively by using 24-well plates coated with purified brush borders and purified microvilli. Two microvillus membrane proteins (130 and 140 kDa) were individually isolated, and chicken antibody raised to each protein inhibited bacterial adherence. These same two proteins, previously shown to be recognized by AF/R1, were individually digested with trypsin, and the amino acid sequences of peptides were determined by reversed-phase capillary liquid chromatography-mass spectrometry tandem mass spectrometry (LC-MS). This LC-MS analysis indicated that these proteins are subunits of the rabbit sucrase-isomaltase protein (SI) complex. Guinea pig serum raised to purified rabbit SI complex inhibited bacterial adherence to microvilli. Additionally, as determined by high-performance thin-layer chromatography and autoradiography, RDEC-1 adhered selectively, via AF/R1 fimbriae, to a glycolipid tentatively identified as galactosylceramide (Gal beta 1-1Cer) in the lipid extract of rabbit small intestinal brush borders. RDEC-1 adherence to Gal beta 1-1Cer was partially inhibited in the presence of galactose. These combined results indicate that the endogenous receptor molecule for AF/R1 fimbriae of RDEC-1 is each individual component of the SI complex, although binding to glycolipid may be responsible for an additional adherence mechanism.

Regulation of neutrophil adhesion by pituitary growth hormone accompanies tyrosine phosphorylation of Jak2, p125FAK, and paxillin

Neutrophil adhesion is fundamentally important during the onset of inflammatory responses. The adhesion signaling pathways control neutrophil arrest and extravasation and influence neutrophil shape and function at sites of inflammation. In the present study the intracellular signaling pathways for the adhesion of human neutrophils by pituitary growth hormone (GH) were examined. Pituitary GH triggered the tyrosine phosphorylation of Janus kinase 2 (Jak2) and STAT3 in neutrophils. In addition, pituitary GH treatment resulted in the morphological changes and the tyrosine phosphorylation of focal adhesion kinase (p125FAK) and paxillin. Preincubation with genistein, a tyrosine kinase inhibitor, blocked the GH-stimulated adhesion and Jak2, STAT3, p125FAK, and paxillin phosphorylation. Confocal microscopy revealed that pituitary GH stimulates the focal localization of p125FAK, paxillin, phosphotyrosine, and filamentous actin filament into the membrane rufflings and uropods of human neutrophils. Immunoprecipitation experiments revealed a physical association of Jak2 with p125FAK via STAT3 in vivo. Also an in vitro kinase assay showed an augmentation of p125FAK autophosphorylation as a result of pituitary GH treatment. These results suggest that pituitary GH modulates neutrophil adhesion through tyrosine phosphorylation of Jak2, p125FAK, and paxillin and actin polymerization.

Modified partial hyperfractionation in radiotherapy for bulky uterine cervical cancer: reduction of overall treatment time

PURPOSE

The purpose of this study was to assess the feasibility and toxicity of modified fractionation of external beam radiation with the intention of reducing the overall treatment time (OT) by 1 week in cervical cancer.

METHODS AND MATERIALS

Thirty-one patients (Group 1, n = 31) with bulky cervical cancer (>/= 4 cm with Stage II and III, >/= 5 cm with Stage IB2) were entered into the twice a day (b.i. d.) protocol (18 Gy/10 fx in 2 weeks followed by 18 Gy/12 fx, b.i.d. in 6 days, then midline block at 36 Gy with 45 Gy to the whole pelvis and 51-59 Gy to the parametrium). These patients underwent high-dose-rate brachytherapy with 4 Gy/fx x 7 to point A, biweekly. During the same period, patients with non-bulky tumors (Group 2, n = 31) received conventional treatment and similar brachytherapy.

RESULTS

The OT of Group 1 was 7 weeks or less in 61.3%, 7.1-8 weeks in 29%, and more than 8 weeks in 9.7% (19.4%, 51.6%, and 29% in Group 2, respectively, p = 0.003). Incidences of acute complications and treatment breaks were similar in both groups. Late complication (rectal bleeding) occurred only in Group 1 (13%, 4/31), but was self-limited. Locoregional failures occurred within 2 years after completion of radiation therapy in both groups (16% and 13% in Group 1 and 2, respectively, with minimum and median follow-ups of 2 years and 34 months).

CONCLUSION

Partial hyperfractionation on the third week of radiation permitted patients to finish their treatment with shorter OT without excessive acute complications and with acceptable grade 2 late rectal bleeding complications. This treatment scheme may be an effective method for the improvement of local control of bulky cervical cancer.

Modulation of neuroendocrinological function by psychosomatic training: acute effect of ChunDoSunBup Qi-training on growth hormone, insulin-like growth factor (IGF)-I, and insulin-like growth factor binding protein (IGFBP)-3 in men

The neuroendocrine system is regarded as the major link between the psychological state and the immune system in man. The present study was undertaken to examine the acute effect of ChunDoSunBup Qi-training, a traditional psychosomatic training, on the plasma level of growth hormone (GH), insulin-like growth factor (IGF)-I and insulin like growth factor binding protein (IGFBP)-3 in young men. To characterize the plasma level of hormones and the pattern of IGFBP-3 at pre- (-10 min), mid-time (40 min), and immediately after (post-time, +10 min) Qi-training, radioimmunoassay (RIA) and western ligand blot (WLB) analysis were used. The plasma level of GH at the mid-time was significantly increased (P<0.05) compared to the level at pre-time of Qi-training. The plasma level of IGF-I was also increased at mid-time (P<0.05) and immediately after Qi-training. There was a significant correlation between the levels of GH and IGF-I immediately after Qi-training (r=0.69, P<0.01). In this study, the change of IGFBP-3 among the several IGFBPs was determined. There was a relative shift in IGFBP-3 for the 43-kDa fraction during mid-time of Qi-training (P<0.05). These results suggest that Qi-training influences the growth hormone, IGF-I and IGFBP-3 status via brain-target organ axis in men.

Effect of Qi-training on blood pressure, heart rate and respiration rate

To examine the physiological effects of Korean traditional Qi-training, we investigated the changes in blood pressure, heart and respiratory rates before, during and after ChunDoSunBup (CDSB) Qi-training. Twelve normal healthy CDSB Qi-trainees (19-37 years old; trained for 1.3 +/- 0.2 years; 9 men and 3 women) volunteered to participate in this study. Heart rate, respiratory rate, systolic blood pressure and rate-pressure product were significantly decreased during Qi-training. From these results, we suggest that CDSB Qi-training has physiological effects that indicate stabilization of cardiovascular system.

A simple technique for neurovascular decompression of the cranial nerves

Various synthetic materials and plastic adhesives are used for neurovascular decompression, but they may have some adverse effects on nervous tissue. We used fibrin glue alone for neurovascular decompression and obtained excellent results without complications or recurrence, compared with the previous technique with a prosthesis or plastic adhesive.