Search PubMed⌕ Search

Biomedical subjects

S Rangel

Publications and source records attributed to S Rangel.

10 recordsLinked to original sources

Long-term stability of a TLD-based individual monitoring system.

The thermoluminescence dosemeter (TLD) system at the Individual Monitoring Service (IMS) of the Nuclear Technology Institute (ITN) at the Radiological Protection and Nuclear Safety Department (DPRSN) comprises two 6600 Harshaw readers and the Harshaw 8814 TL card and the holder containing two LiF:Mg,Ti (TLD-100) dosemeters for the evaluation of H(p)(10) and H(p)(0.07). The readers are calibrated on a monthly basis and as part of the quality assurance programme implemented at the IMS a set of dosemeters is issued monthly to the DPRSN's Standard Dosimetry Laboratory for linearity measurements. The results obtained since November 2001 are presented. Fading and sensitivity change experiments are carried out every month covering 8 week periods so that enough time is given to simulate issuing, integrating and receiving times and respective delays. A set of 96 dosemeters organised in eight subsets of 12 are used. In each subset, four dosemeters are irradiated and stored at room temperature (RT), four are not irradiated at all and the last four are irradiated after storage. The 12 dosemeters of each subset are readout at the same time, one per week, covering the 8 week period. The results from the sets irradiated and stored at different periods allowed for the evaluation of fading and sensitivity changes experienced over the whole monitoring period and respective preparation time and readout delays. Time evolution charts of the reader calibration factors, of the linearity parameters and of the evolution of the integrated area in the region of dosimetric interest with storage at RT were obtained. This paper aims to quantify the long-term stability of the TLD system in use at the IMS.

Equipment Design↗

Implications of the high voltage induced variation on TL readings.

The high voltage (HV) induced variation on the thermoluminescence (TL) and on the reference light (RL) intensity was investigated in a previous work, which also allowed for the definition of warning levels for all the parameters of the readers' start up test. Based on the results obtained, a modification of the start up procedure was suggested: 'a 10 min warm up time was allowed prior to the beginning of the reader's start up tests. The actual and previous HV values should differ less than +/-5 V. In case it exceeds, a second test should be performed. If the difference exceeds +/-10 V, the voltage should be manually adjusted to the previous value and a calibration of the reader is needed. Should this occur for more than two successive days, maintenance should be called'. The results of the readers' start up tests obtained since the implementation of the start up procedure are analysed and the warning levels considered are discussed. Charts of the HV-induced variation on the TL and RL readings were obtained, compared with the preliminary results and the implications on the start up procedure are discussed.

Artifacts↗

Mapping Ds insertions in barley using a sequence-based approach.

A transposon tagging system, based upon maize Ac/Ds elements, was developed in barley (Hordeum vulgaresubsp. vulgare). The long-term objective of this project is to identify a set of lines with Ds insertions dispersed throughout the genome as a comprehensive tool for gene discovery and reverse genetics. AcTPase and Ds-bar elements were introduced into immature embryos of Golden Promise by biolistic transformation. Subsequent transposition and segregation of Ds away from AcTPase and the original site of integration resulted in new lines, each containing a stabilized Ds element in a new location. The sequence of the genomic DNA flanking the Ds elements was obtained by inverse PCR and TAIL-PCR. Using a sequence-based mapping strategy, we determined the genome locations of the Ds insertions in 19 independent lines using primarily restriction digest-based assays of PCR-amplified single nucleotide polymorphisms and PCR-based assays of insertions or deletions. The principal strategy was to identify and map sequence polymorphisms in the regions corresponding to the flanking DNA using the Oregon Wolfe Barley mapping population. The mapping results obtained by the sequence-based approach were confirmed by RFLP analyses in four of the lines. In addition, cloned DNA sequences corresponding to the flanking DNA were used to assign map locations to Morex-derived genomic BAC library inserts, thus integrating genetic and physical maps of barley. BLAST search results indicate that the majority of the transposed Ds elements are found within predicted or known coding sequences. Transposon tagging in barley using Ac/Ds thus promises to provide a useful tool for studies on the functional genomics of the Triticeae.

Base Sequence↗

The role of prospective randomized clinical trials in pediatric surgery: state of the art?

PURPOSE: This study sought to determine the role of randomized controlled trials (RCT) in the evolution of pediatric surgical practice. METHODS: The authors used a computer-assisted literature search to identify all clinical trials related to pediatric surgery published in the English-language literature from 1966 through 1999. Each article was reviewed in detail for purpose, content, conduct, and quality of the trial. The authors assessed quality with a previously validated instrument (Chalmers Qualitative Assessment). RESULTS: The authors identified 134 RCTs related to pediatric surgery over the past 33 years. This accounts for 0.17% of 80,377 articles published in the field. The areas of surgery studied were analgesia 65 (49%), antibiotics 17 (13%), extracorporeal membrane oxygenation (ECMO) 9 (7%), gastrointestinal, burns, oncology, minimally invasive surgery, vascular access, congenital anomalies, and trauma (each <5%). Only 16 (12%) trials compared 2 surgical therapies, 9 (7%) compared a medical versus a surgical therapy, and 109 (81%) compared 2 medical therapies in surgical patients. Fourteen (10%) RCTs were funded by peer-reviewed agencies. Only 17 (13%) RCTs included a biostatistician as an author or a consultant. Trial design included calculation of sample size and statistical power in 21 (16%) RCTs. Method of randomization was reported in only 51 (38%). The test statistic and observed probability value was reported in 15 (11%). CONCLUSIONS: Clinical trials are used infrequently to answer questions related to pediatric surgery. When RCTs are utilized, they often suffer from poor trial design, inadequate statistical analysis, and incomplete reporting. Pediatric surgery could benefit from increased expertise, funding, and participation in clinical trials.

California↗

Transposon-mediated single-copy gene delivery leads to increased transgene expression stability in barley.

Instability of transgene expression in plants is often associated with complex multicopy patterns of transgene integration at the same locus, as well as position effects due to random integration. Based on maize transposable elements Activator (Ac) and Dissociation (Ds), we developed a method to generate large numbers of transgenic barley (Hordeum vulgare var Golden Promise) plants, each carrying a single transgene copy at different locations. Plants expressing Ac transposase (AcTPase) were crossed with plants containing one or more copies of bar, a selectable herbicide (Basta) resistance gene, located between inverted-repeat Ds ends (Ds-bar). F(1) plants were self-pollinated and the F(2) generation was analyzed to identify plants segregating for transposed Ds-bar elements. Of Ds-bar transpositions, 25% were in unlinked sites that segregated from vector sequences, other Ds-bar copies, and the AcTPase gene, resulting in numerous single-copy Ds-bar plants carrying the transgene at different locations. Transgene expression in F(2) plants with transposed Ds-bar was 100% stable, whereas only 23% of F(2) plants carrying Ds-bar at the original site expressed the transgene product stably. In F(3) and F(4) populations, transgene expression in 81.5% of plants from progeny of F(2) plants with single-copy, transposed Ds-bar remained completely stable. Analysis of the integration site in single-copy plants showed that transposed Ds-bar inserted into single- or low-copy regions of the genome, whereas silenced Ds-bar elements at their original location were inserted into redundant or highly repetitive genomic regions. Methylation of the non-transposed transgene and its promoter, as well as a higher condensation of the chromatin around the original integration site, was associated with plants exhibiting transgene silencing.

Base Sequence↗

Volatile aldehydes are promising broad-spectrum postharvest insecticides.

A variety of naturally occurring aldehydes common in plants have been evaluated for their insecticidal activity and for phytotoxicity to postharvest fruits, vegetables, and grains. Twenty-nine compounds were initially screened for their activity against aphids on fava bean leaf disks. Application under reduced pressure (partial vacuum) for the first quarter of fumigation increased insecticidal activity severalfold. The 11 best aldehydes were assayed against aphids placed under the third leaf of whole heads of iceberg lettuce using the same two-tier reduced-pressure regime, which caused no additional detriment to the commodity over fumigation at atmospheric pressure. Phytotoxicity to naked and wrapped iceburg lettuce, green and red table grapes, lemon, grapefruit, orange, broccoli, avocado, cabbage, pinto bean, and rice at doses that killed 100% of aphids was recorded for three promising fumigants: propanal, (E)-2-pentenal, and 2-methyl-(E)-2-butenal. These three compounds have excellent potential as affordable postharvest insect control agents, killing 100% of the aphids with little or no detectable harm to a majority of the commodities tested. Preliminary assays indicate that similar doses are also effective against mealybugs, thrips, and whitefly.

Aldehydes↗

Laparoscopic repair of paraesophageal hiatal hernias.

BACKGROUND: Regardless of symptoms, paraesophageal hiatal hernias should be repaired in order to prevent complications. This study reports the University of California San Francisco experience with laparoscopic repair of paraesophageal hiatal hernias, emphasizing the technical steps essential for good results. PATIENTS AND METHODS: From May 1993 to September 1997, 55 patients, 27 women and 28 men, with a mean age of 67 years (range, 35-102 years) underwent laparoscopic repair of paraesophageal hernias at the University of California San Francisco. Symptoms, which had been present an average of 85 months before surgery, consisted mainly of pain (55%), heartburn (52%), dysphagia (45%), and regurgitation (41%). Of the four patients who presented with acute illness, two had gastric obstruction, one had severe dyspnea, and one had gastric bleeding. Endoscopy demonstrated esophagitis in 25 (69%) of 36 patients, and 24-hour pH-monitoring demonstrated acid reflux in 22 (67%) of 33 patients. Manometry detected severely impaired distal esophageal peristalsis in 17 (52%) of 33 patients. The preferred operation consisted of reduction of the hernia, excision of the sack and the gastric fat pad, closure of the enlarged hiatus without mesh, and construction of a fundoplication anchored by sutures within the abdomen. RESULTS: Of the 55 patients, the operations of 49 were completed laparoscopically using the following reconstructions: Guarner (270-degree) fundoplication (30 patients); Nissen fundoplication (10 patients); and gastropexy (9 patients). Five (9%) operations were converted to laparotomies. The average operating time was 219 minutes; the average blood loss was less than 25 mL; resumption of an unrestricted diet, 27 hours; and mean hospital stay, 58 hours. Intraoperative technical complications occurred in five (9%) patients. One patient died during surgery from a sudden pulmonary embolus. Two (4%) patients required a second operation for recurrent paraesophageal hernias. CONCLUSIONS: Laparoscopic repair of paraesophageal hiatal hernias is safe and effective, but the operation is difficult and good results hinge on details of the operative technique and the surgeon's experience. In this series, the crus could always be closed securely without using mesh. We realized early that a fundoplication should be a routine step, because it corrects reflux and is the best method to secure the gastroesophageal junction in the abdomen.

Adult↗

Assessing a virtual reality surgical skills simulator.

The Institute for Defense Analyses (IDA) was contracted to perform a military standard task analysis of laparoscopic cholecystectomy, and to study the effectiveness of a virtual reality surgical skills simulator as a tool for surgical training and as a method for recording psychomotor behavior. This report describes the purpose of the study, its design, initial results, and implications for the field of medical education.

Cholecystectomy, Laparoscopic↗

Early odor preference training increases olfactory bulb norepinephrine.

In vivo microdialysis sampling of the olfactory bulbs of awake rats on PND 3 revealed that olfactory stimulation alone does not alter extracellular norepinephrine (NE) levels. Tactile stimulation that is designed to mimic maternal interactions with the young does increase bulb NE and the combined odor and tactile stimulation further increases NE levels. These data are consistent with a critical role for NE in the development of early olfactory preferences in infant rats, induced by odor/tactile stimulation pairings. PND 10 odor/tactile stimulation does not evoke an increase in NE, data consistent with the finding that odor preference training of this kind is ineffective after about the first week of life. Oral infusion of milk on PND 3 also increases bulb NE, a finding consistent with the role of milk as a reinforcing stimulus for the development of early olfactory preferences. Finally, infusion of potassium into the bulb on PND 3 produces a rapid increase in NE, indicating a local neuronal origin of the NE in response to stimulation.

Administration, Oral↗