Activity Of La0 Research Articles

The impact of sick sinus syndrome on flow velocity of the left atrial appendage in patients with atrial fibrillation

Abstract Background Sick sinus syndrome (SSS) itself has been suspected as one of potential embolic stroke sources, however, the mechanism remains unclear. Reduced flow velocity of left atrial appendage (LAAFV) plays a major role in thrombus formation in patients with atrial fibrillation (AF). We evaluated the contribution of SSS to LAAFV in patients with AF. Methods We studied 153 consecutive patients (age 69±10, 100 males, 79 paroxysmal AF, CHADS2 score 1.6±1.2) who underwent catheter ablation (CA) for AF at our hospital and our college of medicine. All patients enrolled in this study underwent transesophageal echocardiography (TEE) and transthoracic echocardiography prior to CA. LA global mean voltage and LA activation time were also measured using High-density LA mapping during CA. Clinical characteristics and laboratory data was obtained before CA for AF. SSS was defined as sinus arrest with 3 seconds or more by Holter ECG, or pacemaker implantation due to SSS. Results Reduced LAAFV was associated with old age (R²=0.0783, P=0.0005), female (R²=0.0260, P=0.0285), non-paroxysmal AF (R²=0.1403, P<0.0001), hypertension (R²=0.0226, P=0.0338), history of congestive heart failure (R²=0.0890, P=0.0007), high CHADS2 score (R²=0.1248, P<0.0001), high level of BNP (R²=0.2054, P<0.0001), AF rhythm during TEE (R²=0.1577, P<0.0001), low LV ejection fraction (R²=0.0255, P=0.0488), large LA diameter (R²=0.1544, P<0.0001), high E wave (R²=0.1168, P<0.0001), low LA global mean voltage (R²=0.1775, P<0.0001), long LA activation time (R²=0.1383, P<0.0001) and SSS (n=29, R²=0.0957, P=0.0002). On multiple linear regression analysis, SSS, AF rhythm during TEE, BNP, female was independently related to reduced LAAFV (Table). Conclusion SSS itself might be related to reduced LAAFV in patients with AF.Table

Refinement and Modification of Al2O3 Inclusions in High-Carbon Hard Wire Steel via Rare Earth Lanthanum.

In this paper, an experimental protocol of adding rare earth lanthanum (La) was used to refine and modify inclusions (Al2O3) in aluminum-deoxidized steel. An optical microscope (OM), a scanning electron microscope (SEM), and an energy dispersive spectrometer (EDS) were used to study the impact of size distribution, number density, distribution uniformity, interfacial distance, area density, and so on of rare earth La on high-carbon hard wire steel inclusions. As indicated by the findings when the addition amount of La is 0.063%, the refining and homogenizing effect of Al2O3 inclusions in steel is the best. The average diameter of the inclusions is 1.75 μm, the uniformity is 0.84, the proportion of the interfacial spacing greater than 10 μm is 48.4%, and the area density of inclusions is set at 0.014. Based on classical thermodynamics and Factsage software, the effect of La activity on inclusion formation was computed. As indicated by the findings, the addition of rare earth La mainly combines with O and S in the liquid steel, and the La-containing inclusions wrap around the Al2O3 inclusions, hindering the Al2O3 inclusions. Through the evolution of inclusions during solidification, the modification of Al2O3 inclusions via rare earth La and the types of inclusions are discussed. The experimental results and theoretical calculations verify that the optimal treatment plan is to add 0.063% La.

Effect of low-loading of Ni on the activity of La0.9Sr0.1FeO3 perovskites for chemical looping dry reforming of methane

Methane dry reforming (MDR) is a very appealing process to bring back waste CO2 into the chemical production chain. Operating in chemical looping (CL) conditions allows to reduce deactivation by coke deposition and facilitates the use of concentrating solar energy to power this reaction. Perovskites have successfully applied as oxygen carriers for chemical looping, and those of the family La1−xSrxFeO3 having lower Sr content have showed high activity and cycling stability for MDR. To further enhance the performance of these oxygen carriers, in this work we evaluate the impact of dispersing Ni in low concentration (<1 mol %) on the performance of La0.9Sr0.1FeO3 for CL-MDR. Simple impregnation allows to distribute evenly the metal, which according to XPS is present as Ni2+ in the fresh material. CH4-TPR reveal that NiOx species are firstly reduced at around 650 ºC and they shift the onset of methane partial oxidation to lower temperatures with regards to the unmodified perovskite. However, during isothermal CL tests at 850 ºC, the presence of Ni does not modify much the syngas production during the methane reforming stage, although the H2/CO ratio increases with the presence of this metal. This indicates an increment in the contribution of methane cracking. In contrast, when feeding CO2, the generation of CO is greatly enhanced by the incorporation of Ni, particularly at a loading of 0.4 mol %, while higher metal concentration are slightly less effective. Higher CO generation is attributed to the promotion of reverse Boudouard reaction, which can remove the coke previously deposited in the methane reforming stage. Accordingly, the Ni/ La0.9Sr0.1FeO3 presents stable activity during several consecutive cycles.

Influence of the solid titanium source on the activity of La1−xTixFeO3 photo-CWPO catalysts under UV-A light

In the search for more efficient low-temperature catalysts able to oxidise biorecalcitrant pollutants in water, the selective substitution of La3+ by Ti3+ cations was reported to boost the UV-A light driven activity of LaFeO3 orthoferrites as H2O2-mediated photo-CWPO catalysts. La1−xTixFeO3 catalysts with 0 < x < 0.11 were obtained by a modified Pechini sol–gel route via the addition of a solid source of titanium during the synthesis. By using a span of crystallized and amorphous TiO2, the influence of the titanium source on the substitution rate in the orthoferrite network and on the performances of the catalysts under UV-A light was demonstrated using the degradation of 4-chlorophenol as test reaction. The amorphous content of the TiO2 precursor is proposed to be the key factor driving the substitution of La3+, the largest substitution of 11 % being obtained using a dried sol-gel TiO2 precursor. We suggest that the substitution proceeds during the thermal treatment via a solid-solid diffusion between TiO2 and the amorphous LaFeO3 before it crystallises. The catalyst robustness was influenced by the TiO2 nature. Small size Ti-LaFeO3 crystallites strongly lowered or blocked the Fe release, while no improvement was observed for large size crystallites vs. the pristine material, what was associated to a poor homogenization of the titanium in the network. We showed that the mineralization activity was proportional to the substitution rate of La1−xTixFeO3 catalysts, while a similar relationship could be drawn for the degradation activity only in the case of highly robust catalysts with pure heterogeneous surface reactions.

Binding of Licochalcone A to Whey Protein Enhancing Its Antioxidant Activity and Maintaining Its Antibacterial Activity.

Incorporating LA into whey protein by forming whey protein isolate-LA (WPI-LA) and polymerized whey protein-LA (PWP-LA) complexes is a good way to maintain its bioactivity and improve its functional performance within food matrices. Herein, we found that WPI and PWP were able to interact with LA as suggested by multi-spectroscopy, molecular docking, and molecular dynamics simulations. The interaction between whey protein and LA was a spontaneous non-covalent binding process, while PWP had a higher affinity for LA than WPI, resulting from its more negatively binding free energy with LA. Hydrogen bonds, van der Waals forces, and electrostatic interactions were responsible for WPI-LA interactions. Hydrophobic forces, van der Waals, and hydrogen bonds positively accounted for PWP-LA interactions. The antioxidant activity of LA was improved by complexation with whey proteins as identified by DPPH and ABTS. The antimicrobial efficiency of LA was partially screened by complexation with whey protein with MIC values increased by seven-fold compared to free LA but successfully recovered to its original efficiency upon isolating it from the complex. This work demonstrates the promising antioxidant and antibacterial activities of the whey protein-LA complex and provides a good candidate for developing a new class of natural functional ingredients for food systems.

The safe Laccase@ZIF-8-prodrug system with GSH redox cycle for effective targeted cancer therapy with low off-target toxicity

Nanotechnology has been widely used in cancer treatment but only a small fraction (0.7 %) of the administered nanoparticle was delivered into a solid tumor, while the remaining fraction causes off-target toxicity in healthy tissues. The activation of prodrugs by exogenous enzymes can be used as an effective anticancer strategy to reduce systemic toxicity. In this study, the laccase@zeolitic imidazolate framework-8 (LA@ZIF-8) enzyme-activated prodrug system was created based on the high catalytic activity of LA in an acidic environment and the pH response (pH∼5.5) of ZIF-8. Quercetin (QU) was selected as the prodrug, which is non-toxic and even beneficial without being activated by LA. LA could be precisely released in the acidic tumor microenvironment for activating nontoxic QU successfully to produce toxic oxidized quercetin (OQU), and the LA was steady loaded on the LA@ZIF-8 under physiological conditions (pH∼7.4). Especially, the high concentrations of glutathione (GSH) in tumors could accelerate the oxidation of QU by LA. Meanwhile, GSH could be consumed continuously by the reduction of OQU for regenerating QU, thus a LA-QU-GSH redox was formed ingeniously. Therefore, the synergistic effect of OQU toxicity and GSH depletion induced reactive oxygen species (ROS) accumulation and tumor cell apoptosis. Overall, the LA@ZIF-8-QU prodrug system provides ideas for safe and effective cancer treatment with low off-target toxicity.

In-situ construction and activities of La0·8Sr1·2Fe0·5Ni0·5O4+δ@CNTs hybrids as bifunctional oxygen catalysts

Perovskite oxides are proved to be promising oxygen bifunctional catalysts for both oxygen reduction reaction (ORR) and oxygen evolution reaction (OER). Constructing a perovskite oxide/carbon composite with intimate interaction at the interface is of great importance for conductivity and bifunctional oxygen activities. In this work, combining “exsolution effect” of perovskite oxide at high temperature and reducing atmosphere, carbon nanotubes (CNTs) are in-situ synthesized on the surface of a La0·8Sr1·2Fe0·5Ni0·5O4+δ (LSFN) perovskite oxide with K2NiF4 structure via a simple chemical vapor deposition (CVD) method. Physical characterizations show that CNTs are twining around the surface of LSFN particles with strong interaction. Under the function of synergistic effect between LSFN and CNTs, more mobile oxygen species, improved surface electronic structure and optimized charge distribution and transformation are obtained. Finally, the as-prepared LSFN@CNTs composites exhibit superior oxygen electrocatalytic performances in alkaline solution, with an ORR overpotential of 761 mV at −1.0 mA cm−2, a small OER overpotential of 314 mV at 10 mA cm−2 and an enhanced cycling stability of >3000 cycles, which outperforms commercial IrO2 catalyst and published perovskite oxide based bifunctional oxygen catalysts.

Investigating the Ring-Opening Polymerization Activity of Niobium and Tantalum Ethoxides Supported by Phenoxyimine Ligands.

A variety of metal catalysts from around the periodic table have been studied for the ring-opening polymerization (ROP) of cyclic esters. Within this field, group V catalysts have been rarely explored. To better understand the effect the choice of metal and ligand has on ROP activity, a series of 10 niobium and tantalum alkoxide catalysts, supported by a range of phenoxyimine ligands, were synthesized. The electronics and steric bulk of the ligands were varied on the phenoxy group (tBu, Cl, and OMe) and the imine group (Ph; 2,6-diMePh; 2,6-diiPrPh; and 2,4,6-tritBuPh) to probe their effect on the catalyst structure and activity. Catalysts were characterized with 1D, 2D, and variable-temperature NMR techniques to determine their structure in solution. Single crystal X-ray diffraction studies were conducted to establish their solid-state structure. The 10 catalysts are pseudo-octahedral, and each shows ligand coordination through phenoxy-oxygen and imine-nitrogen (O,N). In the case of the o-vanillin ligand set, however, evidence was found for O,O-coordination of the ligand when the steric encumbrance of the imine-nitrogen was increased. Each catalyst was active for the ring-opening polymerization of both rac-lactide (LA) and ε-caprolactone (CL) in the absence of solvent at 140 °C. In the case of CL, the catalysts supported by chloro-containing ligands showed the most polymerization control based on final polymer molecular weight and dispersity. Ligand trends were less clear for the polymerization of LA, though in all cases the catalysts were more controlled than the parent homoleptic alkoxide [M(OEt)5; M = Nb or Ta]. The most promising catalyst in the family was tested for copolymerization activity of LA and CL in one pot. Copolymerization of the two monomers was successful and yielded random poly(caprolactone-co-lactide).

The effects of dietary linoleic acid on reducing serum cholesterol and atherosclerosis development are nullified by a high-cholesterol diet in male and female apoE-deficient mice.

Linoleic acid (LA) has a two-sided effect with regard to serum cholesterol-lowering and pro-inflammation, although whether this fatty acid reduces serum cholesterol and the development of atherosclerosis under high-cholesterol conditions has yet to be ascertained. In this study, we examine the effects of dietary LA on reducing serum cholesterol and atherosclerosis development under high-cholesterol conditions. Male and female apoE-deficient (ApoE-/-) mice were fed AIN-76-based diets containing 10% SFA and 0·04 % cholesterol, 10% LA and 0·04% low cholesterol (LALC), or 10% LA and 0·1% high cholesterol (LAHC) for 9 weeks. The results revealed significant reduction in serum cholesterol levels and aortic lesions with increasing levels of pro-inflammatory biomarkers (urinary isoprostane and aortic MCP-1 mRNA) in male and female LALC groups compared with those in the SFA groups (P < 0·05). Furthermore, whereas there were significant increases in the serum cholesterol levels and aortic lesions (P < 0·05), there was no difference in aortic MCP-1 mRNA levels in male and female LAHC groups compared with those in the LALC groups. A high-dietary intake of cholesterol eliminated the serum cholesterol-lowering activity of LA but had no significant effect on aortic inflammation in either male or female ApoE-/- mice. The inhibitory effect of LA on arteriosclerosis is cancelled by a high-cholesterol diet due to a direct increase in serum cholesterol levels. Accordingly, serum cholesterol levels might represent a more prominent pathogenic factor than aortic inflammation in promoting the development of atherosclerosis.

α-Lipoic Acid Exerts Its Antiviral Effect against Viral Hemorrhagic Septicemia Virus (VHSV) by Promoting Upregulation of Antiviral Genes and Suppressing VHSV-Induced Oxidative Stress

Viral hemorrhagic septicemia virus (VHSV), belonging to the genus Novirhabdovirus, Rhabdoviridae family, is a causative agent of high mortality in fish and has caused significant losses to the aquaculture industry. Currently, no effective vaccines, Food and Drug Administration-approved inhibitors, or other therapeutic intervention options are available against VHSV. α-Lipoic Acid (LA), a potent antioxidant, has been proposed to have antiviral effects against different viruses. In this study, LA (CC50 = 472.6 μmol/L) was repurposed to exhibit antiviral activity against VHSV. In fathead minnow cells, LA significantly increased the cell viability post-VHSV infection (EC50 = 42.7 μmol/L), and exerted a dose-dependent inhibitory effect on VHSV induced-plaque, cytopathic effects, and VHSV glycoprotein expression. The time-of-addition assay suggested that the antiviral activity of LA occurred at viral replication stage. Survival assay revealed that LA could significantly upregulated the survival rate of VHSV-infected largemouth bass in both co-injection (38.095% vs. 1.887%, P < 0.01) and post-injection manner (38.813% vs. 8.696%, P < 0.01) compared with the control group. Additional comparative transcriptome and qRT-PCR analysis revealed LA treatment upregulated the expression of several antiviral genes, such as IRF7, Viperin, and ISG15. Moreover, LA treatment reduced VHSV-induced reactive oxygen species production in addition to Nrf2 and SOD1 expression. Taken together, these data demonstrated that LA suppressed VHSV replication by inducing antiviral genes expression and reducing VHSV-induced oxidative stress. These results suggest a new direction in the development of potential antiviral candidate drugs against VHSV infection.Supplementary InformationThe online version contains supplementary material available at 10.1007/s12250-021-00440-5.

1272Effect of age, genetic background and experimental conditions on left atrial monophasic action potential duration, effective refractory period and activation time in Langendorff-perfused murine hearts

Abstract Funding Acknowledgements Supported by EU [CATCH ME] 633196, British Heart Foundation FS/13/43/30324, AA/18/2/34218 LF, PK, DFG FA413 LF, Studienstiftung to JO. Background Studying cardiac electrophysiology in isolated perfused beating murine hearts is a well-established method. The range of normal values for left atrial action potential durations (LA-APD), activation times (LA-AT) and effective refractory periods (atrial ERP) in murine wildtype (WT) is not well known. Purpose This study aimed to establish reference values for LA-APD, LA-AT and atrial ERP and to identify factors that influence these electrophysiological parameters in wildtype (WT) mice. Method We combined results from isolated beating heart Langendorff experiments carried out in WT between 2005 and 2019 using an octopolar catheter inserted into the right atrium and a monophasic action potential electrode recording from the LA epicardium. Electrophysiological parameters (LA-APD at 50%, 70%, 90% repolarization (APD50, APD70, APD90), LA-AT and atrial ERP) at different pacing cycle lengths (PCL) were summarized. We analyzed effects of PCL, genetic background, age, gender, heart weight to body weight ratio (HW/BW), LA weight to body weight ratio (LAW/BW) as well as coronary flow and temperature as experimental conditions. Results Electrophysiological parameters from 222 isolated hearts (114 female, mean age 6.6 ± 0.25 months, range 2.47-17.7 months) of different backgrounds (77 C57BL/6, 23 FVB/N, 33 MF1, 69 129/Sv and 20 Swiss agouti) were combined. Coronary flow rate, flow temperature and start of isolation to cannulation time were constant experimental conditions over the timespan of experiments. LA-APD was longer while LA-AT decreased with longer PCL throughout all genetic backgrounds (Figure 1A). Genetic background showed strong effects on all electrophysiological parameters. LA activation was delayed in 129/Sv compared to other backgrounds (Figure 1D). LA-APD70 and atrial ERP were significantly shorter in Swiss agouti background compared to others. LA-APD70 was also significantly prolonged in 129/Sv background compared to MF1 (Figure 1C). Atrial ERP was longer in FVB/N compared to other backgrounds. Age effects were compared in groups. Atrial ERP was significantly longer in mice ≤ 3 months compared to all older mice. Atrial ERP was also significantly prolonged (+ 3.4ms, + 13.5%) in female mice compared to males (Figure 1B). Conclusion This dataset summarizes left atrial electrophysiological parameters in the beating mouse heart and can serve as a reference for design and interpretation of electrophysiological experiments in murine models of commonly used genetic backgrounds. We confirm that cycle length, genetic background, age and gender affect atrial electrophysiological parameters. Awareness of these will support successful experimental design. Abstract Figure 1

55Non-invasive ECG-imaging for identification of atrial arrhythmogenic low voltage substrate in patients with persistent atrial fibrillation

Abstract Background/Introduction Left atrial (LA) fibrosis is associated with increased arrhythmia recurrence rates after pulmonary vein isolation (PVI) and increased stroke risk in patients with atrial fibrillation (AF). So far, detection and quantification of LA fibrosis is only feasible by invasive electrophysiological mapping of low-voltage-substrate (LVS) or delayed enhancement areas in MRI. Purpose The aim of this study was to assess the distribution and extent of atrial fibrosis by non-invasive ECG-Imaging (ECGI) in patients with persistent AF prior to PVI. Methods Thirty-seven consecutive patients (66 ± 9 years, 84% male) presenting for their first PVI were included. Patients with AF were cardioverted into sinus rhythm (SR). One day prior to AF ablation procedure, patients underwent ECGI in SR using the 252-electrode-array (CardioInsight) and a low-X-ray-dose, non-injected cardiac CT-scan to assess the relationship between ECGI-electrodes and cardiac epicardial structures. Prior to PVI, high-density biatrial voltage and activation maps were acquired in SR (CARTO-3). Localization and extent of atrial LVS (relevant fibrosis: LA-LVS: ≥5cm2 at &amp;lt;0.5mV threshold) and biatrial activation times depicted by CARTO were compared with atrial activation/conduction times assessed by non-invasive ECGI. Presence of LA-LVS was classified according to its extent into 3 stages and compared to the inter- and intraatrial conduction delay in ECGI. Results Relevant atrial fibrosis was found in 17/37(46%) patients. Presence of biatrial LVS resulted in a linear increase of the biatrial activation time in CARTO-SR-maps (146 ± 18ms in patients without LVS vs 184 ± 27ms in patients with LVS, p &amp;lt; 0.001) and in non-invasive ECGI (133 ± 11ms vs 170 ± 20ms, p &amp;lt; 0.001). Both the extent of biatrial LVS and invasively measured total activation time correlated well with non-invasive total atrial conduction time (TACT) in ECGI (r = 0.91 and r = 0.82, respectively, figure). Moreover, the extent of LA-LVS showed an excellent correlation to TACT in ECGI (r = 0.89). A combination of inter-atrial (RA-LA) conduction delay and TACT in ECGI allowed to quantify the extent of LA-LVS and to distinguish between three stages of LA-LVS: Stage 1 (minimal LA-LVS: 1 ± 2cm2): ECGI revealed rapid RA&amp;LA activation with short TACT 132 ± 9ms; Stage 2 (moderate LA-LVS: 14 ± 8cm2 involving the anteroseptal LA) was associated with delayed LA activation and prolonged TACT measuring 161 ± 7ms; Stage 3 (extensive LA-LVS involving the anteroseptal and posterior LA: 26 ± 17cm2) was characterized by a significantly delayed LA activation with a TACT of 178 ± 24ms in ECGI. Conclusion Analysis of interatrial conduction delay and total atrial conduction time (TACT) in non-invasive ECGI allows accurate staging of patients with arrhythmogenic atrial LVS who present an increased risk for arrhythmia recurrences and stroke. Abstract Figure.

Passivation and activation of La0.6Sr0.4FeO3 thin film electrodes.

The oxygen exchange activity of thin dense La0.6Sr0.4FeO3 electrodes prepared by pulsed laser deposition was investigated by electrochemical impedance spectroscopy and electrical conductivity relaxation below 600 °C. The value of the surface exchange coefficient (kchem) measured at 491 °C decreased from an initial 4.4 × 10-6 cm s-1 to 1.7 × 10-7 cm s-1 after aging for 7 days. The rapid decrease in the oxygen exchange rate was accompanied by the increase in the surface concentration of 'non-lattice strontium' detected by X-ray photoelectron spectroscopy. Subsequent electrochemical tests over 40 days showed that the electrode performance could be recovered by rinsing the passivated electrode in deionized water. Repeated treatments eventually also led to improved stability of electrochemical performance.

α-Lipoic acid prevents against cisplatin cytotoxicity via activation of the NRF2/HO-1 antioxidant pathway.

The production of reactive oxygen species (ROS) by cisplatin is one of the major mechanisms of cisplatin-induced cytotoxicity. We examined the preventive effect of α-lipoic acid (LA) on cisplatin-induced toxicity via its antioxidant effects on in vitro and ex vivo culture systems. To elucidate the mechanism of the antioxidant activity of LA, NRF2 was inhibited using NRF2 siRNA, and the change in antioxidant activity of LA was characterized. MTT assays showed that LA was safe at concentrations up to 0.5 mM in HEI-OC1 cells and had a protective effect against cisplatin-induced cytotoxicity. Intracellular ROS production in HEI-OC1 cells was rapidly increased by cisplatin for up to 48 h. However, treatment with LA significantly reduced the production of ROS and increased the expression of the antioxidant proteins HO-1 and SOD1. Ex vivo, the organs of Corti of the group pretreated with LA exhibited better preservation than the group that received cisplatin alone. We also confirmed the nuclear translocation of NRF2 after LA administration, and that NRF2 inhibition decreased the antioxidant activity of LA. Together, these results indicate that the antioxidant activity of LA was through the activation of the NRF2/HO-1 antioxidant pathway.

Hemostasis parameters in patients after coronary artery bypass surgery for stable angina

The objective of research is to assess the significance of hemostatic profile in the postoperative period after coronary artery bypass surgery for predicting the one-year functioning of the grafts. Materials and methods. 46 men, who had coronary artery bypass surgery (CABS) for stable angina, were examined. 23 of them had 2 type diabetes mellitus (DM2), 23 of them did not have diabetes mellitus. All patients underwent fibrinogen, soluble fibrin monomer complex, D-dimer, induced platelet aggregation and lupus anticoagulant blood tests on the 14th day after surgery. The patients had coronary and bypass graft angiography for the assessment of graft patency a year after surgery. Results. During the postoperative period, there were no statistically significant differences between patients with DM2 and patients without DM2 in the results of the above hemostatic profile tests (p value for the Mann-Whitney test is >0.05). Lupus anticoagulant was detected in 9 patients with DM2 and in 12 patients without DM2 (p value for Fisher’s exact test is 0.554). 10 patients with DM2 and 6 patients without DM2 had graft occlusions a year after surgery; the differences for this sign were not statistically significant (p value for Fisher’s exact test is 0.18). Fibrinogen, soluble fibrin-monomer complex, D-dimer, and induced platelet aggregation tests did not demonstrate prognostic significance in relation to graft occlusions in both groups of patients (p for χ 2 in the logistic regression model is >0.05). The factors associated with higher risk of graft occlusion in patients with DM2 were high ratio between screening and confirmatory test for the detection of lupus anticoagulant (odds ratio 2.27; 95% -confidence interval 1.119-1.238; p <0.05). Conclusion. After coronary bypass surgery, the one-year risk of graft thrombosis is higher in patients with DM2 and high positive LA activity.

The Role of Contradictions and Norms in the Design and Use of Telemedicine: Healthcare Professionals’ Perspective

Telemedicine’s potential to improve healthcare’s accessibility and quality has been advocated for decades. However, its adoption has been fraught with problems. In this paper, we apply a socio-technical approach and, specifically, activity theory to study how healthcare professionals (HCPs) in Sri Lanka adopted and used telemedicine. We depict two application-based telemedicine services in Sri Lanka, one improvised and one intended. We found out how contradictions in how HCP used the improvised telemedicine facilitated their adoption of the intended telemedicine. We also highlight the influence that social norms have on how individuals use telemedicine and on the technological features of the digital platforms that enable shared economy services. Based on our findings, we recommend that telemedicine application designers need to consider: 1) subjects’ (a la activity theory) motivations to engage in the activity that telemedicine mediates, 2) the norms and rules that mediate the activity, 3) contradictions in the existing activity system, and 4) the application’s technological characteristics. To stimulate its adoption, new technology should help to address contradictions in existing activity systems, concur with social norms, and offer users the ability to influence social norms that can cause contradictions.

PAF-AH and PLA2 activity of Leptospira interrogans LA_2144 gene product

Objective To analyze the enzymatic activity of Leptospira interrogans (L.interrogans) LA_2144 gene product to hydrolyze platelet activating factor acetylhydrolase (PAF-AH) and phosphatidase A2 (PLA2). Methods Bioinformatic softwares were used to predict transmembrane regions, signal peptides and domains of the LA_2144 gene of L. interrogans strain Lai. A prokaryotic expression system for signal peptide-free LA_2144 gene was established. The expressed target recombinant protein rLep2144 was extracted by Ni-NTA affinity chromatography and then renatured. Spectrometry was used to detect the activity of rLep2144 to hydrolyze PAF-AH substrate 2-thio PAF and the Km and Kcat values as well as the activity to hydrolyze PLA2 substrate arachidonoyl 2-thio PC. Real-time fluorescence quantitative RT-PCR and Western blot were performed to detect the transcription, protein expression and secretion of LA_2144 gene during infection of human and mouse vascular endothelial cells (HUVEC and EOMA) with L. interrogans. Results L. interrogans LA_2144 gene contained a signal peptide and a domain belonging to SGNH hydrolase superfamily, but no transmembrane regions. The established prokaryotic expression system for signal peptide-free LA_2144 gene could efficiently express rLep2144. The extracted rLep2144 was shown as a single protein fragment in separation gel and then successfully renatured. rLep2144 had a stronger PAF-AH activity with the Km and Kcat values of 688.235 μmol/L and 0.976/s, but its PLA2 activity was relatively weak. Expression of the LA_2144 gene at mRNA and protein levels in HUVEC and EOMA was rapidly increased after the cells were infected with L. interrogans (P<0.05) and the secretion of LA_2144 gene product could be detected. Conclusions L. interrogans LA_2144 gene product had a stronger PAF-AH and a certain PLA2 activity, which might involve in the hemorrhage and inflammatory response in leptospirosis. Key words: Leptospira interrogans; LA_2144 gene; PAF-AH; PLA2; Enzymatic activity

Neutralising rivaroxaban induced interference in laboratory testing for lupus anticoagulant (LA): A comparative study using DOAC Stop and andexanet alfa

IntroductionLupus anticoagulant (LA) investigation in patients on anticoagulant therapy is problematic. Rivaroxaban in particular causes significant interference, prolonging both LA screening and confirmation tests, and falsely raising LA screen/confirm ratios, leading to potential false identification of LA. The Russell Viper Venom Time (RVVT) assay, key to the investigation of LA, is especially sensitive to rivaroxaban. Materials and methodsWe assessed cross laboratory (n = 82) testing of four samples to investigate whether rivaroxaban induced interference in LA testing could be neutralised. Testing was performed blind to sample type. The samples comprised: (A) A pool of normal plasma (LA-negative control); (B) sample A spiked with rivaroxaban (200 ng/mL) to create rivaroxaban-induced interference (LA ‘false’ positive sample); (C) sample B subsequently treated with a commercial ‘DOAC-neutraliser’ (DOAC Stop); (D) sample B treated with andexanet alfa (200 μg/mL). ResultsAs expected, the rivaroxaban-spiked sample (B) caused prolongation of most LA-tests, and also generated a falsely prolonged RVVT screen/confirm ratio (median 1.37, compared to 0.97 for sample A). The sample (C) treated with DOAC Stop evidenced a correction in LA-test clotting times, as well as neutralising the false positive LA (median RVVT screen/confirm ratio of 0.99). Although the andexanet alfa treated sample (D) also yielded a low median RVVT screen/confirm ratio of 0.88, it did not fully correct LA-test clotting times. Consistent with test findings, all laboratories interpreted samples A and C as being LA-negative. For sample B (rivaroxaban), 45.3% identified this as LA positive, and 38.7% identified LA interference. Most (61.3%) also identified sample D as LA negative, with the remainder (38.7%) identifying LA interference. ConclusionsDOAC Stop was able to neutralise the false LA activity induced by rivaroxaban, both in terms of clot-times and LA ratios. In contrast, whilst andexanet alfa negated the rivaroxaban-prolonged LA-ratio, it did not fully correct clot-times, leaving some residual LA interference, and requiring additional testing to investigate prolonged clotting times.

Improvement of catalytic activity of oxide electrode by double layer pore structure using nanofiber polyaniline

ABSTRACTImproving the catalytic activity of La0.6Sr0.4Co0.2Fe0.8O3−δ (LSCF) by applying polyaniline nanofiber (PA) as a pore former and the electrochemical property of each pore structure was investigated by structural and morphological analyses. The pore volume and specific surface area of the PA-added LSCF layer increased by about 3.2 and 2.7 times, respectively, relative to the existing LSCF layer. Coarse pores of 2 μm diameter were observed by PA agglomeration. The double-layered LSCF (LSCF_PA1) coated with PA-added LSCF on an LSCF single layer presented the lowest polarisation resistance at all measured temperatures. This was due to increased oxygen reduction reaction by the LSCF + PA layer with high porosity that promoted oxygen gas diffusion. Charge transfer was also improved by the wide contact area between the LSCF layer with lower porosity and the Sm-doped ceria powder electrolyte. Micro-porous LSCF showed about 19% lower polarisation resistance than the nano-porous LSCF at 600°C because of mass transfer through oxygen diffusion.

La0.80Sr0.20CoO3 as a noble-metal-free catalyst for the direct oxidation of formic acid under zero applied potential

Direct oxidation of formic acid to CO2 using noble-metal-free La0.80Sr0.20CoO3 is demonstrated in this study. The catalyst was able to oxidize HCOOH without any externally applied potential. The activity of La0.80Sr0.20CoO3 is compared with that of Pt nanoparticles. It is observed that the amount of CO2 generated using La0.80Sr0.20CoO3 is five times higher than that generated with Pt nanoparticles. The experimental observations are supported by DFT calculations, which reveal the role of the lattice oxygen in La0.80Sr0.20CoO3 in the catalytic effect. The Sr ions were not found to have any appreciable role in the dissociation step. Weak binding of CO2 involving energy changes of the order of −1 kcal/mol indicated the ease of CO2 desorption from the catalyst surface, thus making the catalyst highly active for electrochemical HCOOH oxidation.