Determinants of the quality of life of patients with congenital heart disease.

Objective: The improvement of the quality of life of chronically ill patients has become an important goal in treatment. However, it is seldom taken into account that many other factors, in addition to somatic factors, have an influence on the quality of life of patients. Using patients with congenital heart defects as an example, we examined the relative significance of biological factors, compared to psychological and social factors, for the various quality of life dimensions.

Deep UV laser-induced fluorescence detection of unlabeled drugs and proteins in microchip electrophoresis.

Deep UV fluorescence detection at 266-nm excitation wavelength has been realized for sensitive detection in microchip electrophoresis. For this purpose, an epifluorescence setup was developed enabling the coupling of a deep UV laser into a commercial fluorescence microscope. Deep UV laser excitation utilizing a frequency quadrupled pulsed laser operating at 266 nm shows an impressive performance for native fluorescence detection of various compounds in fused-silica microfluidic devices.

Femtosecond formation of coupled phonon-plasmon modes in InP: Ultrabroadband THz experiment and quantum kinetic theory.

The ultrafast transition of an optical phonon resonance to a coupled phonon-plasmon system is studied. After 10-fs photoexcitation of i-InP, the buildup of coherent beats of the emerging hybrid modes is directly monitored via ultrabroadband THz spectroscopy. The anticrossing is mapped out as a function of time and density.

A leucine zipper in the N terminus confers membrane association to SLP-65.

Membrane recruitment of adaptor proteins is crucial for coupling antigen receptors to downstream signaling events. Despite the essential function of the B cell adaptor SLP-65, the mechanism of its recruitment to the plasma membrane is not yet understood. Here we show that a highly conserved leucine zipper in the SLP-65 N terminus is responsible for membrane association.

Multiple origin of viviparity in Southeast Asian gastropods (Cerithioidea: Pachychilidae) and its evolutionary implications.

This study aims at a better understanding of the evolutionary significance of viviparity in some freshwater gastropods. We use a phylogeny based on partial sequences of the mitochondrial 16S gene of representatives of the limnetic and pantropical Pachychilidae to infer the relationships within this particular group of cerithioideans and the evolution of reproductive strategies. The phylogeny presented herein implies a new systematization and suggests that viviparity has appeared three times among the Pachychilidae.

Discrepancy between the spin distribution and the magnetic ground state for a triaminoxyl substituted triphenylphosphine oxide derivative.

The magnetic interaction and spin transfer via phosphorus have been investigated for the tri-tert-butylaminoxyl para-substituted triphenylphosphine oxide. For this radical unit, the conjugation existing between the pi* orbital of the NO group and the phenyl pi orbitals leads to an efficient delocalization of the spin from the radical to the neighboring aromatic ring. This has been confirmed by using fluid solution high-resolution EPR and solid state MAS NMR spectroscopy.

Experimental and theoretical investigation of the coarctate cyclization of (2-Ethynylphenyl)phenyldiazenes.

A new route to substituted 2-phenyl-2H-indazoles through the cyclization of (2-ethynylphenyl)phenyldiazenes is presented. A coarctate reaction pathway forms the isoindazole carbene under neutral conditions, at moderate temperatures, and without the requirement of a carbene stabilizer. A wide variety of previously unknown diazene precursors was synthesized and cyclized.

Patient's permanent identification and PMSI chaining system. Complementary or competing methods?

In order to "chain" all the information concerning their patients' files, hospitals have set up their own identification system. This system is not easy to manage and can encounter several difficulties. When entering the hospital, each patient is given an identification number resulting mainly from his ID card, his Health Care card data and other data.

Strong exchange interactions between two radicals attached to nonaromatic spacers deduced from magnetic, EPR, NMR, and electron density measurements.

A nitronyl-nitroxide (NIT) biradical D-NIT2 linked by a single double bond has been engineered and investigated in the solid state by a combination of X-ray diffraction, magnetic susceptibility measurement, EPR, as well as solid-state (1)H and (13)C NMR spectroscopies, and experimental electron density distribution. All techniques reveal that a double bond is a very efficient coupling unit for exchange interactions between two radical moieties. Using a Bleaney-Bowers model dimer (H = -JS(1)S(2)), a singlet-triplet energy gap of J = -460 K was found with the singlet state being the ground state.

Is it possible to collect medicalized data in Africa? An experience in the pediatrics service in the University Hospital in Yopougon, Abidjan, Ivory Coast.

The aim of this study is to demonstrate that it can be relevant to implement medicalized data in the African hospitals in order to establish morbidity statistics and economical evaluation. A retrospective survey has been carried out on 300 children hospitalized in the paediatrics service in the Yopougon University Hospital from January 1st to December 31st 1999. Data have been collected on forms similar to the ones used in France for discharge summaries.

A genetic, non-transcriptional assay for nuclear receptor ligand binding in yeast.

We describe the development of a genetic, non-transcriptional assay for the detection of ligand binding to nuclear receptors based on the ligand-dependent reconstitution of the defective Ras/cAMP viability pathway of the Saccharomyces cerevisiae strain CDC25-2. We have characterized the assay using the estrogen receptor (ER) alpha as an example and found it to be extremely sensitive, stringent, rapid and selective. We applied this assay to different ligands and ligand-binding domains (LBDs) and analyzed co-stimulation with 17beta-estradiol (E2) and the synthetic ligand 4-hydroxytamoxifen (4-OHT) in vivo.

[Interventional cardiology in Latvia from 1993 to 2003].

A nationale programme for combatting cardiovascular diseases is being implemented in Letvia. A milestone was reached in 1993 with the establishment of a Letvian Centre for Cardiology. Within 10 years the only cardiac catheterization unit in the country has developed into a centre of excellence.

[The Estonian Genome Project in the context of European genome research].

It is the aim of the Estonian Genome Project to establish a database which compiles phenotype and genotype data of a large part of the Estonian population. The Gene Bank will only be used for scientific and public health research. Researchers hope that it will help identify disease genes and prepare the ground for the personalized medicine of the future.

[Health telematics/telemedicine in the republic of Estonia].

The people of Estonia, who until their independence had been systematically deprived of all forms of information, have shown a ready acceptance of the use of information technology in all areas of life. This environment and an excellent IT infrastructure have since the beginning of the new century provided favourable conditions for developing various individual projects in telemedicine. At the core of current telemedical applications in Estonia is the BITNET Project (in neurology, general medicine), built up with Swedish cooperation, and three German-Estonian projects (in telecardiology and telepathology).

Magneto-structural characterization of metallocene-bridged nitronyl nitroxide diradicals by X-Ray, magnetic measurements, solid-state NMR spectroscopy, and ab initio calculations.

Crystallization of ferrocene and ruthenocene substituted in the 1- and 1'-positions by two nitronyl nitroxide radicals gave the new crystal phases beta-1 (besides the known phase alpha-1), alpha-2, and beta-2 whose structures were determined by X-ray analysis. In beta-1 the radical moieties adopt transoid positions, whereas two different cisoid conformations are adopted by alpha-2 and beta-2. These conformations result from inter- and intramolecular hydrogen bonds, respectively.

Interchange of nominative patient data between health-care organizations.

In the context of current evolution of healthcare, hospitals will have to share medical files with different structures. Thus, it is necessary to establish procedures to identify the patients. A team professionals working with such medical information proposes a system of identification based on the matching of identification traits respecting various regulations in order to retrieve the information.

High-speed chiral separations on a microchip with UV detection.

Fast chiral separations of a variety of basic and acidic compounds could be realized on microfluidic quartz chips. A microchip electrophoresis instrument equipped with a linear imaging UV-detector was used. The usually applied but troublesome fluorescence tagging in order to enable fluorescence detection could be omitted.

Adaptation of the Ras-recruitment system to the analysis of interactions between membrane-associated proteins.

Interactions of membrane-associated proteins play important roles in many cellular processes. The yeast two-hybrid assay is of limited utility for the analysis of such interactions, due to the need for soluble protein partners, whose interaction is assessed in the nucleus. The advent of the Ras-recruitment system (RRS) has enabled the study of membrane-associated proteins interacting with cytoplasmic proteins fused to Ras.

Polymer rings and chains consisting of doubly silyl-bridged metallocenes.

With the formation of novel organometallic macromolecules in mind, the polycondensation of transition metal ions and bridged cyclopentadienyl ligands was studied. To this end solvated salts MX2 (M = Fe, Ni, and Cr) were treated with a ligand that consisted of two doubly silyl-bridged cyclopentadienyl anions. For M = Fe and diluted solutions a series of rings Oi was obtained that consisted of a minimum of six (O6) and up to 17 (O17) ferrocene moieties in the backbone.