Acute integrity of closure for partial nephrectomy: comparison of 7 agents in a hypertensive porcine model.

Purpose: We assessed the acute effectiveness of closure after partial nephrectomy of 7 techniques in a large hypertensive porcine model using shallow and deep resections to approximate clinical situations.

Materials And Methods: Open surgical partial nephrectomy with hilar clamping was performed in pigs weighing 150 to 200 lbs, including small-a quarter length and a quarter width of kidney, medium-a third length and a third width of kidney, and into the renal sinus and up to the collecting system, and large-lower pole heminephrectomy at the renal sinus. Seven agents were compared after a single application, namely thrombin/collagen granules, polyethylene glycol hydrogel, fibrin glue, thrombin/gelatin granules, cyanoacrylate glue, fibrin glue/gelatin sponge and sutured bolster.

Preparation and characterization of a 5'-deazaFAD T491V NADPH-cytochrome P450 reductase.

NADPH-cytochrome P450 reductase is a flavoprotein which contains both an FAD and FMN cofactor. Since the distribution of electrons is governed solely by the redox potentials of the cofactors, there are nine different ways the electrons can be distributed and hence nine possible unique forms of the protein. More than one species of reductase will exist at a given level of oxidation except when the protein is either totally reduced or oxidized.

Sexual dimorphism in the electrocardiographic dynamics of human ventricular repolarization: characterization in true time domain.

Background: Previous characterizations of sex differences in ST-T waveform voltages have largely focused on amplitudes at selected time points during repolarization, subject to potential distortions from variations in heart rate (HR) or reliance on a JT-normalized time scale.

Methods And Results: Using digitized 12-lead ECGs from 553 normal adults (426 males) with HRs confined to 60+/-1, 70+/-1, or 80+/-1 bpm, we derived X, Y, and Z lead voltages and then generated, for each HR category by sex, summary (population mean) resultant spatial vector amplitudes (ST-T(XYZ)) and instantaneous slopes (dV/dt(XYZ)) at successive 4-ms intervals following the J point. Within each HR category, there was an early intersex divergence of ST-T(XYZ) trajectories (95% CIs nonoverlapping), with men exhibiting 2- to 3-fold greater dV/dt(XYZ) values during the ST segment and achieving greater maximum T(XYZ) and dV/dt(XYZ) values than women; descending T(XYZ) limbs were relatively more concordant between sexes but still steeper in men.