Implementation of an integrated glucose POCT system

In response to a change of the Belgian National Directives whereby hospital laboratories became responsible for all point-of-care testing (POCT) performed within hospital walls a standardized and automated POC glucose-testing system was implemented in our hospital. The system consists of 50 AccuCheck Inform instruments (Roche Diagnostics, Vilvoorde, Belgium), 50 docking stations, a DataCare Server, and connections to the medical laboratory information system (MOLIS, Sysmex, Barchon, Belgium) and to the hospital information system. Implementation involved many parties and extensive preparation and communication. Key issues were bar-coded patient and user identification, training, and responsibilities. One year after the hospital wide implementation of this system the quality of POC glucose testing has significantly increased, thereby improving patient safety. This study describes a stepwise change over involving the medical laboratory and with a focus on hands-on quality.Presented at the ninth conference on Quality in the Spotlight, 18–19 March 2004, Antwerp, Belgium.     

Superferromagnetic state of α-Fe in Fe implanted Co6Ag94 studied by Mössbauer spectroscopy

After having introduced by ion implantation ⁵⁷Fe to a local concentration of 7 at% into Co₆Ag₉₄, we observed it by conversion electron Mössbauer spectroscopy in the as-prepared state and after isochronal annealing. A superferromagnetic state is inferred, which is correlated with the ordering of the magnetic moments on the Fe clusters through chain-like or dendritic Co/Fe linear structures. The magnetic moment disordering temperature lies above 473 K.     

Sparse pseudorandom distributions

The existence of sparse pseudorandom distributions is proved. These are probability distributions concentrated in a very small set of strings, yet it is infeasible for any polynomial-time algorithm to distinguish between truly random coins and coins selected according to these distributions. It is shown that such distributions can be generated by (nonpolynomial) probabilistic algorithms, while probabilistic polynomial-time algorithms cannot even approximate all the pseudorandom distributions. Moreover, we show the existence of evasive pseudorandom distributions which are not only sparse, but also have the property that no polynomial-time algorithm may find an element in their support, except for a negligible probability. All these results are proved independently of any intractability assumption.     

Glutathione Response after UVA Irradiation in Mitotic and Postmitotic Human Skin Fibroblasts and Keratinocytes

Abstract— Since Hayflick's pioneering work in the early sixties, human diploid fibroblasts have become a widely accepted in vitro model system. Recently, Bayreuther and co-workers extended this experimental approach showing that fibroblasts in culture resemble, in their design, the hemopoietic stem-cell differentiation system. They found that the chemical agent mitomycin C accelerates the differentiation pathway from mitotic to postmitotic fibroblasts. We measured the response of endogenous glutathione levels after UVA irradiation (320-400 nm) in mitotic and mitomycin C-induced postmitotic human skin fibroblasts and foreskin-derived keratinocytes. The initial levels in mitotic foreskin derived human fibroblasts were 14.4 nmol glutathione per mg protein, whereas a 30% higher value was obtained in matching foreskin-derived keratinocytes. Similiar elevated levels of this important intracellular free radical scavenging system were found in fibroblasts of a donor suffering from xeroderma pigmentosum. Furthermore, three to four times higher levels of glutathione in mitomycin C-treated mitotic fibroblasts have been determined. In mitotic skin fibroblasts, UVA irradiation resulted in a depletion of glutathione up to 90% following a fluence of 1.0 MJ/m²UVA radiation. Higher initial glutathione levels were found in keratinocytes and mitomycin C-treated skin fibroblasts. In these fibroblasts a 70% depletion was detected and a much lower depletion (10-20%) was seen in some keratinocyte cell lines following fluences up to 1.0 MJ/m². The depletion in skin fibroblasts was retained after 24 h following a fluence of 0.75 MJ/m²UVA light. In view of the fact that glutathione has been shown to be involved in a variety of metabolic processes and plays a role in cellular protection against UVA radiation, our results imply that the fibroblast differentiation system is a very useful tool to unravel the complex mechanism of UVA-induced oxidative stress.     

NMR of Terminal Oxygen. Part 14. Kinetically stabilized simple enols containing methylated uracil groups: Application of a 17O-NMR test of H-bonding

In the crystalline N,N′-dimethylated uracil derivatives 2a , b , the kinetically stabilized enol group forms an H-bond with O? C(4), as demonstrated by increased shielding of specifically labelled 2a and 2b in the ¹⁷O-NMR spectra (Δδ(¹⁷O)(C(4)—O) ? ?30 ppm); absence of dilution and solvent effects show that the H-bridge is intra-molecular, forming an eight-membered chelate ring. The (apparent) shielding effect Δδ(¹⁷O) in 2a, b is larger than that in salicylamide. The strong H-bond explains why the enols 2 , in spite of the absence of steric hindrance, are kinetically stabilized.     

Preparation and crystal structure of Nb6.74 Ta5.26S4 – a new compound in the ternary system Ta?Nb?S

Nb_6.74Ta_5.26S₄ has been prepared by high temperature techniques. The crystal structure has been determined from single crystal X-ray diffraction data (R/R_w = 0.0588/0.0655). The compound crystallizes in the orthorhombic space group Pnma with unit cell dimensions a = 959.11 (26) pm, b = 336.37 (10) pm, and c = 3282.51 (74) pm. The orthorhombic cell contains four formula units. Its structure is similar to that of Nb-rich sulfides, rather than to that of Ta-rich sulfides. The metal coordinations are capped distorted cubic prisms and pentagonal prisms while the coordinations of sulfur are capped trigonal prisms.     

Chemical synthesis and firefly luciferase produced dehydroluciferyl-coenzyme A

Dehydroluciferyl-coenzyme A (L-CoA) was chemically synthesized and characterized by MS, UV-vis spectrometry and RP-HPLC. The identity of the chemically synthesized compound with the one that was produced by firefly luciferase was confirmed. Moreover, the reversibility of the enzymatic conversion of dehydroluciferin ? dehydroluciferyl-adenylate ? L-CoA was also confirmed. The chemical synthesis of L-CoA, described here, may help the clarification of the activator effect of CoA on luciferase bioluminescent assays, in which the enzyme catalyzed formation of L-CoA and the consequent destruction of L-AMP is one of the possible explanations for that effect.     

A hydrogenation product derived from the diterpenoid barbatusin:A revised structure

The structure of the hydrogenation product of barbatusin, a diterpenoid from Coleus barbatus Bentham has been revised on the basis of NMR and X-ray data. A geminal coupling of unusually high magnitude has been observed and analysed.     

Dithiacrown Ether Substituted Porphyrazines: Synthesis, Single-Crystal Structure, and Control of Aggregation in Solution by Complexation of Transition-Metal Ions

The synthesis of novel magnesium, copper, and metal-free porphyrazines, peripherally substituted with dithia-7-crown-2 (MPz(7)), dithia-15-crown-5 (MPz(15)), and dithia-18-crown-6 (MPz(18)) macrocycles is reported. These compounds are prepared starting from dicyanoethylene containing crown ethers 3, 2(1), and 2(2), respectively, which contain sulfur as well as oxygen heteroatoms. The "crowned" porphyrazines bind silver(I) and mercury(II) perchlorates. UV/vis spectroscopy and electron paramagnetic resonance measurements reveal that addition of the transition-metal ions leads to dimerization of the porphyrazine complexes. In the case of the dithia-18-crown-6-substituted porphyrazines, the dimers break up to form monomeric 6:1 guest-host complexes when more than 2 equiv of the metal ion is added. The single-crystal structures of the crown ether 2(2) and the porphyrazine MgPz(18) are presented. Compound C(14)H(20)N(2)O(4)S(2) (2(2)) crystallizes in the monoclinic space group P2(1)/c with a = 10.9310(13) ?, b = 19.383(3) ?, c = 8.6976(14) ?, beta = 108.898(11) degrees, V = 1743.5(5) ?(3), and Z = 4. The structure refinement converged to R = 0.0366 and R(w) = 0.0504. Compound C(56)H(82)MgN(8)O(17)S(8) (MgPz(18)) crystallizes in the triclinic space group P&onemacr; with a = 9.584(3) ?, b = 17.672(2) ?, c = 19.620(4) ?, alpha = 84.904(14) degrees, beta = 85.21(2) degrees, gamma = 89.29(2) degrees, V = 3298.4(13) ?(3), and Z = 2. The structure refinement converged to R1 = 0.0839 and wR2 = 0.2196. The electrical properties of H(2)Pz(18) have been studied by complex impedance spectroscopy. The bulk electrical conductivity of this compound is approximately 1 order of magnitude higher than that of the corresponding 18-crown-6 phthalocyanine.     

Electrochemical and ESR study of 5-nitrofuryl-containing thiosemicarbazones antiprotozoal drugs

Cyclic voltammetry and electron spin resonance (ESR) techniques were used in the investigation of several potential antiprotozoal thiosemicarbazones nitrofurane derivatives. A self-protonation process involving the protonation of the nitro group due to the presence of an acidic proton in the thiosemicarbazone moiety was observed in the first step of a CEE(rev) reduction mechanism of these derivatives. ESR spectra of the free radicals obtained by electrolytic reduction were characterized and analyzed. AM1 methodology was used to obtain the optimized geometries and UB3LYP calculations were performed to obtain the theoretical hyperfine coupling constants. The theoretical study exhibited an unusual assignment of the spin densities showing a free radical centered in the thiosemicarbazone moiety rather than the nitro which are in agreement with the experimental hyperfine pattern.