Intestinal obstruction and peritoneal carcinomatosis after endoscopic resection of transitional carcinoma of urinary bladder

Gut involvement in bladder tumours is low, even exceptional in the presence of surface, low-grade neoplasia. The authors explain their experience in the diagnosis and management of a patient treated endoscopically for a vesical surface tumour which subsequently exhibited peritoneal and gut metastatic seeding. The various mechanisms for gut dissemination of vesical neoplasias and the repercussion of their endoscopic management are discussed.     

Sub-optimal solutions to track detection problem using graph theoretic concepts

This paper demonstrates how the problem of tracking targets, which appear as either straight or curved lines in two-dimensional display images (or data images) can be formulated in terms of a directed weighted graph model and how dynamic programming techniques can be efficiently applied to reach an optimal or sub-optimal solution. In general, track detection algorithms providing optimal solutions have good detective ability, but most of them suffer from the inability to detect discontinuous lines or to resolve efficiently pairs of crossing lines. A sub-optimal solution is provided that efficiently overcomes these weaknesses. We focus on modeling the track detection problem in terms of a graph, formulating fast sequential/parallel sub-optimal track detection algorithms and testing them on simulated data in order to show their detective ability. Moreover, we specify the conditions under which sub-optimal algorithms can perform at least as well as their corresponding optimal algorithms. This is significant for the track detection problem where fast, accurate and real-time detection is considered a necessity.     

The Continuous Interpolating Self-organizing Map

The self-organizing map (SOM) [5] provides a general data approximation method which is suitable for several application domains. The topology preservation is an important feature in data-analysis and may also be advantageous for the evaluation of the data in a function approximation or regression task. For this reason the interpolated self-organizing map (I-SOM) adds an output layer to the SOM architecture which computes a real valued output vector. This paper presents an extension of I-SOM towards a continuous interpolation. It is compared to RBF and to the parametrized self-organizing map.     

Computer-intensive methods in statistical analysis

As far back as the late 1970s, the impact of affordable, high-speed computers on the theory and practice of modern statistics was recognized by Efron (1979, 1982). As a result, the bootstrap and other computer-intensive statistical methods (such as subsampling and the jackknife) have been developed extensively since that time and now constitute very powerful (and intuitive) tools to do statistics with. This article provides a readable, self-contained introduction to the bootstrap and jackknife methodology for statistical inference; in particular, the focus is on the derivation of confidence intervals in general situations. A guide to the available bibliography on bootstrap methods is also offered     

Vitamin A deficiency and nocturnal vision in teenagers with cystic fibrosis

The aim of this study was to document plasma retinol status and nocturnal vision in ten eutrophic adolescents with cystic fibrosis (CF) receiving daily retinol supplementation. Plasma retinol, alpha and beta carotenes and retinol binding protein were measured in ten clinically stable CF patients (mean age: 14.3 years; Shwachman score: 80-100). Nocturnal vision evaluation was performed with a Beyne optometer. Plasma retinol (mean 0.42 +/- 0.16 mg/l), alpha carotene and beta carotene levels were below the lower limit of normal in all but one patient. Five out of ten patients with normal standard opthalmological examination presented a poor (n = 3 patients) or a pathological (n = 2) dark adaptation test. These two patients showed a dramatic increase in nocturnal vision after 1 year of adapted retinol supplementation. CONCLUSION: Low vitamin A levels occur frequently in clinically stable, eutrophic and retinol supplemented CF adolescents. Since vitamin A deficiency is associated with poor nocturnal vision and since this pattern can be reversed by adapted retinol supplementation, we recommend monitoring plasma vitamin A levels in CF patients and evaluation of dark adaptation in retinol deficient patients.     

Endosonographic features of esophageal granular cell tumors

BACKGROUND AND STUDY AIMS: Granular cell tumors of the esophagus are rare tumors. A definite diagnosis is achieved by endoscopic biopsies in only 50% of cases. Endoscopic ultrasonography (EUS) is the best procedure in the evaluation of upper gastrointestinal tract submucosal tumors. The aim of this study was to describe the endosonographic findings of esophageal granular cell tumors. METHODS: From January 1989 to March 1994, 15 patients with 21 granular cell tumors which had negative biopsies were examined by EUS (Olympus GF UM3 or GF UM20,7,5 and 12 MHz). In five cases, the tumor was also studied with a 20 MHz Olympus miniprobe. The final histological diagnoses were obtained by subsequent endoscopic snare resection in 20 cases and surgically in one case. RESULTS: The endosonographic features (with the GF UM3 or GF UM20) of esophageal granular cell tumors were: a) a tumor size of less than 2 cm in 95% of cases; b) an hypoechoic solid pattern in 100% of cases; c) a tumor arising in the inner layers in 95% (second echo-poor layer n=15; third echo-rich layer n=5). In one case, the endosonographic finding was transmural malignant infiltration of the esophageal wall (histologically confirmed). CONCLUSION: When a granular cell tumor of the esophagus is suspected, EUS can show the inner layer location of the tumor and thus contribute to planning the endoscopic resection or follow up. When the tumor also invades the outer layers, EUS can contribute to planning the surgical resection.     

Giuseppe Gradenigo and his contributions to audiology

Giuseppe Gradenigo (1859-1926) was an important figure in the development of Otology. Within this paper the authors consider his background and his particular contributions to the development of various aspects of audiology.     

Agenesis of the corpus callosum in a mother and son

Most reported familial cases of agenesis of the corpus callosum have followed either an autosomal recessive or an X-linked recessive pattern of inheritance. To the best of our knowledge, there is only one previous report of a family showing clear-cut autosomal dominant inheritance. We present the second such family, among whom a mother and her son had moderately severe coordination problems and low-normal intelligence. We suggest that agenesis of the corpus callosum, when transmitted as an autosomal dominant trait, is clinically characterized by a relatively milder phenotype than that occurring when inheritance is either autosomal or X-linked recessive and may be more common than has been thought.     

Microfabricated Lamb wave device based on PZT sol-gel thin film formechanical transport of solid particles and liquids

The fabrication using silicon micromachining and characterization of an acoustic Lamb wave actuator is presented. The intended use of the device is for mass transport and sensor applications. The device consists of dual interdigitated transducers patterned on a thin-film composite membrane of silicon nitride, platinum, and a sol-gel-derived piezoelectric ceramic (PZT) thin film. The acoustic properties of the device are presented along with preliminary applications to mechanical transport and liquid delivery systems. Improved acoustic signals and improved mass transport are achieved with PZT over present Lamb wave devices utilizing ZnO or AlN as the piezoelectric transducer     

A robust CMOS compander

A robust CMOS compander circuit meeting all of the requirements for analog cellular telephony and using an improved sigma-delta compander topology is presented. Rather than digitizing and reconstructing the input signal using a sigma-delta modulator as has been done previously, only the amplitude path is digitized while the voice path remains analog. The amplitude information is obtained digitally, and is reduced to a single bit using a first-order sigma-delta modulator. Performing this function digitally eliminates problems due to analog offsets and in implementing the long time constant required. The output signal is formed by gating the analog input signal under control of the amplitude signal. The expander and compressor circuits each consist of a single op amp and 2000 gates of digital logic, and have been implemented on 0.8-μm CMOS processes. The ADC for the amplitude path uses a compact switched-capacitor second-order sigma-delta modulator implemented using a single amplifier. No external components are required. Tracking error for the compressor was measured to be less than 0.3 dB over a 60-dB input range when operating on a 3.0-V supply. The test time, when compared to conventional compander implementations, is considerably reduced