Levothyroxine suppressive therapy for solitary thyroid nodule

In order to evaluate the efficacy of a TSH suppressive dose of levothyroxine to reduce the volume of a single thyroid nodule we studied 55 euthyroid patient: 45 (group A) were suppressed with LT4 (mean 1.7 +/- 0.9 micrograms/Kg/day) for 21.3 +/- 5.3 months, and 10 patients (group B) served as controls. All the nodules were "cold" at scintiscanning, solid at ultrasonography and benign by fine-needle aspiration cytology. As responders were assumed the nodules shrinked at the end of treatment of 50% in volume. Thyroid function values (TSH, T4, FT4, T3, FT3, thyroid peroxidase and thyroglobulin antibodies), clinical and ultrasonographic findings were evaluated initially and at the end of the study. A significant nodular volume decrease occurred in 8 treated patients (17.8%) while 37 (82.2%) amongst the group suppressed and all controls showed no change (A vs B = NS). In two untreated patients new nodules were noted; no new nodules were discovered in the treated group (A vs B p < 005). No side effects occurred in any treated patient, even if at the end of treatment a significant T4 and FT4 (p < 0.01) increase was observed. No one onset parameter can predict the response to the therapy. These results suggest that only a small group of patients affected by a single thyroid nodule seems to respond to a TSH suppressive therapy.     

Synthesis,structural and optical properties of nanoparticles (Al,V) co-doped zinc oxide

The synthesis by the sol–gel method, structural and optical properties of ZnO, Zn_0.99Al_0.01O (AlZ), Zn_0.9V_0.1O (VZ) and Zn_0.89Al_0.01V_0.1O (AlVZ) nanoparticles was reported. The approach was slow release of water for hydrolysis by esterification reaction followed by a supercritical drying in ethyl alcohol. After thermal treatment at 500^°C in air, the obtained nanopowders were characterized by various techniques such as transmission electron microscopy, X-ray diffraction and photoluminescence (PL) spectroscopy. The structural properties showed that the ZnO nanoparticles with an average particle size of 25 nm exhibit hexagonal wurtzite structure. From the optical studies, it was found that the optical band gap was located between 2.97 and 3.17 eV. The obtained electrical properties showed the potential application of the samples in optoelectronic devices. The powder of AlVZ presented a strong luminescence band in the visible range. The PL band energy position presented a small blue shift with the increase of measurement temperature. Different possible attributions of this emission band will be discussed.     

Refining the level for anticipated hepatotoxicity in acetaminophen poisoning

Treatment of an acetaminophen overdose with N-acetyl cysteine usually is based on the position of the 4-h acetaminophen (APAP) level on the Rumack-Matthew nomogram; however, there is disagreement on the level at which clinically relevant hepatotoxicity occurs. A retrospective review of all acute adult formulation APAP exposures reported to our poison center between 1986 and 1993 was performed and cases corresponding to the "possible risk or toxicity" range on the nomogram were identified. Our current poison center protocol for APAP poisoning does not recommend treatment with N-acetylcysteine (NAC) in low-risk patients if the 4-h serum APAP level or the extrapolated equivalent falls within the possible toxicity range on the nomogram. Seventeen cases met the inclusion criteria for the study and received no NAC; six additional patients met inclusion criteria but received one or two doses of NAC before therapy was discontinued. No patients in either group demonstrated clinical evidence of hepatotoxicity. This pilot study suggests that patients with no risk factors and APAP levels in the "possible risk" range may not require NAC therapy.     

Intelligent security and access control framework for service-oriented architecture

One of the most significant difficulties with developing Service-Oriented Architecture (SOA) involves meeting its security challenges, since the responsibilities of SOA security are based on both the service providers and the consumers. In recent years, many solutions to these challenges have been implemented, such as the Web Services Security Standards, including WS-Security and WS-Policy. However, those standards are insufficient for the new generation of Web technologies, including Web 2.0 applications. In this research, we propose an intelligent SOA security framework by introducing its two most promising services: the Authentication and Security Service (NSS), and the Authorization Service (AS). The suggested autonomic and reusable services are constructed as an extension of WS-¹ security standards, with the addition of intelligent mining techniques, in order to improve performance and effectiveness. In this research, we apply three different mining techniques: the Association Rules, which helps to predict attacks, the Online Analytical Processing (OLAP) Cube, for authorization, and clustering mining algorithms, which facilitate access control rights representation and automation. Furthermore, a case study is explored to depict the behavior of the proposed services inside an SOA business environment. We believe that this work is a significant step towards achieving dynamic SOA security that automatically controls the access to new versions of Web applications, including analyzing and dropping suspicious SOAP messages and automatically managing authorization roles.     

Using online simulation in Holonic manufacturing systems

This paper deals with the use of online simulation on Holonic manufacturing systems. Concepts needed for the use of online simulation in a classical hierarchical system were already defined, the observer being the central one. The behavior's differences between both classes of systems are studied to determine the best way to adapt these concepts to this new environment. In the product resource order staff approach (PROSA) reference architecture, staff holons were chosen to welcome the simulation models and the observer. An application on an industrial sized Holonic manufacturing system is described to demonstrate the validity of the approach.     

Collection and transfusion of blood and blood components in the United States, 1989

A poor response to L-DOPA in addition to parkinsonian, cerebellar, and autonomic signs is commonly regarded as indicative of clinical multiple system atrophy (MSA). We compared the motor response to a single oral administration of 250 mg L-DOPA/25 mg carbidopa in eight MSA patients and eight Parkinson's disease (PD) patients with the "on-off" phenomenon, evaluating L-DOPA peripheral pharmacokinetics. Motor response was consistently good in all PD patients, but only four MSA patients had a (moderate) response. Pharmacokinetic parameters did not differ between the groups. The varying extent of putaminal damage could be responsible for the differing motor response to L-DOPA in MSA patients.     

90dB‐DR 3.3V CMOS single‐ended‐to‐fully differential and fully differential‐to‐single‐ended amplifiers for audio applications

This paper presents the design and the realization of single‐ended‐to‐fully differential and fully differential‐to‐single‐ended amplifiers to be used in an audio signal processing system. The proposed blocks allow to reduce significantly the pin number of the developed system, while guaranteeing the high quality (16bit) performance required in an audio channel. The proposed circuits have been realized in a standard 3.3V 0.35 µm CMOS technology and achieve a Dynamic Range in excess of 90dB with a Total Harmonic Distortion lower than ‐80dB for a full scale signal amplitude. Their power consumption (≈6mW and each) and the area (0.1mm² each) are finally negligible with respect to the other blocks in the overall systems. Copyright © 2003 John Wiley & Sons, Ltd.     

A Contactless Inductive Velocity Reconstruction Method for Metallic and Semiconducting Melts

The knowledge of the flow in metallic and semiconducting melts is important for a number of industrial problems. Optical methods cannot be applied due to the opaqueness of those fluids. Ultrasonic methods have problems with wetting and thermal stability when applied in hot metallic melts. Evidently, contactless methods for velocity determination would be highly desirable. In some applications, even a coarse knowledge of the flow topology and the direction of the main eddies would be of high value. The study examines the possibility of velocity reconstruction in electrically conducting fluids from external measurements of different induced magnetic fields. It is shown that, for a reliable velocity reconstruction, the effect of the electric potential at the fluid boundary on the induced magnetic field should be taken into account.     

弃武从文的卡司克

<正>不必质疑卡司克的精密、耐用和可靠程度,因为孕育它的母体可是战争中那把直接致命的武器——左轮手枪。"我打赌你以前没有拿过枪。"面对着正在把玩.32口径左轮手枪的乔恩·索洛萨巴尔(Jon Solozabal),很难相信这句话竟是一位文具制造商的开场白。对乔恩和他的这座超过90岁的企业王国而言,手枪所代表的不仅是一段历史,更是一笔宝贵的遗产。     

Bonding Quality of Chemically-Modified Soybean Protein Concentrate-Based Adhesives in Particleboards from Rice Husks

The aim of the present study was to upgrade the bonding quality and water resistance of medium-density particleboards based on rice husks (RH) as a wood substitute and soybean protein concentrate (SPC) as the binder via chemical modification of SPC. Alkali (A), citric acid (CA) and boric acid (BA) were used to modify proteins and the carbohydrate complex in SPC. The effect of chemical treatment performed on SPC was followed by Fourier transform infrared, differential scanning calorimetry, thermo-gravimetric analysis and initial apparent viscosity measurements. Board properties were evaluated in terms of internal bond (IB) and physical properties. Results revealed that boards bonded with SPC treated with boric acid, exhibited the highest IB and the lowest water absorption and thickness swelling at 2 and 24 h, due to cross-linking reactions with exposed OH-groups in the amorphous region of cellulose of RH. Results demonstrate that boric acid-modified–SPC-bonded boards met the requirements of IB recommended by the US Standard ANSI A208.1-2009 for M1, MS, M2 and M3-grade medium-density particleboards but failed to pass the thickness swelling required. This issue of BSPC-RH boards is compensated for by the benefit of being formaldehyde-free which makes them suitable for indoor applications.