Oncological outcomes of operative treatment of subcutaneous soft-tissue sarcomas of the extremities

We reviewed the cases of sixty-two patients who had had a subcutaneous sarcoma to determine the effect of tumor and treatment-related variables on the rates of survival and local recurrence. Fifty-nine (95 per cent) of the patients had had an operation at another hospital before being referred to us. Twenty-nine (47 per cent) of the sixty-two tumors were high-grade, forty-two (68 per cent) were small (five centimeters or less), and thirty (48 per cent) were malignant fibrous histiocytomas. We followed a treatment strategy that consisted of repeat excision with the goal of obtaining wide margins. Excluding thirteen patients who had had a palpable local recurrence at the time of presentation, twenty (49 per cent) of forty-one patients who had had a marginal excision at another hospital had microscopic residual tumor on repeat excision. At a median of fifty-six months after the repeat excision, fifty (81 per cent) of the sixty-two patients had been continuously disease-free, one had no evidence of disease, eight had died of the disease, and three had died of other causes. The five-year rate of disease-free survival was 85 per cent (fifty-three of sixty-two patients). There were three local recurrences, all in patients who had had a marginal resection. No recurrences were noted in patients who had had a wide local excision of the tumor or of the previous operative field. Multivariate analysis revealed that a large tumor (greater than five centimeters), a marginal excision, and adjuvant radiation therapy were associated with a worse prognosis. Excellent rates of survival for patients who have a subcutaneous sarcoma, including those who have a large or high-grade tumor and those who have residual tumor following a previous operation, can be obtained with carefully planned operative treatment alone. We recommend operative excision or repeat excision with wide margins because of the high prevalence of residual tumor. Size is the most important tumor-related factor, and the operative margin is the most important treatment-related factor. The additional value of adjuvant radiation therapy remains unproved.     

Fast dynamic casting

We describe a scheme for implementing dynamic casts suitable for systems where the performance and predictability of performance is essential. A dynamic cast from a base class to a derived class in an object‐oriented language can be performed quickly by having the linker assign an integer type ID to each class. A simple integer arithmetic operation verifies whether the cast is legal at run time. The type ID scheme presented uses the modulo function to check that one class derives from another. A 64‐bit type ID is sufficient to handle class hierarchies of large size at least nine levels of derivation deep. We also discuss the pointer adjustments required for a C++ dynamic_cast. All examples will be drawn from the C++ language. Copyright © 2005 John Wiley & Sons, Ltd.     

Sorption of Acid Green 25 on chitosan: Influence of experimental parameters on uptake kinetics and sorption isotherms

Acid Green 25, which is a diazoic dye bearing two sulfonic groups, is efficiently sorbed on chitosan. The protonation of chitosan may explain the electrostatic attraction of this anionic dye and that its optimum pH is close to 3. Preliminary protonation of amine groups (obtained by contact with a sulfuric acid solution) reduced the variation of solution pH following sorbent addition but significantly reduced sorption performance: the maximum sorption capacity of raw chitosan, 525 mg dye/g (0.84 mmol dye/g), was halved by acidic preconditioning. The acidic conditioning also reduced the kinetic rate—the time necessary to reach equilibrium increased up to threefold depending on the experimental conditions. The size of sorbent particles influenced sorption kinetics and equilibrium because of resistance to intraparticle diffusion, but the sorption appeared to occur not only at the surface of the sorbent but also in the intraparticle network of the polymer. © 2003 Wiley Periodicals, Inc. J Appl Polym Sci 90: 1073–1080, 2003     

The possible influence of the menstrual cycle on the adherence of Candida albicans to human buccal epithelial cells in vitro

Although the influence of the menstrual cycle on both vaginal candidosis and Candida albicans adherence to vaginal epithelial cells in vitro has been shown to be significant, similar studies have not been made on oral candidosis and adherence to buccal epithelial cells. The aim of this study was therefore to use an in vitro adherence assay to investigate the possible influence of the menstrual cycle on the adherence of C. albicans to buccal epithelial cells. Epithelial cells were collected from a single, healthy, female volunteer on days 5, 15, 22 and 28 of six menstrual cycles. Adherence of C. albicans was significantly higher to buccal epithelial cells collected on day 5 of the menstrual cycle when compared with days 15, 22 and 28, both in terms of the percentage of buccal epithelial cells with adherent C. albicans and the number of C. albicans adhering per 200 buccal epithelial cells in four out of six menstrual cycles (p < 0.001). This result indicates that hormonal influences should be considered when buccal epithelial cells are used in vitro to assess candidal adherence and may implicate hormonal factors in the aetiology of oral candidosis.     

ATV-related central nervous system injuries in Louisiana

All terrain vehicles (ATVs) have been associated with death and serious injury since their introduction into the marketplace. Fifteen cases of ATV-related brain and spinal cord injury reported to the Louisiana Central Nervous System Registry during 1995 were evaluated for severity, etiology, and outcome. Eleven (73%) of these injuries were sustained by persons under 18 years of age. Despite US Consumer Product Safety Commission and ATV manufacturer recommendations for age restrictions, ATVs continue to be popular recreational devices for children.     

Managing Impressions Online: Self-Presentation Processes in the Online Dating Environment

This study investigates self-presentation strategies among online dating participants, exploring how participants manage their online presentation of self in order to accomplish the goal of finding a romantic partner. Thirty-four individuals active on a large online dating site participated in telephone interviews about their online dating experiences and perceptions. Qualitative data analysis suggests that participants attended to small cues online, mediated the tension between impression management pressures and the desire to present an authentic sense of self through tactics such as creating a profile that reflected their "ideal self," and attempted to establish the veracity of their identity claims. This study provides empirical support for Social Information Processing theory in a naturalistic context while offering insight into the complicated way in which "honesty" is enacted online.     

Antimicrobial effect of combinations of EDTA-Tris and amikacin or neomycin on the microorganisms associated with otitis externa in dogs

Combinations of EDTA-Tris and two aminoglycoside antibiotics (amikacin and neomycin) were tested for synergistic activities against the microorganisms associated with otitis externa in dogs and for the solutions' stability over time. Synergistic activity was observed when EDTA-Tris plus amikacin and EDTA-Tris plus neomycin were tested against Staphylococcus intermedius, Proteus mirabilis, Pseudomonas aeruginosa, and Escherichia coli, but not against Candida albicans. Stability studies over a 3-month period indicated that the test solutions were stable at room temperature and that their antimicrobial activity was maintained.     

Simultaneous reduction of NOx and SO2 emissions from coal combustion by calcium magnesium acetate

The potential of calcium magnesium acetate (CMA) as a medium for the simultaneous control of NO_x and SO_x emissions has been investigated using a pulverized coal combustion rig operating at 80 kW. A US and a UK coal of significantly different sulphur contents were used as primary fuel and CMA was injected in solution form into the combustion gases by horizontally opposed twin-fluid atomisers at temperatures of 1100-1200 °C. SO₂ reductions typically greater than 80 and 70% were found for initial SO₂ levels of 1000 and 1500 ppm, respectively, at Ca/S ratios greater than 2.5. There did not appear to be significant limitation on sulphation by pore blockage using CMA due to the open structure formed during calcination and there is clear potential for zero SO₂ emissions at higher Ca/S ratios. The Ca content of the CMA in the form of CaO, via a droplet drying/particle calcination process, absorbs SO₂ by sulphation processes by penetration into the open pore structure of these particles. The effect of primary zone stoichiometry (λ₁=1.05, 1.15 and 1.4) on NO_x reduction was investigated for a range of CMA feed rates up to a coal equivalent of 24% of the total thermal input. NO_x reductions of 80, 50 and 30% were achieved at a primary zone stoichiometry of λ₁=1.05, 1.15 and 1.4, respectively, for a reburn zone residence time of 0.8 s. At lower equivalent reburn fuel fractions, coal gave greater NO_x reductions than CMA but similar levels were achieved above Rff=18%. The mechanism for NO_x reduction involves the organic fraction of CMA which pyrolyses into hydrocarbon fragments (CH_i), but to a lesser degree than coal, which may then react with NO_x in a manner similar to a conventional ‘reburn’ mechanism where NO_x is partly converted to N₂ depending on the availability of oxygen.