Complications of chronic otitis media

In summary, recent literature indicates that the complications of chronic otitis media have been decreasing. However, even with the advent of modern and more powerful antimicrobials and aggressive surgical eradication of disease, the morbidity and mortality are still high. Some complications may initially be quite obvious and some complications may be quite subtle. Therefore, the most important tools in making early diagnosis are careful history and physical examination, and a high index of suspicion for impending complications.     

An exploratory study of adolescent's perceptions of the Web

Abstract The purpose of this exploratory study was to investigate the influence of two individual characteristics (Web experience and academic focus) of adolescents on the Web perception, using off-line questionnaires (a Lickert response scale) constituted on the basis of a series of interviews. Questions concerned: perceptions about the nature of information found in the Web; 'strategies' of access to the interesting Internet sites and the reliability of different information resources (libraries, television, Web, etc.). Results lead to the assumption that adolescents with high Web experience became more critical, less confident and less enthusiastic than adolescents with low Web experience and that, in some dimensions, perceptions of literature students are different to those of science students. Even if some interesting results were obtained, further research is needed to explore users' perceptions related to individuals' characteristics and to determine the generalisability of the influences identified in this exploratory study.     

Measurement of histamine release from human lung tissue ex vivo by microdialysis technique

OBJECTIVE AND DESIGN: Currently no method is available for measurement of mediator release from intact human lung. In this study, a microdialysis technique was used to measure histamine release from mast cells in human lung tissue ex vivo. MATERIAL: Microdialysis fibers of 216 microm were inserted into lung tissue and perfused with Krebs Ringer buffer at a rate of 3 microl/min. After a 15 min period of steady-state perfusion, anti-IgE and vehicle were injected into the lung tissue above individual fibers. Samples from each fibre were collected for 20 min at 2 min intervals. Histamine was assayed fluorometrically. RESULTS: Anti-IgE concentrations of 40-40,000 U/ml dose-dependently released histamine, significant histamine release being demonstrated with anti-IgE concentrations of 400 U/ml and greater. The kinetics of histamine release showed peak values 2-8 min after the injection. Great individual responses were observed but data could be reproduced within individual donors. Monocyte chemoattractant protein-1, a potent basophil secretagogue, did not induce histamine release in lung tissue which indicated mast cells to be the histamine source. Substance P did not release histamine in the lung tissue. CONCLUSIONS: The microdialysis technique allowed measurements of histamine release from mast cells in intact lung ex vivo. The method may prove useful since a number of experiments can be performed in a few hours in intact lung tissue without any dispersion or enzymatic treatment.     

On the robustness of population-based versus point-basedoptimization in the presence of noise

Practical optimization problems often require the evaluation of solutions through experimentation, stochastic simulation, sampling, or even interaction with the user. Thus, most practical problems involve noise. We address the robustness of population-based versus point-based optimization on a range of parameter optimization problems when noise is added to the deterministic objective function values. Population-based optimization is realized by a genetic algorithm and an evolution strategy. Point-based optimization is implemented as the classical Hooke-Jeeves pattern search strategy and threshold accepting as a modern local search technique. We investigate the performance of these optimization methods for varying levels of additive normally distributed fitness-independent noise and different sample sizes for evaluating individual solutions. Our results strongly favour population-based optimization, and the evolution strategy in particular     

EFFECT OF SURFACE ROUGHNESS ON THE ADHESION OF ELECTROLESSLY PLATED PLATINUM TO POLY(ETHYLENE TEREPHTHALATE) FILMS

Poly(ethylene terephthalate) films were treated with aqueous sodium hydroxide solutions of different concentrations for various times. The rate of weight loss increased with the addition of a swelling agent (methylene chloride) or a cationic surfactant. The surface roughness of the treated films was determined from atomic force microscopy (AFM) and pore diameter was obtained from scanning electron microscopy (SEM). In general, surface roughness was found to increase with increasing weight loss for the treated films. A maximum roughness was obtained for samples with a weight loss of approximately 15-20%, beyond which the roughness of the samples decreased. The addition of methylene chloride and surfactant resulted in an almost two-fold increase in the roughness for all treatment times investigated. The adhesion of electrolessly plated platinum film was dependent on the contact area produced by chemical treatment. Treatments producing smaller diameter pores of greater depth gave better adhesion.     

The low-temperature oxidation of calcium by water vapor

The oxidation kinetics of calcium in water vapor have been studied over the temperature range 25–300°C. There is a change in the form of the oxidation kinetics with temperature, from essentially linear at temperatures below 150°C to logarithmic at 300°C. This is coupled with a change in the manner of growth of the oxide layer as well as the chemical composition of the reaction product. In addition, the oxidation rate decreases with temperature, reaching a minimum at about 150°C. At temperatures below 150°C oxidation appears to be a result of the formation of cracks or fissures in the oxide film. Above 150°C no single oxidation mechanism can be deduced.     

Oral medication delivery in impaired swallowing: thickening liquid medications for safe swallowing alters dissolution characteristics

Acetaminophen (paracetamol) is available in a wide range of oral formulations designed to meet the needs of the population across the age-spectrum, but for people with impaired swallowing, i.e. dysphagia, both solid and liquid medications can be difficult to swallow without modification. The effect of a commercial polysaccharide thickener, designed to be added to fluids to promote safe swallowing by dysphagic patients, on rheology and acetaminophen dissolution was tested using crushed immediate-release tablets in water, effervescent tablets in water, elixir and suspension. The inclusion of the thickener, comprised of xanthan gum and maltodextrin, had a considerable impact on dissolution; acetaminophen release from modified medications reached 12–50% in 30?min, which did not reflect the pharmacopeia specification for immediate release preparations. Flow curves reflect the high zero-shear viscosity and the apparent yield stress of the thickened products. The weak gel nature, in combination with high G' values compared to G'' (viscoelasticity) and high apparent yield stress, impact drug release. The restriction on drug release from these formulations is not influenced by the theoretical state of the drug (dissolved or dispersed), and the approach typically used in clinical practice (mixing crushed tablets into pre-prepared thickened fluid) cannot be improved by altering the order of incorporation or mixing method.     

Designing Agent-Based Electronic Employment Markets

Two modes of matching people with jobs prevail at present: 1) hierarchical planning and 2) distributed markets. Each has strengths and limitations, but few systems have been designed to take advantage of strengths corresponding to both. With evolving information technology, however, the job-matching process could be accomplished far more equitably and efficiently using web-based markets within the firm, and intelligent agents offer excellent potential to help both potential employees and employers find one another in a distributed, electronic marketplace. But realizing this potential goes well beyond simply changing the rules of internal job matching or making agent technology available to job searchers. Rather, the corresponding markets and technologies must be designed, together, to mutually accomplish the desired results (e.g., efficient and effective matching) and conform to necessary properties (e.g., market clearing). Through the research described in this paper, we draw from Game Theory results to assess the feasibility of using two-sided matching algorithms to address this market-design problem. We also draw from current agent research to address the information technology dimension of the problem by implementing a proof-of-concept multi-agent system to enact, automate and support the corresponding market solution. This paper integrates the key economic and technological elements required to design robust electronic employment markets. And the corresponding research provides new knowledge and insight into co-development of the requisite economic markets and agent technologies.     

Comparison between the growth of Yersinia enterocolitica, listeria monocytogenes, escherichia coli O157:H7 and salmonella spp. in ground beef packed by three commercially used packaging techniques

Growth of the pathogens Yersinia enterocolitica, Listeria monocytogenes, Escherichia coli O157:H7 and strains of Salmonella were compared in ground beef packed in modified atmospheres of 60% CO2/40% N2/0.4% CO (high CO2/low CO mixture), 70% O2/30% CO2 (high O2 mixture) and in chub packs (stuffed in plastic casings). The ground beef was inoculated with rifampicin-resistant or nalidixic acid/streptomycin-resistant strains of the pathogens (final concentration 10(2) - 10(3) bacteria/g) and stored at 4 and 10 degrees C for up to 14 days. At 4 degrees C the shelf life, based on colour stability and background flora development, was prolonged for the high CO2/low CO mixture compared to the two other packaging methods, but at 10 degrees C the shelf life was < 8 days for all the packaging methods. Growth of Y. enterocolitica was nearly totally inhibited both at 4 and 10 degrees C in the high CO2/low CO mixture, while the bacterial numbers in the samples packed in the high O2 mixture increased from about 5 x 10(2) bacteria/g at day 0 to about 10(4) at day 5 at 4 degrees C and to 10(5) at 10 degrees C. Growth in the chub packs was even higher. L. monocytogenes showed very little growth at 4 degrees C in all treatments. At 10 degrees C there was slow growth from about 5 x 10(3) bacteria/g to about 10(4) at day 5 in the high CO2/low CO mixture, while the numbers in the high O2 mixture and the chub packs were about 10 times higher. Growth of E. coli O157:H7 at 10 degrees C in the ground beef was nearly totally inhibited in both the high CO2/low CO mixture and the high O2 mixture. Growth in the chub packs was higher, as the number of bacteria increased 3 log in 5 days. The Salmonella strains (S. typhimurium, S. dublin, S. enteritidis and S. enterica 61:k:1,5,(7)) in the ground beef stored at 10 degrees C for 5 and 7 days grew to a higher number in the high CO2/low CO mixture than in the high O2 mixture. This study shows that the growth of Y. enterocolitica and L. mononcytogenes in ground beef stored in the high CO2 /low CO mixture was not increased as a result of prolonging the shelf life. However, the observed growth of strains of Salmonella at 10 degrees C in this mixture and in chub packs does emphasise the importance of temperature control during storage.