Some Insights into MIMO Mutual Information: The High SNR Case

We consider mutual information of multiple-input multiple-output (MIMO) wireless channels with complex isotropic Gaussian input in the case where the receiver has perfect channel, knowledge. For arbitrary fading statistics, a mutual information lower bound is decomposed in a sum of three terms involving: a) average SNR; b) channel fading; and c) a term characterizing the "effective rank", or eigenvalue dispersion, of the channel matrix. The decomposition suggests that spatial multiplexing efficiency of a MIMO channel can be characterized by the so-called ellipticity statistic. Distribution functions, means and variances of the random terms in the decomposition for the case of Rayleigh fading are also derived     

Heart transplantation in Finland 1985-1995

BACKGROUND: Clearance of large molecules from the interstitial space is an important function of lymphatics and is affected by local pathologic changes. OBJECTIVE: To determine if the clearance rate of interstitially injected albumin is correlated to tumour characteristics and outcome in women with invasive breast cancer. METHOD: In a consecutive series of women coming to biopsy for suspected breast cancer, technetium-tagged albumin was injected into the tissue adjacent to the palpable mass. The isotope disappearance rate was measured over two hours. Also assessed were the maximum vessel density (MVD-using Factor VIII polyclonal antisera), the proliferation rate (using Ki-67 antisera), node status, tumour size, histologic and nuclear grade, mitotic rate, and p53 and c-erbB-2 oncoproteins. All patients were followed until relapse and for a minimum of 10 years. RESULTS: In multivariate analysis, an association between relapse-free survival and isotope clearance rate was suggested (p = 0.024). The best outcome was seen in patients with the least isotope clearance. Node status, size, histologic and nuclear grade, and mitotic rate correlated with survival. MVD did not correlate with survival and was inversely related to the isotope clearance rate. Tumour proliferation rate, and the c-erbB-2 and p53 oncoproteins did not relate to outcome. CONCLUSION: The role of lymphatics in breast cancer is difficult to study. Measurement of interstitial clearance may be a useful technique and could be a prognostic factor.     

Macrophage activation results in bone resorption

Monocytes or macrophages from important accessory cells in the regulation of bone metabolism and destruction. Cells of the mononuclear phagocyte lineage form the precursor cells of the osteoclasts. Soluble products produced by activated macrophages regulate progenitor cell proliferation, recruitment, differentiation, and activity of osteoblasts and osteoclasts. After osteoclasts are removed from the resorption site, macrophages process bone surfaces and create a cement line before osteoblasts enter to form new bone. Although osteolysis associated with normal bone remodeling is seen as an osteoclast driven process, it may be that in chronic inflammation macrophage activation and vascular derangements lead to low pH, local bone demineralization (acid attack), and H+ mediated stimulation of the primary afferent nociceptive nerve fibers (bone pain). Osteoclasts are not able to attach to demineralized bone or to osteoid surfaces. However, if macrophages degrade the demineralized organic bone matrix, chemotactic factors and attachment sites for osteoclasts are produced. In such a scenario, the osteoclast-osteoblast mediated activation, resorption, and formation cycle would be secondarily activated. Such events may play a role in the most common orthopaedic problem related to macrophage activation, aseptic loosening of orthopaedic joint implants, which is secondary to a chronic foreign body reaction and to micromovement.     

Atlantoaxial instability complicating radiation therapy for recurrent nasopharyngeal carcinoma. A case report

STUDY DESIGN: A case report of a patient in whom atlantoaxial instability developed secondary to repeat radiation therapy for recurrent nasopharyngeal carcinoma. OBJECTIVES: To illustrate a dramatic and previously unreported complication of local radiation to the posterior nasopharynx. SUMMARY OF BACKGROUND DATA: Nasopharyngeal carcinoma is an unusual tumor that usually is managed with local, external-beam radiation. It is not thought to involve the cervical spine directly, although local invasion of the skull base is common. METHODS: A review of the medical records and radiographs of the only patient known to develop this complication of radiation used to manage nasopharyngeal carcinoma. RESULTS: Atlantoaxial instability developed in a patient as a result of repeat radiation for a locally recurrent tumor. The instability was associated with intrusion of the anterior arch of C1 into the posterior nasopharynx and was managed successfully with a posterior stabilization using transarticular screws and supplemental wiring. CONCLUSIONS: Patients who have undergone local irradiation for nasopharyngeal carcinoma may be at risk for developing atlantoaxial instability.     

Results of Finnish national survey on EU legislation concerning computer work

The European Directive on computer work (VDU 90/270/EEC) is implemented in the Finnish Government Decree. The aim of the present study was to evaluate the effects of the legislation and its applications in practice. The quantitative method used an online questionnaire. The respondents were employers (N = 934), employees (N = 1872) and occupational health care (OHC) units (N = 289). The majority of all these three groups considered the provisions clear and easy to understand, comprehensive, and easy to comply with. The provisions had a great impact on preventing mental overloading, arranging sight tests at the employer's cost, and on the refunding of eyeglasses for computer work. Most employers felt they did not need any more specific provisions, whereas half of the employees and OHC professionals would have liked the provisions to be more detailed. More explicit and specific regulations were also needed for practice applications in particular, as well as for the refunding of the costs of special eyeglasses for computer work. A total of 59% of the employers reported that costs of glasses are refunded, whereas the figure for employees was clearly lower (37%). OHC professionals reported that the costs of glasses were refunded in 82% of their customer workplaces. The practical conclusion is that employees' sight examinations and compensation for eyeglasses should be promoted in computer work. Moreover, ergonomic applications are best carried out in co-operation with OHC personnel.     

Correcting for the influence of frozen lakes in satellite microwave radiometer observations through application of a microwave emission model

The spatial resolution of passive microwave observations from space is of the order of tens of kilometers with currently available instruments, such as the Special Sensor Microwave/Imager (SSM/I) and Advanced Microwave Scanning Radiometer (AMSR-E). The large field of view of these instruments dictates that the observed brightness temperature can originate from heterogeneous land cover, with different vegetation and surface properties.In this study, we assess the influence of freshwater lakes on the observed brightness temperature of AMSR-E in winter conditions. The study focuses on the geographic region of Finland, where lakes account for 10% of the total terrestrial area. We present a method to mitigate for the influence of lakes through forward modeling of snow covered lakes, as a part of a microwave emission simulation scheme of space-borne observations. We apply a forward model to predict brightness temperatures of snow covered sceneries over several winter seasons, using available data on snow cover, vegetation and lake ice cover to set the forward model input parameters. Comparison of model estimates with space-borne observations shows that the modeling accuracy improves in the majority of examined cases when lakes are accounted for, with respect to the case where lakes are not included in the simulation. Moreover, we present a method for applying the correction to the retrieval of Snow Water Equivalent (SWE) in lake-rich areas, using a numerical inversion method of the forward model. In a comparison to available independent validation data on SWE, also the retrieval accuracy is seen to improve when applying the influence of snow covered lakes in the emission model.     

Feasibility of multi-temporal interferometric SAR data for stand-level estimation of boreal forest stem volume

The feasibility of interferometric SAR (INSAR) coherence observations for stem volume (biomass) retrieval is investigated by applying coherence data determined from 14 ERS-1 and ERS-2 C-band SAR image pairs. The image set covers a single forested test area in Finland, and both summer (snow-free) and winter conditions are represented. The data set enabled (a) the study of stem volume retrieval performance under varying conditions, (b) the analysis of the seasonal behavior of interferometric coherence, and (c) the determination of the accuracy characteristics of empirical (nonlinear) coherence modeling. Additionally, a new technique to estimate forest stem volume from INSAR data was developed based on constrained iterative inversion of the applied empirical model. The results indicate that the usability of winter images with snow-covered terrain is superior to that of images obtained under summer conditions. The applied empirical model appears to be adequate for describing the stand-wise coherence of boreal forest. Hence, a practical stem volume estimation method can be established based on it. The highest correlation coefficient between the estimated stem volume and the ground truth stem volume showed values as high as r=0.9 and a relative RMSE level of 48% was obtained, respectively.     

Effects of Ospemifene on Drug Metabolism Mediated by Cytochrome P450 Enzymes in Humans in Vitro and in Vivo

The objective of these investigations was to determine the possible effects of the novel selective estrogen receptor modulator, ospemifene, on cytochrome P450 (CYP)-mediated drug metabolism. Ospemifene underwent testing for possible effects on CYP enzyme activity in human liver microsomes and in isolated human hepatocytes. Based on the results obtained in vitro, three Phase 1 crossover pharmacokinetic studies were conducted in healthy postmenopausal women to assess the in vivo effects of ospemifene on CYP-mediated drug metabolism. Ospemifene and its main metabolites 4-hydroxyospemifene and 4′-hydroxyospemifene weakly inhibited a number of CYPs (CYP2B6, CYP2C9, CYP2C19, CYP2C8, and CYP2D6) in vitro. However, only CYP2C9 activity was inhibited by 4-hydroxyospemifene at clinically relevant concentrations. Induction of CYPs by ospemifene in cultured human hepatocytes was 2.4-fold or less. The in vivo studies showed that ospemifene did not have significant effects on the areas under the plasma concentration-time curves of the tested CYP substrates warfarin (CYP2C9), bupropion (CYP2B6) and omeprazole (CYP2C19), demonstrating that pretreatment with ospemifene did not alter their metabolism. Therefore, the risk that ospemifene will affect the pharmacokinetics of drugs that are substrates for CYP enzymes is low.     

Role of Cyclooxygenase-2 in Head and Neck Tumorigenesis

The cyclooxygenase-2 (COX-2) is a potent enzyme that converts arachidonic acid to prostaglandins (PG), including PGE2, a key mediator of inflammation and angiogenesis. Importantly, COX-2 is activated in response to inflammatory stimuli, where it is also believed to promote the development and progression of head and neck cancers (HNC). COX-2 can mediate its protumorigenic effect through various mechanisms, such as inducing cell proliferation, inhibition of apoptosis, and suppressing the host’s immune response. Furthermore, COX-2 can induce the production of vascular endothelial growth factors, hence, promoting angiogenesis. Indeed, the ability of COX-2 inhibitors to selectively restrict the proliferation of tumor cells and mediating apoptosis provides promising therapeutic targets for cancer patients. Thus, in this comprehensive review, we summarized the reported differential expression patterns of COX-2 in different stages of head and neck carcinogenesis—from potentially premalignant lesions to invasive carcinomas. Furthermore, we examined the available meta-analysis evidence for COX-2 role in the carcinogenesis of HNC. Finally, further understanding of the biological processes of COX-2 and its role in orchestrating cell proliferation, apoptosis, and angiogenesis may give therapeutically beneficial insight to develop the management plan of HNC patients and improve their clinical outcomes.