Patient's self-interpretation of tuberculin skin tests

BACKGROUND: In the outpatient use of tuberculin skin testing (purified protein derivative [PPD]), it is at times inconvenient to have a patient revisit for interpretation. Therefore, we assessed patients' ability to self-interpret these test results. METHODS: In keeping with prior custom, patients were seen by an experienced nurse, who performed skin testing with PPD intermediate strength as well as mumps and Candida anergy control tests in some cases, and explained the procedure. The patients were asked to return 48 to 72 h later, at which time one of the researchers recorded their test interpretations before they were again evaluated by the nurse. RESULTS: Sixty-eight patients were studied, of whom 59 returned at appropriate interval. Eighteen patients had a positive PPD test reaction of 10 to 20 mm induration, which only one patient correctly identified as a positive test result. However, positive anergy control tests were correctly interpreted in 10 of 27 cases. CONCLUSION: The small number of positive PPD test result recognition by these patients may be partially attributed to their lack of education, as well as foreign birth and denial of illness. PPD results should be checked by an experienced professional.     

Quantitative reflectometry of the ocular fundus

This review shows that quantitative measurements of fundus reflectance can be described by models that explicitly incorporate anatomical and physical properties of the fundus tissue. Newer techniques examine the fundus in ways fundamentally different from conventional optics, and must be included in this approach of measurement and modeling. The importance of the “inner surface reflector” (ISR) for tomographic imaging warrants more study of its optical properties, particularly its directional reflectance. For example, because the surface of a glaucomatous optic disc can slope steeply into the cup, the directional reflectance of the ISR may affect its apparent topography and thus the reproducibility of measurements of cup size     

Distributed channel assignment strategies using coexistenceetiquettes for land based radio environment

The performance of two distributed channel assignment algorithms which use coexistence etiquettes for point to point links are considered by the authors. It has been found that selecting channels prior to transmission at the transmitter as opposed to the receiver, supports greater offered traffic with the additional advantage of a less complex protocol     

Thermally insulating behaviour of single and multiple layers of textiles under wind assault

One or more layers of textiles can provide a thermal resistance between the human body and its environment, and so help maintain the body in a thermally comfortable state. The effect of wind on and its penetration through such thermal cladding is examined experimentally.     

Comparison between normal and reverse thin crystalline silicon solar cells

The newly developed ingot growing techniques, as the three-grain and the columnar multigrain ingot processes, are now offering the possibility of slicing thinner wafers (≤ 100 μm). In this paper we present the results obtained on p type large area (≥ 100 cm²) and 100 μm thick wafers by using both conventional and reverse cell manufacturing technologies.The conventional cells are provided with aluminium or boron BSF plus screen-printed silver mirror or a silver-aluminium net; the reverse cells have a FSF and the deep back junction completely covered by a screen-printed or CVD silver layer.The constructing parameters have been chosen on the base of one and two dimensions modeling and both raw material and devices have been completely characterized.This work shows that very thin wafers do not introduce serious problems for the conventional manufacturing of solar cells. The efficiencies of the normal and of the reverse cells are found to be comparable and are of the same order than those of thicker cells, however at a significant lower cost. The main obtained result has to be related to the demonstration of a cell manufacturing feasibility starting from very thin wafers.     

The application of transmission-line modelling to the simulation ofan induction motor drive

The simulation of a complete induction motor drive is presented. The entire network is modelled using the transmission-line modelling (TLM) technique. The network is split into three sections which are solved independently and are joined together by link transmission-line models. Advantages of this approach are the explicit nature of the algorithm which remains unaltered irrespective of the network topology, unconditional stability, and straightforward modelling of switching elements. Results are presented for a complete drive which illustrate the capabilities and flexibility of the simulation technique     

Generalized model of the quantization error-a unified approach

The effective resolution of AD converters is a crucial quantization quality parameter in modern instrumentation. A usual theoretical assumption about the quantized (training) signal is that it is a pure sine wave with a “zero” offset. This means that either the average value of the sine wave is equal to one of the threshold levels (quantizer without dead zone) or that it lies exactly in the middle of them (rounding quantizer). In the measurement technique this assumption is hardly fulfilled, and that is why we meet something intermediate between the above-mentioned hypothetical situations. Here we generalize the known results for “zero” offset to the case of unknown offset. A general problem of an arbitrary random offset distribution is considered first. Two important practical cases are then analyzed. The first one is an unknown and nonrandom offset (one-point distribution). The second one is a case of a uniform distribution of the offset (effect of dithering on quantizer input). In particular, the expected values and variances are derived and analyzed versus the offset and the number of quantizing levels. The results obtained are applied to the effective resolution measurement     

On coordinating warehouse sizing, leasing and inventory policy

Organizations often fulfil their storage needs by supplementing their own warehouse with leased space, a scenario modeled here under the assumption of constant product demand. Closed-form formulae are obtained for the decision variables of interest, namely, the replenishment lot size and the warehouse size, as well as the amount of space to lease. Cost savings due to leasing are shown to have an upper bound of approximately 29% when the optimal warehouse capacity can be installed without restrictions (such as a budgetary constraint). A numerical example further indicates that leasing is significantly more beneficial when the warehouse size is tightly constrained, and that total costs are robust with respect to demand fluctuations.     

Stability Testing of Clinical Samples

The stability program for clinical samples as presented is based on the ICH Tripartite Guideline for Stability Testing of New Drug Substances and Products and the same principles that the program followed throughout the development of a drug product. But the Guideline and the basic principles were adapted to deal with the specific problems encountered with clinical samples. The expiration dates represent minimum shelf lives, storage conditions, and storage periods, and the minimum shelf lives correspond the duration of the clinical trials in phases I to III. Shelf lives are established on the basis of stress and accelerated tests to provide all batches with an open expiration date. They are supported and confirmed by long-term tests conducted under the storage conditions presenting climate zone II, 25°C/60% RH. The self lives determined apply to all the batches of the relevant development stage, although only the batches in the final phase of development originate from a validated manufacturing phase. For different dosages, dosage forms, and packaging materials, the number of batches and analysis is reduced by scientifically based rationalization measures such as bracketing and matrixing. The stability results obtained with clinical samples are a major factor for achieving a comprehensive assessment of the quality of a finished medicinal product. In this way it is possible to establish a link between the quality of clinical batches for phases I-III and the quality of the finished drug product.