Reliability of seizure classification using a semistructured interview

Methods for standardized classification of epileptic seizures are important for both clinical practice and epidemiologic research. In this study, we developed a strategy for standardized classification using a semistructured telephone interview and operational diagnostic criteria. We interviewed 1,957 adults with epilepsy ascertained from voluntary organizations. To confirm and expand the seizure history, we also interviewed a first-degree relative for 67% of subjects and obtained medical records for 59%. Three lay reviewers used all available information to classify seizures. To assess reliability, each reviewer classified a sample of subjects assigned to the others. In addition, an expert physician classified a sample of subjects assigned to two of the reviewers. Agreement was "moderate-substantial" for generalized-onset seizures, both for the comparisons between pairs of lay reviewers and for the neurologist versus lay reviewers. Agreement was "substantial-almost perfect" for partial-onset seizures, both for pairs of lay reviewers and for the neurologist versus lay reviewers. These results suggest that seizures can be reliably classified by lay reviewers, using operational criteria applied to symptoms ascertained in a semistructured telephone interview.     

A study of the polymerization behaviour of N-(4-phenoxy)-phenylmaleimide using DSC analysis

Summary The thermal cure of a monofunctional maleimide N-(4-phenoxy)-phenylmaleimid (1) was examined using differential scanning calorimetry (DSC). The analogous bis-maleimide bis-(4-maleimidophenyl)ether (2) was also analyzed in the same manner for comparison. Polymerization kinetics derived from scanning DSC measurements showed an order of reaction varying between n=1 and 2 for (1), compared to an order of reaction between n=2 and 3 (by multiple linear regression analysis) for (2). The overall enthalpy of polymerization (H_o) for N-(4-phenoxy)-phenylmaleimide (94kJ/mole) agrees well with that obtained for maleimide itself (89kJ/mole) using conventional calorimetric techniques indicating that polymerization appears complete within the timescale of the experiment. In contrast the analogous BMI displays a markedly lower overall polymerization enthalpy (ca. 66kJ/mole) indicating an apparent conversion of only 37%.     

Liposome-cell interaction: transfer and intracellular release of a trapped fluorescent marker

When small, unilamellar lipid vesicles containing a high concentration of the fluorescent dye 6-carboxyfluorescein are incubated with either frog retinas or human lymphocytes, fluroescence distributes widely throughout each cell. Since "self-quenching" largely prevents the dye from fluorescing as long as it remains sequestered in vesicles, it is clear that a considerable amount of dye is released from the vesicles and diluted into the much larger volume of the cell.     

University/corporate research agreements

The author examines the evolving university-industry relationships in the biotechnology area, addressing the conceptual basis for such arrangements and the resultant contract issues. He examines the need for development of policies in academia that will accommodate the needs of both government and industry without harming the integrity or institutional objectives of the university. The author then recommends a number of directives for written rules to help achieve these objectives, especially ones relating to patenting and licensing of inventions developed under industrial support.     

Fibrous myopathy. A rheumatic complication of drug abuse

A progressive fibrous myopathy may result from chronic intramuscular drug abuse. This complication may mimic other rheumatic disorders and early recognition may prevent disability. The patient described here presented with fixed flexion and extension contracture of hips and knees, respectively, after abusing meperidine and other agents for 3 years. Soft tissues of thighs and buttocks were "wood hard," EMG showed absence of action potentials in affected muscles, and biopsy revealed extensive replacement of muscle with dense, acellular fibrous tissue. Possible mechanisms are discussed.     

Integrable multimode interference distributed Bragg reflector laser all-optical flip-flops

A novel fully integrable all-optical flip-flop has been created using distributed Bragg reflector multimode interference bistable laser diodes. The single metal-organic vapor phase epitaxy regrowth offset quantum well structure active/passive integrated flip-flop lases in single mode at 1554 nm and is compatible with standard fabrication methods of InP photonic integrated circuits (PICs). All-optical reset switching through cross-gain saturation was demonstrated over a 52-nm range, at 1522-1574 nm. An optical set has been achieved with -3 dBm and optical reset with less than -5-dBm external light injection. The flip-flop will be useful for integration in PICs of future photonic systems for self-routing and optical memories or buffers.     

A single regrowth integration platform for photonic circuits incorporating tunable SGDBR lasers and quantum-well EAMs

A monolithic integration platform is demonstrated for high functionality photonic circuits that include quantum-well electroabsorption modulators, semiconductor optical amplifiers, and widely tunable lasers. The platform is based on the selective removal of a set of active quantum wells located above an optical waveguide layer. The waveguide layer contains a second set of quantum wells to be used in modulator regions. Fabrication requires only a single blanket InP regrowth.     

Two-phase flow patterns in turbulent flow through a dose diffusion pipe

A numerical investigation is carried out for turbulent particle-laden flow through a dose diffusion pipe for a model reactor system. A Lagrangian stochastic Monte-Carlo particle-tracking approach and the averaged Reynolds equations with a k– turbulence model, with a two-layer zonal method in the boundary layer, are used for the disperse and continuous phases. The flow patterns coupled with the particle dynamics are predicted. It is observed that the coupling of the continuous phase with the particle dynamics is important in this case. It was found that the geometry of the throat significantly influences the particle distribution, flow patterns and length of the recirculation region. The accuracy of the simulations depends on the numerical prediction and correction of the fluid phase velocity during a characteristic time interval of the particles. A numerical solution strategy for the computation of two-way momentum coupled flow is discussed. The three test cases show different flow features in the formation of a recirculation region behind the throat. The method will be useful for the qualitative analysis of conceptual designs and their optimisation.