A specific antidote for the treatment of digitalis poisoning in uremic patients

Two chronic haemodialyzed patients with digitalis intoxication are reported. One of them took digoxin 0.25 mg three times daily for an unknown period and the other took digitoxin 0.1 mg twice daily for two weeks. The symptoms of intoxication were mainly concealed by uremic syndrome. The diagnosis was established by noticed sinus bradycardia, first- and second-degree atrioventricular block in ECG and the determination of sera levels of glycosides (serum digoxin concentration was 7.36 ng/ml, serum digitoxin concentration was 46.5 ng/ml) in both cases. Considering the probable long elimination period of digitalis and the potentially life-threatening situation the patients were given digoxin-specific antibody (Fab) fragments with potassium replacement therapy. The symptoms disappeared within a few hours after therapy, side effects and rebound toxicity did not develop. In connection with these cases the aim of this report is to publish a method which can reverse the life-threatening digitalis intoxication in patients suffering from renal failure as well. As to the above method, the authors have not found any similar case reports in the Hungarian medical literature.     

Mikrotechnik für Raumfahrtanwendungen

This contribution describes the preparation, based upon a chemically amplified novolak resist (CAR), electron beam lithography, and ECR plasma etching, of structures with a high aspect ratio (10∶1) and lateral dimensions in the sub-micrometer range (150nm–300nm) which may serve as collector surfaces for sub-μm dust particles in a space experiment.     

Determination of diffusing capacity by modeling the dynamics of C18O uptake in newborns

Dynamic modeling of lung C¹⁸O diffusion is used to measure the C¹⁸O transfer factor (TL_co) of 14 newborns aged 1-4 mo. The model equation is based on the alveolar fractions of C¹⁸O and on changing alveolar ventilation induced by the rebreathing conditions. The model does not involve the volume of the rebreathing bag which is usually needed when applying rebreathing technique add which is a source of error. The equation is discretized and solved for recorded data obtained with equipment adapted to use in newborns. A least-square parameter calculation technique is applied to estimate TL_co. Results show a strong relationship between this index and the biometrical ones and confirm those found in the literature featuring that the measurement duration can be considerably shortened     

Disease management

The disease management approach to patient care seeks to coordinate resources across the healthcare delivery system. The growing interest in evidence based medicine and outcomes, and a commitment to integrated care across the primary, secondary, and community care sectors, all contribute to making disease management an attractive idea. A combination of patient education, provider use of practice guidelines, appropriate consultation, and supplies of drugs and ancillary services all come together in the disease management process. But its effectiveness is largely untested, so evaluation is essential.     

Surveillance after colorectal cancer surgery

Early diagnosis of local and distant recurrences of colorectal cancer remains difficult and there is no agreement on the effectiveness of follow-up in these patients. The aim of this study is to assess the value of our method of follow-up. We consider 239 patients with colorectal cancer and at least 2 years follow-up following radical resection. A local recurrence appeared in 26 patients (10.9%), a distant metastasis in 41 (17.1%), while in seven (2.9%) local and distant recurrences appeared simultaneously. Local recurrence was detected because of an increase in carcinoembryonic antigen (CEA) level in 15 patients (57.7%), during a scheduled endoscopy in four (15.4%) and because of symptoms in seven (26.9%). In seven patients (26.9%) a radical resection was possible. Distant metastases were detected by CEA levels in 20 patients (48.8%), by ultrasonography (U.S.) in 12 (29.3%) and by chest X-ray in five (12.2%). In 13 of 26 patients with liver metastases a resection was performed. This study shows that few patients benefit from follow-up and only CEA levels and liver U.S. performed intensively between 15 and 36 months after surgery are useful in early detection of recurrences. A modification of the follow-up to the single patient, according to the stage, location and grading of cancer, could improve the results, so lowering the costs of this expensive practice.     

Method for error recovery of line spectral frequencies

The authors have exploited the ideas used in vector quantisation for error recovery of scalar quantised LSFs. The good performance of this method has provided high resistance of the LSFs to channel errors, outperforming other schemes by, possibly, a considerable margin. Better objective and subjective performances were obtained with this new method which obviates the need for more powerful FEC schemes for transmission over noisy channels.<>     

Control of volatile organic compounds by an AC energizedferroelectric pellet reactor and a pulsed corona reactor

Two laboratory-scale plasma reactors, an alternating current (AC) energized ferroelectric (high dielectric ceramic) packed bed reactor and a nanosecond pulsed corona reactor, were constructed. This study was done to develop baseline engineering data to demonstrate the feasibility of the application of plasma reactors to the destruction of various volatile organic compounds (VOCs) at PPM levels. Complete destruction was obtained for toluene. Conversions of methylene chloride at 95% and trichlorotrifluoroethane (known as CFC-113) at 67% were achieved for the plasma reactors used. The conversion was dependent on the mean electron energy in the reactor and was also related to how strongly halogen species were bonded with carbon     

Fault section detection system for 66 kV underground branchtransmission lines using optical magnetic field sensors

A fault section detection system that uses optical magnetic field sensors and instantly detects the section in which a ground fault occurred was developed for 66 kV underground multiterminal systems having Y-branch joint boxes. The optical magnetic field sensor, which is based on the Faraday effect in Bi-doped YIG ((BiYbGd)₃Fe₅O₁₂) having a large Verdet constant, detects cable conductor currents of 0 to 2000 A with high precision with the use of a laminated magnetic ring core of silicon steel plates. Sensors and a fault section detector/indicator of a system are connected with optical fibers capable of nonrepeated transmission of over 6 km     

Bovine petechial fever (Ondiri disease)

This paper describes an efficient computer method for generating three-dimensional (3-D) ultrasonic speckle patterns for sector scans of an annular array with dynamic focusing in both transmit and receive. Assuming random scatterers in an attenuating medium, the system synthesizes the waveform for each scan line using echo data received at all annular elements of the transducer when short pulses are transmitted by one annulus after another. The amount of echo data needed to synthesize one waveform is tremendously reduced by reducing the 3-D distributions of scatterers to line distributions and by representing scatterers on a small line segment by a single equivalent scatterer taking into account the two-way travel time differences. Furthermore, by a judicious 3-D arrangement of the scatterer lines and scan lines, it is possible to synthesize the waveform for a new scan line with negligible computation overhead. The waveforms of the scan lines are detected to obtain a B-mode image or speckle patterns. The patterns obtained on several differently-oriented image planes showed a good statistical agreement with experimentally obtained patterns.