Intravenous dolasetron mesilate in the prevention of postoperative nausea and vomiting in females undergoing gynecological surgery

STUDY OBJECTIVE: To evaluate a range of doses of intravenous (i.v.) dolasetron mesilate, in preventing postoperative nausea and vomiting (PONV). DESIGN: Double-blind, placebo-controlled, randomized, multicenter trial. SETTING: Ten hospitals and/or surgical centers. PATIENTS: 281 women undergoing gynecologic surgery with general anesthesia. INTERVENTIONS: Patients received one of four single, i.v. doses of dolasetron mesilate (12.5 mg, 25 mg, 50 mg, and 100 mg) or placebo administered following cessation of anesthesia. MEASUREMENTS AND MAIN RESULTS: Patients were monitored for 24 hours following study drug administration. The antiemetic efficacy of each dolasetron mesilate dose was evaluated by recording the number and timing of emetic episodes, and the effects on nausea were assessed by use of visual analog scales (VAS). Safety was assessed by adverse event reports, clinical laboratory tests, electrocardiographic (ECG) measurements, and monitoring vital signs. Complete responses (patients with no emetic episodes and no escape antiemetic medication requirements in 24 hours) were achieved by 54% in the 12.5-mg, 67% in the 25-mg, and 59% in both the 50-mg and 100-mg dolasetron mesilate dose groups, and by 43% in the placebo group. Nausea VAS assessments demonstrated that dolasetron-treated patients were significantly (p = 0.048) more likely to report no nausea (VAS score < 5 mm) than those in the placebo group. Adverse events reported generally were mild in intensity, and there were no clinically significant changes in laboratory tests, vital signs, or ECG parameters. CONCLUSIONS: Dolasetron was effective and well tolerated for the prevention of PONV in female patients undergoing gynecologic surgery with general anesthesia.     

Projektmanagement im Anlagenbau

Project management in plant construction. Project management is a management concept increasingly employed in project execution both by industry and administration. There are variants to this management concept allowing it to be readily adapted to individual applications. Engineering companies are typically confronted with multi-project management tasks, i. e. they handle concurrently a great variety of projects differing in size, complexity, and duration. For each project, specialists from various disciplines of the company have to be coordinated across department lines and their performance channelled under project management leadership. Matrix project management lends itself particularly well to this task, the personality of the project manager playing a central role.     

Randomized, double blind, dose-response trial across four oral doses of dolasetron for the prevention of acute emesis after moderately emetogenic chemotherapy. Oral Dolasetron Dose-Response Study Group

BACKGROUND: This double blind parallel group study assessed the acute antiemetic efficacy of four oral doses of dolasetron mesylate in cancer patients receiving their first course of intravenous chemotherapy with doxorubicin and/or cyclophosphamide. METHODS: Patients were randomized to receive 25, 50, 100, or 200 mg of dolasetron mesylate 30 minutes prior to chemotherapy and were monitored for nausea and emetic episodes for the next 24 hours. RESULTS: Three hundred and nineteen cancer patients at 32 sites completed the study. Most patients were female (81%); of this group, 69% had breast carcinoma. A highly statistically significant linear trend demonstrating improved response with higher doses was detected for complete response (no emetic episodes and no rescue medication) (P < 0.001), for complete plus major response (0-2 emetic episodes and no rescue medication) (P < 0.001), and for patient visual analog scale assessments of nausea (P = 0.001) and general satisfaction with antiemetic therapy (P = 0.001). No serious adverse events were noted. The most frequent adverse event was mild, self-limiting headache, which has been reported with other drugs in this class. CONCLUSIONS: Single oral doses of dolasetron mesylate were found to be effective in preventing acute emesis in cancer patients receiving moderately emetogenic chemotherapy.     

The Influence of Repetition and Famousness on the Intracranially Recorded Temporobasal N200.

It is still a matter of debate at which time point faces are recognized as familiar, with some studies claiming a relatively early face recognition and others later effects of familiarity. The authors report on effects of famousness of depicted persons and stimulus repetition on intracranially recorded event-related potentials. Famousness resulted in an increased latency of the N200 component, as well as in an increased amplitude of a later long-lasting potential (N700). In contrast, repetition led to an increased amplitude of the N200 but no increase of its latency. They suppose that the recognition of faces becomes observable within the N200 latency range and that the increased N200 latency reflects a feature processing additional to the holistic face processing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

High temperature water pit storage projects for the seasonal storage of solar energy

Central solar heating plants with seasonal storage (CSHPSS) are capable of covering more than 75% of the annual heat demand of housing areas if appropriate storage technologies are available. The maximum design temperature should be 90–95° and the long term cost goal is 100 DM m⁻³ for a storage volume larger than 10 000 m³ water equivalent. Three pilot projects are presently under construction and planning in Germany with 600, 4500 and 12 000 m³ volume. The storage medium in all three cases is water.A first pilot heat storage with about 600 m³ volume is being built in Rottweil. This small scale project will be applied as short term storage in connection with a combined heat and power (CHP) plant. The storage container is made of concrete, water tightness is achieved by a stainless steel linear and mineral wool is used as insulation. The aim of this project is to demonstrate the feasibility of the technology and to gain practical experience for the construction of larger stores.During 1995/96 two full scale central solar heating plants with seasonal storage (CSHPSS) of this type will be built in Hamburg, North Germany and Friedrichshafen, South Germany, with 4500 and 12 000 m³ storage volume, respectively.     

Soft X-ray spectromicroscopy of cobalt uptake by cement

Scanning transmission X-ray microscopy was used to investigate the speciation and spatial distribution of Co in a Co(II)-doped cement matrix. The aim of this study was to improve the understanding of the heavy metals immobilization process in cement on the molecular level. The Co-doped cement samples hydrated for 30 days with a Co loading of 5000 mg/kg were prepared under normal atmosphere to simulate conditions used for cement-stabilized waste packages. Co 2p(3/2) absorption edge signals were used to determine the spatial distributions of the metal species in the Co(II)-doped cement. The speciation of Co was determined by collecting near-edge X-ray absorption fine structure spectra. On the basis of the shape of the absorption spectra, it was found that Co(II) is partly oxidized to Co(III). The correlation, respectively the anticorrelation with elements such as Al, Si, and Mn, show that Co(II) is predominantly present as Co-hydroxide-like phase as well as Co-phyllosilicate, whereas Co(III) tends to be incorporated only into a CoOOH-like phase. Thus, this study suggests that thermodynamic calculations of Co(II)-immobilization by cementitious systems should take into consideration not only the solubility of Co(II)-hydroxides but also Co(III) phases.     

Analysis of diffracted image patterns from volume holographic imaging systems and applications to image processing

Diffracted image patterns from volume holograms that are used in volume holographic imaging systems (VHISs) are investigated. It is shown that, in VHISs, prior information about the shape and spectral properties of the diffracted patterns is important not only to determine the curvature and field of view of the image, but also for image registration and noise removal. A new methodology to study numerically and analytically the dependence of VHIS diffraction patterns with the hologram construction parameters and the readout wavelength is described. Modeling and experimental results demonstrate that, in most cases, VHIS diffracted shapes can be accurately represented by hyperbolas.