Pancreaticoduodenectomy for selected periampullary neuroendocrine tumors: fifty patients

BACKGROUND: Most resectable pancreatic or peripancreatic neuroendocrine tumors are treated by enucleation or distal pancreatectomy. A minority of tumors may require pancreaticoduodenectomy for complete tumor excision because of their large size, location, or lymph node involvement. METHODS: This study reviews the management of 50 patients treated by pancreaticoduodenectomy for periampullary neuroendocrine tumors between 1962 and 1996 at a single institution. RESULTS: There were 30 men and 20 women with a mean age of 52 +/- 2 years. Functional tumors were resected in 17 patients: insulinoma, seven tumors; gastrinoma, eight tumors; vipoma, one tumor; and glucagonoma, one tumor. Tumors were classified as malignant in 29 patients and benign in 21. The median intraoperative blood loss was 800 ml, and the median number of units of blood transfused was zero. The postoperative length of stay was 20 +/- 2 days. Postoperative morbidity included 11 patients (24%) with a pancreatic fistula and four patients (8%) with a biliary fistula. There was one in-hospital death (2%), in 1967. The actuarial survival rates at 2, 5, and 7 years are 81%, 73%, and 65%, respectively. Patients with benign tumors had a significantly improved 5-year survival rate (94%) compared with those with malignant tumors (61%; p = 0.03). CONCLUSIONS: Selected patients with periampullary neuroendocrine tumors can be managed successfully by pancreaticoduodenectomy, with low mortality and acceptable morbidity rates.     

Steroidal glycosides of the 14,15-seco-18-nor-pregnane series from Cynanchum ascyrifolium

Three new steroidal glycosides named cynascyrosides A-C were isolated from the roots of Cynanchum ascyrifolium. The structures of these compounds were determined on the basis of spectroscopic and chemical evidence as cynajapogenin A 3-O-alpha-D-oleandropyranosyl-(1-->4)-beta-L-cymaropyranosyl -(1-->4)-beta-D- digitoxopyranoside; cynajapogenin A 3-O-beta-D-glucopyranosyl-(1-->4)-alpha-L-cymaropyranosyl- (1-->4)-beta-L-cymaropyranosyl-(1-->4)-beta-L-cymaropyranoside+ ++; cynajapogenin A 3-O-beta-D-glucopyranosyl-(1-->4)-alpha-L-cymaropyranosyl- (1-->4)-beta-D-digitoxopyranosyl-(1-->4)-beta-L-cymaropyranosid e.     

Adaptive load balancing algorithm for multiple homing mobile nodes

In places where mobile users can access multiple wireless networks simultaneously, a multipath scheduling algorithm can benefit the performance of wireless networks and improve the experience of mobile users. However, existing literature shows that it may not be the case, especially for TCP flows. According to early investigations, there are mainly two reasons that result in bad performance of TCP flows in wireless networks. One is the occurrence of out-of-order packets due to different delays in multiple paths. The other is the packet loss which is resulted from the limited bandwidth of wireless networks. To better exploit multipath scheduling for TCP flows, this paper presents a new scheduling algorithm named Adaptive Load Balancing Algorithm (ALBAM) to split traffic across multiple wireless links within the ISP infrastructure. Targeting at solving the two adverse impacts on TCP flows, ALBAM develops two techniques. Firstly, ALBAM takes advantage of the bursty nature of TCP flows and performs scheduling at the flowlet granularity where the packet interval is large enough to compensate for the different path delays. Secondly, ALBAM develops a Packet Number Estimation Algorithm (PNEA) to predict the buffer usage in each path. With PNEA, ALBAM can prevent buffer overflow and schedule the TCP flow to a less congested path before it suffers packet loss. Simulations show that ALBAM can provide better performance to TCP connections than its other counterparts.     

Electric field-induced concentration and capture of DNA onto microtips

Simple, high-yield concentration of DNA is important for high-throughput genetic analysis and disease diagnosis. Glass-based microfilters are popular but the process requires centrifugation steps with cumbersome chemical processes. As an alternative, a concentration method using an electric field has been explored previously, but with limited efficiency. In this paper, electric field-induced concentration and capture of DNA are studied by using high-aspect-ratio microtips coated with a gold layer. The microtips are immersed longitudinally into a solution of 100???L containing ??-phage DNA. After DNA concentration using an electric field, the microtips are withdrawn from the solution. Under AC- and biased AC fields, DNA is concentrated by electrophoresis (EP), dielectrophoresis (DEP), and electroosmotic flow (EOF). To reduce capillary effects in the withdrawal process, the microtips are coated with positively charged poly-l-lysine (PLL). The pattern of captured DNA is analyzed by fluorescence microscopy. DEP attracts DNA molecules at the edges of microtips, where the highest gradient of electric field exists. EP attracts DNA onto the surface of microtips following the vectors of an electric field. EOF generates vortexes that deliver DNA onto microtips. Using this method, 85% of DNA is captured on the PLL-coated microtips after three sequential captures. The concentration mechanism can potentially facilitate rapid and simple preparation of DNA for downstream analysis.     

Synergistic Effect of PVDF-Coated PCL-TCP Scaffolds and Pulsed Electromagnetic Field on Osteogenesis

Bone exhibits piezoelectric properties. Thus, electrical stimulations such as pulsed electromagnetic fields (PEMFs) and stimuli-responsive piezoelectric properties of scaffolds have been investigated separately to evaluate their efficacy in supporting osteogenesis. However, current understanding of cells responding under the combined influence of PEMF and piezoelectric properties in scaffolds is still lacking. Therefore, in this study, we fabricated piezoelectric scaffolds by functionalization of polycaprolactone-tricalcium phosphate (PCL-TCP) films with a polyvinylidene fluoride (PVDF) coating that is self-polarized by a modified breath-figure technique. The osteoinductive properties of these PVDF-coated PCL-TCP films on MC3T3-E1 cells were studied under the stimulation of PEMF. Piezoelectric and ferroelectric characterization demonstrated that scaffolds with piezoelectric coefficient d₃₃ = −1.2 pC/N were obtained at a powder dissolution temperature of 100 °C and coating relative humidity (RH) of 56%. DNA quantification showed that cell proliferation was significantly enhanced by PEMF as low as 0.6 mT and 50 Hz. Hydroxyapatite staining showed that cell mineralization was significantly enhanced by incorporation of PVDF coating. Gene expression study showed that the combination of PEMF and PVDF coating promoted late osteogenic gene expression marker most significantly. Collectively, our results suggest that the synergistic effects of PEMF and piezoelectric scaffolds on osteogenesis provide a promising alternative strategy for electrically augmented osteoinduction. The piezoelectric response of PVDF by PEMF, which could provide mechanical strain, is particularly interesting as it could deliver local mechanical stimulation to osteogenic cells using PEMF.     

A kinetic study on medium temperature desulfurization using a natural manganese ore

Natural manganese ores were selected as raw materials for the desulfurization sorbent because of economical efficiency and high reactivity on hydrogen sulfide. Initial reaction rates between H₂S and desulfurization sorbent of natural manganese ores were determined in a temperature range of 400-800°C using a thermobalance reactor. All reactions were first order with respect to H₂S and were expressed by the Arrhenius relation. When the sulfidation reaction was controlled by diffusion, the temperature dependence of the effective diffusivity was given by the Arrhenius equation. Activation energies and frequency factors were obtained from the product layer diffusion coefficient of various sorbents by plotting as an Arrhenius equation form. Several additives were mixed to improve the sulfidation capacity, and NiO was the best additive.     

Kinetics of volume expansion during infusion of Ringer’s solution based on two volume model

In this work mathematical models were developed to represent the kinetics of volume changes of fluid spaces associated with infusion of Ringer’s solution. During infusion of Ringer’s solution, the human body is assumed to be characterized by the two-fluid space model which has second volume space in addition to the first volume so that fluid exchanges between these two spaces are possible. Various infusion types were tested to accommodate different medical situations. Volunteers were given Ringer’s solution and the changes in blood hemoglobin were detected. From the comparison with experimental data, the two-fluid space model was found to represent adequately the kinetics of human volume expansion during infusion of Ringer’s solution.     

Dynamics of the wet-end section in paper mills

A model representing the wet-end section of a paper mill has been developed to characterize its dynamic behavior during the grade change. The model is based on the mass balance relationships written for the simplified wetend white water network. From the linearization of the dynamic model, higher-order Laplace transfer functions were obtained followed by the reduction procedure to give simple lower-order models in the form of 1^st-order or 2^nd-order plus dead times. The dynamic response of the wet-end is influenced both by the white water volume and by the level of wire retention. Effects of key manipulated variables such as the thick stock flow rate, the ash flow rate and the retention aid flow rate on the major controlled variables were analyzed by numerical simulations. The simple dynamic model developed in the present study can be effectively used in the operation and control. This paper is dedicated to Professor Se Ki Moon on the occasion of his retirement from Hanyang University.     

Updating the trusted connection of re-organized computing resource under the automated system management platform

The High-Performance Computing (HPC) is an infrastructure to support various research fields. The research using HPC requires big storage for large-scale of raw data and the huge computing resources to analyze. The consolidated operations of the computing center for supporting various researches using HPC are a very effective organization. The consolidated operations are able to increase the utilization. The computing center has to be re-organized continuously in order to support the various fields of research effectively and flexibly. Re-organization to reuse the limited resources enforces the update of the information for verification of the computing resources after the re-allocation of computing resources and the re-distribution of trusted connection between computing resources. Consequently, to maintain effective research support we need automated resource re-organization environment. In this paper, we build an automated update of the trusted connection for re-organized computing resource using puppet which is automated system management platform. Finally, we provide a unified verification point and efficient environment for the re-allocation and re-organization of the integrated computing center.