Privileged communication in the psychologist–client relationship.

Determining the status of privileged communications between psychologists and clients is a complex task. There is considerable variation across states with respect to the scope of psychologist–client privilege, and several sections of state codes directly and indirectly influence its status. An analysis of state laws related to privileged communication in the psychologist–client relationship is presented and prevalent legal exceptions and trends related to client privilege are discussed. Implications for practice to assist psychologists in balancing their ethical and legal obligations also are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Successful engraftment of haploidentical stem cell transplant for familial haemophagocytic lymphohistiocytosis using both bone marrow and peripheral blood stem cells

Familial haemophagocytic lymphohistiocytosis (HLH) is a disease with a very poor prognosis unless patients receive a bone marrow transplant. It is often difficult to find an HLA-matched donor and haploidentical familial donors may be considered. The main complication of this type of transplant is graft rejection. We describe a patient with familial HLH who received a haploidentical transplant using both mobilized peripheral blood and bone marrow stem cells in an attempt to overcome graft rejection by increasing the stem cell dose. The peripheral blood stem cell inoculum was CD34 enriched using a Cellpro column and T-cell depleted by Campath-1M, the patient received conditioning for a matched sibling donor transplant with the addition of Campath 1G. There was rapid and full engraftment and the patient remains disease free at 5 months. This technique may be applicable for other fatal inborn errors in the absence of an HLA-matched donor.     

Vibrational control of linear time lag systems with arbitrarilylarge but bounded delays

It is shown that vibrational stabilization can be effective for linear systems with large bounded delays. Theorems are given that define the procedures for the search of the stabilizing vibrations. Robust oscillatory stabilization insensitive to the delay size is also shown to take place for some classes of systems     

Recovery of residual oil using the alkali/surfactant/polymer process: effect of alkali concentration

An experimental study was conducted to examine the effectiveness of sodium carbonate in alkali, surfactant and polymer combined slugs in recovering waterflood residual oil. The effects of sodium carbonate concentration on the slug viscosity, interfacial tension, and phase behavior were first examined. Core flood experiments were conducted with unfired linear Berea sandstone cores. The incremental oil recovery, oil cut, residual resistance factor, and chemical propagation were measured for each flood.A significant oil bank was formed for all combined slugs having sodium carbonate concentration ≥1 wt%. The incremental oil recovery, oil cut and the injectivity of the combined slugs greatly improved as sodium carbonate concentration was increased. The effect of sodium carbonate concentration on chemical propagation was dramatic for the synthetic surfactant; a slight delay in surfactant breakthrough and a much slower rate of surfactant propagation were observed at high sodium carbonate concentrations.The results obtained in the present study indicate that the residual oil was recovered by two mechanisms: low interfacial tension and wettability reversal. The former mechanism is dominant at sodium carbonate concentrations ≤1 wt%, whereas the latter plays an important role only at high sodium carbonate concentrations.     

The accumulation channel driven bipolar transistor (ACBT)

A new three-terminal power switch called the Accumulation Channel driven Bipolar Transistor (ACBT) is proposed and experimentally demonstrated. In the on-state, the characteristics of the ACBT have been found to approach those of a P-I-N rectifier with a MOSFET in series for regulating its current, an equivalent circuit considered to be an ideal for MOS/Bipolar power devices. Unlike previous devices, the high off-state voltage is supported by the formation of a potential barrier to the flow of electrons from the N⁺ emitter into the N-drift region within a depletion region. The absence of the P-base region within the ACBT cells eliminates the parasitic four layer PNPN thyristor which had limited the performance of previous MOS/Bipolar transistor structures. Consequently, the ACBT structure has large maximum controllable and surge current densities in addition to low on-state voltage drop and high-voltage current saturation capability     

Wound closure of the fallopian tube with fibrin glue: endoscopic organ preserving therapy of extrauterine pregnancy

Families in transition (FIT), a joint program between Beth Israel Medical Center (BIMC) and National Development and Research Institutes, Inc., uses indigenous neighborhood women, Compa?eras (companions), to conduct street outreach in a New York City neighborhood where HIV infection is rampant. The outreach workers inform people that, not only will they be assisted in talking about HIV and guardianship for their children, but that they will be provided information concerning access to food stamps, housing, health care, and other basic needs. Through community participation, the Compa?eras empower themselves through knowledge making and sharing and, in the process, create conditions in which other women can began to effect changes in their individual lives and families. The ultimate goal of the project is to support HIV-infected women in finding their voices so that they can talk with their children and plan for their futures.     

Nephropathy of type II diabetes: evidence for hereditary factors?

Family studies point to an important genetic element in the genesis of diabetic nephropathy, but it is not known whether renal abnormalities are present prior to the onset of diabetes. To address this issue we examined all consecutive patients suffering from type II diabetes with a duration of more than 10 years who attended a diabetes outpatient clinic. Ninety-four patients had nephropathy, 307 did not. All offspring who were phenotypically normal (no hypertension, normal oral glucose tolerance, non-smoking) and agreed to participate were examined, 26 from nephropathic and 30 from non-nephropathic diabetic parents. They were compared with 30 offspring matched for age, gender and BMI from non-diabetic parents as controls. We measured urinary albumin excretion under baseline conditions and at several time points after ingestion of 300 g cooked beef and submaximal treadmill exercise, respectively. In addition, casual blood pressure, ambulatory blood pressure, urinary albumin and urinary alpha-1-microglobulin were measured. Primary renal disease was excluded by clinical examination. Under baseline conditions, median urinary albumin excretion rate (AER; microgram/min) was significantly (P < 0.005) higher in offspring of nephropathic type II diabetic patients (7.8; range 1.04 to 19.5) than in the offspring of non-nephropathic type II diabetic patients (4.8; 0.36 to 17.5) and controls (4.4; 0.16 to 18.4). Submaximal treadmill exercise caused a greater proportional increase of AER in offspring of nephropathic type II diabetics (median 16-fold) than in offspring of non-nephropathic diabetic patients (6.3-fold) or controls (4.8-fold). In offspring of nephropathic diabetic patients casual and particularly ambulatory systolic blood pressures were significantly higher, but AER was not correlated with blood pressure. In summary, higher values, albeit within the normal range, for baseline and postexercise albuminuria were noted in phenotypically normal offspring of parents with type II diabetes and nephropathy. The observation suggests that changes in transglomerular albumin traffic are demonstrable prior to the onset of diabetes and diabetic nephropathy in subjects with a potential genetic predisposition to these conditions.     

The GS algorithm for exact linearization to Brunovsky normal form

An algorithm utilizing the minimal number of integrations for the exact linearization of nonlinear systems to Brunovsky normal form under nonlinear feedback is presented. The tools which are involved are based on classical constructions appearing in the theory of exterior differential systems