Myelolipoma of the adrenal gland

We report the 14th case of myelolipoma of the adrenal gland. Recommendations for appropriate diagnostic and therapeutic methods are made. Myelolipoma of the adrenal gland is a rare non-functioning tumor composed of lipoid and hematopoietic elements. The most consistent complaint is abdominal pain caused by hemorrhage within the tumor. We identified an association with obesity and hypertension. Ultrasound combined with computed tomography is useful in diagnosis. With expanded use of these studies, myelolipoma will be recognized more frequently. Definitive diagnosis and treatment are accomplished by simple excision; radical surgery is unnecessary.     

Pancreatic cancer screening. Analysis of the problem and the role of radionuclide imaging

The clinical, surgical, and pathologic findings in a five year prospective study of 192 patients referred with a high probability of pancreatic cancer are reported. We have defined the requirements of any pancreatic imaging procedure as its ability to distinguish a normal pancreas from pancreatic cancer or chronic pancreatitis and the capability of detecting tumors less than 5 cm in diameter. There was a 47 percent incidence of pancreatic disease (27 percent pancreatic cancer and 20 percent chronic pancreatitis). Prospective radionuclide imaging as routinely performed was found to be of little clinical value in this patient population; it was neither specific nor sensitive to pancreatic cancer or chronic pancreatitis. Preliminary data with longitudinal multiplane emission tomography show an improved diagnostic accuracy and the ability to detect resectable tumors, but its efficacy needs to be prospectively compared with other screening tests on a carefully defined patient population.     

Intensive combined modality therapy including low-dose TBI in high-risk Ewing's Sarcoma Patients

Twenty-four high-risk Ewing's sarcoma patients were treatedf on an intensive combined modality protocol including low-dose fractionated total body irradiation (TBI) and autologous bone marrow infusion (ABMI). Twenty patients (83%) achieved a complete clinical response to the primary and/or metastatic sites following induction therapy. The median disease-free interval was 18 months, and nine patients remain disease-free with a follow-up of 22 to 72 months. Local failure as a manifestation of initial relapse occurred in only three patients (15%), each having synchronous distant failure. Eight patients failed initially with only distant metastases, usually within 1-2 years following a complete clinical response. Two patients with a single metastasis were again rendered disease-free and remain free from second relapse with 18 and 30 months follow-up. No other relapsed patient was able to be rendered disease-free, and most died of progressive disease within 6 to 12 months of relapse. Two patterns of granulocyte recovery following consolidative therapy (include TBI) and ABMI were recognized. Seventeen patients reached a total granulocyte count of >500 cells/mm3 within 4 weeks of ABMI (early graulocyte recovery), while seven patients required >4 weeks from ABMI (late granulocyte recovery). The time of platelet recovery (>50,000/mm3) was different for the groups with early and late granulocyte recovery (25 days vs. 54 days, p <.001). Six of seven patients with late granulocyte recovery received locl high-dose irratiation to >1/2 pelvis prior to bone marrow storage. Patients with late recovery did not tolerate maintenance chemotherapy. However, there was no difference in disease-free and overall survival, when compaing the groups with early and late granulocyte recovery. We conclude that these high-risk Ewing's sarcoma patients remain a poor-prognosis group in spite of intensive combined modality therapy include low-dose TBI. The control of microscopic systemic disease remains the major challenge to improving the cure rate. A new combined modality protocol with high-dose 'therapeutic' TBI (800 rad/2 fractions) is being used and the protocol design is outlined.     

Bilateral femoral neck fractures as a complication of myelography

This paper discusses two cases of bilateral subcapital fracture of the proximal femur as a complication of myelography with Conray 60. The literature is reviewed.     

Experimental observation of rainbow scattering by a coated cylinder: twin primary rainbows and thin-film interference

We experimentally examine the primary rainbow created by the illumination of a coated cylinder. We present a simple technique for varying the coating thickness over a wide range of values, and we see evidence for two different scattering regimes. In one, where the coating thickness is large, twin rainbows are produced. In the second, where the coating is thin enough to act as a thin film, a single rainbow is produced whose intensity varies periodically as the coating thickness varies. We find good agreement with previous theoretical predictions.     

Determining the finite elasticity reference state from a loaded configuration

There are a number of situations where the deformed configuration of a body is known and it is necessary to determine the reference state. Previous methods developed to calculate the reference state involve the formulation of the finite elasticity equations in terms of the deformed configuration. This paper demonstrates that the undeformed reference state can be accurately determined from a deformed configuration and the associated loading conditions, by using conventional finite elasticity balance equations together with a solution procedure that treats the reference configuration as the unknowns. The mathematical theory behind the solution method is described, validated with an analytical solution, and verified using experimental studies on gel phantoms. The practical utility of this method is then demonstrated in the field of breast biomechanics. Copyright © 2007 John Wiley & Sons, Ltd.     

KINETICS OF THE COMPLEXATION OF UO2(NO3)2 WITH TRIBUTYL PHOSPHATE (TBP) IN XYLENE#

ABSTRACT

The kinetics of ligand exchange between bulk solution TBP and uranyl nitrate bound TBP in o-xylene has been investigated by ³¹P dynamic NMR spectroscopy. First order ligand exchange rate constant, k, and the activation energy for the uranyl nitrate-TBP system were determined from plots of transverse relaxation rates (In (l/τ)) versus reciprocal temperature (1/T). Using the Eyring equation, the average values of activation enthalpy, δH^* (30.8±5.1 kJ-mole^?1), and activation entropy, δS^* (-109±19 J/mol-K) have been calculated. The negative entropy of activation value indicates an increase in order on proceeding from the reactants to the activated complex. Therefore, an associative mechanism may be proposed for the ligand exchange reaction between UO₂(NO₃)₂ TBP2 and TBP. Equilibration of the extractant phase with 1.0 M HC1 did not change the ligand exchange rate constants or the activation parameters appreciably. These results are discussed in comparison with previous reports on TBP exchange rates for this system.     

Enthalpy of Formation in the Al-Ni-Ti System

The Al-Ni-Ti ternary system forms the basis of several alloy systems of practical importance. This study was undertaken to provide additional experimental thermodynamic data for the modeling of the Al-Ni-Ti system. High-temperature direct reaction calorimetry has been used to determine the standard enthalpy of formation of several Al-Ni-Ti alloys. The stability of the L2₁ structure over the B2 structure at the stoichiometric composition of Ni_0.5Al_0.25Ti_0.25 was estimated from the enthalpy results to be 6.8 kJ/mol. The lattice parameters and melting temperatures of these compounds are also reported.