Clinical and epidemiological findings during a measles outbreak occurring in a population with a high vaccination coverage

Malignant mesothelioma is caused almost exclusively by occupational exposure to asbestos. During the past few years, however, increasing evidence has mounted that background exposure to asbestos could be sufficient to cause mesothelioma. Treatment of malignant mesothelioma remains a big problem. Some new approaches are on their way, and the most exciting ones are local immunotherapy in very early cases. Some success has been reported with local interferon treatment. As for treatment of metastatic pleural disease, the main purpose is symptomatic relief of dyspnea caused by fluid accumulation. The best way to achieve a lasting palliation is pleurodesis, and the most common way to do this, is by chemical means. The drug of choice in the United States has for many years been tetracycline, but since injectable tetracycline is no longer available, some substitute must be found. The substance that will "win" is not yet clear, but the two leading contestants are talc and doxycycline. Bleomycin also has its supporters, and a dark horse is quinacrine, which although not easily available in the United States, has been used in many European centers for decades.     

Biomechanical comparison of the dewar and interspinous cervical spine fixation techniques

STUDY DESIGN: This study evaluates and compares the stiffness of two cervical spine fixation techniques. OBJECTIVES: This biomechanical study was carried out to compare the interspinous and Dewar cervical spine fixation techniques. SUMMARY OF BACKGROUND DATA: Interspinous wiring is a commonly used method of fixation in the cervical spine. The Dewar technique is less commonly known and practiced, and clinical experience has suggested that it may be a more stable technique. METHODS: Cervical spine specimens stabilized with the interspinous and "Dewar" techniques were biomechanically tested in flexion and in torsion. Stiffness and energy absorption under moderate loads were compared. The Dewar technique uses contoured double corticocancellous iliac grafts as internal grafts/splints fixed to the spine with threaded pins and wire. The interspinous technique is a single interspinous wire loop. Eleven fresh human cervical spines were harvested from cadavers. The spines were destabilized at C4-C5 by sectioning all tissue except the anterior longitudinal ligament. Each fixation technique was applied alternatively and tested on each spine. RESULTS: In torsion testing (n = 5), the Dewar fusion was 61% stiffer than the interspinous technique (P < 0.02). Dewar: 11.3 N/mm (s.d. 4.9 N/mm) and interspinous: 8.4 N/mm (SD 3.3 N/mm). In flexion testing (n = 6), the Dewar technique was 35% stiffer than the interspinous technique (P < 0.10). Dewar: 655.4 Nmm/degree (SD 293 Nmm/degree) and interspinous: 406.8 Nmm/degree (SD 113.0 Nmm/degree). Energy absorption with the interspinous technique was greater in flexion (P < 0.10) and in torsion (P < 0.005), indicating more deformation with the interspinous technique. There was no statistically significant difference between the means of specimens tested first and those tested second independently of the fixation technique. CONCLUSIONS: These tests indicate that the Dewar cervical spine fixation is stiffer than the single interspinous wire in both flexion and particularly torsion. This project is the only biomechanical study of the Dewar technique that we are aware of, and the results support the clinical findings regarding the effectiveness of this technique.     

The fine structure of the interrenal cells of the duck (Anas platyrhynchos) with evidence for possible exocytotic release of steroids

The duck interrenal cell possesses ultrastructural characteristics common to other steroid-secreting cells. Lipid droplets and mitochondria are abundant and lie principally at the apical end of the cell. Lipid droplets are not membrane-limited. Cisternae of smooth endoplasmic reticulum that are occasionally continuous with the less abundant rough endoplasmic reticulum are a prominent feature of the interrenal cell. Tubular profiles of rough endoplasmic reticulum often lie tangentially to mitochondria and ribosomes are either free, grouped in polyribosomal clusters, or bound to the endoplasmic reticulum. Mitochondria possess tubular cristae in the inner regions of the gland and frequently contain a paracrystalline array of small 10nm (o.d.) tubules and less frequently a hexagonal array of 40 nm trilaminar rings. Other cytoplasmic components include dense bodies, residual bodies, microtubules, microfilaments and specialized single membrane-bound vesicles. Gap junctions, intermediate junctions and interdigitating processes constitute the main intercellular associations. No tight junctions were identified. The single membrane-bound vesicles which are occasionally filled with a low electron-dense, lipid-like material form septate-like "junctions" with the plasma membrane. The septa bridge an intracellular gap of 15-17 nm. The vesicles are usually located near the subendothelial space at the basal and basilateral regions of the cell. Occasionally, vesicles fuse with the plasma membrane. It is suggested that these vesicles represent morphological evidence for the exocytotic release of steroid hormones.     

A comparison of light spot hydrophone and fiber optic probe hydrophone for lithotripter field characterization

The performance of a newly developed light spot hydrophone (LSHD) in lithotripter field characterization was compared to that of the fiber optic probe hydrophone (FOPH). Pressure waveforms produced by a stable electromagnetic shock wave source were measured by the LSHD and FOPH under identical experimental conditions. In the low energy regime, focus and field acoustic parameters matched well between the two hydrophones. At clinically relevant high energy settings for shock wave lithotripsy, the measured leading compressive pressure waveforms matched closely with each other. However, the LSHD recorded slightly larger |P_| (p < 0.05) and secondary peak compressive pressures (p < 0.01) than the FOPH, leading to about 20% increase in total acoustic pulse energy calculated in a 6 mm radius around the focus (p = 0.06). Tensile pulse durations deviated ~5% (p < 0.01) due to tensile wave shortening from cavitation activity using the LSHD. Intermittent compression spikes and laser light reflection artifacts have been correlated to bubble activity based on simultaneous high-speed imaging analysis. Altogether, both hydrophones are adequate for lithotripter field characterization as specified by the international standard IEC 61846.     

High power pulsed lasers

Pulsed high power lasers can deliver sufficient energy on inertial fusion time scales (0.1–10 ns) to heat and compress DT fuel to fusion reaction conditions. Several laser systems have been examined for application to the fusion problem. Examples are Ndglass, CO₂, KrF, and I₂, etc. A great deal of developmental effort has been applied to the Ndglass laser and the CO₂ gas laser systems. These systems now deliver >10⁴ kJ and >20×10¹² W to inertial fusion targets. The Nova Ndglass laser is being constructed to provide >200 kJ and >200×10¹² W of 1 m radiation for fusion experimentation in the mid-1980s. For inertial fusion target gain, >100 times the laser input, it is expected that the laser must deliver 3–5 MJ of energy on the 10–20 ns time scale. This paper reviews the developments in laser technology and outlines approaches to construction of a 3–5 MJ driver.     

The turnover and distribution of labelled corticosterone during post-natal development of the duckling (Anas platyrhynchos)

During 6 months of post-natal development in the laboratory, the weight of the adrenal gland relative to body weight decreases exponentially. In the 3 day-old duckling a single intravenous dose of labelled corticosterone becomes distributed in a very large apparent volume and an "extracellular" pool that is greater than the extracellular fluid volume and the pattern of disappearance of labelled hormone from plasma is biphasic. Later during development the volumes of distribution decrease and the biphasic pattern of disappearance becomes less distinct until at 6 months only one phase of disappearance can be detected with confidence. No significant change in plasma corticosterone concentration occurs during this period of development in the laboratory. Estimations of the corticosterone secretory rates, however, indicate that whereas the adrenal weight-specific rate os secretion increases during the first 3 weeks and declines therafter, the bodyf weight-specific secretory rate continues to decline throughtout the period of increasing body weight.     

A Suite of Tools for Debugging Distributed Autonomous Systems

This paper describes a set of tools that enables developers to log and analyze the run-time behavior of distributed control systems. A feature of the tools is that they can be applied to distributed systems. The logging tools enable developers to instrument C or C++ programs so that data indicating state changes can be logged automatically in a variety of formats. In particular, run-time data from distributed systems can be synchronized into a single relational database. Tools are also provided for visualizing the logged data. Analysis to verify correct program behavior is done using a new interval logic that is described in this paper. The logic enables system engineers to express temporal specifications for the autonomous control program that are then checked against the logged data. The data logging, visualization, and interval logic analysis tools are all fully implemented. Results are given from a NASA distributed autonomous control system application.     

Carbon Diffusion in Lanthanum Erbium Carbide Stabilized in the Cubic Fluorite Structure

Lanthanum erbium carbide, La_0.5Er_0.5C₂, a salt-like carbide with a cubic fluorite phase structure, has been produced from ¹³C, allowing carbon diffusion rate to be determined using ¹²C. Carbon in salt-like carbides exhibits significant ionicity, and a high carbon diffusion rate would enable a new class of high temperature fuel cells based on carbon-ion transport. The complete lack of carbon diffusion data for salt-like carbides is the motivation for this work. The carbon diffusion rate in La_0.5Er_0.5C₂ has now been determined to be 2.0 ± 0.8 × 10⁻¹³ cm²/s at 850 °C, increasing to 1.8 ± 0.8 × 10⁻¹¹ cm²/s at 1150 °C, with an activation energy of about 95 kJ/mole. These diffusion rates are too low for a carbon-ion fuel cell, but a number of other salt-like carbides exist. Be₂C, in particular, is a salt-like carbide with an antifluorite structure, and should have higher carbon-ion diffusion than cubic La_0.5Er_0.5C₂ due to the unoccupied octahedral sites in the antifluorite structure, but Be₂C presents special difficulties due to the toxic nature of its hydrolysis products.     

Use of Steel Slag Leach Beds for the Treatment of Acid Mine Drainage

Steel slag from the Waylite steel-making plant in Bethlehem, Pennsylvania was leached with acidic mine drainage (AMD) of a known quality using an established laboratory procedure. Leaching continued for 60 cycles and leachates were collected after each cycle. Results indicated that the slag was very effective at neutralizing acidity. The AMD/slag leachates contained higher average concentrations of Ba, V, Mn, Cr, As, Ag, and Se and lower average concentrations of Sb, Fe, Zn, Be, Cd, Tl, Ni, Al, Cu, and Pb than the untreated AMD. Based on these tests, slag leach beds were constructed at the abandoned McCarty mine site in Preston County, West Virginia. The leach beds were constructed as slag check dams below limestone-lined settling basins. Acid water was captured in limestone channels and directed into basins to leach through the slag dams and discharge into a tributary of Beaver Creek. Since installation in October 2000, the system has been consistently producing net alkaline, pH 9 water. The treated water is still net alkaline and has a neutral pH after it encounters several other acidic seeps downstream.