A case of macrocystic cervical neurinoma diagnosed by MRI with Gd-DTPA

The authors report a rare case of a large cystic cervical neurinoma. A 45-year-old female was admitted to our clinic because of motor weakness of the right upper extremity, numbness of the right fingers and right posterior cervical pain. Metrizamide CT myelography demonstrated the outline of a low density mass. MRI showed a mass revealing low signal intensity on T1-weighted image, high signal intensity on T2-weighted image and marginal enhancement on contrast image with Gd-DTPA. The mass which was diagnosed as cystic tumor, was located in the intradural extramedullary space between C4 to C5 segments. After C4 through C5 laminectomy, the tumor was found to originate from the C5 anterior motor root. The tumor consisted mostly of a cystic part with a very thin solid compartment beneath the capsule. Postoperative course of the patient was uneventful. Although spinal neurinoma is one of the most common spinal tumors, an almost completely degenerated large cystic spinal neurinoma is extremely rare. MRI with Gd-DTPA was useful for the diagnosis of the cystic neurinoma by clearly enhancing the margin of the tumor.     

Is urine leukocyte esterase test a useful screening method to predict Chlamydia trachomatis infection in women?

We evaluated the use of the leukocyte esterase test (LET) on first-catch urine specimens from women as a screening test to predict infection with Chlamydia trachomatis. For diagnosis, we used Abbott's ligase chain reaction (LCR) on urine specimens and isolation by tissue culture (TC) on cervical brushes. Of 4,053 women attending sexually transmitted disease and family planning clinics, 4.3% (n = 174) were positive by TC and 5.9% (n = 239) were positive by LCR. When LET was compared to TC, the sensitivity, specificity, positive predictive value, and negative predictive value were 54.0, 67.0, 6.8, and 97.0%, respectively. The corresponding performance of LET versus LCR was 53.1, 67.3, 10.1, and 95.8%. Almost half of the laboratory-confirmed chlamydial infections were negative by LET. The low specificity probably reflects multiple causes of pyuria in women and results in a low positive predictive value. LET is neither sensitive nor specific as a predictor of chlamydial infection and cannot be recommended for use as a screening test for C. trachomatis with first-catch urine samples from females from low- or moderate-prevalence populations.     

Prediction of outcome in omphalocele and gastroschisis by intraoperative measurement of intravesical pressure

A simple and accurate measurement of intraabdominal pressure is essential to predict a successful closure of defects in omphalocele and gastroschisis. Intravesical pressure (IVP) is a close estimation of intraabdominal pressure and can be measured safely by placing a catheter in the urinary bladder during surgery. Three neonates with gastroschisis and four with omphalocele were studied. Pressure-related complications such as ascites leakage, ventral hernia, impaired venous return of the lower extremities, and oliguria developed only in the patients with IVP > 20 mmHg after fascial closure. Prolonged hospitalization, ventilation support and intensive care were required for these patients.     

Hydrolysis of tetracalcium phosphate in H3PO4 and KH2PO4

The activity product of tetracalcium phosphate (TTCP, Ca₄(PO₄)₂O), was determined at 37°C, and the hydrolysis of TTCP was investigated in 0.01–0.1 mol l^–1 H₃PO₄ and KH₂PO₄ solutions by means of calcium and phosphorus analyses, X-ray diffraction and infrared analysis. The activity product, defined as K _sp=(Ca²⁺)⁴ (PO ₄ ^3– )² (OH^–)², was 37.36 as pK _sp, which was smaller than that previously reported (42.4). TTCP easily hydrolysed to form calcium-deficient apatite (Ca-def OHAp, Ca_5–x (HPO₄) _x (PO₄)_3–x (OH)_1–x ), or dicalcium phosphate dihydrate (DCPD, CaHPO₄2H₂O), depending on the initial phosphate concentration. With 0.1 mol l^–1 H₃PO₄, TTCP hydrolysed to form DCPD within several minutes. In 0.025 mol l^–1 H₃PO₄ and 0.1 mol l^–1 KH₂PO₄, TTCP hydrolysed to form Ca-def OHAp through DCPD. In the latter solution, a small amount of octacalcium phosphate (OCP, Ca₈(H₂PO₄)₂(PO₄)₄5H₂O), was detected as an intermediate product. In 0.025 mol l^–1 KH₂PO₄, TTCP hydrolysed directly to form Ca-def OHAp. In 0.01 mol l^–1 H₃PO₄, hydrolysis of TTCP was not completed, although Ca-def OHAp was only a product. Thus the final product and the degree of hydrolysis depended on the pH and the overall Ca/P ratio in the reaction system. The rate of Ca-def OHAp formation seemed to be controlled by the dissolution rate of TTCP rather than the crystallization rate of the OHAp.     

Influence and adjustment goals: Sources of cultural differences in ideal affect.

Previous studies have found that in American culture high-arousal positive states (HAP) such as excitement are valued more and low-arousal positive states (LAP) such as calm are valued less than they are in Chinese culture. What specific factors account for these differences? The authors predicted that when people and cultures aimed to influence others (i.e., assert personal needs and change others' behaviors to meet those needs), they would value HAP more and LAP less than when they aimed to adjust to others (i.e., suppress personal needs and change their own behaviors to meet others' needs). They test these predictions in 1 survey and 3 experimental studies. The findings suggest that within and across American and Chinese contexts, differences in ideal affect are due to specific interpersonal goals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Performance evaluation of a multichannel transceiver system forADSL and VHDSL services

The authors study the performance of a multichannel modulation method for asymmetric digital subscriber lines (ADSLs) and very high-speed digital subscriber lines (VHDSLs). In the ADSL case, over all unloaded North American subscriber lines in the test set, a unidirectional 1.536 Mb/s data rate service from the end office to the customer premises is possible on a single twisted pair at an error rate of 10^-7 with at least a 6 dB margin used coded multichannel modulation with sufficient transmit power. In the VHDSL case, data rates in excess of 100 Mb/s can be transmitted reliably, at an error rate of 10^-7, using uncoded multichannel modulation on a single twisted pair over a distance ⩽150 ft with a sufficiently high sampling rate (≈24 MHz) and transmit power. It is shown that a cost-effective multichannel transceiver design suggested for high-speed digital subscriber line (HDSL) service will also work well for ADSL and VHDSL services with only minimal modifications     

An anisotropic theory of elasticity for continuum damage mechanics

This paper presents the development of an anisotropic elastic damage theory. This is achieved by deriving a modified damage effect tensor M(D) for the effective stress equations capable of including the effect of anisotropic material damage. The modified tensor removes the restriction of a priori knowledge of the directions of principal stresses imposed by a damage effect tensor developed earlier and can now be made for general practical engineering applications of failure analysis. Reduction of the proposed tensor to a scalar for isotropic damage is shown to be possible when it is expressed not only in the principal directions but also in any arbitrary coordinate system, a necessary condition to verify the validity of the proposed tensor. Uniaxial tension and pure torsion are chosen to illustrate the application of the theory as well as associated damage variables that may be experimentally determined using laboratory size specimens. The measured damage variables confirm the presence of anisotropic damage from an initially isotropic material specimen and the magnitude is more pronounced at higher stresses and strains.

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Résumé On présente un développement d'une théorie sur l'endommagement élastique anisotrope en déduisant un tenseur modifié décrivant l'effet de l'endommagement pour un système d'équations de contraintes effectives susceptible d'inclure l'effet d'un endommagement dans un matériau anisotrope. Le tenseur modifié supprime la restriction de la connaissance a priori des directions des contraintes principales imposées par un tenseur d'effet d'endommagement développé précédemment; il peut à présent entrer dans les applications pratiques en construction de l'analyse des ruptures.On montre qu'il est possible de réduire le tenseur proposé à une valeur scalaire dans le cas d'un dommage isotrope, dès lors qu'il est exprimé non seulement suivant les directions principales, mais dans un système de coordonnées arbitraires, ce qui est une condition nécessaire pour en vérifier la validité.On choisit une traction multiaxiale et une torsion pure pour illustrer l'application de la théorie ainsi que des variables d'endommagement associées, susceptibles d'être déterminées expérimentalement à l'aide d'éprouvettes de laboratoire.Les variables d'endommagement mesurées confirment la présence d'un dommage anisotrope dans le cas d'une éprouvette d'un matériau initialement isotrope; son amplitude est plus prononcée à des contraintes ou des déformations plus importantes.