Ultrasound biomicroscopy in the diagnosis and management of anterior segment tumors

BACKGROUND: High-frequency ultrasound biomicroscopy has allowed eye care specialists to evaluate posterior extension of anterior segment tumors. This article evaluates the role of ultrasound biomicroscopy for the diagnosis and management of anterior segment tumors. METHODS: Fourteen patients with anterior segment tumors were selected for evaluation. Each patient underwent a complete clinical examination followed by slit-lamp photography and ultrasound biomicroscopy. RESULTS: Unlike standard ultrasonography of anterior segment tumors, high-frequency ultrasound biomicroscopy allowed quantitative measurements of tumor size, extension within and posterior to the iris, as well as differentiation of solid and cystic lesions. These characteristics were used to differentially diagnose anterior segment tumors and document the response of iridociliary body melanomas to radiotherapy. CONCLUSIONS: This study demonstrates how ultrasound biomicroscopy has become an effective and necessary procedure, used for both the diagnosis and management of anterior segment tumors.     

The dielectric response of doped semiconducting glasses

Measurements are reported of the dielectric properties of two semiconducting glasses of composition SiO₂ · Na₂O with admixtures of Sb_{2O 5} and SnO₂, covering a wide range of temperatures and a range of six decades of frequency 10^–2 to 10⁴ Hz. Both glasses show a gradual evolution of growing low frequency dispersion (LFD) with increasing temperature, with both the real and imaginary components of the complex susceptibility following a power law of the type ^n–1, with n 1 at the lowest frequencies. There are also clear indications of reversible phase transitions taking place which manifest themselves by changes in the spectral shape of the dielectric response.     

Oxidation induction time correlations with radiation dose and antioxidant concentration in EPR and XLPE polymers

Oxidation induction time (OIT), as measured by differential scanning calorimetry, is useful in assessing the extent of degradation in polymeric materials. Values of OIT for typical EPR and XLPE polymer insulation materials used for electric cable insulation in nuclear power plants were measured as a function of both radiation dose and antioxidant concentration after accelerated aging. Irradiations were performed at the University of Virginia Cobalt Irradiation Facility. OIT was found to decrease exponentially with increasing radiation dose and with decreasing antioxidant concentration for both ethylene-propylene rubber (EPR) and cross-linked polyethylene (XLPE) insulations. It was determined experimentally that, when polymers are subjected to a constant radiation dose rate, antioxidant concentration decreases linearly with time, and it was shown that this variation is consistent with theoretical autoxidation kinetics. © 1993 John Wiley & Sons, Inc.     

Multi-rate model predictive control of particle size distribution in a semibatch emulsion copolymerization reactor

A multi-rate model predictive controller algorithm is presented for the in-batch closed-loop control of the full particle size distribution (PSD) in a semibatch emulsion copolymerization system. The lack of frequent measurements of the PSD and the measurement delay of these measurements are addressed through the use of frequent density measurements from which the current conditions of the system are estimated. The high dimensionality of the discretized full PSD is reduced by the use of model order reduction based on principal component analysis. This method effectively reduces the size of the problem while preserving the main characteristics of the population balance system. Disturbances that perturb the surfactant and monomer amounts inside the semibatch vinyl acetate–butyl acrylate reactor are considered to demonstrate the performance of the proposed control algorithm.     

Resting respiratory tract dendritic cells preferentially stimulate T helper cell type 2 (Th2) responses and require obligatory cytokine signals for induction of Th1 immunity

Consistent with their role in host defense, mature dendritic cells (DCs) from central lymphoid organs preferentially prime for T helper cell type 1 (Th1)-polarized immunity. However, the "default" T helper response at mucosal surfaces demonstrates Th2 polarity, which is reflected in the cytokine profiles of activated T cells from mucosal lymph nodes. This study on rat respiratory tract DCs (RTDCs) provides an explanation for this paradox. We demonstrate that freshly isolated RTDCs are functionally immature as defined in vitro, being surface major histocompatibility complex (MHC) II lo, endocytosishi, and mixed lymphocyte reactionlo, and these cells produce mRNA encoding interleukin (IL)-10. After ovalbumin (OVA)-pulsing and adoptive transfer, freshly isolated RTDCs preferentially stimulated Th2-dependent OVA-specific immunoglobulin (Ig)G1 responses, and antigen-stimulated splenocytes from recipient animals produced IL-4 in vitro. However, preculture with granulocyte/macrophage colony stimulating factor increased their in vivo IgG priming capacity by 2-3 logs, inducing production of both Th1- and Th2-dependent IgG subclasses and high levels of IFN-gamma by antigen-stimulated splenocytes. Associated phenotypic changes included upregulation of surface MHC II and B7 expression and IL-12 p35 mRNA, and downregulation of endocytosis, MHC II processing- associated genes, and IL-10 mRNA expression. Full expression of IL-12 p40 required additional signals, such as tumor necrosis factor alpha or CD40 ligand. These results suggest that the observed Th2 polarity of the resting mucosal immune system may be an inherent property of the resident DC population, and furthermore that mobilization of Th1 immunity relies absolutely on the provision of appropriate microenvironmental costimuli.     

Chemotherapy in non-small cell lung cancer: a review

Lung cancer, of which non-small cell carcinoma is the most common, has been a significant therapeutic challenge for decades and will remain so for decades to come. Despite its prevalence, progress in the management of non-small cell lung cancer has been relatively slow. This is in part due to the pessimism of most physicians treating this disease, which has resulted in a relatively lackadaisical attitude with regards to clinical trials when compared to other solid tumours like breast or colorectal cancers. Nevertheless, the past decade has seen significant progress, specifically with regards to the management of locally advanced disease. Chemotherapy, though shown to be biologically active in non-small cell lung cancer, is considered an ineffective palliative tool in the setting of metastatic disease due to its toxicities and the "less than encouraging" response rates generated by the cisplatin-based combination regimen which is generally considered to be the most active currently available. The advent of new active agents such as paclitaxel and vinorelbine which are potentially less toxic may change this view. Conversely, the response rate of locally advanced disease to chemotherapy is significantly higher and this has resulted in numerous multimodality trials of neoadjuvant chemotherapy prior to surgery and/or radiation. To date, a number of randomised trials have shown that this approach can result in significant survival benefit for patients with locally advanced disease. An alternative approach makes use of the potential synergism between certain chemotherapeutic agents (such as cisplatin) and radiation when used concurrently. However, data on concurrent chemoradiotherapy in locally advanced disease have been largely based on single-arm studies and are inconclusive. Three randomised trials on concurrent chemoradiotherapy have been shown benefit for the use of combined modality in locally advanced disease. Hence, treatment of locally advanced disease should include chemotherapy as part of the combined modality approach. However, the optimal sequencing of these modalities would require well-designed randomised trials to determine.     

Analysis of autocatalytic networks in biology

Autocatalytic networks, in particular the glycolytic pathway, constitute an important part of the cell metabolism. Changes in the concentration of metabolites and catalyzing enzymes during the lifetime of the cell can lead to perturbations from its nominal operating condition. We investigate the effects of such perturbations on stability properties, e.g., the extent of regions of attraction, of a particular family of autocatalytic network models. Numerical experiments demonstrate that systems that are robust with respect to perturbations in the parameter space have an easily “verifiable” (in terms of proof complexity) region of attraction properties. Motivated by the computational complexity of optimization-based formulations, we take a compositional approach and exploit a natural decomposition of the system, induced by the underlying biological structure, into a feedback interconnection of two input–output subsystems: a small subsystem with complicating nonlinearities and a large subsystem with simple dynamics. This decomposition simplifies the analysis of large pathways by assembling region of attraction certificates based on the input–output properties of the subsystems. It enables numerical as well as analytical construction of block-diagonal Lyapunov functions for a large family of autocatalytic pathways.