Radiological case of the month. Reflex sympathetic dystrophy

The authors report a case of pregnancy in a rudimentary horn diagnosed by laparotomy. The location could not be suspected by any clinical sign. This pregnancy stopped at 19 weeks of amenorrhoea. Any attempts of induction of labour failed. Laparotomy was necessary to assess the diagnosis and to allow the resection of the uterine horn. The authors present a review of literature.     

Population studies on Oncomelania quadrasi, the snail intermediate host of Schistosoma japonicum, in the Philippines. 3. Data transformation for significance test of snail density

For the comparative study of densities of Oncomelania quadrasi, the snail intermediate host of Schistosoma japonicum in the Philippines, the survey data should be transformed to stabilize the variance in determining the significant difference of densities among populations and to evaluate control measures by the difference, since the snail is distributed unevenly in the field. Comparison was made for the efficiency of stabilizing variance among 7 transformation formulas so far reported, and 2 new additional formulas in the present study. As a result, a simple transformation by y=log (x+0.01) was found to be most reliable. This nonparametric transformation can be applied to any snail population irrespective of the type of distribution and the degree of clumping. By this formula, there is no need to discard snail-free samples which are important to evaluate control measures. Using this transformation, snail survey data were analyzed in the areas where control measures were undertaken during the past several years. And significant reduction of snail densities was proven using the t-test.     

Prolonged tamoxifen exposure selects a breast cancer cell clone that is stable in vitro and in vivo

The effects of long-term tamoxifen exposure on cell growth and cell cycle kinetics were compared between oestrogen receptor (ER)-positive (MCF-7) and ER-negative (MDA-MB-231) cell lines. In the MCF-7 cell line, prolonged tamoxifen exposure (0.5 mumol/l for > 100 days) blocked cells in G0-G1 of the cell cycle, and slowed the doubling time of cells from 30 to 59 h. These effects corresponded to an increase in the cellular accumulation of tamoxifen over time [mean area under concentration curve (AUC) = 77.92 mumoles/10(6)/cells/day]. In contrast, in the MDA-MB-231 cell line, long-term tamoxifen exposure had no obvious effect on the doubling time, and reduced cellular tamoxifen accumulation (mean AUC = 50.50 mumoles/10(6)/cells/day) compared to the MCF-7 cells. Flow cytometric analysis of MDA-MB-231 cells demonstrated that a new tetraploid clone emerged following 56 days of tamoxifen exposure. Inoculation of the MDA-MB-231 tetraploid clone and MDA-MB-231 wildtype cells into the opposite flanks of athymic nude mice resulted in the rapid growth of tetraploid tumours. The tetraploid tumours maintained their ploidy following tamoxifen treatment for nine consecutive serial transplantations. Histological examination of the fifth transplant generation xenografts revealed that the tetraploid tumour had a 25-30 times greater mass, area of haemorrhage and necrosis, a slightly higher mitotic index and was more anaplastic than the control neoplasm. The control wildtype MDA-MB-231 tumours maintained a stable ploidy following tamoxifen treatment until the eighth and ninth transplantation, when a tetraploid population appeared, suggesting that tamoxifen treatment may select for this clone in vivo. These studies suggest that prolonged tamoxifen exposure may select for new, stable, fast growing cell clones in vitro as well as in vivo.     

Pain characteristics and their management in persons with AIDS

Discussion of pain problems in persons with AIDS has been limited in medical and nursing literature, yet pain is a major source of suffering and concern for patients. Common pain characteristics are described in 100 persons with CDC-defined AIDS, using the 1987 definition. The two most frequently cited types of pain for both drugs users and nondrug users with AIDS were abdominal pain and neuropathic pain. Drug users experienced pain due to esophagitis and headaches more frequently than nondrug users, while nondrug users experienced Kaposi's sarcoma-related pain more often. Treatment responses were individualized, with drug users requiring more frequent use of opiates. General treatment strategies are suggested with special emphasis on the unique needs of PWAs.     

Mapping the gene causing hereditary primary hyperparathyroidism in a Portuguese kindred to chromosome 1q22-q31

A Portuguese kindred with autosomal dominant isolated primary hyperparathyroidism (HPT) that was associated with parathyroid adenomas and carcinomas was investigated with the aim of determining the chromosomal location of this gene, designated HPTPort. Leukocyte DNA from 9 affected and 16 unaffected members and 7 parathyroid tumors from 4 patients was used in comparative genomic hybridization (CGH), tumor loss of heterozygosity (LOH), and family linkage studies. The CGH studies revealed abnormalities of chromosomes 1 and 13, and the results of LOH studies were consistent with the involvements of tumor suppressor genes from these regions. Family segregation studies mapped HPTPort to chromosome 1q22-q31 by establishing linkage with eight loci (D1S254, D1S222, D1S202, D1S238, D1S428, D1S2877, D1S422, and D1S412) (peak two-point LOD scores = 3. 46-5.14 at 0% recombination), and defined the location of HPT Port to a 21 cM region flanked centromerically by D1S215 and telomerically by D1S306. Thus, HPTPort has been mapped to chromosome 1q22-q31, and a characterization of this gene will help to elucidate further the mechanisms that are involved in the development of parathyroid tumors.     

Mammography grid performance

PURPOSE: To measure directly the grid performance of mammography units for the range of breast thicknesses and x-ray tube potentials encountered in clinical practice. MATERIALS AND METHODS: Contrast improvement factors and Bucky factors were determined for four mammographic units as a function of x-ray tube potential (25, 30, and 35 kVp), phantom thickness (2, 4, and 8 cm) and, on one unit, three target-filter combinations. Three units used a linear grid; one, a cellular grid. Two methods were used for nongrid measurements. RESULTS: For all units tested, contrast improvement factor increased with increased phantom thickness and with increased kilovolt peak level for the 8-cm-thick phantom and changed little with kilovolt peak level for 2- and 4-cm-thick phantoms. At 25 and 30 kVp, contrast improvement factor performance with the linear grids was comparable; with the cellular grid, it was 5%-10% higher. In all cases, the Bucky factor increased with increased phantom thickness and decreased with increased tube potential. CONCLUSION: Differences in grid performance exist. At 25 and 30 kVp, the cellular grid exhibited superior contrast improvement factor performance, whereas one of the linear grids exhibited superior Bucky factor performance. Measured contrast improvement and Bucky factors are dependent on nongrid technique. Cassette tunnels introduce scatter and should not be used with nongrid or magnification techniques.     

Application of SVM-RFE on EEG signals for detecting the most relevant scalp regions linked to affective valence processing

In this work, event related potentials (ERPs) induced by visual stimuli categorized with different value of affective valence are studied. EEG signals are recorded during visualization of selected pictures belonging to International Affective Picture System (IAPS). A Morlet wavelet filter is used to transform the EEG input space to a topography-time–frequency feature space. Support vector machine-recursive feature elimination (SVM-RFE) is applied for detecting scalp spectral dynamics of interest (SSDOIs) in this feature space, allowing to identify the most relevant time intervals, frequency bands and EEG channels. This feature selection method has proven to outperform the classical t-test in the discrimination of brain cortex regions involved in affective valence processing. Furthermore, the presented combination of feature extraction and selection techniques can be applied as an alternative in other different clinical applications.     

Lyapunov Self-triggered Controller for Nonlinear Trajectory Tracking of Unicycle-type Robot

International Journal of Control, Automation and Systems - This paper focuses on the design and implementation of an aperiodic control of nonholonomic robots tracking nonlinear trajectories. The...     

Skill Memory in Biped Locomotion

Robots must be able to adapt their motor behavior to unexpected situations in order to safely move among humans. A necessary step is to be able to predict failures, which result in behavior abnormalities and may cause irrecoverable damage to the robot and its surroundings, i.e. humans. In this paper we build a predictive model of sensor traces that enables early failure detection by means of a skill memory. Specifically, we propose an architecture based on a biped locomotion solution with improved robustness due to sensory feedback, and extend the concept of Associative Skill Memories (ASM) to periodic movements by introducing several mechanisms into the training workflow, such as linear interpolation and regression into a Dynamical Motion Primitive (DMP) system such that representation becomes time invariant and easily parameterizable. The failure detection mechanism applies statistical tests to determine the optimal operating conditions. Both training and failure testing were conducted on a DARwIn-OP inside a simulation environment to assess and validate the failure detection system proposed. Results show that the system performance in terms of the compromise between sensitivity and specificity is similar with and without the proposed mechanism, while achieving a significant data size reduction due to the periodic approach taken.