The validity of verbal autopsies for assessing the causes of institutional maternal death

We investigated the patterns of degenerative changes of indoleamine-accumulating cells (IACs) induced by 5,7-dihydroxytryptamine (5,7-DHT, 100 microg), and the glial reaction to the neurodegenerative changes of IACs in the cat retina by using light-and electron-microscopy. The neurons accumulating 5,7-DHT in the cat retina were a few ganglion cells and displaced amacrine cells located in the ganglion cell layer (GCL), and some amacrine cells in the inner nuclear layer (INL). The cell density (per unit area, 1 mm2) of the 5,7-DHT accumulating cells in the GCL and INL was 910 and 134 cells, respectively. Most 5,7-DHT accumulating cells showed dark degeneration characterized by widening of the cellular organelles at early stage, and by darkening of the cytoplasm at a late stage. In addition, amacrine cells, showing a typical filamentous degeneration, were observed in a few cases. The degenerated neurons were phagocytosed by microglial cells and astrocytes. The immunoreactivity for glial fibrillary acidic protein (GFAP) in Muller cells was increased at early stage, but thereafter abruptly decreased. In a few cases, severe degenerative changes were observed in Miller cells. These results indicate that 5,7-DHT induces severe dark degeneration of IACs, and most degenerated cells could be eliminated by microglial cells and astrocytes in the cat retina.     

Synthesis and characterization of manganese oxide-doped dicalcium silicates obtained from rice hull ash

This work describes the synthesis and hydration behavior of dicalcium silicates doped with manganese. The syntheses were performed using silica obtained from rice hull ash. The solids (SiO₂, CaO and MnO) were weighed in stoichiometric proportions to prepare silicates having a ratio (Ca + Mn)/Si = 2. Insertion of manganese varied from 1 to 10% (mol). Solids were grounded and water was added rendering aqueous suspensions. The suspensions were sonicated for 60 min in an ultrasonic bath. After drying, the resulting solids were grounded and burned at 800 °C. The preparation of calcium silicates containing up to 10% of manganese oxide was observed.Hydration degree of a dicalcium silicate and calcium silicate containing 5% of manganese was determined by thermal analysis. Both materials present similar behavior. Hydration degree reaches approximately 70% after 60 days.     

Linear driving force approximation in cyclic adsorption processes: Simple results from system dynamics based on frequency response analysis

The linear driving force (LDF) approximation for cyclic adsorptive processes is discussed on the basis of model equivalence with the homogeneous diffusion model (HDM), the pore diffusion model (PDM) and the intraparticle diffusion and convection model (IDCM). Model equivalence is based on the frequency response of the adsorbent particle, namely on the equality of the amplitude ratio and the phase-lag functions. The analysis of the continuous stirred tank adsorber (CSTA) and of the plug flow adsorber (PFA) is addressed.     

Plasters and renders for salt laden substrates

The EU project COMPASS, Compatibility of Plasters and renders with Salt loaded Substrates in historic buildings, aimed at improving the maintenance of monuments by means of a better understanding of the working principles of the plasters and the damage mechanisms induced by salt crystallisation. Salt damage was effectively studied modelling the moisture and salt transport and degradation (irreversible dilation) and a fast and efficacious salt crystallisation test developed. Practical results were the assessment of the requirements for plasters to be used on salt loaded substrates and guidelines for selecting plasters suitable for different situations. The dissemination of the results was also entrusted to the expert system MDDS.     

Diagnosis of stroke by the nonneurologist. A validation study

BACKGROUND AND PURPOSE: The first medical contact of an acute stroke victim is often a nonneurologist. Validation of stroke diagnosis made by these medical doctors is poorly known. The present study seeks to validate the stroke diagnoses made by general practitioners (GPs) and hospital emergency service physicians (ESPs). METHODS: Validation through direct interview and examination by a neurologist was performed for diagnoses of stroke made by GPs in patients under their care and doctors working at the emergency departments of 3 hospitals. RESULTS: Validation of the GP diagnosis was confirmed in 44 cases (85%); 3 patients (6%) had transient ischemic attacks and 5 (9%) suffered from noncerebrovascular disorders. Validation of the ESP diagnosis was confirmed in 169 patients (91%); 16 (9%) had a noncerebrovascular diagnosis. Overall, the most frequent conditions misdiagnosed as stroke were neurological in nature (cerebral tumor, 3; subdural hematoma, 1; seizure, 1; benign paroxysmal postural vertigo, 1; peripheral facial palsy, 2; psychiatric condition, 6; and other medical disorders, 7). CONCLUSIONS: In the majority of cases, nonneurologists (either GPs or ESPs) can make a correct diagnosis of acute stroke. Treatment of acute stroke with drugs that do not cause serious side effects can be started before evaluation by a neurologist and CT scan.     

Calcium silicate cements obtained from rice hull ash: A comparative study

This work describes the utilization of rice hull as raw-material for the preparation of two calcium silicates namely, β-Ca_1.91Ba_0.04SiO₄ and β-Ca_1.96Ba_0.04SiO₄. The synthesis was completed at 800°C. Hydration rate and compressive strength of mortars prepared with the two calcium silicates were studied and compared to mortars prepared with commercial Portland cement. Hydration rates for both silicates, studied by thermogravimetric and FTIR analysis are very similar; after 60 days the hydration rates are around 42–43% and reaches 75% after 270 days. Compressive strength experiments were performed using test specimen prepared with commercial Portland cement as reference, and blends of Portland cement and the two calcium silicates, at replacement levels of 10 and 20%. Results have shown that after a 90 days curing period, the compressive strength of the reference and the blends containing 10% of each of the calcium silicates show the same behavior. Using a replacement level of 20% there is a small decrease in compressive strength. This behavior is attributed to the lower hydration rate of these calcium silicates.     

Performance Assessment of Optical Burst Switching Ring and Chordal Ring Networks

This paper presents a performance analysis of optical burst switching (OBS) networks with ring and chordal ring topologies. The performance analysis considers signaling protocols with one-way reservation schemes, being focused on the following protocols: just-in-time (JIT), Jumpstart, JIT⁺, just-enough-time (JET) and Horizon. It is shown that for a network with 20 nodes, the nodal degree gain due to the increase of nodal degree from two (ring) to three (chordal ring) is about three orders of magnitude in the first hop of both topologies, and is between two and three orders of magnitude in the last hop of each topology. It is also shown that the largest chord length gain, in a 20-node OBS network with a chordal ring topology, is slightly less than two orders of magnitude.     

Unusual imaging of varicose veins after radiolabeling of autologous low-density lipoproteins

Because of their complexity, war injuries inflicted by a blast mechanism often require tailoring of treatment to attain a more individualized solution. We report two cases of bilateral, severely mangled lower limbs with open tibial fractures and crush injuries to the feet. In each case, one limb had to be amputated below the knee, but the other limb was saved by immediate stabilization in a tubular external fixation frame crossing the knee; the frame was later replaced by a hybrid ring fixation frame with a freely moving knee. Such incidences are rare, and the particular management detailed here has not previously been reported in the literature.