Enterogastric bile reflux during technetium-99m-sestamibi cardiac imaging

Twenty-six patients with squamous cell cancer of the cervix were treated with i.v. paclitaxel, 250 mg/m2 over 3 h every 21 days. They received steroid, H1 and H2 blocker premedications, and granulocyte-colony-stimulating factor (G-CSF) support (5 microgram/kg/day). No prior chemotherapy, except as a radiation sensitizer, was allowed. The median age was 50 (range, 36-81) years, and performance status Zubrod was 1 (range, 0-2). Eight (33%) patients had prior surgery, and 22 (92%) had prior radiation therapy. Twenty-four patients were evaluable for response; 2 were later found to be ineligible. Five patients had partial responses (21%; 95% confidence interval, 6-40%), and 14 (58%; 95% confidence interval, 35-78%) had stable disease. The median duration of response was 10 (range, 3-27+) weeks. The responses were within the radiation port (four responses) and outside of it (one response). The median interval from the start of irradiation to the start of paclitaxel in responding patients was 94 weeks, whereas in patients with stable disease it was 68 weeks, and in patients whose disease progressed it was 46 weeks. Eighty-eight percent of the 105 cycles of paclitaxel were administered at a dose of 250 mg/m2 or higher. Granulocytopenia was brief and noncumulative, with grades 3 and 4 experienced by 5 and 3 patients, respectively. G-CSF was used for a median of 7 (range, 2-14) days/cycle. Anemia was mild, with G3 noted in 3 patients, and thrombocytopenia was not significant. Infections and musculoskeletal pain were mild and infrequent. Sensory (14 patients G1 or G2 and 2 patients G3) and motor (4 patients G1 or G2 and 1 patient G3) neurotoxicity was noted. There was no significant cardiovascular toxicity. Paclitaxel is active in patients with squamous cell cancer of the cervix and is well tolerated at this dose schedule with G-CSF support.     

Analysis of the Mechanical Stability of Boreholes Drilled in Sedimentary Rocks

This article presents the method and results of wellbore stability analysis for three common reservoir lithologies consisting of a consolidated sandstone, a shaly sandstone, and a limestone formation. The effect of stress anisotropy on the mechanical stability of wellbores is evaluated while varying the inclination angle from 0 to 90°, for both the Mohr-Coulomb and the Drucker-Prager failure criteria. The selected failure criterion, and the in-situ rock stress regime are found to have significant effects on the safe drilling fluid density required to maintain wellbore integrity. According to some field examples, the Drucker-Prager failure criterion appears to systematically mimic rock conditions more realistically than the Mohr-Coulomb failure criterion. The simulated consolidated sandstone formation is found more stable with lesser drilling fluid density, at any inclination angle, than the simulated shaly sandstone formation. The simulated limestone formation is even more stable than the consolidated sandstone at all inclination angles since it requires lighter fluid density to prevent wellbore collapse. For all these rock types, the higher the deviation angle (from vertical), the higher the drilling fluid density needed for maintaining wellbore integrity. For the depth and rock conditions simulated, both consolidated and shaly sands are unstable in a strike-slip stress regime, but stable in an extensional stress regime. The simulated limestone formation was found stable in both stress regimes. However, in an extensional stress regime, the limestone formation required lighter fluid density to maintain wellbore integrity than in a strike-slip stress regime. This article introduces the theory of using a practically-oriented model to assess the mechanical stability of a wellbore in a linearly-elastic stress field. The model can be used to determine the range of mechanically stable well inclinations for a given formation, and to suggest drilling-fluid density programs tailored to efficient and safe drilling.     

Novel photonically-controlled reflectarray antenna

A novel method for generating a reconfigurable reflectarray based on the creation of photoinduced plasma inside the semiconductor substrate of a reflectarray is presented in this paper. A reflectarray antenna prototype is fabricated and measured to demonstrate the validity of the design methodology. Measurements were carried out to characterize the bandwidth and the gain of the antenna in both the OFF and ON states of an optical flash lamp that was used to induce photoconductivity inside the silicon substrate.     

Broadband reflectarray antenna with double cross loops

A reflectarray antenna composed of double crossed loops of variable lengths printed on a conductor backed substrate is introduced. Using this technique, a single-layer reflectarray with wider bandwidth compared to conventional single-layer reflectarrays is fabricated and measured. Measured results demonstrate a radiation efficiency close to 55% and 1 dB gain-bandwidth of 10%, centred at 22 GHz.     

Anti-GBM glomerulonephritis in mice lacking nitric oxide synthase type 2

To determine the relationship between quantitative Doppler parameters of portal, hepatic, and splanchnic circulation and hepatic venous pressure gradient (HVPG), variceal size, and Child-Pugh class in patients with alcoholic cirrhosis, we studied forty patients with proved alcoholic cirrhosis who underwent Doppler ultrasonography, hepatic vein catheterization, and esophagoscopy. The following Doppler parameters were recorded: time-averaged mean blood velocity, volume flow of the main portal vein flow, and resistance index (RI) of the hepatic and of the superior mesenteric artery. Doppler findings were compared with HVPG, presence and size of esophageal varices, and Child-Pugh class. There was a significant inverse correlation between portal velocity and HVPG (r = -.69), as well as between portal vein flow and HVPG (r = -.58). No correlation was found between RI in the hepatic artery or superior mesenteric artery and HVPG. No correlation was found between portal vein measurements and presence and size of varices. Severe liver failure was associated with lower portal velocity and flow. In patients with alcoholic cirrhosis, only portal vein blood velocity and flow, but neither hepatic nor mesenteric artery RI, are correlated to the severity of portal hypertension and to the severity of liver failure.     

Solving partial differential equations of gas–solid reactions by orthogonal collocation

In this work the solution of the coupled partial differential equations for noncatalytic gas–solid reactions has been considered by orthogonal collocation. First of all, by an integral transformation and then by applying the orthogonal collocation method, these partial differential equations are converted to the ordinary differential equations. Then the equations are solved and the conversion–time profiles are obtained. The solution of the equations for volume reaction model, grain model and grain model with product layer resistance, modified grain model, random pore model, nucleation model and reaction of two gas with one solid has been presented in this work. The orthogonal collocation is a rapid method for solving of these equations and shows a good accuracy with respect to other solution techniques in the literature.     

UKI-03 device for checking the generator water-cooled stator winding insulation

Conclusion A diagnostic microprocessor device for checking the generator water-cooled stator winding insulation, realizing semiautomatic measuring of the level of resistance and absorption coefficient of the stator winding insulation, in which case the shunting effect of the water hoses is eliminated, was developed and is operating successfully. Translated from Gidrotekhnicheskoe Stroitel'stvo, No. 3, pp. 31–33, March, 1996.     

Operative correction of pectus excavatum: an evolving perspective

Volatile free fatty acids (VFA) in blood increased approximately twofold in dogs subjected to total hepatectomy. The average total plasma VFA preoperatively was 1,585 mug percent and shortly before death, postoperatively, was 2,798 mug percent. The corresponding red cell concentrations were essentially the same. Acetic acid was 81 percent of the total VFA, propionic acid 7 percent, isobutyric acid 4 percent, butyric acid one percent, and isovaleric acid 5 percent. There was little or no isovalerate in red cells. The increments in the individual fatty acids after hepatectomy were highly variable, but the average increase with time was almost linear. The increase in VFA probably reflects an increased utilization of the branched-chain aminoacids by extrahepatic tissues.