The Drug Evaluation Classification Program: using ocular and other signs to detect drug intoxication

BACKGROUND: A systematic approach to determining drug intoxication has been developed for use by police officers. By considering specific physiological signs, trained officers can detect the effects of seven major drug types. METHODS: Officers follow a 12-step testing sequence and evaluate signs such as pupil sizes and responses, eye movements, heart rate, body temperature, mental timing, and balance. A matrix is then used to compare that subject's signs to those that would be produced by the seven types of drugs. If a pattern match is found, the officer concludes that the subject is under the influence of a drug and specifies the drug type. RESULTS: Several field and laboratory validation studies have been conducted using these procedures. In general, officers were 70% to 90% accurate in determining intoxication status and drug classification, but poly-drug use and drug rebound effects can sometimes cause problems in interpretation. CONCLUSION: Ocular and other physiological signs can be used to detect drug intoxication and classify the type of drug taken. Knowledge of the procedures used in the Drug Recognition Program can enable optometrists to serve as consultants to the police and as expert witnesses in cases involving the use of ocular signs that indicate illicit drug use.     

Cyclosporin A in patients receiving renal allografts from cadaver donors. 1978

A psychrotrophic yeast, Rhodotorula glutinis KUJ 2731, isolated from soil, effectively produced an extracellular endo-beta-glucanase (EC 3.2.1.4). The enzyme was monomeric, and the molecular mass was about 40,000 Da. The N-terminal amino acid sequence was H-Ser-Leu-Pro- Lys-Leu-Gly-Gly-Val-Asp-Leu-Ala-Gly-Leu-Asp-Ile-Gly-Lys-Asp-Lys-Asn-. alpha-Helix content was calculated to be about 32.6%. The isoelectric point was 8.57. The activation energy was 20.9 kJ/mol, which was much smaller than that of mesophilic enzymes. The enzyme was active at temperatures from 0 to 70 degrees C, with a highest initial velocity at 50 degrees C similar to other psychrotrophic enzymes. The enzyme was inhibited by Hg2+. The enzyme catalyzed hydrolysis of carboxymethyl cellulose with an apparent K(m) of 1.1% and Vmax of 556 mumol/min/mg. Products from the enzymatic hydrolysis of carboxymethyl cellulose by the enzyme were glucose, cellobiose, and cellotriose. The enzyme also catalyzed the transglycosylation of p-nitrophenyl-beta-cellotrioside to cellotetraose.     

Highly active antiretroviral therapy results in a decrease in CD8+ T cell activation and preferential reconstitution of the peripheral CD4+ T cell population with memory rather than naive cells

Criteria for detection of chromosome aberrations by Comparative Genomic Hybridization (CGH) are not standardized and improvement of this part of the analysis is of paramount importance to the applicability of the technique. The aim of this work was to suggest CGH detection criteria that increase the specificity and sensitivity and at the same time include chromosome regions previously excluded from CGH analysis. We analyzed 33 hybridizations with normal DNA and modified our CGH software in order to use a selection of these normal analyses as a model for interpretation of analyses of unknown samples. This approach was successfully tested on 14 samples with known aberrations.     

Clinical utility of the polymerase chain reaction in the diagnosis of extrapulmonary tuberculosis

This study examines the diagnostic utility of the polymerase chain reaction (PCR) in 156 patients (five human immunodeficiency virus (HIV) seropositive) suspected of extrapulmonary tuberculosis. The results of PCR in 226 samples from 11 different sites were compared with the results of microscopy and culture. Positive culture results were predicted in 86% of samples by PCR but in only 31% by microscopy. Specificity of PCR was 92%. In cases with culture-proven tuberculosis, PCR identified all 11 microscopy positive cases and 19 of 24 (79%) of the microscopy-negative cases. In four patients, PCR excluded the diagnosis of tuberculosis in microscopy-positive samples, which were later shown to contain mycobacteria other than Mycobacterium tuberculosis or laboratory contaminants. In 20 patients (microscopy, PCR and culture negative) a trial of antituberculous drugs was given, but patients showed no improvement and treatment was stopped. In 17 patients, all culture negative (in nine PCR was positive, three of whom also had positive microscopy) the diagnosis was probable tuberculosis based on clinical findings and response to treatment. This polymerase chain reaction has a much higher sensitivity than microscopy and can facilitate therapeutic decisions for those with suspected extrapulmonary tuberculosis.     

Endotoxin-induced platelet aggregation in heparinised equine whole blood in vitro

Endotoxaemia is a leading cause of death among horses. Thrombocytopenia is a common finding in clinical and experimentally-induced cases of endotoxaemia and can lead to coagulopathies, including disseminated intravascular coagulopathy which is usually fatal. In this study it was shown that endotoxin (3 ng ml-1 to 25 micrograms ml-1) can aggregate equine platelets in heparinised whole blood in vitro. The endotoxin-induced aggregation (EIA) was shown to be dependent on the presence of leucocytes in the blood and did not occur when detoxified endotoxin was used, suggesting that lipid A was necessary for the response. Aspirin (1 mmol litre-1) had no effect on EIA whereas apyrase (40 micrograms ml-1) completely abolished it and CV3988 (3 to 30 mumol litre-1) (a competitive antagonist of platelet-activating factor) inhibited the response in a concentration-dependent manner. It is concluded that endotoxin activates equine platelets at low concentrations through an indirect mechanism that involves calcium, leucocytes, adenine nucleotides and platelet-activating factor.     

Mechanical performance of ceramic matrix composite I-beams

Experimental studies have been performed on ceramic matrix composite (CMC) I-sections, which typify joint designs for CMC components. Axial loads and moments have been applied to activate delamination mechanisms. The maximum load bearing capacity has large variability, governed by the severity of manufacturing flaws located in the transition region of the I-section. This variability leads to an unsatisfactory design situation. Delaminations that form from these flaws arrest and behave in a stable manner, subject to a remanent load bearing capacity. This remanent capacity has minimal variability. Hence, design based on the remanent load would be robust. An expression for this design criterion is presented.     

The relationship between isometric strength of Cantonese males and the US NIOSH guide for manual lifting

A laboratory study was undertaken to assess the relationship between the maximal voluntary isometric strength (MVIS) of a group of Hong Kong Cantonese males and recommended limiting values for lifting proposed in the Work Practices Guide for Manual Lifting (NIOSH, 1981). Forty-one male subjects were required to apply a 'free-style' vertical 'lift' force to a horizontal bar located 150 mm from the ground. Forces were applied with the horizontal location of the midpoint of the ankles at 200, 400, 600 and 800 mm from the bar. The results were compared with the Maximal Permissible Limit (MPL) and the Action Limit (AL) values proposed in the NIOSH guide. The results showed that the mean MVIS of the Hong Kong subjects lay between the MPL and AL when the load was 200 mm and 400 mm from the ankles, but was significantly below the AL at 600 mm. At 800 mm more than half of the subjects were unable to apply any measurable positive vertical force. The compressive force at the L5/S1 disc of four subjects was estimated using a static biomechanical model. The relationship between the disc pressure and the force exerted was largely in accordance with NIOSH guide values. The results are discussed in terms of differences in subject population and lifting technique. Comments on the applicability of the NIOSH standards internationally, are also presented.     

Characterizing the interface of nickel-zincate-aluminum thin films

The manufacture of plated computer memory disks requires a complex sequence of processing steps. One of the most important factors affecting disk surface topography and adhesion between nickel and aluminum was found to be the formation and diffusion of a zincate thin film at the nickel-aluminum interface. To improve the adhesion, the strength of the weak link (the zinc layer) must be increased. This can be accomplished by alloying the zinc layer with the aluminum and nickel layers by co-diffusion, which is accelerated at high temperatures, or by keeping the zinc layer very thin. Surface topography can be modified by changing the metallurgical properties of the substrate, promoting the diffusion of elements between layers at elevated temperatures, or adjusting the zincating bath parameters.

     

Evaluation of tempering induced changes in the hardness profile of case-carburised EN36 steel using magnetic Barkhausen noise analysis

The effect of tempering on the magnetic Barkhausen noise (MBN) signal profile was studied in case-carburised EN36 steel using a range of magnetic excitation frequencies and a number of frequency ranges for analysis of the MBN signal. The MBN level generally increases with tempering due to coarsening of the microstructure. With higher values of excitation frequency, f_EX, the MBN profile exhibits a single peak, but with low values of f_EX, double peaks are observed. The MBN peak obtained with higher f_EX was found to correlate well with hardness changes in a region, down to 100 μm below the surface. The analysis of the MBN signal produced with low f_EX, in narrow frequency ranges selected by software frequency filtering, showed variations in the extent of changes in the relative height of the two MBN peaks in the profile. After taking into account the skin depth-frequency relation for the MBN signal, variations in the values of the two MBN peaks in different analysing frequency ranges were found to correlate well with hardness variations at different depths down to 425 μm below the surface. An empirical relationship has been established between the hardness-depth profile and the MBN measurements.