Technically accurate intracavitary insertions improve pelvic control and survival among patients with locally advanced carcinoma of the uterine cervix

The purpose of this study was to document whether the technical qualities of a brachytherapy application impacts on the outcome of patients with locally advanced cervix cancer treated by definitive irradiation. A previous report from the patterns of care study demonstrated the importance of brachytherapy in the treatment of locally advanced cervix cancer. Locally advanced disease was defined as FIGO stages Ib (if tumor diameter was < or = 4 cm), IIb (if disease was bilateral or involved the lateral aspect of either parametrium), and III. Localization films from 128 patients with locally advanced squamous cell carcinoma of the cervix were reviewed by a radiation physicist and a radiation oncologist with expertise in gynecologic radiotherapy. All patients received external beam irradiation followed by one brachytherapy application (median point A dose = 8040 cGy; range, 4083-10,020 cGy). Brachytherapy parameters assessed were (a) the distance between the right colpostat source and the distal tandem source, (b) the distance between the left colpostat source and the distal tandem source, and (c) the symmetry of colpostat placement. Implants were scored as "ideal" (n = 8) when all three parameters were deemed satisfactory, "unacceptable" (n = 17) when none of the parameters was deemed satisfactory, and "adequate" (n = 41) in all other cases. Significantly improved 5-year local control was seen when comparing ideal and adequate placements to unacceptable placements (68% vs 34%, P = 0.02). A strong trend toward improved 5-year survival was also noted among the group with ideal and adequate implants as opposed to unacceptable implants (60% vs 40%). Multivariate analysis showed that the technical adequacy of the brachytherapy implant was the most important prognostic discriminant of local control. In conclusion, these analyses demonstrate the direct influence of competent technical implant performance on tumor control and even survival. While only a small fraction of implants for cervical cancer are performed poorly in the United States, there is a need for continued emphasis of the principles for proper implant technique.     

Zero bias resonant tunnel Schottky contact diode for wide-band direct detection

A Schottky-collector resonant tunnel diode detector has been fabricated and characterized at zero bias up to 400 GHz. General device structure and fabrication are discussed, and small-signal equivalent models are presented for different diode areas. Over the measured range of 200 to 400 GHz using a monolithic antenna structure, noise equivalent power values between 3-8 pW/Hz/sup 1/2/ are achieved. The current-voltage characteristics of the diode show weak temperature dependence over a measured range of 213-323 K.     

Qualifying of metallic materials and structures for aerospace applications

The U.S. Navy’s certification and qualification process for materials and structures is undertaken to ensure the flight safety and full mission capability of naval aviation weapon systems. A building-block process is practiced in which validated engineering data and concepts provide the foundation for continued technological development and innovation. For example, prior to developing material-property standards, the manufacturing process is frozen and fully characterized. The customer’s cost, schedule, and performance requirements must be carefully considered. Technologies are selected for immediate use or further R&D based upon a risk assessment that takes into account many factors, including technological maturity, lessons learned, the sponsor budget and schedule constraints, affordability, return on investment, and life-cycle cost impact. This paper explores the process that the navy uses to qualify its airframe alloys and structures. For more information, contact W.E. Frazier, Naval Air Systems Command, Research and Engineering Group, Air Vehicle Department, Patuxent River, MD 20670; (301) 342-8003; fax (301) 342-8062; e-mail FrazierWE@navair.navy.mil.     

Pyloric gland adenoma of the main pancreatic duct

A case of a pyloric gland type adenoma of the main pancreatic duct in a 69-year-old woman is reported. The tumor led to occlusion and cystic dilatation of the main duct in the pancreatic tail. The surgical resection specimen disclosed a polypoid, bilobed mass attached to the wall of the main pancreatic duct by a thin fibrous stalk. Light-microscopic examination revealed a well-demarcated nodule composed of closely packed tubular glands lined by columnar, mucin-secreting cells with abundant clear cytoplasm and basally oriented nuclei. Focal, mild cytologic atypia was seen. Pyloric metaplasia and focal papillary hyperplasia was present in the adjacent ductal epithelium. Periodic acid-Schiff reactions, with and without diastase predigestion, showed reactivity in the tubular glands, whereas alcian blue (pH 2.5) was negative. Immunohistochemical stains for chromogranin, serotonin, somatostatin, and gastrin failed to detect the respective antigens. Genetic analysis using polymerase chain reaction with mutant enrichment and allele specific oligonucleotide hybridization detected a single mutation at codon 12 of K-ras, which changed the wild-type glycine to arginine. This mutation is commonly found in invasive pancreatic ductal carcinomas. Although tumors with microscopic and immunohistochemical features consistent with pyloric gland adenoma have been described in the gallbladder, to our knowledge, this is the first reported case within the pancreatic ductal system. The finding of a K-ras, codon 12 mutation and the presence of focal dysplasia may denote neoplastic potential in association with this lesion.     

OPERATION OF LEERS1

The muffle and open types of leers are compared. The latter has the following advantages: (1) More uniform temps. in the annealing chamber; (2) prevents ingress of cold air beside pans and thus avoids consequent cracking of the ware; (3) better control of temp. and greater reliability of pyrometric indications; (4) less fuel per gross of ware. Size of leers: Leers 8 ft. wide and 65 ft. from center to center of sprockets are recommended for the average glass. Leer chains: Chains having a working strain of 5800 Ibs. at 200 ft. per minute are recommended. In the discussion, L. H. Adams points out that the exact annealing schedule required for any glass can be computed from the annealing constants of the glass which are known or can be determined in the laboratory.     

MIRD pamphlet No. 17: the dosimetry of nonuniform activity distributions--radionuclide S values at the voxel level. Medical Internal Radiation Dose Committee

The availability of quantitative three-dimensional in vivo data on radionuclide distributions within the body makes it possible to calculate the corresponding nonuniform distribution of radiation absorbed dose in body organs and tissues. This pamphlet emphasizes the utility of the MIRD schema for such calculations through the use of radionuclide S values defined at the voxel level. The use of both dose point-kernels and Monte Carlo simulation methods is also discussed. PET and SPECT imaging can provide quantitative activity data in voxels of several millimeters on edge. For smaller voxel sizes, accurate data cannot be obtained using present imaging technology. For submillimeter dimensions, autoradiographic methods may be used when tissues are obtained through biopsy or autopsy. Sample S value tabulations for five radionuclides within cubical voxels of 3 mm and 6 mm on edge are given in the appendices to this pamphlet. These S values may be used to construct three-dimensional dose profiles for nonuniform distributions of radioactivity encountered in therapeutic and diagnostic nuclear medicine. Data are also tabulated for 131I in 0.1-mm voxels for use in autoradiography. Two examples illustrating the use of voxel S values are given, followed by a discussion of the use of three-dimensional dose distributions in understanding and predicting biologic response.     

In vitro toxicity assessment of a new series of high energy compounds.

Hydrazine is an aircraft fuel and propellant used by the US Air Force. Due to its toxicity the Propulsion Directorate of the Air Force Research Laboratory (AFRL/PR) has investigated alternative chemicals to replace hydrazine. AFRL/PR has synthesized a series of high energy chemicals (HECs), primarily hydrazine derivatives and amino containing compounds such as hydrazinium nitrate (HZN), 2-hydroxyethyl-hydrazine nitrate (HEHN), diethyl hydrazine nitrate (DEHN), ethanolamine nitrate (EAN), histamine dinitrate (HDN) and methoxylamine nitrate (MAN) to study as alternative chemical candidates. Although HECs are reliable constituents of powered propellant systems, they constitute an important class of toxic agents to which military and civilian personnel can be exposed. The current study was undertaken to examine the toxicity of HECs in primary hepatocytes in vitro. The effects of short-term exposure (4 h) of hepatocytes to HECs were investigated with reference to viability, mitochondrial function and oxidative stress markers. The results showed a decrease in mitochondrial activity, increase in lactate dehydrogenase (LDH) leakage and depletion of reduced glutathione (GSH) levels. The levels of reactive oxygen species (ROS) increased dose dependently in HZN, MAN and HDN exposed cells. However, there was no induction of ROS generation in EAN, DEHN and HEHN exposed cells. Depletion of GSH in hepatocytes by buthionine sulfoximine (BSO) prior to exposure to HZN increased its toxicity. The results suggest that at least one mechanism of HEC toxicity is mediated through oxidative stress.     

Hot deformation mechanisms in a powder metallurgy nickel-base superalloy IN 625

The hot working behavior of the nickel-base superalloy IN 625 produced by hot extrusion of a powder metallurgy (P/M) compact has been studied by compression testing in the temperature range 900 °C to 1200 °C and true strain rate range 0.001 to 100 s⁻¹. At strain rates less than about 0.1 s⁻¹, the stress-strain curves exhibited near steady-state behavior, while at higher strain rates, the flow stress reached a peak before flow softening occurred. The processing maps developed on the basis of the temperature and strain rate and strain dependence of the flow stress exhibited three domains. (1) The first domain occurs at lower strain rates (<0.01 s⁻¹) and temperatures higher than about 1050 °C. The peak efficiency and the temperature at which it occurs have increased with strain. The microstructure of the specimen deformed in this domain exhibited extensive wedge cracking. (2) The second domain occurs in the intermediate range of strain rates (0.01 to 0.1 s⁻¹) and temperatures lower than 1050 °C, and in this domain, microstructural observations indicated dynamic recrystallization (DRX) of γ containing δ precipitates and carbide particles resulting in a fine-grained structure. (3) The third domain occurs at higher strain rates (> 10 s⁻¹) and tempe ratures above 1050 °C, with a peak efficiency of about 42 pct occurring at 1150 °C and 100 s⁻¹. Microstructural observations in this domain revealed features such as irregular grain boundaries and grain interiors nearly free from annealing twins, which are typical of DRX of homogeneous γ phase. The instability map revealed that flow instability occurs at strain rates above 1 s⁻¹ and temperatures below 1050 °C, and this is manifested as intense adiabatic shear bands. These results suggest that bulk metal working of this material may be carried out in the high strain rate domain where DRX of homogeneous γ occurs. On the other hand, for achieving a fine-grained product, finishing operations may be done in the intermediate strain rate domain. The wedge cracking domain and the regime of instability must be totally avoided for achieving defectfree products.     

Religious/spiritual psychotherapy behaviors: Do we do what we believe to be important?

Professional psychologists have recently been encouraged to sensitively address religious/spiritual issues in psychotherapy. But how frequently do practitioners make religiously/spiritually informed interventions with their clients, and how important do they think it is to do so? Based on the existing literature, the authors identified 29 recommended religious/spiritual psychotherapy behaviors and surveyed 96 psychologists regarding perceived importance and use of these behaviors. The most and least frequently endorsed behaviors were identified. The greater the practitioners' religious/spiritual self-identification, the more likely they were to report using these behaviors in psychotherapy. However, overall, and for 90% of the individual items, clinicians engaged in these religious/spiritual psychotherapy behaviors less frequently than their importance ratings suggested they should. Practice implications and suggestions for educators are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Growth and characterization of III-N bulk crystals

Hexagonal BN crystals were grown from solution by application of a thermal gradient. The solvent used to dissolve the source was optimized by changing the ratio of components to have the lowest melting point. The investigation of adding a third component demonstrated further reduction of the melting point with BN as an additive. A solution was created with enhanced properties allowing the growth of BN. BN was grown on a PBN seed at T _g = 900 °C and P = 0.2 MPa for approximately 65 h. The BN crystals were found to be embedded in a solvent matrix, as determined by EDS. In addition, GaN crystals were grown in a modified solution at T _g = 800 °C and P = 0.2 MPa. Raman spectroscopy verified wurtzite GaN structure with good crystallinity. The successful growth of BN and GaN from solution suggests this to be a method of choice for growth of the III-Ns, and may prove to be a viable alternative to current costly wafer production techniques.