Endoscopic retrograde wire-guided cytology of malignant biliary strictures using a novel scraping brush

A cigarette which heats rather than burns tobacco (Premier) was introduced in 1988, but was unacceptable due to unpleasant taste and low nicotine intake. We examined availability of nicotine from a new version (Eclipse), in the same four subjects as our earlier Premier study. Average blood nicotine boosts of 23.7 and 17.8 ng/ml were obtained from smoking a first and second Eclipse. This substantially exceeds intake from Premier (boost 13 ng/ml) and that obtained by heavy smokers from conventional brands (boost 12-15 ng/ml). Eclipse (or similar product) may be the best option for averting Peto's dire warnings of rising millions of annual smoking deaths in the 2020s, and its potential for large-scale, long-term switching warrants further study.     

Mobilization of lead by calcium versenate and dimercaptosuccinate in the rat

1. Calcium disodium ethylenediaminetetraacetate (CaNa2 EDTA) and meso-2,3-dimercaptosuccinic acid (DMSA) individually and in permutation-combination in various doses (0.1, 0.2 and 0.4 mmol/kg bodyweight) were investigated for their efficacy to mobilize lead from vital tissues into urine and faeces and to restore the lead-sensitive biochemical parameters in lead pre-exposed rats with a view to develop the most acceptable treatment regimen for lead poisoning with a minimal loss of endogenous essential elements. 2. The combined therapy was more effective than a single chelator treatment. 3. The combination of 0.2 mmol/kg CaNa2EDTA + 0.4 mmol/kg DMSA caused a lower depletion of zinc, calcium and iron but possessed almost equal capability to that of 0.4 mmol/kg CaNa2EDTA + 0.4 mmol/kg DMSA to produce urinary as well as faecal excretion of lead, to reduce the tissue burden of lead, including that of the brain, and to reverse lead-induced biochemical alterations. 4. The combination of 0.2 mmol/kg CaNa2EDTA + 0.4 mmol/kg DMSA has shown a definite improvement over previously reported combinations in terms of removal of lead from tissues, particularly the brain, restoration of urinary delta-aminolevulinic acid levels and a decrease in the loss of body zinc and is, therefore, recommended for the treatment of lead intoxication.     

Simultaneous determination of granisetron and its 7-hydroxy metabolite in human plasma by reversed-phase high-performance liquid chromatography utilizing fluorescence and electrochemical detection

A highly sensitive and selective high-performance liquid chromatographic method was developed for the determination of granisetron and its active metabolite, 7-hydroxygranisetron (7OH-G) in human plasma. Granisetron is a selective 5-hydroxytryptamine receptor antagonist used in the treatment of cytotoxic drug-induced emesis. The method involves isolation of granisetron, 7OH-G and the internal standards from plasma by solid-phase extraction prior to reversed-phase ion-pair chromatographic separation on an octyl silica column with subsequent quantification of analytes simultaneously either with electrochemical (7OH-G) or fluorescence (granisetron) detectors which are placed in series. The recovery of granisetron and 7OH-G from human plasma was quantitative. Using 1 ml of plasma, the limits of quantification for granisetron and 7OH-G were 0.1 and 0.25 ng/ml, respectively. Linear responses in analyte/internal standard peak-area ratios were observed for analyte concentrations ranging from 0.1 to 50 ng/ml plasma. Precision and accuracy were within 13% across the calibration range for both granisetron and 7OH-G. The method was sufficiently sensitive, accurate and precise to support pharmacokinetic studies for granisetron and 7OH-G, in both normal and patient populations.     

Thermal studies of Cr2O3 doped CaCO3-SiO2 (2∶1) system

Mixtures of CaCO₃SiO₂ in 21 molar ratio were subjected separated to thermal analysis with varying concentration of Cr₂O₃ (0.1 to 5%) as dopant. The activation energy (E _a) and enthalpy (H) shows a decreasing trend with 0.1 to 1% Cr₂O₃ and attains a minimum value with 1% dopant. 0.1 to 0.5% Cr₂O₃ helps in the formation of and C₂S, (Cement Chemistry notations, C = CaO, S = SiO₂) phases at 1400° C and above but 1% Cr₂O₃ stabilizes -C₂S phase along with a little free lime and CaCrO₄. A small quantity of CaCrO₄, Cr₂SiO₂ and -C₂S are also formed along with the major phases with 5% Cr₂O₃ indicating that Cr³⁺ can substitute both Ca²⁺ and Si⁴⁺ ions in the C₂S lattice.     

An overhead and resource contention aware analytical model for overloaded Web servers

A Web server, when overloaded, shows a severe degradation of goodput initially, with the eventual settling of goodput as load increases further. Traditional performance models have failed to capture this behavior. In this paper, we propose an analytical model, which is a two-stage and layered queuing model of the Web server, which is able to reproduce this behavior. We do this by explicitly modelling the overhead processing, the user abandonment and retry behavior, and the contention for resources, for the FIFO and LIFO queuing disciplines. We show that LIFO provides better goodput in most overload situations. We compare our model predictions with experimental results from a test bed and find that our results match well with measurements.     

Constructing malware normalizers using term rewriting

A malware mutation engine is able to transform a malicious program to create a different version of the program. Such mutation engines are used at distribution sites or in self-propagating malware in order to create variation in the distributed programs. Program normalization is a way to remove variety introduced by mutation engines, and can thus simplify the problem of detecting variant strains. This paper introduces the “normalizer construction problem” (NCP), and formalizes a restricted form of the problem called “NCP=”, which assumes a model of the engine is already known in the form of a term rewriting system. It is shown that even this restricted version of the problem is undecidable. A procedure is provided that can, in certain cases, automatically solve NCP= from the model of the engine. This procedure is analyzed in conjunction with term rewriting theory to create a list of distinct classes of normalizer construction problems. These classes yield a list of possible attack vectors. Three strategies are defined for approximate solutions of NCP=, and an analysis is provided of the risks they entail. A case study using the virus suggests the approximations may be effective in practice for countering mutated malware. R. Mathur is presently at McAfee AVERT Labs.     

Influence of dietary iron deficiency on acute metal intoxication

The frequent difficulties encountered in the diagnosis of pediatric sarcomas, caused by the lack of observable differentiation at the light microscopic level, has led to the routine use of immunohistochemistry in pediatric surgical pathology. To a large degree the advent of this staining technique has led to the correct assessment of many perplexing lesions that previously would have been given inconclusive diagnoses. However, with increased usage and testing, it has become apparent that there are few, if any, "magic bullets" in immunohistochemistry for pediatric pathologists. Thus, it behooves diagnosticians to be careful in the usage of this technique, to be aware of possible discrepancies in its results, and to remember the ancillary nature of its application. The following article will review selected markers commonly used in pediatric surgical pathology, from both previous reports and the author's perspective, and will briefly consider several new phenotypic markers which have potential utility with childhood sarcomas.     

Massively Parallel Computation Using Graphics Processors with Application to Optimal Experimentation in Dynamic Control

The rapid growth in the performance of graphics hardware, coupled with recent improvements in its programmability has lead to its adoption in many non-graphics applications, including a wide variety of scientific computing fields. At the same time, a number of important dynamic optimal policy problems in economics are athirst of computing power to help overcome dual curses of complexity and dimensionality. We investigate if computational economics may benefit from new tools on a case study of imperfect information dynamic programming problem with learning and experimentation trade-off, that is, a choice between controlling the policy target and learning system parameters. Specifically, we use a model of active learning and control of a linear autoregression with the unknown slope that appeared in a variety of macroeconomic policy and other contexts. The endogeneity of posterior beliefs makes the problem difficult in that the value function need not be convex and the policy function need not be continuous. This complication makes the problem a suitable target for massively-parallel computation using graphics processors (GPUs). Our findings are cautiously optimistic in that the new tools let us easily achieve a factor of 15 performance gain relative to an implementation targeting single-core processors. Further gains up to a factor of 26 are also achievable but lie behind a learning and experimentation barrier of their own. Drawing upon experience with CUDA programming architecture and GPUs provides general lessons on how to best exploit future trends in parallel computation in economics.     

Some problems of the moral and psychological training of medical service personnel

The authors' experience with 45 papillosphincterotomies, performed for diseases of bile passages and chronic pancreatitis, is reported. The details of the operative technic, employed by the authors, are described. The technic of papillosphincterotomy on a conus-shape sound by means of a "laser scalpel" proved to be the most perfect one. Careful observation of the surgical technic made it possible to gain favourable results--only 1 of 45 operated patients died. Papillosphincterotomy is largely advocated in stenoses and concretions in the large duodenal papilla, strictures of choledocho-duodenoanastomoses, care should be taken not to overwiden indications to the operation concerned.