Criteria of cure and follow-up of central hyperthyroidism due to thyrotropin-secreting pituitary adenomas

The recorded number of patients with central hyperthyroidism due to TSH-secreting pituitary adenoma doubled in the last few years after the introduction of ultrasensitive TSH assays in the assessment of thyroid function; however, information about the results and the criteria for cure after pituitary surgery is scanty. Seventeen patients with a TSH-secreting adenoma, diagnosed on the basis of detectable TSH levels in the face of high free thyroid hormone concentrations and pituitary lesion at neuroimaging, underwent pituitary surgery. Hypersecretion of other pituitary hormones was diagnosed in 5 of 17 patients. Four patients were initially misdiagnosed and treated with thyroid surgery or radioiodine therapy. The majority (86%) of hyperthyroid patients normalized thyroid hormone concentrations and regained euthyroidism, although pituitary imaging, alpha-subunit, and alpha-subunit/TSH molar ratio normalized in only 47%, 54%, and 58% of patients, respectively. Moreover, TSH secretion was normally suppressed by T3 in 40% of the patients. Interestingly, the finding of undetectable TSH levels 7 days after surgery was highly predictive of successful outcome. During long term follow-up, there was one relapse of hyperthyroidism. Early diagnosis of TSH-secreting adenomas permits a high rate of remission of hyperthyroidism after surgery. However, normalization of thyroid function alone does not necessarily reflect complete removal of the tumor, and more comprehensive criteria of cure based on pituitary imaging, hormone measurement, and suppression of TSH during T3 administration should be used. Lastly, all patients need an accurate long term follow-up to monitor the possible recurrence of the adenoma.     

The sub-rating channel assignment strategy for PCS hand-offs

A new personal communications services (PCS) hand-off scheme is proposed. This scheme provides for hand-off to radio ports on which there is no free channel by “sub-rating” an existing connection. With sub-rating, an occupied full-rate channel is temporarily divided into two half-rate channels: one to serve the existing call and the other to serve the hand-off request. The blocking probabilities (combined forced terminations of existing calls and blocking of new call attempts) of this new scheme compare favorably with the standard scheme (nonprioritizing) and the previously proposed prioritizing schemes. The costs for this scheme are presented and discussed, as well as the additional procedural complexity of implementing on-the-fly sub-rating and the impact of continuing the conversation on a lower rate channel (which may lower speech quality of increase battery drain). Analytical models and simulations investigating the traffic impacts are presented, as are the results that show that even in the highest offered load considered a 3-min conversation in the busy hour experiences less than half a second of sub-rated conversation on average and only about 3% of the calls experience more than 5.12 s of sub-rated conversation. This scheme can increase capacity by 8-35% for systems with 1% call incompletion probability     

Composition and thermodynamics of the surface layer of binary melts based on iron,cobalt, and nickel

The composition, thickness, thermodynamic activities of components, Gibbs energy and excess energy of formation of the surface layer on binary melts of iron, cobalt and nickel-based alloys with different interatomic interactions were evaluated with the aid of data from the literature and the authors measurements of the concentration dependence of the surface tension and molar volume.     

Performance evaluation of air-conditioning units

A limited selection of samples of small and medium size air-conditioning equipment being marketed or manufactured in Kuwait was tested in an internationally reputed laboratory. The actual performance results obtained from laboratory tests were analyzed and compared with the commercially available information from the manufacturers for the same selected units. The analysis indicated the quality of air-conditioning equipment available to the Kuwaiti user.     

The science-industry interface: Correlation of time series of indicators and their spectra,and growth models in the nuclear fuels industry

This paper is the third in a series on the flows of influence at the interface between geoscience research and the exploration for and mining of nuclear fuels. It deals with the application of signal processing methods to research and industry indicators, with emphasis on time and frequency domain correlations and lags, and on growth modelling of the indicators using the special and general logistic models. The findings include the following: there was a strong interchange across the science-industry interface; quantitative methods can establish the degree of correlation and the time periods in which these correlations mainly reside; also the timing of decisions to initiate exploration and research can be specified in this case. A strategy of applying quantitative methods, history of science, and periodic analyses of the state of the industry to studies of science policy is suggested by this research.     

A comparison of leaf-spring with aircushion trailer suspensions in the transport environment

Packaging engineers need to be able to accurately determine the forces present in the shipping environment in order to protect packaged goods. The purpose of this study was to determine the vertical vibration levels measured in three separate truck-trailer suspension systems; conventional leaf-spring, conventional air-ride and damaged air-ride. The main conclusion reached in this study is that the air-ride suspension when maintained gives lower power density (PD) levels on all road surfaces studied. A damaged air-ride suspension and leaf-spring suspension are very similar in response frequencies, although the damaged air-ride produces higher vibration levels at lower frequencies.     

Base alumina ceramics with dispersoids: mechanical behaviour and tissue response afterin vivo implantation

Base alumina ceramics with dispersoids (BAC) are a new class of ceramics with improved mechanical properties as compared to pure alumina. They are obtained by dispersion of powder within an alumina matrix. Of the three new ceramics studied here, A20Z possesses the best mechanical properties as well as tribological properties superior to those of pure alumina whether it is used in ceramic-ceramic or ceramic-polyethylene combination.Mechanical behaviour and tissue response afterin vivo implantation were studied. Small four-point flexion bars obtained by pressureless sintering were implanted subcutaneously in the rat. The mechanical properties were unmodified even after one year from implantation.The tissue response was studied up to one year on cylinders implanted in the paravertebral muscles of Wistar rats, and was evaluated by qualitative examination of the encapsulating membrane and measurement of its thickness in relation to pure alumina. The tissue responses were comparable for both alumina and the three tested ceramics.