Petrous bone tumors: primary non-Hodgkin lymphoma of the inner ear canal and cerebellopontile angle

BACKGROUND: We report about a primary Non-Hodgkin Lymphoma (NHL) of the internal auditory canal. The only previously known manifestations of a NHL in the temporal bone have been infiltrations or hemorrhagic complications due to a late manifestation or advanced systemic disease. Involvement of both temporal bones is typical. CLINICAL CASE: The 60-year-old female patient complained of an acute one-sided deafness, accompanied by a high-pitched tinnitus, rotating vertigo, and paralysis of the left half of the face. RESULTS: We found a deafness in the left ear, spontaneous nystaxis, which was interpreted as a deficiency in excitement of the vestibular organ, and a complete peripheral facial paralysis. Diagnostic imaging studies revealed a large, intrameatal solid mass in the temporal bone, measuring 1.2 x 0.8 cm. Histologic examination after translabyrinthine tumor removal demonstrated a centroblastic Non-Hodgkin Lymphoma. The following extensive interdisciplinary staging examination showed no other tumor manifestations; the CSF analysis was negative. CONCLUSIONS: The uniqueness of this case lies in the detection of a primary nongeneralized centroblastic lymphoma of the internal auditory canal. In contrast to infiltrations of systemic NHL in the same location, in which the advanced disease is responsible for the bad prognosis, this isolated lymphoma of the internal auditory canal seems analogous to extranodal MALT Lymphomas with a better prognosis. The primary extranodal NHL of the temporal bone, not reported in previous studies, is discussed with regard to clinical symptoms, differential diagnoses, and therapeutic strategies.     

The intriguing role of spanish language vocabulary knowledge in predicting English reading comprehension.

This study explored a holistic model of English reading comprehension among a sample of 135 Spanish-English bilingual Latina and Latino 4th-grade students This model took into account Spanish language reading skills and language of initial literacy instruction. Controlling for language of instruction, English decoding skill, and English oral language proficiency, the authors explored the effects of Spanish language alphabetic knowledge, fluency, vocabulary knowledge, and listening comprehension on English reading comprehension. Results revealed a significant main effect for Spanish vocabulary knowledge and an interaction between Spanish vocabulary and English fluency, such that faster English readers benefited more from Spanish vocabulary knowledge than their less fluent counterparts. This study demonstrates the existence of literary skills transfer from the 1st to the 2nd language, as well as limits on such transfer. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Buprenorphine medication versus voucher contingencies in promoting abstinence from opioids and cocaine.

During a 12-week intervention, opioid dependent participants (N = 120) maintained on thrice-a-week (M, W, F) buprenorphine plus therapist and computer-based counseling were randomized to receive: (a) medication contingencies (MC = thrice weekly dosing schedule vs. daily attendance and single-day 50% dose reduction imposed upon submission of an opioid and/or cocaine positive urine sample); (b) voucher contingency (VC = escalating schedule for opioid and/or cocaine negative samples with reset for drug-positive samples); or (c) standard care (SC), with no programmed consequences for urinalysis results. VC resulted in better 12-week retention (85%) compared to MC (58%; p = 0.009), but neither differed from SC (76% retained). After adjusting for baseline differences in employment, and compared to SC, the MC group achieved 1.5 more continuous weeks of combined opioid/cocaine abstinence (p = 0.030), while the VC group had 2 more total weeks of abstinence (p = 0.048). Drug use results suggest that both the interventions were efficacious, with effects primarily in opioid rather than cocaine test results. Findings should be interpreted in light of the greater attrition associated with medication-based contingencies versus the greater monetary costs of voucher-based contingencies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Spatial Velocity Distributions in the Ascending Aorta of Healthy Humans and Cardiac Patients

Blood velocity profiles in the human ascending aorta were assessed with the aid of ultrasonic Doppler echocardiography. To this end, the transducer was placed in the suprasternal notch, and the spatial velocity profiles along an axis passing through the center of the aortic cross section were recorded by a multigate Doppler instrument. The profiles are analyzed with respect to characteristics independent of the angle of incidence and the cross sectional area. Data from 10 healthy individuals, 10 patients with hypertrophic obstructive cardiomyopathy (HOCM), and 10 patients with severe aortic insufficiency (AI) are compared. Five instantaneous profiles recorded at different times during systole and the temporal average of all profiles recorded during the entire cardiac cycle at 16 ms intervals are examined. Considerable differences between the three groups of subjects are observed visually as well as quantitatively in terms of specific parameters. The representation of the velocity maps in the form of contour graphs is particularly incisive. The results demonstrate that the temporal velocity patterns measured depend, in general, on both the disease and the location of the sampling volume within the aortic lumen. Reliable aortic volume flow rate measurements may have to be based on a method which takes into account the velocity at every point of the entire vascular cross section of patients with HOCM or AI.     

Calculation and comparison of the surface ionization ϕ(0)

An analytical expression for the surface ionization ?(O) is derived from fundamentals, viz., the ionization cross section and the angular and energy distribution of backscattered electrons. In order to avoid numerical integrations, a simple formula for the energy distribution of backscattered electrons is presented. The values given by the resulting expression for ?(O) are compared with those given by already known formulae and with experimental findings. In general, the agreement is quite satisfactory, although the calculated values generally are smaller than those experimentally found, especially at high overvoltages. This can at least partly be explained by secondary fluorescence excited by the continuous radiation, of which the correction has not been taken into account in the experimental determination of the ?(O) values.