Subclavian steal syndrome. A 12-year experience

Over a 12-year period, 43 operations were performed on 40 patients for correction of the subclavian steal syndrome. Eleven of these patients also underwent endarterectomy for coexisting carotid artery disease. There were 16 transthoracic procedures and 27 transcervical procedures. Graft failure in two patients was corrected by a second operation. There was one early death and one late death. The remaining 38 patients have been carefully studied for up to 12 years, with an average follow-up period of 60 months. These 38 patients have remained asymptomatic and their revascularization procedures have remained functional, as determined by blood pressure determinations in the involved extremity and, in some cases, by arteriography.     

Cost of management of patients with haemophilia

The cost of managing 114 adult haemophiliacs in the west of Scotland was assessed for the period 1 March 1971 to 28 February 1974. Altogether 23 of them (20%) accounted for 80% of the resources used. The cost of hospital treatment of these patients during the period was compared with the predicted cost of home treatment, given the availability of freeze-dried factor VIII concentrate in sufficient amounts. We calculate that adequate on-demand home treatment would cost only 16% more than the present treatment, which is substantially less efficient.     

Further studies on the role of the adrenal hormones in responses of rats to meal-feeding

The importance of the adrenal hormones in the lipogenic responses to meal-feeding or starvation-refeeding was studied. In experiment 1, intact or adrenalectomized (ADX) rats were either ad libitum-fed or meal-fed a 65% glucose diet for 21 days or until moribund (ADX rats only). Serum glucose and electrolytes (Ca++, Mg++, Na+, K+), hepatic glycogen and glucose-6-phosphate dehydrogenase (G6PD) and malic enzyme (ME) were determined. ADX rats died within 10 days after the initiation of meal-feeding and were hypoglycemic with low liver glycogen levels and low enzyme activities. No differences in serum electrolytes were observed. In the second experiment, ADX and intact rats of varying initial weights were weight paired and meal-fed. When the ADX rat died, his intact control was killed and both carcasses assayed for fat content. Heavier rats with presumably more carcass fat survived meal-feeding longer than the lighter rats. Rats died when they had lost all but 2 to 3 g carcass lipid. In experiments 3 and 4, ADX and intact rats were subjected to starvation-refeeding. In experiment 4, additional ADX groups were given supplemental doses of cortisol (0.75 mg/kg, subcutaneous, 2 times daily) during either the starvation period, the refeeding period or during both periods. The activities of hepatic G6PD and ME were determined as well as the levels of liver lipid in experiment 4. Intact starved-refed rats had the usual enzyme overshoot, whereas ADX starved-refed rats did not. Cortisol-treated ADX starved-refed rats had as great an enzyme overshoot as the intact rats and as great an increase in liver lipid. These results suggest that ADX rats die when meal-fed the glucose diet, because they are unable to store sufficient metabolic fuel for use during the starvation phase of the meal-feeding cycle. Further, the results show that glucocorticoids are required for the induction of de novo enzyme synthesis.     

Infrared Photochemistry with Shaped Laser Pulses

A relatively simple design for a hybrid CO₂ laser and electrooptic crystal switch is described, which can be used to produce pulses with fast (< 10 ns) rise and fall times with constant power over their duration (50–1000 ns). Gaussian beam profiles allow separate and quantitative determination of both fluence (J cm⁻²) and intensity (W cm⁻²) dependences of processes induced by IR multiple photon absorption (MPA). Visible luminescence accompanying MPA of OsO₄ is shown to depend on intensity, and the dependences of MPA cross sections in SF₆ on fluence and intensity are derived from optoacoustic and long path absorption measurements.     

Structural features of arabinoxylans from Sonalika variety of wheat: comparison between whole wheat flour and wheat bran

Arabinoxylans (AX) were extracted from Sonalika variety of wheat (whole wheat flour and wheat bran) with barium hydroxide and sodium hydroxide and purified by a combination of alcohol precipitation and glucoamylase digestion. Structural features of purified AX were elucidated by methylation analysis, ¹³C NMR, FT‐IR, periodate oxidation and optical rotation measurements. The AX showed a backbone of xylose residues with β(1–4) linkages and were branched mainly through O‐3 of xylose residues. Completely branched xylosyl residues were also present. Copyright © 2003 Society of Chemical Industry     

Design considerations for mine workings under accumulations of water

The study outlines the effects of surface and underground subsidence patterns on the spatial distribution of in-situ permeability and its effects on groundwater inflow. The behaviour of strata surrounding a longwall face where limited knowledge exists has been outlined. The effects of mining subsidence on the surface flow pattern have been described with the remedial solutions. The mechanism of formation of sinkholes in certain chemical rockmass has been described. Factors affecting mine water inflow have been described in detail with the aid of a simplified conceptual model and case studies. Practical examples of undersea workings and those under a large accumulation of water are given, both in the United Kingdom and worldwide.     

Global synchronisation in Linda

The paper examines the ‘Distributed Summation’ problem, and its solution in Linda. A number of problems with the current set of primitives are examined, and a new primitive, collect, is proposed.     

Fracture toughness of frozen meat

The fracture toughness and dynamic mechanical moduli of frozen beef M. semitendinosus were investigated at various sub-zero temperatures using several different test geometries. Traditional fracture mechanics methods were considered inapplicable to frozen meat, since considerable plastic flow occurs in addition to elastic deformation and fracture. Graphical work area methods still apply, based on calculating areas under load-deflection diagrams to measure the energy used up to fracture. Total work to fracture was found to vary both with temperature and geometry, with a peak occurring between -10°C and -15°C. It was shown that it is possible to separate out the components of fracture and flow using two methods: microtome cutting and compact tension. In microtome cutting, the cutting energy was found to depend on the thickness of cut, increasing linearly from 50 μm to 500 μm. This variation is attributed to a dependence of the volume of the plastic zone size at the cutting tip on the thickness. By extrapolation to zero thickness, an essential value of fracture energy of approximately 100J/m(2) was determined, assuming the absence of large-scale plastic yielding. It was also possible to determine a value for the essential work of fracture using graphical work area methods in compact tension, obtaining values between 100 and 200 J/m(2). Dynamic mechanical testing showed loss peaks in mechanical damping occurring between -5°C and -10°C, with both temperature and magnitude of these peaks varying with frequency. Cryo-scanning electronic microscopy showed evidence of the nature of the fracture transition within frozen meat, indicating ductile deformation at higher temperatures (above -15°C), and brittle fracture at lower temperatures (below -15°C).