Flexible sigmoidoscopy training program for internal medicine residents

We examined the possibility of an association between the bacterial genotype of Escherichia coli O157:H7 and the likelihood of progression to neurological complications in childhood gastroenteritis-associated haemolytic uraemic syndrome (D+HUS). Bacterial stool isolates were available from 51 patients with HUS; 11 of these patients suffered a neurological complication. Bacteria were assessed for plasmid content, verotoxin (Shiga-like toxin) profile, verotoxin 2 subtype, and presence of the eaeA (effacement and attachment) marker. No association of bacterial genotype with central nervous system (CNS) manifestations was observed. Whilst the cause of CNS manifestations may be multifactorial, there is no evidence at present to implicate specific bacterial traits.     

An energy policy for Australia: Extracts from the summary report and recommendations of the Task Force on Energy of The Institution of Engineers,Australia

Over the next few years, Australia must modify its dependence on natural oil and place greater reliance on other fossil fuels and renewable energy sources. The management of this transition is a major task, and can only be successfully achieved through a co-ordinated programme of action by Commonwealth and State Governments, supported by widespread public understanding of the issues involved.The recommendations in this report have arisen from the deliberations of the Task Force on Energy, which commenced work in 1975. The Task Force and its associated twelve working parties included many of the leading energy experts in Australia, in engineering, science and economics. They are associated with State Governments and energy instrumentalities, Commonwealth agencies, private enterprise, consulting engineering, universities and research bodies, but have co-operated in the work of the Task Force in their personal capacities. Overall, at least one hundred key specialists were associated with the working party studies. There was wide-ranging national co-operation in these studies, and information on critical energy issues throughout Australia was freely exchanged.     

Pantothenic acid, coenzyme A, and human chronic ulcerative and granulomatous colitis

To investigate further an apparent relationship between chronic ulcerative and granulomatous colitis and pantothenic acid deficiency, colonic tissues obtained at the time of colectomy in 29 patients with these disorders were assayed for pantothenic acid and for coenzyme A (CoA) activity. For comparison, normal colonic tissues free of pathological lesions were obtained from 31 patients having colectomy for carcinoma or diverticulitis. Plasma, red blood cells, and colonic mucosa were assayed microbiologically for free and total pantothenic acid. The activity of CoA in colonic mucosa was determined by assaying the acetylation of sulfanilamide. Concentrations of free, bound, and total pantothenic acid in blood and in colonic mucosa did not differ between the two groups of patients. Bound pantothenic acid increased linearly with total pantothenic acid. Colonic mucosa concentrated free pantothenic acid to about 50 times the level of blood, and pantothenic acid in red cells was similar to the concentration in plasma. Compared to normal gut mucosa, CoA activity was markedly low in mucosa from patients with chronic ulcerative or granulomatous disease despite the presence of normal amounts of free and bound pantothenic acid. A block in the conversion of bound pantothenic acid to CoA in diseased mucosa is suggested.     

Comparison of aspirated and radiation-compensating thermocouples

As part of an effort to develop techniques for making more accurate flame temperature measurements, the author compared the performance of a self-compensating thermocouple with that of the more complex and expensive aspirated thermocouple.     

Evaluating and assessing process hazard analyses

Process hazard analysis (PHA) is widely used across a spectrum of industries and facilities, but there are few metrics for the evaluation and assessment of PHAs. Most existing protocols address PHA solely in terms of regulatory compliance, but do not address the completeness or depth of the assessment, as most PHAs have been performed on a "performance basis" under the relevant regulations. It is possible to objectively assess PHAs, in order to determine adequacy of completion and degree of review, using both audit protocol and scoring approaches. Audit protocol approaches offer simplicity and ease of use, and when combined with specific scoring for adequacy allow for informed decisions about remedial action with respect to the PHA.     

Deposition of size-selected metal clusters generated by magnetron sputtering and gas condensation: a progress review

This paper presents a topical review of the production and deposition of size-selected metal clusters generated by magnetron sputtering and gas condensation. Clusters with up to 75,000 atoms can be obtained by controlling the gas pressure in the sputtering source, prior to size selection with a novel (time-of-flight) mass filter. The clusters are deposited on the model graphite substrate to study the cluster-surface interaction. Two regimes for cluster deposition have been identified at elevated impact energies: (i) 'pinning' (ca. 10 eV per atom) and (ii) implantation (ca. 100 eV per atom). Of particular importance is the pinning regime, since this allows the fabrication of monodispersed cluster arrays, which are stable against diffusion at room temperature (and above). The deposition of size-selected metal clusters represents a novel method of preparing surface nanostructures, with potential applications including model catalyst studies and the immobilization of biological molecules.     

Decoration of surfaces with size-selected clusters and molecular manipulation at room temperature: precision and uncertainty in organizing atoms

The deposition onto surfaces of clusters of atoms, prepared and size-selected in the gas phase, is, like atomic or molecular manipulation with the scanning tunnelling microscope, an appealing (but parallel) route to the creation of nanoscale surface features. Both of these seemingly orthogonal approaches allow, in principle, a selected number of atoms to be organized, and both are strongly affected by the lateral thermal diffusion of the constituent atoms, molecules or clusters over the surface. In this sense, the room-temperature (as opposed to cryogenic-temperature) regime can be regarded as a hostile environment for organizing atoms. In this paper we review recent achievements in size-selected cluster deposition and molecular manipulation at room temperature and thus address the fundamental question: with what precision can we organize atoms at room temperature?     

Liposome accumulation in ischaemic intestine following experimental mesenteric occlusion

Chromosome complements of murine thymic lymphomas induced by an alkylating agent N-methyl-N-nitrosourea (MNUA) were analyzed microscopically and karyotypically using the Q-banding technique. The chemical carcinogen was injected intraperitoneally into either neonatal or 7-week-old CFW/D mice. In addition, thymic lymphomas induced in 7-week-old AKR mice and thymic lymphomas developed spontaneously in this strain were also examined. All six lymphomas induced in neonatal CFW/D had hyperdiploid cell lines that accounted for 90% of the cells analyzed. Chromosome analysis of lymphomas induced in adult DFW/D mice showed that only out of nine lymphomas had predominantly hyperdiploid cell lines. The remaining five lymphomas had diploid modal chromosome number although they also carried a variant line characterized by 41 chromosomes. All eight lymphomas induced in adult AKR mice and six out of seven spontaneous AKR lymphomas showed predominantly diploid modal line. The remaining spontaneous lymphoma had a hyperdiploid stem line of 41 chromosomes. Microscopic and karyotypic analysis further identified trisomy 15 as the regular chromosome abnormality in the hyperdiploid cells in lymphomas of each group, whereas cells with diploid chromosome number had no detectable chromosome abnormality. Additional trisomies were also found, but their appearance was restricted to individual tumors. Thus, the incidence of trisomy 15 in lymphomas induced by MNUA in adult CFW/D and AKR mice, as well as in the spontaneous AKR lymphomas, is significantly lower than that in lymphomas induced in neonatal mice by the same carcinogen.     

Causes of failure of surgery on the lumbar spine

An interinstitutional study on the failed back surgery syndrome (FBSS) has determined that failure to recognize or adequately treat lateral stenosis of the lumbar spine with resultant nerve irritation and/or compression comprised the primary etiology in 57% to 58% of patients. Other common causes were recurrent or persistent disk herniation and lumbosacral adhesive arachnoiditis. The diagnosis of stenosis was made either by high-resolution CT scan of the lumbar spine or by directly testing lateral canal and for animal patency at the time of surgery. It is now appreciated that the process of degenerative disk disease, particularly when enhanced by diskectomy, results in progressive loss of intervertebral disk volume and predisposes to future ipsilateral or contralateral lateral spinal stenosis. Degenerative disk disease is ultimately a bilateral process and therefore surgical exposure should be bilateral. The direct and indirect costs of FBSS to patients and to society as well as the toll in human suffering are very high. This is particularly a matter of concern when it is realized that for many FBSS patients, surgery could have been avoided in the first place by preventive care or by innovative conservative treatment. When surgery is indicated, adequate diagnostic tests and the execution of appropriate procedures based upon this information should largely prevent the failed back surgery syndrome.