Approximate analysis of M/G/c/c state-dependent queueing networks

Congestion is ever present in most practical situations. We describe a methodology for approximate analysis of open state-dependent M/G/c/c queueing networks in which the service rate is subject to congestion, that is, it is a function of the number of customers in the system. Important performance measurements are easily computed with high accuracy, such as the blocking probability, throughput, expected number of customers in the system (known also as work-in-process), and expected waiting time. The methodology forms a basic building block useful in many practical applications and contexts. Computational results demonstrate that the methodology provides accurate results in many topological configurations as well as in the analysis of network evacuation problems in high-rise buildings.     

Industrial applications of product design through the inversion of latent variable models

A methodology, presented by Jaeckle and MacGregor [C.M. Jaeckle and J.F. MacGregor, Product Design Through Multivariate Statistical Analysis of Process Data, AIChE J. 44 (5) (1998) 1105–1118.], for finding a window of process operating conditions within which a product with specified quality characteristics can be produced is applied to two industrial polymerization processes. The approach uses historical data available on the process operating conditions and on the corresponding product quality for a range of existing product grades. Latent variable models — built using the existing data — are inverted to obtain a window of operating conditions, which are not only capable of yielding the desired product but are also consistent with past operating procedures and constraints. A semi-batch emulsion polymerization process for manufacturing various grades of a copolymer latex, and a batch solution polymerization process for manufacturing a range of polymer resins are considered.     

The use of imaging studies in the diagnosis and management of thyroid cancer and hyperparathyroidism

With the variety of radiopharmaceutical agents and refined imaging techniques, thyroid and parathyroid imaging provides much valuable clinical information. The use of imaging is most important in the follow-up of differentiated (DTC) and medullary thyroid cancer (MTC). Patients with DTC are followed with serum thyroidglobulin and 131I whole body scintigraphy when the serum thyroglobulin level is elevated. When the 131I scintigram is negative, 201Tl scintigraphy may best identify the site of recurrent DTC. Alternative radioisotopes, ultrasound, CT, and FDG PET are also useful in localizing the site of DTC metastases. MTC recurrences and metastases are more difficult to image. Selective venous catheterization is the most sensitive and specific method for detecting areas of recurrent MTC. High-resolution ultrasound, CT, MR imaging, and scintigraphy are all capable of, and useful in, detecting macroscopic foci of metastatic tumor. Somatostatin receptor scintigraphy and 99mTc DMSA have been the most frequently used nuclear imaging agents in patients with recurrent MTC. Imaging for hyperparathyroidism remains controversial. Sestambi has become the preferred isotope for parathyroid scintigraphy; whereas high-resolution ultrasound is also frequently used. Preoperative imaging is being used as a method to allow a unilateral neck exploration, more recently, in conjunction with intraoperative 1-84 PTH assay and with intraoperative use of the gamma probe. Most often, parathyroid imaging is performed before reoperation for persistent hyperparathyroidism.     

Delayed onset of hand tremor related to cerebellar hemorrhage

Spontaneous hematomas are rare and can present with acute or chronic symptoms. Our patient presented with deep vein thrombosis of the lower extremity associated with a spontaneous pelvic hematoma. This lesion was radiologically and clinically indistinguishable from a soft-tissue neoplasm. The case of a spontaneous pelvic neoplasm in an otherwise healthy young man is presented and the literature reviewed regarding issues of differential diagnosis and clinical management.