Nonulcerating bacterial keratitis associated with soft and rigid contact lens wear

Most patients in acute myocardial infarction (AMI) undergo emergent coronary angiography (CAG). However, when to analyze lipoprotein profiles in AMI is not clear. To determine whether lipoprotein profiles change during catheterization, we measured serum lipid and apolipoprotein concentrations in 65 patients (51 men and 14 women) before and after catheterization. Heparin was injected at 50 units/kg for CAG and 200 units/kg for percutaneous transluminal coronary angioplasty (PTCA). We found that cholesterol and triglyceride decreased by 9.4% (P < 0.001) and 53.1% (P < 0.001), respectively, after catheterization. Apolipoproteins also decreased significantly. Variables decreased two to five times more after PTCA than after CAG. Lipoprotein lipase mass was higher after PTCA (267.8 +/- 135.3 micrograms/L) than after CAG (93.3 +/- 48.4 micrograms/L; P < 0.05). In conclusion, lipoprotein profiles change during catheterization. We recommend avoiding analysis of lipoprotein profiles after emergent CAG in AMI.     

Seasonal shrinkage variation in bridge segments

The paper reports on shrinkage data acquired during extensive monitoring of two major glued segmental bridges. For both bridges, three segments within a single half-span, corresponding to mid-span, quarterspan and support locations, were instrumented. Concrete strain was monitored by means of embedment type vibrating wire gauges distributed around the cross-section of each segment. The segments, manufactured on site by the short-line match cast method, were monitored regularly during storage (for up to 140 days) prior to erection. The segments for one bridge were cast in the Spring, whereas the segments for the other were cast in late Summer, resulting in significantly different seasonal effects during storage. Predicted shrinkage strains have been evaluated by means of a simplified form of the BP model, assuming both variable and constant relative humidity. Good agreement between predicted and measured shrinkage strains was observed in all cases where the variable humidity of the air was taken into account. The shrinkage values predicted using the assumptions of constant relative humidity are also in good agreement with the measured shrinkage strains; hence the model used in this study is suitable for use in the design process.     

Characterization of preform permeability in the presence of race tracking

For realistic simulation of resin flow in a stationary fibrous porous preform during Liquid Composite Molding (LCM) processes, it is necessary to input accurate material data. Of great importance in simulating the filling stage of the LCM process is the preform permeability; a measure of the resistance the preform poses to the flowing fluid. One method to measure permeability values is by conducting one-dimensional flow experiments, and matching the flow behavior to known analytical models. The difficulty is the edge effects such as race tracking disrupt the flow and violate the one-dimensional flow assumption. The new approach outlined in this paper offers a methodology to obtain accurate bulk permeability values despite any race tracking that may be present along the edges of the mold containing isotropic fabrics. Further, a method of approximate equivalent isotropic scaling is explained to extend the use of this method to determine permeability of anisotropic materials with race tracking present. Both approaches are validated with computer simulations, and then utilized in laboratory experimentation. The values calculated from this approach compare well with permeability values obtained from one-dimensional permeability experiments without the presence of race tracking.     

Comparison of palmtop-computer-assisted brief cognitive-behavioral treatment to cognitive-behavioral treatment for panic disorder.

In the present study, the authors sought to determine whether the efficiency and cost-effectiveness of cognitive-behavioral treatment (CBT) for panic disorder could be improved by adjunctive computer-assisted therapy. Eighteen participants who met Diagnostic and Statistical Manual of Mental Disorders (3rd ed., revised; American Psychiatric Association, 1987) criteria for panic disorder were randomly assigned to a 12-session CBT (CBT12) condition (D. H. Barlow & M. G. Craske, 1989) or to a 4-session computer-assisted CBT (CBT4-CA) condition. Palmtop computers, with a program developed to incorporate basic principles of CBT, were used by CBT4-CA clients whenever they felt anxious or wanted to practice the therapy techniques and were used by all participants as a momentary assessment tool. CBT4-CA clients carried the computer at all times and continued to use it for 8 weeks after termination of therapy. Analyses of clinically significant change showed superiority of CBT12 at posttest on some measures; however, there were no differences at follow-up. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Standards for diagnosis and management of invasive breast carcinoma. American College of Radiology. American College of Surgeons. College of American Pathologists. Society of Surgical Oncology

Because knowledge has advanced in several fields related to the treatment of early breast cancer, revising the landmark 1992 standards for breast-conservation treatment by these four organizations is appropriate. The current report reviews and summarizes the literature and describes the selection and evaluation of patients, the technical aspects of surgical treatment and irradiation, follow-up care, and areas for further research.