Paraneoplastic encephalomyelitis and seminoma: importance of testicular ultrasonography

We report two patients with paraneoplastic limbic and brainstem encephalitis associated with occult nonmetastatic testicular seminoma. In each patient, the neoplasm was detectable only by testicular ultrasonography. Male patients with this syndrome in whom lung cancer is not found should undergo testicular ultrasonography as part of the search for an extrapulmonary neoplasm. A normal clinical testicular examination is insufficient to exclude an occult seminoma.     

Effect of crystallinity on PVC physical properties

Crystallinity in PVC contributes significantly to the strength and resiliency of the polymer. Two types of crystallites have been described: a primary crystallite in the virgin powder state pictured as a platelet or flat needle-like lamellar crystallite, and a secondary, fringed micellar crystallite from melts or solutions. Both crystallites create loose, crosslinking networks. The secondary crystallite forms when plastisol melts are cooled or solutions are gelled. Crystallites exert a major effect on rheological properties. The thermal destruction of the primary crystallite networks in the melt phase results in a decrease in elastic modulus. Cooling from the fused state creates secondary crystallites that affect tensile and elongation.     

Comparison of prototype and rote instruction of English names for Chinese visual characters

This study compared prototype and rote instruction of English names for Chinese visual characters. In the prototype condition, participants were taught the meaning of the prototype that served as the distinctive feature of multicomponent characters. In the rote condition, participants traced the character and wrote its translation. Participants learned more rapidly and maintained more words in the prototype condition.     

Administering amphotericin B--a practical approach

Despite the introduction in recent years of novel antifungal agents, the potency and broad spectrum of activity of amphotericin B have ensured that it remains the treatment of choice for most deep-seated mycoses. However, this agent is not without significant toxicity, particularly in patients who are already seriously ill and/or who are receiving other potentially nephrotoxic drugs. We review the various routes by which amphotericin B can be administered, focusing mainly on the intravenous route. The use of more rapid infusion rates, lipid-complexed preparations, sodium supplementation in salt-depleted patients and strategies to reduce the incidence of infusion-related reactions and nephrotoxicity are also considered. Finally, detailed recommendations for the administration of amphotericin B are provided.     

The role of dietary fiber in the etiology of non-insulin-dependent diabetes mellitus. The San Luis Valley Diabetes Study

Accuracy of patient positioning and dose delivery in mantle field irradiations was investigated on 29 patients treated between August 1990 and December 1991. Patients were treated in two different centers, University Hospital St. Rafa?l in Leuven and Institut Gustave Roussy in Villejuif, where different techniques and procedures were used. Measurements were performed on 341 portal films and entrance doses were measured in 518 treatment set-ups. The impact of systematic errors occurring during treatment preparation and day-to-day variations on the accuracy of treatment execution were separately analysed. Daily reproducibility, defined as the deviation from the respective mean measured value for a treatment was demonstrated to be good for both the treated volume and the delivered dose and no difference between the two techniques was shown. Comparing the successive portal films of individual patients (reproducibility of a treatment, once it has started), only small day-to-day variations are found: the SD is 3.4 mm for craniocaudal movements and 2.6 mm for lateral movements. For dose delivery very narrow distributions are obtained with SDs of, respectively, 1.5% and 1.85% for the Leuven and the Villejuif group. This suggests that the position of the patient, which is often thought as the critical point in this complex set-up can be done in a very accurate way, regardless of the position used. To assess the global accuracy of the treatment, the actually treated volume and delivered dose were compared with the planned values. Apart from reproducibility this also takes into account the whole preparatory procedure between planning and the start of the therapy (first session).(ABSTRACT TRUNCATED AT 250 WORDS)     

Clinical psychopathologic symptoms in neuropsychologically impaired and intact schizophrenics.

Examined the differential prevalence of 10 major dimensions of psychotic and affective signs (e.g., auditory hallucinations, delusions of control, excitement/agitation, catatonic and bizarre behavior) and symptoms in 18 neuropsychologically impaired and 30 neuropsychologically intact schizophrenics who were diagnosed under Research Diagnostic Criteria. Assessments were based on the Present State Examination and on the Luria-Nebraska Neuropsychological Battery. Results show that the neuropsychologically impaired Ss had a lower incidence of delusions of reference and persecution and a diminished capacity for insight compared to neuropsychologically unimpaired Ss. Findings are discussed in terms of a frontal lobe dysfunction hypothesis of schizophrenic psychopathology. (3 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)