Subjects presented at ASHP Midyear Clinical Meetings, 1967-90

The subject matter and trends of presentations made at ASHP Midyear Clinical Meetings (MCMs) were studied. A computerized database of information from MCM and Annual Meeting (AM) program and abstract books was created. The data were analyzed to determine the distribution of MCM presentations by subject and by author for the period 1967 to 1990, determine if there were differences in subjects covered between MCMs and AMs, explore the proposition that there has been duplication of material in MCM presentations, and evaluate the frequency with which MCM presentations have been published in ASHP journals. The total number of presentations made at MCMs from 1967 through 1990 was 8180, while the total for the AMs was 1547 for the two periods (1962-71 and 1985-90) studied. The most common keywords in titles were "pharmacy," "drug," "patient," "hospital," and "service." All International Pharmaceutical Abstracts subject categories and two other categories were represented; presentations in the institutional pharmacy practice category were the most frequent, while pharmacognosy-related presentations were least frequent. The overwhelming number of authors made only one presentation and were listed as the first author. The subjects of presentations were similar between AMs and MCMs. A tendency toward duplication of material was found. Of the 8180 MCM presentations, at least 1005 were published in an ASHP journal. Between 1967 and 1990, presentations at MCMs covered a wide range of subjects but were sometimes duplicative or not on the cutting edge.     

Flux creep and fishtail in melt-textured and single-crystalline YBa2Cu3O7

Time-dependent decay of the magnetic moment and magnetization measurements were used to study pinning and flux creep in two samples with and without aj(B) maximum in nonzero field (fishtail effect). From both measurements theE(j) relation was reconstructed forBc and the characteristic current exponent was obtained. At highj and lowB values are between 1 and 4; with increasingB passes a maximum and approaches negative values. At lowj is below 0.5 and not dependent onB orj. This behavior, which is qualitatively the same in both samples, is compared with proposed phase diagrams of the vortex lattice. Large values are correlated with the plateau of the normalized creep rateS 0.025; both observations indicate low relaxation and are found in that lowB region for whichj(B) has its minimum. This observation rejects a dominating influence of relaxation on the fishtail effect.     

Preparation,characterization and wear behaviour of TiNx-coated cermets obtained by plasma-enhanced chemical vapour deposition

Commercial cermet inserts were coated with titanium nitride by plasma-enhanced chemical vapour deposition (PECVD) using a pulsed direct current (d.c.) glow discharge. The influence of the coating parameters on the deposition rate, on the layer composition, on the layer-substrate interface, on the structure and on the microhardness of the layers was investigated for deposition temperatures in the range 500–700 °C. The adhesive strengths, and some mechanical properties, of the coated cermets were characterized by scratch tests, by friction wear investigations and by measurement of the transverse rupture strength. The wear behaviour was examined in the cutting tests. It was found that TiN _x -coatings deposited with a sufficiently high deposition rate and plasma power density have a low oxygen and chlorine content and that they are nearly stoichiometric. The layers usually have a columnar structure with a 200 texture. A granular, equiaxed structure was observed within a small range of deposition conditions. In interrupted and continuous turning tests with steel and grey cast iron, a high cutting performance of the coated inserts, which depended on the coating thickness and on the deposition temperature, was achieved.     

Three-year outcome after balloon aortic valvuloplasty. Insights into prognosis of valvular aortic stenosis

BACKGROUND: To identify predictors of long-term outcome after balloon aortic valvuloplasty, we analyzed data on 674 adults (mean age, 78 +/- 9 years; 56% were women) undergoing this procedure at 24 clinical centers who had a mean initial increase in aortic valve area of 0.3 cm2. METHODS AND RESULTS: Baseline data included clinical, echocardiographic, and catheterization variables. Follow-up data included mortality, cause of death, rehospitalization, 6-month echocardiography, and functional status. Kaplan-Meier curves and log-rank tests were used to evaluate survival in subgroups. Multivariate Cox regression models were used to identify independent predictors of survival. Overall survival was 55% at 1 year, 35% at 2 years, and 23% at 3 years, with the majority of deaths (70%) classified as cardiac by an independent review committee. Rehospitalization was common (64%), although 61% of survivors at 2 years reported improved symptoms. Echocardiography at 6 months (n = 115) showed restenosis from the postprocedural valve area of 0.78 +/- 0.31 cm2 to 0.65 +/- 0.25 cm2 (P < .0001). With stepwise multivariate analysis, sequentially adding clinical, echocardiographic, and catheterization variables, the overall model identified independent predictors of survival as baseline functional status, baseline cardiac output, renal function, cachexia, female gender, left ventricular systolic function, and mitral regurgitation. Baseline and postprocedural variables were examined to identify which subgroup of patients has the best outcome after aortic valvuloplasty. A "lower-risk" subgroup (28% of the study population), defined by normal left ventricular systolic function and mild clinical functional limitation, had a 3-year survival of 36% compared with 17% in the remainder of the study group. CONCLUSIONS: Long-term survival after balloon aortic valvuloplasty is poor with 1- and 3-year survival rates of 55% and 23%, respectively. Although survivors report fewer symptoms, early restenosis and recurrent hospitalization are common.     

Synthesis,structural and optical properties of nanoparticles (Al,V) co-doped zinc oxide

The synthesis by the sol–gel method, structural and optical properties of ZnO, Zn_0.99Al_0.01O (AlZ), Zn_0.9V_0.1O (VZ) and Zn_0.89Al_0.01V_0.1O (AlVZ) nanoparticles was reported. The approach was slow release of water for hydrolysis by esterification reaction followed by a supercritical drying in ethyl alcohol. After thermal treatment at 500^°C in air, the obtained nanopowders were characterized by various techniques such as transmission electron microscopy, X-ray diffraction and photoluminescence (PL) spectroscopy. The structural properties showed that the ZnO nanoparticles with an average particle size of 25 nm exhibit hexagonal wurtzite structure. From the optical studies, it was found that the optical band gap was located between 2.97 and 3.17 eV. The obtained electrical properties showed the potential application of the samples in optoelectronic devices. The powder of AlVZ presented a strong luminescence band in the visible range. The PL band energy position presented a small blue shift with the increase of measurement temperature. Different possible attributions of this emission band will be discussed.     

3D-Druck für Hochvakuumanwendungen

To mark our anniversary, we are presenting articles that have been particularly appreciated by readers of our online edition once again in print. Here: 3D-Printing for High Vacuum Applications 3D printing technology has made the leap from a home-based private practice to industrial manufacturing. Due to the increasing reliability of printers and increasing material diversity, especially in the metal sector, double-digit percentage growth rates are possible in the coming years. This thesis deals with the manufacture of parts made by 3D printing for high vacuum application. Different components are printed and examined for their vacuum compatibility. As shown furthermore, conventionally made standard components can be vacuum sealed to printed parts, which enables cost-effective production of more complex components, such as e.g. a vacuum chamber allows. In addition, functional components can already be realized in the manufacturing process. The integration of a system of flow channels directly into the wall of a chamber is just one example. Thus, such a chamber can be heated during evacuation and effectively cool in later operation.     

Direct observation of non-collinear vortex structures induced by twin boundaries in YBa2Cu3Oy single crystals

Using vector magnetic moment measurements, in twinned YBa₂Cu₃O_y single crystals we observe a nearly reversible M_ab component of the magnetisation with sharp peaks in the dependence of M_ab on the magnetic field H and angle between c-axis and magnetic field. The association of these features with twin boundaries is supported by geometrical arguments and by comparison with detwinned samples. For a crystal with a single dominant direction of twin boundaries, the initial slope of the M_ab(H) and M_ab() dependences corresponds closely to ideal shielding of the transverse H component, as expected for the fully-locked vortex state. The peak position, which is related to the locking angle, shows a close to linear H_p ^–1 vs dependence, which corresponds to a fixed value of H_L, the locking field. The influence of twins vanishes above a trapping angle T which shows rather weak temperature and magnetic field dependences; at 60K and 1T these parameters are _oH_L=27mT and _T 10 °.     

Refining the level for anticipated hepatotoxicity in acetaminophen poisoning

Treatment of an acetaminophen overdose with N-acetyl cysteine usually is based on the position of the 4-h acetaminophen (APAP) level on the Rumack-Matthew nomogram; however, there is disagreement on the level at which clinically relevant hepatotoxicity occurs. A retrospective review of all acute adult formulation APAP exposures reported to our poison center between 1986 and 1993 was performed and cases corresponding to the "possible risk or toxicity" range on the nomogram were identified. Our current poison center protocol for APAP poisoning does not recommend treatment with N-acetylcysteine (NAC) in low-risk patients if the 4-h serum APAP level or the extrapolated equivalent falls within the possible toxicity range on the nomogram. Seventeen cases met the inclusion criteria for the study and received no NAC; six additional patients met inclusion criteria but received one or two doses of NAC before therapy was discontinued. No patients in either group demonstrated clinical evidence of hepatotoxicity. This pilot study suggests that patients with no risk factors and APAP levels in the "possible risk" range may not require NAC therapy.