In vivo purging with high-dose cytarabine followed by high-dose chemoradiotherapy and reinfusion of unpurged bone marrow for adult acute myelogenous leukemia in first complete remission

PURPOSE: To evaluate in a prospective study the efficacy of autologous bone marrow transplantation (BMT) in adult patients with acute myelogenous leukemia (AML) in first remission, using a single course of high-dose Cytarabine (HD Ara-C) consolidation therapy as in vivo purging. PATIENTS AND METHODS: Sixty consecutive adult patients with AML in first complete remission (CR) were treated with HD Ara-C consolidation therapy as a method of in vivo purging before marrow collection. High-dose therapy consisted of fractionated total-body irradiation (FTBI) 12 Gy, intravenous etoposide 60 mg/kg, and cyclophosphamide 75 mg/kg, followed by reinfusion of cryopreserved marrow. RESULTS: Sixty patients underwent consolidation treatment with HD Ara-C with the intent to treat with autologous BMT. Sixteen patients were unable to proceed to autologous BMT (10 patients relapsed, one died of sepsis, one developed cerebellar toxicity, two had inadequate blood counts, and two refused). Forty-four patients underwent autologous BMT and have a median follow-up time of 37 months (range, 14.7 to 68.7) for patients who are alive with no relapse. The cumulative probability of disease-free survival (DFS) at 24 months in the intent-to-treat group is 49% (95% confidence interval [CI], 37% to 62%) and in those who actually underwent autologous BMT is 61% (95% CI, 46% to 74%). The probability of relapse was 44% (95% CI, 31% to 58%) and 33% (95% CI, 20% to 49%) for the intent-to-treat and autologous BMT patients, respectively. CONCLUSION: This approach offers a relatively high DFS rate to adult patients with AML in first CR. The results of this study are similar to those achieved with allogeneic BMT.     

The effect of nitric oxide on cytokine-induced release of PGE2 by human cultured astroglial cells

Articles in this issue by A. C. Casiglia, A. LoCoco, and C. Zappulla; D. S. Crystal, H. Watanabe, K. Weinfurt, and C. Wu; M. Keller, N. Edelstein, C. Schmid, F. Fang, and G. Fang; and J. J. Han, M. D. Leichtman, and Q. Wang are discussed according to (a) the extent to which cultural variability can be reconciled with developmental theory and (b) the dimensions of cultural variability that matter most for development. It is argued that (a) cross-cultural research needs to be predicted on a model of how culture interacts with the forces that underlie and guide development and (b) the interpretation of cross-cultural research is severely limited without the direct measurement of the specific culture-related variables and processes that are hypothesized to account for diversity in development. Finally, within-culture variability needs to be studied in conjunction with between-culture variability so that a full model of diversity and development can be constructed.     

Employee stress and health complaints in jobs with and without electronic performance monitoring

Current applications of electronic performance monitoring based on job design theories that consider worker performance rather than stress issues are likely to generate unsatisfying and stressful jobs (Smith et al, 1986). This study examines critical job design elements that could influence worker stress responses in an electronic monitoring context. A questionnaire survey of employees in telecommunications companies representative of each region in the United States examined job stress in directory assistance, service representative and clerical jobs with specific emphasis on the influence of electronic monitoring of job performance, satisfaction and employee health. Useable surveys were received from 745 employees representing seven operating companies and AT & T; a response rate of about 25%. The results of this survey indicated that employees who had their performance electronically monitored perceived their working conditions as more stressful, and reported higher levels of job boredom, psychological tension, anxiety, depression, anger, health complaints and fatigue. It is postulated that these effects may be related to changes in job design due to electronic performance monitoring.     

Optimization and evaluation of reduced graphene oxide hydrogel composite as a demulsifier for heavy crude oil-in-water emulsion

The rising production of produced water from oilfields had been proven to bring detrimental environmental effects. In this study, an efficient, recyclable, and environmental-friendly reduced graphene oxide immobilized κ-Carrageenan hydrogel composite(κCa GO) was fabricated as an alternative sorbent for crude oil-in-water demulsification. Polyethyleneimine(PEI) was employed to form a stable hydrogel composite. The conditions for the immobilization of graphene oxide(GO) on PEI-modified κ-Carrageenan(κC) beads were optimized appropriately. An immobilization yield of 77% was attained at 2% PEI, 2 h immobilization activation time, and p H6.5. Moreover, the synthesized κCa GO is capable of demulsification with an average demulsification efficiency of 70%. It was found that the demulsification efficiency increases with salinity and κCa GO dosage, and it deteriorates under alkaline condition. These phenomena can be attributed to the interfacial interactions between κCa GO and the emulsion. Furthermore, the κCa GO can be recycled to use for up to six cycles without significant leaching and degradation. As such, the synthesized κCa GO could be further developed as a potential sorbent substitute for the separation of crude oil from produced water.     

Simulation of partial oxidation of natural gas to synthesis gas using ASPEN PLUS

Conversion of natural gas to liquid fuels is a challenging issue. In SMDS process natural gas is first partially oxidized with pure oxygen to synthesis gas (a mixture of H₂ and CO) which is then converted to high quality liquid transportation fuels by utilizing a modernized version of the Fischer-Tropsch reaction. This paper presents a computer simulation of the first stage of the process, i.e. the synthesis gas production from natural gas. ASPEN PLUS equipped with a combustion databank was used for calculations. Concentrations of over 30 combustion species and radicals expected in the synthesis gas have been calculated at equilibrium and several non-equilibrium conditions. Using a sensitivity analysis tool, the relative feed flow rates and reactor parameters have been varied searching to maximize the CO/O₂ yield as well as to minimize the undesired nitrogen compounds in the product stream. The optimum reactor temperature for maximizing the CO mole fraction in the synthesis gas was also calculated.     

Non-Isothermal crystallization of isotactic polypropylene in dotriacontane. I: Effects of dilution,cooling rate,and nucleating agent addition on overall crystallization kinetics

The overall non-isothermal crystallization kinetics for nucleated and non-nucleated isotactic polypropylene (iPP) in dotriacontane systems was investigated. Adipic acid was used as the nucleating agent. Crystallization peak temperature was determined via differential scanning calorimetry as a function of the experimentally controlled variables iPP concentration, cooling rate, and nucleating agent concentration. The influence of these variables on crystallization mechanism and spherulitic structure as implied by the Ozawa and Ziabicki analyses was determined. The non-isothermal crystallization kinetics presented here are the first for iPP-diluent systems with and without nucleating agent.     

Polydispersity effect on transient flow behavior of polystyrene solution

Summary The transient flow behavior of the binary blend of monodisperse polystyrene fractions is measured by a flow birefringence method. Both of the shear stress and first normal stress difference are obtained simultaneously in time by using a PMFB technique. The entanglements of the polymer chains significantly affect the rheological property of the binary blend in flow region. Especially, the entanglements of the high molecular weight fractions with themselves is proven to be the main source to the growth of first normal stress differences.