Leiomyoma of the stomach as a cause of hemorrhage from the upper segment of the gastrointestinal tract

Two cases of female patients operated fo the tumors of the stomach are presented. Result of histologic examination was rather surprising in both cases--leiomyoma.     

Impedance boundary method of moments with extended boundaryconditions

An improved impedance boundary method of moments is proposed to accurately and efficiently determine the propagation characteristics of multilayer planar optical waveguides whose refractive index profiles contain large step index changes or a graded-index region combined with step index changes. Extended impedance boundary conditions are used in the impedance boundary method of moments to replace regions in the waveguide structure which have refractive index discontinuities. Two methods for determining the extended boundary conditions include the standard transfer matrix method and a procedure utilizing a cascaded transmission line representation with successive calculation of input impedances. Simulation results show significantly improved convergence rates in the determination of propagation constants     

Radar detection of low-altitude targets in a maritime environment

Results from a unique analytical and experimental effort to assess low-altitude, short-range, radar detection capabilities in an evaporation ducting environment are presented. Within the horizon, the duct may shift the location of the last interference null several kilometers in range, which may cause nondetection at ranges where detection is expected and detection at ranges where detection is not expected. In addition, the evaporation duct may reduce the signal strength at ranges near the last interference peak so that detection of low-altitude, small-size, targets may not be possible until the target is much closer. At ranges near and beyond the horizon, radar signal strength depends both on the surface layer and on the mixed layer. To accurately model propagation in this region, knowledge of both surface layer and upper air meteorology Is required. An empirical model to merge the surface layer with the mixed layer has been developed. Comparisons of measured to calculated detection range indicate that the assumption of a standard atmosphere minimizes the variance of the difference between the detection ranges whereas ranges calculated using the measured surface meteorological conditions and a modified surface layer model minimizes the median of the difference     

Flicker sensitivity as a function of spectral density of external white temporal noise

Foveal flicker sensitivity at 0.5-30 Hz was measured as a function of the spectral density of external, white, purely temporal noise for a sharp-edged 2.5 deg circular spot (mean luminance 3.4 log phot td). Sensitivity at any given temporal frequency was constant at low powers of external noise, but then decreased in inverse proportion to the square root of noise spectral density. Without external noise, sensitivity as function of temporal frequency had the well-known band-pass characteristics peaking at about 10 Hz, as previously documented in a large number of studies. In the presence of strong external noise, however, sensitivity was a monotonically decreasing function of temporal frequency. Our data are well described (goodness of fit 90%) by a model comprising (i) low-pass filtering by retinal cones, (ii) high-pass filtering in the subsequent neural pathways, (iii) adding of the temporal equivalent of internal white spatiotemporal noise, and (iv) detection by a temporal matched filter, the efficiency of which decreases approximately as the power -0.58 of temporal frequency.     

A randomized trial of cisplatin, etoposide and bleomycin (PEB) versus carboplatin, etoposide and bleomycin (CEB) for patients with 'good-risk' metastatic non-seminomatous germ cell tumors

BACKGROUND: Cisplatin-based combination chemotherapy will cure 70% to 80% of patients with metastatic non-seminomatous germ cell tumors but is associated with the possibility of severe neuro-, oto- and nephro-toxicities. Carboplatin, a cisplatin analogue, is an active drug in testicular cancer with a more favourable spectrum of side effects. In a randomized trial, the German Testicular Cancer Study Group compared a combination regimen of carboplatin, etoposide and bleomycin (CEB) to standard cisplatin, etoposide and bleomycin (PEB) chemotherapy for patients with 'minimal-' and moderate-disease' non-seminomatous germ cell tumors, according to the Indiana University classification. PATIENTS AND METHODS: PEB was given for three cycles at standard doses (given days 1-5), and the CEB regimen consisted of carboplatin (target AUC of 5 mg/ml x min) on day 1, etoposide 120 mg/m2 on days 1 to 3 and bleomycin 30 mg on days 1, 8 and 15. Four cycles of CEB were given, with the omission of bleomycin in the fourth cycle. Thus, the cumulative doses of etoposide and bleomycin applied in the two treatment arms were comparable. Fifty-four patients were entered on the trial, 29 were treated with PEB and 25 with CEB chemotherapy. Patients were stratified according to disease extent (minimal versus moderate) and the degree of tumor marker elevation. Thirty-two patients (59%) belonged to the group with minimal disease and low markers. RESULTS: No significant difference in response to chemotherapy was seen between the two arms, with CR rates of 81% for the PEB arm and 76% for CEB treatment. However, more patients treated with CEB (32% versus 13%) have relapsed after therapy, and 4 patients (16%) have died of disease progression after CEP in contrast to 1 (3%) after PEB therapy. The first interim analysis of negative events (relapse, vital tumor at secondary resection, death from disease and therapy-associated death) showed a significantly higher rate after CEB than after PEB therapy, and the trial was terminated early. After a median follow-up of 33 months for all patients, the calculation of negative events is still significantly in favour of PEB-treated patient, particularly since three late relapses > 2 years have been observed in the CEB arm (P = 0.03). CONCLUSION: This randomized trial demonstrates that even with the use of adequate doses of etoposide and full-dose bleomycin, carboplatin cannot altogether replace cisplatin in patients with testicular cancer. Treatment with the PEB regimen remains the standard approach in patients with 'good-risk' non-seminomatous germ cell tumors.     

Fabrication of a heterodyne receiver OEIC with optimized integration process using three MOVPE growth steps only

An optimized integration process is reported requiring only three epitaxial growth steps for the fabrication of an OEIC encompassing a single-mode laser, a waveguide element, and fast photodiodes. The process was applied to the fabrication of a heterodyne receiver including a semi-insulating buried heterostructure (SIBH)-DFB-laser with an output power of 14 mW and a side-mode suppression ratio greater than 40 dB, a 3-dB coupler, and high-speed balanced photodiodes with a bandwidth of 9 GHz. The laser can also be used as a transmitter laser exhibiting a modulation bandwidth of 11 GHz.     

State- and time-dependent routing in the NTT network

The purpose of state- and time-dependent routing (STR) is to achieve high performance despite unpredictable real-time traffic fluctuations, with minimum changes to existing switching software and operations systems. STR uses an appropriate combination of the two kinds of control, centralized and distributed. The article gives an overview of STR and its advanced call-level routing, describes the current STR network and the performance of STR with two examples from the NTT network, and addresses a dimensioning method for STR     

A new approach to the optimization of robust antenna arrayprocessors

The authors present a method for solving a class of optimization problems with nonsmooth constraints. In particular, they apply the method to the design of narrowband minimum-power antenna array processors which are robust in the presence of errors such as array element placement, look direction misalignment, and frequency offset. They first show that the constrained minimum power problem has a unique global minimum provided that the constraint set is nonempty. Then it is shown how the design problem derived directly from considerations of the sensitivity of the antenna array processor to errors can be transformed into a quadratic programming problem with linear inequality constraints which can be solved efficiently by the standard active set strategy. They also present numerical results for two types of nonsmooth constraints developed to provided robustness. These results confirm the effectiveness of the method     

Accurate and efficient computation of dielectric losses inmulti-level, multi-conductor microstrip for CAD applications

An approach to accurate and efficient computation of dielectric losses in complex microstrip structures is proposed. It can be used in lieu of lossy, full-wave solutions to provide accurate and efficient data for the CAD of multilevel, multiconductor MIC and MMIC structures. Results that are as accurate as lossy full-wave techniques over a wide range of frequencies, including the dispersive region, are obtained. In addition to providing accurate results, the method is up to three times faster, depending on the number and type of substrates or superstrates. Results for various multiconductor, multilevel structures that compare well with the lossy, full-wave approach and require significantly less computer time to compute are shown     

Localization of G-proteins in macrophages and E. coli during phagocytosis

Heterotrimeric GTP-binding proteins (G-proteins) have been shown to play an important role in cellular signalling. However, G-protein involvement in the intracellular spreading of bacterial pathogens is still poorly understood. In this study, antibodies, that recognize G-protein alpha-subunits (anti-G alpha), were used to investigate the localization of G-proteins in the macrophage-like cell line P388D1 and E. coli, also in their L-forms, during phagocytosis. In E. coli, anti-G alpha-binding sites were detected preferably in the cell wall and septa of the whole bacterial forms as well as in the cytoplasm of L-forms. Western blotting of bacterial lysates demonstrated protein bands with positive immunoreaction to antibodies against Gs alpha, Gi alpha, and Gcommon alpha with a higher affinity to the antibody against Gs alpha. Immunoreaction with the anti-Gs alpha-antibody was markedly higher in pathogenic strains of E. coli. Because of the conserved structure in all GTP-binding proteins which seem to derive from a single primordial protein involved in signal transduction mechanisms, it is reasonable to assume that some anti-Ga-positive proteins in E. coli might be related to G-proteins of higher organisms. A putative candidate for bacterial G-proteins seems to be a 36 kDa protein. Enhancement in G-protein immunostaining in the cytoplasm of macrophages around the internalized bacteria testifies to the involvement of G-proteins in mediation of endocytosis responses of phagocytes.