The effect of the addition of adrenaline to pethidine for patient-controlled epidural analgesia after caesarean section

We have investigated the addition of adrenaline to pethidine for patient-controlled epidural analgesia after elective Caesarean section. In a randomised, double-blind study, patients received patient-controlled epidural analgesia for 24 h using pethidine 5 mg.ml-1 with adrenaline 5 micrograms.ml-1 (adrenaline group, n = 40) or pethidine 5 mg.ml-1 without adrenaline (plain group, n = 38). Visual analogue scale pain scores at rest and on coughing measured 2 h, 6 h and 24 h after surgery were similar between the two groups. There was a trend towards lower mean total consumption of pethidine in the adrenaline group (231.5 mg; SD 140.5 mg) compared with the plain group (289.5 mg; SD 139.5 mg; p = 0.071). Patients in the adrenaline group had higher visual analogue scale scores for nausea at 2 h and 24 h and higher scores for pruritus at 2 h compared with the plain group. Addition of adrenaline to pethidine for patient-controlled epidural analgesia does not appear to have significant clinical advantages.     

Etiology of genital ulcers and prevalence of human immunodeficiency virus coinfection in 10 US cities. The Genital Ulcer Disease Surveillance Group

To determine the etiology of genital ulcers and to assess the prevalence of human immunodeficiency virus (HIV) infection in ulcer patients in 10 US cities, ulcer and serum specimens were collected from approximately 50 ulcer patients at a sexually transmitted disease clinic in each city. Ulcer specimens were tested using a multiplex polymerase chain reaction assay to detect Haemophilus ducreyi, Treponema pallidum, and herpes simplex virus (HSV); sera were tested for antibody to HIV. H. ducreyi was detected in ulcer specimens from patients in Memphis (20% of specimens) and Chicago (12%). T. pallidum was detected in ulcer specimens from every city except Los Angeles (median, 9% of specimens; range, 0%-46%). HSV was detected in >/=50% of specimens from all cities except Memphis (42%). HIV seroprevalence in ulcer patients was 6% (range by city, 0%-18%). These data suggest that chancroid is prevalent in some US cities and that persons with genital ulcers should be a focus of HIV prevention activities.     

Optimal design of a flexure hinge based XYφ wafer stage

Optimal design o1 a XYφ micromotion stage is presented. The stage consists of a monolithic flexure hinge mechanism with three piezoelectric actuators. This paper describes the procedures of selecting parameters for the optimal design. In particular, it presents a mathematical formulation of the optimization problem. Based on the solution of the optimiiation problem, the final design of the stage is also presented. Experimental results indicate that the design procedure is effective, and the designated stage has the total range of 41.5 μm mid 47.8 μm along the X- and Y-axes, respectively, and the maximum yaw motion range of 322.8 aresec (1.565 mrad).     

Pretreatment of stainless steel substrate surface for the growth of carbon nanotubes by PECVD

Multiwalled carbon nanotubes were grown from acetylene and hydrogen gas mixture directly on stainless steel plates by rf powered PECVD and then electric double layer capacitors were fabricated from them without any further treatment. It was found that suitable pretreatment of stainless steel substrates was required for the satisfactory growth of carbon nanotubes on them. In this study substrates were polished, etched in HF solution and then treated with hydrogen plasma before the growth of carbon nanotubes. SEM shows that the surface of the substrate became smooth after polishing. It was severely etched to reveal grains of stainless steel after dipping in HF solution. With hydrogen plasma treatment the grains become more rounded in shape and grew in size. When the grains size was tens of nanometers, carbon nanotubes were grown. Exposing substrates to the hydrogen plasma for 10 min or longer caused the grains to grow larger and the growth of carbon nanotubes became poorer. Carbon nanotubes grown in this study were mutiwalled and curly in shape. Capacitors made from the carbon nanotubes showed initial specific capacitance in the range of 80–100 F/g.     

Comments on “Comparison of diversity combining techniques forRayleigh-fading channels”

The authors comment that the probability density function (PDF) of the signal-to-noise ratio (SNR) for third-order selection combining (SC3) given by Eng, Kong and Milstein (see ibid., vol.44, p.1117-29, 1996) is incorrect. A correction is given by presenting a more efficient method of deriving the generalized PDF of the SNR essential in the analysis of Nth-order selection combining     

Virtual Stage: a location-based karaoke system

Virtual Stage is an extended karaoke system based on virtual reality technology. A participant becomes the main character in an interactive music video. While singing along with the song played by Virtual Stage, the participant uses body movements to interact with the virtual characters, which reside in a virtual environment and behave intelligently. In Virtual Stage, the participant's video image, grabbed by a video camera, is composited with the rendered image of the 3D virtual environment. Participants will see the realistic video image of themselves and get a false feeling of immersion, as if existing in the VE     

Percutaneous treatment of bronchial artery aneurysm with use of transcatheter coil embolization and thoracic aortic stent-graft placement

Lactic acidosis due to thiamine deficiency is known to complicate chemotherapy and radiotherapy treatment of malignant extracranial tumors, but to the authors' knowledge, this complication has not been reported in patients treated for malignant brain tumors. They report three such cases, demonstrating that this complication can occur during treatment of brain tumors. In all patients, consciousness levels deteriorated within 1 to 2 days. Serum lactic acid levels increased to concentrations between 62 and 96.7 mg/dl, resulting in severe metabolic acidosis. A low blood thiamine level (9 ng/ml) was demonstrated at the onset in one case, and high-dose thiamine infusions dramatically improved lactic acidemia as well as impairment of consciousness in two cases. In the other case, hydrocephalus was suspected initially, resulting in a delay in thiamine supplementation. Clinical differentiation of this form of lactic acidosis from hydrocephalus or tumor progression can be very difficult in a patient undergoing treatment for a malignant brain tumor. Demand for thiamine is thought to be increased in patients with malignant brain tumors, and supplemental thiamine during treatment is necessary to prevent lactic acidosis. When this complication occurs, immediate treatment with sufficient thiamine is essential, together with normalization of pH by using sodium bicarbonate. With timely intervention, the level of consciousness can recover to the preacidotic state with no new neurological deficits.     

Isomerization and Decomposition of Chloromethylacetylene

The isomerization and thermal decomposition of chloromethylacetylene (CMA) has been studied with two shock tube techniques. The first experiment (Jerusalem) utilizes single-pulse shock tube methods to measure the isomerization rate of CMA to chloroallene. In addition, equilibrium constants can be estimated at ∼1200 K. The second experiment (Argonne) monitors Cl-atom formation at temperatures above ∼1150 K. Absolute yield measurements have been performed over the 1200–1700 K range and indicate that two decomposition channels contribute to CMA destruction, namely, Cl fission and HCl elimination. The results show that the branching fraction between processes is temperature dependent. Therefore, direct Cl-atom fission is accompanied by molecular elimination, undoubtedly giving HCl and one or more isomers of C₃H₂. MP2 6–31G(d,p) ab initio electronic structure calculations have been used to determine vibration frequencies and moments of inertia for three C₃H₃Cl isomers. Using these quantities, the experimental equilibrium constants required that ΔH⁰₀(CH₂Cl–C≡CH ⇌ CHCl=C=CH₂) = −;0.24 kcal mole⁻¹. A potential energy surface pertinent to the present system has been constructed, and RRKM calculations have been carried out in order to explain the isomerization rates. The isomerization data can be explained with E₀ = 52.3 kcal mole⁻¹ and 〈ΔE_down〉 = 225 cm⁻¹. Subsequent semi-empirical Troe and RRKM-Gorin modeling of the Cl atom rate data require E₀ = (67.5 ± 0.5) kcal mole⁻¹ with a 〈ΔE_down〉 = (365 ± 90) cm⁻¹. This suggests a heat of formation for propargyl radicals of (79.0 ± 2.5) kcal mole⁻¹.     

Filter‐Free Wavelength Conversion Using Mach‐Zehnder Interferometer with Integrated Multimode Interference Semiconductor Optical Amplifiers

We propose a filter‐free wavelength conversion using a Mach‐Zehnder interferometer with monolithically integrated 2×2 multimode interference semiconductor optical amplifiers (MMI‐SOAs). The device has been optimized by considering a non‐homogeneous carrier distribution due to the self‐imaging properties of the MMI‐SOA. Static measurements show an extinction ratio of up to 18 dB and an input signal rejection ratio of up to 20 dB.     

Dynamic spectrum management for next-generation DSL systems

The performance of DSL systems is severely constrained by crosstalk due to the electromagnetic coupling among the multiple twisted pairs making up a phone cable. In order to reduce performance loss arising from crosstalk, DSL systems are currently designed under the assumption of worst-case crosstalk scenarios leading to overly conservative DSL deployments. This article presents a new paradigm for DSL system design, which takes into account the multi-user aspects of the DSL transmission environment. Dynamic spectrum management (DSM) departs from the current design philosophy by enabling transceivers to autonomously and dynamically optimize their communication settings with respect to both the channel and the transmissions of neighboring systems. Along with this distributed optimization, when an additional degree of coordination becomes available for future DSL deployment, DSM will allow even greater improvement in DSL performance. Implementations are readily applicable without causing any performance degradation to the existing DSLs under static spectrum management. After providing an overview of the DSM concept, this article reviews two practical DSM methods: iterative water-filling, an autonomous distributed power control method enabling great improvement in performance, which can be implemented through software options in some existing ADSL and VDSL systems; and vectored-DMT, a coordinated transmission/reception technique achieving crosstalk-free communication for DSL systems, which brings within reach the dream of providing universal Internet access at speeds close to 100 Mb/s to 500 m on 1-2 lines and beyond 1 km on 2-4 lines. DSM-capable DSL thus enables the broadband age.