Combination of systemic acetazolamide and topical dorzolamide in reducing intraocular pressure and aqueous humor formation

BACKGROUND: Neuroendocrine tumors commonly metastasize to the liver. Although surgical resection is considered a treatment option for patients with localized metastases confined to the liver, the longterm survival benefit of liver resection has not been clearly demonstrated. We examined the survival of patients undergoing liver resection for this disease. STUDY DESIGN: Between 1984 and 1995, we evaluated 38 patients with liver-only metastases from neuroendocrine tumors, including 21 carcinoid, 13 islet cell, and 4 atypical neuroendocrine neoplasms. Data from a combined prospective and retrospective database and a tumor registry were analyzed. Of these patients, 15 underwent complete resection of all known disease. The remaining 23 patients, who also had disease confined to the liver, had comparable tumor burden but were believed to be unresectable. The longterm survival rates of these two groups were compared. RESULTS: Patients who underwent liver resection did not differ from those who were unresectable with regard to age, pathology, primary tumor site, serum alkaline phosphatase levels, or percentage of the liver involved. All resections were complete, leaving no residual disease, and consisted of lobectomy (n = 3), segmentectomy (n = 1), and wedge resections (n = 11). There were no operative deaths. Patients who underwent hepatic resection had a significantly longer survival than unresected patients. Although median survival had not been reached in resected patients, the median survival in the unresectable group was 27 months. Patients who underwent liver resection had a higher 5-year actuarial survival (73% versus 29%). CONCLUSIONS: Hepatic resection in selected patients with isolated liver metastases from neuroendocrine tumors may prolong survival. This conclusion was reached by comparing our resected group with an unresectable group with similar tumor burden.     

The effect of white and filtered noise on contrast detection thresholds

The influence of high-frequency microstimulation (HFMS) of one of the hemispheres on the parameters of spontaneous gamma-oscillations in the neural network containing callosal cells of the motor cortex of both hemispheres. There were three modes in the background oscillation periods distribution, which corresponded to the frequencies 40-60, 70-100, and 100-200 Hz. These oscillation frequencies were also revealed after the HFMS in neural interactions of the cells, which were active before the HFMS; the frequency 40-60 Hz, which dominated before the HFMS, became even more pronounced. The same three groups of oscillation frequencies were found in the activity of cells which became active after the HFMS. The expression of oscillations, the number of oscillatory interactions, as well as the number of neuronal pairs with additional synchronization decreased after the HFMS, which suggests a decrease in synchronization. Taking into account the results of simulation experiments that the frequency of gamma-oscillations is determined by the strength of inhibitory and excitatory input, we suggest that the long-term posttetanic modifications in the efficacy of synaptic inputs of the neurons of both hemispheres underlie the observed posttetanic changes.     

Delayed traumatic aorto-pulmonary artery fistula

Delayed aorto-pulmonary artery fistula represents an uncommon delayed sequelae of penetrating cardiac trauma. A case is presented that demonstrates the need for a high index of suspicion, follow-up, and a complete evaluation of the patient who survives a penetrating heart injury. The mechanisms of delayed presentation, diagnosis, and management of the fistula are discussed.     

Decompressive laminectomies with clinical improvement but persistent myelographic blocks

Surgical decompression for spinal cord compression secondary to metastatic epidural neoplasms is a common procedure. Preoperative myelography is nearly always done, and clinical improvement postoperatively is assumed to be correlated with relief of the radiologically demonstrated subarachnoid block. Three cases with postoperative clinical improvement but persistent subarachnoid blocks are reported. The recognition of this is important to avoid unnecessary secondary surgery.     

Structure-activity relationships of four 11-hydroxyestrones isomeric at the C-9 and C-11 positions

The synthesis of 11 alpha-hydroxyestrone, 11 alpha-hydroxy-9 beta-estrone, and 11 beta-hydroxy-9 beta-estrone are presented. The reduction of 11-keto-9 beta-estrone 17-ethyleneketal by sodium in ethanol or sodium borohydride resulted in 11-hydroxy-9 beta-estrones. The 11-hydroxyl group configurations were opposite to expectations: sodium in boiling ethanol afforded the axial 11 beta-hydroxy-9 beta-estrone, while sodium borohydride in boiling tetrahydrofuran gave the equatorial 11 alpha-hydroxy-9 beta-estrone. In immature rat uterotropic bioassays using subcutaneous injections, 11 alpha-hydroxyestrone was 2 times as active as 11 alpha-hydroxy-9 beta-estrone, and 11 beta-hydroxyestrone was 10 times as active as 11 beta-hydroxy-9 beta-estrone.     

A developmental study of learned helplessness.

Examined susceptibility to learned helplessness among 20 children from each of kindergarten, Grade 1, Grade 3, and Grade 5 classes by exposing groups of Ss to either repeated failure or repeated success on hidden figures problems. Helplessness was measured by Ss' persistence in looking for hidden figures and their capacity to find them following repeated success or failure. It was hypothesized that younger Ss would be less susceptible to helplessness than older ones, due to age-related differences in causal attributions for success and failure. Results confirm the hypothesis in that failure, relative to success, had significantly less influence on the level of helplessness in younger Ss' behavior. It is suggested that the development of attributional capabilities during the preschool and early elementary school years has important ramifications for cognitive theories of motivation. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detection and sequence analysis of hepatitis B virus integration in peripheral blood mononuclear cells

A PCR-based technique was used to detect hepatitis B virus (HBV) integration in peripheral blood mononuclear cells from patients with chronic hepatitis B. Integrated HBV DNA sequences, with virus-cell junctions located in the cohesive region between direct repeat 1 (DR1) and DR2, were found in 2 of 10 studied patients.     

Understanding network management with OOA

Object-oriented analysis (OOA), a powerful methodology for understanding and documenting complex software applications, is discussed. The methodology supports and promotes the fullest possible understanding of the integrated network management problem domain. These benefits of OOA are attributable to its ability to support integrated and consistent analysis of software systems containing informational, behavioral, and computational complexities. The authors explain how to use OOA, discuss the relationship of OOA to industry standards, and summarize its pros and cons