Surfactant replacement therapy in acute respiratory distress syndrome from viral pneumonia

A modified natural surfactant was administered to a patient with life-threatening adult respiratory distress syndrome caused by viral pneumonia. Subsequently, there was a marked improvement in gas exchange. In order to assess the mechanism for improved oxygenation, computed tomography of the lungs was done. Quantitative analysis of the scans taken before and after surfactant administration indicates that improvement in gas exchange was largely due to the expansion of underinflated and collapsed lung areas. Although this is a single case report, it provides insight into the possible beneficial effect of instilled surfactant in severe respiratory distress from viral pneumonia.     

Increased concentrations of octachlorodibenzo-p-dioxin in cases with breast cancer--results from a case-control study

Organochlorines are persistent and highly lipophilic environmental contaminants which bioaccumulate in the food chain. Some of these chemicals, 2,2-bis(p-chlorophenyl)-1,1,1-trichloroethane (DDT) and polychlorinated biphenyls (PCBs), have been suggested to be of significance in the aetiology of breast cancer. 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) is an anti-oestrogen in animal studies and should be thus lower the risk of breast cancer. The other isomers of polychlorinated dibenzo-p-dioxins (PCDDs) or the chemically related polychlorinated dibenzofurans (PCDFs) have not been tested regarding carcinogenesis of the breast. The purpose of this study was to investigate whether PCDDs or PCDFs influence the risk for breast cancer. Consecutive patients who underwent surgery for a breast disease between 1993 and 1995 were recruited for the study. Cases were 22 patients with infiltrative breast cancer and controls were 19 patients operated for a benign breast disease during the same time period. Approximately 10 g of breast tissue free from tumour was taken from the specimen and frozen until analysis. Fat was extracted, cleaned and analysed with a high-resolution gas chromatograph coupled to a high-resolution mass spectrometer. Median concentrations of octachlorinated dibenzo-p-dioxin (OCDD) were 598 (170-14,880) and 396 (103-1,847) pg/g lipid in the cases and in the controls, respectively. In a multivariate logistic regression analysis controlling for other risk factors for breast cancer increased odds ratio (OR) was obtained for OCDD: 401-1000 pg/g lipid yielded OR 3.8, 95% confidence interval (CI) 0.4-39, > 1000 pg/g lipid gave OR 5.2, CI 0.4-72. When the lipid OCDD variable was examined as a continuous risk factor there was a 1.09 (9%), CI 0.95-1.25, increase in the adjusted OR for breast cancer per 100 unit (pg/g lipid) increase in OCDD. No differences were found between cases and controls for the other six tested PCDDs. Mean concentration of TCDD was in the cases 3.6 (1.0-7.9) and in the controls 3.3 (1.1-6.3) pg/g lipid. For PCDFs no significant differences were found between cases and controls. The results were not changed if oestrogen or progesterone receptor status, S-phase fraction and DNA ploidy were considered. Breast tissue concentration of OCDD was increased in cancer patients, whereas the concentrations of other PCDDs and PCDFs were equal in cases and controls.     

Grenzen der Anwendbarkeit der Theorie der analytischen Signale

Zusammenfassung Bei der praktischen Anwendung der analytischen Signale ist es erforderlich, die Ermittlung der Hilbert-Transformation numerisch durchzuführen. Dazu wurden u.a. Verfahren von H.W. Schü?ler, R. Unbehauen und G. Wunsch vorgeschlagen. In der Arbeit werden allgemeine Ergebnisse zur numerischen Umsetzung der Hilbert-Transformation dargestellt. Es wird gezeigt, da? alle praktisch realisierbaren Verfahren für bestimmte Signale divergieren. Damit ist es m?glich, die in der Experimentalphysik schon l?nger bekannten Schwierigkeiten bei der Umsetzung der Hilbert-Transformation zu erkl?ren.     

Vibration of doubly-curved shallow shells

Summary This paper presents the free vibration of thin doubly-curved shallow shells of rectangular planform. The study covers wide combinations of free, simply supported and clamped boundary conditions. Both positive and negative Gaussian curvatures (spherical and hyperbolic paraboloidal shells resepectively) are considered. Thepb-2 Ritz energy based approach, along with the in-plane and transverse deflections assumed in the form of a product of mathematically complete two-dimensional orthogonal polynomials and a basic function, is employed to model the vibratory characteristic of these shells. Numerical results have been established through convergence study and comparison with published data from the open literature. Extensive sets of new results for various ranges of aspect ratio, curvature ratio andx- andy-shallowness ratios have been presented for future reference.