A new method for evaluating antiarrhythmic drug efficacy

To develop standards for distinguishing antiarrhythmic drug effect from spontaneous variability of premature ventricular complexes (PVCs), 21 males (mean age 56 +/- 8 years) with chronic ischemic heart disease and PVCs underwent symptom-limited treadmill exercise testing and 24-hour ambulatory monitoring before and after 2 weeks of placebo medication. Linear regression analysis was used to describe the relationship between baseline and placebo PVC frequency for various indexes of ventricular ectopic activity and to establish 95% and 99% one-tailed confidence intervals for this relationship within the group of 21 patients. The lower limit of baseline PVC frequency for which the procedure could distinguish a placebo from a true drug response, termed the "sensitivity threshold," was an average frequency of 2.2 PVCs/hour for ambulatory electrocardiographic monitoring and 1.2 PVCs/min for treadmill exercise testing. All patients exceeded the sensitivity threshold on baseline ambulatory ECGs, but only 38% of patients did so on baseline treadmill exercise tests. To establish antiarrhythmic efficacy with 95% confidence, the minimal percent reduction of PVCs between baseline and placebo visits was 68% for treadmill exercise testing and 65% for ambulatory electrocardiography. Although these standards were developed in patients with chronic ischemic heart disease, the model can be used to establish antiarrhythmic drug efficacy in any patient group.     

Dynamic fatigue of brittle materials containing indentation line flaws

A study is made of the dynamic fatigue response of brittle materials containing indentation-induced line flaws. The theoretical fracture mechanics of median crack evolution to failure under applied tension are first developed, with special emphasis on the role of residual contact stresses. In particular, it is shown that use of fatigue curves to evaluate the exponent in an assumed power-law crack velocity function may result in systematic error, by as much as a factor of two, if proper account is not taken of this residual contact contribution. Data from strength tests on soda-lime glass bars in water, using a tungsten carbide cutting wheel to introduce the median pre-cracks, confirm the basic predictions. The results suggest that extreme care needs to be exercised when using surfaces with a contact history, e.g. as with machining damage, in fatigue test programmes for materials analysis.     

Fatigue analysis of brittle materials using indentation flaws

The results of an experimental dynamic fatigue study on glass-ceramic specimens containing indentation flaws are analysed in terms of the theory developed in Part 1. A Vickers indenter is used to introduce the flaws, and a conventional four-point bend apparatus to break the specimens. Base-line data for testing the essential theoretical predictions and for evaluating key material/environment parameters are obtained from polished surfaces, i.e. surfaces prepared to a sufficient finish to ensure removal of any pre-existing spurious stresses. The fatigue tests are carried out in water. Inert strength tests in dry nitrogen are used to calibrate appropriate equilibrium fracture parameters, with dummy indentations on selected control specimens providing a convenient measure of the critical crack dimensions at failure. Regression analysis of the dynamic fatigue data yields values for apparent kinetic parameters, which are converted to true kinetic parameters via the transformation equations of Part I. Regeneration of the fatigue function from the theory using the parameters thus determined gives a curve which passes closely through the experimental data points, thereby providing a self-consistent check of the formalism. The implications of the results in relation to the use of macroscopic fracture parameters in the prediction of strength properties for materials with small-scale flaws is an important adjunct to this work. Finally, a recommended procedure for the general testing of dynamic fatigue properties of ceramics using indentation flaws is described.     

Sustainable Disposal of Domestic Sanitary Waste

The study presented is an example of the assessment of the relative sustainability of either option for disposal of domestic sanitary waste, either via the toilet or via the solid waste route. This required an evaluation of the total (social, economic, environmental, and technical) benefit/cost of implementing and adopting the alternative routes and an assessment of public responsiveness to encouragement to change sanitary waste disposal practices. It illustrates how, even for an apparently straightforward either/or question, the assessment of relative sustainability is complex and the amount of data needed to quantify sustainability indicators is prodigious. The study also provides an appraisal of the effectiveness of public campaigns to reduce waterborne disposal. Important information regarding public attitude and behavior in relation to wastewater systems has been acquired and lessons for ways of encouraging behavioral change to more sustainable ways of living have been gleaned.     

Using cognitive artifacts to understand distributed cognition

Studies of patient safety have identified gaps in current work including the need for research about communication and information sharing among healthcare providers. They have also encouraged the use of decision support tools to improve human performance. Distributed cognition is the shared awareness of goals, plans, and details that no single individual grasps. Cognitive artifacts are objects such as: schedules, display boards, lists, and worksheets that form part of a distributed cognition. Cognitive artifacts that are related to operating room (OR) scheduling include: the availabilities sheet, master schedule, OR graph, and OR board. All provide a "way in" to understand how teams in the acute care setting dynamically plan and manage the balance between demand for care and the resources available to provide it. This work has import for the way that information technology supports the organization, management, and use of healthcare resources. Better computer-supported cognitive artifacts will benefit patient safety by making teamwork processes, planning, communications, and resource management more resilient.     

A Note on Testing for Homogeneity Among Effect Sizes Sharing a Common Control Group.

L. V. Hedges and I. Olkin (1985) presented a statistic to test for homogeneity among correlated effect sizes and L. J. Gleser and I. Olkin (1994) presented a large-sample approximation to the covariance matrix of the correlated effect sizes. This article presents a more exact expression for this covariance matrix, assuming normally distributed data but not large samples, for the situation where effect sizes are correlated because a single control group was compared with more than one treatment group. After the correlation between effect sizes has been estimated, the standard Q statistic for correlated effect sizes can be used to test for homogeneity. This method is illustrated using results from schizophrenia research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Discriminative Stimulus, Reinforcing, Physical Dependence, and Antinociceptive Effects of Oxycodone in Mice, Rats, and Rhesus Monkeys.

Despite oxycodone's (4,5-epoxy-14-hydroxy-3-methoxy-17-methylmorphinan-6-one) history of clinical use and the attention it has received as a drug of abuse, few reports have documented its pharmacology's relevance to its abuse or its mechanism of action. The purposes of the present study were to further characterize the analgesic effects of oxycodone, its mechanism of action, and its effects in terms of its relevance to its abuse liability. The results indicate that oxycodone had potent antinociceptive effects in the mouse paraphenylquinone writhing, hot-plate, and tail-flick assays, in which it appeared to be acting as a μ-opioid receptor agonist. It generalized to the heroin discriminative stimulus and served as a positive reinforcer in rats and completely suppressed withdrawal signs in morphinedependent rhesus monkeys. These results suggest that the analgesic and abuse liability effects of oxycodone are likely mediated through μ-opioid receptors and provide the first laboratory report of its discriminative stimulus, reinforcing, and morphine cross-dependency effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Updating Situation Models: Reply to Zwaan and Madden (2004).

E. J. O'Brien, M. L. Rizzella, J. E. Albrecht, and J. G. Halleran (1998) demonstrated that, consistent with the memory-based text processing view, outdated or incorrect information can be reactivated through a passive resonance process. Once reactivated, this outdated information can still influence comprehension. R. A. Zwaan and C. J. Madden (2004) suggested that the O'Brien et al. findings resulted from problems with the materials used. The present authors show that the possible "problems" identified by Zwaan and Madden do not adequately explain the findings of O'Brien et al. and that Zwaan and Madden's Experiment 3 lacks sufficient control or power to support their alternative interpretation of O'Brien et al. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The accuracy of refractive and absorptive indices derived from reflectance measurements on low-reflecting materials

Errors in the refractive and absorptive indices derived from reflectance measurements on relatively low-absorbing organic substances in two media are discussed, with particular reference to coal macerals and cokes. Variation of errors in refractive and absorptive indices at different levels of reflectance, and the effect of different combinations of sign and magnitude of reflectance error on the two parameters, are presented in both tabulated form and as diagrams. The errors in the refractive and absorptive indices vary in relation to reflectance level, the reflectance difference between standard and unknown, the difference between the refractive indices of the unknown and the immersion oil and the wavelength of reflectance measurement within the visible spectrum. Despite the variation, it is possible to obtain useful values for the parameters within the low-absorbing range. If the absorption is negligible, it may not be possible to obtain realistic values for absorptive index, but even where this is the case, satisfactory values for refractive index can still be obtained. Suggestions are made on how to minimize reflectance errors and to increase the accuracy of dispersion curves for derived refractive and absorptive indices within the visible spectrum.