Pulmonary sequestration: six unusual presentations

In a review of 26 cases of sequestration, six patients with unusual radiographic features are described in detail. Three children had congestive heart failure, and congenital heart disease was suspected. One patient with a cystic upper lobe sequestration was thought to have a pneumatocele or infected cyst. In two other cases the sequestrations had features of a solid mass lesion. One of these was erroneously diagnosed as a mesothelioma or bronchogenic cyst, and the other as a carcinoma.     

Internet integrated in the daily medical practice within an electronic patient record

Healthcare enters the information age and professionals are finding an ever-growing role for computers in the daily practice of medicine. However, a number of problematic issues are associated with electronic publications, especially through Internet. Whilst access to any information has been improved, access to specific information has become more and more difficult [1], due to the lack of a general meta-knowledge allowing to structure Internet resources. Physicians have to learn and adapt themselves to computers and Internet, but Internet has to meet the specific requirements of Healthcare. Important issues must therefore be addressed to allow a real and daily use of Internet in the medical practice. The paper discusses most of these issues and proposes a solution developed at the University Hospital of Geneva that integrates an Electronic Patient Record with Internet, without compromises on security or on performances and that runs on standard PCs'.     

Self-aligned InP DHBT with f/sub /spl tau// and f/sub max/ over 300 GHz in a new manufacturable technology

We report self-aligned indium-phosphide double-heterojunction bipolar transistor devices in a new manufacturable technology with both cutoff frequency (f/sub /spl tau//) and maximum oscillation frequency (f/sub max/) over 300 GHz and open-base breakdown voltage (BV/sub ceo/) over 4 V. Logic circuits fabricated using these devices in a production integrated-circuit process achieved a current-mode logic ring-oscillator gate delay of 1.95 ps and an emitter-coupled logic static-divider frequency of 152 GHz, both of which closely matched model-based circuit simulations.     

Measurement of macrophage-mediated cytotoxicity against adherent and non-adherent target cells by release of 11 indium-oxine

This report describes the utilization of 111 indium-oxine chelate ([111In]Ox) for studies of macrophage-mediated cytotoxicity. [111In]Ox efficiently labeled both non-adherent and adherent tumor targets with no decrease in cell viability. Spontaneous release of intracellularly incorporated [111In]Ox was very slow (0.25-0.50%/h) from most targets, making isotope-release assays of at least 48 h feasible. In addition, released [111In]Ox was not reutilized. In contrast to its low spontaneous release from intact cells, incorporated [111In]Ox was rapidly released from tumor targets after interaction with activated macrophages. Levels of [111In]Ox released in response to cytolytic macrophages correlated well with those observed for the 51Cr and [3H]TdR radiolabels. Therefore, [111In]Ox can be utilized for relatively short-term (less than 20h) assays with lymphoma targets, as well as for longer-term assays with adherent cells. This should facilitate the testing, with the same radioisotope-release assay, of a wide range of tumor targets for susceptibility to macrophage-mediated cytotoxicity.     

Morphology and position of growth cones in the developing Xenopus spinal cord

Axonal growth cones in longitudinal fiber tracts of the developing spinal cord of Xenopus were examined using electron microscopy. Fiber tracts of the spinal cord develop by the ingrowth of fibers, into pre-existing longitudinally oriented spaces between adjacent neuroepithelial cells of the neural tube. Growth cones seen among the neurites of the tracts were identified by their generally larger size (1.2 X 4.5 micrometer), bulbous and irregular outlines, and cytoplasmic components. Overall cytoplasmic density was usually less than that of surrounding neuroepithelial cells and axons. They contained few organelles, among them assorted clear and densecored vesicles, agranular reticulum, and occasional mitochondria and autographic vacuoles. Microtubules were rarely present. Growth cones appeared to conform in outline to the space which they occupied. Smaller extensions which resembled the filopodia described by others insinuated themselves among other elements of the fiber fascicles. The filopodia contained a fine granular or filamentous feltwork. Growth cones consistently appeared at the interface of other axons in the fascicle and the peripheral neuroepithelial endfeet. In longitudinal sections of fascicles containing more than one growth cone, the growth cones were layered in a pattern suggesting that new cones are added by pushing between the next youngest fibers and the peripheral neuroepithelial processes of the cord. The possible significance of this finding in the achievement of order in the spinal tracts is discussed.     

Evaluation of cefaclor in acute otitis media caused by ampicillin-resistant H. influenzae

Cefaclor was used to treat 13 children with acute otitis media caused by ampicillin-resistant strains of Hemophilus influenzae. The children were re-examined on days 4, 10, and 28. Pharmacologic compliance was assessed by means of a bioinhibition assay on a urine specimen obtained on days 4, 7, and 10. Nine of the 13 children had evidence by tympanogram of residual otitis media with effusion (secretory otitis media). Of these, three were noted to have a bulging, yellow or grey eardrum, which suggested an ongoing acute process. A second middle ear culture was obtained from two of the 3 children, but no pathogens were recovered. Two others had recurrence of otitis shortly after cessation of therapy. Cefaclor is an acceptable antibiotic for the treatment of ampicillin-resistant acute otitis media; but, after cefaclor therapy, some children continued to have a bulging eardrum and sterile pus in the middle ear or had recurrences of otitis soon after cessation of therapy.     

Carcinoma of the larynx in an 11-year-old boy with late cervical metastasis: report of a case with a ten-year follow-up

An 11-year-old boy with laryngeal carcinoma underwent a partial laryngectomy. Subsequently, a cervical metastatic node developed eight months following a tonsillectomy; a radical neck dissection was performed. The patient has remained free of disease over a ten-year follow-up period. In our review of the English literature, no similar case report was found. The potential relationship of tonsillectomy to alterations in local T cell-mediated immune response is discussed.     

Double outlet right ventricle: hemodynamic and anatomic correlations

An obsessive-compulsive patient was treated with modified analytic therapy to enable him to complete his first college year. As an assistant professor, he returned 19 years later complaining of retarded ejaculation. Traditional psychotherapy (52 sessions) failed to resolve the problem. After eight sessions of solo sex therapy, the ejaculatory dysfunction was mastered.     

Use of local area networks within manufacturing systems

Proposals have recently been made within the computer industry to standardize local area computer networking hardware and, although such standards are primarily aimed at the office automation market, they will undoubtedly find many applications in distributed industrial control where a requirement for high speed reliable standardized digital communications also exists. A simple manufacturing cell will be described which demonstrates the advantage of distributed control by using an integrated communications network employing low cost twin axial cable. The individual cell element control systems are supervised by a single computer station providing both control and management information. It will also be shown how such techniques can be applied within industrial manufacturing systems by considering the use of computer networks within a process plant and for the integration of industrial robot systems.