Ultrasonically activated shears in thyroid surgery

BACKGROUND: Ultrasonically activated shears (UAS) have been documented to be both safe and fast devices in laparoscopic surgery. We studied whether the use of UAS would have some advantage in thyroid surgery. METHODS: Thyroidectomies, performed by one senior endocrine surgeon between December 1996 and February 1997, were retrospectively matched, with patients operated on by the same surgeon using the conventional method. RESULTS: Six pairs of total thyroidectomies and one pair of lobectomies could be matched. Mean operating time was 100 minutes for the patients operated on with the UAS and 154 minutes for the patients operated on with the conventional method. The mean operating time with the UAS was thus on average 64.6% of the operation time with the conventional method, with a 95% confidence interval from 50.1% to 83.5% (t = 4.00, 6 df, P = 0.007). CONCLUSIONS: In this material the use of UAS reduced significantly operating time in thyroidectomies.     

Effects of cellular pharmacology on drug distribution in tissues

The efficacy of targeted therapeutics such as immunotoxins is directly related to both the extent of distribution achievable and the degree of drug internalization by individual cells in the tissue of interest. The factors that influence the tissue distribution of such drugs include drug transport; receptor/drug binding; and cellular pharmacology, the processing and routing of the drug within cells. To examine the importance of cellular pharmacology, previously treated only superficially, we have developed a mathematical model for drug transport in tissues that includes drug and receptor internalization, recycling, and degradation, as well as drug diffusion in the extracellular space and binding to cell surface receptors. We have applied this "cellular pharmacology model" to a model drug/cell system, specifically, transferrin and the well-defined transferrin cycle in CHO cells. We compare simulation results to models with extracellular diffusion only or diffusion with binding to cell surface receptors and present a parameter sensitivity analysis. The comparison of models illustrates that inclusion of intracellular trafficking significantly increases the total transferrin concentration throughout much of the tissue while decreasing the penetration depth. Increasing receptor affinity or tissue receptor density reduces permeation of extracellular drug while increasing the peak value of the intracellular drug concentration, resulting in "internal trapping" of transferrin near the source; this could account for heterogeneity of drug distributions observed in experimental systems. Other results indicate that the degree of drug internalization is not predicted by the total drug profile. Hence, when intracellular drug is required for a therapeutic effect, the optimal treatment may not result from conditions that produce the maximal total drug distribution. Examination of models that include cellular pharmacology may help guide rational drug design and provide useful information for whole body pharmacokinetic studies.     

Transvaginal power Doppler angiography of the fetal brain

BACKGROUND AND OBJECTIVES: The stratum corneum of some of the scaly (parakeratotic) diseases was examined with light and scanning electron microscopy (SEM) with the purpose to reveal the importance of this layer in the diagnosis of some of the diseases associated with the formation of scales. MATERIALS AND METHODS: Two biopsies of the skin surface were taken: one, obtained from 80 patients with various parakeratotic scaly diseases and from 25 control subjects, was processed for light microscopy; the other biopsy for SEM was taken from 10 control subjects and 25 patients. The diagnoses of these patients were: psoriasis (5 patients), erythrodermic psoriasis (2 subjects), parapsoriasis (5 patients), pityriasis rubra pilaris (5 subjects), pityriasis rosea (3 subjects), and seborrheic dermatitis (5 subjects). RESULTS: The light microscopic studies showed that normal corneocytes are of polygonal shape with their largest diameter measuring 42 microns; these cells lacked nuclei. All parakeratotic cells appeared bizarre in shape, smaller than normal, and the cells contained a nucleus. With SEM, normal cells appeared relatively regular in size and shape, trabeculated, and had a flat surface. Cells examined in all the diseases revealed various sizes, outlines, and trabeculae. Specific surface patterns (print) of diseased cells were: "fish-scale" in psoriasis; "marbled" in parapsoriasis, "rocky stone" in pityriasis rubra pilaris; "heart-shaped" in seborrheic dermatitis, and semicrystalloid in pityriasis rosea. CONCLUSIONS: Parakeratosis is characterized not only by the retention of the nucleus in keratinocytes, but is also characterized by a cell of smaller size. The specific print of a disease helps in the diagnosis. The print will change with different stages of a disease.     

Dynamic graph cuts for efficient inference in Markov Random Fields

Abstract-In this paper we present a fast new fully dynamic algorithm for the st-mincut/max-flow problem. We show how this algorithm can be used to efficiently compute MAP solutions for certain dynamically changing MRF models in computer vision such as image segmentation. Specifically, given the solution of the max-flow problem on a graph, the dynamic algorithm efficiently computes the maximum flow in a modified version of the graph. The time taken by it is roughly proportional to the total amount of change in the edge weights of the graph. Our experiments show that, when the number of changes in the graph is small, the dynamic algorithm is significantly faster than the best known static graph cut algorithm. We test the performance of our algorithm on one particular problem: the object-background segmentation problem for video. It should be noted that the application of our algorithm is not limited to the above problem, the algorithm is generic and can be used to yield similar improvements in many other cases that involve dynamic change.     

An ontology of slums for image-based classification

Information about rapidly changing slum areas may support the development of appropriate interventions by concerned authorities. Often, however, traditional data collection methods lack information on the spatial distribution of slum-dwellers. Remote sensing based methods could be used for a rapid inventory of the location and physical composition of slums. (Semi-)automatic detection of slums in image data is challenging, owing to the high variability in appearance and definitions across different contexts. This paper develops an ontological framework to conceptualize slums using input from 50 domain-experts covering 16 different countries. This generic slum ontology (GSO) comprises concepts identified at three levels that refer to the morphology of the built environment: the environs level, the settlement level and the object level. It serves as a comprehensive basis for image-based classification of slums, in particular, using object-oriented image analysis (OOA) techniques. This is demonstrated by with an example of local adaptation of GSO and OOA parameterization for a study area in Kisumu, Kenya. At the object level, building and road characteristics are major components of the ontology. At the settlement level, texture measures can be potentially used to represent the contrast between planned and unplanned settlements. At the environs level, factors which extend beyond the site itself are important indicators, e.g. hazards due to floods plains and marshy conditions. The GSO provides a comprehensive framework that includes all potentially relevant indicators that can be used for image-based slum identification. These characteristics may be different for other study areas, but show the applicability of the developed framework.     

Susceptibility to tropical theileriosis of calves born to dams immunized with Theileria annulata (Hisar) cell culture vaccine

Epidemiological evidence suggests that millet might play a role in the etiology of endemic goiter. Recently, we showed that a traditional fermentation procedure of two pearl millet (Pennisetum americanum L. Lecke) cultivars grown in Sudan modified their effects on the weight of the thyroid gland and thyroid hormone profile in rats. In the present study, we report that this fermentation procedure reduced the ash contents of millet by about 40% and removed considerable amounts of Mg (>50%), Zn (27-39%) and K (45%). Other minerals (Ca, Fe, Cu) were not affected. Feeding of one fermented cultivar resulted in significant reduction in bone Mg and Zn contents, whereas feeding of the other fermented cultivar resulted in reduction of bone Mg only. Dietary Mg intake and bone Mg contents correlated negatively with serum T3. Groups fed the millet diets had higher serum Se level compared to those fed wheat or casein diets and feeding of fermented millet resulted in a further increase in serum Se level. Thus our data indicate that in rats the enhanced effects of millet on the thyroid induced by fermentation is likely related to removal of minerals from millet and/or chemical transformation of the goitrogens contained in millet.     

Correlation of Mechanical Properties with Diameter and Cooling Rate of 1080 Wire-Rod

More than 540 heats of 1080 wire-rod were statistically analyzed by regression analyses to see whether tensile strength and percent reduction in area (%RA) relate to wire-rod diameter and composition. As diameter increases from 5.6 to 12.7 mm, the trend in %RA shows a decrease with negligible effect on the trend of the tensile strength. It was found that the estimated cooling rate at 700 °C during controlled cooling is responsible for the “diameter effect.” The effect of composition on %RA is minor when contrasted to the “diameter effect.” In particular, the effect of the concentrations of the residual elements on %RA within the compositional range studied is negligible.     

Adaptive Multiuser Channel Estimation using Reduced Kalman/LMS Algorithm

This paper presents an adaptive multiuser channel estimator using the reduced-Kalman least-mean-square (RK-LMS) algorithm. The frequency-selective fading channel is modeled as a tapped-delay-line filter with smoothly time-varying Rayleigh distributed tap coefficients. The multiuser channel estimator based on minimum-mean-square-error (MMSE) criterion is used to predict the filter coefficients. We also present its convergence characteristics and tracking performance using the RK-LMS algorithm. Unlike the previously available Kalman filtering algorithm based approach (Chen, Chen IEEE Trans Signal Process 49(7): 1523–1532, 2001) the incorporation of RK-LMS algorithm reduces the computational complexity of multiuser channel estimator used in the code division multiple access wireless systems. The computer simulation results are presented to demonstrate the substantial improvement in its tracking performance under the smoothly time-varying environment.