Bibliometric analysis of tsunami research

The use of the bibilometric analytical technique for examining tsunami research does not exist in the literature. The objective of the study was to perform a bibliometric analysis of all tsunami-related publications in the Science Citation Index (SCI). Analyzed parameters included document type, language of publication, publication output, authorship, publication patterns, distribution of subject category, distribution of author keywords, country of publication, most-frequently cited article, and document distribution after the Indonesia tsunami. The US and Japan produced 53% of the total output where the seven major industrial countries accounted for the majority of the total production. English was the dominant language, comprising 95% of articles. A simulation model was applied to describe the relationship between the number of authors and the number of articles, the number of journals and the number of articles, and the percentage of total articles and the number of times a certain keyword was used. Moreover the tsunami publication patterns in the first 8 months after the Indonesia tsunami occurred on 26 December 2004 indicated a high percentage of non-article publications and more documents being published in journals with higher impact factors.     

Contributions of empirical research to medical ethics

Empirical research pertaining to cardiopulmonary resuscitation (CPR), clinician behaviors related to do-not-resuscitate (DNR) orders and substituted judgment suggests potential contributions to medical ethics. Research quantifying the likelihood of surviving CPR points to the need for further philosophical analysis of the limitations of the patient autonomy in decision making, the nature and definition of medical futility, and the relationship between futility and professional standards. Research on DNR orders has identified barriers to the goal of patient involvement in these life and death discussions. The initial data on surrogate decision making also points to the need for a reexamination of the moral basis for substituted judgment, the moral authority of proxy decision making and the second-order status of the best interests standard. These examples of empirical research suggest that an interplay between empirical research, ethical analysis and policy development may represent a new form of interdisciplinary scholarship to improve clinical medicine.     

Endothelin-1 concentrations and optimisation of arterial oxygenation and venous admixture by selective pulmonary artery infusion of prostaglandin E1 during thoracotomy

PURPOSE: To demonstrate a superselective intraarterial chemotherapy as a therapeutic alternative in the treatment of previously treated recurrent lymph node metastases in breast cancer. METHODS: 14 patients with recurrent lymph node metastases in cases of breast cancer were presented to be treated by intraarterial chemotherapy of 25 mg mitoxantrone/m2 over a period of 24 hours. In two patients with superclavicular lymph node involvement an intraarterial therapy could not be carried out because of a vascular connection to the anterior spinal artery. Involved lymph stations could be reached in superselective technique by side branches of the subclavian artery. Heparin coverage was given intravenously. Every patient had had surgery, radiation, systemic chemo- and hormonal therapy before and was now graded as inoperable. Therapy indication was given by local tumour-induced symptoms. RESULTS: In the 12 treated cases complete remission was seen in three, partial remission in 4, a steady state in two and a progressive disease in three. There were no complications or severe side effects. CONCLUSION: Intraarterial chemotherapy is an effective and well tolerated treatment in recurrent lymph node metastases in cases of breast cancer even if conventional therapies can no longer be used.     

Substrate transport and cocaine binding of human dopamine transporter is reduced by substitution of carboxyl tail with that of bovine dopamine transporter

A chimeric dopamine transporter (DAT) cDNA encoding mutant human DAT (hDAT) protein in which the intracellular carboxyl-terminal tail is replaced by that of the bovine dopamine transporter (bDAT) was constructed. The chimeric hDAT cDNA was expressed in COS-7 cells, and [3H]dopamine and [3H]MPP+ uptake and [3H]CFT binding capacities were assessed. Substrate transport and ligand binding of bDAT were reduced by 32-43% as a result of substitution of the carboxyl tail in hDAT, suggesting that the functional characteristics of bDAT arise from differences in the carboxyl tail between human and bovine DAT. Thus, it appears that the sequences encoded within the carboxyl terminal of DAT would be one of the important determinants for its functions.     

On the coherent interference suppression using a spatiallysmoothing adaptive array

The behavior of a spatially smoothing adaptive array is examined. An expression for the weight vector is first derived. Using the array gain on the desired signal and the coherent interference is obtained. Then the expression for output signal-to-noise (SNR) is derived. It shows that the performance of the spatially smoothing array depends on the number of the subarrays, the angle separation, relative power and initial phase difference between the desired signal and the coherent interference. For good interference suppression it is found that the magnitude of the phase difference of the incident and interference signals must be greater than the beamwidths of both the subarray and the equivalent array. There is also a tradeoff between increasing the groups of subarrays and decreasing the number of elements in the subarrays. Computer simulation results are given that validate the analysis