High ratios of free to total insulin-like growth factor-I in early infancy

A case of huge desmoid tumor successfully treated by hyperthermoradiotherapy is described. A 23-year-old man with familial adenomatous polyposis was operated upon for a desmoid tumor in the mesenterium involving the right kidney and small intestine in 1988. In 1990, the tumor recurred and could not be resected because of the involvement of the vena cava. The tumor grew larger and larger, and occupied two-thirds of the right lower quadrant. Several therapies using sulindac, tamoxifen, prednisolone, indomethacin, luteinizing hormone-releasing hormone analogue, and ascorbate were all ineffective. Finally, the combination of radiation and hyperthermia was used over a 6-month period. At the end of the hyperthermoradiotherapy, the tumor in the abdominal wall was markedly reduced in size, and the protruded abdominal wall became flat. To our best knowledge, this is the first report of the successful treatment of a huge desmoid tumor by hyperthermoradiotherapy.     

Interconnection-free biomolecular computing

The basic concept of interconnection-free biomolecular computing and its realization in a computing model based on the massive, natural parallelism between enzymes and their substrates are described. An approach to implementing the model is presented. The approach involves two primitive switching functions: detecting specific substrates in solution using enzyme-based biosensors and producing specific substrates in response to the electric signal from the biodevice's selection function. The major challenges involved in implementing the computational model are reviewed     

High-reliability GaAs-AlGaAs HBTs by MBE with Be base doping andInGaAs emitter contacts

The authors have developed a modified MBE growth process to produce high-gain n-p-n GaAs-AlGaAs heterojunction bipolar transistors (HBTs) with a mean time to failure (MTTF) of 1.5×10⁸ h at 125°C. Beryllium incorporation and diffusion are controlled through a combination of reduced substrate temperature and increased As/Ga flux ratio during MBE growth, resulting in extremely stable HBT profiles. The authors also demonstrate graded InGaAs surface layers with nonalloyed refractory metal contacts that significantly improve ohmic reliability compared to alloyed AuGe contacts. The ability to produce robust HBTs by MBE is critically important to this technology     

Consent to treatment by minors attending accident and emergency departments: guidelines

The absolute right to refuse medical treatment, even if the reasons are irrational, is confined to competent adults. Children under 16 years can give legal consent to treatment in the absence of consent from those with parental responsibility. Children under 18 years do not, however, have an absolute right to consent, or refuse to consent, to treatment. The views of children assume increasing importance with age and maturity. Accident and emergency medical and nursing staff may face difficult decisions when children, or those with parental responsibility, refuse to consent to medical treatment. This paper presents guidelines designed to guide the decision making process in immediately or potentially life threatening conditions and in non-life-threatening conditions.     

On the detection of motion and the computation of optical flow

A method for the detection of motion in image sequences is presented. In this method, the intensity history at each pixel is convolved with the second derivative in time of a temporal Gaussian smoothing function. The zero crossings in a single frame of the resulting function indicate the positions of moving edges. Intensity changes in time due to illumination effects do not produce zero crossings; thus, they are not interpreted as motion by the present method. It is also shown that the spatial and temporal derivatives of this function can be used to compute the component of the optical flow that is normal to the zero-crossing contours. This computation is also insensitive to nonconvective temporal and spatial variations in the image intensity that are caused by illumination effects     

On the oxygen deficiency of high-T c Y1Ba2Cu3O7-µ ceramics

The role of oxygen deficiency in Y₁Ba₂Cu₃O_{7 ? μ} ceramics has been investigated by differential thermal analysis (DTA), differential thermogravimetry (DTG), linear thermal expansion (LTE), and by soft x-ray fluorescence spectroscopy (SXFS). The interdependence of the measured parameters and some of the stability criteria are discussed.     

Ductile-phase toughening and Fatigue-Crack Growth in Nb-Reinforced Molybdenum Disilicide Intermetallic Composites

A study has been made of the role of ductile-phase toughening on the ambient temperature fracture toughness and fatigue-crack propagation behavior of a molybdenum disilicide intermetallicmatrix composite reinforced with 20 vol pct niobium spheres. Using disk-shaped compact DC(T) samples, only moderate improvements (∼24 pct) in fracture toughnessK _lcvalues were found for the composite compared to the unreinforced MoSi₂ matrix material. Moreover, (cyclic) fatigue- crack propagation was seen at stress intensities as low as 75 to 90 pct ofK _Ic, with growth rates displaying a high dependency (∼14) on the applied stress-intensity range. The lack of significant toughening due to the incorporation of ductile Nb particles is associated with an absence of crack/particle interactions. This is attributed to the formation of a weak reaction-layer interface and elastic mismatch stresses at the crack tip between the Nb and MoSi₂, both factors which favor interfacial debonding; moreover, the spherical morphology of Nb phase stabilizes cracking around the particle. Results suggest that increasing the aspect ratio of the distributed Nb rein- forcement phase with attendant interfacial debonding and eliminating possible Nb-phase em- brittlement due to interstitial impurity contamination are critical factors for the successful development of tougher Nb/MoSi₂ structural composites. Formerly with McDonnell Formerly with McDonnell