Leg function after radiotherapy for Ewing's sarcoma

Twenty-nine patients with Ewing's sarcoma of the lower extremity who survived for two or more years following therapy (5000 rad locally and systemic chemotherapy) were studied to assess functional status of the affected leg. Twenty-two of twenty-nine were alive and were reexamined; the deceased patients were evaluated by record review. Twenty-two of the twenty-nine had serial radiographs, which were reviewed to assess growth change induced by radiation. The living patients were divided on the basis of clinical examination into four functional groups with Group I comprising patients with minor functional limitations and leg length discrepancy 1.5 cm or less. Group II patients had moderate functional limitations with 2.5-cm leg-length discrepancy or less. Group III patients had severe functional limitations with up to 4-cm leg length discrepancy. Group IV patients had severe complications, sufficient enough to warrant amputation. Thirteen of twenty-two patients were classified as functional Group I, five as Group II, three as Group III, and one as Group IV. Radiographic changes in growing bone did not correlate with functional results. Although a femoral fracture and an age less than 16 years at diagnosis were found to be less favorable prognostic factors for the functional treatment result, these results show that neither femoral location nor young age justify primary amputation for Ewing's sarcoma of the lower leg extremity.     

A multi-standby multi-failure mode system with repair and replacement policy

This paper investigates the mathematical model of a system composed of (m + 1) non identical units—one functioning and m standby. Each unit of the system has three possible states—normal, degraded and failed. We consider two types of repair facilities—overhaul and minor repair. The system breaks down when the (m + 1)th unit after total failure is finally rejected and no standby remains to replace it. Several reliability characteristics of interest to system designers as well as operations managers have been computed. Results obtained earlier are verified as particular cases.     

Microwave Studies on Strontium Ferrite Based Absorbers

Single layer microwave absorbers based on strontium ferrite-epoxy composites have been fabricated and their reflection loss characteristics studied in the X-band (8–12.4 GHz) of microwave frequencies. Permittivity (_r – j_r) and permeability (_r – j_r) of Co and Ti added strontium ferrite SrCo _x Ti _x Fe_{12 – 2x} O₁₉ (x = 0.1 to 0.9 in steps of 0.2), have been measured. Thickness of the absorber is an important criterion influencing the absorption characteristics. Composites of 3 mm thickness are found to absorb over a reasonable range of X-band frequencies. A minimum reflection loss of –36.5 dB is observed for the composite with x = 0.3.     

Facile Preparation of Multifunctional WS2/WOx Nanodots for Chelator‐Free 89Zr‐Labeling and In Vivo PET Imaging

While position emission tomography (PET) is an important molecular imaging technique for both preclinical research and clinical disease diagnosis/prognosis, chelator‐free radiolabeling has emerged as a promising alternative approach to label biomolecules or nanoprobes in a facile way. Herein, starting from bottom‐up synthesized WS₂ nanoflakes, this study fabricates a unique type of WS₂/WO_x nanodots, which can function as inherent hard oxygen donor for stable radiolabeling with Zirconium‐89 isotope (⁸⁹Zr). Upon simply mixing, ⁸⁹Zr can be anchored on the surface of polyethylene glycol (PEG) modified WS₂/WO_x (WS₂/WO_x‐PEG) nanodots via a chelator‐free method with surprisingly high labeling yield and great stability. A higher degree of oxidation in the WS₂/WO_x‐PEG sample (WS₂/WO_x (0.4)) produces more electron pairs, which would be beneficial for chelator‐free labeling of ⁸⁹Zr with higher yields, suggesting the importance of surface chemistry and particle composition to the efficiency of chelator‐free radiolabeling. Such ⁸⁹Zr‐WS₂/WO_x (0.4)‐PEG nanodots are found to be an excellent PET contrast agent for in vivo imaging of tumors upon intravenous administration, or mapping of draining lymph nodes after local injection.     

Dynamic adaptive autonomy in multi-agent systems

Multi-agent systems require adaptability to perform effectively in complex and dynamic environments. This article shows that agents should be able to benefit from dynamically adapting their decision-making frameworks. A decision-making framework describes the set of multi-agent decision-making interactions exercised by members of an agent group in the course of pursuing a goal or set of goals. The decision-making interaction style an agent adopts with respect to other agents influences that agent's degree of autonomy. The article introduces the capability of Dynamic Adaptive Autonomy (DAA), which allows an agent to dynamically modify its autonomy along a defined spectrum (from command-driven to consensus to locally autonomous/master) for each goal it pursues. This article presents one motivation for DAA through experiments showing that the ‘best’ decision-making framework for a group of agents depends not only on the problem domain and pre-defined characteristics of the system, but also on run-time factors that can change during system operation. This result holds regardless of which performance metric is used to define ‘best’. Thus, it is possible for agents to benefit by dynamically adapting their decision-making frameworks to their situation during system operation.     

Psychological disorder and mortality in French older adults: do social relations modify the association?

The possible modifying effect of social relations on the association between depression and mortality was examined in a community-based cohort study. A total of 3,777 randomly selected persons 65 years of age and older in southwest France were followed over a 5-year period from 1988 in the Personnes Agees Quid (PAQUID). At study entry, the prevalence of elevated depressive symptomatology was 12.9% for men and 14.7% for women, and the reported relative isolation was 14.1% for men and 26.0% for women. During a total of 16,984 person-years of follow-up, 849 deaths occurred. Among participants with high levels of depressive symptomatology, the age-adjusted mortality rate ratio was 2.10 (95% confidence interval 1.7-2.7) in men and 1.76 (95% confidence interval 1.4-2.3) in women. When compared with individuals with the most connections, men and women with few social network connections were also at increased risk of mortality: age-adjusted rate ratio = 2.69 (95% confidence interval 1.9-3.8) for men and 1.56 (95% confidence interval 1.0-2.4) for women. Satisfaction with social support had a small but nonsignificant effect on mortality risk. For women, the excess risks due to depressive symptoms and few network connections are observed only in the 65- to 74-year age group, after adjusting for health and health behaviors. Social relations did not significantly modify the depression-mortality associations for either men or women, although the depression-mortality effect was reduced by 12.8% in men. The latter findings do not appear to be compatible with the buffering hypothesis, whereby we would expect social relations to decrease the depression-mortality association. Nonetheless, there are independent effects from these two factors, and older men who are depressed and not socially connected are at increased risk of dying earlier.     

Design considerations for crossing channel switches

Theoretical and experimental design considerations for single-mode-crossing switches at the wavelength of 1.32 μm are presented. The dependence of extinction ratio on branch angle for the extended electrodes and the estimation of fabrication tolerances of the crossing channel structure are discussed. It is also shown that crossing channel devices required a precise control of fabrication parameters     

Immobilization of acrylamide-modified oligonucleotides by co-polymerization

A flexible chemistry for solid phase attachment of oligonucleotides is described. Oligonucleotides bearing 5'-terminal acrylamide modifications efficiently co-polymerize with acrylamide monomers to form thermally stable DNA-containing polyacrylamide co-polymers. Co-polymerization attachment is specific for the terminal acrylamide group. Stable probe-containing layers are easily fabricated on supports bearing exposed acrylic groups, including plastic microtiter plates and silanized glass. Attachment can be accomplished using standard polyacrylamide gel recipes and polymerization techniques. Supports having a high surface density of hybridizable oligonucleotide (approximately 200 fmol/mm2) can be produced.     

Application of dried blood spot specimens for serologic subtyping of human immunodeficiency virus type 1 in Thailand

Dried blood spot (DBS) specimens were assessed as an alternative to plasma for human immunodeficiency virus type 1 (HIV-1) serotyping by V3 loop peptide enzyme immunoassay. Nested PCR capable of distinguishing HIV-1 subtypes B and E was used as the reference standard. Ninety-two percent of DBS samples were typeable as either HIV-1 subtype B or E. Serotype results with DBS and plasma were identical for 254 of 257 specimens. A simple DBS collection method provides a convenient alternative for conducting HIV-1 serotype surveillance while retaining sensitivity and specificity.     

Dependence of interconnection delays on driving mechanism for GaAs-based VLSI

The dependence of interconnection delays on several different methods has been examined for GaAs-based VLSI.