The use of controlled-release oxycodone for the treatment of chronic cancer pain: a randomized, double-blind study

1. We have studied the effects of muscarinic cholinoceptor agonists and subtype-preferring antagonists on the isometric contraction of smooth muscle strips from dog prostate. 2. Acetylcholine and carbachol induced contraction of prostate strips from the peripheral zone, ('the capsule'). Bethanechol contracted the tissue but not at lower doses. McN-A-343 and oxotremorine-M showed the same effects. 3. Blocking alpha- and beta-adrenoceptors with phentolamine and propranolol, respectively, did not modify carbachol-induced contractions. 4. The nicotinic receptor blocker, hexamethonium (10(-6)-10(-4) M) did not affect the contractile response evoked by a single dose of carbachol (10(-5) M), whilst the muscarinic receptor antagonist, atropine (10(-11)-10(-9) M), inhibited it in a competitive manner. 5. The muscarinic M1 (pirenzepine), M2 [AF-DX 116, himbacine (M2/M4) and methoctramine], M3 (HHSID and f-F-HHSID), and putative M4 (tropicamide) antagonists reduced significantly the carbachol-induced contractions. The pIC50 values were: atropine (10.01) > himbacine (8.3) > methoctramine (7.85) > AF-DX 116 (7.60) > HHSID (7.21) > p-F-HHSID (7.10) > pirenzepine (7.30) > tropicamide (7.00). 6. The antagonist profile indicates that an predominant M2 receptor subtype could mediate the muscarinic contraction in the canine prostate.     

Intracranial hemorrhage associated with idiopathic thrombocytopenic purpura: report of seven patients and a meta-analysis

We present the results of a meta-analysis using clinical data obtained from seven of our patients and 24 previously reported patients with idiopathic thrombocytopenic purpura complicated by intracranial hemorrhage. Twenty-four had an intracerebral hemorrhage (ICH) and seven had a subdural hematoma (SDH). Mean age of the patients with ICH was significantly younger than those with SDH. The mortality rate of ICH associated with ITP was similar to that of spontaneous ICH. All seven patients with SDH improved without sequelae.     

Induced magnetic fields as evidence for subsurface oceans in Europa and Callisto

The Galileo spacecraft has been orbiting Jupiter since 7 December 1995, and encounters one of the four galilean satellites-Io, Europa, Ganymede and Callisto-on each orbit. Initial results from the spacecraft's magnetometer have indicated that neither Europa nor Callisto have an appreciable internal magnetic field, in contrast to Ganymede and possibly Io. Here we report perturbations of the external magnetic fields (associated with Jupiter's inner magnetosphere) in the vicinity of both Europa and Callisto. We interpret these perturbations as arising from induced magnetic fields, generated by the moons in response to the periodically varying plasma environment. Electromagnetic induction requires eddy currents to flow within the moons, and our calculations show that the most probable explanation is that there are layers of significant electrical conductivity just beneath the surfaces of both moons. We argue that these conducting layers may best be explained by the presence of salty liquid-water oceans, for which there is already indirect geological evidence in the case of Europa.     

Differential expression and distribution of focal adhesion and cell adhesion molecules in rat hepatocyte differentiation

The present study has examined the distribution of axons of differing sizes in the optic pathway of the ground squirrel. Axon diameters were measured from electron micrographs at various locations across sections of the optic nerve and tract, and total distributions and numbers were estimated. In both the nerve and tract, roughly 1.2 million optic axons were present. The population of optic axons had a unimodal size distribution, peaking at 0.9 microm in diameter and having an extended tail toward larger diameters. Local axon diameter distributions in the optic tract indicated distinct (though partially overlapping) axon diameter classes, including one of fine sizes peaking at 0.8-0.9 microm, a second of medium sizes peaking around 1.7-1.8 microm, and a third composed of the larger fibers with diameters up to 4.8 microm. The fine-caliber axons were found at all locations in the tract, and were the only axons present immediately adjacent to the pia, while the medium- and coarse-caliber axons were found at deeper locations. Curiously, the larger axons were found primarily in the medial parts of the tract, where axons from the dorsal retina normally course. A similarly restricted distribution of the larger axons was observed in the dorsotemporal parts of the optic nerve, suggesting that this difference in the tract may relate to an asymmetric distribution of ganglion cells on the retina giving rise to these axons. Measurements of axonal size taken within the optic fiber layer in dorsal and ventral parts of the retina confirmed this asymmetry, consistent with previous demonstrations of soma size differences in the dorsal versus ventral retina. The partial segregation of axons by size in the optic tract of the ground squirrel then reflects both the asymmetric distribution of retinal ganglion cell classes and the chronotopic reordering of optic axons that occurs within the chiasmatic region.     

The association of intra-abdominal infection and abdominal wound dehiscence

Concurrent infection is a risk factor for abdominal wound dehiscence. We reviewed our experience with fascial dehiscence to determine the incidence and to identify prognostic factors for associated intra-abdominal infection. Over a 7-year period, 107 patients with abdominal wound dehiscence were identified. Seventeen were managed nonoperatively, and 90 underwent exploratory laparotomy, 43 of whom had no intra-abdominal pathology and 47 of whom had intra-abdominal infections. Demographic factors, comorbid diseases, and potential indicators of systemic infection did not distinguish patients with intra-abdominal infection from those without. Patients with an intra-abdominal infection were more likely to have undergone an emergency operation (74% vs 48%; P < 0.02), an operation on the colon (55% vs 25%; P < 0.005), or an operation with a higher wound classification (P < 0.02). Mortality was higher in patients with intra-abdominal infection than in those without (44% vs 20%; P < 0.02). Wound dehiscence after emergent operations, and operations with a higher wound classification, especially those involving the colon, should raise concern for intra-abdominal infection. Thorough abdominal exploration should be performed at the time of dehiscence repair. Before nonoperative management is chosen, intra-abdominal infection should be excluded.     

Lipids in soil

As much as 20% of soil humus occurs in the form of lipids. High values are characteristic of Podzol soils and highmoor peats. Lipids of the following types are known to be present: paraffin hydrocarbons, phospholipids, fats, waxes, fatty acids, and terpenoids. A long list of compounds have been reported; the identification of many of them require confirmation using modern analytical techniques. Some of the lipids known to occur in soil have phytotoxic properties; these may have a depressing effect on seed germination and on root and shoot growth. Waxes and similar materials may be responsible for the difficultly wettable condition of certain sands.     

A simplified method for analyzing mold filling dynamics. Part II: Extensions and comparisons with experiment

A dimensional analysis based on four parameters has been developed previously to predict injection pressure; clamp force, and bulk temperature for the injection molding of amorphous materials in center-gated disk-shaped cavities. In this paper geometric and semicrystalline-materials approximations are introduced and tested for extending the previous analysis to include multigated thin cavities and semicrystalline materials. The combination of these approximations and the previous analysis, known hereafter as the Radial Flow Method (RFM), greatly simplifies the analysis of mold filling. The geometric approximation, which is based on a simple model for the axial stress distribution in the cavity, is shown to give reasonable predictions when compared with experimental data and a numerical two-directional flow simulation for the filling of an off-center-gated rectangular cavity with acrylonitrilebutadiene-styrene copolymer (ABS). The semicrystallinematerials approximation, in which heat capacity and viscosity changes during crystallization are neglected, is shown to give good agreement with experimental data for the filling of a center-gated disk-shaped cavity with polypropylene. As an illustration, the Radial Flow Method is used to analyze the molding of a large, thin-wall automobile interior trim panel. The inlet melt temperature, mold-wall temperature, part thickness, injection rate, viscosity and gate locations are varied in a series of calculations to determine the relative effectiveness of these variables in lowering the injection pressure and Clamp force. The results obtained with the Radial Flow Method are in good agreement with those obtained by a finiteelement simulation of two-directional flow.     

Preparation and characterization of polyelectrolyte copolymers containing methyl methacrylate and 2-hydroxyethyl methacrylate. I. Polymers based on methacrylic acid

Acidic polyelectrolyte copolymers containing 2-hydroxyethyl methacrylate (HEMA), methyl methacrylate (MMA), and methacrylic acid (MAA) were prepared by free radical polymerization to high conversion in solution. Copolymer yields were obtained by gravimetry (all in the 30–50% range), relative molecular weights estimated by intrinsic viscosity measurements (all in the 50–70 cc/g range), tacticity by ¹³C nuclear magnetic resonance (NMR) spectroscopy (all polymers predominantly syndiotactic with some atactic content), and composition by acid/base titrations in conjunction with ¹H-NMR spectroscopy (all close to the monomer charge ratios). Acid strengths or apparent pKa's were examined as a function of extent of ionization. Measurements performed in water indicated that the compact/extended coil transformation in predominantly syndiotactic polymethacrylic acid occurs also in copolymers of similar tacticity containing moderate to high concentrations of MAA. The apparent pKa of such polymers containing only small amounts of MAA did not vary with extent of ionization, indicating a low degree of interaction between the acid groups. In copolymer pairs containing similar amounts of MAA but differing HEMA and MMA contents, the polymer containing more HEMA appeared the stronger acid, presumably due to a better solvation of that polymer which would increase the net spatial charge–charge separation and decrease cooperative effects that lead to suppressed ionization.     

Card-based delivery date promising in pure flow shops with order release control

Card-based systems are simple, effective means of controlling production. Yet most systems concentrate on controlling the shop floor. They neglect other planning tasks, like estimating short, feasible due dates during customer enquiry management. A card-based version of the workload control concept for job shops – COBACABANA (COntrol of BAlance by CArd-BAsed Navigation) – was proposed in the literature to overcome this shortcoming. COBACABANA uses cards for due date setting and order release, making it a potentially important solution for small shops with limited resources. But many such firms operate as flow shops rather than job shops. Research demonstrated that COBACABANA’s release mechanism must be adapted if applied to a pure flow shop, but its approach to due date setting has not been evaluated in such an environment. We show COBACABANA has the potential to improve pure flow shop performance, but its due date setting procedure should be adapted compared to job shops. In a flow shop, due date estimation can also be further simplified by considering the load awaiting release to the first (gateway) station only while maintaining most performance benefits. The results are important for all card-based systems that aim to stabilise work-in-process, including kanban and ConWIP (Constant Work-in-Process).