Cisplatin plus oral etoposide in the treatment of patients with advanced small cell lung cancer. Japan Clinical Oncology Group

BACKGROUND: Etoposide is a highly schedule-dependent drug. We investigated combination chemotherapy of oral etoposide and intravenous cisplatin for small cell lung cancer (SCLC). METHODS: Fifty-seven patients with SCLC with extensive disease (ED) or limited disease (LD) with pleural effusion registered in the 21 institutions of the Japan Clinical Oncology Group were treated with oral etoposide 40 mg/m2/d for 21 days and cisplatin 80 mg/m2 on day 1 of every 28-period day. The entry period was between February 1992 and August 1995. The actual percentages of patients treated with etoposide were 93.6, 89.5, 92.3 and 96.9% in the first, second, third and fourth cycles, respectively. RESULTS: Nine patients (15.8%) achieved a complete response resulting in an overall response rate of 82.5% (95% confidence interval, 70.1-91.3%). Leukopenia and thrombocytopenia of grade 3 or 4 were observed in 36 (49.1%) and 8 (14.0%) patients, respectively. Anemia of grade 3 or 4 occurred in 28 (49.1%) patients. Nausea, vomiting, anorexia and alopecia were common adverse events. One patient died of hemoptysis due to grade 4 thrombocytopenia. The mean survival time was 47.0 weeks. CONCLUSIONS: This dose and schedule of administration of etoposide in combination with cisplatin are considered to be clinically active. However, prolonged gastrointestinal toxicity of oral etoposide was a problem in comparison with the standard etoposide platinum regimen given by intravenous administration.     

Maximizing learning without sacrificing the fun: Stealth assessment,adaptivity and learning supports in educational games

In this study, we investigated the validity of a stealth assessment of physics understanding in an educational game, as well as the effectiveness of different game-level delivery methods and various in-game supports on learning. Using a game called Physics Playground, we randomly assigned 263 ninth- to eleventh-grade students into four groups: adaptive, linear, free choice and no-treatment control. Each condition had access to the same in-game learning supports during gameplay. Results showed that: (a) the stealth assessment estimates of physics understanding were valid—significantly correlating with the external physics test scores; (b) there was no significant effect of game-level delivery method on students' learning; and (c) physics animations were the most effective (among eight supports tested) in predicting both learning outcome and in-game performance (e.g. number of game levels solved). We included student enjoyment, gender and ethnicity in our analyses as moderators to further investigate the research questions.     

Simple and powerful visual stimulus generator

We describe a cheap, simple, portable and efficient approach to visual stimulation for neurophysiology which does not need any special hardware equipment. The method based on an animation technique uses the FLI autodesk animator format. This form of the animation is replayed by a special program ('player') providing synchronisation pulses toward recording system via parallel port. The 'player is running on an IBM compatible personal computer under MS-DOS operation system and stimulus is displayed on a VGA computer monitor. Various stimuli created with this technique for visual evoked potentials (VEPs) are presented.     

The applications of the stark effect to the stabilization of the CO2 laser and the submillimeter laser

Methods based on the Stark effect are described for dither-free frequency stabilization of the optically pumped submm laser. The CO₂ pump laser was stabilized using a Stark Lamb dip signal of the submm lasant in an external Stark cell. An estimated frequency stability (Δf/f) better than ±1.4×10^?8, for one hour recording, was obtained by this method. The frequency of the submm laser was stabilized using the d.c. and a.c. Stark effects for a metal-dielectric rectangular waveguide laser. An estimated frequency stability of ±6×10^?8 was obtained for 119 μm line of CH₃OH laser for one hour recording.     

Ethnocultural identity and eating disorders in women of color.

A review of the literature on ethnocultural identity and eating disorders indicates a relationship between conflicted identity and eating disturbance. This article discusses that relationship by suggesting that eating disorders represent internalized means of oppression for women of color. Difficulties in diagnosis and treatment of eating disorders in women of color are identified. Suggestions for ways in which diagnosis, assessment, and treatment of eating disorders may become more culturally relevant and effective are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When do octopuses play? Effects of repeated testing, object type, age, and food deprivation on object play in Octopus vulgaris.

Studying play behavior in octopuses is an important step toward understanding the phylogenetic origins and function of play as well as the cognitive abilities of invertebrates. Fourteen Octopus vulgaris (7 subadults and 7 adults) were presented 2 Lego objects and 2 different food items on 7 consecutive days under 2 different levels of food deprivation. Nine subjects showed play-like behavior with the Lego objects. There was no significant difference in play-like behavior corresponding to food deprivation, age, and sex of the octopuses. The sequence of behaviors, from exploration to play-like behavior, had a significant influence on the establishment of play-like behavior, as it occurred mostly on Days 3-6 of the 7-day experiment. The pattern of development of play-like activities after a period of exploration and habituation in this study agrees with the hypothesis that object play follows object exploration. A homologous origin of this behavioral trait in vertebrates and invertebrates is highly unlikely, as the last common ancestor might not have had the cognitive capacity to possess this trait. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Formation of Gold Clusters on TiO2 from Adsorbed Au(CH3)2(C5H7O2): Characterization by X-ray Absorption Spectroscopy

Gold nanoclusters on TiO₂ powder were prepared from adsorbed Au^III(CH₃)₂(C₅H₇O₂) (dimethyl acetylacetonate gold(III)) and characterized by extended X-ray absorption fine structure (EXAFS) and X-ray absorption near edge structure (XANES) spectroscopies. The samples were tested as catalysts for CO oxidation at 298 K and atmospheric pressure and characterized by EXAFS and XANES with the catalysts in the working state. The XANES results identify Au(III) in the initially prepared sample, and the EXAFS data indicate mononuclear gold complexes as the predominant surface gold species in this sample, consistent with the lack of Au–Au contributions in the EXAFS spectrum. The mononuclear gold complex is bonded to two oxygen atoms of the TiO₂ surface at an Au–O distance of 2.16 Å. Treatment of this complex in He or in H₂ at increasing temperatures led to formation of metallic gold clusters of increasing size, ultimately those with an average diameter of about 15 Å. The data demonstrate the presence of metallic gold clusters in the working catalysts and also show these clusters alone are not responsible for the catalytic activity.     

New interpretation and management of dry lung syndrome: a case report

A premature female infant with life-threatening respiratory distress which was diagnosed as 'dry lung syndrome' is reported. The mother had 4 weeks of large volume leakage of the amniotic fluid due to premature rupture of the fetal membranes (PROM) at 23 weeks' gestation. The infant was born after 27 weeks' gestation (birthweight, 1016 g) and was suffering severe respiratory distress. Although a chest radiogram and gastric juice microbubble test did not improve the possibility of respiratory distress syndrome (RDS), very high ventilator settings did not improve her respiratory disorders. Considering the infant's deteriorating respiratory status and the prolonged leakage of the amniotic fluid, we suspected the presence of pulmonary hypoplasia. Although an attempt at high frequency oscillation (HFO) to rescue this infant had no effect, intratracheal instillation of epinephrine (EP) showed dramatic improvement of her respiratory status. This clinical course showed that the patient did not have pulmonary hypoplasia but might have severe airway obstruction and this airway obstruction may be the major cause of 'dry lung syndrome'. We postulate that when a newborn with suspected pulmonary hypoplasia is unresponsive to respiratory support. HFO should be administered. If HFO is ineffective in relieving the respiratory distress, one should suspect the presence of airway collapse and administer a bronchodilator such as EP. If the infant improves, a diagnosis of 'dry lung syndrome' may be assumed.     

Labor monitoring and indications for abortion and cesarean section in eye diseases--an overview

BACKGROUND: Management of labor and indications for abortion in ophthalmologic diseases are discussed controversially in literature. Overtreatment is still frequent. In diseases like pseudotumor cerebri, high myopia, retinal detachment, retinopathy in EPH-gestosis, uveal melanoma and diabetic retinopathy, the question for optimal management of labor or interruption rises mainly from gynaecologists. METHODS: In this review these conditions will be discussed with the literature--obtained by a medline-research. CONCLUSIONS: In the ophthalmologist's point of view--there are no indications for interruption or section caesarean in patients with above mentioned ophthalmologic diseases.     

Detection and localization of selected acoustic events in acoustic field for smart surveillance applications

A method for automatic determination of position of chosen sound events such as speech signals and impulse sounds in 3-dimensional space is presented. The events are localized in the presence of sound reflections employing acoustic vector sensors. Human voice and impulsive sounds are detected using adaptive detectors based on modified peak-valley difference (PVD) parameter and sound pressure level. Localization based on signals from the multichannel acoustic vector probe is performed upon the detection. The described algorithms can be employed in surveillance systems to monitor behavior of public events participants. The results can be used to detect sound source position in real time or to calculate the spatial distribution of sound energy in the environment. Moreover, the spatial filtration can be performed to separate sounds arriving from a chosen direction.