Intravenous cyclosporine for severe attacks of ulcerative colitis: a survey of Canadian gastroenterologists

A single randomized trial evaluated the use of intravenous cyclosporine treatment for severe attacks of ulcerative colitis. The perceived efficacy and safety of this intervention were measured through a survey of the membership of the Canadian Association of Gastroenterology (CAG). METHODS: All CAG members were mailed a survey with questions regarding their familiarity with the data supporting the use of cyclosporine, their perception of the efficacy and toxicity of the drug, and whether patients who fail conventional treatment should receive this therapy. The proportion of respondents who had used cyclosporine to treat severe ulcerative colitis was determined. RESULTS: One hundred and sixty-one responses were received (34% response rate). Sixty-four per cent of respondents were academic faculty members and 82% treated patients with severe colitis. Using multivariate analyses, positive associations were found between the respondents' age (P = 0.004) and subspecialty training in gastroenterology (P = 0.001), and whether respondents treat patients with severe ulcerative colitis. Twenty-six per cent of individuals had prescribed cyclosporine for this indication, of whom 88% were in academic practice (P = 0.007). Over 90% of respondents believe that further clinical trials are needed before cyclosporine becomes accepted as standard therapy. CONCLUSIONS: Although the use of cyclosporine is measurable among Canadian gastroenterologists, the majority believe that further clinical trials are necessary before the drug is accepted as a standard therapy.     

Promoting Software Reuse Using Self Organizing Maps

Reusability of software, regardless of its utilizing technique, is widely believed to be a promising means for improving software productivity and reliability. However it is not practiced adequately due to the lack of techniques that facilitate the locating of reusable components that are functionally close. In this paper we apply Kohonen's Self-Organizing Maps to develop an approach for promoting Software Reuse. We look at the details of how Self-Organization can arrange and regularize data from the original pattern space into a topology preserving map. We describe a practical implementation of the SOM methodology for Software Reuse using a database of UNIX commands. And finally we briefly present our proposed Software Reuse Methodology.     

Pricing decisions for three-echelon supply chain with advertising and quality effort-dependent fuzzy demand

Simultaneous influence of market power structure, advertising and quality efforts on the optimal pricing decisions and performance of a multi-echelon supply chain under uncertainty have received scant attention in the literature. We focus on this gap by examining a serial decentralised three-echelon supply chain consisting of a supplier, a manufacturer and a retailer. The uncertainty associated with customer demand, marginal production costs and effort costs is expressed as linguistic or fuzzy variables. We analyse centralised supply chain to obtain all benchmark parameters. We investigate four decentralised supply chain cases through fuzzy game theoretic approach. We compare among three Stackelberg games with various supply chain leaderships and a vertical Nash. Our key findings are as follows. First, the manufacturer puts least quality effort while retailer puts least advertising effort when they act as Stackelberg leader in a three-echelon supply chain. Second, supplier's per unit price is governed by the channel leadership in three-echelon supply chain while retail prices are less affected by the leadership. We investigate the impact of fuzzy degree of quality and advertising sensitivity on optimal profit distribution among agents. We present numerical analysis to illustrate the importance of the derived theoretical results and discuss additional managerial insights.     

Control of interface nanoscale structure created by plasma-enhanced chemical vapor deposition

Tailoring the structure of films deposited by plasma-enhanced chemical vapor deposition (PECVD) to specific applications requires a depth-resolved understanding of how the interface structures in such films are impacted by variations in deposition parameters such as feed position and plasma power. Analysis of complementary X-ray and neutron reflectivity (XR, NR) data provide a rich picture of changes in structure with feed position and plasma power, with those changes resolved on the nanoscale. For plasma-polymerized octafluorocyclobutane (PP-OFCB) films, a region of distinct chemical composition and lower cross-link density is found at the substrate interface for the range of processing conditions studied and a surface layer of lower cross-link density also appears when plasma power exceeds 40 W. Varying the distance of the feed from the plasma impacts the degree of cross-linking in the film center, thickness of the surface layer, and thickness of the transition region at the substrate. Deposition at the highest power, 65 W, both enhances cross-linking and creates loose fragments with fluorine content higher than the average. The thickness of the low cross-link density region at the air interface plays an important role in determining the width of the interface built with a layer subsequently deposited atop the first.     

Ubiquitous computing: connecting Pervasive computing through Semantic Web

Ubiquitous computing refers to building a global computing environment where seamless and invisible access to computing resources is provided to the user. Pervasive computing deals with acquiring context knowledge from the environment and providing dynamic, proactive and context-aware services to the user. A Ubiquitous computing environment is created by sharing knowledge and information between Pervasive computing environments. In this paper we propose a framework that uses the potential of the Semantic Web to weave Pervasive computing environments into a Ubiquitous computing environment. We discuss how the collaboration of these Pervasive environments can create an effective Ubiquitous computing environment referred herein as the Integrated Global Pervasive Computing Framework (IGPF). We test the effectiveness of the Ubiquitous environment through a small scenario from a prototype system that we have implemented over this framework to handle medical emergency scenario.     

Simulation study of the effect of wall roughness on the dynamics of granular flows in rotating semicylindrical chutes

A discrete element model (DEM) is used to investigate the behavior of spherical particles flowing down a semicylindrical rotating chute. The DEM simulations are validated by comparing with particle tracking velocimetry results of spherical glass particles flowing through a smooth semicylindrical chute at different rotation rates of the chute. The DEM model predictions agree well with experimental results of surface velocity and particle bed height evolution. The validated DEM model is used to investigate the influence of chute roughness on the flow behavior of monodisperse granular particles in rotating chutes. To emulate different base roughnesses, a rough base is constructed out of a square close packing of fixed spherical particles with a diameter equal to, smaller, or larger than the flowing particles. Finally, the DEM model is used to study segregation in a binary density mixture for different degrees of roughness of the chute. © 2015 American Institute of Chemical Engineers AIChE J, 61: 2117–2135, 2015     

Double emulsion‐encapsulated guggul exhibits improved in vivo hypocholesterolaemic action in rats

Guggul tree or Commiphora mukul is a small thorny herb having remarkable hypocholesterolaemic properties. Its therapeutic effects are because of its biocomponent guggulsterones, especially guggulsterone E and Z. In this research, double emulsion‐based spread was tried to improve the bioavailability of the herb guggul in in vivo rat model. The effect of the different diets with encapsulated and nonencapsulated guggul was evaluated and compared after 6 weeks, based on the final body weight and analysis of organs, serum and faeces of normal and hypercholesterolaemic (H) rats. It was evident from the results that double emulsion‐encapsulated guggul showed better control on weight of H rats (25.98% lower), inhibition of HMG CoA reductase (3.95 times less) activity and reduction in atherosclerotic index (47.2%), as compared to diet with unencapsulated guggul. Encapsulation of guggul also improved faecal excretion of bile acids, lipids and total cholesterol in H and normal rats.     

Geometric optimization of trapezoidal thermoelectric heat pump considering contact resistances through genetic algorithm

An alternate option for improving the performance of the thermoelectric heat pump (TEHP) is the variation in thermoelectric leg configuration. In this paper, the thermodynamic model based on first and second law of thermodynamics for an exoreversible TEHP including influence of Thomson effect as well as leg geometry on the coefficient of performance and heating load of the device has been developed and optimized. Modified expressions have been derived analytically for dimensionless heating load, irreversibilities, figure of merit, energy, and exergy efficiency. The effects of operating and geometry parameters such as shape parameter (A_c/A_h), temperature ratio (T_c/T_h), Thomson effect, thermal and electrical contact resistances on the coefficient of performance, and heating load of the TEHP have been analysed. The results indicate that the Thomson effect has adverse effect on heating load of the system. The optimal parameters obtained through GA optimization process have been compared with the optimal parameters obtained through analytical method which proved the validity of GA optimization method for optimization of TEHP. After the testing, the GA optimization has been performed to determine the optimum parameters corresponding to maximum energy efficiency and maximum heating load. It was found that the GA population converges quickly after 20 runs only which proved the GA as time and cost‐effective optimization tool. This study will be useful for designing of practical TEHP systems of different leg geometries.