Primary (granulomatous) angiitis of the central nervous system with multiple aneurysms of spinal arteries. Case report

A 55-year-old woman with primary (granulomatous) angiitis of the central nervous system in association with non-Hodgkin's lymphoma (mucosa-associated lymphoid tissue type) presented with an acute spinal subdural hemorrhage secondary to rupture of one of several fusiform inflammatory aneurysms of the spinal cord radicular arteries. The literature on hemorrhagic complications, aneurysms, and spinal cord involvement in granulomatous angiitis is reviewed. Recognition of granulomatous angiitis is important, as the condition may be responsive to immunosuppressive therapy.     

A phase I-II study of paclitaxel, ifosfamide, and vinorelbine with filgrastim (rhG-CSF) support in advanced non-small-cell lung cancer

PURPOSE: We designed a phase I-II trial of three active agents, paclitaxel, ifosfamide, and vinorelbine, in advanced non-small-cell lung cancer (NSCLC) to: 1) define the dose-limiting toxicities (DLT) and maximum tolerated dose (MTD) of paclitaxel with filgrastim (G-CSF) support; and 2) determine the overall response rate and median survival of patients treated on this regimen. PATIENTS AND METHODS: We treated cohorts of patients with stage IIIB or IV NSCLC with ifosfamide 1.2-1.6 g/m2/day x 3 and vinorelbine 20-25 mg/m2/day x 3 and escalating doses of paclitaxel at 100-175 mg/m2 on day 2 with G-CSF support on a 21-day cycle. One prior experimental single-agent chemotherapy regimen was allowed. RESULTS: Fifty-six patients, were enrolled on this trial: 27 on the phase I portion of the study and an additional 29 at the recommended phase II dose (RPTD). Thirteen patients had received prior chemotherapy. Paclitaxel doses of 175 mg/m2 and 150 mg/m2 produced dose-limiting myelosuppression, and the RPTD was determined to be paclitaxel 135 mg/m2 with ifosfamide 1.2 g/m2/day on days 1-3 and vinorelbine 20 mg/m2/ day on days 1-3 with G-CSF support. The overall response rate was 18%, with a median survival of 6.1 months. Six of 35 patients (17%) treated at the RPTD achieved a partial response to therapy. Grade IV neutropenia was observed in 19 of 35 patients at this dose, with eight patients suffering febrile neutropenia. CONCLUSIONS: This non-cisplatin-containing three-drug regimen has substantial toxicity and low activity in advanced NSCLC, and does not seem to improve on prior regimens. It is unclear whether the lack of efficacy relates to an antagonistic reaction between the specific drugs, administration schedule, or to subtherapeutic doses of the individual agents.     

The directional effects of passive eye movement on the directional visual responses of single units in the pigeon optic tectum

We have investigated the visual responses of 184 single units located in the superficial layers of the optic tectum (OT) of the decerebrate, paralysed pigeon. Visual responses were similar to those reported in non-decerebrate preparations; most units responded best to moving visual stimuli, 18% were directionally selective (they had a clear preference for a particular direction of visual stimulus movement), 76% were plane-selective (they responded to movement in either direction in a particular plane). However, we also found that a high proportion of units showed some sensitivity to the orientation of visual stimuli. We examined the effects of extraocular muscle (EOM) afferent signals, induced by passive eye movement (PEM), on the directional visual responses of units. Visual responses were most modified by particular directions of eye movement, although there was no unique relationship between the direction of visual stimulus movement to which an individual unit responded best and the direction of eye movement that caused the greatest modification of that visual response. The results show that EOM afferent signals, carrying information concerning the direction of eye movement, reach the superficial layers of the OT in the pigeon and there modify the visual responses of units in a manner that suggests some role for these signals in the processing of visual information.     

Reliability Potential Of Epoxy Based Encapsulants For Automotive Applications

Automotive under-the-hood electronics often have to withstand temperatures up to 175 °C in combination with harsh environment conditions. This paper gives an overview about the reliability potential of epoxy based encapsulants for automotive applications. Therefore the resistance of epoxy molding compound against typical automotive fluids at temperature of use is analyzed. Six epoxy molding compounds available on the market, showing high temperature automotive potential have been carefully selected to undergo a media resistance testing. For this purpose a dedicated mold tool has been designed and manufactured to prepare these encapsulants for material testing. Thermo-mechanical, mechanical and thermal properties had been determined in initial state directly after molding and after storage in aggressive fluids typical for automotive applications as e.g. gas oil, automatic transmission fluid (ATF), brake fluid or accumulator acid at the respective temperature of use.     

A versatile data acquisition system for time resolved X-ray scattering using gas proportional detectors with delay line readout

A data acquisition system for time resolved X-ray scattering experiments using linear, quadrant or area gas proportional detectors with delay line readout based on commercially available hardware (National Instruments) is described. The system can easily be configured for recording data from point detectors (e.g. photomultipliers and photodiodes) and/or ancillary data only. Applications involving measurements with two different types of time to digital converters illustrate the features and performances of the system.     

Fluoride catalysis at 175°C. of the reaction: Glycerol plus fatty acid

1. In uncatalyzed reactions the esterification of stearic, oleic, and linolenic acid proceeded at the same general rate though the speed was somewhat enhanced as the degree of unsaturation of the fatty acid increased. None of the reactions went to completion, after 15 hours being 72%, 83%, and 84%, respectively, completed. Only a small fraction of the distearate was converted to the triglyceride; a greater amount of the dioleate was esterified to the trioleate and about half the dilinolenate was changed to the trilinolenate.
2. Of 15 metallic fluorides studied, all afforded some catalysis, but only antimony trifluoride and zinc and cobalt fluorides were outstanding. Antimony trifluoride was the most active although in large amount it caused severe decomposition and charring of the products. Zinc fluoride had the best general properties, approaching antimony trifluoride yet causing practically no decomposition even in high concentration. Its activity was enhanced with an increase in amount, the best concentration apparently being 0.1 mole per 100 grams fatty acid. Antimony trifluoride was also better in larger amount within limits, but cobalt fluoride did not exhibit this property.
3. With zinc fluoride as catalyst the reactions of stearic, oleic and linolenic acids after 15 hours were 95%, 94%, and 92%, respectively, completed. At least three-fourths of the diglycerides were converted to triglycerides. From a study of reaction velocities, zinc fluoride caused the monoglyceride to form at a rate approximately four times that of the uncatalyzed reaction and the diglyceride at a six-fold rate. The triglyceride was formed at an almost undiminished rate whereas in the uncatalyzed reaction the formation of triglyceride was diminished rapidly.
4. Unsaturation and viscosity were not affected seriously in the presence of the fluorides except antimony trifluoride. Certain other fluorides caused severe darkening but without accompanying serious decomposition.

     

Terahertz characterisation of building materials

To obtain realistic models for propagation channels in future pico-cellular indoor terahertz communication systems it is necessary to know the reflective properties of building materials found in a typical office environment. The angular dependent reflection coefficients of different building materials were determined using terahertz time-domain spectroscopy in transmission geometry and Fresnel's equations. This approach is more efficient than a set of measurements in reflection geometry for different angles. Verification of the method with a set of such reflection measurements shows an excellent agreement.     

Interleukin-2 enhancement of cytotoxicity by humanized monoclonal antibody M195 (anti-CD33) in myelogenous leukemia

The mass childhood immunization programme has traditionally been viewed as a safe and effective preventative measure by health promoters, primary health care professionals and governments. This consensus has meant that immunization has rarely been viewed as ethically problematic. A number of recent changes in the context of the delivery of health care, particularly the emphasis on consumerism and the effect of the marketization of services, makes timely an examination of ethical, social and political issues. This article examines four main grounds for problematizing the mass childhood immunization programme. These are: clinical research evidence about the safety and efficacy of vaccines; the masking of wider social and political determinants of ill health; the contradictory strictures about collective and individual rights in relation to immunization; and the uniqueness of childhood immunization as a physical intrusion into a healthy body. The implications of these ethical issues are discussed in relation to informed consent and the need for a 'greenfield' review that includes the views of dissenting parents, lawyers and moral philosophers, as well as health professionals.