Ultrasound evaluation of piglet diaphragm function before and after fatigue

Clinically, a noninvasive measure of diaphragm function is needed. The purpose of this study is to determine whether ultrasonography can be used to 1) quantify diaphragm function and 2) identify fatigue in a piglet model. Five piglets were anesthetized with pentobarbital sodium and halothane and studied during the following conditions: 1) baseline (spontaneous breathing); 2) baseline + CO2 [inhaled CO2 to increase arterial PCO2 to 50-60 Torr (6.6-8 kPa)]; 3) fatigue + CO2 (fatigue induced with 30 min of phrenic nerve pacing); and 4) recovery + CO2 (recovery after 1 h of mechanical ventilation). Ultrasound measurements of the posterior diaphragm were made (inspiratory mean velocity) in the transverse plane. Images were obtained from the midline, just inferior to the xiphoid process, and perpendicular to the abdomen. M-mode measures were made of the right posterior hemidiaphragm in the plane just lateral to the inferior vena cava. Abdominal and esophageal pressures were measured and transdiaphragmatic pressure (Pdi) was calculated during spontaneous (Sp) and paced (Pace) breaths. Arterial blood gases were also measured. Pdi(Sp) and Pdi(Pace) during baseline + CO2 were 8 +/- 0.7 and 49 +/- 11 cmH2O, respectively, and decreased to 6 +/- 1.0 and 27 +/- 7 cmH2O, respectively, during fatigue + CO2. Mean inspiratory velocity also decreased from 13 +/- 2 to 8 +/- 1 cm/s during these conditions. All variables returned to baseline during recovery + CO2. Ultrasonography can be used to quantify diaphragm function and identify piglet diaphragm fatigue.     

High-dose busulfan, melphalan, thiotepa and peripheral blood stem cell infusion for the treatment of metastatic breast cancer

The purpose of this study was to determine the outcome of patients with metastatic breast cancer treated with high-dose busulfan (Bu), melphalan (Mel) and thiotepa (TT) followed by peripheral blood stem cell (PBSC) infusion. Fifty-one patients with chemotherapy refractory (n = 32) or responsive (n = 19) metastatic breast cancer received Bu (12 mg/kg), Mel (100 mg/m2) and TT (500 mg/m2) followed by PBSC collected after chemotherapy and growth factor (n = 43) or growth factor alone (n = 8). The 100 day treatment-related mortality was 8% including one death from cytomegalovirus pneumonia, one from aspiration pneumonia and two from regimen-related toxicity (RRT). Seven of 28 refractory (25%) and 5/7 (71%) responsive patients with evaluable disease achieved a complete response of all measurable disease or all soft tissue disease with at least improvement in bone lesions (PR*). Fifteen of 51 patients (29%) are alive and progression-free a median of 423 days (range 353-934) after treatment, 5/32 (16%) with refractory disease and 10/19 (53%) with responsive disease. The probabilities of progression-free survival (PFS) at 1.5 years for the patients with refractory (n = 32) and responsive (n = 19) disease were 0.24 and 0.53, respectively. These preliminary data suggest that high-dose Bu/Mel/TT has significant activity in patients with advanced breast cancer and may be superior to some previously published regimens.     

Intracranial arterial dolichoectasia in autosomal dominant polycystic kidney disease

Autosomal dominant polycystic kidney disease (ADPKD) is a systemic disorder with a variety of cardiovascular manifestations. This study presents a group of patients with ADPKD who had intracranial arterial dolichoectasia. One hundred seventy-eight ADPKD patients were screened with magnetic resonance angiography, 40 ADPKD patients had conventional angiography, and 98 ADPKD patients underwent a brain autopsy. For comparison, 360 patients without ADPKD who had magnetic resonance angiography and conventional angiography or brain autopsy were also studied. The prevalence of asymptomatic intracranial arterial dolichoectasia was 2.2% (4 of 178), 2.5% (1 of 40), and 2.0% (2 of 98) in the three ADPKD groups, respectively. None of the patients without ADPKD had intracranial arterial dolichoectasia. In addition to the seven patients with asymptomatic disease, two ADPKD patients with vertebrobasilar dolichoectasia had posterior circulation ischemic symptoms. The mean age of the nine patients (five men and four women) was 56.6 yr (range, 41 to 67 yr). The posterior circulation was involved in five patients, the anterior circulation was involved in two patients, and both were involved in two patients. Arterial dissection was believed to have caused middle cerebral artery dolichoectasia in one patient, and intracranial arterial dissections were strongly suspected in two other patients. Six of the nine patients with intracranial arterial dolichoectasia had additional vascular manifestations of ADPKD. Some patients with ADPKD are at an increased risk of developing intracranial arterial dolichoectasia and dissections. Recognizing this association is important because (1) it may be a cause of stroke; (2) it may mimic a saccular aneurysm on radiographic studies; and (3) it suggests that the arteriopathy of ADPKD may be more generalized than previously believed.     

Systematic relationships of some members of the genera Oesophagostomum and Chabertia (Nematoda: Chabertiidae) based on ribosomal DNA sequence data

The present study characterised seven species of the Chabertiidae (Nematoda: Strongyloidea) belonging to either the subfamily Oesophagostominae (Oesophagostomum radiatum, Oesophagostomum venulosum, Oesophagostomum dentatum, Oesophagostomum quadrispinulatum, Oesophagostomum columbianum, Oesophagostomum bifurcum) or to the subfamily Chabertiinae (Chabertia ovina) by their second internal transcribed spacer rDNA sequence, assessed the extent of intraspecific variation and interspecific differences in the sequence, and inferred the phylogenetic relationship of C. ovina with respect to members of the Oesophagostominae. In both the phenetic and cladistic analyses of the sequence data, Chabertia was nested within Oesophagostomum, suggesting either that the species examined represent members of the same genus, or alternatively, that Oesophagostomum may represent more than one genus.     

Recent warming of Tonle Sap Lake,Cambodia: Implications for one of the world’s most productive inland fisheries

Tonle Sap Lake in Cambodia is arguably the world's most productive freshwater ecosystems, as well as the dominant source of animal protein for the country. The rapid rise of hydropower schemes, deforestation, land development and climate change impacts in the Mekong River Basin, however, now represent serious concerns in regard to Tonle Sap Lake's ecological health and its role in future food security. To this end, the present study identifies significant recent warming of lake temperature and discusses how each of these anthropogenic perturbations in Tonle Sap's floodplain and the Mekong River Basin may be influencing this trend. The lake's dry season monthly average temperature increased by 0.03°C/year between 1988 and 2018, being largely in synchrony with warming trends of the local air temperature and upstream rivers. The impacts of deforestation and agriculture development in the lake's floodplain also exhibited a high correlation with an increased number of warm days observed in the lake, particularly in its southeast region (agriculture R² = .61; deforestation R² = .39). A total of 79 dams, resulting in 72 km³ of volumetric water capacity, were constructed between 2003 and 2018 in the Mekong River Basin. This dam development coincided with a decreasing trend in the number of dry season warm days per year in the lower Mekong River, while Tonle Sap Lake's number of dry season warm days continued to increase during this same period. The present study revealed that Tonle Sap Lake's temperature trends are highly influenced by temperature trends in the local climate, agriculture development and deforestation of the lake's watershed. Although there were no noticeable impacts observed from upstream dam development in the Mekong River Basin, local‐to‐regional agricultural and land management of the lake's watershed appear to be effective strategies for maintaining a stable thermal regime in the lake in order to facilitate maximum ecosystem health.     

eVEREst—SUPPORTING ESTIMATION OF REAL ESTATE VALUE

Enhanced Value Estimation of Real Estates (eVEREst) is the project carried out at the Department of Management Information Systems at the Poznań University of Economics. The paper presents the idea and the architecture of a system that supports the real estate registry with additional information that enables more precise estimation of real estate value.     

Augmented geophysical data interpretation through automated velocity picking in semblance velocity images

Velocity picking is the problem of picking velocity–time pairs based on a coherence metric between multiple seismic signals. Coherence as a function of velocity and time can be expressed as a 2D color semblance velocity image. Currently, humans pick velocities by looking at the semblance velocity image; this process can take days or even weeks to complete for a seismic survey. The problem can be posed as a geometric feature-matching problem. A feature extraction algorithm can recognize islands (peaks) of maximum semblance in the semblance velocity image: a heuristic combinatorial matching process can then be used to find a subset of peaks that maximizes the coherence metric. The peaks define a polyline through the image, and coherence is measured in terms of the summed velocity under the polyline and the smoothness of the polyline. Our best algorithm includes a constraint favoring solutions near the median solution for the local area under consideration. First, each image is processed independently. Then, a second pass of optimization includes proximity to the median as an additional optimization criterion. Our results are similar to those produced by human experts. Accepted: 15 June 2001