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.     

Association of herpes zoster ophthalmicus with acquired immunodeficiency syndrome and acute retinal necrosis

We conducted a review to investigate the prevalence of human immunodeficiency virus (HIV), or acquired immunodeficiency syndrome (AIDS), in patients with herpes zoster ophthalmicus, as well as the incidence of acute retinal necrosis after herpes zoster ophthalmicus. All charts of patients seen at our institution between 1987 and 1992 with a primary diagnosis of herpes zoster ophthalmicus were reviewed. Of 112 patients with herpes zoster ophthalmicus, 29 (26%) had HIV or AIDS. All these patients were younger than 50 years at the time of diagnosis. Five of 29 (17%) immunocompromised patients had acute retinal necrosis after herpes zoster ophthalmicus. No acute retinal necrosis was identified in the nonimmunocompromised patients after herpes zoster ophthalmicus. We recommend that all patients younger than 50 years who have herpes zoster ophthalmicus at initial examination be tested for HIV. Additionally, HIV-infected patients should be monitored closely after herpes zoster ophthalmicus for development of acute retinal necrosis. Long-term oral prophylactic as well as initial high-dose intravenous acyclovir may be appropriate in HIV-infected individuals with herpes zoster.     

A Framework for Interactive t-SNE Clustering

In this paper, we describe our progress in creating the framework for an interactive application that allows humans to actively participate in a t-SNE clustering process. t-SNE (t-Distributed Stochastic Neighbor Embedding) is a dimensionality reduction technique that maps high dimensional data sets to lower dimensions that can then be visualized for human interpretation. By prompting users to monitor outlying points during the t-SNE clustering process, we hypothesize that users may be able to make clustering faster and more accurate than purely algorithmic methods. Further research would test these hypotheses directly. We would also attempt to decrease the lag time between the various components of our application and develop an intuitive approach for humans to aid in clustering unlabeled data. Research into human assisted clustering can combine the strengths of both humans and computer programs to improve the results of data analysis.     

In-line holographic electron microscopy in the presence of external magnetic fields

It is now a well-known fact that the phase of electron waves is altered by external magnetic fields via the Aharonov-Bohm effect. This implies that any electron interference effects will be to some degree affected by the presence of such fields. In this study we examine the distortion effects of external (constant and variable) magnetic fields on electron interference and holography. For digital holography, the reconstruction of the object is done via numerical calculations and this leaves the door open for correcting phase distortions in the hologram reconstruction. We design and quantitatively assess such correction schemes, which decidedly depend on our knowledge of the magnetic field values in the holographic recording process. For constant fields of known value we are able to correct for magnetic distortions to a great extent. We find that variable fields are more destructive to the holographic process than constant fields. We define two criteria, related respectively to global and local contrast of the hologram to establish the maximum allowed external field which does not significantly hinder the accuracy of in-line holographic microscopy with electrons.     

On the complexity of deciding avoidability of sets of partial words

Blanchet-Sadri et al. have shown that Avoidability, or the problem of deciding the avoidability of a finite set of partial words over an alphabet of size k≥2, is NP-hard [F. Blanchet-Sadri, R. Jungers, J. Palumbo, Testing avoidability on sets of partial words is hard, Theoret. Comput. Sci. 410 (2009) 968-972]. Building on their work, we analyze in this paper the complexity of natural variations on the problem. While some of them are NP-hard, others are shown to be efficiently decidable. Using some combinatorial properties of de Bruijn graphs, we establish a correspondence between lengths of cycles in such graphs and periods of avoiding words, resulting in a tight bound for periods of avoiding words. We also prove that Avoidability can be solved in polynomial space, and reduces in polynomial time to the problem of deciding the avoidability of a finite set of partial words of equal length over the binary alphabet. We give a polynomial bound on the period of an infinite avoiding word, in the case of sets of full words, in terms of two parameters: the length and the number of words in the set. We give a polynomial space algorithm to decide if a finite set of partial words is avoided by a non-ultimately periodic infinite word. The same algorithm also decides if the number of words of length n avoiding a given finite set of partial words grows polynomially or exponentially with n.     

Steward: Scaling Byzantine Fault-Tolerant Replication to Wide Area Networks

This paper presents the first hierarchical Byzantine fault-tolerant replication architecture suitable to systems that span multiple wide-area sites. The architecture confines the effects of any malicious replica to its local site, reduces message complexity of wide-area communication, and allows read-only queries to be performed locally within a site for the price of additional standard hardware. We present proofs that our algorithm provides safety and liveness properties. A prototype implementation is evaluated over several network topologies and is compared with a flat Byzantine fault-tolerant approach. The experimental results show considerable improvement over flat Byzantine replication algorithms, bringing the performance of Byzantine replication closer to existing benign fault-tolerant replication techniques over wide area networks.     

From I-Awareness to We-Awareness in CSCW

Awareness is one of the central concepts in Computer Supported Cooperative Work, though it has often been used in several different senses. Recently, researchers have begun to provide a clearer conceptualization of awareness that provides concrete guidance for the structuring of empirical studies of awareness and the development of tools to support awareness. Such conceptions, however, do not take into account newer understandings of shared intentionality among cooperating actors that recently have been defined by philosophers and empirically investigated by psychologists and psycho-linguists. These newer conceptions highlight the common ground and socially recursive inference that underwrites cooperative behavior. And it is this inference that is often seamlessly carried out in collocated work, so easy to take for granted and hence overlook, that will require computer support if such work is to be partially automated or carried out at a distance. Ignoring the inferences required in achieving common ground may thus focus a researcher or designer on surface forms of “heeding” that miss the underlying processes of intention shared in and through activity that are critical for cooperation to succeed. Shared intentionality thus provides a basis for reconceptualizing awareness in CSCW research, building on and augmenting existing notions. In this paper, we provide a philosophically grounded conception of awareness based on shared intentionality, demonstrate how it accounts for behavior in an empirical study of two individuals in collocated, tightly-coupled work, and provide implications of this conception for the design of computational systems to support tightly-coupled collaborative work.     

Performance of Alcohol and Safer Sex Change Rulers Compared With Readiness to Change Questionnaires.

As part of a larger intervention study, the authors hypothesized that change rulers created for alcohol and safer sex would be equivalent to longer questionnaires. Ninety-six male college students completed rulers and questionnaires for assessing behavior change readiness. Participants' scores on the rulers significantly correlated with their scores on the questionnaires (r = .77 for alcohol; r = .77 for safer sex). In both domains, the rulers outperformed the questionnaires in predicting behavioral intentions, suggesting that the rulers had at least comparable concurrent criterion validity. This finding is the first of its kind in the safe sex literature and suggests that quick assessments of readiness to change are possible. Because the rulers are a continuous measure, the results are consistent with the idea that the change process is continuous rather than a series of discrete stages. (PsycINFO Database Record (c) 2010 APA, all rights reserved)