Hepatic vein thrombosis. Diagnostic and therapeutic difficulties

Budd Chiari syndrome (liver vein thrombosis) may be a diagnostic and therapeutic problem. On the basis of four different cases we review the major diagnostic and therapeutic principles involved. Imaging techniques are necessary in order to establish the diagnosis. Ultrasound examination with Duplex doppler is usually sufficient, but MR angiography is also useful. Treatment options are thrombolysis, surgery or liver transplantation. What treatment is selected will depend on the clinical situation and the prognosis.     

An E?cient and Flexible Deterministic Framework for Multithreaded Programs

Determinism is very useful to multithreaded programs in debugging, testing, etc. Many deterministic ap-proaches have been proposed, such as deterministic multithreading (DMT) and deterministic replay. ...     

Monitored high-dose azathioprine treatment reduces acute rejection episodes after renal transplantation

A novel complex mutation consisting of a small deletion/insertion (3958del5ins4) was found in the breast cancer-1 gene (BRCA-1) in three unrelated French breast and/or ovarian cancer families. These mutations occurred at the same nucleotide position of the 3' end of exon 11. The wild-type sequence, CTCAG, was deleted and replaced by AGGC in the three families. The consequence is the generation of a stop codon, TAG, resulting in a truncated protein. We propose two different mechanisms to explain the generation of this complex mutation: (i) the simultaneous occurrence of a deletion and an insertion in a stem-loop structure and (ii) the abortive integration of a human transposable element (Tigger 1) that deleted 5 nucleotides and inserted a 4-nucleotide "scar", corresponding to the 5' extremity of the transposon.     

The role of electronic pocket dictionaries as an English learning tool among Chinese students

This study addressed the role of electronic pocket dictionaries as a language learning tool among university students in Hong Kong and Taiwan. The target groups included engineering and humanities students at both undergraduate and graduate level. Speed of reference was found to be the main motivator for using an electronic pocket dictionary. Next, the functionality used was found to be connected to the language proficiency of the learner. Finally, multimedia content was ranked least important. The results of this study have implications for the design of electronic dictionaries and for the teaching of second languages with electronic dictionaries. In particular, device developers should focus on improving the accessing speed and pay less attention to multimedia functionality. Educators should ensure that the device functionality matches the language proficiency level of the students.     

Are electronic white canes better than traditional canes? A comparative study with blind and blindfolded participants

Visually impaired individuals often rely on assistive technologies such as white canes for independent navigation. Many electronic enhancements to the traditional white cane have been proposed. However, only a few of these proof-of-concept technologies have been tested with authentic users, as most studies rely on blindfolded non-visually impaired participants or no testing with participants at all. Experiments involving blind users are usually not contrasted with the traditional white cane. This study set out to compare an ultrasound-based electronic cane with a traditional white cane. Moreover, we also compared the performance of a group of visually impaired participants (N = 10) with a group of blindfolded participants without visual impairments (N = 31). The results show that walking speed with the electronic cane is significantly slower compared to the traditional white cane. Moreover, the results show that the performance of the participants without visual impairments is significantly slower than for the visually impaired participants. No significant differences in obstacle detection rates were observed across participant groups and device types for obstacles on the ground, while 79% of the hanging obstacles were detected by the electronic cane. The results of this study thus suggest that electronic canes present only one advantage over the traditional cane, namely in its ability to detect hanging obstacles, at least without prolonged practice. Next, blindfolded participants are insufficient substitutes for blind participants who are expert cane users. The implication of this study is that research into digital white cane enhancements should include blind participants. These participants should be followed over time in longitudinal experiments to document if practice will lead to improvements that surpass the performance achieved with traditional canes.

     

RECOVERING THE WIRING OF ENIGMA'S UMKEHRWALZE A

Umkehrwalze A was the original reflector used in the version of the Enigma machine employed by the German armed services. Its wiring was originally deduced by the Polish cryptanalyst Marian Rejewski in December 1932 or January 1933, but details of the wiring have not previously been published. Sufficient information to recover the wiring analytically is provided in a wartime document by Alan Turing, and other sources have been found to confirm the solution. This paper presents the wiring, along with alternative methods of recovering it from Turing's data.     

The effect of pH and halides on the corrosion process of stainless steel bipolar plates for proton exchange membrane fuel cells

Stainless steel is attractive as material for bipolar plates in proton exchange membrane fuel cells, due to its high electrical conductivity, high mechanical strength and relatively low material and processing cost. Potentiostatic and potentiodynamic tests were performed in H₂SO₄ solutions on AISI 316L stainless steel bipolar plates with etched flow fields. The effect of pH and presence of small amounts of fluoride and chloride on the corrosion rate and interfacial contact resistance of the stainless steel bipolar plate were investigated. The tests performed in electrolytes with various pH values revealed that the oxide layer was thinner and more prone to corrosion at pH values significantly lower than the pH one expects the bipolar plate to experience in an operating proton exchange membrane fuel cells. The use of solutions with very low pH in such measurements is thus probably not the best way of accelerating the corrosion rate of stainless steel bipolar plates. By use of strongly acidic solutions the composition and thickness of the oxide layer on the stainless steel is probably altered in a way that might never have happened in an operating proton exchange membrane fuel cell. Additions of fluoride and chloride in the amounts expected in an operating fuel cell (2 ppm F⁻ and 10 ppm Cl⁻) did not cause significant changes for neither the polarization- nor the contact resistance measurements. However, by increasing the amount of Cl⁻ to 100 ppm, pitting was initiated on the stainless steel surface.     

An automatic time-stepping algorithm for dynamic problems

The paper discusses algorithms for automatic computation of time steps in discrete integration of dynamic problems. Objective criteria for performance and guidelines for making an algorithm practically applicable are suggested. A set of parameters for characterizing the dynamic response of a system is proposed, this includes a ‘current frequency’, a ‘current period’, and a ‘dynamic stiffness parameter’. An algorithm for automatic computation of the time step based on the current period is outlined. Aspects of adapting this algorithm to special types of applications are discussed, this involves use of a ‘tuning function’. Several examples of applications are given.