Economic analysis of tirilazad mesylate for aneurysmal subarachnoid hemorrhage. Economic evaluation of a phase III clinical trial in Europe and Australia

This study used data from a multinational phase III randomized, double-blind, vehicle-controlled trial to evaluate the cost-effectiveness of tirilazad mesylate (Freedox) in the treatment of aneurysmal subarachnoid hemorrhage. In men, therapy with 6 mg/kg per day of tirilazad mesylate was associated with significantly increased survival, increased cost of care, and ratios of cost per death averted that compare favorably with the ratios of other life and death interventions. In women, it appeared to have no effects on costs or survival. Further clinical studies may provide additional information about the cost-effectiveness of this intervention.     

A Monte Carlo investigation of the dual photopeak window scattercorrection method [SPECT]

Results from a Monte Carlo investigation of the dual photopeak window (DPW) scatter correction method are presented for point and extended sources of Tc-99m in both homogeneous and nonhomogeneous attenuating media. The DPW method uses the ratio of counts in two nonoverlapping energy windows within the photopeak region as input to a regression relation. A pixel-by-pixel estimate of the scatter in the summed windows is obtained and subtracted to yield an estimate of the primary. An approximate tenfold decrease in the scatter fraction and an excellent agreement with the shape of the true scatter distribution were observed     

Reduced skin tumor development in cyclin D1-deficient mice highlights the oncogenic ras pathway in vivo

Cyclin D1 is part of a cell cycle control node consistently deregulated in most human cancers. However, studies with cyclin D1-null mice indicate that it is dispensable for normal mouse development as well as cell growth in culture. Here, we provide evidence that ras-mediated tumorigenesis depends on signaling pathways that act preferentially through cyclin D1. Cyclin D1 expression and the activity of its associated kinase are up-regulated in keratinocytes in response to oncogenic ras. Furthermore, cyclin D1 deficiency results in up to an 80% decrease in the development of squamous tumors generated through either grafting of retroviral ras-transduced keratinocytes, phorbol ester treatment of ras transgenic mice, or two-stage carcinogenesis.     

Noniterative compensation for the distance-dependent detector response and photon attenuation in SPECT imaging

A filtering approach is described, which accurately compensates for the 2D distance-dependent detector response, as well as for photon attenuation in a uniform attenuating medium. The filtering method is based on the frequency distance principle (FDP) which states that points in the object at a specific source-to-detector distance provide the most significant contribution to specified frequency regions in the discrete Fourier transform (DFT) of the sinogram. By modeling the detector point spread function as a 2D Gaussian function whose width is dependent on the source-to-detector distance, a spatially variant inverse filter can be computed and applied to the 3D DFT of the set of all sinogram slices. To minimize noise amplification the inverse filter is rolled off at high frequencies by using a previously published Wiener filter strategy. Attenuation compensation is performed with Bellini's method. It was observed that the tomographic point response, after distance-dependent filtering with the FDP, was approximately isotropic and varied substantially less with position than that obtained with other correction methods. Furthermore, it was shown that processing with this filtering technique provides reconstructions with minimal degradation in image fidelity.     

Student perceptions of model-based estimating

The use of building information modeling (BIM) is well established in architecture, engineering and construction. However, previous studies note a lack of BIM expertise in academia, leading to slow adoption and limited knowledge on which to base BIM-related content. To improve course development, it is important to understand students’ perceptions of BIM-related subject matter. This study exposed estimating students (n = 214) to a model-based quantity takeoff (QTO) tutorial using Revit. Students’ perceptions of a Revit-based BIM’s usefulness for easily providing reliable and accurate material quantities were measured using a pre-test, tutorial and post-test design. Results revealed significant differences in students’ mean levels of agreement that an accurate QTO is completed for an estimator with the click of a button when a design team generated BIM model is available. Results also revealed significant differences in students’ level of agreement that a Revit-based BIM makes performing QTO by hand obsolete. This study provides educators’ insight into students’ perceptions of BIM use in QTO. Understanding student perceptions is paramount for construction management educators when designing a course and attempting to convey the value of foundational estimating skills while acknowledging the existence of more technologically advance estimating methods. Limitations and opportunities for further research are discussed.     

Cyclazocine revisited

Recently synthesized compounds which have long-term mu antagonist activity and short-term kappa agonist effects prevent self-administration of cocaine and morphine in rats. Cyclazocine, a compound synthesized in 1962 and studied in animals and man in the 1960's and in the early 1970's is a mu antagonist in rats and man and is a potent kappa agonist in both species. It also prevents self-administration of cocaine and morphine in rats. Although it produces unpleasant side effects in man, subjects become tolerant to these side effects but not to the antagonistic actions of the drug after prolonged administration.     

The Ambivalent Sexism Inventory: Differentiating hostile and benevolent sexism.

The authors present a theory of sexism formulated as ambivalence toward women and validate a corresponding measure, the Ambivalent Sexism Inventory (ASI). The ASI taps 2 positively correlated components of sexism that nevertheless represent opposite evaluative orientations toward women: sexist antipathy or Hostile Sexism (HS) and a subjectively positive (for sexist men) orientation toward women, Benevolent Sexism (BS). HS and BS are hypothesized to encompass 3 sources of male ambivalence: Paternalism, Gender Differentiation, and Heterosexuality. Six ASI studies on 2,250 respondents established convergent, discriminant, and predictive validity. Overall ASI scores predict ambivalent attitudes toward women, the HS scale correlates with negative attitudes toward and stereotypes about women, and the BS scale (for nonstudent men only) correlates with positive attitudes and stereotypes about women. A copy of the ASI is provided, with scoring instructions, as a tool for further explorations of sexist ambivalence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of 18-methoxycoronaridine on acute signs of morphine withdrawal in rats

Ibogaine, an alkaloid found in the root bark of the African shrub Tabernanthe iboga, has been claimed to interrupt opioid dependence in humans; in animals, it has been shown to inhibit morphine self-administration and to attenuate signs of morphine withdrawal. However, ibogaine has some neurotoxicity, and because of this, efficacious and safer congeners of ibogaine have been sought, 18-Methoxycoronaridine (18-MC), a novel iboga alkaloid congener, has been shown, in animals, to mimic the effects of ibogaine on morphine self-administration without producing any ibogaine-like neurotoxiticity. In the present study, 18-MC was shown to attenuate five of seven signs of morphine withdrawal in rats. The data suggest that 18-MC will ameliorate symptoms of opioid dependence in humans.