Ulceration in necrobiosis lipoidica--a case report and study

A case of aggressive ulceration of necrobiosis lipoidica was successfully treated with oral prednisolone. A retrospective study of 23 cases of necrobiosis lipoidica revealed a 13% incidence of ulceration. The pathogenesis, clinical features and treatment of ulceration in necrobiosis lipoidica are discussed.     

A faster divide-and-conquer algorithm for constructing delaunay triangulations

An easily implemented modification to the divide-and-conquer algorithm for computing the Delaunay triangulation ofn sites in the plane is presented. The change reduces its (n logn) expected running time toO(n log logn) for a large class of distributions that includes the uniform distribution in the unit square. Experimental evidence presented demonstrates that the modified algorithm performs very well forn2¹⁶, the range of the experiments. It is conjectured that the average number of edges it creates—a good measure of its efficiency—is no more than twice optimal forn less than seven trillion. The improvement is shown to extend to the computation of the Delaunay triangulation in theL _p metric for 1<p.This research was supported by National Science Foundation Grants DCR-8352081 and DCR-8416190.     

Effects of enzymes and gamma irradiation on the tensile strength and morphology of poly(p-dioxanone) fibers

The objective of this study was to examine how and to what extent a new degradable polymeric fiber, poly(p-dioxanone), used as a surgical suture material, degrades in the presence of enzymes and after γ-irradiation. The degradation of the fiber was studied mechanically using an Instron and morphologically by SEM. Both esterase and trypsin enzymes and their corresponding buffer controls were used. The fibers were γ-irradiated at the dosages ranging from 0 to 20 Mrad, immersed in the solution for up to 70 days, and then removed for tensile strength and morphological examinations. It was found that γ-irradiation alone lowered the tensile strength of PDS fibers and made them more susceptible to hydrolysis. Esterase and trypsin did not accelerate the hydrolytic degradtion of this fiber to any significant level. Both γ-irradiation and enzymes influenced the gross morphological characteristic of PDS fibers when they were subjected to hydrolysis. The most important morphological observations were the formation of surface cracks and chips on the fibers and the subsequent peeling of the chips. Enzyme-treated PDS fibers exhibited similar morphological findings but the size of the chips was smaller. The morphological observations of PDS fibers were consistent with the tensile strength data.     

Technology transfer in digital mammography. Report of the Joint National Cancer Institute-National Aeronautics and Space Administration workshop of May 19-20, 1993

Digital mammography is one of the most promising novel technologies for further improvement of early detection of breast cancer, offering important potential advantages: 1) improved image quality; 2) digital image processing for improved lesion contrast; 3) computer-aided diagnosis for enhanced radiologic interpretation; and 4) teleradiology for facilitated radiologic consultation. The Diagnostic Imaging Research Branch of the National Cancer Institute (NCI) recently funded an international, multidisciplinary, multi-institutional Digital Mammography Development Group for collaborations between NCI, the academic community, and industry to facilitate the integrated development and implementation of digital mammographic systems. Currently, however, digital mammography faces a number of fundamental technological roadblocks: 1) cost-effective digital detectors and displays for imaging systems; 2) the need for novel algorithms for image processing and computer-aided diagnosis; and 3) high performance, low cost digital networks to provide an "information superhighway" for teleradiology. To solve some of these technological problems, the Diagnostic Imaging Research Branch of NCI joined efforts with the Technology Transfer Division of the National Aeronautics and Space Administration to pursue a federal technology transfer program in digital mammography. The authors discuss the findings and recommendations of the workshop entitled "Technology Transfer in Digital Mammography," which was organized and held jointly by the NCI and the National Aeronautics and Space Administration in May, 1993. Numerous innovative technologies of varying degree of promise for digital mammography were presented at the conference. In this article, specific technologies presented at the workshop by the federal and federally-supported laboratories are described, and critiques of these technologies by the leaders of the medical imaging community are presented.     

Adherence rates to ferric citrate as compared to active control in patients with end stage kidney disease on dialysis

Introduction: Oral phosphate binders are the main stay of treatment of hyperphosphatemia. Adherence rates to ferric citrate, a recently approved phosphate binder, are unknown. Methods: We conducted a post‐hoc analysis to evaluate whether adherence rates were different for ferric citrate vs. active control in 412 subjects with end stage kidney disease (ESKD) who were randomized to ferric citrate vs. active control (sevelamer carbonate and/or calcium acetate). Adherence was defined as percent of actual number of pills taken to total number of pills prescribed. Findings: There were no significant differences in baseline characteristics including gender, race/ethnicity, and age between the ferric citrate and active control groups. Baseline phosphorus, calcium, and parathyroid hormone levels were similar. Mean (SD) adherence was 81.4% (17.4) and 81.7% (15.9) in the ferric citrate and active control groups, respectively (P = 0.88). Adherence remained similar between both groups after adjusting for gender, race/ethnicity, age, cardiovascular disease (CVD), and diabetic nephropathy (mean [95% CI]: 81.4% [78.2, 84.6] and 81.5% [77.7, 85.2] for ferric citrate and active control, respectively). Gender, race/ethnicity, age, and diagnosis of diabetic nephropathy did not influence adherence to the prescribed phosphate binder. Subjects with CVD had lower adherence rates to phosphate binder; this was significant only in the active control group. Discussion: Adherence rates to the phosphate binder, ferric citrate, were similar to adherence rates to active control. Similar adherence rates to ferric citrate are notable since tolerance to active control was an entry criteria and the study was open label. Gender, race/ethnicity, nor age influenced adherence.     

Evaluating improvements to a meta-heuristic search for constrained interaction testing

Combinatorial interaction testing (CIT) is a cost-effective sampling technique for discovering interaction faults in highly-configurable systems. Constrained CIT extends the technique to situations where some features cannot coexist in a configuration, and is therefore more applicable to real-world software. Recent work on greedy algorithms to build CIT samples now efficiently supports these feature constraints. But when testing a single system configuration is expensive, greedy techniques perform worse than meta-heuristic algorithms, because greedy algorithms generally need larger samples to exercise the same set of interactions. On the other hand, current meta-heuristic algorithms have long run times when feature constraints are present. Neither class of algorithm is suitable when both constraints and the cost of testing configurations are important factors. Therefore, we reformulate one meta-heuristic search algorithm for constructing CIT samples, simulated annealing, to more efficiently incorporate constraints. We identify a set of algorithmic changes and experiment with our modifications on 35 realistic constrained problems and on a set of unconstrained problems from the literature to isolate the factors that improve performance. Our evaluation determines that the optimizations reduce run time by a factor of 90 and accomplish the same coverage objectives with even fewer system configurations. Furthermore, the new version compares favorably with greedy algorithms on real-world problems, and, though our modifications were aimed at constrained problems, it shows similar advantages when feature constraints are absent.     

Slicing Software for Model Construction

Applying finite-state verification techniques (e.g., model checking) to software requires that program source code be translated to a finite-state transition system that safely models program behavior. Automatically checking such a transition system for a correctness property is typically very costly, thus it is necessary to reduce the size of the transition system as much as possible. In fact, it is often the case that much of a program's source code is irrelevant for verifying a given correctness property.In this paper, we apply program slicing techniques to remove automatically such irrelevant code and thus reduce the size of the corresponding transition system models. We give a simple extension of the classical slicing definition, and prove its safety with respect to model checking of linear temporal logic (LTL) formulae. We discuss how this slicing strategy fits into a general methodology for deriving effective software models using abstraction-based program specialization.     

Industrial accidents are produced by social relations of work: a sociological theory of industrial accidents

Industrial accidents are produced by social relations work. This sociological explanation of accidents differs from the hypotheses on which the majority of modern safety practices are based, which reduce accident causes to unsafe acts and unsafe conditions. Accidents are seen as produced at each of three levels of social relations of work (rewards, command and organisation), and also non-socially at the individual-member level. The resulting hypotheses were tested using data collected according to a semi-experimental design in seven plants in which shift (day/night), shift type (rotating/fixed), technological type and management styles were the factors controlled for. Because of the design, machines, materials and, in most cases, workers were the same across shifts and social relations varied. The sociological theory proved capable of explaining most of the variation in inter-shift differences in accident rates, and, when tested statistically, appeared to have greater explanatory power than competing hypotheses. It is concluded that accidents can be prevented by workers who exercise auto-control at all levels and by management which, in the absence of worker orientations favourable to auto-control, engages in safety management as defined sociologically. A practical consequence for ergonomics is that when plant, equipment and processes are to be modified, an attempt to understand their interaction with the social relations of work should be made. A theoretical consequence is that sociological insights should be incorporated into the perspective of the ergonomics discipline.     

Reinforcer devaluation in palatability-based learned flavor preferences.

Rats exposed to simultaneous compounds of 1 neutral flavor with dilute (2%) sucrose and a 2nd flavor with dilute (2%) maltodextrin subsequently consumed both flavors in preference to a 3rd flavor that was never paired with a palatable taste. Brief training exposure under ad lib food and water minimized the postingestive effects of nutrients, emphasizing the contribution of palatability to these preferences. Devaluation of sucrose or maltodextrin by pairing with illness (Experiment 1) or sensory-specific satiety (Experiment 2) selectively reduced the preference for the flavor previously paired with the devalued reinforcer. Such reinforcer-specific devaluation effects suggest that palatability-based learned flavor preferences are underpinned by a Pavlovian process whereby the cue flavor is associated with the taste of the concurrently consumed palatable reinforcer. (PsycINFO Database Record (c) 2010 APA, all rights reserved)