Thyroid surgery for tumours: the Semon Lecture, presented at the RSM November 1996

1,1,1-Trichloroethane (TRI) is a commonly used industrial solvent with a considerable potential for inhalation abuse. Previous studies in our laboratory and elsewhere have shown that this agent exerts a suppressant effect on operant responding, as well as a number of additional neurobehavioral effects that are similar to those of central nervous system (CNS) depressant drugs. In an effort to provide information relevant to potential mechanisms involved in the behavioral effects and abuse potential of TRI, the present study evaluated the acute effects of this agent on the activity of the hypothalamo-pituitary-adrenal (HPA) axis . Male Sprague-Dawley rats were exposed to 3500 or 5000 ppm TRI by inhalation for 10 or 30 min. Following exposure, plasma levels of adrenocorticotropic hormone (ACTH) and corticosterone and levels of ACTH and corticotropin-releasing factor (CRF) in three brain regions--hypothalamus, hippocampus, and frontal cortex--were determined by selective radioimmunoassays. Levels of TRI in the three brain regions as well as blood were measured by headspace gas chromatography to determine the target tissue concentrations responsible for neuroendocrine changes. Uptake of TRI in blood and all brain regions was very rapid, with stable concentrations apparently achieved within 10 min and maintained for 30 min. During this time course, a significant decrease in plasma corticosterone was produced at 30 min but no significant change in plasma ACTH was observed with 3500 ppm TRI. However, after exposure to 5000 ppm, both plasma ACTH and plasma corticosterone were significantly reduced at 10 and 30 min. ACTH levels in the three brain regions were not significantly changed by TRI, while hypothalamic CRF was significantly increased during exposure to 3500 ppm. However, hypothalamic concentrations of CRF declined following 30 min at 3500 ppm and were not significantly changed by 5000 ppm. This complexity of effects on the regulation of HPA axis activity likely precluded the establishment of consistent relationships between changes in hormonal levels and blood or regional brain concentrations of the inhalant. However, these actions of TRI were strikingly similar to those previously reported for the benzodiazepines.     

Pharmacokinetics and pharmacodynamics of sibrafiban (Ro 48-3657), an orally active IIb/IIIa antagonist, administered alone or in combination with heparin, aspirin, and recombinant tissue-type plasminogen activator in beagles

OBJECTIVE: The study aimed to determine the effectiveness of prophylactic medical intervention in reducing the incidence of cystoid macular edema (CME) and the effectiveness of medical treatment for chronic CME after cataract surgery. DESIGN: The study design was a systematic review and meta-analysis of published reports of randomized clinical trials (RCTs). PARTICIPANTS: Sixteen RCTs involving 2898 eyes examining the effectiveness of medical prophylaxis of CME and 4 RCTs involving 187 eyes testing the effectiveness of medical treatment of chronic CME were used in the study. INTERVENTIONS: Medical prophylaxis of treatment (cyclo-oxygenase inhibitors or corticosteroids) versus control (placebo or active treatment) was performed. MAIN OUTCOME MEASURES: Incidence of angiographically diagnosed CME, incidence of clinically significant CME, and vision were measured. RESULTS: Thirty-six articles reported testing a prophylactic medical intervention for CME after cataract surgery. The incidence of CME varied extensively across studies and was related to the study design used. Summary odds ratios (OR) indicated that prophylactic intervention was effective in reducing the incidence of both angiographic CME (OR = 0.36; 95% confidence interval [CI] = 0.28-0.45) and clinically relevant CME (OR = 0.49; 95% CI = 0.33-0.73). There also was a statistically significant positive effect on improving vision (OR = 1.97; 95% CI = 1.14-3.41). A combination of the results of the four RCTs testing medical therapy for chronic CME indicated a treatment benefit in terms of improving final visual acuity by two or more Snellen lines (OR = 2.67; 95% CI = 1.35-5.30). Assessment of the quality of the 20 RCTs included in the meta-analyses indicated problems in the design, execution, and reporting of a number of trials. CONCLUSION: A combination of the results from RCTs indicates that medical prophylaxis for aphakic and pseudophakic CME and medical treatment for chronic CME are beneficial. Because most of the RCTs performed to date have problems related to quality, a well-designed RCT is needed to confirm this result, using clinical CME and vision as outcomes.     

Majority bargaining for resource division

We address the problem of how a set of agents can decide to share a resource, represented as a unit-sized pie. The pie can be generated by the entire set but also by some of its subsets. We investigate a finite horizon non-cooperative bargaining game, in which the players take it in turns to make proposals on how the resource should for this purpose be allocated, and the other players vote on whether or not to accept the allocation. Voting is modelled as a Bayesian weighted voting game with uncertainty about the players’ weights. The agenda, (i.e., the order in which the players are called to make offers), is defined exogenously. We focus on impatient players with heterogeneous discount factors. In the case of a conflict, (i.e., no agreement by the deadline), no player receives anything. We provide a Bayesian subgame perfect equilibrium for the bargaining game and conduct an ex-ante analysis of the resulting outcome. We show that the equilibrium is unique, computable in polynomial time, results in an instant Pareto optimal outcome, and, under certain conditions provides a foundation for the core and also the nucleolus of the Bayesian voting game. In addition, our analysis leads to insights on how an individual’s bargained share is influenced by his position on the agenda. Finally, we show that, if the conflict point of the bargaining game changes, then the problem of determining the non-cooperative equilibrium becomes NP-hard even under the perfect information assumption. Our research also reveals how this change in conflict point impacts on the above mentioned results.     

Novel nano polymeric system containing biosynthesized core shell silver/silica nanoparticles for functionalization of cellulosic based material

An innovative strategy for functional finishing of cellulosic based materials is based on the incorporation of a thin layer of surface modifying systems (SMS) in the form of stimuli-sensitive nanogels containing combining metal nanoparticles and silica. The silver–silica core–shell nanoparticles (NPs) were synthesized by simple one pot chemical method. Silica/silver nanoparticles have been synthesized using low concentration of dextran as reducing and stabilizing agent and using ascorbic acid as antioxidant agent. The core–shell NPs were characterized for their structural, morphological, compositional and optical behaviour using X-ray diffraction, scanning electron microscopy and energy dispersive X-ray analysis. Stimuli-responsive nanogel was prepared by copolymerization of poly(N-isopropylacrylamide) with pullulan, results in a nanogel that is responsive to both temperature and pH, the nano-particulate hydrogel of poly-NiPAAm-pullulan copolymer was synthesized using surfactant-free emulsion method. The prepared nano-particles were used during the preparation steps of the pullulan nanogel to obtain nanogel/combining metal/silica NPs to produce a composite materials. The nanoparticle size in dry (collapsed) state is estimated at 250 nm by SEM and TEM, and effect of temperature and pH on gel-nanoparticles was investigated by DLS and UV–vis spectrophotometry. The incorporation of the nanoparticles to cellulosic material was done by a simple pad dry-cure procedure from aqueous nanoparticle dispersion that contained a cross-linking agent. This application method provided sufficient integrity to coating by maintaining the responsiveness of surface modifying system. The stimuli responsiveness of modified cellulosic materials has been confirmed in terms of regulating its water uptake in dependence of pH and temperature.     

A modular computer vision system for picture segmentation and interpretation

The objective of a computer vision system is to outline the objects in a picture and label them with an appropriate interpretation. This paper proposes a new paradigm for a modular computer vision system which is both data directed and knowledge based. The system consists of three different types of units, two of which are associative data memories implemented as relational databases. The short-term memory (STM) contains the raw color picture data and the most current interpretations and deductions about the original scene. The long-term memory (LTM) contains a detailed model of the scene under consideration. A collection of analysis processors, each of which is specialized for a particular task, can communicate with both of these memories. The information in the LTM remains unchanged during the analysis, while the STM is being continually updated and revised by the appropriate processors. The latter may be conceived of as being activated by certain data conditions in the STM, and using the information in both the LTM and STM to alter the status of the STM.     

Treatment outcome with radiation therapy after breast augmentation or reconstruction in patients with primary breast carcinoma

BACKGROUND: Analyses were performed to determine local control and cosmetic outcome of breast carcinoma patients with prosthetically augmented or reconstructed breasts who had received radiation therapy (RT). METHODS: Twenty-one newly diagnosed breast carcinoma patients with prosthetically augmented or reconstructed breasts were treated with external beam RT. All patients received whole breast RT (median dose, 50.4 gray [Gy]) and 19 were boosted to a median dose of 60.4 Gy. A median dose of 50.4 Gy was delivered to the regional lymph nodes in 12 patients. Tissue equivalent bolus material was used in six patients. Seventeen patients received adjuvant systemic therapy. Cosmetic results were evaluated at 3-6-month intervals. RESULTS: With a median follow-up of 32 months, good/excellent cosmetic results were observed in 71% of patients (100% in those with augmented breasts and 54% in those with reconstructed breasts). Four patients (19%) with fair/poor cosmetic outcomes required implant removal and/or revision. Multiple clinical and treatment-related factors were analyzed for their impact on cosmetic outcome. A worsened cosmetic result was observed with increasing stage (P = 0.076), breast reconstruction (vs. augmentation) (P = 0.030), and bolus application (P = 0.016). All patients with fair/poor cosmetic outcomes had time intervals from implant insertion to RT ranging from 53-213 days. Two patients developed an isolated local recurrence within the augmented breast. CONCLUSIONS: Patients with prosthetically augmented breasts can undergo RT and expect good/excellent cosmetic results. Patients with reconstructed breasts are at a significantly greater risk for cosmetic failure. This risk may be related to the higher percentage of patients with advanced disease, those who received bolus application, and those who received earlier delivery of RT (after the cosmetic procedure) in reconstructed breasts.     

Comparison of overhead factors in message-switched and packet-switched networks

Overhead factors for data networks using message-switching or packet-switching techniques are defined and analysed. The transmission lines are assumed to have only random errors and the acknowledgments are handled on a `stop-and-wait? strategy. For packet switching, the packet size used is such that, in each case, the overhead factor is minimised. Results show that the overheads for packet switching tend to be much higher than for message switching when the line error rates are low, i.e. better than 10?5. It is concluded that, although packet switching has several significant merits, these are achieved at the expense of a substantial increase in overheads.     

Fuzzy Numbers in Cost Range Estimating

Range estimating is a simple form of simulating a project estimate by breaking the project into work packages and approximating the variables in each package using statistical distributions. This paper explores an alternate approach to range estimating that is grounded in fuzzy set theory. The approach addresses two shortcomings of Monte Carlo simulation. The first is related to the analytical difficulty associated with fitting statistical distributions to subjective data, and the second relates to the required number of simulation runs to establish a meaningful estimate of a given parameter at the end of the simulation. For applications in cost estimating, the paper demonstrates that comparable results to Monte Carlo simulation can be achieved using the fuzzy set theory approach. It presents a methodology for extracting fuzzy numbers from experts and processing the information in fuzzy range estimating analysis. It is of relevance to industry and practitioners as it provides an approach to range estimating that more closely resembles the way in which experts express themselves, making it practically easy to apply an approach.     

Band‐Offset Engineering for Enhanced Open‐Circuit Voltage in Polymer–Oxide Hybrid Solar Cells

The power conversion efficiency of organic and hybrid solar cells is commonly reduced by a low open‐circuit voltage (V_OC). In these cases, the V_OC is significantly less than the energy of the lowest energy absorbed photon, divided by the elementary charge q. The low photovoltage originates from characteristically large band offsets between the electron donor and acceptor species. Here a simple method is reported to systematically tune the band offset in a π‐conjugated polymer–metal oxide hybrid donor–acceptor system in order to maximize the V_OC. It is demonstrated that substitution of magnesium into a zinc oxide acceptor (ZnMgO) reduces the band offset and results in a substantial increase in the V_OC of poly(3‐hexylthiophene) (P3HT)–ZnMgO planar devices. The V_OC is seen to increase from 500 mV at x = 0 up to values in excess of 900 mV for x = 0.35. A concomitant increase in overall device efficiency is seen as x is increased from 0 to 0.25, with a maximum power‐conversion efficiency of 0.5 % obtained at x = 0.25, beyond which the efficiency decreases because of increased series resistance in the device. This work provides a new tool for understanding the role of the donor–acceptor band offset in hybrid photovoltaics and for maximizing the photovoltage and power‐conversion efficiency in such devices.     

Infrared study of the interaction of dental polycarboxylate cements with tooth structure and some metals

The interaction of three commercial zinc polycarboxylate cements with tooth structure was investigated by using infrared spectroscopic techniques. The obtained data revealed that the cements interact with enamel and ionic bonds are formed between calcium ions in enamel and carboxyl groups in polycarboxylic acid. The interaction depends on the percentages of ZnO content in the powders and of carboxylic acid in the liquids of these cements. The results provided some evidence that the cements also may interact with dentin but to a lesser extent than with enamel. The interaction of the cements with the metals copper and nickel or with Cr₂O₃, was also studied.