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In this paper, we propose to use spatial pulse position modulation (SPPM), which is the combination of optical spatial modulation (SM) and pulse position modulation (PPM), as a powerful technique to improve the performance of free-space optical communication (FSO) systems. We analyze the performance of proposed system taking into account most major effects of FSO channel including geometric spreading (i.e., beam broadening), path loss, and scintillation due to atmospheric turbulence. In addition, background noise and thermal noise are also included in our analysis. The numerical results show the significant improvement in bit error rate (BER) of FSO systems thanks to the use of SPPM. We also found that the location of photodetectors (PDs) and the beam waist at the receiver play important roles in the design of FSO systems using SM and SPPM. Due to the impact of beam broadening, the PDs should be located far from each other otherwise the narrow beam (or small beam waist) should be used.

In this paper, we propose to use relay transmission as a powerful technique for performance improvement of free-space optical code-division multiple-access (FSO/CDMA) systems. Relay nodes are based on chip detect-and-forward to avoid decoding process that makes the relay nodes more complex. We formulate a closed-form expression for bit-error rate (BER) of proposed FSO/CDMA systems over log-normal atmospheric turbulence channels taking into account channel loss due to attenuation and beam divergence. Multiple-access interference and background noise are also considered in our analysis. The numerical results show that the relay transmission is an efficient solution to improve the system performance. Thanks to this solution, FSO systems can achieve low BER, long distance, and high data rate. In addition, the advantages of using two-dimensional (2-D) prime code over 1-D one are also investigated in this paper.

Recent guidelines from the American Joint Committee on Cancer (AJCC) and National Comprehensive Cancer Network (NCCN) have been proposed for the assessment of “high-risk” cutaneous squamous cell carcinomas (cSCCs). Though different in perspective, both guidelines share the common goals of trying to identify “high-risk” cSCCs and improving patient outcomes. Thus, in theory, both definitions should identify a similar proportion of “high-risk” tumors. We sought to evaluate the AJCC and NCCN definitions of “high-risk” cSCCs and to assess their concordance.Methods. A retrospective review of head and neck cSCCs seen by an academic dermatology department from July 2010 to November 2011 was performed.Results. By AJCC criteria, most tumors (n=211,82.1%) were of Stage 1; 46 tumors (13.9%) were of Stage 2. Almost all were of Stage 2 due to size alone (≥2 cm); one tumor was “upstaged” due to “high-risk features.” Using the NCCN taxonomy, 231 (87%) of tumors were “high-risk.”Discussion. This analysis demonstrates discordance between AJCC and NCCN definitions of “high-risk” cSCC. Few cSCCs are of Stage 2 by AJCC criteria, while most are “high-risk” by the NCCN guidelines. While the current guidelines represent significant progress, further studies are needed to generate a unified definition of “high-risk” cSCC to optimize management.

Indolethylamine-N-methyltransferase (INMT) is a Class 1 transmethylation enzyme known for its production of N,N-dimethyltryptamine (DMT), a hallucinogen with affinity for various serotonergic, adrenergic, histaminergic, dopaminergic, and sigma-1 receptors. DMT is produced via the action of INMT on the endogenous substrates tryptamine and S-adenosyl-l-methionine (SAM). The biological, biochemical, and selective small molecule regulation of INMT enzyme activity remain largely unknown. Kinetic mechanisms for inhibition of rabbit lung INMT (rabINMT) by the product, DMT, and by a new novel tryptamine derivative were determined. After Michaelis-Menten and Lineweaver-Burk analyses had been applied to study inhibition, DMT was found to be a mixed competitive and noncompetitive inhibitor when measured against tryptamine. The novel tryptamine derivative, N-[2-(1H-indol-3-yl)ethyl]-N',N'-dimethylpropane-1,3-diamine (propyl dimethyl amino tryptamine or PDAT), was shown to inhibit rabINMT by a pure noncompetitive mechanism when measured against tryptamine with a Ki of 84 μM. No inhibition by PDAT was observed at 2 mM when it was tested against structurally similar Class 1 methyltransferases, such as human phenylethanolamine-N-methyltransferase (hPNMT) and human nicotinamide-N-methyltransferase (hNNMT), indicating selectivity for INMT. The demonstration of noncompetitive mechanisms for INMT inhibition implies the presence of an inhibitory allosteric site. In silico analyses using the computer modeling software Autodock and the rabINMT sequence threaded onto the human INMT (hINMT) structure (Protein Data Bank entry 2A14 ) identified an N-terminal helix-loop-helix non-active site binding region of the enzyme. The energies for binding of DMT and PDAT to this region of rabINMT, as determined by Autodock, were -6.34 and -7.58 kcal/mol, respectively. Assessment of the allosteric control of INMT may illuminate new biochemical pathway(s) underlying the biology of INMT.

We read with interest the article by Harper et al in the last edition of BMJ Supportive & Palliative Care .1 By establishing a correlation between infant mortality and the increased mortality risk of the parents, the article speaks, albeit indirectly, about the possible links between emotional and physical states: a topic of important and growing interest. However, two points about the authors' analysis require further examination: the first is statistical, the second conceptual. Harper et al are direct about the possible confounding factors for which they were unable to control but which may nullify any causal link implied by the statistical correlation they identify (p 308). However, given their use of census data, there is one possible confounding factor that they might have controlled for, that is, age of the parent at the …

The authors provide an overview of laparoscopic dissecting instruments and discuss early development, surgical options, and special features. End effectors of different shapes and functions are described. A comparison of available energy sources for laparoscopic instruments includes discussion of thermal dissection, ultrasonic dissection, and water-jet dissection. The ergonomic risks and challenges inherent in the use of current laparoscopic instruments are outlined, as well as ergonomic issues for the design of future instruments. New directions that laparoscopic instrumentation may take are considered in connection with developing technology in robotics, haptic feedback, and MicroElectroMechanical Systems. Copyright © 2001 by W.B. Saunders Company.

Analyzing bitmap results can provide insight into physical failure mechanisms normally acquired only through the complex, time-consuming, and expensive process of failure analysis.

The phase behavior of mixed block copolymers E99P69E99 and E45B14E45 (with E, P and B being oxyethylene, oxypropylene and oxybutylene, respectively) in aqueous solution is reported for the first time. Homogeneous gel-like structures, formed by the ordered packing of mixed block copolymer micelles, were studied by small-angle X-ray scattering (SAXS). Four different single phases could be identified: mixed solution, body-centered cubic (bcc), face-centered cubic (fcc) and hexagonal. Two fcc to bcc transitions occurred by increasing 99P69E99 concentration or by adding a small amount of E45B14E45 chains to the 99P69E99/water system while keeping the total polymer concentration constant at around 30 wt%.

The National Physical Laboratory (NPL) has designed and constructed four high-quality infrared (IR) blackbody sources to provide standards for the calibration of IR thermometers and thermal imaging...

Caveolin-3, a muscle-specific caveolin-related protein, is the principal structural protein of caveolae membrane domains in striated muscle cell types (cardiac and skeletal). Autosomal dominant limb girdle muscular dystrophy (LGMD-1C) in humans is due to mutations within the caveolin-3 gene: (i) a 9-base pair microdeletion that removes three amino acids within the caveolin scaffolding domain (DeltaTFT) or (ii) a missense mutation within the membrane spanning domain (P --> L). The molecular mechanisms by which these two mutations cause muscular dystrophy remain unknown. Here, we investigate the phenotypic behavior of these caveolin-3 mutations using heterologous expression. Wild type caveolin-3 or caveolin-3 mutants were transiently expressed in NIH 3T3 cells. LGMD-1C mutants of caveolin-3 (DeltaTFT or P --> L) were primarily retained at the level of a perinuclear compartment that we identified as the Golgi complex in double-labeling experiments, while wild type caveolin-3 was efficiently targeted to the plasma membrane. In accordance with these observations, caveolin-3 mutants formed oligomers of a much larger size than wild type caveolin-3 and were excluded from caveolae-enriched membrane fractions as seen by sucrose density gradient centrifugation. In addition, these caveolin-3 mutants were expressed at significantly lower levels and had a dramatically shortened half-life of approximately 45-60 min. However, caveolin-3 mutants were palmitoylated to the same extent as wild type caveolin-3, indicating that targeting to the plasma membrane is not required for palmitoylation of caveolin-3. In conclusion, we show that LGMD-1C mutations lead to formation of unstable high molecular mass aggregates of caveolin-3 that are retained within the Golgi complex and are not targeted to the plasma membrane. Consistent with its autosomal dominant form of genetic transmission, we demonstrate that LGMD-1C mutants of caveolin-3 behave in a dominant-negative fashion, causing the retention of wild type caveolin-3 at the level of the Golgi. These data provide a molecular explanation for why caveolin-3 levels are down-regulated in patients with this form of limb girdle muscular dystrophy (LGMD-1C).

Berberine was used to determine inhibition of arylamine N-acetyltransferase (NAT) activity in human bladder tumour cells. The NAT activity was measured by HPLC assaying for the amounts of N-acetyl-2-aminofluorene (AAF) and N-acetyl-p-aminobenzoic acid (N-Ac-PABA) and remaining 2-aminofluorene (AF) and p-aminobenzoic acid (PABA). Two assay systems were performed, one with cellular cytosols, the other with intact bladder tumour cell suspensions. The NAT activity in human bladder tumour cells was inhibited by berberine in a dose-dependent manner, that is, the higher the concentration of berberine, the higher the inhibition of NAT activity. The values of apparent Km and Vmax calculated from cytosol NAT and intact cells were also decreased by berberine. This report is the first demonstration to show berberine did affect human bladder tumour cell NAT activity.

The construction and testing of a portable gallium fixed point blackbody are described. The variation of the duration of the melt with thermostat temperature is demonstrated. The stability of the melt and uniformity of the radiance field at the aperture is shown to be better than .

Objective:There are limited data on the outcomes of children receiving delayed (≥7 days) extracorporeal membrane oxygenation after cardiac surgery. The primary aim of this project is to identify the aetiology and outcomes of extracorporeal membrane oxygenation in children receiving delayed (≥7 days) extracorporeal membrane oxygenation after cardiac surgery.Patients and methods:We conducted a retrospective review of all children ≤18 years supported with delayed extracorporeal membrane oxygenation after cardiac surgery between the period January, 2001 and March, 2012 at the Arkansas Children’s Hospital, United States of America, and Royal Children’s Hospital, Australia. The data collected in our study included patient demographic information, diagnoses, extracorporeal membrane oxygenation indication, extracorporeal membrane oxygenation support details, medical and surgical history, laboratory, microbiological, and radiographic data, information on organ dysfunction, complications, and patient outcomes. The outcome variables evaluated in this report included: survival to hospital discharge and current survival with emphasis on neurological, renal, pulmonary, and other end-organ function.Results:During the study period, 423 patients undergoing cardiac surgery were supported with extracorporeal membrane oxygenation at two institutions, with a survival of 232 patients (55%). Of these, 371 patients received extracorporeal membrane oxygenation Conclusions:This study demonstrates that mortality outcomes are comparable among children receiving extracorporeal membrane oxygenation ≥7 days and

Cholinergic interneurons, which provide the main source of acetylcholine (ACh) in the striatum, control the striatal local circuits and deeply involve in the pathogenesis of neurodegenerative diseases. Glycogen synthase kinase-3 (GSK-3) is a crucial kinase with diverse fundamental functions and accepted that deregulation of GSK-3 activity also plays important roles in diverse neurodegenerative diseases. However, up to now, there is no direct proof indicating whether GSK-3 activation is responsible for cholinergic dysfunction. In the present study, with combined intracerebroventricular injection of Wortmannin and GF-109203X, we activated GSK-3 and demonstrated the increased phosphorylation level of microtubule-associated protein tau and neurofilaments (NFs) in the rat striatum. The activated GSK-3 consequently decreased ACh level in the striatum as a result of the reduction of choline acetyltransferase (ChAT) activity. The alteration of ChAT activity was due to impaired ChAT distribution rather than its expression. Furthermore, we proved that cellular ChAT distribution was dependent on low phosphorylation level of NFs. Nevertheless, the cholinergic dysfunction in the striatum failed to induce significant neuronal number reduction. In summary, our data demonstrates the link between GSK-3 activation and cholinergic dysfunction in the striatum and provided beneficial evidence for the pathogenesis study of relevant neurodegenerative diseases.

The sigma-1 receptor is a ligand-regulated endoplasmic reticulum (ER) resident chaperone involved in the maintenance of cellular homeostasis. Coupling of the sigma-1 receptor with various ER and/or plasma membrane ion channels is associated with its ability to regulate the locomotor activity and cellular proliferation produced in response to sigma-1 receptor ligands. A number of endogenous small molecules bind to the sigma-1 receptor and have been shown to regulate its activity; these include progesterone, N,N-dimethyltryptamine, d-erythro-sphingosine, and/or other endogenous lipids. We previously reported the synthesis of long chain N-alkylamine derivatives and the characterization of the structure-activity relationship between the chain length of N-alkylamine and affinities at the sigma-1 receptor. Here, we present data demonstrating the photoincorporation of one of these N-alkylamine derivatives, N-[3-(4-nitrophenyl)propyl]-N-dodecylamine (4-NPPC12), to the sigma-1 receptor. Matrix-assisted laser desorption ionization time-of-flight and tandem mass spectrometry showed that 4-NPPC12 photoinserted at histidine 154 of the derivatized population of the sigma-1 receptor. Interestingly, light-dependent photoinsertion of 4-NPPC12 resulted in an enhanced electrophoretic mobility of only 50% of the derivatized receptor molecules as assessed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. The proposed binding and reactivity of 4-NPPC12 evoke a ligand binding model for the sigma-1 receptor that likely involves a receptor dimer and/or oligomer.

A retrospective review was performed on patients with stable melanoma brain metastases treated with HD IL-2 therapy (720,000 IU/kg per dose intravenously; 14 doses, 2 cycles per course, maximum 2 courses) from January 1999 to June 2011 at Saint Louis University. There were 5 men and 3 women; median age was 52.2 years (26.8–61.1 years). One patient started treatment with lung lesions only (after resection of melanoma brain disease) and experienced partial response. Seven patients had brain metastases at treatment initiation. Median overall survival (mOS) for entire cohort () was 8.7 months (2.1 to 19.0 months). All patients with brain metastases at first dose () showed progressive disease; mOS was 6.7 months (range 2.1–18.2 months) for this group. Patients received radiosurgery and whole brain radiation before and after HD IL-2 therapy. One patient had symptoms suggestive of neurotoxicity. A history of alcohol abuse was revealed during admission. The patient's symptoms improved with initiation of an alcohol withdrawal protocol. In this analysis, patients with melanoma brain metastases received HD IL-2 without treatment-related mortality. We think that HD IL-2 should be considered as a treatment option in patients with melanoma brain metastases who are otherwise eligible for therapy.

Phenolsulfonic acid/formaldehyde ion exchange membranes exhibit unexpected transport properties which deviate from that predicted by the standard model of transport across ion exchange membranes. Small-angle X-ray scattering experiments (0.118 nm -1 < q < 0.995 nm -1 ) and ultrasmall-angle X-ray scattering experiments (0.015 nm -1 < q < 0.05 nm -1 ) are carried out with two types of these gels to study their structure. The scattering patterns reveal inhomogeneities characterized by two lengths ξ 1 and ξ 2 with values of the order of ξ 1 1 nm and ξ 2 50 nm. On the basis of this finding a model for the structure of the gels is proposed which rationalizes qualitatively their observed transport properties.

In the BXSB autoimmune disease-prone mouse strain, male mice develop severe lupus-like symptoms and die early in life (4-6 mo), whereas females do not. We have previously demonstrated that profound phenotypic and functional changes occur with age in CD4+ cells from BXSB males. CD4+ cells from males (4 mo old) were predominantly CD44high, CD45RBlow, and MEL-14low (activated/memory phenotypes), while the reciprocal phenotypes characteristic of naive cells were prevalent in age-matched females and young adult males (2 mo old). CD4+ cells from older males proliferated less and produced less IL-2 and IFN-gamma than cells from either females or young males in response to immobilized anti-CD3 mAb. We tested the effect of CTLA4Ig treatment on the progression of disease in BXSB males. CD4+ cells from CTLA4Ig-treated mice at 4 mo of age were predominantly CD44low, CD45RBhigh, and MEL-14high phenotypes that were identical with those observed in CD4+ cells from young (3-mo-old) females. In contrast, control male mice treated with IgG2a accumulated the CD4+ memory phenotype. CD4+ cells from 4-mo-old male CTLA4Ig-treated mice proliferated and produced IL-2 at levels similar to those of cells from females in response to immobilized anti-CD3 mAb. Furthermore, in contrast to IgG2a-treated mice, female and CTLA4Ig-treated male mice at 4 mo of age produced no anti-chromatin Abs. Three of four male mice injected with CTLA4Ig until 6 mo of age appeared healthy at 8 mo of age, whereas all five of IgG2a-treated control males died by 6 mo of age. These 8-mo-old CTLA4Ig-treated males showed variable resistance to autoimmunity as well as function and phenotype marker expression, and a less striking glomerulonephritis than 4-mo-old untreated males. The results of this study demonstrate that the rampant T cell activation and T cell dysfunction that occur in male BXSB mice by 4 mo of age are abrogated by blocking the CTLA4-dependent costimulatory signal(s). They also show that treatment with CTLA4Ig can suppress the pathogenesis of disease and increase longevity.

A comparative experimental study on the effect of the vibration of an optical fiber lead in an optical current measurement system has been made with the use of a polarimeter. The experimental results obtained have shown that both the depolarization effect and the decoherence effect of a multimode fiber can be used to suppress the vibration‐induced noise in a fiber lead in such an optical current measurement system. With the use of a low‐coherence source and a long multimode fiber of 2200 m, an improvement of more than 40 dB of the output signal‐to‐noise ratio has been demonstrated.

Male BXSB mice develop lupus-like disease and die early in life (4 to 5 mo) whereas female mice do not. Others have demonstrated that CD4+ cells from male mice support B cell resistance to tolerance induction to human gamma-globulin (HGG). In this study, male and female mice tolerized at 2 mo of age with deaggregated HGG and subsequently immunized with HGG in comparison with mice immunized only were tested for anti-HGG Ab responses. CD4+ cells from draining lymph nodes of these mice were tested in culture for proliferation and production of cytokine mRNA and protein in response to HGG plus APC. Tolerized male but not female mice produced anti-HGG Abs of both the IgG1 and IgG2a isotypes. HGG-stimulated CD4+ cells from immunized male and female mice that were not tolerized produced IL-2, IL-4, IL-5, IFN-gamma, and TNF-beta mRNA as well as IL-2 and IL-4 protein, whereas tolerized, immunized mice of both sexes failed to proliferate or produce either IL-2 or IL-4 or express any cytokine mRNA in response to HGG in vitro. A resistance in tolerance induction in male mice, as determined by anti-HGG Abs, was also observed at 3 mo of age. Although a resistance to tolerance was also seen in terms of proliferation in the 3-mo-old males, production of IL-2 or IL-4 protein was still not observed. Thus, all T cell subsets identified by cytokine expression profiles were tolerized not only from females but also from males, of which the latter appeared to show some resistance to tolerance induction.

In this report, we present an African-American female patient who presented with haematuria to her primary care physician. The symptoms persisted and coexistent metastatic spindle cell-type melanoma of the kidney and renal cell carcinoma were discovered on further evaluation. No primary site for melanoma was identified. Despite aggressive treatment with ipilimumab, the patient's disease progressed quickly. The patient opted for palliative care and was referred to a hospice. Coexistent melanoma and renal cell carcinoma is exceedingly rare. Melanoma itself is rare in the African-American population. However, when it does present, it usually is at an advanced stage, as was the case in our patient. Since no primary tumour site for melanoma was found and the diagnosis was made after the tumour had metastasised, we think this case highlights the importance of cutaneous cancer surveillance in the non-Caucasian population. Earlier identification of melanoma in this population will help to improve outcomes.

We demonstrate reduced reflectance and a corresponding enhancement of transmittance in lamellar hyperbolic metamaterials, with scatterers deposited on the top. The effect is much more significant in curvilinear hyperbolic metamaterials. We also show that absorption strengths of dyes on the top of hyperbolic metamaterials can be tuned and enhanced (nearly threefold). The effect can be controlled by interplay of the substrate geometry, composition and location of the absorbing medium. Our observations pave the way for a variety of applications, including broadband enhancements of light trapping and absorption in solar cells.

Acitretin, a metabolite of the aromatic retinoid etretinate, has been utilized successfully in the treatment of psoriasis since the late 1980s. Of the oral retinoids available, etretinate and acitretin are the most likely agents to induce various dose-dependent hair changes, but to our knowledge this is the first reported case of acitretin-induced poliosis. Additional cutaneous findings included skin atrophy and stickiness. Here we report a case of full body acitretin-induced poliosis with concurrent alopecia in a patient with psoriasis. A proposed mechanism for the poliosis is also presented here. Closer examination of retinoid-induced hair changes is needed in order to help physicians better counsel their patients regarding the adverse effects of acitretin and to expand the current knowledge on hair follicle biology.

We have demonstrated the reduction of reflectance in curvilinear lamellar hyperbolic metamaterials and hyperbolic metamaterials with deposited TiO 2 scatterers. The effect is accompanied by an enhancement of the sample's transmission and its non-reciprocity.

We describe methods and applications of laser light scattering (LLS) with an emphasis on characterizing macromolecules in solution. The discussions include brief theoretical background and experimental practices of LLS for standard static and dynamic LLS, as well as descriptions of fluid static and dynamic structures in Fourier space, and special techniques for multiple scattering and speckles, such as cross-correlation spectroscopy. Applications to macromolecular systems from dilute, moderately concentrated, and turbid solutions to polymer gels, melt blends, and solids are also discussed.

Solution characterization of buckminsterfullerene C60 in benzene was carried out by laser light scattering. Static and dynamic light scattering (SLS and DLS) experiments were accomplished by using an incident laser beam of 790 nm wavelength, and a fiber optic probe which was coupled to a RCA C31034 photomultiplier tube sensitive to the near ir wavelength. The effective hydrodynamic radius of C60 in benzene solution determined by using DLS was 6.4±0.1 A, in close agreement with the distance measured from the center of the solvated benzene to the center of the benzene‐solvated C60 (C60⋅4C6H6):6.7∼6.8 A as evaluated from the single crystal structure by x‐ray diffraction. C60 was found to aggregate slowly even in fairly dilute solution concentrations ranging from 0.78 to 1.39 mg/mL at temperatures 23∼27 °C. Based on the high specific refractive index increment of C60 in benzene, the molar mass of the C60 aggregates could be estimated. Together with the radius of gyration, the hydrodynamic radius, and its size...

CD4+ cells are thought to play a significant role in the development of lupus-like disease in a variety of autoimmune disease-prone mouse strains. In one such strain, BXSB/MpJScR, male mice develop severe lupus-like symptoms early in life but females do not. In this study, splenic CD4+ cells from male and female BXSB mice were evaluated for age-related changes in: 1) membrane expression of CD4+ cell subset markers (1, 2, and 4 mo) and activation Ags (4 mo) and 2) the capacity to proliferate and produce cytokines (4 mo) in response to polyclonal stimuli. CD4+ cells from females of all age groups and from younger males were predominantly CD44lo, CD45RBhi, MEL-14hi, and 3G11hi (phenotypes associated with naive T cells). In contrast, 4-mo-old males were predominantly CD44hi, CD45RBlo, MEL-14lo, and 3G11lo (phenotypes associated with activated/memory T cells). Furthermore, an increased constitutive expression of the activation Ags RL388, IL-2R, and TfR was observed in CD4+ cells of 4-mo-old male BXSB mice in comparison with age-matched females. In 3-day cultures, purified CD4+ cells from 4-mo-old males proliferated significantly less than cells from age-matched females in response to plate-bound anti-CD3 epsilon (2C11i). The reduced proliferation was restored in large part by PMA and ionomycin. CD4+ cells from older males generally produced increased amounts of IFN-gamma and IL-4 and significantly less IL-2 than age-matched females in response to either stimulus (IL-2 mRNA was also decreased in response to 2C11i). Taken together, these studies suggest that profound phenotypic and functional changes occur with age in the CD4+ cells of male BXSB mice that are indicative of an activated state.

Solution behavior of buckminsterfullerene (C60) in benzene was investigated by laser light scattering using an incident wavelength of 790 nm. C60 was found to aggregate slowly even in fairly dilute solution concentrations ranging from 1.39 to 2.11 mg/ml at room temperatures (23–26°C). The aggregation of C60 in benzene solution was reversible. The C60 aggregates could be dispersed simply by hand shaking the solution. The light-scattering intensity results indicated that the structure of C60 aggregates could be described as a fractal with dimension of 2.10 and the aggregation kinetics exhibited essentially an exponential behavior.

The National Physical Laboratory (NPL) maintains a range of reference blackbody cavities of its own design with apertures from 3.0 to 100 mm in diameter for use over the temperature range 10-1064 degrees C. These sources are used for calibration of radiation thermometers and evaluation and calibration of industrial blackbody cavities over the wavelength range 0.9-14 mu m. This paper describes the design of the cavities and their intercomparison using a high-precision infrared radiometer. The results of the intercomparison showed a radiance temperature compatibility of better than +or-0.6 degrees C over a wide temperature range and therefore validates the high quality of the NPL blackbody cavities as reference sources of thermal radiation.

This single-center retrospective pilot program’s objective was to utilize outpatient pharmacists to improve laboratory test adherence in chronic heart failure (CHF) patients overdue for thyroid function testing, thereby demonstrating the value of the outpatient pharmacist and justifying possible clinical role expansion. Thyroid disorders may contribute to CHF development, progression, and exacerbation. Testing is the standard of care in CHF patients per American Heart Association’s 2009 Guidelines. Delinquency was defined as labs not conducted within 1 year in patients with euthyroid history, within 6 months in patients with thyroid dysfunction, abnormal labs at any time without follow-up, or lab absence after thyroid medication initiation, adjustment, or discontinuation. Targeted 80 nonpregnant adult CHF patients with delinquent thyroid function tests were counseled to get thyroid labs at point of sale, via telephone, e-mail, or letter. In collaboration with physicians, pharmacists ordered thyroid-stimulating hormone (TSH) and free T4 (FT4) labs. For patients with abnormal laboratory results, pharmacists coordinated drug therapy and follow-up labs. Data were collected from November 1, 2009 to March 30, 2010. Seventy-two patients (90%) previously delinquent for thyroid function testing received relevant thyroid labs. Ten patients (12.5%) with abnormal thyroid function tests not on prior drug therapy received treatment.

The design and performance of an optical current comparator based upon a triangular shaped bulk glass sensing element are presented. The effect of the Faraday rotation produced in the sensing element by an unknown large current is annulled by a smaller known current of opposite polarity, thus giving an absolute measurement of the unknown current. The design requirements of the sensor configuration are analysed theoretically by computer simulation and tested experimentally for both ideal and non-ideal sensors. The sensors have many applications in the power distribution industry, as both absolute and differential AC and DC measurements up to very high currents are possible.

Homozygous alpha-thalassemia [alpha-thal-1], with loss of all four alpha-globin genes, causes lethal hydrops fetalis. The most common mutation producing this syndrome is the Southeast Asian (--SEA) double alpha-globin gene deletion. Erythrocytes from adults heterozygous for the (--SEA) deletion have minute amounts of embryonic zeta-globin chains detectable by anti-zeta-globin monoclonal antibodies. Among 225 peripheral blood samples tested by a simple anti-zeta-immunobinding tetrazolium dye test, 81 were positive and 144 were negative. The majority of subjects were of Filipino, Chinese, or Laotian ancestry. All 81 positive samples were confirmed by Bam HI digests and a zeta-cDNA probe to have the (--SEA) mutation. The (--SEA) double alpha-deletion was the only abnormality in 58. In the others, it was combined with alpha-globin or beta-globin mutations, or coincidental iron deficiency. Four other samples from (--SEA) heterozygotes were negative by this immunologic assay. Anti-zeta negative samples included 78 deletions of the total alpha-globin region, (--Tot), 23 single alpha-globin deletions, and a variety of beta-globin mutations; 16 normocytic samples with normal alpha-genes were also negative. Ten anti-zeta positive and 25 anti-zeta negative samples had benign triplicated zeta-globin genes. In this population, the sensitivity of this test was 95%; and specificity for the (--SEA) mutation was 100%. Anti-zeta immunobinding testing provides rapid, simple, and reliable screening for the (--SEA) double alpha-globin deletion, although it does not detect the (--Tot) total alpha-deletions.

Although low molecular weight dextran is commonly utilized in clinical microsurgery, few experimental data are available documenting its efficacy. Bilateral 2-mm arterial inversion grafts were constructed in the femoral arteries of New Zealand White rabbits. The experimental group (n = 40 grafts) received a 5-day constant infusion of intravenous dextran 40 at 2.1 ml/hour, and the control group (n = 50 grafts) received no infusion. Whereas 85 percent (34/40) of the dextran grafts were patent at 1 week, only 48 percent (24/50) of the control grafts were patent (p = 0.0003). Scanning electron micrographs revealed a decrease in both platelet and fibrin deposition in the patent dextran arterial inversion grafts versus the patent control specimens. As a marked diminution in microvascular thrombosis was demonstrated at a clinically relevant dose, the continued use of intravenous dextran 40 in clinical microsurgery is supported by this study.

The design and performance of an optical current comparator based upon a triangular-shaped bulk glass sensing element are presented. The effect of the Faraday rotation produced in the sensing element by an unknown large current is nulled by a smaller known current of opposite polarity, thus giving an absolute measurement of the unknown current. The design requirements of the sensor configuration are analysed theoretically by computer simulation and tested experimentally for both ideal and non-ideal sensors. The sensor may have many applications in the power distribution industry, as both absolute and differential a.c. and d.c. measurements up to very high currents are possible.

We carried out a parasitological survey of Schistosoma haematobium infection among the residents of Lowveld Siphofaneni, Swaziland, an area which is devoid of sanitation. Subjects with positive infection were confirmed by the detection of S. haematobium ova in their urine. The intensity of the infection was estimated by calculating the total number of S. haematobium ova present in 10 ml urine specimen (geometric mean intensity; GMI). Overall, the prevalence of S. haematobium infection was 6.1% (18/295) with a GMI of 20.7 (95% CI=9.1~32.2). Female (10.5%, 16/153) had significantly higher prevalence than that in male (1.4%, 2/142) (ORs=8.2, 95% CI=1.8- 36.2, P0.01); conversely, male had higher GMI (60.0) than that (17.3) in female. The age group of ≤5 yrs (15.3%, 9/59) had significantly higher prevalence than that in age group of ≥19 yrs (2.6%, 3/115) (ORs=0.2, 95% CI=0.04-0.57, P0.01). The highest GMI of 27.9 (95% CI=7.6~48.2) was also seen in age group of ≤5 yrs.

In this study a batch aerobic reactor fed with the soluble and particulate matter produced during sludge ozonation (reactor 1) is proposed and its performance was evaluated in comparison to a reactor fed with municipal wastewater (reactor 2) to investigate the biodegradation properties of the ozone-treated sludge. During long-term operation of nearly 7 months, the efficiency of reactor 1 was preserved, although there was a 5% decrease in total COD elimination, compared with reactor 2. The released proteins and polysaccharides during sludge ozonation were effectively decomposed. The volatile suspended solid (VSS)/total suspended solid (TSS) ratio and the oxygen uptake rate in reactor 1 were lower than those in reactor 2 by 19% and 27%, respectively. However, the protease activity per gram of volatile suspended solids and the ammonium oxidation rate in reactor 1 were higher. The yields of sludge in reactor 1 fed with ozonated sludge were lower which implied that the cryptic growth using the organic autochthonous substrate might produce reduced biomass yields, which would decrease sludge production. The debris-like substances observed from scanning electron microscope (SEM) images and the functional groups associated with calcite were only found in reactor 1 by FT-IR analysis, which implies that some of the inert or inorganic substances from sludge ozonation were accumulated in the reactor.

As there appeared to be no data available on Toxocara canis infection in the children of Swaziland, a serological survey of T. canis infection was recently conducted among 92 children aged 3-12 years from rural slums in the low- and middle-veld. A child was considered seropositive if, in western blots based on the excretory-secretory antigens of larval T. canis, his or her serum gave a positive result when diluted 1 : 64. Forty-one (44.6%) of the children were found seropositive. There were no statistically significant differences in seroprevalence between the 49 boys and 43 girls investigated (46.9% v. 41.8%) or between the eight subjects aged 12 years and the 47 agedor = 5 years (62.5% v. 38.3%); the corresponding odds ratios were 0.81 (95% confidence interval=0.36-1.86; P=0.62) and 2.69 (95% confidence interval=0.57-12.62; P=0.20), respectively. The 66 subjects from the middleveld were, however, significantly more likely to be seropositive than the 26 subjects from the lowveld (54.5% v. 19.2%; odds ratio=5.04, with a 95% confidence interval of 1.70-14.98; P0.01). It seems likely that T. canis infection is common among the children who live in slums in Swaziland, particularly in the country's middleveld, probably as the result of poor hygiene and poor sanitation.