6,887 research outputs found
Will biological agents supplant systemic glucocorticoids as the first-line treatment for thyroid-associated ophthalmopathy?
In this article, the two authors present their opposing points of view concerning the likelihood that glucocorticoids will be replaced by newly developed biological agents in the treatment of active, moderate-to-severe thyroid-associated ophthalmopathy (TAO). TAO is a vexing, disfiguring and potentially blinding autoimmune manifestation of thyroid autoimmunity. One author expresses the opinion that steroids are nonspecific, frequently fail to improve the disease and can cause sometimes serious side effects. He suggests that glucocorticoids should be replaced as soon as possible by more specific and safer drugs, once they become available. The most promising of these are biological agents. The other author argues that glucocorticoids are proven effective and are unlikely to be replaced by biologicals. He reasons that while they may not uniformly result in optimal benefit, they have been proven effective in many reports. He remains open minded about alternative therapies such as biologicals but remains skeptical that they will replace steroids as the first-line therapy for active, moderate-to-severe TAO without head-to-head comparative clinical trials demonstrating superiority. Despite these very different points of view, both authors are optimistic about the availability of improved medical therapies for TAO, either as single agents or in combination. Further, both agree that better treatment options are needed to improve the care of our patients with active moderate-to-severe TAO
The value of silence
This is an electronic version of the article published in Theatre Journal, 54(1):85-94, 2002 March. The published article is available at http://muse.jhu.edu/journals/theatre_journal/v054/54.1eng.pdfEng, David L.The Value of Silence.Theatre Journal, 54,(1):85-94, 2002.DOI: 10.1353/tj.2002.000
Location-area partition in a cellular radio network
With an increasing population of mobile subscribers, the signalling traffic to control the subscriber mobility expands rapidly. Subscriber mobility is controlled through location registration based on the so-called location area, the basic area unit for paging which consists of a number of cells. There is a tradeoff between the two kinds of signalling traffic: paging and location updating. As location areas include a larger number of cells, the traffic volume for paging increases while that for location updating decreases. Given not only the pattern of call arrivals but also that for subscriber mobility, our problem is to minimise the total signalling traffic by optimally partitioning the whole area into location areas. We show that this problem can be transformed to the so-called clique partitioning problem (CPP). Also we demonstrate the process of implementing the algorithm for solving the CPP for real-world problems defined on the cellular network in Seoul
The concept of mass-density in classical thermodynamics and the Boltzmann kinetic equation for dilute gases
In this paper we discuss the mass-density of gas media as represented in kinetic theory. It is argued that conventional representations of this variable in gas kinetic theory contradict a macroscopic field variable and thermodynamic property in classical thermodynamics. We show that in cases where mass-density variations exist throughout the medium, introducing the mass-density as a macroscopic field variable leads to a restructuring of the diffusive/convective fluxes and implies some modifications to the hydrodynamic equations describing gas flows and heat transfer. As an illustration, we consider the prediction of mass-density profiles in a simple heat conduction problem between parallel plates maintained at different temperatures
Liftings for noncomplete probability spaces
The current state of knowledge concerning liftings for noncomplete probability spaces is discussed. This is a somewhat expanded version of the author's talk given at the 1991 Summer Conference on General Topology and Applications in Honor of Mary Ellen Rudin and Her Work.PT: S; CR: BURKE MR, IN PRESS P AM MATH S BURKE MR, 1991, ISRAEL J MATH, V73, P33 BURKE MR, 1992, ISRAEL J MATH, V79, P289 CARLSON T, THEOREM LIFTING CHRISTENSEN JPR, 1974, TOPOLOGY BOREL STRUC FREMLIN DH, 1989, HDB BOOLEAN ALGEBRAS, P877 INOESCUTULCEA A, 1966, 5TH P BERK S MATH ST, V2 IONESCUTULCEA A, 1967, CONTRIBUTIONS PROB 1, P63 IONESCUTULCEA A, 1969, TOPICS THEORY LIFTIN JECH TJ, 1978, SET THEORY JOHNSON RA, 1980, P AM MATH SOC, V80, P234 JUST W, IN PRESS T AM MATH S KUPKA J, 1983, INDIANA U MATH J, V32, P717 LOSERT V, 1983, LNM, V1080, P95 MAHARAM D, 1958, P AM MATH SOC, V9, P987 SHELAH S, 1983, ISRAEL J MATH, V45, P90 TALAGRAND M, 1982, P AM MATH SOC, V84, P379 VONNEUMANN J, 1931, CRELLES J MATH, V165, P109; NR: 18; TC: 0; J9: ANN N Y ACAD SCI; PG: 4; GA: BZ86BSource type: Electronic(1
Axisymmetric polydimethysiloxane microchannels for in vitro hemodynamic studies
The current microdevices used for biomedical research are often manufactured using microelectromechanical systems (MEMS) technology. Although it is possible to fabricate precise and reproducible rectangular microchannels using soft lithography techniques, this kind of geometry may not reflect the actual physiology of the microcirculation. Here, we present a simple method to fabricate circular polydimethysiloxane (PDMS) microchannels aiming to mimic an in vivo microvascular environment and suitable for state-of-the-art microscale flow visualization techniques, such as confocal µPIV/PTV. By using a confocal µPTV system individual red blood cells (RBCs) were successfully tracked trough a 75 µm circular PDMS microchannel. The results show that RBC lateral dispersion increases with the volume fraction of RBCs in the solution, i.e. with the hematocrit
Cost-effectiveness of managing Natura 2000 sites: an exploratory study for Finland, Germany, the Netherlands and Poland
Natura 2000 sites are expected to assure the long-term survival of Europe's most valuable and threatened species and habitats. It follows that successful management of the sites is of great importance. Next to goal attainment, cost-effectiveness is increasingly recognised as a key requirement for gaining social and political acceptance for costly conservation measures. We identify and qualitatively examine issues of cost-effectiveness related to the design and implementation of management measures in Natura 2000 sites in Finland, Germany, the Netherlands and Poland. Given the wide variety of management design and implementation options within the four countries, our study is purely of an exploratory nature. We derive recommendations for improving the cost-effectiveness of management in Natura 2000 sites and for future research. Examples of policy recommendations include guaranteeing the availability of funds for longer periods, and ensuring the appropriate allocation of funds between the different tasks of designing and implementing management plans. Further research should examine the cost-effectiveness of controversial suggestions such as, for example, more tailored payment schemes for conservation measures that result in higher ecological outputs but are costly to administer. Moreover, more research is needed to better understand how rules for administrations, as well as rules and governance structures for tasks within administrations, should be designed
The Imaging of a Complete Biological Structure with the Scanning Tunneling Microscope
PT: J; CR: 1986, IBM J RES DEV, V30 AMREIN M, 1988, IN PRESS J MICROSCOP AMREIN M, 1988, SCIENCE, V240, P514 BEVERIDGE TJ, 1985, J BACTERIOL, V162, P728 BEVERIDGE TJ, 1987, CAN J MICROBIOL, V33, P725 BINNIG G, 1982, HELV PHYS ACTA, V55, P726 BLACKFORD BL, 1987, REV SCI INSTRUM, V58, P1343 BLACKFORD BL, 1988, IN PRESS J MICROSCOP DAHN DC, 1988, J VAC SCI TECHNOL A, V6, P548 FOSTER JS, 1988, IN PRESS J MICROSCOP HANSMA PK, 1987, J APPL PHYS, V61, R1 LINDSAY SM, 1988, J VAC SCI TECHNOL A, V6, P544 SHAW PJ, 1985, J BACTERIOL M, V161, P650 SMITH D, 1988, IN PRESS J MICROSCOP SMITH DPE, 1987, P NATL ACAD SCI USA, V84, P969 SONNENFELD R, 1986, SCIENCE, V232, P211 SPROTT GD, 1980, CAN J MICROBIOL, V26, P115 SPROTT GD, 1986, CAN J MICROBIOL, V32, P847 STEMMER A, 1987, SURF SCI, V181, P394 STEWART M, 1985, J MOL BIOL, V183, P509 STROSCIO JA, 1987, PHYS REV LETT, V58, P1668 ZASADZINSKI JAN, 1988, SCIENCE, V239, P1013; NR: 22; TC: 12; J9: ULTRAMICROSCOPY; PG: 6; GA: AA937Source type: Electronic(1
Metabolic profiling and population screening of analgesic usage in nuclear magnetic resonance spectroscopy-based large-scale epidemiologic studies
The application of a 1H nuclear magnetic resonance (NMR) spectroscopy-based screening method for determining the use of two widely available analgesics (acetaminophen and ibuprofen) in epidemiologic studies has been investigated. We used samples and data from the cross-sectional INTERMAP Study involving participants from Japan (n = 1145), China (n = 839), U.K. (n = 501), and the U.S. (n = 2195). An orthogonal projection to latent structures discriminant analysis (OPLS-DA) algorithm with an incorporated Monte Carlo resampling function was applied to the NMR data set to determine which spectra contained analgesic metabolites. OPLS-DA preprocessing parameters (normalization, bin width, scaling, and input parameters) were assessed systematically to identify an optimal acetaminophen prediction model. Subsets of INTERMAP spectra were examined to verify and validate the presence/absence of acetaminophen/ibuprofen based on known chemical shift and coupling patterns. The optimized and validated acetaminophen model correctly predicted 98.2%, and the ibuprofen model correctly predicted 99.0% of the urine specimens containing these drug metabolites. The acetaminophen and ibuprofen models were subsequently used to predict the presence/absence of these drug metabolites for the remaining INTERMAP specimens. The acetaminophen model identified 415 out of 8436 spectra as containing acetaminophen metabolite signals while the ibuprofen model identified 245 out of 8604 spectra as containing ibuprofen metabolite signals from the global data set after excluding samples used to construct the prediction models. The NMR-based metabolic screening strategy provides a new objective approach for evaluation of self-reported medication data and is extendable to other aspects of population xenometabolome profiling
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