Double blind controlled trial of d-penicillamine in patients with primary biliary cirrhosis.

One hundred and eighty nine patients with primary biliary cirrhosis were entered into a double blind, placebo controlled randomised trial starting in January 1978 to assess the therapeutic value of d-penicillamine 1200 mg daily. Eighteen of the 98 patients receiving d-penicillamine and 22 of the 91 placebo treated patients died during the study. Thirty six per cent of those on d-penicillamine and 8% of those on placebo were withdrawn from the study. No difference in overall survival was noted between the two groups of patients whether the results were analysed for the entire period of observation or only during the period in which the patients were receiving therapy. The mortality rate of those receiving d-penicillamine in histological stage I to II, however, was one third of that of the placebo group although this difference did not reach statistical significance. Using the occurrence rate ratio as the statistical method of analysis, no effect of d-penicillamine was noted on any clinical, biochemical or histological features examined, except the serum alanine aminotransferase activity which was greater in those on active treatment. In this trial we have been unable to establish any therapeutic benefit from the drug

An application of six sigma methodology to enhance leisure service quality

Leisure service quality, Six sigma, Evaluation,

An Examination of Soil Crusts on the Floor of Jezero Crater, Mars

Martian soils are critically important for understanding the history of Mars, past potentially habitable environments, returned samples, and future human exploration. This paper examines soil crusts on the floor of Jezero crater encountered during initial phases of the Mars 2020 mission. Soil surface crusts have been observed on Mars at other locations, starting with the two Viking Lander missions. Rover observations show that soil crusts are also common across the floor of Jezero crater, revealed in 45 of 101 locations where rover wheels disturbed the soil surface, 2 out of 7 helicopter flights that crossed the wheel tracks, and 4 of 8 abrasion/drilling sites. Most soils measured by the SuperCam laser-induced breakdown spectroscopy (LIBS) instrument show high hydrogen content at the surface, and fine-grained soils also show a visible/near infrared (VISIR) 1.9 µm H2O absorption feature. The Planetary Instrument for X-ray Lithochemistry (PIXL) and SuperCam observations suggest the presence of salts at the surface of rocks and soils. The correlation of S and Cl contents with H contents in SuperCam LIBS measurements suggests that the salts present are likely hydrated. On the “Naltsos” target, magnesium and sulfur are correlated in PIXL measurements, and Mg is tightly correlated with H at the SuperCam points, suggesting hydrated Mg-sulfates. Mars Environmental Dynamics Analyzer (MEDA) observations indicate possible frost events and potential changes in the hydration of Mg-sulfate salts. Jezero crater soil crusts may therefore form by salts that are hydrated by changes in relative humidity and frost events, cementing the soil surface together

An Examination of Soil Crusts on the Floor of Jezero Crater, Mars

Martian soils are critically important for understanding the history of Mars, past potentially habitable environments, returned samples, and future human exploration. This paper examines soil crusts on the floor of Jezero crater encountered during initial phases of the Mars 2020 mission. Soil surface crusts have been observed on Mars at other locations, starting with the two Viking Lander missions. Rover observations show that soil crusts are also common across the floor of Jezero crater, revealed in 45 of 101 locations where rover wheels disturbed the soil surface, 2 out of 7 helicopter flights that crossed the wheel tracks, and 4 of 8 abrasion/drilling sites. Most soils measured by the SuperCam laser-induced breakdown spectroscopy (LIBS) instrument show high hydrogen content at the surface, and fine-grained soils also show a visible/near infrared (VISIR) 1.9 µm H2O absorption feature. The Planetary Instrument for X-ray Lithochemistry (PIXL) and SuperCam observations suggest the presence of salts at the surface of rocks and soils. The correlation of S and Cl contents with H contents in SuperCam LIBS measurements suggests that the salts present are likely hydrated. On the “Naltsos” target, magnesium and sulfur are correlated in PIXL measurements, and Mg is tightly correlated with H at the SuperCam points, suggesting hydrated Mg-sulfates. Mars Environmental Dynamics Analyzer (MEDA) observations indicate possible frost events and potential changes in the hydration of Mg-sulfate salts. Jezero crater soil crusts may therefore form by salts that are hydrated by changes in relative humidity and frost events, cementing the soil surface together.</p