4,976 research outputs found
Evaluation of methods to remove decomposed mix-4P3E from 9Cr-1Mo steel
Removal of SNAP-8 lubricant/coolant fluid from chromium-molybdenum stee
Oxides in NaK
Oxygen reactivity effects on eutectic NaK alloy and SNAP 8 system including oxygen contamination sources, oxide solubility, and oxide control method
Measurement of surface roughness slope
Instrument, consisting of isolator, differentiator, absolute value circuit, and integrator, uses output signal from surface texture analyzer profile-amplifier to calculate surface roughness slope. Calculations provide accurate, instantaneous value of the slope. Instrument is inexpensive and applicable to any commerical surface texture analyzer
Medication treatment perceptions, concerns and expectations among depressed individuals with Type I Bipolar Disorder
BACKGROUND: Subjective experience of illness affects outcomes among populations with bipolar disorder (BD). This cross-sectional study combined qualitative and quantitative approaches to evaluate perceived treatment effects, concerns and expectations among 90 individuals with BD. METHODS: Adults with type I BD, mean age 36.6 years, 51% women, completed a semi-structured interview that was audio taped, transcribed, coded and analyzed along emergent themes. Quantitative scales measured depressive symptoms (Hamilton Depression Scale/HAMD), psychopathology (Clinical Global Impression/CGI), and insight and treatment attitudes (Insight and Treatment Attitudes Questionnaire/ITAQ). RESULTS: Individuals had moderate depression and psychopathology with good insight into need for treatment. Drug treatment was perceived as beneficial, by “stabilizing” or “balancing” mood (42%, N=38), decreasing anxiety/depressive symptoms (19%, N=17) and improving sleep (10%, N=9). While 39%, (N=35) of individuals denied medication concerns, nearly 29%, (N=26) feared possible long-term effects, particularly diabetes or liver/kidney damage. Media stories and advertisements contributed to medication fears. Hopes and expectations for treatment ranged from those that were symptom or functional status-based, such as desiring mood stabilization and elimination of specific symptoms (23%, N=21), to more global hopes such as “being normal” (20%, N=18) or “cured” (18%, N=16). LIMITATIONS: Limitations include relatively small sample, lack of a comparator, inclusion of only depressed individuals and those willing to discuss their illness experience. CONCLUSIONS: While individuals with BD appreciate the effects of medications, concerns regarding adverse effects and discrepancy between actual and hoped-for outcomes can be substantial. Subjective experience with medications using qualitative and quantitative methods should be explored in order to optimize treatment collaboration and outcomes
Use of capecitabine in management of early colon cancer
Capecitabine (Xeloda®, Roche, Basel, Switzerland) is a pro-drug of 5-fluorouracil (5-FU), and it is converted to 5-FU in the cancer cell by enzymatic degradation. The role of capecitabine in colorectal cancer has evolved in the last 15 years. In early trials in the metastatic setting, capecitabine has shown superior response rates compared with those achieved with 5-FU (Mayo Clinic regimen) (26% vs 17%), with equivalent progression-free survival and overall survival. In the adjuvant setting, the Xeloda in Adjuvant Colon Cancer Therapy (X-ACT) trial demonstrated that capecitabine as a single agent led to improvement in relapse-free survival (hazard ratio: 0.86, 95% confidence interval: 0.74–0.99, P = 0.04) and was associated with significantly fewer adverse events than 5-FU plus leucovorin (LV, folinic acid). On the basis of the X-ACT trial, capecitabine was approved by the United States Food and Drug Administration, the National Institute for Clinical Excellence, and the Scottish Medicines Consortium as monotherapy for the adjuvant treatment of stage III colon cancer. The next step was to incorporate capecitabine into combination therapy. The XELOXA trial studied the combination of capecitabine and oxaliplatin (XELOX) vs 5-FU/LV and demonstrated 5-year disease-free survival of 66% for XELOX, compared with 60% for 5-FU/LV. The toxicity profile was also quite comparable in the two arms. So both the single agent use of capecitabine as well as in combination with oxaliplatin can be considered as part of the standard of care in management of early colon cancer in appropriately selected patient groups
Materials evaluation of transition joints for transformer reactor assembly
Metallic coating materials evaluated for use in transition joints for SNAP-8 transformer reactor assembl
In-vivo magnetic resonance imaging of hyperpolarized silicon particles
Silicon-based micro and nanoparticles have gained popularity in a wide range
of biomedical applications due to their biocompatibility and biodegradability
in-vivo, as well as a flexible surface chemistry, which allows drug loading,
functionalization and targeting. Here we report direct in-vivo imaging of
hyperpolarized 29Si nuclei in silicon microparticles by MRI. Natural physical
properties of silicon provide surface electronic states for dynamic nuclear
polarization (DNP), extremely long depolarization times, insensitivity to the
in-vivo environment or particle tumbling, and surfaces favorable for
functionalization. Potential applications to gastrointestinal, intravascular,
and tumor perfusion imaging at sub-picomolar concentrations are presented.
These results demonstrate a new background-free imaging modality applicable to
a range of inexpensive, readily available, and biocompatible Si particles.Comment: Supplemental Material include
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