OLANZAPINE COMBINED WITH STANDARD ANTIEMETIC REGIMENS FOR PREVENTION OF CHEMOTHERAPY THERAPY-INDUCED NAUSEA AND VOMITING: A SINGLE-CENTER EXPERIENCE FROM SOUTH INDIA

  Objectives: Olanzapine, an antipsychotic agent, exhibits significant antiemetic properties due to its inhibitory activity on neurotransmitters at multiple receptors involved in chemotherapy-induced nausea and vomiting (CINV). CINV can have an immensely negative impact on patient's quality of life (QOL) and daily activities. Our objectives were to determine the effectiveness of adding olanzapine to standard antiemetic regimens for the prevention of CINV in cancer patients and to compare the QOL of such patients with those receiving standard antiemetic regimens.Methods: A prospective, observational, cohort study was done on patients receiving either highly or moderately emetogenic chemotherapy (MEC). The patients who received only the standard antiemetic regimens were considered as the control group and those who received 10 mg of olanzapine once daily on days 1-5 of chemotherapy in addition to the standard antiemetic regimens were considered to be the study group. The patients were assessed for grades of nausea and vomiting using National Cancer Institute common terminology criteria for adverse events and for QOL using European Organization in Research and Treatment of Cancer QOL questionnaire.Results: Patients were evaluated for a total of 168 cycles of chemotherapy. Compared to the control group, the study group patients showed significant improvement in response to acute nausea (p=0.02) but not in acute vomiting (p=0.09). However, response to delayed nausea and vomiting improved significantly (p=0.004 and p=0.05, respectively). The QOL of study group patients showed significant improvement in functional scales and symptom scales (p<0.02). Global health status also increased significantly (p=0.02) in the study group patients.Conclusion: Olanzapine containing pre-medication regimens can reduce acute and delayed nausea and delayed vomiting and improve the QOL of cancer patients receiving highly or moderately emetogenic chemotherapeutic agents as compared to the standard pre-medication regimens

Analysis of input-to-state stability for discrete time nonlinear systems via dynamic programming

The input-to-state stability (ISS) property for systems with disturbances has received considerable attention over the past decade or so, with many applications and characterizations reported in the literature. The main purpose of this paper is to present analysis results for ISS that utilize dynamic programming techniques to characterize minimal ISS gains and transient bounds. These characterizations naturally lead to computable necessary and sufficient conditions for ISS. Our results make a connection between ISS and optimization problems in nonlinear dissipative systems theory (including L2-gain analysis and nonlinear H∞ theory). As such, the results presented address an obvious gap in the literature. © 2005 Elsevier Ltd. All rights reserved

A unified approach to controller design for achieving ISS and related properties

A unified approach to the design of controllers achieving various specified input-to-state stability (ISS) like properties is presented. Both full state and measurement feedback cases are considered. Synthesis procedures based on dynamic programming are given using the recently developed results on controller synthesis to achieve uniform l∞ bound. Our results provide a link between the ISS literature and the nonlinear H∞ design literature. © 2005 IEEE

Measurement feedback controller design to achieve input to state stability

An approach for design of measurement feedback controllers achieving input-to-state (ISS) stability properties is presented. A synthesis procedure based on dynamic programming is given. We make use of recently developed results on controller synthesis to achieve uniform l∞ bound [6]. Our results make an important connection between the ISS literature and nonlinear H∞ design methods

Investigating five key predictive text entry with combined distance and keystroke modelling

This paper investigates text entry on mobile devices using only five-keys. Primarily to support text entry on smaller devices than mobile phones, this method can also be used to maximise screen space on mobile phones. Reported combined Fitt's law and keystroke modelling predicts similar performance with bigram prediction using a five-key keypad as is currently achieved on standard mobile phones using unigram prediction. User studies reported here show similar user performance on five-key pads as found elsewhere for novice nine-key pad users

Feasibility assessment and informed survey design of cavity detection by forward geophysical modelling

Feasibility analysis of near-surface cavity detection is presented using modelling of the gravity, gravity gradient, magnetic, magnetic gradient, and ground penetrating radar techniques. The geophysical signal is modelled over typical cavity shapes in three-dimensional subsurface environments with varying geologies and survey parameters. The cavity detection probability is calculated for each technique in the outlined environments and these values are used to aid technique choice, assess the feasibility of cavity detection, assess the limits of detection for each technique, and optimise survey design before entering the field. The “halo” effect is quantified by simulating the halo around cavities and calculating the change to the gravity and magnetic anomalies by geophysical modelling. The magnitude of the effect is shown to be more complicated than existing literature implies, depending heavily on the fracture percentage in the halo area and the halo spread. Tests in a range of conditions show that technique choice is conditional to site characteristics and site parameters, and highlight the need for modelling in the desk study stage of site investigation and survey design. Detection probability results show that standard survey direction practice in magnetometry is not always optimal, and demonstrate the importance of site specific noise level consideration. Comparisons with case study measurements demonstrate that modelling and subsequent detection probability calculation chose appropriate techniques and survey parameters, but also highlighted the limitations of the method

Ball pen probe in strongly magnetised RF plasmas

A study of ball pen probes (BPPs) in a rf strongly magnetised plasma is reported for the first time. These probes have been successfully used in fusion plasmas, with magnetic fields up to 2.5 T, to measure the plasma potential. In this paper experimental results of various ball pen designs (2 and 4 mm diameter with flat and conical collectors) are presented up to 0.5 T in a low pressure capacitively coupled rf plasma. A theory of the BPP is developed, showing that the increase of the collector potential and plateau region, with collector retraction, requires the electron current to decrease faster than the ion current. Experimentally, it is found that to develop effective electron screening the electron Larmor radius should be smaller than the tunnel internal diameter. Smaller tunnels improve screening due to the tunnel entrance wall sheaths. Inside the tunnel a plateau region forms at 81 mT reducing to a broad peak at higher field strengths. Ion shielding and surface losses (for small tunnel diameters) reduce the collector peak width and maximum potential with increasing magnetic field. Conical collectors were found to increase the length of the plateau region and broaden the peak. Particle in cell simulations were in good agreement with the experimental results. The electron shielding and plateau regions were reproduced but not the broad peak at higher field strengths. Good agreement between both 2 mm BPPs and an emissive probe was found only at 81 mT to within 3 V or 1.3 electron temperatures (T e). For all BPPs at higher field strengths (≥ 250 mT) the maximum collector potential underestimated the emissive probe by more than 2.7 T e (7 V). At these field strengths all BPPs agree with each other to within 1.5 T e (4.1 V). Possible reasons for these disagreements are discussed

Intravenous immunoglobulin treatment in a type 3 von Willebrand disease patient with alloantibodies and a life-threatening gastrointestinal bleed

Non peer reviewe

Application of selective leaching in fabrication of thin film ybco devices

Ethylenediamine solutions have been shown to turn bulk YBCO into insulating materials. The effect of these solutions on thin YBCO films is studied. In both unpatterned and patterned films, a smooth decrease in critical currents, a transition to normal state, and a subsequent gradual increase in resistance are observed as a function of exposure time to the solution. It is noted that these characteristics might make this process desirable for weak-link and on-film resistor fabrication.Peer ReviewedPostprint (published version

Meaning behind measurement : self-comparisons affect responses to health related quality of life questionnaires

Purpose The subjective nature of quality of life is particularly pertinent to the domain of health-related quality of life (HRQOL) research. The extent to which participants’ responses are affected by subjective information and personal reference frames is unknown. This study investigated how an elderly population living with a chronic metabolic bone disorder evaluated self-reported quality of life. Methods Participants (n = 1,331) in a multi-centre randomised controlled trial for the treatment of Paget’s disease completed annual HRQOL questionnaires, including the SF-36, EQ-5D and HAQ. Supplementary questions were added to reveal implicit reference frames used when making HRQOL evaluations. Twenty-one participants (11 male, 10 female, aged 59–91 years) were interviewed retrospectively about their responses to the supplementary questions, using cognitive interviewing techniques and semi-structured topic guides. Results The interviews revealed that participants used complex and interconnected reference frames to promote response shift when making quality of life evaluations. The choice of reference frame often reflected external factors unrelated to individual health. Many participants also stated that they were unclear whether to report general or disease-related HRQOL. Conclusions It is important, especially in clinical trials, to provide instructions clarifying whether ‘quality of life’ refers to disease-related HRQOL. Information on selfcomparison reference frames is necessary for the interpretation of responses to questions about HRQOL.The Chief Scientist Office of the Scottish Government Health Directorates, The PRISM funding bodies (the Arthritis Research Campaign, the National Association for the Relief of Paget’s disease and the Alliance for Better Bone Health)Peer reviewedAuthor final versio