Problem drug use in a central London general practice.

OBJECTIVE--To describe the profile of problem drug users presenting in general practice and to determine whether they can be cared for in general practice. DESIGN--Study of consultations by problem drug users. SETTING--Central London general practice. SUBJECTS--150 problem drug users presenting over two years. MAIN OUTCOME MEASURES--Stopping drug use, alterations in lifestyle, obtaining paid work, and stopping drug related crime. RESULTS--Of the 150 patients, 111 were men and 39 women, and 106 were unemployed. 121 patients used heroin, 112 of whom injected. 145 patients accepted a methadone reduction programme and 81 completed it. A further 25 were stabilised on reducing doses of methadone, until places became available for them as inpatients at drug dependency units or rehabilitation projects. CONCLUSION--Withdrawal programmes for patients who misuse drugs can be successfully managed in general practice.     

昆虫飞行速度和持续时间监测仪硬件设计

本文设计了利用微机记录昆虫飞行状态的实验装置,这种装置由两部分组成,一部分是设计和制作一个飞行磨供昆虫飞行,另一部分是制作光电传感器和微机检测系统,记录信号并把信号进行识别、分析、归类,送往计算机显示和打印。介绍了其工作原理和使用方法。     

Graphical Methods for Analysing Combination Effects in Dose-Response Experiments

An organbath experiment with bovine tracheal muscle strips with cumulative increases in concentrations of a substance A in the absence and presence of a fixed concentration of a second substance B is considered as an example for demonstrating graphical methods to analyse drug combination effects. The response of each strip is individually described and estimated by a nonlinear dose response curve. From the curves of the combined action theoretical curves of substance A are derived, which were expected if the combination effect was simple similar or independent, respectively. The first graphical method consists in comparing the derived curves for substance A with the curves for substance A directly fitted. It is cheeked by eye if the group of derived curves can clearly be distinguished from the group of directly fitted curves. The second graphical method differs from the first method in so far, as not the curves are visualized but the parameter vectors corresponding to them. In contrast to widely used analytical methods the proposed graphical methods allow to treat individual instead of averaged dose response relationships. The methods can help to decide if the combination effect may be considered as independent, simple similar or none of both.     

Hand-held computer program for field-capture and analysis of herbage yield and composition data using a modified dry-weight-rank and yield estimate method

A BASIC program is described which is used to collect, checkand analyse rank estimates of plant yield in the field. Theprogram operates in a portable, battery-powered Sharp PCI500Ahand-held computer than can be used in a field environment.Data are collected using a modified dry-weight-rank method andcomparative yield estimates. Much of the software is designedto trap incorrect data entry. Raw data or summary data may beprinted, displayed, and stored on cassette tape or transferredto another computer through a communications interface. Theprogram can be easily modified to run on other models of theSharp PC series or other portable computers that use a similarBASIC interpreter. Received on July 2, 1987; accepted on August 6, 1987     

Clinical pharmacokinetics: a comprehensive system for therapeutic drug monitoring and prescribing.

Clinical pharmacokinetics is an expanding scientific discipline which can make an impact on treatment in coronary care, intensive care, paediatrics, general medicine and surgery, and general practice. The aim of this study was to establish a rapid system of drug assay, to report the result, to assess the influence of pathological and clinical factors on the pharmacokinetics of certain drugs, and to use a computer to determine the optimum dosage of drugs. The clinical pharmacokinetics laboratory in Stobhill is available to all clinical departments and to general practitioners in the area. Digoxin, theophylline, and phenytoin have been assessed. Initial samples of these drugs showed that only about a third were in the therapeutic range; samples obtained after the issue of the laboratory report showed an improvement. The predictive performance of the computer program improved with feedback of one or two drug concentrations. Dosages of drugs chosen on an empirical basis may not lead to optimum treatment, and by testing samples early the dosage of the drug can be adjusted. It is hoped that the results achieved will encourage other clinical, pharmaceutical, and scientific colleagues to develop laboratories along similar lines.     

Lifestyle assessment: applying microcomputers in family practice.

A randomised trial of assessment by computer was conducted with 180 patients in a family practice clinic. Histories of alcohol, tobacco, and drug use were obtained by computer (n = 60), interview (n = 60), or self completed questionnaire (n = 60). The results of previous research suggest that some patients may provide more accurate information about "sensitive" problems to a computer. No significant differences, however, in levels of consumption or problems were reported for the three methods of assessment. Patients gave differential ratings about the method of assessment, with the computer rated as more interesting but also more mechanical, cold, and impersonal. Although the interview was initially preferred by most, patients who completed the assessment by computer showed a significant increase (13% to 43%) in their preference for the computer after the assessment. The results of our study indicate that patients'' acceptance of computers in family practice may be favourably influenced by direct experience with a microcomputer.     

Demonstration of a universal surface DNA computer

A fundamental concept in computer science is that of the universal Turing machine, which is an abstract definition of a general purpose computer. A general purpose (universal) computer is defined as one which can compute anything that is computable. It has been shown that any computer which is able to simulate Boolean logic circuits of any complexity is such a general purpose computer. The field of DNA computing was founded in 1994 by Adleman's solution of a 7-bit instance of the Hamiltonian path problem. This work, as well as most of the subsequent experimental and theoretical investigations in the area, focused primarily upon the solution of NP-complete problems, which are a subset of the larger universal class of problems. In the present work a surface DNA computer capable of simulating Boolean logic circuits is demonstrated. This was done by constructing NOR and OR gates and combining them into a simple logic circuit. The NOR gate is one of the universal gates in Boolean logic, meaning that any other logic gate can be built from it alone. The circuit was solved using DNA-based operations, demonstrating the universal nature of this surface DNA computing model.     

Molecular dynamics simulation as a tool for assessment of drug binding property of human serum albumin

Human serum albumin (HSA) is a major plasma protein and binding of drugs with this plasma protein has a great importance. It possess esterase activity which can cleave the drugs containing ester bond and thus, can regulate the effect of drugs. Till date no systematic study has been done to analyse binding of such drugs and to compare the results with the drugs which do not have ester bond. Therefore, in the present study two different categories—ester and non-ester drugs have been considered to analyse their interaction with HSA at two principle drug binding sites using molecular modelling tools. It is observed that the drugs irrespective of ester or non-ester nature prefer either Sudlow site I or II by hydrogen bond and hydrophobic interactions. The information obtained from the study can assist to study pharmacokinetics of the drugs and that in turn will help in noval drug discoveries.     

Modeling the invasion of recessive Bt-resistant insects: an impact on transgenic plants

There is a growing public concern on ecological and evolutionary consequence of the use of genetically modified organisms. We study the impact of Bt-resistant pests on genetically modified Bt crops. We develop and analyse a conceptual reaction-diffusion model of the Bt crop-Bt-susceptible insects-Bt-resistant insects to simulate the invasion of Bt-resistant insects. We show by means of computer simulations that there is a key parameter, which we define as the growth number that characterizes the insects' fitness. We also show that the Bt-resistant insect invasion can lead to inhomogeneity in plant and insect spatial distributions. The plant biomass is found to be essentially dependent on the duration of the Bt-resistant insect reproduction period. There are two types of this dependence. One of them exhibits, respectively, higher plant biomass in comparison with another. The ambiguity in the response of the Bt crop-Bt-susceptible insects system to the invasion of Bt-resistant insects can lead to serious complications in attempts to regulate the dynamics of the system.     

用微机多媒体技术处理分析蛋白质双向电泳图谱搜寻T型细胞质雄性不育系小麦的特异蛋白

介绍了一个用多媒体微机对蛋白质双向电泳图谱进行分析处理的系统,并给出用该系统分析小麦Ｔ型细胞质雄性不育系及其保持系蛋白组分比较研究的结果。     

Mechanical properties of brain tissue in-vivo: experiment and computer simulation

Realistic computer simulation of neurosurgical procedures requires incorporation of the mechanical properties of brain tissue in the mathematical model. Possible applications of computer simulation of neurosurgery include non-rigid registration, virtual reality training and operation planning systems and robotic devices to perform minimally invasive brain surgery. A number of constitutive models of brain tissue, both single-phase and bi-phasic, have been proposed in recent years. The major deficiency of most of them, however, is the fact that they were identified using experimental data obtained in vitro and there is no certainty whether they can be applied in the realistic in vivo setting. In this paper we attempt to show that previously proposed by us hyper-viscoelastic constitutive model of brain tissue can be applied to simulating surgical procedures. An in vivo indentation experiment is described. The force-displacement curve for the loading speed typical for surgical procedures is concave upward containing no linear portion from which a meaningful elastic modulus might be determined. In order to properly analyse experimental data, a three-dimensional, non-linear finite element model of the brain was developed. Magnetic resonance imaging techniques were used to obtain geometric information needed for the model. The shape of the force-displacement curve obtained using the numerical solution was very similar to the experimental one. The predicted forces were about 31% lower than those recorded during the experiment. Having in mind that the coefficients in the model had been identified based on experimental data obtained in vitro, and large variability of mechanical properties of biological tissues, such agreement can be considered as very good. By appropriately increasing material parameters describing instantaneous stiffness of the tissue one is able, without changing the structure of the model, to reproduce experimental curve almost perfectly. Numerical studies showed also that the linear, viscoelastic model of brain tissue is not appropriate for the modelling brain tissue deformation even for moderate strains.     

A Computer Programme Package for the Statistical Analysis of Spatial Point Processes in a Square

A computer programme for the statistical analysis of point data in a square is described. Several tests for randomness of the distribution of points are possible. The most comprehensive of these are comparisons of the empirical distributions of the inter-point and closest neighbour distances with their respective expected distributions under complete randomness, and tests based on Ripley' L function; using these, significant aggregation or regularity can be identified. It is also possible to calculate statistics of properties (“attributes”) associated with each spatial point, as well as to compare statistics for sub-areas of the experimental square. Several measures of spatial autocorrelation are available, amongst them correlograms and variograms. The programme can also find the tesselation of the study area and correlate tile properties with the point attributes. The procedures are illustrated by references to the spatial distribution and mound heights of Trinevitermes trinervoides on a study area in South Africa. Although the programme was developed specifically for application in entomology, it could be used to analyse data from many other disciplines.     

Real-time PCR assays for monitoring benzimidazole resistance-associated mutations in Ancylostoma caninum

Frequent and broad application of anthelmintic drugs for treatment of intestinal parasite infection has led to drug resistance that often renders whole populations of livestock unresponsive to treatment. Therefore, it is important to detect mutations associated with drug resistance before it becomes clinically manifest. To monitor developing drug resistance against benzimidazoles (BZ), we developed real-time PCR assays and applied them to analyse the beta-tubulin isotype-1 gene of the hookworm Ancylostoma caninum, an important parasite of dogs. Previously, we developed PCR assays to monitor codon positions 167 and 200. Here, we describe an assay which is able to detect resistance alleles in codon 198. These real-time PCR assays were subsequently applied to screen hookworm specimens recovered from dogs in Georgia. No elevated levels of polymorphisms at the investigated loci were found, suggesting that selection for resistance in the tested samples did not occur.     

Package inserts for prescribed medicines: what minimum information do patients need?

The information a patient needs about a prescribed medicine can be determined by considering what responsibilities he can assume in relation to taking medicine. When the medicine has been dispensed the patient needs to know how to take the drug; how to store the drug; how it is expected to help; and how to recognise problems and what to do about them. A guide was designed to specify what information is required to meet these needs. Using this guide, a set of minimum information on tetracycline was prepared that aimed at being brief, specific, and readable. The best format for the information remains to be determined. Since leaflets produced by professional organisations are generally unsuitable for these purposes, information sets should be put together by small independent groups consisting of clinical pharmacologists, clinicians, pharmacists, and consumers. Each country should produce its own sets, adapting model sets to the circumstances of local practice.     

Modification of the immune reaction by antigen-immunosuppressive-agent conjugates. I. Tentative hypothesis for the induction of antigen-specific suppression by antigen-immunosuppressive-agent conjugates]

The most important mechanisms for the specific depression of immune reactions--immuno-tolerance, enhancement, transfer of antibodies, drug induced tolerance, immunological suicide, application of antibody-toxin-complexes--are discussed with regard to their possible application in the clinical practice. A tentative hypothesis for induction of antigen specific suppression is proposed, basing on the use of antigen-immunosuppressive agent-conjugates (AIC). Antigen binding lymphocytes are supposed to bind the AIC and to pick them up through endocytosis. After breakdown of the AIC in the lymphoid cells the free immunosuppressive agent can become effective causing damage to the specific cell clones.     

Computer prediction of biological activity spectra for low-molecular peptides and peptidomimetics

The wide variety of the biological effects of peptides and their high activity are the main reasons for the search for new basic drug structures among them. The most promising compounds can be selected using the PASS computer system (Prediction of Activity Spectra for Substances). This system was originally developed to predict the activities of low-molecular "drug-like" organic compounds. Its predictive capacity is described here by the example of 134 peptides and peptidomimetics with nine known biological activities. Its average predictive power is shown to be approximately 97%. Such an accuracy demonstrates that computer prediction can be applied both to the evaluation of effects and mechanisms of action of endogenous and synthetic peptides and to the screening of new therapeutic agents among the most promising basic structures.     

转录因子及miRNA调控食管癌耐药机制研究

由于耐药性的存在,不同患者在使用相同药物时会导致治疗效果的差异.因此识别耐药性相关的关键生物学标记,有助于临床医生快速选择出适合的药物,延长患者的生存时间,对药物研发以及药物的作用机制的详细研究具有重要意义.首先在食管癌细胞系中筛选不同药物的耐药及敏感细胞系,从中找到不同药物耐药相关的基因,将这些计算得到的耐药相关基因...     

Computer aided analysis for biosensing and screening

Biosensors with animal and microbial cells immobilized close to the tip of a membrane electrode have been developed for chemical and drug testing. Our experimental results show that biosensors can be used for drug screening and to provide useful information about various cell-chemical interactions. A computer aided analysis (CAA) software package is being developed here using the biosensor for various screening purposes. This software package enables us to use a computer to analyze the biosensor dynamic responses. Computer simulation and parameter estimation techniques are used to select the best model and to describe the biochemical and pharmacologic effects of various chemicals and drugs on different cell lines.     

Environmental Supply-Chain Management in the Computer Industry:A Transaction Cost Economics Perspective

Our article uses the theory of transaction cost economics as a conceptual basis for examining the contracting mechanisms by which firms in the computer industry structure programs to encourage their suppliers to improve their environmental management systems and/or the environmental quality of their products. We explore the economic transactions hazards associated with asking suppliers to invest in the specialized technologies required to improve environmental performance of products and management practices and the relational contracting mechanisms computer industry firms are using to protect themselves against these hazards. We also describe the importance the managers we interviewed attributed to various transactions hazards and their perceptions of how well their firms were coping with them. We conclude by discussing questions for future research. By using TCE to frame our analysis of how computer manufacturers are structuring their relationships with their suppliers in the environmental area, we hope to show how social science theory can be used to enrich and increase the practicality of the work done by engineers and others in the mainstream areas of the industrial ecology field.