Influence of grid resolution of large-eddy simulations on foehn-cold pool interaction.

Numerical simulations are performed to assess the influence of horizontal and vertical model resolution on the turbulent erosion of a cold-air pool (CAP) by foehn winds in an Alpine valley near Innsbruck, Austria. Strong wind shear in the transition zone from the CAP to the overlying foehn generates turbulence by shear-flow instability and contributes to the CAP erosion. The sensitivity of this process to grid resolution in the "grey zone" of turbulence is studied with the Weather Research and Forecasting model in large-eddy simulation (LES) mode with a horizontal grid spacing of 200, 40, and 13.33 m and in mesoscale mode with a grid spacing of 1 km. Moreover, two different vertical resolutions are tested. The mesoscale simulation exhibits deficiencies in the CAP development and is neither able to resolve nor parametrize the effect of Kelvin-Helmholtz (K-H) instability. In contrast, the LES with the coarsest horizontal grid spacing begins to explicitly permit K-H instability, albeit individual K-H waves are not completely resolved, and thereby greatly improves the stability and wind profile of the foehn. Refining the LES grid spacing leads to a more explicit and realistic representation of turbulence, but surprisingly has little impact on mean quantities. An increase in the vertical resolution shows the greatest benefit in the turbulent upper part of the foehn jet, whereas an increase in the horizontal resolution improves the turbulence characteristics, especially at the foehn-CAP interface. However, spectral analysis indicates that even a horizontal grid spacing of 40 m does not fully capture the energy cascade in the inertial subrange. Eddies remain too large and foehn-CAP interaction is too vigorous compared with the simulation with 13.33 m grid spacing. Nevertheless, results illustrate the potential benefit of an 𝒪(100 m) model resolution for improving numerical weather predictions in complex terrain.

Large-eddy simulation of foehn-cold pool interactions in the Inn Valley during PIANO IOP 2.

Processes of cold-air pool (CAP) erosion in an Alpine valley during south foehn are investigated based on a real-case large-eddy simulation (LES). The event occurred during the second Intensive Observation Period (IOP 2) of the PIANO field experiment in the Inn Valley, Austria, near the city of Innsbruck. The goal is to clarify the role of advective versus turbulent heating, the latter often being misrepresented in mesoscale models. It was found that the LES of the first day of IOP 2 outperforms a mesoscale simulation, is not yet perfect, but is able to reproduce the CAP evolution and structure observed on the second day of IOP 2. The CAP exhibits strong heterogeneity in the along-valley direction. It is weaker in the east than in the west of the city with a local depression above the city. This heterogeneity results from different relative contributions and magnitudes of turbulent and advective heating/cooling, which mostly act against each other. Turbulent heating is important for faster CAP erosion in the east and advective cooling is important for CAP maintenance to the west of Innsbruck. The spatial heterogeneity in turbulent erosion is linked to splitting of the foehn into two branches at the mountain range north of the city, with a stronger eastward deflected branch. Intensification of the western branch at a later stage leads to complete CAP erosion also to the west of Innsbruck. Above the city centre, turbulent heating is strongest, and so is advective cooling by enhanced pre-foehn westerlies. These local winds are the result of CAP heterogeneity and gravity-wave asymmetry. This study emphasizes the importance of shear-flow instability for CAP erosion. It also highlights the large magnitudes of advective and turbulent heating compared to their net effect, which is even more pronounced for individual spatial components.

Foehn-cold pool interactions in the Inn Valley during PIANO IOP2.

A case-study is presented of a south foehn emanating from the Wipp Valley, Austria, which encountered a cold-air pool (CAP) in the Inn Valley near the city of Innsbruck. The analysis is based on data collected during the second Intensive Observation Period of the Penetration and Interruption of Alpine Foehn (PIANO) field experiment. Foehn was initiated on 3 November 2017 by an eastward moving trough and terminated in the afternoon of 5 November 2017 by a cold front passage. On two occasions, reversed foehn flow deflected at the mountain ridge north of Innsbruck penetrated to the bottom of the Inn Valley. The first breakthrough occurred in the afternoon of 4 November 2017. It was transient and locally limited to the northwest of the city. The second (final) breakthrough occurred in the morning of 5 November 2017 and was recorded by all surface stations in the vicinity of Innsbruck. It started with a foehn air intrusion to the northeast of Innsbruck and continued with the westward propagation of the foehn-CAP boundary along the valley. Subsequently observed northerly winds above the city were caused by an atmospheric rotor. A few hours later and prior to the cold front passage, the CAP pushed back and lifted the foehn air from the ground. During both nights, shear flow instabilities formed at the foehn-CAP interface, which resulted in turbulent heating of the CAP and cooling of the foehn. However, this turbulent heating/cooling was partly compensated by other mechanisms. Especially in the presence of strong spatial CAP heterogeneity during the second night, heating in the CAP was most likely overcompensated by negative horizontal temperature advection.

The spectrum of vascular lesions in the mammary skin, including angiosarcoma, after breast conservation treatment for breast cancer.

BACKGROUND: With the general acceptance of lumpectomy, axillary staging, and radiotherapy as local treatment for infiltrating breast cancer, an appreciation is evolving for the spectrum of vascular lesions that occur in the mammary skin after this treatment. Most of these lesions develop within the prior radiation field after breast conservation treatment. STUDY DESIGN: A retrospective chart and slide review was conducted, consisting of five patients with cutaneous vascular lesions after breast conservation treatment for infiltrating breast cancer. RESULTS: The latent time interval from definitive treatment of breast cancer to the clinical recognition of vascular lesions ranged from 5 to 11 years. Two patients did not have either arm or breast edema, two patients had breast edema, and the fifth patient had arm edema. Lesions arising in the irradiated mammary skin included extensive lymphangiectasia (one), atypical vascular lesions (two), and cutaneous angiosarcoma (four). CONCLUSIONS: Atypical vascular lesions at the skin margins of mastectomy may be predictive of recurrence after resection of angiosarcoma. Excision of skin from the entire radiation field may be necessary to secure local control of the chest wall in patients with cutaneous angiosarcoma after therapeutic breast radiotherapy.

Modulation of germination and growth of plants by meditation.

So called primitive peoples of the world share a philosophy that human interaction via ceremony or ritual can affect the natural world. Is it possible to affect the germination and growth of plants by imbuing them with an intent to stimulate or inhibit them? We conducted a double blind series of experiments to determine whether a process of meditation on the water (referred to as "treated") given to a controlled planting of green peas or wheat would affect their germination. Peas were given water treated with stimulating intent. Statistical analysis was done using contingency table, Fisher's test, and Mantel-Haenszel analysis. The germination rate of 504 seeds receiving treated water with stimulating intent was 60.3% compared to 51.8% for the 504 controls (p = 0.006, 0.047, 0.003 respectively). A similar experiment was conducted with wheat with the intent of inhibiting germination. The germination rate of 2970 wheat seeds receiving treated water with inhibitory intent was 70.7% versus 74.9% for 2970 controls (p < 0.001, 0.0001, 0.001 respectively). During the sixth run of the wheat (inhibition) experiment, the seedlings were harvested and individually weighed on the tenth day after planting to determine whether there was any difference in growth. The mass of the treated seedlings was statistically significantly lower (mean = 97 mg versus 106 mg for the controls) when compared by analysis of variance (p = 0.000056). We conclude that meditation upon the water supplied to green peas and wheat can affect their germination rates and growth.

Late recurrence of thymoma and myasthenia gravis.

In a case of thymoma associated with myasthenia gravis, symptoms of relapse appeared 14 years after thymectomy. Tumour tissue from repeat resection showed the same histologic pattern and aneuploidy as in the original specimen. The case illustrates the necessity of wide surgical exposure to permit maximal thymectomy, though recurrence remains possible.

Digital rectal examination, serum prostate specific antigen, and prostatic ultrasound: how effective is this diagnostic triad?

Ninety-nine of 105 consecutive men who underwent transrectal prostatic ultrasound (TRUS) at Highland Park Hospital had the results correlated with digital rectal examination (DRE), serum prostate specific antigen (PSA), and biopsy results. Ninety-six cases had evaluable ultrasound studies. Thirty-two of the 99 who underwent biopsy had primary carcinoma of the prostate. Prostate volume, predicted PSA, a ratio of observed/predicted PSA, and Gleason score were examined. There was no correlation between age and prostate volume, volume and the presence of carcinoma, or PSA and Gleason score. Thirty-one point six percent of the abnormal DREs, 36.6% of the abnormal TRUSs, and 40.6% of the elevated PSAs occurred in men with prostatic carcinoma (PCa). If PSA was normal (less than or equal to 4.0 ng/ml) and either DRE or TRUS was abnormal, then the risk of carcinoma was 2.9%. If PSA was elevated, regardless of the other two tests, the risk of finding PCa was at least 38%. If all three tests were abnormal, the risk of carcinoma was 38% in our series and 68% in a meta-analysis. Many men with PSA values between 4 and 10 ng/ml have benign biopsies. However, close future follow-up with consideration of repeat biopsy should be strongly considered.

Pedunculated pulmonary leiomyoma with large cyst formation.

A case of single pulmonary leiomyoma with giant cyst formation is presented. Metastasizing uterine fibroleiomyoma and fibroleiomyomatous hamartoma both give rise to multiple pulmonary nodules on chest films. Leiomyoma of the lung presenting as a single pedunculated lesion with cyst formation is exceptional. This report documents the existence of other rare cystic lesions that may mimic the more common cystic air space and bullous disease.

Air transport and the fate of pneumothorax in pleural adhesions.

Air travel is contraindicated in patients with a pneumothorax but was necessary because of the exigencies of war in three patients. Three patients with high velocity missile injuries to the chest and pleural adhesions are reported. All had to be evacuated by air, without an intercostal drain or oxygen supplement, from the war stricken area of Northern Somalia (Horn of Africa) to Mogadishu. Two patients with a partial pneumothorax flew on military transport aeroplanes at an altitude of 3000 m in a non-pressurised cabin and recovered rapidly after a few days in hospital. One patient, transported on a small Cessna aeroplane, died after developing bilateral tension pneumothoraces.

Serum pseudocholinesterase levels in murine C3H mammary adenocarcinoma.

Serum pseudocholinesterase (PSC) levels may be depressed in persons with malignancy. Deficiency of this enzyme can lead to prolonged apnea in patients who receive succinylcholine. An animal model was developed to study this phenomenon in a controlled setting. C3H/HeJ mice inoculated subcutaneously with C3H mammary adenocarcinoma demonstrated lowering of their PSC levels. This decrease was attenuated by chemotherapy with intraperitoneal cyclophosphamide which also prolonged survival. Non-tumor bearing control animals identically treated with cyclophosphamide experienced a transient drop in PSC on the 29th day which reverted to control values by the 36th day. No gradient of PSC could be demonstrated across a tumor's vascular bed. The effect of other chemotherapy agents on PSC is unknown. A possible role for PSC as a non-specific marker for malignancy is worthy of further study.

Silicone elastomer catheter for chronic vascular access.

The Evanston and Glenbrook Hospitals' series of 157 consecutive silicone elastomer central venous catheter insertions is reviewed. The total experience was 12,721 patient days (34.85 patient years). The complication rate of insertion was 1.91%, but no patient required chest tube drainage. Seven catheters clotted and could not be salvaged. Seventeen catheters were removed for suspected bacterial infection. Peripheral blood culture was not predictive of catheter tip contamination, while culture of blood drawn through the catheter and insertion site cultures proved most useful. Five bona fide infections were documented for an infection rate of 3.18%. This corresponds to one infection per 2,544 patient days (6.97 patient years). The mean duration of service of the catheter was 81 days with a median of 36 days. The longest duration was 707 days. The silicone elastomer catheter provides safe, dependable venous access for most patients and may be inserted in an outpatient and therefore cost-effective setting.

An immunosorbent assay for blood group I antigens in breast carcinoma.

Tumor cells elaborate and release into the circulation a variety of glycoproteins. An enzyme-linked immunosorbent assay (ELISA) was developed to monitor carbohydrate structures secreted into the circulation. Among these antigens are the structures specific for the blood group I antigens, which are incompletely converted to ABH antigens on the membranes of tumor cells. The I antigens in the sera of 67 women with breast carcinoma (BCa), 58 with benign breast disease (BBD), and 47 controls were measured by the ELISA. In this assay, I antigen from ovarian cyst mucin was bound to the wells of polystyrene microtiter plates. The monoclonal human anti-I antibody (Hy) was added to the wells along with perchloric acid extracts of patient and control sera at five different dilutions. The anti-I binding to the solid-phase I antigen was determined after incubation steps with peroxidase-labeled anti-human IgM and substrate. The amount of sera extracts giving 50% inhibition of anti-I (Hy) binding was determined from the inhibition curves which were corrected by integrating the slope values into that of the standard curve obtained with extracts of normal sera. The I antigens were significantly higher in pathologic stage (PS) IV sera (P less than 0.001), and comparable in PS I, PS II, and PS III and BBD sera to those in control sera. The anti-I (Hy) binds strongly Gal 1,4 GlcNAc 1,6 Gal (alpha GalNAc); Gal 1,4 GlcNAc 1,6 (Gal 1,4 GlcNAc 1,3) Gal; and to a lesser extent Gal 1,4 GlcNAc 1,3 Gal 1,4 GlcNAc (0.06, 0.09, and 0.35 mM, giving 50% inhibition, respectively). It was concluded that similar or related structures may be expressed on the membrane of metastatic BCa cells.

Phase II trial of aminothiadiazole in previously treated and untreated patients with advanced colorectal carcinoma: an Illinois Cancer Council Trial.

Eighty-three patients with advanced colorectal carcinoma were entered on a phase II trial of weekly iv aminothiadiazole (125 mg/m2) plus daily oral allopurinol (300 mg). There were five partial responses. Median survival of all patients on study was 36 weeks from entry (48 weeks for those without prior therapy and 34 weeks for those with previous chemotherapy). Toxicity was generally mild and consisted predominantly of stomatitis. In the dose given, aminothiadiazole has limited activity against metastatic colorectal cancer.

Aziridinylbenzoquinone in recurrent, progressive glioma of the central nervous system. A Phase II study by the Illinois Cancer Council.

Aziridinylbenzoquinone (AZQ) was studied in a Phase II protocol for persons with glioma of the central nervous system (CNS) recurrent or progressive after surgery and radiotherapy. Patients received AZQ, 30 mg/m2 intravenously every 3 weeks if previously untreated or 27.5 mg/m2 if previously exposed to cytotoxic drugs. Partial response was defined as a reduction of at least 50% reduction in the product of the two longest perpendicular diameters of the indicator lesion persisting for a minimum of 28 days. Twenty-eight patients are evaluable for response at this time. Objective response (OR) occurred in four (14.3%): two complete and two partial. Stabilization of disease (SD) was seen in 7 (25.0%). Median survival, in weeks, was greater than 46.0 for responders, 41.7 for SD, and 19.3 for those with progressive disease. The survival experiences are significantly different (P = 0.030 [Breslow]). The OR rate was 21.1% in 19 without prior chemotherapy and 0% in 9 previously treated patients. There were two AZQ-related deaths in patients with prior exposure to nitrosoureas (1 CNS hemorrhage; 1 aspiration pneumonia). One patient had an anaphylactic reaction. Three patients whose tumor initially increased in size subsequently had marked tumor shrinkage. AZQ is an active agent that must be used with added caution in patients who have received nitrosoureas. Initial tumor enlargement may precede response. Although response appears to prolong survival, the correlation between stabilization of disease and survival is not well-defined.

Additive cytotoxicity of adriamycin and a naturally occurring growth inhibitor extracted from bovine aorta.

A factor of nominal molecular weight 6K-10K Daltons, isolated from bovine aorta, has previously been shown to inhibit neovascularization and tumor growth in vivo and the growth of some tumor cells as well as endothelial cells in culture. This factor, termed A-10, was tested alone and in combination with Adriamycin against TA3Ha mammary adenocarcinoma cells in tissue culture. It was found to have cytotoxicity additive to that of Adriamycin in inhibiting the growth of these cells. In vitro and animal studies show that the sequence of Adriamycin----A-10 is superior to either agent alone in delaying the appearance of palpable tumors after subcutaneous injection of 10(5) pre-treated tumor cells in the tail of strain A mice. While the growth rate of the primary tumor was not affected by such treatment, survival was prolonged to a greater degree by the this sequence than by either of these agents used alone. A-10 treatment reduced the number of metastases to the adrenal gland but not to lung, liver, or lymph nodes. It did, however, reduce the size of metastases to para-aortic lymph nodes.

Immunofluorescent evidence of prior herpes simplex virus type-2 infection in prostate carcinoma.

The finding of herpes simplex virus type-2 (HSV-2) particles in prostatic carcinoma (PCa) tissue has led to speculation that the virus might cause this disease. We studied 27 PCa and 33 benign prostatic hyperplasia (BPH) specimens for the presence of HSV-2 antigens by indirect immunofluorescent staining to HSV-2 using commercially prepared rabbit anti-HSV-2 and fluorescein-tagged goat and anti-rabbit antibody. The slides were randomly number coded by an impartial referee then read independently by each investigator. In cases of disagreement, new slides were prepared and read until agreement. The code was then broken. Seven of 27 PCa specimens and 8 of 33 BPH specimens showed positive staining. By contingency table analysis, the results were not statistically different (chi 2 = 0.0224; p greater than 0.8). In our series, there is no difference in the prevalence of HSV-2 staining between PCa and BPH. Further examination of our data failed to show any difference in the prevalence of staining for HSV-2 based on whether the source of the tissue was surgical or autopsy. We conclude that HSV-2 infection of the prostate is common (15/60 = 25%) but probably has no causal relationship to PCa.