The value of a zero power intraocular lens

An intraocular lens with a reversed optic and with haptics angulated forward presses the posterior capsule more posteriorly than other types of lenses. This position is thought to be important even in eyes that do not need intraocular lenses for optical reasons, such as eyes with high axial myopia (because of their increased tendency to postoperative retinal detachment) and eyes with postoperative capsular fibrosis. "Zero lenses" were implanted in seven eyes. The lenses had a convex posterior surface and a concave anterior surface which were parallel. The position of the posterior capsule, measured with ultrasound, was 4.9 mm to 5.8 mm (mean 5.5 mm) behind the anterior corneal surface. In two fellow eyes without a lens (after planned extracapsular cataract extraction), the posterior capsule was 4.1 mm and 4.3 mm behind the anterior corneal surface.     

Cadmium and zinc accumulation and elimination by freshwater crayfish

A theoretical compartment model for the uptake of Cd and Zn by the freshwater crayfish,Procambarus acutus acutus (Girard), was constructed, and included a factorially designed experiment to study the relative importance of food and water as uptake vectors for¹⁰⁹Cd and⁶⁵Zn. Food and water were important pathways for Cd accumulation and the two uptake vectors were first order, independent, and additive. The rate of Cd elimination was not significantly different from zero during either the uptake or depuration phases. Rate constants for uptake from 5 and 10 g Cd · L^–1, calculated on a concentration basis, were 0.84 ± 0.031 and 0.83 ± 0.029 day^–1, respectively. Although there was no measurable Cd elimination, crayfish reached a steady state concentration of about 12.5g Cd · g^–1, dry weight. A small amount of Zn was accumulated via food, relative to that accumulated from water; the former had a much longer retention time than the latter, which was lost rapidly. When Zn in food was the only source, steady state was reached rapidly; Zn accumulation from food and water was not additive. Zn accumulated from water, reached no steady state. Zn uptake was proportional to water concentrations within the fed treatment groups and those not fed Zn-contaminated food. Zn elimination was first order to Zn concentration in the crayfish. Rate constants for Zn accumulation from 50 and 100 g Zn · L^–1 when fed Zn-contaminated food were 1.34 ± 0.064 and 1.46 ± 0.073 day^–1 (estimate ± 95% CI based on concentration), respectively, while rate constants for Zn elimination were 0.034 ±0.0021 and 0.05 ± 0.0032, respectively.     

IMRT for breast. a planning study.

BACKGROUND AND PURPOSE: To evaluate the performance of ten different treatment-planning systems when intensity modulated (IMRT) plans are designed for breast treatments that include the irradiation of the internal mammary chain. PATIENTS AND METHODS: A dataset of five patients (CT images and volumes of interest) was distributed to design IMRT plans on the ten systems. To minimise biases, the same geometry and clinical planning aims were imposed on the individual plans. Results were analysed in terms of dose distributions and dose volume histograms. RESULTS AND CONCLUSIONS: For target coverage, the volume receiving more than 95% of the prescribed dose ranged from 77% (OTP) to 91% (Eclipse and Pinnacle), the volume receiving more than 107% ranged from 3.3% (Hyperion) to 23.2% (OTP). The mean dose to ipsilateral lung ranged from 13 Gy (Eclipse) to 18 Gy (OTP). The volume of the contralateral breast receiving more than 10 Gy ranged from 3% (Pinnacle) to 26% (Precise). The volume of heart receiving more than 20 Gy ranged from 7% (Eclipse) to 47% (Precise), the maximum significant dose to heart ranged from approximately 27 Gy (XiO) to approximately 49 Gy (Precise). The maximum significant dose to healthy tissue ranged from approximately 51 Gy (Eclipse) to approximately 62 Gy (OTP). It was also possible to show that the treatment geometry proposed here enables to minimise contralateral breast irradiation while keeping minimal ipsilateral lung (or heart) involvement and satisfactory target coverage.