The incidence and characteristics of the clinical picture of recurrent myocardial infarct in the rural population

As many as 3033 patients with myocardial infarction residing in rural areas were kept under observation. In this population, myocardial reinfarction (MRI) was diagnosed in 411 subjects, with 78.8% having had it for 4 years. Those MRI patients ranging between 51 to 60 years showed the greatest prevalence (44.3%). The ratio of micro- to macrofocal (through-and-through) MRI was 1:3, that of males to females 9:1. Microfocal MRI was commonly associated with a pain-free variant of the disease (23.5%) with low frequency of thromboembolic complications (3.1%). Every fifth patient with macrofocal (through-and-through) renecrosis presented with aneurysm of the heart. In a 10-year and longer follow-up, mortality from MRI was 43.6 percent among patients with macrofocal MRI, while deaths attributable to microfocal MRI were estimated to be 28.9 percent. High mortality rates suggest great severity of illness and low efficacy of the drug therapy adopted.     

A 30-b integrated logarithmic number system processor

The authors describe an integrated processor that performs addition and subtraction of 30-b numbers in the logarithmic number system (LNS). This processor offers 5-MOPS performance in 3-μm CMOS technology, and is implemented in a two-chip set comprising 170 K transistors. Two techniques are used to achieve this precision in a moderate circuit area. Linear approximation of the LNS arithmetic functions using logarithmic arithmetic is shown to be simple due to the particular functions involved. A segmented approach to linear approximation minimizes the amount of table space required. Subsequent nonlinear compression of each lookup table leads to a further reduction in table size. The result is that a factor of 285 reduction in table size is achieved, compared to previous techniques. The circuit area of the implementation is minimized by optimizing the table parameters, using a computer program that accurately models ROM area. The implementation is highly pipelined, and produces one result per clock cycle using a ten-stage pipeline     

Phenomena-based thermal-hydraulic modeling requirements for systems analysis of a Modular High Temperature Gas-Cooled Reactor

The Modular High Temperature Gas-Cooled Reactor (MHTGR) is a candidate design for new production and commercial power nuclear reactors. The MHTGR has inherent safety features including: (1) passive shutdown and decay heat removal, (2) reduced requirements for operator intervention, thereby reducing sensitivity to operator error, and (3) long time intervals for corrective action. In support of the Department of Energy's (DOE) initial development of the design, the authors have completed an evaluation of the thermal-hydraulic phenomena that will dominate the plant response during representative normal, off-normal and accident conditions. Phenomena having significance to the plant behavior have been identified, and ranked with respect to their relative importance in satisfying operational, investment and/or safety criteria. The resulting information provides the basis for evaluating the applicability of existing computer codes, and defines the requirements for the development of new codes, for thermal-hydraulic systems analysis. The phenomena-based requirements also support the quality assurance related verification and validation of these codes. This paper briefly describes the methodology employed, and gives illustrative examples of the resulting requirements. References are cited for reports that document the full body of requirements and provide additional information for the methodology.     

Stability of rack structures

Standard commercial pallet racking is used in warehouses, factories, shops and a multitude of other places where palletised goods are to be stored. The structural analysis of this type of structure is complicated by the semi-rigid nature of the beam-to-upright connection, which is different from one manufacturer to another.In the present paper an attempt has been made to provide a simple design approach to the stability of pallet rack structures, and the effect that the form of the moment-rotation characteristic has on the type of stability demonstrated by the system.Finally the role of small imperfections is studied, and the effect that they have on the maximum load carrying capacity of the structure is shown.     

Using fractal structure to describe nickel crystal morphology

The morphology of nickel crystals can be quantified using measurements of fractal structure. In the study described in this article, fractal dimensions of cross sections of 16 nickel samples were determined, and the numerical analysis indicates that the more rugged surfaces are characterized by higher fractal dimensions although the relationship between morphology and fractal dimension is relatively weak. However, the data also show that fractal dimension is a better predictor of morphology than apparent density, which is the measurement currently used. The nickel samples were also subjected to an avalanching disc technique that has the potential to separate out the differences in flow in the different types of nickel powder. The differences in flow between powders were ascribed to the similar gross morphologies of the particles, and the presence of shattered individual particles in the mix. For more information, contact A.E. Lewis, University of Cape Town, Precipitation and Crystallisation Research Facility, Department of Chemical Engineering, Rondebosch, 7701, South Africa; +27-21-650-4091; fax +27-21-689-7479; e-mail alison@chemeng.uct.ac.za.     

Expanding the MOS: Development and Psychometric Evaluation of the MOS-R and MOS-X

The Mean Opinion Scale (MOS) is a questionnaire used to obtain listeners' subjective assessments of synthetic speech. This paper documents the motivation, method, and results of six experiments conducted from 1999 to 2002 that investigated the psychometric properties of the MOS and expanded the range of speech characteristics it evaluates. Our initial experiments documented the reliability, validity, sensitivity, and factor structure of the P.L. Salza et al. (Acta Acustica, Vol. 82, pp. 650–656, 1996) MOS and used psychometric principles to revise and improve the scale. This work resulted in the MOS-Revised (MOS-R). Four subsequent experiments expanded the MOS-R beyond its previous focus on Intelligibility and Naturalness, to include measurement of the Prosody and Social Impression of synthetic voices. As a result of this work, we created the MOS-Expanded (MOS-X), a rating scale shown to be reliable, valid, and sensitive for high-quality evaluation of synthetic speech in applied industrial settings.     

Solar building—European Union Research and Development Programmes

The European Commission's (EC) energy R&D programmes have completed two decades of progress. In the building sector special attention has been given to technology transfer and research dissemination, because of the particular problems which arise given the characteristics of the European construction industry, its diversity and fractured structure, and rather conservative nature.Projects such as the earlier Project MONITOR and BUILDING 2000, and the more recent INNOBUILD and SOLINFO projects and the Solar House programme together represent an unusual, if not unparalleled, effort aimed at bringing about technical change in building design and providing the necessary design and evaluation support and tools to professional architects and students and, to a lesser extent, to engineers. These projects are complemented by (and draw heavily from) an ambitious but clearly-targeted series of research projects investigating major energy-related issues concerning the heating, cooling and daylighting of buildings and deficiencies in knowledge of climate and human comfort, and building performance; activities such as the construction of passive solar test centres in ten EU Member States, each typically with four identical test cells equipped with interchangeable south walls, identical heating and cooling systems, sensors, and data acquisition systems. There is now in Europe considerable emphasis on the challenges of building in warmer climates, and on advancing daylighting design and performance and developing new materials.     

Reexpansion pulmonary edema

Reexpansion pulmonary edema is a rare complication attending the rapid reexpansion of a chronically collapsed lung, such as occurs after evacuation of a large amount of air or fluid from the pleural space. The condition usually appears unexpectedly and dramatically-immediately or within 1 h in 64% of patients and within 24 h in the remainder. The clinical manifestations are varied; they range from roentgenographic findings alone in asymptomatic patients to severe cardiorespiratory insufficiency. The radiographic evidence of reexpansion pulmonary edema is a unilateral alveolar filling pattern, seen within a few hours of reexpansion of the lung. The edema may progress for 24-48 h and persist for 4-5 days. Human data on the pathophysiology of reexpansion pulmonary edema derive from small series of patients, case reports, and reviews of the literature. On the other hand, a larger body of data exists on experimental reexpansion pulmonary edema in cats, monkeys, rabbits, sheep, and goats. This review examines the clinical and experimental evidence for reexpansion pulmonary edema. In addition, we detail the historical background, clinical setting, treatment, and outcome of reexpansion pulmonary edema.     

Effect of prenatal alcohol and cigarette exposure on two- and six-month-old infants'' adrenocortical reactivity to stress

Biologic data on benzene metabolite doses, cytotoxicity, and genotoxicity often show that these effects do not vary directly with cumulative benzene exposure (i.e., concentration times time, or c x t). To examine the effect of an alternate exposure metric, we analyzed cell-type specific leukemia mortality in Pliofilm workers. The work history of each Pliofilm worker was used to define each worker's maximally exposed job/department combination over time and the associated long-term average concentration associated with the maximally exposed job (LTA-MEJ). Using this measure, in conjunction with four job exposure estimates, we calculated SMRs for groups of workers with increasing LTA-MEJs. The analyses suggest that a critical concentration of benzene exposure must be reached in order for the risk of leukemia or, more specifically, AMML to be expressed. The minimum concentration is between 20 and 60 ppm depending on the exposure estimate and endpoint (all leukemias or AMMLs only). We believe these analyses are a useful adjunct to previous analyses of the Pliofilm data. They suggests that (a) AMML risk is shown only above a critical concentration of benzene exposure, measured as a long-term average and experienced for years, (b) the critical concentration is between 50 and 60 ppm when using a median exposure estimate derived from three previous exposure assessments, and is between 20 and 25 ppm using the lowest exposure estimates, and (c) risks for total leukemia are driven by risks for AMML, suggesting that AMML is the cell type related to benzene exposure.