Multiple cerebellar infarction due to vertebral artery obstruction and bulbar symptoms associated with vertical subluxation and atlanto-occipital subluxation in ankylosing spondylitis

Ankylosing spondylitis (AS) results in disease-specific inflammation at the site of ligamentous insertion into the bone. Atlantoaxial joint subluxation and vertical subluxation of the axis may occur as a consequence of instability resulting from the inflammatory process. Spontaneous anterior atlantoaxial subluxation is a well recognized complication in about 2% of patients with AS, and presents with or without signs of spinal cord compression. Vertical subluxation may follow anterior or posterior subluxation. It was noted in 3-8% of patients with rheumatoid arthritis, but is an exceedingly rare complication of AS. Moreover, it has never been reported that multiple cerebellar infarction and bulbar symptoms developed spontaneously due to atlanto-occipital subluxation and vertical subluxation in a patient with a long [corrected] history of AS. We describe a man with AS who developed multiple cerebellar infarction due to vertebral artery obstruction and bulbar symptoms associated with atlanto-occipital subluxation and vertical subluxation.     

The small-cell variant of mycosis fungoides. A clinicopathological and quantitative electron microscopic study on 14 patients

Small-cell variants of Sézary syndrome and mycosis fungoides (MF) have been described. However, in these studies the nuclear area of the small-cell variant of MF (SC-MF) as compared to histological classical MF (CL-MF) was not characterized objectively by quantitative electron microscopy. In a 14-year follow-up period, of a total of 76 patch/plaque stage MF patients seen in the Department of Dermatology of the University Hospital Utrecht, 14 (18%) had an infiltrate composed of atypical lymphocytes characterized by a distinctly smaller cell diameter and smaller, hyperchromatic, deeply indented nuclei as compared to the usual cell type of MF. The aim of the investigation was to confirm this observation objectively using quantitative electron microscopy (morphometry) and to define SC-MF as compared to CL-MF. The study was performed on the 14 patients with SC-MF, and 10 patients with clinical and histological CL-MF and 4 patients with chronic eczema. Electron micrographs of sections obtained from each biopsy were analysed by computer to produce the following data: a nuclear contour index (NCI), the mean nuclear area (MNA), the mean nuclear area of the cells above the 75th percentile (P75NA) and the percentage of cells larger than 30 microm2. The values of MNA differed significantly between patients with SC-MF and those with CL-MF (17.6 vs 23.2 microm2; P = 0.02), as did the values of P75NA (20.7 vs 27.9 microm2; P = 0.01). The NCI of the SC-MF and CL-MF patients were similar. These results are consistent with our observations that SC-MF does indeed exist.     

Effects of additives on the electrodeposition of tin from an acidic Sn(II) bath

Additive effects of formaldehyde, propionaldehyde and benzaldehyde on the deposition of tin in acidic solution of tin(II) sulfate have been investigated. The effects of these additives on cathodic polarization and a.c. impedance was measured by galvanostatic or potentiostatic methods, respectively. The reduction products of the aldehyde during the deposition and the diffusion coefficient of Sn(II) in various solutions were also determined.     

A revised discrete particle swarm optimization algorithm for permutation flow-shop scheduling problem

This research proposes a revised discrete particle swarm optimization (RDPSO) to solve the permutation flow-shop scheduling problem with the objective of minimizing makespan (PFSP-makespan). The candidate problem is one of the most studied NP-complete scheduling problems. RDPSO proposes new particle swarm learning strategies to thoroughly study how to properly apply the global best solution and the personal best solution to guide the search of RDPSO. A new filtered local search is developed to filter the solution regions that have been reviewed and guide the search to new solution regions in order to keep the search from premature convergence. Computational experiments on Taillard’s benchmark problem sets demonstrate that RDPSO significantly outperforms all the existing PSO algorithms.     

Finishing effects of spiral polishing method on micro lapping surface

This study presents a spiral polishing method and a device for micro-finishing purposes. This novel finishing process has wider application than traditional processes. This offers both automation and flexibility in final machining operations for deburring, polishing, and removing recast layers, thereby producing compressive residual stresses even in difficult to reach areas. Applying of this method can obtain a fine polished surface by removing tiny fragments via a micro lapping generated by transmission of an abrasive medium through a screw rod. The effect of the removal of the tiny fragments can be achieved due to the function of micro lapping. The method is not dependent on the size of the work-piece's application area in order to carry out the ultra precise process. The application of this research can be extended to various products of precision ball-bearing lead screw. The proposed method produces products with greater precision and more efficiently than traditional processes, in terms of processing precisions and the surface quality of products. These parameters used in achieving maximum material removal rate (MRR) and the lowest surface roughness (SR) are abrasive particle size, abrasive concentration, gap, revolution speed and machining time.     

New method for determination of the pose of the grinding wheel for thinning drill points

Traditionally, twist drills are reconditioned by thinning the web so the correct chisel edge length is restored. Recently, thinning has been included in the original design of drills so as to reduce torque and tool force. Because the International Standards Organization (ISO) has a system which can comprehensively model conventional twist drills but cannot model thinning specifications, this paper presents a system for precise mathematical modeling and CNC control of a 6-axis grinding workstation for drill thinning. The presented method determines the position and orientation of the grinding wheel based on the evaluated rake and clearance angles of ISO standards for 2-flute twist drills. The mathematical model and background are discussed. For verification and demonstration, two experimental drills are produced to the identical ISO standard except that one is thinned. The modeling herein is of value to industry and research if incorporated into computer software for drill design and manufacture. It is suitable for linear notch-type cutting with controlled variable rake angle along the secondary cutting edge for purposes of thinning, notching, dubbing and advanced drill research.     

Cognitive distortions and adolescent affective disorder. Validity of the CNCEQ in an inpatient sample. Children's Negative Cognitive Error Questionnaire

Despite a proliferation of recent research examining childhood and adolescent depression, the area still lags behind the adult depression field, particularly in the investigation of cognitive correlates of affective psychopathology. To advance cognitive research with youth, the Children's Negative Cognitive Error Questionnaire (CNCEQ) was developed to provide a measure of cognitive distortions or errors in children and adolescents. Yet, few studies have employed the CNCEQ and no evidence exists supporting the validity of its four component cognitive error scales. The purpose of the present study was to examine the construct validity of the CNCEQ and its constituent scales through the use of factor analysis and criterion-group comparisons. Groups of adolescent psychiatric inpatients, diagnosed as affective or disruptive disordered, completed the CNCEQ following admission. Results failed to support the implicit four-factor structure of the CNCEQ, instead suggesting the appropriateness of a single-factor solution labeled "negative thinking." Despite no diagnostic group differences on the CNCEQ total or other scale scores, affective disordered patients evinced more cognitive errors on the Overgeneralizing scale. Findings suggest that the CNCEQ in its current stage of development holds promise, yet requires refinement to produce a valid measure of cognitive functioning in youth.     

Psychosocial correlates of childhood anxiety disorders

OBJECTIVE: This study explored psychosocial and "environmental" correlates of childhood anxiety disorders. The study examined relationships among parental psychiatric symptomatology, perceived family environment, temperament, and self-competence in children with a DSM-III-R anxiety disorder. METHOD: A community sample of third through sixth graders was screened initially for symptoms of test anxiety. Those with high and low scores were administered the Anxiety Disorders Interview Schedule for Children. Three groups (childhood anxiety disorder, test-anxious only, and normal controls) were identified and compared on the psychosocial variables. RESULTS: Children with an anxiety disorder had greater impairment on the indices of perceived self-competence and temperamental flexibility than controls, with the test-anxious children showing intermediate, yet significant, levels of disturbance. There was a trend for children with an anxiety disorder to describe their families as less promoting of independence than the other groups. Finally, measures of parental psychiatric symptomatology revealed more obsessive-compulsive symptoms for the fathers of both the anxiety disorder and test-anxious children compared with controls. CONCLUSIONS: Results are consistent with previous findings suggesting the familial transmission of anxiety disorders and recent speculations regarding a relationship between behavioral inhibition, environmental control, and anxiety. Further research may isolate psychosocial and family environmental factors as instrumental treatment targets in the management of childhood anxiety disorders.     

New hybrid COPRAS-G MADM Model for improving and selecting suppliers in green supply chain management

Greening the supply chain is an increasingly important concern for many business enterprises and a challenge for logistics management. Critical functions within green supply chain management are internal improvements and selection of green suppliers. This study proposes a novel, hybrid model that addresses dependent relationships between various criteria and the vague information coming from decision-makers. The Decision-making Trial and Evaluation Laboratory (DEMATEL) technique structures the relationships among criteria, thereby constructing an influential network relationship map (INRM). Meanwhile the DEMATEL-based, analytical network process (ANP) method aids in obtaining influential weights of the criteria. Decision-makers may hold diverse opinions and preferences due to incomplete information, differences in knowledge or simply conflicts that are inherent between various departments. This can make it difficult to judge the performance of alternatives. One remedy is to apply a modified COmplex PRoportional ASsessment of alternatives with Grey relations. Next, this is applied to improve each criterion for integration of the performance values obtained in closing the aspiration level from different expert opinions based on INRM. An empirical example using data from a Taiwanese electronics company is provided to demonstrate our proposed method. The results can provide firms with a knowledge-based understanding of the source of some problems, thus reducing the performance gaps and closing the aspiration levels. Finally, there is a discussion on certain managerial implications.     

Oxygen saturation-dependent effects on blood transverse relaxation at low fields

Objective

Blood oxygenation can be measured using magnetic resonance using the paramagnetic effect of deoxy-haemoglobin, which decreases the \(\textit{T}_{2}\) relaxation time of blood. This \(\textit{T}_{2}\) contrast has been well characterised at the \(\textit{B}_{{0}}\) fields used in MRI (1.5 T and above). However, few studies have characterised this effect at lower magnetic fields. Here, the feasibility of blood oximetry at low field based on \(\textit{T}_{2}\) changes that are within a physiological relevant range is explored. This study could be used for specifying requirements for construction of a monitoring device based on low field permanent magnet systems.

Methods

A continuous flow circuit was used to control parameters such as oxygen saturation and temperature in a sample of blood. It flowed through a variable field magnet, where CPMG experiments were performed to measure its \(\textit{T}_{2}\). In addition, the oxygen saturation was monitored by an optical sensor for comparison with the \(\textit{T}_{2}\) changes.

Results

These results show that at low \(\textit{B}_{{0}}\) fields, the change in blood \(\textit{T}_{2}\) due to oxygenation is small, but still detectable. The data measured at low fields are also in agreement with theoretical models for the oxy-deoxy \(\textit{T}_{2}\) effect.

Conclusion

\(\textit{T}_{2}\) changes in blood due to oxygenation were observed at fields as low as 0.1 T. These results suggest that low field NMR relaxometry devices around 0.3 T could be designed to detect changes in blood oxygenation.