Failure analysis of a broken tooth

Several days after heart surgery, a patient discovered his upper right canine tooth had broken at the root. Such tooth damage, recognized post-operatively, is usually assumed to be caused by blunt mechanical force from an instrument used by the anesthesiologist during placement of a breathing tube at the start of surgery. In this case, the patient had saved the crown portion of the broken tooth, and it was possible to examine the root fracture characteristics. The curvature and direction of the crack path and natural tooth situation suggested that failure could be described through a cantilever beam model. This was confirmed when a whole extracted sample tooth was embedded and broken by a measured force in a manner consistent with the model. The resulting fracture surface matched that of the patient’s broken canine tooth. However, the high load and force direction necessary to fracture the root was inconsistent with forces applied during the anesthesia procedure. The failure analysis and further investigation indicated tooth clenching on the breathing tube during recovery was the likely cause of fracture. This paper presents an alternate explanation for intubation-related dental injury, demonstrates the practicality of fractographic analysis of biological materials, and introduces a methodology for simulating in vitro tooth settings for mechanical testing.     

Stream Classification System Based on Susceptibility to Algal Growth in Response to Nutrients

We developed a stream classification system that is based on stream’s susceptibility to algal growth using a two-step approach. The model portrays algal biomass as a result of stream’s response to nutrient concentrations and the response is governed by various stream factors. In the first step, a nutrient-chlorophyll a relationship was developed to characterize nutrient’s effects on algal biomass. Residuals of the relationship were attributed to stream’s susceptibility to algal growth in response to nutrients and referred to as “observed” susceptibility. In the second step, conditions of other contributing factors were used to explain the variation in the residuals and the developed relationship was used to generate “predicted” susceptibility. Existing data compiled from various monitoring projects of Illinois streams and rivers were used to illustrate the approach. Streams were classified into three (high, medium, and low) categories based on their observed and predicted susceptibility values, respectively. With the available data, the model showed a 40-50% success rate for classifying the streams based on three observed and predicted susceptibility categories. Model entropy also was calculated for selecting the best model. The results show the important role of both nutrients and other contributing factors in explaining the variation of algal biomass. The study also suggests ways to fine tune the model and improve its accuracy, which would make the presented model a more viable tool for stream classification for establishing nutrient criteria to prevent surface streams from eutrophication.     

Comparison of two methods of surfactant administration and the effect on dosing-associated hypoxemia

OBJECTIVE: The purpose of our study was to test the hypothesis that surfactant dosing through a proximal sideport adapter on an endotracheal tube leads to more dosing-associated hypoxemia compared with a method of dosing that uses a double-lumen endotracheal tube. STUDY DESIGN: Using adequate sample size to compare significant changes in O2 saturation (power > 0.8, alpha < 0.05) we enrolled 36 infants with respiratory distress syndrome in this randomized trial. A 10% change in O2 saturation was considered clinically significant. Nineteen infants received 38 doses of surfactant through the sideport adapter. Seventeen infants received 31 doses of surfactant through the nonventilation lumen of a double-lumen endotracheal tube. Two main outcome measures were assessed: time-averaged O2 saturation values 30 minutes after dosing and the largest absolute fall in O2 saturation for each patient. RESULTS AND CONCLUSIONS: Time-averaged O2 saturation measures were higher in the proximal sideport group (p = 0.02), but the magnitude of difference was probably not clinically significant. No significant difference was detected between groups when we compared largest absolute drop in O2 saturation. Secondary analyses found no effect of birth weight or dose number (second vs third dose) on either outcome measure.     

Chicken acidic leucine-rich EGF-like domain containing brain protein (CALEB), a neural member of the EGF family of differentiation factors, is implicated in neurite formation

Chicken acidic leucine-rich EGF-like domain containing brain protein (CALEB) was identified by combining binding assays with immunological screens in the chicken nervous system as a novel member of the EGF family of differentiation factors. cDNA cloning indicates that CALEB is a multidomain protein that consists of an NH2-terminal glycosylation region, a leucine-proline-rich segment, an acidic box, a single EGF-like domain, a transmembrane, and a short cytoplasmic stretch. In the developing nervous system, CALEB is associated with glial and neuronal surfaces. CALEB is composed of a 140/130-kD doublet, an 80-kD band, and a chondroitinsulfate-containing 200-kD component. The latter two components are expressed in the embryonic nervous system and are downregulated in the adult nervous system. CALEB binds to the extracellular matrix glycoproteins tenascin-C and -R. In vitro antibody perturbation experiments reveal a participation of CALEB in neurite formation in a permissive environment.     

Distraction effects on muscle. Leg lengthening studied in rabbits

We investigated changes in the anterior tibial muscle during lengthening of the lower leg in rabbits. In 37 rabbits, an osteotomy of the right middle tibia was performed and was fixed by a unilateral external fixator. The rabbits were randomized into 6 groups. In groups 1, 2, and 3 the tibiae were distracted 0.5 mm/day. In groups 1 and 2, the rabbits were killed after 14 and 28 days of distraction, respectively, and in group 3 after 28 days of distraction, followed by 14 days of rest. Groups 1a, 2a, and 3a served as controls. They were treated similarly as groups 1, 2, and 3, but no distraction was performed. Proliferating cell nuclei were labeled with 5-bromo-2-deoxyuridine and were identified by immunohistochemical staining. The weight of the muscle was measured. During bone lengthening the muscle showed signs of growth, as indicated by increasing weight and number of proliferating cell nuclei. This was observed only during lengthening and it ceased when the lengthening was stopped.     

Phase Equilibria in the Quaternary System Ti-Al-C-N

The quaternary system Ti-Al-C-N and its binary and ternary boundary systems are investigated using powder methods and XRD analysis. Phase equilibria at 1375°C are presented in an isothermal network for alloys up to 50 at.% Ti. In the vertical section Ti₂AIC_1-x-Ti₂AlN_1-x a complete series of solid solutions exists at 1495°C, but a wide miscibility gap occurs at 1375°C. The vertical section Ti₃AlC_1-x-Ti₃AlN_1-x is more complex because of the occurrence of the quaternary, tetragonally distorted phase Ti₃Al(C,N)_1-x ( a = 0.41135(4) nm, c = 0.41366(5) nm) and the transformation of perovskite-type Ti₃AlN_1-x into filled Re₃B-type Ti₃AlN_1-x below 1200°C.     

Work-oriented development of knowledge-based systems: a case for multiple perspectives

System development is strongly influenced by the perspectives used by system developers. Current development methods for knowledge-based systems are based on an information processing perspectives of experts and users which has been criticized by a number of researchers. The paper argues that work-oriented development of knowledge-based systems requires the parallel use of multiple perspectives (including the information processing perspective), and that the use of any single perspective is potentially dangerous. As an example of the importance of using multiple perspectives, thepaper presents the situated action perspective, and shows how it complements the information processing perspective.