Prospective study of carotid endarterectomy and contralateral carotid occlusion

A total of 700 patients who had carotid endarterectomy (CEA) in the UK and Ireland during a 6-month interval between March and August 1994 were studied prospectively. Some 108 patients (15.4 per cent) had a contralateral internal carotid artery occlusion. Previous reports have shown an associated stroke rate of about 10 per cent in these patients. This study assessed complications and outcome for patients undergoing CEA with contralateral internal carotid artery occlusion compared with those without. The indications for surgery were comparable between the two groups although the patients with occlusion had a slightly higher incidence of arrhythmia and stroke. Intraoperative shunts were used in a significantly higher proportion of those with occlusion (83.3 versus 64.7 per cent, P = 0.0001). The combined death and stroke rate for patients with occlusion was 5.6 per cent compared with 2.4 per cent for the remainder (P not significant). On the basis of the present data, CEA with a contralateral carotid artery occlusion carries only a slight increase in the rate of postoperative stroke and death. This increase was not statistically significant and is lower than that reported previously.     

A method for improving classification reliability of multilayerperceptrons

Criteria for evaluating the classification reliability of a neural classifier and for accordingly making a reject option are proposed. Such an option, implemented by means of two rules which can be applied independently of topology, size, and training algorithms of the neural classifier, allows one to improve the classification reliability. It is assumed that a performance function P is defined which, taking into account the requirements of the particular application, evaluates the quality of the classification in terms of recognition, misclassification, and reject rates. Under this assumption the optimal reject threshold value, determining the best trade-off between reject rate and misclassification rate, is the one for which the function P reaches its absolute maximum. No constraints are imposed on the form of P, but the ones necessary in order that P actually measures the quality of the classification process. The reject threshold is evaluated on the basis of some statistical distributions characterizing the behavior of the classifier when operating without reject option; these distributions are computed once the training phase of the net has been completed. The method has been tested with a neural classifier devised for handprinted and multifont printed characters, by using a database of about 300000 samples. Experimental results are discussed.     

Direct volume display devices

Direct volume display devices (DVDDs), which display 3D volumes and surfaces in a volume by providing depth rather than depth cues, are discussed. The transport theory model is used to illustrate why DVDDs are best able to support fast presentation from arbitrary directions. The technology underlying various DVDDs is described. Specifically, the design and operation of the OmniView rotating-screen DVDD are examined. The air-traffic-control/air-tactics-analysis, satellite orbit mechanics, and time-critical target prosecution applications of DVDDs are also discussed     

Influence of two-step process and of different stoichiometric ratios on morphologies generated in castor oil epoxy resins

Phase separation during polymerization was studied in a model system consisting of a diepoxide based on diglycidyl ether of bisphenol A (DGEBA), variable amounts of ethylenediamine (EDA) and the mass of castor oil (CO) necessary to obtain a mass fraction equal to 0-15 in a final system where the stoichiometric ratio of amine to epoxy equivalents, r, was equal to 1. A two-step polymerization process was performed by curing first a system with r = 0-5, during variable times before phase separation, and then carrying the system to r = 1. Thermodynamic analysis of samples with different r values led to a linear relationship between the Flory-Huggins interaction parameter and r. The concentration (P) and average size (D?) of dispersed-phase particles followed opposite trends, i.e. P increased while D? decreased, when either r was increased or the time of curing in the first step of a two-step process was decreased. This was explained by assuming that the competition between nucleation and growth was determined by the viscosity at the cloud point, η_cp. Low values of η_cp favoured growth over nucleation and led to fewer but larger particles.     

Deformation of a rectangular plate half-embedded in an elastic base

We have investigated the deformation of a rectangular plate half-embedded in an elastic base and subjected to a mechanical load. Using the apparatus of generalized functions, the problem is reduced to a system of singular integral equations which is solved by the boundary element method. We present the results in the form of isolines of the components of the displacement vector.Translated from Problemy Prochnosti, No. 3, pp. 72–77, March, 1996.     

The water purification system for the low background counting test facility of the Borexino experiment at Gran Sasso

The Borexino experiment, for the study of solar neutrino physics, requires radiopurity at the level of 5 × 10⁻¹⁶ g/g ²³⁸U equivalent (or 6 × 10⁻⁹ Bq/kg) on a detector mass of many tons of scintillator. Feasibility studies are performed in a counting test facility now operating at LNGS, which consists of 4 t of liquid scintillator viewed by 100 photomultipliers and shielded by 100 t of water. The accomplishment of this goal requires the shielding liquid, water, to be at the 10⁻¹³ g/g contamination level (1.2 × 10⁻⁶ Bq/kg) or better. This paper describes the water purification system; it consists of a combination of several purification processes to remove particulate, radioactive ions, dissolved gases and other impurities. Residual contaminations are measured by analytical or direct-counting techniques. For radon measurement, particularly challenging at this low activity levels, a low background counting method has been developed.     

Crosslinking of tissue-derived biomaterials in 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide (EDC)

In contrast to bifunctional reagents such as glutaraldehyde or polyfunctional reagents such as polyepoxides, carbodiimides belong to the class of zero-length crosslinkers which modify amino acid side-groups to permit crosslink formation, but do not remain as part of that linkage. The authors have compared the effects of 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide (EDC) and glutaraldehyde (the de facto industrial standard crosslinker) on the hydrothermal, biochemical, and uniaxial mechanical properties of bovine pericardium. EDC crosslinking was optimized for maximum increase in collagen denaturation temperature using variables of pH, concentration, and ratio of EDC to N-hydroxysuccinimide (NHS): a reagent for formation of activated esters. EDC and glutaraldehyde crosslinked materials were subjected to hydrothermal denaturation tests, biochemical degradation by enzymes (collagenase, trypsin) and CNBr, amino acid analysis for unreacted lysine, and to high strain rate mechanical tests including: large deformation stress-strain studies (0.1 to 10 Hz), stress relaxation experiments (loading time 0.1 s) and small deformation forced vibration (1 and 10 Hz). A protocol for EDC crosslinking was developed which used 1.15% EDC (2:1 EDC:NHS) at pH 5.5 for 24 h. The increase in denaturation temperature for EDC (from 69.7±1.2°C to 86.0±0.3°C) was equivalent to that produced by glutaraldehyde (85.3±0.4°C). Both treatments equivalently increased resistance to collagenase and CNBr degradation; however, after denaturation, the EDC-treated tissue was slightly more resistant to collagenase, and markedly more resistant to trypsin. EDC-treated materials were more extensible and more elastic than glutaraldehyde-treated materials. Despite the differences in crosslinking mechanism, EDC and glutaraldehyde-treated materials are very similar. Subtle but intriguing differences in biochemical structure remain to be investigated.     

Characterization of spherically focused transducers using an ultrasonic measurement model approach

A new and computationally efficient method is developed for characterizing a spherically focused, ultrasonic transducer (and its accompanying test system). Procedures for determining the probe's effective radius, effective focal length, and system efficiency factor are described. Predicted responses that make use of these effective parameters are shown to correspond very well to measured responses for a number of different transducers.