Detection and preliminary characterization of matrix metalloproteinase activity in temporomandibular joint lavage fluid

MATERIALS AND METHODS: In the period 1986-1994, 2950 patients with cardiovascular diseases were surgically treated. In 2104 cases we placed biological or synthetic grafts to maintain vascular continuity. The most common has turned out to be abdominal aortic aneurysm. We treated 783 cases in emergency conditions. Staging and localization of infection has been the first aim in patients with synthetic vascular grafts. We studied signs and symptoms related to infections. In all cases we discovered the microorganism responsible of infection we started antibiotic therapy. RESULTS: Surgical infection incidence is 4.9% (154 cases). Series analysis has evidenced a decrease in infection incidence in the period 1986-1994. The most frequent infections are: the urinary tract infection (59 cases, 38.5%) followed by surgical wound infection (37 cases, 24.1%), respiratory tract infection (27 cases, 17.5%), vascular graft infection (23 cases, 14.4%). All patients underwent a preoperative antibiotic prophylaxis with 2 degrees-3 degrees generation cephalosporines. We noted a higher graft infection incidence in patients treated with aortobifemoral reconstruction. We handled surgical infection following two main directions: 1-antibiotic therapy, 2-surgical treatment and antibiotic therapy. CONCLUSIONS: We noted surgical technique improvement and correct application of an antibiotic prophylaxis form has turned out to be the "gold standard" in order to reduce cardiovascular surgical infections. To reduce sepsis or graft infection we can work on either of the following: 1) antibiotic therapy; 2) operative time reduction; 3) try to limit vascular surgery in case of concomitant gastrointestinal surgical disease; 4) using alloplastic vascular grafts with high biological compliance; 5) patency time reduction of invasive diagnostic technique.     

Value of CT-angiography in diagnosis of cerebral sinus and venous thromboses

Dural sinus thrombosis is not uncommon. Due to the nonspecific symptomatology, as well as the manifold etiology, clinical diagnosis may be difficult. In these cases imaging procedures are frequently crucial in deciding how to proceed and how to treat. The aim of our study was to evaluate the diagnostic utility of helical CT in the detection of dural sinus thrombosis. In 20 patients with clinically suspected thrombosis CT angiography was performed. In 6 patients dural sinus thrombosis was diagnosed. In order to acquire also arterial vessels, a short delay of about 22 s after the onset of the application of contrast medium was selected. By this method we found an occlusion of the MCA in two patients with clinically suspected sinus thrombosis. In all patients the transverse slices and the multiplanar reconstructions showed filling defects or an "empty delta" sign. With irregular outlines the thrombus could be depicted over the complete course of the sinus. The MIP reconstructions were particularly helpful in the evaluation of the vessel anatomy and the pathological collateral venous drainage. In three patients MR angiograms were available for comparison. The smaller veins, such as the v. vermis inferior, were less clearly depicted than in CT angiography. CT angiography is a fast and reliable method to exclude or verify a sinus thrombosis. It can be performed immediately after non-enhanced CT. According to our present experience CT angiography is sufficient for the diagnosis of a sinus thrombosis.     

Integrating cognitive load theory and concepts of human–computer interaction

With the continually increasing complexity of e-learning environments, there is a need for integrating concepts of cognitive load theory (CLT) with concepts of human–computer interaction (HCI). Basic concepts of both fields were reviewed and contrasted. A literature review was conducted within the literature database “The Guide to Computing Literature,” searching for “cognitive load theory” and “Sweller.” Sixty-five publications contained “cognitive load” in their titles or abstracts. Each publication was checked to see whether it contained the concepts of intrinsic, extraneous, or germane cognitive load. The review showed that CLT concepts have been adopted in HCI. However, the concept of germane cognitive load has attracted less attention up to the present time. Two conceptual models are proposed. The first model divides extraneous cognitive load into load induced by the instructional design and load caused by software usage. The model clarifies the focus of traditional usability principles and of existing instructional design principles derived from CLT. The second model fits CLT concepts into the basic components of user-centered design. The concept of germane cognitive load illustrates that an increase of cognitive load can be desirable when designing e-learning environments. Areas for future interdisciplinary research are sketched.     

Improved Positioning Accuracy of the PA10-6CE Robot with Geometric and Flexibility Calibration

Accurate determination of robot geometric and flexibility parameters permits significant reduction of systematic errors and improved end-effector positioning accuracy. We apply a 30-parameter flexible geometric model to the Mitsubishi PA10-6CE robot and reduce mean/peak positional errors from 1.80/2.45 mm to 0.33/0.71 mm while loaded at 44 N.     

Solid state reaction in sandwich-type Al/Cu thin films

Al/Cu/Al and Cu/Al/Cu triple layers with approximately 10 nm single layer thickness deposited on tungsten substrates were analyzed in the early stages of reactive interdiffusion by means of atom probe tomography. The first reaction product is found after 5 min thermal treatment at 110 degrees C and identified by direct chemical analysis to be Al2Cu. Surprisingly, we found a significant asymmetry in the reaction rate of the new phase with the stacking sequence: the thickness of the product grown at the interfaces, at which Cu is deposited on top of the Al layer, is approximately 1.5-2 times thicker than the other one at the interfaces at which Al is deposited onto a Cu layer. On the other hand, at both interfaces the thickness of the product layer depends parabolically on time. No precursory interdiffusion and no distinct nucleation process of the product are observed.     

Thermal Mechanical Fatigue Behavior of Advanced Overlay Coatings

Environmental protection and cost effectiveness lead to the demand to increase the efficiency of energy conversion. In the past decade gas turbines have become an important factor in efficient power generation. Gas turbine inlet temperatures are being increased continuously to decrease the specific fuel consumption. The development of new base materials and sophisticated processes like single crystal solidification allows higher metal temperatures. This causes higher oxidative stress to the MCrAlY overlay coatings. As shown in an earlier paper (I), an improvement of the high temperature properties is achievable by the addition of Rhenium. In this paper we report on properl ies of MCrAlY coatings containing 8 to 12% Al and 10% Rhenium by weight. The coatings were applied on Inco 738 LC by LPPS (Low Pressure Plasma Spraying). Data for static oxidation and cyclic oxidation data at 950°C, I000°C up to 10,000 hours are presented. However, the main aim of this report is to discuss the thermal-mechanical properties of LPPS-coatings with Re. As known from earlier work, the variation or addition of different elements to overlay coatings lead to a change in the ductile-brittle transition. Ductile-Brittle-Transition-Temperature (DBTT) measurements on 10% Re containing systems under the variation of Co, Cr, Al and Si have been done. In order to get more information about the thermal-mechanical properties of the coating under service like conditions, TCF (Thermal Cycle Fatigue) and TMF (Thermal Mechanical Fatigue) tests were carried out. On discus shaped samples, the TCF behavior of an MCrAlYRe coating in comparison to an MCrAlY coating has been evaluated up to 1,500 cycles. The samples were heated in a radiation oven up to 1000°C and cooled down by compressed air. By this method a differentiation in the thermal fatigue behavior is possible. However, this kind of test does not cover all possible relaxation processes. A more realistic investigation of the thermal mechanical fatigue behavior is given by TMF tests. A service life cycle was taken to study the thermal mechanical behavior. It is shown that Re improves the thermal mechanical properties of MCrAlY coating systems considerably.