Can EC-IC bypass prevent brain ischemia from recurring?

The effectiveness of extracranial-intracranial arterial bypass (EC-IC bypass) surgery for patients with hemodynamic compromise still remains controversial. In the present study, we evaluated the correlation between the pre- and post-surgical cerebral hemodynamics and long-term prognosis. 28 patients and a subsequent 21 patients (41 men, eight women: mean age 59.9 [S.D. 8.6] years) with reduced cerebrovascular reserve due to steno-occlusive disease of the cerebral major arteries formed the study groups 1 and 2, respectively. Measurement of the mean hemispheric cerebral blood flow (mCBF) and the cerebral vasoreactivity (%mCVR) with an intravenous acetazolamide injection were performed by a 133Xe inhalation method and SPECT. Patients were treated with EC-IC bypass surgery and measurement of mCBF and %mCVR were made again about one month after surgery. The patients were observed for a long period (mean 44.3 months). During the follow-up period, 6 patients experienced recurrent ischemic strokes. The annual incidence of recurrent ischemic stroke was 4.4%. The patients with significantly reduced pre- and post-surgical resting mCBF of the affected hemisphere were at significantly higher risk of recurrent ischemic stroke than the patients with normal mCBF (p < 0.01). The %mCVR of the affected hemisphere rose after surgery.     

The equivalent transmission-path model-a tool for analyzing errorfloor characteristics due to intersymbol interference in Nakagami-Ricefading environments

Land mobile radio systems such as car telephones and handy personal terminals used outdoors have enjoyed a remarkable evolution. To design reliable mobile radio systems, however, it is vital to have a good understanding of the impact of wave propagation characteristics on digital transmission quality in a wide variety of mobile radio environments. A very simple but general scheme for calculating irreducible bit error rate (BER) (namely, BER floor) due to intersymbol interference in frequency-selective Nakagami-Rice fading environments has been developed. The scheme, which we call the equivalent transmission-path model, plays a role in connecting wave propagation with digital transmission characteristics in a general manner. Through computer simulations assuming various types of delay profiles, we first identify key parameters of Nakagami-Rice fading dominating principally the occurrence of irreducible errors and we develop a simple method for the calculation of irreducible BER utilizing the nature or the key parameters. Then we examine the accuracy of the scheme for various types of phase-shift keying (PSK) transmission systems. Finally, based on the scheme, we show calculation examples of BER floor characteristics in line-of-sight fading environments     

The combined method: a novel access technique for fetal endoscopic surgery

BACKGROUND/PURPOSE: To develop practical and less invasive techniques for fetal endoscopic surgery, new methods of lifting the uterine wall to allow fetal surgery without maternal laparotomy were developed and assessed. METHODS: Fetal endoscopic surgical procedures, including tracheostomy and umbilical vascular cannulation, were performed using one of the three methods to enter the uterus without maternal laparotomy in pregnant goats (n = 6; 105 to 115 days' gestation): (1) direct uterine lifting with an air-cushion device; (2) indirect uterine lifting, in which the uterine wall was fixed to the maternal abdominal wall using balloon tip ports inserted percutaneously by Seldinger's method, then the maternal abdomen was lifted mechanically; and (3) combined method, in which low pressure CO2 (5 mm Hg for initial inflation and 2 mm Hg for maintenance) was insufflated into the uterus in addition to the indirect uterine lifting cited above. RESULTS: The direct uterine lifting caused massive injury of myometrium and uterine membranes. The creation of intrauterine space and the protection of the membranes were not accomplished effectively by the indirect uterine lifting only. The combined method provided the adequate intrauterine space and excellent endoscopic visibility for completion of the endoscopic procedures with minimal uterine injury. CONCLUSION: The fetal endoscopic surgery may be accomplished simply and safely by the combined method, a novel technique of uterine lifting to allow fetal surgery without maternal laparotomy.     

Periacinar collagenization in patients with chronic alcoholism

To examine the development of pancreatic fibrosis in alcoholics, the fibrosis types grouped according to Martin's classification were examined by immunohistochemistry using an antibody against alpha-smooth muscle actin (alpha-SMA). The initial stage of periacinar collagenization was also investigated by electron microscopy. The total incidence of pancreatic fibrosis at autopsy of the 29 alcoholics was significantly higher than that of the 40 non-alcoholics. Intralobular sclerosis was observed to be the most frequent type of fibrosis regardless of alcohol intake. No differences in the enhancement of alpha-SMA expression in each type of fibrosis were found between the alcoholics and non-alcoholics. Electron microscopically, myofibroblasts were found around acini in the early stage of periacinar collagenization, and were accompanied by numerous fine filaments (8-15 nm in diameter). The various changes in zymogen granules (ZG), lysosomes and lipid droplets were augmented in the acinar cells of alcoholics. Medium-density materials were also found in dilated rough endoplasmic reticulum (RER). The contents of ZG and RER occasionally leaked out. In conclusion, pancreatic fibrosis was increased in alcoholics; myofibroblasts may play an important role in the initial stage of periacinar collagenization; and the intracellular transport blockage of protein as represented by abnormalities of ZG, ER and lysosomes may contribute to the development of periacinar collagenization.     

Effects of lamotrigine and conventional antiepileptic drugs on amygdala- and hippocampal-kindled seizures in rats

A computer aided monitor-data processing system (CAMP-System) was developed in order to get a consistent and comprehensive database which can very precisely reflect intra-operative haemodynamic courses. The goal of the present study was to introduce a new method to scan and to gauge haemodynamic courses and to demonstrate its superiority over the traditional way of data processing based on a handwritten anaesthesia protocol. METHODS: The computerized system was applied to a study which was designed to investigate the influence of ketanserin (K) vs. urapidil (U) on haemodynamic stability during cardiac operations. Twenty male patients scheduled for myocardial revascularization received either 20 mg K or 30 mg U. Heart rate, central venous, arterial and pulmonary artery pressures were measured and on-line recorded every 20 seconds by the computer record system. In the handwritten protocol these variables were registered at eight pre-defined time points. Computerized data processing (including artifact depletion and data condensation) was compared to the results evaluated from the handwritten protocol. RESULTS: While the only significant differences in the handwritten protocol were slightly higher values of pulmonary artery pressures in group K, the computer analysis revealed a number of further differences. Higher maximum and a less stable time course of HR in group K in the pre-bypass phase and lower mean and standard deviation of MAP during cardiopulmonary bypass. CONCLUSION: Computerized data processing including automatic artifact suppression and data condensation was able to reveal differences in the course of haemodynamic variables that cannot be detected in a conventional handwritten protocol.     

Temperature-stable low-noise ferrite memory cores

Temperature-stable low-noise memory cores made from the substituted lithium and nickel ferrites were studied. Ferrite compositions which are suitable for miniature cores have been developed by studying magnetic properties of the ferrite in the system Li-M-M' and Ni-M-M' ferrite (M:Mn, Fe, Co, Ni, Cu, and Zn). Technological approaches for fabricating small memory cores were made by studying the effect of ferrite-powder parameters and sintering conditions on magnetic properties of the substituted ferrites. Typical pulse characteristics taken with coincident current mode for cores of 0.48, 0.32, and 0.27 mm φ OD are presented. It was found that the Ni-Mn-F(II) ferrites are suitable for a low-drive high signal-to-noise ratio (dV1/dVz) temperature-stable memory core.     

Steam oxidation resistance of two-layered Ni-Cr and Al APS coating for USC boiler applications

Thermal spray of Ni-Cr and Al coatings was attempted on modified 9Cr-1Mo steel, to evaluate their steam oxidation resistance. Atmospheric plasma spray (APS) coatings of 50Ni-50Cr as undercoat and Al topcoat were attempted with the aim that the pores produced by 50Ni-50Cr undercoat can be filled with Al topcoat during the steam oxidation. The steam oxidized samples evinced the Ni and Cr diffusion towards the Al coating structure and changed the topcoat in to the Ni-Al intermetallics. Though the two-layered coating exhibited an excellent performance against the steam oxidation for the base steel substrate till 3000 h of test, the top layers of the coating underwent significant internal oxidation.     

High-temperature oxidation of pure titanium in CO2 and Ar-10%CO2 atmospheres

The oxidation behavior of pure titanium has been investigated in the temperature range of 1000 K to 1300 K in CO₂ or Ar-10%CO₂. Optical microscopy, electron probe microanalyses, and X-ray measurements on the oxide scales formed during oxidation indicate that their structures are nearly independent of temperature and the corrosion atmosphere. The scales consisted of two layers, an external one and an internal one, having a rutile (TiO₂) structure. The parabolic rate law was confirmed for growth of the external scale and the permeation depth of oxygen in titanium with apparent activation energies of 266 and 226 kJ/mol, respectively. The rate-determining diffusion species in the oxidation processes are discussed.     

Quenching stress in plasma sprayed coatings and its correlation with the deposit microstructure

Quenching stress arises within a thermally sprayed splat as its thermal contraction after solidification is constrained by the underlying solid. Dependence of the quenching stress in plasma-sprayed deposits of Ni-20Cr alloy and alumina on the substrate temperature during spraying was discussed in conjunction with the change in the nature of the interlamellar contact between splats. It was found by mercury intrusion porosimetry and observation of cross sections of impregnated deposits that the interlamellar contact is improved significantly by raising the substrate temperature during deposition from 200 to 600 °C. The positive dependence of the quenching stress on the substrate temperature in this temperature range was attributed to a stronger constraint against thermal contraction of sprayed splats after solidification due to the improved contact.     

A new optical elasticity resin for mobile LCD modules

Abstract— The display used in current cell phones has an air gap between the cover glass and the liquid‐crystal‐display (LCD) module to prevent the LCD glass from being damaged. Reflections at the boundaries of the air gap cause a reduction in the LCD luminance and contrast. To address this problem, a newly proposed LCD structure has been investigated. The “Super View Resin (SVR),” a transparent elastic resin which improves the shock resistance and visibility of the LCD, has been developed. Filling the air gap between the cover glass and LCD module with a refractive‐index‐matching resin solves the light‐reflection problem inherent in the use of a reinforced cover‐glass lens. Moreover, the elastic filler works as a damper, reducing any external shock, which prevents not only the cover glass and LCD module from being damaged, but also the glass from being shattered when it is broken.