Rectus abdominis muscle flap (RAMF) technique for the management of bladder exstrophies: late clinical outcome and urodynamic findings

OBJECTIVE: To investigate the efficacy of the rectus abdominis muscle flap (RAMF) technique for the closure and augmentation of small, non-compliant bladder exstrophies. PATIENTS AND METHODS: The RAMF technique was used in two girls and two boys (mean age at operation, 31.7 months, range 3-72) with bladder exstrophy. The clinical outcome and urodynamics were assessed during a follow-up of 29 months to 6 years (mean 49.2 months) and included imaging, cystoscopy, biochemical and microbiological studies. RESULTS: There were no urinary tract infections, metabolic problems or electrolyte disturbances and kidney function remained normal in all patients. Radiography confirmed intact function and anatomy of the urinary tract and cystoscopy showed complete coverage of the inner peritoneal layer of RAMF with uroepithelium. No stone formation or mucus production were detected. Currently, three patients void using clean intermittent catheterization through the native urethra and the fourth through an appendiceal Mitrofanoff valve. However, the bladder volume was insufficient at the late follow-up and three patients required bladder augmentation. CONCLUSIONS: The RAMF technique is a good alternative for closing bladder exstrophies and achieves an increase in bladder capacity; however, although there is a mild improvement in bladder capacity and compliance. RAMF should not be used as a bladder augmentation procedure. The technique is indicated in the closure of large bladder defects, bladder exstrophies with small, inelastic, non-compliant bladder remnants and failed primary closures.     

Fast adders using enhanced multiple-output domino logic

Using an enhanced multiple output domino logic (EMODL) implementation of a carry lookahead adder (CLA), sums of several consecutive bits can be built in one nFET tree with a single carry-in. Based on this result, a new sparse carry chain architecture is proposed for the CLA adder. We demonstrate the design approach using a 32-b adder, and show that only four carries are sufficient for generating all sums, with a consequent reduction in the number of stage delays. Using a 1.2-μm CMOS technology, we verify our simulation procedures by fabrication and measurement of a 2.7 ns critical path     

Bufferless broadcasting: a low power distributed circuit techniquefor broadcasting 10-Gb/s chip input signals

Bufferless distributed circuit (BDC) broadcasting is proposed as a technique for broadcasting high-speed chip input signals to a series of on-chip destination cells as needed in crosspoint switch, parallel multiplier, distributed amplifier, etc., chip designs. In contrast with conventional techniques that use an on-chip buffer to assist broadcasting, BDC broadcasting offers the advantage of lower signal delay and power dissipation. In an experimental GaAs heterojunction bipolar transistor (HBT) 8×4 crosspoint switch assembly, BDC broadcasting was found to achieve a 40% power savings with little or no penalty in jitter or bit error rate performance at a 10-Gb/s data rate     

Evolution of grain structure in thin film reactions

In this paper, we examine, both experimentally and theoretically, the kinetics of formation and microstructure of product phases in thin film reactions, using the Nb/Al and Ti/Al systems as our prototypes. The results of calorimetry and microscopy studies are interpreted using simple kinetic and morphology models. In particular, the kinetic models employed here focus on the nucleation and growth components of the phase formation process and the morphology models provide a starting point for the classification of product grain structures. An erratum to this article is available at .     

Comparison of the effects of nonlinear gain and weak opticalfeedback on the dynamics of semiconductor lasers

The influence of nonlinear gain and optical feedback on the dynamics of single-mode semiconductor lasers are numerically investigated based on the Lang and Kobayashi model. It is well known that the nonlinear gain tends to stabilize the dynamics, while the optical feedback tends to increase the instabilities. In this paper, we study the behavior of the attractors when the feedback level k and the gain saturation coefficient ε vary and show that the effects of these parameters are surprisingly opposite. For example, we find that the route to chaos that the external cavity modes follow for increasing k is reversed for increasing ε in an almost identical manner. When the feedback increases the modes follow the usual quasi-periodic route and turn into torus. If k continues to increase, the torus become chaotic attractors as the result of several period-doubling bifurcations or a third Hopf bifurcation. Further increase of k causes the chaotic attractors to lose stability, Contrarily, if the value of the parameter ε is increased, the attractors recover their stability and reverse the route becoming simple torus again. If ε is increased further, the torus reverse the quasi-periodic route and turn into stable modes again. We also find that on the contrary to k, the parameter ε enhances the stability region of an attractor. We show that the feedback level above which a limit cycle emerges from a stable mode, the feedback level above which a torus emerges from a limit cycle, and the feedback level above which a chaotic attractor loses stability are all increasing functions of ε     

Characterization and modeling of a noncollinearly phase-matchedfemtosecond optical parametric oscillator based on KTA and operating tobeyond 4 μm

We describe the design and operation of a critically phase-matched femtosecond optical parametric oscillator based on KTA. By employing a small pump-signal noncollinear angle, tuning of the idler to beyond 4 μm is achieved using a Ti:sapphire pump laser. A Gaussian-beam model is described which can be used to identify the optimal noncollinear phase-matching geometry. Idler and signal pulses are characterized fully both temporally and spectrally and interferometric autocorrelation data at 3.5 μm showing idler pulses of only eight optical cycles duration are presented     

Improved modulation techniques for PWM-VSI drives

PWM-VSI based AC motor drives have two main problems. The inverter is nonlinear which causes instability problems in some specific working points of the AC machine and it emits acoustic noise due to the switching frequency. Nonlinearities like dead-time in the inverter, load dependent DC-link voltage ripple and the voltage drop across the switches are modeled and compensated by improved modulation techniques in order to obtain an almost ideal inverter. Different feedback and feedforward techniques are proposed. The acoustic noise is reduced by using a random modulation strategy. Measurements show a significant improvement by using feedforward and feedback techniques for linearizing the inverter. An improvement in reduction of the acoustic noise emission is also achieved by using random modulation. It is concluded that a combination of a random modulation strategy and feedforward/feedback techniques gives an almost ideal AC motor drive system     

Microbiological safety of kinema, a fermented soya bean food

Kinema is a fermented soya bean food of Nepal and the hilly regions of North-eastern States of India. Generally, the fermentation is dominated by Bacillus spp. that often cause alkalinity and desirable stickiness in the product. The present study was undertaken in a limited number of commercial (market) kinema samples to test for the presence of foodborne pathogens and their properties. Bacillus cereus was present in numbers exceeding 10⁴ cfu/g product in five of the tested 15 market samples. Enterobacteriaceae and coliform bacteria exceeded 10⁵ cfu/g in 10 of the 15 samples. Escherichia coli exceeding 10⁵ cfu/g was found in two samples. Staphylococcus aureus was not detected in any of the tested samples. Of 31 isolated typical and atypical strains of B. cereus, 18 representative strains were tested qualitatively for the ability to produce diarrhoeal type enterotoxin (BCET) using an Oxoid BCET-RPLA test kit. Overall, BCET was formed by 12 strains in BHIG (brain heart infusion broth +1% glucose), by seven strains on sterilized cooked rice, and by five strains on sterilized cooked soya beans. Semi-quantitative tests on BCET revealed that levels exceeding 256 ng/g soya beans, produced by single pure culture inoculation with the isolated B. cereus strains, were reduced to ≤ 8 ng/g by frying kinema in oil, a common procedure when making kinema curry. It was also shown in a mixed pure culture experiment that a kinema strain B. Subtilis DK-W1, is able to suppress growth and BCET formation by a selected toxin producing strain (BC7-5) of B. cereus. It is concluded that the traditional way of making kinema and its culinary use in curries is safe. However, for novel applications of kinema, safety precautions are advisable.     

Reuse efficiency for non-uniform traffic distributions in CDMAsystems

An exact and simple method to evaluate the frequency reuse efficiency for the reverse link of cellular CDMA systems over a non-uniform traffic distribution is presented. This method is based on a traffic redistribution and decomposition process and on standard curves with which partial reuse efficiencies are obtained and conveniently added to give the final parameter     

Measurement of PLL phase error caused by power supply noise

The measurement of the accumulated phase error of phase-locked loops (PLLs) in microprocessor systems is discussed. A system which creates controlled power supply noise and measures the PLL response is described. Examples of the use of this technique are shown for a PLL used in a 400 MHz microprocessor