Education and training programs for expatriate and Saudi nurses at KKESH

The purpose of this second article in a series of "Ophthalmic nursing in Saudi Arabia: A western expatriate's perspective" is to acquaint readers with the education and training programs for the expatriate nursing staff and Saudi nurses at the King Khaled Eye Specialist Hospital (KKESH) in Riyadh, Saudi Arabia.     

Expanding the application of facial ceramic veneers

"Full veneers," restorations similar in depth to ceramic veneers but extending over the lingual or occlusal surface as well as the facial surface, are a conservative option to conventional crowns. They have been used successfully at the UCLA Center for Esthetic Dentistry for three years. Indications, technique and a patient study are presented.     

Perthes' disease treated by prolonged recumbency and femoral head containment: a long-term appraisal

The results of a long-term review of 102 hips in eighty-seven patients with Perthes' disease are described, the mean follow-up interval being seventeen years. All had been treated by an extremely rigorous conservative regime in which the patients were kept in hospital for an average period of twenty-six months, during which time they were confined to bed with the legs in wide abduction, first in traction and later in "broomstick" plasters to ensure "containment" of the femoral head. The patients were assessed by the joint clincial and radiological method described by Ratliff (1956). The results were very satisfactory, with only 2 per cent poor results and 10 per cent fair. The remaining 88 per cent were good. The radiological results at the end of treatment have also been compared with control series described by Catterall (1972) and with the osteotomy series of Lloyd-Roberts, Catterall and Salamon (1976). From this it appears that the described regime offers no benefit compared with the natural history in Catterall's Groups I and II, and in Group III the results were only marginally better than those following osteotomy. In Group IV cases, however, where the femoral head was totally involved, the benefit was important, and since these are the cases which carry the worst natural prognosis it is suggested that the use of the method described in such instances must be seriously considered in spite of its social disadvantages. The theoretical implications of the findings are considered, and it is concluded that the benefits of the method cannot be ascribed wholly to the application of the "containment" principle.     

Reducing Playground Bullying and Supporting Beliefs: An Experimental Trial of the Steps to Respect Program.

Six schools were randomly assigned to a multilevel bullying intervention or a control condition. Children in Grades 3-6 (N=1,023) completed pre- and posttest surveys of behaviors and beliefs and were rated by teachers. Observers coded playground behavior of a random subsample (n=544). Hierarchical analyses of changes in playground behavior revealed declines in bullying and argumentative behavior among intervention-group children relative to control-group children, increases in agreeable interactions, and a trend toward reduced destructive bystander behavior. Those in the intervention group reported enhanced bystander responsibility, greater perceived adult responsiveness, and less acceptance of bullying/aggression than those in the control group. Self-reported aggression did not differ between the groups. Implications for future research on the development and prevention of bullying are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Transformation-invariant clustering using the EM algorithm

Clustering is a simple, effective way to derive useful representations of data, such as images and videos. Clustering explains the input as one of several prototypes, plus noise. In situations where each input has been randomly transformed (e.g., by translation, rotation, and shearing in images and videos), clustering techniques tend to extract cluster centers that account for variations in the input due to transformations, instead of more interesting and potentially useful structure. For example, if images from a video sequence of a person walking across a cluttered background are clustered, it would be more useful for the different clusters to represent different poses and expressions, instead of different positions of the person and different configurations of the background clutter. We describe a way to add transformation invariance to mixture models, by approximating the nonlinear transformation manifold by a discrete set of points. We show how the expectation maximization algorithm can be used to jointly learn clusters, while at the same time inferring the transformation associated with each input. We compare this technique with other methods for filtering noisy images obtained from a scanning electron microscope, clustering images from videos of faces into different categories of identification and pose and removing foreground obstructions from video. We also demonstrate that the new technique is quite insensitive to initial conditions and works better than standard techniques, even when the standard techniques are provided with extra data.     

Microscopy under pressure--an optical chamber system for fluorescence microscopic analysis of living cells under high hydrostatic pressure

High hydrostatic pressure (HHP) becomes more and more interesting for life science research, since it can be employed to inactivate various cells. To directly monitor "cells under pressure," the development of an optical high-pressure chamber is required. Therefore, an optical pressure chamber that can be used for up to 300 MPa was constructed. This chamber has already been described as a tool for in situ observation of dynamic changes of microscopic structures in bright field as well as phase contrast. In combination with an inverted microscope, we obtained brilliant microscopic color pictures with an optical resolution more than 0.56 microm. Here, we demonstrate the capabilities of the HHP cell, in combination with epifluorescence microscopy. Using a nonadherent human B-cell line (Raji, ATCC CCL 86), stained with the fluorescent dyes propidium iodide, Hoechst 33342, or dihexyloxacarbocyanine iodide, we were able to show that the system is suitable to perform fluorescence microscopic analyses, with pressures up to 300 MPa, with viable mammalian cells.     

Quantum speed limits—primer,perspectives, and potential future directions

Fundamental physical limits on the speed of state evolution in quantum systems exist in the form of the Mandelstam–Tamm and the Margolus–Levitin inequalities. We give an expository review of the development of these quantum speed limit (QSL) inequalities, including extensions to different energy statistics and generalizations to mixed system states and open and multipartite systems. The QSLs expressed by these various inequalities have implications for quantum computation, quantum metrology, and control of quantum systems. These connections are surveyed, and some important open questions are noted.     

Chemical warfare and survival strategies in bacterial range expansions

Dispersal of species is a fundamental ecological process in the evolution and maintenance of biodiversity. Limited control over ecological parameters has hindered progress in understanding of what enables species to colonize new areas, as well as the importance of interspecies interactions. Such control is necessary to construct reliable mathematical models of ecosystems. In our work, we studied dispersal in the context of bacterial range expansions and identified the major determinants of species coexistence for a bacterial model system of three Escherichia coli strains (toxin-producing, sensitive and resistant). Genetic engineering allowed us to tune strain growth rates and to design different ecological scenarios (cyclic and hierarchical). We found that coexistence of all strains depended on three strongly interdependent factors: composition of inoculum, relative strain growth rates and effective toxin range. Robust agreement between our experiments and a thoroughly calibrated computational model enabled us to extrapolate these intricate interdependencies in terms of phenomenological biodiversity laws. Our mathematical analysis also suggested that cyclic dominance between strains is not a prerequisite for coexistence in competitive range expansions. Instead, robust three-strain coexistence required a balance between growth rates and either a reduced initial ratio of the toxin-producing strain, or a sufficiently short toxin range.