Flow reversal in the descending aorta: a guide to intraoperative assessment of aortic regurgitation with transesophageal echocardiography

This study assessed the value of biplane transesophageal echocardiographic assessment of diastolic flow reversal in the descending aorta as an alternative to Doppler color flow imaging in determining severity of aortic regurgitation. In 45 patients undergoing cardiac operations, the severity of aortic regurgitation was assessed by semiquantitative grading of the width of the Doppler color flow regurgitant jet relative to the left ventricular outflow tract, and the presence of diastolic flow reversal was assessed with pulsed-wave Doppler measurements at three sites in the descending aorta. In four patients, the diastolic flow reversal method was the only available form of assessment because of inadequate visualization of the left ventricular outflow tract beneath a mitral valve prosthesis. Diastolic flow reversal in the descending aorta was not observed in patients without aortic regurgitation and was always present in patients with severe aortic regurgitation. Aortic valve replacement successfully eliminated descending aortic flow reversal in all 19 patients in whom it was present before valve replacement. Identification of diastolic flow reversal at multiple sites in the descending aorta with biplane transesophageal echocardiography helps to confirm the presence of severe aortic regurgitation and can serve as an alternative method of assessment when visualization of the left ventricular outflow tract is impaired.     

MAGNESIUM HYDROXIDE FILLED EVA: THE EFFECTS OF FILLER SURFACE MODIFICATION ON THE STRENGTH OF FILLER/MATRIX ADHESION AND THE CONSEQUENCES FOR COMPOSITE STRUCTURE AND PROPERTIES

The interaction of ammonium stearate (AS) and γ-aminopropyltriethoxysilane (APS) treatments with a magnesium hydroxide flame retardant filler and their effects on its use in an ethylene vinyl acetate copolymer compound have been investigated. The work has shown clear evidence of changes in the structure of the surface layers formed on the filler as the amount of additive is increased and the levels at which these occur can be correlated with theoretical monolayer quantities. Infrared (IR) spectroscopy data suggest that the stearate coating changes from a half salt to a full salt as the coating level is increased and that the APS coating on the filler initially has a significant bicarbonate content, presumably due to reaction with atmospheric carbon dioxide. The effect of coating level on the melt flow rate, insoluble matrix content, crystallisation behaviour, tensile properties, limiting oxygen index, and ageing of the filled compound has been studied. Distinct trends have been observed, many of which can be correlated with the structure of the filler surface layers. Of particular importance is the observation that, unlike APS, excess stearate appears to promote detrimental ageing effects.     

Double dissociation of fornix and caudate nucleus lesions on acquisition of two water maze tasks: Further evidence for multiple memory systems.

Examined the effect of lesions of the caudate nucleus or fimbria-fornix on the acquisition of 2 water maze tasks. In both tasks, 2 rubber balls with different visual patterns were used as cues. The correct cue was attached to a submerged rectangular platform and could be mounted by an animal to escape the water. The incorrect cue was attached to a thin round pedestal and could not be mounted. In a spatial version of the task, the correct cue was located in the same quadrant of the maze on all trials, whereas the visual pattern on the cue was varied from trial to trial. Lesions of the fornix, but not the caudate nucleus, impaired acquisition of this spatial task in relation to control animals. In a simultaneous visual discrimination version of the task, the correct cue on all trials was one with a specific visual pattern, and the spatial location of the correct cue was varied from trial to trial. Lesions of the caudate nucleus, but not the fornix, impaired acquisition of this visual discrimination task in relation to control animals. The double dissociation observed supports the hypothesis that the hippocampus and caudate nucleus are parts of systems that differ in the type of memory they mediate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Confidentiality in psychotherapy: History, issues, and research.

Discusses ethical guidelines of the American Psychological Association regarding confidentiality in psychotherapy. Possible inconsistencies between these guidelines and privileged communication are explored. It is asserted that additional research is needed to determine the implications for psychotherapy of the ethical limitations to confidentiality and the legal restrictions on privileged communication. The relevance of moral philosophy to issues of confidentiality is considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Isolation,identification and quantification by X-ray diffraction of carbide phases in 2 1/4Cr-1 Mo steel

The addition of controlled amounts of phosphorus to 2 1/4Cr-1 Mo steel, heat treated under two different conditions, has produced microstructures containing a wide spectrum of types and amounts of individual carbide phases. X-ray diffraction analysis of carbide precipitates has been undertaken following quantitative extraction by anodic dissolution of the matrix. By combining this with selective chemical dissolution of certain carbide types, calibrations of relative weight fractions against the intensities of suitable X-ray diffraction peaks may be obtained without the need for the addition of a standard calibration powder. This has allowed the determination of the absolute amounts, within a given steel sample, of the carbide types M₆C, M₇C₃, M₂₃C₆ and, most importantly, the creep-strengthening M₂X phase.     

Context and lexical access: Implications of nonword interference for lexical ambiguity resolution.

To eliminate potential "backward" priming effects, S. Glucksberg et al (see record 1986-29080-001) introduced a variant of the cross-modal lexical priming task in which subjects made lexical decisions to nonword targets that were modeled on a word related to either the contextually biased or unbiased sense of an ambiguous word. Lexical decisions to nonwords were longer than controls only when the nonword was related to the contextually biased sense of the ambiguous word, leading Glucksberg et al to conclude that context does constrain lexical access and that the multiple access pattern observed in previous studies was probably an artifact of backward priming. We did not find nonword interference when the nonword targets used by Glucksberg et al were preceded by semantically related ambiguous or unambiguous word primes. However, we did replicate their sentence context results when the ambiguous words were removed from the sentences. We conclude that the interference obtained by Glucksberg et al is due to postlexical judgments of the congruence of the sentence context and the target, not to context constraining lexical access. (PsycINFO Database Record (c) 2010 APA, all rights reserved)