Restenosis and arterial remodelling after coronary angioplasty

Restenosis after coronary angioplasty (PTCA) is a complex process and is still the major problem, despite improvements in equipment and technique. Thrombus formation and intimal hyperplasia have been considered to be the main causes of the development of restenosis after primary successful angioplasty. As yet, pharmacological trials to prevent restenosis have failed to prevent it, despite the fact that the therapy has been aimed at reducing thrombus formation and intimal hyperplasia. Several new angioplasty devices have been developed. Series of observations and a few controlled trials have demonstrated restenosis rates similar to those obtained with conventional balloon angioplasty, except in the case of stent implantation, which appears to be promising. Intravascular ultrasound studies have provided new insight and a more complete understanding of the process leading to restenosis. Vascular remodeling is now considered as an important pathogenetic factor. It consists of a change in the cross-sectional vessel area and may involve an actual constriction of the artery. This may lead to lumen-narrowing and finally restenosis with minimal neointimal formation. In this review we summarise the literature on the restenosis process and the current status of the clinical trials aimed at preventing restenosis.     

Bone grafts to the nose in Binder's syndrome (maxillonasal dysplasia): a follow-up of eleven patients with the use of profile roentgenograms

Bone grafts are used to lengthen the dorsum and elevate the tip of the nose in patients with Binder's syndrome. Disappointing long-term results in some patients generally have been assumed to be a result of resorption and/or displacement of the grafts. Treatment outcome was studied in 11 patients with the use of serial profile roentgenograms. At 40 months, the mean values after surgery were reduction of the initial transplant length by 28 percent and reduction of the transplant angle by 4 degrees. The initial nose length was increased by 1 mm, and nose tip projection was increased by 2 mm. Although the mean changes of nose length and nose tip projection seemed small, treatment outcome varied considerably between patients. In contrast with earlier assumptions, no correlation could be found between the degree of transplant resorption and/or displacement and the effect of surgery on nose length and nose tip projection.     

Self-ignition and combustion of a water-fuel emulsion during its injection into heated air. II. Ignition delay time of M-40 fuel oil

We studied experimentally the influence of the degree of water emulsification ofM-40 mazut heated to the water boiling point on the self-ignition time with its pulsed high-pressure injection into heated air. It is shown that water addition does not change the chemistry of the reaction and heating the water-fuel emulsion leads to the disappearance of differences in the ignition character of the emulsion and the moisture-free fuel. It is confirmed that the features of selfignition are determined mostly by conditions of mixture formation. Indirect evidence is obtained that the dynamic tensile strength of the fluid strongly influences the primary dispersion of the jet during its outflow from the sprayer nozzle.Institute of Theoretical and Applied Mechanics, Novosibirsk 630090. Translated from Fizika Goreniya i Vzryva, Vol. 31, No. 4, pp. 20–25, July–August, 1995.     

Structural studies of TiN/ZrN multilayer coating deposited by physical vapour deposition

Multilayer coatings have been produced using unbalanced magnetron physical vapour deposition in which discrete layers of TiN and ZrN were co-deposited. It has been shown that the multilayers exhibited two-fold periodicity having values of 13 and 2.8 nm. This periodicity, measured both by cross-sectional transmission electron microscopy and low-angle X-ray diffraction, has been precisely related to the process parameters used. Analysis has shown that a third, previously unreported, phase existed within the coating having a lattice parameter comparable to that of TiN and a well-defined orientation relationship with the primary phases. The existence of this phase has been explained in terms of variations in the stoichometry of the coating due to non-uniform metal to nitrogen deposition rates within the chamber. Textural studies revealed that preferred orientation existed in the coating; the degree of which was greater in the ZrN layers than the TiN layers.     

Power engineering industry interaction at Clemson University

The authors present a successful model of industry/university cooperation in establishing a strong power system curriculum in both the graduate and undergraduate level. Numerous long-term and short-term research projects have been developed to satisfy the university mission and to tackle challenging problems facing the power industry. A unique structure for the Clemson University Electric Power Research Association (CUEPRA) has been established to promote electric power system research and to meet the need for a working communication link between the power industry and the academic community. The power industries involvements in the power program at Clemson University and the strategic improvements that have been accomplished in research and education are outlined     

Development of improved methods for type testing present day mediumvoltage circuit breakers for outdoor service

Type testing for fault currents for medium-voltage circuit breakers rated at 15 kV to 72.5 kV is addressed. The ANSI designation of a new class of definite-purpose circuit breakers capable of switching transformer secondary faults and the introduction of the requirement for short-line-fault tests for breakers rated 72.5 kV and below have increased the difficulty of performing type tests in a testing laboratory. It is concluded that synthetic testing using the parallel current injection circuit is described in ANSI C37.081 provides the best available method for proving these complex requirements for medium-voltage circuit breakers