The double-reversing Z-plasty in primary palatoplasty: operative experience and early results

The double-reversing Z-plasty of Furlow for closure of the soft palate was used in 34 children with various types of cleft palate. Mean age at repair was 12.8 months. Intraoperative experience was favorable, with acceptable operating time and blood loss. Length of hospitalization averaged 1.9 days. Postoperatively, two children experienced temporary stridor, which resolved within 24 to 48 hours. One child had dehiscence of the hard palate (Von Lagenbeck repair) 4 weeks postoperatively, and three children developed small oronasal fistulae. Early speech evaluation demonstrated adequate soft palate mobility in 33 of 34 patients, with observable velopharyngeal function. Twelve children had mild velar compromise, with eight exhibiting slight nasal air escape.     

Unexplained physical symptoms: outcome, utilization of medical care and associated factors

BACKGROUND: Measurement of intracardiac hemodynamic parameters has been limited to brief periods in the acute care setting. We developed and evaluated an implantable hemodynamic monitor that is capable of measuring chronic right ventricular oxygen saturation and pulmonary artery pressure. METHODS AND RESULTS: The device consists of an electronic controller placed subcutaneously and two transvenous leads placed in the right ventricle (reflectance oximeter) and pulmonary artery (variable capacitance pressure sensor). Implantation was performed in 10 patients with severe left ventricular dysfunction. Average implant pulmonary artery pressures were systolic, 52 +/- 16 mm Hg; diastolic, 29 +/- 11 mm Hg; and mean, 40 +/- 12 mm Hg. The mean right ventricular oxygen saturation at implant was 51%. Provocative maneuvers, including postural changes, sublingual nitroglycerin, and bicycle exercise, demonstrated expected changes in measured oxygen saturation and pulmonary artery pressures over time. At follow-up of 0.5 to 15.5 months, there were no significant differences between pulmonary artery pressures or oxygen saturation values transmitted from the device and simultaneous measurement with balloon flotation catheters. Four of the pulmonary artery leads dislodged and three demonstrated sensor drift, whereas two of the oxygen saturation sensors failed. Four patients died and four received transplants. Pathological study did not demonstrate injury to the right ventricular outflow tract or pulmonic valve. CONCLUSIONS: Chronic measurement of hemodynamic parameters in the outpatient setting with implantable sensor technology appears to be feasible. The devices are well tolerated without significant untoward effects, and the sensors generally function well over time, providing reliable information. Clinical usefulness remains to be established.     

Toughening of Dental Porcelain by Tetragonal ZrO2 Additions

The effect on mechanical behavior of ZrO₂ additions to a dental porcelain was investigated. The ZrO₂ was introduced into the glassy matrix phase of the porcelain by refritting the all-glass porcelain constituent. X-ray diffraction indicated that a sizeable fraction of the ZrO₂ was retained in the tetragonal form after the porcelain was fired. Zirconia additions to the porcelain produced substantial improvements in fracture toughness, strength, and thermal shock resistance.     

Conditionals and conditional probability.

The authors report 3 experiments in which participants were invited to judge the probability of statements of the form if p then q given frequency information about the cases pq, p?q, ?pq, and ?p?q (where ? = not). Three hypotheses were compared: (a) that people equate the probability with that of the material conditional, 1 - P(p?q); (b) that people assign the conditional probability, P(q/p); and (c) that people assign the conjunctive probability P(pq). The experimental evidence allowed rejection of the 1st hypothesis but provided some support for the 2nd and 3rd hypotheses. Individual difference analyses showed that half of the participants used conditional probability and that most of the remaining participants used conjunctive probability as the basis of their judgments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Termites live in a material world: exploration of their ability to differentiate between food sources.

Drywood termites are able to assess wood size using vibratory signals, although the exact mechanism behind this assessment ability is not known. Important vibratory characteristics such as the modal frequencies of a wooden block depend on its geometry and boundary conditions; however, they are also dependent on the material characteristics of the block, such as mass, density and internal damping. We report here on choice experiments that tested the ability of the drywood termite Cryptotermes secundus to assess wooden block size using a solid wooden block paired with a composite block, the latter made of either wood and aluminium or wood and rubber. Each composite block was constructed to match mass or low-frequency vibratory modes (i.e. fundamental frequency) of the solid wooden block. The termites always chose the blocks with more wood; they moved to the solid wooden blocks usually within a day and then tunnelled further into the solid wooden block by the end of the experiment. Termites offered composite blocks of wood and rubber matched for mass were the slowest to show a preference for the solid wooden block and this preference was the least definitive of any treatment, which indicated that mass and/or damping may play a role in food assessment. This result clearly shows that the termites were not fooled by composite blocks matched for mass or frequency, which implies that they probably employ more than a single simple measure in their food assessment strategy. This implies a degree of sophistication in their ability to assess their environment hitherto unknown. The potential importance of alternative features in the vibrational signals is discussed.     

Optimal power control for Rayleigh-faded multiuser systems with outage constraints

How can we achieve the conflicting goals of reduced transmission power and increased capacity in a wireless network, without attempting to follow the instantaneous state of a fading channel? In this paper, we address this problem by jointly considering power control and multiuser detection (MUD) with outage-probability constraints in a Rayleigh fast-fading environment. The resulting power-control algorithms (PCAs) utilize the statistics of the channel and operate on a much slower timescale than traditional schemes. We propose an optimal iterative solution that is conceptually simple and finds the minimum sum power of all users while meeting their outage targets. Using a derived bound on outage probability, we introduce a mapping from outage to average signal-to-interference ratio (SIR) constraints. This allows us to propose a suboptimal iterative scheme that is a variation of an existing solution to a joint power control and MUD problem involving SIR constraints. We further use a recent result that transforms complex SIR expressions into a compact and decoupled form, to develop a noniterative and computationally inexpensive PCA for large systems of users. Simulation results are presented showing the closeness of the optimal and mapped schemes, speed of convergence, and performance comparisons.