Maximum Penalized Likelihood Kernel Regression for Fast Adaptation

This paper proposes a nonlinear generalization of the popular maximum-likelihood linear regression (MLLR) adaptation algorithm using kernel methods. The proposed method, called maximum penalized likelihood kernel regression adaptation (MPLKR), applies kernel regression with appropriate regularization to determine the affine model transform in a kernel-induced high-dimensional feature space. Although this is not the first attempt of applying kernel methods to conventional linear adaptation algorithms, unlike most of other kernelized adaptation methods such as kernel eigenvoice or kernel eigen-MLLR, MPLKR has the advantage that it is a convex optimization and its solution is always guaranteed to be globally optimal. In fact, the adapted Gaussian means can be obtained analytically by simply solving a system of linear equations. From the Bayesian perspective, MPLKR can also be considered as the kernel version of maximum a posteriori linear regression (MAPLR) adaptation. Supervised and unsupervised speaker adaptation using MPLKR were evaluated on the Resource Management and Wall Street Journal 5K tasks, respectively, achieving a word error rate reduction of 23.6% and 15.5% respectively over the speaker-independently model.     

Reduced brain serotonin transporter availability in major depression as measured by [123I]-2 beta-carbomethoxy-3 beta-(4-iodophenyl)tropane and single photon emission computed tomography

BACKGROUND: Prior research has suggested reductions in the density of serotonin transporter (SERT) binding sites in blood platelets and post-mortem brain tissue of depressed patients. We sought to determine whether patients with unipolar major depression have diminished SERT availability as assessed by both brainstem [123I] beta-CIT SPECT and platelet [3H]paroxetine binding. METHODS: Drug-free depressed and healthy subjects were injected with 211 +/- 22 MBq [123I] beta-CIT and imaged 24 +/- 2 h later under equilibrium conditions. A ratio of specific to nonspecific brain uptake (V3" = (brainstem-occipital)/occipital), a measure proportional to the binding potential (Bmax/Kd), was used for all comparisons. RESULTS: Results showed a statistically significant reduction in brainstem V3" values in depressed as compared to healthy subjects (3.1 +/- .9 vs. 3.8 +/- .8, p = .02). Platelet [3H]paroxetine binding was not altered (Bmax = 2389 +/- 484 vs. 2415 +/- 538 fmol/mg protein, p = .91) and was not significantly correlated with brainstem [123I] beta-CIT binding (r = -0.14, p = .48). CONCLUSIONS: These data are the first to suggest reductions in the density of brain SERT binding sites in living depressed patients. These findings provide further support for a preeminent role for alterations in serotonergic neurons in the pathophysiology of depression.     

Pain threshold values during periodontal probing: assessment of maxillary incisor and molar sites

Probing pain threshold (PPT) assessments were conducted in the facial and oral sulci of maxillary central incisors and first molars of 10 periodontally healthy adults. All subjects were systemically healthy, free of pain, and reported no current medication usage. A computer-linked electronic probe, modified to deliver steadily increasing forces up to 200 grams, was used to collect the data. The system contained a subject operated "off-switch" which, upon activation, signaled the computer to record the subject's PPT. Assessments of each subject's PPTs were conducted on 3 separate occasions at 7-day intervals. Results indicated that the facial sulci of the incisors were the most pain sensitive. They displayed a mean PPT of 50.9 +/- 26.6 grams. The oral sulci of the incisors exhibited a mean PPT of 76.5 +/- 45.2 grams. Facial and oral sulci of the molars evidenced mean PPT values of 102.6 +/- 52.1 grams and 113.5 +/- 51.3 grams, respectively. These data suggest that sulci associated with incisor teeth are nearly twice as pain sensitive as sulci associated with molar teeth. In addition, facial sulci are significantly more pain sensitive than oral sulci. Data did not indicate a visit effect nor a side-of-mouth effect on PPT values.     

Anatomical structures determining blood flow in the heart left ventricle

The presence of twisted helical flow patterns in the cardiac cavities during ventricular filling and ejection was supposed. This work was intended in order to show that the intra-ventricular trabeculation plays the determining role in such a flow formation and to find some analytical approaches for its analysis. The morphometric study of human left-ventricular and aortic corrosion casts and dynamic measurement of the aorta by MRI-technique were performed. The data were analysed by means of the Mathematica program. Two groups of trabecules were identified that refer to the inlet and outlet of the ventricular blood flow. The first group consists of trabecules of the free left-ventricular wall. The second group consists of long trabecules going along the anterior left-ventricular wall and intracavital lines of the papillary muscles. Both are twisted clockwise and converge in the flow direction. Each group of trabecules is oriented towards the mitral or aortic valve orifices, correspondingly. It was concluded that the helical trabecular organization acts as flow directing paddles that change their mutual orientation during the cardiac cycle evolution. The reorientation of the flow takes place due to sequential contraction of the ventricular structures. The formalization of trabecular orientation will allow one to calculate improved models of implantable substitutes and auxiliary devices for cardio-vascular surgery.Sadly deceased.     

Analysis of right ventricular function during bypass of the left side of the heart by afterload alterations in both normal and failing hearts

This study investigated the mechanism of right ventricular failure during bypass of the left side of the heart by precisely assessing right ventricular function with use of a conductance catheter. Bypass of the left side of the heart was established with a centrifugal pump in 10 mongrel dogs weighing 11 to 19 kg. Right ventricular function during left heart bypass was evaluated by two parameters that were both derived from measurement of relative change in right ventricular volume by the conductance catheter technique. One parameter was the right ventricular end-systolic pressure-volume relationship as a load-independent index, and the other was the peak right ventricular pressure-right ventricular stroke volume relationship as a "force-velocity relationship." These parameters were measured in both normal and failing hearts while afterload was increased by bilateral intrapulmonary balloon inflation. Moreover, changes in these relationships were observed by varying assist ratios of left heart bypass from 0% to 100%. Failing heart models were induced by normothermic aortic clamping for 20 minutes. The right ventricular end-systolic pressure-volume relationship in normal hearts did not change, irrespective of the assist ratio of left heart bypass, whereas that in failing hearts decreased from 4.25 +/- 1.41 mm Hg/ml without bypass of the left side of the heart to 3.53 +/- 1.30 mm Hg/ml after 100% assist of left heart bypass (p < 0.05). In the peak right ventricular pressure-right ventricular stroke volume relationship, right ventricular stroke volume was almost constant in normal hearts when afterload was increased regardless of the assist ratio of left heart bypass. Moreover, right ventricular stroke volume was maintained at a higher level during bypass of the left side of the heart compared with that without left heart bypass. However, that slope of the relationship in failing hearts was inversely linear and became significantly steeper after 100% assist of bypass of the left side of the heart compared with that without left heart bypass (-0.131 +/- 0.042 versus -0.051 +/- 0.038, p < 0.005). Therefore ++these two slopes of the relationship intersected at a point that was considered the critical point of afterload during bypass of the left side of the heart. In other words, right ventricular stroke volume was decreased by 100% left heart bypass above the critical point of afterload. In conclusion, this study demonstrates not only that bypass of the left side of the heart results in an increase in right ventricular stroke volume in both normal and failing hearts at the physiologic range of afterload, but also that right ventricular function against higher afterload is impaired by 100% assist of bypass of the left side of the heart in failing hearts.     

A novel polymer microneedle fabrication process for active fluidic delivery

In this article, we explore a new fabrication process for a flexible, all polymer, active fluidic delivery system, incorporating a fusion of laser micromachining and microfabrication techniques as well as rapid prototyping technology. Here, we show selective fluidic delivery from isolated microchannels through an electrochemically driven pumping reaction, demonstrate the dispensing of dose volumes up to 5.5 μl, and evaluate the device’s performance in terms of its delivery speed and ejection efficiency. Finally, we move this work toward an implantable microfluidic drug delivery device by investigating the device’s biocompatibility through a statistical approach that overviews the viability of bovine aortic endothelial cells on polyimide and silicon substrates.     

In-vitro study of medial strain distribution in the femur during impaction grafting

Impaction bone grafting (IBG) is widely used for revision hip surgery to compensate for bone stock loss. It is performed by impacting morsellized allograft into the femoral canal and acetabulum prior to cementing new total hip components. Per- and post-operative femoral fractures and post-operative implant subsidence are major complications in IBG. The aim of this study was to investigate the strain distribution on the medial side of the femur during impaction grafting and the subsequent stability of the stem under uniaxial cyclic loading. The Exeter IBG technique was used in conjunction with Howmedica X-change instrumentation. Sawbones composite femora were used. An impactometer, which provides a known impaction energy and momentum, was used to standardize the impaction process. Three drop heights, 130, 260, and 390 mm, were used for proximal impaction. In-vitro medial hoop strains and the number of impacts were recorded. A drop height of 260 mm was found to provide sufficient energy for impaction without introducing excessive strains to achieve implant stability. Furthermore, a feasibility study was performed on the use of a proximal impaction cap (PIC) to restrain extrusion of the graft during impaction. Although no significant difference in impaction strains or stem stability in uniaxial cylic loading was found by using a PIC, it is postulated that the design of a proximal impactor could be improved to assist with proximal stem alignment and graft containment.     

Development of a web-based system for engineering change management

Engineering changes (ECs) are changes and/or modifications in forms, fits, functions, materials, dimensions, etc., of products and constituent components. ECs usually induce a series of downstream changes. Multiple disciplines and responsibilities are therefore involved in managing ECs. Previous investigations conducted by the authors and other researchers have shown that paper-based and standalone computerised EC management (ECM) systems have limited support for such intensive teamwork and close communication. This paper proposes to establish a web-based framework that supports ECM procedures and activities. A web-based ECM system is able to provide better information sharing, simultaneous data access and processing and more prompt communication and feedback. The amount of paperwork and the throughput time of managing ECs are significantly reduced while the effectiveness and the efficiency are substantially improved. This paper focuses on discussing the issues of design, development, and implementation of this prototype web-based ECM system.     

An index for paresis and defective healing--an easily applied method for objectively determining therapeutic results in facial paresis (author's transl)

Residuals of facial paralysis consist of a great variety of cosmetic and functional anomalies which differ in quality and/or quantity. An internationally standardized evaluation of such defects is mandatory for the assessment of the results of different therapeutic procedures. In the present study, a system has been developed to record the results of facial paralysis following therapy. Such a system does not require specialized training, instrumentation or require significant time for completion. A clearly-defined "Yes-No" evaluation criteria is established which creates a high interscorer reliability. The usefulness of this scoring system was tested by three examiners on 42 patients following facial nerve surgery, with an obtained interscorer reliability of 93%.     

Optimization of photomask design for reducing aberration-induced placement error

In semiconductor manufacturing, the accurate placement of circuit components ensures the proper functioning of microelectronic circuits. This is often subject to photolithography, an optical technique that transfers circuit patterns from photomasks to silicon wafers. Sources of placement error include aberration and misalignment between different levels, and we focus on the former. Aberration is an optical phenomenon that often degrades imaging system performance. Since aberration differs from one imaging system to another, a photomask design that minimizes the aberration-induced placement error is desired. In this paper, we discuss the optimization process of a general one-dimensional mask pattern under a general illumination condition. The constraint is a known population mean of the root mean square aberrations for the imaging systems under consideration. To apply the theory, we search for the optimal parameters for two common mask designs: alternating phase-shifting masks (PSMs) and attenuated PSMs. The theoretical results are compared with those from a Monte Carlo analysis on a large set of imaging systems. These results are indicative to mask manufacturers and circuit designers of increasing manufacturability of circuits.