Composite finger metacarpophalangeal joint reconstruction in combined second and third free toe-to-hand transfers

Composite metacarpophalangeal joint reconstruction using the toe proximal phalanx and the metacarpal head, with a capsular repair, is an option during free toe transfer procedures for absent fingers. Eleven composite metacarpophalangeal finger joint reconstructions were performed in four patients concurrent with combined second and third toe-to-hand transfer. The average follow-up period was 5 years. Postoperative assessment included range of motion, stability, radiographic changes, and pain. The average range of motion was 52 degrees, average ulnar stress deviation was 14 degrees. No patients complained of pain. Composite metacarpophalangeal joint reconstruction should be considered in free toe-to-hand procedures when metacarpal head articular cartilage is preserved.     

Evaluating the solar resource: a review of problems resulting from temporal, spatial and angular variations

Accurate assessment of the availability of solar energy at the Earth's surface is hampered by difficulties associated with the variability of solar radiation in space and time and with the angular position in the sky hemisphere. This paper assesses each of these problem areas by highlighting the difficulties and the attempts to offset them. Major emphasis is placed on extrapolation and interpolation procedures, the sensitivity of inclined surfaces to variations in the solar input, numerical models for calculating the irradiance of inclined surfaces and the time scales for which these computations are valid.Finally, the reader is urged to consider the significance of these difficulties in light of both radiation measurement errors and the sensitivity of the application to imprecise determinations of the radiation environment.     

Murine cytomegalovirus-inhibitory effects of ImuVert

ImuVert, a sterile preparation composed primarily of Serratia marcescens membrane vesicles and ribosomes, was significantly inhibitory to murine cytomegalovirus (MCMV) infections in BALB/c mice. Antiviral activity was manifested as increased survivor number and decreased recoverable virus titers in spleens, lungs and salivary glands. Treatments were intraperitoneal (i.p.) beginning 24 h pre, 4 h post- or 24 h post-virus inoculation and then repeated 4 days later. Doses of 5, 16 or 50 micrograms/mouse were effective; 160 micrograms/mouse, which caused host weight loss in toxicity controls, was not inhibitory to the infection. A single i.p. treatment of mice substantially augmented natural killer (NK) cell activity and increased total B-cells, while reducing total T- and T-helper cells. A late (48 h) decline in T-cell function and transient increases in B-cell function were observed in the treated animals. Serum interferon was not induced. Mice pretreated with anti-asialo GM1 antibody to reduce their NK cell populations, then infected with MCMV and treated with ImuVert were protected to the same degree as normal animals. Severe combined immunodeficient mice infected with MCMV and treated with ImuVert were not protected from the infection. These data suggest ImuVert to act by a mechanism other than NK cell activation in preventing MCMV infections.     

Lung reduction surgery in chronic obstructive lung disease

In the 1960s the promise of the Brantigan lung reduction surgery was shattered when it was shown that the improvement in airway conductance drifted back towards the preoperative value over a period of 12 to 18 months. Since then there has been a marked improvement in our understanding of emphysema, its pathology, and techniques for obtaining images of the lung. In addition, reliable automated cardiopulmonary and physiologic testing, advances in critical care medicine, and new pharmacologic agents have improved patient care. Surgical techniques now allow better control of air leaks and access to anatomic regions not previously accessible. The combination of all of the above makes lung reduction surgery worth re-examining as a palliative procedure for severely symptomatic patients. Clearly, it is not a panacea but can in some cases produce dramatic improvements in symptomatology and quality of life. This article presents the available data describing potential mechanisms of improvement and clinical outcomes following lung reduction surgery. It also outlines areas that need further work, such as patient selection and surgical techniques.     

A recent assessment of cocoa and pesticides in Brazil: an unhealthy blend for plantation workers

Cocoa is the major source of income for the Brazilian state of Bahia and some 2.3 million people rely on the crop for their livelihood. Most cocoa is grown on large plantations where working conditions are often extremely poor. Few workers using pesticides on plantations, or on small-holdings, have had instruction about safe working practices. Protective clothing is rarely available. The result is frequent complaints about health. None of this likely to improve in the short term given Brazil's perilous economic situation.     

Enthalpic relaxation in semi-crystalline PEEK

The effect of crystallisation on the glass transition temperature and enthalpic relaxation in poly(ether ether ketone) (PEEK) has been investigated. The increase in glass transition temperature and the activation enthalpy of ageing is explained in terms of the amorphous phase being constrained by the crystallites. The extent of enthalpic relaxation with time has been analysed in terms of the Cowie-Ferguson model and the β value was found to be dependent on both temperature and the crystalline morphology, changes in the co-operativity of the relaxations are used to explain this observation.     

The effect of alumina particulate morphology on the properties of reinforced poly(propylene) and poly(ethylene-co-vinyl acetate) composites

The effect of alumina particulates on a thermoplastic matrix is investigated, in particular the effect altering the alumina particle size and morphology has on the mechanical properties. Different grades of alumina are used and two thermoplastic matrices; namely poly(propylene) and poly(ethylene-co-vinyl acetate). Investigations showed that optimum properties were achieved with the alumina of smallest particle size and lowest aspect ratio. Preliminary work has also been performed on the use of silane coupling agents and they have proved effective in increasing the tensile properties of the composites.