Experimental studies of electro-optic polymer modulators and waveguides

The results of an experimental study of electro-optic modulators and waveguides based on polymeric materials are presented. Included are the design, fabrication, and testing of integrated Mach-Zehnder modulators, which are based on polymer films that contain a novel, nonlinear electro-optic chromophore. Studies also show the efficacy of photolithography or photobleaching by the use of this chromophore to form passive, branching waveguides, which are operated at the 1300-nm wavelength.     

Longitudinal analysis of utilization of inpatient treatment based on insurance data of mandatory health insurance

AIM: To investigate which of the routinely collected claims data from the German "Legal sickness funds" on hospital utilisation may be used, in addition to that prescribed by the legislator. DESIGN: We used claims data to study a cohort of sickness fund beneficiaries who were insured during the complete year 1992 (n = 81,309). Six utilisation parameters, using the number of cases and in hospital days overall as well as diseases specific (i.e. readmission rates, in-hospital days per person with [at least] one hospital stay) were calculated. RESULTS: There are 88 persons with (at least) one hospital stay, 116 hospital cases and a total of 1306 in-hospital days per 1000 insured persons in the study cohort. The average hospital days per person (14.8 days) are ca. 30% higher than the average length of stay (11.2 days). Hospital utilisation increases with age. Hospital stays associated with ICD-239 (neoplasms of unknown origin) resulted in a higher than average number of hospital days in total although the mean length of stay is not above the average. This is due to a high readmission rate. Hospital stays associated with elective surgical procedures have a high prevalence rate but a low readmission ratio and short length of stay. CONCLUSION: The parameters related to insured persons, cases and specifically personal parameters of hospital utilisation allow a detailed analysis of hospital care; different utilisation and user patterns can be investigated and possible determinants of utilisation can be identified. After technical transformation, routine data of the sickness funds can be used to obtain information relevant for health care planners as well as for quality management.     

Influence of various antithrombotic therapy methods on the incidence of subacute coronary stent occlusions, hemorrhagic complications and length of hospitalization

BACKGROUND: The clinical benefit of coronary stenting is reduced by the risk of thrombotic stent occlusion as well as hemorrhagic complications of intensive antithrombotic therapy. We compared the influence of different antithrombotic therapies on the incidence of post-interventional complications and in-hospital stay duration. METHODS: After successful placement of a coronary stent, 334 consecutive patients were given different antithrombotic treatments in addition to aspirin 100 mg/d indefinitely: (1) phenprocoumon for 3 months (n = 47), (2) low molecular weight heparin 2 x 100 U/kg/d s.c. for 4 weeks (n = 90), (3) ticlopidine 2 x 250 mg/d and low molecular weight heparin 2 x 100 U/kg/d s.c. for 4 weeks (n = 72) and (4) ticlopidine 2 x 250 mg/d for 4 weeks (n = 125). RESULTS: Major events were subacute stent thrombosis in 17 patients (5%), and severe hemorrhagic complication in 20 patients (5.9%). The incidence of subacute stent thrombosis in groups 1 to 4 was 10.6%, 11%, 1.4% and 0.8% respectively. The use of ticlopidine was associated with a significant lowering of stent occlusions in univariate and multivariate analysis (p = 0.0013). Additional uni- and multivariate predictors were stent placement as a "bail-out" procedure (p = 0.033) and in patients with acute coronary syndrome (p = 0.049). Anticoagulant therapy was associated with a higher incidence of severe hemorrhagic complications (p < 0.01) and a prolonged in-hospital stay (p = 0.01). CONCLUSIONS: These results confirm that anti-thrombotic therapy with aspirin and ticlopidine combines low rates of subacute stent occlusion and hemorrhagic complications. Treatment with phenprocoumon and low molecular weight heparin does not improve the rate of subacute stent occlusion but increases hemorrhagic complications. Very low rates of stent occlusion permit short in-hospital stays with concomitant reduction in cost.     

On-column solvent exchange for purified preparative fractions

On-column solvent exchange, using many of the principles of solid-phase extraction, has been implemented to significantly reduce evaporation cycle time following reverse-phase preparative HPLC. Additional benefits, such as a reduced potential for salt formation, thermal decomposition, and residual solvent, are also described. Fractions obtained from preparative separations, typically in a large volume of acetonitrile:water, are injected into the preparative HPLC and then eluted in acetonitrile, creating a new fraction in a volatile organic solvent. Minimal modification to the instrument was required, and unattended operation is possible. Acetonitrile evaporation is achieved within 3 h, compared with 17 h for aqueous-based fractions; lower temperatures can be used during the evaporation step; mobile-phase additives, likely to form salts with the target compound if concentrated in the fraction, are removed before evaporation; sample recovery and purity are unaffected.     

Bypass surgery for vascular disease of the carotid system

A series of 58 operations on 56 patients, in whom a branch of the superficial temporal artery was anastomosed to a branch of the middle cerebral artery (STA-MCA bypass or Yasargil procedure), is reviewed. These operations were performed chiefly for occlussions or for inaccessible stenotic lesions of the internal carotid or middle cerebral arteries. Patency in eight patients operated on from April 1971 through November 1973 was low (25%). Patency in patients operated on since July 1974 has been high (95%). There have been no deaths and no major ischemic strokes attributable to the surgery. The rationale for this procedure is considered in relationship to the anatomy and physiology of the cerebral circulation and the pathogenesis of syndromes of cerebral ischemia. The operation appears to have a low morbidity in good-risk patients. The role of this operation in managing common manifestations of cerebral vascular disease such as focal transient cerebral ischemic attacks (TIAs) and amaurosis fugax, although not fully established, appears encouraging. The procedure seems useful for orthostatic cerebral ischemia caused by multiple occlusions of major extracranial (and intracranial) vessels and, occasionally, for progressing strokes related to internal carotid artery occlusion, both of which are relatively uncommon manifestations of cerebral vascular occlusive disease. It may have application in the rare "slow stroke." The procedure is probably of limited value, if any, in the management of large completed infarcts but may be indicated in selected patients with small infarctions who have preserved most of their cerebral function and who have had evidence of subsequent focal ischemic events. The procedure is useful for bypassing giant aneurysms or basofrontal tumors invading major vessels. It may have a role in the management of fibromuscular disease of the internal carotid artery.     

Psychological and Physiological Adaptations to Sperm Competition in Humans.

Postcopulatory competition between males, in the form of sperm competition, is a widespread phenomenon in many animal species. The extent to which sperm competition has been an important selective pressure during human evolution remains controversial, however. The authors review critically the evidence that human males and females have psychological, behavioral, and physiological adaptations that evolved in response to selection pressures associated with sperm competition. The authors consider, using evidence from contemporary societies, whether sperm competition is likely to have been a significant adaptive problem for ancestral humans and examine the evidence suggesting that human males have physiological and psychological mechanisms that allow for "prudent" sperm allocation in response to variations in the risk of sperm competition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Microcavity interferometry for MEMS device characterization

We have developed a high resolution optical technique to measure the electromechanical properties of MEMS microstructures. The technique is applied to microbridges developed for capacitive switching in coplanar radio frequency (RF) waveguides. The thin metal ground plane on the substrate and the bottom of the bridge together form a microcavity for an optical beam. The wavelength of a cavity mode is a sensitive measure of the bridge position relative to the substrate. The technique is applied to the measurement of resonances and damping times of microbridges of varying lengths. It is also used to measure dc changes in bridge height of tenths of nanometers, driven ac displacements of less than a picometer, and bridge displacement noise of hundreds of femtometers per root Hertz. This extreme sensitivity exceeds previously demonstrated optical characterization methods.     

Connectivity of core habitat in the Northeastern United States: Parks and protected areas in a landscape context

The exurbanization process, particularly rural residential development, is reducing the amount of roadless areas and remote habitat across the nation, with implications for biodiversity and ecosystem integrity of parks and protected areas. The need for connecting protected areas via existing habitat centers, or relatively undisturbed core areas, is greater than ever as exurbanization expands. Our objective was to make use of nationally available data sets on roads as well as information derived from satellite imagery, including impervious cover of the built environment and forest canopy density, to identify core habitat of the northeastern and mid-Atlantic USA. The identified core habitat areas, which covered 73,730 km² across 1177 discrete units, were stratified in terms of land ownership and management, and then analyzed in a landscape context using connectivity metrics derived from graph theory. The connectivity analysis made use of a suitability surface, derived from the land cover information, which approximated the costs incurred by hypothetical animals traversing the landscape. We show that protected areas are frequently identified as core habitat but are typically isolated, albeit sometimes buffered by adjacent multi-use lands (such as state or national forests). Over one third of the core habitat we identified has no protection, and another 42% is subject to motorized recreation or timber extraction. We provide maps showing the relative importance of core habitat areas for potentially connecting existing protected areas, and also provide an example of the vulnerability of connectivity to projected future residential development around one greater park ecosystem.     

Self‐employment and local economic performance: Evidence from US counties*

This study explores the relationship between self‐employment and income growth, employment growth, and change in poverty in metro and non‐metro areas in the United States using county‐level panel data. We investigate the impact of the relative size of the self‐employment sector measured by the share of non‐farm proprietorships (NFPs) in total full and part‐time employment on three key economic performance indicators. We first estimate an income growth model to analyse the effects of self‐employment on income growth. Then we investigate the independent effects of self‐employment on employment growth and changes in family poverty rates. Our results indicate that higher self‐employment rates are associated with statistically significant increases over time in income and employment growth, and reductions in poverty rates in non‐metro counties. We find similar effects on metro county income and employment, but not on poverty dynamics.     

Modeling heterogeneous photocatalytic inactivation of E. coli using suspended and immobilized TiO2 reactors

A study was carried out to develop a kinetic model of the photocatalytic inactivation of Escherichia coli using different TiO₂ catalysts. The model developed is based on a reaction scheme that involves effectively coupling mass‐transfer fluxes between bacteria and catalyst surface on one hand and bacterial degradation reaction on the other. The photocatalytic results were derived from experiments led in a batch reactor under both dark and Ultra Violet (UV) irradiation conditions. Using a reference catalyst, the robustness of the developed model was tested under solar conditions. The experimental data validated the model as successfully able to reproduce evolutions in the viable bacteria concentration in the range of parameters studied without any further adjustment of the kinetic parameters. The model was used to simulate the bacterial degradation kinetics under different working conditions to describe the partitioning of both bacterial adhesion and photocatalytic reaction in the solution to be treated © 2015 American Institute of Chemical Engineers AIChE J, 61: 2532–2542, 2015