Reduced forward operator for electromagnetic wave scattering problems

The paper describes a reduced forward operator for solving electromagnetic scattering problems using a volume integral equation in conjunction with a conjugate gradient fast Fourier transform scheme. The reduction is obtained by decoupling of the interaction between the locations in the spatial computational domain at which there is non-zero contrast and those positions at which there is zero contrast. The decoupling is achieved by multiplication of the kernel by a diagonal matrix whose entries reflect the presence or absence of contrast at the associated point. Analysis supported by numerical experiments shows that the conjugate gradient algorithm applied to the reduced system converges more rapidly than when it is applied to the original system     

Evaluation of capital cost data. part 7: Liquid waste disposal with emphasis on physical treatment

Capital cost correlations are given for oil-water separators, equalization basins, primary clarifiers, clarifiers and clarifier mechanisms, reverse osmosis unit, ultrafiltration units, gravity filters and miroscreens. Data are included for raw sewage, intermediate and recirculation pumping stations and for preliminary treatment (or bar screens, grit removal, overflow and bypass chamber and Parshall flume), for grit removal, comminution and gas stripping. The correlations are accurate to ± 30%, expressed in Canadian dollars and adjusted to a Marshall and Swift value of 1000. Details as to what components are included in the cost are given. Data are given for the labour and material costs to create a working process module. For inflation indices, a critique of the Engineering News Record, EPA small city, Marshall and Swift, Chemical Engineering and Southam inflation indices suggested that the Marshall and Swift index is most appropriate for the construction and process equipment studied here. Concerning the currency exchange, for the equipment and processes in this study, equipment costs the same whether expressed directly in US or Canadian dollars. To put the current data into perspective, several hundred sources of cost data were analyzed. The major correlations are compared, on a consistent basis, with current data.     

Aspects of three-dimensional constrained Delaunay meshing

Presented in this paper are the theoretical aspects of node addition to a non-convex, multiboundary mesh of tetrahedral elements as used in finite element modelling. The method used is derived from Watson¹ and Shenton and Cendes² and is extended to deal with node addition on inter-material boundaries. Several situations are identified that result in an illegal insertion polyhedron (IP), these could be caused by the ‘constrained’ nature of the mesh, adjacent objects with different material properties, or degenerate node configurations. A new Delaunay algorithm is described that checks for illegal cases of the IP and then corrects them, this checking relies on the consistent ordering of the element nodes. It is shown that a particular type of illegal IP can easily be identified and corrected using this technique. The Delaunay algorithm is then applied to automatic mesh generation, and modification to the basic Delaunay algorithm is described so that previously meshed edges and faces of the current object being meshed are not deleted during the addition of subsequent nodes. This ‘protection’ method only becomes viable by recognizing the node ordering sense of the IP faces.     

Genetics of programmed cell death in C. elegans: past, present and future

Genetic studies of the nematode Caenorhabditis elegans have defined a variety of single-gene mutations that have specific effects on programmed cell death. Analyses of the genes defined by these mutations have revealed that cell death is an active process that requires gene function in cells that die. Specific genes are required not only to cause cell death but also to protect cells from dying. Gene interaction studies have defined a genetic pathway for the execution phase of programmed cell death in C. elegans. Molecular and biochemical findings are consistent with the pathway proposed from these genetic studies and have also revealed that the protein products of certain cell-death genes interact directly. This pathway appears to be conserved among organisms as diverse as nematodes and humans. Important questions remain to be answered about programmed cell death in C. elegans. For example, how does a cell decide to die? How is cell death initiated? What are the mechanisms of action of the cell-death protector and killer genes? What genes lie downstream of the cell-death execution pathway? The conservation of the central cell-death pathway suggests that additional genetic analyses of programmed cell death in C. elegans will help answer these questions, not only for this nematode but also for other organisms, including ourselves.     

Identifying acute pulpalgia as a factor in TMD pain

An acute pulpalgia and temporomandibular disorders can produce many of the same symptoms. To illustrate identification of an acute pulpalgia as a component in TMD, the authors review the evaluation of 11 patients at a clinic that specializes in TMD treatment. During the evaluation, thermal testing and periodontal ligament anesthesia were used to identify the offending tooth. After receiving endodontic treatment or having the tooth extracted, patients reported either complete or partial relief of TMD symptoms. The authors provide questions that may help practitioners identify a tooth with an acute pulpalgia as a contributing factor to TMD symptoms and suggest a technique to confirm this diagnosis.     

Using drug chronotherapy to wean patients from mechanical ventilation

Discontinuation of positive pressure mechanical ventilation results in decreased intrathoracic pressure. Although there has been extensive research into factors associated with weaning adults from mechanical ventilatory support, little attention has been paid to the role of left ventricular performance. Research also has not focused on interventions that might optimize ventricular performance. The purpose of this article is to explore the potential effect of cardiac dysfunction in weaning and the role of drug chronotherapy as a strategy to modify patients' responses to weaning from mechanical ventilatory support. Biophysical principles involved are reviewed, and the development of a chronotherapeutic intervention is described. Two case examples illustrate the use of drug chronotherapy during the weaning process.     

Anogenital papillomavirus infection and neoplasia in immunodeficient women

This article reviews the impact of infection with human immunodeficiency virus (HIV) on HPV infections and HPV-associated lesions of the female anogenital tract. Studies investigating HPV infections in HIV-seropositive women are presented as well as the possibility that HIV can influence HPV expression directly through molecular interactions between viral genes and indirectly through immunosuppression. Studies linking HIV infection to invasive cervical cancer and cervical intraepithelial neoplasia are reviewed; recommended protocols for cervical cancer screening in HIV-seropositive women for cervical disease also are presented.     

Responsiveness of self-reported and objective measures of disease severity in carpal tunnel syndrome

Responsiveness, the ability to detect meaningful clinical change, is a critical attribute of instruments used to evaluate outcomes of treatments. The authors hypothesized that self-administered symptom severity and functional status questionnaires are more responsive to clinical improvement after carpal tunnel release than traditional physical examination measures of strength and sensibility. Data were obtained from a randomized clinical trial of endoscopic versus open carpal tunnel release conducted in four university medical centers. Patients were evaluated before surgery and 3 months after surgery. Seventy-four patients indicating that they were more than 80% satisfied with the results of surgery were assumed to have clinically meaningful improvement and were the focus of the analysis. Evaluations included questionnaires assessing symptom severity, functional status, and activities of daily living as well as measurement of grip, pinch, and abductor pollicus brevis strength, and 2-point discrimination and Semmes-Weinstein pressure sensibility. Responsiveness was calculated with the standardized response mean (mean change/standard deviation of change) as well as the effect size (mean change/standard deviation of baseline values). The symptom severity scale was four times as responsive, and the functional status and activities of daily living scales were twice as responsive, as the measures of strength and sensibility. Self-administered symptom severity and functional status scales are much more responsive to clinical improvement than measures of neuromuscular impairment and should severe as primary outcomes in clinical studies of therapy for carpal tunnel syndrome.     

Isolation of porcine circovirus-like viruses from pigs with a wasting disease in the USA and Europe

Sinus pericranii is an anomalous extracranial vascular malformation that is in continuity with the intracranial dural venous sinuses. Five case reports, three congenital and two traumatic, are described. Clinical management, including evaluation, diagnosis, and treatment, is discussed. Awareness of this entity by plastic surgeons will allow for earlier diagnosis and appropriate surgical management, resulting in decreased risk of complications.