Transesophageal echocardiography: implications for the critical care nurse

TEE is an exciting and useful diagnostic tool that is rapidly gaining widespread acceptance in both teaching centers and community hospitals. Because of the semi-invasive nature of the procedure, nursing expertise is essential to ensure patient safety and comfort during the TEE examination.     

A graphic approach to performance analysis of multistage linear interference canceller in long-code CDMA systems

The signal-to-interference-plus-noise-ratio performance of the multistage linear parallel and successive interference cancellers (LPIC and LSIC) in a long-code code-division multiple-access system is analyzed using a graphical approach. The decision statistic is modeled as a Gaussian random variable, whose mean and variance can be expressed as functions of moments of R for the LPIC and L for the LSIC, respectively, where R is the correlation matrix of signature sequences and L is the strict lower triangular part of R. Since the complexity of calculating these moments increases rapidly with the growth of the stage index, a graphical representation of moments is developed to facilitate the computation. Propositions are presented to relate the moment calculation problem to several well-known problems in graph theory, i.e., the coloring, the graph decomposition, the biconnected component finding, and the Euler tour problems. It is shown that the derived analytic results match well with simulation results.     

The contrast enhancement of brain and spinal cord tumors using Gd-DTPA in magnetic resonance tomography with an extra-low magnetic-field intensity

The contrasting agent Gd-DTPA (Magnevist, Schering AG, Germany) was tested when used in magnetic resonance tomography using extra-low (0.04 T) magnetic field intensity in 68 patients with various brain and spine tumors. The agent was injected intravenously in a dose of 0.1 mmol/kg. No complications were found. The tests showed its high efficiency in the diagnosis of brain neoplasms (particularly in malignant intracerebral disorders, meningiomas and neurinomas). Benign astrocytomas induced no noticeable signal intensification on post-contrasting T1-weighed tomograms. In all cases of spinal tumors, the application of Gd-DTPA could specify the extent of tumor invasions, the presence of cysts and identify accessory tumor nodes in one case.     

The incidence and characteristics of the clinical picture of recurrent myocardial infarct in the rural population

As many as 3033 patients with myocardial infarction residing in rural areas were kept under observation. In this population, myocardial reinfarction (MRI) was diagnosed in 411 subjects, with 78.8% having had it for 4 years. Those MRI patients ranging between 51 to 60 years showed the greatest prevalence (44.3%). The ratio of micro- to macrofocal (through-and-through) MRI was 1:3, that of males to females 9:1. Microfocal MRI was commonly associated with a pain-free variant of the disease (23.5%) with low frequency of thromboembolic complications (3.1%). Every fifth patient with macrofocal (through-and-through) renecrosis presented with aneurysm of the heart. In a 10-year and longer follow-up, mortality from MRI was 43.6 percent among patients with macrofocal MRI, while deaths attributable to microfocal MRI were estimated to be 28.9 percent. High mortality rates suggest great severity of illness and low efficacy of the drug therapy adopted.     

On the performance of the CREL system

This paper presents the performance results of a comprehensive approach to the parallel execution of rule systems. It describes the semantics of a Concurrent Rule Execution Language, CREL, and the architecture of the system that compiles and executes CREL programs. The system has been designed to avoid run-time overhead by performing extensive compile-time analysis and by parallelizing compilation. Static dependency analysis, based on serializability, coupled with a set of optimizing transforms, partitions the program into subsets, called clusters. Clusters execute independently of each other and communicate though asynchronous message passing. At run time two additional sources of parallelism are exploited—run-time consistency checking allowing multiple rules to fire, and match-level parallelism. The CREL system is implemented on a Sequent Symmetry shared-memory computer. This paper presents the results of a factorial experiment that isolates and evaluates each source of parallelism in the CREL system and each possible combination of those methods. The results suggest that multiple-rule firing is the single most important source of parallelism in CREL programs and that the use of static dependency analysis based on serializability is instrumental to effectively exploit parallelism.     

Bayesian Availability Using Gamma Distributed Priors

Classical statistical estimation techniques have limited usage in predicting system availability when a system, e.g., a computer or telecommunications system, is highly reliable. A Bayesian solution is suggested in this paper. Gamma priors, which are rich in shapes, are assigned to the scale parameters of a gamma distributed component on-time and off-time. Estimation of the gamma priors follows engineer's past experiences for reliability modeling. Both steady-state and instantaneous availabilities are derived using Bayes Theorem. An illustration highlights the assessment and evaluation of the proposed availability measure.     

Fabrication and properties of PLZT ceramics from spray-dried aqueous solution

PLZT ceramics with the composition of 9/62/38 (La/Zr/Ti) were fabricated from spraydried aqueous solution. Complete crystallization of the spray-dried powder is achieved after 1 hr calcination at 650‡ C as compared to 800‡ C, 1 hr for conventional mixedoxide method. Sintering environment plays an important role in the densification of PLZT ceramics. Densities of the atmosphere sintered samples are much higher than those of normal sintered ones. PLZT ceramics derived from spray-dried powders have properties comparable to those derived from sol-gel ones. The spray-dried method presents a less expensive and more effective approach in the synthesis of PLZT ceramics.     

Design of quasi-elliptic function filters with a dual-passband response

Compact miniaturized hairpin resonators are used to design cross-coupled filters with a dual-passband response of elliptic function type. The hairpin resonators are treated as a stepped impedance resonator (SIR) in analysis. In a filter, two different hairpin resonators are used to establish proper couplings required for the two design frequencies. Two filters are fabricated and measured. The results show a good agreement with the simulation.     

Phase composition and properties of solid solutions of GdFeO3–GdInO3 bulks

Solid solutions of the GdFeO₃–GdInO₃ system were prepared at 1550 °C by ceramic powder processing. The formulated composition was Gd(Fe_1−xIn_x)O₃ (GFI) with the indium contents at x = 0, 0.25, 0.5, 0.75, and 1.0. A stable phase of Gd(Fe_1/3In_2/3)O₃ in our system was identified by X-ray diffraction and phase composition analysis. Multi-phase morphologies were observed for GFI bulks with x = 0.5 and 0.75. Dielectric and electrical properties of the GFI bulks were investigated. The addition of 25% In³⁺ in GdFeO₃ had an obvious enhancement in polarization and led to an elevated resonance frequency. Dielectric properties of GFI bulks except GdInO₃ were strongly dependent upon the test frequency, which corresponded to the response of polarization mechanism. GdInO₃ displayed as a stable dielectric, which was frequency- and temperature-insensitive. GdInO₃ was thermally activated and became leaky until above 600 °C.     

Water bamboo husk reinforced poly(lactic acid) green composites

The water bamboo husk is one of major agricultural wastes in Taiwan. In this study, the powder obtained from the water bamboo husk was added to poly(lactic acid) (PLA) to form novel reinforced biodegradable composites. Morphologies, mechanical properties, and heat resistance of these water bamboo powder reinforced composites were investigated. The results indicate that the char yields were increased as plant powder was incorporated to PLA. In addition, the mechanical properties were also enhanced due to the addition of powders. The increments of storage moduli of PLA were about 50–200%. Moreover, the increments of loss moduli of PLA were about 70–200%. On the other hand, the T_g of PLA was slightly decreased by the addition of powder, and this may improve the brittle characteristics of PLA. Furthermore, this type of reinforced PLA would be more environmental friendly than the artificial additive‐reinforced one. POLYM. ENG. SCI., 2008. © 2008 Society of Plastics Engineers