Flow reversal in the descending aorta: a guide to intraoperative assessment of aortic regurgitation with transesophageal echocardiography

This study assessed the value of biplane transesophageal echocardiographic assessment of diastolic flow reversal in the descending aorta as an alternative to Doppler color flow imaging in determining severity of aortic regurgitation. In 45 patients undergoing cardiac operations, the severity of aortic regurgitation was assessed by semiquantitative grading of the width of the Doppler color flow regurgitant jet relative to the left ventricular outflow tract, and the presence of diastolic flow reversal was assessed with pulsed-wave Doppler measurements at three sites in the descending aorta. In four patients, the diastolic flow reversal method was the only available form of assessment because of inadequate visualization of the left ventricular outflow tract beneath a mitral valve prosthesis. Diastolic flow reversal in the descending aorta was not observed in patients without aortic regurgitation and was always present in patients with severe aortic regurgitation. Aortic valve replacement successfully eliminated descending aortic flow reversal in all 19 patients in whom it was present before valve replacement. Identification of diastolic flow reversal at multiple sites in the descending aorta with biplane transesophageal echocardiography helps to confirm the presence of severe aortic regurgitation and can serve as an alternative method of assessment when visualization of the left ventricular outflow tract is impaired.     

MAGNESIUM HYDROXIDE FILLED EVA: THE EFFECTS OF FILLER SURFACE MODIFICATION ON THE STRENGTH OF FILLER/MATRIX ADHESION AND THE CONSEQUENCES FOR COMPOSITE STRUCTURE AND PROPERTIES

The interaction of ammonium stearate (AS) and γ-aminopropyltriethoxysilane (APS) treatments with a magnesium hydroxide flame retardant filler and their effects on its use in an ethylene vinyl acetate copolymer compound have been investigated. The work has shown clear evidence of changes in the structure of the surface layers formed on the filler as the amount of additive is increased and the levels at which these occur can be correlated with theoretical monolayer quantities. Infrared (IR) spectroscopy data suggest that the stearate coating changes from a half salt to a full salt as the coating level is increased and that the APS coating on the filler initially has a significant bicarbonate content, presumably due to reaction with atmospheric carbon dioxide. The effect of coating level on the melt flow rate, insoluble matrix content, crystallisation behaviour, tensile properties, limiting oxygen index, and ageing of the filled compound has been studied. Distinct trends have been observed, many of which can be correlated with the structure of the filler surface layers. Of particular importance is the observation that, unlike APS, excess stearate appears to promote detrimental ageing effects.     

Double dissociation of fornix and caudate nucleus lesions on acquisition of two water maze tasks: Further evidence for multiple memory systems.

Examined the effect of lesions of the caudate nucleus or fimbria-fornix on the acquisition of 2 water maze tasks. In both tasks, 2 rubber balls with different visual patterns were used as cues. The correct cue was attached to a submerged rectangular platform and could be mounted by an animal to escape the water. The incorrect cue was attached to a thin round pedestal and could not be mounted. In a spatial version of the task, the correct cue was located in the same quadrant of the maze on all trials, whereas the visual pattern on the cue was varied from trial to trial. Lesions of the fornix, but not the caudate nucleus, impaired acquisition of this spatial task in relation to control animals. In a simultaneous visual discrimination version of the task, the correct cue on all trials was one with a specific visual pattern, and the spatial location of the correct cue was varied from trial to trial. Lesions of the caudate nucleus, but not the fornix, impaired acquisition of this visual discrimination task in relation to control animals. The double dissociation observed supports the hypothesis that the hippocampus and caudate nucleus are parts of systems that differ in the type of memory they mediate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Confidentiality in psychotherapy: History, issues, and research.

Discusses ethical guidelines of the American Psychological Association regarding confidentiality in psychotherapy. Possible inconsistencies between these guidelines and privileged communication are explored. It is asserted that additional research is needed to determine the implications for psychotherapy of the ethical limitations to confidentiality and the legal restrictions on privileged communication. The relevance of moral philosophy to issues of confidentiality is considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Context and lexical access: Implications of nonword interference for lexical ambiguity resolution.

To eliminate potential "backward" priming effects, S. Glucksberg et al (see record 1986-29080-001) introduced a variant of the cross-modal lexical priming task in which subjects made lexical decisions to nonword targets that were modeled on a word related to either the contextually biased or unbiased sense of an ambiguous word. Lexical decisions to nonwords were longer than controls only when the nonword was related to the contextually biased sense of the ambiguous word, leading Glucksberg et al to conclude that context does constrain lexical access and that the multiple access pattern observed in previous studies was probably an artifact of backward priming. We did not find nonword interference when the nonword targets used by Glucksberg et al were preceded by semantically related ambiguous or unambiguous word primes. However, we did replicate their sentence context results when the ambiguous words were removed from the sentences. We conclude that the interference obtained by Glucksberg et al is due to postlexical judgments of the congruence of the sentence context and the target, not to context constraining lexical access. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Bizarre imagery, interference, and distinctiveness.

Previous studies have shown that bizarre and common images produce equivalent levels of recall in unmixed-list designs. Using unmixed lists, we tested the view that bizarre images would be less susceptible than common images to common sources of interference. In all experiments, subjects imaged a list of either bizarre or common sentences and then performed some kind of interfering task before recalling the initial list of sentences. Experiment 1 showed that bizarre images were better accessed than common images after imaging an intervening list of common sentences. Also, components of common images tended to be better recalled than those of bizarre images after imaging an intervening list of bizarre sentences. Experiments 2a and 2b showed that interfering tasks consisting of studying lists of common concrete nouns did not differentially affect memory for bizarre and common images. In Experiment 3, labeling and imaging an interfering list of common pictures produced higher recall of bizarre images. Generally, bizarre images appeared to be less susceptible than common images to interference from certain types of common encodings. Importantly, the superior recall of bizarre images was always due to greater image (sentence) access, whereas higher recall of common images was associated with greater recovery of the image (sentence) constituents. Explanation of the precise pattern of results requires consideration of the distinctive properties of bizarre images. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relative importance of evaluation criteria for enterprise systems: a conjoint study

Abstract.  While a large body of research exists on the development and implementation of software, organizations are increasingly acquiring enterprise software packages [e.g. enterprise resource planning (ERP) systems] instead of custom developing their own software applications. To be competitive in the marketplace, software package development firms must manage the three-pronged trade-off between cost, quality and functionality. Surprisingly, prior research has made little attempt to investigate the characteristics of packaged software that influence management information system (MIS) managers' likelihood of recommending purchase. As a result, both the criteria by which MIS managers evaluate prospective packaged systems and the attributes that lead to commercially competitive ERP software products are poorly understood. This paper examines this understudied issue through a conjoint study. We focus on ERP systems, which are among the largest and most complex packaged systems that are purchased by organizations. In a conjoint study, 1008 evaluation decisions based on hypothetical ERP software package profiles were completed by managers in 126 organizations. The study represents the first empirical investigation of the relative importance that managers ascribe to various factors that are believed to be important in evaluating packaged software. The results provide important insights for both organizations that acquire such systems and those that develop them. The results show that functionality, reliability, cost, ease of use and ease of customization are judged to be important criteria, while ease of implementation and vendor reputation were not found to be significant. Functionality and reliability were found to be the most heavily weighted factors. We conclude the paper with a detailed discussion of the results and their implications for software acquisition and development practice.