Jitter in ATM networks and its impact on peak rate enforcement

Cells arriving to an ATM network experience random delays due to queueing in upstream multiplexing stages, notably in customer premises. This is the phenomenon of jitter and the aim of the present paper is to study its influence on peak rate enforcement. We first introduce some general characterizations of jitter and then, describe two models of jittered flows based on simple queueing systems. We discuss the objectives of peak rate enforcement and study the impact of jitter on the dimensioning of jumping window and leaky bucket mechanisms. A useful synthetic characterization of jitter appears to be a remote quantile of the cell delay distribution expressed in units of the initial inter-cell interval.     

Detection and management of foreign bodies in soft tissue

The discovery and management of foreign bodies in soft tissue are challenging problems for emergency physicians. History, physical examination, and thorough wound exploration serve as the screening test for the presence of foreign bodies. Various radiographic studies can be performed to confirm the diagnosis, to identify the object's composition and shape, and to determine its approximate location in the tissues. Once the object is discovered, the clinician must weigh the potential harm of the foreign body in its current location against the risks of attempting removal.     

Using fractal structure to describe nickel crystal morphology

The morphology of nickel crystals can be quantified using measurements of fractal structure. In the study described in this article, fractal dimensions of cross sections of 16 nickel samples were determined, and the numerical analysis indicates that the more rugged surfaces are characterized by higher fractal dimensions although the relationship between morphology and fractal dimension is relatively weak. However, the data also show that fractal dimension is a better predictor of morphology than apparent density, which is the measurement currently used. The nickel samples were also subjected to an avalanching disc technique that has the potential to separate out the differences in flow in the different types of nickel powder. The differences in flow between powders were ascribed to the similar gross morphologies of the particles, and the presence of shattered individual particles in the mix. For more information, contact A.E. Lewis, University of Cape Town, Precipitation and Crystallisation Research Facility, Department of Chemical Engineering, Rondebosch, 7701, South Africa; +27-21-650-4091; fax +27-21-689-7479; e-mail alison@chemeng.uct.ac.za.     

An application of expert systems techniques to the on-line control and fault diagnosis of a mixing process

An application of expert hierarchical control is described in this paper. The control is implemented in a two-level configuration, where the lower layer performs direct regulation control and the upper layer performs supervisory functions. In the regulation layer, a rule-based controller performs the regulation task, where the controller is constructed upon causal relations between subsystems. The control action is inferred from the measurement of both controlled and noncontrolled variables. In the supervisory layer, the main function is a fault diagnosis system which diagnoses faults on-line. The diagnosis is based upon reasoning from the structure of the system and the functions of its components, and efficient diagnosis is achieved by dividing the system into several subsystems. The overall technique has been successfully implemented on a pilot scale mixing process under on-line computer control.     

Reliability evaluation and optimisation of imperfect inspections for a component with multi-defects

In this paper, a model is developed to evaluate the reliability and optimise the inspection schedule for a multi-defect component. The model uses a non-homogeneous Poisson process (NHPP) method in conjunction with a delay time approach. The inspections are designed to detect any defects in the component, however it can be imperfect. The defect is a definable state before a functional failure happens to the component. Occurrences of defects are assumed to follow an NHPP and a defect will be minimally repaired if it is identified during an inspection. It is shown that the failures occurring in an interval of inspection will also follow an NHPP. The situation of imperfect inspections and non-constant inspection intervals are considered. An algorithm is presented to optimise the intervals of inspections in order to maximise the reliability of the component, and the properties of the algorithm are shown. A numerical example with parametric study is given to show the performance of the model and the algorithm.     

Femoral artery pseudoaneurysms: risk factors, prevalence, and treatment options

Femoral artery pseudoaneurysms (PSA or false aneurysm) develop in about 1% of patients undergoing procedures that require femoral artery cannulation. PSA prolong hospitalization, consuming health-care resources, and result in significant morbidity. We designed a study to review the prevalence, risk factors, and treatment of PSA. We performed a retrospective, case-controlled study of patients diagnosed with PSA at a large, urban, tertiary-care teaching hospital. We reviewed 48 patients with PSA for our study. The estimated prevalence of PSA was 0.28%, with identical rates found for procedures done in the interventional radiology department and in the cardiac catheterization suite. Logistic regression identified three independent risk factors for developing PSA: being female (odds ratio 2.62), having an intervention performed (odds ratio 3.22), and not having a closure device used (odds ratio 10.2). Patients with PSA had longer hospital length of stay than that of patients without PSA. We found no statistically significant difference in failure or complication rates for the four treatment options and that spontaneous resolution of PSA does not correlate with its size. Thrombin injection and observation are effective, low-complication treatment options.     

High affinity hormone binding to the extracellular N-terminal exodomain of the follicle-stimulating hormone receptor is critically modulated by exoloop 3

The human follicle-stimulating hormone receptor (FSH-R) consists of two distinct domains of >330 amino acids, the N-terminal extracellular exodomain and membrane-associated endodomain. The exodomain alone binds hormone with high affinity, whereas the endodomain is the site of receptor activation. Coordination of these two domains is essential for successful hormone action but little is known about their functional and structural relationship. In this communication, we report that exoloop 3 of FSH-R constrains follicle-stimulating hormone binding to the exodomain. When the FSH-R exodomain was prepared by truncating its endodomain, the hormone binding affinity of the exodomain was slightly improved, compared with the wild type receptor. The binding affinity was further improved by >3-fold when the exodomain was attached to the membrane-associated domain of CD8. These results suggest that the FSH-R endodomain attenuates hormone binding at the exodomain. As a first step to test this hypothesis, the 11 amino acids except Ala589 of exoloop 3 were individually substituted with Ala. Ala substitution for Leu583 or Ile584 improved the hormone binding affinity by 4-6-fold while totally abolishing cAMP induction, indicating an inverse relationship. The Ala substitution for Lys580 or Pro582 had a similar trend but to a lesser extent. This significant improvement in the binding affinity suggests that the four residues at the N-terminal region of exoloop 3 interact with the exodomain and constrain the hormone binding in the wild type receptor. This effect is specific since substitutions for other than the 4 residues did not improve the hormone binding affinity. Computer modeling shows that the 4 residues can be positioned on one side of exoloop 3. This result and the apparent inverse relationship of hormone binding and cAMP induction suggest that these two essential functions may work against each other. Therefore, hormone binding might be compromised to preserve cAMP inducibility while maintaining a reasonably high, but below maximum, binding affinity.     

Dependence of muscle VO2 on blood flow dynamics at onset of forearm exercise

The hypothesis that the rate of increase in muscle O2 uptake (VO2mus) at the onset of exercise is influenced by muscle blood flow was tested during forearm exercise with the arm either above or below heart level to modify perfusion pressure. Ten young men exercised at a power of approximately 2.2 W, and five of these subjects also worked at 1.4 W. Blood flow to the forearm was calculated from the product of blood velocity and cross-sectional area obtained with Doppler techniques. Venous blood was sampled from a deep forearm vein to determine O2 extraction. The rate of increase in VO2mus and blood flow was assessed from the mean response time (MRT), which is the time to achieve approximately 63% increase from baseline to steady state. In the arm below heart position during the 2.2-W exercise, blood flow and VO2mus both increased, with a MRT of approximately 30 s. With the arm above the heart at this power, the MRTs for blood flow [79.8 +/- 15.7 (SE)s] and VO2mus (50.2 +/- 4.0 s) were both significantly slower. Consistent with these findings were the greater increases in venous plasma lactate concentration over resting valued in the above heart position (2.8 +/- 0.4 mmol/l) than in the below heart position (0.9 +/- mmol/l). At the lower power, both blood flow and VO2mus also increased more rapidly with the arm below compared with above the heart. These data support the hypothesis that changes in blood flow at the onset of exercise have a direct effect on oxidative metabolism through alterations in O2 transport.     

Professionally-led support groups for cancer patients: an intervention in search of a model

OBJECTIVE: The objective of this review was to evaluate the clinical and research literature on professionally-led support groups for cancer patients and to propose an approach that would address patients' needs from diagnosis through survivorship. METHOD: Computerized and manual searches, including Medline and Psychlit searches, were completed for reviews of the literature. Twelve research studies were identified that met our criteria for in-depth review. A clinical model emerged from discussions of an oncology study group based on theoretical formulations and clinical experience with oncology patients. RESULTS: We found that recent research suggests that professionally-led support groups are increasing in number and that participation in such groups seems to enhance patients' quality, and possibly even quantity, of survival. Despite this, little effort has been made to determine what type of group may be appropriate for which patients and when in their course of care. CONCLUSIONS: If psychosocial intervention, in the form of professionally-led support groups for cancer patients, is to be more effective, it should be guided by a model which takes into consideration the changing needs and concerns of patients over the course of illness and, in many cases, recovery. The authors present an outline delineating what such a model might entail.