Control of high common mode voltage during transthoracicdefibrillation

A high common mode voltage (V_cm) relative to earth ground is produced on the myocardium during the delivery of a defibrillator pulse and can generate a differential error signal when potential gradients are recorded with bipolar electrodes and isolation amplifiers. The error signal is proportional to V_cm, and therefore, a reduction in V_cm improves the accuracy of the potential gradient data. Experiments were conducted on 5 dogs to determine whether V_cm can be controlled using a bridge circuit. The bridge circuit consisted of a 5 kΩ power rheostat in parallel with the transthoracic resistance of the dog. The variable contact of the rheostat was connected to earth ground, and by adjusting the rheostat, V_cm on the myocardium could be varied. In each dog, 20 A shocks were delivered through stainless steel transthoracic electrodes. Point contact electrodes sutured to the epicardium were used to measure V_cm. It was determined that V_cm could be reduced to approximately zero at a given electrode on the heart. In addition, for the 5 dogs studied, the maximum measured V_cm on the heart was only 10% of the transthoracic voltage when the bridge circuit was balanced for an interior point in the heart     

An analysis of slow phase velocity on congenital nystagmus-asymmetrical responses of optokinetic stimulation

Persistence of the hypoglossal artery is an unusual congenital abnormality of the carotid arterial system, and the simultaneous occurrence of atheromatous disease in the internal carotid artery and persistent hypoglossal artery is even more uncommon. Carotid surgery in this situation is challenging, and the surgeon must be aware of potential inherent pitfalls. A 74-year-old woman with asymptomatic stenosis of both internal carotid and hypoglossal arteries associated with occlusion of the contralateral internal carotid artery underwent successful revascularization. The anatomy of this unusual lesion and the surgical strategies, which included cranial nerve dissection and mandibular subluxation, are reviewed.     

Transport properties of Nd1.85Ce0.15 δ single crystals: The narrow-band model

The anisotropy of the resistivity and thermoelectric power (TEP)S of Nd_1.85Ce_0.15CuO_4?δ single crystal (T _c =17 K) has been investigated. In the temperature rangeT _c <T<300 K the ratioρ _c/ρ_ab≈10⁴ and the dependencesρ _ab (T) andρ _c (T) change from quadratic to linear atT～200 K. The dependencesS _ab (T) andS _c (T) reach a maximum atT>T _c and then decrease almost linearly with increasing temperature, changing sign from positive to negative nearT～ 150 K. The features of the resistivity and TEP temperature dependences (the lawρ∝T ² changing toρ∝T, the change in the sign of S with temperature, and the low TEP anisotropy at largeρ anisotropy) have been interpreted in the framework of the narrow-band model.     

Arthroscopic replacement of the anterior cruciate ligament with a double semitendinosus tendon

At the university hospital of emergency surgery in Innsburck and at the emergency services department of the hospital in Schwaz, anterior cruciate ligament reconstruction was performed in 467 patients between January 1992 and September 1993. In 117 cases, a double semitendinous tendon was used as an autograft. A total of 60 of these patients were followed up at an average of 20 months (13-33) after reconstruction. The results were rated according to the OAK and the Tegner scores. Objective measurements of instability were carried out by a KT 1000 arthrometer. In addition, 21 patients underwent computer-interfaced dynamometer testing using a Cybex 6000. Standardized loading of the thigh muscles was performed at angular velocities of 60 degrees/s (3 repetitions) and 240 degrees/s (30 repetitions): peak torques and total work were analyzed. The mean age was 23.5 years (17-55): 48 were male, 21 female. The main reasons for the ACL ruptures were sports injuries (51 cases). The patients were classified into three groups according to the data of the repair (group 1 reconstruction up to 1 week after trauma-28 patients: group 2: reconstruction between the 2nd and 6th week after trauma-15 patients: group 3: reconstruction 6 and more weeks after trauma-26 patients). In group 1. additional ruptures of the menisci. lesions of the MCL. and chondromalacia were seen in 71.4%. in group 2 in 73.3% and in group 3 in 80.8%. The average rating in the OAK score was 90.16 points: 38 patients (55.70%) had excellent results. 18(26.09%) were good. 9(13.04%) were fair and 4(5.80%) were poor. The Tegner activity score showed a reduction of 0.36 points on average. The largest amount of anterior translation was performed with the KT 1000 manual drawer test (2.29 mm on average compared with the contralateral side). Dynamometer testing showed a statistically significant difference in flexor and extensor mechanism (compared with the non-involved side) in both peak torques and total work. A repeat arthroscopy became necessary in five cases: arthrofibrosis in three and incipient joint infection in two cases.     

Impedance, attenuation and power-handling characteristics of doubleL-septa waveguides

Rectangular waveguides with two L-shaped septa attached to the broad walls in antipodal configuration have been shown theoretically by the authors (see ibid. vol.40, no.4, p.777-781, 1992) to be an improved variant of the double T-septa guide having larger cut-off wavelength and broader bandwidth of the dominant TE mode. Numerical data on the attenuation, impedance, and power handling capability of this new type of broadband guide are presented as additional design information     

A new minimum zone method for evaluating flatness errors

A new minimum zone method for flatnes error analyis is proposed in this article. Based on the criteria for the minimum zone solution and strict rules for data exchange, a simple and rapid algorithm, called the control plane rotation scheme, is developed for the flatness analysis of a flat surface. Experimental work was performed, and some examples are given in terms of the minimum zone and least-squares solutions.     

Porosity-dependence of elastic properties and ultrasonic velocity in polycrystalline alumina — a model based on cylindrical pores

Effective elastic moduli and ultrasonic velocity of materials having aligned cylindrical pores have been derived using a series expansion in terms of the difference between the upper and lower bounds of elastic moduli obtained by the variational method. The theoretical results for polycrystalline alumina agree well with the experimental data, confirming the suggestion of previous researchers that a matrix containing parallel cylindrical pores orientated perpendicular to the applied stress, provide a better model than a spherical one in describing the porosity-dependence of elastic moduli in sintered specimens.     

Surface modification and functionalization of electroactive polymer films via grafting of polyelectrolyte,polyampholyte and polymeric acids

Films of electroactive polymers, such as polyaniline (PAN) in its emeraldine base form, and poly(3-alkylthiophene), poly(3-hexylthiophene) (P6TH), poly(3-octylthiophene) (P8TH), and poly(3-dodecylthiophene) (P12TH) can be readily functionalized via thermal or near ultraviolet-light-induced surface graft copolymerization with monomers of polyelectrolyte, polyampholyte and polymeric acids. The monomers used in the present work include dimethyl sulphate quaternized dimethylamino-ethylmethacrylate (DMAEM·C₂H₆SO₄), 3-dimethyl(methacryloyloxyethyl)ammonium propane sulphonate (DMAPS), acrylic acid (AAc) and a sodium salt of styrene sulphonic acid (NaSS). The surface structures and compositions of the electroactive polymer films after functionalization via graft copolymerization were characterized by angle-resolved X-ray photoelectron spectroscopy. Graft copolymerization of poly(3-alkylthiophene) films, but not PAN films, with the hydrophilic monomers readily results in a stratified surface microstructure arising from the migration of the hydrophilic graft chains beneath a thin surface layer which is much richer in the substrate chains. On the other hand, graft copolymerization of PAN films with AAc and NaSS readily gives rise to a self-protonated (and thus conductive) surface structure.     

Undercooling and supersaturation of alloying elements in rapidly solidified Al-8.5% Fe-1.2% V-1.7% Si alloy

Dispersion-strengthened Al-8.5% Fe-1.2% V-1.7% Si alloy was produced by inert gas atomization and atomized melt deposition processes. Differential scanning calorimetry was used to estimate the extent of undercooling in the alloy powders as a function of powder size and in the atomized melt-deposited alloy as a function of process parameters. The estimated undercooling was found to be a strong function of powder size and processing conditions and varied from 380–200 °C. Alloy powders of diameter greater than 180 jam did not experience any undercooling during solidification. X-ray diffraction analysis was performed to study the dependence of supersaturation of alloying elements and metastable phase formation on the extent of undercooling. When the undercooled alloy was heated to about 400 dgC, formation of Al₁₂(Fe, V)₃Si phase with b c c crystal structure from the supersaturated matrix was observed.     

Effect of chromium content on remarkably rapid nitriding in austenitic Fe-Ni-Cr alloys

Remarkably rapid nitriding which is independent of diffusion theory based on the thermal activation process, was observed during nitriding of austenitic Fe-Ni-Cr steels containing 16 and 19 mass% chromium. Increase of the chromium content in the alloys yielded increasing thickness of the nitrided layer, i.e. the internal nitriding theory did not hold in the nitriding. No rapid nitriding was observed in steels containing less than 13 mass% chromium. Hence the limiting concentration of chromium for the rapid nitriding will lie between 13 and 16 mass% chromium. A solution to the problem of abnormalities arising during nitriding of practical austenitic stainless steels which have been investigated since 1972, has been presented experimentally by nitriding various chromium-containing steels. Based on the experimental results, the origin of the rapid nitriding is discussed in connection with the free-energy function of Cr₂N and CrN to temperature. In particular, a plateau of nitrogen concentration measured in the nitrided layers leads to the conclusion that a forced nitrogen diffusion in the layer resulted in the rapid nitriding.