Differential therapy of cerebral arteriovenous malformations. An analysis with reference to personal microsurgery experiences

A total of 126 patients (63 female, 63 male) underwent microsurgical removal of their cerebral arteriovenous malformations (AVMs) by the same surgeon. The mean age at surgery was 34.7 (6-72) years. The symptoms were intracerebral hemorrhage (37.3%), seizure disorder (34.9%) or focal neurological deficits and minor symptoms. According to the Spetzler/Martin scale, 20.6% of the AVMs were grade I, 28.6% grade II, 32.5% grade III, 14.3% grade IV and 4% grade V. In all, 78 AVMs (61.9%) were located in functionally important brain regions. The series was split into three different groups: small AVMs under 3 cm in diameter (n = 62/49.2%), medium-sized AVMs (n = 58/46%) and large AVMs (n = 6/4.8%). Seventeen patients had preoperative embolization of their AVM. All patients had postoperative angiographic control and 3- and 6-month follow-up. One patient died (0.8%), and another one (0.8%), in whom the AVM was incompletely resected, suffered a secondary hemorrhage. Seventeen (27.4%) of the patients with small AVMs developed transient neurological worsening post-operatively, which remained permanently significant in 3.2%. The respective numbers for the patients with medium-sized AVMs were 48.3% and 10.3% and for the large AVMs 83.3% and 33.3%. The results of microsurgical removal of cerebral AVMs can still be considered superior to the results of stereotactic radiosurgical treatment available from the literature-even for small AVMs. This is due to immediate exclusion of the AVM under direct local control of the angioarchitecture and thereby a reduced risk of secondary hemorrhaging and a decreasing morbidity rate with increasing time after the operation. Radiosurgical treatment requires a 2-year latency period for obliteration and carries a mortality rate of up to 12.5% and a rate of unexpected side effects of up to 20%. This treatment should be reserved for small, deep, surgically inaccessible AVMs or used as part of a multimodality treatment regimen consisting of partial embolization, partial excision and consecutive radiation of the residual nidus in initially very large AVMs. Embolization therapy-such as radiosurgery-carries a significant risk of morbidity (8%) and a mortality rate of up to 6%. It should only be considered for AVMs that are expected to be fully obliterated afterwards, or for primary inoperable AVMs that are to be changed into operable ones by embolization. Size reduction of otherwise operable AVMs does not justify the additional risk of embolization. Close collaboration of the specialties involved is desirable.     

Selective monitoring of peptidase activities with synthetic polypeptide substrates and polyion-sensitive membrane electrode detection

A novel method to monitor specific peptidase activities in biological samples as complex as undiluted plasma/blood is described. The approach is based on the design of synthetic polypeptide substrates in which di- or triarginine sequences are linked to each other via one or more other amino acids recognized specifically by the peptidase to be determined. Detection of chymotrypsin and renin activities using synthetic substrates P4 (F-R-R-R-F-V-R-R-F-NH2) and P5 (R-R-R-L-L-R-R-L-L-R-R-R), respectively, serves to demonstrate the principles of this new assay system. A polyion-sensitive membrane electrode, prepared by doping polymer films with dinonylnaphthalene-sulfonate (DNNS), is shown to exhibit significant nonequilibrium electromotive force (EMF) responses toward these and other polycationic substrates at microgram/milliliter levels under physiological conditions. The same electrode, however, exhibits much smaller total EMF response toward the shorter fragments of the synthetic peptides generated by peptidase activity; hence, the addition of peptidase to a solution containing the synthetic substrate yields a change in electrode EMF response, the rate of which is proportional to the activity of peptidase present. Other synthetic polycationic peptides as well as natural polycationic peptides (e.g., protamine) that lack specific cleavage sites for chymotrypsin and renin, yet are detected by the DNNS-based membrane electrode, do not elicit any significant change in EMF response in the presence of the peptidases, confirming the feasibility and utility of the proposed bioanalytical method.     

Aerosols sampling using a new cryogenic instrument

A new cryogenic instrument was designed for the trapping of aerosols such as cigarette mainstream smoke at low temperature. The technique enabled the trapping of the mainstream smoke of a single cigarette and the particulate and vapor phases were trapped simultaneously. 2R4F reference cigarettes were smoked under International Standard Organization (ISO) regime and trapped at low temperature using the cryogenic instrument. After trapping, the mainstream smoke of the 2R4F reference cigarette was diluted with a solvent and selected smoke components could be quantified using gas-mass spectrometry (GCMS) and high-performance liquid chromatography (HPLC). The capability of the instrument for trapping the mainstream smoke was demonstrated. The feasibility of the procedure for the detection and the quantification of a large range of smoke components including carbonyls, alkaloids and organic volatile compounds (VOC) in the mainstream of a single cigarette was also shown.     

Beyond loop bounds: comparing annotation languages for worst-case execution time analysis

Worst-case execution time (WCET) analysis is concerned with computing a precise-as-possible bound for the maximum time the execution of a program can take. This information is indispensable for developing safety-critical real-time systems, e. g., in the avionics and automotive fields. Starting with the initial works of Chen, Mok, Puschner, Shaw, and others in the mid and late 1980s, WCET analysis turned into a well-established and vibrant field of research and development in academia and industry. The increasing number and diversity of hardware and software platforms and the ongoing rapid technological advancement became drivers for the development of a wide array of distinct methods and tools for WCET analysis. The precision, generality, and efficiency of these methods and tools depend much on the expressiveness and usability of the annotation languages that are used to describe feasible and infeasible program paths. In this article we survey the annotation languages which we consider formative for the field. By investigating and comparing their individual strengths and limitations with respect to a set of pivotal criteria, we provide a coherent overview of the state of the art. Identifying open issues, we encourage further research. This way, our approach is orthogonal and complementary to a recent approach of Wilhelm et al. who provide a thorough survey of WCET analysis methods and tools that have been developed and used in academia and industry.     

Functional Projection: How Fundamental Social Motives Can Bias Interpersonal Perception.

Results from 2 experimental studies suggest that self-protection and mate-search goals lead to the perception of functionally relevant emotional expressions in goal-relevant social targets. Activating a self-protection goal led participants to perceive greater anger in Black male faces (Study 1) and Arab faces (Study 2), both out-groups heuristically associated with physical threat. In Study 2, participants' level of implicit Arab-threat associations moderated this bias. Activating a mate-search goal led male, but not female, participants to perceive more sexual arousal in attractive opposite-sex targets (Study 1). Activating these goals did not influence perceptions of goal-irrelevant targets. Additionally, participants with chronic self-protective and mate-search goals exhibited similar biases. Findings are consistent with a functionalist, motivation-based account of interpersonal perception. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multi-functional valve components fabricated by combination of LIGA processes and high precision mechanical engineering

 The advantage of thermoplastic molding as a convenient method for fabricating large quantities of microstructures is restricted by the possibilities and the necessary efforts for structuring the required molding tools. In order to increase the complexity of mold inserts without significantly increasing the fabrication expenditure a new process combining LIGA techniques and precision mechanics had been suggested by Research Center Karlsruhe. Recent work on the optimization of this process made it possible to manufacture multi-leveled mold inserts with which different three-dimensional microcomponents have successfully been molded. The two- and three-level structures feature among other details integrated alignment aids which worked very well during the assembly of the valve system the components were designed for. This paper deals with the process optimization, the manufacturing of the mold inserts, the fabrication of the three-dimensional microstructures by hot embossing in PMMA as well as in polymers with high thermal resistance and the application in a microvalve system. Received: 25 August 1997/Accepted: 22 September 1997     

A comparison of heuristics for family and job scheduling in a flow-line manufacturing cell

This paper proposes new procedures for scheduling a flow-line manufacturing cell and compares the results obtained by using these new procedures to results obtained using procedures developed by Wemmerlov and Vakharia, Skorin-Kapov and Vakharia, and Sridhar and Rajendran. The procedures are evaluated on the basis of the makespans generated by solutions for test problems. The results show that the new procedures can efficiently generate good makespans and that results obtained by using the tabu search procedure developed by Skorin-Kapov and Vakharia can be improved if a starting set of job and family sequences is generated by one of the new procedures.     

An introduction to the shift realization for finite dimensional continuous time systems

A new approach is presented for the realization of continuous-time finite dimensional linear systems. Using standard results on Laplace transforms our results are also used to present a new derivation of Fuhrmann's shift realization for rational matrix functions.