Surgery of primary sphincter incontinence

A thorough functional analysis of the anorectal continence organ and the pelvic floor is a prerequisite for adequate treatment of incontinence. If conservative therapy has failed, corrective surgery on the basis of careful patient selection may well lead to improvement of continence. In our experience, plastic surgery of both the anterior levator ani muscle and the sphincter ani externus muscle is the treatment of choice for idiopathic incontinence.     

Mass/heat-exchange network representation of distillation networks

This article introduces the “state space” conceptual framework to process synthesis, which is used to provide a novel representation of a distillation network as a composite heat- and mass-exchange network. This representation suggests that distillation network synthesis may best be viewed as an interacting heat- and mass-exchange network synthesis problem. In that regard, familiar tools (such as pinch diagrams) from both heat-exchange network (HEN) and mass-exchange network (MEN) synthesis are shown to be of use in arriving at energy-efficient distillation network designs. Examples of propylene-propane and solvent-water separations are used to illustrate the proposed conceptual framework.     

Direkte und indirekte Randelementmethoden zur Bestimmung der Lage des Schubmittelpunktes beliebig geformter Stabquerschnitte

Zusammenfassung Die Koordinaten des Schubmittelpunktes eines beliebig berandeten Stabquerschnittes werden in dieser Arbeit aus der Torsionsverw?lbung des Querschnittes berechnet. Zur Bestimmung der Querschnittsverw?lbung wird die Randelementmethode (Boundary-Element-Method) herangezogen. Dabei entstehen durch verschiedene Vorgehensweisen mehrere Fredholmsche Integralgleichungen erster und zweiter Art, von denen jedoch nur bestimmte zur L?sung des genannten Problems geeignet sind. Einige direkte und indirekte Integralgleichungen werden hier für beliebig berandete Stabquerschnitte bezüglich ihrer Einsetzbarkeit untersucht und miteinander verglichen. Es zeigt sich dabei, da? auch eine Integralgleichung erster Art problemlos eingesetzt werden kann. Die Randelemente werden bei der numerischen L?sung der Integralgleichungen durch Polynome dritten Grades und die unbekannten Funktionen durch Polynome zweiten Grades approximiert, um eine glatte Berandung und stetigen Funktionenverlauf zu sichern.—Die Methode ist auf dünnwandige, dickwandige, offene und auf geschlossene Profile anwendbar. Numerische Ergebnisse für verschiedene Querschnittsformen aus den DIN-Normen zeigen die Effektivit?t sowohl der direkten als auch der indirekten Methode.     

Evacuation defecography and defecoflometry in diagnosis of chronic constipation. A prospective comparative study of 49 patients

Horizontal-canal paroxysmal positional vertigo (HC-PPV) is a vestibular syndrome due to canalolithiasis of the horizontal canal. The more common posterior-canal paroxysmal positional vertigo has a well defined and effective therapy, while there have been few reports on physical therapy for HC-PPV, and these have been tried in relatively few patients. We report the results of two different types of treatment of HC-PPV in 92 patients. A group of 21 untreated patients acted as a control group. One method, known as forced prolonged position (FPP), proposes liberating the affected canal by gravitation, and involves having the patient lie on the healthy side for many hours. The other method (the barbecue rotation) is a liberatory manoeuvre which proposes to expel the otoconia from the canal by rotating the patient 270 degrees around the longitudinal axis of the body in rapid steps of 90 degrees. FPP was successful in more than 70% of our patients; the barbecue rotation had slightly less successful but more immediate results. Both methods enable otoconial debris to migrate into the posterior canal. We suggest treating all patients with the two methods in succession.     

A Matrix–Matrix Multiplication methodology for single/multi-core architectures using SIMD

In this paper, a new methodology for speeding up Matrix–Matrix Multiplication using Single Instruction Multiple Data unit, at one and more cores having a shared cache, is presented. This methodology achieves higher execution speed than ATLAS state of the art library (speedup from 1.08 up to 3.5), by decreasing the number of instructions (load/store and arithmetic) and the data cache accesses and misses in the memory hierarchy. This is achieved by fully exploiting the software characteristics (e.g. data reuse) and hardware parameters (e.g. data caches sizes and associativities) as one problem and not separately, giving high quality solutions and a smaller search space.     

On constrained infinite-time nonlinear optimal control

In this work, we consider the infinite-time optimal control of input affine nonlinear systems subject to point-wise in time inequality constraints on both the process inputs and outputs. Fundamental to solving this constrained infinite-time nonlinear optimal control (CITNOC) problem is the ability to calculate the value function of it's unconstrained counterpart, the infinite-time nonlinear optimal control (ITNOC) problem. Unfortunately, the traditional ITNOC solution procedure of specifying an objective function and then solving for the optimal control policy and corresponding value function is computationally intractable in all but the simplest of examples. However, in many cases one can easily identify a stabilizing feedback for near operating point regulation. Building from this local policy, the proposed method is to construct a meaningful optimal control objective function as well as its corresponding value function. These functions are then used to analyze the closed-loop stability of the proposed policy. Upon return to the constrained case the constructed objective and value functions are again used to develop a self-consistent constrained finite-time scheme that will, for the first time, provide an exact solution to the CITNOC problem. The mechanics of the proposed method are then illustrated by an example from chemical reactor control.     

Antivirulence Isoquinolone Mannosides: Optimization of the Biaryl Aglycone for FimH Lectin Binding Affinity and Efficacy in the Treatment of Chronic UTI

Uropathogenic E. coli (UPEC) employ the mannose‐binding adhesin FimH to colonize the bladder epithelium during urinary tract infection (UTI). Previously reported FimH antagonists exhibit good potency and efficacy, but low bioavailability and a short half‐life in vivo. In a rational design strategy, we obtained an X‐ray structure of lead mannosides and then designed mannosides with improved drug‐like properties. We show that cyclizing the carboxamide onto the biphenyl B‐ring aglycone of biphenyl mannosides into a fused heterocyclic ring, generates new biaryl mannosides such as isoquinolone 22 (2‐methyl‐4‐(1‐oxo‐1,2‐dihydroisoquinolin‐7‐yl)phenyl α‐d ‐mannopyranoside) with enhanced potency and in vivo efficacy resulting from increased oral bioavailability. N‐Substitution of the isoquinolone aglycone with various functionalities produced a new potent subseries of FimH antagonists. All analogues of the subseries have higher FimH binding affinity than unsubstituted lead 22 , as determined by thermal shift differential scanning fluorimetry assay. Mannosides with pyridyl substitution on the isoquinolone group inhibit bacteria‐mediated hemagglutination and prevent biofilm formation by UPEC with single‐digit nanomolar potency, which is unprecedented for any FimH antagonists or any other antivirulence compounds reported to date.     

Evaluation of polyesters from renewable resources as alternatives to the current fossil-based polymers. Phase transitions of poly(butylene 2,5-furan-dicarboxylate)

Poly(butylene 2,5-furan dicarboxylate) (PBF) is an alipharomatic polyester that can be prepared using monomers derived from renewable resources such as 2,5-furan dicarboxylic acid and 1,4-butanediol. In the present work the thermal behavior of PBF was studied. Multiple melting was observed during heating traces of samples isothermally crystallized from the melt using differential scanning calorimetry (DSC). The wide angle X-ray diffraction (WAXD) patterns did not reveal the presence of a second crystal population, or a crystal transition upon heating. DSC study showed that the phenomena are closely related to recrystallization. Temperature modulated DSC (TMDSC) tests indeed evidenced enhanced recrystallization. The equilibrium melting point was estimated to be 184.5 °C using the linear Hoffman–Weeks extrapolation. The heat of fusion of the pure crystalline polymer was found equal to 129 J/g or (27.35 kJ/mol), a little lower than that of PBT. The Lauritzen–Hoffman secondary nucleation theory was used and the surface energy values and the work of chain folding were found to be comparable to those of PBT, but quite lower than those of poly(ethylene terephthalate) (PET). The non-isothermal crystallization on cooling and the cold-crystallization of quenched samples were also studied. Condensed spherulites were observed on isothermal crystallization under large supercoolings by using polarized optical microscopy (POM), while the spherulites turned to ring-banded morphology at higher temperatures. In every case the nucleation density was high.     

Global optimality properties of total annualized and operating cost problems for compressor sequences

The minimum total annualized cost problem for a series of nonisentropic compressors and coolers that brings a gas with constant compressibility factor from a specified initial pressure and temperature to a specified final pressure and the same temperature is studied in this work. It is established analytically that at the global optimum, the cooler outlet temperatures are equal to the minimum allowable temperature. For constant heat capacity, constant compressibility factor gases, additional properties of the globally optimal compressor sequence are analytically established for the minimum operating cost case. The aforementioned properties permit development of a solution strategy that identifies the globally minimum operating cost. Several case studies are presented to illustrate the developed theorems and solution strategies. © 2014 American Institute of Chemical Engineers AIChE J 60: 4134–4149, 2014