Gingival recession and exposure of barrier membrane: effect on guided tissue regeneration of Class II furcation defects

The purpose of the present study was to evaluate the effect of barrier membrane exposure on the success of guided tissue regeneration in Class II furcation defects. Twenty-six subjects with mandibular Class II furcation defects received initial periodontal therapy followed by guided tissue regeneration surgery. The membrane was placed and the flaps were repositioned so that the membrane was totally submerged. Membranes were removed 4 to 6 weeks later, at which time the extent of their exposure was recorded. An overall improvement in all clinical parameters was observed for all subjects 1 year after surgery. Half of the patients had experienced no membrane exposure, while the other 13 subjects had experienced mild to pronounced exposure; both groups showed similar improvement in all clinical and surgical parameters. In light of the comparable results obtained in exposed sites, and the anatomic difficulties sometimes encountered in covering a membrane completely, in some of these cases the membrane may be left only partially submerged. This approach will allow for tighter occlusal "seal" of the tooth-membrane interface and preservation of the keratinized gingiva.     

Local calibration of rigid pavement performance models using resampling methods

The performance prediction models in the Pavement-ME design software are nationally calibrated using in-service pavement material properties, pavement structure, climate and truck loadings, and performance data obtained from the Long-Term Pavement Performance programme. The nationally calibrated models may not perform well if the inputs and performance data used to calibrate those do not represent the local design and construction practices. Therefore, before implementing the new M-E design procedure, each state highway agency (SHA) should evaluate how well the nationally calibrated performance models predict the measured field performance. The local calibrations of the Pavement-ME performance models are recommended to improve the performance prediction capabilities to reflect the unique conditions and design practices. During the local calibration process, the traditional calibration techniques (split sampling) may not necessarily provide adequate results when limited number of pavement sections are available. Consequently, there is a need to employ statistical and resampling methodologies that are more efficient and robust for model calibrations given the data related challenges encountered by SHAs. The main objectives of the paper are to demonstrate the local calibration of rigid pavement performance models and compare the calibration results based on different resampling techniques. The bootstrap is a non-parametric and robust resampling technique for estimating standard errors and confidence intervals of a statistic. The main advantage of bootstrapping is that model parameters estimation is possible without making distribution assumptions. This paper presents the use of bootstrapping and jackknifing to locally calibrate the transverse cracking and IRI performance models for newly constructed and rehabilitated rigid pavements. The results of the calibration show that the standard error of estimate and bias are lower compared to the traditional sampling methods. In addition, the validation statistics are similar to that of the locally calibrated model, especially for the IRI model, which indicates robustness of the local model coefficients.     

Effect of moditen-depot therapy on the duration and quality of remissions in schizophrenia patients

The authors studied the effectiveness of out-patient treatment by Moditen-Deppt of 128 schizophrenic patients. A comparison of the previous remissions appearing during usual pharmacotherapy and remissions seen during Moditen-Depot treatment depicted statistically significant differences, indicating a distinct prevention of exacerbations due to this preparation, an increase in the duration and improved quality of remissions. Such improved remissions were expressed in lesser severity, in a decrease of psychopathological disturbances, changes qualified as a "mollification of a defect" and an improvement of some socio-clinical indices.     

Role of ERAB/L-3-hydroxyacyl-coenzyme A dehydrogenase type II activity in Abeta-induced cytotoxicity

Endoplasmic reticulum-associated amyloid beta-peptide (Abeta)-binding protein (ERAB)/L-3-hydroxyacyl-CoA dehydrogenase type II (HADH II) is expressed at high levels in Alzheimer's disease (AD)-affected brain, binds Abeta, and contributes to Abeta-induced cytotoxicity. Purified recombinant ERAB/HADH II catalyzed the NADH-dependent reduction of S-acetoacetyl-CoA with a Km of approximately 68 microM and a Vmax of approximately 430 micromol/min/mg. The contribution of ERAB/HADH II enzymatic activity to Abeta-mediated cellular dysfunction was studied by site-directed mutagenesis in the catalytic domain (Y168G/K172G). Although COS cells cotransfected to overexpress wild-type ERAB/HADH II and variant beta-amyloid precursor protein (betaAPP(V717G)) showed DNA fragmentation, cotransfection with Y168G/K172G-altered ERAB and betaAPP(V717G) was without effect. We thus asked whether the enzyme might recognize alcohol substrates of which the aldehyde products could be cytotoxic; ERAB/HADH II catalyzed oxidation of a variety of simple alcohols (C2-C10) to their respective aldehydes in the presence of NAD+ and NAD-dependent oxidation of 17beta-estradiol. Addition of micromolar levels of synthetic Abeta(1-40) to purified ERAB/HADH II inhibited, in parallel, reduction of S-acetoacetyl-CoA (Ki approximately 1.6 microM), as well as oxidation of 17beta-estradiol (Ki approximately 3.2 microM) and (-)-2-octanol (Ki approximately 2.6 microM). Because micromolar levels of Abeta were required to inhibit ERAB/HADH II activity, whereas Abeta binding to ERAB/HADH II occurred at much lower concentrations (Km approximately 40-70 nM), the latter more closely simulating Abeta levels within cells, Abeta perturbation of ERAB/HADH II was likely to result from mechanisms other than the direct modulation of enzymatic activity. Cells cotransfected to overexpress ERAB/HADH II and betaAPP(V717G) generated malondialdehyde-protein and 4-hydroxynonenal-protein epitopes, which were detectable only at the lowest levels in cells overexpressing either ERAB/HADH II or betaAPP(V717G) alone. Generation of such toxic aldehydes was not observed in cells contransfected to overexpress Y168G/K172G-altered ERAB and betaAPP(V717G). We conclude that the generalized alcohol dehydrogenase activity of ERAB/HADH II is central to the cytotoxicity observed in an Abeta-rich environment.     

Effect of stable strontium on the tissue alkaline and acid phosphatase activities of rat: feeding studies

The effect of feeding stable strontium (Sr) on the tissue alkaline and acid phosphatase activities was studied in young rats. These activities were reduced in liver and small intestine by 10% to 15% at 2 weeks, 20% to 30% at 4 weeks and in kidney by 20% at 6 weeks only in rats fed 2% Sr diet; bone alkaliine phosphatase activity was, however, increased by 80% to 100% (2-6 weeks) in these rats. Gross lesions like paralysis, hemorrhage, rickets and high mortality were observed after 4 to 6 weeks. Although no such lesions were seen, appreciable changes in enzyme activities as mentioned above were discernible in rats fed 1% Sr diet for 6 weeks. Feeding of a 0.5% Sr diet for a period up to 6 weeks had no deleterious effect. Recovery following consumption of a normal diet for 2 weeks was almost complete in liver and small intestine but not in kidney. The elevated tissue Sr levels do not explain the pronounced losses seen in this investigation as compared to those in the earlier in vitro experiments. This study depicts the possible damage due to prolonged therapeutic use of large amounts of stable Sr for the removal of radiostrontium.     

Theoretical and numerical aspects of transmit SENSE

The ideas of parallel imaging techniques, designed to shorten the acquisition time by the simultaneous use of multiple receive coils, can be adapted for parallel transmission of a spatially selective multidimensional RF pulse. In analogy to data acquisition, a multidimensional RF pulse follows a certain trajectory in k-space. Shortening this trajectory shortens the pulse duration. The use of multiple transmit coils, each with its own time-dependent waveform and spatial sensitivity, compensates for the missing parts of k-space. This results in a maintained spatial definition of the pulse profile while its duration is reduced. This paper describes the basic equations of parallel transmission with arbitrarily shaped transmit coils ("Transmit SENSE") focusing on two-dimensional RF pulses. Results of numerical studies are presented demonstrating the theoretical feasibility of the approach.     

Design of repeat-accumulate codes for iterative detection and decoding

Extrinsic information transfer (EXIT) charts are used to design systematic and nonsystematic repeat-accumulate (RA) codes for iterative detection and decoding. The convergence problems of nonsystematic RA codes are solved by introducing a biregular, or doped, layer of check nodes. As examples, such nonsystematic codes are designed for multi-input/multi-output (MIMO) fading channels and are shown to operate close to capacity.     

Design of low-density parity-check codes for modulation and detection

A coding and modulation technique is studied where the coded bits of an irregular low-density parity-check (LDPC) code are passed directly to a modulator. At the receiver, the variable nodes of the LDPC decoder graph are connected to detector nodes, and iterative decoding is accomplished by viewing the variable and detector nodes as one decoder. The code is optimized by performing a curve fitting on extrinsic information transfer charts. Design examples are given for additive white Gaussian noise channels, as well as multiple-input, multiple-output (MIMO) fading channels where the receiver, but not the transmitter, knows the channel. For the MIMO channels, the technique operates within 1.25 dB of capacity for various antenna configurations, and thereby outperforms a scheme employing a parallel concatenated (turbo) code by wide margins when there are more transmit than receive antennas.     

Detect and avoid: an ultra-wideband/WiMAX coexistence mechanism [Topics in Radio Communications]

Cognitive radios have been advanced as a technology for the opportunistic use of underutilized spectrum wherein secondary devices sense the presence of the primary user and use the spectrum only if it is deemed empty. Spectral cognition of this form can also be used by regulators to facilitate the dynamic coexistence of different service types. An example of this is the operation of ultra-wideband devices in WiMAX bands: UWB devices must detect and avoid WiMAX devices in certain regulatory domains. In this article we start by discussing various options for detection and avoidance. We then describe the obstacles faced in achieving robust detection and avoidance with an on-chip implementation of basic DAA functionality. Finally, we present measurement results for operation of a single UWB device with a WiMAX system. This interaction also highlights the problem of dealing with listen before speak primaries where secondary transmission could interfere by blocking the primary's access to the medium.