Comparative study of the circumferential and volumetric analysis between conventional casting and three-dimensional scanning methods for transtibial socket: A preliminary study.

Transtibial prosthetic sockets can be fabricated either by the conventional way, which involve using plaster of Paris bandages for casting. This will include modifications through hand, scanning and digital imaging of software. The aim of this study is to determine the circumferential profiles and conduct a volumetric analysis of a conventional socket that has fabrication using biosculptor technology. In doing this, a male transtibial amputee, age 28 years old with stable health condition was studied, where circumferential measurements were taken at intervals of 1 cm from the distal end of the residual limb to the medial tibial plateau level. Furthermore, the interior volume of both sockets and residuum were determined directly using water displacement method. A comparative value for the calculation of volume was also carried out using engineering mathematical equations. From these measurements, a total surface bearing transtibial sockets was fabricated to compare the changes of circumferential values of both sockets. The finding shows a percentage of the difference between the volume of the residual limb and conventional sockets to be 6.09%, whereas the biosculptor fabrication socket was 7.84% using the water displacement method. A comparison of circumferential profiles and volumetric analysis findings on the contrary showed that socket fabricated using the biosculptor technology is interchangeable with the conventional socket with more advantages, where biosculptor technology produces cheaper sockets and faster process with digital function in the procedure, unlike the conventional manual technique.

Papase as a treatment option for the overgranulating wound.

Overgranulation (also commonly known as hypergranulation) is a common problem in chronic wound management. We describe a case involving a 57-year-old lady with a chronic diabetic foot ulcer, complicated with overgranulation for the past year. She was administered with various treatments, including hydrocortisone 1% cream and hydrofiber, which proved ineffective and further delayed the healing process of her ulcer. We then decided to use crushed Papase tablets applied to her ulcer after a normal saline dressing and prior to an application of secondary dressing. The patient was instructed clearly on the dressing technique to be performed daily at home and was monitored weekly in a foot care clinic. The overgranulation resolved within 5 weeks and the patient continues recieving care to promote epithelialisation.

High-voltage thin-film GaN LEDs fabricated on ceramic substrates: the alleviated droop effect at 670 W/cm(2).

High-voltage thin-film GaN LEDs with the emission wavelength of 455 nm were fabricated on ceramic substrates (230 W/m · K). The high-voltage operation was achieved by three cascaded sub-LEDs with dielectric passivation and metal bridges conformally deposited on the side walls. Under the driving power of 670 W/cm(2), the high-voltage LEDs exhibit much alleviated efficiency droop and the operative temperature below 80 °C. The excellent performances were attributed to the improved current spreading within each sub-LED and the superior heat sinking of the ceramic substrate.

Return to work after spinal cord injury in Malaysia.

STUDY DESIGN: Cross-sectional survey. OBJECTIVES: To determine the employment outcomes of persons with spinal cord injury (SCI) and to investigate the impact of various demographic, injury-related and work-related variables on these outcomes. SETTING: People living with SCI in Malaysia who are members of a disability support organization. METHODS: A total of 84 members of the Malaysian Spinal Injury Association, who have had traumatic SCI for at least 2 years and were between 15 and 64 years of age at the time of study, were interviewed through phone using a questionnaire to identify the association between demographic, injury-related and work-related variables and employment outcomes. RESULTS: The return to work rate in this study was 57.1% (employed at the time of study). The overall employment rate after SCI was 76.2% (worked at some point after injury). Those who were younger at time of injury (<20 years of age), able to drive a modified vehicle, independent in personal care and mobility were positively related to being employed. On the other hand, being hospitalized in the preceding 1 year and receiving financial incentives were negatively related to employment. CONCLUSION: Functional independence, especially ability to drive, was strongly associated with return to work and should be one of the priority goals of comprehensive rehabilitation of persons with SCI. The negative impact of recent hospitalization as well as financial compensation needs to be probed further.

Clinical and genetic analysis of Korean patients with Marfan syndrome: possible ethnic differences in clinical manifestation.

Marfan syndrome (MFS) is an autosomal dominant disorder of the fibrous connective tissue caused by mutations in the fibrillin-1 (FBN1) gene. Although clinical and genetic analyses have been performed in various populations, there have been few studies in Korea. The aim of this study was to investigate the clinical characteristics and genetic background of Korean patients with MFS. In 39 Korean patients with MFS who met the Ghent criteria, the most common clinical finding was aortic dilatation and/or dissection (94.9%), whereas only 35.9% of patients had ectopia lentis. The majority of MFS patients had fewer than four of the skeletal findings required to fulfill the major skeletal Ghent criterion for MFS. Only 21% of Korean patients had major skeletal abnormalities and most cases showed only minor skeletal involvement. FBN1 gene mutations were detected in 35 out of 39 patients (89.7%), which is similar to rates presented in the previous reports. These results suggest that some clinical features in Korean patients with MFS differed from those reported in Western MFS patients.

Narrow-line, cw orange light generation in a diode-pumped Nd:YVO4 laser using volume Bragg gratings.

We report on the demonstration of a narrow-line, cw orange 593-nm laser achieved via intracavity sum-frequency generation (SFG) of a diode-pumped dual-wavelength (1064 and 1342 nm) Nd:YVO(4) laser using two volume Bragg grating (VBG) reflectors. At diode pump power of up to 3.6 W, the 593-nm intracavity SFG laser radiates at the single longitudinal mode of spectral linewidth as narrow as approximately 15 MHz. More than 23-mW single-longitudinal-mode or 40-mW, <8.5-GHz (10-pm) linewidth (at 4.2-W diode pump power) 593-nm orange lights can be obtained from this compact laser system. Spectral tuning of the orange light was performed via the temperature tuning of the two VBGs in this system, achieving an effective tuning rate of ~5 pm/degrees C.

Diode-pumped, actively internal-Q-switched Nd:MgO:PPLN laser.

We demonstrated a laser-diode-pumped, electro-optically internal-Q-switched laser system radiating at 1.085 mum fabricated using a periodically poled Nd:MgO:LiNbO3 (Nd:MgO:PPLN) crystal. The Nd:MgO:PPLN is 17-mm long and has a 12-mm long, 13.6-mum period polarization-mode quasi-phase-matching (PM QPM) grating section functioning as the Q-switch of the laser system. When the Nd:MgO:PPLN Q-switch was driven by a 260-V voltage pulse train at 5 kHz, we obtained laser pulses of pulse energy >2.45 muJ and a pulse width of ~28 ns, corresponding to a laser peak power of ~88 W, from this internal-Q-switched laser system with 2% output coupling at an absorbed diode pump power of 0.61 W.

MR imaging features of giant reservoir formation in the orbit: an unusual complication of Ahmed glaucoma valve implantation.

We report the MR imaging findings of an unusually large fluid collection, so-called giant reservoir, around an Ahmed glaucoma valve implant that caused progressive proptosis in a patient with posttraumatic glaucoma. Although other cystic lesions of the juxtalacrimal area of the orbit, such as dermoid cyst, can present similar imaging findings, the characteristic morphology and location should lead the radiologist to the correct nature of this cystic lesion.

Immunomodulating effects of CKBM on the cytokine production in peripheral blood mononuclear cells (PBMCs) from healthy volunteers.

The current study investigated the immunomodulating effect of CKBM on cytokine induction in peripheral blood mononuclear cells (PBMCs) isolated from 20 healthy volunteers. Cytometric Bead Analysis (CBA) was used to study IL-2, IL-4, IL-6, IL-10, TNF-alpha and IFN-gamma. TNF-alpha and IL-6 were significantly increased in a CKBM dose- and time-dependent manner. Flow cytometry analysis showed an increased intracellular staining of IL-6 but not of TNF-alpha in CKBM treated PBMCs. In addition, MTT cell cytotoxicity assay showed that CKBM concentrations below 5% did not significantly affect the metabolic activities of PBMCs. The current study indicated that CKBM may modulate the immune response by inducing the secretions of TNF-alpha and IL-6, which are cytokine mediators of innate immunity and inflammation preparing or "priming" the body to combat diseases.

Cerclage wiring in displaced both-column fractures of the acetabulum.

We evaluated the effect of cerclage wiring in the open reduction and internal fixation of displaced both-column fractures of the acetabulum. This was a prospective clinical evaluation of such cases where the main surgical strategy was open reduction and internal fixation with cerclage wire and supplemental reconstruction plates. Data on 35 cases treated by open reduction (all via the triradiate approach)/internal fixations with cerclage wire and reconstruction plates were collected. The follow-up period was 40 months (18-69). Reduction with a fracture gap of less than 2 mm without articular stepping was achieved in all 35 cases. Postoperative complications developed in seven cases, including subcutaneous haematoma in two, wound infection in two and heterotopic ossification in three. All the complications had no adverse effect on the clinical outcome, and all the cases had good to excellent final results. Cerclage wiring is very useful and effective in the reduction and fixation of displaced both-column fractures of the acetabulum, and supplemental fixation with reconstruction plates and screws is necessary.

Analysis of expressed sequence tags from Brassica rapa L. ssp. pekinensis.

Non-redundant expressed sequence tags (ESTs) were generated from six different organs at various developmental stages of Chinese cabbage, Brassica rapa L. ssp. pekinensis. Of the 1,295 ESTs, 915 (71%) showed significantly high homology in nucleotide or deduced amino acid sequences with other sequences deposited in databases, while 380 did not show similarity to any sequences. Briefly, 598 ESTs matched with proteins of identified biological function, 177 with hypothetical proteins or non-annotated Arabidopsis genome sequences, and 140 with other ESTs. About 82% of the top-scored matching sequences were from Arabidopsis or Brassica, but overall 558 (43%) ESTs matched with Arabidopsis ESTs at the nucleotide sequence level. This observation strongly supports the idea that gene-expression profiles of Chinese cabbage differ from that of Arabidopsis, despite their genome structures being similar to each other. Moreover, sequence analyses of 21 Brassica ESTs revealed that their primary structure is different from those of corresponding annotated sequences of Arabidopsis genes. Our data suggest that direct prediction of Brassica gene expression pattern based on the information from Arabidopsis genome research has some limitations. Thus, information obtained from the Brassica EST study is useful not only for understanding of unique developmental processes of the plant, but also for the study of Arabidopsis genome structure.

The effect of posterior capsulorrhaphy in primary total hip arthroplasty: a prospective randomized study.

Between 1994 and 1997, 180 cases of primary total hip arthroplasty (THA) were performed with the posterior (Moore) approach for a variety of indications and studies prospectively. The cases were separated randomly into 2 groups to evaluate the effect of posterior capsulorrhaphy in the prevention of postoperative dislocation. In group 1 (96 cases), closure of the arthroplasty was performed with a posterior capsulorrhaphy; in group 2 (84 cases), closure was performed without capsulorrhaphy. The follow-up period was 38 months (range, 12-60 months). No dislocations occurred in group 1, whereas 2 dislocations (2.3%) occurred in group 2. Although the factors affecting dislocation in primary THA are many, a posterior capsulorrhaphy may be helpful in the prevention of posterior dislocation of primary THA performed with a posterior approach.

Parental responses to sibling conflict: the effects of development and parent gender.

Mothers' and fathers' responses to their children's spontaneous sibling conflicts were observed using a wireless microphone system. Eighty-eight two-child, two-parent families participated in three home observations. Secondborn children were 3 to 5 years of age and firstborn children were 2 to 4 years older. Associations between parents' enactment of three categories of conflict management strategies (passive nonintervention, child-centered management, and parental control) and sibling interaction quality varied according to children's ages, gender of the monitoring parent, and type of strategy used. Passive nonintervention was highly associated with the occurrence of subsequent conflict. Younger sibling dyads, in particular, behaved more antagonistically when their parents did not intervene. In contrast, older sibling dyads were less involved and less close when their mothers intervened in any way. Results suggest that relatively younger sibling dyads may benefit more than older dyads from parental intervention.

Promoter sequences of two homologous pectin esterase genes from Chinese cabbage (Brassica campestris L. ssp. pekinensis) and pollen-specific expression of the GUS gene driven by a promoter in tobacco plants.

The promoter regions of two genomic clones, GBAN215-6 and GBAN215-12 from Chinese cabbage (Brassica campestris L. ssp. pekinensis), were sequenced. The nucleotide sequences of their promoter regions were compared with that of the Bp19 pollen-specific gene of Brassca napus. High nucleotide sequence homologies were observed among these three genes in the region between 210 bp upstream and the putative transcription start site. A sequence motif TGTGGTG, which is similar to that of the PB core motif (TGTGGTT) of two tomato pollen-specific genes, LAT52 and LAT56, was present in these two cloned genes. To determine regulatory sequences responsible for the anther-specific expression of the gene BAN215-6, two recombinant plasmids, pBPE3 (-274- + 109) and pBPE4 (-816- + 109) containing different lengths of the promoter fused with the GUS gene, were constructed and introduced into tobacco plants by Agrobacterium-mediated transformation. The result showed that the 383 bp (-274- + 109) of the BAN215-6 promoter region was sufficient for the anther-specific expression of the GUS gene. The GUS expression in a tobacco plants transformed with these constructs was first detected in uninucleate microspores and persisted at in vitro germinated pollen tubes. The expression level was increased during anther development, reaching the highest level in mature pollens.

Characterization of three anther-specific genes isolated from Chinese cabbage.

Two cDNA libraries were constructed from poly(A)+ RNAs isolated from each of immature flowers (less than 2.0 mm long buds) and anthers (2.0-5.0 mm long buds) of Chinese cabbage (Brassica campestris L. ssp. pekinensis). Using dot-differential hybridization, three cDNA clones, designated BIF38, BAN54, and BAN237, have been isolated from the constructed cDNA libraries and sequenced completely in both directions. Northern blot analyses indicate that all three cDNA clones are abundantly expressed in anther, but not in leaf or other floral organs. The deduced amino acid sequences of BIF38, BAN54, and BAN237 showed high identity with those of known anther-specific genes. Especially the deduced amino acid sequence of BIF38 has 98% identity with that of a phospholipid protein gene (E2) from Brassica napus. Also, the deduced amino acid sequences of BAN54 and BAN237 are similar to the sequences of microspore-specific genes (Bp4A and Bp4C) and pollen oleosins (13, pol3 and C98), respectively. Southern blot analyses revealed that all three genes belong to multiple gene families in the Chinese cabbage genome.

The semidwarf gene, sd-1, of rice (Oryza sativa L.). I. Linkage with the esterase locus, Estl-2.

The linkage relationship between the semidwarf gene (sd-1) and the isozyme locus EstI-2 was elucidated using segregating populations derived from crosses between several semidwarf testers and tall rice varieties. Bimodal distributions for culm length were observed in F2 populations of three cross combinations, including Shiokari/Shiokari (sd-1), Taichung 65 (A,Pn,Pau)/Taichung 65 (sd-1), and Milyang 23/Kasalath. Taking the valley of the distribution curves as the dividing point, two height classes were apparent with a segregation ratio of 3 tall∶1 short, demonstrating this character to be under the control of a single recessive gene. An inheritance study of esterase isozymes, based on isoelectric focusing (IEF), showed that the EstI-2 locus had two active allozymes of monomeric structure and one null form, which were designated "a", "b", and "n", respectively (Eun et al. 1990). Semidwarf testers such as Shiokari (sd-1), Taichung 65 (sd-1) and Milyang 23 have an active allozyme designated as EstI-2(aa), while the tall parents, Shiokari and Taichung 65 (A,Pn,Pau), have the active allozyme, EstI-2(bb), and Kasalath has a null form of the allozyme, EstI-2(nn). By dividing F2 populations based on EstI-2 allozyme patterns, culmlength distributions exhibited trimodal curves. Most of the short plants had the homozygous EstI-2(aa) pattern of the short parents, most of the tall plants had the homozygous pattern, EstI-2(bb) or EstI-2(nn), and most of the intermediate plants had the heterozygous EstI-2(ab) or EstI-2(an) banding pattern. Einkage analysis indicated that sd-1 and EstI-2 were tightly linked. These findings were also confirmed by segregation analyses in F3 progenies. No recombinants among 171 F3 families from the Shiokari/Shiokari (sd-1) combination, five recombinants among 267 F3 families from Taichung 65 (A,Pn,Pau)/Taichung 65(sd-1), and only two recombinants out of 237 F3 families from Milyang 23/Kasalath, were found. The recombination values were 0, 1.87 and 0.8%, respectively.

Water diffusivity in starch-based systems.

The objective of this study was to investigate the influence of structure, and component interactions, on the sorption and transport properties of water in starch-based systems. We compared the effective diffusivity (Deff) of water in two starches, with differing amylose-amylopectin ratios, using either kinetics of water adsorption or analysis of drying curves (water desorption) to estimate Deff. The effect of incorporating small sugar molecules into the granular or gelatinized starch matrices on Deff was measured by drying curve analysis. To investigate the possible mechanisms of water transport, the porosity and microscopic appearance of the samples at different stages of drying were determined. In a complementary study, sorption isotherms and the number of accessible "binding" sites in the starch and starch-sugar systems were determined using gravimetric analysis and inverse gas chromatography (IGC) 'probe analysis'. In the case of the starch-sugar systems, the measurements were made after the components had been 'mechanically mixed', or after more intimate mixing had been achieved by a co-freeze-drying process. The Deff of the starches was found to depend, in a complex way, on the moisture content of the samples. At relatively high moisture contents, the predominant mode of water transport was by liquid diffusion. As the samples became drier, their porosity increased, and the predominant mode of moisture transport was by vapor phase diffusion. As the samples became very dry (less than 10% water content), Deff fell significantly. Incorporation of sugars, in general, led to a reduction of Deff, which was correlated with a corresponding fall in porosity. In agreement with the findings of other workers, for the starches studied, the value of Deff determined from water adsorption measurements was significantly less than Deff determined from water desorption (drying curve analysis). The form of the Deff versus moisture content relationship was, however, independent of the method of measurement (adsorption or desorption). The water sorption and IGC probe analysis results indicated that some physicochemical interaction was expedited by the freeze-drying process. This interaction was manifested by a reduction in water sorption at a given relative vapor pressure, and by major changes in the accessibility of the co-freeze-dried samples to organic probe molecules. Taken together, the results indicate that water transport (diffusion) in starches and in starch-sugar mixtures is dependent significantly on gross structural features (development of porosity during drying), but that specific molecular, physico-chemical interactions must also be considered.