Comparative evaluation of the Misgav Ladach cesarean section with two traditional techniques. The first four years' experience.
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Biomedical subjects
Publications and source records attributed to P Varga.
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Atomically resolved scanning tunneling microscopy reveals the existence of triangular (111) bulk terminated NaCl islands. The islands can be grown by subsequent adsorption of Na and Cl2 on Al(111) and Al(100) or by conversion of stoichiometric NaCl(100) islands to NaCl(111) via additional Na adsorption. The NaCl(111) islands have Na-Cl-Na sandwich structure. Ab initio calculations of the electronic structure of these islands show that each of the Na atoms carries half a positive elementary charge, leaving the islands neutral and explaining the existence of an otherwise unstable surface.
The structure of RuO(2)(110) and the mechanism for catalytic carbon monoxide oxidation on this surface were studied by low-energy electron diffraction, scanning tunneling microscopy, and density-functional calculations. The RuO(2)(110) surface exposes bridging oxygen atoms and ruthenium atoms not capped by oxygen. The latter act as coordinatively unsaturated sites-a hypothesis introduced long ago to account for the catalytic activity of oxide surfaces-onto which carbon monoxide can chemisorb and from where it can react with neighboring lattice-oxygen to carbon dioxide. Under steady-state conditions, the consumed lattice-oxygen is continuously restored by oxygen uptake from the gas phase. The results provide atomic-scale verification of a general mechanism originally proposed by Mars and van Krevelen in 1954 and are likely to be of general relevance for the mechanism of catalytic reactions at oxide surfaces.
A scalar treatment for Gaussian beams offset from the optic axis and then focused by a high-numerical-aperture lens is presented. Such a theory is required for describing certain types of Doppler microscopes, i.e., when the measurement is simultaneously performed by more than a single beam axially offset and then focused by a lens. Analytic expressions for the intensity in the focal region of the high-aperture lens are derived. From these expressions we calculate the intensity in the focal region with parameters of beam size, beam offset, and the numerical aperture of the lens. The relative location and variation of the intensity around the focal region are discussed in detail. We show that for small-diameter Gaussian beams the Strehl ratio increases above unity as the beam is offset from the optic axis. This is explained by the increase in the effective numerical aperture of the offset beam compared with the one collinear with the optic axis. From examining the focal distribution, we conclude that it rotates for small beam size and that increasing beam diameter causes the focused distribution to rotate and shear, i.e., to distort. We also show that the distortion of the distribution increases with increasing numerical aperture.
We derive a solution to the problem of a plane electromagnetic wave focused by a parabolic mirror. The solution is obtained from the Stratton-Chu integral by solving a boundary-value problem. Our solution can be considered self-consistent. We also derive the far-field, i.e., Debye, approximation of our formulas. The solution shows that when the paraboloid is infinite, its focusing properties exhibit a dispersive behavior; that is, the structure of the field distribution in the vicinity of the focus strongly depends on the wavelength of the illumination. We show that for an infinite paraboloid the confinement of the focused energy worsens, with the energy distribution spreading in the focal plane. 2000 Optical Society of America [S0740-3232(00)01309-0] OCIS codes: 260.0260, 260.2110, 050.1960, 260.5430.
We present results of numerical computations obtained from a theory described in Part 1 of our current investigations [J. Opt. Soc. Am. A 17, 2081 (2000)]. We show that a segment of a paraboloid mirror produces an intensity distribution identical to that of a high-aperture lens. It is shown that when the convergence angle of the paraboloid is increased beyond the pi/2 limit, the lateral resolution in the direction orthogonal to the incident polarization improves, whereas in the other direction the resolution worsens. Numerical results show that paraboloid mirrors of high convergence angle exhibit dispersion; that is, when the focal length is altered by a quarter of the wavelength the intensity in the focus changes from its maximum to its minimum value. A focal shift is observed that, in the case of a paraboloid of low convergence angle is identical to the Fresnel shift. However, a focal shift is also observed at large convergence angles.
BACKGROUND: This study was undertaken to assess the effect of long-term beta-blockade on the aortic root stiffness index and distensibility in patients with Marfan syndrome. METHODS: Aortic root stiffness index and distensibility were calculated according to the formulas of Stefanadis and Hirai, respectively, with 2-dimensional guided M-mode echocardiogram before and after an average of 26 months of atenolol administration. RESULTS: Twenty-three asymptomatic patients were studied (11 men and 12 women, aged 31 +/- 14.2 years). The follow-up was 4 +/- 2.2 years. The dose of atenolol was individualized (mean 43.5 +/- 21.6 mg/d). Heart rate decreased from 79 +/- 9 beats/min to 64 +/- 9 beats/min (P =. 01), and systolic blood pressure decreased from 124 +/- 13 mm Hg to 114 +/- 2 mm Hg (P =.01). Distensibility increased from 1.85 +/- 0. 70 x 10(-6) cm2/dynes-1 to 2.21 +/- 0.76 x 10-6 cm2/dynes-1 (P =.02), and the stiffness index decreased from 9.68 +/- 3.78 to 8.85 +/- 3. 15 ( P =.2). Two groups of responses to treatment were identified. Compared with baseline values 15 (65%) patients who responded to treatment had increased distensibility and decreased stiffness index of the aortic root (P =.05). Eight patients (35%) who did not respond to treatment had no significant change. Body weight >91 kg and baseline end-diastolic aortic root diameter >40 mm were significantly associated with no response (P =.05). Two patients in the nonresponding group had echocardiographic progression of aortic insufficiency. CONCLUSIONS: There was a heterogeneous response in the aortic root elastic properties after long-term treatment with atenolol in asymptomatic patients with Marfan syndrome. Stiffness index and distensibility are more likely to respond when the baseline end-diastolic aortic root diameter is <40 mm.
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PROBLEM: In the presence of progesterone lymphocytes of pregnant women release a 34-kDa protein named the progesterone-induced blocking factor (PIBF). PIBF mediates the immunomodulatory and anti-abortive effects of progesterone and its presence is related to the outcome of pregnancy. PIBF induces production of Th2 type cytokines by activated lymphocytes. The in vivo relationship between PIBF- and cytokine production of pregnancy lymphocytes and the outcome of pregnancy was investigated. METHOD OF STUDY: Interleukin (IL)-12 and IL-10 production and PIBF expression in peripheral lymphocytes of 111 healthy pregnant women and 120 women at risk for premature pregnancy termination were detected by immunocytochemistry. RESULTS: We found increased IL-12 and low PIBF and IL-10 expression on lymphocytes of "risk" patients, and a high rate of IL-10 and PIBF positivity on lymphocytes from healthy pregnant women. The cytokine production pattern of the lymphocytes was related to the presence or absence of previous abortions as well as to the outcome of pregnancy. CONCLUSION: These data suggest the involvement of an altered cytokine production pattern in the immunologic effects of progesterone.
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PROBLEM: This study was aimed at investigating the involvement of an altered cytokine pattern in the immunomodulatory and anti-abortive effects of a progesterone-induced immunomodulatory protein (PIBF). METHOD: PIBF expression on lymphocytes of healthy pregnant women and from women at risk for premature pregnancy termination was determined. In sera of the same women TNF alpha was quantified by a bioassay using L929 cells. NK activity was determined by a single cell cytotoxicity assay. Cytokine production of the lymphocytes or murine spleen cells was measured by ELISA or detected by immunocytochemistry. In pregnant mice endogenous PIBF activity was neutralized by anti-PIBF IgG. RESULTS: Sera of women at risk for premature pregnancy termination contained significantly higher concentrations of TNF alpha than those from healthy pregnant women and PIBF expression on the lymphocytes was inversely related to serum concentration of TNF alpha. Increased NK activity of lymphocytes after neutralization of endogenous PIBF activity is corrected by anti-IL 2 treatment and PIBF inhibits IL 12 expression on activated lymphocytes. PIBF increases IL-10 production by activated spleen cells. In pregnant mice, neutralization of endogenous PIBF activity by specific antibody results in increased resorption rate and reduced splenic IL-10 production. CONCLUSIONS: Our data allow the assumption that via blocking IL-12 production PIBF inhibits NK activation with a concomitant reduction of TNF alpha levels. Disturbances in this system might lead to the expression of the known synergistic effect of IL-12 and TNF alpha, resulting in a Th 1 type cytokine dominance and pregnancy termination.
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Annealing an Fe(96.5)Si(3.5) (100)/(110) bicrystal, containing 90 ppm P, leads immediately to a strong segregation of silicon. The Si atoms, however, desegregate subsequently and are displaced by P, whose segregation enthalpy is larger than that of silicon. The corresponding surface structures formed on both faces have been studied using complementary methods: Scanning tunneling microscopy (STM) to obtain atomically resolved geometrical information and Auger electron spectroscopy (AES) for the determination of the surface composition. Si substitutes surface Fe atoms on both faces and forms ordered surface alloys, whereas P occupies hollow sites on the surface. Si and P form c(2 x 2) superstructures on the (100) surface, whereby each segregated phosphorus atom blocks in the average one silicon segregation site. The (110) surface, on the other hand, is characterized by a c(1 x 3) Si superstructure. Due to the anisotropy of this surface the P/Si exchange proceeds by the formation of silicon coverage decreasing domain boundaries within the silicon structure, which are simultaneously occupied by P atoms. Furthermore the comparison of the AES and STM derived phosphorus coverages indicates a P multilayer segregation on the (110) surface.