The different faces of disease. FACE diagnosis of disease.
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Callus distraction in the treatment of severe midfacial hypoplasia/atrophy may offer new therapeutical possibilities. Between May 1998 and March 1999, six patients underwent a subtotal Le Fort I-II osteotomy with subsequent distraction via a haloborne distractor (RED). Five patients suffered from CLP, four patients were totally or almost edentulous in the upper jaw. Corrections of sagittal discrepancies were possible in all cases (distraction 16-31 mm). No case of increased velopharyngeal insufficiency was seen. In one patient the halo had to be refixed. Three patients suffered from tension-like pain in the soft palate during distraction. Follow-up studies suggest the necessity for overcorrection of 20% in edentulous senior patients. Callus midfacial distraction is a promising new alternative to conventional orthognathic surgery in severe cases.
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Only limited pedagogical use has been made of information and communications technology (ICT) in nursing education in Norway. In this study the use of ICT was linked to assignments in the first year undergraduate nursing program and included four on-line discussions. There is evidence to suggest that on-line discussions can enhance the learning environment. The students' experiences of the on-line discussions are compared to those of the students participating in traditional group discussions. The results show little difference between the two groups' opinions of the discussions' fruitfulness and the ease in which they expressed their feelings, thoughts and ideas. However, there is a marked difference between the two groups regarding their experience of how the discussions affected the amount of contact between group members outside the discussions. Possible reasons for these findings are discussed.
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The syntheses and donor-acceptor properties of some novel, halo-bridged dicopper(II) complexes of alpha,alpha'-bis(5,7-dimethyl-1,4,8,11-tetraazacyclotetradecane-6-yl)-o-xylene are reported. These complexes were characterized by their magnetic and electrochemical behavior, X-ray structure analysis, FAB mass spectroscopy, and electronic spectra. The bromo-bridged complex crystallized in the tetragonal system, space group P4(3)2(1)2, with a = 12.6584(5) A, c = 28.6483 (14) A, Z = 4, R = 0.071, and Rw = 0.147. The chloro-bridged complex crystallized in the monoclinic system, space group C2/c, with a = 32.749(2) A, b = 18.8915(9) A, c = 26.022(2) A, beta =114.831 degrees, Z = 12, R = 0.080, and Rw = 0.132. Both molecules have C2 symmetry. The two copper(II) ions are axially bridged by a bromine or a chlorine, and the two macrocycles are bridged by an o-xylene group. Each complex displays a cofacial ring arrangement. The Cu-X distance (where X = Cl, Br) is shorter than the sum of van der Waals radii of Cu and X. The phenyl ring is approximately orthogonal to the Cu-X-Cu axis. The nonhalo-bridged complex has a significant affinity for halides (Kf approximately 10(4) M(-1)). The chloride-bridged complex had barely resolved differential pulse polarographic waves (DeltaE1/2 approximately 28 mV), while the bromide-bridged complex exhibited two CV waves in the 1.0-1.5 V range (DeltaE1/2 = 0.24 V). All the Cu(II)/Cu(I) couples were irreversible with a cathodic peak at about - 0.9 V. The magnetic susceptibility results below 20 K follow Curie-Weiss behavior, indicating that the magnetic interaction between the two Cu centers is weakly antiferromagnetic with J < or = -1 cm(-1) for all three complexes. A bridging-ligand-mediated superexchange model is used to treat the magnetic and electron-transfer coupling in the Cu(II)(X-)Cu(II) complexes. A single set of perturbation theory parameters is consistent with the magnetic and electrochemical observations on the chloride-bridged complex and the magnetic properties of the bromide-bridged complex. The electrochemical behavior of the latter suggests a relatively low-energy, high-spin configuration for the Cu(III)(Br-)Cu(II) complex. The analysis attributes the weak Cu(II)/Cu(II) coupling to the orthogonality of the donor and acceptor orbitals to the bridging axis. It is inferred that bridging halide-mediated metal-metal dsigma/psigma coupling significantly alters the chemical properties of the bimetallic complexes only when the donor and acceptor orbitals are coaxial with the bridging ligand. In such a limit, the coupling takes the form of a three-center bonding contribution.
The preparation and characterization of a new series of mixed metal cofacial anthracene-bridged diporphyrins (DPA) containing a GaL fragment (L = OMe, OH) and another metallic center (M = GaL, Ru(CO)(OH), Co, and H(2) (i.e. free base)) are reported. The luminescence properties at 298 and 77 K, in degassed EtOH solution, are also reported, and are characterized by a weak pipi fluorescence (2 < tau(F) < 7 ns) arising from the low energy Q-bands (S(1)-->S(0)). In the mixed diporphyrin systems, a strong pipi fluorescence is detected from the free base, while the transition metalloporphyrins of Co(II) and Ru(II) do not emit. The homobimetallic di[Ga(OMe)] species exhibits an unprecedented double (pi)(pi) fluorescence arising from the two lowest energy absorption Q-bands. On the basis of a comparison with photophysical data on GaL monoporphyrins, the weak fluorescence and absence of phosphorescence for most cases indicate efficient intramolecular quenching. To define structural features, the X-ray structures of (DPA)[Ga(OMe)](2) (2), (DPA)[Ga-(OH)-Ru(CO)] (5a), and (DPA)[Ga(OMe)-Ru(MeOH)(CO)] (5b) have been obtained. The structures of 5a and 5b demonstrate an interesting aspect of the structural chemistry of these ligands related to the internal methoxide and methanolic ligands in 5b (resulting in a large interplanar separation and center-to-center distance) and the internal metal-bridging hydroxyl ligand in 5a (resulting in a small interplanar separation and center-to-center distance). These data support previously reported discussions on the ability of the DPA and the DPB analogue (diporphyrinylbiphenylenyl) ligands to open and close their "bite" around the binding pocket between the porphyrin macrocycles.
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The present study was designed to examine effects of closed-circuit technology on children's testimony and jurors' perceptions of child witnesses. For the study, a series of elaborately staged mock trials was held. First, 5- to 6-year-old and 8- to 9-year-old children individually participated in a play session with an unfamiliar male confederate. Approximately 2 weeks later, children individually testified about the event at downtown city courtroom. Mock juries composed of community recruits viewed the trials, with the child's testimony presented either live in open court or over closed-circuit television. Mock jurors made ratings concerning the child witness and the defendant, and deliberated to reach a verdict. Results indicated that overall, older children were more accurate witnesses than younger children. However, older, not younger children produced more inaccurate information in free recall. Compared to live testimony in open court, use of closed-circuit technology led to decreased suggestibility for younger children. Testifying in open court was also associated with children experiencing greater pretrial anxiety. Closed-circuit technology did not diminish fact finders' abilities to discriminate accurate from inaccurate child testimony, nor did it directly bias jurors against the defendant. However, closed-circuit testimony biased jurors against child witnesses. Moreover, jurors tended to base their impressions of witness credibility on perceived confidence and consistency. Implications for the use of closed-circuit technology when children testify are discussed.