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Active noise control: a review of the field.

Active noise control (ANC) is the application of the principle of the superposition of waves to noise attenuation problems. Much progress has been made toward applying ANC to narrow-band, low-frequency noise in confined spaces. During this same period, the application of ANC to broad-band noise or noise in three-dimensional spaces has seen little progress because of the recent quantification of serious physical limitations, most importantly, noncausality, stability, spatial mismatch, and the infinite gain controller requirement. ANC employs superposition to induce destructive interference to affect the attenuation of noise. ANC was believed to utilize the mechanism of phase cancellation to achieve the desired attenuation. However, current literature points to other mechanisms that may be operating in ANC. Categories of ANC are one-dimensional field and duct noise, enclosed spaces and interior noise, noise in three-dimensional spaces, and personal hearing protection. Development of active noise control stems from potential advantages in cost, size, and effectiveness. There are two approaches to ANC. In the first, the original sound is processed and injected back into the sound field in antiphase. The second approach is to synthesize a cancelling waveform. ANC of turbulent flow in pipes and ducts is the largest area in the field. Much work into the actual mechanism involved and the causal versus noncausal aspects of system controllers has been done. Fan and propeller noise can be divided into two categories: noise generated directly as the blade passing tones and noise generated as a result of blade tip turbulence inducing vibration in structures. Three-dimensional spaces present a noise environment where physical limitations are magnified and the infinite gain controller requirement is confronted. Personal hearing protection has been shown to be best suited to the control of periodic, low-frequency noise.

Ear Protective Devices↗

[On the concept of "information"].

The recent approaches of generalization of "information" beyond the classical field of communication theory are characterized by explication and by first suggestions of generalized information theories. A critical assessment of the two books "Information I" and "Information II" written by H. VOLZ are given to what extent they may contribute to this discussion. Especially, the new definition of an all-embracing notion of information given in these books is criticized because it seems not to be suited as basis for a generalized theory. In contrast to this, the idea of information as a measure of structural differences between probability distributions in a state space is proposed for mathematical description of specific biological properties in general. In this view, the one distribution is that of the physical possibilities and the other is that which is connected with the realizations by the biological system. The latter consists of the states which are optimal for the function of the biological system. They are selected from the set of physically possible states. As abstract mathematical quantity the statistical entropy of a random experiment is used. Finally it is indicated that this information-theoretical description may contribute to the understanding of the connections between physics, cybernetics, and biology.

Information Theory↗

Cutaneous interstitial nitric oxide concentration does not increase during heat stress in humans.

Inhibition of cutaneous nitric oxide (NO) synthase reduces the magnitude of cutaneous vasodilation during whole body heating in humans. However, this observation is insufficient to conclude that NO concentration increases in the skin during a heat stress. This study was designed to test the hypothesis that whole body heating increases cutaneous interstitial NO concentration. This was accomplished by placing 2 microdialysis membranes in the forearm dermal space of 12 subjects. Both membranes were perfused with lactated Ringer solutions at a rate of 2 microl/min. In both normothermia and during whole body heating via a water perfused suit, dialysate from these membranes were obtained and analyzed for NO using the chemiluminescence technique. In six of these subjects, after the heat stress, the membranes were perfused with a 1 M solution of acetylcholine to stimulate NO release. Dialysate from these trials was also assayed to quantify cutaneous interstitial NO concentration. Whole body heating increased skin temperature from 34.6 +/- 0.2 to 38.8 +/- 0.2 degrees C (P < 0.05), which increased sublingual temperature (36.4 +/- 0.1 to 37.6 +/- 0.1 degrees C; P < 0.05), heart rate (63 +/- 5 to 93 +/- 5 beats/min; P < 0.05), and skin blood flow over the membranes (21 +/- 4 to 88 +/- 10 perfusion units; P < 0.05). NO concentration in the dialysate did not increase significantly during of the heat stress (7.6 +/- 0.7 to 8.6 +/- 0.8 microM; P > 0.05). After the heat stress, administration of acetylcholine in the perfusate significantly increased skin blood flow (128 +/- 6 perfusion units) relative to both normothermic and heat stress values and significantly increased NO concentration in the dialysate (15.8 +/- 2.4 microM). These data suggest that whole body heating does not increase cutaneous interstitial NO concentration in forearm skin. Rather, NO may serve in a permissive role in facilitating the effects of an unknown neurotransmitter, leading to cutaneous vasodilation during a heat stress.

Acetylcholine↗

Telemedicine in practice.

Telemedicine is defined as the "delivery of health care and sharing of medical knowledge over a distance using telecommunication systems." The concept of telemedicine is not new. Beyond the use of the telephone, there were numerous attempts to develop telemedicine programs in the 1960s mostly based on interactive television. The early experience was conceptionally encouraging but suffered inadequate technology. With a few notable exceptions such as the telemetry of medical data in the space program, there was very little advancement of telemedicine in the 1970s and 1980s. Interest in telemedicine has exploded in the 1990s with the development of medical devices suited to capturing images and other data in digital electronic form and the development and installation of high speed, high bandwidth telecommunication systems around the world. Clinical applications of telemedicine are now found in virtually every specialty. Teleradiology is the most common application followed by cardiology, dermatology, psychiatry, emergency medicine, home health care, pathology, and oncology. The technological basis and the practical issues are highly variable from one clinical application to another. Teleradiology, including telenuclear medicine, is one of the more well-defined telemedicine services. Techniques have been developed for the acquisition and digitization of images, image compression, image transmission, and image interpretation. The American College of Radiology has promulgated standards for teleradiology, including the requirement for the use of high resolution 2000 x 2000 pixel workstations for the interpretation of plain films. Other elements of the standard address image annotation, patient confidentiality, workstation functionality, cathode ray tube brightness, and image compression. Teleradiology systems are now widely deployed in clinical practice. Applications include providing service from larger to smaller institutions, coverage of outpatient clinics, imaging centers, and nursing homes. Teleradiology is also being used in international applications. Unresolved issues in telemedicine include licensure, the development of standards, reimbursement for services, patient confidentiality, and telecommunications infrastructure and cost. A number of states and medical boards have instituted policies and regulations to prevent physicians who are not licensed in the respective state to provide telemedicine services. This is a major impediment to the delivery of telemedicine between states. Telemedicine, including teleradiology, is here to stay and is changing the practice of medicine dramatically. National and international communications networks are being created that enable the sharing of information and knowledge at a distance. Technological barriers are being overcome leaving organizational, legal, financial, and special interest issues as the major impediments to the further development of telemedicine and realization of its benefits.

Computer Communication Networks↗

Ribosomal RNA kink-turn motif--a flexible molecular hinge.

Ribosomal RNA K-turn motifs are asymmetric internal loops characterized by a sharp bend in the phosphodiester backbone resulting in "V" shaped structures, recurrently observed in ribosomes and showing a high degree of sequence conservation. We have carried out extended explicit solvent molecular dynamics simulations of selected K-turns, in order to investigate their intrinsic structural and dynamical properties. The simulations reveal an unprecedented dynamical flexibility of the K-turns around their X-ray geometries. The K-turns sample, on the nanosecond timescale, different conformational substates. The overall behavior of the simulations suggests that the sampled geometries are essentially isoenergetic and separated by minimal energy barriers. The nanosecond dynamics of isolated K-turns can be qualitatively considered as motion of two rigid helix stems controlled by a very flexible internal loop which then leads to substantial hinge-like motions between the two stems. This internal dynamics of K-turns is strikingly different for example from the bacterial 5S rRNA Loop E motif or BWYV frameshifting pseudoknot which appear to be rigid in the same type of simulations. Bistability and flexibility of K-turns was also suggested by several recent biochemical studies. Although the results of MD simulations should be considered as a qualitative picture of the K-turn dynamics due to force field and sampling limitations, the main advantage of the MD technique is its ability to investigate the region close to K-turn ribosomal-like geometries. This part of the conformational space is not well characterized by the solution experiments due to large-scale conformational changes seen in the experiments. We suggest that K-turns are well suited to act as flexible structural elements of ribosomal RNA. They can for example be involved in mediation of large-scale motions or they can allow a smooth assembling of the other parts of the ribosome.

Base Sequence↗

Crystallization and preliminary X-ray crystallographic analysis of the excisionase-DNA complex from bacteriophage lambda.

Bacteriophage lambda uses an elegantly regulated and highly directional site-specific DNA-recombination reaction to integrate and excise its genome. A critical regulator of this process is the phage-encoded excisionase (Xis) protein, which dramatically stimulates excision by orchestrating the assembly of a higher order nucleoprotein structure that excises the prophage. The Xis protein stabilizes this recombination intermediate by substantially altering the trajectory of viral DNA and by cooperatively interacting with the lambda integrase (Int) protein. In an attempt to understand how Xis controls the directionality of bacteriophage lambda recombination, co-crystals of the DNA-binding domain of Xis in complex with its binding site within the P-arm of the phage have been obtained using the hanging-drop vapor-diffusion method. Using sodium acetate as a precipitating reagent, the Xis-DNA complex crystallizes in space group C2, with unit-cell parameters a = 80.2, b = 72.7, c = 38.8 A, beta = 104.1 degrees. These crystals diffract beyond 1.5 A resolution and are well suited for structural analysis using X-ray crystallography.

Bacteriophage lambda↗

[Arson and (para-) suicide].

There have been forensic-psychiatric observations from 1963 to 1983 concerning the offenders responsibility in case of deliberate arson with 12 out of 147 suits being closely related to (para-)suicide. According the variety of relations we distinguish between fire as pure means of suicide, fire used to take along the living space or people, suicide committed in consequence of arson, furthermore arson as a symbolic suicide, and finally acting alternately with both arson as well as parasuicide.

Adult↗

Evolution of the filmless cardiac angiography suite: promise and perils of the evolving digital era.

Although cineangiography has been in use for 35 years, it has important limitations. Films are expensive to produce, cannot be readily copied or transmitted electronically, are bulky, and require a large storage space. Digital angiography will soon replace film for archiving cardiac catheterization images, ultimately offering powerful new capabilities at a reduced cost. The transition toward the filmless angiogram is characterized by both great promise and important risks. Current nonfilm archiving systems (such as super-VHS videotape or analog optical disks) have not met the needs of the cardiovascular community, owing to poor image quality and resolution inferior to that of cine films. Analog storage media can result in a standard error in lesion measurements exceeding 1 mm and have a suboptimal signal-to-noise ratio. While digital media record adequate image detail, proprietary formats preclude the universal compatibility supplied by cine film. As a consequence of incompatibility, referred patients must undergo repeat catheterization prior to surgery or intervention. To resolve the compatibility problem, a committee established by the American College of Cardiology in conjunction with manufacturers (DICOM) has developed a standardized digital recording format using CD-ROM to transfer images between medical centers. The availability of this standardized interchange medium will have a positive impact on research as well as on patient care by eliminating barriers to image exchange throughout the cardiovascular community. Support for the DICOM approach by practitioners is vital to the transition to digital future.

Angiography↗

Which algorithm for scheduling add-on elective cases maximizes operating room utilization? Use of bin packing algorithms and fuzzy constraints in operating room management.

BACKGROUND: The algorithm to schedule add-on elective cases that maximizes operating room (OR) suite utilization is unknown. The goal of this study was to use computer simulation to evaluate 10 scheduling algorithms described in the management sciences literature to determine their relative performance at scheduling as many hours of add-on elective cases as possible into open OR time. METHODS: From a surgical services information system for two separate surgical suites, the authors collected these data: (1) hours of open OR time available for add-on cases in each OR each day and (2) duration of each add-on case. These empirical data were used in computer simulations of case scheduling to compare algorithms appropriate for "variable-sized bin packing with bounded space." "Variable size" refers to differing amounts of open time in each "bin," or OR. The end point of the simulations was OR utilization (time an OR was used divided by the time the OR was available). RESULTS: Each day there were 0.24 +/- 0.11 and 0.28 +/- 0.23 simulated cases (mean +/- SD) scheduled to each OR in each of the two surgical suites. The algorithm that maximized OR utilization, Best Fit Descending with fuzzy constraints, achieved OR utilizations 4% larger than the algorithm with poorest performance. CONCLUSIONS: We identified the algorithm for scheduling add-on elective cases that maximizes OR utilization for surgical suites that usually have zero or one add-on elective case in each OR. The ease of implementation of the algorithm, either manually or in an OR information system, needs to be studied.

Algorithms↗

Electron diffraction of synthetic polymers: the model compound approach to polymer structure.

X-ray fiber diffraction is a technique most often used to establish the structure of chemically regular crystalline polymers. However, this technique has many shortcomings. Some of them are: ambiguities regarding the choice of the space group, limited intensity data, often large diffraction spots, and overlapping intensities. Microsingle crystals of synthetic polymers, when they can be produced, happen to have dimensions that are well suited to being studied by electron diffraction. Electron diffraction data from microsingle crystals often complement the X-ray fiber data. Strictly speaking, one does not solve the crystal structure of a polymer in the conventional way but rather one chooses from among many potentially acceptable models the one which fits the X-ray and/or the electron diffraction data best. The various steps of model building, its placing within the unit cell, and structure refinement will be discussed.

Microscopy, Electron↗

Computational fluid dynamics and stent design.

Stents are small, usually metallic tubes that are intended to prop open arteries blocked with atherosclerotic plaques. While stents have been used successfully in recent years, they still suffer from failure due to development of new tissue in stented segment (restenosis). Variations in the failure rates associated with different stent designs have led researchers to investigate the role of near-wall flow patterns. While there is no direct evidence yet, the patterns of flow stagnation as the blood flows past the stent struts may affect the restenosis process. Computational fluid dynamics (CFD) approaches are well suited for obtaining detailed information on stent flow patterns. Many CFD simulations make use of a two-dimensional model. The strong dependence of flow stagnation on stent strut spacing has been clearly demonstrated. These results have been employed to interpret the results of in vitro experiments designed to elucidate the mechanisms of restenosis.

Arteriosclerosis↗

Artificial neural networks and simulated molecular evolution are potential tools for sequence-oriented protein design.

The potential of artificial neural filter systems for feature extraction from amino acid sequences is discussed. Analysis of signal peptidase I cleavage-sites in protein precursor sequences serves as an example application. Trained neural networks can be used as the fitness function in an evolutionary protein design cycle termed 'simulated molecular evolution' which is an entirely computer-based method for the rational design of locally encoded amino acid sequence features. The design procedure itself is regarded as an optimization process which can follow several schemes. Gradient search, diffusive search, and evolution strategy have been compared with regard to their usefulness for optimization. It turns out that gradient search is well suited for optimization in smooth fitness landscapes without local minima, whereas evolution strategy seems to be a method of choice for optimization in a high-dimensional multimodal search space. This is concluded from optimization experiments using a multimodal example function.

Amino Acid Sequence↗

Use of brain slices in the study of the auditory system: spatial and temporal summation of synaptic inputs in cells in the anteroventral cochlear nucleus of the mouse.

One of the more dramatic technological developments in recent years in neurobiology is the ability to extract a slice of brain tissue and to maintain its viability over extended periods of time. The development of brain slice preparations of the mammalian central nervous system provides a powerful tool for studying the physiology and pharmacology of neurons. In vitro preparations allow stable intracellular recordings to be made from cells. The characteristics of synaptic potentials and the intrinsic electrical properties can be measured while the extracellular environment is controlled and manipulated. Intracellular physiological studies in the anteroventral cochlear nucleus reveal that different morphological classes of cells have characteristic intrinsic electrical properties. Bushy cells are particularly well suited to preserve and convey the temporal firing pattern of inputs from the auditory nerve. Stellate cells can transform inputs from the auditory nerve by summing in time and space.

Animals↗