Adiabatic self-tuning in a silicon microdisk optical resonator

We demonstrate a method for adiabatically self-tuning a silicon microdisk resonator. This mechanism is not only able to sensitively probe the fast nonlinear cavity dynamics, but also provides various optical functionalities like pulse compression, shaping, and tunable time delay.

A proposal for highly tunable optical parametric oscillation in silicon micro-resonators

We propose a novel scheme for continuous-wave pumped optical parametric oscillation (OPO) inside silicon micro-resonators. The proposed scheme not only requires a relative low lasing threshold, but also exhibits extremely broad tunability extending from the telecom band to mid infrared.

An optical fiber-taper probe for wafer-scale microphotonic device characterization

A small depression is created in a straight optical fiber taper to form a local probe suitable for studying closely spaced, planar microphotonic devices. The tension of the "dimpled" taper controls the probe-sample interaction length and the level of noise present during coupling measurements. Practical demonstrations with high-Q silicon microcavities include testing a dense array of undercut microdisks (maximum Q = 3.3 x 10(6)) and a planar microring (Q = 4.8 x 10(6)).

Identification by subtractive suppression hybridization of bacteria-induced genes expressed in Manduca sexta fat body

Insect immune processes are mediated by programs of differential gene expression. To understand the molecular regulation of the immune response in the tobacco hornworm, Manduca sexta, the relevant subset of differentially expressed genes of interest must be identified, cloned and studied in detail. In this study, suppression subtractive hybridization, a PCR-based method for cDNA subtraction was performed to identify mRNAs from fat body of immunized larvae that are not present (or present at a low level) in control larvae. A subtracted cDNA library enriched in immune-inducible genes was constructed. Northern blot analysis of a sample of clones from our subtracted library indicated that >90% of the clones randomly selected from the subtracted library are immune inducible. Sequence analysis of 238 expressed sequence tags (ESTs) revealed that 120 ESTs, representing 54 distinct genes or gene families, had sequences identical or similar to previously characterized genes, some of which have been confirmed to be involved in innate immunity. These ESTs were categorized into seven groups, including pattern recognition proteins, serine proteinases and their inhibitors, and antimicrobial proteins. 112 ESTs, about 47.5% of the library, showed no significant similarity to any known genes. The sequences identified in this M. sexta library reflect our knowledge of insect immune strategies and may facilitate better understanding of insect immune responses.

Resistance to serum complement, iss, and virulence of avian Escherichia coli

Control of avian colibacillosis is hampered by lack of easily identifiable markers for virulent Escherichia coli. Resistance to serum complement appears to be a widespread trait of virulent avian E. coil, suggesting that bacterial factors promoting survival in serum may be useful in discriminating between virulent and avirulent isolates. Such distinguishing factors may prove useful in diagnostic protocols or as targets in future colibacillosis control protocols. Interestingly, the factors responsible for resistance to complement differ in the E. coli isolated from mammalian and avian hosts, which may reflect differences in the nature of avian and mammalian colibacillosis. In some cases, genetic determinants for serum complement resistance in avian E. coli are found on aerobactin- or Colicin V-encoding plasmids. One such gene, iss, first described for its role in the serum resistance associated with a ColV plasmid from a human E. coli isolate, occurs much more frequently in isolates from birds with colibacillosis than in faecal isolates from healthy birds. Efforts to identify the genomic location of iss in a single, virulent avian E. coli isolate have revealed that it occurs in association with several purported virulence genes, all linked to a large conjugative R plasmid. At this time, it is not known whether iss merely marks the presence of a larger pathogenicity unit or is itself a contributor to virulence. Nevertheless, the presence of the complement-resistance determinant, iss, may be a marker of virulent avian E. coli exploitable in controlling avian colibacillosis.

Laser modification of preformed polymer microchannels: application to reduce band broadening around turns subject to electrokinetic flow

A pulsed UV excimer laser (KrF, 248 nm) was used to modify the surface charge on the side wall of hot-embossed microchannels fabricated in a poly(methyl methacrylate) substrate. Subablation level fluences, less than 2,385 mJ/cm2, were used to prevent any changes in the physical morphology of the surface. It is shown that the electroosmotic mobility, induced by an electric field applied along the length of the channel, increases by an average of 4% in the regions that have been exposed to UV laser pulses compared to nonexposed regions. Furthermore, application of UV modification to electroosmotic flow around a 90 degrees turn results in a decrease in band broadening, as measured by the average decrease in the plate height of 40% compared to flow around a nonmodified turn. The ability to modify the surface charge on specific surfaces within a preformed plastic microchannel allows for fine control, adjustment, and modulation of the electroosmotic flow without using wall coatings or changing the geometry of the channel to achieve the desired flow profile.

Imaging of electroosmotic flow in plastic microchannels

We have characterized electroosmotic flow in plastic microchannels using video imaging of caged fluorescent dye after it has been uncaged with a laser pulse. We studied flow in microchannels composed of a single material, poly(methyl methacrylate) (acrylic) or poly(dimethylsiloxane) (PDMS), as well as in hybrid microchannels composed of both materials. Plastic microchannels used in this study were fabricated by imprinting or molding using a micromachined silicon template as the stamping tool. We examined the dispersion of the uncaged dye in the plastic microchannels and compared it with results obtained in a fused-silica capillary. For PDMS microchannels, it was possible to achieve dispersion similar to that found in fused silica. For the acrylic and hybrid microchannels, we found increased dispersion due to the nonuniformity of surface charge density at the walls of the channels. In all cases, however, electroosmotic flow resulted in significantly less sample dispersion than pressure-driven flow at a similar velocity.

Estradiol and pesticide methoxychlor do not exhibit additivity or synergism in the reproductive tract of adult ovariectomized mice

The pesticide methoxychlor (MXC) is a DDT substitute that exhibits estrogenic activities in different animals. To determine whether there is synergism between purified MXC and a natural estrogen, ovariectomized adult mice received 3 daily intraperitoneal doses of either 2.5 or 25 ng estradiol-17beta or 0.125, 0.25, or 0.5 mg MXC administered separately or in combination. The mice were sacrificed on d 4. Reproductive tracts were excised, weighed, and one uterine horn was flushed with phosphate-buffered saline, with the fluid electrophoresed on a one-dimensional sodium dodecyl sulfate polyacrylamide gel to determine albumin content. The remaining uterine horn and vagina were prepared for histology and epithelial height measurements. Estradiol significantly increased reproductive-tract weights. Although both the vaginal and uterine epithelial heights increased in mice treated with combined chemicals when compared to controls, the organ histology did not show increased stimulation. Albumin content was significantly elevated only in the estradiol group. The present data do not suggest that either synergism or additive effects occurred between an estrogen and MXC in the reproductive tracts of ovariectomized adult mice. In fact, combining MXC with estradiol suggests inhibitory effects.

Busy physicians and preventive services for adults

OBJECTIVE

To study the relationship between overall productivity and the rates at which primary care physicians, in a fee-for-service setting, deliver or prescribe preventive services to adult patients.

PATIENTS AND METHODS

The charts of 452 adult patients treated by 8 family practitioners and 5 internists in a fee-for-service practice setting were randomly selected and abstracted for provision of 10 preventive services over a 27-month period. The percentage of eligible patients screened for each service was correlated with the production of each physician measured in relative value units (RVUs).

RESULTS

The correlation coefficient between RVUs and the aggregate of the 10 services was 0.23 (95% confidence interval [CI], -0.36 to 0.70). The individual correlation coefficients between RVUs and 9 of the 10 preventive services ranged from -0.05 to 0.43. For cervical cancer screening, however, the correlation coefficient was -0.72 (95% CI, -0.91 to -0.24).

CONCLUSION

With the exception of screening for cervical cancer, the data presented in this study do little to support physicians' common belief that lack of time is the reason they are unable to incorporate prevention strategies into their clinical practice.

Sensation seeking and drinking game participation in heavy-drinking college students

Previous research has identified differences between heavy-drinking students who play drinking games and those who do not. Johnson, Wendel, and Hamilton (1998) suggested that heavy-drinking players may correspond to Cloninger's (1987) Type II alcoholic and that heavy-drinking nonplayers resemble Type I. The current study predicted that (a) sensation seeking would be associated with greater frequency of play and greater frequency of negative consequences from play and that (b) heavy-drinking students who play drinking games would be higher in sensation seeking than heavy-drinking students who do not play. A sample of 172 female and 84 male college students completed the Sensation Seeking Scale Form V, questions about quantity and frequency of alcohol consumption, and questions regarding drinking game participation. Higher levels of sensation seeking predicted greater frequency of play even after controlling for overall quantity and frequency of consumption. Sensation seeking was also related to specific motives for play. Men who were higher in sensation seeking experienced more negative alcohol-related consequences as a result of play. In women, but not in men. heavy-drinking players were higher in sensation seeking than heavy-nondrinking nonplayers. The results of the current study do not clearly support Cloninger's model, but they are consistent with other research concerning the role of sensation seeking and risk taking in contributing to negative alcohol-related consequences. Personality style likely interacts with social norms and contextual factors in influencing drinking game participation and consequences of play.

An Analysis of Electrophoresis of Concentrated Suspensions of Colloidal Particles

An analysis of the electrophoretic motion of charged colloidal particles in a concentrated suspension is developed to predict the electrophoretic mobility of the particles and the electrical conductivity of the suspension. The analysis is based on a unit cell model that takes into account particle-particle hydrodynamic interactions and includes relatively thick electric double layers. The fluid motion in the unit cell is treated by writing the relevant Navier-Stokes equation in terms of the stream function and vorticity. The governing equations were then solved by a finite-difference method. The calculated electrophoretic mobilities are in agreement with prior analytical solutions for moderately concentrated suspensions, and the theory reduces to the result of O'Brien and White for low to moderate zeta potentials and dilute suspensions and to the classical result of Smoluchowski for thin double layers and dilute suspensions. A parametric study shows that the electrical conductivity of the suspension relative to a free electrolyte solution is affected by the counterion to co-ion diffusivity ratio, the double-layer thickness, and the volume fraction of particles. For a dispersion of moderately charged particles (moderate zeta potentials) with thick double layers, the numerical model predicts the electrical conductivity in agreement with experimental values reported in the literature. Copyright 1999 Academic Press.

Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study

HYPOTHESIS

Oral contrast solution (OC) is unnecessary in the acute computed tomographic (CT) evaluation of the patient with blunt abdominal trauma.

DESIGN

Randomized controlled clinical trial.

SETTING

Level I trauma center at a university-affiliated teaching hospital.

PATIENTS

Five hundred adult patients sustaining blunt abdominal trauma and requiring urgent resuscitation and CT evaluation of the abdomen were eligible for the study. Those patients who were younger than 18 years, pregnant, or in police custody were excluded. One hundred six patients were excluded from the analysis (15 for inappropriate enrollment, 9 because a CT scan had not been performed, 1 owing to inability to accept a nasogastric tube, and 81 owing to missing or incomplete records). Three hundred ninety-four patients with an average age of 36 years, an average Revised Trauma Score of 10, and an average Glasgow Coma Scale score of 12 are included in the analysis.

INTERVENTIONS

Patients were randomized via computer-generated assignment to 1 of 2 groups either receiving OC or not receiving OC (no OC) after placement of a nasogastric tube. All patients received intravenous contrast solution and then underwent helical CT scan of the abdomen and pelvis using the GE HiSpeed Advantage CT scanner (GE Medical Systems, Milwaukee, Wis).

MAIN OUTCOME MEASURES

Abnormal CT results, need for laparotomy, missed gastrointestinal tract and solid organ injuries, nausea, and vomiting.

RESULTS

There were 199 patients in the OC group and 195 patients in the no OC group. Vomiting occurred in 12.9% of patients and the incidence was not different between groups. One hundred five abnormal scans (50 OC and 55 no OC) were obtained and 33 patients with abnormal scans (19 OC and 14 no OC) underwent laparotomy. There was 1 nontherapeutic laparotomy in each group. There was 1 missed small-bowel injury in the OC group (sensitivity, 86%) and no missed small-bowel injuries in the no OC group (sensitivity, 100%). Six bowel injuries were identified at laparotomy in the OC group. Two of the injuries were perforations without contrast extravasation but with pneumoperitoneum in 1. Three bowel injuries were identified in the no OC group, none of which were perforations. Seven of the 9 patients with bowel injury at laparotomy had associated intra-abdominal injury. Specificity for solid organ injury was 94% in the OC group and 57.1% in the no OC group. Sensitivity for solid organ injury was 84.2% in the OC group and 88.9% in the no OC group. The average time to abdominal CT scanning after placement of a nasogastric tube was 39.02+/-18.73 minutes in the no OC group and 45.92+/-24.17 minutes in the OC group (P= .008).

CONCLUSION

The addition of OC to the acute CT protocol for the evaluation of the patient with blunt abdominal trauma is unnecessary and delays time to CT scanning.

College students' self-reported reasons for playing drinking games

Two samples of college students who engage in drinking games completed questions about their drinking behavior, a set of items concerning their reasons for playing drinking games, and various self-report measures of personality. Principal components analysis using the first sample yielded four factors: Relaxation & Disinhibition, Fun & Celebration, Conformity, and Sexual Manipulation. A similar factor structure was also obtained in the second sample. In both samples, Fun & Celebration and Sexual Manipulation reasons were most strongly predictive of frequency of play and quantity of alcohol consumed while playing. In men, Sexual Manipulation reasons for play predicted frequency of taking sexual advantage of others during play. Endorsement of Conformity and Relaxation & Disinhibition reasons were associated with high social anxiety and low assertiveness. Reasons for play predicted consumption, both in drinking-game situations and overall, even after removing variance due to general reasons for drinking. Psychometric properties of the current measure are less than ideal, but the constructs identified appear to have important implications for prevention. Assessment of self-reported reasons for drinking in specific situations may be a generally useful strategy.

Benchmarking the communication of continuous improvement activities

Communication of a continuous improvement program in a large medical center was assessed using a formal benchmarking process with four non-health care organizations. Results indicated that continuous improvement must be integrated with the corporate strategic plan, must focus on customer satisfaction, and have active leadership support. A common framework should link different continuous improvement methodologies. Ongoing, open, multimedia two-way communication is required. Continuous improvement activities need to be integrated into all employees' daily work.

Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma

OBJECTIVE

To determine the incidence and significance of free fluid on abdominal CT in blunt trauma.

DESIGN

Retrospective chart review.

METHODS

All blunt trauma patients with an abdominal computed tomographic scan from August of 1993 to December of 1995 were identified from the trauma registry at a Level 1 trauma center. A total of 1,159 computed tomographic scans were performed; records of 18 patients were excluded for incomplete records. Official reports of computed tomographic scans were reviewed for free fluid, solid organ injury, bladder injury, and pelvic fracture.

RESULTS

Free fluid without solid organ injury was found in 3% (34 of 1141). Laparotomy was performed because of free fluid in 13 patients. There were six small bowel injuries and one diaphragm injury for a therapeutic laparotomy rate of 54%. Ten patients had trace free fluid and did not undergo laparotomy; none had a missed small bowel injury.

CONCLUSIONS

The presence of more than trace amounts of free fluid without solid organ injury in patients with blunt trauma is a strong indication for exploratory laparotomy. Patients with isolated trace amounts of free fluid can be safely observed.

Social anxiety, alcohol expectancies, and drinking-game participation

Few studies have investigated factors contributing to college student participation in drinking games. The extent to which drinking games contribute to negative alcohol-related consequences is uncertain. The current study attempted to (a) clarify the risks posed by drinking-game participation, (b) identify characteristics of heavy drinkers who play frequently and those who seldom play, and (c) determine if students participated in drinking games to reduce anxiety in social situations. Tension reduction alcohol expectancies were examined as a potential moderator variable for the relationship between social anxiety and frequency of play. Drinking games accounted for high proportions of all negative alcohol-related consequences and appeared to be strongly associated with instances of sexual victimization. Contrary to predictions based on the tension reduction hypothesis, greater frequency of play was associated with lower social anxiety, and no moderating effect was found for tension reduction expectancies. Frequent players also had more environmental exposure to drinking games. In men, heavy-drinking players may resemble Clonninger's Type 1 alcoholic, whereas heavy-drinking nonplayers resemble the Type 2 pattern. A full understanding of college student drinking behavior may not be possible without greater understanding of drinking games.

Visible intracavity laser spectroscopy with a step-scan Fourier-transform interferometer

A Fourier-transform spectrometer has been used in a step-scan mode to make time-resolved measurements of the evolving laser pulse in intracavity laser spectroscopy (ILS) experiments. Spectra of broadband dye laser pulses at approximately 615 nm were recorded at relatively high spectral (0.5-cm(-1)) and temporal (as high as 5-mus) resolution. In the absence of an absorber, the height of the pulse is shown to be proportional to t(g)(0.57) (where t(g) is the generation time) for generation times as high as 500 mus. The system was constructed for feasibility studies of future use at infrared and near-infrared wavelengths where conventional ILS that uses diode arrays would be either expensive or simply not possible. The CH(4) overtone transition at 619.68 nm was used to test the linearity and sensitivity of the system. Comparable performance to conventional ILS systems was demonstrated, as were the advantages of the present system for studies of laser and absorption dynamics.