Some sexological characteristics of stress incontinent women

The goal of stress incontinence surgery is to prevent opening of the urethra during increases in intra-abdominal pressure. Greater refinements in the understanding of the pathophysiology of incontinence and experience with newer treatments have extended surgical thinking beyond the familiar paradigm "to place the urethra in a high retropubic position." When incontinence is associated with vaginal hypermobility, vaginal support may be sufficient to restore continence if the suburethral vaginal wall is sufficiently strong, an evaluation which must often be made by physical examination alone. However, when the vaginal wall is weak, the urethra will require an alternative form of support, usually a sling. If the urethra is intrinsically deficient, vaginal support may not be sufficient to prevent opening during increased intra-abdominal pressure, and coaptation by sling obstruction or periurethral bulking injection may be required. Most laparoscopic approaches to stress incontinence use Burch's method, which offers excellent urethral stability provided the suburethral vaginal wall is strong. Newer insights into the relation between vaginal mobility and urethral closure are discussed, as well as anatomic aspects of the Burch suspension relevant to laparoscopic repair.     

Bin Packing with Rejection Revisited

We consider the following generalization of bin packing. Each item has a size in (0,1] associated with it, as well as a rejection cost, that an algorithm must pay if it chooses not to pack this item. The cost of an algorithm is the sum of all rejection costs of rejected items plus the number of unit sized bins used for packing all other items. We first study the offline version of the problem and design an APTAS for it. This is a non-trivial generalization of the APTAS given by Fernandez de la Vega and Lueker for the standard bin packing problem. We further give an approximation algorithm of an absolute approximation ratio 3/2, where this value is best possible unless P=NP.     

Two-dimensional online bin packing with rotation

In two-dimensional bin packing problems, the input items are rectangles which need to be packed in a non-overlapping manner. The goal is to assign the items into unit squares using an axis-parallel packing. Most previous work on online packing concentrated on items of fixed orientation, which must be assigned such that their bottom side is parallel to the bottom of the bin. In this paper we study the case of rotatable items, which can be rotated by ninety degrees. We give almost tight bounds on the (asymptotic) competitive ratio of bounded space bin packing of rotatable items, and introduce a new unbounded space algorithm. This improves the results of Fujita and Hada.     

Selfish Bin Packing

Following recent interest in the study of computer science problems in a game theoretic setting, we consider the well known bin packing problem where the items are controlled by selfish agents. Each agent is charged with a cost according to the fraction of the used bin space its item requires. That is, the cost of the bin is split among the agents, proportionally to their sizes. Thus, the selfish agents prefer their items to be packed in a bin that is as full as possible. The social goal is to minimize the number of the bins used. The social cost in this case is therefore the number of bins used in the packing.     

Learning to Be Thoughtless: Social Norms and Individual Computation

This paper extends the literature on the evolution of norms with anagent-based modelcapturing a phenomenon that has been essentially ignored, namely thatindividual thought – orcomputing – is often inversely related to the strength of a social norm.Once a norm isentrenched, we conform thoughtlessly. In this model, agents learn how tobehave (what normto adopt), but – under a strategy I term Best Reply to Adaptive SampleEvidence – they also learnhow much to think about how to behave. How much they are thinking affects howthey behave,which – given how others behave – affects how much they think. Inshort, there is feedbackbetween the social (inter-agent) and internal (intra-agent) dynamics. Inaddition, we generate thestylized facts regarding the spatio-temporal evolution of norms: localconformity, global diversity,and punctuated equilibria.     

Three-dimensional analysis of contrast-filled microvessel diameters

Organ blood flow is controlled, in part, by changes in diameter of resistance vessels. In thick tissue, vessels can be imaged with a microscope using contrast-enhancing methods (e.g., fluorescence) and image analysis techniques can be used for quantitative diameter estimations. However, a change in the position of a vessel with respect to the plane of focus can be misinterpreted as a diameter change. In order to address this problem, a 3D image in a light microscope is obtained by serial optical sectioning, and a 3D deconvolution procedure (Avinash et al., 1991, "Fourteenth Association for Research in Otolaryngology Midwinter Meeting, St. Petersberg, FL," Abstract 156) is used to deblur 3D image data. Deblurred sections are computationally projected onto a 2D plane to give an extended-focus image, from which diameter estimates of microvessels are made using a quantitative, 2D diameter-tracking algorithm (Miles, 1987, "Semiautomatic Quantitative Image Analysis of Dynamic in Vivo Cochlear Microvessel Diameters." Ph.D. dissertation, Univ. Michigan; Miles and Nuttall, 1992, IEEE Trans. Biomed. Eng.). Justification for 3D preprocessing before diameter analysis is provided by absolute and relative error analyses using computer-generated synthetic vessels. The 3D diameter analysis technique is validated using a capillary tube of known diameter, filled with fluorescent solution. Demonstration of its applicability is shown in diameter measurements from the vessels of guinea pig cochlea. Our approach, using extended-focus images, minimizes overestimation of microvascular diameters and underestimation of relative diameter changes. Therefore, unambiguous diameter measurements are possible with extended-focus images.     

Natural Borna disease in domestic animals others than horses and sheep

In 24 cats (Uppsala, Sweden) with neurological signs of "staggering disease" and typical neuropathology, 44% had Borna disease virus (BDV)-specific antibodies. In 173 cat sera (Berlin, Germany) of animals with unknown record, 7% were BDV positive. Out of 24 cats with undefined neurological disorders, 13% were BDV positive. Similarities in staggering disease of cats and Borna disease of horses and sheep suggest related etiological agents.     

Generalized Lévy-walk model for DNA nucleotide sequences

We propose a generalized Lévy walk to model fractal landscapes observed in noncoding DNA sequences. We find that this model provides a very close approximation to the empirical data and explains a number of statistical properties of genomic DNA sequences such as the distribution of strand-biased regions (those with an excess of one type of nucleotide) as well as local changes in the slope of the correlation exponent alpha. The generalized Lévy-walk model simultaneously accounts for the long-range correlations in noncoding DNA sequences and for the apparently paradoxical finding of long subregions of biased random walks (length lj) within these correlated sequences. In the generalized Lévy-walk model, the lj are chosen from a power-law distribution P(lj) varies as lj(-mu). The correlation exponent alpha is related to mu through alpha = 2-mu/2 if 2 < mu < 3. The model is consistent with the finding of "repetitive elements" of variable length interspersed within noncoding DNA.     

Steroid-responsive encephalomyelitis in childhood

The syndrome of parainfectious encephalomyelitis evolves from an antecedent infection. Several etiologic agents have been associated with this complication, although the pathogenesis in each instance may prove to be more uniform. Considerable evidence suggests that the syndrome is mediated immunologically. The seven cases reported here were clinically similar, although the infectious etiologies were diverse. Leptospirosis antedated the neurologic syndrome in two cases, and a "viral" illness preceded the other five cases. The evolution of the syndrome was slowly progressive in each case, and six patients had prominent involvement of rhombencephalic structures. The progressive course was reversed rapidly with eventual full recovery in each instance after initiation of corticosteroid therapy. Our experience with these cases coupled with a review of the literature suggests that corticosteroid therapy should be considered in the subacute or chronic cases of parainfectious encephalomyelitis.