Response of patients and families to lengthening of the facial bones by extraoral distraction osteogenesis: a review of 14 patients.

Fourteen patients or their immediate family were interviewed about their experiences of having either unilateral or bilateral external distraction osteogenesis of the mandible. The patients showed a high level of co-operation with treatment. Six of the 14 patients required repeat distractions, and had been informed and accepted that this was a possibility before the initial distraction. However, patients or their parents expressed some reservations about the extraoral distractors, which prevented them from practising their favourite sport and made them vulnerable to bullying by their friends and colleagues. Patients had moderate pain when the appliances were removed. They all expressed their satisfaction with the results and would recommend this treatment to others. Problems, including speech, eating, pain, and sleeping difficulties, were encountered by patients at all stages of treatment. Of considerable concern was the disruption of education when the child was treated during the school term

On the relevance of the maximum entropy principle in non-equilibrium statistical mechanics

At first glance, the maximum entropy principle (MEP) apparently allows us to derive, or justify in a simple way, fundamental results of equilibrium statistical mechanics. Because of this, a school of thought considers the MEP as a powerful and elegant way to make predictions in physics and other disciplines, rather than a useful technical tool like others in statistical physics. From this point of view the MEP appears as an alternative and more general predictive method than the traditional ones of statistical physics. Actually, careful inspection shows that such a success is due to a series of fortunate facts that characterize the physics of equilibrium systems, but which are absent in situations not described by Hamiltonian dynamics, or generically in nonequilibrium phenomena. Here we discuss several important examples in non equilibrium statistical mechanics, in which the MEP leads to incorrect predictions, proving that it does not have a predictive nature. We conclude that, in these paradigmatic examples, an approach that uses a detailed analysis of the relevant aspects of the dynamics cannot be avoided