<Book Reviews> R. W. Jones and P. B. Kenen (eds.), Handbook of International Economics, Volume 1

textabstractBackground Abdominal aortic aneurysm (AAA) repair has been performed by various surgical specialties for many years. Endovascular aneurysm repair (EVAR) may be a disruptive technology, having an impact on which specialties care for patients with AAA. Therefore, we examined the proportion of AAA repairs performed by various specialties over time in the United States and evaluated the impact of the introduction of EVAR. Methods The Nationwide Inpatient Sample (2001-2009) was queried for intact and ruptured AAA and for open repair and EVAR. Specific procedures were used to identify vascular surgeons (VSs), cardiac surgeons (CSs), and general surgeons (GSs) as well as interventional cardiologists and interventional radiologists for states that reported unique treating physician identifiers. Annual procedure volumes were subsequently calculated for each specialty. Results We identified 108,587 EVARs and 85,080 open AAA repairs (3011 EVARs and 12,811 open repairs for ruptured AAA). VSs performed an increasing proportion of AAA repairs during the study period (52% in 2001 to 66% in 2009; P <.001). GSs and CSs performed fewer repairs during the same period (25% to 17% [P <.001] and 19% to 13% [P <.001], respectively). EVAR was increasingly used for intact (33% to 78% of annual cases; P <.001) as well as ruptured AAA repair (5% to 28%; P <.001). The proportion of intact open repairs performed by VSs increased from 52% to 65% (P <.001), whereas for EVAR, the proportion went from 60% to 67% (P <.001). The proportion performed by VSs increased for ruptured open repairs from 37% to 53% (P <.001) and for ruptured EVARs from 28% to 73% (P <.001). Compared with treatment by VSs, treatment by a CS (0.55 [0.53-0.56]) and GS (0.66 [0.64-0.68]) was associated with a decreased likelihood of undergoing endovascular rather than open AAA repair. Conclusions VSs are performing an increasing majority of AAA repairs, in large part driven by the increased utilization of EVAR for both intact and ruptured AAA repair. However, GSs and CSs still perform AAA repair. Further studies should examine the implications of these national trends on the outcome of AAA repair

A Mobile Ad Hoc Networking Competition: A Retrospective Look at the MANIAC Challenge

This article describes the Mobile Ad Hoc Networking Interoperability and Cooperation (MANIAC) Challenge, a competition in MANETs. The primary objective of the competition was to assess the trade-offs between network-wide connectivity and resource utilization in a MANET comprising autonomous self-interested nodes. The competition attracted participants from academic institutions in the United States, Europe, and Africa. The data collected provide a better understanding of link stability, route effectiveness, cooperation, and competition in an autonomously deployed MANET

Network mobility and protocol interoperability in ad hoc networks

The integration of various network-level functions, including routing, management, and security, is critical to the efficient operation of a mobile ad hoc network. In this article we focus on network mobility (rather than node mobility), implying the movement of entire subnetworks with respect to one another, while individual users initially associated with one such subnetwork may also move to other domains. One example is a battlefield network that includes ships, aircraft, and ground troops. In this "network of networks", subnets (e.g. shipboard networks) may be interconnected via a terrestrial mobile wireless network (e.g., between moving ships). We discuss the design and implementation of a new ad hoc routing protocol, a suite of solutions for policy-based network management, and approaches for key management and deployment of IPsec in a MANET. These solutions, in turn, are integrated with real-time middleware, a secure radio link, and a topology monitoring tool. We briefly describe each component of the solution, and focus on the challenges and approaches to integrating these components into a cohesive system to support network mobility. We evaluate the effectiveness of the system through experiments conducted in a wireless ad hoc testbed.Validerad; 2004; 20070107 (ysko)</p

The Spectral Energy Distribution of the Seyfert Galaxy Ton S180

We present spectral results from a multi-satellite, broad-band campaign on the Narrow-line Seyfert 1 galaxy Ton S180 performed at the end of 1999. We discuss the spectral-energy distribution of the source, combining simultaneous Chandra, ASCA and EUVE data with contemporaneous FUSE, HST, and ground-based optical and infrared data. The resulting SED shows that most of the, energy is emitted in the 10 - 100 eV regime, which must be dominated by the primary energy source. No spectral turnover is evident in the UV regime. This, the strong soft X-ray emission, and the overall shape of the SED indicate that emission from the accretion disk peaks between 15 and 100 eV. High resolution FUSE spectra showing UV absorption due to OVI and the lack of detectable X-ray absorption in the Candra spectrum demonstrate the presence of a low column density of highly ionized gas along our line of sight