2,9,16,19,22,25-Hexaoxatetra­cyclo­[24.4.0.24,7.010,15]dotriaconta-1(26),4,6,10(15),11,13,27,29,31-nona­ene

The title 22-crown-6 unit, C26H28O6, comprising of three benzo groups and triethyl­ene glycol, was prepared by the reaction of α,α′-dibromo-p-xylene with 1,8-bis­(2-hydroxy­phen­oxy)-3,6-dioxaoctane in the presence of Cs2CO3 with tetra­hydro­furan (THF) and recrystallized from dichloro­methane–hexane (1:20 v/v) at room temperature. In the mol­ecular structure, two O atoms of the central ethyl­ene glycol in the triethyl­ene glycol unit exhibit exo conformations due to intra­molecular C—H⋯O inter­actions. A number of C—H⋯O and C—H⋯π inter­molecular inter­actions contribute to the stabilization of the crystal packing

Directional interacting whispering gallery modes in coupled dielectric microdisks

We study the optical interaction in a coupled dielectric microdisks by investigating the splitting of resonance positions of interacting whispering gallery modes (WGMs) and their pattern change, depending on the distance between the microdisks. It is shown that the interaction between the WGMs with odd parity about y-axis becomes appreciable at a distance less than a wavelength and causes directional emissions of the resulting interacting WGMs. The directionality of the interacting WGMs can be understood in terms of an effective boundary deformation in ray dynamical analysis. We also discuss about the oscillation of the splitting when the distance is greater than a wavelength.Comment: 7 pages, 10 figure

Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap

BackgroundThe anterolateral thigh (ALT) perforator flap has become a popular option for treating soft tissue defects of lower extremity reconstruction and can be combined with a segment of the vastus lateralis muscle. We present a comparison of the use of the ALT fasciocutaneous (ALT-FC) and myocutaneous flaps.MethodsWe retrospectively reviewed patients in whom free-tissue transfer was performed between 2005 and 2011 for the reconstruction of lower extremity soft-tissue defects. Twenty-four patients were divided into two groups: reconstruction using an ALT-FC flap (12 cases) and reconstruction using a vastus lateralis myocutaneous (VL-MC) flap (12 cases). Postoperative complications, functional results, cosmetic results, and donor-site morbidities were studied.ResultsComplete flap survival was 100% in both groups. A flap complication was noted in one case (marginal dehiscence) of the ALT-FC group, and no complications were noted in the VL-MC group. In both groups, one case of partial skin graft loss occurred at the donor site, and debulking surgeries were needed for two cases. There were no significant differences in the mean scores for either functional or cosmetic outcomes in either group.ConclusionsThe VL-MC flap is able to fill occasional dead space and has comparable survival rates to ALT-FC with minimal donor-site morbidity. Additionally, the VL-MC flap is easily elevated without myocutaneous perforator injury

Excess cost of non-remission among outpatients with major depressive disorder

Background: The purpose of this study was to assess the economic benefit of achieving remission among outpatients with major depressive disorder (MDD) who are currently employed in Korea. Methods: Cross-sectional observational study. A total of 337 outpatients with MDD with paid jobs were recruited from 14 psychiatric clinics in Korea and were then divided into three groups as follows: new visit group (n = 128), remitted group (n = 100) and non-remitted group (n = 109). The 17-item Hamilton Depression Rating Scale (HAM-D) was used to decide whether a patient should be assigned to the remitted or non-remitted group. Direct medical and non-medical costs were measured via interview with the subjects. The World Health Organization Health and Work Performance Questionnaire (HPQ) were applied in order to measure the lost productive time (LPT) and related productivity costs. Results: The three groups did not show a significant difference in direct medical cost. However, the difference between the remitted group and non-remitted group was statistically significant (25.49 ± 52.99 vs. 44.79 ± 126.55, χ2 = 12.99, p = 0.0015). The remitted group demonstrated a significant improvement in productivity (particularly presenteeism) when compared with the new visit group (Z = −3.29, p = 0.001). Although the non-remitted group received treatment at psychiatric clinics similar to the remitted group, it lost 33 more working hours per month, which is compatible to $332 per month. Conclusion: These results suggest the economic importance of achieving remission in treating depression

Chaos Synchronization of delayed systems in the presence of delay time modulation

We investigate synchronization in the presence of delay time modulation for application to communication. We have observed that the robust synchronization is established by a common delay signal and its threshold is presented using Lyapunov exponents analysis. The influence of the delay time modulation in chaotic oscillators is also discussed.Comment: 9 pages, 6 figure