The role of powered instrumentation in the removal of antrochoanal polyps: a 10-Year Review

Antrochoanal polyps are rare lesions. We report a series of 40 consecutive cases of antrochoanal polyps treated in our tertiary centre over a period of ten years between May 1998 and April 2008. The median age of the patients was 37 years. The most common clinical symptom was nasal obstruction (92.5%) followed by rhinorrhoea (45%), postnasal drip (35%) and snoring (22.5 %). The median period of follow-up of these patients was 30 months. Various surgical approaches were used; the commonest was powered endoscopic polypectomy and middle meatal antrostomy in 28 patients (70%), followed by endoscopic polypectomy and middle meatal antrostomy in seven patients (17.5%). Five patients (12.5%) underwent powered endoscopic polypectomy without middle meatal antrostomy. In addition, two patients had septoplasty and one had a frontal sinustomy. There were six patients (15%) who had combined sublabial antrostomy. No major complications occurred; four patients relapsed; three patients had initial operation performed elsewhere and one patient developed recurrence after the first surgery. The median hospitalization period was three days. We conclude that, the use of powered instrumentation in the removal of antrochoanal polyps is safe, effective and associated with minimal morbidity

Distributed Optimization in Energy Harvesting Sensor Networks with Dynamic In-network Data Processing

Energy Harvesting Wireless Sensor Networks (EH- WSNs) have been attracting increasing interest in recent years. Most current EH-WSN approaches focus on sensing and net- working algorithm design, and therefore only consider the energy consumed by sensors and wireless transceivers for sensing and data transmissions respectively. In this paper, we incorporate CPU-intensive edge operations that constitute in-network data processing (e.g. data aggregation/fusion/compression) with sens- ing and networking; to jointly optimize their performance, while ensuring sustainable network operation (i.e. no sensor node runs out of energy). Based on realistic energy and network models, we formulate a stochastic optimization problem, and propose a lightweight on-line algorithm, namely Recycling Wasted Energy (RWE), to solve it. Through rigorous theoretical analysis, we prove that RWE achieves asymptotical optimality, bounded data queue size, and sustainable network operation. We implement RWE on a popular IoT operating system, Contiki OS, and eval- uate its performance using both real-world experiments based on the FIT IoT-LAB testbed, and extensive trace-driven simulations using Cooja. The evaluation results verify our theoretical analysis, and demonstrate that RWE can recycle more than 90% wasted energy caused by battery overflow, and achieve around 300% network utility gain in practical EH-WSNs

The magnetic and electronic structure of vanadyl pyrophosphate from density functional theory

We have studied the magnetic structure of the high symmetry vanadyl pyrophosphate ((VO)_(2)P_(2)O)7, VOPO), focusing on the spin exchange couplings, using density functional theory (B3LYP) with the full three-dimensional periodicity. VOPO involves four distinct spin couplings: two larger couplings exist along the chain direction (a-axis), which we predict to be antiferromagnetic, J_(OPO) = −156.8 K and J_O = −68.6 K, and two weaker couplings appear along the c (between two layers) and b directions (between two chains in the same layer), which we calculate to be ferromagnetic, J_layer = 19.2 K and J_chain = 2.8 K. Based on the local density of states and the response of spin couplings to varying the cell parameter a, we found that J_(OPO) originates from a super-exchange interaction through the bridging –O–P–O– unit. In contrast, J_O results from a direct overlap of 3d_(x^2 − y^2) orbitals on two vanadium atoms in the same V_(2)O_8 motif, making it very sensitive to structural fluctuations. Based on the variations in V–O bond length as a function of strain along a, we found that the V–O bonds of V–(OPO)_(2)–V are covalent and rigid, whereas the bonds of V–(O)_(2)–V are fragile and dative. These distinctions suggest that compression along the a-axis would have a dramatic impact on J_O, changing the magnetic structure and spin gap of VOPO. This result also suggests that assuming J_O to be a constant over the range of 2–300 K whilst fitting couplings to the experimental magnetic susceptibility is an invalid method. Regarding its role as a catalyst, the bonding pattern suggests that O_2 can penetrate beyond the top layers of the VOPO surface, converting multiple V atoms from the +4 to +5 oxidation state, which seems crucial to explain the deep oxidation of n-butane to maleic anhydride

Comment on "Deuterium--tritium fusion reactors without external fusion breeding" by Eliezer et al

Inclusion of inverse Compton effects in the calculation of deuterium-deuterium burn under the extreme conditions considered by Eliezer et al. [Phys. Lett. A 243 (1998) 298] are shown to decrease the maximum burn temperature from about 300 keV to only 100--150 keV. This decrease is such that tritium breeding by the DD --> T + p reaction is not sufficient to replace the small amount of tritium that is initially added to the deuterium plasma in order to trigger ignition at less than 10 keV.Comment: 6 pages, 1 tabl

Ab Initio Evidence for the Formation of Impurity d(3z^2-r^2) Holes in Doped La_{2-x}Sr_xCuO_4

Using the spin unrestricted Becke-3-Lee-Yang-Parr density functional, we computed the electronic structure of explicitly doped La_{2-x}Sr_xCuO_4 (x = 0.125, 0.25, and 0.5). At each doping level, an impurity hole band is formed within the undoped insulating gap. This band is well-localized to CuO_6 octahedra adjacent to the Sr impurities. The nature of the impurity hole is A_{1g} in symmetry, formed primarily from the z^2 orbital on the Cu and p_z orbitals on the apical O's. There is a strong triplet coupling of this hole with the intrinsic B_{1g} Cu x^2-y^2/O1 p_{sigma} hole on the same site. Optimization of the c coordinate of the apical O's in the doped CuO_6 octahedron lead to an asymmetric anti-Jahn-Teller distortion of the O2 atoms toward the central Cu. In particular, the O2 atom between the Cu and Sr is displaced 0.26 A while the O2 atom between the Cu and La is displaced 0.10 A. Contrary to expectations, investigation of a 0.1 A enhanced Jahn-Teller distortion of this octahedron does not force formation of an x^2-y^2 hole, but instead leads to migration of the z^2 hole to the four other CuO_6 octahedra surrounding the Sr impurity. This latter observation offers a simple explanation for the bifurcation of the Sr-O2 distance revealed in x-ray absorption fine structure data.Comment: Submitted to Phys. Rev. B. See http://www.firstprinciples.com for more informatio

Electron Correlation and the c-axis Dispersion of Cu d_z^2: a New Band Structure for High Temperature Superconductors

Previously we showed the major effect of electron correlation in the cuprate superconductors is to lower the energy of the Cu d_x^2-y^2/O p_sigma (x^2-y^2) band with respect to the Cu d_z^2/O' p_z (z^2) band. In our 2D Hubbard model for La_1.85Sr_0.15CuO_4 (LaSCO), the z^2 band is narrow and crosses the standard x^2-y^2 band just below the Fermi level. In this work, we introduce c-axis dispersion to the model and find the z^2 band to have considerable anisotropic 3D character. An additional hole-like surface opens up in the z^2 band at (0,0,2pi/c) which expands with doping. At sufficient doping levels, a symmetry allowed x^2-y^2/z^2 band crossing along the (0,0)-(pi,pi) direction of the Brillouin zone appears at the Fermi level. At this point, Cooper pairs between the two bands (e.g. (k uparrow x^2-y^2/k downarrow z^2)) can form, providing the basis for the Interband Pairing Theory of superconductivity in these materials.Comment: submitted to Phys. Rev. Lett. Related publications: Phys. Rev. B 58, 12303 (1998); Phys. Rev. B 58, 12323 (1998); cond-mat/9903088; cond-mat/990310

Understanding Class-level Testability Through Dynamic Analysis

It is generally acknowledged that software testing is both challenging and time-consuming. Understanding the factors that may positively or negatively affect testing effort will point to possibilities for reducing this effort. Consequently there is a significant body of research that has investigated relationships between static code properties and testability. The work reported in this paper complements this body of research by providing an empirical evaluation of the degree of association between runtime properties and class-level testability in object-oriented (OO) systems. The motivation for the use of dynamic code properties comes from the success of such metrics in providing a more complete insight into the multiple dimensions of software quality. In particular, we investigate the potential relationships between the runtime characteristics of production code, represented by Dynamic Coupling and Key Classes, and internal class-level testability. Testability of a class is consider ed here at the level of unit tests and two different measures are used to characterise those unit tests. The selected measures relate to test scope and structure: one is intended to measure the unit test size, represented by test lines of code, and the other is designed to reflect the intended design, represented by the number of test cases. In this research we found that Dynamic Coupling and Key Classes have significant correlations with class-level testability measures. We therefore suggest that these properties could be used as indicators of class-level testability. These results enhance our current knowledge and should help researchers in the area to build on previous results regarding factors believed to be related to testability and testing. Our results should also benefit practitioners in future class testability planning and maintenance activities

The NMR of High Temperature Superconductors without Anti-Ferromagnetic Spin Fluctuations

A microscopic theory for the NMR anomalies of the planar Cu and O sites in superconducting La_1.85Sr_0.15CuO_4 is presented that quantitatively explains the observations without the need to invoke anit-ferromagnetic spin fluctuations on the planar Cu sites and its significant discrepancy with the observed incommensurate neutron spin fluctuations. The theory is derived from the recently published ab-initio band structure calculations that correct LDA computations tendency to overestimate the self-coulomb repulsion for the half-filled Cu d_x2-y2 orbital for these ionic systems. The new band structure leads to two bands at the Fermi level with holes in the Cu d_z2 and apical O p_z orbitals in addition to the standard Cu d_x2-y2 and planar O p_sigma orbitals. This band structure is part of a new theory for the cuprates that explains a broad range of experiments and is based upon the formation of Cooper pairs comprised of a k up spin electron from one band and a -k down spin electron from another band (Interband Pairing Model).Comment: In Press, Journal of Physical Chemistry. See also http://www.firstprinciples.com. Minor changes to references and figure readabilit

Origin of the Pseudogap in High-Temperature Cuprate Superconductors

Cuprate high-temperature superconductors exhibit a pseudogap in the normal state that decreases monotonically with increasing hole doping and closes at x \approx 0.19 holes per planar CuO2 while the superconducting doping range is 0.05 < x < 0.27 with optimal Tc at x \approx 0.16. Using ab initio quantum calculations at the level that leads to accurate band gaps, we found that four-Cu-site plaquettes are created in the vicinity of dopants. At x \approx 0.05 the plaquettes percolate, so that the Cu dx2y2/O p{\sigma} orbitals inside the plaquettes now form a band of states along the percolating swath. This leads to metallic conductivity and below Tc to superconductivity. Plaquettes disconnected from the percolating swath are found to have degenerate states at the Fermi level that split and lead to the pseudogap. The pseudogap can be calculated by simply counting the spatial distribution of isolated plaquettes, leading to an excellent fit to experiment. This provides strong evidence in favor of inhomogeneous plaquettes in cuprates.Comment: 24 pages (4 pages main text plus 20 pages supplement