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Notes: Abstract. The aim of this study was to compare our computer-aided report writing system to standard techniques. A computer-aided reporting system for reporting on chest X-rays was developed and linked with a UNIX-based radiology information system. The reporting system consists of different text modules which can be composed to a complete radiological report. The quality of the report, the system's efficiency, flexibility and availability at the radiology information system (RIS), as well as its acceptance by the users, were criteria we took as a basis of evaluation. Acceptance and flexibility of the system were tested by assessing necessary changes and additions performed to text modules and by subjective evaluation. The time spent on working with the reporting system was evaluated by performing a time-analysis study comparing the new system to the two conventional methods, the tape system and handwriting. On average, the readers needed 22.6 text modules for each report. For the users the most important advantages of the new system are that primarily fewer changes to or additions to the text are necessary, and when they cannot be avoided they can be performed more easily. In comparison with the tape system and handwritten reports, it took on average two and a half to three times longer to report on a chest X-ray. The printed report had left the department within 6.4 h using the tape system within 0.4 h when handwritten and within 1.4 h when recorded by the reporting system. The completeness of the set of modules and the logical order were positively assessed by the users. The demand of time for reporting increases, but the final report is available sooner.

Notes: The solar H Lyman-α line is, through O2 photodissociation, an important source of O(1D) production throughout the mesosphere and lower thermosphere. To ascertain the energy balance in this altitude region, it is necessary to know the O(1D) yield across the solar H Lyman-α feature, since H Lyman-α absorption by O2 at ∼80 km accounts for a substantial fraction of the solar radiation absorbed in the mesosphere. An earlier laboratory study had provided a value of 0.44±0.05 for the O(1D) yield at the center of the solar H Lyman-α line, where the profile shows a minimum in intensity due to strong self-reversal of the line. Using tunable laser radiation, we have determined the O(1D) yield from O2 photodissociation across the entire H Lyman-α profile from 121.2 to 121.9 nm, at a spectral resolution of 0.0015 nm (1 cm−1). The results reveal a strongly wavelength-dependent window in the O(1D) yield, the origins of which are explained using calculations based on a coupled-channel Schrödinger-equations model of the O2 photodissociation. The calculations, which show significant isotopic dependence near H Lyman-α, predict that the depth of the quantum-yield window will increase significantly as the temperature is lowered. © 1999 American Institute of Physics.

Notes: We calculate photoelectron distributions obtained from the two-photon pump/probe ionization of Na2. A first ultrashort pulse prepares a vibrational wave packet in the (2)1∑u+ electronic state. The dynamics is probed by time-delayed ionization caused by a chirped femtosecond laser pulse. Time-resolved photoelectron spectra are determined for different chirp parameters. It is shown that the spectra are very sensitive to the choice of the chirp. In particular the width can be selectively modified and the in- or outward motion of the wave packet can be distinguished by using an appropriately chirped electric field. An analytical expression for the photoelectron spectrum explains its dependence on the chirp parameter. © 1998 American Institute of Physics.

Notes: Spatial mid temporal variations in the distribution of photosynthesis over the leaf area were investigated during induction upon illumination of Rosa rubiginosa L. leaves. Gas exchange and maps of relative photosynthetie electron transport activity computed from chlorophyll fluorescence images were simultaneously monitored. In air, after 15 h of dark adaptation, linear electron transport was heterogeneously distributed over the leaf area during the induction. This patchy induction was explained by asynchronous metabolism activation for the first 10 min of illumination, concomitant asynchronous limitation by intrinsic metabolism and stomatal apertures (10–30 min) and finally by only stomatal limitation beyond 30 min. A brief transition to non-photorespiratory conditions after 20 min of illumination under subsaturating irradiance revealed a marked heterogeneity of CO2 assimilation, presumably as a result of heterogeneous stomatal apertures. The frequency distribution of CO2 assimilation was unimodal. During the induction, heterogeneity gradually decreased and photosynthesis was uniform at steady-state. After 10 min of dark adaptation, heterogeneity of linear electron transport activity occurred during the first 15 min of a second induction and mainly resulted from metabolic limitation.

Notes: Abstract A study was conducted to find out whether in a rear-impact motor vehicle accident, velocity changes in the impact vehicle of between 10 and 15 km/h can cause so-called “whiplash injuries”. An assessment of the actual injury mechanism of such whiplash injuries and comparison of vehicle rear-end collisions with amusement park bumper car collisions was also carried out. The study was based on experimental biochemical, kinematic, and clinical analysis with volunteers. In Europe between DM 10 and 20 billion each year is paid out by insurance companies alone for whiplash injuries, although various studies show that the biodynamic stresses arising in the case of slight to moderate vehicle damage may not be high enough to cause such injuries. Most of these experimental studies with cadavers, dummies, and some with volunteers were performed with velocity changes below 10 km/h. About 65% of the insurance claims, however, take place in cases with velocity changes of up to 15 km/h. Fourteen male volunteers (aged 28–47 years; average 33.2 years) and five female volunteers (aged 26–37 years; average 32.8 years) participated in 17 vehicle rear-end collisions and 3 bumper car collisions. All cars were fitted with normal European bumper systems. Before, 1 day after and 4–5 weeks after each vehicle crash test and in two of the three bumper car crash tests a clinical examination, a computerized motion analysis, and an MRI examination with Gd-DTPA of the cervical spine of the test persons were performed. During each crash test, in which the test persons were completely screened-off visually and acoustically, the muscle tension of various neck muscles was recorded by surface eletromyography (EMG). The kinematic responses of the test persons and the forces occurring were measured by accelerometers. The kinematic analyses were performed with movement markers and a screening frequency of 700 Hz. To record the acceleration effects of the target vehicle and the bullet vehicle, vehicle accident data recorders were installed in both. The contact phase of the vehicle structures and the kinematics of the test persons were also recorded using high-speed cameras. The results showed that the range of velocity change (vehicle collisions) was 8.7–14.2 km/h (average 11.4 km/h) and the range of mean acceleration of the target vehicle was 2.1–3.6 g (average 2.7 g). The range of velocity change (bumper car collisions) was 8.3–10.6 km/h (average 9.9 km/h) and the range of mean acceleration of the target bumper car was 1.8–2.6 g (average 2.2 g). No injury signs were found at the physical examinations, computerized motion analyses, or at the MRI examinations. Only one of the male volunteers suffered a reduction of rotation of the cervical spine to the left of 10° for 10 weeks. The kinematic analysis very clearly showed that the whiplash mechanism consists of translation/extension (high energy) of the cervical spine with consecutive flexion (low energy) of the cervical spine: hyperextension of the cervical spine during the vehicle crashes was not observed. All the tests showed that the EMG signal of the neck muscles starts before the head movement takes place. The stresses recorded in the vehicle collisions were in the same range as those recorded in the bumper car crashes. From the extent of the damage to the vehicles after a collision it is possible to determine the level of the velocity change. The study concluded that, the “limit of harmlessness” for stresses arising from rear-end impacts with regard to the velocity changes lies between 10 and 15 km/h. For everyday practice, photographs of the damage to cars involved in a rear-end impact are essential to determine this velocity change. The stress occurring in vehicle rear-end collisions can be compared to the stress in bumper car collisions.

Notes: Zusammenfassung Tiefe Weichteilverletzungen im lateralen Gesichtsbereich können durch Schädigungen des N. facialis und seiner Äste, der Glandula parotidea und des Ductus parotideus kompliziert sein. Während die primäre mikrochirurgische Versorgung von Fazialisverletzungen in der Literatur einhellig empfohlen wird, ist die Diskussion bei Verletzungen des Speichelgangs kontrovers. Anhand des Falles einer sekundären Reanastomosierung eines vollständig durchtrennten Speichelgangs wird die mikrochirurgische Technik und deren Indikation dargestellt.

Notes: Abstract The purpose of this study was to assess the effects of spontaneous and instrumented deliveries, the baby's birthweight, the presence of stress incontinence and the woman's age and weight on bladder neck (BN) position and mobility using perineosonography, a simple non-invasive method, and to compare these results with those from continent nulliparous controls. Two hundred and fourteen women, including 74 nullipara, 29 para-1, 64 para-2 and 3, 16 with previous forceps deliveries and 32 with stress incontinence, underwent perineosonography with measurements of BN position and backwards/downwards displacement of BN using a two-axis calculation system. Results showed that bladder neck position undergoes a significantly backwards and downwards displacement on assuming an upright position. When compared with nulliparous controls, the bladder neck position at rest was the same in all groups of parous women in the supine/standing positions, but lower in patients having undergone forceps delivery (standing position) and in stress incontinent patients (both supine and standing); the bladder neck position during Valsalva was significantly lower in all groups of patients in the standing position, but the only significant difference in the supine position was seen in stress incontinent patients; the extent of bladder neck displacement was not significantly different between the groups, except in stress incontinent patients. A strong correlation (r=0.66) was found between the relative importance of backwards and downwards displacement, but no correlation was found between bladder neck displacement and baby's birthweight or patient's weight. It was concluded that compared to nulliparous continent patients, normal and instrumented delivery induces no modifications of BN position at rest, but is responsible for a lower bladder neck position during Valsalva in the standing position only. The extent of BN displacement is virtually the same in all groups of patients in both positions, except for stress incontinent patients, who have a significantly lower and more mobile bladder neck, the values of which overlap to a great extent (sensitivity of 78%/75% for a displacement 〉14 mm) within those seen in continent nulliparous women. The correlation between the importance of backwards and downwards displacement is strong, making superfluous a two-dimensional coordinate system for routine BN position/mobility assessment.

Notes: Abstract The aim of the study was to assess and compare urethral sphincter (US) function and bladder neck (BN) behavior in pregnant and non-pregnant women. Urethral pressure profile parameters, intravaginal-anal pressures and BN position/mobility were compared in both pregnant and non-pregnant women. It was found that pregnancy results in a decreased maximal urethral closure pressure (MUCP)/area of continence at rest and at stress, decreased pressure-transmission ratio (PTR) values and backwards displacement of the bladder neck. No significant changes in intravaginal-anal pressures and BN mobility/downwards displacement were seen. Compared with stress continent pregnant patients, pregnant patients with stress urinary incontinence (SUI) have a lower MUCP at rest/stress and area of continence at stress, but show no difference in BN behavior. Regression analysis shows no correlation between advancing pregnancy and any of these parameters. It was concluded that pregnancy induces diminished US function and backwards displacement of the BN. Compared to continent pregnant patients, pregnant women with SUI also have a diminished US function. US parameters are not significantly modified by advancing pregnancy.

Notes: Summary Optimal rehabilitation after injuries has become increasingly important in recent years. In our concept, not only the damaged local structure is treated but supplementary training to improve the general physical performance is recommended. This specific training includes the components of strength, endurance, coordination, flexibility and velocity. We explain in the present article the role of these rehabilitative methods and refer to their importance for the reintegration process following injuries.