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Sample records for two-level discectomy proved

  1. Surgical Outcome of Two-Level Transforaminal Percutaneous Endoscopic Lumbar Discectomy for Far-Migrated Disc Herniation

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    Wu, Xinbo; Fan, Guoxin; Gu, Xin

    2016-01-01

    Objective. To describe the two-level percutaneous endoscopic lumbar discectomy (PELD) technique in transforaminal approach for highly migrated disc herniation and investigate its clinical outcomes. Methods. A total of 22 consecutive patients with highly migrated lumbar disc herniation were enrolled for the study from June 2012 to February 2014. Results. There were 12 males and 10 females, with a mean age of 41.1 (range 23–67) years. The mean follow-up period was 18.05 (range 14–33) months. According to the modified MacNab criteria, the clinical outcome at the final follow-up was excellent in 14, good in 6, and fair in 2 patients and the satisfactory rate (excellent and good) was 90.9%. The improvements in VAS and ODI were statistically significant. One patient had recurrent herniation in 18 months after the first surgery and underwent open discectomy. One patient showed symptoms of postoperative dysesthesia (POD), but the POD symptom was transient and partial remission was achieved in two months after conservative treatment. Conclusion. Two-level PELD in transforaminal approach can be a safe and effective procedure for highly migrated disc herniation. PMID:28070509

  2. Is Two-Level Cervical Disc Replacement More Cost-Effective than Anterior Cervical Discectomy and Fusion at 7 Years?

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    Merrill, Robert K; McAnany, Steven J; Albert, Todd J; Qureshi, Sheeraz A

    2017-08-14

    Cost-effectiveness analysis. Investigate the 7-year cost-effectiveness of two-level cervical disc replacement (CDR) and anterior cervical discectomy and fusion (ACDF). CDR and ACDF are both effective treatment strategies for managing degenerative conditions of the cervical spine. CDR has been shown to be a more-cost effective intervention in the short term, but the long-term cost-effectiveness has not been established. We analyzed 7-year follow-up data from the two-level Medtronic Prestige LP investigational device exemption study. Short-form 36 (SF-36) data were converted into health utility scores using the SF-6D algorithm. Costs were based on direct costs from the payer perspective, and effectiveness was measured as quality adjusted life years (QALYs). The willingness to pay (WTP) threshold was set to $50,000/QALY. A probabilistic sensitivity analysis was conducted via Monte Carlo simulation. Two-level CDR had a 7-year cost of $176,654.19, generated 4.65 QALYs, and had a cost-effectiveness ratio of $37,993.53/QALY. Two-level ACDF had a 7-year cost of $158,373.48, generated 4.44 QALYs, and had a cost-effectiveness ratio of $35,635.72. CDR was associated with an incremental cost of $18,280.71 and an incremental effectiveness of 0.21 QALYs, resulting in an incremental cost-effectiveness ratio (ICER) of $89,021.04, above the WTP threshold. Our Monte Carlo simulation demonstrated CDR would be chosen 46% of the time based on 10,000 simulations. Two-level CDR and ACDF are both cost-effective procedures at 7-year follow-up for treating degenerative conditions of the cervical spine. Based on an ICER of $89,021.04/QALY, we cannot conclude which treatment is the more cost-effective option at 7-years. CDR would be chosen 46% of the time based on 10,000 iterations of our Monte Carlo probabilistic sensitivity analysis. 3.

  3. Analysis the Clinical Effect of Single Level and Two Level Anterior Cervical Discectomy and Fusion%单节段与两节段颈前路椎间盘切除和融合术的临床效果分析

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    赵亮; 曹竞; 谭洪宇; 宋瑞鹏; 王卫东; 刘屹林; 王利民

    2016-01-01

    Abstract]Objective To compare results of patients undergoing single level and two level anterior cervical discectomy and fusion. Methods 145 cases of patients who accept ACDF were selected. Grouped all the patients single level and two level. Through the two-year follow-up, postoperative clinical results of the two groups of patients were analyzed and compared.Results According to the inclusion criteria, 79 cases of single segments, two segments 66 cases.There was no significant difference in age, sex, BMI between two groups (P>0.05). Preoperative NDI index, JOA score was not statistically significant difference between two groups before the operation,but there has significant inprovement after the operation(P0.05).Conclusion ACDF has been an effective surgical intervention in patients with single level and two level, anterior cervical discectomy and fusion has good way.%目的分析比较颈前路椎间盘切除和融合术治疗单节段和两阶段颈椎病患者的临床效果。方法回顾性分析145例接受颈前路椎间盘切除和融合术的患者,根据手术节段的不同分为单节段组和两节段组。通过2年的随访,对两组患者的术后临床效果进行对比分析。结果根据纳入标准,单节段组79例,两节段组66例,年龄、性别、BMI差异无统计学意义(P>0.05)。两组患者术前NDI指数、JOA评分差异无统计学意义,术后均较术前提高(P<0.05),两组间差异无统计学意义(P>0.05)。结论对于单节段和两节段保守治疗无效的颈椎病患者,颈前路椎间盘切除和融合术是一种行之有效的手术方法。

  4. Biomechanical analysis of multilevel discectomy and excision of posterior longitudinal ligament: An in vitro study in sheep

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    Yilmaz Cem

    2009-01-01

    Full Text Available Aim: This experimental biomechanical study was performed to determine the effects of multilevel anterior cervical discectomy and excision of posterior longitudinal ligament (PLL to stabilize the cervical spine using an in vitro animal model. Materials and Methods: Fifty fresh cadaveric C3-C6 sheep spine specimens were divided into five experimental groups: Group A was the control group; Group B, one-level discectomy; Group C, two- level discectomy, Group D, three-level discectomy, and Group E, three-level discectomy and excision of PLL, respectively. The specimens were subjected to non-destructive loads cycled from zero to five Newton-meter for flexion, extension, right and left lateral bending, and axial rotation on an electrohydraulic test machine. Load displacement curves were obtained via collected data using strain gauges. The values were obtained for all five groups, statistical differences were determined respectively (P < 0.05, ANOVA. Results: One- level discectomy was less stable than the control group, two-level discectomy was less stable than one-level discectomy and three-level discectomy was less stable than two-level discectomy, respectively (P < 0.05. Excision of PLL did not seem to affect stability (P > 0.05. Conclusion: Our data suggested that cervical discectomy decreases stability of sheep spine pieces.

  5. Comparision between single-level cervical corpectomy and two-level discectomy in two-adjacent-level cervical spondylotic myelopathy%相邻两节段脊髓型颈椎病前路不同术式的比较

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    贾小林; 谭祖键; 杨阜滨; 杨明; 万革

    2012-01-01

    [Objective] To compare the outcomes of patients treated with either anterior cervical corpectomy with fusion ( ACCF) or anterior cervical discectomy with fusion ( ACDF) for two - adjacent - level cervical spondylotic myelopathy. [ Methods ] The case histories of 67 patients underwent surgical treatment for two - adjacent - level cervical spondylotic myelopathy from June 2006 to March 2010 were retrospectively reviewed. There were 36 with a single -level corpectomy and 31 with a two -level ACDF. The following were analyzed: ( 1) perioperative parameters (hospital stays, bleeding amounts, operative times, complications) , (2) clinical parameters (Japanese Orthopedic Association scores, Visual Analog Scale scores for neck and arm pain) , and (3) radiologic parameters (sagittal alignment, cervical lordosis, total cervical range of motion, segmental range of motion, anterior and posterior body height for the fused levels, fusion rate) . [ Results ] The mean durations of follow - up were 28. 96 ± 13. 21 (ACCF) and 26. 81 ± 11. 02 (ACDF) months. Of these above parameters, operative time, bleeding amount and complication rates were significantly greater in the ACCF group, whereas postoperative cervical lordosis and segmental height were significantly lower in the ACCF group postoperatively. However, other parameters were not significantly different between the 2 groups. All radiologic parameters occurred significantly more during the first 6 weeks after surgery than after 6 weeks. The loss of posterior body height for the fused levels significantly progressed after 6 weeks in Group ACCF, with no differences in Group ACDF. [ Conclusion] Our data suggest that the two procedures yield comparable results in terms of clinical outcomes for two -adjacent - level cervical spondylotic myelopathy. However, ACDF was found to be superior to ACCF in terms of operation times, bleeding amounts, complication rates and some radiologic results. The decision to perform either ACCF or ACDF

  6. Two-level cervical disc replacement: perspectives and patient selection

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    Narain AS

    2017-02-01

    Full Text Available Ankur S Narain, Fady Y Hijji, Daniel D Bohl, Kelly H Yom, Krishna T Kudaravalli, Kern Singh Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA Introduction: Cervical disc replacement (CDR is an emerging treatment option for cervical degenerative disease. Postulated benefits of cervical disc replacement compared to anterior cervical discectomy and fusion include preserved motion at the operative segments and decreased motion at adjacent levels. Multiple studies have been performed investigating the outcomes of CDR in single-level pathology. The investigation of the use of CDR in two-level pathology is an emerging topic within the literature.Purpose: To critically evaluate the literature regarding two-level CDR in order to determine its utility compared to two-level cervical arthrodesis. Patient selection factors including indications and contraindications will also be explored.Methods: The PubMed database was searched for all articles published on the subject of two-level CDR up until October 2016. Studies were classified by publication year, study design, sample size, follow-up interval, and conflict of interest. Outcomes were recorded from each study, and included data on patient-reported outcomes, radiographic measurements, range of motion, peri- and postoperative complications, heterotopic ossification, adjacent segment disease, reoperation rate, and total intervention cost. Results: Fourteen studies were included in this review. All studies demonstrated at least noninferiority of two-level CDR compared to both two-level arthrodesis and single-level CDR. Patient selection in two-level CDR is driven by the inclusion and exclusion criteria presented in prospective, randomized controlled trials. The most common indication is subaxial degenerative disc disease over two contiguous levels presenting with radiculopathy or myelopathy. Furthermore, costs analyses trended toward at least noninferiority of two-level

  7. Posterior endoscopic discectomy: Results in 300 patients

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    Mohinder Kaushal

    2012-01-01

    Full Text Available Background: Posterior endoscopic discectomy is an established method for treatment of lumbar disc herniation. Many studies have not been reported in literature for lumbar discectomy by Destandau Endospine System. We report a series of 300 patients operated for lumbar dissectomy by Destandau Endospine system. Materials and Methods: A total of 300 patients suffering from lumbar disc herniations were operated between January 2002 and December 2008. All patients were operated as day care procedure. Technique comprised localization of symptomatic level followed by insertion of an endospine system devise through a 15 mm skin and fascial incision. Endoscopic discectomy is then carried out by conventional micro disc surgery instruments by minimal invasive route. The results were evaluated by Macnab′s criteria after a minimum followup of 12 months and maximum up to 24 months. Results: Based on modified Macnab′s criteria, 90% patients had excellent to good, 8% had fair, and 2% had poor results. The complications observed were discitis and dural tear in five patients each and nerve root injury in two patients. 90% patients were able to return to light and sedentary work with an average delay of 3 weeks and normal physical activities after 2 months. Conclusion: Edoscopic discectomy provides a safe and minimal access corridor for lumbar discectomy. The technique also allows early postoperative mobilization and faster return to work.

  8. MRI after successful lumbar discectomy

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    Goethem, J.W.M. van [Department of Radiology, University of Antwerp, Wilrijkstraat 10, B-2650 Edegem (Belgium); Kelft, E. van de [Department of Neurosurgery, University of Antwerp, Edegem (Belgium); Biltjes, I.G.G.M. [Department of Radiology, University of Antwerp, Wilrijkstraat 10, B-2650 Edegem (Belgium); Hasselt, B.A.A.M. van [Department of Radiology, University of Antwerp, Wilrijkstraat 10, B-2650 Edegem (Belgium); Hauwe, L. van den [Department of Radiology, University of Antwerp, Wilrijkstraat 10, B-2650 Edegem (Belgium); Parizel, P.M. [Department of Radiology, University of Antwerp, Wilrijkstraat 10, B-2650 Edegem (Belgium); Schepper, A.M.A. de [Department of Radiology, University of Antwerp, Wilrijkstraat 10, B-2650 Edegem (Belgium)

    1996-05-01

    Our aim was to establish the normal range of MRI findings after successful lumbar discectomy. We prospectively examined 34 consecutive patients with an excellent clinical outcome by MRI 6 weeks and 6 months after surgery. All examinations included sagittal and axial spin-echo (SE) T1-weighted images before and after intravenous gadolinium-DTPA and fast SE T2-weighted images. Contrast enhancement along the surgical tract was seen in all patients 6 weeks and 6 months after surgery. After 6 months minimal or no mass effect on the dural sac by epidural scar was seen. In 20 % of patients there was recurrent disc herniation, with mass effect. Enhancing nerve roots were seen in 20 % of patients 6 weeks postoperatively, and half of these were associated with recurrent disc herniation at the same side. None of these patients still showed nerve root enhancement 6 months after surgery. Postoperative MRI studies must be interpreted with great care since the features described in the failed back surgery syndrome are also found, to some extent, in asymptomatic postoperative patients. (orig.). With 7 figs., 2 tabs.

  9. Two-Level Semantics and Abstract Interpretation

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    Nielson, Flemming

    1989-01-01

    Two-level semantics is a variant of Scott/Strachey denotational semantics in which the concept of binding time is treated explicitly. This is done by formally distinguishing between those computations that take place at run-time and those that take place at compile-time. Abstract interpretation...... unique flavour is the insistence on formal proofs of correctness and the methods used to establish these. This paper develops a theory of abstract interpretation for two-level denotational definitions. There are three ingredients in this. First a framework for proving the correctness of analyses...

  10. Two-Level Semantics and Abstract Interpretation

    DEFF Research Database (Denmark)

    Nielson, Flemming

    1989-01-01

    Two-level semantics is a variant of Scott/Strachey denotational semantics in which the concept of binding time is treated explicitly. This is done by formally distinguishing between those computations that take place at run-time and those that take place at compile-time. Abstract interpretation...... is concerned with the (preferably automatic) analysis of programs. The main purpose of these analyses is to find information that may assist in the efficient implementation of the programs. Abstract interpretation is thus related to data flow analysis, partial evaluation and other program analysis methods. Its...... unique flavour is the insistence on formal proofs of correctness and the methods used to establish these. This paper develops a theory of abstract interpretation for two-level denotational definitions. There are three ingredients in this. First a framework for proving the correctness of analyses...

  11. Surgical efficacy of minimally invasive thoracic discectomy.

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    Elhadi, Ali M; Zehri, Aqib H; Zaidi, Hasan A; Almefty, Kaith K; Preul, Mark C; Theodore, Nicholas; Dickman, Curtis A

    2015-11-01

    We aimed to determine the clinical indications and surgical outcomes for thoracoscopic discectomy. Thoracic disc disease is a rare degenerative process. Thoracoscopic approaches serve to minimize tissue injury during the approach, but critics argue that this comes at the cost of surgical efficacy. Current reports in the literature are limited to small institutional patient series. We systematically identified all English language articles on thoracoscopic discectomy with at least two patients, published from 1994 to 2013 on MEDLINE, Science Direct, and Google Scholar. We analyzed 12 articles that met the inclusion criteria, five prospective and seven retrospective studies comprising 545 surgical patients. The overall complication rate was 24% (n=129), with reported complications ranging from intercostal neuralgia (6.1%), atelectasis (2.8%), and pleural effusion (2.6%), to more severe complications such as pneumonia (0.8%), pneumothorax (1.3%), and venous thrombosis (0.2%). The average reported postoperative follow-up was 20.5 months. Complete resolution of symptoms was reported in 79% of patients, improvement with residual symptoms in 10.2%, no change in 9.6%, and worsening in 1.2%. The minimally invasive endoscopic approaches to the thoracic spine among selected patients demonstrate excellent clinical efficacy and acceptable complication rates, comparable to the open approaches. Disc herniations confined to a single level, with small or no calcifications, are ideal for such an approach, whereas patients with calcified discs adherent to the dura would benefit from an open approach.

  12. INTERLAMINAR ENDOSCOPIC DISCECTOMY: MINIMALLY INVASIVE PROCEDURE, A SERIES REPORT

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    Somashekar

    2014-04-01

    Full Text Available BACKGROUND: The upright posture of humans throws enormous stress on spine, particularly during flexion and is responsible for many structural causes of backache such as lumbar disc prolapsed. Various modalities of surgical management are available for intervertebral disc prolapsed, but posterior interlaminar endoscopic approach has minimal stripping of paraspinal muscles, enhanced visualization due to better magnification and illumination, shorter hospital stay, and faster recovery time. METHODS: Total of 64 patients with lumbar intervertebral disc herniation were operated between 2008and 2013with endoscopic discectomy after localization of symptomatic level. The results were evaluated by Oswestry Disability index score. RESULTS: At final follow-up results were, excellent 60%, Good20%, Fair 16.7% and Poor in 3.3%. CONCLUSION: Open discectomy has been standard procedure of choice. Interlaminar endoscopic discectomy is a safe supplement for open discectomy which offers minimal trauma, better visualization intra operatively with less hospital stay and early mobilization and early return to work.

  13. An in vitro study examining a novel suction curette device for lumbar discectomy compared with standard manual discectomy.

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    Lavelle, William F; Ordway, Nathaniel R; Araghi, Ali; Buckley, Rudolph A; Fayyazi, Amir H

    2017-04-01

    OBJECTIVE This purpose of this study was to objectively evaluate and assess the efficacy and efficiency of discectomy and endplate preparation during transforaminal lumbar interbody fusion (TLIF) using traditional manual instrumentation versus a novel suction discectomy curette. Transforaminal lumbar interbody fusion is the most widely used approach for lumbar arthrodesis, and its success depends on the ability to achieve fusion. Complete preparation of intervertebral disc space (removal of the nucleus, endplate cartilage, and margin of inner annulus) is the surgical goal. Performing an adequate discectomy requires numerous instrument passes, increasing surgical time and the risk of complications. METHODS Four experienced spinal surgeons performed transforaminal discectomies from T-12 to S-1 on 5 whole-body cadavers. Each level (n = 26) was randomly assigned to either a control group using traditional instruments (12 levels) or to a suction curette group (14 levels). The time required to perform the discectomy and the number of passes through the annulus were recorded. Motion segments were dissected and analyzed by digital photogrammetric analysis. The intervertebral disc and the discectomy cross-sectional areas were measured on both superior and inferior images of each dissected surgical level. Areas were divided into 4 quadrants based on a midsagittal and midcoronal axis and analyzed for regional efficiency. In addition, a cross-sectional area of bony endplate (the area still covered with cartilage) and an area of endplate perforation were evaluated. RESULTS There was no significant difference in surgical time between the techniques (7:51 ± 2:43 minutes in the manual discectomy [MD] group and 7:06 ± 3:33 minutes in the suction curette discectomy [SD] group). There were significantly fewer (p suction curette device could potentially improve the clinical fusion rate.

  14. Success and safety in outpatient microlumbar discectomy.

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    Best, Natalie M; Sasso, Rick C

    2006-07-01

    Currently, many spine surgeons perform microlumbar discectomies on an outpatient basis. Yet, it is often customary for patients to have a 1-night stay in the hospital. Many studies have shown the efficacy of microlumbar discectomy (MLD) and its preference among surgeons for the treatment of lumbar disc herniation. It has also been shown to be safe, successful, and cost-effective. However, a large comprehensive study of this magnitude, gauging safety, success, and patient satisfaction for these procedures on an outpatient basis has not yet been done. One thousand three hundred seventy-seven MLD procedures have been done from 1992 to 2001 by 1 surgeon. A retrospective chart review was done on all procedures. Patients were then contacted by either telephone or mail to complete an outcome questionnaire. Seven hundred thirteen patients (53.9%) completed the questionnaire. Follow-up questionnaires were not completed due to deaths, incorrect contact information, and refused responses. Out of all MLD procedures, 55 (4.0%) were done with a hospital stay-only 24 of these (1.7%) were originally intended outpatient procedures. Of those that were done on an outpatient basis, 8.6% had a complication, including 6.4% who had a recurrent disc herniation. When asked, 81.6% said they would undergo the procedure again as an outpatient. In 82.1% the surgery's outcome was good, very good, or excellent. MLD is a routine procedure that can be performed on an outpatient basis safely, successfully, and with high patient satisfaction.

  15. On Mathematical Proving

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    Stefaneas, Petros; Vandoulakis, Ioannis M.

    2015-12-01

    This paper outlines a logical representation of certain aspects of the process of mathematical proving that are important from the point of view of Artificial Intelligence. Our starting-point is the concept of proof-event or proving, introduced by Goguen, instead of the traditional concept of mathematical proof. The reason behind this choice is that in contrast to the traditional static concept of mathematical proof, proof-events are understood as processes, which enables their use in Artificial Intelligence in such contexts, in which problem-solving procedures and strategies are studied. We represent proof-events as problem-centered spatio-temporal processes by means of the language of the calculus of events, which captures adequately certain temporal aspects of proof-events (i.e. that they have history and form sequences of proof-events evolving in time). Further, we suggest a "loose" semantics for the proof-events, by means of Kolmogorov's calculus of problems. Finally, we expose the intented interpretations for our logical model from the fields of automated theorem-proving and Web-based collective proving.

  16. Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy

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    Menekse Oksar

    2016-01-01

    Full Text Available Percutaneous endoscopic laser discectomy (PELD is a painful intervention that requires deep sedation and analgesia. However, sedation should be light at some point because cooperation by the patient during the procedure is required for successful surgical treatment. Light sedation poses a problem for endotracheal intubation, while patients placed in the prone position during percutaneous endoscopic discectomy pose a problem for airway management. Therefore, under these conditions, sedation should be not deeper than required. Here we report the sedation management of three cases that underwent PELD, with a focus on deep and safe sedation that was monitored using bispectral index score and observer’s assessment of alertness/sedation score.

  17. Comparison Of Percutaneous Laser Discectomy With Other Modalities For The Treatment Of Herniated Lumbar Discs And Cadaveric Studies Of Percutaneous Laser Discectomy

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    Johansen, W. E.; Smith, Chadwick F.; Vangsness, Thomas; McEleney, Emmett T.; Yamaguchi, Ken; Bales, Peter

    1987-03-01

    Current modalities for treating a herniated lumbar disc include standard open discectomy, microsurgical discectomy, chemonucleoysis and percutaneous discectomy. The Food and Drug Administration has not yet approved percutaneous laser discectomy for clinical investigation. The investigators believe that percutaneous laser discectomy combines the efficacy of both chemonucleoysis and percutaneous discectomy with the safety of both open standard discectomy and microsurgical discectomy. The investigators removed two lumbar discs from a cadaveric spine and weighed each of them. The two lumbar discs weighed in the range of 13.654 grams and 15.713 grams, respectively. The investigators initiated several series of 10 firing cycles from a surgical carbon dioxide laser system. In each firing cycle the surgical carbon dioxide laser system delivered a beam of light energy having an output power of 18.0 watts at pulse duration of 0.045 second at the rate of 15 pulses per second for a period of 6 seconds and vaporized approximately 325 milligrams of disc material. Based on the findings of other investigators reported in the literature relating to percutaneous discectomy the investigators postulated that 10 to 20 firing cycles are required to vaporize 30 to 40% (2.4 to 6.4 grams) of the disc material. The investigators initiated two series of 10 firing cycles in order to perform laser discectomy in a third lumbar disc of the cadaveric spine in situ. The investigators harvested and then bisected the laser-treated third lumbar disc for gross review. Their gross findings indicated a high probability of success For percutaneous laser discectomy.

  18. Double-hook retractor for microlumbar discectomy and foraminotomy

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    Parthiban J

    2004-01-01

    Full Text Available Aiming to achieve better results in microlumbar discectomy and foraminotomy, a double-hook retractor has been designed to retract lumbar paraspinal muscles away from the spinous process. A double-hook retractor obviates the limitations of single-hook systems.

  19. Results of arthrospine assisted percutaneous technique for lumbar discectomy

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    Mohinder Kaushal

    2016-01-01

    Full Text Available Background: Avaialable minimal invasive arthro/endoscopic techniques are not compatible with 30 degree arthroscope which orthopedic surgeons uses in knee and shoulder arthroscopy. Minimally invasive “Arthrospine assisted percutaneous technique for lumbar discectomy” is an attempt to allow standard familiar microsurgical discectomy and decompression to be performed using 30° arthroscope used in knee and shoulder arthroscopy with conventional micro discectomy instruments. Materials and Methods: 150 patients suffering from lumbar disc herniations were operated between January 2004 and December 2012 by indiginously designed Arthrospine system and were evaluated retrospectively. In lumbar discectomy group, there were 85 males and 65 females aged between 18 and 72 years (mean, 38.4 years. The delay between onset of symptoms to surgery was between 3 months to 7 years. Levels operated upon included L1-L2 (n = 3, L2-L3 (n = 2, L3-L4 (n = 8, L4-L5 (n = 90, and L5-S1 (n = 47. Ninety patients had radiculopathy on right side and 60 on left side. There were 22 central, 88 paracentral, 12 contained, 3 extraforaminal, and 25 sequestrated herniations. Standard protocol of preoperative blood tests, x-ray LS Spine and pre operative MRI and pre anaesthetic evaluation for anaesthesia was done in all cases. Technique comprised localization of symptomatic level followed by percutaneous dilatation and insertion of a newly devised arthrospine system devise over a dilator through a 15 mm skin and fascial incision. Arthro/endoscopic discectomy was then carried out by 30° arthroscope and conventional disc surgery instruments. Results: Based on modified Macnab's criteria, of 150 patients operated for lumbar discectomy, 136 (90% patients had excellent to good, 12 (8% had fair, and 2 patients (1.3% had poor results. The complications observed were discitis in 3 patients (2%, dural tear in 4 patients (2.6%, and nerve root injury in 2 patients (1.3%. About 90% patients

  20. Cost-effectiveness of microendoscopic discectomy versus conventional open discectomy in the treatment of lumbar disc herniation : A prospective randomised controlled trial [ISRCTN51857546

    NARCIS (Netherlands)

    M.P. Arts (Mark); W.C. Peul (Wilco); R. Brand (René); B.W. Koes (Bart); R.T.W.M. Thomeer (Raph)

    2006-01-01

    textabstractBackground: Open discectomy is the standard surgical procedure in the treatment of patients with long-lasting sciatica caused by lumbar disc herniation. Minimally invasive approaches such as microendoscopic discectomy have gained attention in recent years. Reduced tissue trauma allows ea

  1. Two-level total disc replacement with Mobi-C(r over 3-years

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    Reginald Davis

    2014-01-01

    Full Text Available Objective: To evaluate the safety and effectiveness of two-level total disc replacement (TDR using a Mobi-C(r Cervical Artificial Disc at the 36 month follow-up. Methods: a Prospective, randomized, controlled, multicenter clinical trial of an artificial cervical disc (Mobi-C(r Cervical Artificial Disc was conducted under the Investigational Device Exemptions (IDE and the U.S. Food & Drug Administration (FDA regulations. A total of 339 patients with degenerative disc disease were enrolled to receive either two-level treatment with TDR, or a two-level anterior cervical discectomy and fusion (ACDF as control. The 234 TDR patients and 105 ACDF patients were followed up at regular time points for three years after surgery. Results: At 36 months, both groups demonstrated an improvement in clinical outcome measures and a comparable safety profile. NDI scores, SF-12 PCS scores, patient satisfaction, and overall success indicated greater statistically significant improvement from baseline for the TDR group, in comparison to the ACDF group. The TDR patients experienced lower subsequent surgery rates and a lower rate of adjacent segment degeneration. On average, the TDR patients maintained segmental range of motion through 36 months with no device failure. Conclusion: Results at three-years support TDR as a safe, effective and statistically superior alternative to ACDF for the treatment of degenerative disc disease at two contiguous cervical levels.

  2. On proving in epistemic logic

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    Grzegorczyk, Dawid; Mulawka, Jan J.; Nieznański, Edward

    In this article there are presented a few methods of proving that can be adopted for epistemic logic. Those methods are used for proving sample thesis in a certain considered epistemic logic also described briefly in this work.

  3. Clinical Outcomes of Percutaneous Transforaminal Endoscopic Discectomy Versus Fenestration Discectomy in Patients with Lumbar Disc Herniation

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    Zheng-mei DING

    2017-03-01

    Full Text Available Background: Fenestration discectomy (FD is a common treatment method for lumber disc herniation (LDH, with good effects obtained. Nevertheless, it also causes many complications, such as lumbar instability, lumbago and back pain. Percutaneous endoscopic lumbar discectomy (PTED is a new minimally invasive treatment available for LDH with conservative therapy failure. At present, this technique has been carried out in China. The purpose of this study was to conduct a randomized prospective trial to compare the surgical outcomes of PTED and FD, explore the clinical application value of PTED, and discuss the operative manipulated skills of PTED.Methods: Totally 100 patients with LDH were enrolled from March 2014 to December 2015 and randomly divided into PTED group and FD group, 50 cases in each group. FD group received FD including epidural anesthesia, unilateral fenestration decompression, removal of nucleus pulposus, and nerve root decompression and release, while FTED group received PTED including local anesthesia, endoscopic removal of herniated nucleus pulposus and nerve root decompression and release. Both groups were followed up postoperatively. The duration of operation, incision length, postoperative bed-rest and hospital stay were compared between two groups, and the visual analogue scale (VAS, Oswestry disability index (ODI, and therapeutic effects at the final follow-up time were recorded and compared between 2 groups.Results: All patients completed the operation successfully. The surgical duration was similar between two groups (P>0.05. PTED group showed a less incision length and shorter postoperative bed-rest time and hospital stay than FD group (P<0.01. The VAS and ODI scores showed a significant decrease in both groups postoperatively when compared with operation before (P<0.05, but with no significant difference between two groups (P>0.05. Moreover, the excellent and good rate was higher in PTED group thanin FD group, with no

  4. Endoscopic anatomy and features of lumbar discectomy by Destandau technique

    Directory of Open Access Journals (Sweden)

    Keyvan Mostofi

    2017-03-01

    Full Text Available Minimally invasive spine surgery prevents alteration of paraspinal muscles and avoids traditional open surgery, so in the majority of cases, recovery is much quicker and patients have less back pain after surgery. The authors describe an endoscopic approach to lumbar disc herniation by the Destandau's method originated in Bordeaux. Destandau designed ENDOSPINE for discectomy will be inserted, and the procedure will continue using endoscopy. The Endoscopic approach to lumbar disc herniation by Destandau's method offers a convenient access to lumbar disc herniation with less complications and negligible morbidity. It gives maximum exposure to the disc space with maximal angles and minimal cutaneous incision. Contrary to other minimally invasive approaches, the visual field in discectomy by Destandau technique is broad and depending on the workability of ENDOSPINE an adequate access to lumbar disc herniation is possible.

  5. Expectations of two-level telegraph noise

    CERN Document Server

    Fern, J

    2006-01-01

    We find expectation values of functions of time integrated two-level telegraph noise. Expectation values of this noise are evaluated under simple control pulses. Both the Gaussian limit and $1/f$ noise are considered. We apply the results to a specific superconducting quantum computing example, which illustrates the use of this technique for calculating error probabilities.

  6. Percutaneous endoscopic lumbar discectomy: Results of first 100 cases

    Directory of Open Access Journals (Sweden)

    Kanthila Mahesha

    2017-01-01

    Full Text Available Background: Lumbar disc herniation is a major cause of back pain and sciatica. The surgical management of lumbar disc prolapse has evolved from exploratory laminectomy to percutaneous endoscopic discectomy. Percutaneous endoscopic discectomy is the least invasive procedure for lumbar disc prolapse. The aim of this study was to analyze the clinical outcome, quality of life, neurologic function, and complications. Materials and Methods: One hundred patients with lumbar disc prolapse who were treated with percutaneous endoscopic discectomy from May 2012 to January 2014 were included in this retrospective study. Clinical followup was done at 1 month, 3 months, 6 months, 1 year, and at yearly interval thereafter. The outcome was assessed using modified Macnab′s criteria, visual analog scale, and Oswestry Disability Index. Results: The mean followup period was 2 years (range 18 months - 3 years. Transforaminal approach was used in 84 patients, interlaminar approach in seven patients, and combined approach in nine patients. An excellent outcome was noted in ninety patients, good outcome in six patients, fair result in two patients, and poor result in two patients. Minor complications were seen in three patients, and two patients had recurrent disc prolapse. Mean hospital stay was 1.6 days. Conclusions: Percutaneous endoscopic lumbar discectomy is a safe and effective procedure in lumbar disc prolapse. It has the advantage that it can be performed on a day care basis under local anesthesia with shorter length of hospitalization and early return to work thus improving the quality of life earlier. The low complication rate makes it the future of disc surgery. Transforaminal approach alone is sufficient in majority of cases, although 16% of cases required either percutaneous interlaminar approach or combined approach. The procedure definitely has a learning curve, but it is acceptable with adequate preparations.

  7. LONG-TERM OUTCOMES OF FENESTRATED DISCECTOMY FOR LUMBAR DISC

    Institute of Scientific and Technical Information of China (English)

    PAN Yu-tao; CAO Peng; LIANG Yu; GONG Yao-cheng; ZHENG Tao; ZHANG Xing-kai; WU Wen-jian

    2008-01-01

    Objective To evaluate the long-term outcomes of fenestrated discectomy for lumbar disc herniation and analyze the correlative influence factors.Methods Eighty-two cases of lumbar disc herniation, from February 1996 to May 1999, were retrospectively studied. All patients were treated with simple fenestrated discectomy. The average follow-up time was 8 years and 7 months (from 7 years to10 years and 3months). There were 13, 38 and 31 cases at L3-L4, L4-L5 and L5-S1 level, respectively.Results The average scales before operation were as following: Japanes Orthopaedics Association (JOA) scale 6.5 (5-9), visual analysis scale (VAS) of low back pain 4.8 (0-8), and VAS of sciatica 7.2 (4-10). At the final follow-up, the above parameters were 13.2 (10-14), 1.8 (0-10) and 1.2 (0-7), respectively. The average increase ratio of JOA scale was 78.8%. The average disc-vertebra height ratio (Mochida method) was 80.2%. At the final follow-up, 7 cases reoccurred disc herniation. The final clinical satisfaction rate was 80% (modified Macnab method).Conclusion With appropriate surgical indications, the successful long-term outcomes could be expected with fenestrated discectomy. Discectomy improves sciatica to a greater extent than low back pain. The occurrence of low back pain is related to intervertebral disc height, segment stability, disc degeneration, and lumbar muscle disability.

  8. Anterior cervical discectomy with or without fusion with ray titanium cage: a prospective randomized clinical study

    DEFF Research Database (Denmark)

    Hauerberg, J.; Kosteljanetz, M.; Bøge-Rasmussen, Torben;

    2008-01-01

    STUDY DESIGN: A prospective randomized clinical study. OBJECTIVE: To compare 2 surgical methods in the treatment of cervical radiculopathy caused by hard or soft disc herniation; namely, simple discectomy versus discectomy with an additional interbody fusion with a Ray titanium cage. SUMMARY...... by fusion with a Ray titanium cage (40 patients) or to discectomy alone (46 patients). Clinical and radiologic follow-up was performed 3, 12, and 24 months after surgery. RESULTS: There was no statistically significant difference between the 2 groups concerning self-reported satisfaction or severity of pain...... in the neck and arm. Two years after the operation, 86.1% of the patients treated with cage stated a good outcome versus 76.7% in the discectomy group (P = 0.44). The rate of fusion was 83.3% in the cage group versus 81.0% in the discectomy group (P = 0.30). Furthermore, after 2 years, also the rates of new...

  9. Two-Level Semantics and Code Generation

    DEFF Research Database (Denmark)

    Nielson, Flemming; Nielson, Hanne Riis

    1988-01-01

    not absolutely necessary for describing the input-output semantics of programming languages, it is necessary when issues such as data flow analysis and code generation are considered. For an example stack-machine, the authors show how to generate code for the run-time computations and still perform the compile......-time computations. Using an example, it is argued that compiler-tricks such as the use of activation records suggest how to cope with certain syntactic restrictions in the metalanguage. The correctness of the code generation is proved using Kripke-like relations and using a modified machine that can be made to loop...

  10. Multivariate prognostic modeling of persistent pain following lumbar discectomy.

    LENUS (Irish Health Repository)

    Hegarty, Dominic

    2013-03-04

    Persistent postsurgical pain (PPSP) affects between 10% and 50% of surgical patients, the development of which is a complex and poorly understood process. To date, most studies on PPSP have focused on specific surgical procedures where individuals do not suffer from chronic pain before the surgical intervention. Individuals who have a chronic nerve injury are likely to have established peripheral and central sensitization which may increase the risk of developing PPSP. Concurrent analyses of the possible factors contributing to the development of PPSP following lumbar discectomy have not been examined.

  11. Microendoscopic discectomy for treatment of lumbar disc herniation

    Institute of Scientific and Technical Information of China (English)

    ARJUN Sinkemani; WU Xiao-tao

    2015-01-01

    A lumbar microendoscopic discectomy ( MED ) is a minimally invasive surgical technique performed through a tubular device which is designed for the pain relieve caused by herniated discs pressing the nerve roots . In 1997, a new minimally invasive surgical approach for the management of symptomatic lumbar disc herniation , MED was introduced .This technique uses a tubular retractor system and a microendoscope for visualization rather than the operating microscope .However , recent literature suggests that MED is an effective microendoscopic system which has a fine long-term outcome in treating lumbar disc herniation .This article describes the operative tech-niques and outcomes reported in the literature for MED .

  12. Lumbar percutaneous discectomy. Initial experience in 28 cases

    Energy Technology Data Exchange (ETDEWEB)

    Faubert, C. (Saarland Univ., Homburg/Saar (Germany). Neuroradiological Inst.); Caspar, W. (Saarland Univ., Homburg/Saar (Germany). Dept. of Neurosurgery)

    1991-10-01

    Since November 88, 28 patients with lumbar L5 radiculopathy refractory to conservative care and with a radiologically verified central or mediolateral disc herniation at the level of L4/L5 had had a percutaneous discectomy. A short-term follow-up analysis of at least 2 months taking the clinical and functional status as well as the professional reintegration into account revealed a 64.3% (18/28 patients) satisfactory outcome and a 32.1% (10/28 patients) failure rate. Of the latter 28.6% (8/28 patients) required further open surgery. (orig./GDG).

  13. Software Reliability through Theorem Proving

    Directory of Open Access Journals (Sweden)

    S.G.K. Murthy

    2009-05-01

    Full Text Available Improving software reliability of mission-critical systems is widely recognised as one of the major challenges. Early detection of errors in software requirements, designs and implementation, need rigorous verification and validation techniques. Several techniques comprising static and dynamic testing approaches are used to improve reliability of mission critical software; however it is hard to balance development time and budget with software reliability. Particularly using dynamic testing techniques, it is hard to ensure software reliability, as exhaustive testing is not possible. On the other hand, formal verification techniques utilise mathematical logic to prove correctness of the software based on given specifications, which in turn improves the reliability of the software. Theorem proving is a powerful formal verification technique that enhances the software reliability for missioncritical aerospace applications. This paper discusses the issues related to software reliability and theorem proving used to enhance software reliability through formal verification technique, based on the experiences with STeP tool, using the conventional and internationally accepted methodologies, models, theorem proving techniques available in the tool without proposing a new model.Defence Science Journal, 2009, 59(3, pp.314-317, DOI:http://dx.doi.org/10.14429/dsj.59.1527

  14. Geometric inequalities methods of proving

    CERN Document Server

    Sedrakyan, Hayk

    2017-01-01

    This unique collection of new and classical problems provides full coverage of geometric inequalities. Many of the 1,000 exercises are presented with detailed author-prepared-solutions, developing creativity and an arsenal of new approaches for solving mathematical problems. This book can serve teachers, high-school students, and mathematical competitors. It may also be used as supplemental reading, providing readers with new and classical methods for proving geometric inequalities. .

  15. Proving Program Correctness. Volume V.

    Science.gov (United States)

    1981-11-01

    Task 2. Proving Program Correctness (P.I.: J.C. Reynolds). This group is working towards programming languaje designs which increase the probability...certain syntactic difficulties: the natural abstract syntax is ambiguous, and syntactic correctness is violated by certain beta reductions. 3 - These...concept of a functor to express a-sp- priat : restrictions on implicit conversion functions. In a similar v-’.1n, we can use the concept of a natural

  16. Perioperative pregabalin improves pain and functional outcomes 3 months after lumbar discectomy.

    LENUS (Irish Health Repository)

    Burke, Siun M

    2010-04-01

    Patient outcome after lumbar discectomy for radicular low back pain is variable and the benefit is inconsistent. Many patients continue to experience pain 3 months after surgery. Pregabalin, a membrane stabilizer, may decrease perioperative central sensitization and subsequent persistent pain.

  17. Athletic performance outcomes following lumbar discectomy in professional basketball players.

    Science.gov (United States)

    Anakwenze, Okechukwu A; Namdari, Surena; Auerbach, Joshua D; Baldwin, Keith; Weidner, Zachary D; Lonner, Baron S; Huffman, G R; Sennett, Brian J

    2010-04-01

    Retrospective case-control study. To quantify the athletic performance profiles after lumbar discectomy (LD) in a cohort of National Basketball Association (NBA) players in comparison with a control group of matched NBA players who did not undergo LD during the same study period. LD provides symptomatic relief and improved functional outcomes in the majority of patients as assessed by validated measures such as Oswestry Disability Index, Visual Analog Scale, and Short Form-36 (SF-36). Among professional athletes, however, the goal of lumbar HNP treated by discectomy is not only to improve functional status but also, ultimately, to return the player to preinjury athletic performance levels. No study to date has compared the athletic performance profiles before and after discectomy in professional athletes. An analysis of NBA games summaries, weekly injury reports, player profiles, and press releases was performed to identify 24 NBA players who underwent LD for symptomatic lumbar HNP between 1991 and 2007. A 1:2 case: control study was performed using players without history of lumbar HNP who were matched for age, position, experience, and body mass index as control subjects (n = 48). Paired t tests were conducted on the following parameters: games played, minutes per game, points per 40 minutes, rebounds per 40 minutes, assists per 40 minutes, steals per 40 minutes, blocks per 40 minutes, and shooting percentage. For each athletic performance outcome, between-group comparisons evaluating preindex to postindex season performance were done (index season = season of surgery). In the LD group, 18 of 24 players (75%) returned to play again in the NBA, compared with 42 of 48 players (88%, P = 0.31) in the control group. One year after surgery, between-group comparisons revealed statistically significant increase in blocked shots per 40 minutes in the LD (0.18) versus control group (-0.33; P = 0.008) and a smaller decrease in rebounds per 40 minutes in the LD (-0

  18. Microendoscopic lumbar discectomy: Technique and results of 188 cases

    Directory of Open Access Journals (Sweden)

    Arvind G Kulkarni

    2014-01-01

    Full Text Available Background: Discectomy performed open or with an operating microscope remains the standard surgical management. Tubular retractor system is being increasingly used. Potential benefits include less muscle and local damage, better cosmesis, decreased pain and operative time and faster recovery after surgery. We have evaluated the outcome of micro endoscopic discectomy (MED utilizing tubular retractors in terms of safety and efficacy of the technique. Materials and Methods: 188 consecutive patients who underwent surgery for herniated disc using the tubular retractors between April 2007 and April 2012 are reported. All patients had a preoperative MRI (Magnetic Resonance Imaging and were operated by a single surgeon with the METRx system (Medtronic, Sofamor-Danek, Memphis, TN using 18 and 16 mm ports. All patients were mobilized as soon as pain subsided and discharged within 24-48 hours post surgery. The results were evaluated by using VAS (Visual Analog Scale 0-5 for back and leg pain and ODI (Oswestry Disability Index. Patients were followed up at intervals of 1 week, 6 weeks, 3 months, 6 months, 12 months and 2 years. Results: The mean age of patients was 46 years (range 16-78 years and the sex ratio was 1.5 males to 1 female. The mean followup was 22 months (range 8-69 months. The mean VAS scale for leg pain improved from 4.14 to 0.76 ( P < 0.05 and the mean VAS scale for back pain improved from 4.1 to 0.9 ( P < 0.05. The mean ODI changed from 59.5 to 22.6 ( P < 0.05. The mean operative time per level was about 50 minutes (range 20-90 minutes. Dural punctures occurred in 11 (5% cases. Average blood loss was 30 ml (range 10-500 ml. A wrong level was identified and later corrected in a case of revision discectomy. Four patients with residual disc-herniation had revision MED and three patients with recurrent disc herniation later underwent fusion. One patient had wound infection which needed a debridement. Conclusion: MED for herniated discs

  19. Combining norms to prove termination

    DEFF Research Database (Denmark)

    Genaim, S.; Codish, M.; Gallagher, John Patrick;

    2002-01-01

    of deriving automatically a candidate norm with which to prove termination. Instead of deriving a single, complex norm function, it is sufficient to determine a collection of simpler norms, some combination of which, leads to a proof of termination. We propose that a collection of simple norms, one for each...... of the recursive data-types in the program, is often a suitable choice. We first demonstrate the power of combining norm functions and then the adequacy of combining norms based on regular types....

  20. Proving the power of postselection

    CERN Document Server

    Yakaryilmaz, Abuzer

    2011-01-01

    It is a widely believed, though unproven, conjecture that the capability of postselection increases the language recognition power of both probabilistic and quantum polynomial-time computers. It is also unknown whether polynomial-time quantum machines with postselection are more powerful than their probabilistic counterparts with the same resource restrictions. We approach these problems by imposing additional constraints on the resources to be used by the computer, and are able to prove for the first time that postselection does augment the computational power of both classical and quantum computers, and that quantum does outperform probabilistic in this context, under simultaneous time and space bounds in a certain range. We also look at postselected versions of space-bounded classes, as well as those corresponding to error-free and one-sided error recognition, and provide classical characterizations. It is shown that $\\mathsf{NL}$ would equal $\\mathsf{RL}$ if the randomized machines had the postselection c...

  1. Long term outcome of anterior cervical discectomy and fusion using coral grafts.

    Science.gov (United States)

    Ramzi, Najib; Ribeiro-Vaz, Geraldo; Fomekong, Edward; Lecouvet, Frédéric E; Raftopoulos, Christian

    2008-12-01

    To determine the long term efficacy of coral grafts in anterior cervical discectomy and fusion. In this prospective longitudinal study, All patients presenting with myelopathy and/or radiculopathy due to discal hernia or cervical spondylosis underwent anterior cervical microdiscectomy, arthrodesis with coral, and stabilization with anterior cervical locking plates. Clinical and radiological post-operative evaluations were performed at 2 days, 3, 6, and 12 months, and then yearly. The visual analogue scale was used for the evaluation of pain. Fusion was defined as the absence of motion on dynamic imaging combined with the disappearance of radio-lucent lines around the graft. The mean follow-up period was 44 months. In 83.3%, 91.2% and 93.7% of patients there was a satisfactory outcome for neck pain, arm pain, and motor deficit, respectively. The overall complication rate was 17.5%, all of which were transient. Additional surgery was required in nine cases. The occurrence of complications is correlated with less satisfactory outcomes for both neck and arm pain. While 95.5% of patients expressed overall satisfaction with their surgery, 70.5% stated that they had returned to their previous activities. The fusion rate was 45%; which was not correlated with clinical outcome and more likely in patients with of cervical spondylosis and one-level arthrodesis. Despite satisfactory clinical results and a long follow-up period, coral implants yield low fusion rates, particularly in patients with discal hernia of two-level arthrodesis. The use of coral grafts cannot be recommended when fusion is one of the post-operative endpoints.

  2. Surgery in cervical disc herniation: anterior cervical discectomy without fusion or with fusion

    Directory of Open Access Journals (Sweden)

    Iencean Andrei Stefan

    2017-03-01

    Full Text Available The study included a group of anterior cervical microdiscectomy without fusion performed at one level (either C5-C6 level or at the C6-C7 level and a second group of patients with same single-level of anterior cervical discectomy with fusion. The kinematic analysis included the range of motion, anteroposterior translation and disc height assessed for the cervical functional spinal units at the operated level and adjacent levels. At the operated level the range of motion and the translation were minimal in the anterior cervical discectomy without fusion group, both for the C5-C6 and C6-C7 levels, and absent in the cervical discectomy with fusion group. The superior adjacent levels translations were greater in the ACDF group compared with the ACD group. The clinical results of both types of cervical discectomy were comparable. In cervical microdiscectomy without fusion the elastic fibrous intradiscal scar at the operated level allows a small degree of mobility and the adjacent cervical levels are not overstressed. No need for anterior cervical discectomy with fusion to trait a single level cervical disc herniation than in selected cases.

  3. Percutaneous Posterolateral Transforaminal Endoscopic Discectomy: Clinical Outcome, Complications, and Learning Curve Evaluation.

    Science.gov (United States)

    Tenenbaum, Shay; Arzi, Harel; Herman, Amir; Friedlander, Alon; Levinkopf, Moshe; Arnold, Paul M; Caspi, Isreal

    2011-12-01

    Ongoing technological development combined with better understanding of endoscopic anatomy has made posterolateral endoscopic discectomy an appealing surgical option for the management of herniated lumbar disc. We evaluated clinical outcomes, complication rates, and surgical learning curve with the percutaneous posterolateral transforaminal endoscopic discectomy technique (PPTED). PPTED was performed on 150 patients from 2004 to 2008. And 124 patients were available for follow-up. Data regarding pain, postoperative complications, neurological status, operation time, and subjective patient satisfaction were recorded. A satisfactory clinical outcome as reflected in the VAS (mean 3.6) and ODI improvement (mean 21%) scores was reported; 20.9% of the patients required additional surgery. Learning curve assessment showed a significant difference (p = 0.043) for fewer revision surgeries as surgeons became more experienced. Patients who had endoscopic discectomy as a primary surgery achieved significantly lower VAS (p = 0.04) and ODI improvement (p = 0.004) scores compared with patients having transforaminal endoscopic discectomy as revision surgery. The complication rate was 1.6%, including one case of post-surgery hypoesthesia and one deep wound infection. The percutaneous posterolateral transforaminal endoscopic discectomy technique has a satisfactory clinical outcome with a low complication rate. Results for endoscopic surgery for revision or recurrent disc herniation are comparable to those of open revision surgery; the steep learning curve can be overcome with training and suitable patient selection.

  4. Comparison of discectomy versus sequestrectomy in lumbar disc herniation: a meta-analysis of comparative studies.

    Directory of Open Access Journals (Sweden)

    Jisheng Ran

    Full Text Available Lumbar disc removal is currently the standard treatment for lumbar disc herniation. No consensus has been achieved whether aggressive disc resection with curettage (discectomy versus conservative removal of the offending disc fragment alone (sequestrectomy provides better outcomes. This study aims to compare the reherniation rate and clinical outcomes between discectomy and sequestrectomy by literature review and a meta-analysis.A systematic search of PubMed, Medline, Embase and the Cochrane Library was performed up to June 1, 2014. Outcomes of interest assessing the two techniques included demographic and clinical baseline characteristics, perioperative variables, complications, recurrent herniation rate and post-operative functional outcomes.Twelve eligible trials evaluating discectomy vs sequestrectomy were identified including one randomized controlled study, five prospective and six retrospective comparative studies. By contrast to discectomy, sequestrectomy was associated with significantly less operative time (p<0.001, lower visual analogue scale (VAS for low back pain (p<0.05, less post-operative analgesic usage (p<0.05 and better patients' satisfaction (p<0.05. Recurrent herniation rate, reoperation rate, intraoperative blood loss, hospitalization duration and VAS for sciatica were without significant difference.According to our pooled data, sequestrectomy entails equivalent reherniation rate and complications compared with discectomy but maintains a lower incidence of recurrent low back pain and higher satisfactory rate. High-quality prospective randomized controlled trials are needed to firmly assess these two procedures.

  5. EFFECTIVENESS OF OPEN DISCECTOMY FOR IVDP – A PROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Ranganath

    2014-02-01

    Full Text Available BACKGROUND AND OBJECTIVES: Low back pain (LBP results in loss in productivity than any other medical condition. Approximately 70 - 80% of all people will develop LBP in their life . There are various causes of LBP , out of which the lumber disc herniation is one of the most frequent reason for physical , functional restriction in patients. Patients who have u ndergone surgical treatment are found to possess increased short term outcome instead of conservative treated patients. Surgically treated patients experienced fast pain relief , improvement of function & satisfaction in comparison to conservative patients. The comparative results of patients treated with surgery and conservatively treated patients have revealed that surgical treatment is much better at short term follow up (upto 1 year however no variations have been shown among treatment at long term foll ow up. Some patients operated for spine diseases are still left with poor results. The present study aims to evaluate the efficiency of open discectomy for L 4 – L 5 IVDP prospectively. METHODS : 30 cases of lumbar disc prolapse , above 18 years of age admitte d at KIMS hospital , Bangalore with MRI showing conclusive disc prolapsed were taken for the study. They were pre operatively evaluated for their ODI score. Only those patients who have scored 40% and above in ODI were included in the study. They underwent dis c ectomy. Methods of surgery used were fenestration , extended fenestration , hemilaminectomy & total laminectomy as per operative requirement. Follow - ups were carried out at 6 , 12 and 24weeks on selected areas. Pre and post of ODI total and sub scale scor es were compared at the end of 24 weeks. RESULTS : There was a significant reduction of post operative ODI score indicating good success rate in open disectomy. The pre operative mean ODI score was 58.28 , SD was 5.06 and the post operative mean ODI score wa s 15.28 and SD was 2.40 with t value of 38.56 and p value of

  6. Percutaneous Endoscopic Discectomy via Transforaminal Route for Discal Cyst

    Science.gov (United States)

    Jha, Subash C.; Higashino, Kosaku; Sakai, Toshinori; Takata, Yoichiro; Abe, Mitsunobu; Nagamachi, Akihiro; Fukuta, Shoji; Sairyo, Koichi

    2015-01-01

    Background. Discal cyst has been identified as a rare cause of low back pain and radiating leg pain. The pathogenesis and management of this condition are still debated. The largest number of reported cases had undergone microsurgery while very few cases have been treated with percutaneous endoscopic discectomy (PED). Methods. An 18-year-old boy complained of low back pain radiating to right leg after a minor road traffic accident. Diagnosis of a discal cyst at L4-L5 level was made based on magnetic resonance imaging (MRI). Despite conservative management for 6 months, the low back pain and radiating leg pain persisted so surgical treatment by PED was performed under local anesthesia. As the patient was a very active baseball player, his physician recommended a minimally invasive procedure to avoid damage to the back muscles. Results. The patient's low back pain and leg pain disappeared immediately after surgery and he made a rapid recovery. He resumed mild exercise and sports practice 4 weeks after surgery. Complete regression of the cystic lesion was demonstrated on the 2-month postoperative MRI. Conclusion. A minimal invasive procedure like PED can be an effective surgical treatment for discal cyst, especially in active individuals who play sports. PMID:26357581

  7. Percutaneous Endoscopic Discectomy via Transforaminal Route for Discal Cyst

    Directory of Open Access Journals (Sweden)

    Subash C. Jha

    2015-01-01

    Full Text Available Background. Discal cyst has been identified as a rare cause of low back pain and radiating leg pain. The pathogenesis and management of this condition are still debated. The largest number of reported cases had undergone microsurgery while very few cases have been treated with percutaneous endoscopic discectomy (PED. Methods. An 18-year-old boy complained of low back pain radiating to right leg after a minor road traffic accident. Diagnosis of a discal cyst at L4-L5 level was made based on magnetic resonance imaging (MRI. Despite conservative management for 6 months, the low back pain and radiating leg pain persisted so surgical treatment by PED was performed under local anesthesia. As the patient was a very active baseball player, his physician recommended a minimally invasive procedure to avoid damage to the back muscles. Results. The patient’s low back pain and leg pain disappeared immediately after surgery and he made a rapid recovery. He resumed mild exercise and sports practice 4 weeks after surgery. Complete regression of the cystic lesion was demonstrated on the 2-month postoperative MRI. Conclusion. A minimal invasive procedure like PED can be an effective surgical treatment for discal cyst, especially in active individuals who play sports.

  8. Serial MRI in the early postoperative period after lumbar discectomy

    Energy Technology Data Exchange (ETDEWEB)

    Annertz, M. [Dept. of Radiology, University Hospital, Lund (Sweden); Joensson, B. [Dept. of Orthopaedics, University Hospital, Lund (Sweden); Stroemqvist, B. [Dept. of Orthopaedics, University Hospital, Lund (Sweden); Holtaas, S. [Dept. of Radiology, University Hospital, Lund (Sweden)

    1995-04-01

    The aim of this study was to determine MRI findings in patients successfully operated upon for lumbar disc herniation. We investigated 20 patients with a successful outcome after L4-5 or L5-S1 disc operations clinically and with MRI preoperatively, and at 5 days, 6 weeks, and 4 months after surgery. Postoperatively, T1- and T2-weighted images were obtained. At 4 months gadolinium-enhanced images were added. Pronounced intraspinal MRI changes were seen during follow-up. Deformation of the dural sac was seen in 13 patients preoperatively, in 19 at 5 days after operation, in 15 at 6 weeks, and in 12 at 4 months. Nerve root involvement was seen in all cases both preoperatively and at 5 days after operation, in 17 at 6 weeks, and in 15 at 4 months. No correlation between symptoms or the straight leg raising test and the size or nature of the abnormal tissue in the spinal canal postoperatively could be demonstrated. It was concluded that early postoperative MRI after lumbar discectomy must be interpreted carefully, and that oedema and scar formation are probable reasons for difficulties in interpretation. (orig.)

  9. A two-level cache for distributed information retrieval in search engines.

    Science.gov (United States)

    Zhang, Weizhe; He, Hui; Ye, Jianwei

    2013-01-01

    To improve the performance of distributed information retrieval in search engines, we propose a two-level cache structure based on the queries of the users' logs. We extract the highest rank queries of users from the static cache, in which the queries are the most popular. We adopt the dynamic cache as an auxiliary to optimize the distribution of the cache data. We propose a distribution strategy of the cache data. The experiments prove that the hit rate, the efficiency, and the time consumption of the two-level cache have advantages compared with other structures of cache.

  10. A Two-Level Cache for Distributed Information Retrieval in Search Engines

    Directory of Open Access Journals (Sweden)

    Weizhe Zhang

    2013-01-01

    Full Text Available To improve the performance of distributed information retrieval in search engines, we propose a two-level cache structure based on the queries of the users’ logs. We extract the highest rank queries of users from the static cache, in which the queries are the most popular. We adopt the dynamic cache as an auxiliary to optimize the distribution of the cache data. We propose a distribution strategy of the cache data. The experiments prove that the hit rate, the efficiency, and the time consumption of the two-level cache have advantages compared with other structures of cache.

  11. Proving allelopathy in crop-weed interactions

    Science.gov (United States)

    Allelopathy (plant/plant chemical warfare) is difficult to prove, especially when competition for resources is the dominant component of plant/plant interference (interference = allelopathy +competition). This paper describes experimental approaches for proving allelopathy and points out common pit...

  12. Anterior cervical discectomy and fusion for noncontiguous cervical spondylotic myelopathy

    Directory of Open Access Journals (Sweden)

    Sun Qizhi

    2016-01-01

    Full Text Available Background: Noncontiguous cervical spondylotic myelopathy (CSM is a special degenerative disease because of the intermediate normal level or levels between supra and infraabnormal levels. Some controversy exists over the optimal procedure for two noncontiguous levels of CSM. The study was to evaluate the outcomes of the anterior cervical discectomy and fusion (ACDF with zero-profile devices for two noncontiguous levels of CSM. Materials and Methods: 17 consecutive patients with two noncontiguous levels of CSM operated between December 2009 and August 2012 were included in the study. There were 12 men and 5 women with a mean age of 60.7 years (range 45-75 years. Involved disc levels were C3/4 and C5/6 in 11 patients and C4/5 and C6/7 in six patients. Preoperative plain radiographs, computed tomography (CT with 3-D reconstruction and magnetic resonance imaging (MRI of the cervical spine were taken in all patients. All radiographs were independently evaluated by 2 spine surgeons and 1 radiologist. The outcomes were assessed by the average operative time, blood loss, Japanese Orthopedic Association (JOA score, improvement rate, neck dysfunction index (NDI, swallowing quality of life (SWAL-QOL score, the cervical lordosis and complications. Results: The mean followup was 48.59 months (range 24-56 months. The average operative time and blood loss was 105.29 min and 136.47 ml, respectively. The preoperative JOA score was 8.35, which significantly increased to 13.7 at the final followup ( P 0.05. Cerebrospinal fluid leak, dysphagia and radiological adjacent segment degeneration occurred in one patient, respectively. Conclusion: The ACDF with zero-profile devices is generally effective and safe in treating two noncontiguous levels of CSM.

  13. Two-Level Fingerprinting Codes: Non-Trivial Constructions

    CERN Document Server

    Rochanakul, Penying

    2011-01-01

    We extend the concept of two-level fingerprinting codes, introduced by Anthapadmanabhan and Barg (2009) in context of traceability (TA) codes, to other types of fingerprinting codes, namely identifiable parent property (IPP) codes, secure-frameproof (SFP) codes, and frameproof (FP) codes. We define and propose the first explicit non-trivial construction for two-level IPP, SFP and FP codes.

  14. The Two-level Management System of University and School

    Institute of Scientific and Technical Information of China (English)

    Yang Xu

    2013-01-01

    With the development of our country's higher e-ducation, the school also presents the great-leap-forward devel-opment trend. The previous denotative development has changed into the way of connotative development. The two-level management system of university and school is the most common management mode in many colleges. This paper intro-duces the advantage of this mode in the objective view, analyzes the problems existing in the practice operation, put forward countermeasures to improve the two-level management and proposes a method to build the two-level management system.

  15. Field correlations and effective two level atom-cavity systems

    CERN Document Server

    Rebic, S; Tan, S M

    2004-01-01

    We analyse the properties of the second order correlation functions of the electromagnetic field in atom-cavity systems that approximate two-level systems. It is shown that a recently-developed polariton formalism can be used to account for all the properties of the correlations, if the analysis is extended to include two manifolds - corresponding to the ground state and the states excited by a single photon - rather than just two levels.

  16. Symbolic logic and mechanical theorem proving

    CERN Document Server

    Chang, Chin-Liang

    1969-01-01

    This book contains an introduction to symbolic logic and a thorough discussion of mechanical theorem proving and its applications. The book consists of three major parts. Chapters 2 and 3 constitute an introduction to symbolic logic. Chapters 4-9 introduce several techniques in mechanical theorem proving, and Chapters 10 an 11 show how theorem proving can be applied to various areas such as question answering, problem solving, program analysis, and program synthesis.

  17. Ordering in mechanical geometry theorem proving

    Institute of Scientific and Technical Information of China (English)

    李洪波¥

    1997-01-01

    Ordering in mechanical geometry theorem proving is studied from geometric viewpoint and some new ideas are proposed. For Thebault’s theorem which is the most difficult theorem that has ever been proved by Wu’ s method, a very simple proof using Wu’s method under a linear order is discovered.

  18. Uniformity pattern and related criteria for two-level factorials

    Institute of Scientific and Technical Information of China (English)

    FANG; Kaitai; QIN; Hong

    2005-01-01

    In this paper,the study of projection properties of two-level factorials in view of geometry is reported.The concept of uniformity pattern is defined.Based on this new concept,criteria of uniformity resolution and minimum projection uniformity are proposed for comparing two-level factorials.Relationship between minimum projection uniformity and other criteria such as minimum aberration,generalized minimum aberration and orthogonality is made explict.This close relationship raises the hope of improving the connection between uniform design theory and factorial design theory.Our results provide a justification of orthogonality,minimum aberration,and generalized minimum aberration from a natural geometrical interpretation.

  19. Two-level Robust Measurement Fusion Kalman Filter for Clustering Sensor Networks

    Institute of Scientific and Technical Information of China (English)

    ZHANG Peng; QI Wen-Juan; DENG Zi-Li

    2014-01-01

    This paper investigates the distributed fusion Kalman filtering over clustering sensor networks. The sensor network is partitioned as clusters by the nearest neighbor rule and each cluster consists of sensing nodes and cluster-head. Using the minimax robust estimation principle, based on the worst-case conservative system with the conservative upper bounds of noise variances, two-level robust measurement fusion Kalman filter is presented for the clustering sensor network systems with uncertain noise variances. It can significantly reduce the communication load and save energy when the number of sensors is very large. A Lyapunov equation approach for the robustness analysis is presented, by which the robustness of the local and fused Kalman filters is proved. The concept of the robust accuracy is presented, and the robust accuracy relations among the local and fused robust Kalman filters are proved. It is proved that the robust accuracy of the two-level weighted measurement fuser is equal to that of the global centralized robust fuser and is higher than those of each local robust filter and each local weighted measurement fuser. A simulation example shows the correctness and effectiveness of the proposed results.

  20. Proving relations between modular graph functions

    Science.gov (United States)

    Basu, Anirban

    2016-12-01

    We consider modular graph functions that arise in the low energy expansion of the four graviton amplitude in type II string theory. The vertices of these graphs are the positions of insertions of vertex operators on the toroidal worldsheet, while the links are the scalar Green functions connecting the vertices. Graphs with four and five links satisfy several non-trivial relations, which have been proved recently. We prove these relations by using elementary properties of Green functions and the details of the graphs. We also prove a relation between modular graph functions with six links.

  1. A two-level stochastic collocation method for semilinear elliptic equations with random coefficients

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Luoping; Zheng, Bin; Lin, Guang; Voulgarakis, Nikolaos

    2017-05-01

    In this work, we propose a novel two-level discretization for solving semilinear elliptic equations with random coefficients. Motivated by the two-grid method for deterministic partial differential equations (PDEs) introduced by Xu, our two-level stochastic collocation method utilizes a two-grid finite element discretization in the physical space and a two-level collocation method in the random domain. In particular, we solve semilinear equations on a coarse mesh $\\mathcal{T}_H$ with a low level stochastic collocation (corresponding to the polynomial space $\\mathcal{P}_{P}$) and solve linearized equations on a fine mesh $\\mathcal{T}_h$ using high level stochastic collocation (corresponding to the polynomial space $\\mathcal{P}_p$). We prove that the approximated solution obtained from this method achieves the same order of accuracy as that from solving the original semilinear problem directly by stochastic collocation method with $\\mathcal{T}_h$ and $\\mathcal{P}_p$. The two-level method is computationally more efficient, especially for nonlinear problems with high random dimensions. Numerical experiments are also provided to verify the theoretical results.

  2. Efficacy of triamcinolone acetonide and bupivacaine for pain after lumbar discectomy.

    LENUS (Irish Health Repository)

    Bahari, Syah

    2012-02-01

    The study is a prospective blinded randomised controlled trial to compare the efficacy of triamcinolone acetonide, bupivacaine or in combination in managing pain after lumbar discectomy. Patients undergoing primary single-level lumbar discectomy were randomised. Triamcinolone acetonide, bupivacaine or in combination was instilled at the nerve root as decompression. Preoperative, day 1 and 6 weeks pain score, 24-h postoperative opiate requirements and duration of inpatient stay were recorded. Data was analysed using Mann-Whitney test for statistical significance. 100 patients were recruited. A significant difference was noted in day one postoperative mean pain score, mean 24-h opiate requirement and mean inpatient stay in the triamcinolone acetonide and bupivacaine group. At 8 weeks postoperatively, no significant differences were seen in the pain score in all groups. Significant postoperative pain reduction and opiate requirements in the first 24 h, and significantly shortened duration of inpatient stay were achieved in the triamcinolone acetonide and bupivacaine group compared with other groups.

  3. CT value analysis and clinical significance before and after percutaneous lumbar discectomy

    Institute of Scientific and Technical Information of China (English)

    刘雷; 裴福兴; 宋跃明; 沈彬; 周宗科; 宋文锴; 张聪

    2002-01-01

    To provide theoretical basis for effect and mechanism of percutaneous lumbar discectomy in clinic. Methods: A total of 180 patients with lumbar intervertebral disc herniation were evaluated by CT on the fifth day before and after operation. Meanwhile, CT value was measured in the determined level and region. Results: After operation, CT value of the central and posterior determined point of herniated intervertebral disc was lower significantly than that before operation (P<0.01), but CT value of the anterior determined point was different insignificantly. The excellent and good results of the patients together were 83% postoperatively. Conclusions: The curative effect of percutaneous lumbar discectomy is achieved through reduction of lumbar intradiscal pressure.

  4. A Comprehensive Guide to Factorial Two-Level Experimentation

    CERN Document Server

    Mee, Robert

    2009-01-01

    Statistical design of experiments is useful in virtually every quantitative field. This book focuses on two-level factorial designs that provide efficient plans for exploring the effects of many factors at once. It is suitable for engineers, physical scientists, and those who conduct experiments.

  5. Modulated two-level system: exact work statistics.

    Science.gov (United States)

    Verley, Gatien; Van den Broeck, Christian; Esposito, Massimiliano

    2013-09-01

    We consider an open two-level system driven by a piecewise constant periodic field and described by a rate equation with Fermi, Bose, and Arrhenius rates, respectively. We derive an analytical expression for the generating function and large deviation function of the work performed by the field and show that a work fluctuation theorem holds.

  6. Two-level convolution formula for nuclear structure function

    Science.gov (United States)

    Ma, Boqiang

    1990-05-01

    A two-level convolution formula for the nuclear structure function is derived in considering the nucleus as a composite system of baryon-mesons which are also composite systems of quark-gluons again. The results show that the European Muon Colaboration effect can not be explained by the nuclear effects as nucleon Fermi motion and nuclear binding contributions.

  7. Experiments of Two-level Training in Hungarian Higher Education

    Science.gov (United States)

    Korcsog, Andras; And Others

    1977-01-01

    An experiment designed to train engineering students to two levels of achievement in three-year and five-year programs within a single institution is reported. Organizational and curricular problems created by such integrated schemes are examined. (Author/LBH)

  8. THE TWO-LEVEL MODEL AT FINITE-TEMPERATURE

    Energy Technology Data Exchange (ETDEWEB)

    Goodman, A.L.

    1980-07-01

    The finite-temperature HFB cranking equations are solved for the two-level model. The pair gap, moment of inertia and internal energy are determined as functions of spin and temperature. Thermal excitations and rotations collaborate to destroy the pair correlations. Raising the temperature eliminates the backbending effect and improves the HFB approximation.

  9. Comparison of safety and efficiency of microendoscopic discectomy with automatic nerve retractor and with nerve hook

    OpenAIRE

    Yin, He-Ping; Wang, Yu-Peng; Qiu, Zhi-Ye; Du, Zhi-Cai; Wu, Yi-Min; Li, Shu-Wen

    2016-01-01

    This study compares the safety and efficiency of two techniques in microendoscopic discectomy (MED) for lumbar disc herniation. The two techniques are MED with automatic nerve retractor and MED with nerve hook which had been widely used for many years. The former involves a newly developed MED device which contains three parts to protect nerve roots during operation. Four hundred and twenty-eight patients underwent MED treatments between October 2010 and September 2015 were recruited and rand...

  10. Awake endotracheal intubation and self positioning the patient to prone position for lumbar discectomy operation

    OpenAIRE

    Abdolrasoul Anvarypour; Arash Saffarian; Hamidreza Alizadeh otaghour; Vafa Naseri; Nader Ramezanian

    2011-01-01

    Awake endotracheal intubation is indicated when risk of pulmonary aspiration and difficult airway management is present. In this way, patient cooperation and topical anesthesia with experience of anesthesiologist in difficult airway management is necessary. In this case report, we present a 21-year-old man with (Body Mass Index) = 51 and 140 kg of weight candidates for lumbar discectomy in prone position. After conclusion about his condition with difficult anesthesia, awaked endotracheal intu...

  11. Lumbar Discectomy of a Patient of Mitral Stenosis with Chronic Atrial Fibrillation Under Epidural Anaesthesia

    Directory of Open Access Journals (Sweden)

    Vinaya R Kulkarni

    2008-01-01

    Full Text Available A 60-year-old female patient posted for discectomy of lumbar region L 3 -L 4 was accidently diagnosed to have chronic atrial fibrillation of rheumatic aetiology.This is a case report of this patient of critical mitral stenosis with mild mitral regurgitation with chronic atrial fibrillation managed successfully under lower thoracic epidural anaesthesia,in prone position without any compli-cation.

  12. Treatment of cervical radiculopathy by anterior cervical discectomy and cage fusion

    Directory of Open Access Journals (Sweden)

    Osman A Mohamed

    2012-01-01

    Full Text Available Introduction: Since the pioneering days of the anterior cervical approach introduced by Cloward et al. in the early 1950s, anterior cervical discectomy and fusion (ACDF has been the standard procedure for most discogenic and degenerative cervical spinal lesions. Although traditional interbody fusion using iliac bone can maintain the patency of the neuroforamen and ensure solid fusion, selection of patients, and of surgical procedure for ACDF is a continuous challenge. Aim: The aim of this study was to assess the results of cervical discectomy and fusion with cervical cages in treatment of cervical radiculopathy clinically and radiologically. Materials and Methods: Eighteen patients suffering from cervical radiculopathy were operated upon using this technique. They were 15 males and 3 females. Clinical and radiological assessment, visual analog scale (VAS for neck and arm and modified Oswestery neck disability index (NDI were done preoperatively and at 4 weeks, 3, 6, and 12 months postoperatively. Polyetheretherketone (Peek cages filled with iliac bone graft were used after cervical discectomy. The levels operated upon were C 5-6 in 16 patients and C4-5 in 2 patients. Results: Marked clinical improvement as regard arm and neck pain, and NDI was observed. The pre and post operative mean and standard deviations (SD of the various scores were as follows. VAS for pain in arm reduced from mean of 8 (SD 1.76 to mean 0.4 (SD 0.4, VAS for neck pain reduced from mean of 3.5 (SD 1.58 to mean of 0.8 (SD 0.47, and NDI from mean of 20.2 (SD 0.89 to 2.1(SD 1.05. Fusion occurred in all patients. Subjectively 79% of the patients reported marked improvement in neck pain, and 95% reported marked reduction in arm pain. Conclusion: Anterior cervical discectomy and cage fusion resulted in high fusion rate with minimal preservation of lordosis.

  13. Determinants of outcome for patients undergoing lumbar discectomy: a pilot study.

    LENUS (Irish Health Repository)

    Hickey, Oonagh T

    2010-08-01

    One-third of patients who undergo lumbar discectomy continue to suffer from persistent pain postoperatively. Greater preoperative warmth thresholds and greater preoperative cerebrospinal fluid concentrations of stable serum nitric oxide metabolites are associated with a worse outcome. The principal objective of this study was to examine the relationship between patient outcome (defined using the Modified Stauffer-Coventry evaluating criteria) and preoperative pain perception threshold to an electrical stimulus.

  14. Performance-based outcomes following lumbar discectomy in professional athletes in the National Football League.

    Science.gov (United States)

    Hsu, Wellington K

    2010-05-20

    Retrospective cohort study. To determine the performance-based outcomes in National Football League (NFL) athletes after discectomy for a lumbar disc herniation (LDH). Long-term outcomes following surgical treatment in elite athletes in the NFL are unknown. Postoperative outcomes may be significantly different from the general population due to the exceptional physical demands imposed by the sport. National Football League players diagnosed with a lumbar disc herniation were identified using information from press releases, team injury reports, and newspaper archives. Demographic, treatment, and performance data based on vital statistics to each position were recorded for each player over the length of his career. Using a modification of a previously published scoring system (Carey et al, Am J Sports Med 2006;34:1911-7) based on game statistics, a "Performance Score" was calculated for each player both before and after diagnosis of LDH. A total of 137 National Football League players were identified as having an LDH necessitating treatment. Ninety-six players underwent surgical treatment with a lumbar discectomy, and 34 athletes were treated nonoperatively. Seventy-eight percent of athletes treated surgically for an LDH returned to play in at least 1 NFL game. Players treated surgically played in statistically more games post-treatment (36) than those treated nonoperatively (20) (P Pro Bowl appearances, and position played did not significantly affect outcome. The data in this study suggests that even though a lumbar discectomy has career-threatening implications, a large percentage of NFL athletes return to play at competitive levels. Despite the general opinion of many NFL general managers, players who are able to complete the rigorous rehabilitation required to return to play after lumbar discectomy can expect excellent performance-based outcomes after surgery.

  15. Soluble model of Bose-atoms with two level internal structure: non-conventional Bose-Einstein condensation

    Directory of Open Access Journals (Sweden)

    M. Corgini

    2010-01-01

    Full Text Available For a Bose atom system whose energy operator is diagonal in the so-called number operators and its ground state has an internal two-level structure with negative energies, exact expressions for the limit free canonical energy and pressure are obtained. The existence of non-conventional Bose-Einstein condensation has been also proved.

  16. Predictive Score Card in Lumbar Disc Herniation: Is It Reflective of Patient Surgical Success after Discectomy?

    Science.gov (United States)

    Azimi, Parisa; Benzel, Edward C; Montazeri, Ali

    2016-01-01

    Does the Finneson-Cooper score reflect the true value of predicting surgical success before discectomy? The aim of this study was to identify reliable predictors for surgical success two year after surgery for patients with LDH. Prospective analysis of 154 patients with LDH who underwent single-level lumbar discectomy was performed. Pre- and post-surgical success was assessed by the Oswestry Disability Index (ODI) over a 2-year period. The Finneson-Cooper score also was used for evaluation of the clinical results. Using the ODI, surgical success was defined as a 30% (or more) improvement on the ODI score from the baseline. The ODI was considered the gold standard in this study. Finally, the sensitivity, specificity, and positive and negative predictive power of the Finneson-Cooper score in predicting surgical success were calculated. The mean age of the patients was 49.6 (SD = 9.3) years and 47.4% were male. Significant improvement from the pre- to post-operative ODI scores was observed (P score. Regarding patients' surgical success, the sensitivity, specificity, and accuracy of the Finneson-Cooper ratings correlated with success rate. The findings indicated that the Finneson-Cooper score was reflective of surgical success before discectomy.

  17. Possible Minkowskian Language in Two-level Systems

    CERN Document Server

    Kim, Y S

    2008-01-01

    One hundred years ago, in 1908, Hermann Minkowski completed his proof that Maxwell's equations are covariant under Lorentz transformations. During this process, he introduced a four-dimensional space called the Minkowskian space. In 1949, P. A. M. Dirac showed the Minkowskian space can be handled with the light-cone coordinate system with squeeze transformations. While the squeeze is one of the fundamental mathematical operations in optical sciences, it could serve useful purposes in two-level systems. Some possibilities are considered in this report. It is shown possible to cross the light-cone boundary in optical and two-level systems while it is not possible in Einstein's theory of relativity.

  18. Model discrimination for dephasing two-level systems

    Energy Technology Data Exchange (ETDEWEB)

    Gong, Er-ling [Department of Automatic Control, College of Mechatronic Engineering and Automation, National University of Defense Technology, Changsha, Hunan 410073 (China); College of Science (Physics), Swansea University, Singleton Park, Swansea, SA2 8PP (United Kingdom); Zhou, Weiwei [Department of Automatic Control, College of Mechatronic Engineering and Automation, National University of Defense Technology, Changsha, Hunan 410073 (China); Schirmer, Sophie, E-mail: sgs29@swan.ac.uk [College of Science (Physics), Swansea University, Singleton Park, Swansea, SA2 8PP (United Kingdom)

    2015-02-06

    The problem of model discriminability and parameter identifiability for dephasing two-level systems subject to Hamiltonian control is studied. Analytic solutions of the Bloch equations are used to derive explicit expressions for observables as functions of time for different models. This information is used to give criteria for model discrimination and parameter estimation based on simple experimental paradigms. - Highlights: • Analytic expressions for observables of driven, dephasing two-level systems. • Distinguishability of dephasing models via Rabi-oscillation experiments. • General identifiability of model parameters and cases of failure. • Application to empirically determine of effect of driving on dephasing basis. • Importance for optimal design of coherent controls for qubits subject to dephasing.

  19. Clustering DTDs: An Interactive Two-Level Approach

    Institute of Scientific and Technical Information of China (English)

    周傲英; 钱卫宁; 钱海蕾; 张龙; 梁宇奇; 金文

    2002-01-01

    XML (eXtensible Markup Language) is a standard which is widely appliedin data representation and data exchange. However, as an important concept of XML, DTD(Document Type Definition) is not taken full advantage in current applications. In this paper, anew method for clustering DTDs is presented, and it can be used in XML document clustering.The two-level method clusters the elements in DTDs and clusters DTDs separately. Elementclustering forms the first level and provides element clusters, which are the generalization ofrelevant elements. DTD clustering utilizes the generalized information and forms the secondlevel in the whole clustering process. The two-level method has the following advantages: 1) Ittakes into consideration both the content and the structure within DTDs; 2) The generalizedinformation about elements is more useful than the separated words in the vector model; 3) Thetwo-level method facilitates the searching of outliers. The experiments show that this methodis able to categorize the relevant DTDs effectively.

  20. Berry phase in a generalized nonlinear two-level system

    Institute of Scientific and Technical Information of China (English)

    Liu Ji-Bing; Li Jia-Hua; Song Pei-Jun; Li Wei-Bin

    2008-01-01

    In this paper,we investigate the behaviour of the geometric phase of a more generalized nonlinear system composed of an effective two-level system interacting with a single-mode quantized cavity field.Both the field nonlinearity and the atom-field coupling nonlinearity are considered.We find that the geometric phase depends on whether the index k is an odd number or an even number in the resonant case.In addition,we also find that the geometric phase may be easily observed when the field nonlinearity is not considered.The fractional statistical phenomenon appears in this system if the strong nonlinear atom-field coupling is considered.We have also investigated the geometric phase of an effective two-level system interacting with a two-mode quantized cavity field.

  1. Two-level method with coarse space size independent convergence

    Energy Technology Data Exchange (ETDEWEB)

    Vanek, P.; Brezina, M. [Univ. of Colorado, Denver, CO (United States); Tezaur, R.; Krizkova, J. [UWB, Plzen (Czech Republic)

    1996-12-31

    The basic disadvantage of the standard two-level method is the strong dependence of its convergence rate on the size of the coarse-level problem. In order to obtain the optimal convergence result, one is limited to using a coarse space which is only a few times smaller than the size of the fine-level one. Consequently, the asymptotic cost of the resulting method is the same as in the case of using a coarse-level solver for the original problem. Today`s two-level domain decomposition methods typically offer an improvement by yielding a rate of convergence which depends on the ratio of fine and coarse level only polylogarithmically. However, these methods require the use of local subdomain solvers for which straightforward application of iterative methods is problematic, while the usual application of direct solvers is expensive. We suggest a method diminishing significantly these difficulties.

  2. A two level DEA in project based organizations

    Directory of Open Access Journals (Sweden)

    Mehrdad Hamidi Hedayat

    2012-01-01

    Full Text Available This paper presents a systematic approach for evaluating the performance of a project based organization using a two level fuzzy data envelopment analysis (DEA technique in project based organizations. In order to determine the required inputs and outputs, important indicators are selected using both expert judgments and statistical analysis and a two-level DEA model is adapted. In this model, by considering different inputs and outputs through a hierarchical process, a large number of sub indicators are provided and rolled up to a higher level. Since inputs and outputs are combinations of qualitative and quantitative indicators, fuzzy logic is also included through the modeling procedure. In addition, since the exact amount cannot be attributed to the indicators, the proposed model uses interval values for the project life cycle. Finally, some of the projects are evaluated throughout the approach proposed in this paper.

  3. Micro- and macrostresses in two level model of coating growth

    OpenAIRE

    N. N. Nazarenko; Knyazeva, Anna Georgievna

    2014-01-01

    In the work, a two level model of coating growing with the diffusion and chemical compounds formation is proposed. The process of coating formation includes different physico-chemical steps and transformations of the structure. From the experiments it was established that the coating consists of the following substances: 4+ titanium oxide, titanium pyrophosphate, calcium pyrophosphate, calcium titanophosphate. Coating growth rate is determined by the deposition rate and the dispersion of the ...

  4. Franson Interference Generated by a Two-Level System

    Science.gov (United States)

    Peiris, M.; Konthasinghe, K.; Muller, A.

    2017-01-01

    We report a Franson interferometry experiment based on correlated photon pairs generated via frequency-filtered scattered light from a near-resonantly driven two-level semiconductor quantum dot. In contrast to spontaneous parametric down-conversion and four-wave mixing, this approach can produce single pairs of correlated photons. We have measured a Franson visibility as high as 66%, which goes beyond the classical limit of 50% and approaches the limit of violation of Bell's inequalities (70.7%).

  5. Quantum modeling of two-level photovoltaic systems

    Science.gov (United States)

    Aram, Tahereh Nemati; Asgari, Asghar; Ernzerhof, Matthias; Quémerais, Pascal; Mayou, Didier

    2017-06-01

    We present a quantum formalism that provides a quantitative picture of the fundamental processes of charge separation that follow an absorption event. We apply the formalism to two-level photovoltaic cells and our purpose is to pedagogically explain the main aspects of the model. The formalism is developed in the energy domain and provides detailed knowledge about existence or absence of localized states and their effects on electronic structure and photovoltaic yield.

  6. Two-level systems driven by large-amplitude fields

    Science.gov (United States)

    Nori, F.; Ashhab, S.; Johansson, J. R.; Zagoskin, A. M.

    2009-03-01

    We analyze the dynamics of a two-level system subject to driving by large-amplitude external fields, focusing on the resonance properties in the case of driving around the region of avoided level crossing. In particular, we consider three main questions that characterize resonance dynamics: (1) the resonance condition, (2) the frequency of the resulting oscillations on resonance, and (3) the width of the resonance. We identify the regions of validity of different approximations. In a large region of the parameter space, we use a geometric picture in order to obtain both a simple understanding of the dynamics and quantitative results. The geometric approach is obtained by dividing the evolution into discrete time steps, with each time step described by either a phase shift on the basis states or a coherent mixing process corresponding to a Landau-Zener crossing. We compare the results of the geometric picture with those of a rotating wave approximation. We also comment briefly on the prospects of employing strong driving as a useful tool to manipulate two-level systems. S. Ashhab, J.R. Johansson, A.M. Zagoskin, F. Nori, Two-level systems driven by large-amplitude fields, Phys. Rev. A 75, 063414 (2007). S. Ashhab et al, unpublished.

  7. Two-level leader-follower organization in pigeon flocks

    Science.gov (United States)

    Chen, Zhiyong; Zhang, Hai-Tao; Chen, Xi; Chen, Duxin; Zhou, Tao

    2015-10-01

    The most attractive trait of collective animal behavior is the emergence of highly ordered structures (Cavagna A., Giardina I. and Ginelli F., Phys. Rev. Lett., 110 (2013) 168107). It has been conjectured that the interaction mechanism in pigeon flock dynamics follows a hierarchical leader-follower influential network (Nagy M., Ákos Z., Biro D. and Vicsek T., Nature, 464 (2010) 890). In this paper, a new observation is reported that shows that pigeon flocks actually adopt a much simpler two-level interactive network composed of one leader and some followers. By statistically analyzing the same experimental dataset, we show that for a certain period of time a sole leader determines the motion of the flock while the remaining birds are all followers directly copying the leader's direction with specific time delays. This simple two-level despotic organization is expected to save both motional energy and communication cost, while retaining agility and robustness of the whole group. From an evolutionary perspective, our results suggest that a two-level organization of group flight may be more efficient than a multilevel topology for small pigeon flocks.

  8. Epidural steroid following discectomy for herniated lumbar disc reduces neurological impairment and enhances recovery: a randomized study with two-year follow-up

    DEFF Research Database (Denmark)

    Rasmussen, S.; Krum-Moller, D.S.; Lauridsen, L.R.

    2008-01-01

    STUDY DESIGN: We randomized 200 patients after lumbar discectomy to receive epidural steroid or none with a 2-year follow-up. OBJECTIVE: To evaluate the outcome, neurologic impairment and safety of epidural steroid following lumbar discectomy for herniated disc disease. SUMMARY OF BACKGROUND DATA...

  9. Percutaneous endoscopic lumbar discectomy: clinical and quality of life outcomes with a minimum 2 year follow-up

    Directory of Open Access Journals (Sweden)

    Tan Seang B

    2009-06-01

    Full Text Available Abstract Background Percutaneous endoscopic lumbar discectomy is a relatively new technique. Very few studies have reported the clinical outcome of percutaneous endoscopic discectomy in terms of quality of life and return to work. Method 55 patients with percutaneous endoscopic lumbar discectomy done from 2002 to 2006 had their clinical outcomes reviewed in terms of the North American Spine Score (NASS, Medical Outcomes Study Short Form-36 scores (SF-36 and Pain Visual Analogue Scale (VAS and return to work. Results The mean age was 35.6 years, the mean operative time was 55.8 minutes and the mean length of follow-up was 3.4 years. The mean hospital stay for endoscopic discectomy was 17.3 hours. There was significant reduction in the severity of back pain and lower limb symptoms (NASS and VAS, p Conclusion Percutaneous endoscopic lumbar discectomy is associated with improvement in back pain and lower limb symptoms postoperation which translates to improvement in quality of life. It has the advantage that it can be performed on a day case basis with short length of hospitalization and early return to work thus improving quality of life earlier.

  10. Presurgical biopsychosocial variables predict medical, compensation, and aggregate costs of lumbar discectomy in Utah workers' compensation patients.

    Science.gov (United States)

    DeBerard, M Scott; Wheeler, Anthony J; Gundy, Jessica M; Stein, David M; Colledge, Alan L

    2011-05-01

    Elective lumbar discectomy among injured workers is a prevalent spine surgery that often requires a lengthy rehabilitation. It is important to determine presurgical biopsychosocial predictors of compensation and medical costs in such patients. To determine if presurgical biopsychosocial variables are predictive of compensation and medical costs in a cohort of Utah patients who have undergone open or microlumbar discectomy that are receiving workers' compensation. A retrospective cohort study consisting of a review of presurgical medical records and accrued medical and compensation costs. A consecutive sample of 266 compensated workers from Utah who had undergone either open discectomy or microlumbar discectomy from 1994 to 2000. All patients were at least 2 years postsurgery at the time of follow-up. Total accrued medical, compensation, and aggregate costs. A retrospective review of presurgical biopsychosocial variables and total accrued medical, compensation, and aggregate costs. Presurgical variables were statistically significantly correlated with medical and compensation costs. Multiple linear regression models accounted for 31% of variation in compensation costs, 32% in medical costs, and 43% in total aggregate costs. Presurgical biopsychosocial variables are important predictors of compensated lumbar discectomy costs. Medical cost control programs might benefit from identifying biopsychosocial variables related to increased costs. Published by Elsevier Inc.

  11. On proving syntactic properties of CPS programs

    DEFF Research Database (Denmark)

    Danvy, Olivier; Dzafic, Belmina; Pfenning, Frank

    1999-01-01

    Higher-order program transformations raise new challenges for proving properties of their output, since they resist traditional, first-order proof techniques. In this work, we consider (1) the “one-pass” continuation-passing style (CPS) transformation, which is second-order, and (2) the occurrences...

  12. Affect, Behavioural Schemas and the Proving Process

    Science.gov (United States)

    Selden, Annie; McKee, Kerry; Selden, John

    2010-01-01

    In this largely theoretical article, we discuss the relation between a kind of affect, behavioural schemas and aspects of the proving process. We begin with affect as described in the mathematics education literature, but soon narrow our focus to a particular kind of affect--nonemotional cognitive feelings. We then mention the position of feelings…

  13. The Role of Abduction in Proving Processes

    Science.gov (United States)

    Pedemonte, Bettina; Reid, David

    2011-01-01

    This paper offers a typology of forms and uses of abduction that can be exploited to better analyze abduction in proving processes. Based on the work of Peirce and Eco, we describe different kinds of abductions that occur in students' mathematical activity and extend Toulmin's model of an argument as a methodological tool to describe students'…

  14. Proving Noninterference and Functional Correctness Using Traces

    Science.gov (United States)

    1992-01-01

    formulated as a trace specification,1 the traditional approach to proving a system noninterfering consists of constructing a finite state machine model of...our specification satisfies Noninterference would require developing a state machine model of the specification and unwinding conditions for the state

  15. A Two-Level Method for Nonsymmetric Eigenvalue Problems

    Institute of Scientific and Technical Information of China (English)

    Karel Kolman

    2005-01-01

    A two-level discretization method for eigenvalue problems is studied. Compared to the standard Galerkin finite element discretization technique performed on a fine grid this method discretizes the eigenvalue problem on a coarse grid and obtains an improved eigenvector (eigenvalue) approximation by solving only a linear problem on the fine grid (or two linear problems for the case of eigenvalue approximation of nonsymmetric problems). The improved solution has the asymptotic accuracy of the Galerkin discretization solution. The link between the method and the iterated Galerkin method is established. Error estimates for the general nonsymmetric case are derived.

  16. Ultra-short strong excitation of two-level systems

    Science.gov (United States)

    Jha, Pankaj K.; Eleuch, Hichem; Grazioso, Fabio

    2014-11-01

    We present a model describing the use of ultra-short strong pulses to control the population of the excited level of a two-level quantum system. In particular, we study an off-resonance excitation with a few cycles pulse which presents a smooth phase jump i.e. a change of the pulse's phase which is not step-like, but happens over a finite time interval. A numerical solution is given for the time-dependent probability amplitude of the excited level. The control of the excited level's population is obtained acting on the shape of the phase transient, and other parameters of the excitation pulse.

  17. Ultra-short strong excitation of two-level systems

    OpenAIRE

    2013-01-01

    We present a model describing the use of ultra-short strong pulses to control the population of the excited level of a two-level quantum system. In particular, we study an off-resonance excitation with a few cycles pulse which presents a smooth phase jump i.e. a change of the pulse's phase which is not step-like, but happens over a finite time interval. A numerical solution is given for the time-dependent probability amplitude of the excited level. The control of the excited level's populatio...

  18. Levitated nanoparticle as a classical two-level atom [Invited

    Science.gov (United States)

    Frimmer, Martin; Gieseler, Jan; Ihn, Thomas; Novotny, Lukas

    2017-06-01

    The center-of-mass motion of a single optically levitated nanoparticle resembles three uncoupled harmonic oscillators. We show how a suitable modulation of the optical trapping potential can give rise to a coupling between two of these oscillators, such that their dynamics are governed by a classical equation of motion that resembles the Schr\\"odinger equation for a two-level system. Based on experimental data, we illustrate the dynamics of this parametrically coupled system both in the frequency and in the time domain. We discuss the limitations and differences of the mechanical analogue in comparison to a true quantum mechanical system.

  19. Negative spontaneous emission by a moving two-level atom

    Science.gov (United States)

    Lannebère, Sylvain; Silveirinha, Mário G.

    2017-01-01

    In this paper we investigate how the dynamics of a two-level atom is affected by its interaction with the quantized near field of a plasmonic slab in relative motion. We demonstrate that for small separation distances and a relative velocity greater than a certain threshold, this interaction can lead to a population inversion, such that the probability of the excited state exceeds the probability of the ground state, corresponding to a negative spontaneous emission rate. It is shown that the developed theory is intimately related to a classical problem. The problem of quantum friction is analyzed and the differences with respect to the corresponding classical effect are highlighted.

  20. Noise from Two-Level Systems in Superconducting Resonators

    Science.gov (United States)

    Neill, C.; Barends, R.; Chen, Y.; Chiaro, B.; Jeffrey, E.; Kelly, J.; Mariantoni, M.; Megrant, A.; Mutus, J.; Ohya, S.; Sank, D.; Vainsencher, A.; Wenner, J.; White, T.; Cleland, A. N.; Martinis, J. M.

    2013-03-01

    Two-level systems (TLSs) present in amorphous dielectrics and surface interfaces are a significant source of decoherence in superconducting qubits. Linear microwave resonators offer a valuable instrument for characterizing the strongly power-dependent response of these TLSs. Using quarter-wavelength coplanar waveguide resonators, we monitored the microwave response of the resonator at a single near-resonant frequency versus time at varying microwave drive powers. We observe a time dependent variation of the resonator's internal dissipation and resonance frequency. The amplitude of these variations saturates with power in a manner similar to loss from TLSs. These results provide a means for quantifying the number and distribution of TLSs.

  1. Comparison of time optimal control for two level quantum systems

    Institute of Scientific and Technical Information of China (English)

    Shuang Cong; Jie Wen; Xubo Zou

    2014-01-01

    The time optimal problem for a two level quantum sys-tem is studied. We compare two different control strategies of bang-bang control and the geometric control, respectively, es-pecial y in the case of minimizing the time of steering the state from North Pole to South Pole on the Bloch sphere with bounded control. The time performances are compared for different param-eters by the individual numerical simulation experiments, and the experimental results are analyzed. The results show that the ge-ometric control spends less time than the bang-bang control does.

  2. Variational Study on a Dissipative Two-Level System

    Institute of Scientific and Technical Information of China (English)

    ZHU Wei-Wing; REN Qing-Bao; CHEN Qing-Hu

    2008-01-01

    A new variational approach is proposed to study the ground-state of a two-level system coupled to a dispersionless phonon bath. By the extended coherent state, where the more phonon correlations are easily incorporated, we can obtain very accurate ground state energy and the tunnelling reduction factor in all regime of tunnelling matrix element δo and coupling parameter s. The relative difference between the present ones and those by exact numerical diagonalization is less then 0.001%. In addition, some simple analytical results are given in the limits of δo/s → 0 and ∞.

  3. The Mobi-C cervical disc for one-level and two-level cervical disc replacement: a review of the literature

    Directory of Open Access Journals (Sweden)

    Alvin MD

    2014-11-01

    Full Text Available Matthew D Alvin,1,2 Thomas E Mroz1,3,41Cleveland Clinic Center for Spine Health, Cleveland Clinic, Cleveland, OH, USA; 2Case Western Reserve University School of Medicine, Cleveland, OH, USA; 3Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA; 4Department of Neurological Surgery, Cleveland Clinic, Cleveland, OH, USABackground: Cervical disc arthroplasty (CDA is a novel motion-preserving procedure that is an alternative to fusion. The Mobi-C disc prosthesis, one of many Food and Drug Administration (FDA-approved devices for CDA, is the only FDA-approved prosthesis for two-level CDA. Hence, it may allow for improved outcomes compared with multilevel fusion procedures.Purpose: To critically assess the available literature on CDA with the Mobi-C prosthesis, with a focus on two-level CDA.Methods: All clinical articles involving the Mobi-C disc prosthesis for CDA through September 1, 2014 were identified on Medline. Any paper that presented Mobi-C CDA clinical results was included. Study design, sample size, length of follow-up, use of statistical analysis, quality of life outcome scores, conflict of interest, and complications were recorded.Results: Fifteen studies were included that investigated Mobi-C CDA, only one of which was a level Ib randomized control trial. All studies included showed non-inferiority of one-level Mobi-C CDA to one-level anterior cervical discectomy and fusion (ACDF. Only one study analyzed outcomes of one-level versus two-level Mobi-C CDA, and only one study analyzed two-level Mobi-C CDA versus two-level ACDF. In comparison with other cervical disc prostheses, the Mobi-C prosthesis is associated with higher rates of heterotopic ossification (HO. Studies with conflicts of interest reported lower rates of HO. Adjacent segment degeneration or disease, along with other complications, were not assessed in most studies.Conclusion: One-level Mobi-C CDA is non-inferior, but not superior, to one-level ACDF for patients

  4. Two-level hierarchical feature learning for image classification

    Institute of Scientific and Technical Information of China (English)

    Guang-hui SONG; Xiao-gang JIN; Gen-lang CHEN; Yan NIE

    2016-01-01

    In some image classifi cation tasks, similarities among different categories are different and the samples are usually misclassifi ed as highly similar categories. To distinguish highly similar categories, more specifi c features are required so that the classifi er can improve the classifi cation performance. In this paper, we propose a novel two-level hierarchical feature learning framework based on the deep convolutional neural network (CNN), which is simple and effective. First, the deep feature extractors of different levels are trained using the transfer learning method that fi ne-tunes the pre-trained deep CNN model toward the new target dataset. Second, the general feature extracted from all the categories and the specifi c feature extracted from highly similar categories are fused into a feature vector. Then the fi nal feature representation is fed into a linear classifi er. Finally, experiments using the Caltech-256, Oxford Flower-102, and Tasmania Coral Point Count (CPC) datasets demonstrate that the expression ability of the deep features resulting from two-level hierarchical feature learning is powerful. Our proposed method effectively increases the classifi cation accuracy in comparison with fl at multiple classifi cation methods.

  5. On proving syntactic properties of CPS programs

    DEFF Research Database (Denmark)

    Danvy, Olivier; Dzafic, Belmina; Pfenning, Frank

    1999-01-01

    Higher-order program transformations raise new challenges for proving properties of their output, since they resist traditional, first-order proof techniques. In this work, we consider (1) the “one-pass” continuation-passing style (CPS) transformation, which is second-order, and (2) the occurrenc...... of parameters of continuations in its output. To this end, we specify the one-pass CPS transformation relationally and we use the proof technique of logical relations....

  6. Parameterized Telescoping Proves Algebraic Independence of Sums

    CERN Document Server

    Schneider, Carsten

    2008-01-01

    Usually creative telescoping is used to derive recurrences for sums. In this article we show that the non-existence of a creative telescoping solution, and more generally, of a parameterized telescoping solution, proves algebraic independence of certain types of sums. Combining this fact with summation-theory shows transcendence of whole classes of sums. Moreover, this result throws new light on the question why, e.g., Zeilberger's algorithm fails to find a recurrence with minimal order.

  7. On proving syntactic properties of CPS programs

    DEFF Research Database (Denmark)

    Danvy, Olivier; Dzafic, Belmina; Pfenning, Frank

    1999-01-01

    Higher-order program transformations raise new challenges for proving properties of their output, since they resist traditional, first-order proof techniques. In this work, we consider (1) the “one-pass” continuation-passing style (CPS) transformation, which is second-order, and (2) the occurrences...... of parameters of continuations in its output. To this end, we specify the one-pass CPS transformation relationally and we use the proof technique of logical relations....

  8. Resource Adaptive Agents in Interactive Theorem Proving

    CERN Document Server

    Benzmueller, Christoph

    2009-01-01

    We introduce a resource adaptive agent mechanism which supports the user in interactive theorem proving. The mechanism uses a two layered architecture of agent societies to suggest appropriate commands together with possible command argument instantiations. Experiments with this approach show that its effectiveness can be further improved by introducing a resource concept. In this paper we provide an abstract view on the overall mechanism, motivate the necessity of an appropriate resource concept and discuss its realization within the agent architecture.

  9. Automated theorem proving theory and practice

    CERN Document Server

    Newborn, Monty

    2001-01-01

    As the 21st century begins, the power of our magical new tool and partner, the computer, is increasing at an astonishing rate. Computers that perform billions of operations per second are now commonplace. Multiprocessors with thousands of little computers - relatively little! -can now carry out parallel computations and solve problems in seconds that only a few years ago took days or months. Chess-playing programs are on an even footing with the world's best players. IBM's Deep Blue defeated world champion Garry Kasparov in a match several years ago. Increasingly computers are expected to be more intelligent, to reason, to be able to draw conclusions from given facts, or abstractly, to prove theorems-the subject of this book. Specifically, this book is about two theorem-proving programs, THEO and HERBY. The first four chapters contain introductory material about automated theorem proving and the two programs. This includes material on the language used to express theorems, predicate calculus, and the rules of...

  10. Comparing clinical outcomes of repeat discectomy versus fusion for recurrent disc herniation utilizing the N(2)QOD.

    Science.gov (United States)

    Guan, Jian; Ravindra, Vijay M; Schmidt, Meic H; Dailey, Andrew T; Hood, Robert S; Bisson, Erica F

    2017-01-01

    OBJECTIVE Recurrent lumbar disc herniation (RLDH) is a significant cause of morbidity in patients undergoing lumbar discectomy and has been reported to occur in up to 18% of cases. While repeat discectomy is often successful in treating these patients, concern over repeat RLDH may lead surgeons to advocate instrumented fusion even in the absence of instability. The authors' goal was to compare clinical outcomes for patients undergoing repeat discectomy versus instrumented fusion for RLDH. METHODS The authors used the National Neurosurgery Quality and Outcomes Database (N(2)QOD) to assess outcomes of patients who underwent repeat discectomy versus instrumented fusion at a single institution from 2012 to 2015. Primary outcomes included Oswestry Disability Index (ODI) score, visual analog scale (VAS) score, and quality-adjusted life year (QALY) measures. Secondary outcomes included hospital length of stay, discharge status, and hospital charges. RESULTS The authors identified 25 repeat discectomy and 12 instrumented fusion patients with 3- and 12-month follow-up records. The groups had similar ODI and VAS scores and QALY measurements at 3 and 12 months. Patients in the instrumented fusion group had significantly longer hospitalizations (3.7 days vs 1.0 days, p fusion group were also significantly higher ($54,458.29 vs $11,567.05, p fusion result in similar clinical outcomes at short-term follow-up. Patients undergoing repeat discectomy had significantly shorter operative times and length of stay, and they incurred dramatically lower hospital charges. They were also less likely to require acute rehabilitation postoperatively. Further research is needed to compare these two management strategies.

  11. Optimizing ETL by a Two-level Data Staging Method

    DEFF Research Database (Denmark)

    Iftikhar, Nadeem

    2016-01-01

    In data warehousing, the data from source systems are populated into a central data warehouse (DW) through extraction, transformation and loading (ETL). The standard ETL approach usually uses sequential jobs to process the data with dependencies, such as dimension and fact data. It is a non......-/late-arriving data, and fast-/slowly-changing data. The introduced additional staging area decouples loading process from data extraction and transformation, which improves ETL flexibility and minimizes intervention to the data warehouse. This paper evaluates the proposed method empirically, which shows......-trivial task to process the so-called early-/late-arriving data, which arrive out of order. This paper proposes a two-level data staging area method to optimize ETL. The proposed method is an all-in-one solution that supports processing different types of data from operational systems, including early...

  12. Rabi noise spectroscopy of individual two-level tunneling defects

    Science.gov (United States)

    Matityahu, Shlomi; Lisenfeld, Jürgen; Bilmes, Alexander; Shnirman, Alexander; Weiss, Georg; Ustinov, Alexey V.; Schechter, Moshe

    2017-06-01

    Understanding the nature of two-level tunneling defects is important for minimizing their disruptive effects in various nanodevices. By exploiting the resonant coupling of these defects to a superconducting qubit, one can probe and coherently manipulate them individually. In this work, we utilize a phase qubit to induce Rabi oscillations of single tunneling defects and measure their dephasing rates as a function of the defect's asymmetry energy, which is tuned by an applied strain. The dephasing rates scale quadratically with the external strain and are inversely proportional to the Rabi frequency. These results are analyzed and explained within a model of interacting defects, in which pure dephasing of coherent high-frequency (gigahertz) defects is caused by interaction with incoherent low-frequency thermally excited defects. Our analysis sets an upper bound for the relaxation rates of thermally excited defects interacting strongly with strain fields.

  13. Efficacy of transforaminal endoscopic discectomy using TESSYS technique in treatment of lumbar disc herniation

    Institute of Scientific and Technical Information of China (English)

    Liang Li|; Li-Ming Fang; Tao Niu; Xiao-Jun Yang

    2016-01-01

    Objective:To explore the clinical efficacy of transforaminal endoscopic discectomy using TESSYS technique in the treatment of lumbar disc herniation (LDH).Methods:A total of 60 patients with LDH who were admitted in our hospital from June, 2014 to February, 2016 were included in the study and randomized into the study group and the control group. The patients in the study group were performed with transforaminal endoscopic discectomy using TESSYS technique, while the patients in the control group were performed with the vertebral lamina fenestration. VAS was used to evaluate the pain relieving before operation, 1 d, 1 month, 3 months, and 6 months after operation. The fasting elbow venous blood before operation, 3, 6, 12, 24, and 48 h after operation was collected. The immune scatter turbidity was used to detect hs-CRP. ELISA was used to detect IL-6.Results:The difference of VAS scores before operation between the two groups was not statistically significant (P>0.05). With the time extending after operation, VAS score was significantly reduced (P0.05). The difference of hs-CRP and IL-6 before operation between the two groups was not statistically significant (P>0.05). The levels of hs-CRP and IL-6 after operation at each timing point in the study group were significantly superior to those in the control group (P<0.05). Conclusions:Transforaminal endoscopic discectomy using TESSYS technique in the treatment of LDH has advantages of small trauma, less stress reaction, and rapid postoperative recovery; therefore, it deserves to be widely recommended in the clinic.

  14. Theorem proving support in programming language semantics

    CERN Document Server

    Bertot, Yves

    2007-01-01

    We describe several views of the semantics of a simple programming language as formal documents in the calculus of inductive constructions that can be verified by the Coq proof system. Covered aspects are natural semantics, denotational semantics, axiomatic semantics, and abstract interpretation. Descriptions as recursive functions are also provided whenever suitable, thus yielding a a verification condition generator and a static analyser that can be run inside the theorem prover for use in reflective proofs. Extraction of an interpreter from the denotational semantics is also described. All different aspects are formally proved sound with respect to the natural semantics specification.

  15. Awake endotracheal intubation and self positioning the patient to prone position for lumbar discectomy operation

    Directory of Open Access Journals (Sweden)

    Abdolrasoul Anvarypour

    2011-09-01

    Full Text Available Awake endotracheal intubation is indicated when risk of pulmonary aspiration and difficult airway management is present. In this way, patient cooperation and topical anesthesia with experience of anesthesiologist in difficult airway management is necessary. In this case report, we present a 21-year-old man with (Body Mass Index = 51 and 140 kg of weight candidates for lumbar discectomy in prone position. After conclusion about his condition with difficult anesthesia, awaked endotracheal intubation in supine position was done and self positioned to prone for operation.

  16. On a Connection between Ideal Two-level Autocorrelation and Almost Balancedness of $p$-ary Sequences

    CERN Document Server

    Borissov, Yuri L

    2011-01-01

    In this correspondence, for every periodic $p-$ary sequence satisfying ideal two-level autocorrelation property the existence of an element of the field ${\\bf GF}(p)$ which appears one time less than all the rest that are equally distributed in a period of that sequence, is proved by algebraic method. In addition, it is shown that such a special element might not be only the zero element but as well arbitrary element of that field.

  17. Two-level tunneling systems in amorphous alumina

    Science.gov (United States)

    Lebedeva, Irina V.; Paz, Alejandro P.; Tokatly, Ilya V.; Rubio, Angel

    2014-03-01

    The decades of research on thermal properties of amorphous solids at temperatures below 1 K suggest that their anomalous behaviour can be related to quantum mechanical tunneling of atoms between two nearly equivalent states that can be described as a two-level system (TLS). This theory is also supported by recent studies on microwave spectroscopy of superconducting qubits. However, the microscopic nature of the TLS remains unknown. To identify structural motifs for TLSs in amorphous alumina we have performed extensive classical molecular dynamics simulations. Several bistable motifs with only one or two atoms jumping by considerable distance ~ 0.5 Å were found at T=25 K. Accounting for the surrounding environment relaxation was shown to be important up to distances ~ 7 Å. The energy asymmetry and barrier for the detected motifs lied in the ranges 0.5 - 2 meV and 4 - 15 meV, respectively, while their density was about 1 motif per 10 000 atoms. Tuning of motif asymmetry by strain was demonstrated with the coupling coefficient below 1 eV. The tunnel splitting for the symmetrized motifs was estimated on the order of 0.1 meV. The discovered motifs are in good agreement with the available experimental data. The financial support from the Marie Curie Fellowship PIIF-GA-2012-326435 (RespSpatDisp) is gratefully acknowledged.

  18. CONSENSUS FORMATION OF TWO-LEVEL OPINION DYNAMICS

    Institute of Scientific and Technical Information of China (English)

    Yilun SHANG

    2014-01-01

    Opinion dynamics have received significant attention in recent years. This pa-per proposes a bounded confidence opinion model for a group of agents with two different confidence levels. Each agent in the population is endowed with a confidence interval around her opinion with radius αd or (1-α)d, where α ∈ (0, 1/2] represents the differentiation of confidence levels. We analytically derived the critical confidence bound dc =1/(4α) for the two-level opinion dynamics on Z. A single opinion cluster is formed with probability 1 above this critical value regardless of the ratio p of agents with high/low confidence. Extensive numerical simulations are performed to illustrate our theoretical results. Noticed is a clear impact of p on the collective behavior: more agents with high confidence lead to harder agreement. It is also experimentally revealed that the sharpness of the threshold dc increases with αbut does not depend on p.

  19. Structured Learning of Two-Level Dynamic Rankings

    CERN Document Server

    Raman, Karthik; Shivaswamy, Pannaga

    2011-01-01

    For ambiguous queries, conventional retrieval systems are bound by two conflicting goals. On the one hand, they should diversify and strive to present results for as many query intents as possible. On the other hand, they should provide depth for each intent by displaying more than a single result. Since both diversity and depth cannot be achieved simultaneously in the conventional static retrieval model, we propose a new dynamic ranking approach. Dynamic ranking models allow users to adapt the ranking through interaction, thus overcoming the constraints of presenting a one-size-fits-all static ranking. In particular, we propose a new two-level dynamic ranking model for presenting search results to the user. In this model, a user's interactions with the first-level ranking are used to infer this user's intent, so that second-level rankings can be inserted to provide more results relevant for this intent. Unlike for previous dynamic ranking models, we provide an algorithm to efficiently compute dynamic ranking...

  20. Resolution methods in proving the program correctness

    Directory of Open Access Journals (Sweden)

    Markoski Branko

    2007-01-01

    Full Text Available Program testing determines whether its behavior matches the specification, and also how it behaves in different exploitation conditions. Proving of program correctness is reduced to finding a proof for assertion that given sequence of formulas represents derivation within a formal theory of special predicted calculus. A well-known variant of this conception is described: correctness based on programming logic rules. It is shown that programming logic rules may be used in automatic resolution procedure. Illustrative examples are given, realized in prolog-like LP-language (with no restrictions to Horn's clauses and without the final failure. Basic information on LP-language are also given. It has been shown how a Pascal-program is being executed in LP-system proffer.

  1. Theorem Proving in Intel Hardware Design

    Science.gov (United States)

    O'Leary, John

    2009-01-01

    For the past decade, a framework combining model checking (symbolic trajectory evaluation) and higher-order logic theorem proving has been in production use at Intel. Our tools and methodology have been used to formally verify execution cluster functionality (including floating-point operations) for a number of Intel products, including the Pentium(Registered TradeMark)4 and Core(TradeMark)i7 processors. Hardware verification in 2009 is much more challenging than it was in 1999 - today s CPU chip designs contain many processor cores and significant firmware content. This talk will attempt to distill the lessons learned over the past ten years, discuss how they apply to today s problems, outline some future directions.

  2. The Caspar microsurgical discectomy and comparison with a conventional standard lumbar disc procedure.

    Science.gov (United States)

    Caspar, W; Campbell, B; Barbier, D D; Kretschmmer, R; Gotfried, Y

    1991-01-01

    The outcome in 119 patients who were operated on with a conventional standard lumbar discectomy procedure was retrospectively compared with that in 299 patients who were operated on with a microsurgical discectomy technique developed in Homburg/Saar, Federal Republic of Germany by the senior author (W.C.). All patients in this consecutive series had "virgin" lumbar radiculopathy evaluated and operated upon by two experienced surgeons at one institution. Determination of the final outcome was made objectively by an impartial third party using identical criteria for both groups, and with a patient self-evaluation form. The study looked at various pertinent aspects of the treatment course and at final outcome. The results in the microsurgical group were significantly favorable: fewer levels were explored: there was less operative blood loss and a decreased incidence of deep venous thrombosis, urinary tract infections, pulmonary emboli, and bladder catheterization; the time to full ambulation, discharge, and return to work was faster: and there was a decrease in change of occupation and a greater percentage of satisfactory final outcomes, as measured both objectively and subjectively. A description of the microsurgical technique used in this study, which differs significantly from existing microdisectomy techniques, is presented. The authors conclude that the microsurgical disectomy technique presented in this study is a safe and effective approach to the treatment of lumbar radiculopathy.

  3. Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation

    Directory of Open Access Journals (Sweden)

    Hong-Fei Nie

    2013-01-01

    Full Text Available Thoracic disc herniation is a relatively rare yet challenging-to-diagnose condition. Currently there is no universally accepted optimal surgical treatment for symptomatic thoracic disc herniation. Previously reported surgical approaches are often associated with high complication rates. Here we describe our minimally invasive technique of removing thoracic disc herniation, and report the primary results of a series of cases. Between January 2009 and March 2012, 13 patients with symptomatic thoracic disc herniation were treated with endoscopic thoracic foraminotomy and discectomy under local anesthesia. A bone shaver was used to undercut the facet and rib head for foraminotomy. Discectomy was achieved by using grasper, radiofrequency, and the Holmium-YAG laser. We analyzed the clinical outcomes of the patients using the visual analogue scale (VAS, MacNab classification, and Oswestry disability index (ODI. At the final follow up (mean: 17 months; range: 6–41 months, patient self-reported satisfactory rate was 76.9%. The mean VAS for mid back pain was improved from 9.1 to 4.2, and the mean ODI was improved from 61.0 to 43.8. One complication of postoperative spinal headache occurred during the surgery and the patient was successfully treated with epidural blood patch. No other complications were observed or reported during and after the surgery.

  4. [The post-discectomy syndrome: clinical and electroneuromyographic characteristics and methods of treatment].

    Science.gov (United States)

    Musaev, A V; Guseĭnova, S G; Musaeva, I R

    2008-01-01

    The data of the Azerbaijan Neurosurgical Center, including 2618 case-reports of patients operated on for low back discal hernia between 1997 and 2002, have been analyzed. The retrospective analysis of the data reveals that 26,4% of patients need further restorative treatment due to the presence of various neurological disturbances: pain syndromes of different intensity, motor deficits (pareses), sensory disorders and functional disorders of pelvic organs. The retrospective analysis of the data reveals that 26,4% of patients need further restorative treatment due to the presence of various neurological disturbances: pain syndromes of different intensity, motor deficits (pareses), sensory disorders and functional disorders of pelvic organs. Along with these data, the results of our own clinical and neurophysiological study of 110 patients have been summarized as well. Along with these data, the results of our own clinical and neurophysiological study of 110 patients have been summarized as well. A high effectiveness of electrostimulation and naphthalan therapy alone and in combination with massage and medical gymnastics has been revealed. A high effectiveness of electrostimulation and naphthalan therapy alone and in combination with massage and medical gymnastics has been revealed. Electroneuromyographic data revealing the positive dynamics as a result of the treatment of patients with the post-discectomy syndrome are presented. Electroneuromyographic data revealing the positive dynamics as a result of the treatment of patients with the post-discectomy syndrome are presented.

  5. Determinants of outcome for patients undergoing lumbar discectomy: a pilot study.

    LENUS (Irish Health Repository)

    Hickey, Oonagh T

    2012-02-03

    BACKGROUND AND OBJECTIVE: One-third of patients who undergo lumbar discectomy continue to suffer from persistent pain postoperatively. Greater preoperative warmth thresholds and greater preoperative cerebrospinal fluid concentrations of stable serum nitric oxide metabolites are associated with a worse outcome. The principal objective of this study was to examine the relationship between patient outcome (defined using the Modified Stauffer-Coventry evaluating criteria) and preoperative pain perception threshold to an electrical stimulus. METHODS: A prospective observational pilot study of patients (n = 39) was performed. Quantitative sensory testing, visual analogue scales for anxiety and pain, the Hospital Anxiety and Depression (HADS) Scale and the McGill Pain Questionnaire were completed, and serum nitric oxide metabolites were measured perioperatively. Excised disc tissue was examined histologically, and immunohistochemistry for phospholipase A2 was performed. RESULTS: Ten patients (26%) had an unsatisfactory outcome. Those with a satisfactory outcome had greater preoperative pain perception thresholds over the affected dermatome, which decreased by 2 months postoperatively. These patients also demonstrated a decrease in nitric oxide metabolites from preoperatively to 18 h postoperatively. Greater preoperative HADS scores, and greater pain intensity 4 h and 24 h postoperatively were associated with an unsatisfactory outcome. CONCLUSION: Patients with a satisfactory outcome demonstrate a decrease in pain perception thresholds and plasma concentration of stable nitric oxide metabolites during the perioperative period. Patients with an unsatisfactory outcome following lumbar discectomy experience greater preoperative anxiety and greater pain during the early postoperative period. These findings justify a larger prospective observational study.

  6. Our Experience with 67 Cases of Percutaneous Transforaminal Endoscopic Lumbar Discectomy

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    Mehmat Ozer

    2016-07-01

    Full Text Available Aim: Minimally invasive interventions have become increasingly popular with the developments in technology and surgical tools. In this article, we present our experience with 67 cases of percutaneous transforaminal endoscopic lumbar discectomy. Material and Method: A total of 67 cases that underwent endoscopic surgery for foraminal and extraforaminal disc hernia between 2004 and 2010 were retrospectively examined. Results: The mean pre-operative VAS score was 8.13. The mean post-operative VAS score was 2.4 in the 1st month and 2.01 in the 12th month. Satisfaction according to MacNab criteria in the 12th month was excellent in 35 (52.2% patients, good in 18 (26.9% patients, fair in 11 (16.4% patients, and poor in 3 (4.5% patients. Microdiscectomy was required due to continuing symptoms in 3 patients (4.5%. Temporary dysesthesia was found in 3 patients. Discussion: Percutaneous endoscopic discectomy has become a good alternative to microsurgery for foraminal and extraforaminal disc herniations because of the developments in technology and surgical tools as well as the increased experience of surgeons. The technique is not limited to these localizations; it can also be used for free fragments within the channel, recurrent disc herniations, and narrow channels.

  7. Headache relief after anterior cervical discectomy: post hoc analysis of a randomized investigational device exemption trial: clinical article.

    Science.gov (United States)

    Schrot, Rudolph J; Mathew, Jesna S; Li, Yueju; Beckett, Laurel; Bae, Hyun W; Kim, Kee D

    2014-08-01

    The authors analyzed headache relief after anterior cervical discectomy. Headache may be relieved after anterior cervical discectomy, but the mechanism is unknown. If headaches were directly referred from upper cervical pathology, more headache relief would be expected from surgery performed at higher cervical levels. If spinal kinesthetics were the mechanism, then headache relief may differ between arthroplasty and fusion. Headache relief after anterior cervical discectomy was quantified by the operated disc level and by the method of operation (arthroplasty vs arthrodesis). The authors performed a post hoc analysis of an artificial disc trial. Data on headache pain were extracted from the Neck Disability Index (NDI) questionnaire. A total of 260 patients underwent single-level arthroplasty or arthodesis. Preoperatively, 52% reported NDI headache scores of 3 or greater, compared with only 13%-17% postoperatively. The model-based mean NDI headache score at baseline was 2.5 (95% CI 2.3-2.7) and was reduced by 1.3 points after surgery (95% CI 1.2-1.4, p relief. There was no significant difference in headache relief between arthroplasty and arthrodesis. Most patients with symptomatic cervical spondylosis have headache as a preoperative symptom (88%). Anterior cervical discectomy with both arthroplasty and arthrodesis is associated with a durable decrease in headache. Headache relief is not related to the level of operation. The mechanism for headache reduction remains unclear.

  8. PROVE-IT trial: economic analysis

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    Simona de Portu

    2008-01-01

    Full Text Available Introduction: the PROVE-IT (“Intensive versus moderate lipid lowering with statins after acute coronary syndromes” was a comparison of pravastatin 40 mg/die versus atorvastatin 80 mg/die in patients with an acute coronary syndrome (ACS. Aim: our aim was to investigate the economic consequence of high dose of atorvastatin vs usual-dose of pravastatin in Italian patients with a history of acute coronary syndrome. Methods: the analysis is conducted on the basis of clinical outcomes of the PROVE-IT study. We conducted a cost-effectiveness analysis, comparing high dose of atorvastatin (80 mg/die versus usual-dose of pravastatin (40 mg/die in the perspective of the Italian National Health Service. We identified and quantified medical costs: drug costs according to the Italian National Therapeutic Formulary and hospitalizations were quantified based on the Italian National Health Service tariffs (2008. Effects were measured in terms of morbidity reduction (number of deaths and frequency of hospitalizations. We considered an observation period of 24 months. The costs borne after the first 12 months were discounted using an annual rate of 3%. We conducted one and multi-way sensitivity analyses on unit cost and effectiveness. Results: the cost of pravastatin or atorvastatin therapy over the 2 years period amounted to approximately 664.684 millions euro and 909.006 euro per 1,000 patients respectively. Atorvastatin was more efficacious compared to pravastatin and the overall cost of care per 1,000 patients over 24 months of follow-up was estimated at 2.58 millions euro in the pravastatin and 2.57 millions euro in the atorvastatin group, resulting into a cost saving of about 11.000 euro. Discussion: this study demonstrates that high dose atorvastatin treatment leads to a reduction of direct costs for the National Health System. Atorvastatin therapy is dominant since it is both less costly and more effective than pravastatin. Results were sensitive to

  9. Valutazione economica dello studio PROVE-IT

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    Lorenzo G. Mantovani

    2007-10-01

    Full Text Available Introduction: the PROVE-IT (“Intensive versus moderate lipid lowering with statins after acute coronary syndromes” was a comparison of pravastatin 40 mg/die versus atorvastatin 80 mg/die in patients with an acute coronary syndrome (ACS. Aim: our aim was to investigate the economic consequence of high dose of atorvastatin vs usual-dose of pravastatin in Italian patients with a history of acute coronary syndrome. Methods: the analysis is conducted on the basis of clinical outcomes of the PROVE-IT study. We conducted a cost-effectiveness analysis, comparing high dose of atorvastatin (80 mg/die versus usual-dose of pravastatin (40 mg/die in the perspective of the Italian National Health Service. We identified and quantified medical costs: drug costs according to the Italian National Therapeutic Formulary and hospitalizations were quantified based on the Italian National Health Service tariffs (2006. Effects were measured in terms of mortality and morbidity reduction (number of deaths, life years gained and frequency of hospitalizations. We considered an observation period of 24 months. The costs borne after the first 12 months were discounted using an annual rate of 3%. We conducted one and multi-way sensitivity analyses on unit cost and effectiveness. We also conducted a threshold analysis. Results: the cost of pravastatin or atorvastatin therapy over the 2 years period amounted to approximately 1.3 millions euro and 870,000 euro per 1,000 patients respectively. Atorvastatin was more efficacious compared to pravastatin and the overall cost of care per 1,000 patients over 24 months of follow-up was estimated at 3.2 millions euro in the pravastatin and 2.5 millions euro in the atorvastatin group, resulting into a cost saving of about 700,000 euro that is 27% of total costs occurred in the pravastatin group. Discussion: this study demonstrates that high does atorvastatin treatment leads to a reduction of direct costs for the National Health System

  10. Two Level DCT and Wavelet Packets Denoising Robust Image Watermarking

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    N.Koteswara Rao

    2014-01-01

    Full Text Available In this paper we present a low frequency watermarking scheme on gray level images, which is based on DCT transform and spread spectrum communications technique.The DCT of non overlapping 8x8 blocks of the host image is computed, then using each block DC coefficients we construct a low-resolution approximation image. We apply block based DCT on this approximation image, then a pseudo random noise sequence is added into its high frequencies. For detection, we extract the approximation image from the watermarked image, then the same pseudo random noise sequence is generated, and its correlation is computed with high frequencies of the watermarked approximation image. In our method, higher robustness is obtained because of embedding the watermark in low frequency. In addition, higher imperceptibility is gained by scattering the watermark's bit in different blocks. We evaluated the robustness of the proposed technique against many common attacks such as JPEG compression, additive Gaussian noise and median filter. Compared with related works, our method proved to be highly resistant in cases of compression and additive noise, while preserving high PSNR for the watermarked images.

  11. Microdiscectomy or tubular discectomy: Is any of them a better option for management of lumbar disc prolapse

    Science.gov (United States)

    Bhatia, Pallav S; Chhabra, Harvinder S; Mohapatra, Bibhudendu; Nanda, Ankur; Sangodimath, Gururaj; Kaul, Rahul

    2016-01-01

    Objectives: Various types of minimally invasive techniques have been developed for the treatment of lumbar disc herniation. The original laminectomy was refined into microdiscectomy (MD). MD is the gold standard in management of lumbar disc herniation and is used as a yardstick for comparison with newer procedures such as tubular discectomy. So far, no studies have been reported in Indian population comparing tubular discectomy and microdiscectomy. The aim of this study was to compare immediate postoperative and 1-year outcome of patients undergoing tubular discectomy with those undergoing MD and to evaluate the learning curve as well as complication rates of tubular discectomy. Materials and Methods: Forty-six patients of MD and 102 (48 early and 54 late) patients of tubular discectomy (TD) were operated at Indian Spinal Injuries Centre, which is a tertiary level center between July 2009 and January 2012. They were studied for the following data: Baseline characteristics, visual analog scale (VAS) for leg pain and back pain, Oswestry Disability Index (ODI) scores, length of hospital stay, time taken to return to work, duration of surgery, intra- and post-operative complications, and reoperation rates. Results: The VAS score for leg pain, back pain, and ODI scores showed improvement in both groups during the 1st year after surgery. Time taken to return to work and mean hospital stay was shorter in case of TD as compared to MD group. The mean duration of surgery was 34 min shorter for conventional MD. The incidence of dural tear was 6.5% in MD group and 10.4% in early TD and decreased to 7.4% in late TD group. Conclusion: This study revealed that rate of recovery is significantly faster for TD as compared to conventional MD. In contrast, we encountered fewer complications in MD approach as compared to TD which although were not statistically significant and which also decreased as we gained experience. PMID:27630476

  12. In-die job automation for PROVE

    Science.gov (United States)

    Lesnick, Ronald J., Jr.; Kim, Stephen; Waechter, Matthias; Seidel, Dirk; Mueller, Andreas; Beyer, Dirk

    2011-05-01

    The increasing demands for registration metrology for repeatability, accuracy, and resolution in order to be able to perform measurements in the active area on production features have prompted the development of PROVETM, the nextgeneration registration metrology tool that utilizes 193nm illumination and a metrology stage that is actively controlled in all six degrees of freedom. PROVETM addresses full in-die capability for double patterning lithography and sophisticated inverse-lithography schemes. Innovative approaches for image analysis, such as 2D correlation, have been developed to achieve this demanding goal. In order to take full advantage of the PROVETM resolution and measurement capabilities, a direct link to the mask data preparation for job automation and marker identification is inevitable. This paper describes an integrated solution using Synopsys' CATSR for extracting and preparing tool-specific job input data for PROVE. In addition to the standard marking functionalities, CATSR supports the 2D correlation method by providing reference clips in OASIS.MASK format.

  13. Comparison of outcomes and safety of using hydroxyapatite granules as a substitute for autograft in cervical cages for anterior cervical discectomy and interbody fusion

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    Hosein Mashhadinezhad

    2014-03-01

    Full Text Available Background:   After cervical discectomy, autogenetic bone is packed into the cage to increase the rate of union between adjacent vertebral bodies, but donor site–related complications can still occur. In this study we evaluate the use   of hydroxyapatite granules as a substitute for autograft for interbody fusion.     Methods:   From November 2008 to November 2011, 236 patients participated in this study. Peek cages were packed with autologous bone grafts taken from the iliac crest in 112 patients and hydroxyapatite (HA granules in 124 patients.   Patients were followed for 12 months. The patients’ neurological signs, results, and complications were fully recorded   throughout the procedure. Radiological imaging was done to assess the fusion rate and settling ratio.     Results:   Formation of bony bridges at the third month was higher in the autograft group versus the granule group. However, there was no difference between both groups at the 12-month follow-up assessment. No difference (     P > 0.05   was found regarding improvement in neurological deficit as well as radicular pain and recovery rate between the two groups. Conclusions:   Interbody fusion cage containing HA granules proved to be an effective treatment for cervical spondylotic radiculopathy and/or myelopathy. Clinical and neurological outcome, radiographic measurement and fusion rate   in cage containing HA are similar and competitive with autograft packed cages.

  14. Effectiveness of percutaneous laser disc decompression versus conventional open discectomy in the treatment of lumbar disc herniation; Design of a prospective randomized controlled trial

    NARCIS (Netherlands)

    P.A. Brouwer (Patrick); W.C. Peul (Wilco); R. Brand (René); M.P. Arts (Mark); B.W. Koes (Bart); A.A. van den Berg (Annette); M.A. van Buchem (Mark)

    2009-01-01

    textabstractBackground. The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser

  15. Spine surgeon's kinematics during discectomy, part II: operating table height and visualization methods, including microscope.

    Science.gov (United States)

    Park, Jeong Yoon; Kim, Kyung Hyun; Kuh, Sung Uk; Chin, Dong Kyu; Kim, Keun Su; Cho, Yong Eun

    2014-05-01

    Surgeon spine angle during surgery was studied ergonomically and the kinematics of the surgeon's spine was related with musculoskeletal fatigue and pain. Spine angles varied depending on operation table height and visualization method, and in a previous paper we showed that the use of a loupe and a table height at the midpoint between the umbilicus and the sternum are optimal for reducing musculoskeletal loading. However, no studies have previously included a microscope as a possible visualization method. The objective of this study is to assess differences in surgeon spine angles depending on operating table height and visualization method, including microscope. We enrolled 18 experienced spine surgeons for this study, who each performed a discectomy using a spine surgery simulator. Three different methods were used to visualize the surgical field (naked eye, loupe, microscope) and three different operating table heights (anterior superior iliac spine, umbilicus, the midpoint between the umbilicus and the sternum) were studied. Whole spine angles were compared for three different views during the discectomy simulation: midline, ipsilateral, and contralateral. A 16-camera optoelectronic motion analysis system was used, and 16 markers were placed from the head to the pelvis. Lumbar lordosis, thoracic kyphosis, cervical lordosis, and occipital angle were compared between the different operating table heights and visualization methods as well as a natural standing position. Whole spine angles differed significantly depending on visualization method. All parameters were closer to natural standing values when discectomy was performed with a microscope, and there were no differences between the naked eye and the loupe. Whole spine angles were also found to differ from the natural standing position depending on operating table height, and became closer to natural standing position values as the operating table height increased, independent of the visualization method

  16. Intervertebral Fusion with Mobile Microendoscopic Discectomy for Lumbar Degenerative Disc Disease.

    Science.gov (United States)

    Xu, Bao-Shan; Liu, Yue; Xu, Hai-Wei; Yang, Qiang; Ma, Xin-Long; Hu, Yong-Cheng

    2016-05-01

    The aim of this article is to introduce a technique for lumbar intervertebral fusion that incorporates mobile microendoscopic discectomy (MMED) for lumbar degenerative disc disease. Minimally invasive transforaminal lumbar interbody fusion is frequently performed to treat degenerative diseases of the lumbar spine; however, the scope of such surgery and vision is limited by what the naked eye can see through the expanding channel system. To expand the visual scope and reduce trauma, we perform lumbar intervertebral fusion with the aid of a MMED system that provides a wide field through freely tilting the surgical instrument and canals. We believe that this technique is a good option for treating lumbar degenerative disc disease that requires lumbar intervertebral fusion.

  17. Intradural lumbar disc herniation after percutaneous endoscopic lumbar discectomy: case report.

    Science.gov (United States)

    Tamaki, Yasuaki; Sakai, Toshinori; Miyagi, Ryo; Nakagawa, Takefumi; Shimakawa, Tateaki; Sairyo, Koichi; Chikawa, Takashi

    2015-09-01

    A 64-year-old man was referred to the authors with low-back pain (LBP) and right leg pain with a history of previously diagnosed lumbar disc herniation (LDH) at L4-5. He had undergone 2 percutaneous endoscopic lumbar discectomies (PELDs) for the herniation at another institution, and according to the surgical record of the second surgery, a dural tear occurred intraoperatively but was not repaired. Postoperative conservative treatments such as an epidural block and blood patch had not relieved his persistent LBP or right leg pain. Upon referral to the authors, MRI and myelography revealed an intradural LDH. The herniated mass was removed by durotomy, and posterior lumbar interbody fusion was performed. His symptoms were partially improved after surgery. Primary suture is technically difficult when a dural tear occurs during PELD. Therefore, close attention should be paid to avoiding such tears, and surgeons should increase their awareness of intradural LDH as a possible postoperative complication of PELD.

  18. DEVELOPMENT AND EVALUATION OF EVIDENCE BASED PRE-OPERATIVE PATIENT EDUCATION BOOKLET IN LUMBAR DISCECTOMY

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    Manish Nagpal

    2014-02-01

    Full Text Available Objective: The objective of this study was to contribute towards further understanding of the preoperative educational requirement of patients by developing and evaluating suitable evidence based patient education booklet in lumbar discectomy. Summary of background data: The primary surgical intervention for lumbar radiculopathy is lumbar discectomy but its result remains variable. Patient education has been found beneficial in various surgeries and resulted in enhanced outcome of the surgery with respect to pain, disability and quality of life. Methodology: It consists of 5 Steps. 1 Literature review, informal interview and questionnaire filled by 3 surgeons, 5 physiotherapists and 5 patients were used to determine the domains of the education booklet. 2 Literature review to develop the content for the domains of the booklet and formulate a rough draft of the booklet. 3 Modification in the booklet as recommended by surgeons and therapists to develop the final booklet. 4 Evaluation of the booklet on readability ease by Flesch reading ease and by Suitability assessment of Material questionnaire filled by surgeons and therapists. 5 Pilot study on patients to take their views regarding the booklet developed. Results: The domains determined in step 1 were: Anatomy, understanding the mechanism of pain, about the surgery, complications associated with surgery and role of physiotherapy. The content was developed and modified in step 2 and 3. In step 4 Flesch reading score is 70.5 and suitability assessment of material questionnaire score- 77.3%. In step 5 patients rated the booklet easy to read and understand. Conclusion: The developed patient education booklet came out to be fairly easy to read according to flesch reading ease and of superior quality according to suitability assessment of material questionnaire and hence should be made a part of patient education.

  19. Anterior cervical discectomy and fusion: analysis of surgical outcome with and without plating.

    Science.gov (United States)

    Mobbs, Ralph J; Rao, Prakash; Chandran, Nadana K

    2007-07-01

    The aim of this study is to analyse the differences in clinical and radiological outcome of anterior cervical discectomy and fusion for cervical degenerative disease, with and without the addition of an anterior cervical locking plate. Although disc arthoplasty is gaining popularity, the anterior cervical decompression and fusion procedure remains the gold standard. The outcome of 242 cases operated between 1991 to 1998 were analysed. Two groups of patients were operated on by the same surgeon. The only difference in technique between the two groups was the addition of an anterior cervical plate, with all other technical details matching, including the use of iliac crest autograft. The indications for surgery for both groups was identical. We made an attempt to study radiological fusion, clinical outcome and complications between the non-plated and plated groups. Our main finding is that the addition of an anterior plate reduces the number of poor clinical outcomes, but does not increase the number of excellent outcomes. Anterior discectomy and fusion with plating in our series had a significantly higher fusion rate; 98% fusion was noted in the plating group as compared to 93.5% in the non-plating group (Fisher's exact test, p=0.029). Union was faster in the plated group with no significant increase in surgical complications. Although clinical outcomes were superior in the plated group for the radiculopathy cohort, excellent outcomes were not significantly higher as compared to the non-plated group. The non-plated group had a significantly higher rate of poor outcomes, with 10% of patients requiring revision surgery for non-union, kyphosis, graft extrusion and graft collapse with foraminal stenosis. 1.8% of the plated group required revision surgery.

  20. Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series

    Directory of Open Access Journals (Sweden)

    Friedman Jonathan A

    2009-03-01

    Full Text Available Abstract Background Spinal surgery is increasingly being done in the outpatient setting. We reviewed our experience with inpatient and outpatient single-level anterior cervical discectomy and fusion with plating (ACDF+P. Methods All patients undergoing single-level anterior cervical discectomy and fusion with plating between August 2005 and May 2007 by two surgeons (RPB or JAF were retrospectively reviewed. All patients underwent anterior cervical microdiscectomy, arthrodesis using structural allograft, and titanium plating. A planned change from doing ACDF+P on an inpatient basis to doing ACDF+P on an outpatient basis was instituted at the midpoint of the study. There were no other changes in technique, patient selection, instrumentation, facility, or other factors. All procedures were done in full-service hospitals accommodating outpatient and inpatient care. Results 64 patients underwent ACDF+P as inpatients, while 45 underwent ACDF+P as outpatients. When outpatient surgery was planned, 17 patients were treated as inpatients due to medical comorbidities (14, older age (1, and patient preference (2. At a mean follow-up of 62.4 days, 90 patients had an excellent outcome, 19 patients had a good outcome, and no patients had a fair or poor outcome. There was no significant difference in outcome between inpatients and outpatients. There were 4 complications, all occurring in inpatients: a hematoma one week post-operatively requiring drainage, a cerebrospinal fluid leak treated with lumbar drainage, syncope of unknown etiology, and moderate dysphagia. Conclusion In this series, outpatient ACDF+P was safe and was not associated with a significant difference in outcome compared with inpatient ACDF+P.

  1. Anterior Cervical Discectomy and Fusion: Practice Patterns Among Greek Spinal Surgeons

    Science.gov (United States)

    Spanos, Savvas L.; Siasios, Ioannis D.; Dimopoulos, Vassilios G.; Fountas, Kostas N.

    2016-01-01

    Background A web-based survey was conducted among Greek spinal surgeons to outline the current practice trends in regard to the surgical management of patients undergoing anterior cervical discectomy and fusion (ACDF) for degenerative cervical spine pathology. Various practice patterns exist in the surgical management of patients undergoing anterior cervical discectomy for degenerative pathology. No consensus exists regarding the type of the employed graft, the necessity of implanting a plate, the prescription of an external orthotic device, and the length of the leave of absence in these patients. Methods A specially designed questionnaire was used for evaluating the criteria for surgical intervention, the frequency of fusion employment, the type of the graft, the frequency of plate implantation, the employment of an external spinal orthosis (ESO), the length of the leave of absence, and the prescription of postoperative physical therapy. Physicians’ demographic factors were assessed including residency and spinal fellowship training, as well as type and length in practice. Results Eighty responses were received. Neurosurgeons represented 70%, and orthopedic surgeons represented 30%. The majority of the participants (91.3%) considered fusion necessary. Allograft was the preferred type of graft. Neurosurgeons used a plate in 42.9% of cases, whereas orthopedic surgeons in 100%. An ESO was recommended for 87.5% of patients without plates, and in 83.3% of patients with plates. The average duration of ESO usage was 4 weeks. Physical therapy was routinely prescribed postoperatively by 75% of the neurosurgeons, and by 83.3% of the orthopedic surgeons. The majority of the participants recommended 4 weeks leave of absence. Conclusions The vast majority of participants considered ACDF a better treatment option than an ACD, and preferred an allograft. The majority of them employed a plate, prescribed an ESO postoperatively, and recommended physical therapy to their

  2. Long-Term Results of Endoscopic Lumbar Discectomy by "Destandau's Technique"

    Science.gov (United States)

    Kamble, Bhavna; Patond, Kisan

    2016-01-01

    Study Design Prospective study. Purpose The aim of the study was to present long-term results from a 10-year follow-up after endoscopic lumbar discectomy (ELD) by "Destandau's technique". Overview of Literature Endoscopic disc surgery by Destandau's technique using ENDOSPINE Karl Storz system is a relatively new technique. It was introduced in 1993. It has been gaining popularity among the spine surgeons, as it is attractive for small skin incision and allows a gentle and excellent tissue dissection with excellent visualization. Many authors have published results of their own studies; however, in all these studies the long-term follow up of the patients has not been emphasized. Methods A total of 21 patients selected on basis of strict inclusion criteria's underwent ELD from November 2004 to March 2005. Surgery outcome was assessed by using "Prolo's Anatomic-Functional-Economic Rating System" (1986). Patients were followed up to 10 years. In addtion, we compared the results of our study with other studies. Results Outcomes were excellent in 17 patients (80.95%), good in 3 (14.28%) and fair in 1 (4.78%), with no patients having a poor result. In our study, 19 patients (90.47%) were able to resume their previous works/jobs, and only 2 (9.52%) needed to change their jobs for lighter work. No patient retired from his or her previous daily routine following the operation. Conclusions The initial and long-term results are very good for endoscopic lumbar discectomy by Destandau's technique. In properly selected patients it is a safe and minimally invasive technique, and we recommend ELD in properly selected patients. PMID:27114770

  3. Minimally invasive removal of a recurrent lumbar herniated nucleus pulposus by the small incised microendoscopic discectomy interlaminar approach.

    Science.gov (United States)

    Koga, S; Sairyo, K; Shibuya, I; Kanamori, Y; Kosugi, T; Matsumoto, H; Kitagawa, Y; Sumita, T; Dezawa, A

    2012-02-01

    In this report, we introduce two cases of recurrent herniated nucleus pulposus (HNP) at L5-S1 that were successfully removed using the small incised microendoscopic discectomy (sMED) technique, proposed by Dezawa and Sairyo in 2011. sMED was performed via the interlaminar approach with a percutaneous endoscope. The patients had previously underdone microendoscopic discectomy for HNP. For the recurrent HNP, the sMED interlaminar approach was selected because the HNP occurred at the level of L5-S1; the percutaneous endoscopic transforaminal approach was not possible for anatomical reasons. To perform sMED via the interlaminar approach, we employed new, specially made devices to enable us to use this technique. In conclusion, sMED is the most minimally invasive approach available for HNP, and its limitations have been gradually eliminated with the introduction specially made devices. In the near future, percutaneous endoscopic surgery could be the gold standard for minimally invasive disc surgery.

  4. Application of a buprenorphine transdermal patch for the perioperative analgesia in patients who underwent simple lumbar discectomy

    Science.gov (United States)

    Tang, Jian; Fan, Jin; Yao, Yilun; Cai, Weihua; Yin, Guoyong; Zhou, Wei

    2017-01-01

    Abstract This study aimed to investigate the perioperative analgesic effect of a buprenorphine transdermal patch in patients who underwent simple lumbar discectomy. In total, 96 patients were randomly divided into parecoxib intravenous injection (Group A), oral celecoxib (Group B), and buprenorphine transdermal patch groups (Group C). The pain status, degree of satisfaction, adverse effects, and condition in which the patient received tramadol hydrochloride for uncontrolled pain were recorded on the night before surgery, postoperative day 1, postoperative day 3, and postoperative day 5. The degree of patient satisfaction in Group C was higher than that in Groups A and B, with minimal adverse effects. The buprenorphine transdermal patch had a better perioperative analgesic effect in patients who underwent simple lumbar discectomy. PMID:28514299

  5. Polymethylmethacrylate-assisted ventral discectomy: Rate of pseudarthrosis and clinical outcome with a minimum follow-up of 5 years

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    Maier-Hauff Klaus

    2011-06-01

    Full Text Available Abstract Background Polymethylmethacrylate (PMMA assisted ventral discectomy has been criticized for high rates of graft migration and pseudarthrosis when compared with various other fusion procedures for the treatment of cervical degenerative disc disease (DDD, therefore rendering it not the preferred choice of treatment today. Recently however spine surgery has been developing towards preservation rather than restriction of motion, indicating that fusion might not be necessary for clinical success. This study presents a long term comparison of clinical and radiological data from patients with pseudarthrosis and solid arthrodesis after PMMA assisted ventral discectomy was performed. Methods From 1986 to 2004 416 patients underwent ventral discectomy and PMMA interposition for DDD. The clinical and radiological outcome was assessed for 50 of 127 eligible patients after a mean of 8.1 years. Based on postoperative radiographs the patients were dichotomized in those with a pseudarthrosis (group A and those with solid arthrodesis (group B. Results Pseudarthrosis with movement of more than 2 of the operated segment was noted in 17 cases (group A. In 33 cases no movement of the vertebral segment could be detected (group B. The analysis of the clinical data assessed through the neck disability index (NDI, the visual analogue scale (VAS of neck and arm pain and Odom's criteria did not show any significant differences between the groups. Patients from group B showed a trend to higher adjacent segment degeneration (ASD than group A (p = 0.06. This correlated with the age of the patients. Conclusions PMMA assisted discectomy shows a high rate of pseudarthrosis. But the clinical long-term success does not seem to be negatively affected by this.

  6. Leakage of cerebrospinal fluid and secondary intracranial infection induced by Cloward technique of cervical discectomy and fusion: presentation and treatment

    Institute of Scientific and Technical Information of China (English)

    GUO Hong-bin; YANG Shu-xu; WANG Yi-rong

    2008-01-01

    @@ Cloward technique of cervical discectomy and fusion is a long and complex surgical proce dure and instrumentation, by which compli-cated infection is rare in an era of routine prophylactic antimicrobial agent, especially in procedures by anterior approach. A study in the journal of Spine suggested that the incidence of unintentional laceration of the dura mater during spinal surgery might be as high as 14%.

  7. Comparative Study between a Curved and a Wedge PEEK Cage for Single-level Anterior Cervical Discectomy and Interbody Fusion

    OpenAIRE

    Kim, Hwan Soo; Song, Joon Suk; Heo, Weon; Cha, Jae Hoon; Rhee, Dong Youl

    2012-01-01

    Objective This study evaluated the efficiency of a curved polyetheretherketone (PEEK) cage in comparison with a wedge PEEK cage according to radiologic and clinical outcomes in patients with cervical degenerative disease. Methods A total of 37 patients who suffering from cervical disc disease with radiculopathy or myelopathy were reviewed retrospectively. Seventeen patients were underwent anterior cervical discectomy and interbody fusion with a curved shape PEEK cage (curved cage group), and ...

  8. A Two-Level Additive Schwarz Preconditioning Algorithm for the Weak Galerkin Method for the Second-Order Elliptic Equation

    Directory of Open Access Journals (Sweden)

    Fangfang Qin

    2016-01-01

    Full Text Available This paper proposes a two-level additive Schwarz preconditioning algorithm for the weak Galerkin approximation of the second-order elliptic equation. In the algorithm, a P1 conforming finite element space is defined on the coarse mesh, and a stable intergrid transfer operator is proposed to exchange the information between the spaces on the coarse mesh and the fine mesh. With the framework of the Schwarz method, it is proved that the condition number of the preconditioned system only depends on the rate of the coarse mesh size and the overlapping size. Some numerical experiments are carried out to verify the theoretical results.

  9. Prevalence of adjacent segment disc degeneration in patients undergoing anterior cervical discectomy and fusion based on pre-operative MRI findings.

    Science.gov (United States)

    Lundine, Kristopher M; Davis, Gavin; Rogers, Myron; Staples, Margaret; Quan, Gerald

    2014-01-01

    Anterior cervical discectomy and fusion (ACDF) is a widely accepted surgical treatment for symptomatic cervical spondylosis. Some patients develop symptomatic adjacent segment degeneration, occasionally requiring further treatment. The cause and prevalence of adjacent segment degeneration and disease is unclear at present. Proponents for motion preserving surgery such as disc arthroplasty argue that this technique may decrease the "strain" on adjacent discs and thus decrease the incidence of symptomatic adjacent segment degeneration. The purpose of this study was to assess the pre-operative prevalence of adjacent segment degeneration in patients undergoing ACDF. A database review of three surgeons' practice was carried out to identify patients who had undergone a one- or two-level ACDF for degenerative disc disease. Patients were excluded if they were operated on for recent trauma, had an inflammatory arthropathy (for example, rheumatoid arthritis), or had previous spine surgery. The pre-operative MRI of each patient was reviewed and graded using a standardised methodology. One hundred and six patient MRI studies were reviewed. All patients showed some evidence of intervertebral disc degeneration adjacent to the planned operative segment(s). Increased severity of disc degeneration was associated with increased age and operative level, but was not associated with sagittal alignment. Disc degeneration was more common at levels adjacent to the surgical level than at non-adjacent segments, and was more severe at the superior adjacent level compared with the inferior adjacent level. These findings support the theory that adjacent segment degeneration following ACDF is due in part to the natural history of cervical spondylosis.

  10. The prognostic value of preoperative participation in activities of daily living on postoperative outcomes following lumbar discectomy.

    Science.gov (United States)

    Leonard, Dana A; Schoenfeld, Andrew J; Harris, Mitchel B; Bono, Christopher M

    2017-04-01

    In other surgical fields, preoperative level of participation in activities of daily living (ADLs) has been found to be important in predicting outcomes. To date, postoperative ADL measurements have only been used to characterize outcomes following lumbar discectomy. The present study's goal was to determine if patients' preoperative ability to perform ADLs correlates with their postoperative outcomes after lumbar discectomy at 3 months and 1 year. This retrospective study was performed using prospectively collected data from patients prospectively enrolled in a randomized clinical trial. All patients were 18 years or older, spoke English, had not previously had lumbar surgery, and underwent discectomy for a single-level lumbar disc herniation. Oswestry disability index (ODI) and visual analogue scale (VAS) back and leg pain scores were collected preoperatively and at 3 months and 1 year postoperatively. Simple linear regression analysis was performed to detect any significant correlations between three preoperative ODI domain values and postoperative scores. Additionally, regression analysis was used to determine the correlation between the preoperative ODI domains and percentage of good and poor outcomes, where an improvement of at least 18.8 points for ODI and at least 2 points for VAS constituted a good outcome. 90 subjects satisfied inclusion criteria (average age 42, 53 males, 37 females). Patients' ability to take care of themselves and to stand preoperatively were correlated with improvement in ODI postoperatively, with worse ability corresponding to more improvement (ppersonal care scores correlated with good improvement in leg pain. No significant correlations were found with back pain. When evaluating patients by dichotomized outcome (good or poor), only preoperative ability to participate in personal care was consistently significantly correlated to a good outcome. This is the first study to suggest that lower preoperative ability to take part in

  11. 14 CFR 91.1041 - Aircraft proving and validation tests.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Aircraft proving and validation tests. 91... Ownership Operations Program Management § 91.1041 Aircraft proving and validation tests. (a) No program... tests. However, pilot flight training may be conducted during the proving tests. (d) Validation...

  12. Radiological evaluation of percutaneous endoscopic lumbar discectomy: a three-year follow-up study

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Seung Eun; Lee, Sang Ho; Ahn, Yong; Shin, Song Woo; Jo, Byung June; Park, Jee Young [Wooridul Spine Hospital, Seoul (Korea, Republic of); Kim, Tae Hong [Inje University College of Medicine, Seoul (Korea, Republic of)

    2006-05-15

    We wanted to analyze the radiological changes of the patients who underwent percutaneous endoscopic lumbar discectomy (PELD) for treating soft disc herniation. We retrospectively reviewed 30 patients (32 cases) who were observed for a minimum of 3 years after they underwent PELD. The authors investigated the postoperative radiological changes after PELD and the related clinical outcomes. All the patients received plain X-rays, CT and MRI both preoperatively and at the final follow-up. The radiological parameters were evaluated, including the disc height, the disc signal intensity, the subchondral marrow signal intensity, the sagittal plane instability and the facet joint osteoarthritis. The average amount of removed disc was 1.363 g and a significant correlation was detected between the narrowing of disc height and the amount of removed disc. Although the disc height and the disc height ratio were significantly decreased (-0.97 mm and 86.9%, respectively), the angle of sagittal rotation was well maintained. There were 18 (56.3%) cases of disc signal changes, six cases (18.8%) of subchondral marrow signal changes, and three cases (9.4%) of facet joint osteoarthritis. The success rate was 90.6%. Although disc height narrowing was observed, there was no postoperative instability and the overall clinical outcome was satisfactory. Our results show that PELD is a useful and minimal invasive procedure for the selected patients who are suffering with lumbar disc herniation.

  13. Bilateral vocal cord edema following anterior cervical discectomy-usefulness of bonfils retromolar fiberscope.

    Science.gov (United States)

    Kumar, V R Hemanth; Tripathy, D K; Sivashanmugam, T; Ravishankar, M

    2014-01-01

    We present a case of a 40-year-old male patient who presented to us with radicular pain in arm for anterior cervical discectomy with fusion. The preanesthetic checkup including indirect laryngoscopy was normal with routine investigations within normal limits. The patient was induced and intubated with the established routine technique without any obvious airway problems. Prophylactic dexamethasone was administered, and the intraoperative course was uneventful. Immediately after extubation, it was noticed that the patient had inspiratory stridor and whispered voice on the operation theater table itself. Assessment by Bonfils retromolar fiberscope under fentanyl sedation revealed bilateral vocal cord edema. The patient was re intubated and put on T piece with humidified O2. After 72-h, patient was extubated after confirming normal vocal cord movement under flexible fiberscope guidance. This case is presented to alert anesthesiologist about the possibility of vocal cord edema even though other potential airway complications are possible. We would also highlight the importance of Bonfils retromolar fiberscope in awake vocal cord examination and flexible fiberscope use in managing patients presenting with airway problems during extubation.

  14. Are External Cervical Orthoses Necessary after Anterior Cervical Discectomy and Fusion: A Review of the Literature

    Science.gov (United States)

    Ajayi, Olaide O; Asgarzadie, Farbod

    2016-01-01

    Introduction & Background: The use of external cervical orthosis (ECO) after anterior cervical discectomy and fusion (ACDF) varies from physician to physician due to an absence of clear guidelines. Our purpose is to evaluate and present evidence answering the question, “Does ECO after ACDF improve fusion rates?” through a literature review of current evidence for and against ECO after ACDF.  Review: A PubMed database search was conducted using specific ECO and ACDF related keywords. Our search yielded a total of 1,267 abstracts and seven relevant articles. In summary, one study provided low quality of evidence results supporting the conclusion that external bracing is not associated with improved fusion rates after ACDF.  The remaining six studies provide very low quality of evidence results; two studies concluded that external bracing after cervical procedures is not associated with improved fusion rates, one study concluded that external bracing after cervical procedures is associated with improved fusion rates, and the remaining three studies lacked sufficient evidence to draw an association between external bracing after ACDF and improved fusion rates. Conclusion: We recommend against the routine use of ECO after ACDF due to a lack of improved fusion rates associated with external bracing after surgery. PMID:27555986

  15. Percutaneous endoscopic interlaminar discectomy%经皮内镜椎板间入路腰椎间盘切除术

    Institute of Scientific and Technical Information of China (English)

    曾建成

    2014-01-01

    With the development and evolution of percutaneous lumbar endoscopic techniques in recent 2 decades, more and more lumbar spine disorders can be solved with minimally invasive spine surgery. Compared with open surgery, percutaneous endoscopic lumbar discectomy ( PELD ) has advantages of less trauma, little impact on the stability of spine and rapid recovery. PELD can be divided into 2 types according to different approaches, percutaneous endoscopic interlaminar discectomy ( PEID ) and percutaneous endoscopic transforaminal discectomy ( PETD ). As an important part of PELD, PEID is especially suitable for L5/S1 lumbar disc herniation in spite of migrated hemiated fragment, small intervertebral foramen and high iliac crest. The paper summaries advantages and disadvantages, indications, operative techniques, clinical effects, complications and preventive measures of PEID.

  16. A two level hierarchical model of protein retention in ion exchange chromatography.

    Science.gov (United States)

    Salvalaglio, Matteo; Paloni, Matteo; Guelat, Bertrand; Morbidelli, Massimo; Cavallotti, Carlo

    2015-09-11

    Predicting protein retention in ion exchange chromatography (IEX) from first principles is a fascinating perspective. In this work a two level hierarchical modeling strategy is proposed in order to calculate protein retention factors. Model predictions are tested against experimental data measured for Lysozyme and Chymotrypsinogen A in IEX columns as a function of ionic strength and pH. At the highest level of accuracy Molecular Dynamics (MD) simulations in explicit water are used to determine the interaction free energy between each of the two proteins and the IEX stationary phase for a reference pH and ionic strength. At a lower level of accuracy a linear response model based on an implicit treatment of solvation and adopting a static protein structure is used to calculate interaction free energies for the full range of pHs and ionic strengths considered. A scaling coefficient, determined comparing MD and implicit solvent simulations, is then introduced in order to correct the linear response model for errors induced by the adoption of a static protein structure. The calculated free energies are then used to compute protein retention factors, which can be directly compared with experimental data. The possibility to introduce a third level of accuracy is explored testing the predictions of a semiempirical model. A quantitative agreement between the predicted and measured protein retention factors is obtained using the coupled MD-linear response models, supporting the reliability of the proposed approach. The model allows quantifying the electrostatic, van der Waals, and conformational contributions to the interaction free energies. A good agreement between experiments and model is obtained also using the semiempirical model that, although requiring parameterization over higher level models or experimental data, proves to be useful in order to rapidly determine protein retention factors across wide pH and ionic strength ranges as it is computationally inexpensive.

  17. Comparison of simple discectomy and instrumented posterior lumbar interbody fusion for treatment of lumbar disc herniation combined with Modic endplate changes

    Institute of Scientific and Technical Information of China (English)

    Cao Peng; Chen Zhe; Zheng Yuehuan; Wang Yuren; Jiang Leisheng; Yang Yaoqi; Zhuang Chengyu

    2014-01-01

    Background The purpose of this retrospective study was to compare the surgical outcomes of simple discectomy and instrumented posterior lumbar interbody fusion (iPLIF) in patients with lumbar disc herniation and Modic endplate changes.Our hypothesis was that iPLIF could provide better outcome for patients with refractory lumbar disc herniation and Modic changes (LDH-MC).Methods Ninety-one patients with single-segment LDH-MC were recruited.All patients experienced low back pain as well as radicular leg pain,and low back pain was more severe than leg pain.Forty-seven patients were treated with discectomy and 44 were treated with iPLIE The outcomes of both low back pain and radicular leg pain using visual analogue scale (VAS) as well as the clinical outcome related to low back pain using Japanese Orthopaedic Association (JOA) score were assessed before and 18 months after surgery,respectively.Results Both low back and leg pain were significantly improved 18 months after simple discectomy and iPLIE Compared to patients undergoing simple discectomy,low back pain was significantly reduced in patients undergoing iPLIE but there was no significant difference in leg pain between two groups.Solid fusion was achieved in all patients who underwent iPLIF.Conclusions In patients with LDH-MC,iPLIF can yield significantly superior outcome on the relief of low back pain compared to simple discectomy.Simple discectomy can relieve radicular leg pain as efficient as iPLIE Accordingly,iPLIF seems to be a reliable treatment for patients with LDH-MC and predominant low back pain.

  18. DC Bus Control of Back-to-Back Connected Two-Level PWM Rectifier-Five-Level NPC Voltage Source Inverter to Torque Ripple Reduction in Induction Motor

    Directory of Open Access Journals (Sweden)

    Abdelkrim Thameur

    2015-01-01

    Full Text Available This paper proposes a regulation method of back-to-back connected two-level PWM rectifier-five-level Voltage Source Inverter (VSI in order to reduce the torque ripple in induction motor. First part is dedicated to the presentation of the feedback control of two-level PWM rectifier. In the second part, five-level Neutral Point Clamped (NPC voltage source inverter balancing DC bus algorithm is presented. A theoretical analysis with a complete simulation of the system is presented to prove the excellent performance of the proposed technique.

  19. Efficiency analysis on a two-level three-phase quasi-soft-switching inverter

    DEFF Research Database (Denmark)

    Geng, Pan; Wu, Weimin; Huang, Min;

    2013-01-01

    for non-conventional inverters with special shoot-through state is introduced and illustrated through the analysis on a special two-level three-phase quasi-soft-switching inverter. Efficiency comparison between the classical two-stage two-level three-phase inverter and the two-level three-phase quasi......-soft-switching inverter is carried out. A 10 kW/380 V prototype is constructed to verify the analysis. The experimental results show that the efficiency of the new inverter is higher than that of the traditional two-stage two- level three-phase inverter....

  20. A Two-Level Spreading-despreading CDMA System and Its Performance Evaluation

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    A new two-level spreading-despreading scheme is presented in this paper. By adopting the two-level scheme, the Generalized Orthogonal (GO) zone of GO codes can be utilized. In this paper, the forward link of a multi-cell CDMA system employing the two-level scheme is presented and analyzed. The BER performance obtained by Gaussian Approximation is compared with that of the conventional single-level spreading-despreading system. The results reveal that the two*$-level CDMA system introduced in this paper exhibits larger performance gain when time delay can be restricted within a given zone.

  1. Modifications to the transverse Caspar cervical retractor blades optimized for a single-level anterior cervical discectomy.

    Science.gov (United States)

    Geisler, F H; Tamargo, R J; Weingart, J D

    1993-02-01

    A modification of the transverse Caspar cervical soft-tissue retractor blades for their use in a single-level anterior cervical discectomy is presented. These modified retractor blades are similarly inserted into the elevated anterior mesial portion of the longus colli muscles. However, they allow a smaller skin incision, less soft-tissue dissection, and do not require use of the superior and inferior smooth retractor blades, while providing the same surgical vision and operative ability in the disc space as does the four-bladed Caspar retractor system.

  2. How to predict return to work after lumbar discectomy: answers from the NeuroPoint-SD registry.

    Science.gov (United States)

    Than, Khoi D; Curran, Jill N; Resnick, Daniel K; Shaffrey, Christopher I; Ghogawala, Zoher; Mummaneni, Praveen V

    2016-08-01

    OBJECTIVE To date, the factors that predict whether a patient returns to work after lumbar discectomy are poorly understood. Information on postoperative work status is important in analyzing the cost-effectiveness of the procedure. METHODS An observational prospective cohort study was completed at 13 academic and community sites (NeuroPoint-Spinal Disorders [NeuroPoint-SD] registry). Patients undergoing single-level lumbar discectomy were included. Variables assessed included age, sex, body mass index (BMI), SF-36 physical function score, Oswestry Disability Index (ODI) score, presence of diabetes, smoking status, systemic illness, workers' compensation status, and preoperative work status. The primary outcome was working status within 3 months after surgery. Stepwise logistic regression analysis was performed to determine which factors were predictive of return to work at 3 months following discectomy. RESULTS There were 127 patients (of 148 total) with data collected 3 months postoperatively. The patients' average age at the time of surgery was 46 ± 1 years, and 66.9% of patients were working 3 months postoperatively. Statistical analyses demonstrated that the patients more likely to return to work were those of younger age (44.5 years vs 50.5 years, p = 0.008), males (55.3% vs 28.6%, p = 0.005), those with higher preoperative SF-36 physical function scores (44.0 vs 30.3, p = 0.002), those with lower preoperative ODI scores (43.8 vs 52.6, p = 0.01), nonsmokers (83.5% vs 66.7%, p = 0.03), and those who were working preoperatively (91.8% vs 26.2%, p working preoperatively (105 patients), only age was a statistically significant predictor of postoperative return to work (44.1 years vs 51.1 years, p = 0.049). CONCLUSIONS In this cohort of lumbar discectomy patients, preoperative working status was the strongest predictor of postoperative working status 3 months after surgery. Younger age was also a predictor. Factors not influencing return to work in the logistic

  3. The Earth is Flat, and I Can Prove It!

    Science.gov (United States)

    Klinger, Art

    1998-01-01

    Describes an educational program that asks students to attempt to prove that the earth is spherical and that it rotates. Presents tips to pique student interest and charts related to sensing the spin, nonrotation notions, flat earth fallacies, evidence that the earth is spherical and rotates, and the role of watersheds in proving that the earth…

  4. 14 CFR 135.145 - Aircraft proving and validation tests.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Aircraft proving and validation tests. 135... Aircraft and Equipment § 135.145 Aircraft proving and validation tests. (a) No certificate holder may... safely and in compliance with applicable regulatory standards. Validation tests are required for...

  5. Linear Strategy for Boolean Ring Based Theorem Proving

    Institute of Scientific and Technical Information of China (English)

    WU Jinzhao; LIU Zhuojun

    2000-01-01

    Two inference rules are discussed in boolean ring based theorem proving, and linear strategy is developed. It is shown that both of them are complete for linear strategy. Moreover, by introducing a partial ordering on atoms, pseudo O-linear and O-linear strategies are presented. The former is complete, the latter, however, is complete for clausal theorem proving.

  6. A New Approach for Proving or Generating Combinatorial Identities

    Science.gov (United States)

    Gonzalez, Luis

    2010-01-01

    A new method for proving, in an immediate way, many combinatorial identities is presented. The method is based on a simple recursive combinatorial formula involving n + 1 arbitrary real parameters. Moreover, this formula enables one not only to prove, but also generate many different combinatorial identities (not being required to know them "a…

  7. The Earth is Flat, and I Can Prove It!

    Science.gov (United States)

    Klinger, Art

    1998-01-01

    Describes an educational program that asks students to attempt to prove that the earth is spherical and that it rotates. Presents tips to pique student interest and charts related to sensing the spin, nonrotation notions, flat earth fallacies, evidence that the earth is spherical and rotates, and the role of watersheds in proving that the earth…

  8. Generating and Using Examples in the Proving Process

    Science.gov (United States)

    Sandefur, J.; Mason, J.; Stylianides, G. J.; Watson, A.

    2013-01-01

    We report on our analysis of data from a dataset of 26 videotapes of university students working in groups of 2 and 3 on different proving problems. Our aim is to understand the role of example generation in the proving process, focusing on deliberate changes in representation and symbol manipulation. We suggest and illustrate four aspects of…

  9. 20 CFR 219.23 - Evidence to prove death.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Evidence to prove death. 219.23 Section 219... EVIDENCE REQUIRED FOR PAYMENT Evidence of Age and Death § 219.23 Evidence to prove death. (a) Preferred evidence of death. The best evidence of a person's death is— (1) A certified copy of or extract from...

  10. The Status of Proving among US Secondary Mathematics Teachers

    Science.gov (United States)

    Kotelawala, Usha

    2016-01-01

    This report examines teachers' self-espoused attitudes and beliefs on proving in the secondary mathematics classroom. Conclusions were based on a questionnaire of 78 US mathematics teachers who had completed at least 2 years of teaching mathematics at the secondary level. While these teachers placed importance on proving as a general mathematical…

  11. Preservice Mathematics Teachers' Metaphorical Perceptions towards Proof and Proving

    Science.gov (United States)

    Ersen, Zeynep Bahar

    2016-01-01

    Since mathematical proof and proving are in the center of mathematics; preservice mathematics teachers' perceptions against these concepts have a great importance. Therefore, the study aimed to determine preservice mathematics teachers' perceptions towards proof and proving through metaphors. The participants consisted of 192 preservice…

  12. Proving and stability of multi-path ultrasonic flowmeters

    Energy Technology Data Exchange (ETDEWEB)

    Augenstein, D.; Griffith, B.; Cousins, T. [Caldon Inc., Pittsburgh, PA (United States)

    2003-07-01

    Proving has been used not only to remove the installation effects, but also to demonstrate the continuing performance of meter systems. For Custody transfer operation, statutory requirements and good practice have led to mandatory in-situ proving of liquid flowmeters. The characteristics of conventional meters, in particular turbine meters, has made in-situ volume proving both necessary and cost effective. Newer technology meters, such as Ultrasonic Transit time meters, have demonstrated greater short-term variability in their outputs, making them appear more difficult to prove by commonly used procedures. However, the balance on the side of these technologies is the greater stability of mean meter calibration. These characteristics makes it essential to look closely at the factors affecting this short term variability for the process of proving, and to review the concept of reducing the frequency of proving. This paper identifies the factors affecting the provability of multi-path chordal ultrasonic meters. It also presents proving data for such meters, for a range of sizes, at several independent certified hydraulic laboratories around the world, as well as data from meters at various field installations. The data shows that repeatability is predictable and generally controlled by hydraulic/turbulence statistics. It shows that with the correct design these meters can be proved effectively with 'small volume provers' and ball provers in conformance with API proving standards. Calibration data presented in the paper as a comparison of calibrations over time, against conventional turbine meters shows the stability of the Ultrasonic flowmeter with variations in flow and fluid viscosity. This data leads to the conclusion that the proving regularity of these meters can be materially less than for conventional meters. (author)

  13. Comparison of safety and efficiency of microendoscopic discectomy with automatic nerve retractor and with nerve hook

    Science.gov (United States)

    Yin, He-Ping; Wang, Yu-Peng; Qiu, Zhi-Ye; Du, Zhi-Cai; Wu, Yi-Min; Li, Shu-Wen

    2016-01-01

    This study compares the safety and efficiency of two techniques in microendoscopic discectomy (MED) for lumbar disc herniation. The two techniques are MED with automatic nerve retractor and MED with nerve hook which had been widely used for many years. The former involves a newly developed MED device which contains three parts to protect nerve roots during operation. Four hundred and twenty-eight patients underwent MED treatments between October 2010 and September 2015 were recruited and randomized to either intraoperative utilization of automatic nerve retractor (n = 315, group A) or application of nerve hook during surgery (n = 113, group B). Operation time and intraoperative bleeding volume were evaluated. Simultaneously, Visual Analogue Scales (VAS) and muscle strength grading were performed preoperatively, and 1, 2, 3 days, 1, 2 weeks, 3 and 6 months postoperatively. No dramatic difference of pain intensity was observed between the two groups before surgery and 6 months after surgery (P > 0.05). The operation time was shorter in group A (30.30 ± 1.89 min) than that in group B (59.41 ± 3.25 min). Group A (67.83 ± 13.14 ml) experienced a significant decrease in the amount of blood loss volume when compared with group B (100.04 ± 15.10 ml). There were remarkable differences of VAS score and muscle strength grading after postoperative 1, 2, 3 days, 1, 2 weeks and 3 months between both groups (P ≤ 0.05). MED with automatic nerve retractor effectively shortened operation time, decreased the amount of bleeding, down-regulated the incidence of nerve traction injury. PMID:27699062

  14. Multiple cervical levels: increased risk of dysphagia and dysphonia during anterior cervical discectomy.

    Science.gov (United States)

    Danto, Joseph; DiCapua, John; Nardi, Dominic; Pekmezaris, Renee; Moise, Gregory; Lesser, Martin; Dimarzio, Paola

    2012-10-01

    Anterior cervical discectomy (ACD) is widely used for symptomatic cervical spine pathologies. The most common complications associated with this type of surgery are dysphagia and dysphonia; however, the risk factors associated with them have not been adequately elucidated. The purpose of this study is to assess the incidence of self-reported dysphagia and dysphonia and the associated risk factors after ACD. This study used a retrospective chart review of 149 patients who underwent ACD at a tertiary care facility operating in the New York metropolitan area over a period of 2½ years. Charts for ACD patients were reviewed by 6 trained researchers. Incidence rates for self-reported dysphagia and dysphonia were calculated using 95% exact confidence intervals (CI). Risk factors such as age, sex, surgical hours, number of disc levels, airway class, American Society of Anesthesiologists class, fiberoptic intubation, and intubation difficulty were assessed using logistic regression. The incidence of self-reported dysphagia was 12.1% (95% exact CI, 7.3%-18.4%); for dysphonia the self-reported incidence was 5.4% (95% exact CI, 2.3%-10.3%). Patients who underwent surgery at ≥4 cervical levels had a significant 4-fold increased risk (odds ratio=4; 95% CI, 1.1-13.8) of developing dysphonia and/or dysphagia compared with patients who underwent surgery at a single surgical level. This study confirms previous findings that the risk of developing dysphagia and/or dysphonia increases with the number of surgical levels, with multiple cervical levels representing a significantly higher postoperative risk, as compared with surgery at 1 level.

  15. Changes in gray matter volume after microsurgical lumbar discectomy: A longitudinal analysis

    Directory of Open Access Journals (Sweden)

    Michael eLuchtmann

    2015-02-01

    Full Text Available People around the world suffer chronic lower back pain. Because spine imaging often does not explain the degree of perceived pain reported by patients, the role of the processing of nociceptor signals in the brain as the basis of pain perception is gaining increased attention. Modern neuroimaging techniques (including functional and morphometric methods have produced results that suggest which brain areas may play a crucial role in the perception of acute and chronic pain. In this study, we examined twelve patients with chronic low back pain and sciatica, both resulting from lumbar disc herniation. Structural magnetic resonance imaging (MRI of the brain was performed one day prior to and about four weeks after microsurgical lumbar discectomy. The subsequent MRI revealed an increase in gray matter volume in the basal ganglia but a decrease in volume in the hippocampus, which suggests the complexity of the network that involves movement, pain processing, and aspects of memory. Interestingly, volume changes in the hippocampus were significantly correlated to preoperative pain intensity but not to the duration of chronic pain. Mapping structural changes of the brain that result from lumbar disc herniation has the potential to enhance our understanding of the neuropathology of chronic low back pain and sciatica and therefore may help to optimize the decisions we make about conservative and surgical treatments in the future. The possibility of illuminating more of the details of central pain processing in lumbar disc herniation, as well as the accompanying personal and economic impact of pain relief worldwide, calls for future large-scale clinical studies.

  16. Anterior Cervical Discectomy and Fusion Alters Whole-Spine Sagittal Alignment

    Science.gov (United States)

    Kim, Jang Hoon; Yi, Seong; Kim, Kyung Hyun; Kuh, Sung Uk; Chin, Dong Kyu; Kim, Keun Su; Cho, Yong Eun

    2015-01-01

    Purpose Anterior cervical discectomy and fusion (ACDF) has become a common spine procedure, however, there have been no previous studies on whole spine alignment changes after cervical fusion. Our purpose in this study was to determine whole spine sagittal alignment and pelvic alignment changes after ACDF. Materials and Methods Forty-eight patients who had undergone ACDF from January 2011 to December 2012 were enrolled in this study. Cervical lordosis, thoracic kyphosis, lumbar lordosis, sagittal vertical axis (SVA), and pelvic parameters were measured preoperatively and at 1, 3, 6, and 12 months postoperatively. Clinical outcomes were assessed using Visual Analog Scale (VAS) scores and Neck Disability Index (NDI) values. Results Forty-eight patients were grouped according to operative method (cage only, cage & plate), operative level (upper level: C3/4 & C4/5; lower level: C5/6 & C6/7), and cervical lordosis (high lordosis, low lordosis). All patients experienced significant improvements in VAS scores and NDI values after surgery. Among the radiologic parameters, pelvic tilt increased and sacral slope decreased at 12 months postoperatively. Only the high cervical lordosis group showed significantly-decreased cervical lordosis and a shortened SVA postoperatively. Correlation tests revealed that cervical lordosis was significantly correlated with SVA and that SVA was significantly correlated with pelvic tilt and sacral slope. Conclusion ACDF affects whole spine sagittal alignment, especially in patients with high cervical lordosis. In these patients, alteration of cervical lordosis to a normal angle shortened the SVA and resulted in reciprocal changes in pelvic tilt and sacral slope. PMID:26069131

  17. Consideration of proper operative route for interlaminar approach for percutaneous endoscopic lumbar discectomy

    Science.gov (United States)

    Tonosu, Juichi; Oshima, Yasushi; Shiboi, Ryutaro; Hayashi, Akihiko; Takano, Yuichi; Inanami, Hirohiko

    2016-01-01

    Background Percutaneous endoscopic lumbar discectomy (PELD) is one of the less invasive treatments of lumbar disc herniation (LDH), and has three different operative approaches. This study focused on the interlaminar approach (ILA) and investigated the appropriate operative route for this approach. Methods ILA was performed in 41 patients with LDH. The width of the interlaminar space, LDH size, and positional relation between LDH and the corresponding nerve root were radiologically evaluated. Thirty-three LDHs were removed via the shoulder of the corresponding nerve root and eight were removed via the axilla of the corresponding nerve root and dural sac. Pre- and postoperative status were evaluated using the modified Japanese Orthopedic Association (mJOA) and numerical rating scale (NRS) scores. Results The mean age was 41.5 years; there was single-level involvement, mostly at L5/S1 (33 cases). The mean recovery rate of mJOA score was 59.8% and mean pre- and postoperative NRS scores were 5.8 and 0.98, respectively. Relatively severe complications developed in three patients treated by ILA via the shoulder. There was persistent numbness in the corresponding nerve area, transient muscular weakness, and transient bladder and rectal disturbance, may be due to excessive compression of the nerve root and/or dural sac by the endoscopic sheath. Conclusions ILA can be used to treat LDH revealing an interlaminar space of ≥20 mm. The procedure is minimally invasive and effective; however, appropriate selection of an operative route is important to avoid operative complications. Particularly for large LDH, the operative route via the axilla should be considered. PMID:28097245

  18. Puncture Reduction in Percutaneous Transforaminal Endoscopic Discectomy with HE's Lumbar LOcation (HELLO System: A Cadaver Study.

    Directory of Open Access Journals (Sweden)

    Guoxin Fan

    Full Text Available Percutaneous transforaminal endoscopic discectomy (PTED usually requires numerous punctures under X-ray fluoroscopy. Repeated puncture will lead to more radiation exposure and reduce the beginners' confidence.This cadaver study aimed to investigate the efficacy of HE's Lumbar Location (HELLO system in puncture reduction of PTED.Cadaver study.Comparative groups.HELLO system consists of self-made surface locator and puncture locator. One senior surgeon conducted the puncture procedure of PTED on the left side of 20 cadavers at L4/L5 and L5/S1 level with the assistance of HELLO system (Group A. Additionally, the senior surgeon conducted the puncture procedure of PTED on the right side of the cadavers at L4/L5 and L5/S1 level with traditional methods (Group B. On the other hand, an inexperienced surgeon conducted the puncture procedure of PTED on the left side of the cadavers at L4/L5 and L5/S1 level with the assistance of our HELLO system (Group C.At L4/L5 level, there was significant difference in puncture times between Group A and Group B (P0.05. There was no difference in location time between Group A and Group B or Group A and Group C either at L4/L5 level or L5/S1 level (P>0.05.Small-sample preclinical study.HELLO system was effective in reducing puncture times, fluoroscopy time and radiation exposure, as well as the difficulty of learning PTED. (2015-RES-127.

  19. Transforaminal Percutaneous Endoscopic Discectomy in Parkinson Disease: Preliminary Results and Short Review of the Literature

    Science.gov (United States)

    Giovannopoulou, Eirini; Thomaidis, Triphonas; Charitoudis, George; Pavlidis, Pavlos; Kazakos, Konstantinos

    2016-01-01

    Objective To study the effectiveness of Transforaminal Percutaneous Endoscopic Discectomy (TPED) for lumbar disc herniation in patients with Parkinson disease (PD). Methods Fifteen patients diagnosed with PD and lumbar disc hernia were recruited to the study. All patients underwent TPED. Mean age was 61.27±6 years, with 8 male (53.3%) and 7 female patients (46.7%). Level of operation was L3-4 (33.3%), L4-5 (33.3%) and L5-S1 (33.3%). Visual analogue scale (VAS) for leg pain and Oswestry Disabillity Index (ODI) for back pain, as well as the Medical Outcomes Study Questionnaire Short-Form 36 Health Survey (SF-36) for health-related quality of life (HRQoL) were assessed right before surgery and at 6 weeks, 3, 6, and 12 months after surgery. Results VAS and ODI showed significant (p<0.005) reduction one year after TPED, with a percentage improvement of 83.9% and 79.4%, respectively. Similarly, all aspects of quality of life (SF-36) were significantly (p<0.005) improved 1 year after the procedure. Bodily pain and role physical demonstrated the highest increase followed by role emotional, physical function, social function, vitality, mental health, and general health. Beneficial impact of TPED on clinical outcome and HRQoL was independent of gender and operated level. Conclusion TPED is effective in reducing lower limb symptoms and low back pain in patients with lumbar disc hernia, suffering from PD. Positive effect of endoscopy is, also, evident in HRQoL of those patients one year after the procedure.

  20. Puncture Reduction in Percutaneous Transforaminal Endoscopic Discectomy with HE's Lumbar LOcation (HELLO) System: A Cadaver Study.

    Science.gov (United States)

    Fan, Guoxin; Guan, Xiaofei; Sun, Qi; Hu, Annan; Zhu, Yanjie; Gu, Guangfei; Zhang, Hailong; He, Shisheng

    2015-01-01

    Percutaneous transforaminal endoscopic discectomy (PTED) usually requires numerous punctures under X-ray fluoroscopy. Repeated puncture will lead to more radiation exposure and reduce the beginners' confidence. This cadaver study aimed to investigate the efficacy of HE's Lumbar Location (HELLO) system in puncture reduction of PTED. Cadaver study. Comparative groups. HELLO system consists of self-made surface locator and puncture locator. One senior surgeon conducted the puncture procedure of PTED on the left side of 20 cadavers at L4/L5 and L5/S1 level with the assistance of HELLO system (Group A). Additionally, the senior surgeon conducted the puncture procedure of PTED on the right side of the cadavers at L4/L5 and L5/S1 level with traditional methods (Group B). On the other hand, an inexperienced surgeon conducted the puncture procedure of PTED on the left side of the cadavers at L4/L5 and L5/S1 level with the assistance of our HELLO system (Group C). At L4/L5 level, there was significant difference in puncture times between Group A and Group B (PHELLO system reduced 39%-45% radiation dosage when comparing Group A and Group B, but there was no significant difference in radiation exposure between Group A and Group C whatever at L4/L5 level or L5/S1 level (P>0.05). There was no difference in location time between Group A and Group B or Group A and Group C either at L4/L5 level or L5/S1 level (P>0.05). Small-sample preclinical study. HELLO system was effective in reducing puncture times, fluoroscopy time and radiation exposure, as well as the difficulty of learning PTED. (2015-RES-127).

  1. The kinematics of anterior cervical discectomy and fusion versus artificial cervical disc: a pilot study.

    Science.gov (United States)

    Rabin, Doron; Pickett, Gwynedd E; Bisnaire, Lynn; Duggal, Neil

    2007-09-01

    Anterior cervical discectomy and fusion (ACDF) for the management of cervical spondylosis may contribute to further degenerative changes at adjacent levels secondary to abnormal spinal motion. Insertion of a Bryan Cervical Disc (AD) (Medtronic Sofamor Danek, Memphis, TN) may prevent this accelerated degeneration. This retrospective study compares the in vivo x-ray cervical spine kinematics in patients with ACDF and AD. Ten patients with single-level AD were matched to 10 patients with single-level ACDF based on age and sex. Lateral neutral, flexion and extension cervical x-rays were obtained preoperatively and at regular intervals up to 24 months postoperatively. Kinematic parameters, including range of motion, anteroposterior translation, and disc height, were assessed for all cervical functional spinal units using quantitative motion analysis software. Changes in these parameters were compared between matched patients from both groups using paired Student's t tests. The range of motion at the operated level was greater in the AD group compared with the ACDF group at early (6.9 versus 0.89 degrees, P < 0.01) and late (8.4 versus 0.53 degrees, P < 0.01) follow-up evaluations. Translation was greater at the operated level in patients with AD at late follow-up (6.8 versus 0.8%, P < 0.03) evaluation. No significant between-group kinematic differences were seen at adjacent levels. Patients with AD and those with ACDF demonstrated similar in vivo adjacent level kinematics within the first 24 months after anterior cervical decompression.

  2. Squeezing in the interaction of radiation with two-level atoms

    OpenAIRE

    Bandyopadhyay, Abir; Rai, Jagdish

    1995-01-01

    We propose a simple experimental procedure to produce squeezing and other non-classical properties like photon antibunching of radiation, and amplification without population inversion. The method also decreases the uncertainties of the angular-momentum quadratures representing the two-level atomic system in the interaction of the two-level atoms with quantized radiation.

  3. Maximum Likelihood Analysis of a Two-Level Nonlinear Structural Equation Model with Fixed Covariates

    Science.gov (United States)

    Lee, Sik-Yum; Song, Xin-Yuan

    2005-01-01

    In this article, a maximum likelihood (ML) approach for analyzing a rather general two-level structural equation model is developed for hierarchically structured data that are very common in educational and/or behavioral research. The proposed two-level model can accommodate nonlinear causal relations among latent variables as well as effects…

  4. Analysis of Bullwhip Effect for Two-level Supply Chain with Multi-distributed Centers

    Institute of Scientific and Technical Information of China (English)

    LirongCui

    2004-01-01

    The bullwhip effect is studied for two-level supply chain with multi-distributed centers. First the model for two-level supply chain with multi-distributed centers is established under some assumptions, then the mathematical description is given for it. Finally a simple example is showed to illustrate the results obtained in the paper.

  5. The Complexity of Proving the Discrete Jordan Curve Theorem

    OpenAIRE

    Nguyen, Phuong; Cook, Stephen

    2010-01-01

    The Jordan Curve Theorem (JCT) states that a simple closed curve divides the plane into exactly two connected regions. We formalize and prove the theorem in the context of grid graphs, under different input settings, in theories of bounded arithmetic that correspond to small complexity classes. The theory $V^0(2)$ (corresponding to $AC^0(2)$) proves that any set of edges that form disjoint cycles divides the grid into at least two regions. The theory $V^0$ (corresponding to $AC^0$) proves tha...

  6. PHYSICAL THERAPY FOLLOWING ANTERIOR CERVICAL DISCECTOMY AND FUSION: A STUDY OF CURRENT CLINICAL PRACTICE AND THERAPIST BELIEFS

    Directory of Open Access Journals (Sweden)

    Brian T. Swanson

    2015-04-01

    Full Text Available Background: Anterior cervical discectomy and fusion (ACDF is a commonly performed surgical procedure. However, there is substantial debate regarding the role of physical therapy following this procedure. Therefore, we sought to determine current physical therapy practice following ACDF surgery, as well as determine physical therapists beliefs regarding rehabilitation following ACDF. Methods: One hundred and eighty three licensed Physical Therapists were invited to participate in a descriptive internet based survey; a total of 53 (29% completed the survey. Physical Therapists were assessed for their current practice, asked to rate the clinical usefulness of various treatment modalities, and indicate their recommendations regarding post-operative physical therapy for subjects following anterior discectomy and fusion. Results were then assessed for frequency distributions, with chi-square analysis for association between demographic data and practice recommendations. Results: The results indicate that Physical Therapists believe patients achieve superior outcomes with the inclusion of post-operative physical therapy, with a low risk of harm. Specific treatments indicated as most useful included endurance exercise (60.4%, isometric strengthening (56.6%, and stretching (45.3%. Other treatment options are discussed in detail. Conclusion: Physical Therapists identified specific activities that they felt were most appropriate for rehabilitation following ACDF surgery. These findings may help to direct both appropriate therapy prescription following ACDF, as well as future research.

  7. Models and Techniques for Proving Data Structure Lower Bounds

    DEFF Research Database (Denmark)

    Larsen, Kasper Green

    In this dissertation, we present a number of new techniques and tools for proving lower bounds on the operational time of data structures. These techniques provide new lines of attack for proving lower bounds in both the cell probe model, the group model, the pointer machine model and the I/O-mod...... for range reporting problems in the pointer machine and the I/O-model. With this technique, we tighten the gap between the known upper bound and lower bound for the most fundamental range reporting problem, orthogonal range reporting. 5......In this dissertation, we present a number of new techniques and tools for proving lower bounds on the operational time of data structures. These techniques provide new lines of attack for proving lower bounds in both the cell probe model, the group model, the pointer machine model and the I....../O-model. In all cases, we push the frontiers further by proving lower bounds higher than what could possibly be proved using previously known techniques. For the cell probe model, our results have the following consequences: The rst (lg n) query time lower bound for linear space static data structures...

  8. Comparison of the analgesic effect of ibuprofen with mesalamine after discectomy surgery in patients with lumbar disc herniation: A double-blind randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Toroudi Hamidreza

    2009-01-01

    Full Text Available Background: Pain management is an important component in the postoperative period following discectomy. Aims: We hypothesized that mesalamine considering its better safety profile, is likely to be a better choice, if it would be as effective as ibuprofen in controlling post-discectomy pain. Settings and Design: A double-blind randomized controlled trial was performed on patients who underwent lumbar discectomy surgery. Materials and Methods: Of the 58 patients who had lumbar discectomy, 27 patients were randomized to oral ibuprofen 500 mg and 31 patients to mesalamine 400 mg, three times a day for nine days following surgery. There was no placebo group. Severity of pain was assessed by using 10- cm visual analogue scale (VAS, once before operation and for nine days after. Statistical Analysis: Mean ± SD pain scores were compared between groups and the statistical difference was estimated by Student′s test using SPSS (Version 13. We also calculated the power of each t-test. Repeated measure ANOVA was performed for measuring the effect of time. Results: The age range of the patients was 35 to 60 years (mean: 42.2 years. Mean ± SD preoperative pain scores for ibuprofen or mesalamine-treated groups were 7.852 ± 2.441 and 7.806 ± 2.892, respectively. At the end of day 9, mean ± SD of pain score was 2.704 ± 2.284 and 2.717 ± 2.273 for ibuprofen and mesalamine-treated groups respectively. Both drugs significantly reduced postoperative pain and there was no statistically significant difference between the two groups.Conclusions: Since both drugs showed almost equal analgesic effect, considering its safety profile mesalamine, seems to be the preferred choice to alleviate post-discectomy surgery pain.

  9. Primary limited lumbar discectomy with an annulus closure device: one-year clinical and radiographic results from a prospective, multi-center study.

    Science.gov (United States)

    Lequin, Michiel B; Barth, Martin; Thomė, Claudius; Bouma, Gerrit J

    2012-12-01

    Discectomy as a treatment for herniated lumbar discs results in outcomes after surgery that are not uniformly positive. Surgeons face the dilemma between limited nucleus removal which is associated with a higher risk of recurrence, or more aggressive nucleus removal which may lead to disc height loss and persistent back-pain. annulus closure devices may allow for the benefits of limited nucleus removal without the increased risk of recurrence. This is an interim report of an ongoing 24-month post-marketing study of the Barricaid® annulus closure device, consisting of a flexible polymer mesh that blocks the defect, held in place by a titanium bone anchor. We prospectively enrolled 45 patients at four hospitals, and implanted the Barricaid® after a limited discectomy. annulus defect size and volume of removed nucleus were recorded. Reherniations were reported, pain and function were monitored and imaging was performed at regular intervals during 24 months of follow-up. At 12 months postsurgery, pain and function were significantly improved, comparing favorably to reported results from limited discectomy. Disc height has been well maintained. One reherniation has occurred (2.4%), which was associated with a misplaced device. No device fracture, subsidence or migration has been observed. The use of an annulus closure device may provide a reduction in reherniation rate for lumbar discectomy patients with large annulus defects who are at the greatest risk of recurrence. Using such a device should provide the surgeon increased confidence in minimizing nucleus removal, which, in turn, may preserve disc height and biomechanics, reducing degeneration and associated poor clinical outcomes in the long-term. A randomized multicenter study evaluating limited discectomy with and without the Barricaid® is currently underway, and will provide a higher level of evidence.

  10. Information Entropy. and Squeezing of Quantum Fluctuations in a Two-Level Atom

    Institute of Scientific and Technical Information of China (English)

    FANG Mao-Fa; ZHOU Peng; S. Swain

    2000-01-01

    We study the atomic squeezing in the language of the quantum information theory. A rigorous entropy uncertainty relation which suits for characterizing the squeezing of a two-level atoms is obtained, and a general definition of information entropy squeezing in the two-level atoms is given. The information entropy squeezing of two-level atoms interacting with a single-mode quantum field is examined. Our results show that the information entropy is a superior measure of the quantum uncertainty of atomic observable, also is a remarkable good precision measure of atomic squeezing. When the population difference of two-level atom is zero, the definition of atomic squeezing based on the Heisenberg uncertainty relation is trivial, while the definition of information entropy squeezing of the atom based on the entropy uncertainty relation is valid and can provide full information on the atomic squeezing in any cases.

  11. Dispersion management for two-level optically labeled signals in IP-over-WDM networks 4

    DEFF Research Database (Denmark)

    Chi, Nan; Carlsson, Birger; Holm-Nielsen, Pablo Villanueva;

    2002-01-01

    The transmission characteristics of a two-level optically labeled signal with ASK/DPSK modulation are investigated under varying dispersion management. A limitation of extinction ratio and the resilience of fiber span, compensation ratio, and power level are obtained...

  12. Can Hare's two-level utilitarianism overcome the problems facing act-utilitarianism?

    OpenAIRE

    Roberts, Emma

    2012-01-01

    In order to provide a positive defence of utilitarianism, R.M Hare presented his own theory of 'two-level' utilitarianism, claiming that it overcame the main objections directed towards traditional act utilitarianism. This essay firstly outlines the main problems associated with utilitarianism and examines whether Hare's theory is indeed able to successfully overcome them. It then goes on to examine the coherence of two-level utilitarianism itself, and thus determine whether it can provide a ...

  13. Pseudoarthrosis rates in anterior cervical discectomy and fusion: a meta-analysis.

    Science.gov (United States)

    Shriver, Michael F; Lewis, Daniel J; Kshettry, Varun R; Rosenbaum, Benjamin P; Benzel, Edward C; Mroz, Thomas E

    2015-09-01

    Anterior cervical discectomy and fusion (ACDF) is a commonly performed procedure for patients presenting with cervical radiculopathy, myelopathy, or deformity. A systematic literature review and meta-analysis of pseudoarthrosis rates associated with ACDF with plate fixation have not been previously performed. The purpose of this study was to identify all prospective studies reporting pseudoarthrosis rates for ACDF with plate fixation. This study is based on a systematic review and meta-analysis. Studies reporting pseudoarthrosis rates in patients who received one-, two-, or three-level ACDF surgeries were included. Outcomes of interest included reported pseudoarthrosis events after ACDF with plate fixation. We conducted a MEDLINE, SCOPUS, Web of Science, and EMBASE search for studies reporting complications for ACDF with plate fixation. We recorded pseudoarthrosis events from all included studies. A meta-analysis was performed to calculate effect summary mean values, 95% confidence intervals (CIs), Q statistics, and I(2) values. Forest plots were constructed for each analysis group. Of the 7,130 retrieved articles, 17 met the inclusion criteria. The overall pseudoarthrosis rate was 2.6% (95% CI: 1.3-3.9). Use of autograft fusion (0.9%, 95% CI: -0.4 to 2.1) resulted in a reduced pseudoarthrosis rate compared with allograft fusion procedures (4.8%, 95% CI: 1.7-7.9). Studies were separated based on the length of follow-up: 12 to 24 and greater than 24 months. These groups reported rates of 3.1% (95% CI: 1.2-5.0) and 2.3% (95% CI: 0.1-4.4), respectively. Studies performing single-level ACDF yielded a rate of 3.7% (95% CI: 1.6-5.7). Additionally, there was a large difference in the rate of pseudoarthrosis in randomized controlled trials (4.8%, 95% CI: 2.6-7.0) versus prospective cohort studies (0.2%, 95% CI: -0.1 to 0.5), indicating that the extent of follow-up criteria affects the rate of pseudoarthrosis. This review represents a comprehensive estimation of the actual

  14. Physiotherapy Post Lumbar Discectomy: Prospective Feasibility and Pilot Randomised Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Alison Rushton

    Full Text Available To evaluate: acceptability and feasibility of trial procedures; distribution of scores on the Roland Morris Disability Questionnaire (RMDQ, planned primary outcome; and efficient working of trial components.A feasibility and external pilot randomised controlled trial (ISRCTN33808269, assigned 10/12/2012 was conducted across 2 UK secondary care outpatient physiotherapy departments associated with regional spinal surgery centres.Consecutive consenting patients aged >18 years; post primary, single level, lumbar discectomy.Participants were randomised to either 1:1 physiotherapy outpatient management including patient leaflet, or patient leaflet alone.Blinded assessments were made at 4 weeks post surgery (baseline and 12 weeks post baseline (proposed primary end point. Secondary outcomes included: Global Perceived Effect, back/leg pain, straight leg raise, return to work/function, quality of life, fear avoidance, range of movement, medication, re-operation.At discharge, 110 (44% eligible patients gave consent to be contacted. 59 (54% patients were recruited. Loss to follow up was 39% at 12 weeks, with one site contributing 83% losses. Mean (SD RMDQ was 10.07 (5.58 leaflet and 10.52 (5.94 physiotherapy/leaflet at baseline; and 5.37 (4.91 leaflet and 5.53 (4.49 physiotherapy/leaflet at 12 weeks. 5.1% zero scores at 12 weeks illustrated no floor effect. Sensitivity to change was assessed at 12 weeks with mean (SD change -4.53 (6.41, 95%CI -7.61 to -1.44 for leaflet; and -6.18 (5.59, 95%CI -9.01 to -3.30 for physiotherapy/leaflet. RMDQ mean difference (95%CI between change from baseline to twelve weeks was 1.65(-2.46 to 5.75. Mean difference (95%CI between groups at 12 weeks was -0.16 (-3.36 to 3.04. Participant adherence with treatment was good. No adverse events were reported.Both interventions were acceptable, and it is promising that they both demonstrated a trend in reducing disability in this population. A randomised controlled trial, using a

  15. Two-Level Incremental Checkpoint Recovery Scheme for Reducing System Total Overheads

    Science.gov (United States)

    Li, Huixian; Pang, Liaojun; Wang, Zhangquan

    2014-01-01

    Long-running applications are often subject to failures. Once failures occur, it will lead to unacceptable system overheads. The checkpoint technology is used to reduce the losses in the event of a failure. For the two-level checkpoint recovery scheme used in the long-running tasks, it is unavoidable for the system to periodically transfer huge memory context to a remote stable storage. Therefore, the overheads of setting checkpoints and the re-computing time become a critical issue which directly impacts the system total overheads. Motivated by these concerns, this paper presents a new model by introducing i-checkpoints into the existing two-level checkpoint recovery scheme to deal with the more probable failures with the smaller cost and the faster speed. The proposed scheme is independent of the specific failure distribution type and can be applied to different failure distribution types. We respectively make analyses between the two-level incremental and two-level checkpoint recovery schemes with the Weibull distribution and exponential distribution, both of which fit with the actual failure distribution best. The comparison results show that the total overheads of setting checkpoints, the total re-computing time and the system total overheads in the two-level incremental checkpoint recovery scheme are all significantly smaller than those in the two-level checkpoint recovery scheme. At last, limitations of our study are discussed, and at the same time, open questions and possible future work are given. PMID:25111048

  16. The NEtherlands Cervical Kinematics (NECK) Trial. Cost-effectiveness of anterior cervical discectomy with or without interbody fusion and arthroplasty in the treatment of cervical disc herniation; A double-blind randomised multicenter study

    NARCIS (Netherlands)

    M.P. Arts (Mark); R. Brand (René); B.W. Koes (Bart); W.C. Peul (Wilco); M.E. van den Akker (Elske)

    2010-01-01

    textabstractBackground. Patients with cervical radicular syndrome due to disc herniation refractory to conservative treatment are offered surgical treatment. Anterior cervical discectomy is the standard procedure, often in combination with interbody fusion. Accelerated adjacent disc degeneration is

  17. Proving Light Quanta Exist in an Undergraduate Laboratory

    Science.gov (United States)

    Neel, M. S.; Thorn, J. J.; Davies, R. E.; Beck, M.

    2003-05-01

    While well known experiments involving phenomena such as the photoelectric effect and Compton scattering strongly suggest the existence of photons, they do not prove the existence of light quanta. For example, it is possible to explain both of the aforementioned effects using a semiclassical treatment in which the electromagnetic field is not quantized, and is instead treated as a classical wave. To prove the existence of light quanta one must perform an experiment whose results cannot be explained using classical waves. Here we have performed an experiment that cannot be explained with a classical wave theory, and which demonstrates the localization of light quanta. Namely, we prove that a single photon can only go one way when it leaves a beamsplitter. (P. Grangier, G. Roger and A. Aspect, Europhys. Lett. 1, 173 (1986).) The experimental apparatus is appropriate for an undergraduate teaching laboratory.

  18. The Complexity of Proving the Discrete Jordan Curve Theorem

    CERN Document Server

    Nguyen, Phuong

    2010-01-01

    The Jordan Curve Theorem (JCT) states that a simple closed curve divides the plane into exactly two connected regions. We formalize and prove the theorem in the context of grid graphs, under different input settings, in theories of bounded arithmetic that correspond to small complexity classes. The theory $V^0(2)$ (corresponding to $AC^0(2)$) proves that any set of edges that form disjoint cycles divides the grid into at least two regions. The theory $V^0$ (corresponding to $AC^0$) proves that any sequence of edges that form a simple closed curve divides the grid into exactly two regions. As a consequence, the Hex tautologies and the st-connectivity tautologies have polynomial size $AC^0(2)$-Frege-proofs, which improves results of Buss which only apply to the stronger proof system $TC^0$-Frege.

  19. Descriptive analysis of a 1:1 physiotherapy outpatient intervention post primary lumbar discectomy: one arm of a small-scale parallel randomised controlled trial across two UK sites

    OpenAIRE

    2016-01-01

    Objective There is a lack of high-quality evidence for physiotherapy post lumbar discectomy. Substantial heterogeneity in treatment effects may be explained by variation in quality, administration and components of interventions. An optimised physiotherapy intervention may reduce heterogeneity and improve patient benefit. The objective was to describe, analyse and evaluate an optimised 1:1 physiotherapy outpatient intervention for patients following primary lumbar discectomy, to provide preli...

  20. Comparison of open surgical discectomy versus plasma-laser nucleoplasty in patients with single lumbar disc herniation

    Directory of Open Access Journals (Sweden)

    Saeid Abrishamkar

    2015-01-01

    Full Text Available Background: Intervertebral disc herniation is a major cause of low back pain. Several treatment methods are available for lumbar disc herniation including Chemonucleolysis, open surgery, nucleoplasty, laser disc decompression, and intradiscal electrothermal therapy. The high prevalence of lumbar disc herniation necessitates a minimally invasive yet effective treatment method. In this study, we compared the outcomes of open surgery and nucleoplasty method in patients with single lumbar disc herniation. Materials and Methods: This study was a noninferiority randomized clinical trial conducted in one of the University Hospitals of Isfahan Medical University; The Alzahra Hospital. About 200 patients with the diagnosis of lumbar disc herniation were recruited and were assigned to either the treatment or control groups using block randomization. One group received open surgery and the other group received nucleoplasty as the method of treatment. Patients were revisited at 14 days, 1, 2, 3 months, and 1-year after surgery and were assessed for the following variables: Lower back pain, lower limb pain, common complications of surgery (e.g., discitis, infection and hematoma and recurrence of herniation. Results: The mean (standard deviation severity of low back pain was reduced from 6.92 (2.5 to 3.43 (2.3 in the nucleoplasty group (P = 0.04 and from 7.5 (2.2 to 3.04 (1.61 in the discectomy group (P = 0.73. Between group difference was not statistically significant (P = 0.44, however, time and treatment interaction was significant (P = 0.001. The level of radicular pain evaluated 1 year after treatment was reduced from 8.1 (1.2 to 2.9 (1.2 (P = 0.004 and from 7.89 (2.1 to 3.6 (2.5 (P =0.04 in the discectomy and the nucleoplasty groups respectively, significant interaction between time and treatment options was observed (P < 0.001 while there was no significant difference between two treatment groups (P = 0.82. Conclusion: Our results show that while

  1. Performance of a Two-Level Call Admission Control Scheme for DS-CDMA Wireless Networks

    Directory of Open Access Journals (Sweden)

    Abraham O. Fapojuwo

    2007-11-01

    Full Text Available We propose a two-level call admission control (CAC scheme for direct sequence code division multiple access (DS-CDMA wireless networks supporting multimedia traffic and evaluate its performance. The first-level admission control assigns higher priority to real-time calls (also referred to as class 0 calls in gaining access to the system resources. The second level admits nonreal-time calls (or class 1 calls based on the resources remaining after meeting the resource needs for real-time calls. However, to ensure some minimum level of performance for nonreal-time calls, the scheme reserves some resources for such calls. The proposed two-level CAC scheme utilizes the delay-tolerant characteristic of non-real-time calls by incorporating a queue to temporarily store those that cannot be assigned resources at the time of initial access. We analyze and evaluate the call blocking, outage probability, throughput, and average queuing delay performance of the proposed two-level CAC scheme using Markov chain theory. The analytic results are validated by simulation results. The numerical results show that the proposed two-level CAC scheme provides better performance than the single-level CAC scheme. Based on these results, it is concluded that the proposed two-level CAC scheme serves as a good solution for supporting multimedia applications in DS-CDMA wireless communication systems.

  2. Performance of a Two-Level Call Admission Control Scheme for DS-CDMA Wireless Networks

    Directory of Open Access Journals (Sweden)

    Fapojuwo Abraham O

    2007-01-01

    Full Text Available We propose a two-level call admission control (CAC scheme for direct sequence code division multiple access (DS-CDMA wireless networks supporting multimedia traffic and evaluate its performance. The first-level admission control assigns higher priority to real-time calls (also referred to as class 0 calls in gaining access to the system resources. The second level admits nonreal-time calls (or class 1 calls based on the resources remaining after meeting the resource needs for real-time calls. However, to ensure some minimum level of performance for nonreal-time calls, the scheme reserves some resources for such calls. The proposed two-level CAC scheme utilizes the delay-tolerant characteristic of non-real-time calls by incorporating a queue to temporarily store those that cannot be assigned resources at the time of initial access. We analyze and evaluate the call blocking, outage probability, throughput, and average queuing delay performance of the proposed two-level CAC scheme using Markov chain theory. The analytic results are validated by simulation results. The numerical results show that the proposed two-level CAC scheme provides better performance than the single-level CAC scheme. Based on these results, it is concluded that the proposed two-level CAC scheme serves as a good solution for supporting multimedia applications in DS-CDMA wireless communication systems.

  3. Mechanical Geometry Theorem Proving Based on Groebner Bases

    Institute of Scientific and Technical Information of China (English)

    吴尽昭

    1997-01-01

    A new method for the mechanical elementary geometry theorem proving is presented by using Groebner bases of polynomial ideals.It has two main advantages over the approach proposed in literature:(i)It is complete and not a refutational procdure;(ii) The subcases of the geometry statements which are not generally true can be differentiated clearly.

  4. Overcoming the Obstacle of Poor Knowledge in Proving Geometry Tasks

    Directory of Open Access Journals (Sweden)

    Zlatan Magajna

    2013-12-01

    Full Text Available Proving in school geometry is not just about validating the truth of a claim. In the school setting, the main function of the proof is to convince someone that a claim is true by providing an explanation. Students consider proving to be difficult; in fact, they find the very concept of proof demanding. Proving a claim in planar geometry involves several processes, the most salient being visual observation and deductive argumentation. These two processes are interwoven, but often poor observation hinders deductive argumentation. In the present article, we consider the possibility of overcoming the obstacle of a student’s poor observation by making use of computer-aided observation with appropriate software. We present the results of two small-scale research projects, both of which indicate that students are able to work out considerably more deductions if computer-aided observation is used. Not all students use computer-aided observation effectively in proving tasks: some find an exhaustive computer-provided list of properties confusing and are not able to choose the properties that are relevant to the task.

  5. Proof phenomenon as a function of the phenomenology of proving.

    Science.gov (United States)

    Hipólito, Inês

    2015-12-01

    Kurt Gödel wrote (1964, p. 272), after he had read Husserl, that the notion of objectivity raises a question: "the question of the objective existence of the objects of mathematical intuition (which, incidentally, is an exact replica of the question of the objective existence of the outer world)". This "exact replica" brings to mind the close analogy Husserl saw between our intuition of essences in Wesensschau and of physical objects in perception. What is it like to experience a mathematical proving process? What is the ontological status of a mathematical proof? Can computer assisted provers output a proof? Taking a naturalized world account, I will assess the relationship between mathematics, the physical world and consciousness by introducing a significant conceptual distinction between proving and proof. I will propose that proving is a phenomenological conscious experience. This experience involves a combination of what Kurt Gödel called intuition, and what Husserl called intentionality. In contrast, proof is a function of that process - the mathematical phenomenon - that objectively self-presents a property in the world, and that results from a spatiotemporal unity being subject to the exact laws of nature. In this essay, I apply phenomenology to mathematical proving as a performance of consciousness, that is, a lived experience expressed and formalized in language, in which there is the possibility of formulating intersubjectively shareable meanings. Copyright © 2015. Published by Elsevier Ltd.

  6. Bread crispness and morphology can be controlled by proving conditions

    NARCIS (Netherlands)

    Primo Martin, C.; Dalen, van G.; Meinders, M.B.J.; Don, A.; Hamer, R.H.; Vliet, van T.

    2010-01-01

    Bread crust crispness is lost when water migrates from crumb to crust during storage. To what extent water migration is influenced by morphology is not known. Therefore, the effect of crispy rolls morphology on crust crispness was studied. Crispy rolls were prepared at three proving volumes: 300 mL

  7. Responsibility for proving and defining in abstract algebra class

    Science.gov (United States)

    Fukawa-Connelly, Timothy

    2016-07-01

    There is considerable variety in inquiry-oriented instruction, but what is common is that students assume roles in mathematical activity that in a traditional, lecture-based class are either assumed by the teacher (or text) or are not visible at all in traditional math classrooms. This paper is a case study of the teaching of an inquiry-based undergraduate abstract algebra course. In particular, gives a theoretical account of the defining and proving processes. The study examines the intellectual responsibility for the processes of defining and proving that the professor devolved to the students. While the professor wanted the students to engage in all aspects of defining and proving, he was only successful at devolving responsibility for certain aspects and much more successful at devolving responsibility for proving than conjecturing or defining. This study suggests that even a well-intentioned instructor may not be able to devolve responsibility to students for some aspects of mathematical practice without using a research-based curriculum or further professional development.

  8. Field experiment on transgenic cassava proves successful in South China

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ A pioneer study on field tests of transgenic cassava (Manihot esculenta Crantz) by a Sino-Swiss research consortium has proved successful. The experiment was carried out in 2006 at an experimental station in Haikou, capital of south China's Hainan Province.

  9. Dutch Plural Inflection: The Exception that Proves the Analogy

    Science.gov (United States)

    Keuleers, Emmanuel; Sandra, Dominiek; Daelemans, Walter; Gillis, Steven; Durieux, Gert; Martens, Evelyn

    2007-01-01

    We develop the view that inflection is driven partly by non-phonological analogy and that non-phonological information is of particular importance to the inflection of non-canonical roots, which in the view of [Marcus, G. F., Brinkmann, U., Clahsen, H., Wiese, R., & Pinker, S. (1995). "German inflection: the exception that proves the rule."…

  10. A simplified technique for anterior cervical discectomy and fusion using a screw-plate implanted over the Caspar distractor pins.

    Science.gov (United States)

    Fransen, Patrick

    2010-08-01

    The author presents a simplified technique for midline screw-plate fixation in fusion procedures after anterior cervical discectomy, in which the plate is introduced over the Caspar distractor pins. The Uniplate system used, with a single screw in each vertebral body, minimizes bone damage to the vertebral body as the screws can be fixed in the holes previously used for the Caspar distractor pins. This simplified version of the classical anterior cervical fusion technique saves surgical time, facilitates screw insertion, and obviates the need for manipulations to stabilize the plate before the screws are inserted. It provides immediate stability comparable to other plate systems. To the author's knowledge, this is the first report on cervical fusion with the Uniplate system with the plate being introduced over the Caspar distractor pins.

  11. To understand percutaneous endoscopic lumbar discectomy%正确认识经皮椎间孔镜技术

    Institute of Scientific and Technical Information of China (English)

    周跃

    2013-01-01

    Percutaneous endoscopic lumbar discectomy ( PELD ) technique provides high-quality images and clear spine anatomical structure to help surgeons analyze the pathological reason of pain in patients. For minimally invasive surgical treatment of lumbar disc herniation, PELD technique should be recommended except for some special cases. For a good surgeon of minimally invasive spine technique, he should not only understand and master new techniques of minimally invasive spinal surgery, but also the proper selection and application to achieve a multiplier effect. In the choosing of PELD or MED technique, every surgeon should make decision based on the technical level and the condition of medical equipments in the hospital. The most common risk factors of PELD are postoperative intervertebral infection, nerve root injury, dural tear, spinal bleeding and scar adhesions. Although these complications may occur in any spinal surgery, but the occurrence rate of these complications in PELD is the lowest comparing with other minimally invasive spine techniques.

  12. Cervical Disc Arthroplasty with Prestige LP Disc Versus Anterior Cervical Discectomy and Fusion: Seven-Year Outcomes.

    Science.gov (United States)

    Gornet, Matthew F; Burkus, J Kenneth; Shaffrey, Mark E; Nian, Hui; Harrell, Frank E

    2016-01-01

    Cervical disc arthroplasty (CDA) has emerged as an alternative to anterior cervical discectomy and fusion (ACDF) for the treatment of cervical pathologies. Studies are on-going to assess the long term outcomes of CDA. This study assessed the safety and efficacy of the Prestige(®) LP Disc at 84-months follow up. Prospective data from 280 CDA patients with single-level cervical disc disease with radiculopathy or myelopathy were compared with 265 historical control ACDF patients. Clinical and radiographic follow up was completed pre-operatively, intraoperatively, and at intervals up to 84 months. Follow-up rate was 75.9% for CDA and 70.0% for ACDF patients. Statistical improvements (p Medtronic Spinal and Biologics, Memphis, TN. Study approved by the Hughston Sports Medicine Center Institutional Review Board on January 7, 2005. Clinical trial registered at clinicaltrials.gov: NCT00667459. All participants signed an informed consent.

  13. Pengembangan Perangkat Pembelajaran Geometri Ruang dengan Model Proving Theorem

    Directory of Open Access Journals (Sweden)

    Bambang Eko Susilo

    2016-03-01

    Full Text Available Kemampuan berpikir kritis dan kreatif mahasiswa masih lemah. Hal ini ditemukan pada mahasiswa yang mengambil mata kuliah Geometri Ruang yaitu dalam membuktikan soal-soal pembuktian (problem to proof. Mahasiswa masih menyelesaikan secara algoritmik atau prosedural sehingga diperlukan pengembangan perangkat pembelajaran Geometri Ruang berbasis kompetensi dan konservasi dengan model Proving Theorem. Dalam penelitian ini perangkat perkuliahan yang dikembangkan yaitu Silabus, Satuan Acara Perkuliahan (SAP, Kontrak Perkuliahan, Media Pembelajaran, Bahan Ajar, Tes UTS dan UAS serta Angket Karakter Konservasi telah dilaksanakan dengan baik dengan kriteria (1 validasi perangkat pembelajaran mata kuliah Geometri ruang berbasis kompetensi dan konservasi dengan model proving theorem berkategori baik dan layak digunakan dan (2 keterlaksanaan RPP pada pembelajaran yang dikembangkan secara keseluruhan berkategori baik.Critical and creative thinking abilities of students still weak. It is found in students who take Space Geometry subjects that is in solving problems to to prove. Students still finish in algorithmic or procedural so that the required the development of Space Geometry learning tools based on competency and conservation with Proving Theorem models. This is a research development which refers to the 4-D models that have been modified for the Space Geometry learning tools, second semester academic year 2014/2015. Instruments used include validation sheet, learning tools and character assessment questionnaire. In this research, the learning tools are developed, namely Syllabus, Lesson Plan, Lecture Contract, Learning Media, Teaching Material, Tests, and Character Conservation Questionnaire had been properly implemented with the criteria (1 validation of Space Geometry learning tools based on competency and conservation with Proving Theorem models categorized good and feasible to use, and (2 the implementation of Lesson Plan on learning categorized

  14. Two-Level Stabilized Finite Volume Methods for Stationary Navier-Stokes Equations

    Directory of Open Access Journals (Sweden)

    Anas Rachid

    2012-01-01

    Full Text Available We propose two algorithms of two-level methods for resolving the nonlinearity in the stabilized finite volume approximation of the Navier-Stokes equations describing the equilibrium flow of a viscous, incompressible fluid. A macroelement condition is introduced for constructing the local stabilized finite volume element formulation. Moreover the two-level methods consist of solving a small nonlinear system on the coarse mesh and then solving a linear system on the fine mesh. The error analysis shows that the two-level stabilized finite volume element method provides an approximate solution with the convergence rate of the same order as the usual stabilized finite volume element solution solving the Navier-Stokes equations on a fine mesh for a related choice of mesh widths.

  15. Quantum Otto engine of a two-level atom with single-mode fields.

    Science.gov (United States)

    Wang, Jianhui; Wu, Zhaoqi; He, Jizhou

    2012-04-01

    We establish a quantum Otto engine (QOE) of a two-level atom, which is confined in a one-dimensional (1D) harmonic trap and is coupled to single-mode radiation fields. Besides two adiabatic processes, the QOE cycle consists of two isochoric processes, along one of which the two-level atom as the working substance interacts with a single-mode radiation field. Based on the semigroup approach, we derive the time for completing any adiabatic process and then present a performance analysis of the heat engine model. Furthermore, we generalize the results to the performance optimization for a QOE of a single two-level atom trapped in a 1D power-law potential. Our result shows that the efficiency at maximum power output is dependent on the trap exponent θ but is independent of the energy spectrum index σ.

  16. Open-Loop Control in Quantum Optics: Two-Level Atom in Modulated Optical Field

    CERN Document Server

    Saifullah, Sergei

    2008-01-01

    The methods of mathematical control theory are widely used in the modern physics, but still they are less popular in quantum science. We will discuss the aspects of control theory, which are the most useful in applications to the real problems of quantum optics. We apply this technique to control the behavior of the two-level quantum particles (atoms) in the modulated external optical field in the frame of the so called "semi classical model", where quantum two-level atomic system (all other levels are neglected) interacts with classical electromagnetic field. In this paper we propose a simple model of feedforward (open-loop) control for the quantum particle system, which is a basement for further investigation of two-level quantum particle in the external one-dimensional optical field.

  17. Two-Level Solutions to Exponentially Complex Problems in Glass Science

    DEFF Research Database (Denmark)

    Mauro, John C.; Smedskjær, Morten Mattrup

    Glass poses an especially challenging problem for physicists. The key to making progress in theoretical glass science is to extract the key physics governing properties of practical interest. In this spirit, we discuss several two-level solutions to exponentially complex problems in glass science....... Topological constraint theory, originally developed by J.C. Phillips, is based on a two-level description of rigid and floppy modes in a glass network and can be used to derive quantitatively accurate and analytically solvable models for a variety of macroscopic properties. The temperature dependence...... of the floppy mode density is used to derive the new MYEGA model of supercooled liquid viscosity, which offers improved descriptions for the temperature and composition dependence of relaxation time. The relaxation behavior of the glassy state can be further elucidated using a two-level energy landscape...

  18. Quantum Otto engine of a two-level atom with single-mode fields

    Science.gov (United States)

    Wang, Jianhui; Wu, Zhaoqi; He, Jizhou

    2012-04-01

    We establish a quantum Otto engine (QOE) of a two-level atom, which is confined in a one-dimensional (1D) harmonic trap and is coupled to single-mode radiation fields. Besides two adiabatic processes, the QOE cycle consists of two isochoric processes, along one of which the two-level atom as the working substance interacts with a single-mode radiation field. Based on the semigroup approach, we derive the time for completing any adiabatic process and then present a performance analysis of the heat engine model. Furthermore, we generalize the results to the performance optimization for a QOE of a single two-level atom trapped in a 1D power-law potential. Our result shows that the efficiency at maximum power output is dependent on the trap exponent θ but is independent of the energy spectrum index σ.

  19. A modified two-level three-phase quasi-soft-switching inverter

    DEFF Research Database (Denmark)

    Liu, Yusheng; Wu, Weimin; Blaabjerg, Frede;

    2014-01-01

    to reduce the extra conduction power loss and the voltage stress across the DC-link capacitor, a modified two-level three-phase quasi-soft-switching inverter is proposed by using a SiC MOSFET instead of an IGBT. The principle of the modified two-level three-phase quasi-soft-switching inverter is analyzed...... in detail. And the performance is verified through simulations and experiments on a 5 kW/380 V three-phase prototype....

  20. Fundamentals of PV Efficiency Interpreted by a Two-Level Model

    CERN Document Server

    Alam, Muhammad A

    2012-01-01

    Elementary physics of photovoltaic energy conversion in a two-level atomic PV is considered. We explain the conditions for which the Carnot efficiency is reached and how it can be exceeded! The loss mechanisms - thermalization, angle entropy, and below-bandgap transmission - explain the gap between Carnot efficiency and the Shockley-Queisser limit. Wide varieties of techniques developed to reduce these losses (e.g., solar concentrators, solar-thermal, tandem cells, etc.) are reinterpreted by using a two level model. Remarkably, the simple model appears to capture the essence of PV operation and reproduce the key results and important insights that are known to the experts through complex derivations.

  1. Design and Implementation of Two-Level Metadata Server in Small-Scale Cluster File System

    Institute of Scientific and Technical Information of China (English)

    LIU Yuling; YU Hongfen; SONG Weiwei

    2006-01-01

    The reliability and high performance of metadata service is crucial to the store architecture. A novel design of a two-level metadata server file system (TTMFS) is presented, which behaves high reliability and performance. The merits both centralized management and distributed management are considered simultaneously in our design. In this file system, the advanced-metadata server is responsible for manage directory metadata and the whole namespace. The double-metadata server is responsible for maintaining file metadata. And this paper uses the Markov return model to analyze the reliability of the two-level metadata server. The experiment data indicates that the design can provide high throughput.

  2. Protocol for a phase 1 homeopathic drug proving trial

    Directory of Open Access Journals (Sweden)

    Dahler Joern

    2010-07-01

    Full Text Available Abstract Background This study protocol adapts the traditional homeopathic drug proving methodology to a modern clinical trial design. Method Multi-centre, randomised, double-blind, placebo-controlled phase 1 trial with 30 healthy volunteers. The study consists of a seven day run-in period, a five day intervention period and a 16 day post-intervention observation period. Subjects, investigators and the statisticians are blinded from the allocation to the study arm and from the identity of the homeopathic drug. The intervention is a highly diluted homeopathic drug (potency C12 = 1024, Dose: 5 globules taken 5 times per day over a maximum period of 5 days. The placebo consists of an optically identical carrier substance (sucrose globules. Subjects document the symptoms they experience in a semi-structured online diary. The primary outcome parameter is the number of specific symptoms that characterise the intervention compared to the placebo after a period of three weeks. Secondary outcome parameters are qualitative differences in profiles of characteristic and proving symptoms and the total number of all proving symptoms. The number of symptoms will be quantitatively analysed on an intention-to-treat basis using ANCOVA with the subject's expectation and baseline values as covariates. Content analysis according to Mayring is adapted to suit the homeopathic qualitative analysis procedure. Discussion Homeopathic drug proving trials using the terminology of clinical trials according GCP and fulfilling current requirements for research under the current drug regulations is feasible. However, within the current regulations, homeopathic drug proving trials are classified as phase 1 trials, although their aim is not to explore the safety and pharmacological dynamics of the drug, but rather to find clinical indications according to the theory of homeopathy. To avoid bias, it is necessary that neither the subjects nor the investigators know the identity of

  3. Unexploded ordnance issues at Aberdeen Proving Ground: Background information

    Energy Technology Data Exchange (ETDEWEB)

    Rosenblatt, D.H.

    1996-11-01

    This document summarizes currently available information about the presence and significance of unexploded ordnance (UXO) in the two main areas of Aberdeen Proving Ground: Aberdeen Area and Edgewood Area. Known UXO in the land ranges of the Aberdeen Area consists entirely of conventional munitions. The Edgewood Area contains, in addition to conventional munitions, a significant quantity of chemical-munition UXO, which is reflected in the presence of chemical agent decomposition products in Edgewood Area ground-water samples. It may be concluded from current information that the UXO at Aberdeen Proving Ground has not adversely affected the environment through release of toxic substances to the public domain, especially not by water pathways, and is not likely to do so in the near future. Nevertheless, modest but periodic monitoring of groundwater and nearby surface waters would be a prudent policy.

  4. Logic for computer science foundations of automatic theorem proving

    CERN Document Server

    Gallier, Jean H

    2015-01-01

    This advanced text for undergraduate and graduate students introduces mathematical logic with an emphasis on proof theory and procedures for algorithmic construction of formal proofs. The self-contained treatment is also useful for computer scientists and mathematically inclined readers interested in the formalization of proofs and basics of automatic theorem proving. Topics include propositional logic and its resolution, first-order logic, Gentzen's cut elimination theorem and applications, and Gentzen's sharpened Hauptsatz and Herbrand's theorem. Additional subjects include resolution in fir

  5. Implementing Metamathematics as an Approach to Automatic Theorem Proving

    Science.gov (United States)

    1989-01-01

    set theory the disjoint union is usually defined from the ordinary union by providing a scheme for tagging elements (see [3]). For any type A, another...in preparing this document. 31 References (1] P. Aczel. The type theoretic interpretation of constructive set theory . In Logic Coo- quium 󈨑...Amsterdam:North-Holland, 1978. [2] W. Bledsoe and D. Loveland. Automated Theorem Proving: After 25 Years. American Math Soc., 1984. [3] N. Bourbaki . Theory

  6. Army Net Zero Prove Out. Net Zero Waster Best Practices

    Science.gov (United States)

    2014-11-18

    Colorado • Fort Bliss, Texas These sites served as test beds for the Army’s Net Zero Initiative, specifically, Net Zero Water , and the Army provided...have sustainability, energy efficiency, water conservation, recycling, pollution prevention, and green procurement programs in place that they can...ARMY NET ZERO PROVE OUT Final Net Zero Water Best Practices November 18, 2014 Distribution A Approved for public release

  7. Renewable Energy Opportunties at Dugway Proving Ground, Utah

    Energy Technology Data Exchange (ETDEWEB)

    Orrell, Alice C.; Kora, Angela R.; Russo, Bryan J.; Horner, Jacob A.; Williamson, Jennifer L.; Weimar, Mark R.; Gorrissen, Willy J.; Nesse, Ronald J.; Dixon, Douglas R.

    2010-05-31

    This document provides an overview of renewable resource potential at Dugway Proving Ground, based primarily upon analysis of secondary data sources supplemented with limited on-site evaluations. This effort focuses on grid-connected generation of electricity from renewable energy sources and ground source heat pumps (GSHPs). The effort was funded by the U.S. Army Installation Management Command (IMCOM) as follow-on to the 2005 Department of Defense (DoD) Renewables Assessment.

  8. Two-level Schwartz methods for nonconforming finite elements and discontinuous coefficients

    Science.gov (United States)

    Sarkis, Marcus

    1993-01-01

    Two-level domain decomposition methods are developed for a simple nonconforming approximation of second order elliptic problems. A bound is established for the condition number of these iterative methods, which grows only logarithmically with the number of degrees of freedom in each subregion. This bound holds for two and three dimensions and is independent of jumps in the value of the coefficients.

  9. Two-Level Solutions to Exponentially Complex Problems in Glass Science

    DEFF Research Database (Denmark)

    Mauro, John C.; Smedskjær, Morten Mattrup

    Glass poses an especially challenging problem for physicists. The key to making progress in theoretical glass science is to extract the key physics governing properties of practical interest. In this spirit, we discuss several two-level solutions to exponentially complex problems in glass science...

  10. Interactive Fuzzy Programming for Stochastic Two-level Linear Programming Problems through Probability Maximization

    OpenAIRE

    M Sakawa; Kato, K.

    2009-01-01

    This paper considers stochastic two-level linear programming problems. Using the concept of chance constraints and probability maximization, original problems are transformed into deterministic ones. An interactive fuzzy programming method is presented for deriving a satisfactory solution efficiently with considerations of overall satisfactory balance.

  11. Eigenmode expansion of the polarization for a spherical sample of two-level atoms

    Energy Technology Data Exchange (ETDEWEB)

    Friedberg, Richard [Physics Department, Columbia University, New York, NY 10027 (United States); Manassah, Jamal T., E-mail: jmanassah@gmail.co [HMS Consultants, Inc., PO Box 592, New York, NY 10028 (United States)

    2009-12-07

    We derive pseudo-orthogonality relations for both the magnetic and electric eigenmodes of a system of two-level atoms in a sphere configuration. We verify numerically that an arbitrary vector field can be reconstructed to a great accuracy from these eigenmode expansions. We apply this eigenmode analysis to explore superradiance from a sphere with initially uniform polarization.

  12. How to Calculate the Exact Angle for Two-level Osteotomy in Ankylosing Spondylitis?

    Science.gov (United States)

    Zheng, Guoquan; Song, Kai; Yao, Ziming; Zhang, Yonggang; Tang, Xiangyu; Wang, Zheng; Zhang, Xuesong; Mao, Keya; Cui, Geng; Wang, Yan

    2016-09-01

    A prospective case series study. To describe and assess a two-level osteotomy method for the management of severe thoracolumbar kyphosis (TLK) in patients with ankylosing spondylitis (AS). To achieve better postoperative outcomes in these patients, a sophisticated preoperative surgical plan is required. Most deformities are managed using a one-level osteotomy and a two-level osteotomy is seldomly reported. Till date, no study has described a two-level osteotomy for these cases. From January 2011 to December 2012, 10 consecutive patients with ankylosing spondylitis who underwent two-level spinal osteotomy were studied. Pre- and postoperative full-length free-standing radiographs, including the whole spine and pelvis, were available for all patients. Pre- and postoperative radiological parameters, including T5-S1 Cobb angles, TLK, lumbar lordosis, pelvic incidence, pelvic tilt, sacral slope, and sagittal vertical axis were measured. Health related quality of life , including Oswestry Disability Index and Scoliosis Research Society-22 surveys were administered before surgery and at 1-year follow up. The preoperative and postoperative T5-S1 Cobb angles was 51.3° and -7.1°, respectively (P osteotomy provides an accurate and reproducible method for ankylosing spondylitis correction. By which, we can obtain satisfactory radiological parameters and clinical outcomes. 4.

  13. On the dependence of the two-level source function on its radiation field.

    Science.gov (United States)

    Steinitz, R.; Shine, R. A.

    1973-01-01

    The consequences of the universally made assumption that the stimulated emission profile is identical to the absorption profile are quantitatively investigated for a two-level atom with Doppler redistribution. The nonlinear terms arising in the source function are evaluated iteratively. We find that the magnitude of the effects is probably completely negligible for visible and UV solar lines.

  14. Collective polaritonic modes in an array of two-level quantum emitters coupled to optical nanofiber

    CERN Document Server

    Kornovan, D F; Petrov, M I

    2016-01-01

    In this paper we develop a microscopic analysis of the light scattering on a periodic two-level atomic array coupled to an optical nanofiber. We extend the scattering matrix approach for two-level system interaction with nanofiber fundamental waveguiding mode HE_{11}, that allows us modeling the scattering spectra. We support these results considering the dispersion of the polaritonic states formed by the superposition of the fundamental mode of light HE_{11} and the atomic chain states. To illustrate our approach we start with considering a simple model of light scattering over atomic array in the free space. We discuss the Bragg diffraction at the atomic array and show that the scattering spectrum is defined by the non-symmetric coupling of two-level system with nanofiber and vacuum modes. The proposed method allows considering two-level systems interaction with full account for dipole-dipole interaction both via near fields and long-range interaction owing to nanofiber mode coupling.

  15. The Two-Level System of Higher Education: Western Traditions and Russian Reality

    Science.gov (United States)

    Druzhilov, S. A.

    2011-01-01

    The law on the two-level system of higher education has now gone into effect in Russia: the bachelor's degree will correspond to the first level of higher education, while the master's degree will correspond to the second level. These levels entail separate state educational standards and separate final certification. In the process of adopting…

  16. Experimental Research into the Two-Level Cylindrical Cyclone with a Different Number of Channels

    Directory of Open Access Journals (Sweden)

    Egidijus Baliukas

    2014-10-01

    Full Text Available The multichannel two-level cyclone has been designed for separating solid particles from airflow and built at the Laboratory of Environmental Protection Technologies of Vilnius Gediminas Technical University. The conducted research is aimed at determining air flow distribution at two levels and channels of the multichannel cyclone. The multifunctional meter Testo-400 and the dynamic Pitot tube have been used form easuring air flow rates in the channels. The obtained results show that the equal volume of air gets into two levels installed inside the cyclone, and rates are distributed equally in the channels of these levels. The maximum air flow rate is recorded in the first channel and occurs when half-rings are set in such positions so that 75% of air flow returns to the previous channel. The biggest aerodynamic resistance is 1660 Pa and has been recorded in the cyclone having eight channels under air flow distribution ratio 75/25. The highest air purification efficiency has been observed in the two-level six-channel cyclone under air flow distribution ratio 75/25. The effectiveness of separating granite particles is 92.1% and that of wood particles – 91.1 when the particles are up to 20 μm in diameter.

  17. Development of Proficiency Examinations and Procedures for Two Levels of Respiratory Therapy Personnel. Final Report.

    Science.gov (United States)

    Psychological Corp., New York, NY.

    Under the guidance of an advisory committee from the American Association for Respiratory Therapy (AART), The Psychological Corporation developed three forms of two criterion-referenced proficiency examinations to measure the skills, understandings, and knowledge required in entry level jobs for two levels of respiratory therapy personnel. The…

  18. Reactive Power Impact on Lifetime Prediction of Two-level Wind Power Converter

    DEFF Research Database (Denmark)

    Zhou, Dao; Blaabjerg, Frede; Lau, M.

    2013-01-01

    The influence of reactive power injection on the dominating two-level wind power converter is investigated and compared in terms of power loss and thermal behavior. Then the lifetime of both the partial-scale and full-scale power converter is estimated based on the widely used Coffin-Manson model...

  19. Exact Solution of the Two-Level System and the Einstein Solid in the Microcanonical Formalism

    Science.gov (United States)

    Bertoldi, Dalia S.; Bringa, Eduardo M.; Miranda, E. N.

    2011-01-01

    The two-level system and the Einstein model of a crystalline solid are taught in every course of statistical mechanics and they are solved in the microcanonical formalism because the number of accessible microstates can be easily evaluated. However, their solutions are usually presented using the Stirling approximation to deal with factorials. In…

  20. Broadband EM radiation amplification by means of a monochromatically driven two-level system

    Science.gov (United States)

    Soldatov, Andrey V.

    2017-02-01

    It is shown that a two-level quantum system possessing dipole moment operator with permanent non-equal diagonal matrix elements and driven by external semiclassical monochromatic high-frequency electromagnetic (EM) (laser) field can amplify EM radiation waves of much lower frequency.

  1. Subcortical and cortical correlates of pitch discrimination: Evidence for two levels of neuroplasticity in musicians

    DEFF Research Database (Denmark)

    Bianchi, Federica; Hjortkjær, Jens; Santurette, Sébastien

    2017-01-01

    in pitch discrimination across all participants, but not within the musicians group alone. Only neural activity in the right auditory cortex scaled with the fine pitch-discrimination thresholds within the musicians. These findings suggest two levels of neuroplasticity in musicians, whereby training...

  2. Time-Minimal Control of Dissipative Two-level Quantum Systems: the Generic Case

    CERN Document Server

    Bonnard, B; Sugny, D

    2008-01-01

    The objective of this article is to complete preliminary results concerning the time-minimal control of dissipative two-level quantum systems whose dynamics is governed by Lindblad equations. The extremal system is described by a 3D-Hamiltonian depending upon three parameters. We combine geometric techniques with numerical simulations to deduce the optimal solutions.

  3. Constrained Maximum Likelihood Estimation for Two-Level Mean and Covariance Structure Models

    Science.gov (United States)

    Bentler, Peter M.; Liang, Jiajuan; Tang, Man-Lai; Yuan, Ke-Hai

    2011-01-01

    Maximum likelihood is commonly used for the estimation of model parameters in the analysis of two-level structural equation models. Constraints on model parameters could be encountered in some situations such as equal factor loadings for different factors. Linear constraints are the most common ones and they are relatively easy to handle in…

  4. Time-minimal control of dissipative two-level quantum systems: The Integrable case

    CERN Document Server

    Bonnard, B

    2008-01-01

    The objective of this article is to apply recent developments in geometric optimal control to analyze the time minimum control problem of dissipative two-level quantum systems whose dynamics is governed by the Lindblad equation. We focus our analysis on the case where the extremal Hamiltonian is integrable.

  5. A two-level generative model for cloth representation and shape from shading.

    Science.gov (United States)

    Han, Feng; Zhu, Song-Chun

    2007-07-01

    In this paper, we present a two-level generative model for representing the images and surface depth maps of drapery and clothes. The upper level consists of a number of folds which will generate the high contrast (ridge) areas with a dictionary of shading primitives (for 2D images) and fold primitives (for 3D depth maps). These primitives are represented in parametric forms and are learned in a supervised learning phase using 3D surfaces of clothes acquired through photometric stereo. The lower level consists of the remaining flat areas which fill between the folds with a smoothness prior (Markov random field). We show that the classical ill-posed problem-shape from shading (SFS) can be much improved by this two-level model for its reduced dimensionality and incorporation of middle-level visual knowledge, i.e., the dictionary of primitives. Given an input image, we first infer the folds and compute a sketch graph using a sketch pursuit algorithm as in the primal sketch [10], [11]. The 3D folds are estimated by parameter fitting using the fold dictionary and they form the "skeleton" of the drapery/cloth surfaces. Then, the lower level is computed by conventional SFS method using the fold areas as boundary conditions. The two levels interact at the final stage by optimizing a joint Bayesian posterior probability on the depth map. We show a number of experiments which demonstrate more robust results in comparison with state-of-the-art work. In a broader scope, our representation can be viewed as a two-level inhomogeneous MRF model which is applicable to general shape-from-X problems. Our study is an attempt to revisit Marr's idea [23] of computing the 2(1/2)D sketch from primal sketch. In a companion paper [2], we study shape from stereo based on a similar two-level generative sketch representation.

  6. Effectiveness of percutaneous laser disc decompression versus conventional open discectomy in the treatment of lumbar disc herniation; design of a prospective randomized controlled trial

    OpenAIRE

    Koes Bart W; Arts Mark P; Brand Ronald; Peul Wilco C; Brouwer Patrick A; Berg Annette; van Buchem Mark A

    2009-01-01

    Abstract Background The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser Disc Decompression (PLDD). This treatment can be carried out in an outpatient setting and swift recovery and return to daily routine are suggested. Thus far, no randomized trial into cost-effectiveness...

  7. Effectiveness of percutaneous laser disc decompression versus conventional open discectomy in the treatment of lumbar disc herniation; design of a prospective randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Koes Bart W

    2009-05-01

    Full Text Available Abstract Background The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser Disc Decompression (PLDD. This treatment can be carried out in an outpatient setting and swift recovery and return to daily routine are suggested. Thus far, no randomized trial into cost-effectiveness of PLDD versus standard surgical procedure has been performed. We present the design of a randomized controlled trial, studying the cost-effectiveness of PLDD versus conventional open discectomy in patients with sciatica from lumbar disc herniation. Methods/design The study is a randomized prospective multi-center trial, in which two treatment strategies are compared in a parallel group design. Patients (age 18–70 years visiting the neurosurgery department of the participating hospitals, are considered for inclusion in the trial when sciatica due to lumbar disc herniation has lasted more than 8 weeks. Patients with disc herniation smaller than 1/3 of the spinal canal diameter, without concomitant lateral recess stenosis or sequestration, are eligible for participation, and are randomized into one of two treatment arms; either Percutaneous Laser Disc Decompression or conventional discectomy. The functional outcome of the patient, as assessed by the Roland Disability Questionnaire for Sciatica at 8 weeks and 1 year after treatment, is the primary outcome measure. The secondary outcome parameters are recovery as perceived by the patient, leg and back pain, incidence of re-intervention, complications, quality of life, medical consumption, absence of work and secondary costs. Discussion Open discectomy is still considered to be the golden standard in the surgical treatment of lumbar disc herniation. Whether Percutaneous Laser Disc Decompression has at least as

  8. The Effect of the PEEK Cage on the Cervical Lordosis in Patients Undergoing Anterior Cervical Discectomy

    Directory of Open Access Journals (Sweden)

    Salih Gulsen

    2015-03-01

    CONCLUSION: We achieved better cervical lordotic angles at the postoperative period by implanting one-level, two-level, three-level or four-level PEEK cage filled with demineralized bone matrix. Also, the causes of cervical root and or medulla spinalis impingement were different in group1 and 2. While extruded cervical disc impingement was the first pathology in group 1, osteophyte formation was the first pathology in group 2.

  9. Design of the PROCON trial: a prospective, randomized multi – center study comparing cervical anterior discectomy without fusion, with fusion or with arthroplasty

    Directory of Open Access Journals (Sweden)

    Grotenhuis J André

    2006-11-01

    Full Text Available Abstract Background PROCON was designed to assess the clinical outcome, development of adjacent disc disease and costs of cervical anterior discectomy without fusion, with fusion using a stand alone cage and implantation of a Bryan's disc prosthesis. Description of rationale and design of PROCON trial and discussion of its strengths and limitations. Methods/Design Since proof justifying the use of implants or arthroplasty after cervical anterior discectomy is lacking, PROCON was designed. PROCON is a multicenter, randomized controlled trial comparing cervical anterior discectomy without fusion, with fusion with a stand alone cage or with implantation of a disc. The study population will be enrolled from patients with a single level cervical disc disease without myelopathic signs. Each treatment arm will need 90 patients. The patients will be followed for a minimum of five years, with visits scheduled at 6 weeks, 3 months, 12 months, and then yearly. At one year postoperatively, clinical outcome and self reported outcomes will be evaluated. At five years, the development of adjacent disc disease will be investigated. Discussion The results of this study will contribute to the discussion whether additional fusion or arthroplasty is needed and cost effective. Trial registration Current Controlled Trials ISRCTN41681847

  10. The Synchronized and Integrated Two-Level Lot Sizing and Scheduling Problem: Evaluating the Generalized Mathematical Model

    Directory of Open Access Journals (Sweden)

    Claudio F. M. Toledo

    2015-01-01

    Full Text Available This paper presents the synchronized and integrated two-level lot sizing and scheduling problem (SITLSP. This problem is found in beverage production, foundry, glass industry, and electrofused grains, where the production processes have usually two interdependent levels with sequence-dependent setups in each level. For instance, in the first level of soft drink production, raw materials are stored in tanks flowing to production lines in the second level. The amount and the time the raw materials and products have to be stored and produced should be determined. A synchronization problem occurs because the production in lines and the storage in tanks have to be compatible with each other throughout the time horizon. The SITLSP and its mathematical model are described in detail by this paper. The lack of similar models in the literature has led us to also propose a set of instances for the SITLSP, based on data provided by a soft drink company. Thus, a set of benchmark results for these problem instances are established using an exact method available in an optimization package. Moreover, results for two relaxations proved that the modeling methodology could be useful in real-world applications.

  11. Strategy-Enhanced Interactive Proving and Arithmetic Simplification for PVS

    Science.gov (United States)

    diVito, Ben L.

    2003-01-01

    We describe an approach to strategy-based proving for improved interactive deduction in specialized domains. An experimental package of strategies (tactics) and support functions called Manip has been developed for PVS to reduce the tedium of arithmetic manipulation. Included are strategies aimed at algebraic simplification of real-valued expressions. A general deduction architecture is described in which domain-specific strategies, such as those for algebraic manipulation, are supported by more generic features, such as term-access techniques applicable in arbitrary settings. An extended expression language provides access to subterms within a sequent.

  12. Proving Nontrivial Topology of Pure Bismuth by Quantum Confinement

    Science.gov (United States)

    Ito, S.; Feng, B.; Arita, M.; Takayama, A.; Liu, R.-Y.; Someya, T.; Chen, W.-C.; Iimori, T.; Namatame, H.; Taniguchi, M.; Cheng, C.-M.; Tang, S.-J.; Komori, F.; Kobayashi, K.; Chiang, T.-C.; Matsuda, I.

    2016-12-01

    The topology of pure Bi is controversial because of its very small (˜10 meV ) band gap. Here we perform high-resolution angle-resolved photoelectron spectroscopy measurements systematically on 14-202 bilayer Bi films. Using high-quality films, we succeed in observing quantized bulk bands with energy separations down to ˜10 meV . Detailed analyses on the phase shift of the confined wave functions precisely determine the surface and bulk electronic structures, which unambiguously show nontrivial topology. The present results not only prove the fundamental property of Bi but also introduce a capability of the quantum-confinement approach.

  13. Proving Nontrivial Topology of Pure Bismuth by Quantum Confinement.

    Science.gov (United States)

    Ito, S; Feng, B; Arita, M; Takayama, A; Liu, R-Y; Someya, T; Chen, W-C; Iimori, T; Namatame, H; Taniguchi, M; Cheng, C-M; Tang, S-J; Komori, F; Kobayashi, K; Chiang, T-C; Matsuda, I

    2016-12-02

    The topology of pure Bi is controversial because of its very small (∼10  meV) band gap. Here we perform high-resolution angle-resolved photoelectron spectroscopy measurements systematically on 14-202 bilayer Bi films. Using high-quality films, we succeed in observing quantized bulk bands with energy separations down to ∼10  meV. Detailed analyses on the phase shift of the confined wave functions precisely determine the surface and bulk electronic structures, which unambiguously show nontrivial topology. The present results not only prove the fundamental property of Bi but also introduce a capability of the quantum-confinement approach.

  14. A Two-Level Undercut-Profile Substrate for Chemical-Solution-Based Filamentary Coated Conductors

    DEFF Research Database (Denmark)

    Wulff, Anders Christian; Lundeman, Jesper H.; Hansen, Jørn B.

    2016-01-01

    . In the present study, the 2LUPS concept is applied to a commercial cube-textured Ni-5at.% W tape, and the surface of the 2LUPS coated with two Gd2Zr2O7 buffer layers using chemical solution deposition is examined. Except for narrow regions near the edge of upper plateaus, the plateaus are found to be covered......A recently developed two-level undercut-profile substrate (2LUPS), containing two levels of plateaus connected by a curved wall with an undercut profile, enables self-forming filaments in a coated conductor during physical line-of-sight deposition of buffer and superconducting layers...... by strongly textured Gd2Zr2O7 buffer layers after dip coating and sintering....

  15. Dynamical decoherence in a cavity with a large number of two-level atoms

    CERN Document Server

    Frasca, M

    2004-01-01

    We consider a large number of two-level atoms interacting with the mode of a cavity in the rotating-wave approximation (Tavis-Cummings model). We apply the Holstein-Primakoff transformation to study the model in the limit of the number of two-level atoms, all in their ground state, becoming very large. The unitary evolution that we obtain in this approximation is applied to a macroscopic superposition state showing that, when the coherent states forming the superposition are enough distant, then the state collapses on a single coherent state describing a classical radiation mode. This appear as a true dynamical effect that could be observed in experiments with cavities.

  16. Two-Level Bregman Method for MRI Reconstruction with Graph Regularized Sparse Coding

    Institute of Scientific and Technical Information of China (English)

    刘且根; 卢红阳; 张明辉

    2016-01-01

    In this paper, a two-level Bregman method is presented with graph regularized sparse coding for highly undersampled magnetic resonance image reconstruction. The graph regularized sparse coding is incorporated with the two-level Bregman iterative procedure which enforces the sampled data constraints in the outer level and up-dates dictionary and sparse representation in the inner level. Graph regularized sparse coding and simple dictionary updating applied in the inner minimization make the proposed algorithm converge with a relatively small number of iterations. Experimental results demonstrate that the proposed algorithm can consistently reconstruct both simulated MR images and real MR data efficiently, and outperforms the current state-of-the-art approaches in terms of visual comparisons and quantitative measures.

  17. Photon-statistics excitation spectroscopy of a single two-level system

    Science.gov (United States)

    Strauß, Max; Placke, Marlon; Kreinberg, Sören; Schneider, Christian; Kamp, Martin; Höfling, Sven; Wolters, Janik; Reitzenstein, Stephan

    2016-06-01

    We investigate the influence of the photon statistics on the excitation dynamics of a single two-level system. A single semiconductor quantum dot represents the two-level system and is resonantly excited either with coherent laser light, or excited with chaotic light, with photon statistics corresponding to that of thermal radiation. Experimentally, we observe a reduced absorption cross section under chaotic excitation in the steady state. In the transient regime, the Rabi oscillations observable under coherent excitation disappear under chaotic excitation. Likewise, in the emission spectrum, the well-known Mollow triplet, which we observe under coherent drive, disappears under chaotic excitation. Our observations are fully consistent with theoretical predictions based on the semiclassical Bloch equation approach.

  18. A novel two-level dielectric barrier discharge reactor for methyl orange degradation.

    Science.gov (United States)

    Tao, Xumei; Wang, Guowei; Huang, Liang; Ye, Qingguo; Xu, Dongyan

    2016-12-15

    A novel pilot two-level dielectric barrier discharge (DBD) reactor has been proposed and applied for degradation of continuous model wastewater. The two-level DBD reactor was skillfully realized with high space utilization efficiency and large contact area between plasma and wastewater. Various conditions such as applied voltage, initial concentration and initial pH value on methyl orange (MO) model wastewater degradation were investigated. The results showed that the appropriate applied voltage was 13.4 kV; low initial concentration and low initial pH value were conducive for MO degradation. The percentage removal of 4 L MO with concentration of 80 mg/L reached 94.1% after plasma treatment for 80min. Based on ultraviolet spectrum (UV), Infrared spectrum (IR), liquid chromatography-mass spectrometry (LC-MS) analysis of degradation intermediates and products, insights in the degradation pathway of MO were proposed.

  19. Semiclassical electrodynamics of alien atoms in interacting media II. Two-level systems

    Science.gov (United States)

    Elçi, Ahmet

    1985-03-01

    The previously developed self-consistent mean field theory of atoms entering an interacting medium is specialized to two-level alien atoms. It is shown that the medium may invert or split the original two levels, and that there is an intimate connection between the dressed atom spectrum and the statistical nature of the ensemble of alien atoms in the self-consistent mean field approximation. The optical susceptibility of alien atoms while inside the medium is calculated, and the lineshape and position of the optical resonance are shown to depend on the intensity of the optical field applied. There may be more than one phase possible for the atomic ensemble as a result of optical excitation.

  20. Photon-Statistics Excitation Spectroscopy of a Single Two Level System

    CERN Document Server

    Strauß, M; Kreinberg, S; Schneider, C; Kamp, M; Höfling, S; Wolters, J; Reitzenstein, S

    2016-01-01

    We investigate the influence of the photon statistics on the excitation dynamics of a single two level system. A single semiconductor quantum dot represents the two level system and is resonantly excited either with coherent laser light, or excited with chaotic light, with photon statistics corresponding to that of thermal radiation. Experimentally, we observe a reduced absorption cross-section under chaotic excitation in the steady-state. In the transient regime, the Rabi oscillations observable under coherent excitation disappear under chaotic excitation. Likewise, in the emission spectrum the well-known Mollow triplet, which we observe under coherent drive, disappears under chaotic excitation. Our observations are fully consistent with theoretical predictions based on the semi-classical Bloch equation approach.

  1. Quantum transport in a two-level quantum dot driven by coherent and stochastic fields

    Science.gov (United States)

    Ke, Sha-Sha; Miao, Ling-E.; Guo, Zhen; Guo, Yong; Zhang, Huai-Wu; Lü, Hai-Feng

    2016-12-01

    We study theoretically the current and shot noise properties flowing through a two-level quantum dot driven by a strong coherent field and a weak stochastic field. The interaction x(t) between the quantum dot and the stochastic field is assumed to be a Gaussian-Markovian random process with zero mean value and correlation function = Dκe - κ | t - t ‧ | , where D and κ are the strength and bandwidth of the stochastic field, respectively. It is found that the stochastic field could enhance the resonant effect between the quantum dot and the coherent field, and generate new resonant points. At the resonant points, the state population difference between two levels is suppressed and the current is considerably enhanced. The zero-frequency shot noise of the current varies dramatically between sub- and super-Poissonian characteristics by tuning the stochastic field appropriately.

  2. A DISCRETE TIME TWO-LEVEL MIXED SERVICE PARALLEL POLLING MODEL

    Institute of Scientific and Technical Information of China (English)

    Guan Zheng; Zhao Dongfeng; Zhao Yifan

    2012-01-01

    We present a discrete time single-server two-level mixed service polling systems with two queue types,one center queue and N normal queues.Two-level means the center queue will be successive served after each normal queue.In the first level,server visits between the center queue and the normal queue.In the second level,normal queues are polled by a cyclic order.Mixed service means the service discipline are exhaustive for center queue,and parallel i-limited for normal queues.We propose an imbedded Markov chain framework to drive the closed-form expressions for the mean cycle time,mean queue length,and mean waiting time.Numerical examples demonstrate that theoretical and simulation results are identical the new system efficiently differentiates priorities.

  3. Theoretical treatment of the interaction between two-level atoms and periodic waveguides

    CERN Document Server

    Zang, Xiaorun

    2015-01-01

    Light transport in periodic waveguides coupled to a two-level atom is investigated. By using optical Bloch equations and a photonic modal formalism, we derive semi-analytical expressions for the scattering matrix of one atom trapped in a periodic waveguide. The derivation is general, as the expressions hold for any periodic photonic or plasmonic waveguides. It provides a basic building block to study collective effects arising from photon-mediated multi-atom interactions in periodic waveguides.

  4. Weak-Coupling Theory for Low-Frequency Periodically Driven Two-Level Systems

    Institute of Scientific and Technical Information of China (English)

    CHEN Ai-Xi; HUANG Ke-Lin; WANG Zhi-Ping

    2008-01-01

    We generalize the Wu-Yang strong-coupling theory to solve analytically periodically driven two-level systems in the weak-coupling and low-frequency regimes for single- and multi-period periodic driving of continuous-wave-type and pulse-type including ultrashort pulses of a few cycles. We also derive a general formula of the AC Stark shift suitable for such diverse situations.

  5. Transmission Dynamics of a Driven Two-Level System Dissipated by Leads

    Institute of Scientific and Technical Information of China (English)

    ZHANG Ping; FAN Wen-Bin; ZHAO Xian-Geng

    2001-01-01

    We study the transmission dynamics of a driven two-level system dissipated by the two leads. Using the nonequilibrium Green function, we derive an analytical transmission formula for an electron incident from the left lead,through the double quantum dots, to the right lead. The Landauer-type conductance and current are also given.A discussion of the internal tunnelling dynamics reveals crucial effects of the localization and delocalization on the transport of the system.

  6. Spontaneously induced atom-radiation entanglement in an ensemble of two-level atoms

    OpenAIRE

    Tesfa, Sintayehu

    2007-01-01

    Analysis of the spontaneously induced correlation on atom-radiation entanglement in an ensemble of two-level atoms initially prepared in the upper level and placed in a cavity containing a squeezed radiation employing the method of evaluating the coherent-state propagator is presented. It is found that the cavity radiation exhibits squeezing which is directly attributed to the squeezed radiation in the cavity. The intensity of the cavity radiation increases with the squeeze parameter and inte...

  7. Some studies of the interaction between N-two level atoms and three level atom

    Directory of Open Access Journals (Sweden)

    D.A.M. Abo-Kahla

    2016-07-01

    Full Text Available In this paper, we present the analytical solution for the model that describes the interaction between a three level atom and two systems of N-two level atoms. The effect of the quantum numbers on the atomic inversion and the purity, for some special cases of the initial states, are investigated. We observe that the atomic inversion and the purity change remarkably by the change of the quantum numbers.

  8. Total Quantum Zeno effect and Intelligent States for a two level system in a squeezed bath

    CERN Document Server

    Mundarain, D; Stephany, J

    2006-01-01

    In this work we show that by frequent measurements of adequately chosen observables, a complete suppression of the decay in an exponentially decaying two level system interacting with a squeezed bath is obtained. The observables for which the effect is observed depend on the the squeezing parameters of the bath. The initial states which display Total Zeno Effect are intelligent states of two conjugate observables associated to the electromagnetic fluctuations of the bath.

  9. Two-Level Domain Decomposition Methods for Highly Heterogeneous Darcy Equations. Connections with Multiscale Methods

    Directory of Open Access Journals (Sweden)

    Dolean Victorita

    2014-07-01

    Full Text Available Multiphase, compositional porous media flow models lead to the solution of highly heterogeneous systems of Partial Differential Equations (PDE. We focus on overlapping Schwarz type methods on parallel computers and on multiscale methods. We present a coarse space [Nataf F., Xiang H., Dolean V., Spillane N. (2011 SIAM J. Sci. Comput. 33, 4, 1623-1642] that is robust even when there are such heterogeneities. The two-level domain decomposition approach is compared to multiscale methods.

  10. Automatic Detection of Cervical Cancer Cells by a Two-Level Cascade Classification System

    Directory of Open Access Journals (Sweden)

    Jie Su

    2016-01-01

    Full Text Available We proposed a method for automatic detection of cervical cancer cells in images captured from thin liquid based cytology slides. We selected 20,000 cells in images derived from 120 different thin liquid based cytology slides, which include 5000 epithelial cells (normal 2500, abnormal 2500, lymphoid cells, neutrophils, and junk cells. We first proposed 28 features, including 20 morphologic features and 8 texture features, based on the characteristics of each cell type. We then used a two-level cascade integration system of two classifiers to classify the cervical cells into normal and abnormal epithelial cells. The results showed that the recognition rates for abnormal cervical epithelial cells were 92.7% and 93.2%, respectively, when C4.5 classifier or LR (LR: logical regression classifier was used individually; while the recognition rate was significantly higher (95.642% when our two-level cascade integrated classifier system was used. The false negative rate and false positive rate (both 1.44% of the proposed automatic two-level cascade classification system are also much lower than those of traditional Pap smear review.

  11. Two-level, two-objective evolutionary algorithms for solving unit commitment problems

    Energy Technology Data Exchange (ETDEWEB)

    Georgopoulou, Chariklia A.; Giannakoglou, Kyriakos C. [National Technical University of Athens, School of Mechanical Engineering, Laboratory of Thermal Turbomachines, Parallel CFD and Optimization Unit, P.O. Box 64069, Athens 157 10 (Greece)

    2009-07-15

    A two-level, two-objective optimization scheme based on evolutionary algorithms (EAs) is proposed for solving power generating Unit Commitment (UC) problems by considering stochastic power demand variations. Apart from the total operating cost to cover a known power demand distribution over the scheduling horizon, which is the first objective, the risk of not fulfilling possible demand variations forms the second objective to be minimized. For this kind of problems with a high number of decision variables, conventional EAs become inefficient optimization tools, since they require a high number of evaluations before reaching the optimal solution(s). To considerably reduce the computational burden, a two-level algorithm is proposed. At the low level, a coarsened UC problem is defined and solved using EAs to locate promising solutions at low cost: a strategy for coarsening the UC problem is proposed. Promising solutions migrate upwards to be injected into the high level EA population for further refinement. In addition, at the high level, the scheduling horizon is partitioned in a small number of subperiods of time which are optimized iteratively using EAs, based on objective function(s) penalized to ensure smooth transition from/to the adjacent subperiods. Handling shorter chromosomes due to partitioning increases method's efficiency despite the need for iterating. The proposed two-level method and conventional EAs are compared on representative test problems. (author)

  12. Coupling of effective one-dimensional two-level atoms to squeezed light

    CERN Document Server

    Clark, S; Clark, Stephen; Parkins, Scott

    2002-01-01

    A cavity QED system is analyzed which duplicates the dynamics of a two-level atom in free space interacting exclusively with broadband squeezed light. We consider atoms in a three or four-level Lambda-configuration coupled to a high-finesse optical cavity which is driven by a squeezed light field. Raman transitions are induced between a pair of stable atomic ground states via the squeezed cavity mode and coherent driving fields. An analysis of the reduced master equation for the atomic ground states shows that a three-level atomic system has insufficient parameter flexibility to act as an effective two-level atom interacting exclusively with a squeezed reservoir. However, the inclusion of a fourth atomic level, coupled dispersively to one of the two ground states by an auxiliary laser field, introduces an extra degree of freedom and enables the desired interaction to be realised. As a means of detecting the reduced quadrature decay rate of the effective two-level system, we examine the transmission spectrum o...

  13. Proving Correctness for Pointer Programs in a Verifying Compiler

    Science.gov (United States)

    Kulczycki, Gregory; Singh, Amrinder

    2008-01-01

    This research describes a component-based approach to proving the correctness of programs involving pointer behavior. The approach supports modular reasoning and is designed to be used within the larger context of a verifying compiler. The approach consists of two parts. When a system component requires the direct manipulation of pointer operations in its implementation, we implement it using a built-in component specifically designed to capture the functional and performance behavior of pointers. When a system component requires pointer behavior via a linked data structure, we ensure that the complexities of the pointer operations are encapsulated within the data structure and are hidden to the client component. In this way, programs that rely on pointers can be verified modularly, without requiring special rules for pointers. The ultimate objective of a verifying compiler is to prove-with as little human intervention as possible-that proposed program code is correct with respect to a full behavioral specification. Full verification for software is especially important for an agency like NASA that is routinely involved in the development of mission critical systems.

  14. Rapid characterization of microscopic two-level systems using Landau-Zener transitions in a superconducting qubit

    Energy Technology Data Exchange (ETDEWEB)

    Tan, Xinsheng [National Laboratory of Solid State Microstructures, School of Physics, Nanjing University, Nanjing 210093 (China); Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045 (United States); Yu, Haifeng, E-mail: hfyu@nju.edu.cn; Yu, Yang, E-mail: yuyang@nju.edu.cn [National Laboratory of Solid State Microstructures, School of Physics, Nanjing University, Nanjing 210093 (China); Synergetic Innovation Center of Quantum Information and Quantum Physics, University of Science and Technology of China, Hefei, Anhui 230026 (China); Han, Siyuan [Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045 (United States)

    2015-09-07

    We demonstrate a fast method to detect microscopic two-level systems in a superconducting phase qubit. By monitoring the population leak after sweeping the qubit bias flux, we are able to measure the two-level systems that are coupled with the qubit. Compared with the traditional method that detects two-level systems by energy spectroscopy, our method is faster and more sensitive. This method supplies a useful tool to investigate two-level systems in solid-state qubits.

  15. 单纯髓核摘除术与髓核摘除辅助Coflex动态固定术治疗腰椎间盘突出症的疗效对比研究%Discectomy and discectomy plus Coflex fixation for lumbar disc herniation,a clinical comparison study

    Institute of Scientific and Technical Information of China (English)

    徐丁; 徐华梓; 陈一衡; 池永龙; 倪文飞; 黄其杉; 王向阳; 林焱; 毛方敏

    2013-01-01

    Objective To compare clinical efficacy between discectomy and discectomy plus Coflex fixation for lumbar disc herniation.Methods From December 2007 to August 2008,50 patients(31 males and 19 females)were treated by surgery of discectomy and discectomy plus Coflex fixation.The average age was 52.5 years(range,30-72 years).There were 24 cases in the group of discectomy plus Coflex fixation and 26 cases in the group of discectomy.Preoperative and postoperative visual analogue scales(VAS),Japanese Orthopadic Association(JOA)and Oswestry disability index(ODI)were recorded,as well as radiological index.And use a paired t-test and one-way analysis of variance(one-way ANOVA)statistical method to evaluate the Coflex dynamic stabilization system in value in the treatment of lumbar disc herniation.Results Both groups received significant improvement of JOA,ODI and VAS(t =-33.2-64.5,P < 0.01),but the group of discectomy was found with deterioration of ODI at last follow-up,12 months after surgery 6.7 ± 1.5 to 10.2 ± 2.3(t =-19.3,P < 0.05).The group of discectomy plus Coflex fixation was found with significant increase of height of dorsal intervertebral discs(HD),distance across the two adjacent spinous processes(DS),distance of intervertebral foramina(DIF)and spinal canal area(SA)(t =-34.4-4.5,P < 0.05).In contrast,the group of discectomy was found with significant decrease of HD,DS,DIF and SA(t =3.4-52.8,P <0.05).Coflex fixed group in HD,DIF,DS significant difference with simple discectomy group,with a statistically significant(F =14.1-25.6,P < 0.05).Conclusions Both discectomy and discectomy plus Coflex fixation are apparently effective when treating lumbar disc herniation.Coflex can significantly increase the HD and DIF when used for lumbar disc herniation,and it has positive influence for keeping height of lumbar vertebral space and treating the nerve root symptom of lumbar disc herniation.Discectomy plus Coflex is better than pure discectomy in preventing

  16. Modeling Heterogeneous Variance-Covariance Components in Two-Level Models

    Science.gov (United States)

    Leckie, George; French, Robert; Charlton, Chris; Browne, William

    2014-01-01

    Applications of multilevel models to continuous outcomes nearly always assume constant residual variance and constant random effects variances and covariances. However, modeling heterogeneity of variance can prove a useful indicator of model misspecification, and in some educational and behavioral studies, it may even be of direct substantive…

  17. Anterior cervical discectomy with arthroplasty versus arthrodesis for single-level cervical spondylosis: a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Aria Fallah

    Full Text Available OBJECTIVE: To estimate the effectiveness of anterior cervical discectomy with arthroplasty (ACDA compared to anterior cervical discectomy with fusion (ACDF for patient-important outcomes for single-level cervical spondylosis. DATA SOURCES: Electronic databases (MEDLINE, EMBASE, Cochrane Register for Randomized Controlled Trials, BIOSIS and LILACS, archives of spine meetings and bibliographies of relevant articles. STUDY SELECTION: We included RCTs of ACDF versus ACDA in adult patients with single-level cervical spondylosis reporting at least one of the following outcomes: functionality, neurological success, neck pain, arm pain, quality of life, surgery for adjacent level degeneration (ALD, reoperation and dysphonia/dysphagia. We used no language restrictions. We performed title and abstract screening and full text screening independently and in duplicate. DATA SYNTHESIS: We used random-effects model to pool data using mean difference (MD for continuous outcomes and relative risk (RR for dichotomous outcomes. We used GRADE to evaluate the quality of evidence for each outcome. RESULTS: Of 2804 citations, 9 articles reporting on 9 trials (1778 participants were eligible. ACDA is associated with a clinically significant lower incidence of neurologic failure (RR = 0.53, 95% CI = 0.37-0.75, p = 0.0004 and improvement in the Neck pain visual analogue scale (VAS (MD = 6.56, 95% CI = 3.22-9.90, p = 0.0001; Minimal clinically important difference (MCID = 2.5. ACDA is associated with a statistically but not clinically significant improvement in Arm pain VAS and SF-36 physical component summary. ACDA is associated with non-statistically significant higher improvement in the Neck Disability Index Score and lower incidence of ALD requiring surgery, reoperation, and dysphagia/dysphonia. CONCLUSIONS: There is no strong evidence to support the routine use of ACDA over ACDF in single-level cervical spondylosis. Current trials lack long-term data required to

  18. Bioresorbable polylactide interbody implants in an ovine anterior cervical discectomy and fusion model: three-year results.

    Science.gov (United States)

    Thomas, Kevin A; Toth, Jeffrey M; Crawford, Neil R; Seim, Howard B; Shi, Lewis L; Harris, Mitchel B; Turner, A Simon

    2008-04-01

    In vivo study of anterior discectomy and fusion using a bioresorbable 70:30 poly(l-lactide-co-d,l-lactide) interbody implant in an ovine model. To evaluate the efficacy of the polylactide implant to function as an interbody fusion device, and to assess the tissue reaction to the material during the resorption process. The use of polylactide as a cervical interbody implant has several potential advantages when compared with traditional materials. Having an elastic modulus very similar to bone minimizes the potential for stress shielding, and as the material resorbs additional loading is transferred to the developing fusion mass. Although preclinical and clinical studies have demonstrated the suitability of polylactide implants for lumbar interbody fusion, detailed information on cervical anterior cervical discectomy and fusion (ACDF) with polylactide devices is desirable. Single level ACDF was performed in 8 skeletally mature ewes. Bioresorbable 70:30 poly (l-lactide-co-d,l-lactide) interbody implants packed with autograft were used with single-level metallic plates. Radiographs were made every 3 months up to 1 year, and yearly thereafter. The animals were killed at 6 months (3 animals), 12 months (3 animals), and 36 months (2 animals). In addition to the serial plain radiographs, the specimens were evaluated by nondestructive biomechanical testing and undecalcified histologic analysis. The bioresorbable polylactide implants were effective in achieving interbody fusion. The 6-month animals appeared fused radiographically and biomechanically, whereas histologic sections demonstrated partial fusion (in 3 of 3 animals). Radiographic fusion was confirmed histologically and biomechanically at 12 months (3 of 3 animals) and 36 months (2 of 2 animals). A mild chronic inflammatory response to the resorbing polylactide implant was observed at both 6 months and 12 months. At 36 months, the operative levels were solidly fused and the implants were completely resorbed. No

  19. A Hybrid Approach to Proving Memory Reference Monotonicity

    KAUST Repository

    Oancea, Cosmin E.

    2013-01-01

    Array references indexed by non-linear expressions or subscript arrays represent a major obstacle to compiler analysis and to automatic parallelization. Most previous proposed solutions either enhance the static analysis repertoire to recognize more patterns, to infer array-value properties, and to refine the mathematical support, or apply expensive run time analysis of memory reference traces to disambiguate these accesses. This paper presents an automated solution based on static construction of access summaries, in which the reference non-linearity problem can be solved for a large number of reference patterns by extracting arbitrarily-shaped predicates that can (in)validate the reference monotonicity property and thus (dis)prove loop independence. Experiments on six benchmarks show that our general technique for dynamic validation of the monotonicity property can cover a large class of codes, incurs minimal run-time overhead and obtains good speedups. © 2013 Springer-Verlag.

  20. Proceedings International Workshop on Strategies in Rewriting, Proving, and Programming

    CERN Document Server

    Kirchner, Hélène; 10.4204/EPTCS.44

    2010-01-01

    This volume contains selected papers from the proceedings of the First International Workshop on Strategies in Rewriting, Proving, and Programming (IWS 2010), which was held on July 9, 2010, in Edinburgh, UK. Strategies are ubiquitous in programming languages, automated deduction and reasoning systems. In the two communities of Rewriting and Programming on one side, and of Deduction and Proof engines (Provers, Assistants, Solvers) on the other side, workshops have been launched to make progress towards a deeper understanding of the nature of strategies, their descriptions, their properties, and their usage, in all kinds of computing and reasoning systems. Since more recently, strategies are also playing an important role in rewrite-based programming languages, verification tools and techniques like SAT/SMT engines or termination provers. Moreover strategies have come to be viewed more generally as expressing complex designs for control in computing, modeling, proof search, program transformation, and access c...

  1. Simplified Drift Analysis for Proving Lower Bounds in Evolutionary Computation

    DEFF Research Database (Denmark)

    Oliveto, Pietro S.; Witt, Carsten

    2011-01-01

    Drift analysis is a powerful tool used to bound the optimization time of evolutionary algorithms (EAs). Various previous works apply a drift theorem going back to Hajek in order to show exponential lower bounds on the optimization time of EAs. However, this drift theorem is tedious to read...... and to apply since it requires two bounds on the moment-generating (exponential) function of the drift. A recent work identifies a specialization of this drift theorem that is much easier to apply. Nevertheless, it is not as simple and not as general as possible. The present paper picks up Hajek’s line...... of thought to prove a drift theorem that is very easy to use in evolutionary computation. Only two conditions have to be verified, one of which holds for virtually all EAs with standard mutation. The other condition is a bound on what is really relevant, the drift. Applications show how previous analyses...

  2. New biology of red rain extremophiles prove cometary panspermia

    CERN Document Server

    Louis, G; Louis, Godfrey

    2003-01-01

    This paper reports the extraordinary biology of the microorganisms from the mysterious red rain of Kerala, India. These chemosynthetic organisms grow optimally at an extreme high temperature of 300 degrees C in hydrothermal conditions and can metabolize inorganic and organic compounds including hydrocarbons. Stages found in their life cycle show reproduction by a special multiple fission process and the red cells found in the red rain are identified as the resting spores of these microbes. While these extreme hyperthermophiles contain proteins, our study shows the absence of DNA in these organisms, indicating a new primitive domain of life with alternate thermostable genetics. This new biology proves our earlier hypothesis that these microbes are of extraterrestrial origin and also supports our earlier argument that the mysterious red rain of Kerala is due to the cometary delivery of the red spores into the stratosphere above Kerala.

  3. SOME EXPERIMENTALLY PROVED HERBS IN PEPTIC ULCER DISEASE

    Directory of Open Access Journals (Sweden)

    Javed Ahmad Khan et al

    2012-08-01

    Full Text Available Peptic ulcer is a worldwide health problem because of its high morbidity, mortality and enormous financial implication. An estimated 15,000 deaths per year occur as a consequence of complicated PUD. A large number of drugs for peptic ulcer disease are available in mainstream medicine but they are associated with numerous side effects like arrhythmias, impotence, gynaecomastia and haematopoietic changes and the recurrence is also very common. In recent times, focus on plant research has increased all over the world and a large body of evidence has been collected to show immense potential of medicinal plants used in various traditional systems. Here, an attempt is made to summarise experimentally proved herbs used in PUD during last decade.

  4. Formal Analysis of Soft Errors using Theorem Proving

    Directory of Open Access Journals (Sweden)

    Sofiène Tahar

    2013-07-01

    Full Text Available Modeling and analysis of soft errors in electronic circuits has traditionally been done using computer simulations. Computer simulations cannot guarantee correctness of analysis because they utilize approximate real number representations and pseudo random numbers in the analysis and thus are not well suited for analyzing safety-critical applications. In this paper, we present a higher-order logic theorem proving based method for modeling and analysis of soft errors in electronic circuits. Our developed infrastructure includes formalized continuous random variable pairs, their Cumulative Distribution Function (CDF properties and independent standard uniform and Gaussian random variables. We illustrate the usefulness of our approach by modeling and analyzing soft errors in commonly used dynamic random access memory sense amplifier circuits.

  5. Recent Advances in Automated Theorem Proving on Inequalities

    Institute of Scientific and Technical Information of China (English)

    杨路

    1999-01-01

    Automated theorem proving on inequalities is always considered as a difficult topic in the area of automated reasoning.The relevant algorithms depend fundamentally on real algebra and real geometry,and the computational complexity increases very quickly with the dimension,that is,the number of parameters.Some well-known algorithms are complete theoretically but inefficient in practice,which cannot verify non-trivial propositions in batches.A dimension-decreasing algorithm presented here can treat radicals efficiently and make the dimensions the lowest. Based upon this algorithm,a generic program called “BOTTEMA”was implemented on a personal computer.More than 1000 algebraic and geometric inequalities including hundreds of open problems have been verified in this way.This makes it possible to check a finite many inequalities instead of solving a global-optimization problem.

  6. Evaluation of depleted uranium in the environment at Aberdeen Proving Grounds, Maryland and Yuma Proving Grounds, Arizona. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Kennedy, P.L.; Clements, W.H.; Myers, O.B.; Bestgen, H.T.; Jenkins, D.G. [Colorado State Univ., Fort Collins, CO (United States). Dept. of Fishery and Wildlife Biology

    1995-01-01

    This report represents an evaluation of depleted uranium (DU) introduced into the environment at the Aberdeen Proving Grounds (APG), Maryland and Yuma Proving Grounds (YPG) Arizona. This was a cooperative project between the Environmental Sciences and Statistical Analyses Groups at LANL and with the Department of Fishery and Wildlife Biology at Colorado State University. The project represents a unique approach to assessing the environmental impact of DU in two dissimilar ecosystems. Ecological exposure models were created for each ecosystem and sensitivity/uncertainty analyses were conducted to identify exposure pathways which were most influential in the fate and transport of DU in the environment. Research included field sampling, field exposure experiment, and laboratory experiments. The first section addresses DU at the APG site. Chapter topics include bioenergetics-based food web model; field exposure experiments; bioconcentration by phytoplankton and the toxicity of U to zooplankton; physical processes governing the desorption of uranium from sediment to water; transfer of uranium from sediment to benthic invertebrates; spead of adsorpion by benthic invertebrates; uptake of uranium by fish. The final section of the report addresses DU at the YPG site. Chapters include the following information: Du transport processes and pathway model; field studies of performance of exposure model; uptake and elimination rates for kangaroo rates; chemical toxicity in kangaroo rat kidneys.

  7. Characteristics of the 2011 Tohoku Tsunami and introduction of two level tsunamis for tsunami disaster mitigation.

    Science.gov (United States)

    Sato, Shinji

    2015-01-01

    Characteristics of the 2011 Tohoku Tsunami have been revealed by collaborative tsunami surveys extensively performed under the coordination of the Joint Tsunami Survey Group. The complex behaviors of the mega-tsunami were characterized by the unprecedented scale and the low occurrence frequency. The limitation and the performance of tsunami countermeasures were described on the basis of tsunami surveys, laboratory experiments and numerical analyses. These findings contributed to the introduction of two-level tsunami hazards to establish a new strategy for tsunami disaster mitigation, combining structure-based flood protection designed by the Level-1 tsunami and non-structure-based damage reduction planned by the Level-2 tsunami.

  8. Thermal analysis of multi-MW two-level wind power converter

    OpenAIRE

    Zhou, Dao; Blaabjerg, Frede; Mogens, Lau; Tonnes, Michael

    2012-01-01

    In this paper, the multi-MW wind turbine of partial-scale and full-scale two-level power converter with DFIG and direct-drive PMSG are designed and compared in terms of their thermal performance. Simulations of different configurations regarding loss distribution and junction temperature in the power device in the whole range of wind speed are presented and analyzed. It is concluded that in both partial-scale and full-scale power converter the most thermal stressed power device in the generat...

  9. Ultra-short, off-resonant, strong excitation of two-level systems

    CERN Document Server

    Jha, Pankaj K; Grazioso, Fabio

    2013-01-01

    We present a model describing the use of ultra-short strong pulses to populate the excited level of a two-level quantum system. In particular, we study an off-resonance excitation with a few cycles pulse which presents a smooth phase jump i.e. a change of the pulse's phase which is not step-like, but happens over a finite time interval. A numerical solution is given for the time-dependent probability amplitude of the excited level. The enhancement of the excited level's population is optimized with respect to the shape of the phase transient, and to other parameters of the excitation pulse.

  10. Enhancing student learning of two-level quantum systems with interactive simulations

    CERN Document Server

    Kohnle, Antje; Campbell, Anna; Korolkova, Natalia; Paetkau, Mark J

    2015-01-01

    The QuVis Quantum Mechanics Visualization project aims to address challenges of quantum mechanics instruction through the development of interactive simulations for the learning and teaching of quantum mechanics. In this article, we describe evaluation of simulations focusing on two-level systems developed as part of the Institute of Physics Quantum Physics resources. Simulations are research-based and have been iteratively refined using student feedback in individual observation sessions and in-class trials. We give evidence that these simulations are helping students learn quantum mechanics concepts at both the introductory and advanced undergraduate level, and that students perceive simulations to be beneficial to their learning.

  11. Coherent destruction of tunneling in two-level system driven across avoided crossing via photon statistics.

    Science.gov (United States)

    Miao, Qiang; Zheng, Yujun

    2016-06-29

    In this paper, the nature of the multi-order resonance and coherent destruction of tunneling (CDT) for two-level system driven cross avoided crossing is investigated by employing the emitted photons 〈N〉 and the Mandel's Q parameter based on the photon counting statistics. An asymmetric feature of CDT is shown in the spectrum of Mandel's Q parameter. Also, the CDT can be employed to suppress the spontaneous decay and prolong waiting time noticeably. The photon emission pattern is of monotonicity in strong relaxation, and homogeneity in pure dephasing regime, respectively.

  12. Intrinsic decoherence in the interaction of two fields with a two-level atom

    Energy Technology Data Exchange (ETDEWEB)

    Juarez-Amaro, R. [Universidad Tecnologica de la Mixteca, Mexico (Mexico); INAOE, Puebla (Mexico); Escudero-Jimenez, J.L. [INAOE, Puebla (Mexico); Moya-Cessa, H.

    2009-06-15

    We study the interaction of a two-level atom and two fields, one of them classical. We obtain an effective Hamiltonian for this system by using a method recently introduced that produces a small rotation to the Hamiltonian that allows to neglect some terms in the rotated Hamiltonian. Then we solve a variation of the Schroedinger equation that models decoherence as the system evolves through intrinsic mechanisms beyond conventional quantum mechanics rather than dissipative interaction with an environment. (Abstract Copyright [2009], Wiley Periodicals, Inc.)

  13. Coherent destruction of tunneling in two-level system driven across avoided crossing via photon statistics

    Science.gov (United States)

    Miao, Qiang; Zheng, Yujun

    2016-06-01

    In this paper, the nature of the multi-order resonance and coherent destruction of tunneling (CDT) for two-level system driven cross avoided crossing is investigated by employing the emitted photons and the Mandel’s Q parameter based on the photon counting statistics. An asymmetric feature of CDT is shown in the spectrum of Mandel’s Q parameter. Also, the CDT can be employed to suppress the spontaneous decay and prolong waiting time noticeably. The photon emission pattern is of monotonicity in strong relaxation, and homogeneity in pure dephasing regime, respectively.

  14. Interaction of Lamb modes with two-level systems in amorphous nanoscopic membranes.

    Energy Technology Data Exchange (ETDEWEB)

    Kuhn, T.; Anghel, D. V.; Galperin, Y. M.; Manninen, M.; Materials Science Division; Univ. Jyvaskyla; National Inst. for Physics and Nuclear Engineering; Bogolivbov Lab. Theoretical Physics; Univ. Oslo; Russian Academy of Sciences

    2007-01-01

    Using a generalized model of interaction between a two-level system (TLS) and an arbitrary deformation of the material, we calculate the interaction of Lamb modes with TLSs in amorphous nanoscopic membranes. We compare the mean free paths of the Lamb modes of different symmetries and calculate the heat conductivity {kappa}. In the limit of an infinitely wide membrane, the heat conductivity is divergent. Nevertheless, the finite size of the membrane imposes a lower cutoff for the phonon frequencies, which leads to the temperature dependence {kappa}{alpha}T(a+b ln T). This temperature dependence is a hallmark of the TLS-limited heat conductance at low temperature.

  15. Two-level correlation function of critical random-matrix ensembles

    OpenAIRE

    E. Cuevas

    2004-01-01

    The two-level correlation function $R_{d,\\beta}(s)$ of $d$-dimensional disordered models ($d=1$, 2, and 3) with long-range random-hopping amplitudes is investigated numerically at criticality. We focus on models with orthogonal ($\\beta=1$) or unitary ($\\beta=2$) symmetry in the strong ($b^d \\ll 1$) coupling regime, where the parameter $b^{-d}$ plays the role of the coupling constant of the model. It is found that $R_{d,\\beta}(s)$ is of the form $R_{d,\\beta}(s)=1+\\delta(s)-F_{\\beta}(s^{\\beta}/...

  16. Solving the scattering of N photons on a two-level atom without computation

    Science.gov (United States)

    Roulet, Alexandre; Scarani, Valerio

    2016-09-01

    We propose a novel approach for solving the scattering of light onto a two-level atom coupled to a one-dimensional waveguide. First we express the physical quantity of interest in terms of Feynman diagrams and treat the atom as a non-saturable linear beamsplitter. By using the atomic response to our advantage, a relevant substitution is then made that captures the nonlinearity of the atom, and the final result is obtained in terms of simple integrals over the initial incoming wavepackets. The procedure is not limited to post-scattering quantities and allows for instance to derive the atomic excitation during the scattering event.

  17. Ultrasonic distance sensor improvement using a two-level neural network

    OpenAIRE

    Parvis, Marco; Carullo, Alessio; Ferraris, Franco

    1996-01-01

    This paper discusses the performance improvement that a neural network can provide to a contactless distance sensor based on the measurement of the time of flight (TOF) of an ultrasonic (US) pulse. The sensor, which embeds a correction system for the temperature effect, achieves a distance uncertainty (rms) of less than 0.5 mm over 0.5 m by using a two-level neural network to process the US echo and determine the TOF in the presence of environmental acoustic noise. The network embeds a "guard...

  18. Experimental investigation of slow light propagation in degenerate two-level system

    Institute of Scientific and Technical Information of China (English)

    Wang Li-Rong; Zhao Yan-Ting; Ma Jie; Zhao Jian-Ming; Xiao Lian-Tuan; Jia Suo-Tang

    2006-01-01

    Slowing a light pulse in a degenerate two-level system is observed with a double-frequency sweeping technique. The effects of coupling beam intensity, cell temperature and frequency detunings of the coupling and probe beams in resonance, on the slowing of light propagation in such a system are investigated. It is found that group velocities depend strongly on polarization combinations. A group velocity υg=6760m/s of light pulses in caesium vapour is obtained under the optimal parameters.

  19. Canyon of current suppression in an interacting two-level quantum dot

    DEFF Research Database (Denmark)

    Karlström, O; Pedersen, Jonas Nyvold; Samuelsson, P

    2011-01-01

    Motivated by the recent discovery of a canyon of conductance suppression in a two-level equal-spin quantum dot system [Phys. Rev. Lett. 104, 186804 (2010)], the transport through this system is studied in detail. At low bias and low temperature a strong current suppression is found around...... quantum rate equations. The simulations allow for the prediction of how the suppression is affected by the couplings, the charging energy, the position of the energy levels, the applied bias, and the temperature. We find that, away from electron-hole symmetry, the parity of the couplings is essential...

  20. Phase Dependence of Few-Cycle Pulsed Laser Propagation in a Two-Level Atom Medium

    Institute of Scientific and Technical Information of China (English)

    肖健; 王中阳; 徐至展

    2002-01-01

    The phase-dependent feature of few-cycle pulsed laser propagation in a resonant two-level atom medium is demonstrated by solving the full Maxwell-Bloch equations. Even in the perturbative region, the propagating carrier field and the corresponding spectra of the few-cycle pulsed laser are sensitive to the initial phase due to self-phase modulation. For the larger pulse area, the fact that the carrier-wave reshaping comes from the carrier wave Rabi flopping is also responsible for this sensitivity, and the phase-dependent feature is more evident.

  1. SPECTRUM OF A FEW-CYCLE LASER PULSE PROPAGATING IN A TWO-LEVEL ATOM MEDIUM

    Institute of Scientific and Technical Information of China (English)

    肖健; 王中阳; 徐至展

    2001-01-01

    The spectrum evolution of a few-cycle optical pulse in a resonant two-level atom medium is studied theoretically by using the full Maxwell-Bloch equations. On the propagating pulse, significantly much faster oscillation components separated with the main pulse appear due to strong self-phase modulation and pulse reshaping. In this case, ideal selfinduced transparency cannot occur for a 2r pulse. The spectrum of the 4r pulse shows an evident oscillatory feature because of the continuum interference of the separate pulses. For larger pulse areas, continuum generation from near ultraviolet to infrared occurs.

  2. Zeno and Anti Zeno effect for a two level system in a squeezed bath

    CERN Document Server

    Mundarain, D F

    2005-01-01

    We discuss the appearance of Zeno (QZE) or anti-Zeno (QAE) effect in an exponentially decaying system. We consider the quantum dynamics of a continuously monitored two level system interacting with a squeezed bath. We find that the behavior of the system depends critically on the way in which the squeezed bath is prepared. For specific choices of the squeezing phase the system shows Zeno or anti-Zeno effect in conditions for which it would decay exponentially if no measurements were done. This result allows for a clear interpretation in terms of the equivalent spin system interacting with a fictitious magnetic field.

  3. Reactive Power Impact on Lifetime Prediction of Two-level Wind Power Converter

    DEFF Research Database (Denmark)

    Zhou, Dao; Blaabjerg, Frede; Lau, M.;

    2013-01-01

    The influence of reactive power injection on the dominating two-level wind power converter is investigated and compared in terms of power loss and thermal behavior. Then the lifetime of both the partial-scale and full-scale power converter is estimated based on the widely used Coffin-Manson model....... It is concluded that the injection of the reactive power could have serious impact on the power loss and thermal profile, especially at lower wind speed. Furthermore, the introduction of the reactive power could also shorten the lifetime of the wind power converter significantly....

  4. Dynamics of Two-Level Trapped Ion in a Standing Wave Laser in Noncommutative Space

    Institute of Scientific and Technical Information of China (English)

    YANG Xiao-Xue; WU Ying

    2007-01-01

    We study the dynamics of a two-level trapped ion in a standing wave electromagnetic field in two-dimensional (2D) noncommutative spaces in the Lamb-Dicke regime under the rotating wave approximation. We obtain the explicit analytical expressions for the energy spectra, energy eigenstates, unitary time evolution operator, atomic inversion, and phonon number operators. The Rabi oscillations, the collapse, and revivals in the average atomic inversion and the average phonon number are explicitly shown to contain the information of the parameter of the space noncommutativity,which sheds light on proposing new schemes based on the dynamics of trappedion to test the noncommutativity.

  5. Radiation Rate of a Two-Level Atom in a Spacetime with a Reflecting Boundary

    Institute of Scientific and Technical Information of China (English)

    LU Shi-Zhuan; YU Hong-Wei

    2005-01-01

    @@ We study a two-level atom in interaction with a real massless scalar quantum field in a spacetime with a reflecting boundary. We calculate the rate of change of the atomic energy for the atom. The presence of the boundary modifies the quantum fluctuations of the scalar field, which in turn modifies the rate of change of the atomic energy.It is found that the modifications induced by the presence of a boundary make the spontaneous radiation rate of an excited atom to oscillate near the boundary and this oscillatory behaviour may offer a possible opportunity for experimental tests for geometrical (boundary) effects in flat spacetime.

  6. Propagation of Few-Cycle Pulse Laser in Two-Level Atom Medium

    Institute of Scientific and Technical Information of China (English)

    肖健; 王中阳; 徐至展

    2001-01-01

    By comparing the numerical solutions of Maxwell-Bloch equations beyond and within the slowly-varying envelope approximation and the rotating-wave approximation for the propagation of a few-cycle pulse laser in a resonant two-level atom medium, we found that both the Rabi flopping and the refractive index, and subsequently the carrier and the propagation velocity of the few-cycle pulse, are closely connected with the time-derivative behaviour of the electric field. This is because the Rabi flopping is such that the soliton pulse splits during propagation and that a shorter pulse propagates faster than a broader one.

  7. Analysis of Two-Level Support Systems with Time-Dependent Overflow - A Banking Application

    DEFF Research Database (Denmark)

    Barth, Wolfgang; Manitz, Michael; Stolletz, Raik

    2010-01-01

    is available. The analysis of such a system with time-dependent overflow is reduced to the analysis of a continuous-time Markov chain with state-dependent overflow probabilities. To approximate the system with time-dependent overflow, some waiting-based performance measures are modified. Numerical results......In this paper, we analyze the performance of call centers of financial service providers with two levels of support and a time-dependent overflow mechanism. Waiting calls from the front-office queue flow over to the back office if a waiting-time limit is reached and at least one back-office agent...

  8. Fractal Two-Level Finite Element Method For Free Vibration of Cracked Beams

    Directory of Open Access Journals (Sweden)

    A.Y.T. Leung

    1998-01-01

    Full Text Available The fractal two-level finite element method is extended to the free vibration behavior of cracked beams for various end boundary conditions. A cracked beam is separated into its singular and regular regions. Within the singular region, infinite number of finite elements are virturally generated by fractal geometry to model the singular behavior of the crack tip. The corresponding numerous degrees of freedom are reduced to a small set of generalized displacements by fractal transformation technique. The solution time and computer storage can be remarkably reduced without sacrifying accuracy. The resonant frequencies and mode shapes computed compared well with the results from a commercial program.

  9. Phase Dependence of Fluorescence Spectrum of a Two-Level Atom in a Trichromatic Field

    Institute of Scientific and Technical Information of China (English)

    LI Jing-Yan; HU Xiang-Ming; LI Xiao-Xia; SHI Wen-Xing; XU Qing; GUO Hong-Ju

    2005-01-01

    @@ We examine the phase-dependent effects in resonance fluorescence of a two-level atom driven by a trichromatic modulated field. It is shown that the fluorescence spectrum depends crucially on the sum of relative phases of the sideband components compared to the central component, not simply on the respective phases. The appearance or disappearance of the central peak and the selective elimination of the sideband peaks are achieved simply by varying the sum phase. Once the sum phase is fixed, the spectrum keeps its features unchanged regardless of the respective relative phases.

  10. The dynamic properties of the two-level entangled atom in an optical field

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    The interaction of an optical field and one of the entangled atoms is analyzed in detail in this paper. Furthermore, the dynamic properties of the two-level entangled atom are manifested. The properties of the action are dependent on the initial state of the atom. After detecting the atom out of the field, we can obtain the state of the other atom moving in the field. It is shown that the state of the atom out of the field influences the dynamic properties of the atom in the field.

  11. Quantum averaging and resonances: two-level atom in a one-mode classical laser field

    Directory of Open Access Journals (Sweden)

    M. Amniat-Talab

    2007-06-01

    Full Text Available   We use a nonperturbative method based on quantum averaging and an adapted from of resonant transformations to treat the resonances of the Hamiltonian of a two-level atom interacting with a one-mode classical field in Floquet formalism. We illustrate this method by extraction of effective Hamiltonians of the system in two regimes of weak and strong coupling. The results obtained in the strong-coupling regime, are valid in the whole range of the coupling constant for the one-photon zero-field resonance.

  12. Spectral density of Cooper pairs in two level quantum dot-superconductors Josephson junction

    Science.gov (United States)

    Dhyani, A.; Rawat, P. S.; Tewari, B. S.

    2016-09-01

    In the present paper, we report the role of quantum dot energy levels on the electronic spectral density for a two level quantum dot coupled to s-wave superconducting leads. The theoretical arguments in this work are based on the Anderson model so that it necessarily includes dot energies, single particle tunneling and superconducting order parameter for BCS superconductors. The expression for single particle spectral function is obtained by using the Green's function equation of motion technique. On the basis of numerical computation of spectral function of superconducting leads, it has been found that the charge transfer across such junctions can be controlled by the positions and availability of the dot levels.

  13. Quantum dynamics of a microwave driven superconducting phase qubit coupled to a two-level system

    Science.gov (United States)

    Sun, Guozhu; Wen, Xueda; Mao, Bo; Zhou, Zhongyuan; Yu, Yang; Wu, Peiheng; Han, Siyuan

    2010-10-01

    We present an analytical and comprehensive description of the quantum dynamics of a microwave resonantly driven superconducting phase qubit coupled to a microscopic two-level system (TLS), covering a wide range of the external microwave field strength. Our model predicts several interesting phenomena in such an ac driven four-level bipartite system including anomalous Rabi oscillations, high-contrast beatings of Rabi oscillations, and extraordinary two-photon transitions. Our experimental results in a coupled qubit-TLS system agree quantitatively very well with the predictions of the theoretical model.

  14. The logic of two-level games with endogenous lobbying : the case of international environmental agreements

    OpenAIRE

    Haffoudhi, Houda

    2005-01-01

    URL des Cahiers :http://mse.univ-paris1.fr/MSEFramCahier2005.htm; Cahiers de la Maison des Sciences Economiques 2005.54 - ISSN : 1624-0340; International environmental agreements (IEAs) are increasingly important in a globalized economy. The aim of our paper is study the effect of political pressure groups-lobbies on the size and stability of IEAs. To this purpose we use the framework of two-level games to explain how national political situation influences the decisions of governments at the...

  15. Load-Balance Policy in Two Level-Cluster File System

    Institute of Scientific and Technical Information of China (English)

    LIU Yuling; SONG Weiwei; MA Xiaoxue

    2006-01-01

    In this paper, we explored a load-balancing algorithm in a cluster file system contains two levels of metadata-server,primary-level server quickly distributestasks to second-level servers depending on the closest load-balancing information. At the same time, we explored a method which accurately reflect I/O traffic and storage of storage-node: computing the heat-value of file, according to which we realized a more logical storage allocation. According to the experiment result, we conclude that this new algorithm shortens the executing time of tasks and improves the system performance compared with other load algorithm.

  16. NASA SPoRT GOES-R Proving Ground Activities

    Science.gov (United States)

    Stano, Geoffrey T.; Fuell, Kevin K.; Jedloec, Gary J.

    2010-01-01

    The NASA Short-term Prediction Research and Transition (SPoRT) program is a partner with the GOES-R Proving Ground (PG) helping prepare forecasters understand the unique products to come from the GOES-R instrument suite. SPoRT is working collaboratively with other members of the GOES-R PG team and Algorithm Working Group (AWG) scientists to develop and disseminate a suite of proxy products that address specific forecast problems for the WFOs, Regional and National Support Centers, and other NOAA users. These products draw on SPoRT s expertise with the transition and evaluation of products into operations from the MODIS instrument and the North Alabama Lightning Mapping Array (NALMA). The MODIS instrument serves as an excellent proxy for the Advanced Baseline Imager (ABI) that will be aboard GOES-R. SPoRT has transitioned and evaluated several multi-channel MODIS products. The true and false color products are being used in natural hazard detection by several SPoRT partners to provide better observation of land features, such as fires, smoke plumes, and snow cover. Additionally, many of SPoRT s partners are coastal offices and already benefit from the MODIS sea surface temperature composite. This, along with other surface feature observations will be developed into ABI proxy products for diagnostic use in the forecast process as well as assimilation into forecast models. In addition to the MODIS instrument, the NALMA has proven very valuable to WFOs with access to these total lightning data. These data provide situational awareness and enhanced warning decision making to improve lead times for severe thunderstorm and tornado warnings. One effort by SPoRT scientists includes a lightning threat product to create short-term model forecasts of lightning activity. Additionally, SPoRT is working with the AWG to create GLM proxy data from several of the ground based total lightning networks, such as the NALMA. The evaluation will focus on the vastly improved spatial

  17. Feasibility and Efficacy of Percutaneous Lateral Lumbar Discectomy in the Treatment of Patients with Lumbar Disc Herniation: A Preliminary Experience

    Directory of Open Access Journals (Sweden)

    Wenjin Jiang

    2015-01-01

    Full Text Available Objective. This study was aimed at evaluating the effectiveness and safety of percutaneous lateral lumbar discectomy (PLLD in treating patients with lumber disc herniation. Methods. A total of 183 patients with lumbar disc herniation were recruited to receive PLLD surgery from April 2006 to October 2011. All the adverse effects were recorded during the follow-up at 1, 3, 6, and 12 months after PLLD. The clinical outcomes were determined by visual analog scale and Japanese Orthopaedic Association score. Results. The surgery was performed successfully in all patients (102 males and 81 females aged from 21 to 66 years with a mean 16.6-month follow-up (range from 26 to 65 months. No postoperative complications, including intestinal and vascular complications, nerve injuries, and postoperative infections, were associated with PLLD. At one month after surgery, visual analog scale (3.12±1.44 versus 6.76±2.31, P<0.05 was significantly lower than the baseline and was sustained until 24 months after surgery (3.25±1.78 versus 6.76±2.31, P<0.05. Besides that, Japanese Orthopaedic Association score (25.25±3.21 versus 11.78±2.38, P<0.05 was increased when compared to the baseline. Conclusions. PLLD was a promising, mini-invasive, and effective treatment for lumber disc herniation.

  18. Comparison of percutaneous endoscopic lumbar discectomy and open lumbar surgery for adjacent segment degeneration and recurrent disc herniation.

    Science.gov (United States)

    Chen, Huan-Chieh; Lee, Chih-Hsun; Wei, Li; Lui, Tai-Ngar; Lin, Tien-Jen

    2015-01-01

    Objective. The goal of the present study was to examine the clinical results of percutaneous endoscopic lumbar discectomy (PELD) and open lumbar surgery for patients with adjacent segment degeneration (ASD) and recurrence of disc herniation. Methods. From December 2011 to November 2013, we collected forty-three patients who underwent repeated lumbar surgery. These patients, either received PELD (18 patients) or repeated open lumbar surgery (25 patients), due to ASD or recurrence of disc herniation at L3-4, L4-5, or L5-S1 level, were assigned to different groups according to the surgical approaches. Clinical data were assessed and compared. Results. Mean blood loss was significantly less in the PELD group as compared to the open lumbar surgery group (P < 0.0001). Hospital stay and mean operating time were shorter significantly in the PELD group as compared to the open lumbar surgery group (P < 0.0001). Immediate postoperative pain improvement in VAS was 3.5 in the PELD group and -0.56 in the open lumbar surgery group (P < 0.0001). Conclusion. For ASD and recurrent lumbar disc herniation, PELD had more advantages over open lumbar surgery in terms of reduced blood loss, shorter hospital stay, operating time, fewer complications, and less postoperative discomfort.

  19. Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc Herniation

    Directory of Open Access Journals (Sweden)

    Huan-Chieh Chen

    2015-01-01

    Full Text Available Objective. The goal of the present study was to examine the clinical results of percutaneous endoscopic lumbar discectomy (PELD and open lumbar surgery for patients with adjacent segment degeneration (ASD and recurrence of disc herniation. Methods. From December 2011 to November 2013, we collected forty-three patients who underwent repeated lumbar surgery. These patients, either received PELD (18 patients or repeated open lumbar surgery (25 patients, due to ASD or recurrence of disc herniation at L3-4, L4-5, or L5-S1 level, were assigned to different groups according to the surgical approaches. Clinical data were assessed and compared. Results. Mean blood loss was significantly less in the PELD group as compared to the open lumbar surgery group P<0.0001. Hospital stay and mean operating time were shorter significantly in the PELD group as compared to the open lumbar surgery group P<0.0001. Immediate postoperative pain improvement in VAS was 3.5 in the PELD group and −0.56 in the open lumbar surgery group P<0.0001. Conclusion. For ASD and recurrent lumbar disc herniation, PELD had more advantages over open lumbar surgery in terms of reduced blood loss, shorter hospital stay, operating time, fewer complications, and less postoperative discomfort.

  20. Comparative Study between a Curved and a Wedge PEEK Cage for Single-level Anterior Cervical Discectomy and Interbody Fusion.

    Science.gov (United States)

    Kim, Hwan Soo; Song, Joon Suk; Heo, Weon; Cha, Jae Hoon; Rhee, Dong Youl

    2012-09-01

    This study evaluated the efficiency of a curved polyetheretherketone (PEEK) cage in comparison with a wedge PEEK cage according to radiologic and clinical outcomes in patients with cervical degenerative disease. A total of 37 patients who suffering from cervical disc disease with radiculopathy or myelopathy were reviewed retrospectively. Seventeen patients were underwent anterior cervical discectomy and interbody fusion with a curved shape PEEK cage (curved cage group), and twenty patients with wedge shape PEEK cage (wedge cage group). Clinical assessment was graded using Odom's criteria, NDI score and VAS score. For radiologic analysis, disc height (DH), segmental angle (SA), subsidence were measured at the preoperative and last follow up. A comparison of the preoperative and postoperative results revealed improvements after the surgery in the DH and SA in both cage groups. The change of postoperative DH between the preoperative and the last follow-up in wedge cage group and curved cage group was 6.85% and 25.5%, respectively. The change of postoperative SA was 1.75° and 0.95°, respectively. There was no statistically significant difference in the DH and SA between the 2 groups. The subsidence rate in the wedge cage group and curved cage group was 20% and 6%, respectively. The 2 different cage groups showed significant improvements in the disc height, segmental angle and clinical outcomes. However, the shape of PEEK Cage influences the tendency for subsidence. Increasing contact surface area and fitting into two adjacent vertebral body prevent significant subsidence.

  1. Discover cervical disc arthroplasty versus anterior cervical discectomy and fusion in symptomatic cervical disc diseases: A meta-analysis

    Science.gov (United States)

    Shangguan, Lei; Ning, Guang-Zhi; Tang, Yu; Wang, Zhe; Luo, Zhuo-Jing; Zhou, Yue

    2017-01-01

    Objective Symptomatic cervical disc disease (SCDD) is a common degenerative disease, and Discover artificial cervical disc, a new-generation nonconstrained artificial disk, has been developed and performed gradually to treat it. We performed this meta-analysis to compare the efficacy and safety between Discover cervical disc arthroplasty (DCDA) and anterior cervical discectomy and fusion (ACDF) for SCDD. Methods An exhaustive literature search of PubMed, EMBASE, and the Cochrane Library was conducted to identify randomized controlled trials that compared DCDA with ACDF for patients suffering SCDD. A random-effect model was used. Results were reported as standardized mean difference or risk ratio with 95% confidence interval. Results Of 33 articles identified, six studies were included. Compared with ACDF, DCDA demonstrated shorter operation time (P 0.05). Subgroup analyses did not demonstrated significant differences. Conclusion In conclusion, DCDA presented shorter operation time, and better ROM at the operative level. However, no significant differences were observed in blood loss, NDI scores, neck and arm pain scores, JOA scores, secondary surgery procedures and adverse events between the two groups. Additionally, more studies of high quality with mid- to long-term follow-up are required in future. PMID:28358860

  2. Effects of retractor application on cuff pressure and vocal cord function in patients undergoing anterior cervical discectomy and fusion

    Directory of Open Access Journals (Sweden)

    Rakesh Garg

    2010-01-01

    Full Text Available Anterior cervical discectomy and fusion is a commonly performed procedure for prolapse of cervical intervertebral disc. It involves retraction of soft tissue of neck for adequate exposure of anterior spinal canal. Increased cuff pressure with retractor application may affect the postoperative vocal cord function. Cuff pressures of tracheal tube were measured continuously in 37 patients using air-filled pressure transducer connected to the pilot balloon. Changes of pressure from baseline values were noted after application of cervical retractor. At the end of procedure, vocal cord movement was observed using fibreoptic bronchoscope. Significant increase in cuff pressure (168% of baseline values and airway pressure of tracheal tube during cervical retraction was observed. The vocal cord function was assessed using fibreoptic laryngoscope. One patient developed right vocal cord palsy (2.7% and two patients had postoperative hoarseness of voice (5.4%. All these complications improved over a period of time. It is suggested that the cuff of tracheal tube should be inflated to achieve ′just seal′, with adequate cuff pressure monitoring. Intermittent release of cervical retraction may help to prevent laryngeal morbidities.

  3. Effects of retractor application on cuff pressure and vocal cord function in patients undergoing anterior cervical discectomy and fusion.

    Science.gov (United States)

    Garg, Rakesh; Rath, Girija P; Bithal, Parmod K; Prabhakar, Hemanshu; Marda, Manish K

    2010-07-01

    Anterior cervical discectomy and fusion is a commonly performed procedure for prolapse of cervical intervertebral disc. It involves retraction of soft tissue of neck for adequate exposure of anterior spinal canal. Increased cuff pressure with retractor application may affect the postoperative vocal cord function. Cuff pressures of tracheal tube were measured continuously in 37 patients using air-filled pressure transducer connected to the pilot balloon. Changes of pressure from baseline values were noted after application of cervical retractor. At the end of procedure, vocal cord movement was observed using fibreoptic bronchoscope. Significant increase in cuff pressure (168% of baseline values) and airway pressure of tracheal tube during cervical retraction was observed. The vocal cord function was assessed using fibreoptic laryngoscope. One patient developed right vocal cord palsy (2.7%) and two patients had postoperative hoarseness of voice (5.4%). All these complications improved over a period of time. It is suggested that the cuff of tracheal tube should be inflated to achieve 'just seal', with adequate cuff pressure monitoring. Intermittent release of cervical retraction may help to prevent laryngeal morbidities.

  4. SCREENING OF MEDIUM COMPOUNDS USING A TWO-LEVEL FACTORIAL DESIGN FOR SACCHAROMYCES BOULARDII

    Directory of Open Access Journals (Sweden)

    GUOWEI SHU

    2016-04-01

    Full Text Available Even if the probiotic effect of Saccharomyces boulardii is has been reported, this yeast is rarely used in medium composition. Based on single factor experiment, two-level factorial design was employed to evaluate the effect of carbon sources (sucrose, glucose, nitrogen sources (soy peptone, beef extract, yeast extract, calf serum, malt extract and salts (K2HPO4, KH2PO4, MgSO4, Na2HPO4, NaH2PO4, CaCl2, sodium citrate, sodium glutamate on the growth of S. boulardii. At the same time, the optical density (OD in the medium was measured at 560 nm after 36 h of incubation. The result of two-level factorial design experiment showed that calf serum (p = 0.0214 and sodium citrate (p = 0.0045 are the significant growth factors of S. boulardii, sucrose (p = 0.0861 and malt extract (p = 0.0763 are important factors. In addition, sucrose and sodium citrate showed positive effect on the growth of S. boulardii. However, calf serum and malt extract showed negative effect on the growth. And we determined that the optimum medium composition for S. boulardii was as follow: 37.5 g·L-1 sucrose, 6 g·L-1 calf serum, 6 g·L-1 malt extract, 5 g·L-1 sodium citrate.

  5. The Master Equation for Two-Level Accelerated Systems at Finite Temperature

    Science.gov (United States)

    Tomazelli, J. L.; Cunha, R. O.

    2016-10-01

    In this work, we study the behaviour of two weakly coupled quantum systems, described by a separable density operator; one of them is a single oscillator, representing a microscopic system, while the other is a set of oscillators which perform the role of a reservoir in thermal equilibrium. From the Liouville-Von Neumann equation for the reduced density operator, we devise the master equation that governs the evolution of the microscopic system, incorporating the effects of temperature via Thermofield Dynamics formalism by suitably redefining the vacuum of the macroscopic system. As applications, we initially investigate the behaviour of a Fermi oscillator in the presence of a heat bath consisting of a set of Fermi oscillators and that of an atomic two-level system interacting with a scalar radiation field, considered as a reservoir, by constructing the corresponding master equation which governs the time evolution of both sub-systems at finite temperature. Finally, we calculate the energy variation rates for the atom and the field, as well as the atomic population levels, both in the inertial case and at constant proper acceleration, considering the two-level system as a prototype of an Unruh detector, for admissible couplings of the radiation field.

  6. Improved Genetic Algorithm with Two-Level Approximation for Truss Optimization by Using Discrete Shape Variables

    Directory of Open Access Journals (Sweden)

    Shen-yan Chen

    2015-01-01

    Full Text Available This paper presents an Improved Genetic Algorithm with Two-Level Approximation (IGATA to minimize truss weight by simultaneously optimizing size, shape, and topology variables. On the basis of a previously presented truss sizing/topology optimization method based on two-level approximation and genetic algorithm (GA, a new method for adding shape variables is presented, in which the nodal positions are corresponding to a set of coordinate lists. A uniform optimization model including size/shape/topology variables is established. First, a first-level approximate problem is constructed to transform the original implicit problem to an explicit problem. To solve this explicit problem which involves size/shape/topology variables, GA is used to optimize individuals which include discrete topology variables and shape variables. When calculating the fitness value of each member in the current generation, a second-level approximation method is used to optimize the continuous size variables. With the introduction of shape variables, the original optimization algorithm was improved in individual coding strategy as well as GA execution techniques. Meanwhile, the update strategy of the first-level approximation problem was also improved. The results of numerical examples show that the proposed method is effective in dealing with the three kinds of design variables simultaneously, and the required computational cost for structural analysis is quite small.

  7. Thermal analysis of multi-MW two-level wind power converter

    DEFF Research Database (Denmark)

    Zhou, Dao; Blaabjerg, Frede; Mogens, Lau;

    2012-01-01

    In this paper, the multi-MW wind turbine of partial-scale and full-scale two-level power converter with DFIG and direct-drive PMSG are designed and compared in terms of their thermal performance. Simulations of different configurations regarding loss distribution and junction temperature in the p......In this paper, the multi-MW wind turbine of partial-scale and full-scale two-level power converter with DFIG and direct-drive PMSG are designed and compared in terms of their thermal performance. Simulations of different configurations regarding loss distribution and junction temperature...... in the power device in the whole range of wind speed are presented and analyzed. It is concluded that in both partial-scale and full-scale power converter the most thermal stressed power device in the generator-side converter will have higher mean junction temperature and larger junction temperature...... fluctuation compared to grid-side converter at the rated wind speed. Moreover, the thermal performance of the generator-side converter in the partial-scale power converter becomes crucial around the synchronous operating point and should be considered carefully....

  8. Assessment of two-level heat pump installations’ power efficiency for heat supply systems

    Directory of Open Access Journals (Sweden)

    Аlla Е. Denysova

    2015-06-01

    Full Text Available The problem of energy saving becomes one of the most important in power engineering. It is caused by exhaustion of world reserves in hydrocarbon fuel, such as gas, oil and coal representing sources of traditional heat supply. Conventional sources has essential shortcomings: low power, ecological and economic efficiencies, that can be eliminated by using alternative methods of power supply, like the considered one: low-temperature natural heat of ground waters of on the basis of heat pump installations application. The heat supply system considered provides an effective use of two-level heat pump installation operating as heat source the Odessa city ground waters during the lowest ambient temperature period. Proposed is a calculation method of heat pump installations on the basis of geothermal heat supply. Calculated are the values of electric energy consumption N by the compressors’ drive, and the heat supply system transformation coefficient µ for a source of geothermal heat from ground waters of Odessa city allowing to estimate efficiency of two-level heat pump installations.

  9. Percutaneous lumbar foraminoplasty via posterolateral approach and transforaminal endoscopic discectomy%经皮侧后路腰椎间孔成形与经椎间孔完全内镜下腰椎间盘摘除术

    Institute of Scientific and Technical Information of China (English)

    李振宙; 侯树勋

    2014-01-01

    Conventional open discectomy is a standard surgical method for lumbar disc herniation. But iatrogenic injury to paraspinal muscle and facet joint may cause postoperative chronic low back pain and segamental instability, which can lead to reoccurence of lumbar disc herniation. Epidural scarr fomation arised from flavum resection in open discectomy is inavoidable with 10%of it leading to failed back sugery syndrome. Transforaminal endoscopic discectomy can be performed without iatrogenic injury to paraspinal muscle, facet joint and flavum ligament. Foraminoplasty is a technique that enlarge the low part of intervertebral foramen with different tools so that working channel and endoscope can be introduced into epidural space anterior to dura sac where protruted disc tissue can be targeted resected and nerve root complete decompressed. It can be treated as an alternative surgical technique for lumbar disc herniation.

  10. Why prove it again? alternative proofs in mathematical practice

    CERN Document Server

    Dawson, Jr , John W

    2015-01-01

    This monograph considers several well-known mathematical theorems and asks the question, “Why prove it again?” while examining alternative proofs.   It  explores the different rationales mathematicians may have for pursuing and presenting new proofs of previously established results, as well as how they judge whether two proofs of a given result are different.  While a number of books have examined alternative proofs of individual theorems, this is the first that presents comparative case studies of other methods for a variety of different theorems. The author begins by laying out the criteria for distinguishing among proofs and enumerates reasons why new proofs have, for so long, played a prominent role in mathematical practice.  He then outlines various purposes that alternative proofs may serve.  Each chapter that follows provides a detailed case study of alternative proofs for particular theorems, including the Pythagorean Theorem, the Fundamental Theorem of Arithmetic, Desargues’ Theorem, the...

  11. Pacific Proving Grounds radioisotope imprint in the Philippine Sea sediments.

    Science.gov (United States)

    Pittauer, Daniela; Roos, Per; Qiao, Jixin; Geibert, Walter; Elvert, Marcus; Fischer, Helmut W

    2017-08-23

    Radionuclide concentrations were studied in sediment cores taken at the continental slope of the Philippine Sea off Mindanao Island in the equatorial Western Pacific. High resolution deposition records of anthropogenic radionuclides were collected at this site. Excess (210)Pb together with excess (228)Th and anthropogenic radionuclides provided information about accumulation rates. Concentrations of Am and Pu isotopes were detected by gamma spectrometry, alpha spectrometry and ICP-MS. The Pu ratios indicate a high portion (minimum of 60%) of Pu from the Pacific Proving Grounds (PPG). This implies that the transport of PPG derived plutonium with the Mindanao Current southward is similarly effective as the previously known transport towards the north with the Kuroshio Current. The record is compared to other studies from northwest Pacific marginal seas and Lombok basin in the Indonesian Archipelago. The sediment core top was found to contain a 6 cm thick layer dominated by terrestrial organic matter, which was interpreted as a result of the 2012 Typhoon Pablo-related fast deposition. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Environmental geophysics, offshore Bush River Peninsula, Aberdeen Proving Ground, Maryland

    Energy Technology Data Exchange (ETDEWEB)

    Miller, S.F.; Kuecher, G.J.; Davies, B.E. [and others

    1995-11-01

    Geophysical studies in shallow waters adjacent to the Bush River Peninsula, Edgewood Area of Aberdeen Proving Ground, Maryland, have delineated the extent of waste disposal sites and established a hydrogeologic framework, which may control contaminant transport offshore. These studies indicate that during the Pleistocene Epoch, alternating stands of high and low sea levels resulted in a complex pattern of shallow channel-fill deposits around the Bush River Peninsula. Ground-penetrating radar studies reveal paleochannels greater than 50 ft deep. Some of the paleochannels are also imaged with marine seismic reflection. Conductivity highs measured with the EM-31 are also indicative of paleochannels. This paleochannel depositional system is environmentally significant because it may control the shallow groundwater flow regime beneath the peninsula. Magnetic, conductivity, and side-scan sonar anomalies outline anthropogenic anomalies in the study area. On the basis of geophysical data, underwater anthropogenic materials do exist in some isolated areas, but large-scale offshore dumping has not occurred in the area studied.

  13. Proving the correctness of client/server software

    Indian Academy of Sciences (India)

    Eyad Alkassar; Sebastian Bogan; Wolfgang J Paul

    2009-02-01

    Remote procedure calls (RPCs) lie at the heart of any client/server software. Thus, formal specification and verification of RPC mechanisms is a prerequisite for the verification of any such software. In this paper, we present a mathematical specification of an RPC mechanism and we outline how to prove the correctness of an implementation — say written in C — of this mechanism at the code level. We define a formal model of user processes running concurrently under a simple operating system, which provides inter-process communication and portmapper system calls. A simple theory of non-interference permits us to use conventional sequential program analysis between system calls (within the concurrent model). An RPC mechanism is specified and the correctness proof for server implementations, using this mechanism, is outlined. To the best of our knowledge this is the first treatment of the correctness of an entire RPC mechanism at the code level.

  14. Anterior One-Level Corpectomy Plus Adjacent-Level Discectomy on Multilevel Cervical Spondylosis%颈前路经椎间隙减压加单椎体次全切除术治疗多节段颈椎病的疗效分析

    Institute of Scientific and Technical Information of China (English)

    陈为民; 章筛林; 石志才

    2012-01-01

    目的:评价颈前路经椎间隙减压加单椎体次全切除术治疗多节段颈椎病的临床疗效.方法:2006年12月-2009年12月收治相邻三节段颈椎病患者31例,其中采用颈前路经椎间隙减压加单椎体次全切除植骨融合治疗19例(A组);采用两椎体次全切除植骨融合治疗12例(B组).比较两组患者的手术时间、术中出血量、日本整形外科学会(Japanese OrthopedicAssociation,JOA)评分的改善率、植骨融合情况.结果:所有患者均得到随访,随访12~30个月,平均20个月.A组手术时间、术中出血量评估都显著优于B组(P<0.05);术后3个月植骨融合率A组为100%,B组为91.7%,差异无统计学意义(P>0.05),术后6个月两组植骨融合率均为100%;两组JOA评分均有改善,术后6个月和末次随访时的JOA评分改善率在两组间的差异均无统计学意义(P>0.05).结论:颈前路经椎间隙减压加单椎体次全切除术治疗多节段颈椎病较两椎体次全切除更具优势.%Objective:To study the clinical effects of anterior one-level corpectomy plus adjacent-level discectomy on multilevel cervical spondylosis. Methods: From December 2006 to December 2009, 31 patients with multilevel cervical spondylosis of 3 consecutive segments underwent anterior one-level corpectomy plus adjacent-level discectomy and fusion (group A) or contiguous two-level corpectomy and fusion (group B). Operative time, blood loss, improvement of post-operative Japanese Orthopedic Association(JOA) score and graft fusion rate were compared between the two groups. Results: All the patients were followed up for 12 to 30 months (average 20 months) . The mean operative time and blood loss of group A were statistically less than those of group B (P<0. 05). At 3 months postoperatively Graft fusion rate of group A(100%) was higher than group B (91.7%), but the difference was not statistically significant (P>0.05). At 6 months postoperatively Graft fusion rates of

  15. The NEtherlands Cervical Kinematics (NECK Trial. Cost-effectiveness of anterior cervical discectomy with or without interbody fusion and arthroplasty in the treatment of cervical disc herniation; a double-blind randomised multicenter study

    Directory of Open Access Journals (Sweden)

    van den Akker Elske

    2010-06-01

    Full Text Available Abstract Background Patients with cervical radicular syndrome due to disc herniation refractory to conservative treatment are offered surgical treatment. Anterior cervical discectomy is the standard procedure, often in combination with interbody fusion. Accelerated adjacent disc degeneration is a known entity on the long term. Recently, cervical disc prostheses are developed to maintain motion and possibly reduce the incidence of adjacent disc degeneration. A comparative cost-effectiveness study focused on adjacent segment degeneration and functional outcome has not been performed yet. We present the design of the NECK trial, a randomised study on cost-effectiveness of anterior cervical discectomy with or without interbody fusion and arthroplasty in patients with cervical disc herniation. Methods/Design Patients (age 18-65 years presenting with radicular signs due to single level cervical disc herniation lasting more than 8 weeks are included. Patients will be randomised into 3 groups: anterior discectomy only, anterior discectomy with interbody fusion, and anterior discectomy with disc prosthesis. The primary outcome measure is symptomatic adjacent disc degeneration at 2 and 5 years after surgery. Other outcome parameters will be the Neck Disability Index, perceived recovery, arm and neck pain, complications, re-operations, quality of life, job satisfaction, anxiety and depression assessment, medical consumption, absenteeism, and costs. The study is a randomised prospective multicenter trial, in which 3 surgical techniques are compared in a parallel group design. Patients and research nurses will be kept blinded of the allocated treatment for 2 years. The follow-up period is 5 years. Discussion Currently, anterior cervical discectomy with fusion is the golden standard in the surgical treatment of cervical disc herniation. Whether additional interbody fusion or disc prothesis is necessary and cost-effective will be determined by this trial

  16. Automated Theorem Proving in High-Quality Software Design

    Science.gov (United States)

    Schumann, Johann; Swanson, Keith (Technical Monitor)

    2001-01-01

    The amount and complexity of software developed during the last few years has increased tremendously. In particular, programs are being used more and more in embedded systems (from car-brakes to plant-control). Many of these applications are safety-relevant, i.e. a malfunction of hardware or software can cause severe damage or loss. Tremendous risks are typically present in the area of aviation, (nuclear) power plants or (chemical) plant control. Here, even small problems can lead to thousands of casualties and huge financial losses. Large financial risks also exist when computer systems are used in the area of telecommunication (telephone, electronic commerce) or space exploration. Computer applications in this area are not only subject to safety considerations, but also security issues are important. All these systems must be designed and developed to guarantee high quality with respect to safety and security. Even in an industrial setting which is (or at least should be) aware of the high requirements in Software Engineering, many incidents occur. For example, the Warshaw Airbus crash, was caused by an incomplete requirements specification. Uncontrolled reuse of an Ariane 4 software module was the reason for the Ariane 5 disaster. Some recent incidents in the telecommunication area, like illegal "cloning" of smart-cards of D2GSM handies, or the extraction of (secret) passwords from German T-online users show that also in this area serious flaws can happen. Due to the inherent complexity of computer systems, most authors claim that only a rigorous application of formal methods in all stages of the software life cycle can ensure high quality of the software and lead to real safe and secure systems. In this paper, we will have a look, in how far automated theorem proving can contribute to a more widespread application of formal methods and their tools, and what automated theorem provers (ATPs) must provide in order to be useful.

  17. Proving field trials for the Sigra geosteering tool

    Energy Technology Data Exchange (ETDEWEB)

    Ian Gray; Paul Clemence; Gary Paradise; Sean Charlton; Robert Dixon; Peter Hatherly [CSIRO Exploration & Mining (Australia)

    2000-06-01

    Geosteering is an oilfield term that refers to directional drilling guidance systems that have on board sensors to determine the rock type either being drilled or in proximity to the drilling head. The inability to provide equivalent geosteering capabilities that could allow in-seam drill holes to maintain an intended trajectory within a coal seam is one of the outstanding problems in in-seam drilling. In 1996, Sigra and CMTE began a joint research project aimed at developing a tool to provide geosteering options for in-seam drilling. The tool was to provide a survey capability, drill torque, thrust and rpm measurements, and geophysical measurements of rock resistivity and the spectrum of the natural gamma radiation. It was intended that the tool could reside behind the drill bit and communicate through the drill string via existing communication systems or a cableless system that Sigra was proposing to develop. The development of geosteering tools has proved to be far more difficult than originally expected. There have been technical issues, issues of developing tools for the intrinsically safe environment and difficulties in being able to undertake trials on drill rigs or in holes, from either the ground surface or underground. Over AU $1,000,000 has been expended on this project and it has only been able to deliver prototype systems which require significant further development before the ultimate goal of a seeing these tools in routine use can be achieved. The results from various tests, however, are extremely encouraging and indicate that geosteering is achievable given appropriate commitment.

  18. Yuma proving grounds automatic UXO detection using biomorphic robots

    Energy Technology Data Exchange (ETDEWEB)

    Tilden, M.W.

    1996-07-01

    The current variety and dispersion of Unexploded Ordnance (UXO) is a daunting technological problem for current sensory and extraction techniques. The bottom line is that the only way to insure a live UXO has been found and removed is to step on it. As this is an upsetting proposition for biological organisms like animals, farmers, or Yuma field personnel, this paper details a non-biological approach to developing inexpensive, automatic machines that will find, tag, and may eventually remove UXO from a variety of terrains by several proposed methods. The Yuma proving grounds (Arizona) has been pelted with bombs, mines, missiles, and shells since the 1940s. The idea of automatic machines that can clean up after such testing is an old one but as yet unrealized because of the daunting cost, power and complexity requirements of capable robot mechanisms. A researcher at Los Alamos National Laboratory has invented and developed a new variety of living robots that are solar powered, legged, autonomous, adaptive to massive damage, and very inexpensive. This technology, called Nervous Networks (Nv), allows for the creation of capable walking mechanisms (known as Biomorphic robots, or Biomechs for short) that rather than work from task principles use instead a survival-based design philosophy. This allows Nv based machines to continue doing work even after multiple limbs and sensors have been removed or damaged, and to dynamically negotiate complex terrains as an emergent property of their operation (fighting to proceed, as it were). They are not programmed, and indeed, the twelve transistor Nv controller keeps their electronic cost well below that of most pocket radios. It is suspected that advanced forms of these machines in huge numbers may be an interesting, capable solution to the problem of general and specific UXO identification, tagging, and removal.

  19. Bronchoscopic diagnostic procedures and microbiological examinations in proving endobronchial tuberculosis

    Directory of Open Access Journals (Sweden)

    Abdullah Şimşek

    Full Text Available ABSTRACT Objective: To determine the proportional distribution of endobronchial tuberculosis (EBTB subtypes and to evaluate the types of bronchoscopic diagnostic procedures that can prove granulomatous inflammation. Methods: This was a retrospective study of 18 HIV-negative patients with biopsy-proven EBTB treated between 2010 and 2014. Results: The most common EBTB subtypes, as classified by the bronchoscopic features, were tumorous and granular (in 22.2% for both. Sputum smear microscopy was performed in 11 patients and was positive for AFB in 4 (36.3%. Sputum culture was also performed in 11 patients and was positive for Mycobacterium tuberculosis in 10 (90.9%. Smear microscopy of BAL fluid (BALF was performed in 16 patients and was positive for AFB in 10 (62.5%. Culture of BALF was also performed in 16 patients and was positive for M. tuberculosis in 15 (93.7%. Culture of BALF was positive for M. tuberculosis in 93.7% of the 16 patients tested. Among the 18 patients with EBTB, granulomatous inflammation was proven by the following bronchoscopic diagnostic procedures: bronchial mucosal biopsy, in 8 (44.4%; bronchial brushing, in 7 (38.8%; fine-needle aspiration biopsy, in 2 (11.1%; and BAL, in 2 (11.1%. Bronchial anthracofibrosis was observed in 5 (27.7% of the 18 cases evaluated. Conclusions: In our sample of EBTB patients, the most common subtypes were the tumorous and granular subtypes. We recommend that sputum samples and BALF samples be evaluated by smear microscopy for AFB and by culture for M. tuberculosis, which could increase the rates of early diagnosis of EBTB. We also recommend that bronchial brushing be employed together with other bronchoscopic diagnostic procedures in patients suspected of having EBTB.

  20. EVALUATION OF TWO-LEVEL GLOBAL LOAD BALANCING FRAMEWORK IN CLOUD ENVIRONMENT

    Directory of Open Access Journals (Sweden)

    Po-Huei Liang

    2015-05-01

    Full Text Available With technological advancements and constant changes of Internet, cloud computing has been today's trend. With the lower cost and convenience of cloud computing services, users have increasingly put their Web resources and information in the cloud environment. The availability and reliability of the client systems will become increasingly important. Today cloud applications slightest interruption, the impact will be significant for users. It is an important issue that how to ensure reliability and stability of the cloud sites. Load balancing would be one good solution. This paper presents a framework for global server load balancing of the Web sites in a cloud with two-level load balancing model. The proposed framework is intended for adapting an open-source load-balancing system and the framework allows the network service provider to deploy a load balancer in different data centers dynamically while the customers need more load balancers for increasing the availability.

  1. The fulfillment of two-level control in experimental optical delay line of Michelson Stellar Interferometer

    Science.gov (United States)

    Chao, Li; Wu, Zhen; Wang, Jianing; Liu, Yi; Chen, Yi

    2010-07-01

    This article is focused on the two-level control system of ODL, which are divided into bottom layer control of linear motor and upper layer control of Piezoelectric Transducer(PZT).This ODL are designed to compensate geometrical optical path difference, which results from the earth rotation, and other disturbances, with high-accuracy and real time. Based on the PLC of PMAC controller, the linear motor tracks the trajectory of the simulated optical path difference to compensate roughly. PZT then compensates the rest error measured by ZLM almost real time. A detailed fulfillment of this method is shown in the article, and the first result data is produced. The result implies that this method is efficient. This article offers the reference for the ODL development with the practical high accuracy of compensation.

  2. A two-level approach towards semantic colon segmentation: removing extra-colonic findings.

    Science.gov (United States)

    Lu, Le; Wolf, Matthias; Liang, Jianming; Dundar, Murat; Bi, Jinbo; Salganicoff, Marcos

    2009-01-01

    Computer aided detection (CAD) of colonic polyps in computed tomographic colonography has tremendously impacted colorectal cancer diagnosis using 3D medical imaging. It is a prerequisite for all CAD systems to extract the air-distended colon segments from 3D abdomen computed tomography scans. In this paper, we present a two-level statistical approach of first separating colon segments from small intestine, stomach and other extra-colonic parts by classification on a new geometric feature set; then evaluating the overall performance confidence using distance and geometry statistics over patients. The proposed method is fully automatic and validated using both the classification results in the first level and its numerical impacts on false positive reduction of extra-colonic findings in a CAD system. It shows superior performance than the state-of-art knowledge or anatomy based colon segmentation algorithms.

  3. Spectroscopic properties of a two-level atom interacting with a complex spherical nanoshell

    CERN Document Server

    Moroz, A

    2004-01-01

    Frequency shifts, radiative decay rates, the Ohmic loss contribution to the nonradiative decay rates, fluorescence yields, and photobleaching of a two-level atom radiating anywhere inside or outside a complex spherical nanoshell, i.e. a stratified sphere consisting of alternating silica and gold concentric spherical shells, are studied. The changes in the spectroscopic properties of an atom interacting with complex nanoshells are significantly enhanced, often more than two orders of magnitude, compared to the same atom interacting with a homogeneous dielectric sphere. The changes strongly depend on the nanoshell parameters and the atom position. When an atom approaches a metal shell,the radiative decay rates are strongly enhanced and they increase faster than the Ohmic loss contribution to the nonradiative decay rates. However, the majority of the emitted radiation does not escape to spatial infinity but instead is absorbed. The enhancement of the radiative decay rates in a close proximity of metal boundaries...

  4. Solvent effects on the optical properties of two-level systems with permanent dipole moments

    Science.gov (United States)

    Mastrodomenico, A.; Izquierdo, M. A.; Paz, J. L.; Colmenares, P.

    2013-11-01

    The inclusion of the permanent dipole moments and the solvent on the optical conventional Bloch equations (OCBE) allowed us to obtain analytical expressions for the optical properties of a two-level molecular system. We employed the methodology developed by Colmenares et al.1, in which they model the collisional effect of the solvent through a stochastical function, ξ(t) = ω0 + σ(t), so the OCBE become a set of coupled integro-differential stochastical equations that we solved, up to third order in the incident field, employing the perturbation theory. Once obtained the analytical expressions for the density matrix elements, macroscopic polarization and effective susceptibility of the system, we studied the optical properties derived in the frequency space, inside and outside the rotating wave approximation.

  5. Equivalence of the measures of non-Markovianty for open two-level systems

    CERN Document Server

    Zeng, Hao-Sheng; Zheng, Yan-Ping; Wang, Guo-You

    2011-01-01

    In order to depict the deviation of quantum time evolution in open systems from Markovian processes, different measures have been presented. We demonstrate that the measure proposed by Breuer, Laine and Piilo [Phys. Rev. Lett. 103, 210401 (2009)] and the two measures proposed by Rivas, Huelga and Plenio [Phys. Rev. Lett. 105, 050403 (2010)] have exactly the same non-Markovian time-evolution intervals and thus are really equivalent each other when they apply to open two-level systems coupled to environments via Jaynes-Cummings or dephasing models. This equivalence implies that the three measures in different ways capture the intrinsical characters of non-Markovianty of quantum evolutional processes. We also show that the maximization in the definition of the first measure can be actually removed for the considered models without influencing the sensibility of the measure to detect non-Markovianty.

  6. Equivalence of the measures of non-Markovianity for open two-level systems

    Energy Technology Data Exchange (ETDEWEB)

    Zeng Haosheng; Tang Ning; Zheng Yanping; Wang Guoyou [Key Laboratory of Low-Dimensional Quantum Structures and Quantum Control of Ministry of Education, and Department of Physics, Hunan Normal University, Changsha 410081 (China)

    2011-09-15

    Different measures have been presented to depict the deviation of quantum time evolution in open systems from Markovian processes. We demonstrate that the measure proposed by Breuer, Laine, and Piilo [Phys. Rev. Lett. 103, 210401 (2009)] and the two measures proposed by Rivas, Huelga, and Plenio [Phys. Rev. Lett. 105, 050403 (2010)] have exactly the same non-Markovian time-evolution intervals and thus are really equivalent to each other when they are applied to open two-level systems coupled to environments via the Jaynes-Cummings or dephasing models. This equivalence implies that the three measures, in different ways, capture the intrinsic character of the non-Markovianity of quantum evolutional processes. We also show that the maximization in the definition of the first measure can be actually removed for the considered models without influencing the sensibility of the measure to detect non-Markovianity.

  7. Photon absorption and emission statistics of a two-level atom in a cavity

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Chang J. [Sun Moon University, Asan (Korea, Republic of)

    2012-03-15

    The absorption and the emission of photons by an atom involves quantum jumps between states. We investigate the quantum jump statistics for the system of a two-level atom and a single-mode cavity field. We use the Jaynes-Cummings model for this problem, perform Monte Carlo numerical simulations, and give a detailed exact analysis on these simulations. These studies reveal that the waiting-time distribution (WTD) for photon absorptions (emissions) has a unique novel statistic, and that the photon absorption (emission) rate is not uniform, but counter-intuitively depends on the position in the Rabi cycle. The effects of the nonclassical nature of the field on the WTD is discussed.

  8. Strong nonlinearity-induced correlations for counterpropagating photons scattering on a two-level emitter

    DEFF Research Database (Denmark)

    Nysteen, Anders; McCutcheon, Dara; Mørk, Jesper

    2015-01-01

    We analytically treat the scattering of two counterpropagating photons on a two-level emitter embedded in an optical waveguide. We find that the nonlinearity of the emitter can give rise to significant pulse-dependent directional correlations in the scattered photonic state, which could...... be quantified via a reduction in coincidence clicks in a Hong–Ou–Mandel measurement setup, analogous to a linear beam splitter. Changes to the spectra and phase of the scattered photons, however, would lead to reduced interference with other photons when implemented in a larger optical circuit. We introduce...... suitable fidelity measures which account for these changes and find that high values can still be achieved even when accounting for all properties of the scattered photonic state....

  9. Giant Cooperative Lamb Shift in a density-modulated slab of two-level atoms

    Energy Technology Data Exchange (ETDEWEB)

    Manassah, Jamal T., E-mail: jmanassah@gmail.co [Department of Electrical Engineering, City College of New York, NY 10031 (United States)

    2010-04-19

    A 'slab' of two-level atoms prepared in a superradiant Dicke state exhibits interesting enhancement of the Cooperative Decay Rate (CDR) when its density is modulated at the Bragg condition. In this Letter, complete analytical formulas are given, not only for CDR but also for the Cooperative Lamb Shift (CLS), both at and near the Bragg condition, as a function of the depth of modulation, the thickness of the slab, and the detuning from the Bragg condition. A major new result is that for detuning O(1/m) (where m=thickness/wavelength) the CLS takes on 'giant' values, proportional to m. The reason for this giant CLS is explored.

  10. Controlling spontaneous emission of a two-level atom by hyperbolic metamaterials

    CERN Document Server

    Liu, Zheng; Jiang, Xunya

    2012-01-01

    Within the frame of quantum optics we analyze the properties of spontaneous emission of two-level atom in media with indefinite permittivity tensor where the geometry of the dispersion relation is characterized by an ellipsoid or a hyperboloid(hyperbolic medium). The decay rate is explicitly given with the orientation of the dipole transition matrix element taken into account. It indicates that for the ellipsoid case the intensity of the photons coupled into different modes can be tuned by changing the direction of the matrix element and for the hyperboloid case it is found that spontaneous emission in hyperbolic medium can be dramatically enhanced compared to the dielectric background. Moreover, spontaneous emission exhibit the strong directivity and get the maximum in the asymptote direction.

  11. Two-Level Automatic Adaptation of a Distributed User Profile for Personalized News Content Delivery

    Directory of Open Access Journals (Sweden)

    Maria Papadogiorgaki

    2008-01-01

    Full Text Available This paper presents a distributed client-server architecture for the personalized delivery of textual news content to mobile users. The user profile consists of two separate models, that is, the long-term interests are stored in a skeleton profile on the server and the short-term interests in a detailed profile in the handset. The user profile enables a high-level filtering of available news content on the server, followed by matching of detailed user preferences in the handset. The highest rated items are recommended to the user, by employing an efficient ranking process. The paper focuses on a two-level learning process, which is employed on the client side in order to automatically update both user profile models. It involves the use of machine learning algorithms applied to the implicit and explicit user feedback. The system's learning performance has been systematically evaluated based on data collected from regular system users.

  12. TWO-LEVEL HIERARCHICAL COORDINATION QUEUING METHOD FOR TELECOMMUNICATION NETWORK NODES

    Directory of Open Access Journals (Sweden)

    M. V. Semenyaka

    2014-07-01

    Full Text Available The paper presents hierarchical coordination queuing method. Within the proposed method a queuing problem has been reduced to optimization problem solving that was presented as two-level hierarchical structure. The required distribution of flows and bandwidth allocation was calculated at the first level independently for each macro-queue; at the second level solutions obtained on lower level for each queue were coordinated in order to prevent probable network link overload. The method of goal coordination has been determined for multilevel structure managing, which makes it possible to define the order for consideration of queue cooperation restrictions and calculation tasks distribution between levels of hierarchy. Decisions coordination was performed by the method of Lagrange multipliers. The study of method convergence has been carried out by analytical modeling.

  13. Two-level system noise reduction for Microwave Kinetic Inductance Detectors

    CERN Document Server

    Noroozian, Omid; Zmuidzinas, Jonas; LeDuc, Henry G; Mazin, Benjamin A

    2009-01-01

    Noise performance is one of the most crucial aspects of any detector. Superconducting Microwave Kinetic Inductance Detectors (MKIDs) have an "excess" frequency noise that shows up as a small time dependent jitter of the resonance frequency characterized by the frequency noise power spectrum measured in units of Hz^2/Hz. Recent studies have shown that this noise almost certainly originates from a surface layer of two-level system (TLS) defects on the metallization or substrate. Fluctuation of these TLSs introduces noise in the resonator due to coupling of the TLS electric dipole moments to the resonator's electric field. Motivated by a semi-empirical quantitative theory of this noise mechanism, we have designed and tested new resonator geometries in which the high-field "capacitive" portion of the CPW resonator is replaced by an interdigitated capacitor (IDC) structure with 10 - 20 micron electrode spacing, as compared to the 2 micron spacing used for our more conventional CPW resonators. Measurements show tha...

  14. Parallel two-level domain decomposition based Jacobi-Davidson algorithms for pyramidal quantum dot simulation

    Science.gov (United States)

    Zhao, Tao; Hwang, Feng-Nan; Cai, Xiao-Chuan

    2016-07-01

    We consider a quintic polynomial eigenvalue problem arising from the finite volume discretization of a quantum dot simulation problem. The problem is solved by the Jacobi-Davidson (JD) algorithm. Our focus is on how to achieve the quadratic convergence of JD in a way that is not only efficient but also scalable when the number of processor cores is large. For this purpose, we develop a projected two-level Schwarz preconditioned JD algorithm that exploits multilevel domain decomposition techniques. The pyramidal quantum dot calculation is carefully studied to illustrate the efficiency of the proposed method. Numerical experiments confirm that the proposed method has a good scalability for problems with hundreds of millions of unknowns on a parallel computer with more than 10,000 processor cores.

  15. Quantum mechanical treatment of traveling light in an absorptive medium of two-level systems

    Science.gov (United States)

    Inoue, K.

    2016-12-01

    Quantum mechanical treatment of a light wave that propagates through an absorptive medium is presented. Unlike a phenomenological beam-splitter model conventionally employed to describe a traveling light in a lossy medium, the time evolution of the field operator is derived using the Heisenberg equation with the Hamiltonian for a physical system, where the light wave interacts with an ensemble of two-level systems in a medium. Using the obtained time-evolved field operators, the mean values and variances of the light amplitude and the photon number are evaluated. The results are in agreement with those obtained in the beam-splitter model, giving a logical theoretical basis for the phenomenological beam-splitter model.

  16. Optimal state transfer of a single dissipative two-level system

    Science.gov (United States)

    Jirari, Hamza; Wu, Ning

    2016-04-01

    Optimal state transfer of a single two-level system (TLS) coupled to an Ohmic boson bath via off-diagonal TLS-bath coupling is studied by using optimal control theory. In the weak system-bath coupling regime where the time-dependent Bloch-Redfield formalism is applicable, we obtain the Bloch equation to probe the evolution of the dissipative TLS in the presence of a time-dependent external control field. By using the automatic differentiation technique to compute the gradient for the cost functional, we calculate the optimal transfer integral profile that can achieve an ideal transfer within a dimer system in the Fenna-Matthews-Olson (FMO) model. The robustness of the control profile against temperature variation is also analyzed.

  17. Interaction between two SU(1 , 1) quantum systems and a two-level atom

    Science.gov (United States)

    Abdalla, M. Sebawe; Khalil, E. M.; Obada, A. S.-F.

    2016-07-01

    We consider a two-level atom interacting with two coupled quantum systems that can be represented in terms of su(1 , 1) Lie algebra. The wave function that is obtained using the evolution operator for the atom is initially in a superposition state and the coupled su(1 , 1) systems in a pair coherent Barut-Girardello coherent state. We then discuss atomic inversion, where more periods of revivals are observed and compared with a single su(1 , 1) quantum system. For entanglement and squeezing phenomena, the atomic angles coherence and phase as well as the detuning are effective parameters. The second-order correlation function displays Bunching and anti-Bunching behavior.

  18. Phonon induced optical gain in a current carrying two-level quantum dot

    Energy Technology Data Exchange (ETDEWEB)

    Eskandari-asl, Amir, E-mail: amir.eskandari.asl@gmail.com [Department of Physics, Shahid Beheshti University, G.C. Evin, Tehran 1983963113 (Iran, Islamic Republic of); School of Nano Science, Institute for Research in Fundamental Sciences (IPM), P.O. Box: 19395-5531, Tehran, Iran (Iran, Islamic Republic of)

    2017-05-15

    In this work we consider a current carrying two level quantum dot (QD) that is coupled to a single mode phonon bath. Using self-consistent Hartree-Fock approximation, we obtain the I-V curve of QD. By considering the linear response of our system to an incoming classical light, we see that depending on the parametric regime, the system could have weak or strong light absorption or may even show lasing. This lasing occurs at high enough bias voltages and is explained by a population inversion considering side bands, while the total electron population in the higher level is less than the lower one. The frequency at which we have the most significant lasing depends on the level spacing and phonon frequency and not on the electron-phonon coupling strength.

  19. On Two-Level State-Dependent Routing Polling Systems with Mixed Service

    Directory of Open Access Journals (Sweden)

    Guan Zheng

    2015-01-01

    Full Text Available Based on priority differentiation and efficiency of the system, we consider an N+1 queues’ single-server two-level polling system which consists of one key queue and N normal queues. The novel contribution of the present paper is that we consider that the server just polls active queues with customers waiting in the queue. Furthermore, key queue is served with exhaustive service and normal queues are served with 1-limited service in a parallel scheduling. For this model, we derive an expression for the probability generating function of the joint queue length distribution at polling epochs. Based on these results, we derive the explicit closed-form expressions for the mean waiting time. Numerical examples demonstrate that theoretical and simulation results are identical and the new system is efficient both at key queue and normal queues.

  20. Stimuli-Responsive Reversible Two-Level Adhesion from a Structurally Dynamic Shape-Memory Polymer.

    Science.gov (United States)

    Michal, Brian T; Spencer, Emily J; Rowan, Stuart J

    2016-05-01

    A shape-memory adhesive has been prepared that exhibits two levels of reversible adhesion. The adhesive is a semicrystalline cross-linked polymer that contains dynamic disulfide bonds. Melting of the crystalline regions via heat causes a drop in the modulus of the material facilitating wetting of the substrate as well as enhancing the surface contact area with the substrate, which result in the formation of an adhesive bond. Exposure to higher heat or UV light results in dynamic exchange of the disulfide bonds, which yields a further drop in the modulus/viscosity that improves surface wetting/contact and strengthens the adhesive bond. This improvement in adhesion is shown to apply over different substrates, contact forces, and deformation modes. Furthermore, the adhesive acts as a thermal shape-memory material and can be used to create joints that can reposition themselves upon application of heat.

  1. Information Entropy Squeezing of a Two-Level Atom Interacting with Two-Mode Coherent Fields

    Institute of Scientific and Technical Information of China (English)

    LIU Xiao-Juan; FANG Mao-Fa

    2004-01-01

    From a quantum information point of view we investigate the entropy squeezing properties for a two-level atom interacting with the two-mode coherent fields via the two-photon transition. We discuss the influences of the initial state of the system on the atomic information entropy squeezing. Our results show that the squeezed component number,squeezed direction, and time of the information entropy squeezing can be controlled by choosing atomic distribution angle,the relative phase between the atom and the two-mode field, and the difference of the average photon number of the two field modes, respectively. Quantum information entropy is a remarkable precision measure for the atomic squeezing.

  2. Two Level Versus Matrix Converters Performance in Wind Energy Conversion Systems Employing DFIG

    Science.gov (United States)

    Reddy, Gongati Pandu Ranga; Kumar, M. Vijaya

    2017-05-01

    Wind power capacity has received enormous growth during past decades. With substantial development of wind power, it is expected to provide a fifth of world's electricity by the end of 2030. In wind energy conversion system, the power electronic converters play an important role. This paper presents the two level and matrix converters performance in wind energy conversion system employing Doubly Fed Induction Generator (DFIG). The DFIG is a wound rotor induction generator. Because of the advantages of the DFIG over other generators it is being used for most of the wind applications. This paper also discusses control of converters using the space vector pulse width modulation technique. The MATLAB/SIMULINK ® software is used to study the performance of the converters.

  3. Temperature dependent quantum correlations in three dipolar coupled two-level atoms

    CERN Document Server

    Ahmed, Shaik

    2016-01-01

    We investigate the thermal entanglement characteristics of three dipole-coupled two-level atoms arranged in two different configurations - in a line with nearest neighbour coupling and in a closed loop with each atom interacting with both its neighbours. It is observed that in loop configuration, any one of the three atoms is indeed entangled with the other two atoms in the system, which are not mutually entangled, and further that this feature is specific to only the loop configuration, which is markedly absent in the line configuration. A detailed study of the quantum correlations demonstrated how these can be tuned by varying the temperature and the dipole dipole coupling strength, in both the configurations.

  4. Intrinsic decoherence of entanglement of a single quantized field interacting with a two-level atom

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    How the mean photon number, the probability of excited state and intrinsic decoherence coefficient influence the time evolution of entanglement is unknown, when a single-mode quantized optic field and a two-level atom coupling system is governed by Milburn equation. The Jaynes-Cummings model is considered. A lower bound of concurrence is proposed to calculate the entanglement. Simulation results indicate that the entanglement of system increases following the increasing of intrinsic decoherence coefficient or the decreasing of the mean photon number. Besides that, the entanglement of system decreases, while the probability of exited state increases from 0 to 0.1, and increases, while the probability of exited state increases from 0.1 to 1.

  5. Nonvolatile optical memory via recoil-induced resonance in a pure two-level system

    Science.gov (United States)

    de Almeida, A. J. F.; Maynard, M.-A.; Banerjee, C.; Felinto, D.; Goldfarb, F.; Tabosa, J. W. R.

    2016-12-01

    We report on the storage of light via the phenomenon of recoil-induced resonance in a pure two-level system of cold cesium atoms. We use a strong coupling beam and a weak probe beam to couple different external momentum states of the cesium atom via two-photon Raman interaction which leads to the storage of the optical information of the probe beam. We have also measured the probe transmission spectrum, as well as the light storage spectrum which reveals very narrow subnatural resonance features showing absorption and gain. We have demonstrated that this memory presents the unique property of being insensitive to the reading process, which does not destroy the stored information leading to a memory lifetime limited only by the atomic thermal motion.

  6. Effect of Phase Shifted Frequency Modulation on Two Level Atom-Field Interaction

    Institute of Scientific and Technical Information of China (English)

    K.V. Priyesh; Ramesh Babu Thayyullathil

    2012-01-01

    We have studied the effect of phase shifted frequency modulation on two level atom with field interaction using Jaynes-Cummings model. Here the frequency of the interacting field is sinusoidally varying with time with a constant phase. Due to the presence of phase in the frequency modulation, the variation of population inversion with time is different from the standard case. There are no exact collapses and revivals in the variation of population inversion but it oscillates sinusoidally with time. In coherent field atom interaction the population inversion behaves as in the case of Fock state atom interaction, when frequency modulation with a non zero phase is applied. The study done with squeezed field has shown the same behavior of the population inversion.

  7. Quantum logic gates with two-level trapped ions beyond Lamb-Dicke limit

    Institute of Scientific and Technical Information of China (English)

    Zheng Xiao-Juan; Luo Yi-Min; Cai Jian-Wu

    2009-01-01

    In the system with two two-level ions confined in a linear trap,this paper presents a simple scheme to realize the quantum phase gate(QPG)and the swap gate beyond the Lamb-Dicke(LD)limit.These two-qubit quantum logic gates only involve the internal states of two trapped ions.The scheme does not use the vibrational mode as the data bus and only requires a single resonant interaction of the ions with the lasers.Neither the LD approximation nor the auxiliary atomic level is needed in the proposed scheme.Thus the scheme is simple and the interaction time is very short,which is important in view of decoherence.The experimental feasibility for achieving this scheme is also discussed.

  8. Three-body entanglement induced by spontaneous emission in a three two-level atoms system

    Institute of Scientific and Technical Information of China (English)

    Liao Xiang-Ping; Fang Mao-Fa; Zheng Xiao-Juan; Cai Jian-Wu

    2006-01-01

    We study three-body entanglement induced by spontaneous emission in a three two-level atoms system by using the entanglement tensor approach. The results show that the amount of entanglement is strongly dependent on the initial state of the system and the species of atoms. The three-body entanglement is the result of the coherent superposition of the two-body entanglements. The larger the two-body entanglement is, the stronger the three-body entanglement is. On the other hand, if there exists a great difference in three two-body entanglement measures, the three-body entanglement is very weak. We also find that the maximum of the two-body entanglement obtained with nonidentical atoms is greater than that obtained with identical atoms via adjusting the difference in atomic frequency.

  9. The Level-split of the Two-level Entangled Atom in an Optical Field

    Institute of Scientific and Technical Information of China (English)

    CAO Zhuoliang; HUANG Ting; GUO Guangcan; YI Youming

    2002-01-01

    The behavior of a two-level entangled atom in an optical field with circular polarization is studied in this paper. The interaction of an optical field and one of the entangled atoms is analyzed in detail. A general solution of the SchrAo¨Gdinger equation about the motion of the entangled atom is obtained. The properties of the action are dependent on the initial state of the atom. By detecting the entangled atom out of the field, we can obtain the state of the other atom moving in the field. It is shown that the state of the atom out of the field will influence the energies of the split-levels of the atom in the field.

  10. Two-level evaluation on sensor interoperability of features in fingerprint image segmentation.

    Science.gov (United States)

    Yang, Gongping; Li, Ying; Yin, Yilong; Li, Ya-Shuo

    2012-01-01

    Features used in fingerprint segmentation significantly affect the segmentation performance. Various features exhibit different discriminating abilities on fingerprint images derived from different sensors. One feature which has better discriminating ability on images derived from a certain sensor may not adapt to segment images derived from other sensors. This degrades the segmentation performance. This paper empirically analyzes the sensor interoperability problem of segmentation feature, which refers to the feature's ability to adapt to the raw fingerprints captured by different sensors. To address this issue, this paper presents a two-level feature evaluation method, including the first level feature evaluation based on segmentation error rate and the second level feature evaluation based on decision tree. The proposed method is performed on a number of fingerprint databases which are obtained from various sensors. Experimental results show that the proposed method can effectively evaluate the sensor interoperability of features, and the features with good evaluation results acquire better segmentation accuracies of images originating from different sensors.

  11. A two-level formal specification of a defense communications system

    Energy Technology Data Exchange (ETDEWEB)

    Chisholm, G.H. [Argonne National Lab., IL (United States). Decision and Information Sciences Div.; Kemmerer, R.A. [Univ. of California, Santa Barbara, CA (United States). Reliable Software Group

    1994-04-01

    Computer systems are being used in critical situations with sensitive data, which makes it very important to ensure that these systems perform as desired. The defense communications system contains particularly sensitive data. A two-level ASLAN formal specification of a defense communications system is presented. The ASLAN model is designed to enhance the understanding of critical requirements and demands of the defense communications system. For the top-level (high-level) specifications, the structural details of the actual network are actual network are abstracted to allow more time for examining the interactions between the sites and the network. At this level, DataGrams move through the network, although the actual routing decisions are not specified. More details are added in the second-level specification. At this level, structure is added to the network.

  12. Two-Level Verification of Data Integrity for Data Storage in Cloud Computing

    Science.gov (United States)

    Xu, Guangwei; Chen, Chunlin; Wang, Hongya; Zang, Zhuping; Pang, Mugen; Jiang, Ping

    Data storage in cloud computing can save capital expenditure and relive burden of storage management for users. As the lose or corruption of files stored may happen, many researchers focus on the verification of data integrity. However, massive users often bring large numbers of verifying tasks for the auditor. Moreover, users also need to pay extra fee for these verifying tasks beyond storage fee. Therefore, we propose a two-level verification of data integrity to alleviate these problems. The key idea is to routinely verify the data integrity by users and arbitrate the challenge between the user and cloud provider by the auditor according to the MACs and ϕ values. The extensive performance simulations show that the proposed scheme obviously decreases auditor's verifying tasks and the ratio of wrong arbitration.

  13. Reversible Data Hiding Based on Two-level HDWT Coefficient Histograms

    Directory of Open Access Journals (Sweden)

    Xu-Ren Luo

    2011-05-01

    Full Text Available In recent years, reversible data hiding has attracted much more attention than before. Reversibilitysignifies that the original media can be recovered without any loss from the marked media afterextracting the embedded message. This paper presents a new method that adopts two-level wavelettransform and exploits the feature of large wavelet coefficient variance to achieve the goal of highcapacity with imperceptibility. Our method differs from those of previous ones in which the waveletcoefficients histogram not gray-level histogram is manipulated. Besides, clever shifting rules areintroduced into histogram to avoid the decimal problem in pixel values after recovery to achievereversibility. With small alteration of the wavelet coefficients in the embedding process, and therefore lowvisual distortion is obtained in the marked image. In addition, an important feature of our design is thatthe use of threshold is much different from previous studies. The results indicate that our design issuperior to many other state-of-the-art reversible data hiding schemes.

  14. A two-level on-line learning algorithm of Artificial Neural Network with forward connections

    Directory of Open Access Journals (Sweden)

    Stanislaw Placzek

    2014-12-01

    Full Text Available An Artificial Neural Network with cross-connection is one of the most popular network structures. The structure contains: an input layer, at least one hidden layer and an output layer. Analysing and describing an ANN structure, one usually finds that the first parameter is the number of ANN’s layers. A hierarchical structure is a default and accepted way of describing the network. Using this assumption, the network structure can be described from a different point of view. A set of concepts and models can be used to describe the complexity of ANN’s structure in addition to using a two-level learning algorithm. Implementing the hierarchical structure to the learning algorithm, an ANN structure is divided into sub-networks. Every sub-network is responsible for finding the optimal value of its weight coefficients using a local target function to minimise the learning error. The second coordination level of the learning algorithm is responsible for coordinating the local solutions and finding the minimum of the global target function. In the article a special emphasis is placed on the coordinator’s role in the learning algorithm and its target function. In each iteration the coordinator has to send coordination parameters into the first level of subnetworks. Using the input X and the teaching Z vectors, the local procedures are working and finding their weight coefficients. At the same step the feedback information is calculated and sent to the coordinator. The process is being repeated until the minimum of local target functions is achieved. As an example, a two-level learning algorithm is used to implement an ANN in the underwriting process for classifying the category of health in a life insurance company.

  15. Segmental and global lordosis changes with two-level axial lumbar interbody fusion and posterior instrumentation

    Science.gov (United States)

    Melgar, Miguel A; Tobler, William D; Ernst, Robert J; Raley, Thomas J; Anand, Neel; Miller, Larry E; Nasca, Richard J

    2014-01-01

    Background Loss of lumbar lordosis has been reported after lumbar interbody fusion surgery and may portend poor clinical and radiographic outcome. The objective of this research was to measure changes in segmental and global lumbar lordosis in patients treated with presacral axial L4-S1 interbody fusion and posterior instrumentation and to determine if these changes influenced patient outcomes. Methods We performed a retrospective, multi-center review of prospectively collected data in 58 consecutive patients with disabling lumbar pain and radiculopathy unresponsive to nonsurgical treatment who underwent L4-S1 interbody fusion with the AxiaLIF two-level system (Baxano Surgical, Raleigh NC). Main outcomes included back pain severity, Oswestry Disability Index (ODI), Odom's outcome criteria, and fusion status using flexion and extension radiographs and computed tomography scans. Segmental (L4-S1) and global (L1-S1) lumbar lordosis measurements were made using standing lateral radiographs. All patients were followed for at least 24 months (mean: 29 months, range 24-56 months). Results There was no bowel injury, vascular injury, deep infection, neurologic complication or implant failure. Mean back pain severity improved from 7.8±1.7 at baseline to 3.3±2.6 at 2 years (p lordosis, defined as a change in Cobb angle ≤ 5°, was identified in 84% of patients at L4-S1 and 81% of patients at L1-S1. Patients with loss or gain in segmental or global lordosis experienced similar 2-year outcomes versus those with less than a 5° change. Conclusions/Clinical Relevance Two-level axial interbody fusion supplemented with posterior fixation does not alter segmental or global lordosis in most patients. Patients with postoperative change in lordosis greater than 5° have similarly favorable long-term clinical outcomes and fusion rates compared to patients with less than 5° lordosis change. PMID:25694920

  16. MODELLING AND SIMULATION OF TWO-LEVEL SPACE VECTOR PWM INVERTER USING PHOTOVOLTAIC CELLS AS DC SOURCE

    Directory of Open Access Journals (Sweden)

    Ayse KOCALMIS BILHAN

    2013-01-01

    Full Text Available A space vector PWM method for a two level inverter is proposed in this paper. A two level inverter using space vector modulation strategy has been modeled and simulated with a passive R-L load. Photovoltaic cells are used as DC source for input of two-level inverter. Simulation results are presented for various operation conditions to verify the system model. In this paper, MATLAB/Simulink package program has been used for modeling and simulation of PV cells and two-level space vector pulse width modulation (SVPWM inverter.

  17. Hospital characteristics related to the hospital length of stay among inpatients receiving invasive cervical discectomy due to road traffic accidents under automobile insurance in South Korea.

    Science.gov (United States)

    Shin, Kyoung Won; Lee, Hyo Jung; Nam, Chung Mo; Moon, Ki Tae; Park, Eun-Cheol

    2017-08-16

    In South Korea, people injured in road traffic accidents receive compensation for medical costs through their automobile insurance. However, the automobile insurance system appears to manage health care inefficiently. This study aimed to investigate the factors associated with the hospital length of stay (LOS), which was used as an indicator of healthcare utilization, for inpatients covered by automobile insurance and undergoing invasive cervical discectomy. Insurance claims data from 158 hospitals were used. The study included 850 inpatients who were involved in automobile accidents in 2014 and 2015 and who underwent invasive cervical discectomy. Poisson regression analysis was performed to examine the associations between the LOS and hospital-level characteristics. The mean LOS for inpatients covered by automobile insurance was 25.75 days. A higher proportion of inpatients with automobile insurance were associated with a longer LOS (rate ratio [RR]: 1.027 per 1% increase, 95% confidence interval [CI]: 1.012-1.042). A higher hospital volume of invasive cervical discectomy (RR: 0.970 per 10 case increase, 95% CI: 0.945-0.997), bed turnover rate (RR: 0.988 per 1 increase, 95% CI: 0.979-0.997), and number of neurosurgeons or orthopedic specialists (RR: 0.930 per 1/100 beds increase, 95% CI: 0.876-0.987) were associated with a shorter LOS. Our findings suggest that inpatients covered by automobile insurance were associated with a longer LOS when treated at small-sized, low-provider, and low-volume hospitals with high proportions of such patients. Based on these findings, policymakers and healthcare professionals ought to consider improved strategies for efficient management of automobile insurance for inpatients in small-sized hospitals.

  18. Effect of dorsal laminectomy and dorsal annulectomy with partial lumbosacral discectomy on the volume of the lateral intervertebral neuroforamina in dogs when the lumbosacral junction is extended.

    Science.gov (United States)

    Worth, Andrew J; Hartman, Angela; Bridges, Janis P; Jones, Boyd R; Mayhew, Joe I G

    2017-02-01

    To determine the effect of dorsal annulectomy and partial discectomy on the volume of the lumbosacral lateral intervertebral neurovascular foramina (intervertebral foramina) in canine cadavers during extension of the lumbosacral junction. Ex vivo experiment. Lumbosacral specimens from 10 large breed dogs euthanatized for reasons unrelated to lumbosacral disease. The lumbosacral specimens were clamped in a wooden jig and scanned using computed tomography (CT) with the lumbosacral junction in a neutral position and loaded in extension using a tensioning device. The 3-dimensional volumes of the lumbosacral intervertebral neurovascular foramina were measured and the extent of any disc degeneration was determined from the CT data. A limited dorsal laminectomy of S1 and a dorsal LS annulectomy and partial discectomy were then performed. The lumbosacral specimens were remounted into the jig and loaded into extension at the same tension and were re-scanned. Measurements of intervertebral foraminal volume were then repeated. The mean volume of the lumbosacral foramina (n = 20) was 381 mm(3) in neutral (unloaded) positioning and 137 mm(3) when loaded in extension. Following dorsal annulectomy, the mean volume was significantly reduced by a mean of 28% to 98 mm(3) (P < .01). The foraminal volume was reduced in 19/20 lumbosacral foramen, with the post-annulectomy volume ranging from 31% to 97% of the pre-annulectomy volume (3%-69% reduction). This study suggests that a dorsal annulectomy with partial discectomy may induce further dynamic collapse of the lumbosacral articulation in the dog. © 2017 The American College of Veterinary Surgeons.

  19. Postoperative Analgesia After Wound Infiltration With Tramadol and Dexmedetomidine as an Adjuvant to Ropivacaine for Lumbar Discectomies: A Randomized-controlled Clinical Trial.

    Science.gov (United States)

    Mitra, Saikat; Purohit, Shobha; Sharma, Mamta

    2017-10-01

    Crippling postoperative pain linked with lumbar discectomies not only shackles patient's normal daily activities but also lengthens their hospital stay. So, allaying postoperative pain in these patients has become a substantive component in neuroanesthesia to expedite neurological recovery. Wound infiltration with local anesthetics is widely used to optimize postoperative pain. Different adjuvants like dexmedetomidine and tramadol when added to local anesthetics prolongs postoperative analgesia. The aim of this trial was to evaluate the analgesic efficacy of tramadol and dexmedetomidine when added to ropivacaine for wound infiltration in lumbar discectomies. This study was prospective, randomized, double-blind, controlled in nature conducted among 45 adult patients belonging to American Society of Anesthesiologists' physical status 1 and 2, of either sex aged between 30 and 70 years undergoing elective lumbar discectomies. They were randomly allocated into 3 equal groups: group R received 100 mg of 0.5% ropivacaine (20 mL) and 2 mL normal saline, group RT received 100 mg of 0.5% ropivacaine (20 mL) and 2 mg/kg tramadol (2 mL), and group RD received 100 mg of 0.5% ropivacaine (20 mL) and 0.5 μg/kg dexmedetomidine (2 mL) (total volume, 22 mL). Visual analog scale at 0, 2, 4, 6, 12, 18, and 24 hours; time to first rescue analgesia, total supplemental analgesic consumption and side effects (if any) were assessed during first 24 hours postoperatively. The median time to first rescue analgesia (median; 95% confidence interval [CI]) in group RD was 930 (854.3 to 1005.7) minutes. This was significantly longer (P=0.000) than group RT (420 [366.3 to 473.7] min) or group R (270 [243.2 to 296.8] min). Postoperative diclofenac consumed (median [interquartile range]) was 150 (150 to 200) mg in group R, 150 (75 to 150) mg in group RT and 75 (75 to 150) mg in group RD (P=0.008). Significant differences in mean visual analog scale scores were observed among the 3 groups at hours 0

  20. Scoliotic posture as the initial symptom in adolescents with lumbar disc herniation: its curve pattern and natural history after lumbar discectomy

    Directory of Open Access Journals (Sweden)

    Ding Yitao

    2011-09-01

    Full Text Available Abstract Background There have been few studies focusing on the curve pattern of scoliosis caused by lumbar disc herniation (LDH in adolescents and the natural history of scoliosis after discectomy. The current study was carried out to identify the curve pattern of scoliosis and investigate the effect of posterior discectomy on the curve improvement in adolescents with LDH. Methods This review focused on a group of 26 adolescents with LDH who initially presented to our clinic for evaluation of scoliosis, followed by posterior discectomy between 2000 and 2009. Radiographic measurements included curve pattern, specific curve features, trunk shift, and sagittal profile. The correlation between the side of disc herniation and the direction of lumbosacral curve and the trunk shift was evaluated. Results A typical curve pattern was initially identified in all of the patients as a short lumbosacral curve accompanied with a long thoracic or thoracolumbar curve toward the opposite side. 23 of 26 patients (88.5% had a trunk shift more than 2.0 cm away from the midline, showing a poor coronal balance. A relatively straight sagittal profile was noted in all the patients. 84.6% (22/26 patients had a disc herniation at the convex side of lumbosacral curve. Similarly, 73.1% (19/26 patients showed a trunk shift toward the opposite side of disc herniation. All of the patients had an marked curve improvement immediately after discectomy. In the 17 patients with a more than 2-year follow-up, only two had a residual lumbosacral curve greater than or equal to 20 degrees. The mean ODI improved from 21.4% before surgery to 7.3% at the final follow-up. Conclusions A short lumbosacral curve accompanied with a long thoracic or thoracolumbar curve toward the opposite side, and a relatively straight sagittal profile have been noted in all the patients. The direction of lumbosacral curve and trunk shift was related to the side of disc herniation. A majority of patients have

  1. Comparison of rhBMP-2 versus Autogenous Iliac Crest Bone Graft for 2-Level Anterior Cervical Discectomy and Fusion for Cervical Spondylotic Myelopathy

    OpenAIRE

    2015-01-01

    Background Few studies have examined the efficacy of recombinant human bone morphogenetic protein-2 (rhBMP-2) in 2-level anterior cervical discectomy and fusion (ACDF). The purpose of this study was to compare the outcomes in a series of patients with CSM treated with 2-level ACDF with or without rhBMP-2. Material/Methods The retrospective study included a total of 146 patients with CSM. The rhBMP-2 group consisted of 73 patients who underwent 2-level ACDF with rhBMP-2. A total of 73 patients...

  2. Low frequency critical current noise and two level system defects in Josephson junctions

    Science.gov (United States)

    Nugroho, Christopher Daniel

    The critical current in a Josephson junction is known to exhibit a 1/falpha low frequency noise. Implemented as a superconducting qubit, this low frequency noise can lead to decoherence. While the 1/f noise has been known to arise from an ensemble of two level systems connected to the tunnel barrier, the precise microscopic nature of these TLSs remain a mystery. In this thesis we will present measurements of the 1/f alpha low frequency noise in the critical current and tunneling resistance of Al-AlOx-Al Josephson junctions. Measurements in a wide range of resistively shunted and unshunted junctions confirm the equality of critical current and tunneling resistance noise. That is the critical current fluctuation corresponds to fluctuations of the tunneling resistance. In not too small Al-AlOx-Al junctions we have found that the fractional power spectral density scales linearly with temperature. We confirmed that the 1/falpha power spectrum is the result of a large number of two level systems modulating the tunneling resistance. At small junction areas and low temperatures, the number of thermally active TLSs is insufficient to integrate out a featureless 1/ f spectral shape. By analyzing the spectral variance in small junction areas, we have been able to deduce the TLS defect density, n ≈ 2.53 per micrometer squared per Kelvin spread in the TLS energy per factor e in the TLS lifetimes. This density is consistent with the density of tunneling TLSs found in glassy insulators, as well as the density deduced from coherent TLSs interacting at qubit frequencies. The deduced TLS density combined with the magnitude of the 1/f power spectral density in large area junctions, gives an average TLS effective area, A ˜ 0.3 nanometer squared. In ultra small tunnel junctions, we have studied the time-domain dynamics of isolated TLSs. We have found a TLS whose dynamics is described by the quantum tunneling between the two localized wells, and a one-phonon absorption

  3. Hybrid: A Definitional Two-Level Approach to Reasoning with Higher-Order Abstract Syntax

    CERN Document Server

    Felty, Amy

    2008-01-01

    Combining higher-order abstract syntax and (co)induction in a logical framework is well known to be problematic. Previous work described the implementation of a tool called Hybrid, within Isabelle HOL, which aims to address many of these difficulties. It allows object logics to be represented using higher-order abstract syntax, and reasoned about using tactical theorem proving and principles of (co)induction. In this paper we describe how to use it in a multi-level reasoning fashion, similar in spirit to other meta-logics such as Twelf. By explicitly referencing provability in a middle layer called a specification logic, we solve the problem of reasoning by (co)induction in the presence of non-stratifiable hypothetical judgments, which allow very elegant and succinct specifications of object logic inference rules.

  4. Hybrid Surgery Versus Anterior Cervical Discectomy and Fusion in Multilevel Cervical Disc Diseases: A Meta-Analysis.

    Science.gov (United States)

    Zhang, Jianfeng; Meng, Fanxin; Ding, Yan; Li, Jie; Han, Jian; Zhang, Xintao; Dong, Wei

    2016-05-01

    To investigate the outcomes and reliability of hybrid surgery (HS) versus anterior cervical discectomy and fusion (ACDF) for the treatment of multilevel cervical spondylosis and disc diseases.Hybrid surgery, combining cervical disc arthroplasty (CDA) with fusion, is a novel treatment to multilevel cervical degenerated disc disease in recent years. However, the effect and reliability of HS are still unclear compared with ACDF.To investigate the studies of HS versus ACDF in patients with multilevel cervical disease, electronic databases (Medline, Embase, Pubmed, Cochrane library, and Cochrane Central Register of Controlled Trials) were searched. Studies were included when they compared HS with ACDF and reported at least one of the following outcomes: functionality, neck pain, arm pain, cervical range of motion (ROM), quality of life, and incidence of complications. No language restrictions were used. Two authors independently assessed the methodological quality of included studies and extracted the relevant data.Seven clinical controlled trials were included in this study. Two trials were prospective and the other 5 were retrospective. The results of the meta-analysis indicated that HS achieved better recovery of NDI score (P = 0.038) and similar recovery of VAS score (P = 0.058) compared with ACDF at 2 years follow-up. Moreover, the total cervical ROM (C2-C7) after HS was preserved significantly more than the cervical ROM after ACDF (P = 0.000) at 2 years follow-up. Notably, the compensatory increase of the ROM of superior and inferior adjacent segments was significant in ACDF groups at 2-year follow-up (P multilevel cervical spondylosis to preserve cervical ROM and reduce the risk of adjacent disc degeneration. Nonetheless, more well-designed studies with large groups of patients are required to provide further evidence for the benefit and reliability of HS for the treatment of cervical disk diseases.

  5. Quantum entanglement in the system of two two-level atoms interacting with a single-mode vacuum field

    Institute of Scientific and Technical Information of China (English)

    Zeng Ke; Fang Mao-Fa

    2005-01-01

    The entanglement properties of the system of two two-level atoms interacting with a single-mode vacuum field are explored. The quantum entanglement between two two-level atoms and a single-mode vacuum field is investigated by using the quantum reduced entropy; the quantum entanglement between two two-level atoms, and that between a single two-level atom and a single-mode vacuum field are studied in terms of the quantum relative entropy. The influences of the atomic dipole-dipole interaction on the quantum entanglement of the system are also discussed. Our results show that three entangled states of two atoms-field, atom-atom, and atom-field can be prepared via two two-level atoms interacting with a single-mode vacuum field.

  6. A Two-Level Task Scheduler on Multiple DSP System for OpenCL

    Directory of Open Access Journals (Sweden)

    Li Tian

    2014-04-01

    Full Text Available This paper addresses the problem that multiple DSP system does not support OpenCL programming. With the compiler, runtime, and the kernel scheduler proposed, an OpenCL application becomes portable not only between multiple CPU and GPU, but also between embedded multiple DSP systems. Firstly, the LLVM compiler was imported for source-to-source translation in which the translated source was supported by CCS. Secondly, two-level schedulers were proposed to support efficient OpenCL kernel execution. The DSP/BIOS is used to schedule system level tasks such as interrupts and drivers; however, the synchronization mechanism resulted in heavy overhead during task switching. So we designed an efficient second level scheduler especially for OpenCL kernel work-item scheduling. The context switch process utilizes the 8 functional units and cross path links which was superior to DSP/BIOS in the aspect of task switching. Finally, dynamic loading and software managed CACHE were redesigned for OpenCL running on multiple DSP system. We evaluated the performance using some common OpenCL kernels from NVIDIA, AMD, NAS, and Parboil benchmarks. Experimental results show that the DSP OpenCL can efficiently exploit the computing resource of multiple cores.

  7. Resonance fluorescence of strongly driven two-level system coupled to multiple dissipative reservoirs

    Science.gov (United States)

    Yan, Yiying; Lü, Zhiguo; Zheng, Hang

    2016-08-01

    We present a theoretical formalism for resonance fluorescence radiating from a two-level system (TLS) driven by any periodic driving and coupled to multiple reservoirs. The formalism is derived analytically based on the combination of Floquet theory and Born-Markov master equation. The formalism allows us to calculate the spectrum when the Floquet states and quasienergies are analytically or numerically solved for simple or complicated driving fields. We can systematically explore the spectral features by implementing the present formalism. To exemplify this theory, we apply the unified formalism to comprehensively study a generic model that a harmonically driven TLS is simultaneously coupled to a radiative reservoir and a dephasing reservoir. We demonstrate that the significant features of the fluorescence spectra, the driving-induced asymmetry and the dephasing-induced asymmetry, can be attributed to the violation of detailed balance condition, and explained in terms of the driving-related transition quantities between Floquet-states and their steady populations. In addition, we find the distinguished features of the fluorescence spectra under the biharmonic and multiharmonic driving fields in contrast with that of the harmonic driving case. In the case of the biharmonic driving, we find that the spectra are significantly different from the result of the RWA under the multiple resonance conditions. By the three concrete applications, we illustrate that the present formalism provides a routine tool for comprehensively exploring the fluorescence spectrum of periodically strongly driven TLSs.

  8. Resonance fluorescence of strongly driven two-level system coupled to multiple dissipative reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Yan, Yiying, E-mail: yiyingyan@sjtu.edu.cn; Lü, Zhiguo, E-mail: zglv@sjtu.edu.cn; Zheng, Hang, E-mail: hzheng@sjtu.edu.cn

    2016-08-15

    We present a theoretical formalism for resonance fluorescence radiating from a two-level system (TLS) driven by any periodic driving and coupled to multiple reservoirs. The formalism is derived analytically based on the combination of Floquet theory and Born–Markov master equation. The formalism allows us to calculate the spectrum when the Floquet states and quasienergies are analytically or numerically solved for simple or complicated driving fields. We can systematically explore the spectral features by implementing the present formalism. To exemplify this theory, we apply the unified formalism to comprehensively study a generic model that a harmonically driven TLS is simultaneously coupled to a radiative reservoir and a dephasing reservoir. We demonstrate that the significant features of the fluorescence spectra, the driving-induced asymmetry and the dephasing-induced asymmetry, can be attributed to the violation of detailed balance condition, and explained in terms of the driving-related transition quantities between Floquet-states and their steady populations. In addition, we find the distinguished features of the fluorescence spectra under the biharmonic and multiharmonic driving fields in contrast with that of the harmonic driving case. In the case of the biharmonic driving, we find that the spectra are significantly different from the result of the RWA under the multiple resonance conditions. By the three concrete applications, we illustrate that the present formalism provides a routine tool for comprehensively exploring the fluorescence spectrum of periodically strongly driven TLSs.

  9. Equivalence of the measures of non-Markovianity for open two-level systems

    Science.gov (United States)

    Zeng, Hao-Sheng; Tang, Ning; Zheng, Yan-Ping; Wang, Guo-You

    2011-09-01

    Different measures have been presented to depict the deviation of quantum time evolution in open systems from Markovian processes. We demonstrate that the measure proposed by Breuer, Laine, and Piilo [Phys. Rev. Lett.PRLTAO0031-900710.1103/PhysRevLett.103.210401 103, 210401 (2009)] and the two measures proposed by Rivas, Huelga, and Plenio [Phys. Rev. Lett.PRLTAO0031-900710.1103/PhysRevLett.105.050403 105, 050403 (2010)] have exactly the same non-Markovian time-evolution intervals and thus are really equivalent to each other when they are applied to open two-level systems coupled to environments via the Jaynes-Cummings or dephasing models. This equivalence implies that the three measures, in different ways, capture the intrinsic character of the non-Markovianity of quantum evolutional processes. We also show that the maximization in the definition of the first measure can be actually removed for the considered models without influencing the sensibility of the measure to detect non-Markovianity.

  10. Grid trust based on pre-measure and two-level reputation

    Institute of Scientific and Technical Information of China (English)

    ZHANG Lin; WANG Ru-chuan; WANG Hai-yan

    2007-01-01

    Security has been the focus of grid systems recently. As a kind of tool, grid security infrastructure (GSI) provides the authentication and authorization services and so on. These mechanisms mostly belong to the objective factors, which have not met the needs of security. As the subjective factor, trust model plays an important role in security field. A new two-level reputation trust architecture for grid is given to reduce the costs of system management largely, in which trust relationships amongst virtual organizations (VOs) are built on domain trust managers (DTMs) rather than resource nodes (RNs). Taking inter-domain trust propagation for example, trust model is improved by integrating global reputation and the subjective trust concept of each recommender into synthesizing final trust value. Moreover, before the grid starts to interact with the trustworthy entities, the pre-measure scheme is presented to filter distrustful entities further, which is based on accuracy and honesty. Experimental results indicate that the model can prevent from the malicious attacks better.

  11. Proposing a two-level stochastic model for epileptic seizure genesis.

    Science.gov (United States)

    Shayegh, F; Sadri, S; Amirfattahi, R; Ansari-Asl, K

    2014-02-01

    By assuming the brain as a multi-stable system, different scenarios have been introduced for transition from normal to epileptic state. But, the path through which this transition occurs is under debate. In this paper a stochastic model for seizure genesis is presented that is consistent with all scenarios: a two-level spontaneous seizure generation model is proposed in which, in its first level the behavior of physiological parameters is modeled with a stochastic process. The focus is on some physiological parameters that are essential in simulating different activities of ElectroEncephaloGram (EEG), i.e., excitatory and inhibitory synaptic gains of neuronal populations. There are many depth-EEG models in which excitatory and inhibitory synaptic gains are the adjustable parameters. Using one of these models at the second level, our proposed seizure generator is complete. The suggested stochastic model of first level is a hidden Markov process whose transition matrices are obtained through analyzing the real parameter sequences of a seizure onset area. These real parameter sequences are estimated from real depth-EEG signals via applying a parameter identification algorithm. In this paper both short-term and long-term validations of the proposed model are done. The long-term synthetic depth-EEG signals simulated by this model can be taken as a suitable tool for comparing different seizure prediction algorithms.

  12. STLIS: A Scalable Two-Level Index Scheme for Big Data in IoT

    Directory of Open Access Journals (Sweden)

    Yonglin Leng

    2016-01-01

    Full Text Available The rapid development of the Internet of Things causes the dramatic growth of data, which poses an important challenge on the storage and quick retrieval of big data. As an effective representation model, RDF receives the most attention. More and more storage and index schemes have been developed for RDF model. For the large-scale RDF data, most of them suffer from a large number of self-joins, high storage cost, and many intermediate results. In this paper, we propose a scalable two-level index scheme (STLIS for RDF data. In the first level, we devise a compressed path template tree (CPTT index based on S-tree to retrieve the candidate sets of full path. In the second level, we create a hierarchical edge index (HEI and a node-predicate (NP index to accelerate the match. Extensive experiments are executed on two representative RDF benchmarks and one real RDF dataset in IoT by comparison with three representative index schemes, that is, RDF-3X, Bitmat, and TripleBit. Results demonstrate that our proposed scheme can respond to the complex query in real time and save much storage space compared with RDF-3X and Bitmat.

  13. The excitation of a two-level atom by a propagating light pulse

    CERN Document Server

    Wang, Yimin; Scarani, Valerio

    2010-01-01

    State mapping between atoms and photons, and photon-photon interactions play an important role in scalable quantum information processing. We consider the interaction of a two-level atom with a quantized \\textit{propagating} pulse in free space and study the probability $P_e(t)$ of finding the atom in the excited state at any time $t$. This probability is expected to depend on (i) the quantum state of the pulse field and (ii) the overlap between the pulse and the dipole pattern of the atomic spontaneous emission. In the full three-dimensional vector model for the field, we show that the second effect is captured by a single parameter $\\Lambda\\in[0,8\\pi/3]$, obtained by weighing the numerical aperture with the dipole pattern. Then $P_e(t)$ can be obtained by solving time-dependent Heisenberg-Langevin equations. We provide detailed solutions for both single-photon states and coherent states and for various shapes of the pulse.

  14. Absorption spectrum of a two-level system subjected to a periodic pulse sequence

    Science.gov (United States)

    Fotso, H. F.; Dobrovitski, V. V.

    2017-06-01

    We investigate how the quantum control of a two-level system (TLS) coupled to photons can modify and tune the TLS's photon absorption spectrum. Tuning and controlling the emission and the absorption are of great interest, e.g., for the development of efficient interfaces between stationary and flying qubits in modern architectures for quantum computation and quantum communication. We consider periodic pulse control, where the TLS is subjected to a periodic sequence of the near-resonant Rabi driving pulses, each pulse implementing a 180∘ rotation. For small interpulse delays, the absorption spectrum features a pronounced peak of stimulated emission at the pulse frequency, similar satellite peaks with smaller spectral weights, and the net absorption peaks on the sides. As long as the detuning between the carrier frequency of the driving and the TLS transition frequency remains moderate, this spectral shape shows little change. Therefore, the pulse control allows shifting the absorption peak to a desired position and locks the overall absorption spectrum to the carrier frequency of the driving pulses. A detailed description of the spectrum and its evolution as a function time, the interpulse spacing, and the detuning is presented.

  15. Non-Markovian dynamics of quantum coherence of two-level system driven by classical field

    Science.gov (United States)

    Huang, Zhiming; Situ, Haozhen

    2017-09-01

    In this paper, we study the quantum coherence dynamics of two-level atom system embedded in non-Markovian reservoir in the presence of classical driving field. We analyze the influence of memory effects, classical driving, and detuning on the quantum coherence. It is found that the quantum coherence has different behaviors in resonant case and non-resonant case. In the resonant case, in stark contrast with previous results, the strength of classical driving plays a negative effect on quantum coherence, while detuning parameter has the opposite effect. However, in non-resonant case through a long time, classical driving and detuning parameter have a different influence on quantum coherence compared with resonant case. Due to the memory effect of environment, in comparison with Markovian regime, quantum coherence presents vibrational variations in non-Markovian regime. In the resonant case, all quantum coherence converges to a fixed maximum value; in the non-resonant case, quantum coherence evolves to different stable values. For zero-coherence initial states, quantum coherence can be generated with evolution time. Our discussions and results should be helpful in manipulating and preserving the quantum coherence in dissipative environment with classical driving field.

  16. Ultrasensitive electrochemical aptasensor for ochratoxin A based on two-level cascaded signal amplification strategy.

    Science.gov (United States)

    Yang, Xingwang; Qian, Jing; Jiang, Ling; Yan, Yuting; Wang, Kan; Liu, Qian; Wang, Kun

    2014-04-01

    Ochratoxin A (OTA) has a number of toxic effects to both humans and animals, so developing sensitive detection method is of great importance. Herein, we describe an ultrasensitive electrochemical aptasensor for OTA based on the two-level cascaded signal amplification strategy with methylene blue (MB) as a redox indicator. In this method, capture DNA, aptamers, and reporter DNA functionalized-gold nanoparticles (GNPs) were immobilized on the electrode accordingly, where GNPs were used as the first-level signal enhancer. To receive the more sensitive response, a larger number of guanine (G)-rich DNA was bound to the GNPs' surface to provide abundant anchoring sites for MB to achieve the second-level signal amplification. By employing this novel strategy, an ~8.5 (±0.3) fold amplification in signal intensity was obtained. Afterward, OTA was added to force partial GNPs/G-rich DNA to release from the sensing interface and thus decreased the electrochemical response. An effective sensing range from 2.5pM to 2.5nM was received with an extremely low detection limit of 0.75 (±0.12) pM. This amplification strategy has the potential to be the main technology for aptamer-based electrochemical biosensor in a variety of fields.

  17. Formulation and Solution ofTwo-Level Capacitated Lot-Sizing Problem

    Directory of Open Access Journals (Sweden)

    Mohsen Basti

    2016-06-01

    Full Text Available The integration of sequencing decisions in lot-sizing and scheduling problems has received an increased attention from the research community due to its inherent applicability to the real-world problems. In this paper, we develop and solve a synchronized and integrated two-level lot-sizing and scheduling problem motivated by a real-world problem arisen in the soft drink production. The soft drink production process has two main stages: flavor preparation (Stage1 and bottling (Stage2. In Stage 1, the liquid flavor (concentrated syrup plus some water is prepared in tanks with various capacities. In Stage 2 in which the liquid flavors are bottled at the filling lines. we considered stock capacityconstraint, and shortages of the combination(shortages backlog and lost sales added to the model. The aim is to determine the lot-sizing and scheduling raw materials and products so that the soft drink flavors and bottle types are assigned to the tanks and bottling lines, respectively, in order to meet a known weekly product demand. Finally, we implement LINGO solver to solve this model.

  18. Regular and Chaotic Quantum Dynamics of Two-Level Atoms in a Selfconsistent Radiation Field

    Science.gov (United States)

    Konkov, L. E.; Prants, S. V.

    1996-01-01

    Dynamics of two-level atoms interacting with their own radiation field in a single-mode high-quality resonator is considered. The dynamical system consists of two second-order differential equations, one for the atomic SU(2) dynamical-group parameter and another for the field strength. With the help of the maximal Lyapunov exponent for this set, we numerically investigate transitions from regularity to deterministic quantum chaos in such a simple model. Increasing the collective coupling constant b is identical with 8(pi)N(sub 0)(d(exp 2))/hw, we observed for initially unexcited atoms a usual sharp transition to chaos at b(sub c) approx. equal to 1. If we take the dimensionless individual Rabi frequency a = Omega/2w as a control parameter, then a sequence of order-to-chaos transitions has been observed starting with the critical value a(sub c) approx. equal to 0.25 at the same initial conditions.

  19. Spectral density of Cooper pairs in two level quantum dot–superconductors Josephson junction

    Energy Technology Data Exchange (ETDEWEB)

    Dhyani, A., E-mail: archana.d2003@gmail.com [Department of Physics, University of Petroleum and Energy Studies, Dehradun 248007, Uttarakhand (India); Rawat, P.S. [Department of Nuclear Science and Technology, University of Petroleum and Energy Studies, Dehradun 248007, Uttarakhand (India); Tewari, B.S., E-mail: bstewari@ddn.upes.ac.in [Department of Physics, University of Petroleum and Energy Studies, Dehradun 248007, Uttarakhand (India)

    2016-09-15

    Highlights: • The present work deals with the study of the electronic spectral density of electron pairs and its effect in charge transport in superconductor-quantum dot-superconductor junctions. • The charge transfer across such junctions can be controlled by changing the positions of the dot level. • The Josephson supercurrent can also be tuned by controlling the position of quantum dot energy levels. - Abstract: In the present paper, we report the role of quantum dot energy levels on the electronic spectral density for a two level quantum dot coupled to s-wave superconducting leads. The theoretical arguments in this work are based on the Anderson model so that it necessarily includes dot energies, single particle tunneling and superconducting order parameter for BCS superconductors. The expression for single particle spectral function is obtained by using the Green's function equation of motion technique. On the basis of numerical computation of spectral function of superconducting leads, it has been found that the charge transfer across such junctions can be controlled by the positions and availability of the dot levels.

  20. An Energy-Efficient Instruction Scheduler Design with Two-Level Shelving and Adaptive Banking

    Institute of Scientific and Technical Information of China (English)

    Yu-Lai Zhao; Xian-Feng Li; Dong Tong; Xu Cheng

    2007-01-01

    Mainstream processors implement the instruction scheduler using a monolithic CAM-based issue queue (IQ),which consumes increasingly high energy as its size scales.In particular, its instruction wakeup logic accounts for a major portion of the consumed energy.Our study shows that instructions with 2 non-ready operands (called 2OP instructions) are in small percentage, but tend to spend long latencies in the IQ.They can be effectively shelved in a small RAM-based waiting instruction buffer (WIB) and steered into the IQ at appropriate time.With this two-level shelving ability, half of the CAM tag comparators are eliminated in the IQ, which significantly reduces the energy of wakeup operation.In addition,we propose an adaptive banking scheme to downsize the IQ and reduce the bit-width of tag comparators.Experiments indicate that for an 8-wide issue superscalar or SMT processor, the energy consumption of the instruction scheduler can be reduced by 67%.Furthermore, the new design has potentially faster scheduler clock speed while maintaining close IPC to the monolithic scheduler design.Compared with the previous work on eliminating tags through prediction, our design is superior in terms of both energy reduction and SMT support.

  1. Non-redundant patent sequence databases with value-added annotations at two levels.

    Science.gov (United States)

    Li, Weizhong; McWilliam, Hamish; de la Torre, Ana Richart; Grodowski, Adam; Benediktovich, Irina; Goujon, Mickael; Nauche, Stephane; Lopez, Rodrigo

    2010-01-01

    The European Bioinformatics Institute (EMBL-EBI) provides public access to patent data, including abstracts, chemical compounds and sequences. Sequences can appear multiple times due to the filing of the same invention with multiple patent offices, or the use of the same sequence by different inventors in different contexts. Information relating to the source invention may be incomplete, and biological information available in patent documents elsewhere may not be reflected in the annotation of the sequence. Search and analysis of these data have become increasingly challenging for both the scientific and intellectual-property communities. Here, we report a collection of non-redundant patent sequence databases, which cover the EMBL-Bank nucleotides patent class and the patent protein databases and contain value-added annotations from patent documents. The databases were created at two levels by the use of sequence MD5 checksums. Sequences within a level-1 cluster are 100% identical over their whole length. Level-2 clusters were defined by sub-grouping level-1 clusters based on patent family information. Value-added annotations, such as publication number corrections, earliest publication dates and feature collations, significantly enhance the quality of the data, allowing for better tracking and cross-referencing. The databases are available format: http://www.ebi.ac.uk/patentdata/nr/.

  2. Projected Dipole Moments of Individual Two-Level Defects Extracted Using Circuit Quantum Electrodynamics.

    Science.gov (United States)

    Sarabi, B; Ramanayaka, A N; Burin, A L; Wellstood, F C; Osborn, K D

    2016-04-22

    Material-based two-level systems (TLSs), appearing as defects in low-temperature devices including superconducting qubits and photon detectors, are difficult to characterize. In this study we apply a uniform dc electric field across a film to tune the energies of TLSs within. The film is embedded in a superconducting resonator such that it forms a circuit quantum electrodynamical system. The energy of individual TLSs is observed as a function of the known tuning field. By studying TLSs for which we can determine the tunneling energy, the actual p_{z}, dipole moments projected along the uniform field direction, are individually obtained. A distribution is created with 60 p_{z}. We describe the distribution using a model with two dipole moment magnitudes, and a fit yields the corresponding values p=p_{1}=2.8±0.2  D and p=p_{2}=8.3±0.4  D. For a strong-coupled TLS the vacuum-Rabi splitting can be obtained with p_{z} and tunneling energy. This allows a measurement of the circuit's zero-point electric-field fluctuations, in a method that does not need the electric-field volume.

  3. Discriminative Dictionary Learning With Two-Level Low Rank and Group Sparse Decomposition for Image Classification.

    Science.gov (United States)

    Wen, Zaidao; Hou, Biao; Jiao, Licheng

    2016-06-30

    Discriminative dictionary learning (DDL) framework has been widely used in image classification which aims to learn some class-specific feature vectors as well as a representative dictionary according to a set of labeled training samples. However, interclass similarities and intraclass variances among input samples and learned features will generally weaken the representability of dictionary and the discrimination of feature vectors so as to degrade the classification performance. Therefore, how to explicitly represent them becomes an important issue. In this paper, we present a novel DDL framework with two-level low rank and group sparse decomposition model. In the first level, we learn a class-shared and several class-specific dictionaries, where a low rank and a group sparse regularization are, respectively, imposed on the corresponding feature matrices. In the second level, the class-specific feature matrix will be further decomposed into a low rank and a sparse matrix so that intraclass variances can be separated to concentrate the corresponding feature vectors. Extensive experimental results demonstrate the effectiveness of our model. Compared with the other state-of-the-arts on several popular image databases, our model can achieve a competitive or better performance in terms of the classification accuracy.

  4. Two-Level Evaluation on Sensor Interoperability of Features in Fingerprint Image Segmentation

    Directory of Open Access Journals (Sweden)

    Ya-Shuo Li

    2012-03-01

    Full Text Available Features used in fingerprint segmentation significantly affect the segmentation performance. Various features exhibit different discriminating abilities on fingerprint images derived from different sensors. One feature which has better discriminating ability on images derived from a certain sensor may not adapt to segment images derived from other sensors. This degrades the segmentation performance. This paper empirically analyzes the sensor interoperability problem of segmentation feature, which refers to the feature’s ability to adapt to the raw fingerprints captured by different sensors. To address this issue, this paper presents a two-level feature evaluation method, including the first level feature evaluation based on segmentation error rate and the second level feature evaluation based on decision tree. The proposed method is performed on a number of fingerprint databases which are obtained from various sensors. Experimental results show that the proposed method can effectively evaluate the sensor interoperability of features, and the features with good evaluation results acquire better segmentation accuracies of images originating from different sensors.

  5. Quantum dynamics of a driven two-level molecule with variable dephasing

    Science.gov (United States)

    Grandi, Samuele; Major, Kyle D.; Polisseni, Claudio; Boissier, Sebastien; Clark, Alex S.; Hinds, E. A.

    2016-12-01

    The longitudinal (Γ1) and transverse (Γ2) decay rates of a two-level quantum system have a profound influence on its evolution. Atomic systems with Γ2=1/2 Γ1 have been studied extensively, but with the rise of solid-state quantum devices it is also important to consider the effect of stronger transverse relaxation due to interactions with the solid environment. Here we study the quantum dynamics of a single organic dye molecule driven by a laser. We measure the variation of Γ2 with temperature and determine the activation energy for thermal dephasing of the optical dipole. Then we measure the second-order correlation function g(2 )(τ ) of the light emitted by the molecule for various ratios Γ2/Γ1 and saturation parameters S . We show that the general solution to the optical Bloch equations accurately describes the observed quantum dynamics over a wide range of these parameters, and we discuss the limitations of the various approximate expressions for g(2 )(τ ) that appear in the literature.

  6. Trophic groups and modules: two levels of group detection in food webs.

    Science.gov (United States)

    Gauzens, Benoit; Thébault, Elisa; Lacroix, Gérard; Legendre, Stéphane

    2015-05-06

    Within food webs, species can be partitioned into groups according to various criteria. Two notions have received particular attention: trophic groups (TGs), which have been used for decades in the ecological literature, and more recently, modules. The relationship between these two group concepts remains unknown in empirical food webs. While recent developments in network theory have led to efficient methods for detecting modules in food webs, the determination of TGs (groups of species that are functionally similar) is largely based on subjective expert knowledge. We develop a novel algorithm for TG detection. We apply this method to empirical food webs and show that aggregation into TGs allows for the simplification of food webs while preserving their information content. Furthermore, we reveal a two-level hierarchical structure where modules partition food webs into large bottom-top trophic pathways, whereas TGs further partition these pathways into groups of species with similar trophic connections. This provides new perspectives for the study of dynamical and functional consequences of food-web structure, bridging topological and dynamical analysis. TGs have a clear ecological meaning and are found to provide a trade-off between network complexity and information loss.

  7. Amplification without inversion, fast light and optical bistability in a duplicated two-level system

    Energy Technology Data Exchange (ETDEWEB)

    Ebrahimi Zohravi, Lida; Vafafard, Azar; Mahmoudi, Mohammad, E-mail: mahmoudi@znu.ac.ir

    2014-07-01

    The optical properties of a weak probe field in a duplicated two-level system are investigated in multi-photon resonance (MPR) condition and beyond it. It is shown that by changing the relative phase of applied fields, the absorption switches to the amplification without inversion in MPR condition. By applying the Floquet decomposition to the equations of motion beyond MPR condition, it is shown that the phase-dependent behavior is valid only in MPR condition. Moreover, it is demonstrated that the group velocity of light pulse can be controlled by the intensity of the applied fields and the gain-assisted superluminal light propagation (fast light) is obtained in this system. In addition, the optical bistability (OB) behavior of the system is studied beyond MPR condition. We apply an indirect incoherent pumping field to the system and it is found that the group velocity and OB behavior of the system can be controlled by the incoherent pumping rate. - Highlights: • We studied the optical properties of DTL system under MPR condition and beyond it. • By changing the relative phase, the absorption switches to the amplification without inversion in MPR condition. • The gain-assisted superluminal light propagation (fast light) is obtained in this system. • The optical bistability (OB) behavior of the system is studied beyond MPR condition. • The incoherent pumping rate has a major role in controlling the group velocity and OB behavior of the system.

  8. Preventing IP Source Address Spoofing: A Two-Level,State Machine-Based Method

    Institute of Scientific and Technical Information of China (English)

    BI Jun; LIU Bingyang; WU Jianping; SHEN Yan

    2009-01-01

    A signature-and-verification-based method, automatic peer-to-peer anti-spoofing (APPA), is pro-posed to prevent IP source address spoofing. In this method, signatures are tagged into the packets at the source peer, and verified and removed at the verification peer where packets with incorrect signatures are filtered. A unique state machine, which is used to generate signatures, is associated with each ordered pair of APPA peers. As the state machine automatically transits, the signature changes accordingly. KISS ran-dom number generator is used as the signature generating algorithm, which makes the state machine very small and fast and requires very low management costs. APPA has an intre-AS (autonomous system) level and an inter-AS level. In the intra-AS level, signatures are tagged into each departing packet at the host and verified at the gateway to achieve finer-grained anti-spoofing than ingress filtering. In the inter-AS level, signatures are tagged at the source AS border router and verified at the destination AS border muter to achieve prefix-level anti-spoofing, and the automatic state machine enables the peers to change signatures without negotiation which makes APPA attack-resilient compared with the spoofing prevention method. The results show that the two levels are both incentive for deployment, and they make APPA an integrated anti-spoofing solution.

  9. Non-redundant patent sequence databases with value-added annotations at two levels

    Science.gov (United States)

    Li, Weizhong; McWilliam, Hamish; de la Torre, Ana Richart; Grodowski, Adam; Benediktovich, Irina; Goujon, Mickael; Nauche, Stephane; Lopez, Rodrigo

    2010-01-01

    The European Bioinformatics Institute (EMBL-EBI) provides public access to patent data, including abstracts, chemical compounds and sequences. Sequences can appear multiple times due to the filing of the same invention with multiple patent offices, or the use of the same sequence by different inventors in different contexts. Information relating to the source invention may be incomplete, and biological information available in patent documents elsewhere may not be reflected in the annotation of the sequence. Search and analysis of these data have become increasingly challenging for both the scientific and intellectual-property communities. Here, we report a collection of non-redundant patent sequence databases, which cover the EMBL-Bank nucleotides patent class and the patent protein databases and contain value-added annotations from patent documents. The databases were created at two levels by the use of sequence MD5 checksums. Sequences within a level-1 cluster are 100% identical over their whole length. Level-2 clusters were defined by sub-grouping level-1 clusters based on patent family information. Value-added annotations, such as publication number corrections, earliest publication dates and feature collations, significantly enhance the quality of the data, allowing for better tracking and cross-referencing. The databases are available format: http://www.ebi.ac.uk/patentdata/nr/. PMID:19884134

  10. Decoherence of a quantum two-level system by spectral diffusion

    Science.gov (United States)

    Matityahu, Shlomi; Shnirman, Alexander; Schön, Gerd; Schechter, Moshe

    2016-04-01

    We study the dephasing of an individual high-frequency tunneling two-level system (TLS) due to its interaction with an ensemble of low-frequency thermal TLSs which are described by the standard tunneling model (STM). We show that the dephasing by the bath of TLSs explains both the dependence of the Ramsey dephasing rate on an externally applied strain as well as its order of magnitude, as observed in a recent experiment [J. Lisenfeld et al., Sci. Rep. 6, 23786 (2016)], 10.1038/srep23786. However, the theory based on the STM predicts the Hahn-echo protocol to be much more efficient, yielding too low echo dephasing rates, as compared to the experiment. Also the strain dependence of the echo dephasing rate predicted by the STM does not agree with the measured quadratic dependence, which would fit to a high-frequency white noise environment. We suggest that few fast TLSs which are coupled much more strongly to the strain fields than the usual TLSs of the STM give rise to such a white noise. This explains the magnitude and strong fluctuations of the echo dephasing rate observed in the experiment.

  11. Testing a Quantum Heat Pump with a Two-Level Spin

    Science.gov (United States)

    Correa, Luis; Mehboudi, Mohammad

    2016-04-01

    Once in its non-equilibrium steady state, a nanoscale system coupled to several heat baths may be thought-of as a quantum heat pump. Depending on the direction of its stationary heat flows it may function as e.g. a refrigerator or a heat transformer. These continuous heat devices can be arbitrarily complex multipartite systems, and yet their working principle is always the same: They are made up of several elementary three-level stages operating in parallel. As a result, it is possible to devise external black-box testing strategies to learn about their functionality and performance regardless of any internal details. In particular, one such heat pump can be tested by coupling a two-level spin to one of its contact transitions. The steady state of this external probe contains information about the presence of heat leaks and internal dissipation in the device, and also, about the direction of its steady-state heat currents. Provided that the irreversibility of the heat pump is low, one can further estimate its coefficient of performance. These techniques may find applications in the emerging field of quantum thermal engineering, as they facilitate the diagnosis and design optimization of complex thermodynamic cycles.

  12. Testing a Quantum Heat Pump with a Two-Level Spin

    Directory of Open Access Journals (Sweden)

    Luis A. Correa

    2016-04-01

    Full Text Available Once in its non-equilibrium steady state, a nanoscale system coupled to several heat baths may be thought of as a “quantum heat pump”. Depending on the direction of its stationary heat flows, it may function as, e.g., a refrigerator or a heat transformer. These continuous heat devices can be arbitrarily complex multipartite systems, and yet, their working principle is always the same: they are made up of several elementary three-level stages operating in parallel. As a result, it is possible to devise external “black-box” testing strategies to learn about their functionality and performance regardless of any internal details. In particular, one such heat pump can be tested by coupling a two-level spin to one of its “contact transitions”. The steady state of this external probe contains information about the presence of heat leaks and internal dissipation in the device and, also, about the direction of its steady-state heat currents. Provided that the irreversibility of the heat pump is low, one can further estimate its coefficient of performance. These techniques may find applications in the emerging field of quantum thermal engineering, as they facilitate the diagnosis and design optimization of complex thermodynamic cycles.

  13. SPONGY (SPam ONtoloGY): email classification using two-level dynamic ontology.

    Science.gov (United States)

    Youn, Seongwook

    2014-01-01

    Email is one of common communication methods between people on the Internet. However, the increase of email misuse/abuse has resulted in an increasing volume of spam emails over recent years. An experimental system has been designed and implemented with the hypothesis that this method would outperform existing techniques, and the experimental results showed that indeed the proposed ontology-based approach improves spam filtering accuracy significantly. In this paper, two levels of ontology spam filters were implemented: a first level global ontology filter and a second level user-customized ontology filter. The use of the global ontology filter showed about 91% of spam filtered, which is comparable with other methods. The user-customized ontology filter was created based on the specific user's background as well as the filtering mechanism used in the global ontology filter creation. The main contributions of the paper are (1) to introduce an ontology-based multilevel filtering technique that uses both a global ontology and an individual filter for each user to increase spam filtering accuracy and (2) to create a spam filter in the form of ontology, which is user-customized, scalable, and modularized, so that it can be embedded to many other systems for better performance.

  14. Nonadiabatic transitions for a decaying two-level system: geometrical and dynamical contributions

    Energy Technology Data Exchange (ETDEWEB)

    Schilling, R [Institute of Physics, Johannes Gutenberg-Universitaet Mainz, Staudinger Weg 7, D-55099 Mainz (Germany); Vogelsberger, Mark [Institute of Physics, Johannes Gutenberg-Universitaet Mainz, Staudinger Weg 7, D-55099 Mainz (Germany); Garanin, D A [Physics Department, Lehman College, City University of New York, 250 Bedford Park Boulevard West, Bronx, NY 10468-1589 (United States)

    2006-11-03

    We study the Landau-Zener problem for a decaying two-level system described by a non-Hermitian Hamiltonian, depending analytically on time. Use of a super-adiabatic basis allows us to calculate the survival probability P in the slow-sweep limit, without specifying the Hamiltonian explicitly. It is found that P consists of a 'dynamical' and a 'geometrical' factor. The former is determined by the complex adiabatic eigenvalues E{sub {+-}}(t), only, whereas the latter solely requires the knowledge of {alpha}{sub {+-}}(t), the ratio of the components of each of the adiabatic eigenstates. Both factors can be split into a universal one, depending only on the complex level crossing points, and a nonuniversal one, involving the full time dependence of E{sub {+-}}(t) and {alpha}{sub {+-}}(t). This general result is applied to the Akulin-Schleich model where the initial upper level is damped with damping constant {gamma}. For analytic power-law sweeps we find that Stueckelberg oscillations of P exist for {gamma} smaller than a critical value {gamma}{sub c} and disappear for {gamma} > {gamma}{sub c}. A physical interpretation of this behaviour will be presented by use of a damped harmonic oscillator.

  15. Anterior discectomies and interbody cage fusion without plate fixation for 5-level cervical degenerative disc disease: A 5-year follow-up

    Directory of Open Access Journals (Sweden)

    Cheng-Wei Chu

    2011-11-01

    Full Text Available Anterior discectomy and interbody fusion have been proven to be a safe and effective procedure for the treatment of cervical degenerative disc disease. Clinical results for 1- to 4-level interbody cage fusion without plate fixation are encouraging. Five-level cervical interbody cage fusion without plate fixation has not yet been previously reported. We report a 63-year-old female patient suffering from severe pain of the bilateral shoulders and left upper extremity with numbness and weakness of legs. Magnetic resonance imaging showed cervical degenerative disc herniation with cord compression between the levels of C2 and C7. Anterior cervical discectomy and interbody cage fusion without plate fixation were performed. Pain and neurological function improved dramatically after surgery. Asymptomatic subsidence of the cage occurred at the level of C6-7 two months postoperatively with no further progression of subsidence 5 years postoperatively. Good stability of the cages was seen on flexion and extension radiographs 5 years postoperatively. We report the first case with good long-term results of 5-level interbody cage fusion without plate fixation for anterior cervical degenerative disc surgery.

  16. Anterior cervical discectomy and fusion using a stand-alone polyetheretherketone cage packed with local autobone : assessment of bone fusion and subsidence.

    Science.gov (United States)

    Park, Jeong-Ill; Cho, Dae-Chul; Kim, Kyoung-Tae; Sung, Joo-Kyung

    2013-09-01

    It remains debatable whether cervical spine fusion cages should be filled with any kind of bone or bone substitute. Cortical and subcortical bone from the anterior and posterior osteophytes of the segment could be used to fill the cage. The purposes of the present study are to evaluate the clinical outcomes and radiological outcomes including bone fusion and subsidence that occurred after anterior cervical discectomy and fusion using a stand-alone cage packed with local autobone graft. Thirty-one patients who underwent anterior cervical fusion using a stand-alone polyetheretherketone (PEEK) cage packed with local autobone graft from July 2009 to december 2011 were enrolled in this study. Bone fusion was assessed by cervical plain radiographs and computed tomographic scan. Nonunion was evaluated according to the absence of bony bridge on computed tomographic scan. Subsidence was defined as a ≥2 mm decrease of the interbody height at the final follow-up compared to that measured at the immediate postoperative period. Subsidence was observed in 7 patients (22.6%). Of 7 patients with subsidence greater 2 mm, nonunion was developed in 3. Three patients with subsidence greater 2 mm were related with endplate damage during intraoperative endplate preparation. Solid bone fusion was achieved in 28 out of 31 patients (90.3%). With proper patient selection and careful endplate preparation, anterior cervical discectomy and fusion (ACDF) using a stand-alone PEEK cage packed with local autobone graft could be a good alternative to the standard ACDF techniques with plating.

  17. Transforaminal endoscopic discectomy to relieve sciatica and delay fusion in a 31-year-old man with pars defects and low-grade spondylolisthesis.

    Science.gov (United States)

    Madhavan, Karthik; Chieng, Lee Onn; Hofstetter, Christoph P; Wang, Michael Y

    2016-02-01

    Isthmic spondylolisthesis due to pars defects resulting from trauma or spondylolysis is not uncommon. Symptomatic patients with such pars defects are traditionally treated with a variety of fusion surgeries. The authors present a unique case in which such a patient was successfully treated with endoscopic discectomy without iatrogenic destabilization. A 31-year-old man presented with a history of left radicular leg pain along the distribution of the sciatic nerve. He had a disc herniation at L5/S1 and bilateral pars defects with a Grade I spondylolisthesis. Dynamic radiographic studies did not show significant movement of L-5 over S-1. The patient did not desire to have a fusion. After induction of local anesthesia, the patient underwent an awake transforaminal endoscopic discectomy via the extraforaminal approach, with decompression of the L-5 and S-1 nerve roots. His preoperative pain resolved immediately, and he was discharged home the same day. His preoperative Oswestry Disability Index score was 74, and postoperatively it was noted to be 8. At 2-year follow-up he continued to be symptom free, and no radiographic progression of the listhesis was noted. In this case preservation of stabilizing structures, including the supraspinous and interspinous ligaments and the facet capsule, may have reduced the likelihood of iatrogenic instability while at the same time achieving symptom control. This may be a reasonable option for select patient symptoms confined to lumbosacral radiculopathy.

  18. A two level mutation-selection model of cultural evolution and diversity.

    Science.gov (United States)

    Salazar-Ciudad, Isaac

    2010-11-21

    Cultural evolution is a complex process that can happen at several levels. At the level of individuals in a population, each human bears a set of cultural traits that he or she can transmit to its offspring (vertical transmission) or to other members of his or her society (horizontal transmission). The relative frequency of a cultural trait in a population or society can thus increase or decrease with the relative reproductive success of its bearers (individual's level) or the relative success of transmission (called the idea's level). This article presents a mathematical model on the interplay between these two levels. The first aim of this article is to explore when cultural evolution is driven by the idea's level, when it is driven by the individual's level and when it is driven by both. These three possibilities are explored in relation to (a) the amount of interchange of cultural traits between individuals, (b) the selective pressure acting on individuals, (c) the rate of production of new cultural traits, (d) the individual's capacity to remember cultural traits and to the population size. The aim is to explore the conditions in which cultural evolution does not lead to a better adaptation of individuals to the environment. This is to contrast the spread of fitness-enhancing ideas, which make individual bearers better adapted to the environment, to the spread of "selfish" ideas, which spread well simply because they are easy to remember but do not help their individual bearers (and may even hurt them). At the same time this article explores in which conditions the adaptation of individuals is maximal. The second aim is to explore how these factors affect cultural diversity, or the amount of different cultural traits in a population. This study suggests that a larger interchange of cultural traits between populations could lead to cultural evolution not improving the adaptation of individuals to their environment and to a decrease of cultural diversity.

  19. Identification and Comparative Analysis of Essential Performance Indicators in Two Levels of Soccer Expertise

    Directory of Open Access Journals (Sweden)

    M. R. Abdullah

    2017-02-01

    Full Text Available This study aims to identify the essential performance indicators in two level of soccer expertise. A total of 84 elite’s soccer players and 100 novice players from eight soccer academies in Malaysia were enrolled and subjected to standard anthropometric, fitness, skills related performance testing and responded to the questionnaire in mastery and performance. Principal component analysis (PCA was employed to determine the most indispensable variables pertinent to the requirement of the game in relation to the level of expertise of the players. The initial PCA shows seven components out of 26 as the most significant for both elite and novice soccer players with a considerable eigenvalue > 1. Moreover, the PCA after varimax rotation highlighted seven principles components (PCs for elite and novice players respectively. Each of the seven components contained varifactors (VF selected based on their higher factor loading and that distinguish the players on their expertise. The first PCs for elite’s players revealed strong loading from sit and reach (0.780, vertical jump (0.635, VO2max (0.637 and age (0.752. The second PCs revealed weight (0.639, biceps (0.859, triceps (0.769, subscapular (0.847, suprailiac (0.886 and middle upper arm circumference (0.776. The third PCs revealed 505 agility (0.618, 5m speed (0.712, 10m speed (0.858 and 20m speed (0.929. The forth PCs revealed task (-0.675 and short pass (0.789 and the last PCs revealed sit up (-0.702. For novice’s players, the first PCs revealed vertical jump (0.624, weight (0.861, height (0.856, sitting height (0.632, middle upper arm circumference (0.673, calf circumference (0.790 and maturity (0.651. The second PCs revealed biceps (0.832, triceps (0.899, subscapular (0.816 and suprailiac (0.869. The third PCs revealed 5m speed (-0.847, 10m speed (-0.877, 20m speed (-0.785 and VO2max (0.658. The forth PCs revealed task (0.694 and ego (0.747 and the last PCs revealed short pass (0.766. 

  20. Two levels decision system for efficient planning and implementation of bioenergy production

    Energy Technology Data Exchange (ETDEWEB)

    Ayoub, Nasser [Chemical Resources Laboratory, Process Systems Engineering Division, Tokyo Institute of Technology, R1-19, 4259 Nagatsuta, Midori-ku Yokohama 226-8503 (Japan)]. E-mail: nasser@pse.res.titech.ac.jp; Martins, Ricardo [Chemical Resources Laboratory, Process Systems Engineering Division, Tokyo Institute of Technology, R1-19, 4259 Nagatsuta, Midori-ku Yokohama 226-8503 (Japan); Wang, Kefeng [Chemical Resources Laboratory, Process Systems Engineering Division, Tokyo Institute of Technology, R1-19, 4259 Nagatsuta, Midori-ku Yokohama 226-8503 (Japan); Seki, Hiroya [Chemical Resources Laboratory, Process Systems Engineering Division, Tokyo Institute of Technology, R1-19, 4259 Nagatsuta, Midori-ku Yokohama 226-8503 (Japan); Naka, Yuji [Chemical Resources Laboratory, Process Systems Engineering Division, Tokyo Institute of Technology, R1-19, 4259 Nagatsuta, Midori-ku Yokohama 226-8503 (Japan)

    2007-03-15

    When planning bioenergy production from biomass, planners should take into account each and every stakeholder along the biomass supply chains, e.g. biomass resources suppliers, transportation, conversion and electricity suppliers. Also, the planners have to consider social concerns, environmental and economical impacts related with establishing the biomass systems and the specific difficulties of each country. To overcome these problems in a sustainable manner, a robust decision support system is required. For that purpose, a two levels general Bioenergy Decision System (gBEDS) for bioenergy production planning and implementation was developed. The core part of the gBEDS is the information base, which includes the basic bioenergy information and the detailed decision information. Basic bioenergy information include, for instance, the geographical information system (GIS) database, the biomass materials' database, the biomass logistic database and the biomass conversion database. The detailed decision information considers the parameters' values database with their default values and the variables database, values obtained by simulation and optimization. It also includes a scenario database, which is used for demonstration to new users and also for case based reasoning by planners and executers. Based on the information base, the following modules are included to support decision making: the simulation module with graph interface based on the unit process (UP) definition and the genetic algorithms (GAs) methods for optimal decisions and the Matlab module for applying data mining methods (fuzzy C-means clustering and decision trees) to the biomass collection points, to define the location of storage and bioenergy conversion plants based on the simulation and optimization model developed of the whole life cycle of bioenergy generation. Furthermore, Matlab is used to set up a calculation model with crucial biomass planning parameters (e.g. costs, CO{sub 2

  1. Measuring surgical outcomes in cervical spondylotic myelopathy patients undergoing anterior cervical discectomy and fusion: assessment of minimum clinically important difference.

    Directory of Open Access Journals (Sweden)

    Brenda M Auffinger

    Full Text Available OBJECT: The concept of minimum clinically important difference (MCID has been used to measure the threshold by which the effect of a specific treatment can be considered clinically meaningful. MCID has previously been studied in surgical patients, however few studies have assessed its role in spinal surgery. The goal of this study was to assess the role of MCID in patients undergoing anterior cervical discectomy and fusion (ACDF for cervical spondylotic myelopathy (CSM. METHODS: Data was collected on 30 patients who underwent ACDF for CSM between 2007 and 2012. Preoperative and 1-year postoperative Neck Disability Index (NDI, Visual-Analog Scale (VAS, and Short Form-36 (SF-36 Physical (PCS and Mental (MCS Component Summary PRO scores were collected. Five distribution- and anchor-based approaches were used to calculate MCID threshold values average change, change difference, receiver operating characteristic curve (ROC, minimum detectable change (MDC and standard error of measurement (SEM. The Health Transition Item of the SF-36 (HTI was used as an external anchor. RESULTS: Patients had a significant improvement in all mean physical PRO scores postoperatively (p<0.01 NDI (29.24 to 14.82, VAS (5.06 to 1.72, and PCS (36.98 to 44.22. The five MCID approaches yielded a range of values for each PRO: 2.00-8.78 for PCS, 2.06-5.73 for MCS, 4.83-13.39 for NDI, and 0.36-3.11 for VAS. PCS was the most representative PRO measure, presenting the greatest area under the ROC curve (0.94. MDC values were not affected by the choice of anchor and their threshold of improvement was statistically greater than the chance of error from unimproved patients. CONCLUSION: SF-36 PCS was the most representative PRO measure. MDC appears to be the most appropriate MCID method. When MDC was applied together with HTI anchor, the MCID thresholds were: 13.39 for NDI, 3.11 for VAS, 5.56 for PCS and 5.73 for MCS.

  2. Two-level hierarchical fragmentation in the northern filament of the Orion Molecular Cloud 1

    Science.gov (United States)

    Teixeira, P. S.; Takahashi, S.; Zapata, L. A.; Ho, P. T. P.

    2016-03-01

    -equidistant length of ≈30' (0.06 pc). This separation is dominated by the Jeans length and therefore indicates that the main physical process in the filament evolution was thermal fragmentation. Within the protostellar groups, the typical separation is ≈6'' (~2500 au), which is a factor 2-3 smaller than the Jeans length of the parental clumps within which the protostars are embedded. These results point to a hierarchical (two-level) thermal fragmentation process of the OMC 1n filament. The reduced continuun map (FITS file) is only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (ftp://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/587/A47

  3. A study of two-level system defects in dielectric films using superconducting resonators

    Science.gov (United States)

    Khalil, Moe Shwan

    In this dissertation I describe measurements of dielectric loss at microwave frequencies due to two level systems (TLS) using superconducting resonators. Most measurements were performed in a dilution refrigerator at temperatures between 30 and 200 mK and all resonators discussed were fabricated with thin-film superconducting aluminum. I derive the transmission through a non-ideal (mismatched) resonant circuit and find that in general the resonance line-shape is asymmetric. I describe an analysis method for extracting the internal quality factor (Q i), the diameter correction method (DCM), and compare it to a commonly used phenomenological method, the phi rotation method (phiRM). I analytically find that the phiRM deterministically overestimates Qi when the asymmetry of the resonance line-shape is high. Four coplanar resonator geometries were studied, with frequencies spanning 5-7 GHz. They were all superconducting aluminum fabricated on sapphire and silicon substrates. These include a quasi-lumped element resonator, a coplanar strip transmission line resonator, and two hybrid designs that contain both a coplanar strip and a quasi-lumped element. Measured Qi's were as high as 2 x 105 for single photon excitations and there was no systematic variation in loss between quasi-lumped and coplanar strip resonance modes. I also measured the microwave loss tangent of several atomic layer deposition (ALD) grown dielectrics and obtained secondary ion mass spectrometry (SIMS) measurements of the same films. I found that hydrogen defect concentrations were correlated with low temperature microwave loss. In amorphous films that showed excess hydrogen defects on the surface, two independent TLS distributions were required to fit the loss tangent, one for the surface and one for the bulk. In crystalline dielectrics where hydrogen contamination was uniform throughout the bulk, a single bulk TLS distribution was sufficient. Finally, I measured the TLS loss in 250 nm thick HD

  4. Anterior Reduction, Discectomy, and Three Cortical Iliac Bone Grafting With Instrumentation to Treat A Huge Tear Drop Fracture of the Axis: A Case Report and Literature Review.

    Science.gov (United States)

    Ma, Litai; Yang, Yi; Gong, Quan; Ding, Chen; Liu, Hao; Hong, Ying

    2016-04-01

    Fractures of the axis body have been little reported and treatment strategies remain controversial and individualized. Not more than 10 cases of huge tear drop fracture of the axis (HTDFA) have been reported in previous studies and the treatment method varies from conservative treatment to an anterior, or posterior, approach surgery. Considering the sparse knowledge of HTDFA, we present a special case report to share our experience and to explore the safety and effectiveness of anterior reduction and fusion to treat HTDFA. A 24-year-old man was referred to our department; he presented with neck pain lasting for 12 h since being involved in a roll-over motor vehicle accident. His neck movement was limited but there was no neurological compromise. Physical examination of the patient showed myodynamia of four limbs Grade 5, Hoffmann sign (-), and Babinski sign (-). Three-dimensional reconstruction computed tomography (CT) confirmed a huge tear drop fracture of the anterior-inferior corner of the axis and discontinuity of the cortex of the axis. After discussion with the spinal surgeon team in the department and an effective conversation with the patient, surgery involving anterior reduction, discectomy, and three cortical iliac bone grafts with instrumentation after transnasal induction of general anesthesia was performed. The patient was instructed to wear a cervical collar until he returned to our department for a follow-up examination some 3 months after surgery. The 3-month postoperative x-ray and CT scan showed a good position of the implant and bony fusion at the C2/3 segment. Anterior reduction, discectomy, and three cortical iliac bone grafts with instrumentation to treat HTDFA are effective, safe, and simple. Of course, longer follow-up duration and more cases are warranted to verify this procedure. Anterior reduction, discectomy, and bone grafting with instrumentation are warranted for most HTDFA cases. However, if HTDFA incorporates other complex

  5. Anterior Reduction, Discectomy, and Three Cortical Iliac Bone Grafting With Instrumentation to Treat A Huge Tear Drop Fracture of the Axis

    Science.gov (United States)

    Ma, Litai; Yang, Yi; Gong, Quan; Ding, Chen; Liu, Hao; Hong, Ying

    2016-01-01

    Abstract Fractures of the axis body have been little reported and treatment strategies remain controversial and individualized. Not more than 10 cases of huge tear drop fracture of the axis (HTDFA) have been reported in previous studies and the treatment method varies from conservative treatment to an anterior, or posterior, approach surgery. Considering the sparse knowledge of HTDFA, we present a special case report to share our experience and to explore the safety and effectiveness of anterior reduction and fusion to treat HTDFA. A 24-year-old man was referred to our department; he presented with neck pain lasting for 12 h since being involved in a roll-over motor vehicle accident. His neck movement was limited but there was no neurological compromise. Physical examination of the patient showed myodynamia of four limbs Grade 5, Hoffmann sign (–), and Babinski sign (–). Three-dimensional reconstruction computed tomography (CT) confirmed a huge tear drop fracture of the anterior–inferior corner of the axis and discontinuity of the cortex of the axis. After discussion with the spinal surgeon team in the department and an effective conversation with the patient, surgery involving anterior reduction, discectomy, and three cortical iliac bone grafts with instrumentation after transnasal induction of general anesthesia was performed. The patient was instructed to wear a cervical collar until he returned to our department for a follow-up examination some 3 months after surgery. The 3-month postoperative x-ray and CT scan showed a good position of the implant and bony fusion at the C2/3 segment. Anterior reduction, discectomy, and three cortical iliac bone grafts with instrumentation to treat HTDFA are effective, safe, and simple. Of course, longer follow-up duration and more cases are warranted to verify this procedure. Anterior reduction, discectomy, and bone grafting with instrumentation are warranted for most HTDFA cases. However, if HTDFA incorporates other

  6. 33 CFR 334.140 - Chesapeake Bay; U.S. Army Proving Ground Reservation, Aberdeen, Md.

    Science.gov (United States)

    2010-07-01

    ....140 Chesapeake Bay; U.S. Army Proving Ground Reservation, Aberdeen, Md. (a) Restricted area defined. The following indicates the limits of the waters of or adjacent to the Aberdeen Proving Ground, Maryland, and inside of which boundaries will lie the restricted area known as the Aberdeen Proving...

  7. 78 FR 60238 - Proposed Modification and Establishment of Restricted Areas; Aberdeen Proving Ground, MD

    Science.gov (United States)

    2013-10-01

    ...; Aberdeen Proving Ground, MD AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of proposed..., within the existing restricted areas R-4001A and R- 4001B, at the U.S. Army's Aberdeen Proving Ground in... nonparticipating aircraft from a hazard to navigation in the Aberdeen Proving Ground airspace. DATES: Comments......

  8. The Mathematical Nature of Reasoning-and-Proving Opportunities in Geometry Textbooks

    Science.gov (United States)

    Otten, Samuel; Gilbertson, Nicholas J.; Males, Lorraine M.; Clark, D. Lee

    2014-01-01

    International calls have been made for reasoning-and-proving to permeate school mathematics. It is important that efforts to heed this call are grounded in an understanding of the opportunities to reason-and-prove that already exist, especially in secondary-level geometry where reasoning-and-proving opportunities are prevalent but not thoroughly…

  9. A long-term follow-up study of the remote result of lumbar discectomy versus conservative treatment for single-level lumbar disc herniation

    Directory of Open Access Journals (Sweden)

    Ke-dong HOU

    2012-09-01

    Full Text Available Objective To analyze and compare the long-term therapeutic effect and image changes of conservative therapy versus lumbar discectomy for lumbar disc herniation to provide valid reference for its clinical treatment. Methods The clinical data from 182 patients with single-level lumbar disc herniation, who were treated from January 1983 to June 2008 and followed-up for more than 10 years, were analyzed retrospectively. These patients were divided into conservative treatment (CT group (n=73 with a mean follow-up time of 17.61±3.87 years, and surgery group (n=109 with a mean follow up time of 17.17±3.47 years. In the CT group, 49 patients were male, 24 female; there were 44 patients with L4-L5 disc herniation, and 29 L5-S1 disc herniation. In 109 patients in the surgery group, 71 were male, 38 female; 68 had L4-L5 disc herniation, 41 had L5-S1 disc herniation, and all of them received lumbar discectomy. The long-term therapeutic effects were reviewed and compared retrospectively in the two groups, including clinical manifestations, image changes, neurofunctional evaluation, height of morbid intervertebral space, adjacent segment intervertebral space and the incidence of cephalad adjacent segment degeneration. Results Eight of 73 patients received lumbar spinal canal decompression because of intermittent claudication in the CT group, and 13 in surgery group underwent resurgery for recurrent lumbar disc herniation. At final follow up, the height of morbid intervertebral space (0.62±0.15cmin surgery group was significantly lower than that in CT group (0.69±0.13cm, P < 0.05, the Oswestry score (23.9%±6.3% in surgery group, 23.3%±6.5% in CT group and height of adjacent segment intervertebral space (0.83±0.11cm in surgery group, and 0.82±0.11cm in CT group were statistically compared, and no significant difference was found between the two groups. Five patients in CT group and 9 in surgery group were found to have degenerative instability by

  10. Quantum optical properties of a single Inx Ga1-x As-GaAs quantum dot two-level system

    Science.gov (United States)

    Stufler, S.; Ester, P.; Zrenner, A.; Bichler, M.

    2005-09-01

    We report on a two-level system, defined by the ground-state exciton of a single InGaAs/GaAs quantum dot. Saturation spectroscopy combined with ultrahigh spectral resolution gives us a complete description of the system in the steady-state limit. Rabi oscillations and quantum interference experiments, on the other hand, provide a detailed insight into the coherent high excitation regime. All fundamental properties of the two-level system show an excellent quantitative agreement in both domains, even though obtained under entirely different experimental conditions. We thus are able to demonstrate control over an almost ideal two-level system, suitable for possible applications in quantum information processing.

  11. Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis

    Directory of Open Access Journals (Sweden)

    Guang HAN

    2016-04-01

    Full Text Available Objective To analyze the causes of surgical complications after treatment of lumbar disc herniation (LDH and lumbar intervertebral foraminal stenosis by percutaneous transforaminal endoscopic discectomy (PTED.  Methods From December 2009 to December 2014, 286 patients with LDH (N = 201 and lumbar intervertebral foraminal stenosis (N = 85 were confirmed by X-ray, CT or MRI and treated by PTED in our hospital. Visual Analogue Scale (VAS was used to evaluate the degree of pain in each paitent before and after operation. The curative effect was evaluated by Macnab score. Surgical complications were recorded to find out the causes and methods to prevent them.  Results All cases were followed up for 3 months, and the VAS score decreased significantly compared with preoperation [1.00 (0.00, 1.05 vs 8.50 (7.75, 9.25; Z = 2.825, P = 0.050]. According to Macnab score, the rate of excellent and good functional recovery was 95.45% (273/286. Procedure-related complications included nerve injury in 8 cases (2.80%, hemorrhage at the operation site and hematoma formation around nerve root in 6 cases (2.10%, rupture of dural sac in one case (0.35%, muscle cramps in 3 cases (1.05%, surgical infection in one case (0.35%, postoperative recurrence in 4 cases (1.40%. All patients with complications were cured after symptomatic treatment. Conclusions The overall effect of percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis is satisfactory, which has a low incidence rate of postoperative complications. Some tips can effectively reduce the rate of surgical complications such as preoperative evaluation, precise performance, careful hemostasis, shortening the operation time and postoperatively symptomatic treatment, etc. DOI: 10.3969/j.issn.1672-6731.2016.04.007

  12. Two-Level Optimization for GFRP Wind Turbine Blade Structural Design%GFRP风机叶片结构设计的二级优化方法

    Institute of Scientific and Technical Information of China (English)

    李丹; 姚卫星

    2011-01-01

    Based on the topology of wind turbine blade structures, the web position of the blade is chosen as systematical design variable and the layer thickness as size design variable, and then a two-level opti-mization method is proposed to determine web position and skin layer thickness. Firstly, the surrogate model of web position is established based on which the system level optimization is performed with weight minimum as objective in order to obtain the position variable values. Then the position values are passed to sub-system where the layer thickness is optimized with a fractional step strategy. When the results of system and sub-system satisfy convergent condition, the optimum blade structure design is ob-tained. The two-level optimization method is proved to be efficient to obtain better blade design by the given examples.%通过对风机叶片结构特性的分析,以叶片腹板位置和蒙皮锗层厚度为设计变量,发展了一种二级优化设计方法.首先建立腹板位置参数的代理模型,根据所建的代理模型以质量最轻为目标进行系统级优化求解出腹板位置,然后将结果传给予系统级,子系统级采取分步优化策略求解叶片铺层厚度.当两级优化结果收敛时得到叶片最佳设计.经算例验证,采用这种二级优化方法,可得到较为理想的叶片结构设计结果.

  13. Radiologic and clinical outcomes comparison between single- and two-level pedicle subtraction osteotomies in correcting ankylosing spondylitis kyphosis.

    Science.gov (United States)

    Xu, Hui; Zhang, Yonggang; Zhao, Yongfei; Zhang, Xuesong; Xiao, Songhua; Wang, Yan

    2015-02-01

    Single pedicle subtraction osteotomy (PSO) has been used to correct ankylosing spondylitis (AS) kyphosis successfully, but this approach seems insufficient to correct severe kyphosis. Two-level PSO has been attempted to correct advanced kyphosis in recent years. However, studies have not yet compared outcomes between single and double PSOs, and the indications to perform two-level PSO are unclear. This study aimed to compare the radiologic and clinical outcomes between single- and two-level PSOs in correcting AS kyphosis. This work is a retrospective cohort study. Sixty patients were included. Thirty-seven underwent single-level PSO, and 23 underwent one stage two-level PSO. The radiologic analysis included thoracic kyphosis, thoracolumbar junction, lumbar lordosis, pelvic index, chin-brow vertical angle (CBVA), sagittal vertical axis (SVA), and pelvic tilt (PT). Clinical assessment was performed with a Scoliosis Research Society-22 (SRS-22) outcomes instrument. The operative time, blood loss, and complications were also documented. All of the aforementioned measurements were recorded before surgery, after surgery, and at the last follow-up. The outcomes were compared between the two groups. The operating time was 232±52 minutes for single- and 282±43 minutes for two-level PSOs. The blood loss was 1,240±542 mL (Level 1) and 2,202±737 mL (Level 2). The total spine correction was 43.2°±15.1° (Level 1) and 60.6°±19.1° (Level 2) (p.05). All patients could walk with horizontal vision and lie on their backs postoperatively. The SRS-22 improved from 1.7±0.4 to 4.2±0.8 in the two-level group and 1.8±0.8 to 4.3±0.7 in the single-level group. The fusion of the osteotomy was achieved in each patient. The complications were similar in both groups. Pedicle subtraction osteotomy is an effective method to correct kyphosis with AS. Most patients can be successfully treated by single PSO. In severe patients, two-level PSO may be preferable because its correction

  14. Full counting statistics of transport electrons through a two-level quantum dot with spin–orbit coupling

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Z.M. [Institute of Theoretical Physics and Department of Physics, Shanxi University, Taiyuan 030006 (China); Xue, H.B. [College of Physics and Optoelectronics, Taiyuan University of Technology, Taiyuan 030024 (China); Xue, N.T. [Institute of Theoretical Physics and Department of Physics, Shanxi University, Taiyuan 030006 (China); Liang, J.-Q., E-mail: jqliang@sxu.edu.cn [Institute of Theoretical Physics and Department of Physics, Shanxi University, Taiyuan 030006 (China)

    2015-02-15

    We study the full counting statistics of transport electrons through a semiconductor two-level quantum dot with Rashba spin–orbit (SO) coupling, which acts as a nonabelian gauge field and thus induces the electron transition between two levels along with the spin flip. By means of the quantum master equation approach, shot noise and skewness are obtained at finite temperature with two-body Coulomb interaction. We particularly demonstrate the crucial effect of SO coupling on the super-Poissonian fluctuation of transport electrons, in terms of which the SO coupling can be probed by the zero-frequency cumulants. While the charge currents are not sensitive to the SO coupling.

  15. A TWO-LEVEL FINITE ELEMENT GALERKIN METHOD FOR THE NONSTATIONARY NAVIER-STOKES EQUATIONS I: SPATIAL DISCRETIZATION

    Institute of Scientific and Technical Information of China (English)

    Yin-nianHe

    2004-01-01

    In this article we consider a two-level finite element Galerkin method using mixed finite elements for the two-dimensional nonstationary incompressible Navier-Stokes equations. The method yields a H1-optimal velocity approximation and a L2-optimal pressure approximation. The two-level finite element Galerkin method involves solving one small,nonlinear Navier-Stokes problem on the coarse mesh with mesh size H, one linear Stokes problem on the fine mesh with mesh size h <

  16. Non-Hermitian wave packet approximation for coupled two-level systems in weak and intense fields

    CERN Document Server

    Puthumpally-joseph, Raiju; Charron, Eric

    2016-01-01

    We introduce an accurate non-Hermitian Schr\\"odinger-type approximation of Bloch optical equations for two-level systems. This approximation provides a complete description of the excitation, relaxation and decoherence dynamics in both weak and strong laser fields. In this approach, it is sufficient to propagate the wave function of the quantum system instead of the density matrix, providing that relaxation and dephasing are taken into account via automatically-adjusted time-dependent gain and decay rates. The developed formalism is applied to the problem of scattering and absorption of electromagnetic radiation by a thin layer comprised of interacting two-level emitters.

  17. The ROI-C zero-profile anchored spacer for anterior cervical discectomy and fusion: biomechanical profile and clinical outcomes

    Directory of Open Access Journals (Sweden)

    Bucci MN

    2017-04-01

    Full Text Available Michael N Bucci,1 Dennis Oh,2 R Scott Cowan,3 Reginald J Davis,4 Robert Jackson,5 Dwight S Tyndall,6 Daniel Nehls7 1Piedmont Spine and Neurosurgical Group, PA, Greenville, SC, USA; 2Baystate Medical Center, Springfield, MA, USA; 3New England Orthopedic Surgeons, Inc., Springfield, MA, USA; 4Greater Baltimore Medical Center, Baltimore, MD, USA; 5Orange County Neurosurgical Associates, Laguna Hills, CA, USA; 6Orthopedic Specialists of Northwest Indiana, Munster, IN, USA; 7Franciscan Neurosurgery Associates at St. Joseph Medical Center, Tacoma, WA, USA Introduction: Anterior cervical discectomy and fusion (ACDF has been the gold standard for treating cervical degenerative disc disease (cDDD. The use of anterior plates in ACDF poses an increased risk of complications such as screw or plate dislodgement, soft tissue injury, esophagus perforation, and dysphagia. The ROI-C™ implant system consists of a zero-profile interbody fusion cage with self-locking plates designed for stand-alone fusion without external plates or screws.Objective: The purpose of this report is to describe the ROI-C™ implant system with VerteBRIDGE™ anchor plates, including indications for use, surgical technique, preclinical testing, and clinical study results. The objectives of the clinical study were to assess fusion status, incidence of dysphagia and other device-related complications, and patient reported outcomes.Methods: This was a retrospective, multicenter cohort study of 110 patients who underwent ACDF with ROI-C at seven study centers. Patient charts and radiographs were reviewed for any complications or device malfunction. The final follow-up was conducted prospectively and included collection of neck disability index, and visual analog scale (VAS neck and arm pain scores.Results: The mean operation time was 73 minutes, and mean blood loss was 25 mL (range 0–75 mL. Mean follow-up was 20.7 months (range 9.5–42.2. Dysphagia was reported in two patients (1

  18. Quantum driving protocols for a two-level system: From generalized Landau-Zener sweeps to transitionless control

    DEFF Research Database (Denmark)

    Malossi, Nicola; Bason, Mark George; Viteau, Matthieu

    2013-01-01

    We present experimental results on the preparation of a desired quantum state in a two-level system with the maximum possible fidelity using driving protocols ranging from generalizations of the linear Landau-Zener protocol to transitionless driving protocols that ensure perfect following of the ...

  19. Application of FCI at engineering students in Bogota: an interpretation of the answers through a random model of two levels

    CERN Document Server

    Talero, Paco; Barbosa, Luis

    2012-01-01

    We applied the FCI to 646 engineering students from Bogota when they began your first year physics, we found that the relative frequency of the number of correct answers has a random pattern of two levels, also we found that they don't have clear mental models about physical world.

  20. Comparison of PI and PR current controllers applied on two-level VSC-HVDC transmission system

    DEFF Research Database (Denmark)

    Manoloiu, A.; Pereria, H.A.; Teodorescu, Remus;

    2015-01-01

    This paper analyzes differences between αβ and dq reference frames regarding the control of two-level VSC-HVDC current loop and dc-link voltage outer loop. In the first part, voltage feedforward effect is considered with PI and PR controllers. In the second part, the feedforward effect is removed...

  1. The dynamical Cooperative Lamb Shift in a system of two-level atoms in a slab-geometry

    Energy Technology Data Exchange (ETDEWEB)

    Friedberg, Richard [Department of Physics, Columbia University, New York, NY 10027 (United States); Manassah, Jamal T., E-mail: jmanassah@gmail.co [HMS Consultants, Inc., PO Box 592, New York, NY 10028 (United States)

    2009-09-14

    Using the eigenmode analysis, we compute the Cooperative Lamb Shift (CLS) as a function of time from the vector photon model for a system of two-level atoms in a slab-geometry for forward and backward emission in two initial states of weak excitation and complete inversion.

  2. THE EXACT SOLUTION OF A TWO-LEVEL ATOM MOVING IN A QUANTIZED TRAVELLING LIGHT FIELD AND A GRAVITATIONAL FIELD

    Institute of Scientific and Technical Information of China (English)

    邹旭波; 许晶波; 高孝纯; 符建

    2001-01-01

    We adopt a dynamical algebraic approach to study the system of a two-level atom moving in a quantized travelling light field and a gravitational field with a multiphoton interaction. The exact solution of the system is obtained and used to discuss the influence of the gravitational field on the collapses and revivals of atomic population, sub-Poissonian statistics.

  3. LCL filter design for three-phase two-level power factor correction using line impedance stabilization network

    DEFF Research Database (Denmark)

    Kouchaki, Alireza; Nymand, Morten

    2016-01-01

    This paper presents LCL filter design method for three-phase two-level power factor correction (PFC) using line impedance stabilization network (LISN). A straightforward LCL filter design along with variation in grid impedance is not simply achievable and inevitably lead to an iterative solution...

  4. Absolute phase control of spectra effects in a two-level medium driven by two-color ultrashort laser pulses

    Energy Technology Data Exchange (ETDEWEB)

    Xia Keyu [State Key Laboratory of High Field Laser Physics, Shanghai Institute of Optics and Fine Mechanics, Chinese Academy of Sciences, Shanghai 201800 (China); Graduate University of Chinese Academy of Sciences (China); Niu Yueping [State Key Laboratory of High Field Laser Physics, Shanghai Institute of Optics and Fine Mechanics, Chinese Academy of Sciences, Shanghai 201800 (China); Graduate University of Chinese Academy of Sciences (China); Li Chunfang [Department of Physics, Shanghai University, Shanghai 200436 (China); Gong Shangqing [CCAST (World Laboratory), PO Box 8730, Beijing 100080 (China) and State Key Laboratory of High Field Laser Physics, Shanghai Institute of Optics and Fine Mechanics, Chinese Academy of Sciences, Shanghai 201800 (China)]. E-mail: sqgong@siom.ac.cn

    2007-01-22

    Using a {omega}-3{omega} combination scenario, we investigate the absolute phase control of the spectra effects for ultrashort laser pulses propagating in a two-level medium. It is found that the higher spectral components can be controlled by the absolute phases. In particular, different absolute phase combinations can lead to the buildup or split of the even harmonics.

  5. Two-Level Unequal Error Protection Scheme in Image Transmission System Using Multilevel Codes in Rayleigh Fading Channel

    Institute of Scientific and Technical Information of China (English)

    LI Zuo-wei; YANG Yi-xian; YUAN Dong-feng; HU Zheng-ming

    2004-01-01

    In this paper, we propose a novel Unequal Error Protection (UEP) scheme with two levels for image transmission using Multilevel Codes (MLC). By providing the best protection for the most important data, the final recovered image quality is remarkably improved both in visual effect and in Peak Signal to Noise power Ratio (PSNR) performance.

  6. Quantum driving protocols for a two-level system: From generalized Landau-Zener sweeps to transitionless control

    DEFF Research Database (Denmark)

    Malossi, Nicola; Bason, Mark George; Viteau, Matthieu

    2013-01-01

    We present experimental results on the preparation of a desired quantum state in a two-level system with the maximum possible fidelity using driving protocols ranging from generalizations of the linear Landau-Zener protocol to transitionless driving protocols that ensure perfect following...

  7. Lumbar (Open) Microscopic Discectomy

    Science.gov (United States)

    ... When the outer wall of a disc, the annulus fibrosus, becomes weakened, it may tear allowing the ... and alleviate the pain. The surgery involves a small incision in the skin over the spine, removal ...

  8. Mechanical theorem proving in the surfaces using the characteristic set method and Wronskian determinant

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In this paper, we generalize the method of mechanical theorem proving in curves to prove theorems about surfaces in differential geometry with a mechanical procedure. We improve the classical result on Wronskian determinant, which can be used to decide whether the elements in a partial differential field are linearly dependent over its constant field. Based on Wronskian determinant, we can describe the geometry statements in the surfaces by an algebraic language and then prove them by the characteristic set method.

  9. Model of the photoexcitation processes of a two-level molecule coherently coupled to an optical antenna.

    Science.gov (United States)

    Nakatani, Masatoshi; Nobuhiro, Atsushi; Yokoshi, Nobuhiko; Ishihara, Hajime

    2013-06-07

    We theoretically investigate photoexcitation processes of a two-level molecular system coherently coupled with an antenna system having a significant dissipation. The auxiliary antenna enables the whole system to exhibit anomalous optical effects by controlling the coupling with the molecule. For example, in the weak excitation regime, the quantum interference yields a distinctive energy transparency through the antenna, which drastically reduces the energy dissipation. On the other hand, in the strong excitation regime, a population inversion of the two-level molecule appears due to the nonlinear effect. Both phenomena can be explained by regarding the antenna and molecule as one quantum-mechanically coupled system. Such an approach drives further research to exploit the full potential of the coupled systems.

  10. RESIDUAL A POSTERIORI ERROR ESTIMATE OF A NEW TWO-LEVEL METHOD FOR STEADY NAVIER-STOKES EQUATIONS

    Institute of Scientific and Technical Information of China (English)

    Chunfeng REN; Yichen MA

    2006-01-01

    Residual-based a posteriori error estimate for conforming finite element solutions of incompressible Navier-Stokes equations, which is computed with a new two-level method that is different from Volker John, is derived. A posteriori error estimate contains additional terms in comparison to the estimate for the solution obtained by the standard finite element method. The importance of the additional terms in the error estimates is investigated by studying their asymptotic behavior. For optimal scaled meshes, these bounds are not of higher order than the convergence of discrete solution. The two-level method aims to solve the nonlinear problem on a coarse grid with less computational work,then to solve the linear problem on a fine grid, which is superior to the usual finite element method solving a similar nonlinear problem on the fine grid.

  11. Optimized two-level placement of test points for multi-objective air monitoring of the Three Gorges Reservoir area

    Institute of Scientific and Technical Information of China (English)

    XIAO Dong-hai; TAN Chun-lu; WANG Jun-qiang; ZHONG Yuan-chang

    2007-01-01

    To fit the complicated geographic conditions of the Three Gorges Reservoir area, a two-level multi-objective monitoring system was developed to monitor the atmosphere of the area. Statistical analysis of environmental monitoring data and the macro control principle were employed to configure the upper layer. The lower layer was designed by the application of the thumb rule to a local terrain and specific point sources of pollution therein. The optimized two-level system comprises an upper layer of 16 monitoring stations distributed at places of diverse geographical, ecological, economical and social characteristics, and a lower layer of 16 sub-machines at each monitoring station of the upper layer. This optimal outcome fits the complicated conditions of the Three Gorges Reservoir area, substantially cuts down the installation cost and the operation cost, and provides accurate monitoring data of atmosphere over the entire area with a high resolution.

  12. Economic-mathematical model of two-level minimax program control of economic security of a region

    Directory of Open Access Journals (Sweden)

    Andrey Fyodorovich Shorikov

    2014-09-01

    Full Text Available This article discusses a discrete-time dynamical system consisting of a set of a controllable objects (region and forming it municipalities. The dynamics each of these is described by the corresponding vector linear discrete-time recurrent relations, and its control system consist from two levels: basic (control level I that is dominating and subordinate level (control level II. Both levels have different criterions of functioning and united a priori by determined informational and control connections defined in advance. Considered addresses the problem of optimization of management of economic security of the region in the presence of risks. For the investigated problem is proposed in this work an economic-mathematical model of two-level hierarchical minimax program control of economic security of the region in the presence of risk and the general scheme of the solution.

  13. Propagation of subcycle pulses in a two-level medium: Area-theorem breakdown and pulse shape

    CERN Document Server

    Novitsky, Denis

    2013-01-01

    We solve the problem of ultrashort pulse propagation in a two-level medium beyond the rotating-wave (RWA) and slowly-varying-envelope approximations. The method of solution is based on the Maxwell--Bloch equations represented in the form that allows one to switch between RWA and general (non-RWA) cases in the framework of a single numerical algorithm. Using this method, the effect of a subcycle pulse (containing less than a single period of field oscillations) on the two-level medium was analyzed. It is shown that for such short pulses, the clear breakdown of the area theorem occurs for the pulses of large enough area. Moreover, deviations from the area theorem appear to be strongly dependent on the pulse shape that cannot be observed for longer few-cycle pulses.

  14. Squeezing Effect of a Nanomechanical Resonator Coupled to a Two-Level System:an Equilibrium Approach

    Institute of Scientific and Technical Information of China (English)

    LI Jing; CHEN Zhi-De

    2009-01-01

    The squeezing effect of a nanomechanical resonator coupled to a two-level system is studied by variational calculations based on both the displaced-squeezed-state (DSS) and the displaced-oscillator-state (DOS).The stable region of the DSS ground state at both T = 0 and T≠0 and the corresponding squeezing factor are alculated.It is found that when the resonator frequency lies in (kBT,△),where △ is the tunnelling splitting of the two-level-system in the presence of dissipation,tunnelling splitting of a DSS ground state decreases with the temperature,while tunnelling splitting of a DOS ground state increases with the temperature in low temperature region.This opposite temperature dependence can help to distinguish between the DSS and DOS ground state in the experiment.

  15. PSCAD modeling of a two-level space vector pulse width modulation algorithm for power electronics education

    Directory of Open Access Journals (Sweden)

    Ahmet Mete Vural

    2016-09-01

    Full Text Available This paper presents the design details of a two-level space vector pulse width modulation algorithm in PSCAD that is able to generate pulses for three-phase two-level DC/AC converters with two different switching patterns. The presented FORTRAN code is generic and can be easily modified to meet many other kinds of space vector modulation strategies. The code is also editable for hardware programming. The new component is tested and verified by comparing its output as six gating signals with those of a similar component in MATLAB library. Moreover the component is used to generate digital signals for closed-loop control of STATCOM for reactive power compensation in PSCAD. This add-on can be an effective tool to give students better understanding of the space vector modulation algorithm for different control tasks in power electronics area, and can motivate them for learning.

  16. Bistability of optical response of an ultra thin layer consisting of two-level atoms: account of the local field

    Science.gov (United States)

    Shuval-Sergeeva, E. V.; Zaitsev, A. I.

    2008-03-01

    When describing the phenomenon of bistability of optical response of an ultra thin layer consisting of two-level atoms it is important to take into account the local field correction. The account of the correction results in the improvement of existence conditions of bistability. One more bistable region is formed starting with certain value of local field parameter. Both effects are induced by the dynamical frequency shift.

  17. Electromagnetically Induced Absorption and Transparency Spectra of Degenerate TwoLevel Systems with a Strong Coupling Field in Cs Vapour

    Institute of Scientific and Technical Information of China (English)

    赵延霆; 赵建明; 肖连团; 尹王保; 贾锁堂

    2004-01-01

    The electromagnetically induced absorption and electromagnetically induced transparency spectra of degenerate two-level systems with a strong coupling laser were observed. The frequency detuning and intensity effect of the coupling laser were demonstrated simultaneously. A dispersion-like spectrum can be obtained when the coupling laser is situated at blue-side detuning. The absorption inversion was realized when the coupling laser intensity is small. The coherent resonance has a linewidth much narrower than the natural linewidth of the optical transitions.

  18. Two-Level Dipolar System in a Heat Bath: High-Pump Power Effects in the Nonlinear Optical Responses

    Science.gov (United States)

    Paz, J. L.; León-Torres, J. R.; Lascano, Luis; Alvarado, Ysaias J.; Costa-Vera, Cesar

    2017-06-01

    Using the four-wave mixing spectroscopy, we analyze the nonlinear optical properties in a strongly driven two-level system, using a perturbative treatment where, the pump field is considered at all orders, second order in the probe, and first order for the signal field, when the stochastic effects of the solvent are considered. Significant variations in the nonlinear optical properties due mainly to changes in the probe intensity, chemical concentrations, and transversal relaxation times are observed.

  19. NAFTA as an agricultural "policy option" for Mexico : a case study within a two-level framework

    OpenAIRE

    Røssaak, Camilla

    1996-01-01

    NAFTA AS AN AGRICULTURAL 'POLICY OPTION' FOR MEXICO: A CASE STUDY WITHIN A TWO- LEVEL FRAMEWORK The main focus of the thesis was the agricultural negotiation process between Mexico and the United States within the NAFTA process. I wanted to investigate to what extent this process led to changes in Mexican agricultural policy. Furthermore I wanted to find out whose interests were taken into consideration when Mexico negotiated agriculture in NAFTA. If so, was this done at the expense o...

  20. Entropy squeezing for a two-level atom in two-mode Raman coupled model with intrinsic decoherence

    Institute of Scientific and Technical Information of China (English)

    Zhang Jian; Shao Bin; Zou Jian

    2009-01-01

    In this paper,we investigate the entropy squeezing for a two-level atom interacting with two quantized fields through Raman coupling.We obtain the dynamical evolution of the total system under the influence of intrinsic decoherence when the two quantized fields are prepared in a two-mode squeezing vacuum state initially.The effects of the field squeezing factor,the two-level atomic transition frequency,the second field frequency and the intrinsic decoherence on the entropy squeezing are discussed.Without intrinsic decoherence,the increase of field squeezing factor can break the entropy squeezing.The two-level atomic transition frequency changes only the period of oscillation but not the strength of entropy squeezing.The influence of the second field frequency is complicated.With the intrinsic decoherence taken into consideration,the results show that the stronger the intrinsic decoherence is,the more quickly the entropy squeezing will disappear.The increase of the atomic transition frequency can hasten the disappearance of entropy squeezing.

  1. Interaction of a two-level atom with single-mode optical field beyond the rotating wave approximation.

    Science.gov (United States)

    Liu, Ju; Li, Zhi-Yuan

    2014-11-17

    One of the simplest models involving the atom-field interaction is the coupling of a single two-level atom with single-mode optical field. Under the rotating wave approximation, this problem is reduced to a form that can be solved exactly. But the approximation is only valid when the two levels are resonant or nearly resonant with the applied electromagnetic radiation. Here we present an analytical solution without the rotating wave approximation and applicable to general atom-field interaction far away from the resonance. We find that there exists remarkable influence of the initial phase of optical field on the Rabi oscillations and Rabi splitting, and this issue cannot be explored in the context of the rotating wave approximation. Due to the retention of the counter-rotating terms, higher-order harmonic appears during the Rabi splitting. The analytical solution suggests a way to regulate and control the quantum dynamics of a two-level atom and allows for exploring more essential features of the atom-field interaction.

  2. [Case-control study on Zero-profile implant for anterior cervical discectomy and fusion and conventional cage plate internal fixation for the treatment of single segmental cervical intervertebral disc herniation].

    Science.gov (United States)

    Shao, Hai-yu; Zhang, Jun; Yang, Di; Chen, Jin-ping; Huang, Ya-zeng

    2016-06-01

    To compare clinical efficacy of Zero-profile implant for anterior cervical discectomy and fusion and conventional titanium plate with cage internal fixation for the treatment of single segmental cervical intervertebral disc herniation. From August 2011 to March 2014, clinical data of 139 patients with single cervical disc herniation treated with anterior cervical discectomy and interbody fusion with internal fixation were retrospectively analyzed. The patients were divided into two groups according to its operation method. There were 63 patients in group A which performed anterior discectomy and interbody fusion with Zero-profile;76 patients in group B which performed anterior cervical discectomy and cage plate internal fixation. JOA score and Odom functional rating between two groups were compared before and after operation. Videofluorographic swallowing study (VFSS) were used to evaluate thickness of prevertebral soft tissue. Bazaz dysphagia score were used to assess incidence of dysphagia. Postoperative AP X-ray and CT of cervical vertebra at 12 months were applied for evaluating bone graft fusion. Postoperative MRI was applied for evaluating the incidence of adjacent segment degeneration. Blood loss,operative time, preoperative and postoperative JOA score, Odom functional rating and VFSS score, Bazaz score, fusion rate between vertebral bodies and incidence of adjacent segment degeneration were compared between two groups. There were no statistical meaning between two groups in JOA score, Odom functional rating before and after operation (P > 0.05); and no significant meaning in VFSS score between two groups before operation (P > 0.05); There were no significant difference in operative time and blood loss. There was statistical meaning in VFSS, Bazaz dysphagia score at 2 days, and 6 months after operation (P 0.05). Eight patients (12.7%) in group A occurred adjacent segment degeneration and 19 patients (25%) in group B occurred adjacent segment degeneration

  3. The use of autologous cervical laminae as bone graft in anterior cervical discectomy and fusion in patients undergoing one-stage posteroanterior cervical surgery

    Directory of Open Access Journals (Sweden)

    Xu XIONG

    2015-04-01

    Full Text Available Objective To evaluate the effectiveness and radiographic outcomes of using autologous cervical laminae as bone graft in anterior discectomy and fusion (ACDF in patients with one-stage posteroanterior surgery for cervical spinal stenosis (cervical spondylotic myelopathy. Methods From January 2010 to June 2013, 37 patients with cervical spinal stenosis underwent surgical treatment in our hospital. Fifteen of them underwent one-stage posteroanterior cervical surgery using autologous cervical laminae as bone graft in ACDF (group A, and 22 patients underwent one-stage posteroanterior procedure using autologous iliac bone as bone graft in ACDF (group B. The operative time, intraoperative blood loss, fusion rate, VAS score, JOA score and height of intervertebral space were compared between the two groups. Results The operative time was 102.7±13.9 min in group A and 128.9±12.3 min in group B, showing significant difference between two groups (t=–6.031, P=0.00. The intraoperative blood loss was 170.3±25.7 ml in group A and 191.1±32.0 ml in group B, and also showing significant difference between them (t=–2.097, P=0.04. All the patients were followed up from 6 months to 42 months (mean, 17.4 months. At 6 months after the surgery, the fusion rate of bone graft was 94.4% (14/15 in group A and 100% (22/22 in group B, and no significant difference was found between two groups (χ2=1.507, P=0.220. The postoperative VAS score, JOA score and intervertebral height were significantly improved compared with those before surgery in both groups (P0.05. Conclusion In anterior cervical discectomy and fusion during one-stage posteroanterior cervical surgery, the use of autologous cervical laminae as bone graft is feasible. DOI: 10.11855/j.issn.0577-7402.2015.02.12

  4. Significant Improvement of Puncture Accuracy and Fluoroscopy Reduction in Percutaneous Transforaminal Endoscopic Discectomy With Novel Lumbar Location System: Preliminary Report of Prospective Hello Study.

    Science.gov (United States)

    Fan, Guoxin; Guan, Xiaofei; Zhang, Hailong; Wu, Xinbo; Gu, Xin; Gu, Guangfei; Fan, Yunshan; He, Shisheng

    2015-12-01

    Prospective nonrandomized control study.The study aimed to investigate the implication of the HE's Lumbar LOcation (HELLO) system in improving the puncture accuracy and reducing fluoroscopy in percutaneous transforaminal endoscopic discectomy (PTED).Percutaneous transforaminal endoscopic discectomy is one of the most popular minimally invasive spine surgeries that heavily depend on repeated fluoroscopy. Increased fluoroscopy will induce higher radiation exposure to surgeons and patients. Accurate puncture in PTED can be achieved by accurate preoperative location and definite trajectory.The HELLO system mainly consists of self-made surface locator and puncture-assisted device. The surface locator was used to identify the exact puncture target and the puncture-assisted device was used to optimize the puncture trajectory. Patients who had single L4/5 or L5/S1 lumbar intervertebral disc herniation and underwent PTED were included the study. Patients receiving the HELLO system were assigned in Group A, and those taking conventional method were assigned in Group B. Study primary endpoint was puncture times and fluoroscopic times, and the secondary endpoint was location time and operation time.A total of 62 patients who received PTED were included in this study. The average age was 45.35 ± 8.70 years in Group A and 46.61 ± 7.84 years in Group B (P = 0.552). There were no significant differences in gender, body mass index, conservative time, and surgical segment between the 2 groups (P > 0.05). The puncture times were 1.19 ± 0.48 in Group A and 6.03 ± 1.87 in Group B (P HELLO system is accurate preoperative location and definite trajectory. This preliminary report indicated that the HELLO system significantly improves the puncture accuracy of PTED and reduces the fluoroscopic times, preoperative location time, as well as operation time. (ChiCTR-ICR-15006730).

  5. Mechanizing Weakly Ground Termination Proving of Term Rewriting Systems by Structural and Cover-Set Inductions

    Institute of Scientific and Technical Information of China (English)

    Su Feng

    2005-01-01

    The paper presents three formal proving methods for generalized weakly ground terminating property, i.e.,weakly terminating property in a restricted domain of a term rewriting system, one with structural induction, one with cover-set induction, and the third without induction, and describes their mechanization based on a meta-computation model for term rewriting systems-dynamic term rewriting calculus. The methods can be applied to non-terminating, nonconfluent and/or non-left-linear term rewriting systems. They can do "forward proving" by applying propositions in the proof, as well as "backward proving" by discovering lemmas during the proof.

  6. Mechanical theorem proving in the surfaces using the characteristic set method and Wronskian determinant

    Institute of Scientific and Technical Information of China (English)

    FENG RuYong; YU JianPing

    2008-01-01

    In this paper,we generalize the method of mechanical theorem proving in curves to prove theorems about surfaces in differential geometry with a mechanical procedure.We improve the classical result on Wronskian determinant,which can be used to decide whether the elements in a partial differential field are linearly dependent over its constant field.Based on Wronskian determinant,we can describe the geometry statements in the surfaces by an algebraic language and then prove them by the characteristic set method.

  7. Direct Power Control for Three-Phase Two-Level Voltage-Source Rectifiers Based on Extended-State Observation

    DEFF Research Database (Denmark)

    Song, Zhanfeng; Tian, Yanjun; Yan, Zhuo

    2016-01-01

    characteristic is highly dynamic behaviors, the proposed control strategy can present comparably enhanced transient performance. Furthermore, excellent steady-state power performance can also be observed when the proposed control scheme is adopted. In addition, another attractive feature lies in its robust......This paper proposed a direct power control strategy for three-phase two-level voltage-source rectifiers based on extended-state observation. Active and reactive powers are directly regulated in the stationary reference frame. Similar to the family of predictive controllers whose inherent...... control strategy, the vector-oriented control scheme and the proposed strategy, which demonstrate the superiority of the proposed scheme....

  8. MANAGEMENT MODEL OF UNCONFINED AQUIFER SYSTEM WITH SMALL THICKNESS WITH RESPECT TO DRAWDOWN BASED ON TWO-LEVEL RESPONSE MATRIX

    Institute of Scientific and Technical Information of China (English)

    Cai-Zhi SUN; Wei ZOU; Xue-Yu LIN

    2004-01-01

    In the management of unconfined aquifer systems, if the thickness of the aquifer is very small and the drawdown is relatively big, errors may arise when the superposition principle is adopted.directly. In allusion to this limitation, a new management model for the management of unconfined aquifer systems called two-level response matrix method is put forward. This method is applied in groundwater resources management in Shenyang city. The managing results show that this methodcan, in some degree, increase the efficiency of management and decrease the risk of management.

  9. Entropy as a measure of the noise extent in a two-level quantum feedback controlled system

    Institute of Scientific and Technical Information of China (English)

    Wang Tao-Bo; Fang Mao-Fa; Hu Yao-Hua

    2007-01-01

    By introducing the von Neumann entropy as a measure of the extent of noise, this paper discusses the entropy evolution in a two-level quantum feedback controlled system. The results show that the feedback control can induce the reduction of the degree of noise, and different control schemes exhibit different noise controlling ability, the extent of the reduction also related with the position of the target state on the Bloch sphere. It is shown that the evolution of entropy can provide a real time noise observation and a systematic guideline to make reasonable choice of control strategy.

  10. Entropy squeezing for a two-level atom in the Jaynes-Cummings model with an intensity-depend coupling

    Institute of Scientific and Technical Information of China (English)

    李春先; 方卯发

    2003-01-01

    We study the squeezing for a two-level atom in the Jaynes-Cummings model with intensity-dependent coupling using quantum information entropy, and examine the influences of the initial state of the system on the squeezed component number and direction of the information entropy squeezing. Our results show that, the squeezed component number depends on the atomic initial distribution angle, while the squeezed direction is determined by both the phases of the atom and the field for the information entropy squeezing. Quantum information entropy is shown to be a remarkable precision measure for atomic squeezing.

  11. An EOQ Model with Stock-Dependent Demand under Two Levels of Trade Credit and Time Value of Money

    Directory of Open Access Journals (Sweden)

    H.A.O. Jia-Qin

    2013-05-01

    Full Text Available Since the value of money changes with time, it is necessary to take account of the influence of time factor in making the replenishment policy. In this study, to investigate the influence of the time value of money to the inventory strategy, an inventory system for deteriorating items with stock-dependent demand is investigated under two levels of trade credit. The method to efficiently determine the optimal cycle time is presented. Numerical examples are provided to demonstrate the model and the method.

  12. Evolution of optical force on two-level atom by ultrashort time-domain dark hollow Gaussian pulse

    Science.gov (United States)

    Cao, Xiaochao; Wang, Zhaoying; Lin, Qiang

    2017-09-01

    Based on the analytical expression of the ultrashort time-domain dark hollow Gaussian (TDHG) pulse, the optical force on two-level atoms induced by a TDHG pulse is calculated in this paper. The phenomena of focusing or defocusing of the light force is numerical analyzed for different detuning, various duration time, and different order of the ultrashort pulse. The transverse optical force can change from a focusing force to a defocusing force depending on the spatial-temporal coupling effect as the TDHG pulses propagating in free space. Our results also show that the initial phase of the TDHG pulse can significantly changes the envelope of the optical force.

  13. Tunnelling of Two-Level Atoms in Two-Photon Mazer:Atomic Coherence Effect and Statistics of Cavity Fields

    Institute of Scientific and Technical Information of China (English)

    何小灵; 杜四德; 周鲁卫; 汪启胜; 陈灏

    2004-01-01

    Tunnelling of a two-level atom is investigated in the two-photon mazer when the atom is initially prepared in a coherent superposition state and the cavity in various quantum states. For a strong coherent field, the tunnelling exhibits more regular oscillations but less remarkable switch effect than that in the one-photon mazer. It is discovered that in the presence of atomic coherence, the transmission probabilities in the ultracold regime are significantly different when the cavity field is initially in coherent, squeezed vacuum, even cat and odd cat states,respectively.

  14. Application of multilevel scheme and two level discretization for POD based model order reduction of nonlinear transient heat transfer problems

    Science.gov (United States)

    Gaonkar, A. K.; Kulkarni, S. S.

    2015-01-01

    In the present paper, a method to reduce the computational cost associated with solving a nonlinear transient heat conduction problem is presented. The proposed method combines the ideas of two level discretization and the multilevel time integration schemes with the proper orthogonal decomposition model order reduction technique. The accuracy and the computational efficiency of the proposed methods is discussed. Several numerical examples are presented for validation of the approach. Compared to the full finite element model, the proposed method significantly reduces the computational time while maintaining an acceptable level of accuracy.

  15. Proving the AGT relation for N_f = 0,1,2 antifundamentals

    CERN Document Server

    Hadasz, Leszek; Suchanek, Paulina

    2010-01-01

    Using recursive relations satisfied by Nekrasov partition functions and by irregular conformal blocks we prove the AGT correspondence in the case of N=2 superconformal SU(2) quiver gauge theories with N_f = 0,1,2 antifundamental hypermultiplets

  16. The complexity of proving chaoticity and the Church-Turing thesis

    Science.gov (United States)

    Calude, Cristian S.; Calude, Elena; Svozil, Karl

    2010-09-01

    Proving the chaoticity of some dynamical systems is equivalent to solving the hardest problems in mathematics. Conversely, classical physical systems may "compute the hard or even the incomputable" by measuring observables which correspond to computationally hard or even incomputable problems.

  17. Proving test on the seismic reliability of nuclear power plant: PWR reactor containment vessel

    Energy Technology Data Exchange (ETDEWEB)

    Akiyama, Hiroshi; Yoshikawa, Teiichi; Ohno, Tokue; Yoshikawa, Eiji.

    1989-01-01

    Seismic reliability proving tests of nuclear power plant facilities are carried out by the Nuclear Power Engineering Test Center, using the large-scale, high-performance vibration table of Tadotsu Engineering Laboratory, and sponsored by the Ministry of International Trade and Industry. In 1982, the seismic reliability proving test of a PWR containment vessel was conducted using a test component of reduced scale 1/3.7. As a result of this test, the test component proved to have structural soundness against earthquakes, and at the same time its stable function was proved by leak tests which were carried out before and after the vibration test. In 1983, the detailed analysis and evaluation of these test results were carried out, and the analysis methods for evaluating strength against earthquakes were established. The seismic analysis and evaluation on the actual containment vessel were then performed using these analysis methods, and the safety and reliability of the PWR reactor containment vessel were confirmed.

  18. Optimal control of quantum gates and suppression of decoherence in a system of interacting two-level particles

    CERN Document Server

    Grace, M; Kosut, R L; Lidar, D A; Rabitz, H; Walmsley, I A; Brif, Constantin; Grace, Matthew; Kosut, Robert L.; Lidar, Daniel A.; Rabitz, Herschel; Walmsley, Ian A.

    2007-01-01

    Methods of optimal control are applied to a model system of interacting two-level particles (e.g., spin-half atomic nuclei or electrons or two-level atoms) to produce high-fidelity quantum gates while simultaneously negating the detrimental effect of decoherence. One set of particles functions as the quantum information processor, whose evolution is controlled by a time-dependent external field. The other particles are not directly controlled and serve as an effective environment, coupling to which is the source of decoherence. The control objective is to generate target one- and two-qubit unitary gates in the presence of strong environmentally-induced decoherence and under physically motivated restrictions on the control field. The quantum-gate fidelity, expressed in terms of a novel state-independent distance measure, is maximized with respect to the control field using combined genetic and gradient algorithms. The resulting high-fidelity gates demonstrate the feasibility of precisely guiding the quantum ev...

  19. An Interactive Decomposition Algorithm for Two-Level Large Scale Linear Multiobjective Optimization Problems with Stochastic Parameters Using TOPSIS Method

    Directory of Open Access Journals (Sweden)

    Tarek H. M. Abou-El-Enien

    2015-04-01

    Full Text Available This paper extended TOPSIS (Technique for Order Preference by Similarity Ideal Solution method for solving Two-Level Large Scale Linear Multiobjective Optimization Problems with Stochastic Parameters in the righthand side of the constraints (TL-LSLMOP-SPrhs of block angular structure. In order to obtain a compromise ( satisfactory solution to the (TL-LSLMOP-SPrhs of block angular structure using the proposed TOPSIS method, a modified formulas for the distance function from the positive ideal solution (PIS and the distance function from the negative ideal solution (NIS are proposed and modeled to include all the objective functions of the two levels. In every level, as the measure of ―Closeness‖ dp-metric is used, a k-dimensional objective space is reduced to two –dimentional objective space by a first-order compromise procedure. The membership functions of fuzzy set theory is used to represent the satisfaction level for both criteria. A single-objective programming problem is obtained by using the max-min operator for the second –order compromise operaion. A decomposition algorithm for generating a compromise ( satisfactory solution through TOPSIS approach is provided where the first level decision maker (FLDM is asked to specify the relative importance of the objectives. Finally, an illustrative numerical example is given to clarify the main results developed in the paper.

  20. An Economic Order Quantity Model with Completely Backordering and Nondecreasing Demand under Two-Level Trade Credit

    Directory of Open Access Journals (Sweden)

    Zohreh Molamohamadi

    2014-01-01

    Full Text Available In the traditional inventory system, it was implicitly assumed that the buyer pays to the seller as soon as he receives the items. In today’s competitive industry, however, the seller usually offers the buyer a delay period to settle the account of the goods. Not only the seller but also the buyer may apply trade credit as a strategic tool to stimulate his customers’ demands. This paper investigates the effects of the latter policy, two-level trade credit, on a retailer’s optimal ordering decisions within the economic order quantity framework and allowable shortages. Unlike most of the previous studies, the demand function of the customers is considered to increase with time. The objective of the retailer’s inventory model is to maximize the profit. The replenishment decisions optimally are obtained using genetic algorithm. Two special cases of the proposed model are discussed and the impacts of parameters on the decision variables are finally investigated. Numerical examples demonstrate the profitability of the developed two-level supply chain with backorder.

  1. Parameterization of the Non-Local Thermodynamic Equilibrium Source Function with Chemical Production by an Equivalent Two-Level Model

    Institute of Scientific and Technical Information of China (English)

    Xun ZHU

    2003-01-01

    The classic two-level or equivalent two-level model that includes only the statistical equilibriumof radiative and thermal processes of excitation and quenching between two vibrational energy levelsis extended by adding chemical production to the rate equations. The modifications to the non-localthermodynamic equilibrium source function and cooling rate are parameterized by φc, which characterizesthe ratio of chemical production to collisional quenching. For applications of broadband emission of O3 at9.6 μm, the non-LTE effect of chemical production on the cooling rate and limb emission is proportionalto the ratio of O to O3. For a typical [O]/[O3], the maximum enhancements of limb radiance and coolingrate are about 15%-30% and 0.03-0.05 K day-1, respectively, both occurring near the mesopause regions.This suggests that the broadband limb radiance above ~80 km is sensitive to O3 density but not sensitiveto the direct cooling rate along the line-of-sight, which makes O3 retrieval feasible but the direct coolingrate retrieval difficult by using the O3 9.6 μm band limb emission.

  2. Two-dimensional electromagnetically induced grating via gain and phase modulation in a two-level system

    Science.gov (United States)

    Cheng, Guang-Ling; Cong, Lu; Chen, Ai-Xi

    2016-04-01

    A scheme for two-dimensional (2D) electromagnetically induced grating via spatial gain and phase modulation is presented in a two-level atomic system. Based on the interactions of two orthogonal standing-wave fields, the atom could diffract the weak probe beam into high-order directions and a 2D diffraction grating is generated. It is shown that the diffraction efficiency of the grating can be efficiently manipulated by controlling the Rabi frequencies of control fields, the detunings of the control and probe fields, and interaction length. Different from 2D cross-grating via electromagnetically induced transparency in a four-level atomic system, the present scheme results from the spatial modulation of gain and phase in a simple two-level system, which could lead to 2D gain-phase grating with larger diffraction intensities in the diffraction directions. The studies we present may have potential applications in developing photon devices for optical-switching, optical imaging and quantum information processing.

  3. Current resonances and current platforms in a two-level InAs quantum dot with asymmetric terahertz irradiations

    Energy Technology Data Exchange (ETDEWEB)

    Yuan, R.-Y., E-mail: yuanry@cnu.edu.cn [Center for Theoretical Physics, Department of Physics, Capital Normal University, Beijing 100048 (China); Zhao, X.; Ji, A.-C. [Center for Theoretical Physics, Department of Physics, Capital Normal University, Beijing 100048 (China); Guo, Y., E-mail: guoy66@tsinghua.edu.cn [Department of Physics and State Key Laboratory of Low-Dimensional Quantum Physics, Tsinghua University, Beijing 100084 (China); Collaborative Innovation Center of Quantum Matter, Beijing 100084 (China); Yan, H. [Laboratory of Thin Film Materials, Beijing University of Technology, Beijing 100022 (China)

    2015-09-04

    Both the charging and orbital quantization energies of InAs quantum dot (QD) typically correspond to the terahertz (THz) region. In this letter, under the asymmetric THz irradiations on two leads, electron transport through a two-level InAs QD is theoretically discussed. We demonstrate that when both the frequencies and amplitudes of THz irradiations on two leads are different with the higher asymmetry, the photon–electron pump effect vanishes, even a negative platform appears on the left of the Coulomb peak and a positive platform occurs on the right of the Coulomb interaction related energy level, respectively. This behavior is favorable for the design of THz optoelectronic device. - Highlights: • Asymmetric terahertz waves are irradiated on two leads in two-level InAs QD system. • Only with different frequencies, a negative current resonance is obtained. • A negative platform appears on the left of the Coulomb peak with higher asymmetry. • For the low terahertz field strength, a positive platform occurs. • We report the behaviors are favorable for the design of THz optoelectronic device.

  4. Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease

    Science.gov (United States)

    Vllasolli, Teuta Osmani; Orovcanec, Nikola; Zafirova, Beti; Krasniqi, Blerim; Murtezani, Ardiana; Krasniqi, Valbona; Rama, Bukurije

    2015-01-01

    Background: The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in walking of healthy people, also it has been reported for persons with lower limb amputation, walking with prosthesis. Objective: To assess energy cost and walking speed in two level lower limb amputation: transfemoral and transtibial amputation and to determine if the age and prosthetic walking supported with walking aids have impact on energy cost and walking speed. Methods: A prospective cross sectional study was performed in two level lower limb amputees with no vascular disease who were rehabilitated at the Department of Prosthetics and Orthotics at the University Clinical Center of Kosovo. The Physiological Cost Index (PCI) was assessed by five minutes of continuous indoor walking at Comfort Walking Speed (CWS). Results: Eighty three lower limb amputees were recruited. It is shown relevant impact of level of amputation in PCI (t=6.8, pamputation. Conclusions: Walking with transfemoral prosthesis or using walking aids during prosthetic ambulation is matched with higher cost of energy and slower walking speed. Advanced age was shown with high impact on PCI and CWS in both groups of amputees. PMID:25870485

  5. The Development of the Proving Process Within a Dynamic Geometry Environment

    Directory of Open Access Journals (Sweden)

    Danh Nam Nguyen

    2012-10-01

    Full Text Available In this paper we classify student’s proving level and design an interactive help system (IHS corresponding with these levels in order to investigate the development of the proving process within a dynamic geometry environment. This help system was also used to provide tertiary students with a strategy for proving and to improve their proving levels. The open-ended questions and explorative tasks in the IHS make a contribution to support students’ learning of proving, especially during the processes of realizing invariants, formulating conjectures, producing arguments, and writing proofs. This research wants to react on the well-known students’ difficulties in writing a formal proof. The hypothesis of this work is that these difficulties are based on the lack of students’ understanding the relationship between argumentation and proof. Therefore, we used Toulmin model to analyze student’s argumentation structure and examine the role of abduction in writing a deductive proof. Furthermore, this paper also provides mathematics teachers with three basic conditions for understanding the development of the proving process and teaching strategies for assisting their students in constructing formal proofs.

  6. Safety and Efficiency of Biomimetic Nanohydroxyapatite/Polyamide 66 Composite in Rabbits and Primary Use in Anterior Cervical Discectomy and Fusion

    Directory of Open Access Journals (Sweden)

    Hui Xu

    2014-01-01

    Full Text Available This study was conducted to validate the safety and efficiency of biomimetic nanohydroxyapatite/polyamide 66 (n-HA/PA66 composite in animal model (rabbit and report its application in anterior cervical discectomy and fusion (ACDF for 4, 12, and 24 weeks. N-HA/PA66 composite was implanted into one-side hind femur defects and the control defects were kept empty as blank controls. A combination of macroscopic and histomorphometric studies was performed up to 24 weeks postoperatively and compared with normal healing. 60 cervical spondylosis myelopathy and radiculopathy patients who were subjected to ACDF using n-HA/PA66 and PEEK cage were involved in this study with six-month minimum follow-up. Their radiographic (cage subsidence, fusion status, and segmental sagittal alignment (SSA and clinical (VAS and JOA scales data before surgery and at each follow-up were recorded and compared. Nanohydroxyapatite/polyamide 66 composite is safe and effective in animal experiment and ACDF.

  7. Impact of Age and Duration of Symptoms on Surgical Outcome of Single-Level Microscopic Anterior Cervical Discectomy and Fusion in the Patients with Cervical Spondylotic Radiculopathy

    Directory of Open Access Journals (Sweden)

    Farzad Omidi-Kashani

    2014-01-01

    Full Text Available We aim to evaluate the impact of age and duration of symptoms on surgical outcome of the patients with cervical spondylotic radiculopathy (CSR who had been treated by single-level microscopic anterior cervical discectomy and fusion (ACDF. We retrospectively evaluated 68 patients (48 female and 20 male with a mean age of 41.2±4.3 (ranged from 24 to 72 years old in our Orthopedic Department, Imam Reza Hospital. They were followed up for 31.25±4.1 months (ranged from 25 to 65 months. Pain and disability were assessed by Visual Analogue Scale (VAS and Neck Disability Index (NDI questionnaires in preoperative and last follow-up visits. Functional outcome was eventually evaluated by Odom’s criteria. Surgery could significantly improve pain and disability from preoperative 6.2±1.4 and 22.2±6.2 to 3.5±2.0 and 8.7±5.2 (1–21 at the last follow-up visit, respectively. Satisfactory outcomes were observed in 89.7%. Symptom duration of more and less than six months had no effect on surgical outcome, but the results showed a statistically significant difference in NDI improvement in favor of the patients aged more than 45 years (P=0.032, although pain improvement was similar in the two groups.

  8. Measurement of the cross-sectional area of the dural tube in the lumbar spine on magnetic resonance imaging. Comparison between normal, pre- and post-discectomy conditions

    Energy Technology Data Exchange (ETDEWEB)

    Matsubayashi, Yasutomo [Juntendo Univ., Tokyo (Japan). School of Medicine

    1997-07-01

    This study evaluated the usefulness of pre- and postoperative magnetic resonance imaging (MRI) of lumbar disc hernia with special attention to measurement of the cross-sectional area of the dural tube. Twenty-five patients (20 men and 5 women; 25 discs) who underwent posterior lumbar discectomy and 73 normal individuals (44 men and 29 women; 219 discs) of a similar age distribution were studied. Axial MRI was mainly used for the measurement of the dural tube. In the patient group, MRI examination was performed 1, 3, 6, and 12 months postoperatively. Assessment of the clinical symptoms was also included and used for comparison with the MRI evaluation. The cross-sectional area was significantly reduced to about 50% of the normal preoperatively. One month postoperatively, there was no significant increase in the size of the area, but after three months, the area increased significantly and progressed to the normal size within a year. One-month postoperatively, MRI examination was not considered useful because of postoperative hematoma and/or edema at the surgical site. The increase in the size of the cross-sectional area of the dural tube correlated well with the improvement in clinical symptoms. Three-months postoperatively, MRI evaluation of the lumbar disc seemed useful and measurement of the cross-sectional area of the dural tube appeared to serve as an indicator of the effectiveness of the surgery. (author)

  9. Random-Defect Laser: Manipulating Lossy Two-Level Systems to Produce a Circuit with Coherent Gain

    Science.gov (United States)

    Rosen, Yaniv J.; Khalil, Moe S.; Burin, Alexander L.; Osborn, Kevin D.

    2016-04-01

    We demonstrate a laser using material defects known for deleterious microwave absorption in quantum computing. These defects are two-level atomic tunneling systems (TSs), which are manipulated using a uniform swept dc electric field and two ac pump fields. The swept field changes the TS energies. TSs first pass through degeneracy with pump photons, which invert (excite) them with a high probability using rapid adiabatic passage. Population inversion is accomplished in spite of a broad distribution of TS parameters. Afterwards the TSs are brought to degeneracy with the resonator where they emit photons. The emission is found to be dependent on individual cavity-TS interactions, and the narrowing linewidth at increasing photon occupancy indicates stimulated emission. Characterization with a microwave probe shows a transition from ordinary defect loss to negligible microwave absorption, and ultimately to coherent amplification. Thus, instead of absorbing microwave energy, the TSs can be tuned to reduce loss and even amplify signals.

  10. A Two-level-games Analysis of AFTA Agreements: What Caused ASEAN States to Move towards Economic Integration?

    Directory of Open Access Journals (Sweden)

    Yi-hung Chiou

    2010-04-01

    Full Text Available The goal of this article is to investigate the conditions under which ASEAN states are more likely to pursue regional economic integration, namely, a series of ASEAN Free Trade Area (AFTA agreements/ protocols. Adopting Putnam’s two-level-games model, this article examines the influences of domestic politics, political elites’ preferences, economic performance, and external impacts. Through the construction of a set of hypotheses, this article investigates five AFTA agreements/ protocols and the conditions of ASEAN states during the 1992–2003 period. The findings indicate that political leaders’ preferences have played a pivotal role in the development of the AFTA. Economic performance and domestic support in individual states has also affected the AFTA. The close link between AFTA agreements and external impacts reveals that the AFTA’s inherent nature is defensive.

  11. Probing the density of states of two-level tunneling systems in silicon oxide films using superconducting lumped element resonators

    Energy Technology Data Exchange (ETDEWEB)

    Skacel, S. T. [Physikalisches Institut, Karlsruher Institut für Technologie, Wolfgang-Gaede-Straße 1, D-76131 Karlsruhe (Germany); Institut für Mikro- und Nanoelektronische Systeme, Karlsruher Institut für Technologie, Hertzstraße 16, D-76187 Karlsruhe (Germany); Kaiser, Ch.; Wuensch, S.; Siegel, M. [Institut für Mikro- und Nanoelektronische Systeme, Karlsruher Institut für Technologie, Hertzstraße 16, D-76187 Karlsruhe (Germany); Rotzinger, H.; Lukashenko, A.; Jerger, M.; Weiss, G. [Physikalisches Institut, Karlsruher Institut für Technologie, Wolfgang-Gaede-Straße 1, D-76131 Karlsruhe (Germany); Ustinov, A. V. [Physikalisches Institut, Karlsruher Institut für Technologie, Wolfgang-Gaede-Straße 1, D-76131 Karlsruhe (Germany); Russian Quantum Center, 100 Novaya St., Skolkovo, Moscow Region 143025 (Russian Federation)

    2015-01-12

    We have investigated dielectric losses in amorphous silicon oxide (a-SiO) thin films under operating conditions of superconducting qubits (mK temperatures and low microwave powers). For this purpose, we have developed a broadband measurement setup employing multiplexed lumped element resonators using a broadband power combiner and a low-noise amplifier. The measured temperature and power dependences of the dielectric losses are in good agreement with those predicted for atomic two-level tunneling systems (TLS). By measuring the losses at different frequencies, we found that the TLS density of states is energy dependent. This had not been seen previously in loss measurements. These results contribute to a better understanding of decoherence effects in superconducting qubits and suggest a possibility to minimize TLS-related decoherence by reducing the qubit operation frequency.

  12. Supply chain model with price- and trade credit-sensitive demand under two-level permissible delay in payments

    Science.gov (United States)

    Giri, B. C.; Maiti, T.

    2013-05-01

    This article develops a single-manufacturer and single-retailer supply chain model under two-level permissible delay in payments when the manufacturer follows a lot-for-lot policy in response to the retailer's demand. The manufacturer offers a trade credit period to the retailer with the contract that the retailer must share a fraction of the profit earned during the trade credit period. On the other hand, the retailer provides his customer a partial trade credit which is less than that of the manufacturer. The demand at the retailer is assumed to be dependent on the selling price and the trade credit period offered to the customers. The average net profit of the supply chain is derived and an algorithm for finding the optimal solution is developed. Numerical examples are given to demonstrate the coordination policy of the supply chain and examine the sensitivity of key model-parameters.

  13. Geometric phase of an accelerated two-level atom in the presence of a perfectly reflecting plane boundary

    Energy Technology Data Exchange (ETDEWEB)

    Zhai, Hua [Department of Physics and Synergetic Innovation Center for Quantum Effects and Applications, Hunan Normal University, Changsha, Hunan 410081 (China); Zhang, Jialin, E-mail: jialinzhang@hunnu.edu.cn [Department of Physics and Synergetic Innovation Center for Quantum Effects and Applications, Hunan Normal University, Changsha, Hunan 410081 (China); Yu, Hongwei, E-mail: hwyu@hunnu.edu.cn [Department of Physics and Synergetic Innovation Center for Quantum Effects and Applications, Hunan Normal University, Changsha, Hunan 410081 (China); Center for Nonlinear Science and Department of Physics, Ningbo University, Ningbo 315211 (China)

    2016-08-15

    We study the geometric phase of a uniformly accelerated two-level atom coupled with vacuum fluctuations of electromagnetic fields in the presence of a perfectly reflecting plane. We find that the geometric phase difference between the accelerated and inertial atoms which can be observed by atom interferometry crucially depends on the polarizability of the atom and the distance to the boundary and it can be dramatically manipulated with anisotropically polarizable atoms. In particular, extremely close to the boundary, the phase difference can be increased by two times as compared to the case without any boundary. So, the detectability of the effects associated with acceleration using an atom interferometer can be significantly increased by the presence of a boundary using atoms with anisotropic polarizability.

  14. Temporal Bell-type inequalities for two-level Rydberg atoms coupled to a high-{ital Q} resonator

    Energy Technology Data Exchange (ETDEWEB)

    Huelga, S.F.; Marshall, T.W.; Santos, E. [Departamento de Fisica, Universidad de Oviedo, 33007 Oviedo (Spain)]|[Department of Mathematics, University of Manchester, Manchester M139PL, United Kingdom Departamento de Fisica Moderna, Universidad de Cantabria, 39005 Santander (Spain)

    1996-09-01

    Following the strategy of showing specific quantum effects by means of the violation of a classical inequality, a pair of Bell-type inequalities is derived on the basis of certain additional assumptions, whose plausibility is discussed in detail. Such inequalities are violated by the quantum mechanical predictions for the interaction of a two-level Rydberg atom with a single mode sustained by a high-{ital Q} resonator. The experimental conditions required in order to show the existence of forbidden values, according to a hidden variables formalism, in a real experiment are analyzed for various initial field statistics. In particular, the revival dynamics expected for the interaction with a coherent field leads to classically forbidden values, which would indicate a purely quantum effect. {copyright} {ital 1996 The American Physical Society.}

  15. Optomechanical effects of two-level systems in a back-action evading measurement of micro-mechanical motion

    Science.gov (United States)

    Suh, J.; Weinstein, A. J.; Schwab, K. C.

    2013-07-01

    We show that the two-level systems (TLS) in lithographic superconducting circuits act as a power-dependent dielectric leading to non-linear responses in a parametrically coupled electromechanical system. Driven TLS shift the microwave resonance frequency and modulate the mechanical resonance through the optical spring effect. By pumping with two tones in a back-action evading measurement, these effects produce a mechanical parametric instability which limits single quadrature imprecision to 1.4 xzp. The microwave resonator noise is also consistent to a TLS-noise model. These observations suggest design strategies for minimizing TLS effects to improve ground-state cooling and quantum non-demolition measurements of motion.

  16. Dynamics of a Landau-Zener transitions in a two-level system driven by a dissipative environment

    Science.gov (United States)

    Ateuafack, M. E.; Diffo, J. T.; Fai, L. C.

    2016-02-01

    The paper investigates the effects of a two-level quantum system coupled to transversal and longitudinal dissipative environment. The time-dependent phase accumulation, LZ transition probability and entropy in the presence of fast-ohmic, sub-ohmic and super-ohmic quantum noise are derived. Analytical results are obtained in terms of temperature, dissipation strength, LZ parameter and bath cutoff frequency. The bath is observed to modify the standard occupation difference by a decaying random phase factor and also produces dephasing during the transfer of population. The dephasing characteristics or the initial non-zero decoherence rate are observed to increase in time with the bath temperature and depend on the system-bath coupling strength and cutoff frequency. These parameters are found to strongly affect the memory and thus tailor the coherence process of the system.

  17. Dynamics of a Landau–Zener transitions in a two-level system driven by a dissipative environment

    Energy Technology Data Exchange (ETDEWEB)

    Ateuafack, M.E., E-mail: esouamath@yahoo.fr [Mesoscopic and Multilayer Structures Laboratory, Department of Physics, Faculty of Science, University of Dschang (Cameroon); Diffo, J.T., E-mail: diffojaures@yahoo.com [Mesoscopic and Multilayer Structures Laboratory, Department of Physics, Faculty of Science, University of Dschang (Cameroon); Department of Physics, Higher Teachers' Training College, The University of Maroua, PO Box 55 Maroua (Cameroon); Fai, L.C., E-mail: corneliusfai@yahoo.fr [Mesoscopic and Multilayer Structures Laboratory, Department of Physics, Faculty of Science, University of Dschang (Cameroon)

    2016-02-15

    The paper investigates the effects of a two-level quantum system coupled to transversal and longitudinal dissipative environment. The time-dependent phase accumulation, LZ transition probability and entropy in the presence of fast-ohmic, sub-ohmic and super-ohmic quantum noise are derived. Analytical results are obtained in terms of temperature, dissipation strength, LZ parameter and bath cutoff frequency. The bath is observed to modify the standard occupation difference by a decaying random phase factor and also produces dephasing during the transfer of population. The dephasing characteristics or the initial non-zero decoherence rate are observed to increase in time with the bath temperature and depend on the system-bath coupling strength and cutoff frequency. These parameters are found to strongly affect the memory and thus tailor the coherence process of the system.

  18. The EPQ model under conditions of two levels of trade credit and limited storage capacity in supply chain management

    Science.gov (United States)

    Chung, Kun-Jen

    2013-09-01

    An inventory problem involves a lot of factors influencing inventory decisions. To understand it, the traditional economic production quantity (EPQ) model plays rather important role for inventory analysis. Although the traditional EPQ models are still widely used in industry, practitioners frequently question validities of assumptions of these models such that their use encounters challenges and difficulties. So, this article tries to present a new inventory model by considering two levels of trade credit, finite replenishment rate and limited storage capacity together to relax the basic assumptions of the traditional EPQ model to improve the environment of the use of it. Keeping in mind cost-minimisation strategy, four easy-to-use theorems are developed to characterise the optimal solution. Finally, the sensitivity analyses are executed to investigate the effects of the various parameters on ordering policies and the annual total relevant costs of the inventory system.

  19. Retailer’s lot-sizing policy under two warehouses and two levels of delay permitted using algebraic method

    Directory of Open Access Journals (Sweden)

    Huang Yung-Fu

    2007-01-01

    Full Text Available The main purpose of this paper is to modify Huang’s model [13] by considering two warehouses. In addition, we try to use algebraic method to determine the optimal lot-sizing policy for the retailer under two warehouses and two levels of delay permitted. This paper provides this algebraic approach that could be used easily to introduce the basic inventory theories to younger students who lack the knowledge of calculus. Furthermore, we develop three easy-to-use theorems to efficiently determine the optimal cycle time and optimal lot sizing for the retailer. As a result, we deduce some previously published results of other researchers as special cases. Finally, a numerical example is given to illustrate these theorems obtained in this paper. In addition, we obtain a lot of managerial insights from this numerical example.

  20. Two-Level Credit Financing for Noninstantaneous Deterioration Items in a Supply Chain with Downstream Credit-Linked Demand

    Directory of Open Access Journals (Sweden)

    Yong He

    2013-01-01

    Full Text Available Trade credit financing is a useful tool in business today, which can be characterized as the agreement between supply chain members such as permissible delay in payments. In this study, we assume that the items have the property of noninstantaneous deterioration and the demand is a function of downstream credit. Then, an EOQ model for noninstantaneous deterioration is built based on the two-level financing policy. The purpose of this paper is to maximize the total average profit by determine the optimal downstream credit period, the optimal replenishment cycle length, and the optimal ordering quantity per cycle. Useful theorems are proposed to characterize the method of obtaining the optimal solutions. Based on the theorems, an algorithm is designed, and numerical tests and sensitive analysis are provided. Lastly, according to the sensitive analysis, managerial insights are proposed.