The present study, conducted in collaboration between the Departments of Psychiatry in Swiss Universities and the World Health Organization, had two main goals: to develop assessment methods which could subsequently be used in the Swiss centres in a standard manner; and to make arrangements for continuing collaboration between the centres in Switzerland and the acquisition of new knowledge about the distinctions between depression and cognitive impairment. For this aim, three different groups of elderly patients of either sex were selected during the period of November 1989 to July 1991 for inclusion in the study. The first two groups included the first ten patients of either sex over 60 years of age consecutively contacting the participating institutions and showing depression with or without clinically significant symptoms of cognitive impairment; the control group included patients showing no depression or clinically significant symptoms of cognitive impairment. A total of 125 patients were included in the initial evaluation, 69 of which were reassessed at a seven-month follow up (on average). Each patient was administered a number of clinician-rated or self-report instruments for the assessment of depression, cognitive impairment, disabilities, physical status and onset of disorders. The study has shown that a variety of instruments can be used for the reliable assessment of depression or cognitive impairment in the elderly; but the instruments for the assessment of depression differentiate only poorly between patients with or without cognitive impairment. Because of the importance of identifying both depressed and cognitively impaired patients among the elderly, different assessment instruments targeted at the different symptom clusters need to be administered simultaneously.

In this study, we present a case of prenatally diagnosed tetralogy of Fallot with a double aortic arch, correlating images from fetal echocardiography, transthoracic echocardiography, and cardiac MRI.

This paper studies the behavior of second grade viscoelastic fluid past a cavity in a horizontal channel. The effects of Reynolds number, fluid elasticity and the aspect ratio of the cavity on the flow field are simulated numerically. The equations are converted into the vorticity and stream function equations. The solution is obtained by the finite difference method.

The behavior of viscoelastic fluids is quite different from the Newtonian fluid, due to the effects of fluid elasticity. Only one flow pattern appears when the Newtonian fluid past the cavity. However, three kinds of flow patterns appear while the viscoelastic fluids past the cavity by increasing Reynolds number from 20 to 300. The flow field is affected by the fluid elasticity as well as the aspect ratio of the cavity. The transitional flow pattern appears at lower Reynolds number as the higher elasticity fluid past the cavity with larger aspect ratio.

Insects perform their multitude of flight skills at frequencies of tens to hundreds of Hertz, and the aerodynamics of these skills are fundamentally unsteady. Intuitively, unsteadiness may come from unsteady wing motion, unsteady surface vorticity or vorticity being shed into the rear and front wakes. In this study, we propose to investigate the aerodynamics of dragonfly using a simplified wing–wing model from the perspective of many-body force decomposition and the associated force elements. Insect flight usually operates at Reynolds numbers of the order of several hundreds, at which the surface vorticity is shown to play a substantial role. There are important cases where the added mass effect is non-negligible. Nevertheless, the major contribution to the forces comes from the vorticity within the flow. This study focused on the effects of mutual interactions due to phase differences between the fore- and hindwings in the translational as well as rotational motions. It is well known that the dynamic stall vortex is an important mechanism for an unsteady wing to gain lift. In analysing the life cycles of lift and thrust elements, we also associate some high lift and thrust with the mechanisms identified as ‘riding on’ lift elements, ‘driven by’ thrust elements and ‘sucked by’ thrust elements, by which a wing makes use of a shed or fused vortex below, in front of, and behind it, respectively. In addition, a shear layer attaching to each wing may also provide significant thrust elements.

This study attempts to examine convection caused by the combined effects of temperature and concentration gradients in an annular enclosure with steps. An experimental study of thermosolutal convection of a CuSO4+ H2SO4+ H2O solution in a horizontal annular enclosure with steps is conducted using an electrochemical system that enables either opposing or cooperating in temperature and concentration gradients to be imposed. The shadowgraph recording technique is utilized to visualize and analyze the flow field phenomenon. The large difference between the thermal and solutal diffusion rates causes the flow to exhibit double-diffusive characteristics. In both cooperating and opposing cases, some finger-type flow can be visualized in the layered flow structure. Furthermore, Sh (mass transfer rate) increased with increasing Grt for fixed Grm and S*. Sh is larger in the cooperating case than in the opposing case for given Grt and Grm values.

Six new species of Spirurids are described from terrestrial vertebrates from various countries. They are Camallanus macabukae n.sp. and Procamallanus brevis n.sp. from bull-frogs in S. Africa, C. multilineatus n.sp. from Rana catesbiana in N. America, Tanqua gigantica n.sp. from Python reticulatus and Naja. hannah in E. Indies and S.E. Asia, respectively, Ancyracanthopsis madagascariensis n.sp. from Dryolimnas cuvieri in Madagascar, and Physaloptera singhi n.sp. from the monkey (?) in S. America. Three species inquirendae, Camallanus sp., Streptocara sp. and Physaloptera sp. are also described. Some new morphological features in Habronema mansioni and Physaloptera paradoxa are discussed and the female of Hartertia zuluensis is described for the first time.

The present paper consists of descriptions of an encysted developing stage of Asymmetricostrongylus dissimilis, and of four newz species, Globocephaloides trifidospicularis, Pharyngostrongylus longibursaris, Zoniolaimus cobbi and Labiostrongylus australis. With the exception of L. australis, which is doubtfully recorded from Python spilotus, all the species came from the alimentary canal of the Australian wallaby, Macropus rufogrisea fruticus.

A large collection of avian Ascaridia from a wide diversity of hosts and localities is reported upon. It comprised six species, A. galli, A. columbae, A. compar, A. cristata, A. hermaphrodita and A. numidae. Their morphology is examined critically with reference to previous descriptions, especially in the case of A. columbae, A. cristata, A. hermaphrodita and A. compar, and a new variety of A. columbae is described.

The taxonomic significance of spicule morphology and the tubercles on the ventral surface of the male tail in Ascaridia is discussed.

Laboratory ferrets (Mustela putorius furo) were each inoculated with 500 larvae of a strain of Trichinella spiralis that had been passaged in mice for many generations. The recovery of adult worms from ferrets on Days 4 and 7 of infection represented a mean of 32% of the inoculum, with most of the worms being in the anterior three quarters of the small intestine. Larvae subsequently became encysted in the ferret musculature, with the diaphragm alone yielding as many as 5,750 larvae upon digestion.

For comparative purposes, mice were each inoculated with 200 T. spiralis from the same batch of larvae. The recovery of adult worms from mice represented a mean of 54% of the inoculum. An abrupt decline in worm population, typical of infections in the mouse, was observed in both mouse and ferret hosts; in neither species had the decline begun on Day 7 of infection, but it had clearly begun by Day 11 and was essentially ended by Day 14.

We describe the operation of a repetitive semiconductor opening switch in conjunction with inductive energy storage systems. Different materials and switch configurations are examined. A new method of generating square pulses of nanosecond duration is implemented. It utilizes the opening switch and a current charged transmission line.

The purpose of the present study is to investigate laminar fully developed flow in a horizontal rectangular channel with a cylinder solutal source adjacent to planar boundary. The boundaries in this experiment include four cases:

(A) Cylinder is cathode and top plate is anode;

(B) Cylinder is anode and top plate is cathode;

(C) Cylinder is cathode and bottom plate is anode;

(D) Cylinder is anode and bottom plate is cathode.

The influences of the mass transfer rate and the boundary types between the sources have also been investigated. An experimental investigation of mixed convection mass transfer between a cylinder and a plate mass source with an electrochemical system is carried in a horizontal rectangular channel. The working fluid here is CuSO4 + H2SO4 + H2O. The shadowgraph technique is used to visualize the flow and to determine the nature and effect of solutal driven secondary flows in a horizontal channel. The ranges of the parameters in the work are Pr = 7, Ar = 1, Sc = 1700 ∼ 2400, Re = 50 ∼ 200 (Red= 12.5 ∼50), Grm = 9.45 × 105, d/H = 0.25, h/d=0, 3.

Three-dimensional conformal radiotherapy (3DCRT) has been introduced to treat nasopharyngeal carcinoma (NPC) in Hong Kong. Three more commonly used techniques, which are labelled as 3-field, 4-field and 6-field techniques, are currently employed as a booster treatment and no standard 3DCRT technique has yet been established. This study is aimed to evaluate and compare the dose distributions for the three common 3DCRT techniques so as to provide basis for the development of a routine protocol in future.

For each 3DCRT technique, eight patients with T3 tumours treated between 1997 to 1998 were recruited. Treatment planning was performed with the patients' CT images loaded into the 3-D treatment planning systems. The planning target volume (PTV) and eight organs at risk were delineated for dose assessment. Treatment plans were produced based on the criteria of the corresponding 3DCRT techniques. Dose volume histograms, 2-D and 3-D dose displays were used for dose evaluation.

All three techniques produced reasonable homogenous dose to the PTV. There was no significant difference in the mean doses of the PTV, spinal cord, lens, eyeball, temporal lobe and pituitary. The 3-field technique was superior in sparing the thyroid and optic nerve. The 6-field technique offered lower brain stem dose, and the 4-field technique was in between the two. The use of a vertex field slightly improved dose homogeneity of PTV and reduced the brain stem dose, but the doses to the optic nerve, thyroid, pituitary and temporal lobe were increased.

This article summarizes a unique approach in which all-ceramic interconnects are used in place of metal interconnects in solid-oxide fuel cell (SOFC) stacks. The approach combines advanced SOFC materials with the manufacturing technology and infrastructure established for multilayer ceramic (MLC) packaging for the microelectronics industry. The MLC interconnect is fabricated using multiple layers of yttria-stabilized zirconia (YSZ) tape, with each layer containing conductive vias to provide for electrical current flow through the interconnect. The all-ceramic interconnect design facilitates uniform distribution of air and fuel gas to the respective electrodes of adjacent cells. The multilayer interconnects are fabricated using traditional MLC manufacturing processes. A detailed description of the processes for fabricating the all-ceramic interconnect is presented.To aid in moving from prototype fabrication to commercialization of these fuel cell systems, a detailed cost model has been used as a roadmap for commercial stack development. Cost model projections are presented for three different interconnect footprint sizes. These projections show an SOFC stack cost of less than $150 per kilowatt for the optimized SOFC stack design produced at high volume.

In 1971, New York Times journalist James Reston watched as brain surgery was preformed in the former Red Cross Hospital in Shanghai with acupuncture as the only anesthesia. “[Patients] were anesthetized merely by the insertion of very thin three-inch stainless steel needles into the body … and they were not only perfectly conscious while their skulls were laid open before us but remarkably alert within half an hour after the operation.” One patient, a fifty-four-year-old man named Chuan Leao, had been suffering from epilepsy as a result of a large tumor in the frontal lobe of his brain. “He seemed sensibly puzzled by being introduced to a couple of American strangers during his ordeal but was courteous and patient, and we listened to his comments while the tumor was removed and even watched him eat oranges slices and ask for more while the operation was going on.”