Long-term histological changes in 1 millimeter polytetrafluoroethylene (Gore-Tex) prosthetic arterial grafts.

Vein grafts are used extensively to repair blood vessels. However, when suitable vein segments are unavailable, alternative graft materials must be used. This study tested the suitability of 1 mm diameter polytetrafluoroethylene (PTFE) grafts for small-calibre arterial replacements. Grafts of 4 mm length were inserted microsurgically into the iliac arteries of 26 rats. The grafts were removed between 3 and 22 months postoperatively and examined with light microscopy and scanning and transmission electron microscopy (SEM:TEM). Anastomotic intimal hyperplasia was minimal, consisting of a few smooth muscle cells extending 100-200 microns onto the graft. The rest of the PTFE was covered with endothelium. In a few isolated areas, there was a subendothelial layer of smooth muscle, 2-10 cells thick. The short segments used in this study were highly successful, with an overall long-term patency rate of 80%. These grafts showed no evidence of excessive neo-intimal hyperplasia.

Force and rate relations in responding during variable-interval reinforcement.

Four rats responded on one-minute variable-interval schedules with several variations in peak-force of response required for food reinforcement. Measures of peak force and rate were taken for the responses, which were the downward exertions of force against a static force-transducing operandum. The analysis distinguished responses, a generic class of measured behavior, from criterion responses, an operationally specified subclass required for reinforcement. Absolute rate of response showed no systematic change, but the rate of responses meeting a newly required criterion of peak-force invariably increased through changes in the absolute rate of response, the relative-frequency distributions of peak force, or some combination of both. The relative frequency of responses meeting an elevated force criterion during variable-interval reinforcement exceeded that maintained with the same criterion with continuous reinforcement. The requirement of more effortful responding for reinforcement does not necessarily reduce response rate. Conformity of the behavior to the requirement for reinforcement is the salient effect.

Changing attendance patterns to sex therapy programs as a function of location and personnel.

This paper explores innovative treatment modalities that may encourage the participation of lower socioeconomic minority clients in sex therapy programs. It suggests the consideration of informal therapeutic settings, flexible hours, and an immediate contact with the therapist. It lends support to the concept that equal time be given to education and communication skills in counseling. It also stresses the necessity of directive yet permissive techniques to bridge the communication gap by identifying areas of commonality, especially when confronted with the lower socioeconomic minority client. The paper compares this approach with a sex therapy approach more oriented to the middle class.