A novel k-space trajectory measurement technique

OBJECTIVE: To report our experience with erosion of permanent suture or mesh material after abdominal sacrocolpopexy. METHODS: A retrospective chart review was performed to identify patients who underwent sacrocolpopexy by the same surgeon over 8 years. Demographic data, operative notes, hospital records, and office charts were reviewed after sacrocolpopexy. Patients with erosion of either suture or mesh were treated initially with conservative therapy followed by surgical intervention as required. RESULTS: Fifty-seven patients underwent sacrocolpopexy using synthetic mesh during the study period. The mean (range) postoperative follow-up was 19.9 (1.3-50) months. Seven patients (12%) had erosions after abdominal sacrocolpopexy with two suture erosions and five mesh erosions. Patients with suture erosion were asymptomatic compared with patients with mesh erosion, who presented with vaginal bleeding or discharge. The mean (+/-standard deviation) time to erosion was 14.0+/-7.7 (range 4-24) months. Both patients with suture erosion were treated conservatively with estrogen cream. All five patients with mesh erosion required transvaginal removal of the mesh. CONCLUSION: Mesh erosion can follow abdominal sacrocolpopexy over a long time, and usually presents as vaginal bleeding or discharge. Although patients with suture erosion can be managed successfully with conservative treatment, patients with mesh erosion require surgical intervention. Transvaginal removal of the mesh with vaginal advancement appears to be an effective treatment in patients failing conservative management.     

Feature detection in 3-d medical images using shape information

Three methods for identifying the left ventricular apex in 3-D medical images of the heart called gated blood pool tomograms were investigated. The first method assumed a known orientation and positioning of the entire blood pool. The second and third methods used shapes described by quadratic surfaces, which are invariant to position and orientation. The first method performed best when the blood pool was accurately oriented, but as expected, could not handle blood pools in the wrong orientations. The quadratic surface methods performed well whether or not the blood pool was accurately oriented. The best quadratic surface method predicted the x, y, z value of the apex with correlations of 0.97, 0.98, 0.99.     

Development and evaluation of an intervention to reduce rip current related beach drowning

The objective of this research was to evaluate a campaign to improve beachgoer recognition of calm-looking rip currents, known to contribute to surf drowning. Posters, postcards, and brochures conveying the message “Don’t get sucked in by the rip” were distributed in an intervention area. Beachgoers were interviewed in this and a similar control area one year before and immediately after the intervention (respective response rates: 69.9% and 82.3%), Consenting respondents were sent follow-up questionnaires after approximately 6 months and 55% responded. In the intervention area, 28.8% of post-intervention, and 57.2% of follow-up respondents, had seen our campaign. At post-intervention, intervention respondents demonstrated improvement (relative to baseline) in intentions to swim away from a calm-looking rip, ability and confidence in identifying a rip, intention never to swim at unpatrolled beaches, and responses to being caught in a rip, compared to the control respondents. Similar improvements were observed post-intervention for respondents in the intervention area who had seen our campaign (relative to those who had not), and at 6 month follow-up for intervention respondents (relative to control respondents). The relatively brief print-based campaign was effective in warning beachgoers about calm-looking rips.     

Differential Signaling by Protease-Activated Receptors: Implications for Therapeutic Targeting

Protease-activated receptors (PARs) are a family of four G protein-coupled receptors that exhibit increasingly appreciated differences in signaling and regulation both within and between the receptor class. By nature of their proteolytic self-activation mechanism, PARs have unique processes of receptor activation, “ligand” binding, and desensitization/resensitization. These distinctive aspects have presented both challenges and opportunities in the targeting of PARs for therapeutic benefit—the most notable example of which is inhibition of PAR1 on platelets for the prevention of arterial thrombosis. However, more recent studies have uncovered further distinguishing features of PAR-mediated signaling, revealing mechanisms by which identical proteases elicit distinct effects in the same cell, as well as how distinct proteases produce different cellular consequences via the same receptor. Here we review this differential signaling by PARs, highlight how important distinctions between PAR1 and PAR4 are impacting on the progress of a new class of anti-thrombotic drugs, and discuss how these more recent insights into PAR signaling may present further opportunities for manipulating PAR activation and signaling in the development of novel therapies.     

Cluster Monte Carlo and numerical mean field analysis for the water liquid-liquid phase transition

Using Wolff's cluster Monte Carlo simulations and numerical minimization within a mean field approach, we study the low temperature phase diagram of water, adopting a cell model that reproduces the known properties of water in its fluid phases. Both methods allow us to study the thermodynamic behavior of water at temperatures, where other numerical approaches - both Monte Carlo and molecular dynamics - are seriously hampered by the large increase of the correlation times. The cluster algorithm also allows us to emphasize that the liquid-liquid phase transition corresponds to the percolation transition of tetrahedrally ordered water molecules.     

Parallel Assignments in Software Model Checking

In this paper we investigate how formal software verification systems can be improved by utilising parallel assignment in weakest precondition computations.We begin with an introduction to modern software verification systems. Specifically, we review the method in which software abstractions are built using counterexample-guided abstraction refinement (CEGAR). The classical NP-complete parallel assignment problem is first posed, and then an additional restriction is added to create a special case in which the problem is tractable with an O(n²) algorithm. The parallel assignment problem is then discussed in the context of weakest precondition computations. In this special situation where statements can be assumed to execute truly concurrently, we show that any sequence of simple assignment statements without function calls can be transformed into an equivalent parallel assignment block.Results of compressing assignment statements into a parallel form with this algorithm are presented for a wide variety of software applications. The proposed algorithms were implemented in the ComFoRT reasoning framework [J. Ivers and N. Sharygina. Overview of ComFoRT: A model checking reasoning framework. Technical Report CMU/SEI-2004-TN-018, Carnegie Mellon Software Engineering Institute, 2004] and used to measure the improvement in the verification of real software systems. This improvement in time proved to be significant for many classes of software.     

Accuracy of Light Detection and Ranging Derived Terrain Data for Highway Location

Abstract:   Surface terrain information is required to economically site new or relocate existing infrastructure facilities and make final design plans. Currently, ground surveying and photogrammetric mapping are the methods used by Departments of Transportation (DOTs) to acquire these data. Both the methods are time and resource intensive as they require significant data collection and reduction to provide the level of detail necessary for facility location. Additionally, conventional surveying entails data collection entirely in the field and may require personnel to be located on or near heavily traveled roadways. The research presented compares surface elevation data from Light Detection and Ranging (LIDAR) to that obtained from traditional photogrammetry and Global Positioning System (GPS) data collection for use in highway location and design. A pilot area previously mapped by the Iowa Department of Transportation was selected for evaluation. A comparison of the elevational accuracy and data quality of LIDAR with respect to two comparable collection methods is presented .     

Gated blood pool imaging following 99mTc stannous pyrophosphate imaging

Cardiac patients who have undergone 99mTc-stannous pyrophosphate (99mTc-PYP) myocardial imaging can be injected 24 hours later with 99mTc-pertechnetate (99mTc04) to assess left ventricular function. Reduction of 99mTc04 by tin remaining in the blood following the stannous pyrophosphate injection causes labeling of the red cells by 99mTc04 and the creation of a vascular tracer suitable for electrocardiographically gated imaging.     

Infarct sizing with technetium-99m stannous pyrophosphate scintigraphy in dogs and man; relationship between scintigraphic and praecordial mapping estimates of infarct size in patients

The dynamics of changes in serum lipids (free fatty acids, free glycerol, triglycerides, total cholesterol, and phospholipids) were studied in male Wistar rats irradiated in an open experimental field with a daily dose of 15.48 mC.kg.--1 (60 R) up to a total exposure of 774.0 mC. kg.--1 (3,000 R). The resulting changes occurred in several periods. Initial period of 0--7 days included a drop in triglyceride level and a rise in free glycerol, total cholesterol, and phospholipids in both control and irradiated rats. The period of 14--25 days marked the appearance of serum hyperlipaemia. Between 25--50 days, the levels of the different fractions oscillated and existing changes became more pronounced. The general level of serum lipids during continuous gamma-irradiation exceeded that found in controls. Changes in control animals from experimental field reflected the influence of a changed environment. The modifying factor affecting both irradiated and control rats was night fasting prior to sacrificing the animals and, probably, also the presence of an infradian rhythm in some serum lipid fractions.