Revised cutoff values of serum aminotransferase in detecting viral hepatitis among CAPD patients: experience from Taiwan, an endemic area for hepatitis B

BACKGROUND: To determine the best cutoff values of aspartate aminotransferase (AST) and alanine amino-transferase (ALT) in detecting viral hepatitis C infection among patients of continuous ambulatory peritoneal dialysis (CAPD). METHODS: 90 (44 male and 46 female) CAPD patients and 526 adult controls (266 male, 260 female) were enrolled. Serum AST and ALT were measured by an auto-analyser monthly. Serum HBsAg was examined using a RIA method and anti-HCV by an second-generation EIA method. The best cutoff values of AST and ALT for detecting viral hepatitis were obtained from the ROC (receiver-operating characteristic) curve. RESULTS: The prevalence of anti-HCV(+) was significantly higher in CAPD patients (16.7%) than in normal controls (4.9%), while that of HBsAg(+) was similar in both groups. CAPD patients had significantly lower levels of serum aminotransferases compared to normal controls. Mean AST were 23.8 IU/l in normal control and 18.8 IU/l in the CAPD patients (P < 0.001). Mean ALT were 21.9 IU/l in normal controls and 15.3 IU/l in the CAPD patients (P < 0.001). CAPD patients with HCV infection had higher serum AST and ALT levels than those without. However, HBV infection did not cause significant serum aminotransferase elevation in patients. The conventional cutoff values of AST (40 IU/l) and ALT (40 IU/l) for detecting viral hepatitis yielded only a sensitivity of 27.3 and 18.2% respectively; on the contrary, our revised cutoff values of AST (24 IU/l) and ALT (17 IU/l) had better sensitivities (AST, 72.7%; ALT, 63.6%). For serial aminotransferase values, the sensitivity of AST and ALT for detecting HCV were 36.4 and 27.3% by conventional criteria, and were both 81.8%, by our newly revised criteria. CONCLUSIONS: Serum aminotransferase cutoff values should be modified for screening viral hepatitis in a CAPD population. Our new cutoff criteria had important clinical implications in providing benefits of earlier detection and possible prevention from chronic hepatic deteriorations.     

Adaptive wavelet packet based image coding with optimalentropy-constrained lattice vector quantizer (ECLVQ)

In this work, wavelet basis and source coding are jointly optimized, while specifying the source coding strategy as entropy-constrained lattice vector quantizer (ECLVQ). The presented approach differs from previous works in which the choice of wavelet basis is quasioptimal, but the quantizer set is optimally chosen     

Structural and chemical analysis of C : H,O /Si : H,O multilayers deposited by reactive RF sputtering

Hydro-oxygenated carbon (C : H,O) and silicon (Si : H,O) layers are deposited by RF sputtering of graphite and silicon targets in a mixture of argon, hydrogen and oxygen gases. C : H,O/Si : H,O/C : H,O/Si : H,O... multilayers are obtained by sequential deposition of C : H,O and Si : H,O layers. Infrared (IR) spectroscopy, Grazing Incidence X-ray Diffraction (GIXD) and X-ray Photoelectron Spectroscopy (XPS) techniques have been used to analyse the formed multilayers. The IR spectra made on as deposited structures show the presence of Si---C, Si---O, C---O, Si---H, C---H and C=C bonds. This result indicates an interfacial reactivity between Si : H,O and C : H,O layers. The latter result is confirmed by the XPS measurements. After an annealing at 850°c for two hours under argon atmosphere (10^-3 mbar), the concentration of the Si---C bonds is increased by a factor two while the Si---H and C---H bonds disappear complet The GIXD measurements show that the multilayers are amorphous when annealed below 750°C, and they are crystallized with the formation of the α-SiC phase if the heat treatment is made at 850°C. The mean size of the microcrystallites is 50 Å about.     

A One-Dimensional Nonlocal Damage-Plasticity Model for Ductile Materials

This paper presents a new 1-D non-local damage-plasticity deformation model for ductile materials. It uses the thermodynamic framework described in Houlsby and Puzrin (2000) and holds, nevertheless, some similarities with Lemaitre’s (1971) approach. A 1D finite element (FE) model of a bar fixed at one end and loaded in tension at the other end is introduced. This simple model demonstrates how the approach can be implemented within the finite element framework, and that it is capable of capturing both the pre-peak hardening and post-peak softening (generally responsible for models instability) due to damage-induced stiffness and strength reduction characteristic of ductile materials. It is also shown that the approach has further advantages of achieving some degree of mesh independence, and of being able to capture deformation size effects. Finally, it is illustrated how the model permits the calculation of essential work of rupture (EWR), i.e. the specific energy per unit cross-sectional area that is needed to cause tensile failure of a specimen.     

Preparation, sintering, and microstructures of strontium barium bismuth tantalate layered perovskite ceramics

The solid solutions of Ba-doped SrBi₂Ta₂O₉ layered perovskite ceramic powders have been successfully prepared via a two-step process using BiTaO₄ as a precursor. The lattice constants of the solid solutions monotonically increase with increasing barium-ion content. The sinterability of (Sr_1–xBa_x)Bi₂Ta₂O₉ powders is significantly improved by increasing the barium-ion content. When the specimens with high barium-ion contents are sintered at 1100°C, they thermally decompose to form rod-like grains and the matrix expands, leading to a lower density. The addition of barium ions to SrBi₂Ta₂O₉ also results in significant variation in the morphology of the sintered specimens and the occurrence of c-axis preferred orientation which is ascribed to the anisotropic growth of plate-like grains. The precise control of the barium-ion content as well as the sintering conditions is critical for obtaining densified barium-ion doped SrBi₂Ta₂O₉ ceramics with a pure, layered perovskite structure.     

Influence of the preparation conditions on the size and morphology of nanocrystalline lanthanum orthoferrite

Nanocrystalline LaFeO₃ is prepared by the dehydration of coprecipitated lanthanum and iron(III) hydroxides. It is shown that the behavior of the samples during heating and the size distribution of LaFeO₃ nanocrystals can be considerably different depending on the scheme used for coprecipitation of lanthanum and iron hydroxides; independently of the method employed for coprecipitation of the initial compounds, sintering of the samples at 950°C leads to the formation of lanthanum orthoferrite crystals up to 100 nm in size.     

Tunable laser-based design and analysis for fractional lambda switches

Fractional lambda switching (FlambdaS) is a novel approach for traffic management over all-optical networks with sub-wavelength provisioning capability. The unique characteristic of FlambdaS is the utilization of UTC (coordinated universal time) for switching with minimum or no buffers. Several central research issues are still open in FlambdaS and need to be formally defined and analyzed. In this paper, we introduce three novel switch designs that are based on the use of tunable lasers (which can be replaced in the future with wavelength converters). First, the paper presents analytical results of scheduling feasibility, which measures the total number of possible different schedules for each switch design. Then it is shown that the architecture with the highest scheduling feasibility is strictly non blocking in the space domain. Next, the paper provides a closed form analysis of the blocking probability in the time domain, which is applicable for any strictly non-space blocking switch, using combinatorics. In addition, the paper provides measures of the switching hardware complexity, which, for the strictly non-blocking architecture, has the same switching complexity as Clos interconnection network, i.e., O(N'radic(N')) where N' is the number of optical channels.     

Modelling the FEBEX THM experiment using a state surface approach

Buffer materials being considered as engineered barriers in nuclear fuel waste (NFW) disposal systems possess a pronounced nonlinear behaviour in the unsaturated state. In order to simulate such non-linear responses,the authors adopted an incrementally nonlinear poro-elastic approach where the coefficients of the governing equations are assumed to be functions of suction and the void ratio. These functions are in turn developed from a state-surface equation obtained from suction-controlled oedometric tests. In this paper we show the derivation of the governing equations of the poro-elastic model. A finite element computer code, FRACON, was developed by the authors to numerically solve the above equations. We first use the code to simulate laboratory tests to characterize the swelling properties of a typical bentonite. That same bentonite was used in the FEBEX in-situ heater experiment, conducted at the Grimsel site, Switzerland. The FRACON code was also used to perform blind predictions of the FEBEX heater experiment. It is shown that the model correctly predicts drying of the bentonite near the heaters and re-saturation near the rock interface. The evolution of temperature and the heater thermal output were also reasonably well predicted by the model. The trends in the total stresses developed in the bentonite were correctly predicted; the absolute values however were underestimated probably due to the omission of pore pressure build-up in the rock mass.