Adherence to antiretroviral therapy and its impact on clinical outcome in HIV-infected patients.

We analyse data on patient adherence to prescribed regimens and surrogate markers of clinical outcome for 168 human immunodeficiency virus infected patients treated with antiretroviral therapy. Data on patient adherence consisted of dose-timing measurements collected for an average of 12 months per patient via electronic monitoring of bottle opening events. We first discuss how such data can be presented to highlight suboptimal adherence patterns and between-patient differences, before introducing two novel methods by which such data can be statistically modelled. Correlations between adherence and subsequent measures of viral load and CD4+T-cell counts are then evaluated. We show that summary measures of short-term adherence, which incorporate pharmacokinetic and pharmacodynamic data on the monitored regimen, predict suboptimal trends in viral load and CD4+T-cell counts better than measures based on adherence data alone.     

Guest Editor's Introduction

International Journal of Parallel Programming -     

Foreword

Reliable Computing -     

Teaching computer game design and construction

Computer gaming is a key component of the rapidly growing entertainment industry. While building computer games has typically been a commercial endeavor, we believe that designing and constructing a computer game is also a useful activity for educating students about geometric modeling and computer graphics. In particular, students are exposed to the practical issues surrounding topics such as geometric modeling, rendering, collision detection, character animation and graphical design. Moreover, building an advanced game provides students exposure to the real-world side of software engineering that they are typically shielded from in the standard computer class. In this paper, we describe our experiences with teaching a computer science class that focuses on designing and building the best game possible in the course of a semester. The paper breaks down a typical game into various components that are suited for individual student projects and discusses the use of modern graphical design tools such as Maya in building art for the game. We conclude with a rough timeline for developing a game during the course of a semester and review some of the lessons learned during the three years we have taught the class.     

Film as Explicador for Hypertext

A few ideas from film theory, most notably Eisenstein's concept of montage, can improve students' understanding of hypertexts and lessen their resistance to open-ended, nonlinear narratives. These structural characteristics, so frustrating to many new readers of hypertext, can also be found in popular and experimental films. In particular, Godfrey Reggio's (1983) documentary Koyaanisqatsi provides a good starting point for merging hypertext and film theory. Koyaanisqatsi not only broke new ground for documentary film; its structure also resembles Landow's model for an axial hypertext. At the same time, techniques pioneered by Landow, Joyce, Guyer, and others involved in creating and critiquing hypertext can be used to examine film. Having students look closely at Koyaanisqatsi's composition allows them to become amateur cinematographers, who now possess software for breaking a film down and examining its composition, montage, transitions, subliminal messages, and motifs – a process that may then be applied to hypertext.     

Effects of User Request Patterns on a Multimedia Delivery System

Because of their size, service times, and drain on server resources, multimedia objects require specialized replication systems in order to meet demand and ensure content availability. We present a novel method for creating replication systems where the replicated objects' sizes and/or per-object service times are large. Such replication systems are well-suited to delivering multimedia objects on the Internet. Assuming that user request patterns to the system are known, we show how to create replication systems that distribute read load to servers in proportion to their contribution to system capacity and experimentally show the positive load distribution properties of such systems. However, when user request patterns differ from what the system was designed for, system performance will be affected. Therefore, we also report on results that reveal (i) how server loads are affected and (ii) the impact two system design parameters (indicators of a system's load distribution qualities) have on server load when request patterns differ from that for which a system was designed.     

Assessment of oxygen levels in convenience‐style muscle‐based sous vide products through optical means and impact on shelf‐life stability

An optical oxygen analyser was used in two small‐scale industrial trials to non‐destructively assess the quality of packaged convenience foods and packaging process. Beef lasagne packed under 70% vacuum and cooked under standard sous vide conditions was monitored for residual oxygen, using disposable sensors incorporated in each pack and a benchtop optical oxygen analyser. High levels of residual oxygen close to ambient were determined in the majority of packs after packaging, as opposed to anticipated levels of 4–5%. Residual oxygen was monitored over product shelf‐life (4 weeks at +4–10°C) along with measurement of microbial growth and lipid oxidation in food by conventional destructive methods. Oxygen levels in packs went down to almost zero between weeks 2 and 3 indicating deterioration of packaged product. Correlation between oxygen profiles and the rate of microbial growth and lipid oxidation was established. The optical oxygen sensor system was shown to provide valuable information about performance of the packaging process, product storage conditions and food quality in a convenient and cost‐efficient fashion and non‐destructively. Copyright © 2004 John Wiley & Sons, Ltd.     

The Effects of Auditory and Visual Linguistic Distractors on Target Localization.

In this experiment, a Stroop-like paradigm was used to investigate the ability to attend to visuospatial cues while ignoring distracting stimuli in the auditory or visual modality. In Part 1, the authors investigated whether linguistic cue words (i.e., RIGHT, LEFT, DOWN, and UP) would induce endogenous shifts of attention to visual targets. In Part 2, a relevant distractor stimulus was introduced in a different modality from the endogenous cues to investigate effects of interference. Twenty-five right-handed students served as participants. Auditory and visual linguistic cues were effective in inducing shifts of visual attention when cues were presented alone. Furthermore, introducing a distractor stimulus decreased the efficacy of these cues differently depending on modality, suggesting that language processing and visuospatial attention may share neuronal resources. Implications for unimodal and supramodal mechanisms of selective attention and relevant neuronal networks are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Should There Be a Three-Strikes Rule Against Pure Discovery Learning?

The author's thesis is that there is sufficient research evidence to make any reasonable person skeptical about the benefits of discovery learning--practiced under the guise of cognitive constructivism or social constructivism--as a preferred instructional method. The author reviews research on discovery of problem-solving rules culminating in the 1960s, discovery of conservation strategies culminating in the 1970s, and discovery of LOGO programming strategies culminating in the 1980s. In each case, guided discovery was more effective than pure discovery in helping students learn and transfer. Overall, the constructivist view of learning may be best supported by methods of instruction that involve cognitive activity rather than behavioral activity, instructional guidance rather than pure discovery, and curricular focus rather than unstructured exploration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

TEM Investigations of Fine Niobium Precipitates in HSLA Steel

Commercially produced 0.03 % C, 0.08 % Nb, 0.01 % Ti high strength low alloyed (HSLA) steel in the form of 20 mm thick plates was investigated. The steel was thermomechanically processed and the mechanical properties of the steel were evaluated by tensile testing. Using analytical and high resolution transmission electron microscopy the distribution, morphology, composition, crystal structure and particle size of niobium and titanium carbonitrides were observed and identified in these steels. The distribution of the precipitates was found to be nearly random, with occasional occurrence of precipitation free zones. Complex agglomerates with a cubic TiN seed crystal overgrown by a cubic NbC particle were the most commonly observed precipitates. Further TEM analysis in the accelerated cooled and tempered specimens in 1/4 plate thickness did not reveal any evidence that additional precipitation in the ferrite occurred. Precipitation in ferrite was only detected after subsequent cold deformation and tempering of the same samples. By a combination of EFTEM, STEM, HRTEM in addition to EDX spectroscopy, a large population of strain induced NbC precipitates with fcc crystal structure ranging in size down to 2 nm were identified in the ferrite matrix.