Pharmacologic profile of survivors of acute myocardial infarction at United States academic hospitals

Optimal drug therapy for patients with acute myocardial infarction (AMI) is well described in the medical literature. However, data on the actual pharmacologic management of patients surviving AMI at academic hospitals is unavailable. The purpose of this study was to document treatment profiles in 500 patients surviving AMI at 12 academic hospitals in the United States. These profiles were compared with established guidelines and were evaluated for trends. Overall, thrombolytics (streptokinase > or = tissue-type plasminogen activator) were administered in 29% of the patients, with a greater proportion of patients receiving beta-blockers than calcium channel antagonists in the initial 72 hours (61% vs 40%; p < 0.005) and at discharge (51% vs 35%; p < 0.005). Further, women were less likely than men to receive thrombolytic therapy (odds ratio [OR] = 0.61; confidence interval [CI], 0.54 to 0.69) or beta-blocker therapy within the first 72 hours (OR = 0.61; CI, 0.55 to 0.67) or at hospital discharge (OR = 0.53; CI, 0.48 to 0.58). Overall, improvements could still be made in the number of patients who receive thrombolytic and acute and chronic beta-blocker therapies after AMI, particularly in women. Changes in treatment profiles may be a reflection of the publication of large clinical trials.     

An elementary proof of Sylvester’s double sums for subresultants

In 1853 Sylvester stated and proved an elegant formula that expresses the polynomial subresultants in terms of the roots of the input polynomials. Sylvester’s formula was also recently proved by Lascoux and Pragacz using multi-Schur functions and divided differences. In this paper, we provide an elementary proof that uses only basic properties of matrix multiplication and Vandermonde determinants.     

High-performance simulations of turbulent boundary layer flow using Intel Xeon Phi many-core processors

The Journal of Supercomputing - Direct numerical simulations (DNS) of turbulent flows have increasing importance because they not only provide fundamental understanding of turbulent flows but also...     

Facile Fabrication of Povidone Iodine-Embedded Polytetrafluoroethylene Superhydrophobic Films with Improved Antiadhesive and Bactericidal Properties in Bacterial Environments

It remains a challenge to maintain the antiadhesion properties of superhydrophobic films after exposure to bacterial environments. In this work, superhydrophobic bactericidal polymer films via the simple incorporation of polyvinylpyrrolidone-iodine (PVP-I) or iodine into polytetrafluoroethylene (PTFE) are fabricated to improve their antiadhesive and antibacterial capability. Superhydrophobic iodine-embedded films, polytetrafluoroethylene/polyvinylpyrrolidone-iodine and polytetrafluoroethylene-iodine (PTFE/PVP-I and PTFE-I), show excellent antiadhesive and bactericidal performances even post exposure to bacterial solutions as compared to iodine-free counterparts by controlling the release of iodine. Especially, superhydrophobic PTFE/PVP-I films display a more sustained iodine release profile and significant antibacterial properties against gram-positive (S. aureus, methicillin-resistant S. aureus (MRSA)) and gram-negative (E. coli) bacteria. Such a facile combination of antiseptic agents and superhydrophobic surface could be widely used for antiseptic biomedical applications.     

人血清白蛋白对模拟宫腔液中铜的光电响应特性的影响

用动电位伏安法，动电位光电流测量，表面膜的阴极还原和XRD分析等手段研究了铜在含或不含人血清白蛋白的模拟宫腔液（pH=7)中的电化学和光电化学行为，在不含白蛋白的模拟宫腔液中，铜电极表面生成的Cu2O呈n型光响应；一定量白蛋白存在时使Cu2O的光响应从n型转为p型，Cu2O在模拟宫腔液中呈n型光响应可归因于氯离子对Cu2O的掺杂，白蛋白排斥氯离子对Cu2O的掺杂，使其光响应从n型转为p型。     

Tool design in a multi-stage drawing and ironing process of a rectangular cup with a large aspect ratio using finite element analysis

Tool design is carried out for a multi-stage deep drawing and ironing process of a rectangular cup with the large aspect ratio using the result of the finite element analysis. The analysis incorporates three-dimensional continuum elements for an elasto-plastic finite element method with the explicit time integration scheme using LS-DYNA3D. The analysis simulates the five-stage deep drawing and ironing process with the thickness control of the cup wall. Simulation is performed in order to investigate the failure by tearing during the forming process at the initial state of tool design. The analysis reveals that the difference of the drawing ratio within the cross section induces non-uniform metal flow which causes severe local extension. The irregular contact condition between the blank and the die also induces non-uniform metal flow which causes local wrinkling. This paper identifies such unfavorable mechanism in the rectangular cup drawing with ironing and proposes a new tool design with the guideline for modification in the design of the process and the sequential tool shape. The finite element analysis result with the improved tool design confirms that the proposed design not only reduces the possibility of failure but also improves the quality of a deep-drawn product. The numerical result shows fair coincidence with the experimental result.     

Sustainable Basin-Scale Water Allocation with Hydrologic State-Dependent Multi-Reservoir Operation Rules

This study extends the PSO-MODSIM model, integrating particle swarm optimization (PSO) algorithm and MODISM river basin decision support system (DSS) to determine optimal basin-scale water allocation, in two aspects. The first is deriving hydrologic state-dependent (conditional) operating rules to better account for drought and high-flow periods, and the second is direct, explicit consideration of sustainability criteria in the model’s formulation to have a better efficiency in basin-scale water allocation. Under conditional operating rules, the operational parameters of reservoir target storage levels and their priority rankings were conditioned on the hydrologic state of the system in a priority-based water allocation scheme. The role of conditional operating rules and policies were evaluated by comparing water shortages associated with objective function values under unconditional and conditional operating rules. Optimal basin-scale water allocation was then evaluated by incorporating reliability, vulnerability, reversibility and equity sustainability indices into the PSO objective function. The extended model was applied for water allocation in the Atrak River Basin, Iran. Results indicated improved distribution of water shortages by about 7.5% using conditional operating rules distinguishing dry, normal and wet hydrologic states. Alternative solutions with nearly identical objective function values were found with sustainability indices included in the model.     

Vitamin A microencapsulation within poly(methyl methacrylate)‐g‐polyethylenimine microspheres: Localized proton buffering effect on vitamin A stability

To stabilize vitamin A in a cosmetic/dermatological formulation, we present here a new encapsulation method based on polymer microspheres having a localized “proton‐buffering” capacity. Poly(methyl methacrylate)‐g‐polyethylenimine (PMMA‐g‐PEI) was prepared by direct condensation grafting of PEI onto poly(methyl methacrylate‐co‐methyl acrylic acid). The reaction was confirmed by FT‐IR analysis showing the amide vibration at 1,550 cm^?1. Elemental analysis indicated that the weight content of the grafted PEI was 1.6% (w/w). Vitamin A was encapsulated into PMMA‐g‐PEI microspheres by using an oil‐in‐water (O/W) single emulsion method. The presence of PEI moiety dramatically improved the chemical stability of vitamin A in microspheres. Vitamin A encapsulated within PMMA‐g‐PEI microspheres maintained 91% of its initial activity after 30‐day incubation at 40°C, while only maintaining 60% within plain PMMA microspheres. This study demonstrates that proton‐buffering within hydrophobic polymer matrix is a useful strategy for stabilizing “acid‐labile” active ingredients. © 2004 Wiley Periodicals, Inc. J Appl Polym Sci 92: 517–522, 2004     

Efective Object Identification and Association by Varying Coverage Through RFID Power Control简

This paper presents an effective power scheduling strategy for energy efficient multiple objects identification and association. The proposed method can be utilized in many heterogeneous surveillance systems with visual sensors and RFID （radio-frequency identification） readers where energy efficiency as well as association rate are critical Multiple objects positions and trajectory estimates are used to decide the power level of RFID readers. Several key parameters including the time windows and the distance separations are defined in the method in order to minimize the effects of RFID coverage uncertainty. The power cost model is defined and incorporated into the method to minimize energy consumption and to maximize association performance. The proposed method computes the power cost using the range of the outermost position for possible single association and group associations at every sampling time. An RFID reader is activated with the proper coverage range when the power cost for the current time is lower than the power cost for the next time sample. The simplicity of the power cost model relieves the problematic combinatorial comparisons in multiple object cases. The performance comparison simulation with the minimum and maximum energy consumption shows that the proposed method achieves fast single associations with less energy consumption. Finally, the realistic comparison simulation with the fixed range RFID readers demonstrates that the proposed method outperforms the fixed ranges in terms of single association rate and energy consumption.