Clinical utility of the polymerase chain reaction in the diagnosis of extrapulmonary tuberculosis

This study examines the diagnostic utility of the polymerase chain reaction (PCR) in 156 patients (five human immunodeficiency virus (HIV) seropositive) suspected of extrapulmonary tuberculosis. The results of PCR in 226 samples from 11 different sites were compared with the results of microscopy and culture. Positive culture results were predicted in 86% of samples by PCR but in only 31% by microscopy. Specificity of PCR was 92%. In cases with culture-proven tuberculosis, PCR identified all 11 microscopy positive cases and 19 of 24 (79%) of the microscopy-negative cases. In four patients, PCR excluded the diagnosis of tuberculosis in microscopy-positive samples, which were later shown to contain mycobacteria other than Mycobacterium tuberculosis or laboratory contaminants. In 20 patients (microscopy, PCR and culture negative) a trial of antituberculous drugs was given, but patients showed no improvement and treatment was stopped. In 17 patients, all culture negative (in nine PCR was positive, three of whom also had positive microscopy) the diagnosis was probable tuberculosis based on clinical findings and response to treatment. This polymerase chain reaction has a much higher sensitivity than microscopy and can facilitate therapeutic decisions for those with suspected extrapulmonary tuberculosis.     

A URI-based approach for addressing fragments of media resources on the Web

To make media resources a prime citizen on the Web, we have to go beyond simply replicating digital media files. The Web is based on hyperlinks between Web resources, and that includes hyperlinking out of resources (e.g., from a word or an image within a Web page) as well as hyperlinking into resources (e.g., fragment URIs into Web pages). To turn video and audio into hypervideo and hyperaudio, we need to enable hyperlinking into and out of them. The W3C Media Fragments Working Group is taking on the challenge to further embrace W3C??s mission to lead the World Wide Web to its full potential by developing a Media Fragment protocol and guidelines that ensure the long-term growth of the Web. The major contribution of this paper is the introduction of Media Fragments as a media-format independent, standard means of addressing media resources using URIs. Moreover, we explain how the HTTP protocol can be used and extended to serve Media Fragments and what the impact is for current Web-enabled media formats.     

Knowledge-based approach to sleep EEG analysis-a feasibility study

A knowledge-based approach to automated sleep EEG (electroencephalogram) analysis is described. In this system, an object-oriented approach is followed in which specific waveforms and sleep stages ("objects") are represented in terms of frames. The latter capture the morphological and spatio-temporal information for each object. An object detection module ("frame matcher"), operating on the frames, is employed to identify what features need to be extracted from the EEG and to trigger the appropriate "specialist"--specialized signal processing modules--to obtain values for these features. This leads to an opportunistic approach to EEG interpretation with quantitative information being extracted from the signal only when needed by the reasoning processes. The system has been tested on the detection of K complexes and sleep spindles. Its performance indicates that the approach followed is feasible and can become a powerful tool for automated EEG interpretation.     

Selecting mating pairs with linear programming techniques

Mate selection can increase progency merit if overall merit is nonlinear for one or more component traits. An index of expected progeny merit could be calculated for all possible mating pairs, and the set of pairs with the highest progeny mean could be selected. There are serious computational problems for more than a few males and females. To select and mate f, females, and m, males, from n of each, with k0 females per male, would require (nf)(nm)f!/(k0!)m evaluations. Linear programming algorithms can determine the optimal strategy efficiently by considering only a subset of these possibilities. Let pi ij be the index of progency merit of the ith sire mated to the jth dam and Xij be the decision variable for that mating (restricted to 0 or 1). Then the problem of selecting mating pairs can be stated as: maximize sigma i sigma j pi ij Xij, subject to sigma i Xij less than or equal to 1, sigma j Xij less than or equal to k0, sigma i sigma j Xij = f, and Xij = 0 or 1. By including an artificial sire and an artificial dam and choosing appropriate merit values for the artificial matings, this problem can be solved by efficient "transportation" algorithms. These algorithms could be used to develop rational mating packages for dairy artificial insemination studs provided that an objective evaluation of progeny merit could be formulated, provided that merit is not simply additively inherited.     

Classification of sleep patterns by means of markov modeling and correspondence analysis

Shown is how correspondence analysis can be used to track changes in an individuals' sleep pattern. Correspondence analysis was applied to sleep stage transition matrices computed from all-night sleep of normal, obese, and apnoetic subjects. Differences between the groups, and intraindividual changes in sleep patterns could be visualized better than with a x2-based clustering approach.     

Increased Bone Resorption during Lactation in Pycnodysostosis

Pycnodysostosis, a rare autosomal recessive skeletal dysplasia, is caused by a deficiency of cathepsin K. Patients have impaired bone resorption in the presence of normal or increased numbers of multinucleated, but dysfunctional, osteoclasts. Cathepsin K degrades collagen type I and generates N-telopeptide (NTX) and the C-telopeptide (CTX) that can be quantified. Levels of these telopeptides are increased in lactating women and are associated with increased bone resorption. Nothing is known about the consequences of cathepsin K deficiency in lactating women. Here we present for the first time normalized blood and CTX measurements in a patient with pycnodysostosis, exclusively related to the lactation period. In vitro studies using osteoclasts derived from blood monocytes during lactation and after weaning further show consistent bone resorption before and after lactation. Increased expression of cathepsins L and S in osteoclasts derived from the lactating patient suggests that other proteinases could compensate for the lack of cathepsin K during the lactation period of pycnodysostosis patients.     

Usher Syndrome in the Inner Ear: Etiologies and Advances in Gene Therapy

Hearing loss is the most common sensory disorder with ~466 million people worldwide affected, representing about 5% of the population. A substantial portion of hearing loss is genetic. Hearing loss can either be non-syndromic, if hearing loss is the only clinical manifestation, or syndromic, if the hearing loss is accompanied by a collage of other clinical manifestations. Usher syndrome is a syndromic form of genetic hearing loss that is accompanied by impaired vision associated with retinitis pigmentosa and, in many cases, vestibular dysfunction. It is the most common cause of deaf-blindness. Currently cochlear implantation or hearing aids are the only treatments for Usher-related hearing loss. However, gene therapy has shown promise in treating Usher-related retinitis pigmentosa. Here we review how the etiologies of Usher-related hearing loss make it a good candidate for gene therapy and discuss how various forms of gene therapy could be applied to Usher-related hearing loss.     

Zeolite based films, membranes and membrane reactors: Progress and prospects

The integration of reaction and separation in catalytic membrane reactors has received increasing attention during the past 30 years. The combination promises to deliver more compact and less capital-intensive processes with substantial savings in energy consumption. With the advent of new inorganic materials and processing techniques, there has been renewed interest in exploiting the benefits of membranes in many industrial applications. Zeolite membranes, however, have only recently been considered for catalytic membrane reactor applications. Despite the significant recent interest in these types of membranes there are relatively few reports of the application of such membranes in high-temperature catalytic membrane reactor applications. This can be attributed to a number of limitations that still need to be addressed such as the relatively high price of membrane units, the difficulty of controlling the membrane thickness, permeance, high-temperature sealing, reproducibility and the dilemma of upscaling. A number of research efforts, with some degree of success have been directed to finding solutions to the remaining challenges. This review makes a critical assessment of what has been achieved in the past few years in terms of hurdles that still stand in the way of the successful implementation of zeolite membrane reactors in industry.     

Rheological evaluation of the influence of polymer concentration and molar mass distribution on the formation and performance of asymmetric gas separation membranes prepared by dry phase inversion

Asymmetric gas separation membranes were prepared by the dry-casting technique from PEEKWC, a modified amorphous glassy poly(ether ether ketone). The phase inversion process and membrane performance were correlated to the properties of the polymer and the casting solution (molar mass, polymer concentration, solution rheology and thermodynamics). It was found that a broad molar mass distribution of the polymer in the casting solution is most favourable for the formation of a highly selective membrane with a dense skin and a porous sub-layer. Thus, membranes with an effective skin thickness of less than 1 μm were obtained, exhibiting a maximum O₂/N₂ selectivity of 7.2 and a CO₂/CH₄ selectivity of 39, both significantly higher than in a corresponding thick dense PEEKWC membrane and also comparable to or higher than that of the most commonly used polymers for gas separation membranes. The CO₂ and O₂ permeance were up to 9.5×10⁻³ and 1.8×10⁻³ m³/(m² h bar) (3.5 and 0.67 GPU), respectively.     

Effect of water on the oxygen barrier properties of poly(ethylene terephthalate) and polylactide films

The aim of this work was to study the variations in the oxygen diffusion, solubility, and permeability coefficients of polylactide (PLA) films at different temperatures (5, 23, and 40°C) and water activities (0–0.9). The results were compared with the oxygen diffusion, solubility, and permeability coefficients obtained for poly(ethylene terephthalate) (PET) films under the same experimental conditions. The water sorption isotherm for PLA films was also determined. Diffusion coefficients were determined with the half‐sorption time method. Also, a consistency test for continuous‐flow permeability experimental data was run to obtain the diffusion coefficient with the lowest experimental error and to confirm that oxygen underwent Fickian diffusion in the PLA films. The permeability coefficients were obtained from steady‐state permeability experiments. The results indicated that the PLA films absorbed very low amounts of water, and no significant variation of the absorbed water with the temperature was found. The oxygen permeability coefficients obtained for PLA films (2–12 × 10^?18 kg m/m² s Pa) were higher than those obtained for PET films (1–6 × 10^?19 kg m/m² s Pa) at different temperatures and water activities. Moreover, the permeability coefficients for PLA and PET films did not change significantly with changes in the water activity at temperatures lower than 23°C. © 2004 Wiley Periodicals, Inc. J Appl Polym Sci 92: 1790–1803, 2004