A multiple decision procedure in clinical trials

In some multiple treatment arm clinical trials there is an order of preference for the treatments based on secondary considerations like toxicity or cost. In this paper, we consider the case where two or more treatments could have equal prior preference. This formulation includes the problem of comparing several equally preferred experimental treatments to one control, or the comparison of a combination with its components. Our decision procedures will guarantee a high selection probability for the correct treatment(s) when that selection is appropriate. We establish sample size requirements for our decision procedures which can be applied to clinical trials with normal, binomial, or right censored exponential endpoints.     

Cardiac autonomic dysfunction in survivors of acute lymphoblastic leukemia in childhood

Lower levels of baseline ventilatory function have consistently been associated with increased risk of cardiovascular mortality in prospective studies, but the underlying mechanisms are not known. Increased risk of coronary heart disease is associated with higher serum insulin levels. This report examines the relationship between ventilatory function and indirect measures of insulin resistance. Cross-sectional data from 922 nondiabetic participants in the Normative Aging Study were analysed using multiple linear regression models with adjustment for potential confounders. Forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were examined in relation to indicators of insulin resistance, i.e. fasting insulin and the fasting insulin resistance index (FIRI). Diabetics were excluded because impaired insulin secretion interferes with the validity of these as measures of insulin resistance. Fasting insulin and FIRI were negatively correlated with FVC and FEV1 (all p< 0.001). These associations persisted after adjusting for potential confounders including age, height, body mass index, waist to hip circumference ratio, physical activity, alcohol intake and smoking in separate multiple linear regression models, for both insulin (all p< or =0.0008) and FIRI (all p< or =0.0001). Negative cross-sectional associations between ventilatory function and indirect measures of insulin resistance were found in nondiabetic males. Insulin resistance may contribute to the previously unexplained association between ventilatory function impairment and cardiovascular mortality. Mechanisms underlying the relationship between insulin resistance and decreased ventilatory function remain to be elucidated.     

Beta-gamma radiation from leaching resistant glasses containing uranium ions

The β and γ decay of uranium atoms from xUO₃(100 - x)[3B₂O₃ · MO] glass systems, where M=Sr or Pb and 0 ≤ × ≤ 20 mol%, is investigated. The γ decay data are very close to each other, for the same UO₃ contents, in both the systems. The composition dependence of the β decay exhibits a lower slope in the lead borate matrix than in the strontium borate matrix. The ratio between the β activity of samples with the same uranium ion concentrations in the two investigated glass systems is a function of the x values. The results are correlated with the amount of radioactive nuclides and with the structural environments of the radionuclides. The leaching treatment in water at temperatures below 100°C evidenced no aqueous dissolution of glass samples.     

From LTL to unambiguous Büchi automata via disambiguation of alternating automata

Formal Methods in System Design - Due to the high complexity of translating linear temporal logic (LTL) to deterministic automata, several forms of “restricted” nondeterminism have been...     

Nodal ant colony optimization for solving profit based unit commitment problem for GENCOs

This paper proposes a nodal ant colony optimization (NACO) technique to solve profit based unit commitment problem (PBUCP). Generation companies (GENCOs) in a competitive restructured power market, schedule their generators with an objective to maximize their own profit without any regard for system social benefit. Power and reserve prices become important factors in decision process. Ant colony optimization that mimics the behavior of ants foraging activities is suitably implemented to search the UCP search space. Here a search space consisting of optimal combination of binary nodes for unit ON/OFF status is represented for the movement of the ants to maintain good exploration and exploitation search capabilities. The proposed model help GENCOs to make decisions on the quantity of power and reserve that must be put up for sale in the markets and also to schedule generators in order to receive the maximum profit. The effectiveness of the proposed technique for PBUCP is validated on 10 and 36 generating unit systems available in the literature. NACO yields an increase of profit, greater than 1.5%, in comparison with the basic ACO, Muller method and hybrid LR-GA.     

Design optimization of supersonic jet pumps using high fidelity flow analysis

Supersonic jet pumps are simple devices with no moving parts, where a high velocity (primary) flow is used to pump a second fluid. In this paper, Computational Fluid Dynamics (CFD) is combined with an optimization framework in order to develop a tool for the rapid generation of jet pump designs. A key feature of the problem formulation is the transformation of the jet pump design parameters in terms of geometric ratios. This approach dramatically reduces the number of unrealistic designs covered by the Design of Experiments. Optimal Latin Hypercubes for surrogate model building and model validation points are constructed using a permutation genetic algorithm and design points are evaluated using CFD. Surrogate models of primary and entrained flow rates are built using a Moving Least Squares approach. A series of optimizations for various pump sizes are performed using a genetic algorithm and Sequential Quadratic Programming, with responses calculated from the surrogates. This approach results in a set of optimized designs, from which pumps for a wide range of flow rates can be interpolated.     

Wollaston prism with large split angle

The image formation through a Wollaston prism with large split angle is studied. Formulas for the split angle, approximate calculations of aberrations, and ray tracings are used. The most important aberrations found are astigmatism and anamorphic distortion. Tilting the Wollaston with respect to the incident beam may reduce these aberrations, and if the orientation of the optical axis in the first element is varied it is possible to cancel one of the two aberrations for both images simultaneously, while the other one is substantially reduced. With an adequate adjustment of all the construction parameters the images become sharp enough to allow the use of large split angles (approximately 15 degrees).     

Interleukin 6 and Aneurysmal Subarachnoid Hemorrhage. A Narrative Review

Interleukin 6 (IL-6) is a prominent proinflammatory cytokine. Neuroinflammation in general, and IL-6 signaling in particular, appear to play a major role in the pathobiology and pathophysiology of aneurysm formation and aneurysmal subarachnoid hemorrhage (SAH). Most importantly, elevated IL-6 CSF (rather than serum) levels appear to correlate with delayed cerebral ischemia (DCI, “vasospasm”) and secondary (“vasospastic”) infarctions. IL-6 CSF levels may also reflect other forms of injury to the brain following SAH, i.e., early brain damage and septic complications of SAH and aneurysm treatment. This would explain why many researchers have found an association between IL-6 levels and patient outcomes. These findings clearly suggest CSF IL-6 as a candidate biomarker in SAH patients. However, at this point, discrepant findings in variable study settings, as well as timing and other issues, e.g., defining proper clinical endpoints (i.e., secondary clinical deterioration vs. angiographic vasospasm vs. secondary vasospastic infarct) do not allow for its routine use. It is also tempting to speculate about potential therapeutic measures targeting elevated IL-6 CSF levels and neuroinflammation in SAH patients. Corticosteroids and anti-platelet drugs are indeed used in many SAH cases (not necessarily with the intention to interfere with detrimental inflammatory signaling), however, no convincing benefit has been demonstrated yet. The lack of a robust clinical perspective against the background of a relatively large body of data linking IL-6 and neuroinflammation with the pathophysiology of SAH is somewhat disappointing. One underlying reason might be that most relevant studies only report correlative data. The specific molecular pathways behind elevated IL-6 levels in SAH patients and their various interactions still remain to be delineated. We are optimistic that future research in this field will result in a better understanding of the role of neuroinflammation in the pathophysiology of SAH, which in turn, will translate into the identification of suitable biomarkers and even potential therapeutic targets.     

Copolymerization in UF/pMDI adhesives networks

Kinetic evidence in thermomechanical analysis experiments and carbon‐13 nuclear magnetic resonance spectroscopy (¹³C NMR) evidence indicates that the strength of a joint bonded with UF (urea–formaldehyde)/polymeric 4,4'‐diphenylmethane diisocyanate (pMDI) glue mixes is improved by coreaction of the methylol groups of UF resins with pMDI to form a certain number of methylene cross‐links. The formation of these methylene cross‐links is predominant, rather than formation of urethane bridges which still appear to form but which are in great minority. This reaction occurs in presence of water and under the predominantly acid hardening conditions, which is characteristic of aminoplastic resins (thus, in presence of a hardener). Coreaction occurs to a much lesser extent under alkaline conditions (hence, without UF resins hardeners). The predominant reaction is then different in UF/pMDI adhesive systems than that observed in phenol‐formaldehyde (PF)/pMDI adhesive systems. The same reaction observed for UF/pMDI system at higher temperatures has also been observed in PF/pMDI systems, but only at lower temperatures. The water introduced in the UF/pMDI mix by addition of the UF resin solution has been shown not to react with pMDI to an extent such as to contribute much, if at all, to the increase in strength of the hardened adhesive. © 2002 Wiley Periodicals, Inc. J Appl Polym Sci 86: 3681–3688, 2002