Physical fitness, physical activity, and functional limitation in adults aged 40 and older

PURPOSE: A cohort of middle-aged and older men and women were followed for an average of 5.5 yr to examine the association between physical fitness, physical activity, and the prevalence of functional limitation. METHODS: The participants received medical assessments between 1980 and 1988 and responded to a mail-back survey regarding functional status in 1990. RESULTS: Among 3495 men and 1175 women over 40 yr of age at baseline, 350 (7.5%) reported at least one functional limitation in daily or household activities at follow-up. The prevalence of functional limitation was higher among women than men. Physically fit and physically active participants reported less functional limitation than unfit or sedentary participants. After controlling for age and other risk factors, the prevalence of functional limitation was lower for both moderately fit (odds ratio = 0.4, 95% CI = 0.2-0.6) and high fit men (odds ratio = 0.3, 95% CI = 0.2-0.4), compared with low fit men. Corresponding figures for women were 0.5 (0.3-0.7) and 0.3 (0.2-0.5) for moderately fit and high fit women. The association between physical activity and functional limitation was similar to the data for physical fitness. CONCLUSIONS: These data support a protective effect of physical fitness and physical activity on functional limitation among older adults and extend this protective effect to middle-aged men and women.     

Disposition and elimination of meropenem in cerebrospinal fluid of hydrocephalic patients with external ventriculostomy

The broad antibacterial spectrum and the low incidence of seizures in meropenem-treated patients qualifies meropenem for therapy of bacterial meningitis. The present study evaluates concentrations in ventricular cerebrospinal fluid (CSF) in the absence of pronounced meningeal inflammation. Patients with occlusive hydrocephalus caused by cerebrovascular diseases, who had undergone external ventriculostomy (n = 10, age range 48 to 75 years), received 2 g of meropenem intravenously over 30 min. Serum and CSF were drawn repeatedly and analyzed by liquid chromatography-mass spectroscopy. Pharmacokinetics were determined by noncompartmental analysis. Maximum concentrations in serum were 84.7 +/- 23.7 microg/ml. A CSF maximum (CmaxCSF) of 0.63 +/- 0.50 microg/ml (mean +/- standard deviation) was observed 4.1 +/- 2.6 h after the end of the infusion. CmaxCSF and the area under the curve for CSF (AUCCSF) depended on the AUC for serum (AUCS), the CSF-to-serum albumin ratio, and the CSF leukocyte count. Elimination from CSF was considerably slower than from serum (half-life at beta phase [t1/2beta] of 7.36 +/- 2.89 h in CSF versus t1/2beta of 1.69 +/- 0.60 h in serum). The AUCCSF/AUCS ratio for meropenem, as a measure of overall CSF penetration, was 0.047 +/- 0.022. The AUCCSF/AUCS ratio for meropenem was similar to that for other beta-lactam antibiotics with a low binding to serum proteins. The concentration maxima of meropenem in ventricular CSF observed in this study are high enough to kill fully susceptible pathogens. They may not be sufficient to kill bacteria with a reduced sensitivity to carbapenems, although clinical success has been reported for patients with meningitis caused by penicillin-resistant pneumococci and Pseudomonas aeruginosa.     

A novel low complexity data demodulation algorithm for pulse position modulation

In this paper, a low complexity data demodulation algorithm is proposed that requires time of arrival information of the received signal exclusively. As an application example, the algorithm is applied to an ultra-wideband impulse radio communication system with pulse position modulation. The algorithm is insensitive to a common time delay for all pulses, that means, it does not require an accurate synchronization between the transmitter and the receiver. For the performance estimation, only a symbol synchronization is assumed, i.e., that there is a priori knowledge which pulse marks the beginning of a received data symbol. The performance of the proposed algorithm is evaluated for straightforward time of arrivals estimators, such as a maximum detector or a threshold detector. It is shown that the proposed algorithm outperforms a least squares algorithm in all considered scenarios. In particular, an increased robustness against additive white Gaussian noise, impulse like noise, and multiuser interference is demonstrated as well as an improved performance for multipath propagation channels.     

Relationship Between Interfacial Water Layer Adhesion Loss of Silicon/Glass Fiber-Epoxy Systems: A Quantitative Study

Water at the polymer/substrate interface is often the major cause of adhesion loss in coatings, adhesives, and fiber-reinforced polymer composites. This study critically assesses the relationship between the interfacial water layer and the adhesion loss in epoxy/siliceous substrate systems. Both untreated and silane-treated Si substrates and untreated and silane-treated E-glass fibers were used. Thickness of the interfacial water layer was measured on epoxy/Si systems by Fourier transform infrared-multiple total internal reflection (FTIR-MTIR) spectroscopy. Adhesion loss of epoxy/Si systems and epoxy/E-glass fiber composites was measured by peel adhesion and short-beam shear tests, respectively. Little water accumulation at the epoxy/Si substrate interface was observed for silane-treated Si substrates, but about 10 monolayers of water accumulated at the interface between the epoxy and the untreated Si substrate following 100 h of exposure at 24 °C. More than 70% of the initial epoxy/untreated Si system peel strength was lost within 75 h of exposure, compared with 20% loss after 600 h for the silane-treated Si samples. Shear strength loss in composites made with untreated E-glass fiber was nearly twice that of composites fabricated with silane-treated fiber after 6 months of immersion in 60 °C water. Further, the silane-treated composites remained transparent, but the untreated fiber composites became opaque after water exposure. Evidence from FTIR-MTIR spectroscopy, adhesion loss, and visual observation strongly indicated that a water layer at the polymer/substrate interface is mostly responsible for the adhesion loss of epoxy/untreated siliceous substrate systems and epoxy/untreated glass fiber composites and that FTIR-MTIR is a viable technique to reliably and conveniently assess the adhesion loss attributable to water sorption at the interface.     

About the origins of residual stresses in <Emphasis Type="Italic">in situ</Emphasis> consolidated thermoplastic composite rings

In a context of cost reduction, in situ filament winding of thermoplastic matrix composites becomes an appealing process. As residual stresses could considerably affect the produced part, models were proposed to predict process-induced residual stresses. After developing a validated thermal model of the process, mainly three different aspects are here addressed: the continuous bonding occurring during the process, the effect of the processed layer on the structure, and the effect of the curvature of the mandrel. While stresses coming from the continuous bonding appeared to be negligible, consequent levels of stresses can be achieved due to an iterative compression of the structure by the tow (supposed to be under tension). The mandrel properties and the tow tension profile followed during winding are essential parameters that might induce several different stress states. A comparison between measured and computed end-to-end openings of split rings illustrates the accuracy of the proposed models.     

Prospects of Supercritical Fluids in Realizing Graphene‐Based Functional Materials

Supercritical‐fluids science and technology predate all the approaches that are currently established for graphene production by several decades in advanced materials design. However, it has only recently been proposed as a plausible approach for graphene processing. Since then, supercritical fluids have emerged into contention as an alternative to existing technologies because of their scalability and versatility in processing graphene materials, which include composites, aerogels, and foams. Here, an overview is presented of such materials prepared through supercritical fluids from an advanced materials science standpoint, with a discussion on their fundamental properties and technological applications. The benefits of supercritical‐fluid processing over conventional liquid‐phase processing are presented. The benefits include not only better performances for advanced applications but also environmental issues associated with the synthesis process. Nevertheless, the limitations of supercritical‐fluid processing are also stressed, along with challenges that are still faced toward the achievement of the great expectations from graphene materials.     

Design and Configuration Rationales for Digital Video Storage and Delivery Systems

Recent advances in computing technology have brought multimedia information processing to prominence. The ability to digitize, store, retrieve, process, and transport analog information in digital form has changed the dimensions of information handling. Several architectural and network configurations have been proposed for efficient and reliable digital video delivery systems. However, these proposals succeed only in addressing subsets of the whole problem. In this paper, we discuss the characteristics of video services. These include Cable Television, Pay-Per-View, and Video Repository Centers. We also discuss requirements for Video On Demand services. With respect to these video services, we analyze two important video properties: image quality and response time. We discuss and present configurations of a Digital Video Delivery System (DVDS) from three general system components - servers, clients, and connectivities. Pertinent issues in developing each component are also analyzed. We also present an architecture of a DVDS that can support the various functionalities that exist in the various video services. Lastly, we discuss data allocation strategies which impact performance of interactive video on demand (IVOD). We present preliminary results from a study using a limited form of mirroring to support high performance IVOD.     

Human immunodeficiency virus infection, Part II

The acceptance of highly active antiretroviral therapy (HAART) among patients and health care providers has had a dramatic impact on the epidemiology and clinical characteristics of many opportunistic infections associated with human immunodeficiency virus (HIV). Previously intractable opportunistic infections and syndromes are now far less common. In addition, effective antibiotic prophylactic therapies have had a profound impact on the risk of patients developing particular infections and on the incidence of these infections overall. Most notable among these are Pneumocystis carinii, disseminated Mycobacterium avium complex, tuberculosis, and toxoplasmosis. Nevertheless, infections continue to cause significant morbidity and mortality among patients who are infected with HIV. The role of HAART in many clinical situations is unquestioned. Compelling data from clinical trials support the use of these therapies during pregnancy to prevent perinatal transmission of HIV. HAART is also recommended for health care workers who have had a "significant" exposure to the blood of an HIV-infected patient. Both of these situations are discussed in detail in this article. In addition, although more controversial, increasing evidence supports the use of HAART during the acute HIV seroconversion syndrome. An "immune reconstitution syndrome" has been newly described for patients in the early phases of treatment with HAART who develop tuberculosis, M avium complex, and cytomegalovirus disease. Accumulating data support the use of hydroxyurea, an agent with a long history in the field of myeloproliferative disorders, for the treatment of HIV. Newer agents, particularly abacavir and adefovir dipivoxil, are available through expanded access protocols, and their roles are being defined and clarified.     

NIDA technical review: nitrite inhalants

Nitrite inhalants are commonly abused substances in the US and Europe. "Nitrite inhalants and AIDS" was a popular topic in the early 1980s when the cause of AIDS was not known. With the discovery of HIV, concern about nitrite use wained. However, nitrite inhalant use is associated with behavioral relapse and HIV transmission among gay men, with decreased lymphocyte counts and natural killer cell activity in laboratory studies, and remains a candidate "cofactor" in the pathogenesis of AIDS-related Karposi sarcoma. Discouraging nitrite use continues to be a worthwhile public health goal. Participants recommend specific research efforts.     

A co-classification approach to learning from multilingual corpora

We address the problem of learning text categorization from a corpus of multilingual documents. We propose a multiview learning, co-regularization approach, in which we consider each language as a separate source, and minimize a joint loss that combines monolingual classification losses in each language while ensuring consistency of the categorization across languages. We derive training algorithms for logistic regression and boosting, and show that the resulting categorizers outperform models trained independently on each language, and even, most of the times, models trained on the joint bilingual data. Experiments are carried out on a multilingual extension of the RCV2 corpus, which is available for benchmarking.