The effect of Pseudomonas aeruginosa infection on clinical parameters in steady-state bronchiectasis

STUDY OBJECTIVE: To investigate the effect of Pseudomonas aeruginosa infection on clinical parameters in Chinese patients with noncystic fibrosis and steady-state bronchiectasis. DESIGN: Prospective, cross-sectional clinicomicrobiological study with informed consent. SETTING: Consecutive outpatient recruitment from a specialist bronchiectasis respiratory clinic. PATIENTS: Outpatients (n = 100; 62 women; 55.1+/-16.7 years old; FEV1/FVC 1.4+/-0.7/2.1+/-0.9 L), who had stable respiratory symptoms for more than 3 weeks. MEASUREMENTS AND RESULTS: Respiratory pathogens isolated from the sputum were: Pseudomonas aeruginosa (33), Haemophilus influenzae (10), Moraxella catarrhalis (2), other Gram-negative bacilli (5), Streptococcus pneumoniae (6), Staphylococcus aureus (5), mycobacteria (3), and yeast (1). Clinical parameters in patients with positive isolation of P aeruginosa were compared with those without the organism in the sputum culture (non-P aeruginosa). In the P aeruginosa group, the FEV1/FVC ratio and sputum volume were lower (p < 0.005) and higher (p < 0.0001), respectively, than those of the non-P aeruginosa group. The FEV1/FVC ratio (< 60%) and sputum volume (grading > 5) were independently associated with a positive sputum isolation of P aeruginosa with odds ratios of 3.1 (confidence interval [CI] 1.2 to 8.4; p < 0.01) and 4.7 (CI 1.6 to 13.3; p < 0.001), respectively. CONCLUSIONS: P aeruginosa is the predominant respiratory pathogen isolated in the sputum of Chinese patients with steady-state bronchiectasis, and its isolation is associated with high sputum output (> or = 75th quartile) and moderately severe airflow obstruction (FEV1/FVC < 60%).     

Some characteristics of a cellular receptor for virulent infectious bursal disease virus by using flow cytometry

A flow cytometric virus binding assay that directly visualizes the binding of infectious bursal disease virus (IBDV) to its target cells was established. The chicken B lymphoblastoid cell line, LSCC-BK3, which is permissive for IBDV infection, bound high levels of the virus. Another B lymphoblastoid cell line, LSCC-1104-B1, bound low levels of the virus, although it was nonpermissive. No virus binding was detected in nonpermissive T lymphoblastoid cell lines. In the binding assay to heterogeneous cell populations of chicken lymphocytes, IBDV (a highly virulent OKYM strain) bound to 94% cells in the lymphocytes prepared from the bursa of Fabricius, 37% cells in those prepared from the spleen, 3% cells in those prepared from the thymus, and 21% cells in those prepared from the blood. Most of the cells, which bound the virus, were surface immunoglobulin M (SIgM)-positive, but a small number of them were SIgM-negative. Additionally, the binding of IBDV to the LSCC-BK3 cells was affected by treatment of the cells with proteases and N-glycosylation inhibitors. These findings may indicate that the IBDV host range is mainly controlled by the presence of a virus receptor composed of N-glycosylated protein associated with the subtle differentiation stage of B-lymphocytes represented mostly by SIgM-bearing cells.     

New one-week, low-dose triple therapy for the treatment of duodenal ulcer with Helicobacter pylori infection

BACKGROUND: Antimicrobial therapy is the recommended treatment for duodenal ulcer associated with Helicobacter pylori infection. The eradication of bismuth-based triple therapy with bismuth subcitrate, metronidazole and amoxicillin is limited by low compliance, drug resistance and side-effects. Two-week proton pump inhibitor (PPI)-based triple therapy has a higher eradication rate but is costly. This study was designed to compare the efficacy, patient compliance and cost of short-term PPI-based triple therapy with those of bismuth-based triple therapy. METHODS: Ninety patients with active duodenal ulcer disease and H pylori infection, proven with the 13C-urea breath test and CLO test (Campylobacter-like organism test) were treated randomly in three therapeutic groups: Group A, DeNol 120 mg, amoxicillin 500 mg and metronidazole 250 mg four times a day orally for 14 days; Group B, omeprazole 20 mg plus clarithromycin 500 mg twice a day and amoxicillin 500 mg four times a day for 14 days; Group C, omeprazole 20 mg, clarithromycin 250 mg and metronidazole 500 mg twice a day for seven days. Nizatidine 150 mg twice a day was given continuously following the end of anti-H pylori therapy for each group. Two months later, endoscopy, the CLO test and 13C-urea breath test were repeated to assess the eradication rate of H pylori and the ulcer-healing rate. Drug tolerance was evaluated by patients themselves by daily recording of any side-effects. RESULTS: Eighty-four patients completed the entire course of therapy and evaluation for H pylori infection. The H pylori eradication rates in Groups A, B and C were 75% (21/28), 93% (26/28) and 89% (25/28), respectively (p = 0.466). The ulcer healing rate was 86% (24/28) in Group A and 89% (25/28) in Groups B and C (p = 0.764). A total of 74 patients (88%) were free from symptoms at the end of the triple therapy. Symptom relief was faster in patients with PPI-based triple therapy (Groups B and C) (days 3 and 4) than for patients with bismuth-based triple therapy (day 5). The cost of Group C therapy was lower than that for Groups A and B. There were no major side-effects in any of the patients. CONCLUSIONS: One-week triple therapy with omeprazole, clarithromycin and metronidazole is highly effected for the eradication of H pylori. A therapeutic regime of one week's duration with lower cost, good compliance and mild side-effects may offer a good choice for treatment of duodenal ulcer associated with H pylori infection in clinical practice.     

The simplified two-pipette technique is more efficient than the conventional three-pipette method for blastomere biopsy in human embryos

Kell and Kx are two quantitatively minor proteins from the human erythrocyte membrane which carry blood groups antigens and are thought to be a metalloprotease and a membrane transporter, respectively. In the red cell membrane, these proteins form a complex stabilized by disulfide bond(s). Phosphorylation status of these proteins was studied, in the presence or absence of effectors of several kinases, either on intact cells incubated with [32P]-orthophosphate or on ghosts incubated with [gamma-32P]ATP. Purification of Kell-Kx complex, by immunochromatography on an immobilized human monoclonal antibody of Kell blood group specificity allowed to establish that (i) neither protein is phosphorylated on tyrosine; (ii) the Kell protein is a putative substrate for Casein Kinase II (CKII) and Casein Kinase I (CKI) but not for protein kinase C (PKC), whereas Kx protein is phosphorylated by CKII and PKC but not by CKI; (iii) Protein Kinase A neither phosphorylates the Kell nor the Kx proteins.     

Insulin-like growth factor binding protein-1 at mouse neuromuscular synapses

The insulin-like growth factor (IGF) signaling system includes the growth factors and their cell surface receptors, along with circulating IGF binding proteins (IGFBPs) that may alter and modulate the action of these neurotrophic hormones. These IGFBPs, along with IGFs and receptors, have been detected in various tissues including the brain. In this study, using polyclonal antibody to human IGFBP-1 or bovine IGFBP-2, we found that mouse muscle extracts contain similar-sized proteins that cross-react with these antibodies on Western immunoblots. After establishing that these antibodies reacted with the homologous murine IGFBPs, we performed immunocytochemistry to demonstrate the localization of IGFBP-1 at the neuromuscular junction, a model nicotinic, cholinergic synapse, as well as within intramuscular nerves. IGFBP-2, a distinct macromolecule, is present on the surface of muscle fibers and is not present within synapses or nerves.     

GaInP/GaAs HBTs for high-speed integrated circuit applications

The use of GaInP/GaAs heterojunction bipolar transistors (HBTs) for integrated circuit applications is demonstrated. The discrete devices fabricated showed excellent DC characteristics with low V_ce offset voltage and very low temperature sensitivity of the current gain. For a non-self-aligned device with a 3-μm×1.4-μm emitter area, f_T was extrapolated to 45 GHz and f_max was extrapolated to 70 GHz. The measured 1/f noise level was 20 dB better than that of AlGaAs HBTs and comparable to that of low-noise silicon bipolar junction transistors, and the noise bump (Lorentzian component) was not observed. The fabricated gain block circuits showed 8.5 dB gain with a 3-dB bandwidth of 12 GHz, and static frequency dividers (divide by 4) were operable up to 8 GHz     

Simple systolic arrays for discrete cosine transform

in this paper, simple 1-D and 2-D systolic array for realizing the discrete cosine transform (DCT) based on the discrete Fourier transform (DFT) fo an input sequence are presented. The proposed arrays are obtained by a simple modified DFT (MDFT) and an inverse DFT (IDFT) version of the Goertzel algorithm combined with Kung's approach. The 1-D array requiresN cells, one multiplier and takesN clock cycles to produce a completeN-point DCT. The 2-D array takes N clock cycles, faster than the 1-D array, but the area complexity is larger. A continuous flow of input data is allowed and no idle time is required between the input sequences.     

Wavelet based speech presence probability estimator for speech enhancement

A reliable speech presence probability (SPP) estimator is important to many frequency domain speech enhancement algorithms. It is known that a good estimate of SPP can be obtained by having a smooth a-posteriori signal to noise ratio (SNR) function, which can be achieved by reducing the noise variance when estimating the speech power spectrum. Recently, the wavelet denoising with multitaper spectrum (MTS) estimation technique was suggested for such purpose. However, traditional approaches directly make use of the wavelet shrinkage denoiser which has not been fully optimized for denoising the MTS of noisy speech signals. In this paper, we firstly propose a two-stage wavelet denoising algorithm for estimating the speech power spectrum. First, we apply the wavelet transform to the periodogram of a noisy speech signal. Using the resulting wavelet coefficients, an oracle is developed to indicate the approximate locations of the noise floor in the periodogram. Second, we make use of the oracle developed in stage 1 to selectively remove the wavelet coefficients of the noise floor in the log MTS of the noisy speech. The wavelet coefficients that remained are then used to reconstruct a denoised MTS and in turn generate a smooth a-posteriori SNR function. To adapt to the enhanced a-posteriori SNR function, we further propose a new method to estimate the generalized likelihood ratio (GLR), which is an essential parameter for SPP estimation. Simulation results show that the new SPP estimator outperforms the traditional approaches and enables an improvement in both the quality and intelligibility of the enhanced speeches.     

Superparamagnetic particle dynamics and mixing in a rotating capillary tube with a stationary magnetic field

The dynamics of superparamagnetic particles subject to competing magnetic and viscous drag forces have been examined with a uniform, stationary, external magnetic field. In this approach, competing drag and magnetic forces were created in a fluid suspension of superparamagnetic particles that was confined in a capillary tube; competing viscous drag and magnetic forces were established by rotating the tube. A critical Mason number was determined for conditions under which the rotation of the capillary prevents the formation of chains from individual particles. The statistics of chain length was investigated by image analysis while varying parameters such as the rotation speed and the viscosity of the liquid. The measurements showed that the rate of particle chain formation was decreased with increased viscosity and rotation speed; the particle dynamics could be quantified by the same dimensionless Mason number that has been demonstrated for rotating magnetic fields. The potential for enhancement of mixing in a bioassay was assessed using a fast chemical reaction that was diffusion-limited. Reducing the Mason number below the critical value, so that chains were formed in the fluid, gave rise to a modest improvement in the time to completion of the reaction.     

Temperature dependence of high strain-rate impact fracture behaviour in highly filled polymeric composite and plasticized thermoplastic propellants

The effect of temperature and strain-rate on the fracture behaviour during high strain-rate ( 10³ sec^–1) impact of two highly filled polymeric composite propellants (containing segmented polyurethanes based on hydroxy-term inated polybutadiene (HTPB) or glycidyl azide polymer (GAP) filled with ammonium perchlorate (AP) particles) and a plasticized thermoplastic (cast double base (CDB) nitrocellulose-nitroglycerine) propellant have been examined over a wide temperature range encompassing the ittle-ductile transition. In the elastic region of the loaddisplacement curve, the yield stress and fracture toughness is highest for GAP/AP and lowest for HTPB/AP. In the elastic and post-yield ductile regions CDB is more fracture-resistant than GAP/AP and HTPB/AP over the temperature range –20 to 50° C, but below –40° C, where both CDB and GAP/AP are brittle, GAP/AP is more fracture-resistant than CDB (as observed in the elastic region). Although all the propellants are known to develop small cracks in the elastic and post-yield ductile regions of the load-displacement curve, the overall fracture behaviour is largely governed by viscoelastic properties (because the cracks close up in compression). The good mechanical properties of CDB, above the brittle-ductile transition temperature, can be attributed to the presence of a large-transition loss peak. In the composites, the fracture behaviour is also influenced to a lesser extent by the degree of filler-binder interactions. Dynamic mechanical analysis indicates that GAP/AP has a slightly higher degree of filler-binder interactions than HTPB/AP. A temperature-strain rate reduction has been obtained for the yield stress and the composite curve can be expressed by the equation _y =K ₁ +K ₂ log (ea _T ) whereK ₁ andK ₂ are constants anda _T is a shift factor.K ₂ is a material constant which reflects the temperature and strain-rate sensitivity.