Computed SAR and thermal elevation in a 0.25-mm 2-D model of the human eye and head in response to an implanted retinal stimulator - part II: results

This is the second of a series of two papers on the thermal increase in the human eye and head in response to an implanted retinal stimulator. This paper provides specific absorption rates induced in the human head by the extraocular unit and the temperature increases associated with induced electromagnetic fields and power dissipation of the implanted microchip. Results are provided for different assumptions about choroid blood flow. It is shown that computed results associated with the power dissipation of the implanted microchip, corresponding to temperature increases of approximately 0.6/spl deg/C in the midvitreous of the eye and 0.2/spl deg/C in the retina, closely parallel in-vivo experimental results in animals.     

Worldwide variations in prevalence of symptoms of allergic rhinoconjunctivitis in children: the International Study of Asthma and Allergies in Childhood (ISAAC)

BACKGROUND: As part of the International Study of Asthma and Allergies in Childhood (ISAAC), prevalence surveys were conducted among representative samples of school children from locations in Europe, Asia, Africa, Australia, North and South America. SUBJECTS: 257,800 children aged 6-7 years from 91 centres in 38 countries, and 463,801 children aged 13-14 years from 155 centres in 56 countries. METHODS: Written symptom questionnaires were translated from English into the local language for self-completion by the 13-14-year-olds and completion by the parents of the 6-7-year-olds. Rhinitis was described as a problem with sneezing, or a runny, or blocked nose when you (your child) DID NOT have a cold or the flu. Additional questions were asked about rhinitis associated with itchy-watery eyes, interference with activities and a history of hay fever ever. RESULTS: The prevalence of rhinitis with itchy-watery eyes ("rhinoconjunctivitis") in the past year varied across centres from 0.8% to 14.9% in the 6-7-year-olds and from 1.4% to 39.7% in the 13-14-year-olds. Within each age group, the global pattern was broadly consistent across each of the symptom categories. In centres of higher prevalence there was great variability in the proportion of rhinoconjunctivitis labelled as hay fever. The lowest prevalences of rhinoconjunctivitis were found in parts of eastern Europe, south and central Asia. High prevalences were reported from centres in several regions. CONCLUSION: These results suggest substantial worldwide variations in the prevalence and labelling of symptoms of allergic rhinoconjunctivitis which require further study. These differences, if real, may offer important clues to environmental influences on allergy.     

Characterization of porcine sclera using instrumented nanoindentation

Sclera tissue is the outermost protective layer of the eye and often involved in mechanical interactions during ocular medical procedures. In this study, instrumented nanoindentation is evaluated as a methodology for characterizing porcine sclera submerged in phosphate-buffered saline (PBS). Variances within a single sample and between samples are compared. Reduced modulus measurements are used to determine the effects of hydration, mounting conditions, and maximum applied load. Extended in vitro exposure beyond four hours to PBS is determined to decrease sample integrity. The use of glue to secure samples improved data consistency and had no negative effects on measurements. The data suggest that nanoindentation is a high precision method for measuring the reduced modulus of ultra low modulus soft tissue such as sclera (E_r ~ 30 kPa) and illustrates the importance of environmental factors upon material properties.     

A tensor decomposition approach to data compression and approximation of ND systems

The method of Proper Orthogonal Decompositions (POD) is a data-based method that is suitable for the reduction of large-scale distributed systems. In this paper we propose a generalization of the POD method so as to take the ND nature of a distributed model into account. This results in a novel procedure for model reduction of systems with multiple independent variables. Data in multiple independent variables is associated with the mathematical structure of a tensor. We show how orthonormal decompositions of this tensor can be used to derive suitable projection spaces. These projection spaces prove useful for determining reduced order models by performing Galerkin projections on equation residuals. We demonstrate how prior knowledge about the structure of the model reduction problem can be used to improve the quality of approximations. The tensor decomposition techniques are demonstrated on an application in data compression. The proposed model reduction procedure is illustrated on a heat diffusion problem.     

4ω Thomson scattering probe for high-density plasma characterization at Titan

In preparation for the upcoming experiments on the Titan laser at the Jupiter Laser Facility, a new Thomson scattering system has been designed and implemented. This system allows electron temperature and density measurements in a high-density regime (n(e)>10(21)?cm(-3)). A 263 nm probe has been demonstrated to produce a total energy of 15 J at 4ω(263?nm) in a 1 ns square pulse with a focal spot size of 100?μm. This probe has been used for imaging Thomson scattering of the ion feature. The goal of this study is to investigate the heating of a preformed plasma by a short-pulse heater beam.     

A variable range bi-phasic current stimulus driver circuitry for an implantable retinal prosthetic device

This paper reports a driver circuitry to generate bi-phasic (anodic and cathodic) current pulses for stimulating the retinal layer through electrodes which is part of a retinal prosthetic device for implants in blind patients affected by retinitis pigmentosa (RP) and age-related macular degeneration (AMD). Dual voltage architecture is used to halve the number of interface leads from the chip to the stimulation sites compared to a single voltage supply. The driver circuitry is designed to deliver currents with six bit resolution for a wide range of full scale currents up to 600 /spl mu/A. To cater to the varying stimulus requirements among patients and different regions of the retina, variable gain architecture is used to achieve fine resolution even for a narrow range of stimulus. 1:8 demultiplexing feature is embedded within the output stage thus allowing one DAC for eight outputs. A novel charge cancellation circuitry with current limiting capability is implemented to discharge the electrodes for medical safety. Measurement results of a prototype chip fabricated in 1.5-/spl mu/m CMOS technology are presented.     

Architecture tradeoffs in high-density microstimulators for retinal prosthesis

Electrical stimulation of the retinal layer inside the eye has been identified as a form of visual prosthesis to restore lost vision in blind patients affected by retinitis pigmentosa and age-related macular degeneration, through several studies and experiments. While initial clinical experiments using retinal prosthesis have resulted in visual perception in humans, psychophysical tests and simulations suggest that a high-density retinal prosthesis is required to restore vision to a level of reading and mobility. In the implanted prosthetic device, the microstimulator is functionally the closest to the tissue, delivering the electrical stimulation. Choosing the suitable architecture of the microstimulator requires the knowledge of the available choices and the tradeoffs associated with each of them. This paper presents the different architectures of microstimulator for high-density retinal prosthesis considering both the biomedical and circuit perspectives. The choices for the key aspects of the microstimulator-location of the chip in the eye, electrode configuration, method of stimulation, demultiplexing, stimulation sequence, and communication protocol-are discussed along with the associated tradeoffs for each of them. One of the architectures is used in a prototype microstimulator for an implantable epi-retinal prosthetic device to be used in clinical trials. The chip consists of 60 independently programmable output drivers for delivering electrical stimulus and digital controller for managing run-time and configuration data. The circuit details of the chip fabricated in 1.2-/spl mu/m CMOS technology and its measurement results are presented.     

Limited humoral immunity in hepatitis C virus infection

BACKGROUND & AIMS: The extremely high rate of chronicity to hepatitis C virus (HVC) infection suggests an inefficient immune response. The humoral immune response to HCV was evaluated in 60 patients with chronic HCV infection and in 12 patients acutely infected with HCV. METHODS: A number of recombinant HCV antigens including the core, envelope 2 (E2), nonstructural (NS) 3, NS4, and NS5 proteins, and NS4a and E2-HVR-1 peptides were used in enzyme-linked immunoassays. RESULTS: Immunoglobulin (Ig) G antibody responses to these viral antigens, except for the HCV core, were highly restricted to the IgG1 isotype. The prevalence of antibodies of the IgG1 isotype specific for the HCV core, E2, E2-HVR1, NS3 (helicase domain), NS4, and NS5 antigens was 97%, 98%, 28%, 88%, 33%, and 68%, respectively. Antibodies of the IgG3 isotype specific for E2, E2-HVR-1, NS3, NS4, and NS5 were detected in a minority of serum samples. The IgG2 and IgG4 isotypes were rarely if ever detected. Furthermore, antibody responses to HCV viral antigens were of relatively low titer and, with the exception of anti-HCV core, were delayed in appearance until the chronic phase of infection. CONCLUSIONS: The IgG1 restriction, low titer, and delayed appearance of antibody responses elicited during HCV infection suggest that the immunogenicity of HCV proteins is limited in the context of natural infection. Inasmuch as recombinant HCV viral antigens perform as relatively normal immunogens in small animals, we suggest that the defective humoral immune responses during HCV infection may be attributable to an "immune avoidance" strategy.     

Elevated mortality from nonalcohol-related chronic liver disease among female rubber workers: is it associated with exposure to nitrosamines?

BACKGROUND: Despite several case reports describing liver toxicity of nitrosamines and the fact that some N-nitroso compounds are used to induce cirrhosis of the liver in animal models, this association has not been investigated in epidemiological studies. METHODS: A cohort of 2,875 female rubber workers who were active on January 1, 1976, or hired thereafter, and who had been employed for at least 1 year in one of five plants producing tires or technical rubber goods was followed for mortality from January, 1976, through December, 1991. Work histories were reconstructed using routinely documented "cost center codes" and classified into six work areas. Age and calendar year standardized mortality ratios (SMR) and 95% confidence intervals (95% CI) were calculated and stratified by plant, work area, year of hire, and years of employment in the respective work area. RESULTS: The excess mortality from cirrhosis of the liver was most pronounced for nonalcohol-related cirrhosis of the liver (ICD-9 571.4-571.9: 10 deaths, SMR 202; 95% CI 97-372). Mortality from alcohol-related cirrhosis of the liver (ICD-9 571.0-571.3: 3 deaths, SMR 153; 95% CI 31-446) and from other alcohol-related diseases (organic psychoses, injury, and poisoning) was not statistically significantly elevated. All 10 cases of nonalcohol-related cirrhosis had worked in production of technical rubber goods (SMR 279; 95% CI 134-514) and risks increased with earlier years of hire and with longer duration of employment in this work area. DISCUSSION: Although our results must be interpreted with caution, they suggest that the observed excess deaths from cirrhosis of the liver are associated with occupational risk factors. In light of additional evidence from case reports and animal data, exposure to nitrosamines may be a plausible risk factor for the observed excess mortality.