Costimulatory molecule-deficient dendritic cell progenitors (MHC class II+, CD80dim, CD86-) prolong cardiac allograft survival in nonimmunosuppressed recipients

We have shown previously that granulocyte-macrophage colony-stimulating factor-stimulated mouse bone marrow-derived MHC class II+ dendritic cell (DC) progenitors that are deficient in cell surface expression of the costimulatory molecules B7-1 (CD80) and B7-2 (CD86) can induce alloantigen-specific T-cell anergy in vitro. To test the in vivo relevance of these findings, 2 x 10(6) B10 (H2b) mouse bone marrow-derived DC progenitors (NLDC 145+, MHC class II+, B7-1dim, B7-2-/dim) that induced T-cell hyporesponsiveness in vitro were injected systemically into normal C3H (H2k) recipients. Seven days later, the mice received heterotopic heart transplants from B10 donors. No immunosuppressive treatment was given. Median graft survival time was prolonged significantly from 9.5 to 22 days. Median graft survival time was also increased, although to a lesser extent (16.5 days), in mice that received third-party (BALB/c; H2d) DC progenitors. Ex vivo analysis of host T-cell responses to donor and third-party alloantigens 7 days after the injection of DC progenitors (the time of heart transplant) revealed minimal anti-donor mixed leukocyte reaction and cytotoxic T lymphocyte reactivity. These responses were reduced substantially compared with those of spleen cells from animals pretreated with "mature" granulocyte-macrophage colony-stimulating factor + interleukin-4-stimulated DC (MHC class IIbright, B7-1+, B7-2bright), many of which rejected their heart grafts in an accelerated fashion. Among the injected donor MHC class II+ DC progenitors that migrated to recipient secondary lymphoid tissue were cells that appeared to have up-regulated cell surface B7-1 and B7-2 molecule expression. This observation may explain, at least in part, the temporary or unstable nature of the hyporesponsiveness induced by the DC progenitors in nonimmunosuppressed recipients.     

Ambulatory urodynamics: extramural testing of the lower and upper urinary tract by Holter monitoring of cystometrogram, uroflowmetry, and renal pelvic pressures

This article elucidates the clinical applicability and state of the art of ambulatory urodynamics. Ambulatory urodynamics have evolved into practical investigations like EAC, HFM, and EAC combined with renal pelvimetry. EAC has been shown to be the method of preference if detrusor overactivity is involved. Conventional filling cystometry has proved to be an unreliable way to exclude detrusor instability. De novo instability after suspension surgery often indicates that an existing detrusor overactivity was not identified preoperatively. EAC including flowmetry has shown considerable variance in obstructive and contractility parameters in males with LUTS indicative for BPH. This raises doubt whether the clinical flow analysis is the suitable "gold standard" as advocated by the ICS. For a real break through of EAC, less complex automatic analysis is necessary. HFM is a newer method within the range of ambulatory urodynamic tests. It has not yet been completely evaluated. But, because the technique is analogous to the office flowmetry, noninvasive and very well accepted by the patients, it is expected to be widely used. This expectation is strengthened by the fact that HFM seems to show individual therapeutic efficacy of drugs, such as alpha-blockers. As a research tool to evaluate efficacy, it is far more powerful than conventional methods because of the reduction of within-patient standard deviation to about 10%. Finally, EAC combined with pelvimetry offers a promising method for the clinical evaluation of a combined dysfunction of upper and lower urinary tract.     

Comparison of paper-and-pencil versus Web administration of the Youth Risk Behavior Survey (YRBS): Participation,data quality,and perceived privacy and anonymity

The Youth Risk Behavior Surveillance System (YRBSS) monitors priority health-risk behaviors among US high school students. To better understand the ramifications of changing the YRBSS from paper-and-pencil to Web administration, in 2008 the Centers for Disease Control and Prevention conducted a study comparing these two modes of administration. Eighty-five schools in 15 states agreed to participate in the study. Within each participating school, four classrooms of students in grades 9 or 10 were randomly assigned to complete the Youth Risk Behavior Survey questionnaire in one of four conditions (in-class paper-and-pencil, in-class Web without programmed skip patterns, in-class Web with programmed skip patterns, and “on your own” Web without programmed skip patterns). Findings included less missing data for the paper-and-pencil condition (1.5% vs. 5.3%, 4.4%, 6.4%; p < .001), less perceived privacy and anonymity among respondents for the in-class Web conditions, and a lower response rate for the “on your own” Web condition than for in-class administration by either mode (28.0% vs. 91.2%, 90.1%, 91.4%; p < .001). Although Web administration might be useful for some surveys, these findings do not favor the use of a Web survey for the YRBSS.     

Linear-Time Recognition of Helly Circular-Arc Models and Graphs

A circular-arc model ℳ is a circle C together with a collection A\mathcal{A} of arcs of C. If A\mathcal{A} satisfies the Helly Property then ℳ is a Helly circular-arc model. A (Helly) circular-arc graph is the intersection graph of a (Helly) circular-arc model. Circular-arc graphs and their subclasses have been the object of a great deal of attention in the literature. Linear-time recognition algorithms have been described both for the general class and for some of its subclasses. However, for Helly circular-arc graphs, the best recognition algorithm is that by Gavril, whose complexity is O(n ³). In this article, we describe different characterizations for Helly circular-arc graphs, including a characterization by forbidden induced subgraphs for the class. The characterizations lead to a linear-time recognition algorithm for recognizing graphs of this class. The algorithm also produces certificates for a negative answer, by exhibiting a forbidden subgraph of it, within this same bound.     

Introducing the IA-64 architecture

Microprocessors continue on the relentless path to provide more performance. Every new innovation in computing-distributed computing on the Internet, data mining, Java programming, and multimedia data streams-requires more cycles and computing power. Even traditional applications such as databases and numerically intensive codes present increasing problem sizes that drive demand for higher performance. Design innovations, compiler technology, manufacturing process improvements, and integrated circuit advances have been driving exponential performance increases in microprocessors. To continue this growth in the future, Hewlett Packard and Intel architects examined barriers in contemporary designs and found that instruction-level parallelism (ILP) can be exploited for further performance increases. This article examines the motivation, operation, and benefits of the major features of IA-64. Intel's IA-64 manual provides a complete specification of the IA-64 architecture     

A spreadsheet approach to facilitate visualization of uncertainty in information

Information uncertainty is inherent in many problems and is often subtle and complicated to understand. Although visualization is a powerful means for exploring and understanding information, information uncertainty visualization is ad hoc and not widespread. This paper identifies two main barriers to the uptake of information uncertainty visualization: firstly, the difficulty of modeling and propagating the uncertainty information; and secondly, the difficulty of mapping uncertainty to visual elements. To overcome these barriers, we extend the spreadsheet paradigm to encapsulate uncertainty details within cells. This creates an inherent awareness of the uncertainty associated with each variable. The spreadsheet can hide the uncertainty details, enabling the user to think simply in terms of variables. Furthermore, the system can aid with automated propagation of uncertainty information, since it is intrinsically aware of the uncertainty. The system also enables mapping the encapsulated uncertainty to visual elements via the formula language and a visualization sheet. Support for such low-level visual mapping provides flexibility to explore new techniques for information uncertainty visualization.     

The impact of engagement with social networking sites (SNSs) on cognitive skills

The aim of the present study was to investigate the effect of social networking sites (SNSs) engagement on cognitive and social skills. We investigated the use of Facebook, Twitter, and YouTube in a group of young adults and tested their working memory, attentional skills, and reported levels of social connectedness. Results showed that certain activities in Facebook (such as checking friends’ status updates) and YouTube (telling a friend to watch a video) predicted working memory test performance. The findings also indicated that Active and Passive SNS users had qualitatively different profiles of attentional control. The Active SNS users were more accurate and had fewer misses of the target stimuli in the first block of trials. They also did not discriminate their attentional resources exclusively to the target stimuli and were less likely to ignore distractor stimuli. Their engagement with SNS appeared to be exploratory and they assigned similar weight to incoming streams of information. With respect to social connectedness, participants’ self-reports were significantly related to Facebook use, but not Twitter or YouTube use, possibly as the result of greater opportunity to share personal content in the former SNS.     

Ethics of the distribution of health care

While the concept of a "right to health care" has been evolving in the United States, this should be distinguished from "the right to health," guaranteed in the constitutions of many socialist countries. In an effort to promote "quality of life" for their citizens, governments can, and do provide health care, but this does not always lead to health. In so doing, governments open access to care for those previously underserved--or unserved. For the United States at this time the goal becomes one of assuring equity, which will likely be achieved by locally based private and/or governmental entities, federated for greater efficiency and regulated by federal and state governments. Such programs will be staffed by a new breed of physician, the medical student of today.