Cost-effectiveness and quality-of-life assessment of GM-CSF as an adjunct to intensive remission induction chemotherapy in elderly patients with acute myeloid leukemia

The acute hemodynamic effects of the phosphodiesterase (PDE) III inhibitor saterinone were compared with dobutamine and sodium nitroprusside in 12 patients with idiopathic congestive cardiomyopathy (NYHA III). Hemodynamic measurements were obtained with a Swan-Ganz thermodilution catheter. At the peak of its dose-response curve, saterinone induced an increase in cardiac index (+102%), stroke volume (+97%), and heart rate (+6%), paralleled by a decrease in pulmonary capillary wedge pressure (-46%), right atrial pressure (-51%), pulmonary arterial pressure (systolic -32%, diastolic -45%, mean -38%), systemic blood pressure (systolic -3%, diastolic -13%, mean -9%), systemic vascular resistance (-54%), and pulmonary vascular resistance (-58%). Dobutamine had similar effects on cardiac index (+106%) and stroke volume (+87%) but lacked vasodilatory characteristics. In contrast to dobutamine, both nitroprusside and saterinone demonstrated more pronounced vasodilatory effects. Nitroprusside was less effective on cardiac index (+66%) and stroke volume (+56%) than was saterinone. The double product was markedly increased by dobutamine (+28%), did not change with saterinone treatment (+2%), and decreased with nitroprusside (-10%). This indicates that according to double product, only the application of dobutamine caused a relevant increase in myocardial oxygen consumption. Saterinone was demonstrated to be a safe and potent drug on short-term application; it combines the vasodilating properties of sodium nitroprusside with the positive inotropic effects of dobutamine without major changes in myocardial oxygen consumption.     

The dual phases of the response to neonatal exposure to a VH family-restricted staphylococcal B cell superantigen

In vitro studies of several naturally occurring proteins have characterized VH family-specific B lymphocyte binding and stimulatory properties that appear analogous to those of T cell superantigens. To examine the in vivo consequences of exposure to a putative B cell superantigen, we treated neonatal BALB/c mice with a form of staphylococcal protein A (MS) devoid of Fcgamma binding activity, which retains the clan VHIII Fab binding specificity. In naive adults, about 5% of peripheral B cells and >13% of splenic IgM-secreting cells display MS binding activity, in association with high IgM and low IgG circulating anti-MS Ab titers. Neonatal exposure to MS elicited two distinct temporal phases of immune responsiveness. The early phase, representing the first approximately 5 wk of life, was associated with MS-specific B cell and T cell tolerance. Microfluorometric assays revealed that exposure caused a dramatic MS-specific B cell clonal loss in bone marrow and spleen, but levels normalized by about 3 wk of life. The late phase (>6 wk of age) was associated with spontaneous priming for MS-specific T cell responses and production of MS-specific IgG1 Abs despite long term persistently depressed in vivo and in vitro MS-specific IgM responses. In vivo challenge during the late phase induced high frequencies of MS-specific IgG-secreting cells, indicating recruitment of highly focused Ab responses that were predominantly encoded by rearrangements of the S107 family, a member of the VHIII clan. These studies document the immunodominance of the VH-restricted Fab binding site on staphylococcal protein A and demonstrate the diverse effects of a B cell superantigen on the emerging peripheral B cell compartment.     

Recombinant fusion proteins for the industrial production of disulfide bridge containing peptides: purification, oxidation without concatamer formation, and selective cleavage

The relative contributions of protein tyrosine kinases (PTKs) and protein kinase C isoenzymes (PKCs), a family of serine/threonine kinases, in integrin alpha(IIb)beta3 (glycoprotein IIb/IIIa) exposure are the subject of much controversy. In the present study we measured the effect of the PTK inhibitor herbimycin A and the PKC inhibitor bisindolylmaleimide I on 125I-fibrinogen binding to alpha(IIb)beta3 and on aggregation/secretion induced by different agonists. Dose-response studies showed complete inhibition of alpha(IIb)beta3 exposure by 30 micromol/L (ADP stimulation) and 35 to 40 micromol/L (alpha-thrombin stimulation) herbimycin A. In contrast, inhibition of exposure by bisindolylmaleimide I varied from none (for ADP and epinephrine), to 30% (for platelet-activating factor), and to approximately 80% (for alpha-thrombin). Studies with a submaximal dose of herbimycin A (approximately 50% inhibition of the ADP-response) and a maximal dose of bisindolylmaleimide I showed that optical aggregation had a similar sensitivity to the inhibitors as alpha(IIb)beta3 exposure with minimal interference by secreted ADP. Thus, the relative contributions of tyrosine and serine/threonine kinases in alpha(IIb)beta3 exposure and aggregation differ among the different agonists, with an exclusive role for PTKs in ADP- and epinephrine-induced responses and a role for both PTKs and PKCs in responses induced by platelet-activating factor and alpha-thrombin.     

Phosphorous and proton spectroscopy in relation to near incarceration and incarceration of the human brain

The yeast gene, YTA10, encodes a member of a novel family of putative ATPases. Yta10p, as deduced from the nucleotide sequence, is 761 amino acids in length (predicted molecular mass 84.5 kDa). The amino acid sequence of Yta10p exhibits high similarity to two other yeast proteins, Yta11 and Yta12, and to E. coli FtsH. Several features of Yta10p are compatible with its localization in mitochondria. We report here that Yta10p is a yeast mitochondrial protein and that import is dependent on a membrane potential and accompanied by processing to a protein of approximately 73 kDa. Disruption of YTA10 leads to a nuclear petite phenotype and to a loss of respiratory competence, as shown by spectrophotometric measurement of the activities of respiratory complexes I-III and IV, respectively. These findings together with the high similarity of Yta10p to several ATP-dependent proteases suggest that Yta10p is a mitochondrial component involved, directly or indirectly, in the correct assembly and/or maintenance of active respiratory complexes.     

Molecular analysis of the retinoblastoma (RB1) gene in acute myeloid leukemia patients

Patient 1: A 48-year-old man was admitted to Osaka Red Cross Hospital because of fever and dyspnea. Laboratory examination revealed pancytopenia, liver dysfunction and hematostatic abnormality. Chest radiographs obtained on admission revealed ground-glass opacity in both lung fields, and an analysis of arterial blood showed severe hypoxemia (PaO2:46.8 Torr). Pulse therapy with methylprednisolone was started. Although the hypoxemia subsided and radiographic findings rapidly improved, pancytopenia persisted. Examination of bone marrow aspirate revealed mature histiocytes with marked hemophagocytosis. Amplified Mycobacterium tuberculosis direct tests of bronchoalveolar lavage fluid, sputum, urine, and bone marrow were all positive, and Mycobacterium tuberculosis was cultured from sputum and urine. Although the patient was taking antituberculous agents, his pancytopenia persosted. Treatment with etoposide induced remssion. Patient 2: A 19-year-old woman was admitted to Osaka Red Cross Hospital because of prolonged cough and fever. Laboratory examination revealed leukocytosis, liver dysfunction, and hematostatic abnormality. Serologic tests provided conclusive evidence of Mycoplasma infection and a CRP test was strongly positive. Chest radiographs obtained on admission revealed infiltration shadows in the middle and lower lung fields on both sides, with left pleural effusion. An analysis of arterial blood showed hypoxemia (PaO2: 54.2 Torr). Examination of bone marrow and pleural effusion samples revealed mature histiocytes with marked hemophagocytosis. Although treatment with antibiotics and pulse therapy with methylprednisolone was started, the patients respiratory functions deteriorated. Endotracheal intubation was performed. Therapy with etoposide induced remission. Hemophagocytic syndrome associated with Mycoplasma infection and tuberculosis appears to be exceedingly rare. In these 2 cases, it was difficult to achieve remission with therapy for the underlying infections, but etoposide treatment was effective.     

Fluorescence line narrowing spectroscopy of polycyclic aromatic hydrocarbons on solid-liquid extraction membranes

The potential of solid-liquid extraction fluorescence line narrowing spectroscopy is evaluated for screening polycyclic aromatic hydrocarbons in aqueous samples. Octadecyl silica membranes are used with the dual purpose of sample preconcentration and solid substrate for spectroscopic measurements. 4.2 K fluorescence line narrowed spectra are directly recorded from the membrane with the aid of a fiber-optic probe. The experimental procedure is free from organic solvents and takes less than 5 min per sample. With 10 mL of water sample, the limits of detection are at the parts-per-billion level. Qualitative analysis is based on wavelength time matrices, which provide a unique format for compound identification based on spectral and lifetime data. The selectivity of this approach is demonstrated with the unambiguous determination of naphthalene in a heavily contaminated water sample.     

Accurate Gate Impedance Determination on Ultraleaky MOSFETs by Fitting to a Three-Lumped-Parameter Model atFrequencies From DC to RF

We present an experimental methodology that demonstrates the suitability of the conventional three-lumped- parameter model for gate impedance of MOSFET devices at frequencies from dc to the gigahertz range, which permits accurate extraction of model parameters. The parasitic effects at a high frequency are minimized by using radio frequency techniques (i.e., short return paths and de-embedding structures), whereas a robust parameter extraction algorithm overcomes possible instrument inaccuracies. When combined, these allow simultaneous extraction of all three parameters (i.e., C_gate, R_DT and R_series) from the model. The technique is applied to conventional SiO₂ -based MOSFET devices and to ultraleaky HfO₂ devices with aggressively scaled gate dielectric thickness.     

Analysis of adaptive sampling techniques for underwater vehicles

A critical problem in planning sampling paths for autonomous underwater vehicles (AUVs) is correctly balancing two issues. First, obtaining an accurate scalar field estimation and second, efficiently utilizing the stored energy capacity of the sampling vehicle. Adaptive sampling approaches can only provide solutions when real time and a priori environmental data is available. In this paper we present an analysis of adaptive sampling methodologies for AUVs. In particular, we analyze various sampling path strategies including systematic and stratified random patterns within a wide range of sampling densities and their impact in the energy consumption of the vehicle through a cost-evaluation function. Our study demonstrates that a systematic spiral sampling path strategy is optimal for high-variance scalar fields for all sampling densities and low-variance scalar fields when sampling is sparse. In addition, our results show that the random spiral sampling path strategy is found to be optimal for low-variance scalar fields when sampling is dense.     

Color tracking with contextual switching: real-time implementation on CPU

Journal of Real-Time Image Processing - The paper proposes contributions for mean-shift (MS) and covariance tracking (CT), and makes these two complementary methods cooperate. While MS runs fast...     

Inverting a forest canopy reflectance model to retrieve the overstorey and understorey leaf area index for forest stands

In this article, the Kuusk–Nilson forest reflectance and transmittance (FRT) model was inverted to retrieve the overstorey and understorey leaf area index (OU-LAI) of forest stands in the Longmenhe forest nature reserve in China. Data from detailed sample sites were collected in 30 forest stands representing the typical vegetation community in the study area. An uncertainty and sensitivity matrix (USM) was used to analyse the sensitivity of the FRT model parameters based on these data. The results indicated that overstorey LAI strongly influenced stand reflectance, whereas understorey LAI had a much lower impact. To predict OU-LAI in forest stands, FRT model inversion is carried out by minimizing a merit function that provides a measure of the difference between the reflectance simulated by the FRT model and the reflectance originating from optimal band selection of Hyperion data. Various combinations of Hyperion bands were tested to evaluate the most effective wavelengths for the inversion of OU-LAI. The best estimates from 17 Hyperion bands (5 VIS, 8 NIR, 4 SWIR) by the FRT model inversion showed an R ²?=?0.41 and RMSE/mean?=?0.21 for overstorey LAI and R ²?=?0.49 and RMSE/mean?=?0.91 for understorey LAI. Advantages and disadvantages of FRT inversion for retrieval OU-LAI combined with Hyperion data are discussed.