Psychological Stress Tasks in the Prediction of Blood Pressure Level and Need for Antihypertensive Medication: 9-12 Years of Follow-Up.

Increased blood pressure (BP) reactivity to subtypes of psychological stimuli may differentially predict the development of future BP elevation or hypertension. The authors present the 9-12-year follow-up results of 82 (86%) of 95 male participants with different BP levels. They were healthy, untreated, and age-matched volunteers from a routine health checkup carried out on all 35-, 40-, and 45-year-olds from a medium-sized city. Intra-arterial systolic blood pressure (SBP) during the psychological tasks improved the prediction of future casual SBP and noninvasive 24-hr ambulatory SBP compared with predictions from casual diagnostic measurements. Diastolic blood pressure (DBP) was very useful when added to casual DBP in predicting the need for antihypertensive medication. Reactivity to active tasks especially predicts the need for antihypertensive medication. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Incremental constraint modelling in a feature modelling system

The techniques of constraint propagation have recently been successfully applied to feature-based design. Because of their speed, constraint propagation methods allow incremental design and rapid local modifcations of the part. However, cyclic constraints cause serious problems to current constraint propagation algorithms. Variational geometric design systems can, in principle, manage these cases. Unfortunately, this typically requires complete re-evaluation of the underlying set of constraint equations, making the method unsuitable for interactive use. The proposed system aims to localize the problem of constraint solving and maintenance. The constraint graph of the part or assembly is divided into several independent partial graphs, subsystems. Afterwards, each subsystem is handled separately using a selected constraint solving technique for the subsystem.     

A Ser315Thr substitution in KatG is predominant in genetically heterogeneous multidrug-resistant Mycobacterium tuberculosis isolates originating from the St. Petersburg area in Russia

Parts of katG and rpoB from 27 Russian Mycobacterium tuberculosis isolates were sequenced to detect mutations causing resistance to isoniazid (INH) and rifampin (RMP), respectively. All 24 INH-resistant isolates had a mutated katG, and 22 of them (91.7%) carried a mutation coding for a Ser315Thr shift. An rpoB mutation was noted for each of the 21 RMP-resistant isolates, with Ser531Leu being the most prevalent change encoded. Only two isolates had identical IS6110 fingerprints.     

Segregation of phosphorus and boron in austenite in Fe–10%Mn–P–B-alloys

Equilibrium segregation of phosphorus at the grain boundaries of austenite has been studied in Fe–10%Mn–P–B-alloys. The samples were equilibrated at temperatures of 750–1100°C and analysed after rapid quenching using Auger-electron spectroscopy. The results show that boron markedly reduces segregation of phosphorus in austenite. Boron was also found to be segregated at the prior austenite grain boundaries. The intergranular boron concentration increases slightly with a rising austenitising temperature, but does not show any dependence on boron or phosphorus content of the alloy. The results can be explained by assuming segregation equilibria and mutual displacement between B and P in austenite, a value of ?97 kJ/mole for the free energy of boron segregation and ?47 kJ/mole for phosphorus segregation.     

Comparison of polymerase chain reaction with culture and enzyme immunoassay for diagnosis of pertussis

The risk for human infection with Lyme disease appears linked to the abundance of infected vector ticks, principally Ixodes dammini Spielman, Clifford, Piesman & Corwin, in the eastern United States. Habitat destruction by burning, although not well studied, has long been considered as an effective alternative to synthetic insecticides as a means of reducing tick populations. We evaluated the effect of a single spring burning of the woodland understory on the transmission risk of Lyme disease spirochetes (Borrelia burgdorferi Johnson, Schmid, Hyde, Steigerwalt & Brenner) on Shelter Island, Long Island, NY. Following a burn in early April 1991, the abundance of nymphal I. dammini was 49% lower in the burned portion of a woodlot compared with the unburned portion. However, risk of encountering nymphs infected with B. burgdorferi remained similar in both burned and unburned woods. It is suggested that burning vegetation may disproportionately kill deer-derived rather than rodent-derived nymphs, significantly reducing tick abundance without affecting transmission risk.     

Ray-casting and block model conversion using a spatial index

A spatial index is a data structure designed to facilitate spatial search, exemplified by the point-in-polyhedron inclusion problem. The 3D extensible cell (EXCELL) index is presented together with algorithms for spatial search and for converting a complex polyhedron (boundary representation) into an octree-like block model. We illustrate the techniques by an application to geometric mine modelling and demonstrate the efficiency of the approach by practical experiments.     

Wavelet-based reconstruction for limited-angle X-ray tomography

The aim of X-ray tomography is to reconstruct an unknown physical body from a collection of projection images. When the projection images are only available from a limited angle of view, the reconstruction problem is a severely ill-posed inverse problem. Statistical inversion allows stable solution of the limited-angle tomography problem by complementing the measurement data by a priori information. In this work, the unknown attenuation distribution inside the body is represented as a wavelet expansion, and a Besov space prior distribution together with positivity constraint is used. The wavelet expansion is thresholded before reconstruction to reduce the dimension of the computational problem. Feasibility of the method is demonstrated by numerical examples using in vitro data from mammography and dental radiology.     

Preventing chlorine deposition on heat transfer surfaces with aluminium-silicon rich biomass residue and additive

Biomass fuels often contain higher concentrations of easily vaporisable alkalis and chlorine than do coal and peat. The more vaporisable the alkalis or chlorine compounds the higher is the risk for ash-related problems. The presence of certain elements may reduce or remove these problems. This work shows how co-combusting of different biomass fuels in a fluidised bed boiler can result in useful interactions that decrease or totally inhibit Cl deposition and bed agglomeration. In a first set of experiments, fuel 1 contained easily vaporised chlorine that produces Cl-rich deposits on superheaters. Fuel 2 was enriched in aluminium silicate, but contained much ash, resulting in low heating value and high load of fly ash. In a second set of experiments, fuel 1 was enriched in Cl and alkalis, which lead to corrosive deposits, bed agglomeration and fouling. As a result of protecting reactions, the mixtures were free from the problems observed during their separate combustion.     

Noncholesterol Sterols as Surrogate Markers in Patients with Severe Alcoholic Hepatitis

Severe alcoholic hepatitis (AH) is a life‐threatening condition lacking good serologic markers to tailor treatment and predict recovery. We examined the cholesterol metabolism in severe AH to explore prognostic markers and evaluate the profile of cholesterol precursors, cholestanol and phytosterols, in this context. We assessed serum cholesterol, cholesterol precursors, cholestanol, phytosterols, and biochemical markers in 24 patients with severe AH treated with prednisolone and randomized to ciprofloxacin in the ratio 1:1. Response to prednisolone was assessed with the Lille model. Evaluations were made between responders and nonresponders to corticosteroid treatment and during follow‐up for 180 days. The findings were compared with those from patients with primary sclerosing cholangitis (PSC) (n = 156) and healthy individuals (n = 124). Responders to prednisolone had ~56–60% higher (p‐value 0.032–0.044) serum ratios to cholesterol of phytosterols, while the lathosterol/campesterol ratio was ~76% (p = 0.031) lower compared to nonresponders. Stigmasterol/cholesterol predicted response to corticosteroid therapy. Surrogate markers of cholesterol synthesis (lathosterol and desmosterol) inversely reflected those of absorption (cholestanol and phytosterols) in PSC and controls (r‐range ?0.247 to ?0.559, p < 0.01 for all), contrary to AH patients, among whom this reciprocal regulation was partially recovered on day 90 (lathosterol: r‐range ?0.733 to ?0.952, p < 0.05 for all). AH patients had ~26% lower lathosterol/cholesterol, but 1.13–3.87‐fold higher cholestanol/cholesterol and sitosterol/cholesterol compared to control groups (p < 0.05 for all). Median ferritin concentration at baseline was ~37% lower (p = 0.011) among the responders. Cholesterol precursors and phytosterols have a disease‐specific profile in AH. Phytosterols and ferritin may serve as surrogate markers for short‐term response.     

The relationship between cardiac reactivity in the laboratory and in real life.

Objective: An excessive cardiovascular response to acute stress is a probable risk factor for cardiovascular (CV) disease. Such reactivity is usually assessed from the CV response to laboratory stressors. However, if it is a risk factor, correlated responses must occur in real life. Design: In the present study, we investigated the relationship between the heart rate (HR) response to five laboratory stressors and HR reactivity in the field. Measures: HR variation, the response to a real life stressor (public speaking), and the increase in HR with periods of self-reported tense arousal. Ambulatory HR, activity and posture were measured continuously over a 7-hr period. Results: The HR increase to laboratory stressors did not relate to HR variation consistently, but it did relate to the other two field measures. Conclusion: The results suggested that a tendency to increased HR reactivity may be a risk factor for cardiovascular disease when combined with exposure to stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)