Voice packetization and compression in broadband ATM networks

Some methods of supporting voice in broadband ISDN, (B-ISDN) asynchronous transfer mode (ATM), including voice compression, are examined. Techniques for voice compression with variable-length packet format at DS1 transmission rate, e.g., wideband packet technology (WPT), have been successfully implemented utilizing embedded adaptive differential pulse code modulation (ADPCM) coding, digital speech interpolation (DSI), and block-dropping schemes. For supporting voice in B-ISDN, voice compression techniques are considered that are similar to those used in WPT but with different packetization and congestion control methods designed for the fixed-length ATM protocol at high speeds. Possible approaches for packetization and implementation of variable-bit-rate voice coding schemes are described. ADPCM and DSI for voice coding and compression and cell discarding (CD) for congestion control are considered. The advantages of voice compression and CD in broadband ATM networks are demonstrated in terms of transmission bandwidth savings and resiliency of the network during congestion     

RECPAM: a computer program for recursive partition and amalgamation for censored survival data and other situations frequently occurring in biostatistics. I. Methods and program features

The methodology of recursive partition and amalgamation in biostatistics is presented and a FORTRAN program for its implementation, RECPAM, is described. RECPAM can be used to obtain classifications of patients according to several criteria commonly occurring in clinical biostatistics: an example is prognostic classification based on survival data. Classes are defined by simple statements, expressed in clinical terms, about predictor variables (e.g. prognostic factors). Special features of RECPAM are: the possibility of implementing a variety of classification criteria, the integration of recursive partition and amalgamation, and the availability of several strategies for constructing classification trees. A simple example to illustrate input and output features is given. The scope and flexibility of RECPAM will be illustrated in greater detail in a subsequent paper.     

Novastan (brand of argatroban): a small-molecule, direct thrombin inhibitor

Because of the unsatisfactory options available for safe and effective antithrombotic therapy, recent, intense research and development efforts have focused on direct, or site-directed, thrombin inhibitors. Argatroban is a small-molecule, reversible, direct thrombin inhibitor selective for the catalytic site of the thrombin molecule. Argatroban's molecular properties (small molecule; fast, selective, and reversible inhibition of the thrombin catalytic site; and similar in vitro potency for inhibiting both clot-bound and soluble thrombin) offer the potential for significant antithrombotic efficacy with minimal systemic anticoagulant effects. Its clinical pharmacologic properties offer the potential for minimal risk of bleeding, very rapid achievement of therapeutic antithrombotic efficacy, predictable dose response, and rapid restoration of the hemostatic systems to baseline on termination of intravenous infusion. The intravenous agent Novastan (brand of argatroban) is currently approved for clinical use in Japan for the treatment of peripheral arterial occlusive disease. Novastan is in advanced clinical development in North and South America for several indications, including (1) anticoagulant/antithrombotic therapy in heparin-induced thrombocytopenia (HIT) and heparin-induced thrombocytopenia, and thrombosis syndrome (HITTS); and (2) adjunctive therapy to thrombolytic agents in acute myocardial infarction. Results from these trials are projected to be available by early 1997.     

Hospital development and the performance of organ procurement organizations

Light microscopical studies on the uptake of blood-borne horseradish peroxidase (HRP) in large areas of the testis have been scarce because of the difficulty of staining HRP in testes with well-preserved morphology. However, observation of exogenous HRP in all areas of the testis enables detection of regional tissue injury induced by toxic chemicals or immunization. In the present study, the localization of blood-borne HRP in the murine testis was investigated light microscopically using plastic-embedded testes and post-embedding histochemical methods. Mice were injected intravenously with HRP, and then perfused with 2.5% glutaraldehyde and 3% paraformaldehyde in 0.1 M phosphate buffer. The fixed testes were immediately removed, dehydrated, and then embedded in plastic without cutting them into small pieces. The prepared sections treated by the diaminobenzidine method exhibited intense HRP activity with well-preserved testis morphology. It was noted that many interstitial macrophages had endocytosed HRP. In particular, HRP-endocytosing macrophages were concentrated around the tubuli recti. The testicular capsule, containing many lymphatic capillaries and vessels, was also loaded with HRP. In the subcapsular interstitium, free HRP in the lymph space accumulated, but the staining intensity was weak compared to that in testicular macrophages. No HRP infiltration into the lumen of the seminiferous tubules was observed at the light microscope level; however, HRP staining was detected in tubular walls and epithelial cells lining the rete testis and tubuli recti, indicating that these regions are permeable to HRP.     

Bladder outlet obstruction after multiple periurethral polytetrafluoroethylene injections

Periurethral polytetrafluoroethylene (Teflon) injections have been reported to be successful for the treatment of urinary incontinence after transurethral resection or radical prostatectomy. However, the use of polytetrafluoroethylene is controversial due to reports of distant migration and granulomatous reaction after periurethral injection. We report on a patient with a history of periurethral polytetrafluoroethylene injection for postoperative stress incontinence in whom bladder outlet obstruction developed and who underwent repeat transurethral resection 9 years later. Pathological examination revealed that the material responsible for the obstruction was almost totally composed of a foreign body giant cell response to the polytetrafluoroethylene implant ("teflonoma").     

A randomized clinical trial of alternative stress management interventions in persons with HIV infection.

Research in psychoneuroimmunology suggests that immunosuppression associated with perceived stress may contribute to disease progression in persons with HIV infection. While stress management interventions may enhance immune function, few alternative approaches have yet been tested. This randomized clinical trial was conducted to test effects of three 10-week stress management approaches--cognitive-behavioral relaxation training (RLXN), focused tai chi training (TCHI), and spiritual growth groups (SPRT)--in comparison to a wait-listed control group (CTRL) among 252 individuals with HIV infection. Using repeated measures mixed modeling, the authors found that in comparison to the CTRL group, (a) both the RLXN and TCHI groups used less emotion-focused coping, and (b) all treatment groups had augmented lymphocyte proliferative function. Despite modest effects of the interventions on psychosocial functioning, robust findings of improved immune function have important clinical implications, particularly for persons with immune-mediated illnesses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reduction of adhesion and friction of silicon oxide surface in the presence of <Emphasis Type="Italic">n</Emphasis>-propanol vapor in the gas phase

The equilibrium adsorption of gas phase alcohol molecules has been proposed as a new means of in-use anti-stiction and lubrication for MEMS devices. Adhesion and friction of silicon oxide surfaces as a function of n-propanol vapor pressure in the ambient gas were invesitigated using atomic force microscopy. As the vapor pressure increases, the adsorbed n-propanol layer thickness increases. The adhesion and friction significantly decrease with very little addition of n-propanol vapor.     

DTA evidence for physical orientation (crystallinity) in PVC

A difference has been observed in the DTA and DSC curves for the glass transition of both PVC homopolymer and acetate copolymer, depending on the rate of quenching or annealing below the glass transition temperature. The difference has the appearance of an endothermal peak added to the glass transition curve and is attributed to an alignment of stereoregular chain segments of adjacent polymer molecules. The lengths of chain segments are assumed to be so short that no x-ray evidence of crystallinity was obtained. The orientation process involved has an activation energy of 47.8 kcal./mole in the homopolymer and 43.6 kcal./mole in the copolymer. The measured rate of the process agrees with the principle of time–temperature superposition, the rates becoming equal for homopolymer and copolymer at equal temperatures below their glass transition temperatures.     

Comparison of fixed versus formed aircrews in military transport

Historically, transport crews are formed to fly a brief series of sorties together. But what would be the effect of keeping crews together longer? This research investigates the effect of crewing policies on accident rates. We compare the crew coordination performance of fixed teams that work together indefinitely with that of formed teams that work together for shorter periods. We researched 74 accident investigation records of two jet transport aircraft of the U.S. Air Force over 20-year periods. These aircraft used both fixed and formed crews. The "ineffective crew coordination" accident rates for formed crews were significantly safer (z = 12.5 for one aircraft and 2.1 for another p < 0.05). This may imply that airlines and military commands could enhance flight safety by following a formed crew policy. However, further study is needed to identify more completely the effects of crew policies on sortie effectiveness.