Effect of race on outcome after kidney and kidney-pancreas transplantation in type 1 diabetic patients

OBJECTIVE: The racial impact on graft outcome is not well defined in diabetic recipients. The purpose of this study is to analyze our experience with kidney-alone (A) and kidney-pancreas (KP) transplantation in type 1 diabetic recipients and evaluate the impact of racial disparity on outcome. RESEARCH DESIGN AND METHODS: The records of 217 kidney transplants (118 KA, 99 KP) performed on type 1 diabetic patients between 1985 and 1995 at the Medical University of South Carolina and the University of Texas Medical Branch were reviewed. RESULTS: A total of 53 (31%) white patients and 15 (33%) black patients experienced at least one episode of biopsy-proven acute rejection of the renal graft (NS). Patient survival at 1, 2, and 5 years was similar in white (92, 87, 69%) and black (91, 91, 69%) patients (NS). Kidney graft survival at 1, 2, and 5 years in the KA group was 72, 62, and 42% in blacks, compared with 79, 76, and 53% in whites (NS). Kidney graft survival at 1, 2, and 5 years in the KP group was 92, 92, and 74% in blacks, compared with 83, 77, and 58% in whites (NS). Pancreas graft survival at 1, 2, and 5 years was 81, 81, and 81% in blacks, compared with 81, 75, and 62% in whites (NS). Cox regression analysis revealed that donor age > or = 40 years increased the risk of renal graft failure 6.2-fold (P = 0.0001), whereas the addition of a pancreas transplant to a kidney and a living-related transplant decreased the risk of failure of the kidney graft 0.2 (P = 0.005) and 0.1 times (P = 0.005). CONCLUSIONS: Our results suggest that when compared with whites, there may be a trend toward an improved kidney and pancreas graft outcome in blacks undergoing KP transplants. These findings suggest that diabetes may override the risk factors that account for the pronounced disparity in outcome observed between nondiabetic white and black recipients.     

Periodic discrete-time systems: stability analysis and robustcontrol using zero placement

A simple method (based on Floquet theory) for obtaining the characteristic equation (and hence stability) of periodic discrete-time systems is presented. Using this method it is shown that 2-periodic controllers can be used to relocate the zeros of SISO plants. Some examples are considered to illustrate the use of 2-periodic controllers for robust control of finite gain margin problems     

Superconductivity in hcp Li at high pressure

Recent experimental observations show that metallic lithium becomes a superconductor at high pressure. Here the theoretically calculated band structure as well as the superconducting transition temperature for this metal at 247 kbar pressure are reported. The band structure was obtained using the APW method. The superconducting transition temperature determined using the band structure results agrees fairly well with that measured experimentally.     

Shape from Sharp and Motion-Blurred Image Pair

Motion blur due to camera shake is a common occurrence. During image capture, the apparent motion of a scene point in the image plane varies according to both camera motion and scene structure. Our objective is to infer the camera motion and the depth map of static scenes using motion blur as a cue. To this end, we use an unblurred–blurred image pair. Initially, we develop a technique to estimate the transformation spread function (TSF) which symbolizes the camera shake. This technique uses blur kernels estimated at different points across the image. Based on the estimated TSF, we recover the complete depth map of the scene within a regularization framework.     

Miscibility behavior and coil overlap in ionic blends of phenylated polytriphenylene oxide and poly(methyl methacrylate)

Blends of sulfonated phenylated polytriphenylene oxide and poly(methyl methacrylate‐co‐4‐vinyl pyridine) were examined by dynamic mechanical, Fourier transform infrared, and NMR techniques. A high degree of miscibility was evident from a single drop in a plot of the storage modulus versus the temperature. The presence of ionic moieties due to proton transfer from sulfonic acid to 4‐vinyl pyridine was confirmed by both NMR and IR spectroscopy studies. The coils were found to be close to one another in dimethyl sulfoxide‐d₆ because the aromatic shielding effect of the phenyl rings of the phenylated polytriphenylene oxide units was observed from the upfield shift of most of the protons of poly(methyl methacrylate) in the NMR spectrum. However, the absence of cross peaks in the nuclear Overhauser and exchange spectroscopy experiments suggested that the intermolecular distance between the chains had to be larger than 4 Å. © 2003 Wiley Periodicals, Inc. J Appl Polym Sci 89: 728–733, 2003     

A multiperiod set covering location model for dynamic redeployment of ambulances

Emergency medical service (EMS) providers continually seek ways to improve system performance particularly the response time to incidents. The demand for ambulances fluctuate throughout the week, depending on the day of week, and even the time of day, therefore EMS operators can improve system performance by dynamic relocation/redeployment of ambulances in response to fluctuating demand patters. The objective of the model is to determine the minimum number of ambulances and their locations for each time cluster in which significant changes in demand pattern occur while meeting coverage requirement with a predetermined reliability. The model is further enhanced by calculating ambulance specific busy probabilities and validated by a comprehensive simulation model. Computational results on experimental data sets and data from an EMS agency are provided.     

Removal of Cr(VI) using co-immobilized activated carbon and <Emphasis Type="Italic">Bacillus subtilis</Emphasis>: fixed-bed column study

Fixed-bed column studies were conducted to evaluate the potential of co-immobilized (activated carbon and Bacillus subtilis) (CI) beads for the removal of Cr(VI) from aqueous solution. The impact of various parameters such as initial Cr(VI) concentrations (100, 150, and 200 mg/L), flow rate (3, 9, and 15 mL/min), and bed depth (10, 15, and 20 cm) on Cr(VI) adsorption onto CI beads were investigated. The breakthrough time increased with a decrease in initial Cr(VI) concentration and flow rate, and an increase in bed height. The breakthrough data obtained for Cr(VI) removal was more adequately described by the Thomas model with high correlation coefficients (R ² = 0.982). The eluent, 0.1 M NaOH, provided high elution efficiencies (~90 %) in all the six cycles. Obtained results pointed out that CI beads could potentially be used for the removal of Cr(VI) from aqueous solution.     

Classifying Problems on Linear Congruences and Abelian Permutation Groups Using Logspace Counting Classes

In this paper we classify the complexity of several problems based on Abelian permutation groups and linear congruences using logspace counting classes. The problems we consider were defined by McKenzie & Cook (1987).     

Chemical amplification — A novel approach to ultratrace analysis

The lowest concentration that can be estimated with 100% error in chemical analysis by instrumental technique is referred to as detection limit. It is equal to the ratio of twice the background signal to the magnitude of analytical signal corresponding to a concentration of unity. Detection limit (dl) could be improved if the analytical signal alone could be selectively amplified without affecting the background. It is shown that this could be achieved by chemical amplification. Atomic amplification of two or three orders of magnitude could be obtained by combining two chemical amplifications in series. It is demonstrated that by using heteropoly acid formation as the first amplification reaction and determining molybdenum in the heteropoly acid by catalyticdc polarographic wave, a detection limit for the hetero atom of less than a ppb can be obtained. It is pointed out that the approach of selectively amplifying analytical signals by tandem chemical amplification reactions makes it possible to perform ultratrace analysis (ppb level) with classical instrumental analytical techniques which havedl at ppm level.