Perceptions of general practice among homosexual men

BACKGROUND: Primary care has an important role to play in the prevention and management of the human immunodeficiency virus (HIV). It has been suggested that homosexual men experience a variety of problems in relation to primary care. AIM: As part of a larger study, it was decided to examine the extent to which a sample of homosexually active men experienced difficulties in general practice and whether they consulted their general practitioner for problems related to HIV or the acquired immune deficiency syndrome (AIDS). METHOD: Homosexual men were recruited for interview in 1991-92 from a variety of sources including genitourinary clinics and homosexual organizations. RESULTS: Of 623 men registered with a general practitioner 44% had not informed their general practitioner of their sexual orientation and 44% of the 77 men who were HIV antibody positive, as confirmed by the study, had not informed their general practitioner of this fact. Men who viewed their practice as unsympathetic towards homosexual men were less likely to have informed their general practitioner of their sexual orientation or HIV status. The majority of men (87%) nevertheless viewed primary care as an appropriate source of HIV/AIDS advice. CONCLUSION: There is considerable scope for improvement in the acceptability of general practice to homosexual men.     

Crystal growth in dental enamel: the role of amelogenins and albumin

Amelogenin-mineral interactions were investigated using an in vitro binding approach. Rat incisor enamel matrix proteins (mainly amelogenins) were dissolved in synthetic enamel fluid and allowed to equilibrate with deproteinised developing enamel crystals. The results showed that amlogenin proteins of 21, 23, 24, 26 and 27-kDa (corresponding to nascent and partially degraded amelogenins) were associated with the crystals whilst the lower Mr amelogenins (< 21 KDa) remained free in the synthetic enamel fluid. These data suggest the nascent and partially degraded amelogenins may interact with developing enamel crystals and could influence their growth. Albumin-mineral interactions were investigated by extracting developing rat incisor enamel with synthetic enamel fluid. Insoluble material (including the enamel crystals) was then further extracted with 0.1 M phosphate buffer (pH 7.4) to desorb any mineral bound proteins. Western blotting using anti-albumin antibodies showed that almost all of the albumin from the secretory stage enamel and a significant proportion of the albumin present in early transition stage was extractable in the synthetic enamel fluid. However, synthetic enamel fluid did not extract albumin from late transition or maturation stage tissue, which could only be removed following further extraction with phosphate buffer. Albumin degradation was apparent during the transition and maturation stages, where it is degraded and ultimately removed. This binding pattern may be related to amelogenin degradation and removal during the transition stage, permitting albumin access to the previously obscured crystal surfaces. That the secretory stage matrix appears to "protect" secretory stage crystals from albumin may be an important consideration in the aetiology of enamel hypoplasias (i.e. incomplete crystal growth) and when using dissociative extraction procedures for the identification of mineral bound proteins.     

Real-time visualization in the offshore industry

Real-time underwater visualization has been extremely slow to develop within the offshore industry and has generally been limited to 2D representations of vessel positions on digital charts. Only recently have marine industries realized the potential of 3D real-time virtual environments and visualization systems for effective management planning and real-time situation awareness. We describe a real-time visualization of the clean-up of a former US Naval Submarine Base, located in Holy Loch, Scotland. Our Whole-Field Modeling System has provided an accurate real-time visualization of numerous varying parameters such as remotely operated vehicles (ROVs), cranes, barges, grabs, magnets, and detailed seabed topography. The system improved the field staffs' spatial and temporal awareness and facilitated decision making within the complex offshore working environment. A side bar discusses another application, offshore diamond mining     

Deadlock analysis in networks of communicating processes

We use the failures model of CSP to describe the behaviour of a class of networks of communicating processes. This model is well suited to reasoning about the deadlock potential of networks. We introduce a number of simple conditions on networks which aid deadlock analysis either by localizing the analysis required for a proof of deadlock-freedom or by restricting the circumstances in which deadlock could occur. In particular, we formulate some simple theorems which characterize the states in which deadlock can occur, and use them to prove some theorems on the absence of global deadlock in systems. We identify a special class of unidirectional networks and develop specialized results on their deadlock-freedom. We develop more general methods based on (at most) pairwise local deadlock analysis in networks, applicable to the large class of conflict-free networks. We introduce a methodology for proving deadlock-freedom in a large network by decomposing it into subnetworks which can be analysed separately. A variety of examples is given to show the utility of these results. We compare our work with earlier work by several other authors, and make some suggestions for future research. S.D. Brookes received a B.A. in mathematics (1978) and a D.Phil. in computer science (1983), both from Oxford University. His D. Phil supervisor was C.A.R. Hoare. He moved to Carnegie Mellon University in 1981, initially as a Research Computer Scientist and then (1984–1990) as an Assistant Professor in the School of Computer Science at CMU. He is currently an Associate Professor of Computer Science at CMU. His research interests include the mathematical foundations of programming languages, the theory of parallel and sequential computation, programming methodology, programming language design, and the development of semantically based logics for reasoning about program behavior. A.W. Roscoe received a B.A. in mathematics (1978) and a D.Phil. in computer science (1982), both from Oxford University. His D. Phil supervisor was C.A.R. Hoare. He was formerly a Junior Research Fellow at St Edmund Hall, Oxford (1980–1982) and the IBM Research Fellow of the Royal Society (1982–1983). Since 1983 he has been a University Lecturer in Computation at Oxford and a Fellow of University College. His research interests include the theory of parallel computing and its applications (e.g., to VLSI design), domain theory, distributed databases, general topology and the theory of image processing.This research was supported in part by funds from the Computer Science Department of Carnegie Mellon University, and by the Defense Advanced Research Projects Agency (DOD), ARPA Order No. 4976, monitored by the Air Force Avionics Laboratory under Contract F33615-87-C-1499. A.W. Roscoe gratefully acknowledges support by ONR Grant N00014-87-G-0242. The views and conclusions contained in this document are those of the authors and should not be interpreted as representing the offical policies, either expressed or implied, of the Defense Advanced Research Projects Agency or the US Government.     

The effect of changing excitation frequency on parallel conductance in different sized hearts

OBJECTIVE: An important component of the ventricular volume measured using the conductance catheter technique is due to parallel conductance (Vc), which results from the extension of the electric field beyond the ventricular blood pool. Parallel conductance volume is normally estimated using the saline dilution method (Vc(saline dilution)), in which the conductivity of blood in the ventricle is transiently increased by injection of hypertonic saline. A simpler alternative has been reported by Gawne et al. [12]. Vc(dual frequency) is estimated from the difference in total conductance measured at two exciting frequencies and the method is based on the assumption that parallel conductance is mainly capacitive and hence is negligible at low frequency. The objective of this study was to determine whether the dual frequency technique could be used to substitute the saline dilution method to estimate Vc in different sized hearts. METHODS: The accuracy and linearity of a custom-built conductance catheter (CC) system was initially assessed in vitro. Subsequently, a CC and micromanometer were inserted into the left ventricle of seven 5 kg pigs (group 1) and six 50 kg pigs (group 2). Cardiac output was determined using thermodilution (group 1) and an ultrasonic flow probe (group 2) from which the slope coefficient (alpha) was determined. Steady state measurements and Vc estimated using saline dilution were performed at frequencies in the range of 5-40 kHz. All measurements were made at end-expiration. Finally, Vc was estimated from the change in end-systolic conductance between 5 kHz and 40 kHz using the dual frequency technique of Gawne et al. [12]. RESULTS: There was no change in measured volume of a simple insulated cylindrical model when the stimulating frequency was varied from 5-40 kHz. Vc(saline dilution) varied significantly with frequency in group 1 (8.63 +/- 2.74 ml at 5 kHz; 11.51 +/- 2.65 ml at 40 kHz) (p = 0.01). Similar results were obtained in group 2 (69.43 +/- 27.76 ml at 5 kHz; 101.24 +/- 15.21 ml at 40 kHz) (p < 0.001). However, the data indicate that the resistive component of the parallel conductance is substantial (Vc at 0 Hz estimated as 8.01 ml in group 1 and 62.3 ml in group 2). There was an increase in alpha with frequency in both groups but this did not reach significance. The correspondence between Vc(dual frequency) and Vc(saline dilution) methods was poor (group 1 R2 = 0.69; group 2 R2 = 0.22). CONCLUSION: At a lower excitation frequency of 5 kHz a smaller percentage of the electric current extends beyond the blood pool so parallel conductance is reduced. While parallel conductance is frequency dependent, it has a substantial resistive component. The dual frequency method is based on the assumption that parallel conductance is negligible at low frequencies and this is clearly not the case. The results of this study confirm that the dual frequency technique cannot be used to substitute the saline dilution technique.