Improved atrial function in bicaval versus standard orthotopic techniques in cardiac transplantation

Atrial geometry is preserved in the bicaval technique of cardiac transplantation. Using Doppler echocardiography, we investigated the impact of this technique on preservation of atrial function and found that echocardiographic indexes of atrial function are improved in bicaval cardiac transplants versus the standard orthotopic transplants.     

A comparison of ground-based and satellite-borne microwaveradiometric observations in the Great Plains

The authors compare ground-based and the special sensor microwave/imager (SSM/I) brightness temperatures at 19 and 37 GHz in the Northern and the Southern Great Plains. The comparison was conducted to examine season-related differences in plot-scale and satellite footprint-scale brightness temperatures at these frequencies. The ground-based observations were from the three Radiobrightness Energy Balance Experiments (REBEXs), viz., REBEX-1, REBEX-4, and REBEX-5. REBEX-1 and REBEX-4 were conducted near Sioux Falls, SD, in fall and winter 1992-93, and in summer 1996, respectively. REBEX-5 was conducted near Lamont, OK, during summer 1997 as part of the Southern Great Plains Hydrology Experiment-1997 (SGP'97). The instantaneous fields of view (FOV) of the ground-based radiometers were only a few meters compared to those of the SSM/I, which were several tens of kilometers. The REBEX and the SSM/I brightness temperatures are moderately correlated at both the 19 and 37 GHz. They match well during winter when there was uniform snow cover over the SSM/I footprint. During spring, summer, and fall, REBEX brightness temperatures at the grass-site were on average 18 K higher than the SSM/I brightness temperatures because the SSM/I footprint included nearby agricultural fields in summer and predominantly bare soil in fall and spring. During summer, REBEX-4 brightness temperatures at the bare soil site were on average 10 K cooler than the SSM/I brightness temperatures. In effect, the REBEX grass and bare soil brightness temperatures bracket the SSM/I observations with the SSM/I brightness temperatures lying closest to those of the bare soil     

Preliminary experience with mycophenolate mofetil used after lung transplantation

This study reports our preliminary experience with mycophenolate mofetil (MMF)-based immune suppression after lung transplantation. Thirteen patients (group 1) received MMF as primary therapy immediately after transplantation. Use of MMF was associated with a linearized rate of 0.85 episodes of acute rejection per 100 patient days during the first 3 months after transplantation, as compared with rates of 1.49 and 1.38, observed in two groups of historical control subjects (p = .094 and p = .053, respectively). Rejection rates after the first 3 months were not lower than in historical control subjects. Nine additional patients were switched from azathioprine to MMF because of recurrent episodes of high-grade acute rejection (group 2). In this group, the linearized rate of acute rejection episodes declined significantly (p = .004) after initiation of MMF therapy. These data suggest a potential role for MMF in reducing the rate of acute rejection episodes after lung transplantation.     

Tests of sequential data assimilation for retrieving profile soilmoisture and temperature from observed L-band radiobrightness

Sequential data assimilation (Kalman filter optimal estimation) techniques are applied to the problem of retrieving near-surface soil moisture and temperature state from periodic terrestrial radiobrightness observations that update soil heat and moisture diffusion models. The retrieval procedure uses a time-explicit numerical model to continuously propagate the soil state profile, its error of estimation, and its interdepth covariances through time. The model's coupled soil moisture and heat fluxes are constrained by micrometeorology boundary conditions drawn from observations or atmospheric modeling. When radiometer data are available, the Kalman filter updates the state profile estimate by weighing the propagated state, error, and covariance estimates against an a priori estimate of radiometric measurement error. The Kalman filter compares predicted and observed radiobrightnesses directly, so no inverse algorithm relating brightness to physical parameters is required. The authors demonstrate Kalman filter model effectiveness using field observations and a simulation study. An observed 1 m soil state profile is recovered over an eight-day period from daily L-band observations following an intentionally poor initial state estimate. In a four-month simulation study, they gauge the longer term behavior of the soil state retrieval and Kalman gain through multiple rain events, soil dry-downs, and updates from radiobrightnesses     

Freeze/thaw classification for prairie soils using SSM/Iradiobrightnesses

Data from the Nimbus-7 Scanning Multichannel Microwave Radiometer (SMMR) have been used to classify snow-free soils in the northern Great Plains as either frozen or thawed. The technique is based on differing sensitivities among SMMR radiobrightness frequencies to liquid moisture and volume scattering in the upper few millimeters of bare soil. The SMMR is no longer active. A current near-equivalent is the Special Sensor Microwave/Imager (SSM/I). The authors demonstrate that SSM/I radiobrightnesses also exhibit differential sensitivities to liquid water and volume scattering in frozen soil despite their higher frequencies. They find that the best classification discriminants for SSM/I data are a combination of the 37-GHz V-pol radiobrightnesses and the 19-to-37-GHz V-pol spectral gradients. They also examine the sensitivity of the classification to atmospheric emission and absorption and find little effect     

Amplitude stability improvement of CW submiltimeter wave lasers with phase modulated optical pumping

An experimentally measured reduction of 4:1 in the amplitude fluctuation of an optically pumped CW-submillimeter wave laser was achieved using a mirror, vibrating at audio frequencies, to decouple the pump beam reflected back to a CO2pump laser. An expression is derived for the peak frequency deviation of the pump laser due to a phase modulated feedback signal.     

Electrical connection of native and transplanted sinus nodes via atrial to atrial pacing improves exercise performance after cardiac transplantation

Chronotropic incompetence limits exercise performance in cardiac transplant patients. Electrical linkage of the innervated native sinus node and the denervated donor atrium or direct donor atrium pacing improves exercise performance in patients early after transplant.     

The radiobrightness thermal inertia measure of soil moisture

Radiobrightness thermal inertia (RTI) is proposed as a method for using day-night differences in satellite-sensed radiobrightness to monitor the moisture of Great Plains soils. Diurnal thermal and radiobrightness models are used to examine the sensitivity of the RTI method. Model predictions favor use of the 37.0 and 85.5 GHz, H-polarized channels of the Special Sensor Microwave/Imager (SSM/I). The model further predicts that overflight times near 2:00 AM/PM would be nearly optimal for RTI, that midnight/noon and 4:00 AM/PM are nearly as good, but that the 6:00 AM/PM overflight times of the current SSM/I are particularly poor. Data from the 37.0 GHz channel of the Scanning Multichannel Microwave Radiometer (SMMR) are used to demonstrate that the method is plausible