Intestinal metaplasia with adherent Helicobacter pylori: a hybrid epithelium with both gastric and intestinal features

Helicobacter pylori seem to avoid areas of intestinal metaplasia in the gastric mucosa, but attachment of these bacteria to epithelium with the appearance of incomplete intestinal metaplasia has been documented. To characterize the nature of the epithelium to which H pylori was attached, we carried out an immunohistochemical study using monoclonal antibodies against gastric surface mucous cell mucins (M1), blood group-related carbohydrates antigens (Le(a), sialyl Le(a), Le(b), type 1H, and type 2H) and sialyl Tn antigen. The results of this study suggest that these areas of H pylori attachment represent a hybrid epithelium whose cells share characteristics of both gastric surface mucous cells and intestinal metaplastic cells. Whether all areas of incomplete intestinal metaplasia represent an intermediate stage between the normal gastric epithelium and the fully developed complete type of metaplasia remains to be determined.     

Superior vena cava syndrome after heart transplantation: percutaneous treatment of a complication of bicaval anastomoses

The aims of this study were to establish a working rabbit heart model of regional myocardial ischaemia in which electrophysiologic parameters and arrhythmogenesis could be correlated and to explore the mechanisms underlying the antiarrhythmic activity of lignocaine. Monophasic action-potential duration (MAPD90), effective refractory period (ERP), and conduction delay were measured at three ventricular sites in isolated hearts paced at 3.3 Hz. The hearts were treated before and throughout 30 min of ischaemia and 15 min of reperfusion with a vehicle or 20 microM lignocaine. In both groups, ischaemia produced a similar shortening in MAPD90. Lignocaine decreased ERP shortening during ischaemia from -56+/-4 to -32+/-6 ms. An ischaemia-induced increase in conduction delay was greater in the lignocaine than the control group (49+/-7 vs. 11+/-2 ms). Ischaemia-induced dispersion of repolarisation was reduced by lignocaine from 66+/-4 to 32+/-7 ms, and dispersion of refractoriness was decreased from 57+/-6 to 16+/-3 ms. Lignocaine decreased inducibility of ventricular fibrillation (VF) during ischaemia from 86 to 25%. We conclude that, in this model, the antiarrhythmic activity of lignocaine during regional ischaemia is associated with an increase in ischaemia-induced conduction delay and reduced dispersion of repolarisation and refractoriness.     

FAIRIO: A Throughput-oriented Algorithm for Differentiated I/O Performance

Providing differentiated service in a consolidated storage environment is a challenging task. To address this problem, we introduce FAIRIO, a cycle-based I/O scheduling algorithm that provides differentiated service to workloads concurrently accessing a consolidated RAID storage system. FAIRIO enforces proportional sharing of I/O service through fair scheduling of disk time. During each cycle of the algorithm, I/O requests are scheduled according to workload weights and disk-time utilization history. Experiments, which were driven by the I/O request streams of real and synthetic I/O benchmarks and run on a modified version of DiskSim, provide evidence of FAIRIO’s effectiveness and demonstrate that fair scheduling of disk time is key to achieving differentiated service in a RAID storage system. In particular, the experimental results show that, for a broad range of workload request types, sizes, and access characteristics, the algorithm provides differentiated storage throughput that is within 10% of being perfectly proportional to workload weights; and, it achieves this with little or no degradation of aggregate throughput. The core design concepts of FAIRIO, including service-time allocation and history-driven compensation, potentially can be used to design I/O scheduling algorithms that provide workloads with differentiated service in storage systems comprised of RAIDs, multiple RAIDs, SANs, and hypervisors for Clouds.     

Isolation and characterization of a novel facultatively alkaliphilic Nitrobacter species, N. alkalicus sp. nov

BACKGROUND: The American College of Rheumatology (ACR) established criteria to discriminate among patients with seven types of vasculitis. Although designated as "classification criteria" for research, these criteria are often used for diagnosis. OBJECTIVE: To examine the operating characteristics of the 1990 ACR classification criteria in the diagnosis of Wegener granulomatosis, giant-cell arteritis, polyarteritis nodosa, and hypersensitivity vasculitis. DESIGN: Prospective cohort study. SETTING: University medical center and Veterans Affairs medical center. PATIENTS: 198 consecutive patients referred to rheumatologists for evaluation of possible vasculitis. Measurements: Blinded chart audits were done to classify patients according to the 1990 ACR classification criteria for Wegener granulomatosis, polyarteritis nodosa, giant-cell arteritis, and hypersensitivity vasculitis on the basis of the patients' initial presentation. Chart audits done 2 to 8 months after baseline provided the patients' final diagnoses, which were considered the gold standard, as in the development of the ACR criteria. Test operating characteristics of the ACR classification criteria were calculated according to 2 x 2 tables for the entire cohort and for only the patients with a final diagnosis of vasculitis. RESULTS: Vasculitis was diagnosed in 51 (26%) patients. Thirty-eight (75%) of 51 patients with vasculitis and 31 (21%) of 147 patients without vasculitis met ACR criteria for one or more types of vasculitis. The positive predictive values for the four vasculitides according to ACR criteria were 17% to 29% for the entire cohort and 29% to 75% for only the patients with a final diagnosis of vasculitis. CONCLUSION: The 1990 ACR classification criteria function poorly in the diagnosis of specific vasculitides.     

Helicobacter pylori does not migrate from the antrum to the corpus in response to omeprazole

BACKGROUND: Omeprazole is known to have an effect on Helicobacter pylori in vivo. One opinion is that H. pylori "migrates" from the antrum to the corpus in response to omeprazole therapy. METHODS: To determine whether H. pylori migrates in response to omeprazole, we assessed the presence of H. pylori in the antrum and corpus in duodenal ulcer patients receiving omeprazole for 4 wk. Culture and histological examination of antral biopsies (Genta stain) were performed before patients received omeprazole, at the end of therapy, and 4-6 wk later. The end points were presence or absence of H. pylori and the number of H. pylori colonies per biopsy. RESULTS: Seventy-two patients had H. pylori in both the antrum and corpus at entry and 4-6 wk after ending therapy. Three general patterns were prevalent at the end of omeprazole therapy: antrum- and corpus-positive (54%), antrum-negative and corpus-positive (24%), both antrum- and corpus-negative (21%), and one patient had antrum-positive with corpus-negative (1%). Evaluation of the number of colonies per biopsy in those who remained H. pylori-positive in both the antrum and corpus throughout showed that the number of H. pylori decreased in both the antrum and corpus during therapy (507 +/- 60 vs. 225 +/- 51, p < 0.01 and 415 +/- 58 vs. 290 +/- 46 0.1) for antrum and corpus, respectively, and tended to return to pre-therapy levels 4-6 wk later. The number of H. pylori in the corpus also decreased in the antrum-negative and corpus-positive group during therapy with omeprazole (433 +/- 87 vs. 185 +/- 61, p < 0.05). In most of the patients studied, the number of H. pylori in the corpus was less posttreatment than it was pretreatment. The decrease in H. pylori load was also reflected in the development of false-negative urea breath tests. CONCLUSIONS: Omeprazole is detrimental to H. pylori in both the antrum and the corpus; migration from the antrum to the corpus in response to omeprazole is a myth.     

POEMS: end-to-end performance design of large parallel adaptive computational systems

The POEMS project is creating an environment for end-to-end performance modeling of complex parallel and distributed systems, spanning the domains of application software, runtime and operating system software, and hardware architecture. Toward this end, the POEMS framework supports composition of component models from these different domains into an end-to-end system model. This composition can be specified using a generalized graph model of a parallel system, together with interface specifications that carry information about component behaviors and evaluation methods. The POEMS Specification Language compiler will generate an end-to-end system model automatically from such a specification. The components of the target system may be modeled using different modeling paradigms and at various levels of detail. Therefore, evaluation of a POEMS end-to-end system model may require a variety of evaluation tools including specialized equation solvers, queuing network solvers, and discrete event simulators. A single application representation based on static and dynamic task graphs serves as a common workload representation for all these modeling approaches. Sophisticated parallelizing compiler techniques allow this representation to be generated automatically for a given parallel program. POEMS includes a library of predefined analytical and simulation component models of the different domains and a knowledge base that describes performance properties of widely used algorithms. The paper provides an overview of the POEMS methodology and illustrates several of its key components. The modeling capabilities are demonstrated by predicting the performance of alternative configurations of Sweep3D, a benchmark for evaluating wavefront application technologies and high-performance, parallel architectures.     

Calibrated,Registered Images of an Extended Urban Area

We describe a dataset of several thousand calibrated, time-stamped, geo-referenced, high dynamic range color images, acquired under uncontrolled, variable illumination conditions in an outdoor region spanning several hundred meters. The image data is grouped into several regions which have little mutual inter-visibility. For each group, the calibration data is globally consistent on average to roughly five centimeters and 0 1°, or about four pixels of epipolar registration. All image, feature and calibration data is available for interactive inspection and downloading at http://city.lcs.mit.edu/data.Calibrated imagery is of fundamental interest in a variety of applications. We have made this data available in the belief that researchers in computer graphics, computer vision, photogrammetry and digital cartography will find it of value as a test set for their own image registration algorithms, as a calibrated image set for applications such as image-based rendering, metric 3D reconstruction, and appearance recovery, and as input for existing GIS applications.     

Using ambients to control resources

Current software and hardware systems, being parallel and reconfigurable, raise new safety and reliability problems, and the resolution of these problems requires new methods. Numerous proposals aim at reducing the threat of bugs and preventing several kinds of attacks. In this paper, we develop an extension of the calculus of mobile ambients, named controlled ambients, that is suited for expressing such issues, specifically denial of service attacks. We present a type system for controlled ambients, which makes static resource control possible in our setting, and enhance it with a rich notion of resources .     

An empirical investigation on how portfolio risk management influences project portfolio success

Project risk management is recognized as essential in order to cope with the challenges arising from the environment. Literature suggests a portfolio-wide perspective for managing risks in project portfolios. However, research on risk management and its success in a project portfolio context is scarce. This study examines how portfolio risk management influences project portfolio success. Using a sample of 176 firms, this study provides evidence that portfolio risk identification, the formalization of the portfolio risk management process, and risk management culture directly influence risk transparency, whereas risk prevention, risk monitoring, and the integration of risk management into project portfolio management are directly connected to risk coping capacity. The findings also suggest that both risk transparency and risk coping capacity have a direct impact on project portfolio success. However, the results did not confirm the hypothesis that risk transparency and risk coping capacity have a complementary effect on success. Implications for scholars and project portfolio managers are discussed.     

Substituierte N,N′-Bis(thiazol-2-yl)-diaminoalkane aus α-Thiocyanato-acetophenonen und N,N′-Dialkyl-diamino-alkanen

Substituted N,N′-Bis(thiazol-2-yl)-diaminoalkanes from α-Thiocyanato-acetophenones and N,N′-Dialkyl-diaminoalkanes α-Thiocyanato-acetophenones 1 react with N,N′-dialkyl-diaminoalkanes 2 in the presence of an appropriate weak acid (acetic acid, propionic acid, benzoic acid) to give the hitherto unknown N,N′-dialkyl-N,N′-bis(4-aryl-thiazol-2-yl)-diaminoalkanes 3 . As reaction medium aliphatic alcohols (ethanol, methanol), halogenated hydrocarbons (methylene chloride, chloroform, carbon tetrachloride) or dipolar-aprotic solvents (acetonitrile, dimethylformamide) can be used. - I.r., u.v., n.m.r. and mass spectroscopic data of the novel bisthiazoles 3 are reported.