Infections in patients with cystic fibrosis following lung transplantation

BACKGROUND: There is controversy over whether colonization with drug-resistant organisms is a contraindication to lung transplantation. METHODS: We undertook a retrospective review of the results of lung transplantation for patients with cystic fibrosis (CF) at Duke University Medical Center. RESULTS: As of May 1996, 21 patients with CF underwent bilateral lung transplantation. The first patient died within 24 h of transplantation from sepsis due to Stenotrophomonas maltophilia. Of the remaining 20 patients, 17 (85%) are alive and in stable condition. The three deaths were related primarily to bronchiolitis obliterans at 4 and 18 months in two patients and to cytomegalovirus pneumonitis at 5 months in the other patient. The 17 surviving patients have been followed up for a mean of 13 months (range, 0.5 to 34 months). Most of them were colonized and infected with multidrug-resistant organisms before transplantation. Following transplantation, 11 patients had complications from infections. One patient had bacteremia due to a panresistant Burkholderia cepacia and was treated successfully. Two patients had bacteremia and wound infection due to Burkholderia gladioli, previously thought to be pathogenic only in plants. Both patients were treated successfully. Of the six patients with Aspergillus fumigatus isolated from cultures before transplantation, only one had invasive disease following transplantation and responded to treatment. CONCLUSION: The organisms present before transplantation were not the primary cause of mortality in our patient population. Our findings suggest that lung transplantation should be considered in CF patients infected with multidrug-resistant organisms.     

Effect of Mg2+-Fe3+ replacement on physical and electrical properties of the system MgxZn0.3Fe2.7−xO4±δ

X-ray analysis and d.c. electrical resistivity have been studied for the system Mg _x Zn_0.3Fe_2.7–x O_4± . The apparent density, X-ray density and porosity were also studied. It was found that the lattice parameter is independent of the substitution of iron ions with magnesium ions. Density, X-ray density and porosity do depend on replacement of the iron ions by magnesium ions. Two regions of resistivity were found; one region indicates the p-type and another one the n-type. This behaviour depends on the excess or deficiency and type of valency of the iron ions in the composition.     

Optimal Machine Learning Enabled Performance Monitoring for Learning Management Systems

Learning Management System (LMS) is an application software that is used in automation, delivery, administration, tracking, and reporting of courses and programs in educational sector. The LMS which exploits machine learning (ML) has the ability of accessing user data and exploit it for improving the learning experience. The recently developed artificial intelligence (AI) and ML models helps to accomplish effective performance monitoring for LMS. Among the different processes involved in ML based LMS, feature selection and classification processes find beneficial. In this motivation, this study introduces Glowworm-based Feature Selection with Machine Learning Enabled Performance Monitoring (GSO-MFWELM) technique for LMS. The key objective of the proposed GSO-MFWELM technique is to effectually monitor the performance in LMS. The proposed GSO-MFWELM technique involves GSO-based feature selection technique to select the optimal features. Besides, Weighted Extreme Learning Machine (WELM) model is applied for classification process whereas the parameters involved in WELM model are optimally fine-tuned with the help of Mayfly Optimization (MFO) algorithm. The design of GSO and MFO techniques result in reduced computation complexity and improved classification performance. The presented GSO-MFWELM technique was validated for its performance against benchmark dataset and the results were inspected under several aspects. The simulation results established the supremacy of GSO-MFWELM technique over recent approaches with the maximum classification accuracy of 0.9589.     

Using Nondeterminism to Design Efficient Deterministic Algorithms

In this paper we illustrate how nondeterminism can be used conveniently and effectively in designing efficient deterministic algorithms. In particular, our method gives a parameterized algorithm of running time O((5.7 k)^k n) for the 3-D matching problem, which significantly improves the previous algorithm by Downey et al. The algorithm can be generalized to yield an improved algorithm for the r-D matching problem for any positive integer r. The method can also be employed in designing deterministic algorithms for other optimization problems as well.     

Computational modeling of flow over an ogee spillway

This paper presents an investigation into the hydraulics of regular ogee-profile spillways. The free-surfaces of the fluid for several flow heads as measured in the hydraulics laboratory are used as benchmarks. The finite element computational fluid dynamics software, ADINA, was used to predict the free surface over an ogee spillway and thus model the flow field. Since the actual flow is turbulent the k-ε flow model was used. For the cases considered in this paper, ADINA predicted reasonable free surface results that are consistent with general flow characteristics over spillways. The results are also in close agreement with measured free-surface profiles over the entire length of the spillway.     

On the importance of specific interface area in clay nanocomposites of PMMA filled with synthetic nano-mica

In clay nanocomposites, the specific interface area is the key factor determining potential improvements of properties. Nevertheless, in most systematic studies of nanocomposites little emphasis is put on assuring and characterizing dispersion quality. To probe the influence of dispersion quality, we compare nanocomposites filled with two layered silicates which were made by melt compounding and solution blending, respectively. Poly(methyl methacrylate) (PMMA) is chosen here as a thermoplastic model matrix which was compounded with a synthetic nano-mica (O-hect) and commercial Bentone with typical diameters of 5–7 μm and <300 nm, respectively.     

A phase‑locked loop using ESO‑based loop flter for grid‑connected converter: performance analysis

An extended state observer (ESO)-based loop flter is designed for the phase-locked loop (PLL) involved in a disturbed gridconnected converter (GcC). This ESO-based design enhances the performances and robustness of the PLL, and, therefore, improves control performances of the disturbed GcCs. Besides, the ESO-based LF can be applied to PLLs with extra flters for abnormal grid conditions. The unbalanced grid is particularly taken into account for the performance analysis. A tuning approach based on the well-designed PI controller is discussed, which results in a fair comparison with conventional PItype PLLs. The frequency domain properties are quantitatively analysed with respect to the control stability and the noises rejection. The frequency domain analysis and simulation results suggest that the performances of the generated ESO-based controllers are comparable to those of the PI control at low frequency, while have better ability to attenuate high-frequency measurement noises. The phase margin decreases slightly, but remains acceptable. Finally, experimental tests are conducted with a hybrid power hardware-in-the-loop benchmark, in which balanced/unbalanced cases are both explored. The obtained results prove the efectiveness of ESO-based PLLs when applied to the disturbed GcC.     

A phase-locked loop using ESO-based loop filter for grid-connected converter:performance analysis

An extended state observer(ESO)-based loop filter is designed for the phase-locked loop(PLL)involved in a disturbed grid-connected converter(GcC).This ESO-based...