Viral dynamics of primary viremia and antiretroviral therapy in simian immunodeficiency virus infection

Mathematical modeling of viral replication dynamics, based on sequential measurements of levels of virion-associated RNA in plasma during antiretroviral treatment, has led to fundamental new insights into human immunodeficiency virus type 1 pathogenesis. We took advantage of the simian immunodeficiency virus (SIV)-infected macaque model to perform detailed measurements and mathematical modeling during primary infection and during treatment of established infection with the antiretroviral drug (R)-9-(2-phosphonylmethoxypropyl)adenine (PMPA). The calculated clearance half-life for productively infected cells during resolution of the peak viremia of primary infection was on the order of 1 day, with slightly shorter clearance half-lives calculated during PMPA treatment. Viral reproduction rates upon discontinuation of PMPA treatment after 2 weeks were approximately twofold greater than those obtained just prior to initiation of treatment in the same animals, likely reflecting accumulation of susceptible target cells during treatment. The basic reproductive ratio (R0) for the spread of SIV infection in vivo, which represents the number of productively infected cells derived from each productively infected cell at the beginning of infection, was also estimated. This parameter quantifies the extent to which antiviral therapy or vaccination must limit the initial spread of virus to prevent establishment of chronic disseminated infection. The results thus provide an important guide for efforts to develop vaccines against SIV and, by extension, human immunodeficiency virus.     

Coronary bypass in vascular patients: a relatively high-risk procedure

A premise of cardiac risk stratification is that the added risk of coronary artery bypass grafting (CABG) is offset by the improved safety of subsequent vascular reconstruction (VR). We questioned if elective CABG is patients with severe peripheral vascular disease (PVD) is a relatively high-risk procedure. A cohort study of 680 elective CABG patients from January 1993 to December 1994 was performed using three mutually exclusive outcomes of complication-free survival, morbidity, and mortality. Patient characteristic, operative, and outcome data were prospectively collected. Retrospective review determined that 58 patients had either a standard indication for or a history of VR. Overall CABG mortality was 2.5%, with statistically similar but relatively higher rates for PVD as compared to non-PVD patients. In contrast, major morbidity occurred at rates 3.6-fold higher in PVD patients (39.7%) than in disease-free patients (16.7%) after adjustment for the effects of patient and operative variables (odds ratio [OR] 3.67, 95% confidence interval [CI] 1.93-6.99). CABG morbidity in the PVD patient was most likely in those patients with aortoiliac (OR 9.51, CI 3.20-28.27) and aortic aneurysmal (OR 5.24, CI 1.28-21.41) disease types. CABG in PVD patients is associated with significant major morbidity. Such morbidity may preclude or alter the timing of subsequent VR.     

QoS assessment of 3G video-phone calls by tracing watermarking exploiting the new colour space `YST?

Tracing watermarking has been recently proposed as a technique to provide a blind measure of the quality of service of the communication link, focusing on multimedia communication scenarios. 3G communication scenarios, where each customer transmits both voice and MPEG-4 video sequences in real time, have been considered. Typical video-phone call consists of close shots of speakers, framing their face in the foreground. For such particular application, a novel colour space (YST) is adopted to minimise the perceptual distortions on face coding introduced by watermarking. In the YST space, the luminance component (Y) is the same as in conventional YUV space, whereas the vectors S and T lie within the chrominance (UV) plane. The S (skin) component is a linear combination of U and V obtained as the 'average' chrominance estimated from an assorted set human faces to achieve a reasonable generalisation. The third component, T, is defined as orthogonal to the YS plane. The results show the benefits obtained in digital watermarking by the new representation against the conventional approach. In fact, the sensitivity of the YST representation outperforms the conventional one in terms of objective (mean square error, peak signal-to-noise ratio) and subjective (video-quality metrics) indicators.     

Hidden Markov modeling using a dominant state sequence with application to speech recognition

Approximate maximum likelihood (ML) hidden Markov modeling using the most likely state sequence (MLSS) is examined and compared with the exact ML approach that considers all possible state sequences. It is shown that for any hidden Markov model (HMM), the difference between the approximate and the exact normalized likelihood functions cannot exceed the logarithm of the number of states divided by the dimension of the output vectors (frame length), which is negligible for typically used values of vector dimension (128–256) and number of states (2–30). Furthermore, for Gaussian HMMs and a given observation sequence, the MLSS is typically the sequence of nearest neighbor states in the Itakura-Saito sense, and the posterior probability of any state sequence which departs from the MLSS in a single time instant decays exponentially with the frame length. Hence, for a sufficiently large frame length the exact and approximate ML approaches provide similar model estimates and likelihood values. The results and their implications on speech recognition are demonstrated in a set of experiments.     

Treatment of essential arterial hypertension with hypercholesterolemia. Effects of an alpha-adrenergic blocker and an inhibitor of the angiotensin converting enzyme

BACKGROUND: Hypertension and hypercholesterolemia are frequently associated with this leading to considerable cardiovascular risk. METHODS: An open parallel randomized study was performed in which the effects of doxazosin, an alpha-adrenergic blocker and enalapril, an inhibitor of the angiotensin converting enzyme were compared in 70 patients with essential high blood pressure and plasma cholesterol levels greater than 240 mg/dl. Following 2-4 weeks of placebo administration the patients were randomly treated with one of the two drugs. When required doses were increased and hydrochlorothiazide added until blood pressure lower than 160/95 mmHg was achieved. After this period the patients were observed for a minimum of 8 weeks. The mean length of the study was of 22 weeks. RESULTS: Both drugs significantly reduced blood pressure without modifying cardiac frequency. Doxazosin tended to favorably modify the lipid profile of the plasma while enalapril significantly reduced the levels of cholesterol, lipids and high density lipoproteins (HDL). Upon termination of the study the total HDL/cholesterol index increased 8.6% in those treated with doxazosin and decreased 5.5% in those receiving enalapril (p < 0.05). CONCLUSIONS: Although doxazosin and enalapril are potent antihypertensive drugs, the effects on plasma lipid obtained with doxazosin indicate that a reduction in cardiovascular risk was achieved with this drug in the patients included in this study.     

Nitric oxide synthase-immunoreactive neurons in human and porcine respiratory tract

The presence of nitric oxide synthase (NO-synthase), the enzyme responsible for the production of nitric oxide (NO) from L-arginine, is shown immunocytochemically in the intrinsic neurons of the human and porcine respiratory tract. NO-synthase immunoreactivity is demonstrated in a subpopulation of neurons of the microganglia present in the wall of the extra- and intrapulmonary bronchi as well as in the hilar region of the lung in relation to blood vessels. The immunostaining was also found in some nerve fibers of the respiratory nervous system. Human and porcine lung gave similar results. The possible involvement of NO in the nonadrenergic noncholinergic (NANC) nervous regulation of the lung is discussed.     

Fast Inverse Motion Compensation Algorithms for MPEG and for Partial DCT Information

In prior work, we developed a fast inverse motion compensation method that can be implemented directly on the DCT domain representation derived from the compressed bitstreams conforming to MPEG, H.261, and H.263 standards. That work was restricted to compressed-domain representations wherein the motion-vectors have integer pel accuracy. Here, we extend this work to fractional-pel accurate motion-vectors. We also extend the prior work to speed up the inverse motion compensation process in the DCT domain by explicitly exploiting the sparseness of the DCT domain representation. Using partial DCT information, we show that the DCT domain method has substantially lower operation count than the conventional spatial domain approach which requires decompression followed by inverse motion-compensation.