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Database-derived potentials dependent on protein size for in silico folding and design.

Knowledge-based potentials are widely used in simulations of protein folding, structure prediction, and protein design. Their advantages include limited computational requirements and the ability to deal with low-resolution protein models compatible with long-scale simulations. Their drawbacks comprehend their dependence on specific features of the dataset from which they are derived, such as the size of the proteins it contains, and their physical meaning is still a subject of debate. We address these issues by probing the theoretical validity of these potentials as mean-force potentials that take the solvent implicitly into account and involve entropic contributions due to atomic degrees of freedom and solvation. The dependence on the size of the system is checked on distance-dependent amino acid pair potentials, derived from six protein structure sets containing proteins of increasing length N. For large inter-residue distances, they are found to display the theoretically predicted 1/N behavior weighted by a factor depending on the boundaries and the compressibility of the system. For short distances, different trends are observed according to the nature of the residue pairs and their ability to form, for example, electrostatic, cation-pi or pi-pi interactions, or hydrophobic packing. The results of this analysis are used to devise a novel protein size-dependent distance potential, which displays an improved performance in discriminating native sequence-structure matches among decoy models.

Algorithms↗

Evaluation of two 3D virtual computer reconstructions for comparison of cleft lip and palate to normal fetal microanatomy.

Cleft lip and palate reconstructive surgery requires thorough knowledge of normal and pathological labial, palatal, and velopharyngeal anatomy. This study compared two software algorithms and their 3D virtual anatomical reconstruction because exact 3D micromorphological reconstruction may improve learning, reveal spatial relationships, and provide data for mathematical modeling. Transverse and frontal serial sections of the midface of 18 fetal specimens (11th to 32nd gestational week) were used for two manual segmentation approaches. The first manual segmentation approach used bitmap images and either Windows-based or Mac-based SURFdriver commercial software that allowed manual contour matching, surface generation with average slice thickness, 3D triangulation, and real-time interactive virtual 3D reconstruction viewing. The second manual segmentation approach used tagged image format and platform-independent prototypical SeViSe software developed by one of the authors (F.W.). Distended or compressed structures were dynamically transformed. Registration was automatic but allowed manual correction, such as individual section thickness, surface generation, and interactive virtual 3D real-time viewing. SURFdriver permitted intuitive segmentation, easy manual offset correction, and the reconstruction showed complex spatial relationships in real time. However, frequent software crashes and erroneous landmarks appearing "out of the blue," requiring manual correction, were tedious. Individual section thickness, defined smoothing, and unlimited structure number could not be integrated. The reconstruction remained underdimensioned and not sufficiently accurate for this study's reconstruction problem. SeViSe permitted unlimited structure number, late addition of extra sections, and quantified smoothing and individual slice thickness; however, SeViSe required more elaborate work-up compared to SURFdriver, yet detailed and exact 3D reconstructions were created.

Cleft Lip↗

Emergency treatment of hypothermia.

This review considers several recent concepts regarding aetiology and treatment of accidental hypothermia. The importance and effectiveness of shivering heat production in the attenuation and reversal of hypothermia is described. Immediately following removal from cold stress, the patient is in danger of a deteriorating condition that may be due to collapse of arterial pressure and/or continued decrease of core temperature. Several controversies are discussed. It is advised that, when possible, patients should be actively but gently warmed as soon as possible (especially if arrival at the emergency department will take greater than 45 min). Extra time should be taken to check for life signs before cardiopulmonary resuscitation is initiated. Chest compressions should proceed at regular normothermic rates and care should be taken to not overventilate the patient. In the emergency department, several factors should be considered before deciding on a treatment regimen. These factors include level of consciousness, cardiovascular stability, core temperature and the direction of change of core temperature. It may be advantageous to transport the more severely hypothermic patient to a more advanced care facility even though transport time may be greater.

Algorithms↗

Fully 3-D PET reconstruction with system matrix derived from point source measurements.

The quality of images reconstructed by statistical iterative methods depends on an accurate model of the relationship between image space and projection space through the system matrix The elements of the system matrix for the clinical Hi-Rez scanner were derived by processing the data measured for a point source at different positions in a portion of the field of view. These measured data included axial compression and azimuthal interleaving of adjacent projections. Measured data were corrected for crystal and geometrical efficiency. Then, a whole system matrix was derived by processing the responses in projection space. Such responses included both geometrical and detection physics components of the system matrix. The response was parameterized to correct for point source location and to smooth for projection noise. The model also accounts for axial compression (span) used on the scanner. The forward projector for iterative reconstruction was constructed using the estimated response parameters. This paper extends our previous work to fully three-dimensional. Experimental data were used to compare images reconstructed by the standard iterative reconstruction software and the one modeling the response function. The results showed that the modeling of the response function improves both spatial resolution and noise properties.

Algorithms↗

Scale-up of high shear granulation based on the internal stress measurement.

Scale-up of wet granulation in a vertical high shear mixer was conducted. Pharmaceutical excipient powders composed of lactose, cornstarch and micro-crystallinecellulose, and hydroxypropylcellulose as a binder were mixed together and then granulated with purified water under various operating conditions and vessel scales. A novel internal stress measurement system was developed and stress of normal and tangential directions that granules received from the agitator blade during the granulation was continuously measured. The results indicated that granules received stress mainly from the tangential direction, which also showed the largest value near at the vessel wall. The effects of the agitator tip speed and the centrifugal acceleration on the measured stress was investigated. It was found that the tip speed of the agitator blade could be the main factor for the granule growth. The physical properties such as strength, size distribution and compressibility of granules prepared by changing the operating conditions and the vessel scales were evaluated and the scale-up characteristics of high shear granulation were investigated experimentally. The results showed that these physical properties had linear correlations with the tip speed. It was finally concluded that the scale-up of high shear granulation could be well conducted by means of the tip speed of the agitator blade.

Algorithms↗

[Guidelines for basic cardiopulmonary resuscitation of adult patients. European Resuscitation Council].

In this article, 15 experts from six countries present an abridged version of the 1998 European Resuscitation Council guidelines for adult basic life support. Persons trained in advanced life support should use these guidelines together with the guidelines for advanced life support, also published in this journal. There are a few changes from the previous guidelines published in 1993. The ventilation tidal volume has been reduced to 400-600 ml, and the chest compression frequency has been increased to 100 min-1. In Norway, but not in the rest of Europe, the evaluation of the circulation by a pulse check has been eliminated in basic, but not in advanced cardiopulmonary resuscitation. This is due to reports that pulse checks performed by lay rescuers require much time with poor specificity and sensitivity. Finally, in evaluating the patient's own ventilation the differentiation between agonal gasps and regular breaths is stressed.

Adult↗

A variable resolution x-ray detector for computed tomography: I. Theoretical basis and experimental verification.

A computed tomography imaging technique called variable resolution x-ray (VRX) detection provides detector resolution ranging from that of clinical body scanning to that of microscopy (1 cy/mm to 100 cy/mm). The VRX detection technique is based on a new principle denoted as "projective compression" that allows the detector resolution element to scale proportionally to the image field size. Two classes of VRX detector geometry are considered. Theoretical aspects related to x-ray physics and data sampling are presented. Measured resolution parameters (line-spread function and modulation-transfer function) are presented and discussed. A VRX image that resolves a pair of 50 micron tungsten hairs spaced 30 microns apart is shown.

Algorithms↗

Percutaneous trigeminal ganglion compression for the treatment of trigeminal neuralgia: report of two cases.

Percutaneous trigeminal ganglion compression for the relief of trigeminal neuralgia is a technically simple, non-painful procedure, carried out under brief general anesthesia. The patients could tolerate well during the treatment. The operation successful rate is high, and the procedure can be repeated at the next day if the symptom was not relieved. The procedure, in the present, is the first choice for those trigeminal neuralgia patients who are poor medical risks, those who are above the age of 65, those with demyelinating disease, and those who are unwilling to accept the increased risk of a posterior fossa craniectomy. We have successfully performed this procedure for two recurrent trigeminal neuralgia patients without any surgical complication. We propose this surgical treatment algorithm for trigeminal neuralgia patients who are not able to tolerate the medical treatment.

Adult↗

Influence of cellulose ether mixtures on ibuprofen release: MC25, HPC and HPMC K100M.

The influence of cellulose ether derivatives on ibuprofen release from matrix tablets was investigated. Raman spectroscopy and differential scanning calorimetry (DSC) experiments were used, in order to examine the compatibility between the matrix components: both excipients and ibuprofen. While both the DSC and Raman results did not detect any incompatibilities, DSC revealed the existence of some drug:excipient interactions, reflected by variations in the hydration/dehydration processes. Formulations containing mixtures of polymers with both low and high viscosity grades-methylcellulose (MC25) or hydroxypropylcellulose (HPC), and hydroxypropylmethylcellulose (HPMC K100M), respectively--were prepared by a direct compression method (using 20, 25, and 30% of either MC25 or HPC). The tablets were evaluated for their drug content, weight uniformity, hardness, thickness, tensile strength, friability, porosity, surface area, and volume. Parameters such as the mean dissolution time (MDT) and the dissolution efficiency (DE) were calculated in all cases. The solid formulations presently studied demonstrated a predominantly Fickian diffusion release mechanism.

Algorithms↗

Thoracic gas volume at functional residual capacity measured with an integrated-flow plethysmograph in infants and young children.

Thoracic gas volume (TGV) was measured with an integrated flow plethysmograph in 15 infants aged 2-34 months. End-expiratory (TGVe) and end-inspiratory (TGVi) airway occlusions were compared, after correction of TGV for the occluded volume above functional residual capacity (FRC). The relationship between pressure at the airway opening (Pao) and volume displaced from the box during airway occlusion (Vg) was studied numerically by: 1) an algorithm including a correction for the drift of Vg and linear regression analysis (LR); and 2) Fourier analysis of the signals (FFT). TGVe was significantly higher than TGVi (256 vs 237 ml, 20.4 (square root of residual variance; p less than 0.002). The correlation coefficient of the Pao-Vg relationship was slightly but significantly higher for TGVi than for TGVe: 0.9968 (0.9937-0.9995) vs 0.9947 (0.9840-0.9990) (means and range). No difference was observed between LR and FFT, although the intra-individual coefficient of variation was lower for LR than FFT: 5.2% (1.6-11.3) vs 7.9% (1.9-21.0) (means and range). Model simulations suggested that the difference between TGVe and TGVi could be mainly attributed to gas compression in the instrumental deadspace and upper airway wall motion and/or to uneven distribution of alveolar and pleural pressure associated with chest wall distortion.

Airway Resistance↗

Diagnosis of deep vein thrombosis and pulmonary embolism in pregnancy.

Venous thromboembolism (VTE) is a major cause of maternal morbidity and mortality. Because unrecognized and untreated pulmonary embolism (PE) can result in maternal mortality, physician vigilance for this disease should remain high. The diagnosis of both PE and deep vein thrombosis (DVT) in the pregnant patient, as in the nonpregnant patient, requires the use of accurate objective imaging. However, unlike the nonpregnant population, there is a paucity of trials evaluating the safety and accuracy of objective testing for PE or DVT diagnosis in pregnant patients--likely because of concerns surrounding the use of ionizing radiation associated with diagnostic tests during pregnancy. Regardless of extrapolating results from studies in the nonpregnant population, the use of compression leg ultrasound and ventilation-perfusion (VQ) scanning during pregnancy is central to the diagnosis of DVT and PE, respectively. Data on the utility of structured clinical models or D-dimer testing for the diagnosis of DVT or PE during pregnancy is currently unavailable. Future research is urgently needed to validate the use of current approaches and perhaps define safer and more accurate strategies to reduce maternal morbidity from this disease.

Algorithms↗

Effects of compression on language evolution.

For many adaptive complex systems information about the environment is not simply recorded in a look-up table, but is rather encoded in a theory, schema, or model, which compresses information. The grammar of a language can be viewed as such a schema or theory. In a prior study [Teal et al., 1999] we proposed several conjectures about the learning and evolution of language that should follow from these observations: (C1) compression aids in generalization; (C2) compression occurs more easily in a "smooth," as opposed to a "rugged," problem space: and (C3) constraints from compression make it likely that natural languages evolve towards smooth string spaces. This previous work found general, if not complete support for these three conjectures. Here we build on that study to clarify the relationship between Minimum Description Length (MDL) and error in our model and examine evolution of certain languages in more detail. Our results suggest a fourth conjecture: that all else being equal, (C4) more complex languages change more rapidly during evolution.

Algorithms↗

Isobaric annealing of high-density amorphous ice between 0.3 and 1.9 GPa: in situ density values and structural changes.

We report in situ density values of amorphous ice obtained between 0.3 and 1.9 GPa and 144 to 183 K. Starting from high-density amorphous ice made by pressure-amorphizing hexagonal ice at 77 K, samples were heated at a constant pressure until crystallization to high-pressure ices occurred. Densities of amorphous ice were calculated from those of high-pressure ice mixtures and the volume change on crystallization. In the density versus pressure plot a pronounced change of slope occurs at approximately 0.8 GPa, with a slope of 0.21 g cm(-3) GPa(-1) below 0.8 GPa and a slope of 0.10 g cm(-3) GPa(-1) above 0.8 GPa. Both X-ray diffractograms and Raman spectra of recovered samples show that major structural changes occur up to approximately 0.8 GPa, developing towards those of very high-density amorphous ice reported by (T. Loerting, C. Salzmann, I. Kohl, E. Mayer and A. Hallbrucker, Phys. Chem. Chem. Phys., 2001, 3, 5355) and that further increase of pressure has only a minor effect. In addition, the effect of annealing temperature (T(A)) at a given pressure on the structural changes was studied by Raman spectra of recovered samples in the coupled O-H and decoupled O-D stretching band region: at 0.5 GPa structural changes are observed between approximately 100-116 K, at 1.17 GPa between approximately 121-130 K. Further increase of T(A) or of annealing time has no effect, thus indicating that the samples are fully relaxed. We conclude that mainly irreversible structural changes between 0.3 to approximately 0.8 GPa lead to the pronounced increase in density, whereas above approximately 0.8 GPa the density increase is dominated to a large extent by reversible elastic compression. These results seem consistent with simulation studies by (R. Martonàk, D. Donadio and M. Parrinello, J. Chem. Phys., 2005, 122, 134501) where substantial reconstruction of the topology of the hydrogen bonded network and changes in the ring statistics from e.g. mainly six-membered to mainly nine-membered rings were observed on pressure increase up to 0.9 GPa and further pressure increase had little effect.

Algorithms↗

[The ABCD of resuscitation].

Reanimation is divided into two phases. The first phase, primary ABCD, consists of verifying the patient's responsiveness, activating the emergency system, requesting a defibrillator, establishing and maintaining the airway's patency, checking respiration, initiating artificial respiration when necessary, checking the circulation, in the absence of a pulse beginning with chest compressions, and identifying the heart rhythm on the monitor. In particular, one should determine if the rhythm is ventricular fibrillation. Ventricular fibrillation is the most frequent cause of sudden cardiac arrest, estimated to occur in 70 to 80% of cases. The basic measures should not delay the earliest possible use of defibrillation. Only then follows the second phase, secondary ABCD, consisting of intubation, adequate ventilation, intravenous infusion, medications, further defibrillation when appropriate and the determination of treatable causes.

Algorithms↗

A physiological model of the release of gas bubbles from crevices under decompression.

Moving bubbles have been observed in the blood during or after decompression using ultrasonic techniques. It has been proposed that these may grow from nuclei housed on the blood vessel wall. One candidate for bubble nucleation is hydrophobic crevices. This work explores the growth of gas pockets that might exist in conical crevices and the release of bubbles from these crevices under decompression. An existing dynamic mathematical model for the stability of gas pockets in crevices [Chappell, M.A., Payne, S.J., in press. A physiological model of gas pockets in crevices and their behavior under compression. Respir. Physiol. Neurobiol.] is extended to include the behavior as the gas pocket reaches the crevice mouth and bubbles seed into the bloodstream. The behavior of the crevice bubble is explored for a single inert gas, both alone and with metabolic gases included. It was found that the presence of metabolic gases has a significant effect on the behavior under decompression and that this appears to be due to the high diffusivity of these gases.

Algorithms↗

Minimisation of data transfer losses in the display of digitised scintigraphic images.

The transfer of scintigraphic data to any type of display, and ultimately to the eye, is a data compression procedure which invariably leads to information loss. Unless this information loss can be minimised, valuable image data may well be discarded. Attempts to achieve data loss minimisation have led to procedures such as the use of statistically equal levels for display, and the more recent histogram modification techniques such as equalisation and hyperbolisation. The method discussed here uses information theory to obtain the mean uncertainty (or entropy) per pixel in the intensity of the displayed image. Statistical noise and the characteristics of the image are taken into account. Calculation of the best choice of grey or colour levels for transfer loss minimisation is then possible: that is, the best conditions for data transfer to the display can be set up. A computer algorithm which carries out this function has been written. Several different types of simulated phantom, and clinical images, have been investigated. Improved perceptibility of many of these images has been obtained, correlating with reduction in mean pixel uncertainty. Although the technique still requires some refinement, it appears that optimisation of display characteristics for any transmitted image is potentially feasible.

Computers↗

Speech enhancement by filtering in the loudness domain.

Several attempts that employed dynamic compression to compensate for cochlear impairment in combination with recruitment have failed to improve speech intelligibility. One reason is the attenuation of dynamic intensity modulations in the range of 1 to 50 Hz which contribute significantly to speech discrimination. In the approach presented here, these modulations were enhanced rather than attenuated by an envelope highpass filter operating in the loudness domain as follows: the output of a filterbank was lowpass filtered to extract the envelope, converted to loudness in accordance with normal hearing, highpass-filtered and converted back to the 'desired' envelope by the loudness characteristic of each individual hearing-impaired subject. The output signal was finally obtained by summing the outputs of the filterbank channels after correcting their amplitudes. The algorithm was implemented by a computer to simulate a digital hearing aid fitted to the loudness-scaling function of each individual. Loudness scaling and speech-discrimination data in quiet and in noisy conditions are presented for 2 impaired subjects with and without highpass filtering in the loudness domain. The results indicate that loudness compensation without highpass filtering improves speech intelligibility for a wide range of input levels by achieving an optimum gain characteristic at all input levels. The highpass filter applied to the envelope has no noticeable effect on speech discrimination either in quiet or in noise.

Algorithms↗

Lossless compression of stromatolite images: a biogenicity index?

It has been underappreciated that inorganic processes can produce stromatolites (laminated macroscopic constructions commonly attreibuted to microbiological activity), thus calling into question the long-standing use of stromatolites as de facto evidence for ancient life. Using lossless compression on unmagnified reflectance red-green-blue (RGB) images of matched stromatolite-sediment matrix pairs as a complexity metric, the compressibility index (delta(c), the log ratio of the ratio of the compressibility of the matrix versus the target) of a putative abiotic test stromatolite is significantly less than the delta(c) of a putative biotic test stromatolite. There is a clear separation in delta(c) between the different stromatolites discernible at the outcrop scale. In terms of absolute compressibility, the sediment matrix between the stromatolite columns was low in both cases, the putative abiotic stromatolite was similar to the intracolumnar sediment, and the putative biotic stromatolite was much greater (again discernible at the outcrop scale). We propose tht this metric would be useful for evaluating the biogenicity of images obtained by the camera systems available on every Mars surface probe launched to date including Viking, Pathfinder, Beagle, and the two Mars Exploration Rovers.

Algorithms↗