Thrombolytic therapy for unstable angina

Thrombolytic therapy for unstable angina has not gained acceptance as a primary treatment for unstable angina (UA) despite the evidence showing a reduction in mortality when these agents are given for myocardial infarction. The purpose of this review is to examine the clinical value of thrombolytic therapy for UA. The multiple lines of evidence supporting intracoronary thrombus formation as a key mechanism in the pathogenesis of UA are reviewed. Studies examining the effect of thrombolytic therapy on angiographic endpoints have shown little effect on the extent of luminal narrowing, but do reveal a decrease in angiographically detected thrombus. Twelve randomized, controlled trials of thrombolytic agents in 611 UA patients with predefined clinical endpoints have been published. These trials varied widely in design and adjunctive therapy both in treated and control grops. Review of these trials show a tendency to fewer clinical events such as death, infarction, and need for revascularization in treated patients, with a corresponding increase in bleeding complications. Clinical efficacy of thrombolytic therapy cannot be excluded by the available data, perhaps in part because of insufficient numbers of patients treated. Determination of the net clinical value of thrombolytic therapy must await larger and more definitive trials.     

A hybrid model for spelling error detection and correction for Urdu language

Neural Computing and Applications - Detecting and correcting misspelled words in a written text are of great importance in many natural language processing applications. Errors can be broadly...     

Effect of green manure on the yield,N uptake and floodwater properties of a flooded rice,wheat rotation receiving15N urea on a highly permeable soil

Field studies were conducted for two years on a rapidly percolating loamy sand (Typic Ustochrept) to evaluate the effect of green manure (GM) on the yield,¹⁵N recovery from urea applied to flooded rice, the potential for ammonia loss and uptake of residual fertilizer N by succeeding crops. The GM crop ofSesbania aculeata was grownin situ and incorporated one day before transplanting rice. Urea was broadcast in 0.05 m deep floodwater, and incorporated with a harrow. Green manure significantly increased the yield and N uptake by rice and substituted for a minimum of 60 kg fertilizer N ha^–1. The recovery of fertilizer N as indicated by¹⁵N recovery was higher in the GM + urea treatments. The grain yield and N uptake by succeeding wheat in the rotation was slightly higher with GM. The recovery of residual fertilizer N as indicated by the¹⁵N recovery in the second, third and fourth crops of wheat, rice and wheat was only 3, 1 and 1 per cent of the urea fertilizer applied to the preceding rice crop. Floodwater chemistry parameters showed that the combined use of the GM and 40 kg N ha^–1 as urea applied at transplanting resulted in a comparatively higher potential for NH₃ loss immediately after fertilizer application. The actual ammonia loss as suggested by the¹⁵N recoveries in the rice crop, however, did not appear to be appreciably larger in the GM treatment. It appeared the ammonia loss was restricted by low ammoniacal-N concentration maintained in the floodwater after 2 to 3 days of fertilizer application.     

Reliability Evaluation by Network Decomposition

The method evaluates the reliability of large computer communication systems by systematic decomposition of the probabilistic graph of the system into two parts using an appropriate cutset. A technique is evolved for determining the conditional success events using both the node removal and connection multiplication methods for path enumeration. An example is solved to show the versatility of the method. The results of the example are verified by using an existing algorithm. The suggested method is general and computationally economical.     

Modification of cutsets for reliability evaluation of communication systems

A general and simple technique for the evaluation of symbolic reliability expression in the case of practical systems such as a communication system having fixed channel capacities of its various communicating links, a computer communication network allowing a fixed amount of data exchange amongst different terminals of various computer centres and a power distribution system having limited power ratings of its various power lines, is presented. A system is considered reliable only if it successfully transmits at least the required system capacity from the transmitter to the receiver station. In this method, the various branch sets are obtained which completely disrupt the communication path, i.e. ensure system failure. It is observed that these branch sets are not necessarily the cutsets in the usual graph theoretic sense. The unreliability expression is then determined by adopting an existing method for making various terms disjoint. Two typical examples are solved by this method. It is observed that the method is computationally fast and efficient.     

Computing the zeros of systems

Shamashs's method for determining the numerator a transfer function between a particular output and input of a multivariable system has been modified by the use of a continued fraction to effect a saving in computational effort.     

Joint Source–Channel Communication for Distributed Estimation in Sensor Networks

Power and bandwidth are scarce resources in dense wireless sensor networks and it is widely recognized that joint optimization of the operations of sensing, processing and communication can result in significant savings in the use of network resources. In this paper, a distributed joint source-channel communication architecture is proposed for energy-efficient estimation of sensor field data at a distant destination and the corresponding relationships between power, distortion, and latency are analyzed as a function of number of sensor nodes. The approach is applicable to a broad class of sensed signal fields and is based on distributed computation of appropriately chosen projections of sensor data at the destination - phase-coherent transmissions from the sensor nodes enable exploitation of the distributed beamforming gain for energy efficiency. Random projections are used when little or no prior knowledge is available about the signal field. Distinct features of the proposed scheme include: (1) processing and communication are combined into one distributed projection operation; (2) it virtually eliminates the need for in-network processing and communication; (3) given sufficient prior knowledge about the sensed data, consistent estimation is possible with increasing sensor density even with vanishing total network power; and (4) consistent signal estimation is possible with power and latency requirements growing at most sublinearly with the number of sensor nodes even when little or no prior knowledge about the sensed data is assumed at the sensor nodes.     

Migraine headache following stellate ganglion block for reflex sympathetic dystrophy

The alteration of extracranial blood flow in conjunction with clinical signs of autonomic nervous system dysfunction have led to various explanations concerning the pathophysiology of migraine headache. Reflex sympathetic dystrophy, a painful disorder of the sympathetic nervous system, can be treated by blocking the sympathetic nerves located in the stellate ganglion, resulting in vasodilation, ptosis, miosis, and anhydrosis. In theory, these changes could trigger a migraine headache attack secondary to autonomic dysfunction reflecting an imbalance between sympathetic and parasympathetic nervous systems. This may be especially true in a patient with a previous history of meningitis that may have resulted in a disorder of cerebrovascular regulation. We report a 56-year-old man with no previous history of migraine who developed migraine with aura after a stellate ganglion block. These episodic headaches occurred with decreasing frequency and severity for over 6 months, with eventual complete resolution. This interesting phenomenon has not been reported in the English literature and may help to better understand the pathophysiology of migraine.     

Adenovirus-mediated delivery of rhodopsin-promoted bcl-2 results in a delay in photoreceptor cell death in the rd/rd mouse

Gene transfer to retinal cells may provide a means to retard photoreceptor cell death and thus prevent blindness in diseases such as retinitis pigmentosa. We tested the possibility of interfering with apoptotic photoreceptor cell death in the rd mouse through subretinal delivery of a recombinant replication-defective adenovirus containing the human cDNA for bcl-2, Ad.2.5HRPbcl-2. Photoreceptor-specific transgene expression was accomplished through incorporation of the 2.5 kb human rhodopsin upstream fragment (HRP). Ad.2.5HRPbcl-2 was injected alone or in combination with Ad.CMVPDE beta. Ad.CMVPDE beta contains a cDNA encoding the beta subunit of cGMP phosphodiesterase (PDE beta). Recombinant viruses containing lacZ (driven either by the cytomegalovirus (CMV) promoter/enhancer or HRP) and of Ad.CMVPDE beta and vehicle alone were injected in contralateral eyes as control. Injection of Ad.2.5HRPbcl-2 in the rd mouse resulted in histologically detectable rescue lasting 6 weeks after birth. Extent of rescue was not as large as after delivery of wildtype PDE beta, the gene defective in the rd mouse. However, delivery of genes which prevent apoptotic cell death may have broad application to gene therapy of retinal degenerative diseases.     

Time-delay/Doppler scattering function for suburban mobile radio propagation at 436 MHz

Time-delay/Doppler scattering functions are presented for two different suburban locations where multipath propagation is evident. The major features of the scattering functions are explained in terms of the surrounding environment and the street orientation with respect to the transmitter.