Meeting Report on the International Conference of ECMO-Life Support for Pakistan in 21st Century held May 11-12, 2017, Lahore

Extracorporeal membrane oxygenation support (ECMO) is indicated in severe heart or lung failure with 80 percent or more risk of mortality. In experienced centers, overall survival to discharge ranges from 40 percent in cardiac arrest with extracorporeal cardiopulmonary resuscitation (ECPR) to 70 percent for respiratory failure in adults. Overall survival in children is about 80 percent and newborns with severe lung injury can recover to normal function following prolonged ECMO support, thus, re-defining irreversible lung injury. In the future, ECMO will be automatically controlled with care out of the Intensive care units (ICU) or at home. The International Conference of ECMO-Life Support for Pakistan in 21st Century which was recently held in Lahore, Pakistan on May 11 - 12, 2017. It was to bring together the best of cardiothoracic and vascular surgeons, heart failure cardiologist, adult and pediatric intensivists, pulmonologists, anaesthetists, cardiovascular nurses, postgraduate trainees, para-medical staff, perfusionists, ambulance cardiac first responders and cardiovascular scientists for thought provoking evidence based discussions on the direction and flow of ECMO technology for Pakistan and the Developing World in the next decade. The aim of this conference was to share knowledge on ECMO technologies, advancements and their impact on the health capacity building

Complement protein levels in plasma astrocyte-derived exosomes are abnormal in conversion from mild cognitive impairment to Alzheimer's disease dementia.

IntroductionLevels of complement proteins (CPs) in plasma astrocyte-derived exosomes (ADEs) that are abnormal in Alzheimer's disease (AD) have not been assessed in mild cognitive impairment (MCI).MethodsParticipants (n = 20 per group) had either MCI converting to dementia within 3 years (MCIC), MCI remaining stable over 3 years (MCIS), Alzheimer's disease, or were controls. CPs of ADEs isolated from plasmas by anti-human glutamine aspartate transporter antibody absorption were quantified by ELISAs.ResultsADE levels of C1q and C4b of the classical pathway, factor D and fragment Bb of the alternative pathway, and C5b, C3b, and C5b-C9 of both pathways were significantly higher in patients with MCIC than those with MCIS. ADE levels of inhibitory CPs decay-accelerating factor, CD46, CD59, and type 1 complement receptor were significantly lower in patients with MCIC than those with MCIS.DiscussionADE CPs are components of neurotoxic neuroinflammation that may be predictive biomarkers of MCI conversion to Alzheimer's disease

Generation of picosecond pulses directly from a 100 W, burst-mode, doping-managed Yb-doped fiber amplifier

Cataloged from PDF version of article.Burst-mode laser systems offer increased effectiveness in material processing while requiring lower individual pulse energies. Fiber amplifiers operating in this regime generate low powers in the order of 1 W. We present a Yb-doped fiber amplifier, utilizing doping management, that scales the average power up to 100 W. The laser system produces bursts at 1 MHz, where each burst comprises 10 pulses with 10 mu J energy per pulse and is separated in time by 10 ns. The high-burst repetition rate allows substantial simplification of the setup over previous demonstrations of burst-mode operation in fiber lasers. The total energy in each burst is 100 mu J and the average power achieved within the burst is 1 kW. The pulse evolution in the final stage of amplification is initiated as self-similar amplification, which is quickly altered as the pulse spectrum exceeds the gain bandwidth. By prechirping the pulses launched into the amplifier, 17 ps long pulses are generated without using external pulse compression. The peak power of the pulses is similar to 0.6 MW. (C) 2014 Optical Society of Americ

Recovering the state sequence of hidden Markov models using mean-field approximations

Inferring the sequence of states from observations is one of the most fundamental problems in Hidden Markov Models. In statistical physics language, this problem is equivalent to computing the marginals of a one-dimensional model with a random external field. While this task can be accomplished through transfer matrix methods, it becomes quickly intractable when the underlying state space is large. This paper develops several low-complexity approximate algorithms to address this inference problem when the state space becomes large. The new algorithms are based on various mean-field approximations of the transfer matrix. Their performances are studied in detail on a simple realistic model for DNA pyrosequencing.Comment: 43 pages, 41 figure

Doping management for high-power fiber lasers: 100 W, few-picosecond pulse generation from an all-fiber-integrated amplifier

Cataloged from PDF version of article.Thermal effects, which limit the average power, can be minimized by using low-doped, longer gain fibers, whereas the presence of nonlinear effects requires use of high-doped, shorter fibers to maximize the peak power. We propose the use of varying doping levels along the gain fiber to circumvent these opposing requirements. By analogy to dispersion management and nonlinearity management, we refer to this scheme as doping management. As a practical first implementation, we report on the development of a fiber laser-amplifier system, the last stage of which has a hybrid gain fiber composed of high-doped and low-doped Yb fibers. The amplifier generates 100 W at 100 MHz with pulse energy of 1 mu J. The seed source is a passively mode-locked fiber oscillator operating in the all-normal-dispersion regime. The amplifier comprises three stages, which are all-fiber-integrated, delivering 13 ps pulses at full power. By optionally placing a grating compressor after the first stage amplifier, chirp of the seed pulses can be controlled, which allows an extra degree of freedom in the interplay between dispersion and self-phase modulation. This way, the laser delivers 4.5 ps pulses with similar to 200 kW peak power directly from fiber, without using external pulse compression. (C) 2012 Optical Society of Americ

Alleviating the new user problem in collaborative filtering by exploiting personality information

The final publication is available at Springer via http://dx.doi.org/10.1007/s11257-016-9172-zThe new user problem in recommender systems is still challenging, and there is not yet a unique solution that can be applied in any domain or situation. In this paper we analyze viable solutions to the new user problem in collaborative filtering (CF) that are based on the exploitation of user personality information: (a) personality-based CF, which directly improves the recommendation prediction model by incorporating user personality information, (b) personality-based active learning, which utilizes personality information for identifying additional useful preference data in the target recommendation domain to be elicited from the user, and (c) personality-based cross-domain recommendation, which exploits personality information to better use user preference data from auxiliary domains which can be used to compensate the lack of user preference data in the target domain. We benchmark the effectiveness of these methods on large datasets that span several domains, namely movies, music and books. Our results show that personality-aware methods achieve performance improvements that range from 6 to 94 % for users completely new to the system, while increasing the novelty of the recommended items by 3-40 % with respect to the non-personalized popularity baseline. We also discuss the limitations of our approach and the situations in which the proposed methods can be better applied, hence providing guidelines for researchers and practitioners in the field.This work was supported by the Spanish Ministry of Economy and Competitiveness (TIN2013-47090-C3). We thank Michal Kosinski and David Stillwell for their attention regarding the dataset

The detection of sub-solar mass dark matter halos

Dark matter halos of sub-solar mass are the first bound objects to form in cold dark matter theories. In this article, I discuss the present understanding of "microhalos'', their role in structure formation, and the implications of their potential presence, in the interpretation of dark matter experiments.Comment: 18 pages, 7 figures. Invited contribution to NJP Focus Issue on "Dark Matter and Particle Physics

Diversity analysis of maize inbred lines using DIVA-GIS under temperate ecologies

The vagaries of Climate Change variability need to be addressed and as climatic conditions change at particular experimental sites and maize producing regions, mega-environment assignments will need to be reassessed to guide breeders to appropriate new germplasm and target environments . The development of improved germplasm to meet the needs of future generations in light of climate change and population growth is of the upmost importance . Evaluation of the inbred lines from diverse ecosystems would be effective for production of lines with resilience towards climate variability. Hence, with this objective diverse set of inbred lines sourced from all over India were characterized and were evaluated with DIVA-GIS for diversity analysis of maize inbred lines. Grid maps generated for these maize inbred lines for eleven quantitative traits indicated that these lines can be sourced from North and South India. High Shannon diversity index with maximum range of 2.17-3.0, 2.25-3.0, 2.36-3.0, 2.4-4.0, 2.0-3.0, and 2.2-3.0 were recorded for the traits viz; plant height, ear height, grain weight, grain yield, kernel row and protein content respectively indicating the high response of these traits to ecosystem. However, inbred lines were found to be diverse for all the traits except for ears plant-1 (EPP) and they have been sourced from Northern and Southern parts of India while for EPP recorded less diversity index range of 0.4-1.0 indicating source from South India. Interestingly, less diverse inbred lines for all the eleven quantitative traits have been sourced from Indogangetic plains as indicated in diversity grid maps. Maximum diversity indices were recorded for anthesis silking interval (ASI), days to silking, days to tasseling, which are in the range of 0.97-2.0, 1.528-2.0, 1.516-2.0 and 1.528-2.0 respectively. Hence, DIVA-GIS enabled identification of diverse sources from varied ecosystems which can be used for developing improved lines/ cultivars with greater resilience towards climate change

Validity and reliability of a new food frequency questionnaire compared to 24h recalls and biochemical measurements: Pilot phase of Golestan cohort study of esophageal cancer

Background: A pilot study was carried out to evaluate validity and reproducibility of a food frequency questionnaire (FFQ), which was designed to be used in a prospective cohort study in a population at high risk for esophageal cancer in northern Iran. Methods: The FFQ was administered four times to 131 subjects, aged 35-65 years, of both sexes. Twelve 24-h dietary recalls for two consecutive days were administered monthly during 1 year and used as a reference method. The excretion of nitrogen was measured on four 24-h urine samples, and plasma levels of β-carotene, retinol, vitamin C and α-tocopherol was measured from two time points. Relative validity of FFQ and 24-h diet recall was assessed by comparing nutrient intake derived from both methods with the urinary nitrogen and plasma levels of β-carotene, retinol, vitamin C and α-tocopherol. Results: Correlation coefficients comparing energy and nutrients intake based on the mean of the four FFQ and the mean of twelve 24-h diet recalls were 0.75 for total energy, 0.75 for carbohydrates, 0.76 for proteins and 0.65 for fat. Correlation coefficients between the FFQ-based intake and serum levels of β-carotene, retinol, vitamin C and vitamin E/α-tocopherol were 0.37, 0.32, 0.35 and 0.06, respectively. Correlation coefficients between urinary nitrogen and FFQ-based protein intake ranged from 0.23 to 0.35. Intraclass correlation coefficients used to measure reproducibility of FFQ ranged from 0.66 to 0.89. Conclusion: We found that the FFQ provides valid and reliable measurements of habitual intake for energy and most of the nutrients studied. © 2006 Nature Publishing Group. All rights reserved

A biocatalytic approach to the synthesis of pharmacologically active compounds

Several pharmacologically active compounds present in their structure different functional groups and stereocenters so, for their synthesis, chemo-, regio-, stereoselective transformations are required. This selectivity can be achieved using biocatalysts (enzymes and microorganisms). The aim of our work is the preparation of some pharmacologically active compounds using biocatalytic methodologies which can lead to important improvements compared to traditional approaches, such as better yields and shorter synthetic pathways. Moreover the use of biocatalysts in synthesis is a green approach. For example, in our laboratory through a regioselective transformation catalysed by an enzyme, Alcalase CLEA, we have achieved the synthesis of capecitabine (Xeloda), an antitumor with a nucleosidic scaffold. After the investigation of the activity of different enzymes and microorganisms we have obtained both the enantiomerically pure synthons for the preparation of (S)-pramipexole, a synthetic dopaminergic agonist utilized as anti-Parkinson agent, and (R)-pramipexole, which has been studied for the treatment of amyotrophic lateral sclerosis (ALS). Through a similar biocatalytic approach is under development the synthesis of brivaracetam, a novel anticonvulsant drug. The crucial step of the synthesis of this molecule is the obtainment of the stereocenter bearing the propyl moiety with the proper configuration. This aim was achieved by means of a lipase-catalysed resolution of the suitable precursor of the finale molecule