Antibiotics in acute bronchitis: a meta-analysis.

PurposeMost patients with acute bronchitis who seek medical care are treated with antibiotics, although the effectiveness of this intervention is uncertain. We performed a meta-analysis of randomized, controlled trials to estimate the effectiveness of antibiotics in the treatment of acute bronchitis.Subjects and methodsEnglish-language studies published January 1966 to April 1998 were retrieved using MEDLINE, bibliographies, and consultation with experts. Only randomized trials that enrolled otherwise healthy patients with a diagnosis of acute bronchitis, used an antibiotic in the treatment group and a placebo in the control group, and provided sufficient data to calculate an effect size were included.ResultsWe identified eight randomized controlled trials that satisfied all inclusion criteria. These studies used one of three antibiotics (erythromycin, doxycycline, trimethoprim/sulfamethoxazole). The use of antibiotics decreased the duration of cough and sputum production by approximately one-half day (summary effect size 0.21; 95% CI, 0.05 to 0.36). For specific symptoms, there were nonsignificant trends favoring the use of antibiotics: a decrease of 0.4 days of purulent sputum (95% CI, -0.1 to 0.8), a decrease of 0.5 days of cough (95% CI, -0.1 to 1.1), and a decrease of 0.3 days lost from work (95% CI, -0.6 to 1.1).ConclusionThis meta-analysis suggests a small benefit from the use of the antibiotics erythromycin, doxycycline, or trimethoprim/sulfamethoxazole in the treatment of acute bronchitis in otherwise healthy patients. As this small benefit must be weighed against the risk of side effects and the societal cost of increasing antibiotic resistance, we believe that the use of antibiotics is not justified in these patients

The Yersinia enterocolitica Ysa type III secretion system is expressed during infections both in vitro and in vivo.

Yersinia enterocolitica biovar 1B maintains two type III secretion systems (T3SS) that are involved in pathogenesis, the plasmid encoded Ysc T3SS and the chromosomally encoded Ysa T3SS. In vitro, the Ysa T3SS has been shown to be expressed only at 26°C in a high-nutrient medium containing an exceptionally high concentration of salt - an artificial condition that provides no clear insight on the nature of signal that Y. enterocolitica responds to in a host. However, previous research has indicated that the Ysa system plays a role in the colonization of gastrointestinal tissues of mice. In this study, a series of Ysa promoter fusions to green fluorescent protein gene (gfp) were created to analyze the expression of this T3SS during infection. Using reporter strains, infections were carried out in vitro using HeLa cells and in vivo using the mouse model of yersiniosis. Expression of green fluorescent protein (GFP) was measured from the promoters of yspP (encoding a secreted effector protein) and orf6 (encoding a structural component of the T3SS apparatus) in vitro and in vivo. During the infection of HeLa cells GFP intensity was measured by fluorescence microscopy, while during murine infections GFP expression in tissues was measured by flow cytometry. These approaches, combined with quantification of yspP mRNA transcripts by quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR), demonstrate that the Ysa system is expressed in vitro in a contact-dependent manner, and is expressed in vivo during infection of mice

Entry by Spinoff in a High-tech Cluster

Recently empirical studies have focused on how capabilities of new entering firms are important for the evolution of industries over time. The performance of new entrants appears to be significantly influenced by their pre-entry background. The general impression of the literature is that firms founded by former employees of successful incumbents have shown larger propensities to survive than other categories of new entrants. In the present paper, we use this approach to study the emergence and growth over the past three decades of a wireless telecommunications cluster around Aalborg in North Jutland, Denmark (NorCOM). The aim is to analyse the dominating forces behind the growth of NorCOM using detailed information about the founding events and organizational background of the individual entrants in the cluster. We show that the technological successes of firms in the region have powered a spinoff process, which can account for the majority of the growth in number of firms and employment in the cluster.Clusters, Spinoffs, Evolution of Industries, Entrepreneurs

Entrepreneurial Founder Effects in the Growth of Regional Clusters How Early Success is a Key Determinant

How can the growth of regional clusters be explained? This paper studies in great detail the growth of the wireless communication cluster in Northern Denmark. Unlike the dominant theories, we argue that initial success of the first firms are the main driving force behind the generation of new firms that eventually lead to the formation of clusters. The success of the first firms tends to generate spin-offs, which become successful themselves due to the background of the founders.Agglomeration, Clusters, Spin-offs, Knowledge Diffusion

Investigation of the ionospheric Faraday rotation for use in orbit corrections

The possibility of mapping the Faraday factors on a worldwide basis was examined as a simple method of representing the conversion factors for any possible user. However, this does not seem feasible. The complex relationship between the true magnetic coordinates and the geographic latitude, longitude, and azimuth angles eliminates the possibility of setting up some simple tables that would yield worldwide results of sufficient accuracy. Tabular results for specific stations can easily be produced or could be represented in graphic form

Explanation of the computer listings of Faraday factors for INTASAT users

Using a simplified form of the Appleton-Hartree formula for the phase refractive index, a relationship was obtained between the Faraday rotation angle along the angular path and the total electron content along the vertical path, intersecting the angular at the height of maximum electron density. Using the second mean value theorem of integration, the function B cosine theta second chi was removed from under the integral sign and replaced by a 'mean' value. The mean value factors were printed on the computer listing for 39 stations receiving signals from the INTASAT satellite during the specified time period. The data is presented by station and date. Graphs are included to demonstrate the variation of the Faraday factor with local time and season, with magnetic latitude, elevation and azimuth angles. Other topics discussed include a description of the bent ionospheric model, the earth's magnetic field model, and the sample computer listing

A Multistage Stochastic Programming Approach to the Dynamic and Stochastic VRPTW - Extended version

We consider a dynamic vehicle routing problem with time windows and stochastic customers (DS-VRPTW), such that customers may request for services as vehicles have already started their tours. To solve this problem, the goal is to provide a decision rule for choosing, at each time step, the next action to perform in light of known requests and probabilistic knowledge on requests likelihood. We introduce a new decision rule, called Global Stochastic Assessment (GSA) rule for the DS-VRPTW, and we compare it with existing decision rules, such as MSA. In particular, we show that GSA fully integrates nonanticipativity constraints so that it leads to better decisions in our stochastic context. We describe a new heuristic approach for efficiently approximating our GSA rule. We introduce a new waiting strategy. Experiments on dynamic and stochastic benchmarks, which include instances of different degrees of dynamism, show that not only our approach is competitive with state-of-the-art methods, but also enables to compute meaningful offline solutions to fully dynamic problems where absolutely no a priori customer request is provided.Comment: Extended version of the same-name study submitted for publication in conference CPAIOR201

Ionospheric range-rate effects in satellite-to-satellite tracking

Investigation of ionospheric range and range-rate corrections in satellite-to-satellite tracking were investigated. Major problems were cited and the magnitude of errors that have to be considered for communications between satellites and related experiments was defined. The results point to the need of using a sophisticated modeling approach incorporating daily solar data, and where possible actual ionospheric measurements as update information, as a simple median model cannot possibly account for the complex interaction of the many variables. The findings provide a basis from which the residual errors can be estimated after ionospheric modeling is incorporated in the reduction. Simulations were performed for satellites at various heights: Apollo, Geos, and Nimbus tracked by ATS-6; and in two different geometric configurations: coplanar and perpendicular orbits