175 research outputs found
A combined representation for the maintenance of C programs
A programmer wishing to make a change to a piece of code must first gain a full understanding of the behaviours and functionality involved. This process of program comprehension is difficult and time consuming, and often hindered by the absence of useful program documentation. Where documentation is absent, static analysis techniques are often employed to gather programming level information in the form of data and control flow relationships, directly from the source code itself. Software maintenance environments are created by grouping together a number of different static analysis tools such as program sheers, call graph builders and data flow analysis tools, providing a maintainer with a selection of 'views' of the subject code. However, each analysis tool often requires its own intermediate program representation (IPR). For example, an environment comprising five tools may require five different IPRs, giving repetition of information and inefficient use of storage space. A solution to this problem is to develop a single combined representation which contains all the program relationships required to present a maintainer with each required code view. The research presented in this thesis describes the Combined C Graph (CCG), a dependence-based representation for C programs from which a maintainer is able to construct data and control dependence views, interprocedural control flow views, program slices and ripple analyses. The CCG extends earlier dependence-based program representations, introducing language features such as expressions with embedded side effects and control flows, value returning functions, pointer variables, pointer parameters, array variables and structure variables. Algorithms for the construction of the CCG are described and the feasibility of the CCG demonstrated by means of a C/Prolog based prototype implementation
RESULTS OF AN EXPERIMENT TO LEAD CRANES ON MIGRATION BEHIND MOTORIZED GROUND VEHICLES
Ten greater sandhill cranes (Grus canadensis tabida) , trained to enter and ride in a specially-equipped truck, were transported at ca 80 days of age from their rearing site at Patuxent Wildlife Research Center (patuxent), Maryland, to a reintroduction site located within the species\u27 former breeding range in northern Arizona. After 5 additional weeks of training, these juvenile cranes were led south ca 600 km to a wintering area on the Arizona/Mexico border. Nine of the 10 survived the trek, 495 km of which were flown, although only a few cranes flew every stage of the route. Their longest flight was 77 lan. Major problems during the migration were powerline collisions (3, 1 fatal), eagle attacks (none fatal), and overheating (when air temperatures exceeded ca 25 C). All cranes that entered training quickly learned to follow the truck, and their tenacity when following under unfavorable conditions (e.g., poor light, extreme dust, or heat) showed that cranes could consistently be led over long distances. We cannot predict if the cranes will retrace their route unassisted when adults, but 2 cranes returned 130 km to the starting point of the migration after the flock was scattered by an eagle during our migration south. Three other cranes were recovered 55 km from the attack site and on course toward the starting point
RESULTS OF AN EXPERIMENT TO LEAD CRANES ON MIGRATION BEHIND MOTORIZED GROUND VEHICLES
Ten greater sandhill cranes (Grus canadensis tabida) , trained to enter and ride in a specially-equipped truck, were transported at ca 80 days of age from their rearing site at Patuxent Wildlife Research Center (patuxent), Maryland, to a reintroduction site located within the species\u27 former breeding range in northern Arizona. After 5 additional weeks of training, these juvenile cranes were led south ca 600 km to a wintering area on the Arizona/Mexico border. Nine of the 10 survived the trek, 495 km of which were flown, although only a few cranes flew every stage of the route. Their longest flight was 77 lan. Major problems during the migration were powerline collisions (3, 1 fatal), eagle attacks (none fatal), and overheating (when air temperatures exceeded ca 25 C). All cranes that entered training quickly learned to follow the truck, and their tenacity when following under unfavorable conditions (e.g., poor light, extreme dust, or heat) showed that cranes could consistently be led over long distances. We cannot predict if the cranes will retrace their route unassisted when adults, but 2 cranes returned 130 km to the starting point of the migration after the flock was scattered by an eagle during our migration south. Three other cranes were recovered 55 km from the attack site and on course toward the starting point
Identification of citrullinated α-enolase as a candidate autoantigen in rheumatoid arthritis
Antibodies against citrullinated proteins are highly specific for rheumatoid arthritis (RA), but little is understood about their citrullinated target antigens. We have detected a candidate citrullinated protein by immunoblotting lysates of monocytic and granulocytic HL-60 cells treated with peptidylarginine deiminase. In an initial screen of serum samples from four patients with RA and one control, a protein of molecular mass 47 kDa from monocytic HL-60s reacted with sera from the patients, but not with the serum from the control. Only the citrullinated form of the protein was recognised. The antigen was identified by tandem mass spectrometry as α-enolase, and the positions of nine citrulline residues in the sequence were determined. Serum samples from 52 patients with RA and 40 healthy controls were tested for presence of antibodies against citrullinated and non-citrullinated α-enolase by immunoblotting of the purified antigens. Twenty-four sera from patients with RA (46%) reacted with citrullinated α-enolase, of which seven (13%) also recognised the non-citrullinated protein. Six samples from the controls (15%) reacted with both forms. α-Enolase was detected in the RA joint, where it co-localised with citrullinated proteins. The presence of antibody together with expression of antigen within the joint implicates citrullinated α-enolase as a candidate autoantigen that could drive the chronic inflammatory response in RA
Vascular Communications of the Hand in Patients Being Considered for Transradial Coronary Angiography Is the Allenâs Test Accurate?
ObjectivesThe purpose of this study was to assess the accuracy of the Allenâs test (AT) in predicting hand ischemia in patients undergoing transradial coronary angiography.BackgroundPatients with poor vascular communications between the radial artery (RA) and ulnar artery (UA), as indicated by an abnormal AT, are usually excluded from transradial coronary angiography to avoid ischemic hand complications.MethodsOver a four-month period, patients undergoing coronary angiography were screened for AT time. Circulation in the RA, UA, principal artery of the thumb (PAT), and thumb capillary lactate were measured before and after 30 min of RA occlusion.ResultsFifty-five patients were studied (20 normal, 15 intermediate, 20 abnormal). Three patients with an abnormal AT were excluded, owing to absence of detectible flow in the distal UA. Patients with an abnormal AT were all men, had a larger RA (3.4 vs. 2.8 mm; p <0.001), and smaller UA (1.9 vs. 2.5 mm; p <0.001), compared with patients with a normal AT. After 30 min of RA occlusion in patients with abnormal AT, blood flow to the PAT improved (3.2 to 7.7 cm/s; p <0.001) yet remained reduced relative to patients with normal AT (7.7 vs. 21.4 cm/s; p <0.001. Thumb capillary lactate was elevated in patients with an abnormal AT (2.0 vs. 1.5 mmol/l; p = 0.019).ConclusionsAfter 30 min of RA occlusion, patients with an abnormal AT showed significantly reduced blood flow to the thumb and increased thumb capillary lactate (compared with patients with a normal AT) suggestive of ischemia. Transradial cardiac catheterization should not be performed in patients with an abnormal AT
Severity and Prognosis of Acute Human Immunodeficiency Virus Type 1 Illness: A Dose-Response Relationship
This study examined the relationship between the severity of acute human immunodeficiency virus type 1 (HIV-1) illness and disease progression and death. The population included 218 patients with acute HIV-1 illness and 41 asymptomatic patients who underwent HIV-1 seroconversion; the patients were followed up prospectively. We analyzed progression to Centers for Disease Control and Prevention clinical categories B and C (AIDS-defining conditions) and death according to an additive clinical score (CS) based on six predictive clinical features at the time of acute HIV-1 infection. Compared with patients with a CS of 0 (asymptomatic patients), those with a CS of 3-4 and 5-6 had faster progression to category B disease (adjusted hazard ratio [HR], 1.39; 95% confidence interval [CI], 1.01-1.92; and HR, 1.80; 95% CI, 1.34-2.40; respectively); those with a CS of 5-6 had faster progression to category C disease (HR, 1.37; 95% CI, 1.01-1.89) and death (HR, 2.05; 95% CI, 1.27-3.32). Thus, the number of symptoms and signs at the time of acute HIV-1 illness affects disease progression and survival, even in symptomatic patients who have undergone seroconversio
Acute Human Immunodeficiency Virus Type 1 Disease as a Mononucleosis-Like Illness: Is the Diagnosis Too Restrictive?
The purpose of this study was to describe the frequency and duration of clinical features at the time of acute human immunodeficiency virus type 1 (HIV-1) disease in 218 patients with documented symptomatic primary HIV-1 infection. The mean duration of acute HIV-1 disease was 25.1 days (median, 20.0 days) and did not differ by gender, age, and risk factor. The frequency and mean duration of clinical features occurring in >50% of patients were as follows: fever, 77.1% and 16.9 days; lethargy, 65.6% and 23.7 days; cutaneous rash, 56.4% and 15 days; myalgia, 54.6% and 17.7 days; and headache, 50.9% and 25.8 days. Only 15.6% of patients presented with a typical mononucleosis-like illness (MLI) defined as fever, pharyngitis or sore throat, and cervical adenopathy, and 10% had no features of an MLI. A meningitis-like syndrome occurred in 20 patients (9.2%). Acute HIV-1 disease is more diverse than previously reported, and the absence of fever or other MLI features does not rule out acute HIV-1 diseas
Short-course antiretroviral therapy in primary HIV infection
Background
Short-course antiretroviral therapy (ART) in primary human immunodeficiency virus
(HIV) infection may delay disease progression but has not been adequately evaluated.
Methods
We randomly assigned adults with primary HIV infection to ART for 48 weeks, ART
for 12 weeks, or no ART (standard of care), with treatment initiated within 6 months
after seroconversion. The primary end point was a CD4+ count of less than 350 cells
per cubic millimeter or long-term ART initiation.
Results
A total of 366 participants (60% men) underwent randomization to 48-week ART
(123 participants), 12-week ART (120), or standard care (123), with an average followup
of 4.2 years. The primary end point was reached in 50% of the 48-week ART
group, as compared with 61% in each of the 12-week ART and standard-care groups.
The average hazard ratio was 0.63 (95% confidence interval [CI], 0.45 to 0.90;
P = 0.01) for 48-week ART as compared with standard care and was 0.93 (95% CI,
0.67 to 1.29; P = 0.67) for 12-week ART as compared with standard care. The proportion
of participants who had a CD4+ count of less than 350 cells per cubic millimeter
was 28% in the 48-week ART group, 40% in the 12-week group, and 40% in the
standard-care group. Corresponding values for long-term ART initiation were 22%,
21%, and 22%. The median time to the primary end point was 65 weeks (95% CI,
17 to 114) longer with 48-week ART than with standard care. Post hoc analysis
identified a trend toward a greater interval between ART initiation and the primary
end point the closer that ART was initiated to estimated seroconversion (P = 0.09),
and 48-week ART conferred a reduction in the HIV RNA level of 0.44 log10 copies
per milliliter (95% CI, 0.25 to 0.64) 36 weeks after the completion of short-course
therapy. There were no significant between-group differences in the incidence of the
acquired immunodeficiency syndrome, death, or serious adverse events.
Conclusions
A 48-week course of ART in patients with primary HIV infection delayed disease
progression, although not significantly longer than the duration of the treatment.
There was no evidence of adverse effects of ART interruption on the clinical outcome.
(Funded by the Wellcome Trust; SPARTAC Controlled-Trials.com number,
ISRCTN76742797, and EudraCT number, 2004-000446-20.
Low Levels of Perforin Expression in CD8+ T Lymphocyte Granules in Lymphoid Tissue during Acute Human Immunodeficiency Virus Type 1 Infection
Human immunodeficiency virus (HIV)-specific cytotoxic T lymphocyte (CTL) responses are detectable shortly after the acute phase of HIV infection, but they cannot control viral replication and prevent development of chronic immune suppression. This article describes a defect in the coexpression of perforin in granzyme A-positive CD8+ T cells in lymphoid tissue from patients with acute HIV infection and a reduction in the perforin-dependent nuclear translocation of granzyme A. Furthermore, intracellular levels of HIV DNA and RNA found in lymphoid tissue were higher (10-100 times) than those found in blood, and blood samples showed more-coordinated cellular perforin/granzyme A expression. This suggests that mechanisms inhibiting CTL-mediated cytotoxicity are operative in lymphoid tissue early in the course of HIV infectio
Lightning strike damage resistance of carbonâfiber composites with nanocarbonâmodified epoxy matrices
Carbonâfiber reinforced polymer (CFRP) composites are replacing metal alloys in aerospace structures, but they can be vulnerable to lightning strike damage if not adequately protected due to the poor electrical conductivity of the polymeric matrix. In the present work, to improve the conductivity of the CFRP, two electrically conductive epoxy formulations were developed via the addition of 0.5 wt% of graphene nanoplatelets (GNPs) and a hybrid of 0.5 wt% of GNPs/carbon nanotubes (CNTs) at an 8:2 mass ratio. Unidirectional CFRP laminates were manufactured using resinâinfusion under flexible tooling (RIFT) and wet layâup (WL) processes, and subjected to simulated lightning strike tests. The electrical performance of the RIFT plates was far superior to that of the WL plates, independent of matrix modification, due to their greater carbonâfiber volume fraction. The GNPâmodified panel made using RIFT demonstrated an electrical conductivity value of 8 S/cm. After the lightning strike test, the CFRP panel remains largely unaffected as no perforation occurs. Damage is limited to matrix degradation within the top ply at the point of impact and localized charring of the surface. The GNPâmodified panel showed a comparable level of resistance against lightning damage with the existing copper mesh technology, offering at the same time a 20% reduction in the structural weight. This indicates a feasible route to improve the lightning strike damage resistance of carbonâfiber composites without the addition of extra weight, hence reducing fuel consumption but not safety
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