Low Power Reversible Parallel Binary Adder/Subtractor

In recent years, Reversible Logic is becoming more and more prominent technology having its applications in Low Power CMOS, Quantum Computing, Nanotechnology, and Optical Computing. Reversibility plays an important role when energy efficient computations are considered. In this paper, Reversible eight-bit Parallel Binary Adder/Subtractor with Design I, Design II and Design III are proposed. In all the three design approaches, the full Adder and Subtractors are realized in a single unit as compared to only full Subtractor in the existing design. The performance analysis is verified using number reversible gates, Garbage input/outputs and Quantum Cost. It is observed that Reversible eight-bit Parallel Binary Adder/Subtractor with Design III is efficient compared to Design I, Design II and existing design.Comment: 12 pages,VLSICS Journa

Comparación de Características de Resistencia y Durabilidad de un Geopolímero obtenido a partir de ceniza Volante, Fibra de Vidrio Esmerilado y Polvo de Vidrio

Strength and durability characteristics of geopolymers produced using three precursors, consisting of fly ash, Ground Glass Fiber (GGF), and glass-powder were studied. Combinations of sodium hydroxide and sodium silicate were used as the activator solutions, and the effect of different sodium and silica content of the activators on the workability and compressive strength of geopolymers was investigated. The parameters used in this study were the mass ratio of Na2O-to-binder (for sodium content), and SiO2-to-Na2O of the activator (for silica content). Geopolymer mixtures that achieved the highest compressive strength from each precursor were assessed for their resistance to alkali-silica reaction and compared against the performance of portland cement mixtures. Test results revealed that GGF and fly ash-based geopolymers performed better than glass-powder-based geopolymer mixtures. The resistance of GGF-based and fly ash-based geopolymers to alkali-silica reaction was superior to that of portland cement mixtures, while glass-powder-based geopolymer showed inferior performance.Se estudiaron las características de resistencia y durabilidad de geopolímeros producidos utilizando tres precursores, formados por cenizas volantes, Fibra de Vidrio Esmerilado (FVE) y vidrio en polvo. Se utilizaron combinaciones de soluciones de hidróxido de sodio y silicato de sodio como activadores, y se investigó el efecto del diferente contenido de sodio y sílice de los activadores en la trabajabilidad y resistencia a la compresión de los geopolímeros. Los parámetros utilizados en este estudio fueron la relación de masa de Na2O-a-aglutinante (para el contenido de sodio), y SiO2-a-Na2 O del activador (para el contenido de sílice). Las mezclas de geopolímeros obtenidas a partir de cada precursor que alcanzaron la más alta resistencia a la compresión fueron evaluadas por su resistencia a la reacción álcali-sílice y comparadas con el rendimiento de las mezclas de cemento portland. Los resultados de las pruebas revelaron que la FVE y los geopolímeros a base de ceniza volante se comportaron mejor que las mezclas de geopolímeros a base de vidrio en polvo. La resistencia de los geopolímeros a base de ceniza volante y FVE a la reacción álcali-sílice fue superior que la de las mezclas de cemento portland, mientras que los geopolímeros a base de vidrio en polvo mostraron un rendimiento inferior

Predicting outcomes after acute reperfusion therapy for basilar artery occlusion

Background and purpose Basilar artery occlusion (BAO) leads to high rates of morbidity and mortality, despite successful recanalization. The discordance between flow restoration and long-term functional status clouds clinical decision-making regarding further aggressive care. We sought to develop and validate a practical, prognostic tool for the prediction of 3-month favorable outcome after acute reperfusion therapy for BAO. Methods This retrospective, multicenter, observational study was conducted at four high-volume stroke centers in the USA and Europe. Multivariate regression analysis was performed to identify predictors of favorable outcome (90-day modified Rankin scale scores 0-2) and derive a clinically applicable prognostic model (the Pittsburgh Outcomes after Stroke Thrombectomy-Vertebrobasilar (POST-VB) score). The POST-VB score was evaluated and internally validated with regard to calibration and discriminatory ability. External validity was assessed in patient cohorts at three separate centers. Results In the derivation cohort of 59 patients, independent predictors of favorable outcome included smaller brainstem infarct volume on post-procedure magnetic resonance imaging (P = 125. Conclusions The POST-VB score effectively predicts 3-month functional outcome following acute reperfusion therapy for BAO and may aid in guiding post-procedural care.Peer reviewe

The Antibody Targeting the E314 Peptide of Human Kv1.3 Pore Region Serves as a Novel, Potent and Specific Channel Blocker

Selective blockade of Kv1.3 channels in effector memory T (TEM) cells was validated to ameliorate autoimmune or autoimmune-associated diseases. We generated the antibody directed against one peptide of human Kv1.3 (hKv1.3) extracellular loop as a novel and possible Kv1.3 blocker. One peptide of hKv1.3 extracellular loop E3 containing 14 amino acids (E314) was chosen as an antigenic determinant to generate the E314 antibody. The E314 antibody specifically recognized 63.8KD protein stably expressed in hKv1.3-HEK 293 cell lines, whereas it did not recognize or cross-react to human Kv1.1(hKv1.1), Kv1.2(hKv1.2), Kv1.4(hKv1.4), Kv1.5(hKv1.5), KCa3.1(hKCa3.1), HERG, hKCNQ1/hKCNE1, Nav1.5 and Cav1.2 proteins stably expressed in HEK 293 cell lines or in human atrial or ventricular myocytes by Western blotting analysis and immunostaining detection. By the technique of whole-cell patch clamp, the E314 antibody was shown to have a directly inhibitory effect on hKv1.3 currents expressed in HEK 293 or Jurkat T cells and the inhibition showed a concentration-dependence. However, it exerted no significant difference on hKv1.1, hKv1.2, hKv1.4, hKv1.5, hKCa3.1, HERG, hKCNQ1/hKCNE1, L-type Ca2+ or voltage-gated Na+ currents. The present study demonstrates that the antibody targeting the E314 peptide of hKv1.3 pore region could be a novel, potent and specific hKv1.3 blocker without affecting a variety of closely related Kv1 channels, KCa3.1 channels and functional cardiac ion channels underlying central nervous systerm (CNS) disorders or drug-acquired arrhythmias, which is required as a safe clinic-promising channel blocker

Glutamine-to-glutamate ratio in the nucleus accumbens predicts effort-based motivated performance in humans

Substantial evidence implicates the nucleus accumbens in motivated performance, but very little is known about the neurochemical underpinnings of individual differences in motivation. Here, we applied 1H magnetic resonance spectroscopy (1H-MRS) at ultra-high-field in the nucleus accumbens and inquired whether levels of glutamate (Glu), glutamine (Gln), GABA or their ratios predict interindividual differences in effort-based motivated task performance. Given the incentive value of social competition, we also examined differences in performance under self-motivated or competition settings. Our results indicate that higher accumbal Gln-to-Glu ratio predicts better overall performance and reduced effort perception. As performance is the outcome of multiple cognitive, motor and physiological processes, we applied computational modeling to estimate best-fitting individual parameters related to specific processes modeled with utility, effort and performance functions. This model-based analysis revealed that accumbal Gln-to-Glu ratio specifically relates to stamina; i.e., the capacity to maintain performance over long periods. It also indicated that competition boosts performance from task onset, particularly for low Gln-to-Glu individuals. In conclusion, our findings provide novel insights implicating accumbal Gln and Glu balance on the prediction of specific computational components of motivated performance. This approach and findings can help developing therapeutic strategies based on targeting metabolism to ameliorate deficits in effort engagement

Groin wound infection after vascular exposure ( GIVE ) multicentre cohort study

Surgical site infections (SSIs) of groin wounds are a common and potentially preventable cause of morbidity, mortality, and healthcare costs in vascular surgery. Our aim was to define the contemporaneous rate of groin SSIs, determine clinical sequelae, and identify risk factors for SSI. An international multicentre prospective observational cohort study of consecutive patients undergoing groin incision for femoral vessel access in vascular surgery was undertaken over 3 months, follow‐up was 90 days. The primary outcome was the incidence of groin wound SSI. 1337 groin incisions (1039 patients) from 37 centres were included. 115 groin incisions (8.6%) developed SSI, of which 62 (4.6%) were superficial. Patients who developed an SSI had a significantly longer length of hospital stay (6 versus 5 days, P = .005), a significantly higher rate of post‐operative acute kidney injury (19.6% versus 11.7%, P = .018), with no significant difference in 90‐day mortality. Female sex, Body mass index≥30 kg/m2, ischaemic heart disease, aqueous betadine skin preparation, bypass/patch use (vein, xenograft, or prosthetic), and increased operative time were independent predictors of SSI. Groin infections, which are clinically apparent to the treating vascular unit, are frequent and their development carries significant clinical sequelae. Risk factors include modifiable and non‐modifiable variables