Structure of spaces of germs of holomorphic functions

Let $E$ be a Frechet (resp. Frechet-Hilbert) space. It is shown that $E\in (\Omega)$ (resp. $E\in (DN)$) if and only if [\Cal H(O_E)]'\in(\Omega) (resp. [\Cal H(O_E)]'\in (DN)). Moreover it is also shown that $E\in (DN)$ if and only if \Cal H_b(E')\in (DN). In the nuclear case these results were proved by Meise and Vogt \cite{2}

Estimation of the Co-prevalence of Age-related macular degeneration and Glaucoma

poster abstractPurpose: Age-related macular degeneration (AMD) and glaucoma are the two most common blinding eye diseases in the U.S. and may be further disabling when concomitant. The purpose of this study is to estimate the past, present and future co-prevalence of AMD and glaucoma by national surveys and population projection data. Methods: We combined the age, race and ethnicity data from the latest 2005 to 2008 National Health and Nutrition Examination Survey (NHANES) and the 2002 and 2008 National Health Interview Survey (NHIS). Participants’ positive answers were defined as a “yes” when asked if they had ever been told by a doctor/health care professional that they had macular degeneration or glaucoma (or high pressure of the eye). The co-prevalence of AMD and glaucoma was determined by dividing the number of individuals who answered “yes” to both questions by the total number of respondents. Mean and age-stratified estimates were obtained for non-Hispanic Whites, Hispanics and non-Hispanic Blacks separately. The 2008 National Population Projection data was used to determine the number of affected individuals presently as well as in 2030 and 2050. Results: Using previous NHANES and NHIS data, the mean co-prevalence of AMD and glaucoma varied among racial/ethnic groups: 0.5% in Whites; 0.3% in Hispanics; and 0.2% in Blacks. Co-prevalence increased with increasing age: for Whites, estimates ranged from 0% in those aged 40-49 years to 2.7% for 80 years and older; this trend was observed among the other groups but was more dramatic in Hispanics (0.1% to 2.9%) than Blacks (0% to 0.3%). Using National Population Projection data for 2015, the estimated current population is 535,270 (83% Whites; 10% Hispanics; 7% Blacks). The number of affected individuals will continue to grow but demonstrate changing demographics: in 2030 to 800,111 (80% Whites; 14% Hispanics; 7% Blacks); and in 2050 to 1,082,731 (71% Whites; 22% Hispanics; 6% Blacks). Conclusions: The mean co-prevalence of AMD and glaucoma is greatest among non-Hispanic Whites and individuals 70 years and older. More than half-a-million Americans, predominantly non-Hispanic Whites, suffer from concomitant eye diseases presently. Growing populations in the coming years will affect an increasing number of Hispanics. This new information suggests that future health care policy decisions would need to adapt to this growing, changing population

Hydrogen-rich Syngas Production from Ethanol Dry Reforming on La-doped Ni/Al2O3 Catalysts: Effect of Promoter Loading

Ethanol dry reforming has been studied over La-promoted Ni catalysts supported on Al2O3 with different promoter loadings at varying CO2 partial pressure of 20-50 kPa. Catalysts were prepared via co-impregnation technique and characterized using BET surface area, X-ray diffraction measurement, temperature-programmed calcination and scanning electron microscopy. Doped and undoped catalysts possessed high surface area of about 86-108 m2 g-1 and La promoter was well-dispersed on support surface. Xray diffraction measurements indicated the formation of La2O3, NiO and NiAl2O4 phases in line with temperature-programmed calcination results. La-addition enhanced the dispersion of NiO particles and reduced the agglomeration of metal oxides. Both C2H5OH and CO2 conversions improved with increasing CO2 partial pressure rationally due to the growing secondary CO2 reforming of CH4 reaction. The ratio of H2/CO produced from ethanol dry reforming varied from 1.1 to 1.4 favored for usage as feedstocks of Fischer-Tropsch synthesis. The yield of H2 and CO also enhanced with increasing CO2 partial pressure whilst the optimal La loading in terms of C2H5OH conversion was observed at 3%La and catalytic activity increased with promoter addition reasonably owing to the redox properties of La promoter. CO2 reforming of ethanol reaction appeared via ethanol decomposition to CH4 intermediate product, which was subsequently converted to CO and H2 mixture through CH4 dry reforming reaction

Hypoglycemia-Related Hospitalizations and Mortality Among Patients With Diabetes Transitioning to Dialysis.

Rationale & objectiveDiabetic patients with declining kidney function are at heightened risk for hypoglycemia. We sought to determine whether hypoglycemia-related hospitalizations in the interval before dialysis therapy initiation are associated with post-end-stage renal disease (ESRD) mortality among incident patients with ESRD with diabetes.Study designObservational cohort study.Setting & participantsUS veterans from the national Veterans Affairs database with diabetes and chronic kidney disease transitioning to dialysis therapy from October 2007 to September 2011.ExposureHypoglycemia-related hospitalizations during the pre-ESRD period and antidiabetic medication regimens.OutcomeThe outcome of post-ESRD all-cause mortality was evaluated relative to pre-ESRD hypoglycemia. The outcome of pre-ESRD hypoglycemia-related hospitalization was evaluated relative to antidiabetic medication regimens.Analytic approachWe examined whether the occurrence and frequency of pre-ESRD hypoglycemia-related hospitalizations are associated with post-ESRD mortality using Cox regression models adjusted for case-mix covariates. In a subcohort of patients prescribed 0 to 2 oral antidiabetic drugs and/or insulin, we examined the 12 most commonly prescribed antidiabetic medication regimens and risk for pre-ESRD hypoglycemia-related hospitalization using logistic regression models adjusted for case-mix covariates.ResultsAmong 30,156 patients who met eligibility criteria, the occurrence of pre-ESRD hypoglycemia-related hospitalization(s) was associated with higher post-ESRD mortality risk: adjusted HR (aHR), 1.25; 95% CI, 1.17-1.34 (reference group: no hypoglycemia hospitalization). Increasing frequency of hypoglycemia-related hospitalizations was independently associated with incrementally higher mortality risk: aHRs of 1.21 (95% CI, 1.12-1.30), 1.47 (95% CI, 1.19-1.82), and 2.07 (95% CI, 1.46-2.95) for 1, 2, and 3 or more hypoglycemia-related hospitalizations, respectively (reference group: no hypoglycemia hospitalization). Compared with patients who were prescribed neither oral antidiabetic drugs nor insulin, medication regimens that included sulfonylureas and/or insulin were associated with higher risk for hypoglycemia.LimitationsResidual confounding cannot be excluded.ConclusionsAmong incident patients with ESRD with diabetes, a dose-dependent relationship between frequency of pre-ESRD hypoglycemia-related hospitalizations and post-ESRD mortality was observed. Further study of diabetic management strategies that prevent hypoglycemia as patients with chronic kidney disease transition to ESRD are warranted

Threshold-based wireless-based NOMA systems over log-normal channels: Ergodic outage probability of joint time allocation and power splitting schemes

Due to the development of state-of-the-art fifth-generation communication (5G) and Internet-of-Things (IoT), the demands for capacity and throughput of wireless networks have increased significantly. As a promising solution for this, a radio access technique, namely, non-orthogonal multiple access (NOMA) has been investigated. Particularly, in this paper, we analyse the system performance of a joint time allocation and power splitting (JTAPS) protocol for NOMA-based energy harvesting (EH) wireless networks over indoor scenarios, which we modelled with log-normal fading channels. Accordingly, for the performance analysis of such networks, the analytical expression of a metric so-called "ergodic outage probability" was derived. Then, thanks to Monte Carlo simulations done in Matlab, we are able to see how different EH power splitting (PS) and EH time switching (TS) factors influence the ergodic outage probability. Last, but not least, we plot the simulation results along with the theoretical results for comparison studies.Web of Science27

A Pan-Canadian Validation Study for the Detection of EGFR T790M Mutation Using Circulating Tumor DNA From Peripheral Blood

Introduction: Genotyping circulating tumor DNA (ctDNA) is a promising noninvasive clinical tool to identify the EGFR T790M resistance mutation in patients with advanced NSCLC with resistance to EGFR inhibitors. To facilitate standardization and clinical adoption of ctDNA testing across Canada, we developed a 2-phase multicenter study to standardize T790M mutation detection using plasma ctDNA testing. Methods: In phase 1, commercial reference standards were distributed to participating clinical laboratories, to use their existing platforms for mutation detection. Baseline performance characteristics were established using known and blinded engineered plasma samples spiked with predetermined concentrations of T790M, L858R, and exon 19 deletion variants. In phase II, peripheral blood collected from local patients with known EGFR activating mutations and progressing on treatment were assayed for the presence of EGFR variants and concordance with a clinically validated test at the reference laboratory. Results: All laboratories in phase 1 detected the variants at 0.5 % and 5.0 % allele frequencies, with no false positives. In phase 2, the concordance with the reference laboratory for detection of both the primary and resistance mutation was high, with next-generation sequencing and droplet digital polymerase chain reaction exhibiting the best overall concordance. Data also suggested that the ability to detect mutations at clinically relevant limits of detection is generally not platform-specific, but rather impacted by laboratory-specific practices. Conclusions: Discrepancies among sending laboratories using the same assay suggest that laboratory-specific practices may impact performance. In addition, a negative or inconclusive ctDNA test should be followed by tumor testing when possible

Mutational Analyses of the Influenza A Virus Polymerase Subunit PA Reveal Distinct Functions Related and Unrelated to RNA Polymerase Activity

Influenza A viral polymerase is a heterotrimeric complex that consists of PA, PB1, and PB2 subunits. We previously reported that a di-codon substitution mutation (G507A-R508A), denoted J10, in the C-terminal half of PA had no apparent effect on viral RNA synthesis but prevented infectious virus production, indicating that PA may have a novel role independent of its polymerase activity. To further examine the roles of PA in the viral life cycle, we have now generated and characterized additional mutations in regions flanking the J10 site from residues 497 to 518. All tested di-codon mutations completely abolished or significantly reduced viral infectivity, but they did so through disparate mechanisms. Several showed effects resembling those of J10, in that the mutant polymerase supported normal levels of viral RNA synthesis but nonetheless failed to generate infectious viral particles. Others eliminated polymerase activity, in most cases by perturbing the normal nuclear localization of PA protein in cells. We also engineered single-codon mutations that were predicted to pack near the J10 site in the crystal structure of PA, and found that altering residues K378 or D478 each produced a J10-like phenotype. In further studies of J10 itself, we found that this mutation does not affect the formation and release of virion-like particles per se, but instead impairs the ability of those particles to incorporate each of the eight essential RNA segments (vRNAs) that make up the viral genome. Taken together, our analysis identifies mutations in the C-terminal region of PA that differentially affect at least three distinct activities: protein nuclear localization, viral RNA synthesis, and a trans-acting function that is required for efficient packaging of all eight vRNAs

Structure of the NheA Component of the Nhe Toxin from Bacillus cereus: Implications for Function

The structure of NheA, a component of the Bacillus cereus Nhe tripartite toxin, has been solved at 2.05 Å resolution using selenomethionine multiple-wavelength anomalous dispersion (MAD). The structure shows it to have a fold that is similar to the Bacillus cereus Hbl-B and E. coli ClyA toxins, and it is therefore a member of the ClyA superfamily of α-helical pore forming toxins (α-PFTs), although its head domain is significantly enlarged compared with those of ClyA or Hbl-B. The hydrophobic β-hairpin structure that is a characteristic of these toxins is replaced by an amphipathic β-hairpin connected to the main structure via a β-latch that is reminiscent of a similar structure in the β-PFT Staphylococcus aureus α-hemolysin. Taken together these results suggest that, although it is a member of an archetypal α-PFT family of toxins, NheA may be capable of forming a β rather than an α pore

Autoimmune disease in mothers with the FMR1 premutation is associated with seizures in their children with fragile X syndrome

An increased prevalence of autoimmune diseases in family members of children with autism spectrum disorders (ASD) has been previously reported. ASD is also a common problem co-occurring in children with fragile X syndrome (FXS). Why ASD occurs in some individuals with FXS, but not all, is largely unknown. Furthermore, in premutation carrier mothers, there is an increased risk for autoimmune diseases. This study compared the rate of ASD and other neurodevelopmental/behavioral problems in 61 children with FXS born to 41 carrier mothers who had autoimmune disease and in 97 children with FXS of 78 carrier mothers who did not have autoimmune disease. There were no significant differences in the mean age (9.61 ± 5.59 vs. 9.41 ± 6.31, P = 0.836), cognitive and adaptive functioning in children of mothers with and without autoimmune disease. Among children whose mothers had autoimmune disease, the odds ratio (OR) for ASD was 1.27 (95% CI 0.62–2.61, P = 0.5115). Interestingly, the OR for seizures and tics was 3.81 (95% CI 1.13–12.86, P = 0.031) and 2.94 (95% CI 1.19–7.24, P = 0.019), respectively, in children of mothers with autoimmune disease compared to children of mothers without autoimmune disease. In conclusion, autoimmune disease in carrier mothers was not associated with the presence of ASD in their children. However, seizures and tics were significantly increased in children of mothers with autoimmune disease. This suggests a potential new mechanism of seizure and tic exacerbation in FXS related to an intergenerational influence from autoimmunity in the carrier mother