Parvovirus B19 infection in pediatric transplant patients

Evidence of recent parvovirus virus infection (as determined by the presence of a positive IgM antibody titer) without other identified causes of anemia was found in 5 of 26 pediatric solid-organ transplant recipients evaluated for moderate-to-severe anemia between June 1990 and July 1991. Anemia tended to be chronic (median duration of anemia at the time of diagnosis was 12 weeks) and was associated with normal red blood cell indices in the absence of reticulocytes. The median age of the children at the time of presentation with anemia due to parvovirus was 1.8 years at a median time of 8 months after transplantation. Four of the 5 children were treated with i.v. immunoglobulin because of persistance of anemia requiring blood transfusions. A response characterized by an increase in reticulocyte count and normalization of hemoglobin was seen in each of these patients 2-4 weeks after treatment. The remaining patient experienced a spontaneous recovery from her anemia. Parvovirus infection should be included in the differential diagnosis of solid-organ transplant recipients presenting with severe anemia associated with low or absent reticulocytes

Dynamic sampling schemes for optimal noise learning under multiple nonsmooth constraints

We consider the bilevel optimisation approach proposed by De Los Reyes, Sch\"onlieb (2013) for learning the optimal parameters in a Total Variation (TV) denoising model featuring for multiple noise distributions. In applications, the use of databases (dictionaries) allows an accurate estimation of the parameters, but reflects in high computational costs due to the size of the databases and to the nonsmooth nature of the PDE constraints. To overcome this computational barrier we propose an optimisation algorithm that by sampling dynamically from the set of constraints and using a quasi-Newton method, solves the problem accurately and in an efficient way

Bilevel Parameter Learning for Higher-Order Total Variation Regularisation Models.

We consider a bilevel optimisation approach for parameter learning in higher-order total variation image reconstruction models. Apart from the least squares cost functional, naturally used in bilevel learning, we propose and analyse an alternative cost based on a Huber-regularised TV seminorm. Differentiability properties of the solution operator are verified and a first-order optimality system is derived. Based on the adjoint information, a combined quasi-Newton/semismooth Newton algorithm is proposed for the numerical solution of the bilevel problems. Numerical experiments are carried out to show the suitability of our approach and the improved performance of the new cost functional. Thanks to the bilevel optimisation framework, also a detailed comparison between TGV 2 and ICTV is carried out, showing the advantages and shortcomings of both regularisers, depending on the structure of the processed images and their noise level.King Abdullah University of Science and Technology (KAUST) (Grant ID: KUKI1-007-43), Engineering and Physical Sciences Research Council (Grant IDs: Nr. EP/J009539/1 “Sparse & Higher-order Image Restoration” and Nr. EP/M00483X/1 “Efficient computational tools for inverse imaging problems”), Escuela Politécnica Nacional de Quito (Grant ID: PIS 12-14, MATHAmSud project SOCDE “Sparse Optimal Control of Differential Equations”), Leverhulme Trust (project on “Breaking the non-convexity barrier”), SENESCYT (Ecuadorian Ministry of Higher Education, Science, Technology and Innovation) (Prometeo Fellowship)This is the final version of the article. It first appeared from Springer via http://dx.doi.org/10.1007/s10851-016-0662-

Noncommutative generalizations of theorems of Cohen and Kaplansky

This paper investigates situations where a property of a ring can be tested on a set of "prime right ideals." Generalizing theorems of Cohen and Kaplansky, we show that every right ideal of a ring is finitely generated (resp. principal) iff every "prime right ideal" is finitely generated (resp. principal), where the phrase "prime right ideal" can be interpreted in one of many different ways. We also use our methods to show that other properties can be tested on special sets of right ideals, such as the right artinian property and various homological properties. Applying these methods, we prove the following noncommutative generalization of a result of Kaplansky: a (left and right) noetherian ring is a principal right ideal ring iff all of its maximal right ideals are principal. A counterexample shows that the left noetherian hypothesis cannot be dropped. Finally, we compare our results to earlier generalizations of Cohen's and Kaplansky's theorems in the literature.Comment: 41 pages. To appear in Algebras and Representation Theory. Minor changes were made to the numbering system, in order to remain consistent with the published versio

WOOD JAMS OR BEAVER DAMS? PLIOCENE LIFE, SEDIMENT AND LANDSCAPE INTERACTIONS IN THE CANADIAN HIGH ARCTIC

ABSTRACT During the mid-Pliocene (Zanclean, ca. ∼ 3.9 Ma), parts of the Canadian High Arctic experienced mean annual temperatures that were 14–22°C warmer than today and supported diverse boreal-type forests. The landscapes of this vegetated polar region left behind a fragmented sedimentary record that crops out across several islands in the Canadian Arctic Archipelago as the Beaufort Formation and correlative strata. Paleoecological information from these strata provides a high-fidelity window onto Pliocene environments, and prominent fossil sites yield unparalleled insights into Cenozoic mammal evolution. Significantly, many of the strata reveal evidence for life-sediment interactions in a warm-climate Arctic, most notably in the form of extensive woody debris and phytoclast deposits. This paper presents original field data that refines the sedimentological context of plant debris accumulations from the anactualistic High Arctic forests, most notably at the ‘Fyles Leaf Beds' and ‘Beaver Pond' fossil-bearing sites in the ‘high terrace deposits' of central Ellesmere Island. The former is a remarkably well-preserved, leaf-rich deposit that is part of a complex of facies associations representing lacustrine, fluvio-deltaic and mire deposition above a paleotopographic unconformity. The latter yields tooth-marked woody debris within a peat layer that also contains a rich assemblage of vertebrate and plant fossils including abundant remains from the extinct beaver-group Dipoides. Here we present sedimentological data that provide circumstantial evidence that the woody debris deposit at Beaver Pond could record dam-building in the genus, by comparing the facies motif with new data from known Holocene beaver dam facies in England. Across the Pliocene of the High Arctic region, woody debris accumulations are shown to represent an array of biosedimentary deposits and landforms including mires, driftcretions, woody bedforms, and possible beaver dams, which help to contextualize mammal fossil sites, provide facies models for high-latitude forests, and reveal interactions between life and sedimentation in a vanished world that may be an analogue to that of the near-future.</jats:p

Human Immunodeficiency Virus type 1 in seronegative infants born to HIV-1-infected mothers

BACKGROUND: Some individuals repeatedly exposed to Human Immunodeficiency Virus do not seroconvert and are resistant to HIV infection. Here, in a pediatric cohort of HIV seronegative infants born of HIV-infected mothers, we have studied eight non-breastfed children in whom viral DNA was detected in their PBMC. Our objective was to assess whether silent infection in these children can be explained by the presence of integrated viral DNA. METHODS: The presence of viral DNA was corroborated by nested PCR with primers for gag and the nef/LTR regions of HIV-1. Integration of HIV DNA into the host genome was assessed by an Alu-LTR PCR. Amplicons were sequenced and phylogenetic analyzes were done. RESULTS: HIV-1 DNA was detected in the earliest available PBMC sample from all eight infants, and two of them tested positive for HIV DNA at 2 years of age. Nested PCR resulted in the amplification of gag, nef/LTR and Alu-LTR fragments, which demostrated that HIV-1 DNA was integrated in the host cell genome. Each individual has a characteristic sequence pattern and is different from the LTR sequence of HXB2 prototype virus and other Mexican isolates. CONCLUSION: HIV-1 DNA was observed in PBMC from HIV exposed seronegative children in this pediatric cohort

Intestinal transplantation in composite visceral grafts or alone

Under FK 506-based immunosuppression, the entire cadaver small bowel except for a few proximal and distal centimeters was translated to 17 randomly matched patients, of whom two had antigraft cytotoxic antibodies (positive cross-match). Eight patients received the intestine only, eight had intestine in continuity with the liver, and one received a full multivisceral graft that included the liver, stomach, and pancreas. One liver-intestine recipient died after an intestinal anastomotic leak, sepsis, and graft- versus-host disease. The other 16 patients are alive after 1 to 23 months, in one case after chronic rejection, graft removal, and retransplantation. Twelve of the patients have been liberated from total parenteral nutrition, including all whose transplantation was 2 months or longer ago. The grafts have supported good nutrition, and in children, have allowed growth and weight gain. Management of these patients has been difficult and often complicated, but the end result has been satisfactory in most cases, justifying further clinical trials. The convalescence of the eight patients receiving intestine only has been faster and more trouble free than after liver-intestine or multivisceral transplantation, with no greater difficulty in the control of rejection

Intestinal transplantation in composite visceral grafts or alone

Under FK 506-based immunosuppression, the entire cadaver small bowel except for a few proximal and distal centimeters was translated to 17 randomly matched patients, of whom two had antigraft cytotoxic antibodies (positive cross-match). Eight patients received the intestine only, eight had intestine in continuity with the liver, and one received a full multivisceral graft that included the liver, stomach, and pancreas. One liver-intestine recipient died after an intestinal anastomotic leak, sepsis, and graft- versus-host disease. The other 16 patients are alive after 1 to 23 months, in one case after chronic rejection, graft removal, and retransplantation. Twelve of the patients have been liberated from total parenteral nutrition, including all whose transplantation was 2 months or longer ago. The grafts have supported good nutrition, and in children, have allowed growth and weight gain. Management of these patients has been difficult and often complicated, but the end result has been satisfactory in most cases, justifying further clinical trials. The convalescence of the eight patients receiving intestine only has been faster and more trouble free than after liver-intestine or multivisceral transplantation, with no greater difficulty in the control of rejection

Learning optimal spatially-dependent regularization parameters in total variation image denoising

We consider a bilevel optimization approach in function space for the choice of spatially dependent regularization parameters in TV image denoising models. First- and second-order optimality conditions for the bilevel problem are studied when the spatially-dependent parameter belongs to the Sobolev space H1(Ω). A combined Schwarz domain decomposition-semismooth Newton method is proposed for the solution of the full optimality system and local superlinear convergence of the semismooth Newton method is verified. Exhaustive numerical computations are finally carried out to show the suitability of the approach

Gravitational redshift of galaxies in clusters as predicted by general relativity

The theoretical framework of cosmology is mainly defined by gravity, of which general relativity is the current model. Recent tests of general relativity within the \Lambda Cold Dark Matter (CDM) model have found a concordance between predictions and the observations of the growth rate and clustering of the cosmic web. General relativity has not hitherto been tested on cosmological scales independent of the assumptions of the \Lambda CDM model. Here we report observation of the gravitational redshift of light coming from galaxies in clusters at the 99 per cent confidence level, based upon archival data. The measurement agrees with the predictions of general relativity and its modification created to explain cosmic acceleration without the need for dark energy (f(R) theory), but is inconsistent with alternative models designed to avoid the presence of dark matter.Comment: Published in Nature issued on 29 September 2011. This version includes the Letter published there as well as the Supplementary Information. 23 pages, 7 figure