ALBERT

Description: INTRODUCTION: The current standard for arrhythmic risk stratification is electrophysiologic (EP) testing, which, due to its invasive nature, is limited to patients already known to be at high risk. A number of noninvasive tests, such as determination of left ventricular ejection fraction (LVEF) or heart rate variability, have been evaluated as additional risk stratifiers. Microvolt T wave alternans (TWA) is a promising new risk marker. Prospective evaluation of noninvasive risk markers in low- or moderate-risk populations requires studies involving very large numbers of patients, and in such studies, documentation of the occurrence of ventricular tachyarrhythmias is difficult. In the present study, we identified a high-risk population, recipients of an implantable cardioverter defibrillator (ICD), and prospectively compared microvolt TWA with invasive EP testing and other risk markers with respect to their ability to predict recurrence of ventricular tachyarrhythmias as documented by ICD electrograms. METHODS AND RESULTS: Ninety-five patients with a history of ventricular tachyarrhythmias undergoing implantation of an ICD underwent EP testing, assessment of TWA, as well as determination of LVEF, baroreflex sensitivity, signal-averaged ECG, analysis of 24-hour Holter monitoring, and QT dispersion from the 12-lead surface ECG. The endpoint of the study was first appropriate ICD therapy for electrogram-documented ventricular fibrillation or tachycardia during follow-up. Kaplan-Meier survival analysis revealed that TWA (P 〈 0.006) and LVEF (P 〈 0.04) were the only significant univariate risk stratifiers. EP testing was not statistically significant (P 〈 0.2). Multivariate Cox regression analysis revealed that TWA was the only statistically significant independent risk factor. CONCLUSIONS: Measurement of microvolt TWA compared favorably with both invasive EP testing and other currently used noninvasive risk assessment methods in predicting recurrence of ventricular tachyarrhythmias in ICD recipients. This study suggests that TWA might also be a powerful tool for risk stratification in low- or moderate-risk patients, and needs to be prospectively evaluated in such populations.

Description: INTRODUCTION: Evidence is accumulating that microvolt T wave alternans (TWA) is a marker of increased risk for ventricular tachyarrhythmias. Initially, atrial pacing was used to elevate heart rate and elicit TWA. More recently, a noninvasive approach has been developed that elevates heart rate using exercise. METHODS AND RESULTS: In 30 consecutive patients with a history of ventricular tachyarrhythmias, the spectral method was used to detect TWA during both atrial pacing and submaximal exercise testing. The concordance rate for the presence or absence of TWA using the two measurement methods was 84%. There was a patient-specific heart rate threshold for the detection of TWA that averaged 100 +/- 14 beats/min during exercise compared with 97 +/- 9 beats/min during right atrial pacing (P = NS). Beyond this threshold, there was a significant and comparable increase in level of TWA with decreasing pacing cycle length and increasing exercise heart rates. CONCLUSIONS: The present study is the first to demonstrate that microvolt TWA can be assessed reliably and noninvasively during exercise stress. There is a patient-specific heart rate threshold beyond which TWA continues to increase with increasing heart rates. Heart rate thresholds for the onset of TWA measured during atrial pacing and exercise stress were comparable, indicating that heart rate alone appears to be the main factor of determining the onset of TWA during submaximal exercise stress.

Description: Buckling problems of two types of multi-span elastic plates with transverse stiffeners are considered using a method based on the finite difference calculus. The discreteness of the stiffeners is accounted for. It is found that the torsional rigidity of the stiffener plays an important role in the buckling mode pattern. When the torsional rigidity is properly adjusted, the stiffener can act as an isolator of deformation for the structure at buckling so that the deflection is only limited to a small area.

Description: Physical properties of labyrinthine fluids, and caloric stimulation of semicircular canals

Description: Adaptive manual control by human operator under unexpected or very complicated conditions

Description: With rapid world population growth and declining availability of fresh water and arable land, a new technology is urgently needed to enhance agricultural productivity. Recent discoveries in the field of crop transgenics clearly demonstrate the great potential of this technology for increasing food production and improving food quality while preserving the environment for future generations. In this review, we briefly discuss some of the recent achievements in crop improvement that have been made using gene transfer technology.

Description: Uniaxial stress was used on Fe single crystals to induce muon precession frequency shifts. The frequency shift for a nominally pure Fe sample at 302K was -0.34 + or - .023 MHz per 100 microstrain along the 100 magnetization axis. This corresponds to a change of magnetic field at the muon of 25.1 + to 1.6G/100 magnetic moment. For an Fe (3wt%Si) single crystal the shifts were -0.348 + or - .008 MHz/100 magnetic moment. The agreement between the shifts for Fe and Fe(3wt%Si) shows the effect to be intrinsic to iron and not strongly impurity sensitive. These shifts and their temperature dependence (1/T) are dominated by the effect of strain inducted population shifts between crystallographically equivalent, but mgnetically inequivalent sites. Their magnitudes are in good agreement ith previous theoretical predictions and by previous extrapolation from calculations on Nb and V especially if both 4T(0) and 1T sites contribute comparably.

Description: In this paper, several techniques considered for mining and processing the regolith on the lunar surface are presented. These techniques have been proposed and evaluated based primarily on the following criteria: (1) mining operations should be relatively simple; (2) procedures of mineral processing should be few and relatively easy; (3) transferring tonnages of regolith on the Moon should be minimized; (4) operations outside the lunar base should be readily automated; (5) all equipment should be maintainable; and (6) economic benefit should be sufficient for commercial exploitation. The economic benefits are not addressed in this paper; however, the energy benefits have been estimated to be between 250 and 350 times the mining energy. A mobile mining scheme is proposed that meets most of the mining objectives. This concept uses a bucket-wheel excavator for excavating the regolith, several mechanical electrostatic separators for beneficiation of the regolith, a fast-moving fluidized bed reactor to heat the particles, and a palladium diffuser to separate H2 from the other solar wind gases. At the final stage of the miner, the regolith 'tailings' are deposited directly into the ditch behind the miner and cylinders of the valuable solar wind gases are transported to a central gas processing facility. During the production of He-3, large quantities of valuable H2, H2O, CO, CO2, and N2 are produced for utilization at the lunar base. For larger production of He-3 the utilization of multiple-miners is recommended rather than increasing their size. Multiple miners permit operations at more sites and provide redundancy in case of equipment failure.

Description: A distributed version of the Clips language, dClips, was implemented on top of two existing generic distributed messaging systems to show that: (1) it is easy to create a coarse-grained parallel programming environment out of an existing language if a high level messaging system is used; and (2) the computing model of a parallel programming environment can be changed easily if we change the underlying messaging system. dClips processes were first connected with a simple master-slave model. A client-server model with intercommunicating agents was later implemented. The concept of service broker is being investigated.

Description: It was shown that 1 MeV proton irradiation with fluences of 1.25E14 and 1.25E15/sq cm reduces the normalized I(sub SC) of a-Si:H solar cell. Solar cells recently fabricated showed superior radiation tolerance compared with cells fabricated four years ago; the improvement is probably due to the fact that the new cells are thinner and fabricated from improved materials. Room temperature annealing was observed for the first time in both new and old cells. New cells anneal at a faster rate than old cells for the same fluence. From the annealing work it is apparent that there are at least two types of defects and/or annealing mechanisms. One cell had improved I-V characteristics following irradiation as compared to the virgin cell. The work shows that the photothermal deflection spectroscopy (PDS) and annealing measurements may be used to predict the qualitative behavior of a-Si:H solar cells. It was anticipated that the modeling work will quantitatively link thin film measurements with solar cell properties. Quantitative predictions of the operation of a-Si:H solar cells in a space environment will require a knowledge of the defect creation mechanisms, defect structures, role of defects on degradation, and defect passivation and annealing mechanisms. The engineering data and knowledge base for justifying space flight testing of a-Si:H alloy based solar cells is being developed.