Intracytoplasmic injection with late spermatids: a successful procedure in achieving childbirth for couples in which the male partner suffers from azoospermia due to deficient spermatogenesis

OBJECTIVE

To investigate the feasibility of using late spermatids in intracytoplasmic sperm injection (ICSI) for patients in which there is a total lack of normal and testicular sperm.

DESIGN

Clinical study.

SETTING

Private fertility center with adjacent laboratory facilities.

PATIENT(S)

Thirty-six males diagnosed with azoospermia underwent testicular biopsy and the resulting spermatids from nine patients were used to fertilize oocytes retrieved from their respective wives by ICSI.

INTERVENTION(S)

Intracytoplasmic spermatid injection of oocytes with late spermatids obtained by testicular biopsy.

MAIN OUTCOME MEASURE(S)

Fertilization, pregnancy, and delivery rates.

RESULT(S)

Three of the cases resulted in pregnancies with childbirth occurring in all three, identical twins in one, and individual singletons in the other two cases.

CONCLUSION(S)

It is possible to achieve successful levels of pregnancy and childbirth in cases of azoospermia by intracytoplasmic injection of late spermatids.

Depression and dementia in aging adults with Down syndrome: a case study approach

Patterns of symptoms associated with depression and dementia were examined in 3 aging adults with Down syndrome. A case study approach (Yin, 1994) was employed to identify and link these symptoms. Results of the case analyses provide further insight into distinguishing between depression and dementia in older persons with Down syndrome.

Optical binary de Bruijn networks for massively parallel computing: design methodology and feasibility study

The interconnection network structure can be the deciding and limiting factor in the cost and the performance of parallel computers. One of the most popular point-to-point interconnection networks for parallel computers today is the hypercube. The regularity, logarithmic diameter, symmetry, high connectivity, fault tolerance, simple routing, and reconfigurability (easy embedding of other network topologies) of the hypercube make it a very attractive choice for parallel computers. Unfortunately the hypercube possesses a major drawback, which is the complexity of its node structure: the number of links per node increases as the network grows in size. As an alternative to the hypercube, the binary de Bruijn (BdB) network has recently received much attention. The BdB not only provides a logarithmic diameter, fault tolerance, and simple routing but also requires fewer links than the hypercube for the same network size. Additionally, a major advantage of the BdB network is a constant node degree: the number of edges per node is independent of the network size. This makes it very desirable for large-scale parallel systems. However, because of its asymmetrical nature and global connectivity, it poses a major challenge for VLSI technology. Optics, owing to its three-dimensional and globalconnectivity nature, seems to be very suitable for implementing BdB networks. We present an implementation methodology for optical BdB networks. The distinctive feature of the proposed implementation methodology is partitionability of the network into a few primitive operations that can be implemented efficiently. We further show feasibility of the presented design methodology by proposing an optical implementation of the BdB network.

Scalable optical hypercube-based interconnection network for massively parallel computing

Two important parameters of a network for massively parallel computers are scalability and modularity. Scalability has two aspects: size and time (or generation). Size scalability refers to the property that the size of the network can be increased with nominal effect on the existing configuration. Also, the increase in size is expected to result in a linear increase in performance. Time scalability implies that the communication capabilities of a network should be large enough to support the evolution of processing elements through generations. A modular network enables the construction of a large network out of many smaller ones. The lack of these two important parameters has limited the use of certain types of interconnection networks in the area of massively parallel computers. We present a new modular optical interconnection network, called an optical multimesh hypercube (OMMH), which is both size and time scalable. The OMMH combines positive features of both the hypercube (small diameter, high connectivity, symmetry, simple routing, and fault tolerance) and the torus (constant node degree and size scalability) networks. Also presented is a three-dimensional optical implementation of the OMMH network. A basic building block of the OMMH network is a hypercube module that is constructed with free-space optics to provide compact and high-density localized hypercube connections. The OMMH network is then constructed by the connection of such basic building blocks with multiwavelength optical fibers to realize torus connections. The proposed implementation methodology is intended to exploit the advantages of both space-invariant free-space and multiwavelength fiber-based optical interconnect technologies. The analysis of the proposed implementation shows that such a network is optically feasible in terms of the physical size and the optical power budget.

Detection of hepatitis B virus DNA in the serum of Canadian hepatitis B surface antigen negative, anti-HBc positive individuals, using the polymerase chain reaction

Continuing hepatitis B virus (HBV) infection is normally associated with the presence of hepatitis B surface antigen (HBsAg) in the serum. In spite of sensitive screening assays for HBsAg, rare cases of post-transfusion HBV infection are still observed. Antibody to hepatitis B core antigen (anti-HBc) often indicates remote HBV infection but DNA hybridisation and more sensitive polymerase chain reaction (PCR) assays have demonstrated that some HBsAg negative individuals, positive for anti-HBc, have continuing HBV replication. To determine the incidence of ongoing HBV infection in a Canadian HBsAg negative, anti-HBc positive population we studied three groups with this combination of HBV markers: Group A, 36 patients referred for investigation of raised serum aminotransferases; Group B, 21 Canadian Red Cross blood donors; Group C, seven vaccinees in an Ottawa Health Care Student hepatitis B vaccination programme. The PCR was carried out using a nested PCR reaction with primers specific for the pre-core region of HBV. Seven of 36 (19%) patients in Group A had detectable HBV DNA whereas none of Group B or C were positive. This data indicates that in some HBsAg negative patients with ongoing hepatic inflammation, continuing HBV replication may persist. This was not observed in any healthy blood donors or health care students investigated. Larger studies are required, but this data would suggest that, in Canada, the addition of anti-HBc testing for all blood donors for detection of low level HBV replication would not be indicated.

Effects of thyroid hormone on the calcium current and isoprenaline-induced background current in rabbit ventricular myocytes

The majority of previous studies have been performed to explain the effects of thyroid hormone on the heart in chronic hyperthyroidism that was usually induced by eight to 10 daily injections of thyroid hormones. However, it is unclear whether or not the electrophysiological effects result from the chronic manifestations of hyperthyroidism and whether thyroid hormone acts directly or indirectly on cardiac myocytes to alter cardiac electrophysiological properties. In order to examine the acute term electrophysiological effects of thyroid hormone applied in vitro and the mechanisms responsible for some of these effects, we investigated the modulatory effects of thyroid hormone on the calcium current and isoprenaline-induced background current in L-triiodothyronine-treated ventricular myocytes of the rabbit. The major findings were as follows. Over 5 h (range, 5-24 h) after treatment of L-triiodothyronine (1 microM) in vitro, the calcium current was increased significantly. Isoprenaline (1 microM) and cyclic AMP (100 microM) caused an increase in the calcium current in both euthyroid and hyperthyroid myocytes. The hyperthyroid myocytes were more sensitive to the effect of beta-adrenergic stimulation on the calcium current and isoprenaline-activated background current. In euthyroid myocytes, acetylcholine (1 microM) produced no or little changes in the amplitude of the calcium current. In hyperthyroid myocytes, acetylcholine markedly reduced the calcium current, however, acetylcholine was ineffective in the presence of sufficient intracellular cyclic AMP (100 microM). Our results suggest that thyroid hormone can affect the cardiac myocytes directly. Furthermore, our results demonstrate that thyroid hormone affects the calcium current and isoprenaline-activated background current. These electrophysiological changes may explain, at least in part, the occurrence of positive inotropy and cardiac arrhythmias that is associated with hyperthyroidism.

Efficient implementation methodology for three-dimensional space-invariant hypercube-based optical interconnection networks

A new design methodology for constructing optical space-invariant hypercube interconnection networks for connection of a two-dimensional array of inputs to a two-dimensional array of outputs is presented. The methodology permits the construction of larger hypercube networks from smaller networks in systematic and incremental fashion. It is shown that the proposed methodology greatly improves area utilization as compared with previous methods. An example network is provided that illustrates the proposed design method. Owing to their totally space-invariant nature, the resulting three-dimensional hypercube networks are highly amenable to optical implementations by use of simple optical hardware such as multiple-imaging components and space-invariant holographic techniques. We present space-invariant optical implementation technique for the realization of such networks. A theoretical analysis of the physical limitations of the implementation method is also presented. The analysis indicates that two-dimensional arrays of 512 × 512 nodes interconnected in a hypercube (18-cube) topology could be implemented.