A Theory of the Acquisition of Episodic Memory

Case-based reasoning (CBR) has been viewed by many as just a methodology for building systems, but the foundations of CBR are psychological theories. Dynamic Memory (Schank, 1982) was the first attempt to describe a theory for learning in computers and people, based on particular forms of data structures and processes, that nowadays are widely used in a variety of forms in CBR. In addition to being useful for system building, CBR provides a way of discussing a range of issues concerned with cognition. This focus on the practical uses of CBR has deflected attention from the need to develop further the underlying theory. In particular, the issue of knowledge acquisition, in not adequately handled by the existing theory. This paper discusses this theoretical weakness and then proposes an enhanced model of learning which is compatible with the CBR paradigm

Management of Testicular torsion in Mulago Hospital over a 5-year period

A retrospective study of patients seen in Mulago Hospital with a clinical diagnosis  of testicular torsion between 1993 and 1997 inclusive was undertaken. There were a total of 102 cases of torsion of the testis. Their ages ranged between 16 and 20 years. Over 50% of the patients reported to the hospital more than 48 hours after the onset of their symptoms and in 75% of the cases, the testes were already gangrenous on admission. The management included exploration, derotation and fixation of both testes if found viable or orchidectomy and fixation of the contra lateral testis if gangrenous. The study showed that there is need for increased level of awareness of this disease among health workers, parents, teachers and adolescents if delay in diagnosis is to be avoided.Key words: Testis, testicular, torsion, and management

Comparison of high-specific-activity ultratrace 123/131I-MIBG and carrier-added 123/131I-MIBG on efficacy, pharmacokinetics, and tissue distribution

Metaiodobenzylguanidine (MIBG) is an enzymatically stable synthetic analog of norepinephrine that when radiolabled with diagnostic ((123)I) or therapeutic ((131)I) isotopes has been shown to concentrate highly in sympathetically innervated tissues such as the heart and neuroendocrine tumors that possesses high levels of norepinephrine transporter (NET). As the transport of MIBG by NET is a saturable event, the specific activity of the preparation may have dramatic effects on both the efficacy and safety of the radiodiagnostic/radiotherapeutic. Using a solid labeling approach (Ultratrace), noncarrier-added radiolabeled MIBG can be efficiently produced. In this study, specific activities of >1200 mCi/micromol for (123)I and >1600 mCi/micromol for (131)I have been achieved. A series of studies were performed to assess the impact of cold carrier MIBG on the tissue distribution of (123/131)I-MIBG in the conscious rat and on cardiovascular parameters in the conscious instrumented dog. The present series of studies demonstrated that the carrier-free Ultratrace MIBG radiolabeled with either (123)I or (131)I exhibited similar tissue distribution to the carrier-added radiolabeled MIBG in all nontarget tissues. In tissues that express NETs, the higher the specific activity of the preparation the greater will be the radiopharmaceutical uptake. This was reflected by greater efficacy in the mouse neuroblastoma SK-N-BE(2c) xenograft model and less appreciable cardiovascular side-effects in dogs when the high-specific-activity radiopharmaceutical was used. The increased uptake and retention of Ultratrace (123/131)I-MIBG may translate into a superior diagnostic and therapeutic potential. Lastly, care must be taken when administering therapeutic doses of the current carrier-added (131)I-MIBG because of its potential to cause adverse cardiovascular side-effects, nausea, and vomiting

Participatory Monitoring of Community-Based Rehabilitation and other Disability- Inclusive Development Programmes: the Development of a Manual and Menu

Purpose: This paper describes a three-year research project leading to the development of the CBR Monitoring Manual and Menu (MM&M). The MM&M is a practical toolkit that meets the needs of CBR managers and stakeholders, and is consistent with the philosophy of CBR and community-based disability-inclusive development. It is designed to produce meaningful and locally useful information and data, based on international data standards where possible, to enable aggregation at regional, national and international levels. Methods: Five complementary workstreams of research were carried out from 2011 to 2014: 1) literature review and analysis; 2) participatory action research with CBR stakeholders; 3) analysis and refinement of validity of concepts and structures; 4) consultation and review; and 5) synthesis of results. This article documents the method and key results of each of the five workstreams, and the lessons learned along the way. Results: The MM&M is now freely available on-line at http://sydney.edu.au/health-sciences/cdrp/projects/cbr-monitoring.shtml. Collaboration among members of the development team continues, chiefly via an on-line group to which new members have been welcomed. Conclusion and Implications: At the time of writing, the MM&M is the only international monitoring product, known to the authors, that consciously sets out to reflect both a ‘bottom- up’ and ‘top-down’ perspective of monitoring information and data. To achieve this for a complex programme such as CBR, and to align with its principles, it was essential to use a multi-component and multi-stage strategy for tool development, involving a diverse multidisciplinary team includingcollaboration with CBR stakeholders

Stochastic Coalitional Better-response Dynamics and Strong Nash Equilibrium

We consider coalition formation among players in an n-player finite strategic game over infinite horizon. At each time a randomly formed coalition makes a joint deviation from a current action profile such that at new action profile all players from the coalition are strictly benefited. Such deviations define a coalitional better-response (CBR) dynamics that is in general stochastic. The CBR dynamics either converges to a strong Nash equilibrium or stucks in a closed cycle. We also assume that at each time a selected coalition makes mistake in deviation with small probability that add mutations (perturbations) into CBR dynamics. We prove that all strong Nash equilibria and closed cycles are stochastically stable, i.e., they are selected by perturbed CBR dynamics as mutations vanish. Similar statement holds for strict strong Nash equilibrium. We apply CBR dynamics to the network formation games and we prove that all strongly stable networks and closed cycles are stochastically stable

Case Based Reasoning and TRIZ : a coupling for Innovative conception in Chemical Engineering

With the evolutions of the surrounding world market, researchers and engineers have to propose technical innovations. Nevertheless, Chemical Engineering community demonstrates a small interest for innovation compared to other engineering fields. In this paper, an approach to accelerate inventive preliminary design for Chemical Engineering is presented. This approach uses Case Based Reasoning (CBR) method to model, to capture, to store and to make available the knowledge deployed during design. CBR is a very interesting method coming from Artificial Intelligence, for routine design. Indeed, in CBR the main assumption is that a new problem of design can be solved with the help of past successful ones. Consequently, the problem solving process is based on past successful solutions therefore the design is accelerated but creativity is limited and not stimulated. Our approach is an extension of the CBR method from routine design to inventive design. One of the main drawbacks of this method is that it is restricted in one particular domain of application. To propose inventive solution, the level of abstraction for problem resolution must be increased. For this reason CBR is coupled with the TRIZ theory (Russian acronym for Theory of solving inventive problem). TRIZ is a problem solving method that increases the ability to solve creative problems thanks to its capacity to give access to the best practices in all the technical domains. The proposed synergy between CBR and TRIZ combines the main advantages of CBR (ability to store and to reuse rapidly knowledge) and those of TRIZ (no trade off during resolution, inventive solutions). Based on this synergy, a tool is developed and a mere example is treated

Validity of the Cauchy-Born rule applied to discrete cellular-scale models of biological tissues.

The development of new models of biological tissues that consider cells in a discrete manner is becoming increasingly popular as an alternative to continuum methods based on partial differential equations, although formal relationships between the discrete and continuum frameworks remain to be established. For crystal mechanics, the discrete-to-continuum bridge is often made by assuming that local atom displacements can be mapped homogeneously from the mesoscale deformation gradient, an assumption known as the Cauchy-Born rule (CBR). Although the CBR does not hold exactly for noncrystalline materials, it may still be used as a first-order approximation for analytic calculations of effective stresses or strain energies. In this work, our goal is to investigate numerically the applicability of the CBR to two-dimensional cellular-scale models by assessing the mechanical behavior of model biological tissues, including crystalline (honeycomb) and noncrystalline reference states. The numerical procedure involves applying an affine deformation to the boundary cells and computing the quasistatic position of internal cells. The position of internal cells is then compared with the prediction of the CBR and an average deviation is calculated in the strain domain. For center-based cell models, we show that the CBR holds exactly when the deformation gradient is relatively small and the reference stress-free configuration is defined by a honeycomb lattice. We show further that the CBR may be used approximately when the reference state is perturbed from the honeycomb configuration. By contrast, for vertex-based cell models, a similar analysis reveals that the CBR does not provide a good representation of the tissue mechanics, even when the reference configuration is defined by a honeycomb lattice. The paper concludes with a discussion of the implications of these results for concurrent discrete and continuous modeling, adaptation of atom-to-continuum techniques to biological tissues, and model classification

Validity of the Cauchy-Born rule applied to discrete cellular-scale models of biological tissues

The development of new models of biological tissues that consider cells in a discrete manner is becoming increasingly popular as an alternative to PDE-based continuum methods, although formal relationships between the discrete and continuum frameworks remain to be established. For crystal mechanics, the discrete-to-continuum bridge is often made by assuming that local atom displacements can be mapped homogeneously from the mesoscale deformation gradient, an assumption known as the Cauchy-Born rule (CBR). Although the CBR does not hold exactly for non-crystalline materials, it may still be used as a first order approximation for analytic calculations of effective stresses or strain energies. In this work, our goal is to investigate numerically the applicability of the CBR to 2-D cellular-scale models by assessing the mechanical behaviour of model biological tissues, including crystalline (honeycomb) and non-crystalline reference states. The numerical procedure consists in precribing an affine deformation on the boundary cells and computing the position of internal cells. The position of internal cells is then compared with the prediction of the CBR and an average deviation is calculated in the strain domain. For centre-based models, we show that the CBR holds exactly when the deformation gradient is relatively small and the reference stress-free configuration is defined by a honeycomb lattice. We show further that the CBR may be used approximately when the reference state is perturbed from the honeycomb configuration. By contrast, for vertex-based models, a similar analysis reveals that the CBR does not provide a good representation of the tissue mechanics, even when the reference configuration is defined by a honeycomb lattice. The paper concludes with a discussion of the implications of these results for concurrent discrete/continuous modelling, adaptation of atom-to-continuum (AtC) techniques to biological tissues and model classification