301,690 research outputs found

    CT lung cancer screening in China:the necessity to optimize target population

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    This thesis focuses on three aspects for optimization of the target population in a potential computed tomography (CT) lung cancer screening program in China: (1) the evaluation of the risk factors for lung cancer, (2) the assessment of the findings from the first-round of CT screening for lung cancer in a Chinese population, and (3) the investigation of the cost-effectiveness and harms of CT lung cancer screening. Part I focuses on contribution of (passive) smoking and airflow limitation on the occurrence of lung cancer. Part II describes the study design of the NELCIN-B3 study in Tianjin and Shanghai, China; and the results of the first-round screening of the NELCIN-B3 study in Tianjin. Part III provides the cost-effectiveness of lung cancer screening in Dutch and Chinese populations and the harms of lung cancer screening. In conclusion, gender specific eligibility criteria for lung cancer screening should be developed due to the differences in risk factors and lung cancer incidence between men and women. Airflow limitation and a passive smoking history play a role in the identification of men and women at an increased risk for the development of lung cancer, respectively. Future studies on the optimization of the entry criteria for lung cancer screening in China should therefore focus on the identification of groups of people at a high risk for the development of lung cancer. Simultaneously, from the perspective of public health, a Chinese lung cancer screening program should be cost-effective, with optimized benefits and minimized harms

    Emergent Innovation—a Socio-Epistemological Innovation Technology. Creating Profound Change and Radically New Knowledge as Core Challenges in Knowledge Management

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    This paper introduces an alternative approach to innovation: Emergent Innovation. As opposed to radical innovation Emergent Innovation finds a balance and integrates the demand both for radically new knowledge and at the same time for an organic development from within the organization. From a knowledge management perspective one can boil down this problem to the question of how to cope with the new and with profound change in knowledge. This question will be dealt with in the first part of the paper. As an implication the alternative approach of Emergent Innovation will be presented in the second part: this approach looks at innovation as a socio-epistemological process of “learning from the future”.\ud Keywords:\ud Innovation, radical innovation, emergent innovation, knowledge creation, change

    Cognition-Based Networks: A New Perspective on Network Optimization Using Learning and Distributed Intelligence

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    IEEE Access Volume 3, 2015, Article number 7217798, Pages 1512-1530 Open Access Cognition-based networks: A new perspective on network optimization using learning and distributed intelligence (Article) Zorzi, M.a , Zanella, A.a, Testolin, A.b, De Filippo De Grazia, M.b, Zorzi, M.bc a Department of Information Engineering, University of Padua, Padua, Italy b Department of General Psychology, University of Padua, Padua, Italy c IRCCS San Camillo Foundation, Venice-Lido, Italy View additional affiliations View references (107) Abstract In response to the new challenges in the design and operation of communication networks, and taking inspiration from how living beings deal with complexity and scalability, in this paper we introduce an innovative system concept called COgnition-BAsed NETworkS (COBANETS). The proposed approach develops around the systematic application of advanced machine learning techniques and, in particular, unsupervised deep learning and probabilistic generative models for system-wide learning, modeling, optimization, and data representation. Moreover, in COBANETS, we propose to combine this learning architecture with the emerging network virtualization paradigms, which make it possible to actuate automatic optimization and reconfiguration strategies at the system level, thus fully unleashing the potential of the learning approach. Compared with the past and current research efforts in this area, the technical approach outlined in this paper is deeply interdisciplinary and more comprehensive, calling for the synergic combination of expertise of computer scientists, communications and networking engineers, and cognitive scientists, with the ultimate aim of breaking new ground through a profound rethinking of how the modern understanding of cognition can be used in the management and optimization of telecommunication network

    Multimodal estimation of distribution algorithms

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    Taking the advantage of estimation of distribution algorithms (EDAs) in preserving high diversity, this paper proposes a multimodal EDA. Integrated with clustering strategies for crowding and speciation, two versions of this algorithm are developed, which operate at the niche level. Then these two algorithms are equipped with three distinctive techniques: 1) a dynamic cluster sizing strategy; 2) an alternative utilization of Gaussian and Cauchy distributions to generate offspring; and 3) an adaptive local search. The dynamic cluster sizing affords a potential balance between exploration and exploitation and reduces the sensitivity to the cluster size in the niching methods. Taking advantages of Gaussian and Cauchy distributions, we generate the offspring at the niche level through alternatively using these two distributions. Such utilization can also potentially offer a balance between exploration and exploitation. Further, solution accuracy is enhanced through a new local search scheme probabilistically conducted around seeds of niches with probabilities determined self-adaptively according to fitness values of these seeds. Extensive experiments conducted on 20 benchmark multimodal problems confirm that both algorithms can achieve competitive performance compared with several state-of-the-art multimodal algorithms, which is supported by nonparametric tests. Especially, the proposed algorithms are very promising for complex problems with many local optima

    Optimization of a Transmission Network

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