69 research outputs found
A Novel Method for Epileptic Seizure Detection Using Coupled Hidden Markov Models
We propose a novel Coupled Hidden Markov Model to detect epileptic seizures
in multichannel electroencephalography (EEG) data. Our model defines a network
of seizure propagation paths to capture both the temporal and spatial evolution
of epileptic activity. To address the intractability introduced by the coupled
interactions, we derive a variational inference procedure to efficiently infer
the seizure evolution from spectral patterns in the EEG data. We validate our
model on EEG aquired under clinical conditions in the Epilepsy Monitoring Unit
of the Johns Hopkins Hospital. Using 5-fold cross validation, we demonstrate
that our model outperforms three baseline approaches which rely on a classical
detection framework. Our model also demonstrates the potential to localize
seizure onset zones in focal epilepsy.Comment: To appear in MICCAI 2018 Proceeding
A Schwarz lemma for K\"ahler affine metrics and the canonical potential of a proper convex cone
This is an account of some aspects of the geometry of K\"ahler affine metrics
based on considering them as smooth metric measure spaces and applying the
comparison geometry of Bakry-Emery Ricci tensors. Such techniques yield a
version for K\"ahler affine metrics of Yau's Schwarz lemma for volume forms. By
a theorem of Cheng and Yau there is a canonical K\"ahler affine Einstein metric
on a proper convex domain, and the Schwarz lemma gives a direct proof of its
uniqueness up to homothety. The potential for this metric is a function
canonically associated to the cone, characterized by the property that its
level sets are hyperbolic affine spheres foliating the cone. It is shown that
for an -dimensional cone a rescaling of the canonical potential is an
-normal barrier function in the sense of interior point methods for conic
programming. It is explained also how to construct from the canonical potential
Monge-Amp\`ere metrics of both Riemannian and Lorentzian signatures, and a mean
curvature zero conical Lagrangian submanifold of the flat para-K\"ahler space.Comment: Minor corrections. References adde
Polynomial-sized Semidefinite Representations of Derivative Relaxations of Spectrahedral Cones
We give explicit polynomial-sized (in and ) semidefinite
representations of the hyperbolicity cones associated with the elementary
symmetric polynomials of degree in variables. These convex cones form a
family of non-polyhedral outer approximations of the non-negative orthant that
preserve low-dimensional faces while successively discarding high-dimensional
faces. More generally we construct explicit semidefinite representations
(polynomial-sized in , and ) of the hyperbolicity cones associated with
th directional derivatives of polynomials of the form where the are symmetric
matrices. These convex cones form an analogous family of outer approximations
to any spectrahedral cone. Our representations allow us to use semidefinite
programming to solve the linear cone programs associated with these convex
cones as well as their (less well understood) dual cones.Comment: 20 pages, 1 figure. Minor changes, expanded proof of Lemma
"I'm not being rude, I'd want somebody normal" Adolescents' perception of their peers with Tourette's syndrome; an exploratory study
Background: Tourette’s syndrome (TS) is a highly stigmatised condition, and typically developing adolescents’ motives and reason for excluding individuals with TS have not been examined.
Aims: The aim of the study was to understand how TS is conceptualised by adolescents and explore how individuals with TS are perceived by their typically developing peers.
Method: Free text writing and focus groups were used to elicit the views of twenty-two year ten students from a secondary school in South East England. Grounded theory was used to develop an analytical framework.
Result: Participants’ understanding about the condition was construed from misconceptions, unfamiliarity and unanswered questions. Adolescents who conceived TS as a disorder beyond the individual’s control perceived their peers as being deprived of agency and strength and as straying from the boundaries of normalcy. People with TS were viewed as individuals deserving pity, and in need of support. Although participants maintained they had feelings of social politeness towards those with TS, they would avoid initiating meaningful social relationships with them due to fear of “social contamination”. Intergroup anxiety would also inhibit a close degree of social contact. Participants that viewed those with TS as responsible for their condition expressed a plenary desire for social distance. However, these behavioural intentions were not limited to adolescents that elicited inferences of responsibility to people with TS, indicating that attributional models of stigmatisation may be of secondary importance in the case of TS.
Implications for interventions to improve school belonging among youths with TS are discussed
Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study
Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk
A simplified microwave-based motion detector for home cage activity monitoring in mice
Background: Locomotor activity of rodents is an important readout to assess well-being and physical health, and is pivotal for behavioral phenotyping. Measuring homecage-activity with standard and cost-effective optical methods in mice has become difficult, as modern housing conditions (e.g. individually ventilated cages, cage enrichment) do not allow constant, unobstructed, visual access. Resolving this issue either makes greater investments necessary, especially if several experiments will be run in parallel, or is at the animals' expense. The purpose of this study is to provide an easy, yet satisfying solution for the behavioral biologist at novice makers level. Results: We show the design, construction and validation of a simplified, low-cost, radar-based motion detector for home cage activity monitoring in mice. In addition we demonstrate that mice which have been selectively bred for low levels of anxiety-related behavior (LAB) have deficits in circadian photoentrainment compared to CD1 control animals. Conclusion: In this study we have demonstrated that our proposed low-cost microwave-based motion detector is well-suited for the study of circadian rhythms in mice
Hand osteoarthritis: clinical phenotypes, molecular mechanisms and disease management
Osteoarthritis (OA) is a highly prevalent condition and the hand is the most commonly affected site. Patients with hand OA frequently report symptoms of pain, functional limitations, and frustration in undertaking everyday activities. The condition presents clinically with changes to the bone, ligaments, cartilage and synovial tissue, which can be observed using radiography, ultrasonography or MRI. Hand OA is a heterogeneous disorder and is considered to be multifactorial in aetiology. This review provides an overview of the epidemiology, presentation and burden of hand OA, including an update on hand OA imaging (including the development of novel techniques), disease mechanisms and management. In particular, areas for which new evidence has substantially changed the way we understand, consider and treat hand OA are highlighted. For example, genetic studies, clinical trials and careful prospective imaging studies from the past 5 years are beginning to provide insights into the pathogenesis of hand OA that might uncover new therapeutic targets in disease
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