3 research outputs found

    A Comparison of Generalizability for Anomaly Detection

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    In security-related areas there is concern over the novel “zeroday” attack that penetrates system defenses and wreaks havoc. The best methods for countering these threats are recognizing “non-self” as in an Artificial Immune System or recognizing “self” through clustering. For either case, the concern remains that something that looks similar to self could be missed. Given this situation one could logically assume that a tighter fit to self rather than generalizability is important for false positive reduction in this type of learning problem. This article shows that a tight fit, although important, does not supersede having some model generality. This is shown using three systems. The first two use sphere and ellipsoid clusters with a k-means algorithm modified to work on the one-class/blind classification problem. The third is based on wrapping the self points with a multidimensional convex hull (polytope) algorithm capable of learning disjunctive concepts via a thresholding constant. All three of these algorithms are tested on an intrusion detection problem and a steganalysis problem with results exceeding published results using an Artificial Immune System

    Ezetimibe added to statin therapy after acute coronary syndromes

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    BACKGROUND: Statin therapy reduces low-density lipoprotein (LDL) cholesterol levels and the risk of cardiovascular events, but whether the addition of ezetimibe, a nonstatin drug that reduces intestinal cholesterol absorption, can reduce the rate of cardiovascular events further is not known. METHODS: We conducted a double-blind, randomized trial involving 18,144 patients who had been hospitalized for an acute coronary syndrome within the preceding 10 days and had LDL cholesterol levels of 50 to 100 mg per deciliter (1.3 to 2.6 mmol per liter) if they were receiving lipid-lowering therapy or 50 to 125 mg per deciliter (1.3 to 3.2 mmol per liter) if they were not receiving lipid-lowering therapy. The combination of simvastatin (40 mg) and ezetimibe (10 mg) (simvastatin-ezetimibe) was compared with simvastatin (40 mg) and placebo (simvastatin monotherapy). The primary end point was a composite of cardiovascular death, nonfatal myocardial infarction, unstable angina requiring rehospitalization, coronary revascularization ( 6530 days after randomization), or nonfatal stroke. The median follow-up was 6 years. RESULTS: The median time-weighted average LDL cholesterol level during the study was 53.7 mg per deciliter (1.4 mmol per liter) in the simvastatin-ezetimibe group, as compared with 69.5 mg per deciliter (1.8 mmol per liter) in the simvastatin-monotherapy group (P<0.001). The Kaplan-Meier event rate for the primary end point at 7 years was 32.7% in the simvastatin-ezetimibe group, as compared with 34.7% in the simvastatin-monotherapy group (absolute risk difference, 2.0 percentage points; hazard ratio, 0.936; 95% confidence interval, 0.89 to 0.99; P = 0.016). Rates of pre-specified muscle, gallbladder, and hepatic adverse effects and cancer were similar in the two groups. CONCLUSIONS: When added to statin therapy, ezetimibe resulted in incremental lowering of LDL cholesterol levels and improved cardiovascular outcomes. Moreover, lowering LDL cholesterol to levels below previous targets provided additional benefit
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