Automatic Detection of Vasculature from the Images of Human Retina Using CLAHE and Bitplane Decomposition

Retinal blood vessel detection and extraction is an essential step in understanding several eye related pathologies. It is the key in automatic screening systems for retinal abnormalities. We present a novel yet simple approach to the detection and segmentation of vasculature from the fundus images of the human retina. For the detection and extraction of blood vessels, the green channel of the image is separated. The green channel is preprocessed for a better contrast by using contrast limited adaptive histogram equalization (CLAHE) and mathematical morphology. On applying bitplane decomposition, bitplane 2 is found to carry important information on the topology of retinal vasculature. A series of morphological operations on bitplane 2 segment the vasculature accurately. The proposed algorithm is computationally simple and does not require a prior knowledge of other retinal features like optic disc and macula. The algorithm has been evaluated on a subset of MESSIDOR and DRIVE image databases with various visual qualities. Robustness with respect to changes in the parameters of the algorithm has been examined.

The Landau-Ginzburg to Calabi-Yau Dictionary for D-Branes

Based on work by Orlov, we give a precise recipe for mapping between B-type D-branes in a Landau-Ginzburg orbifold model (or Gepner model) and the corresponding large-radius Calabi-Yau manifold. The D-branes in Landau-Ginzburg theories correspond to matrix factorizations and the D-branes on the Calabi-Yau manifolds are objects in the derived category. We give several examples including branes on quotient singularities associated to weighted projective spaces. We are able to confirm several conjectures and statements in the literature.Comment: 24 pages, refs added + minor correctio

In-orbit Performance of UVIT on ASTROSAT

We present the in-orbit performance and the first results from the ultra-violet Imaging telescope (UVIT) on ASTROSAT. UVIT consists of two identical 38cm coaligned telescopes, one for the FUV channel (130-180nm) and the other for the NUV (200-300nm) and VIS (320-550nm) channels, with a field of view of 28 $arcmin$. The FUV and the NUV detectors are operated in the high gain photon counting mode whereas the VIS detector is operated in the low gain integration mode. The FUV and NUV channels have filters and gratings, whereas the VIS channel has filters. The ASTROSAT was launched on 28th September 2015. The performance verification of UVIT was carried out after the opening of the UVIT doors on 30th November 2015, till the end of March 2016 within the allotted time of 50 days for calibration. All the on-board systems were found to be working satisfactorily. During the PV phase, the UVIT observed several calibration sources to characterise the instrument and a few objects to demonstrate the capability of the UVIT. The resolution of the UVIT was found to be about 1.4 - 1.7 $arcsec$ in the FUV and NUV. The sensitivity in various filters were calibrated using standard stars (white dwarfs), to estimate the zero-point magnitudes as well as the flux conversion factor. The gratings were also calibrated to estimate their resolution as well as effective area. The sensitivity of the filters were found to be reduced up to 15\% with respect to the ground calibrations. The sensitivity variation is monitored on a monthly basis. UVIT is all set to roll out science results with its imaging capability with good resolution and large field of view, capability to sample the UV spectral region using different filters and capability to perform variability studies in the UV.Comment: 10 pages, To appear in SPIE conference proceedings, SPIE conference paper, 201

Outcomes of primary care delivery by nurse practitioners: Utilization, cost, and quality of care

ObjectiveTo examine whether nurse practitioner (NP)- assigned patients exhibited differences in utilization, costs, and clinical outcomes compared to medical doctor (MD)- assigned patients.Data SourcesVeterans Affairs (VA) administrative data capturing characteristics, outcomes, and provider assignments of 806 434 VA patients assigned to an MD primary care provider (PCP) who left VA practice between 2010 and 2012.Study DesignWe applied a difference- in- difference approach comparing outcomes between patients reassigned to MD and NP PCPs, respectively. We examined measures of outpatient (primary care, specialty care, and mental health) and inpatient (total and ambulatory care sensitive hospitalizations) utilization, costs (outpatient, inpatient and total), and clinical outcomes (control of hemoglobin A1c, LDL, and blood pressure) in the year following reassignment.Principal FindingsCompared to MD- assigned patients, NP- assigned patients were less likely to use primary care and specialty care services and incurred fewer total and ambulatory care sensitive hospitalizations. Differences in costs, clinical outcomes, and receipt of diagnostic tests between groups were not statistically significant.ConclusionsPatients reassigned to NPs experienced similar outcomes and incurred less utilization at comparable cost relative to MD patients. NPs may offer a cost- effective approach to addressing anticipated shortages of primary care physicians.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154625/1/hesr13246_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154625/2/hesr13246-sup-0001-Authormatrix.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154625/3/hesr13246.pd

Time perception and its neuropsychological correlates in patients with schizophrenia and in healthy volunteers

Disordered time perception has been reported in schizophrenia. We investigated time perception dysfunction and its neuropsychological correlates in patients with schizophrenia. Participants comprised 38 patients and 38 age- and sex-matched healthy volunteers who were compared in an auditory temporal bisection paradigm using two interval ranges (a 400/800 ins condition and a 1000/2000 ms condition). In the temporal bisection, subjects were required to categorise a probe duration as short or long, based upon the similarity with two reference durations. All subjects also completed a battery of neuropsychological tests measuring sustained attention, short- and long-term memory and executive function. In the 400/800 ins condition, patients judged durations significantly shorter than did control subjects. Patients also exhibited decreased temporal sensitivity in both conditions. We found in both groups a negative association between temporal sensitivity and sustained attention for the 400/800 ms condition, and between temporal sensitivity and long-term memory for the 1000/200 ms condition. In patients, short-term memory performance was negatively associated with duration judgement in both conditions, while executive dysfunction was correlated to a general performance deficit in the 400/800 ms condition. These findings suggest the possibility that time perception abnormalities in schizophrenia are part of neuropsychological dysfunction and are likely to adversely impact upon activity of daily living. (c) 2008 Elsevier Ireland Ltd. All rights reserved

Painful swollen leg – think beyond deep vein thrombosis or Baker's cyst

<p>Abstract</p> <p>Background</p> <p>The diagnosis of deep vein thrombosis of leg is very common in clinical practice. Not infrequently a range of pathologies are diagnosed after excluding a thrombosis, often after a period of anticoagulation.</p> <p>Case presentation</p> <p>This is a report of three patients who presented with a painful swollen leg and were initially treated as a deep vein thrombosis or a baker's cyst, but later diagnosed as a pleomorphic sarcoma, a malignant giant cell tumor of the muscle and a myxoid liposarcoma. A brief review of such similar reports and the relevant literature is presented.</p> <p>Conclusion</p> <p>A painful swollen leg is a common clinical scenario and though rare, tumors must be thought of without any delay, in a duplex negative, low risk deep vein thrombosis situation.</p

A Compact Cold-Atom Interferometer with a High Data-Rate Grating Magneto-Optical Trap and a Photonic-Integrated-Circuit-Compatible Laser System

The extreme miniaturization of a cold-atom interferometer accelerometer requires the development of novel technologies and architectures for the interferometer subsystems. Here we describe several component technologies and a laser system architecture to enable a path to such miniaturization. We developed a custom, compact titanium vacuum package containing a microfabricated grating chip for a tetrahedral grating magneto-optical trap (GMOT) using a single cooling beam. In addition, we designed a multi-channel photonic-integrated-circuit-compatible laser system implemented with a single seed laser and single sideband modulators in a time-multiplexed manner, reducing the number of optical channels connected to the sensor head. In a compact sensor head containing the vacuum package, sub-Doppler cooling in the GMOT produces 15 uK temperatures, and the GMOT can operate at a 20 Hz data rate. We validated the atomic coherence with Ramsey interferometry using microwave spectroscopy, then demonstrated a light-pulse atom interferometer in a gravimeter configuration for a 10 Hz measurement data rate and T = 0 - 4.5 ms interrogation time, resulting in $\Delta$ g / g = 2.0e-6. This work represents a significant step towards deployable cold-atom inertial sensors under large amplitude motional dynamics.Comment: 21 pages, 10 figure

Compactifications of Heterotic Strings on Non-Kahler Complex Manifolds: II

We continue our study of heterotic compactifications on non-Kahler complex manifolds with torsion. We give further evidence of the consistency of the six-dimensional manifold presented earlier and discuss the anomaly cancellation and possible supergravity description for a generic non-Kahler complex manifold using the newly proposed superpotential. The manifolds studied in our earlier papers had zero Euler characteristics. We construct new examples of non-Kahler complex manifolds with torsion in lower dimensions, that have non-zero Euler characteristics. Some of these examples are constructed from consistent backgrounds in F-theory and therefore are solutions to the string equations of motion. We discuss consistency conditions for compactifications of the heterotic string on smooth non-Kahler manifolds and illustrate how some results well known for Calabi-Yau compactifications, including counting the number of generations, apply to the non-Kahler case. We briefly address various issues regarding possible phenomenological applications.Comment: 106 pages, 8 .eps figures, Harvmac; v2: Some sections expanded, typos corrected and references updated; v3: More typos corrected, one section expanded and references added. Final version to appear in Nucl. Phys.

Rise and fall of the dust shell of the classical nova V339 Delphini

We present infrared spectroscopy of the classical nova V339 Del, obtained over a ∼ 2 year period. The in- frared emission lines were initially symmetrical, with HWHM velocities of 525 km s−1. In later (t >∼ 77days, where t is the time from outburst) spectra however, the lines displayed a distinct asymmetry, with a much stronger blue wing, possibly due to obscuration of the receding component by dust. Dust formation com- menced at ∼ day 34.75 at a condensation temperature of 1480 ± 20 K, consistent with graphitic carbon. Thereafter the dust temperature declined with time as Td ∝ t−0.346, also consistent with graphitic carbon. The mass of dust initally rose, as a result of an increase in grain size and/or number, peaked at ∼ day 100, and then declined precipitously. This decline was most likely caused by grain shattering due to electrostatic stress after the dust was exposed to X-radiation. An Appendix summarises Planck Means for carbon, and the determination of grain mass and radius for a carbon dust shell