791 research outputs found

    Dirac Mixture Density Approximation Based on Minimization of the Weighted Cramér-von Mises Distance

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    This paper proposes a systematic procedure for approximating arbitrary probability density functions by means of Dirac mixtures. For that purpose, a distance measure is required, which is in general not well defined for Dirac mixture densities. Hence, a distance measure comparing the corresponding cumulative distribution functions is employed. Here, we focus on the weighted Cramer-von Mises distance, a weighted integral quadratic distance measure, which is simple and intuitive. Since a closed-form solution of the given optimization problem is not possible in general, an efficient solution procedure based on a homotopy continuation approach is proposed. Compared to a standard particle approximation, the proposed procedure ensures an optimal approximation with respect to a given distance measure. Although useful in their own respect, the results also provide the basis for a recursive nonlinear filtering mechanism as an alternative to the popular particle filter

    Michelle Obama’s Impact on African American Women and Girls

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    Rachelle Brunn-Bevel is a contributing author (with Kristin Richardson), Let’s Move! with Michelle Obama. Book description: This edited collection explores how First Lady Michelle Obama gradually expanded and broadened her role by engaging in social, political and economic activities which directly and indirectly impacted the lives of the American people, especially young women and girls. The volume responds to the various representations of Michelle Obama and how the language and images used to depict her either affirmed, offended, represented or misrepresented her and its authors. It is an interdisciplinary evaluation by African American women and girls of the First Lady’s overall impact through several media, including original artwork and poetry. It also examines her political activities during and post-election 2016.https://digitalcommons.fairfield.edu/sociologyandanthropology-books/1065/thumbnail.jp

    High (but Not Low) Urinary Iodine Excretion Is Predicted by Iodine Excretion Levels from Five Years Ago

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    Background: It has not been investigated whether there are associations between urinary iodine (UI) excretion measurements some years apart, nor whether such an association remains after adjustment for nutritional habits. The aim of the present study was to investigate the relation between iodine-creatinine ratio (ICR) at two measuring points 5 years apart. Methods: Data from 2,659 individuals from the Study of Health in Pomerania were analyzed. Analysis of covariance and Poisson regressions were used to associate baseline with follow-up ICR. Results: Baseline ICR was associated with follow-up ICR. Particularly, baseline ICR >300 mu g/g was related to an ICR >300 mu g/g at follow-up (relative risk, RR: 2.20; p < 0.001). The association was stronger in males (RR: 2.64; p < 0.001) than in females (RR: 1.64; p = 0.007). In contrast, baseline ICR <100 mu g/g was only associated with an ICR <100 mu g/g at follow-up in males when considering unadjusted ICR. Conclusions: We detected only a weak correlation with respect to low ICR. Studies assessing iodine status in a population should take into account that an individual with a low UI excretion in one measurement is not necessarily permanently iodine deficient. On the other hand, current high ICR could have been predicted by high ICR 5 years ago. Copyright (C) 2011 S. Karger AG, Base

    The SARS-coronavirus-host interactome

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    Coronaviruses (CoVs) are important human and animal pathogens that induce fatal respiratory, gastrointestinal and neurological disease. The outbreak of the severe acute respiratory syndrome (SARS) in 2002/2003 has demonstrated human vulnerability to (Coronavirus) CoV epidemics. Neither vaccines nor therapeutics are available against human and animal CoVs. Knowledge of host cell proteins that take part in pivotal virus-host interactions could define broad-spectrum antiviral targets. In this study, we used a systems biology approach employing a genome-wide yeast-two hybrid interaction screen to identify immunopilins (PPIA, PPIB, PPIH, PPIG, FKBP1A, FKBP1B) as interaction partners of the CoV non-structural protein 1 (Nsp1). These molecules modulate the Calcineurin/NFAT pathway that plays an important role in immune cell activation. Overexpression of NSP1 and infection with live SARS-CoV strongly increased signalling through the Calcineurin/NFAT pathway and enhanced the induction of interleukin 2, compatible with late-stage immunopathogenicity and long-term cytokine dysregulation as observed in severe SARS cases. Conversely, inhibition of cyclophilins by cyclosporine A (CspA) blocked the replication of CoVs of all genera, including SARS-CoV, human CoV-229E and -NL-63, feline CoV, as well as avian infectious bronchitis virus. Non-immunosuppressive derivatives of CspA might serve as broad-range CoV inhibitors applicable against emerging CoVs as well as ubiquitous pathogens of humans and livestock

    Volumetrie der Schilddrüsenlappen mittels Real-time-Sonographie

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    Im direkten Vergleich mit der durch Submersion ermittelten wahren Schilddrüsengröße wurde bei Leichen mit einem Real-time-Gerät ein Verfahren zur Volumenbestimmung durch sonographische Messungen erarbeitet. Länge mal Breite mal Dicke des Schilddrüsenlappens, multipliziert mit dem Faktor π/6, entsprechen einem Rotationsellipsoid, während sich bei Multiplikation mit dem optimierten Korrekturfaktor f = 0,479 das bestmögliche rechnerische Volumen des Lappens ergibt. Die Richtigkeit dieser Bestimmung ist definitionsgemäß 100 %; der. durchschnittliche Fehler der Methode beträgt 16 %. Die Messungen sind einfach durchzuführen und verlangen keinerlei Zusatzeinrichtungen für Planimetrie oder Rechneroperationen. Die Volumetrie der Schilddrüse ist vor allem zur Therapiebeurteilung und zur Berechnung der Dosis bei einer Radiojodtherapie erforderlich.Thyroid volume as measured by real-time ultrasound in cadavers was compared with direct measurements obtained by submersion. Length × width × thickness of the thyroid lobe multiplied by factor π/6, correspond to a rotation ellipsoid, while the best calculated volume of the lobe is obtained by multiplying with the optimised correction factor f = 0.479. The correctness of this calculation is, by definition, 100 %; average error of the method is 16 %. The measurements are easy to do and require no additional equipment for planimetry or calculations. Volumetric analysis of the thyroid gland is especially necessary in assessing results of treatment and for measuring dosage in connection with radioiodine therapy

    The balance of mental health care in Europe: a comparative analysis of core health care versus the provision of other types of care for adults with mental health problems in eight study areas

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    Aims Although many mental health care systems provide care interventions that are not related to direct health care, little is known about the interfaces between the latter and core health care. ‘Core health care’ refers to services whose explicit aim is direct clinical treatment which is usually provided by health professionals, i.e., physicians, nurses, psychologists. ‘Other care’ is typically provided by other staff and includes accommodation, training, promotion of independence, employment support and social skills. In such a definition, ‘other care’ does not necessarily mean being funded or governed differently. The aims of the study were: (1) using a standard classification system (Description and Evaluation of Services and Directories in Europe for Long Term Care, DESDE-LTC) to identify ‘core health’ and ‘other care’ services provided to adults with mental health problems; and (2) to investigate the balance of care by analysing the types and characteristics of core health and other care services. Methods The study was conducted in eight selected local areas in eight European countries with different mental health systems. All publicly funded mental health services, regardless of the funding agency, for people over 18 years old were identified and coded. The availability, capacity and the workforce of the local mental health services were described using their functional main activity or ‘Main Types of Care’ (MTC) as the standard for international comparison, following the DESDE-LTC system. Results In these European study areas, 822 MTCs were identified as providing core health care and 448 provided other types of care. Even though one-third of mental health services in the selected study areas provided interventions that were coded as ‘other care’, significant variation was found in the typology and characteristics of these services across the eight study areas. Conclusions The functional distinction between core health and other care overcomes the traditional division between ‘health’ and ‘social’ sectors based on governance and funding. The overall balance between core health and other care services varied significantly across the European sites. Mental health systems cannot be understood or planned without taking into account the availability and capacity of all services specifically available for this target population, including those outside the health sector

    The balance of adult mental health care: provision of core health versus other types of care in eight European countries

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    Aims. Although many mental health care systems provide care interventions that are not related to direct health care, little is known about the interfaces between the latter and core health care. 'Core health care' refers to services whose explicit aim is direct clinical treatment which is usually provided by health professionals, i.e., physicians, nurses, psychologists. 'Other care' is typically provided by other staff and includes accommodation, training, promotion of independence, employment support and social skills. In such a definition, 'other care' does not necessarily mean being funded or governed differently. The aims of the study were: (1) using a standard classification system (Description and Evaluation of Services and Directories in Europe for Long Term Care, DESDE-LTC) to identify 'core health' and 'other care' services provided to adults with mental health problems; and (2) to investigate the balance of care by analysing the types and characteristics of core health and other care services. Methods. The study was conducted in eight selected local areas in eight European countries with different mental health systems. All publicly funded mental health services, regardless of the funding agency, for people over 18 years old were identified and coded. The availability, capacity and the workforce of the local mental health services were described using their functional main activity or `Main Types of Care' (MTC) as the standard for international comparison, following the DESDE-LTC system. Results. In these European study areas, 822 MTCs were identified as providing core health care and 448 provided other types of care. Even though one-third of mental health services in the selected study areas provided interventions that were coded as `other care', significant variation was found in the typology and characteristics of these services across the eight study areas. Conclusions. The functional distinction between core health and other care overcomes the traditional division between `health' and `social' sectors based on governance and funding. The overall balance between core health and other care services varied significantly across the European sites. Mental health systems cannot be understood or planned without taking into account the availability and capacity of all services specifically available for this target population, including those outside the health sector

    Small Cell Carcinoma of the Ovary, Hypercalcemic Type (SCCOHT) beyond SMARCA4 Mutations: A Comprehensive Genomic Analysis.

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    Small cell carcinoma of the ovary, hypercalcemic type (SCCOHT) is an aggressive malignancy that occurs in young women, is characterized by recurrent loss-of-function mutations in the SMARCA4 gene, and for which effective treatments options are lacking. The aim of this study was to broaden the knowledge on this rare malignancy by reporting a comprehensive molecular analysis of an independent cohort of SCCOHT cases. We conducted Whole Exome Sequencing in six SCCOHT, and RNA-sequencing and array comparative genomic hybridization in eight SCCOHT. Additional immunohistochemical, Sanger sequencing and functional data are also provided. SCCOHTs showed remarkable genomic stability, with diploid profiles and low mutation load (mean, 5.43 mutations/Mb), including in the three chemotherapy-exposed tumors. All but one SCCOHT cases exhibited 19p13.2-3 copy-neutral LOH. SMARCA4 deleterious mutations were recurrent and accompanied by loss of expression of the SMARCA2 paralog. Variants in a few other genes located in 19p13.2-3 (e.g., PLK5) were detected. Putative therapeutic targets, including MAGEA4, AURKB and CLDN6, were found to be overexpressed in SCCOHT by RNA-seq as compared to benign ovarian tissue. Lastly, we provide additional evidence for sensitivity of SCCOHT to HDAC, DNMT and EZH2 inhibitors. Despite their aggressive clinical course, SCCOHT show remarkable inter-tumor homogeneity and display genomic stability, low mutation burden and few somatic copy number alterations. These findings and preliminary functional data support further exploration of epigenetic therapies in this lethal disease
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