700 research outputs found
A comparison of national cancer registry and direct follow-up in the ascertainment of ovarian cancer
Towards a novel biologically-inspired cloud elasticity framework
With the widespread use of the Internet, the popularity of web applications has
significantly increased. Such applications are subject to unpredictable workload
conditions that vary from time to time. For example, an e-commerce website may
face higher workloads than normal during festivals or promotional schemes. Such
applications are critical and performance related issues, or service disruption can
result in financial losses. Cloud computing with its attractive feature of dynamic
resource provisioning (elasticity) is a perfect match to host such applications.
The rapid growth in the usage of cloud computing model, as well as the rise in
complexity of the web applications poses new challenges regarding the effective
monitoring and management of the underlying cloud computational resources.
This thesis investigates the state-of-the-art elastic methods including the models
and techniques for the dynamic management and provisioning of cloud resources
from a service provider perspective.
An elastic controller is responsible to determine the optimal number of cloud resources,
required at a particular time to achieve the desired performance demands.
Researchers and practitioners have proposed many elastic controllers using versatile
techniques ranging from simple if-then-else based rules to sophisticated
optimisation, control theory and machine learning based methods. However,
despite an extensive range of existing elasticity research, the aim of implementing
an efficient scaling technique that satisfies the actual demands is still a challenge
to achieve. There exist many issues that have not received much attention from
a holistic point of view. Some of these issues include: 1) the lack of adaptability
and static scaling behaviour whilst considering completely fixed approaches; 2)
the burden of additional computational overhead, the inability to cope with the
sudden changes in the workload behaviour and the preference of adaptability
over reliability at runtime whilst considering the fully dynamic approaches; and 3)
the lack of considering uncertainty aspects while designing auto-scaling solutions.
This thesis seeks solutions to address these issues altogether using an integrated
approach. Moreover, this thesis aims at the provision of qualitative elasticity rules.
This thesis proposes a novel biologically-inspired switched feedback control
methodology to address the horizontal elasticity problem. The switched methodology
utilises multiple controllers simultaneously, whereas the selection of a
suitable controller is realised using an intelligent switching mechanism. Each
controller itself depicts a different elasticity policy that can be designed using the
principles of fixed gain feedback controller approach. The switching mechanism
is implemented using a fuzzy system that determines a suitable controller/-
policy at runtime based on the current behaviour of the system. Furthermore,
to improve the possibility of bumpless transitions and to avoid the oscillatory
behaviour, which is a problem commonly associated with switching based control
methodologies, this thesis proposes an alternative soft switching approach. This
soft switching approach incorporates a biologically-inspired Basal Ganglia based
computational model of action selection.
In addition, this thesis formulates the problem of designing the membership functions
of the switching mechanism as a multi-objective optimisation problem. The
key purpose behind this formulation is to obtain the near optimal (or to fine tune)
parameter settings for the membership functions of the fuzzy control system in
the absence of domain experts’ knowledge. This problem is addressed by using
two different techniques including the commonly used Genetic Algorithm and
an alternative less known economic approach called the Taguchi method. Lastly,
we identify seven different kinds of real workload patterns, each of which reflects
a different set of applications. Six real and one synthetic HTTP traces, one for
each pattern, are further identified and utilised to evaluate the performance of
the proposed methods against the state-of-the-art approaches
Violent Crime, Epilepsy, and Traumatic Brain Injury
Jan Volavka discusses new research by Seena Fazel and colleagues that reports increased risk for violent crime among people with traumatic brain injury and epilepsy
Do contaminants originating from state-of-the-art treated wastewater impact the ecological quality of surface waters?
Since the 1980s, advances in wastewater treatment technology have led to considerably improved surface water quality in the urban areas of many high income countries. However, trace concentrations of organic wastewater-associated contaminants may still pose a key environmental hazard impairing the ecological quality of surface waters. To identify key impact factors, we analyzed the effects of a wide range of anthropogenic and environmental variables on the aquatic macroinvertebrate community. We assessed ecological water quality at 26 sampling sites in four urban German lowland river systems with a 0–100% load of state-of-the-art biological activated sludge treated wastewater. The chemical analysis suite comprised 12 organic contaminants (five phosphor organic flame retardants, two musk fragrances, bisphenol A, nonylphenol, octylphenol, diethyltoluamide, terbutryn), 16 polycyclic aromatic hydrocarbons, and 12 heavy metals. Non-metric multidimensional scaling identified organic contaminants that are mainly wastewater-associated (i.e., phosphor organic flame retardants, musk fragrances, and diethyltoluamide) as a major impact variable on macroinvertebrate species composition. The structural degradation of streams was also identified as a significant factor. Multiple linear regression models revealed a significant impact of organic contaminants on invertebrate populations, in particular on Ephemeroptera, Plecoptera, and Trichoptera species. Spearman rank correlation analyses confirmed wastewater-associated organic contaminants as the most significant variable negatively impacting the biodiversity of sensitive macroinvertebrate species. In addition to increased aquatic pollution with organic contaminants, a greater wastewater fraction was accompanied by a slight decrease in oxygen concentration and an increase in salinity. This study highlights the importance of reducing the wastewater-associated impact on surface waters. For aquatic ecosystems in urban areas this would lead to: (i) improvement of the ecological integrity, (ii) reduction of biodiversity loss, and (iii) faster achievement of objectives of legislative requirements, e.g., the European Water Framework Directive
Future therapeutic targets in rheumatoid arthritis?
Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by persistent joint inflammation. Without adequate treatment, patients with RA will develop joint deformity and progressive functional impairment. With the implementation of treat-to-target strategies and availability of biologic therapies, the outcomes for patients with RA have significantly improved. However, the unmet need in the treatment of RA remains high as some patients do not respond sufficiently to the currently available agents, remission is not always achieved and refractory disease is not uncommon. With better understanding of the pathophysiology of RA, new therapeutic approaches are emerging. Apart from more selective Janus kinase inhibition, there is a great interest in the granulocyte macrophage-colony stimulating factor pathway, Bruton's tyrosine kinase pathway, phosphoinositide-3-kinase pathway, neural stimulation and dendritic cell-based therapeutics. In this review, we will discuss the therapeutic potential of these novel approaches
A potent nonporphyrin class of photodynamic therapeutic agent: cellular localisation, cytotoxic potential and influence of hypoxia
We have developed a totally new class of nonporphyrin photodynamic therapeutic agents with a specific focus on two lead candidates azadipyrromethene (ADPM)01 and ADPM06. Confocal laser scanning microscopy imaging showed that these compounds are exclusively localised to the cytosolic compartment, with specific accumulation in the endoplasmic reticulum and to a lesser extent in the mitochondria. Light-induced toxicity assays, carried out over a broad range of human tumour cell lines, displayed EC50 values in the micro-molar range for ADPM01 and nano-molar range for ADPM06, with no discernable activity bias for a specific cell type. Strikingly, the more active agent, ADPM06, even retained significant activity under hypoxic conditions. Both photosensitisers showed low to nondeterminable dark toxicity. Flow cytometric analysis revealed that ADPM01 and ADPM06 were highly effective at inducing apoptosis as a mode of cell death. The photophysical and biological characteristics of these PDT agents suggest that they have potential for the development of new anticancer therapeutics
Ten-year survival and patient-reported outcomes of a medial unicompartmental knee arthroplasty incorporating an all-polyethylene tibial component
Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy
Background
A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets.
Methods
Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis.
Results
A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001).
Conclusion
We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty
A Stated Preference Investigation into the Chinese Demand for Farmed vs. Wild Bear Bile
Farming of animals and plants has recently been considered not merely as a more efficient and plentiful supply of their products but also as a means of protecting wild populations from that trade. Amongst these nascent farming products might be listed bear bile. Bear bile has been exploited by traditional Chinese medicinalists for millennia. Since the 1980s consumers have had the options of: illegal wild gall bladders, bile extracted from caged live bears or the acid synthesised chemically. Despite these alternatives bears continue to be harvested from the wild. In this paper we use stated preference techniques using a random sample of the Chinese population to estimate demand functions for wild bear bile with and without competition from farmed bear bile. We find a willingness to pay considerably more for wild bear bile than farmed. Wild bear bile has low own price elasticity and cross price elasticity with farmed bear bile. The ability of farmed bear bile to reduce demand for wild bear bile is at best limited and, at prevailing prices, may be close to zero or have the opposite effect. The demand functions estimated suggest that the own price elasticity of wild bear bile is lower when competing with farmed bear bile than when it is the only option available. This means that the incumbent product may actually sell more items at a higher price when competing than when alone in the market. This finding may be of broader interest to behavioural economists as we argue that one explanation may be that as product choice increases price has less impact on decision making. For the wildlife farming debate this indicates that at some prices the introduction of farmed competition might increase the demand for the wild product
Molecular biology of breast cancer metastasis: Clinical implications of experimental studies on metastatic inefficiency
Recent technological advances have led to an increasing ability to detect isolated tumour cells and groups of tumour cells in patients' blood, lymph nodes or bone marrow. However, the clinical significance of these cells is unclear. Should they be considered as evidence of metastasis, necessitating aggressive treatment, or are they in some cases unrelated to clinical outcome? Quantitative experimental studies on the basic biology of metastatic inefficiency are providing clues that may help in understanding the significance of these cells. This understanding will be of use in guiding clinical studies to assess the significance of isolated tumour cells and micrometastases in cancer patients
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