The hospitals/residents problem with ties

The hospitals/residents problem is an extensively-studied many-one stable matching problem. Here, we consider the hospitals/residents problem where ties are allowed in the preference lists. In this extended setting, a number of natural definitions for a stable matching arise. We present the first linear-time algorithm for the problem under the strongest of these criteria, so-called super-stability . Our new results have applications to large-scale matching schemes, such as the National Resident Matching Program in the US, and similar schemes elsewhere

Reduced healthcare utilisation following successful HCV treatment in HIV co-infected patients with mild liver disease

New direct-acting antivirals (DAA) for hepatitis C virus (HCV) infection have achieved high cure rates in many patient groups previously considered difficult-to-treat, including those HIV/HCV co-infected. The high price of these medications is likely to limit access to treatment, at least in the short term. Early treatment priority is likely to be given to those with advanced disease, but a more detailed understanding of the potential benefits in treating those with mild disease is needed. We hypothesized that successful HCV treatment within a co-infected population with mild liver disease would lead to a reduction in the use and costs of healthcare services in the 5 years following treatment completion. We performed a retrospective cohort study of HIV/HCV-co-infected patients without evidence of fibrosis/cirrhosis who received a course of HCV therapy between 2004 and 2013. Detailed analysis of healthcare utilization up to 5 years following treatment for each patient using clinical and electronic records was used to estimate healthcare costs. Sixty-three patients were investigated, of whom 48 of 63 (76.2%) achieved sustained virological response 12 weeks following completion of therapy (SVR12). Individuals achieving SVR12 incurred lower health utilization costs (£5000 per-patient) compared to (£10 775 per-patient) non-SVR patients in the 5 years after treatment. Healthcare utilization rates and costs in the immediate 5 years following treatment were significantly higher in co-infected patients with mild disease that failed to achieve SVR12. These data suggest additional value to achieving cure beyond the prevention of complications of disease

Automated System for Early Breast Cancer Detection in Mammograms

The increasing demand on mammographic screening for early breast cancer detection, and the subtlety of early breast cancer signs on mammograms, suggest an automated image processing system that can serve as a diagnostic aid in radiology clinics. We present a fully automated algorithm for detecting clusters of microcalcifications that are the most common signs of early, potentially curable breast cancer. By using the contour map of the mammogram, the algorithm circumvents some of the difficulties encountered with standard image processing methods. The clinical implementation of an automated instrument based on this algorithm is also discussed

Interviewing suspects: examining the association between skills, questioning, evidence disclosure, and interview outcomes

The interviewing of suspects is an important element in the investigation of crime. However, studies concerning actual performance of investigators when undertaking such interviews remain sparse. Nevertheless, in England and Wales, since the introduction of a prescribed framework over 20 years ago, field studies have generally shown an improvement in interviewing performance, notwithstanding ongoing concerns largely relating to the more demanding aspects (such as building/maintaining rapport, intermittent summarising and the logical development of topics). Using a sample of 70 real-life interviews, the present study examined questioning and various evidence disclosure strategies (which have also been found demanding), examining their relationships between interview skills and interview outcomes. It was found that when evidence was disclosed gradually (but revealed later), interviews were generally both more skilled and involved the gaining of comprehensive accounts, whereas when evidence was disclosed either early or very late, interviews were found to be both less skilled and less likely to involve this outcome. These findings contribute towards an increased research base for the prescribed framework

Photoperiodism in Hamsters: Abrupt Versus Gradual Changes in Day Length Differentially Entrain Morning and Evening Circadian Oscillators

In studies of photoperiodism, animals typically are transferred abruptly from a long (e.g., 16 h light per day [16L]) to a short (8L) photoperiod, and circadian oscillators that regulate pineal melatonin secretion are presumed to reentrain rapidly to the new photocycle. Among rats and Siberian hamsters, however, reentrainment rates vary depending on whether additional darkness is added to morning or evening, and a subset of hamsters (nonresponders) fails ever to reentrain normally to short photoperiods. The authors assessed whether several short-day responses occurred at different rates when darkness was extended into morning versus evening hours and the effectiveness of abrupt versus gradual shortening in day lengths (DLs). Entrainment patterns of photoresponsive hamsters also were compared to those of photononresponsive hamsters. Responsive hamsters transferred on a single day from 16L to 8L underwent more rapid gonadal regression, weight loss, decreases in follicle-stimulating hormone titers, and expansion of nocturnal locomotor activity when darkness was added to morning versus evening. When the dark phase was extended gradually by 8 h over 16 weeks, short-day responses occurred at the same rate whether darkness was appended to morning or evening or was added symmetrically. Darkness added to evening promoted more rapid short-day responses when it was added gradually rather than abruptly, despite the fact that average DLs were significantly shorter for the latter group. Among nonresponders, morning extensions of darkness transiently increased activity duration, whereas evening extensions did not. Gradual and abrupt decreases in DL differentially affect entrainment of evening and morning circadian oscillators. The authors argue for the incorporation of simulated natural photoperiods in studies of photoperiodism.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66702/2/10.1177_074873049701200204.pd

First-Digit Law in Nonextensive Statistics

Nonextensive statistics, characterized by a nonextensive parameter $q$, is a promising and practically useful generalization of the Boltzmann statistics to describe power-law behaviors from physical and social observations. We here explore the unevenness of the first digit distribution of nonextensive statistics analytically and numerically. We find that the first-digit distribution follows Benford's law and fluctuates slightly in a periodical manner with respect to the logarithm of the temperature. The fluctuation decreases when $q$ increases, and the result converges to Benford's law exactly as $q$ approaches 2. The relevant regularities between nonextensive statistics and Benford's law are also presented and discussed.Comment: 11 pages, 3 figures, published in Phys. Rev.

Realistic Earth escape strategies for solar sailing

With growing interest in solar sailing comes the requirement to provide a basis for future detailed planetary escape mission analysis by drawing together prior work, clarifying and explaining previously anomalies. Previously unexplained seasonal variations in sail escape times from Earth orbit are explained analytically and corroborated within a numerical trajectory model. Blended-sail control algorithms, explicitly independent of time, which providenear-optimal escape trajectories and maintain a safe minimum altitude and which are suitable as a potential autonomous onboard controller, are then presented. These algorithms are investigated from a range of initial conditions and are shown to maintain the optimality previously demonstrated by the use of a single-energy gain control law but without the risk of planetary collision. Finally, it is shown that the minimum sail characteristic acceleration required for escape from a polar orbit without traversing the Earth shadow cone increases exponentially as initial altitude is decreased