2,221 research outputs found
Representational capacity of a set of independent neurons
The capacity with which a system of independent neuron-like units represents
a given set of stimuli is studied by calculating the mutual information between
the stimuli and the neural responses. Both discrete noiseless and continuous
noisy neurons are analyzed. In both cases, the information grows monotonically
with the number of neurons considered. Under the assumption that neurons are
independent, the mutual information rises linearly from zero, and approaches
exponentially its maximum value. We find the dependence of the initial slope on
the number of stimuli and on the sparseness of the representation.Comment: 19 pages, 6 figures, Phys. Rev. E, vol 63, 11910 - 11924 (2000
Electroencephalography (EEG) for neurological prognostication after cardiac arrest and targeted temperature management; rationale and study design.
BACKGROUND: Electroencephalography (EEG) is widely used to assess neurological prognosis in patients who are comatose after cardiac arrest, but its value is limited by varying definitions of pathological patterns and by inter-rater variability. The American Clinical Neurophysiology Society (ACNS) has recently proposed a standardized EEG-terminology for critical care to address these limitations.
METHODS/DESIGN: In the TTM-trial, 399 post cardiac arrest patients who remained comatose after rewarming underwent a routine EEG. The presence of clinical seizures, use of sedatives and antiepileptic drugs during the EEG-registration were prospectively documented.
DISCUSSION: A well-defined terminology for interpreting post cardiac arrest EEGs is critical for the use of EEG as a prognostic tool.
TRIAL REGISTRATION: The TTM-trial is registered at ClinicalTrials.gov (NCT01020916)
Determinants of Acceptance of Cervical Cancer Screening in Dar es Salaam, Tanzania.
To describe how demographic characteristics and knowledge of cervical cancer influence screening acceptance among women living in Dar es Salaam, Tanzania. Multistage cluster sampling was carried out in 45 randomly selected streets in Dar es Salaam. Women between the ages of 25-59 who lived in the sampled streets were invited to a cervical cancer screening; 804 women accepted and 313 rejected the invitation. Information on demographic characteristics and knowledge of cervical cancer were obtained through structured questionnaire interviews. Women aged 35-44 and women aged 45-59 had increased ORs of 3.52 and 7.09, respectively, for accepting screening. Increased accepting rates were also found among single women (OR 2.43) and among women who had attended primary or secondary school (ORs of 1.81 and 1.94). Women who had 0-2 children were also more prone to accept screening in comparison with women who had five or more children (OR 3.21). Finally, knowledge of cervical cancer and awareness of the existing screening program were also associated with increased acceptance rates (ORs of 5.90 and 4.20). There are identifiable subgroups where cervical cancer screening can be increased in Dar es Salaam. Special attention should be paid to women of low education and women of high parity. In addition, knowledge and awareness raising campaigns that goes hand in hand with culturally acceptable screening services will likely lead to an increased uptake of cervical cancer screening
Simulating ice thickness and velocity evolution of Upernavik Isstrom 1849-2012 by forcing prescribed terminus positions in ISSM
Abstract. Tidewater glacier velocity and mass balance are known to be
highly responsive to terminus position change. Yet it remains challenging
for ice flow models to reproduce observed ice margin changes. Here, using the
Ice Sheet System Model (Larour et al., 2012), we simulate the ice velocity
and thickness changes of Upernavik Isstrøm (north-western Greenland) by prescribing
a collection of 27 observed terminus positions spanning 164 years
(1849–2012). The simulation shows increased ice velocity during the 1930s,
the late 1970s and between 1995 and 2012 when terminus retreat was observed
along with negative surface mass balance anomalies. Three distinct mass
balance states are evident in the reconstruction: (1849–1932) with near zero
mass balance, (1932–1992) with ice mass loss dominated by ice dynamical
flow, and (1998–2012), when increased retreat and negative surface mass
balance anomalies led to mass loss that was twice that of any earlier period. Over
the multi-decadal simulation, mass loss was dominated by thinning and
acceleration responsible for 70 % of the total mass loss induced by
prescribed change in terminus position. The remaining 30 % of the
total ice mass loss resulted directly from prescribed terminus retreat and
decreasing surface mass balance. Although the method can not explain the
cause of glacier retreat, it enables the reconstruction of ice flow and
geometry during 1849–2012. Given annual or seasonal observed terminus front
positions, this method could be a useful tool for evaluating simulations
investigating the effect of calving laws.
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A randomised phase II multicentre trial of irinotecan (CPT-11) using four different schedules in patients with metastatic colorectal cancer
The purpose of this phase II trial was to compare the efficacy, safety and pharmacokinetics of four irinotecan schedules for the treatment of metastatic colorectal cancer. In total, 174 5-fluorouracil pretreated patients were randomised to: arm A (n=41), 350 mg m(-2) irinotecan as a 90-min i.v. infusion q3 weeks; arm B (n=38), 125 mg m(-2) irinotecan as a 90-min i.v. infusion weekly x 4 weeks q6 weeks; arm C (n=46), 250 mg m(-2) irinotecan as a 90-min i.v. infusion q2 weeks; or arm D (n=49), 10 mg m(-2) day(-1) irinotecan as a 14-day continuous infusion q3 weeks. No significant differences in efficacy across the four arms were observed, although a shorter time to treatment failure was noted for arm D (1.7 months; P=0.02). Overall response rates were in the range 5-11%. Secondary end points included median survival (6.4-9.4 months), and time to progression (2.7-3.8 months) and treatment failure (1.7-3.2 months). Similarly, there were no significant differences in the incidence of grade 3-4 toxicities, although the toxicity profile between arms A, B, and C and D did differ. Generally, significantly less haematologic toxicity, alopecia and cholinergic syndrome were observed in arm D; however, there was a trend for increased gastrointestinal toxicity. Irinotecan is an effective and safe second-line treatment for colorectal cancer. The schedules examined yielded equivalent results, indicating that there is no advantage of the prolonged vs short infusion schedule
Solving 1d plasmas and 2d boundary problems using Jack polynomials and functional relations
The general one-dimensional ``log-sine'' gas is defined by restricting the
positive and negative charges of a two-dimensional Coulomb gas to live on a
circle. Depending on charge constraints, this problem is equivalent to
different boundary field theories. We study the electrically neutral case,
which is equivalent to a two-dimensional free boson with an impurity cosine
potential. We use two different methods: a perturbative one based on Jack
symmetric functions, and a non-perturbative one based on the thermodynamic
Bethe ansatz and functional relations. The first method allows us to compute
explicitly all coefficients in the virial expansion of the free energy and the
experimentally-measurable conductance. Some results for correlation functions
are also presented. The second method provides in particular a surprising
fluctuation-dissipation relation between the free energy and the conductance.Comment: 19 page
An exploration of parents’ preferences for foot care in juvenile idiopathic arthritis: a possible role for the discrete choice experiment
Background:
An increased awareness of patients’ and parents’ care preferences regarding foot care is desirable from a clinical perspective as such information may be utilised to optimise care delivery. The aim of this study was to examine parents’ preferences for, and valuations of foot care and foot-related outcomes in juvenile idiopathic arthritis (JIA).<p></p>
Methods:
A discrete choice experiment (DCE) incorporating willingness-to-pay (WTP) questions was conducted by surveying 42 parents of children with JIA who were enrolled in a randomised-controlled trial of multidisciplinary foot care at a single UK paediatric rheumatology outpatients department. Attributes explored were: levels of pain; mobility; ability to perform activities of daily living (ADL); waiting time; referral route; and footwear. The DCE was administered at trial baseline. DCE data were analysed using a multinomial-logit-regression model to estimate preferences and relative importance of attributes of foot care. A stated-preference WTP question was presented to estimate parents’ monetary valuation of health and service improvements.<p></p>
Results:
Every attribute in the DCE was statistically significant (p < 0.01) except that of cost (p = 0.118), suggesting that all attributes, except cost, have an impact on parents’ preferences for foot care for their child. The magnitudes of the coefficients indicate that the strength of preference for each attribute was (in descending order): improved ability to perform ADL, reductions in foot pain, improved mobility, improved ability to wear desired footwear, multidisciplinary foot care route, and reduced waiting time. Parents’ estimated mean annual WTP for a multidisciplinary foot care service was £1,119.05.<p></p>
Conclusions:
In terms of foot care service provision for children with JIA, parents appear to prefer improvements in health outcomes over non-health outcomes and service process attributes. Cost was relatively less important than other attributes suggesting that it does not appear to impact on parents’ preferences.<p></p>
Human papillomavirus self-sampling for screening nonattenders: Opt-in pilot implementation with electronic communication platforms
The Copenhagen Self sampling Initiative was mandated and funded by Capital Region of Denmark; Grant sponsor: private-public collaboration agreement between BD Diagnostics, Sparks Circle, MD, USA and Hvidovre Hospital, Capital Region of Denmark,Hvidovre, Denmar
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