850 research outputs found
Anveshak - A Groundtruth Generation Tool for Foreground Regions of Document Images
We propose a graphical user interface based groundtruth generation tool in
this paper. Here, annotation of an input document image is done based on the
foreground pixels. Foreground pixels are grouped together with user interaction
to form labeling units. These units are then labeled by the user with the user
defined labels. The output produced by the tool is an image with an XML file
containing its metadata information. This annotated data can be further used in
different applications of document image analysis.Comment: Accepted in DAR 201
(Correcting) misdiagnoses of asthma: A cost effectiveness analysis
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background: The prevalence of physician-diagnosed-asthma has risen over the past three decades and misdiagnosis of asthma is potentially common. Objective: to determine whether a secondary-screening-program to establish a correct diagnosis of asthma in those who report a physician diagnosis of asthma is cost effective.Method: Randomly selected physician-diagnosed-asthmatic subjects from 8 Canadian cities were studied with an extensive diagnostic algorithm to rule-in, or rule-out, a correct diagnosis of asthma. Subjects in whom the diagnosis of asthma was excluded were followed up for 6-months and data on asthma medications and heath care utilization was obtained. Economic analysis was performed to estimate the incremental lifetime costs associated with secondary screening of previously diagnosed asthmatic subjects. Analysis was from the perspective of the Canadian healthcare system and is reported in Canadian dollars.Results: Of 540 randomly selected patients with physician diagnosed asthma 150 (28%; 95%CI 19-37%) did not have asthma when objectively studied. 71% of these misdiagnosed patients were on some asthma medications. Incorporating the incremental cost of secondary-screening for the diagnosis of asthma, we found that the average cost savings per 100 individuals screened was 4,588-$69,278).Conclusion: Cost savings primarily resulted from lifetime costs of medication use averted in those who had been misdiagnosed.This work was funded by the Canadian Institute of Health Research, Canada and the University Of Ottawa Division Of Respiratory Medicine
BRCA1 and BRCA2 mutations in a population-based study of male breast cancer
Background: The contribution of BRCA1 and BRCA2 to the incidence of male breast cancer (MBC)
in the United Kingdom is not known, and the importance of these genes in the increased risk of female
breast cancer associated with a family history of breast cancer in a male first-degree relative is unclear.
Methods: We have carried out a population-based study of 94 MBC cases collected in the UK. We
screened genomic DNA for mutations in BRCA1 and BRCA2 and used family history data from these
cases to calculate the risk of breast cancer to female relatives of MBC cases. We also estimated the
contribution of BRCA1 and BRCA2 to this risk.
Results: Nineteen cases (20%) reported a first-degree relative with breast cancer, of whom seven also
had an affected second-degree relative. The breast cancer risk in female first-degree relatives was 2.4
times (95% confidence interval [CI] = 1.4–4.0) the risk in the general population. No BRCA1 mutation
carriers were identified and five cases were found to carry a mutation in BRCA2. Allowing for a
mutation detection sensitivity frequency of 70%, the carrier frequency for BRCA2 mutations was 8%
(95% CI = 3–19). All the mutation carriers had a family history of breast, ovarian, prostate or
pancreatic cancer. However, BRCA2 accounted for only 15% of the excess familial risk of breast
cancer in female first-degree relatives.
Conclusion: These data suggest that other genes that confer an increased risk for both female and
male breast cancer have yet to be found
A Variational Method in Out of Equilibrium Physical Systems
A variational principle is further developed for out of equilibrium dynamical
systems by using the concept of maximum entropy. With this new formulation it
is obtained a set of two first-order differential equations, revealing the same
formal symplectic structure shared by classical mechanics, fluid mechanics and
thermodynamics. In particular, it is obtained an extended equation of motion
for a rotating dynamical system, from where it emerges a kind of topological
torsion current of the form , with and
denoting components of the vector potential (gravitational or/and
electromagnetic) and is the angular velocity of the accelerated frame.
In addition, it is derived a special form of Umov-Poynting's theorem for
rotating gravito-electromagnetic systems, and obtained a general condition of
equilibrium for a rotating plasma. The variational method is then applied to
clarify the working mechanism of some particular devices, such as the Bennett
pinch and vacuum arcs, to calculate the power extraction from an hurricane, and
to discuss the effect of transport angular momentum on the radiactive heating
of planetary atmospheres. This development is seen to be advantageous and opens
options for systematic improvements.Comment: 22 pages, 1 figure, submitted to review, added one referenc
A expressão dos marcadores biológicos (P16INK4A e KI67) em lesões cervicais relacionadas ao papilomavírus humano
A retrospective review of oral low-dose sirolimus (rapamycin) for the treatment of active uveitis
Purpose: The purpose of this study is to elicit the role of oral low-dose sirolimus as a corticosteriod-sparing agent for active uveitis. Methods: A retrospective, interventional case series was performed by reviewing the clinical records of all patients treated with oral, low-dose sirolimus (1-4 mg daily) for severe uveitis. Data reviewed included symptomatic improvement, Snellen best-corrected visual acuity, corticosteroid requirement, sirolimus levels, intraocular inflammation, spectral-domain optical coherence tomography, and fluorescein angiogram. Primary outcome measures were determined by the ability to decrease the intraocular inflammation, corticosteroid requirement, and frequency of flares. Results: Eight patients with varied diagnoses were treated with oral low-dose sirolimus for severe, chronic uveitis between 2008 and 2010. In four of the eight patients, there was an improvement of all primary outcome measures. While sirolimus monotherapy was successful in only one patient, a sirolimus/methotrexate combination was successful in three patients. Although there was a good initial response in three patients, treatment was a failure after serious side effects forced the cessation of sirolimus therapy. One patient was lost to follow-up. Conclusion: Sirolimus may have a limited role in severe uveitis as an adjunct corticosteroid-sparing agent in combination with more standard immunosuppressive agents. Oral low-dose sirolimus appeared to be better tolerated than higher doses, but there were a significant number of adverse events, requiring therapy to be stopped. © 2010 The Author(s)
Solving Nonlinear Parabolic Equations by a Strongly Implicit Finite-Difference Scheme
We discuss the numerical solution of nonlinear parabolic partial differential
equations, exhibiting finite speed of propagation, via a strongly implicit
finite-difference scheme with formal truncation error . Our application of interest is the spreading of
viscous gravity currents in the study of which these type of differential
equations arise. Viscous gravity currents are low Reynolds number (viscous
forces dominate inertial forces) flow phenomena in which a dense, viscous fluid
displaces a lighter (usually immiscible) fluid. The fluids may be confined by
the sidewalls of a channel or propagate in an unconfined two-dimensional (or
axisymmetric three-dimensional) geometry. Under the lubrication approximation,
the mathematical description of the spreading of these fluids reduces to
solving the so-called thin-film equation for the current's shape . To
solve such nonlinear parabolic equations we propose a finite-difference scheme
based on the Crank--Nicolson idea. We implement the scheme for problems
involving a single spatial coordinate (i.e., two-dimensional, axisymmetric or
spherically-symmetric three-dimensional currents) on an equispaced but
staggered grid. We benchmark the scheme against analytical solutions and
highlight its strong numerical stability by specifically considering the
spreading of non-Newtonian power-law fluids in a variable-width confined
channel-like geometry (a "Hele-Shaw cell") subject to a given mass
conservation/balance constraint. We show that this constraint can be
implemented by re-expressing it as nonlinear flux boundary conditions on the
domain's endpoints. Then, we show numerically that the scheme achieves its full
second-order accuracy in space and time. We also highlight through numerical
simulations how the proposed scheme accurately respects the mass
conservation/balance constraint.Comment: 36 pages, 9 figures, Springer book class; v2 includes improvements
and corrections; to appear as a contribution in "Applied Wave Mathematics II
Value of high-sensitivity C-reactive protein in low risk chest pain observation unit patients
Glycogen Synthase Kinase (GSK) 3β phosphorylates and protects nuclear myosin 1c from proteasome-mediated degradation to activate rDNA transcription in early G1 cells
Nuclear myosin 1c (NM1) mediates RNA polymerase I (pol I) transcription activation and cell cycle progression by facilitating PCAF-mediated H3K9 acetylation, but the molecular mechanism by which NM1 is regulated remains unclear. Here, we report that at early G1 the glycogen synthase kinase (GSK) 3β phosphorylates and stabilizes NM1, allowing for NM1 association with the chromatin. Genomic analysis by ChIP-Seq showed that this mechanism occurs on the rDNA as active GSK3β selectively occupies the gene. ChIP assays and transmission electron microscopy in GSK3β-/- mouse embryonic fibroblasts indicated that at G1 rRNA synthesis is suppressed due to decreased H3K9 acetylation leading to a chromatin state incompatible with transcription. We found that GSK3β directly phosphorylates the endogenous NM1 on a single serine residue (Ser-1020) located within the NM1 C-terminus. In G1 this phosphorylation event stabilizes NM1 and prevents NM1 polyubiquitination by the E3 ligase UBR5 and proteasome-mediated degradation. We conclude that GSK3β-mediated phosphorylation of NM1 is required for pol I transcription activation
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