983 research outputs found
Dynamical Systems Gradient method for solving nonlinear equations with monotone operators
A version of the Dynamical Systems Gradient Method for solving ill-posed
nonlinear monotone operator equations is studied in this paper. A discrepancy
principle is proposed and justified. A numerical experiment was carried out
with the new stopping rule. Numerical experiments show that the proposed
stopping rule is efficient. Equations with monotone operators are of interest
in many applications.Comment: 2 figure
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In memoriam, Heinz Isler - shell builder and structural artist, 26 July 1926 - 20 June 2009
Review on the book “The history of the theory of structures. From arch analysis to computational mechanics” by Karl-Eugen Kurrer
Рецензия на монографию: К.-Е. Куррер. История теории конструкций. От расчета арок до вычислительной механики. – Берлин: Изд-во Ernst&Sohn, 2008. – 848 с. – 667 ил. (на англ. яз.). Цена 119 евро. Книга содержит краткие биографии известных ученых в области прочности, включая советскую и украинскую школы (Г. Н. Савин, С. П. Тимошенко, Г. С. Писаренко и др.)
Utility of serum biomarker indices for staging of hepatic fibrosis before and after venesection in patients with hemochromatosis caused by variants in HFE
Background & Aims
Hemochromatosis that is associated with variants in the homeostatic iron regulator gene (HFE) is characterized by intestinal absorption of iron and excessive body and hepatic iron stores; it can lead to hepatic fibrosis and cirrhosis. Fibrosis has been staged by analysis of liver biopsies, but non-invasive staging methods are available. We evaluated the ability of aspartate aminotransferase:platelet ratio index (APRI), the fibrosis-4 (FIB-4) index, and gamma-glutamyl transferase:platelet ratio (GPR) to assess hepatic fibrosis staging in subjects with HFE-associated hemochromatosis, using liver biopsy-staged fibrosis as the reference standard. Methods
We performed a retrospective, cross-sectional analysis of 181 subjects with HFE-associated hemochromatosis and hepatic fibrosis staged by biopsy analysis and available serum samples. We calculated APRI, FIB-4, and GPR at diagnosis for all 181 subjects and following venesection therapy in 64 of these subjects (7 subjects had follow-up biopsy analysis). We used area under the receiver operating characteristic curve (AUROC) analysis to assess the relationships between APRI score, FIB-4 score, and GPR and advanced (F3–F4) fibrosis and to select cut-off values. Results
Hepatic fibrosis stage correlated with APRI score (r = 0.54; P \u3c .0001), FIB-4 score (r = 0.35; P \u3c .0001), and GPR (r = 0.36, P \u3c .0001). An APRI score above 0.44 identified patients with advanced fibrosis with an AUROC of 0.88, 79.4% sensitivity, 79.4% specificity, and 81% accuracy. A FIB-4 score above 1.1 identified patients with advanced fibrosis with an AUROC of 0.86, 80% sensitivity, 80.3% specificity, and 81% accuracy. A GPR above 0.27 identified patients with advanced fibrosis with an AUROC of 0.76, 67.7% sensitivity, 70.3% specificity, and 69% accuracy. APRI score was significantly more accurate than GPR (P = .05) in detecting advanced fibrosis; there was no difference between APRI and FIB-4. Venesection treatment was associated with significant reductions in APRI (P \u3c .0001) and GPR (P\u3c .001), paralleling fibrosis regression observed in available liver biopsies. Post-venesection APRI identified 87% of subjects with advanced fibrosis that decreased to levels that indicate stage F1–F2 fibrosis. Conclusions
In a retrospective study of 181 subjects with HFE-associated hemochromatosis, we found that APRI and FIB-4 scores identified patients with advanced hepatic fibrosis with 81% accuracy. APRI scores might also be used to monitor fibrosis regression following venesection
Utility of hepatic or total body iron burden in the assessment of advanced hepatic fibrosis in HFE hemochromatosis
Development of advanced hepatic fibrosis in HFE Hemochromatosis (HH) is influenced by hepatic iron concentration (HIC) and age. In patients with HH, it is important to assess the likelihood of cirrhosis and thus the need for confirmatory liver biopsy. Therapeutic phlebotomy also provides an estimate of mobilisable iron stores. We determined whether mobilisable iron stores may predict the presence of advanced fibrosis. Retrospective analysis of 137 male and 65 female HH subjects was undertaken. Biochemical, histological and phlebotomy data were available on all subjects. The mean values of HIC, HIC × [age], mobilisable iron, mobilisable iron × [age] and serum ferritin in the cohort were higher in the group with advanced fibrosis. HIC had an optimum sensitivity and specificity of 73% for the diagnosis of advanced liver fibrosis, with a cut-off HIC level of 200 µmol/g (AUROC 0.83, p \u3c 0.0001). AUROC for HIC was greater in females (0.93) than males (0.79). Mobilisable iron had an optimum sensitivity and specificity both of 83% at a cut-off of 9.6 g for the prediction of advanced fibrosis in all subjects (AUROC 0.92, p \u3c 0.0001). Mobilisable iron stores provide a simple, clinically useful indication of the risk of advanced fibrosis and should routinely be considered
Software Implementation of Optimized Bicubic Interpolated Scan Conversion in Echocardiography
This paper presents the image-quality-guided strategy for optimization of
bicubic interpolation and interpolated scan conversion algorithms. This
strategy uses feature selection through line chart data visualization technique
and first index of the minimum absolute difference between computed scores and
ideal scores to determine the image quality guided coefficient k that changes
all sixteen BIC coefficients to new coefficients on which the OBIC
interpolation algorithm is based. Perceptual evaluations of cropped sectored
images from Matlab software implementation of interpolated scan conversion
algorithms are presented. Also, IQA metrics-based evaluation is presented and
demonstrates that the overall performance of the OBIC algorithm is 92.22% when
compared with BIC alone, but becomes 57.22% with all other methods mentioned.Comment: 10 pages, 9 figures, 6 table
Detection of HFE haemochromatosis in the clinic and community using standard erythrocyte tests
Detection of HFE Haemochromatosis (HH) is challenging in the absence of clinical features. HH subjects have elevated erythrocyte parameters compared to those without HH, but it remains unclear how this could be applied in clinical practice. Thus, we determined the sensitivity, specificity and clinical utility of erythrocyte parameters in 144 HH subjects with (n = 122) or without (n = 22) clinical and/or biochemical expression of iron overload, 1844 general population controls, and 700 chronic disease subjects. For both expressing and non-expressing HH subjects, the mean pre- and post-phlebotomy values of mean cell volume (MCV) and mean cell haemoglobin (MCH) were always significantly higher when compared to all other groups and demonstrated excellent diagnostic utility for detection of HH in men and women (AUROC 0.83-0.9; maximal sensitivity and specificity 82% and 78%) using cut-off values for MCV \u3e91 fL or MCH \u3e31 pg, respectively. Between 34 and 62% of all HH subjects would be detected, and94 fL or 32.2 pg, respectively, were evaluated
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