Age differences in the use of implicit visual cues in a response time task

Background: Many activities require a complex interrelationship between a performer and stimuli available in the environment without explicit perception, but many aspects regarding developmental changes in the use of implicit cues remain unknown. Aim: To investigate the use of implicit visual precueing presented at different time intervals in children, adolescents, and adults. Method: Seventy-two people, male and female, constituted four age groups: 8-, 10- and 12-year-olds and adults. Participants performed 32 trials, four-choice-time task across four conditions: no precue and a 43 ms centralized dot appearing in the stimulus circle at 43, 86 or 129 ms prior the stimulus. Response times were obtained for each trial and pooled into each condition. Results: Response times for 8-year-olds were longer than for 12-year-olds and adults and for 10-year-olds were longer than for adults. Response times were longer in the no precue condition compared to when precues were presented at 86 and 129 ms before the stimulus. Response times were longer when precue was presented at 43 ms compared presented at 129 ms before the stimulus. Interpretation: Implicit precues reduce response time in children, adolescents and adults, but young children benefit less from implicit precues than adolescents and adults

Reconhecimento de Dígitos de Medidores de Energia por meio da Voz no Contexto de um Aplicativo de Autoleitura / Digit Recognition of Energy Meters through Voice in the Context of an Authentication Application

A Agência Nacional de Energia Elétrica (ANEEL) destaca que perdas não-técnicas estão relacionadas a entraves no processo de leitura de consumo. Para a redução dessas falhas, uma alternativa factível e de menor custo seria a leitura realizada pelo próprio consumidor, denominada de autoleitura.  Este processo leva em consideração o uso de plataformas digitais, através das quais o consumidor registraria e enviaria as informações de consumo.  Uma etapa importante desse processo é o reconhecimento automático de dígitos de medidores por meio da voz.  Este trabalho, portanto, propõe um método para a realização dessa tarefa, que utiliza processamento de áudio e inteligência computacional. Para a extração de características de áudio, utiliza-se Mel-frequency Cepstral Coefficients (MFCC) e MelSpectrogram de forma combinada. O método apresenta Recall de 94,74%; Precision de 94,91%; F1 score de 94,72% e 0,9419 de índice Kappa utilizando-se o classificador Support Vector Machine (SVM)

Segmentação Semântica de Medidores de Energia Elétrica e Componentes de Identificação / Semantic Segmentation of Electricity Meters and Identification Components

A Agência Nacional de Energia Elétrica (ANEEL) classifica erros de medição de consumo e processamento de fatura como perdas não-técnicas.  Quando essas irregularidades são identificadas, ´e solicitada a aquisição da imagem do medidor e a captura da localização geográfica do leiturista para registrar a sua presença no local. Essas imagens são enviadas para o setor de auditoria. Este recebe um grande volume de imagens, cuja análise completa é muito lenta. Como alternativa, tem-se a autoleitura, que é a leitura feita pelo próprio cliente através de plataformas digitais. E para garantir a segurança no processo de autoleitura, é necessária uma etapa automática de validação (autoauditoria).  Este trabalho propõe um método baseado em aprendizado profundo para a segmentação semântica de medidores de energia e componentes de identificação, almejando contribuir com mais eficiência ao processo de validação de leitura.  O método apresenta mean average precision (mAP) de 73,10% para os casos em que intersection over union (IoU) ? a 0,50; 42,17% para IoU ? 0,75 e 41,28% quando IoU ? 0,99

Early Evolution of Ionotropic GABA Receptors and Selective Regimes Acting on the Mammalian-Specific Theta and Epsilon Subunits

BACKGROUND: The amino acid neurotransmitter GABA is abundant in the central nervous system (CNS) of both invertebrates and vertebrates. Receptors of this neurotransmitter play a key role in important processes such as learning and memory. Yet, little is known about the mode and tempo of evolution of the receptors of this neurotransmitter. Here, we investigate the phylogenetic relationships of GABA receptor subunits across the chordates and detail their mode of evolution among mammals. PRINCIPAL FINDINGS: Our analyses support two major monophyletic clades: one clade containing GABA(A) receptor alpha, gamma, and epsilon subunits, and another one containing GABA(A) receptor rho, beta, delta, theta, and pi subunits. The presence of GABA receptor subunits from each of the major clades in the Ciona intestinalis genome suggests that these ancestral duplication events occurred before the divergence of urochordates. However, while gene divergence proceeded at similar rates on most receptor subunits, we show that the mammalian-specific subunits theta and epsilon experienced an episode of positive selection and of relaxed constraints, respectively, after the duplication event. Sites putatively under positive selection are placed on a three-dimensional model obtained by homology-modeling. CONCLUSIONS: Our results suggest an early divergence of the GABA receptor subunits, before the split from urochordates. We show that functional changes occurred in the lineages leading to the mammalian-specific subunit theta, and we identify the amino acid sites putatively responsible for the functional divergence. We discuss potential consequences for the evolution of mammals and of their CNS

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Centrality evolution of the charged-particle pseudorapidity density over a broad pseudorapidity range in Pb-Pb collisions at root s(NN)=2.76TeV

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