562 research outputs found

    Some causes of the Korean War of 1950 :

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    Shadow detection for vehicles by locating the object-shadow boundary

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    We introduce in this paper a shadow detection method for vehicles in traffic video sequences. Our method approximates the boundary between vehicles and their associated shadows by one or more straight lines. These lines are located in the image by exploiting both local information (e.g. statistics in intensity differences) and global information (e.g. principal edge directions). The proposed method does not assume a particular lighting condition, and requires no human interaction nor parameter training. Experiments on practical real-world traffic video sequences demonstrate that our method is simple, robust and efficient under traffic scenes with different lighting conditions. Accurate positioning of target vehicles is thus achieved even in the presence of cast shadows.postprin

    Understanding General Activity Motivation for Persons with Stroke—A Reversal Theory Perspective

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    Introduction: Motivation is the barrier identified for clients with stroke to reintegrate community living. Reversal Therapy may help to understand the pattern of bipolar variations of motivational factors. This study analyzed the general activity motivation of clients with stroke and their relationship with community participation and mental wellbeing. Methodology: Sampling of 115 subjects including 30 stroke clients and 85 normal subjects. Measurements included the validated Chinese version of General Activity Motivation Measure (GAMM), Community Integration Questionnaire (CIQ) & Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS). Results: In GAMM, the normal group scores (Mean 50.09 SD 5.79) higher then clients with stroke (Mean 46.09; SD 8.00) (p < 0.05). GAMM correlated positively with CIQ and SWEMWBS (p < 0.05). Four factors identified under GAMM namely Means-end, Relationship, Rules and Transactions that identified with Reversal Theory. Reversals between poles of each domain evidenced between two groups. “Acquiring new experiences” was strong predictor for community integration. Conclusion: Reversal Theory is useful to explain motivational changes among clients with stroke. To develop chances of “new experiences”, “feel accomplishment every day”, “get out of house regularly” and “to do the things that they can enjoy” at “their own pace” are the motivators for reintegrate into community living

    What Does Economics Assume About People’s Knowledge? Who knows?

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    The purpose of the paper is to explore, from an assessment viewpoint, the ideas below. Economics, as a social science, has always considered sets of individuals with assumed characteristics, namely the level of knowledge, although in an implicit way in most of the cases. In this sense, an influential approach in Economics assumed that society, as a global set of individuals, was characterised by a certain level of knowledge that, indeed, could be associated with the one of its representative agent. In fact, an attentive recall of the evolution of these matters in Economics will immediately recognise that, since the very first economic models of the government, it was assumed that the level of knowledge of society, represented by a set of voters, was not the same as the one of the agent being elected, i.e. the government. The irrelevance of the difference in the level of knowledge of economic agents was soon abandoned after some seminal works of Hayek and Friedman. More recently, the viewpoint of Economics has changed by focusing on the characteristics (e.g. knowledge) of individuals, who may interact in sub-sets of society. From this point of view is clearly relevant, given the close connection with the assumed level of knowledge, to distinguish the adaptive behaviour from the rational one, as well as the full rational from the bounded rationality behaviour by people. Quite recent developments in the Economics of Knowledge, i.e. the so-called learning models, have been considered as more realistic approaches to model the process by which individuals acquire knowledge, for instance from other individuals that are, themselves, acquiring knowledge

    Adipose Tissue Therapeutics for Scar Rehabilitation after Thermal Injury

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    Background: Burn injuries are common and in the long term can lead to hypertrophic or keloid scars, pain and pruritus, limited mobility across joints, and disfigurement. Numerous reports suggest adipose derived tissues, including adipose derived stem cells (ADSCs) and processed lipoaspirate, can improve acutely healing wounds from a variety of etiologies including excisional, thermal, and radiation injuries by both secretion of growth factors and direct differentiation. There are many options for scar treatment, including laser therapy, silicone sheets, steroid injection, and even skin grafting however these techniques either lack optimal efficacy or involve significant cost and morbidity. Clinical case series suggest a beneficial effect of adipose tissues in improving scarred tissues, however this phenomenon has not been extensively studied in animal models especially in a thermal scar model. Objectives: (1) Determine if adipose tissue can accelerate and improve scar remodeling subacutely after acute wound healing has occurred. (2) Determine if the effect is related to adipose derived stem cells or other components of lipoaspirate. Methods: 50 CD1 nu/nu athymic mice received a standardized 70°C 10 second burn with a brass rod to the dorsal skin. Digital photographs and hyperspectral images were taken immediately following injury and serially over the study’s entirety. Burned skin reliably progressed through normal stages of wound healing to a scarred and granulating state. At six weeks post-burn animals received subcutaneous injection immediately beneath the scar with fresh human lipoaspirate (n=10), high dose hADSCs in matrigel (n=10), low dose hADSCs in matrigel (n=10), matrigel control (n=10), or were not injected (n=10). At 4 weeks post-injection (10 weeks post-burn) animals were sacrificed and tissue samples were harvested for histological molecular analysis. Results: Oxygenation and perfusion profiles from hyperspectral imaging and scar wound area correlated between groups suggesting methodological consistency of burns prior to any intervention. Oxygenated hemoglobin at 10 weeks in scars treated with lipoaspirate increased significantly more compared to 6-week pre-treatment baseline than all other groups (1.57x vs. 0.85x, p Conclusion: A consistent model of burn injury and scar maturation is described. Preliminary HSI and scar area data suggest scar improvement in lipoaspirate treated scars compared to ADSCs and controls

    Lipoaspirate and Adipose Stem Cells as Potential Therapeutics for Chronic Scars

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    Introduction: Burn injuries can lead to hypertrophic or keloid scars, causing pain and long lasting mobility issues. Current therapies are often unsatisfactory, costly, or morbid. Prior studies suggest adipose derived stem cells (ADSCs) and lipoaspirate can improve scar outcomes of acute thermal wounds. Clinical reports suggest lipoaspirate and ADSCs can improve chronic burn scar remodeling. However, this has not been extensively studied in animal models. We sought to determine if adipose tissue can improve chronic scar remodeling and to compare the effects of ADSCs and processed lipoaspirate. Methods: 50 CD1 nu/nu athymic mice received a standardized deep partial-thickness thermal burn. Scars matured for 6 weeks. Photographs and perfusion measurements by hyperspectral imaging (HSI) were taken over the entire study. Lipoaspirate and ADSCs (SVF and ex-vivo culture with flow cytometry confirmation) were obtained from a discarded human pannus specimen. After 6 weeks, animals received a 0.6cc subcutaneous graft beneath the scar of either: human lipoaspirate processed with the Coleman technique, high-dose (106) hADSCs in Matrigel, low-dose (104) hADSCs in Matrigel, Matrigel only, or not injected (n=10 per group). At 10 weeks, animals were sacrificed and scar tissue was harvested for histological and molecular analysis. Results: HSI oxygenated hemoglobin values in lipoaspirate treated scars increased significantly more compared to 6-week pre-treatment baseline than all other groups (p \u3c 0.05). Planimetry analysis showed reduction in wound area in lipoaspirate treated mice compared to control groups (p \u3c 0.01). Blood vessel density quantification on Masson’s trichrome stains suggests increased density in lipoaspirate treated scars versus controls (p \u3c 0.01). Conclusion: HSI, blood vessel density, and scar analysis suggest improvement in lipoaspirate treated scars compared to controls. Preliminary molecular data offers some insight to this trend. No effect was seen with ADSCs at either concentration at the analyzed timepoints. Molecular analyses are ongoing to investigate cellular mechanisms in regulating scar remodeling

    New look on relay selection strategies for full-duplex multiple-relay NOMA over Nakagami-m fading channels

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    This is an accepted manuscript of an article published by Springer in Wireless Networks on 07/07/2021, available online: https://doi.org/10.1007/s11276-021-02676-1 The accepted version of the publication may differ from the final published version.By removing the orthogonal use of radio-resources, non-orthogonal multiple access (NOMA) has been introduced to improve the spectral efficiency of fifth generation (5G) and beyond networks. This paper studies the system performance in a dual-hop multi-relay NOMA using decode-and-forward (DF) scheme over Nakagami-m fading channels. A group of NOMA users is considered, i.e. the near and far users which are decided by how strong these related channels are. Specifically, we obtain a closed-form expression of the outage probability of the near/far NOMA users when the several relay selection schemes are adopted for selecting the best among M intermediate relays. As main finding, this paper introduces three strategies including two-stage relay selection, max-min and power allocation based relay selection schemes. As main benefit, the NOMA users are considered to employ selection combining technique in order to improve signal transmissions for an increased reliability in the context of massive connections in 5G wireless communications. By conducting numerical simulations, we evaluate the impact of the number of intermediate relays, the NOMA power allocation factor, and the Nakagami-m fading severity parameter on the outage performance of the NOMA users. Finally, the outage probability along with throughout in delay-limited transmission mode are provided via numerical results and the necessary comparisons are provided.Published onlin

    A computer-based medical record system and personal digital assistants to assess and follow patients with respiratory tract infections visiting a rural Kenyan health centre

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    BACKGROUND: Clinical research can be facilitated by the use of informatics tools. We used an existing electronic medical record (EMR) system and personal data assistants (PDAs) to assess the characteristics and outcomes of patients with acute respiratory illnesses (ARIs) visiting a Kenyan rural health center. METHODS: We modified the existing EMR to include details on patients with ARIs. The EMR database was then used to identify patients with ARIs who were prospectively followed up by a research assistant who rode a bicycle to patients' homes and entered data into a PDA. RESULTS: A total of 2986 clinic visits for 2009 adult patients with respiratory infections were registered in the database between August 2002 and January 2005; 433 patients were selected for outcome assessments. These patients were followed up in the villages and assessed at 7 and 30 days later. Complete follow-up data were obtained on 381 patients (88%) and merged with data from the enrollment visit's electronic medical records and subsequent health center visits to assess duration of illness and complications. Symptoms improved at 7 and 30 days, but a substantial minority of patients had persistent symptoms. Eleven percent of patients sought additional care for their respiratory infection. CONCLUSION: EMRs and PDA are useful tools for performing prospective clinical research in resource constrained developing countries

    Prophylactic Hypogastric Artery Ballooning in a Patient with Complete Placenta Previa and Increta

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    Abnormal attachment of the placenta (Placenta accreta, increta, and percreta) is an uncommon but potentially lethal cause of maternal mortality from massive postpartum hemorrhage. A 33-yr-old woman, who had been diagnosed with a placenta previa, was referred at 30 weeks gestation. On ultrasound, a complete type of placenta previa and multiple intraplacental lacunae, suggestive of placenta accreta, were noted. For further evaluation of the placenta, pelvis MRI was performed and revealed findings suspicious of a placenta increta. An elective cesarean delivery and subsequent hysterectomy were planned for the patient at 38 weeks gestation. On the day of delivery, endovascular catheters for balloon occlusion were placed within the hypogastric arteries, prior to the cesarean section. In the operating room, immediately after the delivery of the baby, bilateral hypogastric arteries were occluded by inflation of the balloons in the catheters previously placed within. With the placenta retained within the uterus, a total hysterectomy was performed in the usual fashion. The occluding balloons were deflated after closure of the vaginal cuff with hemostasis. The patient had stable vital signs and normal laboratory findings during the recovery period; she was discharged six days after delivery without complications. The final pathology confirmed a placenta increta
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