Implementation and Qualitative/ Quantitative Comparison and Evaluation of Range Flow and Scene Flow

This thesis investigates the use of 3D scene flow and 3D range flow as a means of computing 3D observer (sensor or camera) motion. We implemented and evaluated the scene flow algorithm presented in Stereoscopic Scene Flow Computation for 3D Motion Understanding by Wedel et al. 2010. We modified (performed pyramidal image processing with warping) and re-implemented the range flow algorithms pre­ sented in Quantitative Regularized Range Flow by Spies et al. 2000. Both algorithms are 2-frame algorithms using a pyramid. The results for these scene and range flow algorithms were quantitatively and qualitatively compared on synthetic and real car driving stereo sequences

Intimate Partner Violence and Revictimization: Factors Involved in Occurrence and Severity

Intimate partner violence (IPV) is a growing, complex, and silent social problem across the United States. Victims of IPV are known to be at a greater risk for revictimization. However, the relationship between revictimization and IPV has not been extensively studied. There have been few attempts to synthesize, compare, and contrast findings regarding the factors involved in IPV victimization and revictimization. This study utilized data from existing research involving 250 females seeking civil legal services from Iowa Legal Aid. The archival data explored the long-term influence of civil legal services on female victims of IPV. This study identified the relationships between civil protective orders (CPO) and IPV revictimization by measuring severity and occurrence of threats made by the perpetrator, financial instability and IPV victimization, and demographic characteristics and the severity of victimization. The results further defined variables that contribute to the severity and occurrence of IPV victimization and revictimization. The findings indicated that victims of IPV are at a moderate risk for revictimization at least once within six months of filing for a civil protective order. The study also found a significant relationship between the victim’s financial instability and IPV victimization, indicating that victims are at a greater risk if they are financially unstable or if they are financially dependent on their abusive partner. The study produced no significant findings that predict the severity of victimization as it relates to the victim’s demographic characteristics. The findings support the continued need for further research to explore the longitudinal factors that contribute to IPV victimization and revictimization

Geregelte Gewalt? Relationen zwischen zwei Sozialphänomenen

"Gewalt als Interaktion zeigt sich im alltäglichen sowie wissenschaftlichen Diskurs weiterhin häufig als negativ und dysfunktional vordefiniert und als Bruch sozialer Ordnung. Im Artikel wird eine Perspektive herausgearbeitet, die sich von einem solchen Verständnis löst und als einen zentralen Faktor für Gewalthandeln im Rahmen sozialer Ordnung deren Bezug zu sozialen Regeln identifiziert. Ausgehend hiervon werden Formen des Verhältnisses zwischen Regeln und Gewalt vorgeschlagen als ein Modell, welches diesen Aspekt betont und damit die Herangehensweise der Gewaltforschung erweitert. Dadurch soll ein bisher kaum beleuchteter Aspekt in den Blick genommen und das Potential eines solchen differenzierten Ansatzes herausgestellt werden." (Autorenreferat

Developmental Changes in Natural Viewing Behavior: Bottom-Up and Top-Down Differences between Children, Young Adults and Older Adults

Despite the growing interest in fixation selection under natural conditions, there is a major gap in the literature concerning its developmental aspects. Early in life, bottom-up processes, such as local image feature – color, luminance contrast etc. – guided viewing, might be prominent but later overshadowed by more top-down processing. Moreover, with decline in visual functioning in old age, bottom-up processing is known to suffer. Here we recorded eye movements of 7- to 9-year-old children, 19- to 27-year-old adults, and older adults above 72 years of age while they viewed natural and complex images before performing a patch-recognition task. Task performance displayed the classical inverted U-shape, with young adults outperforming the other age groups. Fixation discrimination performance of local feature values dropped with age. Whereas children displayed the highest feature values at fixated points, suggesting a bottom-up mechanism, older adult viewing behavior was less feature-dependent, reminiscent of a top-down strategy. Importantly, we observed a double dissociation between children and elderly regarding the effects of active viewing on feature-related viewing: Explorativeness correlated with feature-related viewing negatively in young age, and positively in older adults. The results indicate that, with age, bottom-up fixation selection loses strength and/or the role of top-down processes becomes more important. Older adults who increase their feature-related viewing by being more explorative make use of this low-level information and perform better in the task. The present study thus reveals an important developmental change in natural and task-guided viewing

Characterization of Neural Tuning: Visual Lead-in Movements Generalize in Speed and Distance

Prior work has shown that independent motor memories of opposing dynamics can be learned when the movements are preceded by unique lead-in movements, each associated with a different direction of dynamics. Here we examine generalization effects using visual lead-in movements. Specifically, we test how variations in lead-in kinematics, in terms of duration, speed and distance, effect the expression of the learned motor memory. We show that the motor system is more strongly affected by changes in the duration of the movement, whereas longer movement distances have no effect

Adaptive tuning functions arise from visual observation of past movement

Visual observation of movement plays a key role in action. For example, tennis players have little time to react to the ball, but still need to prepare the appropriate stroke. Therefore, it might be useful to use visual information about the ball trajectory to recall a specific motor memory. Past visual observation of movement (as well as passive and active arm movement) affects the learning and recall of motor memories. Moreover, when passive or active, these past contextual movements exhibit generalization (or tuning) across movement directions. Here we extend this work, examining whether visual motion also exhibits similar generalization across movement directions and whether such generalization functions can explain patterns of interference. Both the adaptation movement and contextual movement exhibited generalization beyond the training direction, with the visual contextual motion exhibiting much broader tuning. A second experiment demonstrated that this pattern was consistent with the results of an interference experiment where opposing force fields were associated with two separate visual movements. Overall, our study shows that visual contextual motion exhibits much broader (and shallower) tuning functions than previously seen for either passive or active movements, demonstrating that the tuning characteristics of past motion are highly dependent on their sensory modality

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Mortality of emergency abdominal surgery in high-, middle- and low-income countries

Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low- or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI). Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression. Results: Data were obtained for 10 745 patients from 357 centres in 58 countries; 6538 were from high-, 2889 from middle- and 1318 from low-HDI settings. The overall mortality rate was 1⋅6 per cent at 24 h (high 1⋅1 per cent, middle 1⋅9 per cent, low 3⋅4 per cent; P < 0⋅001), increasing to 5⋅4 per cent by 30 days (high 4⋅5 per cent, middle 6⋅0 per cent, low 8⋅6 per cent; P < 0⋅001). Of the 578 patients who died, 404 (69⋅9 per cent) did so between 24 h and 30 days following surgery (high 74⋅2 per cent, middle 68⋅8 per cent, low 60⋅5 per cent). After adjustment, 30-day mortality remained higher in middle-income (odds ratio (OR) 2⋅78, 95 per cent c.i. 1⋅84 to 4⋅20) and low-income (OR 2⋅97, 1⋅84 to 4⋅81) countries. Surgical safety checklist use was less frequent in low- and middle-income countries, but when used was associated with reduced mortality at 30 days. Conclusion: Mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors. Patient safety factors may have an important role. Registration number: NCT02179112 (http://www.clinicaltrials.gov)