1,745 research outputs found
海浪發電
由於全球人口不斷增長,所以能源需求日益增加。地球上大部份的能源主要來自化石燃料。不過,燃燒化石燃料發電會釋出大量二氧化碳和污染物,造成溫室效應從而導致環境破壞;而且,化石燃料是有限的能源。雖然可用核原料發電,但是核能的安全問題與風險管理不斷受人們爭論。故此,對再生能源的研究及開發是刻不容緩的。本章主要討論其中一種再生能源,海浪發電的好處及近期一些研究成果。published_or_final_versio
Neuroimaging in Leber Hereditary Optic Neuropathy: State-of-the-art and future prospects
Leber Hereditary Optic Neuropathy (LHON) is an inherited mitochondrial retinal disease that causes the degeneration of retinal ganglion cells and leads to drastic loss of visual function. In the last decades, there has been a growing interest in using Magnetic Resonance Imaging (MRI) to better understand mechanisms of LHON beyond the retina. This is partially due to the emergence of gene-therapies for retinal diseases, and the accompanying expanded need for reliably quantifying and monitoring visual processing and treatment efficiency in patient populations. This paper aims to draw a current picture of key findings in this field so far, the challenges of using neuroimaging methods in patients with LHON, and important open questions that MRI can help address about LHON disease mechanisms and prognoses, including how downstream visual brain regions are affected by the disease and treatment and why, and how scope for neural plasticity in these pathways may limit or facilitate recovery
Prevalence of albuminuria and cardiovascular risk profile in a referred cohort of patients with type 2 diabetes: An Asian perspective
Background: Microalbuminuria (MA) is a risk marker for diabetic nephropathy and cardiovascular (CV) disease (CVD) in patients with diabetes. This study aimed to describe the prevalence of albuminuria, CV risk factors, and treatments for renal and CV protection in an Asian population with type 2 diabetes. Methods: This cross-sectional study conducted in eight Asian countries enrolled normotensive/hypertensive adults with type 2 diabetes without known proteinuria and/or non-diabetic kidney disease. Exclusion criteria were type 1 diabetes, menstruation, pregnancy, and acute fever. A single random urinary albumin/creatinine test was carried out in all patients. Results: Of 8,561 patients, 14% had diabetic retinopathy, and 17% and 21% had history of CV disease and smoking, respectively. Normoalbuminuria was seen in 44%, MA in 44%, and macroalbuminuria in 12%. Target glycosylated hemoglobin (HbA1c) (<7%) was reached in only 37% of 3,834 patients with available values. Diabetes was managed by diet alone in 6%, while others received oral hypoglycemic drugs and/or insulin. In total, 75% did not reach target blood pressure (BP) of ≤130/80 mm Hg. Antihypertensive drugs were prescribed to 52%, with the number of drugs increasing as the level of systolic BP increased. Drugs blocking the renin-angiotensin system were most commonly prescribed, followed by calcium channel blockers. Lipid-lowering drugs and anticoagulant/antiplatelet agents were used in about 30% and 25% of patients, respectively. Conclusions: Asian patients with type 2 diabetes had a high prevalence of MA and reduced kidney function. Furthermore, BP and HbA1c control was only achieved in a minority of patients. Aggressive risk management by administration of reno- and cardioprotective treatments is urgently needed. © 2008 Mary Ann Liebert, Inc.published_or_final_versio
Discovering a junction tree behind a Markov network by a greedy algorithm
In an earlier paper we introduced a special kind of k-width junction tree,
called k-th order t-cherry junction tree in order to approximate a joint
probability distribution. The approximation is the best if the Kullback-Leibler
divergence between the true joint probability distribution and the
approximating one is minimal. Finding the best approximating k-width junction
tree is NP-complete if k>2. In our earlier paper we also proved that the best
approximating k-width junction tree can be embedded into a k-th order t-cherry
junction tree. We introduce a greedy algorithm resulting very good
approximations in reasonable computing time.
In this paper we prove that if the Markov network underlying fullfills some
requirements then our greedy algorithm is able to find the true probability
distribution or its best approximation in the family of the k-th order t-cherry
tree probability distributions. Our algorithm uses just the k-th order marginal
probability distributions as input.
We compare the results of the greedy algorithm proposed in this paper with
the greedy algorithm proposed by Malvestuto in 1991.Comment: The paper was presented at VOCAL 2010 in Veszprem, Hungar
Learning Moore Machines from Input-Output Traces
The problem of learning automata from example traces (but no equivalence or
membership queries) is fundamental in automata learning theory and practice. In
this paper we study this problem for finite state machines with inputs and
outputs, and in particular for Moore machines. We develop three algorithms for
solving this problem: (1) the PTAP algorithm, which transforms a set of
input-output traces into an incomplete Moore machine and then completes the
machine with self-loops; (2) the PRPNI algorithm, which uses the well-known
RPNI algorithm for automata learning to learn a product of automata encoding a
Moore machine; and (3) the MooreMI algorithm, which directly learns a Moore
machine using PTAP extended with state merging. We prove that MooreMI has the
fundamental identification in the limit property. We also compare the
algorithms experimentally in terms of the size of the learned machine and
several notions of accuracy, introduced in this paper. Finally, we compare with
OSTIA, an algorithm that learns a more general class of transducers, and find
that OSTIA generally does not learn a Moore machine, even when fed with a
characteristic sample
The statistical analysis of a clinical trial when a protocol amendment changed the inclusion criteria
Abstract Background Sometimes, protocol amendments that change the inclusion and exclusion criteria are required in clinical trials. Then, the patient populations before and after the amendment may differ. Methods We propose to perform separate statistical tests for the different phases, i.e. for the patients recruited before and after the amendment, and to combine the tests using Fisher's combination test. After a significant combination test a multiple testing procedure can be applied to identify the phase(s) to which a proof of efficacy refers. We assume that the amendment(s) are not based on any type of unblinded data. The proposed method is investigated within a simulation study. Results The proposed combination approach is superior to the 'naïve' strategy to ignore the differences between the phases and pooling the data to perform just one statistical test. This superiority disappears when there are hardly any differences between the two phases. Conclusion When one or more protocol amendments change the inclusion and exclusion criteria, one should realize that the populations may differ. In this case, separate tests for the different phases together with a combination test are a powerful method that can be applied in a variety of settings. The (first) amendment should specify the combination test to be applied in order to combine the different phases.</p
Liquid-infiltrated photonic crystals - enhanced light-matter interactions for lab-on-a-chip applications
Optical techniques are finding widespread use in analytical chemistry for
chemical and bio-chemical analysis. During the past decade, there has been an
increasing emphasis on miniaturization of chemical analysis systems and
naturally this has stimulated a large effort in integrating microfluidics and
optics in lab-on-a-chip microsystems. This development is partly defining the
emerging field of optofluidics. Scaling analysis and experiments have
demonstrated the advantage of micro-scale devices over their macroscopic
counterparts for a number of chemical applications. However, from an optical
point of view, miniaturized devices suffer dramatically from the reduced
optical path compared to macroscale experiments, e.g. in a cuvette. Obviously,
the reduced optical path complicates the application of optical techniques in
lab-on-a-chip systems. In this paper we theoretically discuss how a strongly
dispersive photonic crystal environment may be used to enhance the light-matter
interactions, thus potentially compensating for the reduced optical path in
lab-on-a-chip systems. Combining electromagnetic perturbation theory with
full-wave electromagnetic simulations we address the prospects for achieving
slow-light enhancement of Beer-Lambert-Bouguer absorption, photonic band-gap
based refractometry, and high-Q cavity sensing.Comment: Invited paper accepted for the "Optofluidics" special issue to appear
in Microfluidics and Nanofluidics (ed. Prof. David Erickson). 11 pages
including 8 figure
Cocaine-induced renal infarction: report of a case and review of the literature
BACKGROUND: Cocaine abuse has been known to have detrimental effects on the cardiovascular system. Its toxicity has been associated with myocardial ischemia, cerebrovascular accidents and mesenteric ischemia. The pathophysiology of cocaine-related renal injury is multifactorial and involves renal hemodynamic changes, alterations in glomerular matrix synthesis, degradation and oxidative stress, and possibly induction of renal atherogenesis. Renal infarction as a result of cocaine exposure, however, is rarely reported in the literature. CASE PRESENTATION: A 48 year-old male presented with a four-day history of severe right flank pain following cocaine use. On presentation, he was tachycardic, febrile and had severe right costovertebral angle tenderness. He had significant proteinuria, leukocytosis and elevated serum creatinine and lactate dehydrogenase. Radiographic imaging studies as well as other screening tests for thromboembolic events, hypercoagulability states, collagen vascular diseases and lipid disorders were suggestive of Cocaine-Induced Renal Infarction (CIRI) by exclusion. CONCLUSION: In a patient with a history of cocaine abuse presenting with fevers and flank pain suggestive of urinary tract infection or nephrolithiasis, cocaine-induced renal infarction must be considered in the differential diagnosis. In this article, we discuss the prior reported cases of CIRI and thoroughly review the literature available on this disorder. This is important for several reasons. First, it will allow us to discuss and elaborate on the mechanism of renal injury caused by cocaine. In addition, this review will demonstrate the importance of considering the diagnosis of CIRI in a patient with documented cocaine use and an atypical presentation of acute renal injury. Finally, we will emphasize the need for a consensus on optimal treatment of this disease, for which therapy is not yet standardized
Cardiogenic shock following administration of propofol and fentanyl in a healthy woman: a case report
<p>Abstract</p> <p>Introduction</p> <p>Cardiogenic shock is very uncommon in healthy people. The differential diagnosis for patients with acute heart failure in previously healthy hearts includes acute myocardial infarction and myocarditis. However, many drugs can also depress myocardial function. Propofol and fentanyl are frequently used during different medical procedures. The cardiovascular depressive effect of both drugs has been well established, but the development of cardiogenic shock is very rare when these agents are used.</p> <p>Case presentation</p> <p>After a minor surgical intervention, a 32-year-old Caucasian woman with no significant medical history went into sudden hemodynamic deterioration due to acute heart failure. An urgent echocardiogram showed severe biventricular dysfunction and an estimated left ventricular ejection fraction of 20%. Extracorporeal life support and mechanical ventilation were required. Five days later her ventricular function had fully recovered, which allowed the progressive withdrawal of medical treatment. Prior to her hospital discharge, cardiac MRI showed neither edema nor pathological deposits on the delayed contrast enhancement sequences. At her six-month follow-up examination, the patient was asymptomatic and did not require treatment.</p> <p>Conclusion</p> <p>Although there are many causes of cardiogenic shock, the presence of abrupt hemodynamic deterioration and the absence of a clear cause could be related to the use of propofol and fentanyl.</p
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