On replacement strategies in steady state evolutionary algorithms

Steady State models of Evolutionary Algorithms are widely used, yet surprisingly little attention has been paid to the effects arising from different replacement strategies. This paper explores the use of mathematical models to characterise the selection pressures arising in a selection-only environment. The first part brings together models for the behaviour of seven different replacement mechanisms and provides expressions for various proposed indicators of Evolutionary Algorithm behaviour. Some of these have been derived elsewhere, and are included for completeness, but the majority are new to this paper. These theoretical indicators are used to compare the behaviour of the different strategies. The second part of this paper examines the practical relevance of these indicators as predictors for algorithms' relative performance in terms of optimisation time and reliability. It is not the intention of this paper to come up with a "one size fits all" recommendation for choice of replacement strategy. Although some strategies may have little to recommend them, the relative ranking of others is shown to depend on the intended use of the algorithm to be implemented, as reflected in the choice of performance metrics. © 2007 by the Massachusetts Institute of Technology

STUDY OF CHEDANA KARMA IN SURGICAL PRACTICE

Chedana Karma is the foremost surgical procedure. It is needed to study and update the principles of Chedana Karma. Chedana is the foremost procedure adopted in surgical practice. All the Brihat-trayees have given prime importance to Chedana Karma and have explained it in various contexts. The term Chedana in Ayurvedic classical texts and the term ‘excision’ used in modern surgical textbooks are having same meaning. While exploring the surgical disorders explained under the indications of Chedana Karma and excision, many of the days are missing under the list of indications. However Sushruta while enumerating the name of the diseases and their management has given scope to the surgeons to add as well as to redesignate the disorders by using their knowledge.Objective is to study the concept of Chedana Karma in detail and evaluate its role in surgical practice. 10 different surgical excisional procedures are observed regarding their clinical features and compared with the conditions explained by Sushruta. The conditions told by Sushruta are found in varying numbers but not a single disease without them.Chedana and excision are synonymous. Features mentioned by Sushruta bear importance as they cover all the surgical diseases indicated for excision. Conditions of Apaka, Kathinya, Sthirata and Kotha explain all the possible indications for excision in any disease. The principles of Chedana Karma are studied thoroughly and comparison is done with the principles of excision by reviewing the literatures in Ayurveda as well as modern textbooks of surgery

Human endogenous retroviruses form a reservoir of T cell targets in hematological cancers

Human endogenous retroviruses (HERV) form a substantial part of the human genome, but mostly remain transcriptionally silent under strict epigenetic regulation, yet can potentially be reactivated by malignant transformation or epigenetic therapies. Here, we evaluate the potential for T cell recognition of HERV elements in myeloid malignancies by mapping transcribed HERV genes and generating a library of 1169 potential antigenic HERV-derived peptides predicted for presentation by 4 HLA class I molecules. Using DNA barcode-labeled MHC-I multimers, we find CD8+ T cell populations recognizing 29 HERV-derived peptides representing 18 different HERV loci, of which HERVH-5, HERVW-1, and HERVE-3 have more profound responses; such HERV-specific T cells are present in 17 of the 34 patients, but less frequently in healthy donors. Transcriptomic analyses reveal enhanced transcription of the HERVs in patients; meanwhile DNA-demethylating therapy causes a small and heterogeneous enhancement in HERV transcription without altering T cell recognition. Our study thus uncovers T cell recognition of HERVs in myeloid malignancies, thereby implicating HERVs as potential targets for immunotherapeutic therapies

Safety and efficacy of thrombectomy in patients undergoing primary percutaneous coronary intervention for Acute ST elevation MI: A Meta-Analysis of Randomized Controlled Trials

Clinical trials comparing thrombectomy devices with conventional percutaneous coronary interventions (PCI) in patients with acute ST elevation myocardial infarction (STEMI) have produced conflicting results. The objective of our study was to systematically evaluate currently available data comparing thrombectomy followed by PCI with conventional PCI alone in patients with acute STEMI

Complementary and Alternative Medicine Use in African Americans With Rheumatoid Arthritis: Prevalence of CAM in an African American Cohort

Racial/ethnic differences with regard to complementary and alternative medicine (CAM) use have been reported in the US. However, specific details of CAM use by African Americans with rheumatoid arthritis (RA) are lacking

Comparison of the Disease Activity Score Using Erythrocyte Sedimentation Rate and C-reactive Protein in African Americans with Rheumatoid Arthritis

The Disease Activity Score based on 28 joints (DAS28) has been increasingly used in clinical practice and research studies of rheumatoid arthritis (RA). Studies have reported discordance between DAS28 based on erythrocyte sedimentation rate (ESR) versus C-reactive protein (CRP) in RA patients. However such comparison is lacking in African-Americans with RA

Coronary collaterals and risk for restenosis after percutaneous coronary interventions: a meta-analysis

<p>Abstract</p> <p>Background</p> <p>The benefit of the coronary collateral circulation (natural bypass network) on survival is well established. However, data derived from smaller studies indicates that coronary collaterals may increase the risk for restenosis after percutaneous coronary interventions. The purpose of this systematic review and meta-analysis of observational studies was to explore the impact of the collateral circulation on the risk for restenosis.</p> <p>Methods</p> <p>We searched the MEDLINE, EMBASE and ISI Web of Science databases (2001 to 15 July 2011). Random effects models were used to calculate summary risk ratios (RR) for restenosis. The primary endpoint was angiographic restenosis > 50%.</p> <p>Results</p> <p>A total of 7 studies enrolling 1,425 subjects were integrated in this analysis. On average across studies, the presence of a good collateralization was predictive for restenosis (risk ratio (RR) 1.40 (95% CI 1.09 to 1.80); <it>P </it>= 0.009). This risk ratio was consistent in the subgroup analyses where collateralization was assessed with intracoronary pressure measurements (RR 1.37 (95% CI 1.03 to 1.83); <it>P </it>= 0.038) versus visual assessment (RR 1.41 (95% CI 1.00 to 1.99); <it>P </it>= 0.049). For the subgroup of patients with stable coronary artery disease (CAD), the RR for restenosis with 'good collaterals' was 1.64 (95% CI 1.14 to 2.35) compared to 'poor collaterals' (<it>P </it>= 0.008). For patients with acute myocardial infarction, however, the RR for restenosis with 'good collateralization' was only 1.23 (95% CI 0.89 to 1.69); <it>P </it>= 0.212.</p> <p>Conclusions</p> <p>The risk of restenosis after percutaneous coronary intervention (PCI) is increased in patients with good coronary collateralization. Assessment of the coronary collateral circulation before PCI may be useful for risk stratification and for the choice of antiproliferative measures (drug-eluting stent instead bare-metal stent, cilostazol).</p

Magnetic resonance imaging in children: common problems and possible solutions for lung and airways imaging

Pediatric chest MRI is challenging. High-resolution scans of the lungs and airways are compromised by long imaging times, low lung proton density and motion. Low signal is a problem of normal lung. Lung abnormalities commonly cause increased signal intenstities. Among the most important factors for a successful MRI is patient cooperation, so the long acquisition times make patient preparation crucial. Children usually have problems with long breath-holds and with the concept of quiet breathing. Young children are even more challenging because of higher cardiac and respiratory rates giving motion blurring. For these reasons, CT has often been preferred over MRI for chest pediatric imaging. Despite its drawbacks, MRI also has advantages over CT, which justifies its further development and clinical use. The most important advantage is the absence of ionizing radiation, which allows frequent scanning for short- and long-term follow-up studie