807 research outputs found
Fast degenerate double proton transfer in the solid state between two indazolinone tautomers
The neutral dimer formed by 4,6-difluoro-1H,2H-indazolin-3-one and 3-hydroxy-4,6-difluoro-1H-indazole linked by two hydrogen bonds presents a very fast intermolecular double proton transfer in the solid state (ISSPT). The combined use of crystallography, solid state NMR and DFT [B3LYP/6-311++G(d,p)] calculations supports this interesting observation and allows us to estimate a barrier of about 20 kJ mol-1. © 2010 The Royal Society of Chemistry.Peer Reviewe
Residual enzymatic activity as a prognostic factor in patients with Gaucher disease type 1: Correlation with Zimran and GAUSS-I index and the severity of bone disease
Background: Gaucher disease (GD) is an autosomal recessive disorder produced by mutations in the glucocerebrosidase gene (GBA), causing storage of glucosylceramide in reticuloendothelial cells in multiple organs. Traditionally, the prediction of the phenotype based on the genotype has been reported to be limited.Subjects and Methods: We investigated the correlation between the enzymatic residual activity (ERA) and the phenotype at diagnosis of the disease in 45 GD Spanish patients (44 with type I and 1 with type III GD). The genotype involved two of the following previously expressed proteins: c.517A¿>¿C (T134P), 1%; c.721G¿>¿A (G202R), 17%; c.1090G¿>¿T (G325W), 13.9%; c.1208G¿>¿A (S364N), 4.1%; c.1226A¿>¿G (N370S), 17.8%; c.1246G¿>¿A (G377S), 17.6%; c.1289C¿>¿T (P391L), 8.5%; c.1448T¿>¿C (L444P), 3%; and c.1504C¿>¿T (R463C), 24.5%. Recombinant alleles, deletion of 55¿bp in exon 9 and 84GG mutation were considered as mutations with no residual enzymatic activity.Results: The ERA showed a statistically significant correlation with chitotriosidase (P¿<¿0.001), age (P¿<¿0.001), spleen size (P¿<¿0.001), ‘Zimran’s Severity Score Index’ (P¿<¿0.01) and the ‘Gaucher Disease Severity Score Index—Type I’ (P¿<¿ 0.0001) at diagnosis of the disorder. Previous to any medical intervention, a comparison between the ERA and bone involvement, demonstrated a statistically significant relationship (P¿<¿0.01) between the two variables.Conclusions: This study data allowed us to define a new criterion for prognostic assessment of the disease at diagnosis, called Protein Severity Index, which expresses the theoretical severity of the genotype presented by patients, according to the corresponding ERA
EVALUATION OF APACHE II, SAPS II AND SOFA AS PREDICTORS OF MORTALITY IN PATIENTS OVER 80 YEARS ADMITTED TO ICU
Double balloon catheter for induction of labour in women with a previous cesarean section, could it be the best choice?
Introduction: We analysed the efficacy and safety of double-balloon catheter for cervical ripening in women with a previous cesarean section and which were the most important variables associated with an increased risk of repeated cesarean delivery. Materials and methods: We designed an observational retrospective study of 418 women with unfavourable cervices (Bishop Score <5), a prior cesarean delivery, and induction of labour with a double-balloon catheter. Baseline maternal data and perinatal outcomes were recorded for a descriptive, bivariate, and multivariate analysis. A p value <0.05 was considered statistically significant. Results: Most women improved their initial Bishop Score (89.5%) although only a 20.8% of them went into spontaneous active labour. Finally, 51.4% of the women achieved a vaginal delivery. Five cases of intrapartum uterine rupture (1.2%) occurred. After multivariate analysis, main risk factors for repeated cesarean section were dystocia in the previous pregnancy (OR 1.744; CI 95% 1.066–2.846), the absence of previous vaginal delivery (OR 2.590; CI 95% 1.066–6.290), suspected fetal macrosomia (OR 2.410; CI 95% 0.959–6.054), and duration of oxytocin induction period (OR 1.005; CI 95% 1.004–1.006). The area under the curve was 0.789 (p < 0.001). Conclusions: Double-balloon catheter seems to be safe and effective for cervical ripening in women with a previous cesarean delivery and unfavourable cervix. In our study, most women could have a vaginal delivery in spite of their risk factors for cesarean delivery. A multivariate model based on some clinical variables has moderate predictive value for intrapartum cesarean section
Low dose vaginal misoprostol vs vaginal dinoprostone insert for induction of labor beyond 41st week: a randomized trial
Introduction: The aim of this study was to compare the efficacy and safety of a low‐dose protocol of vaginal misoprostol and vaginal dinoprostone insert for induction of labor in women with post‐term pregnancies. Material and methods: We designed a prospective, randomized, open‐labeled trial with evaluators blinded to the end‐point, including women of at least 41 weeks of gestational age with uncomplicated singleton pregnancies and a Bishop score <6. They were randomized into dinoprostone or misoprostol groups in a 1:1 ratio. Baseline maternal data and perinatal outcomes were recorded for statistical analysis. Successful vaginal delivery within 24 hours was the primary outcome variable. A P value <0.05 was considered statistically significant. This study was registered in ClinicalTrials.gov (number NTC03744364). Results: We included 198 women for analysis (99 women in each group). Vaginal birth rate within 24 hours did not differ between groups (49.5% vs 42.4%; P = 0.412). When the Bishop score was <4, dinoprostone insert showed a higher probability of vaginal delivery within 12 hours (17.8% vs 4%; P = 0.012). In the dinoprostone group, removal of the insert was more likely to be due to an adverse event (5.1% vs 14.1%; P = 0.051) and an abnormal fetal heart rate pattern during active labor (44.4% vs 58.6%; P = 0.047). Both groups were similar in neonatal outcomes including Apgar score, umbilical cord pH and neonatal intensive care unit admission. Conclusions: Low‐dose vaginal misoprostol and vaginal dinoprostone insert seem to be equally effective and safe for induction of labor in pregnant women with a gestational age beyond 41 weeks
HE4 tumor marker as a predictive factor for lymphatic metastasis in endometrial cancer
Endometrial cancer is the most common genital cancer in high-resource countries. Treatment is essentially surgical, but the role of lymphadenectomy in the treatment of low-stage and low-grade tumors has not been defined. Although no tumor factors have been validated for use as preoperative prognostic markers of endometrial cancer at yet, human epididymis protein 4 (HE4) has received much interest as a potential diagnostic and prognostic tumor marker. Since 2008, several studies have explored its utility in the management of endometrial cancer: HE4 may be a useful preoperative prognostic marker because it is associated with lymphatic metastasis and other unfavorable factors in endometrial cancer. In addition, some studies have explored a HE4 cutoff value to classify patients according to lymph node involvement. HE4 might be beneficial as a serum marker that helps clinicians in the decision-making algorithm for treatment of endometrial cancer, enabling them to perform individualized operations and decrease the adverse effects of unnecessary surgery
ImageNet Large Scale Visual Recognition Challenge
The ImageNet Large Scale Visual Recognition Challenge is a benchmark in
object category classification and detection on hundreds of object categories
and millions of images. The challenge has been run annually from 2010 to
present, attracting participation from more than fifty institutions.
This paper describes the creation of this benchmark dataset and the advances
in object recognition that have been possible as a result. We discuss the
challenges of collecting large-scale ground truth annotation, highlight key
breakthroughs in categorical object recognition, provide a detailed analysis of
the current state of the field of large-scale image classification and object
detection, and compare the state-of-the-art computer vision accuracy with human
accuracy. We conclude with lessons learned in the five years of the challenge,
and propose future directions and improvements.Comment: 43 pages, 16 figures. v3 includes additional comparisons with PASCAL
VOC (per-category comparisons in Table 3, distribution of localization
difficulty in Fig 16), a list of queries used for obtaining object detection
images (Appendix C), and some additional reference
A novel ratiometric fluorescent approach for the modulation of the dynamic range of lateral flow immunoassays
The majority of lateral flow assays (LFAs) use single-color optical labels to provide a qualitative naked-eye detection, however this detection method displays two important limitations. First, the use of a single-color label makes the LFA prone to results misinterpretation. Second, it does not allow the precise modulation of the sensitivity and dynamic range of the test. To overcome these limitations, a ratiometric approach is developed. In particular, using anti-HIgG functionalized red-fluorescent quantum dots on the conjugate pad (as target dependent labels) and blue-fluorescent nanoparticles fixed on the test line (as target independent reporters), it is possible to generate a wide color palette (blue, purple, pink, red) on the test line. It is believed that this strategy will facilitate the development of LFAs by easily adjusting their analytical properties to the needs required by the specific application
Hacia un comportamiento más social y cooperativo en educación física: aplicación del modelo de educación deportiva
The purpose of this investigation is to evaluate and to compare the Sport Education Model (SEM) implementation together with the presence or the absence of pedagogical strategies, which encourage prosocial behaviour among the participants. The sample consisted of two Primary sixth level classes (n = 51; 10.72 ± .66). Among group A, methodologies oriented to foster the prosocial behaviour were developed. Among group B, strategies centred in the individual improvements were developed. Though a one-way ANOVA, pre-test and post-test results of the Antisocial Behaviour Questionnaire (Martorell y González, 1992) were analysed. Results shows significant differences among scores in both classes before starting the model and after it (p = .000). It is observed a significant reduction of antisocial performances among the total scores of the post-test in group A (p = .000). Model-based implementation in Physical Education, Sport Education between them, should be complemented with methodological strategies that encourage prosocial behaviours because it favors positively the students’ values education.
Resumen: El propósito de esta investigación es evaluar y comparar la implementación del Modelo de Educación Deportiva (MED), junto con la presencia de estrategias pedagógicas que fomenten conductas prosociales entre los participantes. La muestra constó de dos clases de sexto de Primaria (n = 51; 10,72 ± ,66). En el grupo A se desarrollaron metodologías orientadas a fomentar conductas prosociales. En el grupo B se desarrollaron estrategias centradas en las mejoras individuales. Mediante el ANOVA de un factor, se analizaron los resultados pre-test y post-test del Cuestionario de Conductas Antisociales (Martorell y González, 1992). Los resultados muestran diferencias significativas entre las puntuaciones en ambas clases antes y después de realizar la implementación (p = ,000). Se observa una reducción significativa de actuaciones antisociales en el total del post-test del grupo A (p = ,000). La implementación de modelos-basados en la práctica en Educación Física, entre ellos el MED, se debe complementar con estrategias metodológicas que fomenten conductas prosociales, pues ello favorece positivamente la educación de valores en los escolares
Modelling search for people in 900 scenes: A combined source model of eye guidance
How predictable are human eye movements during search in real world scenes? We recorded 14 observers’ eye movements as they performed a search task (person detection) in 912 outdoor scenes. Observers were highly consistent in the regions fixated during search, even when the target was absent from the scene. These eye movements were used to evaluate computational models of search guidance from three sources: Saliency, target features, and scene context. Each of these models independently outperformed a cross-image control in predicting human fixations. Models that combined sources of guidance ultimately predicted 94% of human agreement, with the scene context component providing the most explanatory power. None of the models, however, could reach the precision and fidelity of an attentional map defined by human fixations. This work puts forth a benchmark for computational models of search in real world scenes. Further improvements in modelling should capture mechanisms underlying the selectivity of observers’ fixations during search.National Eye Institute (Integrative Training Program in Vision grant T32 EY013935)Massachusetts Institute of Technology (Singleton Graduate Research Fellowship)National Science Foundation (U.S.) (Graduate Research Fellowship)National Science Foundation (U.S.) (CAREER Award (0546262))National Science Foundation (U.S.) (NSF contract (0705677))National Science Foundation (U.S.) (Career Award (0747120)
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