376 research outputs found

    Inhibitory control during sentence reading in dyslexic children

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    The present study focused on the nature of the reading disability of children with the guessing subtype of dyslexia (who read fast and inaccurately). The objective was to separate the excitatory account of their reading disturbance (i.e., in guessers the words' resting levels of activation are oversensitive to semantic context) from the inhibitory account (i.e., guessers tend to react prematurely to (false) candidate words that are activated in the lexicon). To disentangle the above accounts, guessers and normal readers were presented with a sentential priming task (SPT). In the SPT, subjects had to determine whether the final word of a sentence was semantically congruent or incongruent with the sentence, but had to inhibit their 'congruent' or 'incongruent' response in case of an occasionally presented pseudoword. To evoke guessing, each pseudoword closely resembled either a valid congruent or incongruent word. Guessing referred to prematurely accepting a pseudoword as a word that either appropriately or inappropriately completed the sentence. The extent to which subjects guessed at word meaning was evidenced by the false recognition rates (FRR) of the misspelled terminal words. Analyses on the FRRs of the pseudowords showed that guessers had significantly more difficulty in suppressing the 'go tendency' triggered by the pseudowords. It was concluded that the impulsive reading style of guessers should be ascribed to a less efficient suppression mechanism rather than to excessive reliance on contextual information. Specifically, the data were explained by assuming that the availability of the pseudoword's candidate meaning activated the hand to respond with, and that guessers found difficulty in suspending this response until they analyzed all letters in the stimulus and they could be sure of its spelling

    The Impact of Socioeconomic Status, Surgical Resection and Type of Hospital on Survival in Patients with Pancreatic Cancer:A Population-Based Study in The Netherlands

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    The influence of socioeconomic inequalities in pancreatic cancer patients and especially its effect in patients who had a resection is not known. Hospital type in which resection is performed might also influence outcome. Patients diagnosed with pancreatic cancer from 1989 to 2011 (n = 34,757) were selected from the population-based Netherlands Cancer Registry. Postal code was used to determine SES. Multivariable survival analyses using Cox regression were conducted to discriminate independent risk factors for death. Patients living in a high SES neighborhood more often underwent resection and more often were operated in a university hospital. After adjustment for clinicopathological factors, risk of dying was increased independently for patients with intermediate and low SES compared to patients with high SES. After resection, no survival difference was found among patients in the three SES groups. However, survival was better for patients treated in university hospitals compared to patients treated in non-university hospitals. Low SES was an independent risk factor for poor survival in patients with pancreatic cancer. SES was not an adverse risk factor after resection. Resection in non-university hospitals was associated with a worse prognosis.</p

    5-dimensional contact SO(3)-manifolds and Dehn twists

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    In this paper the 5-dimensional contact SO(3)-manifolds are classified up to equivariant contactomorphisms. The construction of such manifolds with singular orbits requires the use of generalized Dehn twists. We show as an application that all simply connected 5-manifoldswith singular orbits are realized by a Brieskorn manifold with exponents (k,2,2,2). The standard contact structure on such a manifold gives right-handed Dehn twists, and a second contact structure defined in the article gives left-handed twists.Comment: 16 pages, 1 figure; simplification of arguments by restricting classification to coorientation preserving contactomorphism

    Dietary Glycemic Load and Glycemic Index and Risk of Coronary Heart Disease and Stroke in Dutch Men and Women: The EPIC-MORGEN Study

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    BACKGROUND: The associations of glycemic load (GL) and glycemic index (GI) with the risk of cardiovascular diseases (CVD) are not well-established, particularly in men, and may be modified by gender. OBJECTIVE: To assess whether high dietary GL and GI increase the risk of CVD in men and women. METHODS: A large prospective cohort study (EPIC-MORGEN) was conducted within the general Dutch population among 8,855 men and 10,753 women, aged 21-64 years at baseline (1993-1997) and free of diabetes and CVD. Dietary intake was assessed with a validated food-frequency questionnaire and GI and GL were calculated using Foster-Powell's international table of GI. Information on morbidity and mortality was obtained through linkage with national registries. Cox proportional hazards analysis was performed to estimate hazard ratios (HRs) for incident coronary heart disease (CHD) and stroke, while adjusting for age, CVD risk factors, and dietary factors. RESULTS: During a mean follow-up of 11.9 years, 581 CHD cases and 120 stroke cases occurred among men, and 300 CHD cases and 109 stroke cases occurred among women. In men, GL was associated with an increased CHD risk (adjusted HR per SD increase, 1.17 [95% CI, 1.02-1.35]), while no significant association was found in women (1.09 [0.89-1.33]). GI was not associated with CHD risk in both genders, while it was associated with increased stroke risk in men (1.27 [1.02-1.58]) but not in women (0.96 [0.75-1.22]). Similarly, total carbohydrate intake and starch intake were associated with a higher CHD risk in men (1.23 [1.04-1.46]; and 1.24 [1.07-1.45]), but not in women. CONCLUSION: Among men, high GL and GI, and high carbohydrate and starch intake, were associated with increased risk of CVD

    Global surfaces of section in the planar restricted 3-body problem

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    The restricted planar three-body problem has a rich history, yet many unanswered questions still remain. In the present paper we prove the existence of a global surface of section near the smaller body in a new range of energies and mass ratios for which the Hill's region still has three connected components. The approach relies on recent global methods in symplectic geometry and contrasts sharply with the perturbative methods used until now.Comment: 11 pages, 1 figur

    Comparison of the efficacy of early versus late viral proteins in vaccination against SIV.

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    The immune response against early regulatory proteins of simian- and human immunodeficiency virus (SIV, HIV) has been associated with a milder course of infection. Here, we directly compared vaccination with Tat/Rev versus Pol/Gag. Challenge infection with SIVmac32H (pJ5) suggested that vaccination with Tat/Rev induced cellular immune responses that enabled cynomolgus macaques to more efficiently control SIV replication than the vaccine-induced immune responses against Pol/Gag. Vaccination with Tat/Rev resulted in reduced plasma SIV loads compared with control (P=0.058) or Pol/Gag-vaccinated (P

    Outcomes after primary and repeat thermal ablation of hepatocellular carcinoma with or without liver transplantation

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    Objectives Thermal ablation (TA) is an established treatment for early HCC. There is a lack of data on the efficacy of repeated TA for recurrent HCC, resulting in uncertainty whether good oncologic outcomes can be obtained without performing orthotopic liver transplantation (OLTx). This study analyses outcomes after TA, with a special focus on repeat TA for recurrent HCC, either as a stand-alone therapy, or in relationship with OLTx. Methods Data from a prospectively registered database on interventions for HCC in a tertiary hepatobiliary centre was completed with follow-up until December 2020. Outcomes studied were rate of recurrence after primary TA and after its repeat interventions, the occurrence of untreatable recurrence, OS and DSS after primary and repeat TA, and complications after TA. In cohorts matched for confounders, OSS and DSS were compared after TA with and without the intention to perform OLTx. Results After TA, 100 patients (56 center dot 8%) developed recurrent HCC, of whom 76 (76 center dot 0%) underwent up to four repeat interventions. During follow-up, 76 center dot 7% of patients never developed a recurrence unamenable to repeat TA or OLTx. OS was comparable after primary TA and repeat TA. In matched cohorts, OS and DSS were comparable after TA with and without the intention to perform OLTx. Conclusions We found TA to be an effective and repeatable therapy for primary and recurrent HCC. Most recurrences can be treated with curative intent. There are patients who do well with TA alone without ever undergoing OLTx

    Hepatic vessel segmentation using a reduced filter 3D U-Net in ultrasound imaging

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    Accurate hepatic vessel segmentation on ultrasound (US) images can be an important tool in the planning and execution of surgery, however proves to be a challenging task due to noise and speckle. Our method comprises a reduced filter 3D U-Net implementation to automatically detect hepatic vasculature in 3D US volumes. A comparison is made between volumes acquired with a 3D probe and stacked 2D US images based on electromagnetic tracking. Experiments are conducted on 67 scans, where 45 are used in training, 12 in validation and 10 in testing. This network architecture yields Dice scores of 0.740 and 0.781 for 3D and stacked 2D volumes respectively, comparing promising to literature and inter-observer performance (Dice = 0.879).Comment: 3 pages, conference extended abstract. MIDL 2019 [arXiv:1907.08612
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