766 research outputs found

    Flexible Filters: Load Balancing through Backpressure for Stream Programs

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    Stream processing is a promising paradigm for programming multi-core systems for high-performance embedded applications. We propose flexible filters as a technique that combines static mapping of the stream program tasks with dynamic load balancing of their execution. The goal is to improve the system-level processing throughput of the program when it is executed on a distributed-memory multi-core system as well as the local (core-level) memory utilization. Our technique is distributed and scalable because it is based on point-to-point handshake signals exchanged between neighboring cores. Load balancing with flexible filters can be applied to stream applications that present large dynamic variations in the computational load of their tasks and the dimension of the stream data tokens. In order to demonstrate the practicality of our technique, we present the performance improvements for the case study of a JPEG encoder running on the IBM Cell multi-core processor

    Are our actions aligned with our evidence? The skinny on changing the landscape of obesity.

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    Recent debate about the role of food deserts in the United States (i.e., places that lack access to healthy foods) has prompted discussion on policies being enacted, including efforts that encourage the placement of full-service supermarkets into food deserts. Other initiatives to address obesogenic neighborhood features include land use zoning and parks renovations. Yet, there is little evidence to demonstrate that such policies effect change. While we suspect most researchers and policymakers would agree that effective neighborhood change could be a powerful tool in combating obesity, we desperately need strong and sound evidence to guide decisions about where and how to invest

    FACTORS INFLUENCING WEST TENNESSEE FARMERS' WILLINGNESS TO PAY FOR A BOLL WEEVIL ERADICATION PROGRAM

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    Data from a survey were used to evaluate Tennessee farmers' willingness to pay for the boll weevil eradication program. Producer experience, boll weevil control costs, and attitudes about boll weevil damage and insecticide usage after the program were significant explanatory variables and had a positive influence on willingness to pay.Contingent valuation, cotton, regional pest control, pest management groups, Demand and Price Analysis, Resource /Energy Economics and Policy,

    Split graphs and Block Representations

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    In this paper, we study split graphs and related classes of graphs from the perspective of their sequence of vertex degrees and an associated lattice under majorization. Following the work of Merris in 2003, we define blocks [α(π)β(π)][\alpha(\pi)|\beta(\pi)], where π\pi is the degree sequence of a graph, and α(π)\alpha(\pi) and β(π)\beta(\pi) are sequences arising from π\pi. We use the block representation [α(π)β(π)][\alpha(\pi)|\beta(\pi)] to characterize membership in each of the following classes: unbalanced split graphs, balanced split graphs, pseudo-split graphs, and three kinds of Nordhaus-Gaddum graphs (defined by Collins and Trenk in 2013). As in Merris' work, we form a poset under the relation majorization in which the elements are the blocks [α(π)β(π)][\alpha(\pi)|\beta(\pi)] representing split graphs with a fixed number of edges. We partition this poset in several interesting ways using what we call amphoras, and prove upward and downward closure results for blocks arising from different families of graphs. Finally, we show that the poset becomes a lattice when a maximum and minimum element are added, and we prove properties of the meet and join of two blocks.Comment: 23 pages, 7 Figures, 2 Table

    Impact of consensus guidelines for breast-conserving surgery in patients with ductal carcinoma in situ

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    BACKGROUND: Consensus guidelines published in 2016 recommended a 2 mm free margin as the standard for negative margins in patients undergoing breast-conserving surgery (BCS) for ductal carcinoma in situ (DCIS). The goal of the guideline recommendation was standardization of re-excision practices. AIMS: To evaluate the impact of this consensus guideline on our institutional practices. METHODS: We identified all patients at our institution with pure DCIS who were initially treated with BCS from September 2014 to August 2018 using a prospectively-maintained institutional database. A retrospective chart review was performed to determine margin status and re-excision rates during the 2 years before and the 2 years after the guideline was published in order to determine the effect on our re-excision rates. Close margins were defined as \u3c2 mm. RESULTS: In the 2 years before the consensus guideline was published, 184 patients with DCIS underwent BCS. Twenty-six patients had positive margins and 24 underwent re-excision, including three who had completion mastectomy. Of the remaining 159 patients, 76 had ≥2 mm (negative) margins. The remaining 82 patients had close margins and 48 of these patients (58.5%) underwent re-excision, including one who had a completion mastectomy. Excluding the patients with positive margins, our re-excision rate was 30.4% prior to the guideline. In the 2 years after the consensus guideline was published, 192 patients with DCIS underwent initial BCS. Twenty-four patients had positive margins and 22 underwent re-excision, including three who had completion mastectomy. Of the remaining 168 patients, 95 patients had ≥2 mm (negative) margins. The remaining 73 patients had close margins and 45 of those patients (61.6%) underwent re-excision, including six who had completion mastectomy. Excluding the patients with positive margins, our re-excision rate was 26.8% after the guideline. CONCLUSIONS: Our institution\u27s re-excision rate did not change significantly during the 2 years before and after the publication of the consensus guideline on adequate margins for patients undergoing BCT for DCIS. Our overall re-excision rate decreased slightly. However, of the patients who had close margins, a larger proportion underwent re-excision after the guideline was published. The guideline publication appears to have affected our institutional practices slightly, but not dramatically as many of our surgeons\u27 practices were comparable to the guideline recommendations prior to 2016. We continue to use clinical judgment based on patient and tumor characteristics in deciding which patients will benefit from margin re-excision

    Training Pediatric Residents to Provide Smoking Cessation Counseling to Parents

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    The objective was to assess the effectiveness of a smoking cessation educational program on pediatric residents' counseling. Residents were randomly selected to receive the intervention. Residents who were trained were compared to untrained residents. Self-reported surveys and patient chart reviews were used. Measures included changes in self-reported knowledge, attitudes and behaviors of residents, and differences in chart documentation and caretaker-reported physician counseling behaviors. The intervention was multidimensional including a didactic presentation, a problem-solving session, clinic reminders, and provision of patient education materials. Results showed that residents who were trained were more likely to ask about tobacco use in their patients' households. They were also more likely to advise caretakers to cut down on or to quit smoking, to help set a quit date, and to follow up on the advice given at a subsequent visit. Trained residents were more likely to record a history of passive tobacco exposure in the medical record. These residents also reported improved confidence in their counseling skills and documented that they had done such counseling more often than did untrained residents. Caretakers of pediatric patients who smoke seen by intervention residents were more likely to report that they had received tobacco counseling. Following this intervention, pediatric residents significantly improved their behaviors, attitudes, and confidence in providing smoking cessation counseling to parents of their pediatric patients
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