208 research outputs found
The alldifferent Constraint: A Survey
The constraint of difference is known to the constraint programming community
since Lauriere introduced Alice in 1978. Since then, several solving strategies
have been designed for this constraint. In this paper we give both a practical
overview and an abstract comparison of these different strategies.Comment: 12 pages, 3 figures, paper accepted at the 6th Annual workshop of the
ERCIM Working Group on Constraint
Decomposition Based Search - A theoretical and experimental evaluation
In this paper we present and evaluate a search strategy called Decomposition
Based Search (DBS) which is based on two steps: subproblem generation and
subproblem solution. The generation of subproblems is done through value
ranking and domain splitting. Subdomains are explored so as to generate,
according to the heuristic chosen, promising subproblems first.
We show that two well known search strategies, Limited Discrepancy Search
(LDS) and Iterative Broadening (IB), can be seen as special cases of DBS. First
we present a tuning of DBS that visits the same search nodes as IB, but avoids
restarts. Then we compare both theoretically and computationally DBS and LDS
using the same heuristic. We prove that DBS has a higher probability of being
successful than LDS on a comparable number of nodes, under realistic
assumptions. Experiments on a constraint satisfaction problem and an
optimization problem show that DBS is indeed very effective if compared to LDS.Comment: 16 pages, 8 figures. LIA Technical Report LIA00203, University of
Bologna, 200
Conjunctions of Among Constraints
Many existing global constraints can be encoded as a conjunction of among
constraints. An among constraint holds if the number of the variables in its
scope whose value belongs to a prespecified set, which we call its range, is
within some given bounds. It is known that domain filtering algorithms can
benefit from reasoning about the interaction of among constraints so that
values can be filtered out taking into consideration several among constraints
simultaneously. The present pa- per embarks into a systematic investigation on
the circumstances under which it is possible to obtain efficient and complete
domain filtering algorithms for conjunctions of among constraints. We start by
observing that restrictions on both the scope and the range of the among
constraints are necessary to obtain meaningful results. Then, we derive a
domain flow-based filtering algorithm and present several applications. In
particular, it is shown that the algorithm unifies and generalizes several
previous existing results.Comment: 15 pages plus appendi
Constraint Programming for LNG Ship Scheduling and Inventory Management
Abstract We propose a constraint programming approach for the optimization of inventory routing in the liquefied natural gas industry. We present two constraint programming models that rely on a disjunctive scheduling representation of the problem. We also propose an iterative search heuristic to generate good feasible solutions for these models. Computational results on a set of largescale test instances demonstrate that our approach can find better solutions than existing approaches based on mixed integer programming, while being 4 to 10 times faster on average
Deep Learning-Based Grading of Ductal Carcinoma In Situ in Breast Histopathology Images
Ductal carcinoma in situ (DCIS) is a non-invasive breast cancer that can
progress into invasive ductal carcinoma (IDC). Studies suggest DCIS is often
overtreated since a considerable part of DCIS lesions may never progress into
IDC. Lower grade lesions have a lower progression speed and risk, possibly
allowing treatment de-escalation. However, studies show significant
inter-observer variation in DCIS grading. Automated image analysis may provide
an objective solution to address high subjectivity of DCIS grading by
pathologists.
In this study, we developed a deep learning-based DCIS grading system. It was
developed using the consensus DCIS grade of three expert observers on a dataset
of 1186 DCIS lesions from 59 patients. The inter-observer agreement, measured
by quadratic weighted Cohen's kappa, was used to evaluate the system and
compare its performance to that of expert observers. We present an analysis of
the lesion-level and patient-level inter-observer agreement on an independent
test set of 1001 lesions from 50 patients.
The deep learning system (dl) achieved on average slightly higher
inter-observer agreement to the observers (o1, o2 and o3)
() than the
observers amongst each other () at the lesion-level. At the patient-level, the deep
learning system achieved similar agreement to the observers
() as the
observers amongst each other ().
In conclusion, we developed a deep learning-based DCIS grading system that
achieved a performance similar to expert observers. We believe this is the
first automated system that could assist pathologists by providing robust and
reproducible second opinions on DCIS grade
Combining Symmetry Breaking and Global Constraints
Abstract. We propose a new family of constraints which combine together lexicographical ordering constraints for symmetry breaking with other common global constraints. We give a general purpose propagator for this family of constraints, and show how to improve its complexity by exploiting properties of the included global constraints.
Population-based impact of COVID-19 on incidence, treatment, and survival of patients with pancreatic cancer
Background: The COVID-19 pandemic has put substantial strain on the healthcare system of which the effects are only partly elucidated. This study aimed to investigate the impact on pancreatic cancer care. Methods: All patients diagnosed with pancreatic cancer between 2017 and 2020 were selected from the Netherlands Cancer Registry. Patients diagnosed and/or treated in 2020 were compared to 2017–2019. Monthly incidence was calculated. Patient, tumor and treatment characteristics were analyzed and compared using Chi-squared tests. Survival data was analyzed using Kaplan–Meier and Log-rank tests. Results: In total, 11019 patients were assessed. The incidence in quarter (Q)2 of 2020 was comparable with that in Q2 of 2017–2019 (p = 0.804). However, the incidence increased in Q4 of 2020 (p = 0.031), mainly due to a higher incidence of metastatic disease (p = 0.010). Baseline characteristics, surgical resection (15% vs 16%; p = 0.466) and palliative systemic therapy rates (23% vs 24%; p = 0.183) were comparable. In 2020, more surgically treated patients received (neo)adjuvant treatment compared to 2017–2019 (73% vs 67%; p = 0.041). Median overall survival was comparable (3.8 vs 3.8 months; p = 0.065). Conclusion: This nationwide study found a minor impact of the COVID-19 pandemic on pancreatic cancer care and outcome. The Dutch health care system was apparently able to maintain essential care for patients with pancreatic cancer
Impact of tissue adhesives on the prevention of anastomotic leakage of colonic anastomoses: an in vivo study
Background: Tissue adhesives (TA) may be useful to strengthen colorectal anastomoses, thereby preventing anastomotic leakage (AL). Previous studies have identified cyanoacrylate (CA) TAs as the most promising colonic anastomotic sealants. This stud
A Multifactorial Approach for Surveillance of Shigella spp. and Entero-Invasive Escherichia coli Is Important for Detecting (Inter)national Clusters
Shigella spp. and entero-invasive Escherichia coli (EIEC) can cause mild diarrhea to dysentery. In Netherlands, although shigellosis is a notifiable disease, there is no laboratory surveillance for Shigella spp. and EIEC in place. Consequently, the population structure for circulating Shigella spp. and EIEC isolates is not known. This study describes the phenotypic and serological characteristics, the phenotypic and genetic antimicrobial resistance (AMR) profiles, the virulence gene profiles, the classic multi-locus sequence types (MLST) and core genome (cg)MLST types, and the epidemiology of 414 Shigella spp. and EIEC isolates collected during a cross-sectional study in Netherlands in 2016 and 2017. S. sonnei (56%), S. flexneri (25%), and EIEC (15%) were detected predominantly in Netherlands, of which the EIEC isolates were most diverse according to their phenotypical profile, O-types, MLST types, and cgMLST clades. Virulence gene profiling showed that none of the isolates harbored Shiga toxin genes. Most S. flexneri and EIEC isolates possessed nearly all virulence genes examined, while these genes were only detected in approximately half of the S. sonnei isolates, probably due to loss of the large invasion plasmid upon subculturing. Phenotypical resistance correlated well with the resistant genotype, except for the genes involved in resistance to aminoglycosides. A substantial part of the characterized isolates was resistant to antimicrobials advised for treatment, i.e., 73% was phenotypically resistant to co-trimoxazole and 19% to ciprofloxacin. AMR was particularly observed in isolates from male patients who had sex with men (MSM) or from patients that had traveled to Asia. Furthermore, isolates related to international clusters were also circulating in Netherlands. Travel-related isolates formed clusters with isolates from patients without travel history, indicating their emergence into the Dutch population. In conclusion, laboratory surveillance using whole genome sequencing as high-resolution typing technique and for genetic characterization of isolates complements the current epidemiological surveillance, as the latter is not sufficient to detect all (inter)national clusters, emphasizing the importance of multifactorial public health approaches
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