800 research outputs found
Distilling Information Reliability and Source Trustworthiness from Digital Traces
Online knowledge repositories typically rely on their users or dedicated
editors to evaluate the reliability of their content. These evaluations can be
viewed as noisy measurements of both information reliability and information
source trustworthiness. Can we leverage these noisy evaluations, often biased,
to distill a robust, unbiased and interpretable measure of both notions?
In this paper, we argue that the temporal traces left by these noisy
evaluations give cues on the reliability of the information and the
trustworthiness of the sources. Then, we propose a temporal point process
modeling framework that links these temporal traces to robust, unbiased and
interpretable notions of information reliability and source trustworthiness.
Furthermore, we develop an efficient convex optimization procedure to learn the
parameters of the model from historical traces. Experiments on real-world data
gathered from Wikipedia and Stack Overflow show that our modeling framework
accurately predicts evaluation events, provides an interpretable measure of
information reliability and source trustworthiness, and yields interesting
insights about real-world events.Comment: Accepted at 26th World Wide Web conference (WWW-17
Concomitant CIS on TURBT does not impact oncological outcomes in patients treated with neoadjuvant or induction chemotherapy followed by radical cystectomy
© Springer-Verlag GmbH Germany, part of Springer Nature 2018Background: Cisplatin-based neoadjuvant chemotherapy (NAC) for muscle invasive bladder cancer improves all-cause and cancer specific survival. We aimed to evaluate whether the detection of carcinoma in situ (CIS) at the time of initial transurethral resection of bladder tumor (TURBT) has an oncological impact on the response to NAC prior to radical cystectomy. Patients and methods: Patients were identified retrospectively from 19 centers who received at least three cycles of NAC or induction chemotherapy for cT2-T4aN0-3M0 urothelial carcinoma of the bladder followed by radical cystectomy between 2000 and 2013. The primary and secondary outcomes were pathological response and overall survival, respectively. Multivariable analysis was performed to determine the independent predictive value of CIS on these outcomes. Results: Of 1213 patients included in the analysis, 21.8% had concomitant CIS. Baseline clinical and pathologic characteristics of the ‘CIS’ versus ‘no-CIS’ groups were similar. The pathological response did not differ between the two arms when response was defined as pT0N0 (17.9% with CIS vs 21.9% without CIS; p = 0.16) which may indicate that patients with CIS may be less sensitive to NAC or ≤ pT1N0 (42.8% with CIS vs 37.8% without CIS; p = 0.15). On Cox regression model for overall survival for the cN0 cohort, the presence of CIS was not associated with survival (HR 0.86 (95% CI 0.63–1.18; p = 0.35). The presence of LVI (HR 1.41, 95% CI 1.01–1.96; p = 0.04), hydronephrosis (HR 1.63, 95% CI 1.23–2.16; p = 0.001) and use of chemotherapy other than ddMVAC (HR 0.57, 95% CI 0.34–0.94; p = 0.03) were associated with shorter overall survival. For the whole cohort, the presence of CIS was also not associated with survival (HR 1.05 (95% CI 0.82–1.35; p = 0.70). Conclusion: In this multicenter, real-world cohort, CIS status at TURBT did not affect pathologic response to neoadjuvant or induction chemotherapy. This study is limited by its retrospective nature as well as variability in chemotherapy regimens and surveillance regimens.Peer reviewedFinal Accepted Versio
Impact of perioperative chemotherapy on survival in patients with advanced primary urethral cancer: results of the international collaboration on primary urethral carcinoma
This is the first series that suggests a prognostic benefit of neoadjuvant treatment in a consecutive series of patients who underwent perioperative chemotherapy plus surgery for advanced primary urethral carcinoma. Further studies should yield a better understanding of how perioperative chemotherapy exerts a positive effect on survival in order to selectively advocate its use in advanced primary urethral carcinom
Supportive interventions to improve physiological and psychological health outcomes among patients undergoing cystectomy: A systematic review
Background
Our understanding of effective perioperative supportive interventions for patients undergoing cystectomy procedures and how these may affect short and long-term health outcomes is limited.
Methods
Randomised controlled trials involving any non-surgical, perioperative interventions designed to support or improve the patient experience for patients undergoing cystectomy procedures were reviewed. Comparison groups included those exposed to usual clinical care or standard procedure. Studies were excluded if they involved surgical procedure only, involved bowel preparation only or involved an alternative therapy such as aromatherapy. Any short and long-term outcomes reflecting the patient experience or related urological health outcomes were considered.
Results
19 articles (representing 15 individual studies) were included for review. Heterogeneity in interventions and outcomes across studies meant meta-analyses were not possible. Participants were all patients with bladder cancer and interventions were delivered over different stages of the perioperative period. The overall quality of evidence and reporting was low and outcomes were predominantly measured in the short-term. However, the findings show potential for exercise therapy, pharmaceuticals, ERAS protocols, psychological/educational programmes, chewing gum and nutrition to benefit a broad range of physiological and psychological health outcomes.
Conclusions
Supportive interventions to date have taken many different forms with a range of potentially meaningful physiological and psychological health outcomes for cystectomy patients. Questions remain as to what magnitude of short-term health improvements would lead to clinically relevant changes in the overall patient experience of surgery and long-term recovery
Chlorhexidine Substantivity on Salivary Flora and Plaque-Like Biofilm: An In Situ Model
This work was supported by project FIS PI11/01383 from Carlos III Institute of Health (Ministry of Economy and Competitiveness, Madrid, Spain
Open Partial Nephrectomy for Pediatric Renovascular Hypertension
Pediatric renovascular hypertension is typically managed with revascularization, angioplasty, or radical nephrectomy. We describe the case of a 13-year-old boy with medically refractory renovascular hypertension who presented to our institution after a failed arterial bypass. Subsequent angiography and renin sampling of the segmental renal veins suggested that the lower pole of the kidney was affected exclusively by the relative hypoperfusion. We proceeded with an open partial nephrectomy in order to excise the affected region of the kidney, while preserving maximum renal function. The patient was normotensive off all antihypertensive medication and without complications 8 months postoperatively. We believe that partial nephrectomy is a reasonable treatment for children with renovascular hypertension secondary to segmental hypoperfusion, and it should be considered as alternative therapy
Residual Energy Based Cluster-head Selection in WSNs for IoT Application
Wireless sensor networks (WSN) groups specialized transducers that provide
sensing services to Internet of Things (IoT) devices with limited energy and
storage resources. Since replacement or recharging of batteries in sensor nodes
is almost impossible, power consumption becomes one of the crucial design
issues in WSN. Clustering algorithm plays an important role in power
conservation for the energy constrained network. Choosing a cluster head can
appropriately balance the load in the network thereby reducing energy
consumption and enhancing lifetime. The paper focuses on an efficient cluster
head election scheme that rotates the cluster head position among the nodes
with higher energy level as compared to other. The algorithm considers initial
energy, residual energy and an optimum value of cluster heads to elect the next
group of cluster heads for the network that suits for IoT applications such as
environmental monitoring, smart cities, and systems. Simulation analysis shows
the modified version performs better than the LEACH protocol by enhancing the
throughput by 60%, lifetime by 66%, and residual energy by 64%
Classroom Management through Teacher Candidates’ Lenses: Transforming Learning Communities Through a Community of Practice
To better prepare teacher candidates for classroom management through attention to learning communities that affirm and support diverse students, including those effected by trauma, four instructors redesigned a required, undergraduate course. This study describes findings from three teacher candidate co-authors who were enrolled in that course. One semester after completing a course on classroom management and building community, candidates were asked to review their course products and other artifacts to consider what they learned and build upon their prior knowledge. Candidates used stimulated recall to respond to prompts on community building and relationships, gender and racial inclusivity, trauma sensitive practices, and the school to prison pipeline. Their perspectives contribute to understandings about how candidates engage in sense-making regarding classroom communities and classroom management
Fuzzy Deep Neural Learning Based on Goodman and Kruskal's Gamma for Search Engine Optimization
IEEE Search engine optimization (SEO) is a significant problem for enhancing a website's visibility with search engine results. SEO issues, such as Site Popularity, Content Quality, Keyword Density, and Publicity, were not considered during the search engine optimization process. Therefore, the retrieval rate of the existing techniques is inadequate. In this study, Triangular Fuzzy Deep Structured Learning-Based Predictive Page Ranking (TFDSL-PPR) Technique is proposed to solve these limitations. First, the TFDSL-PPR technique takes a number of user queries as input in the input layer, and then it employs four hidden layers in order to deeply analyze the web pages based on an input query. The first hidden layer determines the keywords from the user query. The second hidden layer measures the site popularity, content quality, keyword density and publicity of all web pages in the search engine. It then accomplishes Goodman and Kruskal's Gamma Predictive Ranking process in the third hidden layer, where it ranks the web pages by considering their similarities. The proposed TFDSL-PPR technique is applied to the ClueWeb09 Dataset with respect to a variety of user queries. The results are benchmarked by existing methods based on several metrics such as retrieval rate, time, and false-positive rate
A Three-Factor-Based Authentication Scheme of 5G Wireless Sensor Networks for IoT System
Internet of Things (IoT) is an expanding technology that facilitate physical devices to interconnect each other over a public channel. Moreover, the security of the next-generation wireless mobile communication technology, namely, 5G with IoT, has been a field of much interest among researchers in the last several years. Previously, Sharif et al. have suggested an IoT-based lightweight three-party authentication scheme proclaiming a secured scheme against different threats. However, it was found that the scheme could not achieve user anonymity and guarantee session key security. Additionally, the scheme fails to provide proper authentication in the login phase, and it s unable to update a new password in the password change phase. Thus, we propose an improved three-factor-based data transmission authentication scheme (TDTAS) to address the weaknesses. The formal security analysis has been proved using the Real-or-Random (RoR) model. The informal security analysis demonstrates that the scheme is secure against several known attacks and achieves more security features. In addition, the comparison of the work with other related schemes demonstrates the proposed scheme has less communicational and storage costs
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