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At least 451 records · Page 25Linked to original sources

RESUME: a temporal-abstraction system for patient monitoring.

RESUME is a system that performs temporal abstraction of time-stamped data. The temporal-abstraction task is crucial for planning treatment, for executing treatment plans, for identifying clinical problems, and for revising treatment plans. The RESUME system is based on a model of three basic temporal-abstraction mechanisms: point temporal abstraction, a mechanism for abstracting the values of several parameters into a value of another parameter; temporal inference, a mechanism for inferring sound logical conclusions over a single interval or two meeting intervals; and temporal interpolation, a mechanism for bridging nonmeeting temporal intervals. Making explicit the knowledge required for temporal abstraction supports the acquisition and the sharing of that knowledge. We have implemented the RESUME system using the CLIPS knowledge-representation shell. The RESUME system emphasizes the need for explicit representation of temporal-abstraction knowledge, and the advantages of modular, task-specific but domain-independent architectures for building medical knowledge-based systems.

Abstracting and Indexing↗

Convolution and correlation: a case study of scanning imaging and analysis systems.

The relationship between convolution/correlation operation and the data acquisition process of the scanning microscope and spectrometer families is analyzed. It is shown that a coordinate or event sensitive detector, and the intrinsic or extrinsic property of the specimen response, are two important factors in distinguishing the data acquisition mode of such systems. Four types of convolution- and correlation-based modes are extracted to illuminate the physical characteristics of scanning imaging and analysis systems by focusing on the probe, specimen, detector, and their relationships. Criteria for identifying these modes are explored. In addition, the physical meanings of general existing coefficients between the independent variables of convolution and correlation are investigated.

Journal Article↗

Neuronal MAP2 mRNA: species-dependent differential dendritic targeting competence.

Providing the basis for local protein synthesis in dendritic microdomains, RNA transport in dendrites is thought to be underlying long-term neuronal plasticity. Dendritic RNA targeting mechanisms can therefore be expected to confer selective advantages in the evolution of complex neural systems. The question thus arises as to when and how dendritically targeted transcripts first acquired their targeting competence. To address this question, the dendritic targeting competence of MAP2 transcripts was examined in chicken, mouse and rat. In one approach, we established the somato-dendritic distribution of MAP2 transcripts in vivo. We found that in contrast to rodent MAP2 mRNAs, which are highly enriched in dendritic regions of the retina, chicken MAP2 transcripts are virtually absent from such areas and are rather confined to neuronal somata. In an independent line of investigation, we determined that a dendritic targeting element (DTE) corresponding to the mammalian MAP2 DTE is not contained in the 3' untranslated region (UTR) of avian MAP2 mRNA. The combined results indicate that in contrast to mammalian MAP2 transcripts, avian MAP2 mRNA is lacking dendritic targeting competence. The data thus suggest that the acquisition of such competence has likely been a relatively recent event in evolution.

Animals↗

Effect of increased repetition time TR on precision of inversion-recovery T(1) measurements.

The effect of increased repetition time, TR, on the precision of inversion-recovery measurements of the spin-lattice relaxation time, T(1), was calculated theoretically, simulated numerically, and measured experimentally. All three methods yielded similar results. With constant inversion times, the T(1) precision was independent of TR. Therefore, 1) multiple-slice inversion-recovery fast-spin-echo T(1) maps should be made one slice at a time, not with interleaved acquisition, and 2) once the longest inversion time t(i) has been set, TR should be set just enough longer than the longest t(i) to allow data acquisition.

Brain↗

Assessing the scaffold diversity of screening libraries.

Medicinal chemists have traditionally realized assessments of chemical diversity and subsequent compound acquisition, although a recent study suggests that experts are usually inconsistent in reviewing large data sets. To analyze the scaffold diversity of commercially available screening collections, we have developed a general workflow aimed at (1) identifying druglike compounds, (2) clustering them by maximum common substructures (scaffolds), (3) measuring the scaffold diversity encoded by each screening collection independently of its size, and finally (4) merging all common substructures in a nonredundant scaffold library that can easily be browsed by structural and topological queries. Starting from 2.4 million compounds out of 12 commercial sources, four categories of libraries could be identified: large- and medium-sized combinatorial libraries (low scaffold diversity), diverse libraries (medium diversity, medium size), and highly diverse libraries (high diversity, low size). The chemical space covered by the scaffold library can be searched to prioritize scaffold-focused libraries.

Chemistry, Pharmaceutical↗

SynchroSep-MS: Parallel LC Separations for Multiplexed Proteomics.

Achieving high throughput remains a challenge in MS-based proteomics for large-scale applications. We introduce SynchroSep-MS, a novel method for parallelized, label-free proteome analysis that leverages the rapid acquisition speed of modern mass spectrometers. This approach employs multiple liquid chromatography columns, each with an independent sample, simultaneously introduced into a single mass spectrometer inlet. A precisely controlled retention time offset between sample injections creates distinct elution profiles, facilitating unambiguous analyte assignment. We modified the DIA-NN workflow to effectively process these unique parallelized data, accounting for retention time offsets. Using a dual-column setup with mouse brain peptides, SynchroSep-MS detected approximately 16,700 unique protein groups, nearly doubling the peptide information obtained from a conventional single proteome analysis. The method demonstrated excellent precision and reproducibility (median protein %RSDs less than 4%) and high quantitative linearity (median R2 greater than 0.96) with minimal matrix interference. SynchroSep-MS represents a new paradigm for data collection and the first example of label-free multiplexed proteome analysis via parallel LC separations, offering a direct strategy to accelerate throughput for demanding applications such as large-scale clinical cohorts and single-cell analyses without compromising peak capacity or causing ionization suppression.

Proteomics↗

Detection of motion in hybrid PET/SPECT imaging based on the correlation of partial sinograms.

This paper describes a motion detection method specific to hybrid positron emission tomography/single photon emission computed tomography systems. The method relies on temporal fractionation of the acquisition into three data sets followed by an algorithm based on the cross correlation (CC) of partial sinograms from successive sets at different rotations of the camera. Spatial inconsistencies due to motion are detected by decreases in the CC between two sets. This permits to separate data into premotion and postmotion sets of consistent data that are reconstructed independently then registered and summed. Rigid motions greater than 1-cm translation or 10 degrees rotation were detected with this method from experimental data obtained by manually moving phantoms made of radioactive spheres as well as from a patient lung study corrupted by artificial motion. The different motion studies showed that the image contrast does not seem to be a limiting factor and that the motion is best detected when the gantry is parallel to the direction of motion. The registration and fusion of the reconstructed premotion and postmotion sets lead in all cases to a reduction of the motion artifacts and an increase in signal-to-noise ratio.

Algorithms↗

Hereditary hemochromatosis results in decreased iron acquisition and growth by Mycobacterium tuberculosis within human macrophages.

Iron (Fe) acquisition is essential for the growth of intracellular Mycobacterium tuberculosis (M.tb). How this occurs is poorly understood. Hereditary hemochromatosis is an inherited disease in which most cells become overloaded with Fe. However, hereditary hemochromatosis macrophages have lower than normal levels of intracellular Fe. This suggests M.tb growth should be slower in those cells if macrophage intracellular Fe is used by M.tb. Therefore, we compared trafficking and acquisition of transferrin (Tf)- and lactoferrin (Lf)-chelated Fe by M.tb within the phagosome of monocyte-derived macrophages (MDM) from healthy controls and subjects with hereditary hemochromatosis. M.tb in both sets of macrophages acquired more Fe from Lf than Tf. Fe acquisition by M.tb within hereditary hemochromatosis macrophages was decreased by 84% from Tf and 92% from Lf relative to that in healthy control macrophages. There was no difference in Fe acquired from Tf and Lf by the two macrophage phenotypes. Both acquired 3 times more Fe from Lf than Tf. M.tb infection and incubation with interferon gamma (IFN-gamma) reduced macrophage Fe acquisition by 20% and 50%, respectively. Both Tf and Lf colocalized with M.tb phagosomes to a similar extent, independent of macrophage phenotype. M.tb growth was 50% less in hereditary hemochromatosis macrophages. M.tb growing within macrophages from subjects with hereditary hemochromatosis acquire less Fe compared with healthy controls. This is associated with reduced growth of M.tb. These data support a role for macrophage intracellular Fe as a source for M.tb growth.

Case-Control Studies↗

Naming times for the Snodgrass and Vanderwart pictures in Spanish.

We present new Spanish norms for object familiarity and rated age of acquisition for 140 pictures taken from Snodgrass and Vanderwart (1980), together with data on visual complexity, image agreement, name agreement, word length (in syllables and phonemes), and five measures of word frequency. The pictures were presented to a group of 64 Spanish subjects, and oral naming latencies were recorded. In a multiple regression analysis, age of acquisition, object familiarity, name agreement, word frequency, and word length made significant independent contributions to predicting naming latency.

Adult↗

Dual microcoil NMR probe coupled to cyclic ce for continuous separation and analyte isolation.

Capillary electrophoresis (CE)-nuclear magnetic resonance (NMR) spectroscopy combines the separation efficiency of CE and the information-rich detection capabilities of NMR. However, the temporally narrow CE peaks reduce NMR sensitivity and prevent on-line multidimensional NMR acquisitions. In this work, cyclic CE with multicoil NMR instrumentation is developed to perform CE in multiple closed loops. As a proof of concept, a two-loop five-junction capillary configuration creates two connected yet independently operable fluidic loops. With appropriate voltage switching, analytes can be directed as desired around or between the loops, and a particular analyte band can be parked in one NMR detector coil while CE continues in the second loop and monitored with a second NMR detector coil. The separation of a mixture of amino acids (Ala, Val, Thr) is achieved in two cycles. After one CE cycle, Ala is separated and COSY data are recorded in one loop while Val and Thr are separated in the second loop. At the end of the second cycle, both Val and Thr are separated and multidimensional NMR spectra acquired. With this instrumentation and appropriate protocols, two-dimensional NMR data acquisition and CE separation are achieved simultaneously.

Electrophoresis, Capillary↗

Acquisition, maintenance, and generalization of a categorization strategy by children with autism.

Assessed the effects of a categorization strategy on the acquisition, maintenance, and generalization of the abilities of four children with autism to accurately complete uni-, bi-, and tridimensional sorting tasks. The independent variable was a categorization strategy involving uni-, bi-, and tridimensional categorization. The dependent variable was the number of items correctly sorted. The research involved a multiple baseline across-behaviors design with clinical replications. Data indicate that categorization strategy training resulted in increased performance on uni-, bi-, and tridimensional sorting tasks by four children with autism. Three children showed stability with 100% accuracy on uni-, bi-, and tridimensional sorting activities; improvements on generalization probes associated with strategy training; and performance maintenance 2 months after the study. The results of the current research substantiate the worth of categorization strategy training for three children with autism.

Adolescent↗

Two domains of Nrf2 cooperatively bind CBP, a CREB binding protein, and synergistically activate transcription.

BACKGROUND: Nrf2 belongs to the Cap-N-Collar (CNC) transcription factor family and is essential for the antioxidant responsive element (ARE)-mediated expression of a group of detoxifying and antioxidant genes. The forced expression of Nrf2 in mammalian cells activates the expression of target genes through the ARE, with Nrf2 showing the highest transactivation activity among the CNC family of transcription factors. To elucidate the molecular mechanisms generating this potent transactivation activity, we examined the functions of the domains within Nrf2. RESULT: We found that Nrf2 contains two transcription activation domains, Neh4 and Neh5, which act synergistically to attain maximum a activation of reporter gene expression. Neh4 and Neh5 both individually and cooperatively bind to CBP (CREB (cAMP Responsive Element Binding protein) Binding Protein). In fact, the specific inhibitor of CBP, adenovirus E1A protein, significantly reduced Nrf2 activity. Importantly, the CBP-binding activity of Nrf2 deletion mutants positively correlated with their transactivation activity. Neh5 contains a motif which is commonly conserved among the CNC factors, whereas Neh4 contains the novel CBP-interacting motif recently identified in p53 and E2F. CONCLUSIONS: Our results indicate that Nrf2 exploits the cooperative binding of two independent transactivation domains to CBP in the acquisition of a potent transactivation activity.

Amino Acid Sequence↗

The effect of vancomycin and third-generation cephalosporins on prevalence of vancomycin-resistant enterococci in 126 U.S. adult intensive care units.

BACKGROUND: Patient-specific risk factors for acquisition of vancomycin-resistant enterococci (VRE) among hospitalized patients are becoming well defined. However, few studies have reported data on the institutional risk factors, including rates of antimicrobial use, that predict rates of VRE. Identifying modifiable institutional factors can advance quality-improvement efforts to minimize hospital-acquired infections with VRE. OBJECTIVE: To determine the independent importance of any association between antimicrobial use and risk factors for nosocomial infection on rates of VRE in intensive care units (ICUs). DESIGN: Prospective ecologic study. SETTING: 126 adult ICUs from 60 U.S. hospitals from January 1996 through July 1999. PATIENTS: All patients admitted to participating ICUs. MEASUREMENTS: Monthly use of antimicrobial agents (defined daily doses per 1000 patient-days), nosocomial infection rates, and susceptibilities of all tested enterococci isolated from clinical cultures. RESULTS: Prevalence of VRE (median, 10%; range, 0% to 59%) varied by type of ICU and by teaching status and size of the hospital. Prevalence of VRE was strongly associated with VRE prevalence among inpatient non-ICU areas and outpatient areas in the hospital, ventilator-days per 1000 patient-days, and rate of parenteral vancomycin use. In a weighted linear regression model controlling for type of ICU and rates of VRE among non-ICU inpatient areas, rates of vancomycin use (P < 0.001) and third-generation cephalosporin use (P = 0.02) were independently associated with VRE prevalence. CONCLUSIONS: Higher rates of vancomycin or third-generation cephalosporin use were associated with increased prevalence of VRE, independent of other ICU characteristics and the endemic VRE prevalence elsewhere in the hospital. Decreasing the use rates of these antimicrobial agents could reduce rates of VRE in ICUs.

Anti-Bacterial Agents↗

Brainstem substrates of sensory information processing and adaptive behavior.

Emerging clinical and experimental data suggest that the brainstem may be an important part of the functional matrix from which normal mental development and behavior evolve. Although the brainstem has not been a focal point in considering etiologies of mental retardation nor even in analyses of adaptive behavior, information processing within both the brainstem sensory nuclei and adjacent reticular formation may indeed be one of the most critical and relevant areas for such investigations. Data are summarized from several ongoing experiments which are designed to explore the capacity of the brainstem to encode sensory, especially acoustic, stimuli and to modulate the resultant sensory information so as to produce a "learned" response. Such data indicate that in the absence of forebrain or even midbrain structures, a simple conditioned response can be supported by the brainstem. The reticular neuropil is considered particularly important to this response acquisition and is conceptualized as a structure which can receive and transmit acoustic information with retention of specific stimulus coding. It is further suggested that independent associative and reflex functions of the reticular formation may be highly significant in neonatal behavior but, with the development of descending influences from higher centers during maturation, these functions may become largely masked. In order to develop a temporal frame of reference for brainstem structures potentially involved in sensory information processing and learning phenomena "time constants of response plasticity" are being established for different levels of the brainstem system.

Adaptation, Psychological↗

A study comparing the effectiveness of conventional training and virtual reality simulation in the skills acquisition of junior dental students.

The use of virtual reality (VR) in the training of operative dentistry is a recent innovation and little research has been published on its efficacy compared to conventional training methods. Two groups of dental students, with no experience in operative dentistry, were trained solely by either VR or conventional training in the preparation of conventional class 1 cavities. The subjects all used the same operative armamentarium and phantom heads, and were allocated the same duration of practice periods. At the completion of these training periods, both groups produced two class 1 cavities on the lower left first molar, which were subsequently coded and blindly scored for the traditional assessment criteria of outline form, retention form, smoothness, cavity depth and cavity margin angulation. An ordinal score of 0-3 or 0-4 was assigned for each assessment criterion: the higher the score, the worse the evaluation. After initial independent scoring, the two examiners discussed any notable differences until an agreed score was reached. Once the codes were broken, non-parametric analyses were performed on the data. Wilcoxon Tests for the semiquantitative scores indicated significant differences between the VR and conventional training groups for outline form, depth and smoothness but not for retention or cavity margin angulation at P < 0.05 level, with the VR group receiving the higher, i.e. worse, scores. Cavity margin angulation approached significance with a P-value of 0.0536. The results indicated that VR-based skills acquisition is unsuitable for use as the sole method of feedback and evaluation for novice students.

Clinical Competence↗

Assessment of infarct size and severity by quantitative myocardial SPECT: results from a multicenter study using a cardiac phantom.

UNLABELLED: The aim of this study was to determine the reproducibility of measurements of the size and severity of myocardial defects from 99mTc sestamibi cardiac phantom studies performed on multiple different gamma camera systems. METHODS: A total of 250 gamma camera systems were evaluated over a 5-y period as part of the validation process of multiple multicenter trials. Each laboratory performed 9 acquisitions of a cardiac phantom. Small myocardial defects (0%-30% of myocardial mass) were placed in the inferobasal region, whereas larger defects (40%-70%) were located in the anterior wall. Five representative short-axis slices were analyzed to determine defect size and severity (i.e., contrast in defect region) using circumferential short-axis count profiles. Defect size and severity were analyzed as a function of the type of collimator, gamma camera system, and type of orbit (180degrees versus 360degrees). RESULTS: Of the 250 systems, image data were acquired correctly and showed an acceptable correlation between true and measured defect size in 198 systems. For these systems, the slope of the regression line between true and measured defect size was 1.03 +/- 0.03, with an average absolute error in estimating defect size of 1.7% +/- 0.5% and a correlation coefficient r = 0.99 +/- 0.01. Results were independent of the gamma camera system, type of collimator, and orbit. Contrast in the defect region (minimum count/maximum count) showed a small dependence on collimator resolution and pixel size but was altered significantly by the type of acquisition orbit, with a 360 degrees orbit showing better contrast for defects located in the inferobasal wall than a 180degrees orbit. CONCLUSION: Measurement of defect size is independent of the gamma camera system, type of collimator, and orbit. Contrast in small defects located in the inferobasal wall of the heart is affected significantly by the type of acquisition orbit but not by the type of collimator.

Gamma Cameras↗

Validating a biometric authentication system: sample size requirements.

Authentication systems based on biometric features (e.g., fingerprint impressions, iris scans, human face images, etc.) are increasingly gaining widespread use and popularity. Often, vendors and owners of these commercial biometric systems claim impressive performance that is estimated based on some proprietary data. In such situations, there is a need to independently validate the claimed performance levels. System performance is typically evaluated by collecting biometric templates from n different subjects, and for convenience, acquiring multiple instances of the biometric for each of the n subjects. Very little work has been done in 1) constructing confidence regions based on the ROC curve for validating the claimed performance levels and 2) determining the required number of biometric samples needed to establish confidence regions of prespecified width for the ROC curve. To simplify the analysis that address these two problems, several previous studies have assumed that multiple acquisitions of the biometric entity are statistically independent. This assumption is too restrictive and is generally not valid. We have developed a validation technique based on multivariate copula models for correlated biometric acquisitions. Based on the same model, we also determine the minimum number of samples required to achieve confidence bands of desired width for the ROC curve. We illustrate the estimation of the confidence bands as well as the required number of biometric samples using a fingerprint matching system that is applied on samples collected from a small population.

Algorithms↗

Halfscan: clinical applications in MR imaging.

A series of phantom experiments was performed to evaluate the effects of half-Fourier scanning, also known as Halfscan, on signal-to-noise and in-plane resolution. Resolution was not demonstrably effected with the available phantoms and signal-to-noise was seen to vary as the square root of time independent of the implementation of Halfscan. Evaluation of the Halfscan technique was made using data from 240 patients. The technique was found to "salvage" examination in an estimated 70% of uncooperative patients where motion artifact or other patient concerns would have precluded clinically useful studies. Halfscan was also combined with other techniques such as increased number of signal acquisitions, prolonged repetition times and three-dimensional Fourier transform technique.

Artifacts↗