Longitudinal weight changes, length of survival, and energy requirements of long-term care residents with dementia

OBJECTIVE: We hypothesized that institutionalized patients with dementia, who frequently have feeding problems and require supervised and assisted feeding, would lose more weight during their residency than nondemented, independently functioning residents and have compromised survival. To test this hypothesis, we examined the survival and longitudinal changes in weight of two cohorts of institutionalized residents with dementia and compared these cohorts with a cohort of nondemented residents. We also measured the resting energy expenditures of a subset of the subjects with dementia as an indicator of their energy needs. DESIGN: A longitudinal cohort study with retrospective baseline chart review and subsequent follow-up of monthly weights and mortality over 4 years. SETTING: A 725-bed long-term care institution with specified levels of care. SUBJECTS: Two cohorts of residents with dementia, one consisting of subjects who required total care throughout their institutional stay (n = 31) and another group who did not initially require total care (n = 48); these were compared with a cohort with normal mentation who were functionally independent in their daily activities (n = 26). The total number of subjects was 105. MEASUREMENTS: Demographics, medical problems, and medications by chart review; functional and mental status evaluations; longitudinal monthly weights and mortality for the 48-month study period; and resting energy expenditures by indirect calorimetry. MAIN RESULTS: Residents with dementia had lower weights on admission and throughout their stay than nondemented, independently functioning residents, and they were more likely to have a weight loss of 10 lbs or more at some point during the 4-year study period. However, their mean weights did not change during the study period. The mean survival from admission of those demented residents who died was more than 3 years. Resting energy expenditures of women residents with advanced dementia were 12% lower than predicted from the Harris Benedict equations. CONCLUSION: Dementia is not necessarily associated with unremitting weight loss during institutionalization despite the frequent occurrence of feeding difficulties and temporary weight loss. This may be caused partly by the lower than expected resting energy expenditures and, hence, energy needs of affected residents as their dementia progresses. Demented residents weighed significantly less than nondemented, independently functioning residents throughout their institutional stay. Nevertheless, nursing staff are able to maintain weight and survival for extended periods even in very impaired residents.     

Percutaneous ethanol injection therapy by ethanol mixed with CO2 microbubble for hepatocellular carcinoma

One of the shortcomings of percutaneous ethanol injection therapy (PEIT) for hepatocellular carcinoma (HCC) is that many sessions are necessary to accomplish the treatment. This may be caused by which the ultrasonography (US) image does not reflect correctly to the kinetics of injected ethanol into HCC nodule. It is considered that number of treatment sessions are able to be reduced if we just enough injected labelled ethanol under US into HCC nodule. Therefore, we tried PEIT by ethanol mixed with CO2 microbubble (CO2 ethanol). The injected CO2 ethanol was aquired as hyperechoic image without strong acoustic shadow to the end of injection. Consequently we could reduce the number of treatment sessions to almost 1 for lesions < or = 3 cm in diameter and markedly reduce total dose of injected ethanol. The detectable rate of CO2 ethanol leaked out HCC nodule was high. No serious complication occurred. There have been only 1 lesion of local recurrence and no case of intrahepatic and peritoneal dissemination for 11.5 months on average of observation after PEIT by CO2 ethanol (CO2PEIT). These findings suggest that CO2PEIT is useful method for reducing the number of treatment sessions and total dose of injected ethanol, moreover preventing complication by ethanol leakage.     

Avatar mobility in user-created networked virtual worlds: measurements, analysis, and implications

We collected mobility traces of avatars spanning multiple regions in Second Life, a popular user-created virtual world. We analyzed the traces to characterize the dynamics of the avatars’ mobility and behavior, both temporally and spatially. We discuss the implications of our findings on the design of peer-to-peer architecture, interest management, mobility modeling of avatars, server load balancing and zone partitioning, caching, and prefetching for user-created virtual worlds.     

An effective 3-in-1 keyword search method over heterogeneous data sources

Conventional keyword search engines are restricted to a given data model and cannot easily adapt to unstructured, semi-structured or structured data. In this paper, we propose an efficient and adaptive keyword search method, called EASE, for indexing and querying large collections of heterogeneous data. To achieve high efficiency in processing keyword queries, we first model unstructured, semi-structured and structured data as graphs, and then summarize the graphs and construct graph indices instead of using traditional inverted indices. We propose an extended inverted index to facilitate keyword-based search, and present a novel ranking mechanism for enhancing search effectiveness. We have conducted an extensive experimental study using real datasets, and the results show that EASE achieves both high search efficiency and high accuracy, and outperforms the existing approaches significantly.     

Dynamic behaviour of a magnetically actuated floating liquid marble

This paper reports the dynamic behaviour of a magnetically actuated floating liquid marble by analysing the oscillation of the marble. A liquid marble is a liquid droplet coated with hydrophobic powder. Magnetite particles inside the marble make it magnetic. The marble floats on a carrier liquid that contains aqueous glycerol of various concentrations. A permanent magnet located under the carrier liquid drives the floating marble with the initial velocity. Stopping the magnet abruptly causes the marble to oscillate around its final position for a few seconds. The oscillation was recorded and analysed using customised image processing and evaluation software. The damped harmonic motion model was then applied to the data and tested. Subsequently, critical parameters of the system such as the initial displacement, friction correction factor, the apparent frequency and the spring constant were determined and discussed. The simple experimental set-up and convenient theoretical approach allow us to characterise the marble motion under the influence of a magnet with good accuracy.     

Fast image retrieval using color-spatial information

In this paper, we present an image retrieval system that employs both the color and spatial information of images to facilitate the retrieval process. The basic unit used in our technique is a single-colored cluster, which bounds a homogeneous region of that color in an image. Two clusters from two images are similar if they are of the same color and overlap in the image space. The number of clusters that can be extracted from an image can be very large, and it affects the accuracy of retrieval. We study the effect of the number of clusters on retrieval effectiveness to determine an appropriate value for “optimal' performance. To facilitate efficient retrieval, we also propose a multi-tier indexing mechanism called the Sequenced Multi-Attribute Tree (SMAT). We implemented a two-tier SMAT, where the first layer is used to prune away clusters that are of different colors, while the second layer discriminates clusters of different spatial locality. We conducted an experimental study on an image database consisting of 12,000 images. Our results show the effectiveness of the proposed color-spatial approach, and the efficiency of the proposed indexing mechanism. Received August 1, 1997 / Accepted December 9, 1997     

The P2X4 Receptor: Cellular and Molecular Characteristics of a Promising Neuroinflammatory Target

The adenosine 5′-triphosphate-gated P2X4 receptor channel is a promising target in neuroinflammatory disorders, but the ability to effectively target these receptors in models of neuroinflammation has presented a constant challenge. As such, the exact role of P2X4 receptors and their cell signalling mechanisms in human physiology and pathophysiology still requires further elucidation. To this end, research into the molecular mechanisms of P2X4 receptor activation, modulation, and inhibition has continued to gain momentum in an attempt to further describe the role of P2X4 receptors in neuroinflammation and other disease settings. Here we provide an overview of the current understanding of the P2X4 receptor, including its expression and function in cells involved in neuroinflammatory signalling. We discuss the pharmacology of P2X4 receptors and provide an overview of P2X4-targeting molecules, including agonists, positive allosteric modulators, and antagonists. Finally, we discuss the use of P2X4 receptor modulators and antagonists in models of neuroinflammatory cell signalling and disease.     

Answering similarity queries in peer-to-peer networks

A variety of peer-to-peer (P2P) systems for sharing digital information are currently available and most of them perform searching by exact key matching. In this paper we focus on similarity searching and describe FuzzyPeer, a generic broadcast-based P2P system which supports a wide range of fuzzy queries. As a case study we present an image retrieval application implemented on top of FuzzyPeer. Users provide sample images whose sets of features are propagated through the peers. The answer consists of the top-k most similar images within the query horizon. In our system the participation of peers is ad hoc and dynamic, their functionality is symmetric and there is no centralized index.