Can twice weekly hemodialysis expand patient access under resource constraints?

The convention of prescribing hemodialysis on a thrice weekly schedule began empirically when it seemed that this frequency was convenient and likely to treat symptoms for a majority of patients. Later, when urea was identified as the main target and marker of clearance, studies supported the prevailing notion that thrice weekly dialysis provided appropriate clearance of urea. Today, national guidelines on hemodialysis from most countries recommend patients receive at least thrice weekly therapy. However, resource constraints in low‐ and middle‐income countries (LMIC) have resulted in a substantial proportion of patients using less frequent hemodialysis in these settings. Observational studies of patients on twice weekly dialysis show that twice weekly therapy has noninferior survival rates compared with thrice weekly therapy. In fact, models of urea clearance also show that twice weekly therapy can meet urea clearance “targets” if patients have significant residual function or if they follow a protein‐restricted diet, as may be common in LMIC. Greater reliance on twice weekly therapy, at least at the start of hemodialysis, therefore has potential to reduce health care costs and increase access to renal replacement therapy in low‐resource settings; however, randomized control trials are needed to better understand long‐term outcomes of twice versus thrice weekly therapy.     

Cutting force and hole quality analysis in micro-drilling of CFRP

Micro-drilling in carbon fiber reinforced plastic (CFRP) composite material is challenging because this material machining is difficult due to anisotropic, abrasive and non-homogeneous properties and also downscaling of cutting process parameters affect the cutting forces and micro-drilled hole quality extensively. In this work, experimental results based statistical analysis is applied to investigate feed and cutting speed effect on cutting force components and hole quality. Analysis of variance based regression equation is used to predict cutting forces and hole quality and their trend are described by response surface methodology. Results show that roundness error and delamination factor have similar trends to those of radial forces and thrust force, respectively. Non-linear trends of cutting forces and hole quality errors are observed during downscaling of the micro-drill feed value. Optimization results show that cutting forces and hole quality errors are minimum at a feed value which is almost equal to the tool edge radius rather than at the lowest feed value. Therefore, the presented results clearly show the influences of size effects on cutting forces and hole quality parameters in micro-drilling of CFRP composite material.     

Characterization and evaluating the mechanical performance of halloysite nanotubes reinforced acrylonitrile butadiene styrene/polycarbonate composites exposed to aggressive environmental conditions

Developing light weight polymer based composites dispersed with novel reinforcements which can function well in the presence of aggressive environments is an active research field in the materials engineering. Hence, in the current work, halloysite nanotubes (1 %, 2 %, 4 %, 6 %, 8 % and 10 % by weight) were reinforced into acrylonitrile butadiene styrene/polycarbonate blend and the role of reinforcing phases on the mechanical performance under aggressive environmental conditions has been evaluated. Hardness was measured as gradually increased in the composites with the increased content of the reinforcements. Impact strength of the composites was observed as increased in the composites up to 4 % reinforcement and further decreased. Increased strength was measured for the composite up to 2 % reinforcement. Ductility of the composites was decreased as reflected form the decreased % of elongation with the higher fraction of reinforcements due to induced brittleness. The composites were exposed to diluted sulfuric acid for 3 h and 6 h at 60 °C and then subjected to tensile loading. With the increased time of exposure, composites with 1 % and 2 % reinforcement exhibited relatively better performance.     

Partitioning large networks without breaking communities

The identification of cohesive communities is a key process in social network analysis. However, the algorithms that are effective for finding communities do not scale well to very large problems, as their time complexity is worse than linear in the number of edges in the graph. This is an important issue for those interested in applying social network analysis techniques to very large networks, such as networks of mobile phone subscribers. In this respect, the contributions of this paper are twofold. First, we demonstrate these scaling issues using a prominent community-finding algorithm as a case study. Then, we show that a two-stage process, whereby the network is first decomposed into manageable subnetworks using a multilevel graph partitioning procedure, is effective in finding communities in networks with more than 10⁶ nodes.     

Stacking graphic elements to avoid over-plotting

An ongoing challenge for information visualization is how to deal with over-plotting forced by ties or the relatively limited visual field of display devices. A popular solution is to represent local data density with area (bubble plots, treemaps), color (heatmaps), or aggregation (histograms, kernel densities, pixel displays). All of these methods have at least one of three deficiencies:1) magnitude judgments are biased because area and color have convex downward perceptual functions, 2) area, hue, and brightness have relatively restricted ranges of perceptual intensity compared to length representations, and/or 3) it is difficult to brush or link to individual cases when viewing aggregations. In this paper, we introduce a new technique for visualizing and interacting with datasets that preserves density information by stacking overlapping cases. The overlapping data can be points or lines or other geometric elements, depending on the type of plot. We show real-dataset applications of this stacking paradigm and compare them to other techniques that deal with over-plotting in high-dimensional displays.     

A Unified Variational Volume Registration Method Based on Automatically Learned Brain Structures

We introduce a new volumetric registration technique that effectively combines active surfaces with the finite element method. The method simultaneously aligns multi-label automatic structural segmentation results, which can be obtained by the application of existing segmentation software, to produce an anatomically accurate 3D registration. This registration is obtained by the minimization of a single energy functional. Just like registering raw images, obtaining a 3D registration this way still requires solving a fundamentally ill-posed problem. We explain through academic examples as well as an MRI dataset with manual anatomical labels, which are hidden from the registration method, how the quality of a registration method can be measured and the advantages our approach offers.     

Tri‐band composite cylindrical dielectric resonator antenna with hybrid mode excitation and cross‐polarization suppression

This communication investigates composite cylindrical dielectric resonator antenna (CDRA) for various wireless applications. Three important features of proposed antenna design are (i) realization of two different hybrid modes, that is, HEM_11δ and HEM_12δ mode in CDRA with the help of modified annular ring printed line (work as both magnetic dipole and electric dipole), both the hybrid modes support broadside radiation characteristics (ii) suppression of HEM_21δ mode, in order to reduce the cross‐polarization level in H‐plane of other hybrid modes (HEM_11δ and HEM_12δ mode) by an amount of 8‐10 dB (iii) creation of triple‐band attribute using the concept of composite antenna. The proposed antenna design has been fabricated and practically tested. Simulated outcomes show good agreement with measured outcomes. It works in three frequency bands, that is, 2.25‐2.79 GHz, 3.1‐4.0 GHz, and 5.05‐5.6 GHz. The designed antenna structure is appropriate for WLAN and WiMAX applications.     

Robust object tracking with background-weighted local kernels

Object tracking is critical to visual surveillance, activity analysis and event/gesture recognition. The major issues to be addressed in visual tracking are illumination changes, occlusion, appearance and scale variations. In this paper, we propose a weighted fragment based approach that tackles partial occlusion. The weights are derived from the difference between the fragment and background colors. Further, a fast and yet stable model updation method is described. We also demonstrate how edge information can be merged into the mean shift framework without having to use a joint histogram. This is used for tracking objects of varying sizes. Ideas presented here are computationally simple enough to be executed in real-time and can be directly extended to a multiple object tracking system.