Laparoscopic versus open appendectomy

BACKGROUND: Clinical manifestations and course of sickle-cell anemia are variable. Knowledge about the factors, possibly geographic, that influence prognosis are still scanty. POPULATION AND METHODS: Data of hospitalization and management of children with sickle-cell disease were studied during two years (1992-1993) in the Pediatric Unit of Libreville Hospital. They concerned 205 admissions of 171 children and 131 outpatients. RESULTS: The main causes of hospitalization were: acute anemia (36 cases before the age of 5 years); painful crisis whose frequency increased with age (23% before 5 years, 35% between 5 and 10, 42% after 10 years); infections, essentially pulmonary occurring early, and bone infections at any age. Eight children died (because a complication of their disease). Among the 131 outpatients, half were detected because pyrexia, anemia and/or more often "hand-foot syndrome". More than 60% had hepatomegaly, one third still had splenomegaly after five years of age and more than one third was icteric. More than half children older than ten years had growth disorders. Mean hemoglobin level was 7 g/dL. 21 of the 83 tested children for HBsAg were positive and only one out of 79 was positive for HIV. CONCLUSIONS: Clinical manifestations and course of sickle-cell anemia in our patients are similar to those reported in Congolese children. Genetic and environmental factors may be responsible for differences with children from other, in particular French, cohorts.     

Metabolic role of glutamine and its importance in nutritional therapy

The advances in the field of nutritional support have made certain nutrients very relevant, which, although they have been known for a long time, at present represent an important chapter in nutrition, entering into what is known as "nutritional pharmacology". Among these nutrients is glutamine, an amino acid classified as non-essential, but which in certain circumstances may become to be considered as an "essential nutrient". In the present review, a review is made of its metabolic role, synthesis and degradation, metabolic routes and functions under normal conditions as well as under critical conditions. It is known that glutamine stimulates the synthesis and inhibits the degradation of proteins, it is an important vehicle for the transport of nitrogen and carbon within the tissues, it stimulates the synthesis of hepatic glycogen, it is an energy source for cell division, for the growth of different cells of rapid replication, such as enterocytes, colonocytes, and fibroblasts, as well as for other cells of the immune system, such as lymphocytes and macrophages. Thus its role in the maintenance of structure, in metabolism and function of the intestinal mucosa, and in dysfunctions of the immune system. In parenteral nutrition, at present there are no preparations which include it, given the stability problems which it presents, although attempts have been made to resolve this, using different possibilities, such as di-peptides. However, in enteral nutrition, the diets tend to include it, although in a small proportion. Nevertheless, having recognized its beneficial role in a certain type of patients, at present there are diets which contain glutamine in higher doses, with the object of attempting to cover the increased demands of glutamine which shall arise in these situations. The inclusion of glutamine in nutritional therapy is supported by multiple studies which reflect the beneficial effect of this nutrient, both in enteral nutrition as in parenteral nutrition.     

ARPO-2: An expert system for legal advice on the breach of building contracts

Although Berman and Hafner [Berman 1989, pp. 928–938] presented the possibility to adapt the model of reasoning of development of an expert system for medical diagnosis to the reasoning of a judge when he/she sentences criminals does not resemble the reasoning found in the decisions of physicians, mathematicians or statisticians.When a lawyer reasons, he/she not only looks for the solution of a case; he/she simultaneously looks for the bases on which his/her reasoning can rest [Galindo 1992, pp. 363–367]. That is to say, he/she not only needs to find the solution but moreover he/she has to find the references (laws, jurisprudence and bibliography) that allow him/her to argue the solution.In many cases, computer solutions to these reasoning processes have been made in a separated way: the solution to the cases using expert systems, and the search of documentation using information retrieval systems.This paper presents the ARPO-2 prototype, a solution integrating the two aspects of legal reasoning: an expert system which is able to simultaneously find the solution to a problem and to give the necessary references so that the lawyer argues the solution. The subject on which the prototype solves problems is the breach of building contracts.In this paper, we describe the process of development of an expert system for solving, justification and documentation of breach of contracts, giving details on the way how the objects that intervene in the case were defined as well as on the reasoning followed.This paper was funded in part by DGICYT, Spanish Civil Law Computerization Project: PB870-632.     

Tetra-trees properties in graphic interaction

The localization of the components of an object near to a device before obtaining the real interaction is usually determined by means of a proximity measurement to the device of the object’s features. In order to do this efficiently, hierarchical decompositions are used, so that the features of the objects are classified into several types of cells, usually rectangular.In this paper we propose a solution based on the classification of a set of points situated on the device in a little-known spatial decomposition named tetra-tree. Using this type of spatial decomposition gives us several quantitative and qualitative properties that allow us a more realistic and intuitive visual interaction, as well as the possibility of selecting inaccessible components. These features could be used in virtual sculpting or accessibility tasks.In order to show these properties we have compared an interaction system based on tetra-trees to one based on octrees.     

Differential evolution for solving the mobile location management

In this work we present two new approaches to solve the location management problem, respectively, based on the location areas and the reporting cells strategies. The location management problem corresponds to the management of the network configuration with the objective of minimizing the costs involved. We use the differential evolution algorithm to find the best configuration for the location areas and the reporting cells strategies, which principally considers the location update and paging costs. With this work we want to define the best values to the differential evolution configuration, using test networks and also realistic networks, as well as compare our results with the ones obtained by other authors. These two new approaches applied to this problem have given us very good results, when compared with those obtained by other authors.     

Context-sensitive dependency pairs

Termination is one of the most interesting problems when dealing with context-sensitive rewrite systems. Although a good number of techniques for proving termination of context-sensitive rewriting (CSR) have been proposed so far, the adaptation to CSR of the dependency pair approach, one of the most powerful techniques for proving termination of rewriting, took some time and was possible only after introducing some new notions like collapsing dependency pairs, which are specific for CSR. In this paper, we develop the notion of context-sensitive dependency pair (CSDP) and show how to use CSDPs in proofs of termination of CSR. The implementation and practical use of the developed techniques yield a novel and powerful framework which improves the current state-of-the-art of methods for automatically proving termination of CSR.     

New techniques for simulating high performance MPI applications on large storage networks

In this work, we propose new techniques to analyze the behavior, the performance, and specially the scalability of High Performance Computing (in short, HPC) applications on different computing architectures. Our final objective is to test applications using a wide range of architectures (real or merely designed) and scaling it to any number of nodes or components. This paper presents a new simulation framework, called SIMCAN, for HPC architectures. The main characteristic of the proposed simulation framework is the ability to be configured for simulating a wide range of possible architectures that involve any number of components. SIMCAN is developed to simulate complete HPC architectures, but putting special emphasis on the storage and network subsystems. The SIMCAN framework can handle complete components (nodes, racks, switches, routers, etc.), but also key elements of the storage and network subsystems (disks, caches, sockets, file systems, schedulers, etc.). We also propose several methods to implement the behavior of HPC applications. Each method has its own advantages and drawbacks. In order to evaluate the possibilities and the accuracy of the SIMCAN framework, we have tested it by executing a HPC application called BIPS3D on a hardware-based computing cluster and on a modeled environment that represent the real cluster. We also checked the scalability of the application using this kind of architecture by simulating the same application with an increased number of computing nodes.     

A Hybrid Intelligent Morphological Approach for Stock Market Forecasting

In this paper, a hybrid intelligent morphological approach is presented for stock market forecasting. It consists of a hybrid intelligent model composed of a Modular Morphological Neural Network (MMNN) and a Modified Genetic Algorithm (MGA), which searches for the minimum number of time lags for a correct time series representation, as well as by the initial weights, architecture and number of modules of the MMNN. Each element of the MGA population is trained via Back Propagation (BP) algorithm to further improve the parameters supplied by the MGA. Initially, the proposed method chooses the most tuned prediction model for time series representation, then it performs a behavioral statistical test in the attempt to adjust time phase distortions that appear in financial time series. An experimental analysis is conducted with the proposed method using four real world time series and five well-known performance measurements, demonstrating consistent better performance of this kind of morphological system.     

Autonomous motion planning of a hand-arm robotic system based on captured human-like hand postures

The paper deals with the problem of motion planning of anthropomorphic mechanical hands avoiding collisions and trying to mimic real human hand postures. The approach uses the concept of “principal motion directions” to reduce the dimension of the search space in order to obtain results with a compromise between motion optimality and planning complexity (time). Basically, the work includes the following phases: capturing the human hand workspace using a sensorized glove and mapping it to the mechanical hand workspace, reducing the space dimension by looking for the most relevant principal motion directions, and planning the hand movements using a probabilistic roadmap planner. The approach has been implemented for a four finger anthropomorphic mechanical hand (17 joints with 13 independent degrees of freedom) assembled on an industrial robot (6 independent degrees of freedom), and experimental examples are included to illustrate its validity.     

Combining Support Vector Machines and simulated annealing for stereovision matching with fish eye lenses in forest environments

We present a novel strategy for computing disparity maps from omni-directional stereo images obtained with fish-eye lenses in forest environments. At a first segmentation stage, the method identifies textures of interest to be either matched or discarded. Two of them are identified by applying the powerful Support Vector Machines approach. At a second stage, a stereovision matching process is designed based on the application of four stereovision matching constraints: epipolarity, similarity, uniqueness and smoothness. The epipolarity guides the process. The similarity and uniqueness are mapped once again through the Support Vector Machines, but under a different way to the previous case; after this an initial disparity map is obtained. This map is later filtered by applying the Discrete Simulated Annealing framework where the smoothness constraint is conveniently mapped. The combination of the segmentation and stereovision matching approaches makes the main contribution. The method is compared against the usage of simple features and combined similarity matching strategies.