999 resultados para myocardial biopsies images


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In this paper investigation is made of the. use of entropic methods to identify smooth image blocks in order to filter the reconstructed image of block based transform coded images. We know that blocking artefact is Visually more prominent in the smooth region of a block rather than in the textured region. The entropic methods are employed to distinguish between smooth and textured blocks in a reconstructed image. The linear filtering is then carried out on the smooth region of the image to reduce the blocking artefact. The en tropic criteria investigated in this paper are: Shannon's (Logarithmic) Entropy, Exponential Entropy, and Quadratic Entropy.

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One of the content-based image retrieval techniques is the shape-based technique, which allows users to ask for objects similar in shape to a query object. Sajjanhar and Lu proposed a method for shape representation and similarity measure called the grid-based method [1]. They have shown that the method is effective for the retrieval of segmented objects based on shape. In this paper, we describe a system which uses the grid-based method for retrieval of images with multiple objects. We perform experiments on the prototype system to compare the performance of the grid-based method with the Fourier descriptors method [2]. Preliminary results have been presented.

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Selecting a set of features which is optimal for a given task is the problem which plays an important role in a wide variety of contexts including pattern recognition, images understanding and machine learning. The concept of reduction of the decision table based on the rough set is very useful for feature selection. In this paper, a genetic algorithm based approach is presented to search the relative reduct decision table of the rough set. This approach has the ability to accommodate multiple criteria such as accuracy and cost of classification into the feature selection process and finds the effective feature subset for texture classification . On the basis of the effective feature subset selected, this paper presents a method to extract the objects which are higher than their surroundings, such as trees or forest, in the color aerial images. The experiments results show that the feature subset selected and the method of the object extraction presented in this paper are practical and effective.

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As information systems move out of the office into the wider world and are merged with mobile appliances, buildings and even clothing, the representations traditionally used in any one discipline may not be adequate for understanding these new domains. Design representations are ‘ways of seeing and not seeing’. Despite the central role representations play in design, the information systems design community has little understanding of the relation, ideal or actual, between design practice and design representation. This paper reports on an extensive design case study that aims at increasing understanding of the nature and affordances of representations in the design process and argues for the need for information systems as a discipline to open up discussion of the design representations that may be required to effectively design systems that mix traditional IS with disciplines such as industrial design, architecture and fashion design.

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This paper presents a performance study of four statistical test algorithms used to identify smooth image blocks in order to filter the reconstructed image of a video coded image. The four algorithms considered are the Coefficient of Variation (CV), Exponential Entropy of Pal and Pal (E), Shannon's (Logarithmic) Entropy (H), and Quadratic Entropy (Q). These statistical algorithms are employed to distinguish between smooth and textured blocks in a reconstructed image. The linear filtering is carried out on the smooth blocks of the image to reduce the blocking artefact. The rationale behind applying the filter on the smooth blocks only is that the blocking artefact is visually more prominent in the smooth region of an image rather than in the textured region.

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Acute myocardial infarction (M!) is the commonest cause of death in the developed countries, and it is on the rise in developing countries. Ramipril is a well-knownAngiotensin-converting enzyme (ACE) inhibitorwhich inhibits conversion ofinactive angiotensin I to active angiotensin II. Experimental studies have shown thatACE inhibitors administered chronicallybefore acuteMImight limitmyocardial infarct size, improve cardiac function and prevent cardiac hypertrophy [1, 2]. The Chinese herb, Salvia miltiorrhiza (SM), has been widely and successfully usedmainly for anginapectoris,MI and stroke [3]. Compared to ramipril, however, there is very limited biochemical information availableto demonstrate themechanismsofSMs
cardio-protective effects. This study thus investigates the possible
biochemical and molecularmechanisms ofsuch effects ofSMin Wistar rats in comparison with those oframipril.

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 A teaching hospital is working with the Victorian State Government and universities, integrating cost-effectiveness evidence into clinical practice guidelines (CPGs), protocols and pathways for respiratory and cardiology interventions. Acute myocardial infarction (AMI) findings are reported. Results will stimulate cost-effective practice and inform medical associations, federal and state governments and international organisations developing CPGs. Published CPGs by the American College of Cardiology/American Heart Foundation for AMI in 1999 are reviewed by a large interdis- ciplinary hospital-based committee given cost-effectiveness evidence. Levels of evi- dence criteria rating on methodological rigor for effectiveness and costs are applied. National Health and Medical Research Council (NHMRC) grades of recommendation criteria for combinations of relative effectiveness versus relative costs and cut-off points are used. Extrapolating results between countries was addressed by applying the OECD's health purchasing power parity series. Recommendations for revisions to United States guidelines and for local application are formulated. United States Guide- lines require updating: Regarding angioplasty, percutaneous transluminal coronary angioplasty (PTCA) is cost-effective for men aged 60 years relative to recombinant tissue plasminogen activator (tPA),with additional cost per life year saved of 274 ecu. PTCA with discharge after 3 days is cost-effective in low-risk AMI. Regarding GP llb/Illa drugs, Abciximab during intervention incurred equal mean hospital costs for placebabciximab bolus, and abciximab bolus+ infusion with incremental 6-month cost for the latter treatment costing US$ 293 per patient. Agent recouped almost all initial therapy costs with significant benefits. Incre- mental cost of abciximab per event prevent- ed is US$ 3,258.Tirofiban was compared to placebo after high-risk angioplasty for AMI or unstable angina.Tirofiban decreased the rate of hospital deaths, myocardial infarc- tion, revascularisation at 2 days by 36% relative to placebo (8% vs. 12%) without increased cost. Clinical benefits were similar at 30 days.Tirofiban+heparin+aspirin was compared to heparin+aspirin.Tirofiban arm resulted in net savings of 33,418 ecu per 100 patients for the first 7 days of treatment. Regarding thrombolytics,tPA is more cost- effective than streptokinase. Incremental costs for each life saved when streptokinase is substituted by recombinant tissue plasmi- nogen are 31%,45%, 97% higher in Germa- ny, Italy and the United States than in the United Kingdom. Regarding anticoagulants, enoxaparin is a promising alternative to unfractionated heparin for hospitalised patients with non-Q-wave myocardiai infarc- tion or unstable angina, saving C$ 1,485 per patient over 12 months with 10% reduction in 1 year risk of death, myocardial infarction or recurrent angina. Regarding anti- arrhymics, the cost-effectiveness of no amiodarone, amiodarone for patients with depressed heart rate variability (DHRV),and amiodarone for patients with DHRV plus positive programmed ventricular stimula- tion (PPVS) for high-risk post-AMI was investigated. Amiodarone for DHRV+PPVS patients was dominated by a blend of the two alternatives. Compared to no amioda- rone, the incremental cost-effectiveness of amiodarone for DHRV patients was US$ 39,422 per quality adjusted life year gained. Amiodarone for DHRV is the most appropriate. Other CPG updates concern serum markers, for example, cardiac troponin I assay (c-Tnl), cost advantages of ad hoc angioplasty and secondary prevention through antioxidants and pravastatin. Australian costs are reported later in the paper.

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In the current study, we compared purified Salvia miltiorrhiza extract (PSME) with Angiotensin-converting enzyme inhibitor, Ramipril, in in vitro experiments and also in vivo using animal model of myocardial infarction. PSME was found to have a significantly higher trolox equivalent antioxidant capacity which indicated a great capacity for scavenging free radicals. PSME could also prevent pyrogallo red bleaching and DNA damage.

After 2 weeks treatment with PSME or Ramipril, survival rates of rats with experimental myocardial infarction were marginally increased (68.2% and 71.4%) compared with saline (61.5%). The ratios of infarct size to left ventricular size in both PSME-and Ramipril-treated rats were significantly less than that in the saline-treated group. Activity of cardiac antioxidant enzyme superoxide dismutase (SOD) was significant higher while level of Thiobarbituric acid-reactive substances (TBARs) was lower in the PSME treated group. Purified and standardized Chinese herb could provide an alternative regimen for the prevention of ischemic heart disease.

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The original DIGAMI protocol recommended using intravenous insulin to manage myocardial infarction from first presentation followed by subcutaneous insulin for 3 months in patients with diabetes. This paper describes the metabolic and cardiac outcomes and barriers to implementing a protocol designed to match the DIGAMI principles across our emergency and cardiology departments. Patients managed using the revised DIGAMI protocol achieved better blood glucose control and had fewer reinfarcts than those managed without insulin. The major barrier to using the protocol appeared to be staff fear of causing hypoglycaemia.

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This paper is a result of a fruitful cooperation between the computer science and the dental diagnosis experiences. The study presents a new approach of applying computer algorithms to radiographic images of dental implantation used for bone regeneration. We focus here only on the contribution of the computer assistance to the clinical research as the periodontal therapy is beyond the scope of this paper. The proposed system is based on a pattern recognition approach, directed to recognize density changes in the intra-bony affected areas of patients. It comprises different modules with new algorithms specially designed to treat the patients’ radiographic images more accurately. The system includes digitizing, detecting the complicated region of interest (ROI), defining reference area to correct any projection discrepancy of the follow up images, and finally to extract the distinguishing features of the ROI as a basis for determining the rate of new bone density accumulation. This study is applied to two typical dental cases for a patient who received two different operations. The results are very encouraging and more accurate than traditional techniques reported before.