Semantische Informationsextraktion in medizinischen Informationssystemen

Zusammenfassung Dieser Artikel beschreibt einige Erfahrungen und typische Problemstellungen mit Textmining in der Medizin und gibt einen Einblick in aktuelle und zukünftige Herausforderungen in Forschung & Entwicklung. Interessant ist n?mlich, dass auch im ,,Multimedia-Zeitalter“ die meiste Information immer noch als ,,Text“ vorliegt. Mithilfe von statistischen und linguistischen Verfahren wird mit sogenannter ,,Textmining-Software“ versucht, aus Freitexten Information ,,heraus zu schürfen“ (deshalb ,,Textmining“). Allerdings ist es damit noch nicht genug. Der n?chste Schritt besteht darin, die Information sowohl nutzbar als auch brauchbar zu machen. Die jeweiligen End-Benutzerinnen und End-Benutzer müssen in die Lage versetzt werden, auf der Basis der gewonnenen Information deren Wissen zu erweitern. In unserem konkreten Fall sollen damit Entscheidungen im Rahmen ?rztlichen Handelns unterstützt werden. Probleml?sungen in diesem Bereich erfordern eine holistische Sicht- und Herangehensweise. Daher wird es immer wichtiger, Erkenntnisse aus Informatik und Psychologie zusammenflie?en zu lassen und auf systemischer Ebene technologisch umzusetzen.     

Simultaneous detection of HPV and other sexually transmitted agents in chronic urethritis

Three tests are routinely done to assess blood status of selenium in cattle: serum selenium, whole blood selenium, and glutathione peroxidase. The objective of this study was to compare the various analytical methods for determining blood selenium status in groups of mature cows and beef calves. Twenty to 30 blood samples per herd were collected from 8 beef herds in central Alberta and 1 dairy in Alberta herd twice a year from the spring of 1992 through the fall of 1995, and once from 185 spring calves in 2 beef herds in Saskatchewan. Serum and whole blood samples were submitted to 1 laboratory and whole blood samples were submitted to a 2nd laboratory. Samples for glutathione peroxidase determinations were submitted to a 3rd laboratory. Pearson's correlation coefficients and Cohen's kappa were calculated for each possible comparison among the different measures. The best agreement was observed between serum and whole blood analysis within Laboratory A. The remaining comparisons reflected poor agreement. Comparison of herd-level assessment resulted in better agreement than comparison of individual sample results among laboratories and procedures for all combinations tested. Serum selenium analysis was the only laboratory procedure for which external reference material was utilized. Serum selenium, whole blood selenium, and glutathione peroxidase measure different compartments of the blood selenium pool. The time frame of interest, supplementation practices, and the stability of recent dietary intake determine the optimum assessment method for individual animals or herds. Determination of the serum status or of blood selenium is more consistently measured at the herd-level than for individual samples.     

Zur personellen Verankerung der IT-Funktion im Vorstand börsennotierter Unternehmen: Ergebnisse einer inhaltsanalytischen Betrachtung

On the Rate of Board Members with IT Responsibilities in Firms Listed on the Stock Exchange: Results of a Content Analysis: This article reports on a content analysis that investigates the rate of board members with IT responsibilities in firms listed on the stock exchange in the German speaking countries. Furthermore, the study ascertains the correlation of six factors – which become evident through content analysis – with the rate of board members with IT responsibilities. A total of 679 annual reports of German, Austrian, and Swiss corporations have been analyzed. The results show that in Germany and Switzerland 26 percent of the firms investigated have a board member with IT responsibilities, in Austria the rate is 23 percent. Additionally, the results show that turnover and number of employees are highly positively correlated with the rate of board members with IT responsibilities. Furthermore, the data show a correlation between industry and the rate of board members with IT responsibilities.     

Network availability prediction with hidden context

Modern mobile devices are increasingly capable of simultaneously connecting to multiple access networks with different characteristics. Restricted coverage combined with user mobility will vary the availability of networks for a mobile device. Most proposed solutions for such an environment are reactive in nature, such as performing a vertical handover to the network that offers the highest bandwidth. But the cost of the handover may not be justified if that network is only available for a short time. Knowledge of future network availability and their capabilities are the basis for proactive schemes which will improve network selection and utilization. We have previously proposed a prediction model that can use any available context such as GSM Location Area, WLAN presence or even whether the power cable is plugged in, to predict network availability.As it may not be possible to sense all of the context variables that influence future network availability, in this paper we introduce a generic, new model incorporating a hidden variable to account for this. Specifically, we propose a Dynamic Bayesian Network based context prediction model to predict network availability. Predictions performed for WLAN availability with the real user data collected in our experiments show 20% or more improvement compared to both of our earlier proposals of order 1 and 2 semi-Markov models.     

The Oncolytic Adenovirus XVir-N-31, in Combination with the Blockade of the PD-1/PD-L1 Axis,Conveys Abscopal Effects in a Humanized Glioblastoma Mouse Model

Glioblastoma (GBM) is an obligatory lethal brain tumor with a median survival, even with the best standard of care therapy, of less than 20 months. In light of this fact, the evaluation of new GBM treatment approaches such as oncolytic virotherapy (OVT) is urgently needed. Based on our preliminary preclinical data, the YB-1 dependent oncolytic adenovirus (OAV) XVir-N-31 represents a promising therapeutic agent to treat, in particular, therapy resistant GBM. Preclinical studies have shown that XVir-N-31 prolonged the survival of GBM bearing mice. Now using an immunohumanized mouse model, we examined the immunostimulatory effects of XVir-N-31 in comparison to the wildtype adenovirus (Ad-WT). Additionally, we combined OVT with the inhibition of immune checkpoint proteins by using XVir-N-31 in combination with nivolumab, or by using a derivate of XVir-N-31 that expresses a PD-L1 neutralizing antibody. Although in vitro cell killing was higher for Ad-WT, XVir-N-31 induced a much stronger immunogenic cell death that was further elevated by blocking PD-1 or PD-L1. In vivo, an intratumoral injection of XVir-N-31 increased tumor infiltrating lymphocytes (TILs) and NK cells significantly more than Ad-WT not only in the virus-injected tumors, but also in the untreated tumors growing in the contralateral hemisphere. This suggests that for an effective treatment of GBM, immune activating properties by OAVs seem to be of greater importance than their oncolytic capacity. Furthermore, the addition of immune checkpoint inhibition (ICI) to OVT further induced lymphocyte infiltration. Consequently, a significant reduction in contralateral non-virus-injected tumors was only visible if OVT was combined with ICI. This strongly indicates that for an effective eradication of GBM cells that cannot be directly targeted by an intratumoral OV injection, additional ICI therapy is required.     

Loss of Interleukin-13-Receptor-Alpha-1 Induces Apoptosis and Promotes EMT in Pancreatic Cancer

In search of new therapies for pancreatic cancer, cytokine pathways have attracted increasing interest in recent years. Cytokines play a vital role in the crosstalk between tumour cells and the tumour microenvironment. The related inflammatory cytokines IL-4 and IL-13 can regularly be detected at increased levels in the microenvironment of pancreatic cancer. They share a receptor heterodimer consisting of IL-4Rα and IL-13Rα1. While IL-4Rα induces a more oncogenic phenotype, the role of IL-13Rα1 was yet to be determined. ShRNA-based knockdown of IL-13Rα1 was performed in Capan-1 and MIA PaCa-2. We assessed cell growth and migratory capacities under the influence of IL-13Rα1. Pathway alterations were detected by immunoblot analysis. We now have demonstrated that the loss of IL-13Rα1 induces apoptosis in pancreatic cancer cells. This was associated with an epithelial-to-mesenchymal transition. Loss of IL-13Rα1 also abolished the effects of exogenous IL-4 and IL-13 stimulation. Interestingly, in wild type cells, cytokine stimulation caused a similar increase in migratory capacities as after IL-13Rα1 knockdown. Overall, our results indicate the vital role of IL-13Rα1 in the progression of pancreatic cancer. The differential expression of IL-4Rα and IL-13Rα1 has to be taken into account when considering a cytokine-targeted therapy in pancreatic cancer.     

Sex Pheromone of <Emphasis Type=BoldItalic>Agriotes acuminatus</Emphasis> (Stephens, 1830) (Coleoptera: Elateridae)

The click beetle species Agriotes acuminatus is distributed in open deciduous forests throughout a large area in Europe. In order to identify its sex pheromone, gland extracts of female beetles were investigated by using GC/MS. Neryl butanoate and 2,6-dimethyl-(Z,E)-2,6-octadien-1,8-diol dihexanoate, in a ratio of approximately 1:5, were the only volatile compounds present in the extracts. Structures of both esters were confirmed by synthesis. Field experiments revealed a strong attraction of A. acuminatus males towards neryl butanoate, which could be synergistically enhanced by addition of 2,6-dimethyl-(Z,E)-2,6-octadien-1,8-diol dihexanoate. The latter compound alone did not show any attractive effect. While all Agriotes spp. investigated to date use geranyl and/or (E,E)-farnesyl esters as sex pheromones, the nerol derivatives of A. acuminatus are the first (Z)-2-configurated pheromones within this genus.     

Effect of Ca and B incorporation into silicon oxycarbide on its microstructure and phase composition

Ca- and/or B-modified silicon oxycarbides were synthesized via pyrolysis of suitable polysilsesquioxane-based single-source precursors. Their polymer-to-ceramic transformation was investigated with thermogravimetric analysis, coupled with in situ evolved gas analysis. The prepared silicon oxycarbides were investigated with respect to their crystallization behavior, network architecture, and chemical compositions. The network connectivity in silicon oxycarbides can be affected/tuned upon using two different “tools”: (a) first, the use of network modifiers, such as Ca in our study, leads to a slight depolymerization of the network via generation of a small amount of Q³ sites; (b) second, the modification of silicon oxycarbide with B/Ca leads to a decrease of the carbon content in the network and thus to a significant decrease of its connectivity. Using these two different effects, the network connectivity in silicon oxycarbides can be finely tuned.