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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Diseases of the colon & rectum 42 (1999), S. 1272-1275 
    ISSN: 1530-0358
    Keywords: Rectal cancer ; Coloanal anastomosis ; Survival ; Recurrence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PURPOSE: Jeopardizing cure and risking high local recurrence have served as arguments against sphincter-saving resection for patients with distal third rectal cancer. This prospective study examines and compares the local recurrence and survival rates in patients with distal third rectal cancer treated by either coloanal anastomosis or abdominoperineal resection. METHODS: Between 1977 and 1993, 174 patients underwent coloanal anastomoses and 38 patients underwent abdominoperineal resection. All tumors were located 4 to 7 cm from the anal verge. One hundred ninety-three patients (91 percent) underwent rectal excision with a curative intent. Mean follow-up was 66 months after sphincter-saving resection and 65 months after abdominoperineal resection. RESULTS: Mean anastomotic height from the anal verge was 2.3 cm after sphincter-saving resection. Overall local recurrence rate was 7.9 percent after sphincter-saving resection and 12.9 percent after abdominoperineal resection. The five-year actuarial survival rate was 78 percent after sphincter-saving resection and 74 percent after abdominoperineal resection. CONCLUSION: Local recurrence and survival are not compromised in patients with distal third rectal cancer when treated by sphincter-saving resection, provided that oncologic principles are not violated. Coloanal anastomosis can be performed with an acceptable morbidity.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European biophysics journal 26 (1997), S. 393-404 
    ISSN: 1432-1017
    Keywords: Key words Threshold detection ; Statistical filtering ; Model ranking
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Physics
    Notes: Abstract Different statistical or low-pass filters may be used for the idealization of ion channel data. We address the problem of predicting optimal filter parameters, represented by a threshold test-value for statistical filters and by a cut-off frequency for low-pass filters. Optimal idealization is understood in the sense of maximal similarity between recovered and real signals. Special procedures are suggested to quantitatively characterize the difference between the recovered and the real signals, the latter being known for simulated data. These procedures, called objective criteria, play the role of referees in estimating the performance of different predictive optimality criteria. We have tested standard Akaike's AIC and its modification by Rissanen, MDL. Both gave unsatisfactory results. We have shown analytically, that the Akaike-type criterion, based on the use of a certain penalty for the log likelihood function per transition, indicates the correct optimum point only if the penalty is set equal to half the optimal threshold. As the latter varies significantly for different data sets, this criterion is not particularly helpful. A new universal predictive optimality criterion, valid for real data and any idealization method, is suggested. It is formally similar to AIC, but instead of log likelihood it uses the doubled number of false transitions. The predictive power of the new criterion is demonstrated with different types of data for Hinkley and 50% amplitude methods.
    Type of Medium: Electronic Resource
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