Memorial University of Newfoundland

About: Memorial University of Newfoundland is a education organization based out in St. John's, Newfoundland and Labrador, Canada. It is known for research contribution in the topics: Population & Context (language use). The organization has 13818 authors who have published 27785 publications receiving 743594 citations. The organization is also known as: Memorial University & Memorial University of Newfoundland and Labrador.

Mode of dialysis therapy and mortality in end-stage renal disease

Abstract: Despite considerable differences in technique and blood purification characteristics, hemodialysis and peritoneal dialysis have been thought to have similar patient outcomes. An inception cohort of433 end-stage renal disease patients was followed prospectively for a mean of 4 1 mo. The outcomes of hemodialysis (HD) and peritoneal dialysis (PD) patients were compared using intention to treat analysis based on the mode of therapy at 3 mo. After adjustment for PD patients less likely to have chronic hypertension and more likely to have diabetes, ischemic heart disease, and cardiac failure at baseline (P < 0.05), a biphasic mortality pattern was observed. For the first 2 yr, there was no statistically significant difference in mortality. After 2 yr, mortality was greater among PD patients with an adjusted PD/HD hazard ratio of 1.57 (95% confidence interval (CI), 0.97 to 2.53). Both the occurrence (adjusted hazards ratio 6.87 (95% CI, 2.01 to 23.5)) and the direction (toward PD, adjusted hazards ratio 6.25 (95% CI, 1.54 to 25)) of a therapy switch were subsequently associated with mortality after 2 yr. Progressive clinical and echocardiographic cardiac disease were not responsible for this late mortality. Lower mean serum albumin levels in PD patients in the first 2 yr of therapy (3.5 ± 0.5 versus 3.9 ± 0.5 g/dl, P < 0.0001) accounted for a large proportion of the increase in subsequent mortality. Hemodial- ysis has a late survival advantage over peritoneal dialysis; antecedent hypoalbuminemia is a major marker of the in- creased late mortality in PD patients. (J Am Soc Nephrol 9:

Random forest wetland classification using ALOS-2 L-band, RADARSAT-2 C-band, and TerraSAR-X imagery

Abstract: Wetlands are important ecosystems around the world, although they are degraded due both to anthropogenic and natural process. Newfoundland is among the richest Canadian province in terms of different wetland classes. Herbaceous wetlands cover extensive areas of the Avalon Peninsula, which are the habitat of a number of animal and plant species. In this study, a novel hierarchical object-based Random Forest (RF) classification approach is proposed for discriminating between different wetland classes in a sub-region located in the north eastern portion of the Avalon Peninsula. Particularly, multi-polarization and multi-frequency SAR data, including X-band TerraSAR-X single polarized (HH), L-band ALOS-2 dual polarized (HH/HV), and C-band RADARSAT-2 fully polarized images, were applied in different classification levels. First, a SAR backscatter analysis of different land cover types was performed by training data and used in Level-I classification to separate water from non-water classes. This was followed by Level-II classification, wherein the water class was further divided into shallow- and deep-water classes, and the non-water class was partitioned into herbaceous and non-herbaceous classes. In Level-III classification, the herbaceous class was further divided into bog, fen, and marsh classes, while the non-herbaceous class was subsequently partitioned into urban, upland, and swamp classes. In Level-II and -III classifications, different polarimetric decomposition approaches, including Cloude-Pottier, Freeman-Durden, Yamaguchi decompositions, and Kennaugh matrix elements were extracted to aid the RF classifier. The overall accuracy and kappa coefficient were determined in each classification level for evaluating the classification results. The importance of input features was also determined using the variable importance obtained by RF. It was found that the Kennaugh matrix elements, Yamaguchi, and Freeman-Durden decompositions were the most important parameters for wetland classification in this study. Using this new hierarchical RF classification approach, an overall accuracy of up to 94% was obtained for classifying different land cover types in the study area.

Tunable colloids: control of colloidal phase transitions with tunable interactions

Abstract: Systems of spherical colloidal particles mimic the thermodynamics of atomic crystals. Control of interparticle interactions in colloids, which has recently begun to be extensively exploited, gives rise to rich phase behaviours as well as crystal structures with nanoscale and micron-scale lattice spacings. This provides model systems in which to study fundamental problems in condensed matter physics, such as the dynamics of crystal nucleation and melting, and the nature of the glass transition, at experimentally accessible lengthscales and timescales. Tunable control of these interactions provides reversible control. This will enable quantitative studies of phase transition kinetics as well as the creation of advanced materials with switchability of function and properties.

Final Report of the Intergroup Randomized Study of Combined Androgen-Deprivation Therapy Plus Radiotherapy Versus Androgen-Deprivation Therapy Alone in Locally Advanced Prostate Cancer

Abstract: Purpose We have previously reported that radiotherapy (RT) added to androgen-deprivation therapy (ADT) improves survival in men with locally advanced prostate cancer. Here, we report the prespecified final analysis of this randomized trial. Patients and Methods NCIC Clinical Trials Group PR.3/Medical Research Council PR07/Intergroup T94-0110 was a randomized controlled trial of patients with locally advanced prostate cancer. Patients with T3-4, N0/Nx, M0 prostate cancer or T1-2 disease with either prostate-specific antigen (PSA) of more than 40 μg/L or PSA of 20 to 40 μg/L plus Gleason score of 8 to 10 were randomly assigned to lifelong ADT alone or to ADT+RT. The RT dose was 64 to 69 Gy in 35 to 39 fractions to the prostate and pelvis or prostate alone. Overall survival was compared using a log-rank test stratified for prespecified variables. Results One thousand two hundred five patients were randomly assigned between 1995 and 2005, 602 to ADT alone and 603 to ADT+RT. At a median follow-up time of 8 years, 465 patients had died, including 199 patients from prostate cancer. Overall survival was significantly improved in the patients allocated to ADT+RT (hazard ratio [HR], 0.70; 95% CI, 0.57 to 0.85; P < .001). Deaths from prostate cancer were significantly reduced by the addition of RT to ADT (HR, 0.46; 95% CI, 0.34 to 0.61; P < .001). Patients on ADT+RT reported a higher frequency of adverse events related to bowel toxicity, but only two of 589 patients had grade 3 or greater diarrhea at 24 months after RT. Conclusion This analysis demonstrates that the previously reported benefit in survival is maintained at a median follow-up of 8 years and firmly establishes the role of RT in the treatment of men with locally advanced prostate cancer.