38 research outputs found
Turning product design into public service
Thesis (S.B.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering, 2010.Statement of responsibility on t.p. reads: Laura E. Aust, Zachary W. Rose, Ariadne G. Smith, Amrita Saigal. Each student submitted a title page and vita. Cataloged from PDF version of thesis.Includes bibliographical references (p. 87-89 ([i.e. p. [99]-[101])).Every mechanical engineering student at MIT takes the same courses: 2.009 being one of them. In our capstone product design course at MIT, most students glean an incredible amount from their teams, mentors, and projects, then focus their efforts on slightly more pressing issues, such as graduating and finding jobs and grad school. But what if the project you found was bigger than just a course, and had the potential of improving the lives of those less fortunate than you? The Komera project creates affordable sanitary protection for women in developing countries from the locally available and all-natural fiber from banana plants. In doing so, the initiative not only empowers girls by allowing them to attend school during their periods, but also creates employment and income within their communities. Our first initial iterations of the machine to fabricate pads were created in 2.009. Previous mechanical solutions to this problem are inefficient and labor-intensive. With our prototype, we seek to reduce the labor involved and increase pad output by twofold. However, we didn't want out work to stop there. Over the course of the semester, we continued to expand the Komera project twofold: by working on the mechanical design of the product and by expanding our scope to transform the product into a public service initiative. This thesis discusses the trials and tribulations of both directions. We explore the differences and challenges in designing for the developing world within a 1 st-world product design context - paying attention to manufacturing, materials, cost, and usability. We also offer a guide through the creation of an initiative: how we took a product and turned it into an IDEAS-winning public service project. It has been an incredibly rewarding experience for us, and we hope that we can inspire others to work on international development products as well.by Laura E. Aust ... [et al.].S.B
Novel functional view of the crocidolite asbestos-treated A549 human lung epithelial transcriptome reveals an intricate network of pathways with opposing functions
<p>Abstract</p> <p>Background</p> <p>Although exposure to asbestos is now regulated, patients continue to be diagnosed with mesothelioma, asbestosis, fibrosis and lung carcinoma because of the long latent period between exposure and clinical disease. Asbestosis is observed in approximately 200,000 patients annually and asbestos-related deaths are estimated at 4,000 annually<abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. Although advances have been made using single gene/gene product or pathway studies, the complexity of the response to asbestos and the many unanswered questions suggested the need for a systems biology approach. The objective of this study was to generate a comprehensive view of the transcriptional changes induced by crocidolite asbestos in A549 human lung epithelial cells.</p> <p>Results</p> <p>A statistically robust, comprehensive data set documenting the crocidolite-induced changes in the A549 transcriptome was collected. A systems biology approach involving global observations from gene ontological analyses coupled with functional network analyses was used to explore the effects of crocidolite in the context of known molecular interactions. The analyses uniquely document a transcriptome with function-based networks in cell death, cancer, cell cycle, cellular growth, proliferation, and gene expression. These functional modules show signs of a complex interplay between signaling pathways consisting of both novel and previously described asbestos-related genes/gene products. These networks allowed for the identification of novel, putative crocidolite-related genes, leading to several new hypotheses regarding genes that are important for the asbestos response. The global analysis revealed a transcriptome that bears signatures of both apoptosis/cell death and cell survival/proliferation.</p> <p>Conclusion</p> <p>Our analyses demonstrate the power of combining a statistically robust, comprehensive dataset and a functional network genomics approach to 1) identify and explore relationships between genes of known importance 2) identify novel candidate genes, and 3) observe the complex interplay between genes/gene products that function in seemingly different processes. This study represents the first function-based global approach toward understanding the response of human lung epithelial cells to the carcinogen crocidolite. Importantly, our investigation paints a much broader landscape for the crocidolite response than was previously appreciated and reveals novel paths to study. Our graphical representations of the function-based global network will be a valuable resource to model new research findings.</p
On the Benefit of Dual-domain Denoising in a Self-supervised Low-dose CT Setting
Computed tomography (CT) is routinely used for three-dimensional non-invasive
imaging. Numerous data-driven image denoising algorithms were proposed to
restore image quality in low-dose acquisitions. However, considerably less
research investigates methods already intervening in the raw detector data due
to limited access to suitable projection data or correct reconstruction
algorithms. In this work, we present an end-to-end trainable CT reconstruction
pipeline that contains denoising operators in both the projection and the image
domain and that are optimized simultaneously without requiring ground-truth
high-dose CT data. Our experiments demonstrate that including an additional
projection denoising operator improved the overall denoising performance by
82.4-94.1%/12.5-41.7% (PSNR/SSIM) on abdomen CT and 1.5-2.9%/0.4-0.5%
(PSNR/SSIM) on XRM data relative to the low-dose baseline. We make our entire
helical CT reconstruction framework publicly available that contains a raw
projection rebinning step to render helical projection data suitable for
differentiable fan-beam reconstruction operators and end-to-end learning.Comment: This work has been submitted to the IEEE for possible publication.
Copyright may be transferred without notice, after which this version may no
longer be accessibl
Work-related exposure to violence or threats and risk of mental disorders and symptoms:A systematic review and meta-analysis
OBJECTIVE: This review aimed to examine systematically the epidemiological evidence linking work-related exposure to violence and threats thereof with risk of mental disorders and mental ill-health symptoms. METHODS: We searched PubMed, EMBASE, PsycINFO and Web of Science to identify original studies that provide quantitative risk estimates. The evidence was weighted according to completeness of reporting, potential common method bias, and bias due to differential selection and drop out, selective reporting, and misclassification of exposure and outcome. RESULTS: We identified 14 cross-sectional and 10 cohort studies with eligible risk estimates, of which 4 examined depressive disorder and reported an elevated risk among the exposed [pooled relative risk (RR) 1.42, 95% confidence interval (CI) 1.31–1.54, I(2)=0%]. The occurrence of depressive and anxiety symptoms, burnout and psychological distress was examined in 17 studies (pooled RR 2.33, 95% CI 3.17, I(2)=42%), and 3 studies examined risk of sleep disturbance (pooled RR 1.22, 95% CI 1.09–1.37, I(2)=0%). In most studies, common method bias and confounding could not be ruled out with confidence and strong heterogeneity in most outcome definitions invalidate the strict interpretation of most pooled risk estimates. CONCLUSION: The reviewed studies consistently indicate associations between workplace violence and mental health problems. However, due to methodological limitations the causal associations (if any) may be stronger or weaker than the ones reported in this study. Prospective studies with independent and validated reporting of exposure and outcome and repeated follow-up with relevant intervals are highly warranted
Noise2Contrast: Multi-Contrast Fusion Enables Self-Supervised Tomographic Image Denoising
Self-supervised image denoising techniques emerged as convenient methods that
allow training denoising models without requiring ground-truth noise-free data.
Existing methods usually optimize loss metrics that are calculated from
multiple noisy realizations of similar images, e.g., from neighboring
tomographic slices. However, those approaches fail to utilize the multiple
contrasts that are routinely acquired in medical imaging modalities like MRI or
dual-energy CT. In this work, we propose the new self-supervised training
scheme Noise2Contrast that combines information from multiple measured image
contrasts to train a denoising model. We stack denoising with domain-transfer
operators to utilize the independent noise realizations of different image
contrasts to derive a self-supervised loss. The trained denoising operator
achieves convincing quantitative and qualitative results, outperforming
state-of-the-art self-supervised methods by 4.7-11.0%/4.8-7.3% (PSNR/SSIM) on
brain MRI data and by 43.6-50.5%/57.1-77.1% (PSNR/SSIM) on dual-energy CT X-ray
microscopy data with respect to the noisy baseline. Our experiments on
different real measured data sets indicate that Noise2Contrast training
generalizes to other multi-contrast imaging modalities
Skunk River Review September 1993, vol 5
https://openspace.dmacc.edu/skunkriver/1008/thumbnail.jp
Optimizing Genetic Workup in Pheochromocytoma and Paraganglioma by Integrating Diagnostic and Research Approaches
Pheochromocytomas and paragangliomas (PPGL) are rare neuroendocrine tumors with a strong hereditary background and a large genetic heterogeneity. Identification of the underlying genetic cause is crucial for the management of patients and their families as it aids differentiation between hereditary and sporadic cases. To improve diagnostics and clinical management we tailored an enrichment based comprehensive multi-gene next generation sequencing panel applicable to both analyses of tumor tissue and blood samples. We applied this panel to tumor samples and compared its performance to our current routine diagnostic approach. Routine diagnostic sequencing of 11 PPGL susceptibility genes was applied to blood samples of 65 unselected PPGL patients at a single center in Dresden, Germany. Predisposing germline mutations were identified in 19 (29.2%) patients. Analyses of 28 PPGL tumor tissues using the dedicated PPGL panel revealed pathogenic or likely pathogenic variants in known PPGL susceptibility genes in 21 (75%) cases, including mutations in IDH2, ATRX and HRAS. These mutations suggest sporadic tumor development. Our results imply a diagnostic benefit from extended molecular tumor testing of PPGLs and consequent improvement of patient management. The approach is promising for determination of prognostic biomarkers that support therapeutic decision-making.Acknowledgments: We thank the patients and their families who have made this research possible. We want to
thank JacquesW. Lenders for his support. We further thank Alexander KrĂĽger, Lydia Rossow and Franziska StĂĽbner for technical support as well as Katharina Langton and Uwe Siemon for their assistance in patient administration.S
Mental Health Promotion and Intervention in Occupational Settings: Protocol for a Pilot Study of the MENTUPP Intervention
Specific genomic aberrations in primary colorectal cancer are associated with liver metastases
Background: Accurate staging of colorectal cancer (CRC) with clinicopathological parameters is important for predicting prognosis and guiding treatment but provides no information about organ site of metastases. Patterns of genomic aberrations in primary colorectal tumors may reveal a chromosomal signature for organ specific metastases. Methods: Array Comparative Genomic Hybridization (aCGH) was employed to asses DNA copy number changes in primary colorectal tumors of three distinctive patient groups. This included formalin-fixed, paraffin-embedded tissue of patients who developed liver metastases (LM; n = 36), metastases (PM; n = 37) and a group that remained metastases-free (M0; n = 25). A novel statistical method for identifying recurrent copy number changes, KC-SMART, was used to find specific locations of genomic aberrations specific for various groups. We created a classifier for organ specific metastases based on the aCGH data using Prediction Analysis for Microarrays (PAM). Results: Specifically in the tumors of primary CRC patients who subsequently developed liver metastasis, KC-SMART analysis identified genomic aberrations on chromosome 20q. LM-PAM, a shrunken centroids classifier for liver metastases occurrence, was able to distinguish the LM group from the other groups (M0&PM) with 80% accuracy (78% sensitivity and 86% specificity). The classification is predominantly based on chromosome 20q aberrations. Conclusion: Liver specific CRC metastases may be predicted with a high accuracy based on specific genomic aberrations in the primary CRC tumor. The ability to predict the site of metastases is important for improvement of personalized patient management.MediamaticsElectrical Engineering, Mathematics and Computer Scienc
Implementation and evaluation of a multi-level mental health promotion intervention for the workplace (MENTUPP): study protocol for a cluster randomised controlled trial
Background Well-organised and managed workplaces can be a source of wellbeing. The construction, healthcare and information and communication technology sectors are characterised by work-related stressors (e.g. high workloads, tight deadlines) which are associated with poorer mental health and wellbeing. The MENTUPP intervention is a flexibly delivered, multi-level approach to supporting small- and medium-sized enterprises (SMEs) in creating mentally healthy workplaces. The online intervention is tailored to each sector and designed to support employees and leaders dealing with mental health difficulties (e.g. stress), clinical level anxiety and depression, and combatting mental health-related stigma. This paper presents the protocol for the cluster randomised controlled trial (cRCT) of the MENTUPP intervention in eight European countries and Australia. Methods Each intervention country will aim to recruit at least two SMEs in each of the three sectors. The design of the cRCT is based on the experiences of a pilot study and guided by a Theory of Change process that describes how the intervention is assumed to work. SMEs will be randomly assigned to the intervention or control conditions. The aim of the cRCT is to assess whether the MENTUPP intervention is effective in improving mental health and wellbeing (primary outcome) and reducing stigma, depression and suicidal behaviour (secondary outcome) in employees. The study will also involve a process and economic evaluation. Conclusions At present, there is no known multi-level, tailored, flexible and accessible workplace-based intervention for the prevention of non-clinical and clinical symptoms of depression, anxiety and burnout, and the promotion of mental wellbeing. The results of this study will provide a comprehensive overview of the implementation and effectiveness of such an intervention in a variety of contexts, languages and cultures leading to the overall goal of delivering an evidence-based intervention for mental health in the workplace