607 research outputs found
Functional and clinical aspects of the hypnotic and anti-nociceptive components of general anesthesia
Blows or Falls? Distinction by Random Forest Classification
In forensic anthropology, skeletal trauma analysis can assist pathologists in
determining the circumstance, cause, and manner of death. Determining whether the trauma is
related to falls or induced by homicidal blows is often asked in relevance to legal issues. The hat brim
line rule (HBL) is one of the most commonly used methods. The rule says that fractures resulting
from blows may be found above and within the HBL, not on the skull’s base. Recent studies have
found that the HBL rule must be used carefully, and postcranial skeletal trauma could be useful in this
distinction. Evidence presented in court must follow Daubert’s guidelines for validity and reliability
(evidence validated; error rates known; standards available; findings should be peer-reviewed and
accepted by the scientific community). In this study, we assessed skeletal fracture patterns resulting
from both etiologies. We tested various models for the method; the best one was based on the binary
coding of 12 anatomical regions or 28 bones with or without baseline (age and sex). The results
show the possible identification of the etiology in 83% of the cases. This method could be helpful for
forensic experts in the interpretation of bone fracturesinfo:eu-repo/semantics/publishedVersio
Momocs: Outline Analysis Using R
We introduce here Momocs, a package intended to ease and popularize modern morphometrics with R, and particularly outline analysis, which aims to extract quantitative variables from shapes. It mostly hinges on the functions published in the book entitled Modern Morphometrics Using R by Claude (2008). From outline extraction from raw data to multivariate analysis, Momocs provides an integrated and convenient toolkit to students and researchers who are, or may become, interested in describing the shape and its variation. The methods implemented so far in Momocs are introduced through a simplistic case study that aims to test if two sets of bottles have different shapes
Management of Aneurysmal Subarachnoid Haemorrhage and its Complications: A Clinical Guide
peer reviewedAneurysmal subarachnoid hemorrhage (aSAH) is an emergency that needs prompt diagnosis and treatment with endovascular coiling or surgical clipping of the aneurysm to prevent re-bleeding. In addition to neurologic manifestations, aSAH can cause respiratory and cardiovascular complications. The prevention of hypoxemia and hypercarbia, control of intracranial pressure, and restoration of cerebral perfusion pressure should be the primary aims of early management. Secondarily, the most important causes of persistent neurological deficits and physical dependence in aSAH are vasospasm and delayed ischemia following bleeding. During that period, a focus on the detection, prevention, and treatment of vasospasm should be the rule. Transcranial Doppler allows detection and follow-up of vasospasm, especially in severe cases. Nimodipine is the only drug that has proven efficacy for treating vasospasm. Balloon angioplasty is performed in cases of resistance to medical treatment. Along with angioplasty, intra-arterial vasodilators can be administered. New diagnostic and therapeutic advances will hopefully improve outcomes in the near future
Alkylphenolic compounds and bisphenol A contamination within a heavily urbanized area: case study of Paris.
International audienceThis study evaluates the influence of a heavily urbanized area (Paris Metropolitan area), on receiving water contamination by both bisphenol A (BPA) and alkylphenol ethoxylate (APE) biodegradation product. The study began by investigating concentrations within urban sources. In addition to the more commonly studied wastewater treatment plant effluent, wet weather urban sources (including combined sewer overflows, urban runoff, and total atmospheric fallout) were considered. The initial results highlight a significant contamination of all urban sources (from a few nanograms per liter in atmospheric fallout to several micrograms per liter in the other sources) with clearly distinguishable distribution patterns. Secondly, concentration changes along the Seine River from upstream of the Paris Metropolitan area to downstream were investigated. While the concentrations of BPA and nonylphenoxy acetic acid (NP(1)EC) increase substantially due to urban sources, the 4-nonylphenol concentrations remain homogeneous along the Seine. These results suggest a broad dissemination of 4-nonylphenol at the scale of the Seine River basin. Moreover, the relationship between pollutant concentrations and Seine River flow was assessed both upstream and downstream of the Paris conurbation. Consequently, a sharp decrease in dissolved NP(1)EC concentrations relative to Seine River flow underscores the influence of single-point urban pollution on Seine River contamination. Conversely, dissolved 4-nonylphenol concentrations serve to reinforce the hypothesis of its widespread presence at the Seine River basin scale
A mean field approach to model levels of consciousness from EEG recordings
We introduce a mean-field model for analysing the dynamics of human consciousness. In particular, inspired by the Giulio Tononi's Integrated Information Theory and by the Max Tegmark's representation of consciousness, we study order-disorder phase transitions on Curie-Weiss models generated by processing EEG signals. The latter have been recorded on healthy individuals undergoing deep sedation. Then, we implement a machine learning tool for classifying mental states using, as input, the critical temperatures computed in the Curie-Weiss models. Results show that, by the proposed method, it is possible to discriminate between states of awareness and states of deep sedation. Besides, we identify a state space for representing the path between mental states, whose dimensions correspond to critical temperatures computed over different frequency bands of the EEG signal. Beyond possible theoretical implications in the study of human consciousness, resulting from our model, we deem relevant to emphasise that the proposed method could be exploited for clinical applications
A mean field approach to model levels of consciousness from EEG recordings
We introduce a mean-field model for analysing the dynamics of human
consciousness. In particular, inspired by the Giulio Tononi's Integrated
Information Theory and by the Max Tegmark's representation of consciousness, we
study order-disorder phase transitions on Curie-Weiss models generated by
processing EEG signals. The latter have been recorded on healthy individuals
undergoing deep sedation. Then, we implement a machine learning tool for
classifying mental states using, as input, the critical temperatures computed
in the Curie-Weiss models. Results show that, by the proposed method, it is
possible to discriminate between states of awareness and states of deep
sedation. Besides, we identify a state space for representing the path between
mental states, whose dimensions correspond to critical temperatures computed
over different frequency bands of the EEG signal. Beyond possible theoretical
implications in the study of human consciousness, resulting from our model, we
deem relevant to emphasise that the proposed method could be exploited for
clinical applications.Comment: 23 pages, 6 figures. Accepted for publication in Journal of
Statistical Mechanics: Theory and Experimen
Influence of Levobupivacaine Regional Scalp Block on Hemodynamic Stability, Intra- and Postoperative Opioid Consumption in Supratentorial Craniotomies: A Randomized Controlled Trial
peer reviewedIn supratentorial craniotomies, SB improves hemodynamic control during noxious events and provides adequate and prolonged postoperative pain control as compared to placebo
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