63 research outputs found
Digital Twins in Civil Infrastructure Systems
This research explores the existing definitions, concepts and applications surrounding the efficient implementation and use of digital twins (DTs) within civil infrastructure systems (CISs). The CISs within the scope of this research are as follows: transportation, energy, telecommunications, water and waste, as well as Smart Cities, which encompasses all of the previous. The research methodology consists of a review of current literature, a series of semi-structured interviews and a detailed survey. The outcome of this work is a refined definition of DTs within CISs, in addition to a set of recommendations for both future academic research and industry best practice
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Accuracy of citrulline, I-FABP and d-lactate in the diagnosis of acute mesenteric ischemia
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Research data are not shared.Supplementary Information oi available online at: https://www.nature.com/articles/s41598-021-98012-w#Sec14 .Early diagnosis of acute mesenteric ischemia (AMI) remains a clinical challenge, and no biomarker has been consistently validated. We aimed to assess the accuracy of three promising circulating biomarkers for diagnosing AMIâcitrulline, intestinal fatty acid-binding protein (I-FABP), and D-lactate. A cross-sectional diagnostic study enrolled AMI patients admitted to the intestinal stroke center and controls with acute abdominal pain of another origin. We included 129 patientsâ50 AMI and 79 controls. Plasma citrulline concentrations were significantly lower in AMI patients compared to the controls [15.3 ÎŒmol/L (12.0â26.0) vs. 23.3 ÎŒmol/L (18.3â29.8), pâ=â0.001]. However, the area under the receiver operating curves (AUROC) for the diagnosis of AMI by Citrulline was low: 0.68 (95% confidence intervalâ=â0.58â0.78). No statistical difference was found in plasma I-FABP and plasma D-lactate concentrations between the AMI and control groups, with an AUROC of 0.44, and 0.40, respectively. In this large cross-sectional study, citrulline, I-FABP, and D-lactate failed to differentiate patients with AMI from patients with acute abdominal pain of another origin. Further research should focus on the discovery of new biomarkers.Grants from MSD-Avenir and APHP funded the SURVIBIO study; Alexandre Nuzzo received Ph.D. Grants from âFondation de l'Avenirâ and the French Gastroenterology Society (SNFGE)
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