VLTI/PIONIER images the Achernar disk swell

Context. The mechanism of disk formation around fast-rotating Be stars is not well understood. In particular, it is not clear which mechanisms operate, in addition to fast rotation, to produce the observed variable ejection of matter. The star Achernar is a privileged laboratory to probe these additional mechanisms because it is close, presents B-Be phase variations on timescales ranging from 6 yr to 15 yr, a companion star was discovered around it, and probably presents a polar wind or jet. Aims. Despite all these previous studies, the disk around Achernar was never directly imaged. Therefore we seek to produce an image of the photosphere and close environment of the star. Methods. We used infrared long-baseline interferometry with the PIONIER/VLTI instrument to produce reconstructed images of the photosphere and close environment of the star over four years of observations. To study the disk formation, we compared the observations and reconstructed images to previously computed models of both the stellar photosphere alone (normal B phase) and the star presenting a circumstellar disk (Be phase). Results. The observations taken in 2011 and 2012, during the quiescent phase of Achernar, do not exhibit a disk at the detection limit of the instrument. In 2014, on the other hand, a disk was already formed and our reconstructed image reveals an extended H-band continuum excess flux. Our results from interferometric imaging are also supported by several H-alpha line profiles showing that Achernar started an emission-line phase sometime in the beginning of 2013. The analysis of our reconstructed images shows that the 2014 near-IR flux extends to 1.7 - 2.3 equatorial radii. Our model-independent size estimation of the H-band continuum contribution is compatible with the presence of a circumstellar disk, which is in good agreement with predictions from Be-disk models

Breathing 100% oxygen during water immersion improves postimmersion cardiovascular responses to orthostatic stress

Physiological compensation to postural stress is weakened after long-duration water immersion (WI), thus predisposing individuals to orthostatic intolerance. This study was conducted to compare hemodynamic responses to postural stress following exposure to WI alone (Air WI), hyperbaric oxygen alone in a hyperbaric chamber (O2HC), and WI combined with hyperbaric oxygen (O2WI), all at a depth of 1.35 ATA, and to determine whether hyperbaric oxygen is protective of orthostatic tolerance. Thirty-two healthy men underwent up to 15 min of 70° head-up tilt (HUT) testing before and after a single 6-h resting exposure to Air WI (N = 10), O2HC (N = 12), or O2WI (N = 10). Heart rate (HR), blood pressure (BP), cardiac output (Q), stroke volume (SV), forearm blood flow (FBF), and systemic and forearm vascular resistance (SVR and FVR) were measured. Although all subjects completed HUT before Air WI, three subjects reached presyncope after Air WI exposure at 10.4, 9.4, and 6.9 min. HUT time did not change after O2WI or O2HC exposures. Compared to preexposure responses, HR increased (+10 and +17%) and systolic BP (-13 and -8%), and SV (-16 and -23%) decreased during HUT after Air WI and O2WI, respectively. In contrast, HR and SV did not change, and systolic (+5%) and diastolic BP (+10%) increased after O2HC. Q decreased (-13 and -7%) and SVR increased (+12 and +20%) after O2WI and O2HC, respectively, whereas SVR decreased (-9%) after Air WI. Opposite patterns were evident following Air WI and O2HC for FBF (-26 and +52%) and FVR (+28 and -30%). Therefore, breathing hyperbaric oxygen during WI may enhance post-WI cardiovascular compensatory responses to orthostatic stress

Partially Bayesian active learning cubature for structural reliability analysis with extremely small failure probabilities

The Bayesian failure probability inference (BFPI) framework provides a well-established Bayesian approach to quantifying our epistemic uncertainty about the failure probability resulting from a limited number of performance function evaluations. However, it is still challenging to perform Bayesian active learning of the failure probability by taking advantage of the BFPI framework. In this work, three Bayesian active learning methods are proposed under the name ‘partially Bayesian active learning cubature’ (PBALC), based on a cleaver use of the BFPI framework for structural reliability analysis, especially when small failure probabilities are involved. Since the posterior variance of the failure probability is computationally expensive to evaluate, the underlying idea is to exploit only the posterior mean of the failure probability to design two critical components for Bayesian active learning, i.e., the stopping criterion and the learning function. On this basis, three sets of stopping criteria and learning functions are proposed, resulting in the three proposed methods PBALC1, PBALC2 and PBALC3. Furthermore, the analytically intractable integrals involved in the stopping criteria are properly addressed from a numerical point of view. Five numerical examples are studied to demonstrate the performance of the three proposed methods. It is found empirically that the proposed methods can assess very small failure probabilities and significantly outperform several existing methods in terms of accuracy and efficiency

Model-Based Evaluation of Methods for Respiratory Sinus Arrhythmia Estimation

OBJECTIVE: Respiratory sinus arrhythmia (RSA) refers to heart rate oscillations synchronous with respiration, and it is one of the major representations of cardiorespiratory coupling. Its strength has been suggested as a biomarker to monitor different conditions and diseases. Some approaches have been proposed to quantify the RSA, but it is unclear which one performs best in specific scenarios. The main objective of this study is to compare seven state-of-the-art methods for RSA quantification using data generated with a model proposed to simulate and control the RSA. These methods are also compared and evaluated on a real-life application, for their ability to capture changes in cardiorespiratory coupling during sleep. METHODS: A simulation model is used to create a dataset of heart rate variability and respiratory signals with controlled RSA, which is used to compare the RSA estimation approaches. To compare the methods objectively in a real-life application, regression models trained on the simulated data are used to map the estimates to the same measurement scale. RESULTS AND CONCLUSION: RSA estimates based on cross entropy, time-frequency coherence and subspace projections showed the best performance on simulated data. In addition, these estimates captured the expected trends in the changes in cardiorespiratory coupling during sleep similarly. SIGNIFICANCE: An objective comparison of methods for RSA quantification is presented to guide future analyses. Also, the proposed simulation model can be used to compare existing and newly proposed RSA estimates. It is freely accessible online

The Moorfields AMD Database Report 2 - Fellow Eye Involvement with Neovascular Age-related Macular Degeneration

BACKGROUND/AIMS: Neovascular age-related macular degeneration (nAMD) is frequently bilateral, and previous reports on ‘fellow eyes’’ have assumed sequential treatment after a period of treatment of the first eye only. The aim of our study was to analyse baseline characteristics and visual acuity (VA) outcomes of fellow eye involvement with nAMD, specifically differentiating between sequential and non-sequential (due to macular scarring in the first eye) anti-vascular endothelial growth factor treatment and timelines for fellow eye involvement. METHODS: Retrospective, electronic medical record database study of the Moorfields AMD database of 8174 eyes/120,756 single entries with data extracted between October 21, 2008 and August 9, 2018. The dataset for analysis consisted of 1180 sequential, 413 nonsequential, and 1110 unilateral eyes. RESULTS: Mean VA of sequentially treated fellow eyes at baseline was significantly higher (62±13), VA gain over two years lower (0.65±14), and proportion of eyes with good VA (≥20/40 or 70 letters) higher (46%) than the respective first eyes (baseline VA 54±16, VA gain at two years 5.6±15, percentage of eyes with good VA 38%). Non-sequential fellow eyes showed baseline characteristics and VA outcomes similar to first eyes. Fellow eye involvement rate was 32% at two years, and median time interval to fellow eye involvement was 71 (IQR 27-147) weeks. CONCLUSION: This reports shows sequentially treated nAMD fellow eyes have better baseline and final VA than non-sequentially treated eyes after 2 years of treatment. Sequentially treated eyes also had a greater proportion with good VA after 2 years of treatment. PRECIS Depending on age, fellow eye involvement occurs in 32% of patients with neovascular AMD by two years. Fellow eyes generally maintain better vision, except in cases where late-stage disease in the first eye was untreated

Model-Based Evaluation of Methods for Respiratory Sinus Arrhythmia Estimation

Objective: Respiratory sinus arrhythmia (RSA) refers to heart rate oscillations synchronous with respiration, and it is one of the major representations of cardiorespiratory coupling. Its strength has been suggested as a biomarker to monitor different conditions and diseases. Some approaches have been proposed to quantify the RSA, but it is unclear which one performs best in specific scenarios. The main objective of this study is to compare seven state-of-the-art methods for RSA quantification using data generated with a model proposed to simulate and control the RSA. These methods are also compared and evaluated on a real-life application, for their ability to capture changes in cardiorespiratory coupling during sleep. Methods: A simulation model is used to create a dataset of heart rate variability and respiratory signals with controlled RSA, which is used to compare the RSA estimation approaches. To compare the methods objectively in a real-life application, regression models trained on the simulated data are used to map the estimates to the same measurement scale. Results and conclusion: RSA estimates based on cross entropy, time-frequency coherence and subspace projections showed the best performance on simulated data. In addition, these estimates captured the expected trends in the changes in cardiorespiratory coupling during sleep similarly. Significance: An objective comparison of methods for RSA quantification is presented to guide future analyses. Also, the proposed simulation model can be used to compare existing and newly proposed RSA estimates. It is freely accessible online

Oxidative stress and endothelial function in normal pregnancy versus pre-eclampsia, a combined longitudinal and case control study

Background: Pre-eclampsia (PE) is related to an impaired endothelial function. Endothelial dysfunction accounts for altered vascular reactivity, activation of the coagulation cascade and loss of vascular integrity. Impaired endothelial function originates from production of inflammatory and cytotoxic factors by the ischemic placenta and results in systemic oxidative stress (OS) and an altered bioavailability of nitric oxide (·NO). The free radical ·NO, is an endogenous endothelium-derived relaxing factor influencing endothelial function. In placental circulation, endothelial release of ·NO dilates the fetal placental vascular bed, ensuring feto-maternal exchange. The Endopreg study was designed to evaluate in vivo endothelial function and to quantify in vitro OS in normal and pre-eclamptic pregnancies. Methods/design: The study is divided into two arms, a prospective longitudinal study and a matched case control study. In the longitudinal study, pregnant patients ≥18 years old with a singleton pregnancy will be followed throughout pregnancy and until 6 months post-partum. In the case control study, cases with PE will be compared to matched normotensive pregnant women. Maternal blood concentration of superoxide (O2·) and placental concentration of ·NO will be determined using EPR (electron paramagnetic resonance). Endothelial function and arterial stiffness will be evaluated using respectively Peripheral Arterial Tonometry (PAT), Flow-Mediated Dilatation (FMD) and applanation tonometry. Placental expression of eNOS (endothelial NOS) will be determined using immune-histochemical staining. Target recruitment will be 110 patients for the longitudinal study and 90 patients in the case-control study. Discussion: The results of Endopreg will provide longitudinal information on in vivo endothelial function and in vitro OS during normal pregnancy and PE. Adoption of these vascular tests in clinical practice potentially predicts patients at risk to develop cardiovascular events later in life after PE pregnancies. ·NO, O2·- and eNOS measurements provide further inside in the pathophysiology of PE