Estimation of the blood Doppler frequency shift by a time-varying parametric approach

International audienceDoppler ultrasound is widely used in medical applications to extract the blood Doppler flow velocity in the arteries via spectral analysis. The spectral analysis of non-stationary signals and particularly Doppler signals requires adequate tools that should present both good time and frequency resolutions. It is well-known that the most commonly used time-windowed Fourier transform, which provides a time-frequency representation, is limited by the intrinsic trade-off between time and frequency resolutions. Parametric methods have then been introduced as an alternative to overcome this resolution problem. However, the performances of those methods deteriorate when high non-stationarities are present in the Doppler signal. For the purpose of accurately estimating the Doppler frequency shift, even when the temporal flow velocity is rapid (high non-stationarity), we propose to combine the use of the time-varying auto-regressive method and the (dominant) pole frequency. This proposed method performs well in the context where non-stationarities are very high. A comparative evaluation has been made between classical (FFT based) and auto-regressive (both block and recursive) algorithms. Among recursive algorithms we test an adaptive recursive method as well as a time-varying recursive method. Finally, the superiority of the time-varying parametric approach in terms of frequencies tracking and of delay on the frequency estimate is illustrated on both simulated and in vivo Doppler signals

Electrochemical Sensor Research at the Laboratoire d'Electrochimie of the EPFL

This review presents some recent developments in the field of electroanalytical sensors. We first explain the working principle of electrochemistry at the interface between two immiscible electrolyte solutions (ITIES), illustrated by the example of copper transferring through a water/1,2-dichloroethane interface when the ionophore 1,4,7,10-tetrathiacyclododecane is present in the organic phase. The obtained results show that assisted ion-transfer reactions take place with both CuI and CuII, but that the interfacial process is complicated by the fact that CuI disproportionates in water and that CuII can be reduced in the organic phase.Based on the same experimental methodology, a new type of amperometric detector for non-redox ions has been developed using a composite polymer membrane supporting a gelified organic phase that can incorporate an ionophore such as valinomycin. We report here the use of a (o-nitrophenyloctylether)-(poy(vinyl chloride) (NPOE-PVC) gel micro-interface as a detector for cations and anions in ion-exchange chromatography. The main advantage of this approach is that selectivity and sensitivity can be tailored by the choice of the ionophore and by the polarisation potential.This ion detector has also been incorporated in a miniaturised total-analysis system (µ-TAS) fabricated in a polymer sheet by UV-laser photoablation. This microfabrication technique is used for the prototyping of a disposable capillary-electrophoresis microsystem comprising on-chip injector, separation column and electrochemical detector. This system is further used with built-in carbon-ink electrodes for the detection of electroactive species. These microsystems are now under development for immuno-sensor applications

Stabilization arising from PGEM : a review and further developments

The aim of this paper is twofold. First, we review the recent Petrov-Galerkin enriched method (PGEM) to stabilize numerical solutions of BVP's in primal and mixed forms. Then, we extend such enrichment technique to a mixed singularly perturbed problem, namely, the generalized Stokes problem, and focus on a stabilized finite element method arising in a natural way after performing static condensation. The resulting stabilized method is shown to lead to optimal convergences, and afterward, it is numerically validated

Inkjet-printed microtiter plates for portable electrochemical immunoassays

Herein, we present the large-scale fabrication of multiplexed three-electrode sensors used in a point-of-care device platform that couples a magnetic bead-based immunoassay strategy with amperometric detection for rapid and highly sensitive analysis. The multiplexed sensors consisted of eight independent electrochemical cells, each with a carbon nanotube (CNT) working electrode, CNT counter electrode and a silver-silver chloride quasi-reference electrode. The microchips were fabricated on flexible polyethylene terephthalate (PET) sheets by sequential multilayer inkjet printing (IJP) of silver, CNT and insulator inks that were either simultaneously or subsequently post-processed (e.g. through UV photo-polymerization or photonic curing). Finally, plastic wells were mounted on top of the inkjet-printed patterns to obtain an eight-well microtiter plate where each well had a solution capacity of 50 μL. Due to the high precision of the IJP process, the microtiter plates showed high reproducibility among the individual electrochemical cells (1–2% of deviation). Furthermore, the microchips can be reusable for at least up to 20 times as demonstrated herein. In a customized multichannel potentiostat with eight implemented magnets matching the positions of the working electrodes, the electrochemical readout of magnetic bead based sandwich and competitive immunoassays was successfully realized for the detection of thyroid-stimulating hormone (TSH) and atrazine (ATR) in aqueous and urine samples, respectively. The achieved limits of detection for ATR (i.e. 0.01 μg/L) and TSH (i.e. 0.5 μIU/mL) demonstrated the potential of the IJP microtiter plates for the environmental and biological quantification of analytes in a very reliable high throughput platform. This work shows that IJP has certainly reached the status of a batch production tool for electroanalytical sensing platform

Investigation of SOA-based wavelength conversion at 80 Gb/s using bandpass filtering

This paper presents a simple and effective 80 Gb/s wavelength conversion scheme by using Cross Gain Modulation in a Semiconductor Optical Amplifiers (SOA) in conjunction with filtering the blue shifted component of the probe spectrum to give a non-inverted output signal

A mutation of the human EPHB2 gene leads to a major platelet functional defect.

The ephrin transmembrane receptor family of tyrosine kinases is involved in platelet function. We report the first EPHB2 variant affecting platelets in 2 siblings (P1 and P2) from a consanguineous family with recurrent bleeding and normal platelet counts. Whole-exome sequencing identified a c.2233C>T variant (missense p.R745C) of the EPHB2 gene. P1 and P2 were homozygous for this variant, while their asymptomatic parents were heterozygous. The p.R745C variant within the tyrosine kinase domain was associated with defects in platelet aggregation, αIIbβ3 activation, and granule secretion induced by G-protein-coupled receptor (GPCR) agonists and convulxin, as well as in thrombus formation on collagen under flow. In contrast, clot retraction, flow-dependent platelet adhesion, and spreading on fibrinogen were only mildly affected, indicating limited effects on αIIbβ3 outside-in signaling. Most importantly, Lyn, Syk, and FcRγ phosphorylation, the initial steps in glycoprotein VI (GPVI) platelet signaling were drastically impaired in the absence of platelet-platelet contact, indicating a positive role for EPHB2 in GPVI activation. Likewise platelet activation by PAR4-AP showed defective Src activation, as opposed to normal protein kinase C activity and Ca2+ mobilization. Overexpression of wild-type and R745C EPHB2 variant in RBL-2H3 (rat basophilic leukemia) cells stably expressing human GPVI confirmed that EPHB2 R745C mutation impaired EPHB2 autophosphorylation but had no effect on ephrin ligand-induced EPHB2 clustering, suggesting it did not interfere with EPHB2-ephrin-mediated cell-to-cell contact. In conclusion, this novel inherited platelet disorder affecting EPHB2 demonstrates this tyrosine kinase receptor plays an important role in platelet function through crosstalk with GPVI and GPCR signaling

Influenza and associated co-infections in critically ill immunosuppressed patients

Abstract Background It is unclear whether influenza infection and associated co-infection are associated with patient-important outcomes in critically ill immunocompromised patients with acute respiratory failure. Methods Preplanned secondary analysis of EFRAIM, a prospective cohort study of 68 hospitals in 16 countries. We included 1611 patients aged 18 years or older with non-AIDS-related immunocompromise, who were admitted to the ICU with acute hypoxemic respiratory failure. The main exposure of interest was influenza infection status. The primary outcome of interest was all-cause hospital mortality, and secondary outcomes ICU length of stay (LOS) and 90-day mortality. Results Influenza infection status was categorized into four groups: patients with influenza alone (n = 95, 5.8%), patients with influenza plus pulmonary co-infection (n = 58, 3.6%), patients with non-influenza pulmonary infection (n = 820, 50.9%), and patients without pulmonary infection (n = 638, 39.6%). Influenza infection status was associated with a requirement for intubation and with LOS in ICU (P < 0.001). Patients with influenza plus co-infection had the highest rates of intubation and longest ICU LOS. On crude analysis, influenza infection status was associated with ICU mortality (P < 0.001) but not hospital mortality (P = 0.09). Patients with influenza plus co-infection and patients with non-influenza infection alone had similar ICU mortality (41% and 37% respectively) that was higher than patients with influenza alone or those without infection (33% and 26% respectively). A propensity score-matched analysis did not show a difference in hospital mortality attributable to influenza infection (OR = 1.01, 95%CI 0.90–1.13, P = 0.85). Age, severity scores, ARDS, and performance status were all associated with ICU, hospital, and 90-day mortality. Conclusions Category of infectious etiology of respiratory failure (influenza, non-influenza, influenza plus co-infection, and non-infectious) was associated with ICU but not hospital mortality. In a propensity score-matched analysis, influenza infection was not associated with the primary outcome of hospital mortality. Overall, influenza infection alone may not be an independent risk factor for hospital mortality in immunosuppressed patients