Acute Postoperative Changes in Body Composition and Muscle Function Among Patients with Pancreatic Cancer Undergoing Pancreaticoduodenectomy

Aim: To observe changes in the nutritional status of patients during the acute postoperativedays following pancreaticoduodenectomy and to evaluate their influence onpostoperative complications.Methods: Nutritional status was assessed in 72 patients on the preoperative day beforesurgery and postoperative days (PD) 3 and 8, included measurements of bodycomposition by bioimpedance impedance analysis, biochemical values and musclefunction by maximum handgrip strength (HGS). The presence of postoperative complicationswas collected over 30 post operative days. Changes at PD were calculatedfor all variables. Non-parametric statistics were used and results are given as median(25th–75th quartiles).Results : Significant changes occurred on PD 3 in body weight +2.3 (0.8–3.6) kg, totalbody water +2.8 (1.1–5.9) l, extracellular water +2.5 (1.2–3.7) l, intracellular water+1.1 (-0.4–1.9) l, phase angle -1.0 (-1.2 to -0.7)°, C-reactive protein +58.0 (36.0–100.8)mg/l, serum albumin -12 (-16.5 to -10.0) g/l, and HGS -4.8 (-7.3 to -3.0) kg. Higher butno significant changes were observed at PD 3 in patients with postoperative complications(n=28) compared to those without (n=44). The hospital stay was longer inpatients with complications (12.5 days, p=0.005).Conclusion: Changes in body composition, biochemical values and muscle functionwere observed during the first 8 PDs. Changes at PD 3 did not influence significantlythe outcomes, but trends in body fluids and phase angle were found among patientswith postoperative complications

Development of comprehensive earthquake loss scenarios for a Greek and a Turkish city - structural aspects

The paper presents a methodology for developing earthquake damage and loss scenarios for urban areas, as well as its application to two cities located in Mediterranean countries, Grevena (in Greece) and Düzce (in Turkey), that were struck by strong earthquakes in the recent past. After compiling the building inventory in each city, fragility curves were derived using a hybrid approach previously developed by the authors, and a series of seismic scenarios were derived based on microzonation studies that were specifically conducted for each city (see companion paper by Pitilakis et al.). The results obtained in terms of damage estimates, required restoration times and the associated costs are presented in a GIS environment. It is deemed that both the results obtained, and the overall methodology and tools developed, contribute towards the enhancement of seismic safety in the Mediterranean area (as well as other earthquake-prone regions), while they constitute a useful pre-earthquake decision-making tool for local authorities

Vehicle localization by lidar point correlation improved by change detection

LiDAR sensors are proven sensors for accurate vehicle localization. Instead of detecting and matching features in the LiDAR data, we want to use the entire information provided by the scanners. As dynamic objects, like cars, pedestrians or even construction sites could lead to wrong localization results, we use a change detection algorithm to detect these objects in the reference data. If an object occurs in a certain number of measurements at the same position, we mark it and every containing point as static. In the next step, we merge the data of the single measurement epochs to one reference dataset, whereby we only use static points. Further, we also use a classification algorithm to detect trees. For the online localization of the vehicle, we use simulated data of a vertical aligned automotive LiDAR sensor. As we only want to use static objects in this case as well, we use a random forest classifier to detect dynamic scan points online. Since the automotive data is derived from the LiDAR Mobile Mapping System, we are able to use the labelled objects from the reference data generation step to create the training data and further to detect dynamic objects online. The localization then can be done by a point to image correlation method using only static objects. We achieved a localization standard deviation of about 5 cm (position) and 0.06° (heading), and were able to successfully localize the vehicle in about 93 % of the cases along a trajectory of 13 km in Hannover, Germany

Tailoring interfacial effect in multilayers with Dzyaloshinskii-Moriya interaction by helium ion irradiation

We show a method to control magnetic interfacial effects in multilayers with Dzyaloshinskii–Moriya interaction (DMI) using helium (He+) ion irradiation. We report results from SQUID magnetometry, ferromagnetic resonance as well as Brillouin light scattering results on multilayers with DMI as a function of irradiation fluence to study the effect of irradiation on the magnetic properties of the multilayers. Our results show clear evidence of the He+irradiation effects on the magnetic properties which is consistent with interface modification due to the effects of the He+ irradiation. This external degree of freedom offers promising perspectives to further improve the control of magnetic skyrmions in multilayers, that could push them towards integration in future technologies

Pléiades project: Assessment of georeferencing accuracy, image quality, pansharpening performence and DSM/DTM quality

Pléiades 1A and 1B are twin optical satellites of Optical and Radar Federated Earth Observation (ORFEO) program jointly running by France and Italy. They are the first satellites of Europe with sub-meter resolution. Airbus DS (formerly Astrium Geo) runs a MyGIC (formerly Pléiades Users Group) program to validate Pléiades images worldwide for various application purposes. The authors conduct three projects, one is within this program, the second is supported by BEU Scientific Research Project Program, and the third is supported by TÜBİTAK. Assessment of georeferencing accuracy, image quality, pansharpening performance and Digital Surface Model/Digital Terrain Model (DSM/DTM) quality subjects are investigated in these projects. For these purposes, triplet panchromatic (50 cm Ground Sampling Distance (GSD)) and VNIR (2 m GSD) Pléiades 1A images were investigated over Zonguldak test site (Turkey) which is urbanised, mountainous and covered by dense forest. The georeferencing accuracy was estimated with a standard deviation in X and Y (SX, SY) in the range of 0.45m by bias corrected Rational Polynomial Coefficient (RPC) orientation, using ~170 Ground Control Points (GCPs). 3D standard deviation of ±0.44m in X, ±0.51m in Y, and ±1.82m in Z directions have been reached in spite of the very narrow angle of convergence by bias corrected RPC orientation. The image quality was also investigated with respect to effective resolution, Signal to Noise Ratio (SNR) and blur coefficient. The effective resolution was estimated with factor slightly below 1.0, meaning that the image quality corresponds to the nominal resolution of 50cm. The blur coefficients were achieved between 0.39-0.46 for triplet panchromatic images, indicating a satisfying image quality. SNR is in the range of other comparable space borne images which may be caused by de-noising of Pléiades images. The pansharpened images were generated by various methods, and are validated by most common statistical metrics and also visual interpretation. The generated DSM and DTM were achieved with ±1.6m standard deviation in Z (SZ) in relation to a reference DTM.Airbus Defence and SpaceBEU/2014-47912266-01TÜBİTAK/114Y38

Global bundle adjustment with variable orientation point distance for precise mars express orbit reconstruction

The photogrammetric bundle adjustment of line scanner image data requires a precise description of the time-dependent image orientation. For this task exterior orientation parameters of discrete points are used to model position and viewing direction of a camera trajectory via polynomials. This paper investigates the influence of the distance between these orientation points on the quality of trajectory modeling. A new method adapts the distance along the trajectory to the available image information. Compared to a constant distance as used previously, a better reconstruction of the exterior orientation is possible, especially when image quality changes within a strip. In our research we use image strips of the High Resolution Stereo Camera (HRSC), taken to map the Martian surface. Several experiments on the global image data set have been carried out to investigate how the bundle adjustment improves the image orientation, if the new method is employed. For evaluation the forward intersection errors of 3D points derived from HRSC images, as well as their remaining height differences to the MOLA DTM are used. In 13.5 % (515 of 3,828) of the image strips, taken during this ongoing mission over the last 12 years, high frequency image distortions were found. Bundle adjustment with a constant orientation point distance was able to reconstruct the orbit in 239 (46.4 %) cases. A variable orientation point distance increased this number to 507 (98.6 %).German Federal Ministry for Economic Affairs and Energy (BMWi)German Aerospace Center (DLR)/50 QM 130

Orientation of oblique airborne image sets - Experiences from the ISPRS/Eurosdr benchmark on multi-platform photogrammetry

During the last decade the use of airborne multi camera systems increased significantly. The development in digital camera technology allows mounting several mid- or small-format cameras efficiently onto one platform and thus enables image capture under different angles. Those oblique images turn out to be interesting for a number of applications since lateral parts of elevated objects, like buildings or trees, are visible. However, occlusion or illumination differences might challenge image processing. From an image orientation point of view those multi-camera systems bring the advantage of a better ray intersection geometry compared to nadir-only image blocks. On the other hand, varying scale, occlusion and atmospheric influences which are difficult to model impose problems to the image matching and bundle adjustment tasks. In order to understand current limitations of image orientation approaches and the influence of different parameters such as image overlap or GCP distribution, a commonly available dataset was released. The originally captured data comprises of a state-of-the-art image block with very high overlap, but in the first stage of the so-called ISPRS/EUROSDR benchmark on multi-platform photogrammetry only a reduced set of images was released. In this paper some first results obtained with this dataset are presented. They refer to different aspects like tie point matching across the viewing directions, influence of the oblique images onto the bundle adjustment, the role of image overlap and GCP distribution. As far as the tie point matching is concerned we observed that matching of overlapping images pointing to the same cardinal direction, or between nadir and oblique views in general is quite successful. Due to the quite different perspective between images of different viewing directions the standard tie point matching, for instance based on interest points does not work well. How to address occlusion and ambiguities due to different views onto objects is clearly a non-solved research problem so far. In our experiments we also confirm that the obtainable height accuracy is better when all images are used in bundle block adjustment. This was also shown in other research before and is confirmed here. Not surprisingly, the large overlap of 80/80% provides much better object space accuracy – random errors seem to be about 2-3fold smaller compared to the 60/60% overlap. A comparison of different software approaches shows that newly emerged commercial packages, initially intended to work with small frame image blocks, do perform very well

The association between bullying and early stages of suicidal ideation in late adolescents in Greece

<p>Abstract</p> <p>Background</p> <p>Bullying in schools has been associated with suicidal ideation but the confounding effect of psychiatric morbidity has not always been taken into account. Our main aim was to test the association between bullying behavior and early stages of suicidal ideation in a sample of Greek adolescents and to examine whether this is independent of the presence of psychiatric morbidity, including sub-threshold symptoms.</p> <p>Methods</p> <p>5614 pupils 16-18 years old and attending 25 senior high schools were screened in the first phase and a stratified random sample of 2431 were selected for a detailed interview at the second phase. Psychiatric morbidity and suicidal ideation were assessed with the revised Clinical Interview Schedule (CIS-R) while bullying was assessed with the revised Olweus bully/victim questionnaire.</p> <p>Results</p> <p>Victims of bullying behavior were more likely to express suicidal ideation. This association was particularly strong for those who were bullied on a weekly basis and it was independent of the presence of psychiatric morbidity (Odds Ratio: 7.78; 95% Confidence Interval: 3.05 - 19.90). In contrast, being a perpetrator ("bullying others") was not associated with this type of ideation after adjustment. These findings were similar in both boys and girls, although the population impact of victimization in the prevalence of suicidal ideation was potentially higher for boys.</p> <p>Conclusions</p> <p>The strong cross-sectional association between frequent victimization and suicidal ideation in late adolescence offers an opportunity for identifying pupils in the school setting that are in a higher risk for exhibiting suicidal ideation.</p

Bullying behaviour in schools, socioeconomic position and psychiatric morbidity: a cross-sectional study in late adolescents in Greece

<p>Abstract</p> <p>Background</p> <p>Bullying is quite prevalent in the school setting and has been associated with the socioeconomic position and psychiatric morbidity of the pupils. The aim of the study was to investigate the association between bullying and socioeconomic status in a sample of Greek adolescents and to examine whether this is confounded by the presence of psychiatric morbidity, including sub-threshold forms of illness.</p> <p>Methods</p> <p>5,614 adolescents aged 16-18 years old and attending 25 senior high schools were screened and a stratified random sample of 2,427 were selected for a detailed interview. Psychiatric morbidity was assessed with a fully structured psychiatric interview, the revised Clinical Interview Schedule (CIS-R), while bullying was assessed with the revised Olweus bully/victim questionnaire. The following socio-economic variables were assessed: parental educational level and employment status, financial difficulties of the family and adolescents' school performance. The associations were investigated using multinomial logit models.</p> <p>Results</p> <p>26.4% of the pupils were involved in bullying-related behaviours at least once monthly either as victims, perpetrators or both, while more frequent involvement (at least once weekly) was reported by 4.1%. Psychiatric morbidity was associated with all types of bullying-related behaviours. No socioeconomic associations were reported for victimization. A lower school performance and unemployment of the father were significantly more likely among perpetrators, while economic inactivity of the mother was more likely in pupils who were both victims and perpetrators. These results were largely confirmed when we focused on high frequency behaviours only. In addition, being overweight increased the risk of frequent victimization.</p> <p>Conclusions</p> <p>The prevalence of bullying among Greek pupils is substantial. Perpetration was associated with some dimensions of adolescents' socioeconomic status, while victimization showed no socioeconomic associations. Our findings may add to the understanding of possible risk factors for bullying behaviours in adolescence.</p

The Hellenic emergency laparotomy study (HELAS): a prospective multicentre study on the outcomes of emergency laparotomy in Greece

Background Emergency laparotomy (EL) is accompanied by high post-operative morbidity and mortality which varies significantly between countries and populations. The aim of this study is to report outcomes of emergency laparotomy in Greece and to compare them with the results of the National Emergency Laparotomy Audit (NELA). Methods This is a multicentre prospective cohort study undertaken between 01.2019 and 05.2020 including consecutive patients subjected to EL in 11 Greek hospitals. EL was defined according to NELA criteria. Demographics, clinical variables, and post-operative outcomes were prospectively registered in an online database. Multivariable logistic regression analysis was used to identify independent predictors of post-operative mortality. Results There were 633 patients, 53.9% males, ASA class III/IV 43.6%, older than 65 years 58.6%. The most common operations were small bowel resection (20.5%), peptic ulcer repair (12.0%), adhesiolysis (11.8%) and Hartmann’s procedure (11.5%). 30-day post-operative mortality reached 16.3% and serious complications occurred in 10.9%. Factors associated with post-operative mortality were increasing age and ASA class, dependent functional status, ascites, severe sepsis, septic shock, and diabetes. HELAS cohort showed similarities with NELA patients in terms of demographics and preoperative risk. Post-operative utilisation of ICU was significantly lower in the Greek cohort (25.8% vs 56.8%) whereas 30-day post-operative mortality was significantly higher (16.3% vs 8.7%). Conclusion In this study, Greek patients experienced markedly worse mortality after emergency laparotomy compared with their British counterparts. This can be at least partly explained by underutilisation of critical care by surgical patients who are at high risk for death