74 research outputs found

    Using FPGAs to prototype a self-timed floating point co-processor

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    Journal ArticleSelf- timed circuits offer advantages over their synchronously clocked counterparts in a number of situations. However, self-timed design techniques are not widely used at present for a variety of reasons. One reason for the lack of experimentation with self-timed systems is the lack of commercially available parts to support this style of design. Field programmable gate arrays (FPGAs) offer an excellent alternative for the rapid development of novel system designs provided suitable circuit structures can be implemented. This paper describes a self-timed floating point co-processor built using a combination of Actel Field Programmable Gate Arrays (FPGAs) and semi-custom CMOS chips. This co-processor implements IEEE standard single precision floating point operations on 32-bit values. The control is completely self-timed. Data moves between parts of the circuit according to local constraints only: there is no global clock or global control circuit

    Aortic valve replacement in octogenarians

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    <p>Abstract</p> <p>Background and Aims</p> <p>As our population ages and life expectancy increases the number of people aged over 80 and more referred for cardiac surgery is growing. This study sought to identify the outcome of aortic valve replacement (AVR) in octogenarians.</p> <p>Methods</p> <p>68 patients aged 80 years or more underwent AVR at the Freeman Hospital, between April 2001 and April 2004. A retrospective review of the notes and outcomes from the patients' GP and the NHS strategic tracking service was performed. 54% (37) underwent isolated AVR whilst 46% (31) underwent combined AVR and CABG.</p> <p>Results</p> <p>Follow up was 100% complete. The mean age was 83.1 ± s.d. 2.9 years, a mean gradient of 83 ± s.d. 31 mmHg and mean AVA of 0.56 cm<sup>2</sup>. The mean additive EuroSCORE was 8.6 ± s.d. 1.2, the logistic EuroSCORE mean 12.0 ± s.d. 5.9. In hospital 30 day mortality was 13 %. Survival was 80% at 1 year and 78% at 2 years. Median follow up was for 712 days. Stepwise logistic regression identified chronic obstructive airways disease as an independent predictor of mortality (p < 0.05). Survival was not adversely affected by the addition of coronary artery bypass grafts to aortic valve replacement, the presence of peripheral vascular disease, hypertension or diabetes. In this study duration of cross clamp or bypass time were not found to reach significance as independent predictors of mortality.</p> <p>Conclusion</p> <p>Our study demonstrates that the operative mortality for AVR in the over eighties is good, whilst the mid to long term outcome is excellent There is a very low attrition rate with those undergoing the procedure living as long than their age matched population. This study confirms AVR is a safe, acceptable treatment for octogenarians with excellent mid term outcomes.</p

    Asynchronous Embryonics with Reconfiguration

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    As embryonic arrays take inspiration from nature they display biological properties, namely complex structure and fault-tolerance. However, hardware implementations have yet to take advantage of a further biological feature at a fundamental level; asynchronous operation. Scalability and reliability are seen as two areas in which embryonic arrays could benefit from asynchronous design. This paper builds upon a previous asynchronous embryonic architecture simulation. The addition of a two-fold reconfiguration strategy that provides fault-tolerance is detailed. The simulation&apos;s design is similar to that of a macromodule library that has been implemented using Xilinx Virtex FPGAs, bringing the possibility of truly asynchronous embryonic circuits a step closer

    Artificial Intelligence for Automatic Measurement of Left Ventricular Strain in Echocardiography

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    Objectives This study sought to examine if fully automated measurements of global longitudinal strain (GLS) using a novel motion estimation technology based on deep learning and artificial intelligence (AI) are feasible and comparable with a conventional speckle-tracking application. Background GLS is an important parameter when evaluating left ventricular function. However, analyses of GLS are time consuming and demand expertise, and thus are underused in clinical practice. Methods In this study, 200 patients with a wide range of left ventricle (LV) function were included. Three standard apical cine-loops were analyzed using the AI pipeline. The AI method measured GLS and was compared with a commercially available semiautomatic speckle-tracking software (EchoPAC v202, GE Healthcare. Results The AI method succeeded to both correctly classify all 3 standard apical views and perform timing of cardiac events in 89% of patients. Furthermore, the method successfully performed automatic segmentation, motion estimates, and measurements of GLS in all examinations, across different cardiac pathologies and throughout the spectrum of LV function. GLS was −12.0 ± 4.1% for the AI method and −13.5 ± 5.3% for the reference method. Bias was −1.4 ± 0.3% (95% limits of agreement: 2.3 to −5.1), which is comparable with intervendor studies. The AI method eliminated measurement variability and a complete GLS analysis was processed within 15 s. Conclusions Through the range of LV function this novel AI method succeeds, without any operator input, to automatically identify the 3 standard apical views, perform timing of cardiac events, trace the myocardium, perform motion estimation, and measure GLS. Fully automated measurements based on AI could facilitate the clinical implementation of GLS
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