111 research outputs found
Etude des performances des traitements acoustiques axialement non uniforme dans les conduits
Dans ce papier, la performance d'un tronçon traité avec une configuration segmentée axialement de matériaux absorbants a été évaluée. L'évaluation est basée sur la mesure de la matrice de diffusion multimodale par une méthode développée à l'Université de Technologie de CompiÚgne. La comparaison des différents coefficients de la matrice de diffusion et de la dissipation acoustique déduite de cette matrice pour les configurations segmenté et uniforme a permis de mettre en évidence l'influence de l'ordre de segmentation par rapport à l'emplacement de la source ainsi que l'augmentation de l'efficacité de ce type de traitement
Fluid challenges in intensive care : the FENICE study A global inception cohort study
Erratum: Fluid challenges in intensive care: the FENICE study A global inception cohort study (vol 41, pg 1529, 2015) https://doi.org/10.1007/s00134-015-4003-yFluid challenges (FCs) are one of the most commonly used therapies in critically ill patients and represent the cornerstone of hemodynamic management in intensive care units. There are clear benefits and harms from fluid therapy. Limited data on the indication, type, amount and rate of an FC in critically ill patients exist in the literature. The primary aim was to evaluate how physicians conduct FCs in terms of type, volume, and rate of given fluid; the secondary aim was to evaluate variables used to trigger an FC and to compare the proportion of patients receiving further fluid administration based on the response to the FC. This was an observational study conducted in ICUs around the world. Each participating unit entered a maximum of 20 patients with one FC. 2213 patients were enrolled and analyzed in the study. The median [interquartile range] amount of fluid given during an FC was 500 ml (500-1000). The median time was 24 min (40-60 min), and the median rate of FC was 1000 [500-1333] ml/h. The main indication for FC was hypotension in 1211 (59 %, CI 57-61 %). In 43 % (CI 41-45 %) of the cases no hemodynamic variable was used. Static markers of preload were used in 785 of 2213 cases (36 %, CI 34-37 %). Dynamic indices of preload responsiveness were used in 483 of 2213 cases (22 %, CI 20-24 %). No safety variable for the FC was used in 72 % (CI 70-74 %) of the cases. There was no statistically significant difference in the proportion of patients who received further fluids after the FC between those with a positive, with an uncertain or with a negatively judged response. The current practice and evaluation of FC in critically ill patients are highly variable. Prediction of fluid responsiveness is not used routinely, safety limits are rarely used, and information from previous failed FCs is not always taken into account.Peer reviewe
I4U Submission to NIST SRE 2018: Leveraging from a Decade of Shared Experiences
The I4U consortium was established to facilitate a joint entry to NIST
speaker recognition evaluations (SRE). The latest edition of such joint
submission was in SRE 2018, in which the I4U submission was among the
best-performing systems. SRE'18 also marks the 10-year anniversary of I4U
consortium into NIST SRE series of evaluation. The primary objective of the
current paper is to summarize the results and lessons learned based on the
twelve sub-systems and their fusion submitted to SRE'18. It is also our
intention to present a shared view on the advancements, progresses, and major
paradigm shifts that we have witnessed as an SRE participant in the past decade
from SRE'08 to SRE'18. In this regard, we have seen, among others, a paradigm
shift from supervector representation to deep speaker embedding, and a switch
of research challenge from channel compensation to domain adaptation.Comment: 5 page
I4U Submission to NIST SRE 2018: Leveraging from a Decade of Shared Experiences
The I4U consortium was established to facilitate a joint entry to NIST speaker recognition evaluations (SRE). The latest edition of such joint submission was in SRE 2018, in which the I4U submission was among the best-performing systems. SRE'18 also marks the 10-year anniversary of I4U consortium into NIST SRE series of evaluation. The primary objective of the current paper is to summarize the results and lessons learned based on the twelve subsystems and their fusion submitted to SRE'18. It is also our intention to present a shared view on the advancements, progresses, and major paradigm shifts that we have witnessed as an SRE participant in the past decade from SRE'08 to SRE'18. In this regard, we have seen, among others , a paradigm shift from supervector representation to deep speaker embedding, and a switch of research challenge from channel compensation to domain adaptation
I4U Submission to NIST SRE 2018: Leveraging from a Decade of Shared Experiences
International audienceThe I4U consortium was established to facilitate a joint entry to NIST speaker recognition evaluations (SRE). The latest edition of such joint submission was in SRE 2018, in which the I4U submission was among the best-performing systems. SRE'18 also marks the 10-year anniversary of I4U consortium into NIST SRE series of evaluation. The primary objective of the current paper is to summarize the results and lessons learned based on the twelve subsystems and their fusion submitted to SRE'18. It is also our intention to present a shared view on the advancements, progresses, and major paradigm shifts that we have witnessed as an SRE participant in the past decade from SRE'08 to SRE'18. In this regard, we have seen, among others , a paradigm shift from supervector representation to deep speaker embedding, and a switch of research challenge from channel compensation to domain adaptation
The ANTENATAL multicentre study to predict postnatal renal outcome in fetuses with posterior urethral valves: objectives and design
Abstract
Background
Posterior urethral valves (PUV) account for 17% of paediatric end-stage renal disease. A major issue in the management of PUV is prenatal prediction of postnatal renal function. Fetal ultrasound and fetal urine biochemistry are currently employed for this prediction, but clearly lack precision. We previously developed a fetal urine peptide signature that predicted in utero with high precision postnatal renal function in fetuses with PUV. We describe here the objectives and design of the prospective international multicentre ANTENATAL (multicentre validation of a fetal urine peptidome-based classifier to predict postnatal renal function in posterior urethral valves) study, set up to validate this fetal urine peptide signature.
Methods
Participants will be PUV pregnancies enrolled from 2017 to 2021 and followed up until 2023 in >30 European centres endorsed and supported by European reference networks for rare urological disorders (ERN eUROGEN) and rare kidney diseases (ERN ERKNet). The endpoint will be renal/patient survival at 2 years postnatally. Assuming αâ=â0.05, 1âÎČâ=â0.8 and a mean prevalence of severe renal outcome in PUV individuals of 0.35, 400 patients need to be enrolled to validate the previously reported sensitivity and specificity of the peptide signature.
Results
In this largest multicentre study of antenatally detected PUV, we anticipate bringing a novel tool to the clinic. Based on urinary peptides and potentially amended in the future with additional omics traits, this tool will be able to precisely quantify postnatal renal survival in PUV pregnancies. The main limitation of the employed approach is the need for specialized equipment.
Conclusions
Accurate risk assessment in the prenatal period should strongly improve the management of fetuses with PUV
I4U Submission to NIST SRE 2012: a large-scale collaborative effort for noise-robust speaker verification
The submission of I4U, is a joint effort of nine research Institutes and Universities across 4 continents for submitting speaker recognition results to NIST SRE 2012. The joint efforts were started with a brief discussion during the Odyssey 2012 workshop in Singapore. An online discussion group was soon set up afterwards, providing a discussion platform for different issues surrounding the NIST SREâ12. In particular, noisy test segments, uneven multi-session training, variable enrollment duration, and the issue of open-set identification have been actively discussed. Various solutions were put in place as part of the I4U submission. The submission of I4U as well as several individual submissions from coalition members, was found to be among top-performing systems submitted to SREâ12. This paper summarizes the system componentsâ details for 17 systems included in I4U submission
Cerebral small vessel disease genomics and its implications across the lifespan
White matter hyperintensities (WMH) are the most common brain-imaging feature of cerebral small vessel disease (SVD), hypertension being the main known risk factor. Here, we identify 27 genome-wide loci for WMH-volume in a cohort of 50,970 older individuals, accounting for modification/confounding by hypertension. Aggregated WMH risk variants were associated with altered white matter integrity (pâ=â2.5Ă10-7) in brain images from 1,738 young healthy adults, providing insight into the lifetime impact of SVD genetic risk. Mendelian randomization suggested causal association of increasing WMH-volume with stroke, Alzheimer-type dementia, and of increasing blood pressure (BP) with larger WMH-volume, notably also in persons without clinical hypertension. Transcriptome-wide colocalization analyses showed association of WMH-volume with expression of 39 genes, of which four encode known drug targets. Finally, we provide insight into BP-independent biological pathways underlying SVD and suggest potential for genetic stratification of high-risk individuals and for genetically-informed prioritization of drug targets for prevention trials.Peer reviewe
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