23 research outputs found
Four‐dimensional‐STEM analysis of the phyllosilicate‐rich matrix of Ryugu samples
Ryugu asteroid grains brought back to the Earth by the Hayabusa2 space mission are pristine samples containing hydrated minerals and organic compounds. Here, we investigate the mineralogy of their phyllosilicate-rich matrix with four-dimensional scanning transmission electron microscopy (4D-STEM). We have identified and mapped the mineral phases at the nanometer scale (serpentine, smectite, pyrrhotite), observed the presence of Ni-bearing pyrrhotite, and identified the serpentine polymorph as lizardite, in agreement with the reported aqueous alteration history of Ryugu. Furthermore, we have mapped the d-spacings of smectite and observed a broad distribution of values, ranging from 1 to 2 nm, with an average d-spacing of 1.24 nm, indicating significant heterogeneity within the sample. Such d-spacing variability could be the result of either the presence of organic matter trapped in the interlayers or the influence of various geochemical conditions at the submicrometer scale, suggestive of a range of organic compounds and/or changes in smectite crystal chemistry
Population Impact and Efficiency of Improvements to HIV PrEP Under Conditions of High ART Coverage Among San Francisco Men Who Have Sex With Men.
Machine and deep learning methods for detection and mapping of coastal wetlands of Crozon Peninsula (Brittany, France) used metric and sub-metric spatial resolution
International audienceWetlands are one of the most important ecosystems in the world. Today, however, their fate is under serious threat, and their alarming decline highlights the urgent need to preserve these areas rich in biodiversity. The aim of this work is to spatially map and mapping the wetlands of the Crozon peninsula in Brittany France. The methodology is divided into two parts; the first part is to map the wetlands as a whole, while the second part is to mapping the wetlands using a adapted typology. Several databases were used to spatialise the wetlands: 12 Sentinel-2 images in L3A format, 23 Sentinel-1 VV and VH images and the RGE Alti (DTM at 1 metre resolution). The images were processed and stacked alone or in synergy. A random forest (RF) machine learning algorithm was then trained to predict wetlands in our study area using binary training data. The training data were obtained from a wetland inventory conducted in Brittany, distributed at the scale of a Sentinel-2 tile (30UUU). Post-processing was then carried out on the best result: binary morphological erosion and thresholding based on the DTM to remove outliers. We carried out two classifications, which we later merged. The classifications were carried out using a Pleiades time series (5 dates) to achieve a very fine scale classification. A classification of 13 land cover classes with 6 different wetland types (mudflats, salt marshes, coastal lagoons, wet meadows, wet forest, swamps/bogs) was performed using three methods: pixel-by-pixel random forest, object-based random forest and convolutional neural network (CNN). The best results obtained was for the pixel-based classification: kappa = 0.89, overall accuracy = 0.90, F1-score = 0.90
State of the art on nuclear heating measurement methods and expected improvements in zero power research reactors
The paper focuses on the recent methodological advances suitable for nuclear heating measurements in zero power research reactors. This bibliographical work is part of an experimental approach currently in progress at CEA Cadarache, aiming at optimizing photon heating measurements in low-power research reactors. It provides an overview of the application fields of the most widely used detectors, namely thermoluminescent dosimeters (TLDs) and optically stimulated luminescent dosimeters. Starting from the methodology currently implemented at CEA, the expected improvements relate to the experimental determination of the neutron component, which is a key point conditioning the accuracy of photon heating measurements in mixed n–γ field. A recently developed methodology based on the use of 7Li and 6Li-enriched TLDs, precalibrated both in photon and neutron fields, is a promising approach to deconvolute the two components of nuclear heating. We also investigate the different methods of optical fiber dosimetry, with a view to assess the feasibility of online photon heating measurements, whose primary benefit is to overcome constraints related to the withdrawal of dosimeters from the reactor immediately after irradiation. Moreover, a fibered setup could allow measuring the instantaneous dose rate during irradiation, as well as the delayed photon dose after reactor shutdown. Some insights from potential further developments are given. Obviously, any improvement of the technique has to lead to a measurement uncertainty at least equal to that of the currently used methodology (∼5% at 1σ)
How to distinguish Guillain-Barré syndrome from nitrous oxide-induced neuropathy: A 2-year, multicentric, retrospective study
International audienceBackground: Recreational use of nitrous oxide (N2O) has dramatically increased in recent years, resulting in numerous cases of acute sensorimotor tetraparesis secondary to nitrous oxide-induced neuropathy (N2On). Challenging clinical features can mimic Guillain-Barré syndrome (GBS), the main differential diagnosis upon admission. The most sensitive biomarkers for distinguishing between these two conditions remain to be determined. Methods: Fifty-eight N2On patients from three referral centers were retrospectively included over a 2-year period and compared to GBS patients hospitalized during the same timeframe (47 patients). Collected demographic, clinical, biological, and electrophysiological data were compared between the two groups. Results: The typical N2On clinical pattern included distal sensorimotor deficit in lower limbs with absent reflexes, proprioceptive ataxia, and no cranial involvement (56.7% of our cohort). Misleading GBS-like presentations were found in 14 N2On patients (24.1%), and 13 patients (22.4%) did not report N2O use during initial interview. Only half the N2On patients presented with reduced vitamin B12 serum levels upon admission. A slightly increased cut-off (<200 pmol/L) demonstrated 85.1% sensitivity and 84.5% specificity in distinguishing N2On from GBS. Only 6.9% of N2On patients met the criteria for primary demyelination (p < 0.01), with only one presenting conduction blocks. A diagnostic algorithm combining these two biomarkers successfully classified all GBS-like N2On patients. Conclusions: Vitamin B12 serum level < 200 pmol/L cut-off and conduction blocks in initial electrophysiological study are the two most sensitive biomarkers for rapidly distinguishing N2On from GBS patients. These two parameters are particularly useful in clinically atypical N2On with GBS-like presentation
Making sense of the French public hospital system: a network-based approach to hospital clustering using unsupervised learning methods
International audienceBackground: Hospitals in the public and private sectors tend to join larger organizations to form hospital groups. This increasingly frequent mode of functioning raises the question of how countries should organize their health system, according to the interactions already present between their hospitals. The objective of this study was to identify distinctive profiles of French hospitals according to their characteristics and their role in the French hospital network. Methods: Data were extracted from the national hospital database for year 2016. The database was restricted to public hospitals that practiced medicine, surgery or obstetrics. Hospitals profiles were determined using the k-means method. The variables entered in the clustering algorithm were: the number of stays, the effective diversity of hospital activity, and a network-based mobility indicator (proportion of stays followed by another stay in a different hospital of the same Regional Hospital Group within 90 days). Results: Three hospital groups were identified by the clustering algorithm. The first group was constituted of 34 large hospitals (median 82,100 annual stays, interquartile range 69,004-117,774) with a very diverse activity. The second group contained medium-sized hospitals (with a median of 258 beds, interquartile range 164-377). The third group featured less diversity regarding the type of stay (with a mean of 8 effective activity domains, standard deviation 2.73), a smaller size and a higher proportion of patients that subsequently visited other hospitals (11%). The most frequent type of patient mobility occurred from the hospitals in group 2 to the hospitals in group 1 (29%). The reverse direction was less frequent (19%). Conclusions: The French hospital network is organized around three categories of public hospitals, with an unbalanced and disassortative patient flow. This type of organization has implications for hospital planning and infectious diseases control
Population Impact and Efficiency of Improvements to HIV PrEP Under Conditions of High ART Coverage Among San Francisco Men Who Have Sex With Men
BackgroundKey components of Ending the HIV Epidemic (EHE) plan include increasing HIV antiretroviral therapy (ART) and HIV pre-exposure prophylaxis (PrEP) coverage. One complication to addressing this service delivery challenge is the wide heterogeneity of HIV burden and health care access across the United States. It is unclear how the effectiveness and efficiency of expanded PrEP will depend on different baseline ART coverage.MethodsWe used a network-based model of HIV transmission for men who have sex with men (MSM) in San Francisco. Model scenarios increased varying levels of PrEP coverage relative under current empirical levels of baseline ART coverage and 2 counterfactual levels. We assessed the effectiveness of PrEP with the cumulative percentage of infections averted (PIA) over the next decade and efficiency with the number of additional person-years needed to treat (NNT) by PrEP required to avert one HIV infection.ResultsIn our projections, only the highest levels of combined PrEP and ART coverage achieved the EHE goals. Increasing PrEP coverage up to 75% showed that PrEP effectiveness was higher at higher baseline ART coverage. Indeed, the PIA was 61% in the lowest baseline ART coverage population and 75% in the highest. The efficiency declined with increasing ART (NNT range from 41 to 113).ConclusionsImproving both PrEP and ART coverage would have a synergistic impact on HIV prevention even in a high baseline coverage city such as San Francisco. Efforts should focus on narrowing the implementation gaps to achieve higher levels of PrEP retention and ART sustained viral suppression
Characterization of gamma field in the JSI TRIGA reactor
Research reactors such as the “Jožzef Stefan” Institute TRIGA reactor have primarily been designed for experimentation and sample irradiation with neutrons. However recent developments in incorporating additional instrumentation for nuclear power plant support and with novel high flux material testing reactor designs, γ field characterization has become of great interest for the characterization of the changes in operational parameters of electronic devices and for the evaluation of γ heating of MTR’s structural materials in a representative reactor Γ spectrum.
In this paper, we present ongoing work on γ field characterization both experimentally, by performing γ field measurements, and by simulations, using Monte Carlo particle transport codes in conjunction with R2S methodology for delayed γ field characterization
Characterization of gamma field in the JSI TRIGA reactor
Research reactors such as the “Jožzef Stefan” Institute TRIGA reactor have primarily been designed for experimentation and sample irradiation with neutrons. However recent developments in incorporating additional instrumentation for nuclear power plant support and with novel high flux material testing reactor designs, γ field characterization has become of great interest for the characterization of the changes in operational parameters of electronic devices and for the evaluation of γ heating of MTR’s structural materials in a representative reactor Γ spectrum.
In this paper, we present ongoing work on γ field characterization both experimentally, by performing γ field measurements, and by simulations, using Monte Carlo particle transport codes in conjunction with R2S methodology for delayed γ field characterization