Incidence, aetiology and pattern of mandibular fractures in central Switzerland

The two major causative factors for mandibular fractures, as stated in the literature, are either interpersonal violence or motor vehicle accidents. The purpose of this study was to describe epidemiological trends of mandibular fractures in Switzerland. A special emphasis was directed towards the potential impact of socio-economic standards on the mechanism and pattern of mandible fractures

The impact pseudotachylitic breccia controversy:Insights from first isotope analysis of Vredefort impact-generated melt rocks

Besides impact melt rock, several large terrestrial impact structures, notably the Sudbury (Canada) and Vredefort (South Africa) structures, exhibit considerable occurrences of a second type of impact-generated melt rock, so-called pseudotachylitic breccia (previously often termed “pseudotachylite” – the term today reserved in structural geology for friction melt in shear or fault zones). At the Vredefort Dome, the eroded central uplift of the largest and oldest known terrestrial impact structure, pseudotachylitic breccia is well-exposed, with many massive occurrences of tens of meters width and many hundreds of meters extent. Genesis of these breccias has been discussed variably in terms of melt formation due to friction melting, melting due to decompression after initial shock compression, decompression melting upon formation/collapse of a central uplift, or a combination of these processes. In addition, it was recently suggested that they could have formed by the infiltration of impact melt into the crater floor, coming off a coherent melt sheet and under assimilation of wall rock; even seismic shaking has been invoked. Field evidence for generation of such massive melt bodies by friction on large shear / fault zones is missing. Also, no evidence for the generation of massive pseudotachylitic breccias in rocks of low to moderate shock degree by melting upon pressure release after shock compression has been demonstrated. The efficacy of seismic shaking to achieve sufficient melting as a foundation for massive pseudotachylitic melt generation as typified by the breccias of the Sudbury and Vredefort structures has so far remained entirely speculative. The available petrographic and chemical evidence has, thus, been interpreted to favor either decompression melting (i.e., in situ generation of melt) upon central uplift collapse, or the impact melt infiltration hypothesis. Importantly, all the past clast population and chemical analyses have invariably supported an origin of these breccias from local lithologies only

EMBEDDING QUANTUM CRYPTOGRAPHY ON DSP-BOARDS

ABSTRACT Quantum cryptography is the only system for key generation that can provably not be tampered by an eavesdropper without being noticed. While its theoretical basis is already reasonably well understood, commercial application is hampered by the lack of ready-to-use embedded encryption systems. In this paper we will describe our hardware solution, developed for setting up an application oriented quantum cryptography embedded-system. QUANTUM CRYPTOGRAPHY Quantum cryptography was born in the late 60's and its intense theoretical treatment began in the 80's and lasts until now. Since then -particularly in the last decade -a huge number of papers dedicated to all aspects of quantum cryptography have been published. A good overview of quantum cryptography can be found in The first experimental realisation was reported in 1989 by C.H. Bennet et al from IBM Research. A detailed description of the first experiments can be found in Motivation (Why Quantum Cryptography?) In spite of the intense interest of researchers around the globe and especially scientists in the USA and Europe, quantum cryptography did not seem to make any essential progress with respect to commercialisation. Different causes can be identified for explanation of this fact, but the main reason was the lack of a pronounced market need. The situation has changed in the last few years. The emerging requirements for technologies stronger than public key cryptography are related to the ever-increasing availability of computing power and the expected advent of quantum computers in the next decade. Quantum computers in particular will render the public key infrastructure paradigm vulnerable, because they will be capable to decrypt in real-time secrets encoded with asymmetric cryptography. Another aspect, which also calls for stronger encryption techniques, is the presence of the global surveillance network ECHELON, maintained by the USA and its allies. (See the EC parliament report [3] for details.) It is proven, that ECHELON was not only used for politically driven espionage, but also for economic one and it has in several occasions caused drastic damages to the European economy. The quoted EC parliament report Principles of Quantum Key Distribution Quantum cryptography uses quantum mechanical effects for simultaneous generation of identical and absolutely random bit sequences at two distinct locations. These sequences are principally not accessible to a third party trying to tamper the procedure and, therefore, they can be used as keys for subsequent encryption. That's why this technology is also often referred to as Quantum Key Distribution (QKD). To operate QKD, on the one hand, a direct optical link between the two peers generating the key is required. This link can be either established through a dedicated optical fiber or through a free space line-of-sight connection. On the other hand a channel for public communication is needed, which can be a traditional network connection. The maximum distance, which can be bridged by a practical QKD system is currently limited to 20-100 km due to the unavoidable absorption and noise on the quantum channel. The maximum distance also depends on the method employed, the level of security desired and the expected performance in bits per second

Therapy decisions after diagnosis of prostate cancer in men with negative prostate MRI

Background: To investigate the clinical implications of magnetic resonance imaging (MRI) negative prostate cancer (PCa) in a cohort of men undergoing transperineal prostate biopsy. Methods: We included all men without prior diagnosis of PCa undergoing transperineal template saturation ± fusion-guided targeted biopsy of the prostate between November 2014 and March 2018. Before biopsy, all patients underwent MRI and biopsies were performed irrespective of imaging results. Baseline characteristics, imaging, biopsy results, and follow-up information were retrieved from the patient charts. Patients were classified as either MRI negative (Prostate Imaging Reporting and Data System [PIRADS] ≤ 2) or positive (PIRADS ≥ 3). ISUP grade group 1 was defined as clinically nonsignificant (nsPCa) and ≥2 as clinically significant PCa (csPCa). Primary outcome was the individual therapeutic decision after diagnosis of PCa stratified according to MRI visibility. Secondary outcomes were the sensitivity and specificity of MRI, and the urooncological outcomes after radical prostatectomy (RP). Results: From 515 patients undergoing prostate biopsy, 171 (33.2%) patients had a negative and 344 (66.8%) a positive MRI. Pathology review stratified for MRI negative and positive cases revealed nsPCa in 27 (15.8%) and 32 (9.3%) and csPCa in 26 (15.2%) and 194 (56.4%) of the patients, respectively. The rate of active treatment in the MRI negative was lower compared with the MRI positive cohort (12.3% vs. 53.2%; odd ratio [OR] = 0.12; p < 0.001). While men with negative MRI were more likely to undergo active surveillance (AS) than MRI positive patients (18.1% vs. 10.8%; OR = 1.84; p = 0.027), they rarely underwent RP (6.4% vs. 40.7%, OR = 0.10; p < 0.001). Logistic regression revealed that a negative MRI was independently protective for active treatment (OR = 0.32, p = 0.014). The specificity, sensitivity, negative, and positive predictive value of MRI for detection of csPCa were 49.2%, 88.2%, 56.4%, and 84.8%, respectively. The rate of adverse clinicopathological outcome features (pT3/4, ISUP ≥4, or prostate-specific antigen [PSA]-persistence) following RP was 4.7% for men with MRI negative compared to 17.4% for men with MRI positive PCa (OR = 3.1, p = 0.19). Conclusion: Only few men with MRI negative PCa need active cancer treatment at the time of diagnosis, while the majority opts for AS. Omitting prostate biopsies and performing a follow-up MRI may be a safe alternative to reduce the number of unnecessary interventions. Keywords: PIRADS; biopsy-naïve; imaging; invisible prostate cancer; transperineal biopsy; treatmen

External Validation and Comparison of Prostate Cancer Risk Calculators Incorporating Multiparametric Magnetic Resonance Imaging for Prediction of Clinically Significant Prostate Cancer

PURPOSE: To externally validate recently published prostate cancer risk calculators (PCa-RCs) incorporating multiparametric magnetic resonance imaging (mpMRI) for the prediction of clinically significant prostate cancer (csPCa) and compare their performance to mpMRI-naïve PCa-RCs. MATERIAL AND METHODS: Men without previous PCa diagnosis undergoing transperineal template saturation prostate biopsy with fusion-guided targeted biopsy between 11/2014 and 03/2018 in our academic tertiary referral center were identified. Any Gleason pattern ≥4 was defined to be csPCa. Predictors (age, PSA, DRE, prostate volume, family history, previous prostate biopsy and highest region of interest according to PIRADS) were retrospectively collected. Four mpMRI-PCa-RCs and two mpMRI-naïve PCa-RCs were evaluated for their discrimination, calibration and clinical net benefit using a ROC analysis, calibration plots and a decision curve analysis, respectively. RESULTS: Out of 468 men, 193 (41%) were diagnosed with csPCa. Three mpMRI-PCa-RCs showed similar discrimination with area-underneath-the-receiver-operating-characteristic-curves (AUC) from 0.83 to 0.85, which was significantly higher than the other PCa-RCs (AUCs: 0.69-0.74). Calibration-in-the-large showed minimal deviation from the true amount of csPCa by 2% for two mpMRI-PCa-RCs, while the other PCa-RCs showed worse calibration (11-27%). A clinical net benefit could only be observed for three mpMRI-PCa-RCs at biopsy thresholds ≥15%, while none of the six investigated PCa-RCs demonstrated clinical utility against a biopsy all strategy at thresholds <15%. CONCLUSIONS: Performance of the mpMRI-PCa-RCs varies, but they generally outperform mpMRI-naïve PCa-RCs in regard to discrimination, calibration and clinical usefulness. External validation in other biopsy settings is highly encouraged

Titanium based cranial reconstruction using incremental sheet forming

In this paper, we report recent work in cranial plate manufacturing using incremental sheet forming (ISF) process. With a typical cranial shape, the ISF process was used to manufacture the titanium cranial shape by using different ISF tooling solutions with and without backing plates. Detailed evaluation of the ISF process including material deformation and thinning, geometric accuracy and surface finish was conducted by using a combination of experimental testing and Finite Element (FE) simulation. The results show that satisfactory cranial shape can be achieved with sufficient accuracy and surface finish by using a feature based tool path generation method and new ISF tooling design. The results also demonstrate that the ISF based cranial reconstruction has the potential to achieve considerable lead time reduction as compared to conventional methods for cranial plate manufacturing. This outcome indicates that there is a potential for the ISF process to achieve technological advances and economic benefits as well as improvement to quality of life

Different tau species lead to heterogeneous tau pathology propagation and misfolding.

Tauopathies are a heterogeneous group of pathologies characterized by tau aggregation inside neurons. Most of them are sporadic but certain tauopathies rely on tau gene (MAPT) mutations. They particularly differ from one to another by their different neuropathological signatures e.g. lesion shapes, regions affected and molecular composition of aggregates. Six isoforms of tau exist, but they do not all co-aggregate in each tauopathy but rather have a unique signature for each one. In some tauopathies such as Alzheimer's disease (AD), tau protein aggregation follows stereotypical anatomical stages. Recent data suggest that this progression is due to an active process of tau protein propagation from neuron-to-neuron. We wondered how tau isoforms or mutations could influence the process of tau aggregation and tau propagation. In human neuropathological material, we found that MAPT mutations induce a faster misfolding compared to tau found in sporadic AD patients. In the rat brain, we observed cell-to-cell transfer of non-pathological tau species irrespective of the tested isoform or presence of a mutation. By contrast, we found that the species of tau impact the propagation of tau pathology markers such as hyperphosphorylation and misfolding. Indeed, misfolding and hyperphosphorylated tau proteins do not spread at the same rate when tau is mutated, or the isoform composition is modified. These results clearly argue for the existence of specific folding properties of tau depending on isoforms or mutations impacting the behavior of pathological tau species