Relationship between blood remifentanil concentration and stress hormone levels during pneumoperitoneum in patients undergoing laparoscopic cholecystectomy

The effect of remifentanil on stress response to surgery is unclear. However, there are not clinical studies investigating the relationship between blood remifentanil concentrations and stress hormones. Therefore, the aim of the present study was to assess the association between blood remifentanil concentrations measured after pneumoperitoneum and cortisol (CORT) or prolactin (PRL) ratio (intraoperative/preoperative value), in patients undergoing laparoscopic cholecystectom

Compositionality for Quantitative Specifications

We provide a framework for compositional and iterative design and verification of systems with quantitative information, such as rewards, time or energy. It is based on disjunctive modal transition systems where we allow actions to bear various types of quantitative information. Throughout the design process the actions can be further refined and the information made more precise. We show how to compute the results of standard operations on the systems, including the quotient (residual), which has not been previously considered for quantitative non-deterministic systems. Our quantitative framework has close connections to the modal nu-calculus and is compositional with respect to general notions of distances between systems and the standard operations

Landmark detection in 2D bioimages for geometric morphometrics: a multi-resolution tree-based approach

The detection of anatomical landmarks in bioimages is a necessary but tedious step for geometric morphometrics studies in many research domains. We propose variants of a multi-resolution tree-based approach to speed-up the detection of landmarks in bioimages. We extensively evaluate our method variants on three different datasets (cephalometric, zebrafish, and drosophila images). We identify the key method parameters (notably the multi-resolution) and report results with respect to human ground truths and existing methods. Our method achieves recognition performances competitive with current existing approaches while being generic and fast. The algorithms are integrated in the open-source Cytomine software and we provide parameter configuration guidelines so that they can be easily exploited by end-users. Finally, datasets are readily available through a Cytomine server to foster future research

Proving the Equivalence of Microstep and Macrostep Semantics

Abstract. Recently, an embedding of the synchronous programming language Quartz (an Esterel variant) in the theorem prover HOL has been presented. This embedding is based on control flow predicates that refer to macrosteps of the pro-grams. The original semantics of synchronous languages like Esterel is however normally given at the more detailed microstep level. This paper describes how a variant of the Esterel microstep semantics has been defined in HOL and how its equivalence to the control flow predicate semantics has been proved. Beneath proving the equivalence of the micro- and macrostep semantics, the work pre-sented here is also an important extension of the existing embedding: While rea-soning at the microstep level is not necessary for code generation, it is sometimes advantageous for understanding programs, as some effects like schizophrenia or causality problems become only visible at the microstep level.

A foundation for runtime monitoring

Runtime Verification is a lightweight technique that complements other verification methods in an effort to ensure software correctness. The technique poses novel questions to software engineers: it is not easy to identify which specifications are amenable to runtime monitor-ing, nor is it clear which monitors effect the required runtime analysis correctly. This exposition targets a foundational understanding of these questions. Particularly, it considers an expressive specification logic (a syntactic variant of the modal μ-calculus) that is agnostic of the verification method used, together with an elemental framework providing an operational semantics for the runtime analysis performed by monitors. The correspondence between the property satisfactions in the logic on the one hand, and the verdicts reached by the monitors performing the analysis on the other, is a central theme of the study. Such a correspondence underpins the concept of monitorability, used to identify the subsets of the logic that can be adequately monitored for by RV. Another theme of the study is that of understanding what should be expected of a monitor in order for the verification process to be correct. We show how the monitor framework considered can constitute a basis whereby various notions of monitor correctness may be defined and investigated.peer-reviewe

Cell-free DNA analysis in healthy individuals by next-generation sequencing: a proof of concept and technical validation study.

Pre-symptomatic screening of genetic alterations might help identify subpopulations of individuals that could enter into early access prevention programs. Since liquid biopsy is minimally invasive it can be used for longitudinal studies in healthy volunteers to monitor events of progression from normal tissue to pre-cancerous and cancerous condition. Yet, cell-free DNA (cfDNA) analysis in healthy individuals comes with substantial challenges such as the lack of large cohort studies addressing the impact of mutations in healthy individuals or the low abundance of cfDNA in plasma. In this study, we aimed to investigate the technical feasibility of cfDNA analysis in a collection of 114 clinically healthy individuals. We first addressed the impact of pre-analytical factors such as cfDNA yield and quality on sequencing performance and compared healthy to cancer donor samples. We then confirmed the validity of our testing strategy by evaluating the mutational status concordance in matched tissue and plasma specimens collected from cancer patients. Finally, we screened our group of healthy donors for genetic alterations, comparing individuals who did not develop any tumor to patients who developed either a benign neoplasm or cancer during 1-10 years of follow-up time. To conclude, we have established a rapid and reliable liquid biopsy workflow that allowed us to study genomic alterations with a limit of detection as low as 0.08% of variant allelic frequency in healthy individuals. We detected pathogenic cancer mutations in four healthy donors that later developed a benign neoplasm or invasive breast cancer up to 10 years after blood collection. Even though larger prospective studies are needed to address the specificity and sensitivity of liquid biopsy as a clinical tool for early cancer detection, systematic screening of healthy individuals will help understanding early events of tumor formation

A Foundation for Runtime Monitoring

Runtime Verification is a lightweight technique that complements other verification methods in an effort to ensure software correctness. The technique poses novel questions to software engineers: it is not easy to identify which specifications are amenable to runtime monitoring, nor is it clear which monitors effect the required runtime analysis correctly. This exposition targets a foundational understanding of these questions. Particularly, it considers an expressive specification logic (a syntactic variant of the mmucalc) that is agnostic of the verification method used, together with an elemental framework providing an operational semantics for the runtime analysis performed by monitors. The correspondence between the property satisfactions in the logic on the one hand, and the verdicts reached by the monitors performing the analysis on the other, is a central theme of the study. Such a correspondence underpins the concept of monitorability, used to identify the subsets of the logic that can be adequately monitored for by RV. Another theme of the study is that of understanding what should be expected of a monitor in order for the verification process to be correct. We show how the monitor framework considered can constitute a basis whereby various notions of monitor correctness may be defined and investigated

A mycobacterial disease is associated with the silent mass mortality of the pen shell Pinna nobilis along the Tyrrhenian coastline of Italy

Disease is an increasing threat for marine bivalves worldwide. Recently, a mass mortality event (MME) impacting the bivalve Pinna nobilis was detected across a wide geographical area of the Spanish Mediterranean Sea and linked to a haplosporidian parasite. In 2017–2018, mass mortality events affecting the pen shell Pinna nobilis were recorded in two different regions of Italy, Campania and Sicily, in the Tyrrhenian Sea (Mediterranean Sea). Histopathological and molecular examinations of specimens showed the presence of Haplosporidium sp. in only one specimen in one area. Conversely, in all of the surveyed moribund animals, strong inflammatory lesions at the level of connective tissue surrounding the digestive system and gonads and linked to the presence of intracellular Zhiel-Neelsen-positive bacteria were observed. Molecular analysis of all of the diseased specimens (13) confirmed the presence of a Mycobacterium. Blast analysis of the sequences from all of the areas revealed that they were grouped together with the human mycobacterium M. sherrisii close to the group including M. shigaense, M. lentiflavum and M. simiae. Based on pathological and molecular findings, it is proposed that a mycobacterial disease is associated with the mortality episodes of Pinna nobilis, indicating that, at this time, Haplosporidium sp. is not responsible for these events in Campanian and Sicilian waters.info:eu-repo/semantics/publishedVersio