3,484 research outputs found

    Literature review of the mechanisms of acute kidney injury secondary to acute liver injury

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    People exposed to liver ischaemia reperfusion (IR) injury often develop acute kidney injury and the combination is associated with significant morbidity and mortality. Molecular mediators released by the liver in response to IR injury are the likely cause of acute kidney injury (AKI) in this setting, but the mediators have not yet been identified. Identifying the mechanism of injury will allow the identification of therapeutic targets which may modulate both liver IR injury and AKI following liver IR injury

    Active Sampling-based Binary Verification of Dynamical Systems

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    Nonlinear, adaptive, or otherwise complex control techniques are increasingly relied upon to ensure the safety of systems operating in uncertain environments. However, the nonlinearity of the resulting closed-loop system complicates verification that the system does in fact satisfy those requirements at all possible operating conditions. While analytical proof-based techniques and finite abstractions can be used to provably verify the closed-loop system's response at different operating conditions, they often produce conservative approximations due to restrictive assumptions and are difficult to construct in many applications. In contrast, popular statistical verification techniques relax the restrictions and instead rely upon simulations to construct statistical or probabilistic guarantees. This work presents a data-driven statistical verification procedure that instead constructs statistical learning models from simulated training data to separate the set of possible perturbations into "safe" and "unsafe" subsets. Binary evaluations of closed-loop system requirement satisfaction at various realizations of the uncertainties are obtained through temporal logic robustness metrics, which are then used to construct predictive models of requirement satisfaction over the full set of possible uncertainties. As the accuracy of these predictive statistical models is inherently coupled to the quality of the training data, an active learning algorithm selects additional sample points in order to maximize the expected change in the data-driven model and thus, indirectly, minimize the prediction error. Various case studies demonstrate the closed-loop verification procedure and highlight improvements in prediction error over both existing analytical and statistical verification techniques.Comment: 23 page

    Cerebral MRI on fetuses submitted to repeated cocaine administration during the gestation: an ovine model

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    The aim of this study was to determine the role of Magnetic Resonance Imaging (MRI) in investigating fetal cerebral lesions induced by long term exposure to cocaine during sheep pregnancy. Cerebral Magnetic Resonance Imaging was performed on two groups of fetuses at 125 days of gestation (normal gestation: 145 days). The control group consisted of eight fetuses of four pregnant ewes. The study group consisted of eight fetuses of four pregnant ewes receiving daily 140 mg/kg injection of cocaine from day 60 until delivery. The following MR sequences were applied: T1-weighted FLASH, and T2-weighted Fast-Spin-Echo. Cerebral images were evaluated semi quantitatively using the following criteria: Heterogenicity, contrast between grey and white matter, contours irregularity, hyposignal, lateral ventricle sizes. The brightness distribution and homogenicity of the images were analysed by means of edge pair distributions using a new computerized method originally designed for ultrasound images analysis developed by Ultrasight inc (USA). (1) Flash T1: Heterogenic areas and irregular contours were more frequent in cocaine exposed fetuses. The contrast between grey and white matter was more important in the cocaine group. Hyposignal was found only in the cocaine group. Enlarged lateral ventricle occurred more frequently in the cocaine group. (2) Spin echo T2: The contrast between grey and white matter was higher and the contours of the brain more irregular in the cocaine group. Heterogenicity and hyposignal were also more frequent in this group but the difference with the control group was not significant. The computerized analysis of the contrast density on the cerebral images showed that 88% of the areas exceeding the reference level concerned the cocaine group, while only 14% of the areas exceeding the reference level concerned the control group. Long term exposure to cocaine induces cerebral tissue modifications, in favor of an advanced maturation and the development of hypoxic lesions. The histology of the brains confirmed in the cocaine group, the existence of hypoxic lesions with gliosis, perivascular edema and hemorrhages, and neuronal death

    A 55-Year Time Series Station for Primary Production in the Adriatic Sea: Data Correction, Extraction of Photosynthesis Parameters and Regime Shifts

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    In 1962, a series of in situ primary production measurements began in the Adriatic Sea, at a station near the island of Vis. To this day, over 55 years of monthly measurements through the photic zone have been accumulated, including close to 3000 production measurements at different depths. The measurements are conducted over a six-hour period around noon, and the average production rate extrapolated linearly over day length to calculate daily production. Here, a non-linear primary production model is used to correct these estimates for potential overestimation of daily production due to linear extrapolation. The assimilation numbers are recovered from the measured production profiles and subsequently used to model production at depth. Using the recovered parameters, the model explained 87% of variability in measured normalized production at depth. The model is then used to calculate daily production at depth, and it is observed to give on average 20% lower daily production at depth than the estimates based on linear extrapolation. Subsequently, water column production is calculated, and here, the model predicted on average 26% lower water column production. With the recovered parameters and the known magnitude of the overestimation, the time-series of water column production is then re-established with the non-linearly-corrected data. During this 55-year period, distinct regimes were observed, which were classified with a regime shift detection method. It is then demonstrated how the recovered parameters can be used in a remote sensing application. A seasonal cycle of the recovered assimilation number is constructed along with the seasonal cycle of remotely-sensed chlorophyll. The two are then used to model the seasonal cycle of water column production. An upper and a lower bound on the seasonal cycle of water column production based on remotely-sensed chlorophyll data are then presented. Measured water column production was found to be well within the range of remotely-sensed estimates. With this work, the utility of in situ measurements as a means of providing information on the assimilation number is presented and its application as a reference for remote sensing models highlighted

    Sensitivity of shelf sea marine ecosystems to temporal resolution of meteorological forcing

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    Phytoplankton phenology and the length of the growing season have implications that cascade through trophic levels and ultimately impact the global carbon flux to the seafloor. Coupled hydrodynamic‐ecosystem models must accurately predict timing and duration of phytoplankton blooms in order to predict the impact of environmental change on ecosystem dynamics. Meteorological conditions, such as solar irradiance, air temperature and wind‐speed are known to strongly impact the timing of phytoplankton blooms. Here, we investigate the impact of degrading the temporal resolution of meteorological forcing (wind, surface pressure, air and dew point temperatures) from 1‐24 hours using a 1D coupled hydrodynamic‐ecosystem model at two contrasting shelf‐sea sites: one coastal intermediately stratified site (L4) and one offshore site with constant summer stratification (CCS). Higher temporal resolutions of meteorological forcing resulted in greater wind stress acting on the sea surface increasing water column turbulent kinetic energy. Consequently, the water column was stratified for a smaller proportion of the year producing a delayed onset of the spring phytoplankton bloom by up to 6 days, often earlier cessation of the autumn bloom, and shortened growing season of up to 23 days. Despite opposing trends in gross primary production between sites, a weakened microbial loop occurred with higher meteorological resolution due to reduced dissolved organic carbon production by phytoplankton caused by differences in resource limitation: light at CCS and nitrate at L4. Caution should be taken when comparing model runs with differing meteorological forcing resolutions. Recalibration of hydrodynamic‐ecosystem models may be required if meteorological resolution is upgraded

    Qualitative evaluation of a preventive intervention for the offspring of parents with a history of depression

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    Background: Meta-analyses of randomised controlled trials suggest that psychological interventions to reduce children’s risk of depression are effective. Nevertheless, these effects are modest and diminish over time. The Medical Research Council recommends a mixed-methods approach to the evaluation of complex interventions. By gaining a more thorough understanding of participants’ perspectives, qualitative evaluations of preventive interventions could improve their efficacy, longevity and transfer into clinical practice. Methods: 18 parents and 22 children who had received a 12-session family- and group-based cognitivebehavioural intervention to prevent youth depression as part of a randomised controlled trial took part in semistructured interviews or a focus group about aspects which had been perceived as helpful, elements they were still using after the intervention had ended, and suggestions they had for improving the intervention. Results: The chance to openly share and discuss their experiences of depression within and between families was considered helpful by both children and parents. Children benefitted the most from learning coping strategies for dealing with stress and many still used them in everyday life. Parents profited mostly from increasing positive family time, but noted that maintaining new routines after the end of the intervention proved difficult. Participants were generally content with the intervention but commented on how tiring and time consuming it was. Conclusions: Managing parents’ expectations of family-based interventions in terms of their own mental health needs (versus those of their children) and leaving more room for open discussions may result in interventions which are more appealing to participating families. Increasing intervals between sessions may be one means of improving the longevity of interventions. Trial registration: The original RCT this evaluation is a part of was registered under NCT02115880
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