Design and development of a novel acoustic rain sensor with automated telemetry

This paper presents the recent results of the design of a novel acoustic rainfall sensing system that is low-cost, portable, and easily deployable, which makes use of the recorded sound produced by the impact of the raindrops on the sensor surface. The sensor design allows the gathering of acoustic signal power and sending it to a server after a specified time interval, either through SMS or mobile internet connection. It exists in a weather-proof, standard-conformant, standalone system with its own power supply and telemetric capabilities. These acoustic point sensors can gather rainfall data at high spatial and temporal resolutions. Such deployments can show the variations of rainfall intensities in subkilometer areas, particularly in the tropical regions. Since it is low-cost, it can also improve the density of rainfall measuring devices in an area. Moreover, the reliability is improved by providing near-real time data, as opposed to tipping buckets with manual data retrieval. The prototype sensor system was placed next to standard rain measuring devices and observed during the rainy season. The paper will discuss the design and deployment of the system, as well as initial results of data analysis and comparison with standard rain measuring devices

Gastrointestinal Dysfunction Criteria in Critically Ill Children: The PODIUM Consensus Conference

CONTEXT Prior criteria to define pediatric multiple organ dysfunction syndrome (MODS) did not include gastrointestinal dysfunction. OBJECTIVES Our objective was to evaluate current evidence and to develop consensus criteria for gastrointestinal dysfunction in critically ill children. DATA SOURCES Electronic searches of PubMed and EMBASE were conducted from January 1992 to January 2020, using medical subject heading terms and text words to define gastrointestinal dysfunction, pediatric critical illness, and outcomes. STUDY SELECTION Studies were included if they evaluated critically ill children with gastrointestinal dysfunction, performance characteristics of assessment/scoring tools to screen for gastrointestinal dysfunction, and assessed outcomes related to mortality, functional status, organ-specific outcomes, or other patient-centered outcomes. Studies of adults or premature infants, animal studies, reviews/commentaries, case series with sample size ≤10, and non-English language studies with inability to determine eligibility criteria were excluded. DATA EXTRACTION Data were abstracted from each eligible study into a standard data extraction form along with risk of bias assessment by a task force member. RESULTS The systematic review supports the following criteria for severe gastrointestinal dysfunction: 1a) bowel perforation, 1b) pneumatosis intestinalis, or 1c) bowel ischemia, present on plain abdominal radiograph, computed tomography (CT) scan, magnetic resonance imaging (MRI), or gross surgical inspection, or 2) rectal sloughing of gut mucosa. LIMITATIONS The validity of the consensus criteria for gastrointestinal dysfunction are limited by the quantity and quality of current evidence. CONCLUSIONS Understanding the role of gastrointestinal dysfunction in the pathophysiology and outcomes of MODS is important in pediatric critical illness

Necrotizing Enterocolitis: An Update on the Benefits of Breast Milk

Necrotizing enterocolitis (NEC) is the leading cause of death for preterm infants resulting from gastrointestinal disease. This review will focus on several components of human breast milk that may be beneficial in the prevention and treatment of NEC. The severe pathological features of NEC include inflammation, mucosal ulceration and disruption of the intestinal barrier. Despite maximal neonatal intensive care, the incidence and mortality rate of the disease remains high. Administration of breast milk, as well as donor breast milk, to preterm infants has been shown to reduce the incidence of NEC. Beyond this, there is no disease specific treatment for NEC. The immunomodulatory and protective properties of human breast milk have been evaluated in search of key components that may be utilized for the effective prevention and treatment of NEC

Radiofrequency spectroscopy of a linear array of Bose-Einstein condensates in a magnetic lattice

We report site-resolved radiofrequency spectroscopy measurements of Bose-Einstein condensates of 87Rb atoms in about 100 sites of a one-dimensional 10 micron-period magnetic lattice produced by a grooved magnetic film plus bias fields. Site-to-site variations of the trap bottom, atom temperature, condensate fraction and chemical potential indicate that the magnetic lattice is remarkably uniform, with variations in trap bottoms of only +/- 0.4 mG. At the lowest trap frequencies (radial and axial frequencies 1.5 kHz and 260 Hz, respectively), temperatures down to 0.16 microkelvin are achieved in the magnetic lattice and at the smallest trap depths (50 kHz) condensate fractions up to 80% are observed. With increasing radial trap frequency (up to 20 kHz, or aspect ratio up to about 80) large condensate fractions persist and the highly elongated clouds approach the quasi-1D Bose gas regime. The temperature estimated from analysis of the spectra is found to increase by a factor of about five which may be due to suppression of rethermalising collisions in the quasi-1D Bose gas. Measurements for different holding times in the lattice indicate a decay of the atom number with a half-life of about 0.9 s due to three-body losses and the appearance of a high temperature (about 1.5 microkelvin) component which is attributed to atoms that have acquired energy through collisions with energetic three-body decay products

A System Core Ontology for Capability Emergence Modeling

To properly understand organizational adaptation and innovation, it is critical to understand the emergence phenomenon, i.e., how the capabilities of a system emerge after changes. However, for this, we should be able to explain systems, their structure, behavior, and capabilities. In pursuit of an understanding of the emergence phenomenon and the nature of those new kinds of systems in organizations, we propose a well-founded system core ontology based on the Unified Foundational Ontology. The ontology is also grounded in system science definitions and disposition theories. For a more integrated explanation of emergence, the proposed ontology considers distinct perspectives of a system, such as its composition, structure, properties, and functions. In the end, we discuss the applications and implications of the proposed ontology on the enterprise architecture area and emergence modeling

Chromatin as alarmins in necrotizing enterocolitis

Necrotizing enterocolitis (NEC) is a severe gastrointestinal disease primarily affecting premature neonates, marked by poorly understood pro-inflammatory signaling cascades. Recent advancements have shed light on a subset of endogenous molecular patterns, termed chromatin-associated molecular patterns (CAMPs), which belong to the broader category of damage-associated molecular patterns (DAMPs). CAMPs play a crucial role in recognizing pattern recognition receptors and orchestrating inflammatory responses. This review focuses into the realm of CAMPs, highlighting key players such as extracellular cold-inducible RNA-binding protein (eCIRP), high mobility group box 1 (HMGB1), cell-free DNA, neutrophil extracellular traps (NETs), histones, and extracellular RNA. These intrinsic molecules, often perceived as foreign, have the potential to trigger immune signaling pathways, thus contributing to NEC pathogenesis. In this review, we unravel the current understanding of the involvement of CAMPs in both preclinical and clinical NEC scenarios. We also focus on elucidating the downstream signaling pathways activated by these molecular patterns, providing insights into the mechanisms that drive inflammation in NEC. Moreover, we scrutinize the landscape of targeted therapeutic approaches, aiming to mitigate the impact of tissue damage in NEC. This in-depth exploration offers a comprehensive overview of the role of CAMPs in NEC, bridging the gap between preclinical and clinical insights

Improved hole extraction selectivity of polymer solar cells by combining PEDOT:PSS with WO 3

As the device performance and stability of polymer solar cells strongly depend on the interfacial charge extraction layers, the hole transport layer (HTL) properties are crucial. Furthermore, unfavorable interactions with the electrode or the photoactive layer should be screened and prevented. Organic solar cells of conventional architecture by varying the HTL material and layer stack systematically between PEDOT:PSS and a sol–gel‐derived tungsten oxide (WO 3 ) are investigated. The impact of various HTLs in the solar cells is investigated by optical and electrical characterization. Interestingly, a triple‐layer WO 3 /PEDOT:PSS/WO 3 configuration results in the best device performance specifically compared with the use of pristine WO 3 and pristine PEDOT:PSS hole extraction layers. The triple layer also shows an increased reproducibility in the lifetime, which, combined with the improvement in the efficiency, can be the keys for expectable revenue

Comparing fully automated state-of-the-art cerebellum parcellation from magnetic resonance images

[EN] The human cerebellum plays an essential role in motor control, is involved in cognitive function (i.e., attention, working memory, and language), and helps to regulate emotional responses. Quantitative in-vivo assessment of the cerebellum is important in the study of several neurological diseases including cerebellar ataxia, autism, and schizophrenia. Different structural subdivisions of the cerebellum have been shown to correlate with differing pathologies. To further understand these pathologies, it is helpful to automatically parcellate the cerebellum at the highest fidelity possible. In this paper, we coordinated with colleagues around the world to evaluate automated cerebellum parcellation algorithms on two clinical cohorts showing that the cerebellum can be parcellated to a high accuracy by newer methods. We characterize these various methods at four hierarchical levels: coarse (i.e., whole cerebellum and gross structures), lobe, subdivisions of the vermis, and the lobules. Due to the number of labels, the hierarchy of labels, the number of algorithms, and the two cohorts, we have restricted our analyses to the Dice measure of overlap. Under these conditions, machine learning based methods provide a collection of strategies that are efficient and deliver parcellations of a high standard across both cohorts, surpassing previous work in the area. In conjunction with the rank-sum computation, we identified an overall winning method.The data collection and labeling of the cerebellum was supported in part by the NIH/NINDS grant R01 NS056307 (PI: J.L. Prince) and NIH/NIMH grants R01 MH078160 & R01 MH085328 (PI: S.H. Mostofsky). PMT is supported in part by the NIH/NIBIB grant U54 EB020403. CERES2 development was supported by grant UPV2016-0099 from the Universitat Politecnica de Valencia (PI: J.V. Manjon); the French National Research Agency through the Investments for the future Program IdEx Bordeaux (ANR-10-IDEX-03-02, HL-MRI Project; PI: P. Coupe) and Cluster of excellence CPU and TRAIL (HR-DTI ANR-10-LABX-57; PI: P. Coupe). Support for the development of LiviaNET was provided by the National Science and Engineering Research Council of Canada (NSERC), discovery grant program, and by the ETS Research Chair on Artificial Intelligence in Medical Imaging. The authors wish to acknowledge the invaluable contributions offered by Dr. George Fein (Dept. of Medicine and Psychology, University of Hawaii) in preparing this manuscript.Carass, A.; Cuzzocreo, JL.; Han, S.; Hernandez-Castillo, CR.; Rasser, PE.; Ganz, M.; Beliveau, V.... (2018). Comparing fully automated state-of-the-art cerebellum parcellation from magnetic resonance images. NeuroImage. 183:150-172. https://doi.org/10.1016/j.neuroimage.2018.08.003S15017218

A multicenter prospective phase 2 randomized study of extracorporeal photopheresis for treatment of chronic graft-versus-host disease

Abstract Chronic graft-versus-host disease (cGVHD) is a major limitation of successful hematopoietic cell transplantation. The safety and efficacy of extracorporeal photopheresis (ECP) for 12 to 24 weeks together with standard therapy was compared with standard therapy alone in patients with cutaneous manifestations of cGVHD that could not be adequately controlled by corticosteroid treatment. The primary efficacy end point was a blinded quantitative comparison of percent change from baseline in Total Skin Score (TSS) of 10 body regions at week 12. Ninety-five patients were randomized to either ECP and standard therapy (n = 48) or standard therapy alone (n = 47). The median percentage improvement in TSS at week 12 was 14.5% for the ECP arm and 8.5% for the control arm (P = .48). The proportion of patients who had at least a 50% reduction in steroid dose and at least a 25% decrease from baseline in TSS was 8.3% in the ECP arm at week 12 and 0% in the control arm (P = .04). The nonblinded investigator assessment of skin complete or partial responses revealed a significant improvement in favor of ECP (P < .001). ECP was generally well tolerated. These results suggest that ECP may have a steroid-sparing effect in the treatment of cGVHD. Clinical trials registered at www.ClinicalTrials.gov as NCT00054613

The Surgical Infection Society revised guidelines on the management of intra-abdominal infection

Background: Previous evidence-based guidelines on the management of intra-abdominal infection (IAI) were published by the Surgical Infection Society (SIS) in 1992, 2002, and 2010. At the time the most recent guideline was released, the plan was to update the guideline every five years to ensure the timeliness and appropriateness of the recommendations. Methods: Based on the previous guidelines, the task force outlined a number of topics related to the treatment of patients with IAI and then developed key questions on these various topics. All questions were approached using general and specific literature searches, focusing on articles and other information published since 2008. These publications and additional materials published before 2008 were reviewed by the task force as a whole or by individual subgroups as to relevance to individual questions. Recommendations were developed by a process of iterative consensus, with all task force members voting to accept or reject each recommendation. Grading was based on the GRADE (Grades of Recommendation Assessment, Development, and Evaluation) system; the quality of the evidence was graded as high, moderate, or weak, and the strength of the recommendation was graded as strong or weak. Review of the document was performed by members of the SIS who were not on the task force. After responses were made to all critiques, the document was approved as an official guideline of the SIS by the Executive Council. Results: This guideline summarizes the current recommendations developed by the task force on the treatment of patients who have IAI. Evidence-based recommendations have been made regarding risk assessment in individual patients; source control; the timing, selection, and duration of antimicrobial therapy; and suggested approaches to patients who fail initial therapy. Additional recommendations related to the treatment of pediatric patients with IAI have been included. Summary: The current recommendations of the SIS regarding the treatment of patients with IAI are provided in this guideline