321 research outputs found

    Comprehensive analysis of synthetic learning applied to neonatal brain MRI segmentation

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    Brain segmentation from neonatal MRI images is a very challenging task due to large changes in the shape of cerebral structures and variations in signal intensities reflecting the gestational process. In this context, there is a clear need for segmentation techniques that are robust to variations in image contrast and to the spatial configuration of anatomical structures. In this work, we evaluate the potential of synthetic learning, a contrast-independent model trained using synthetic images generated from the ground truth labels of very few subjects.We base our experiments on the dataset released by the developmental Human Connectome Project, for which high-quality T1- and T2-weighted images are available for more than 700 babies aged between 26 and 45 weeks post-conception. First, we confirm the impressive performance of a standard Unet trained on a few T2-weighted volumes, but also confirm that such models learn intensity-related features specific to the training domain. We then evaluate the synthetic learning approach and confirm its robustness to variations in image contrast by reporting the capacity of such a model to segment both T1- and T2-weighted images from the same individuals. However, we observe a clear influence of the age of the baby on the predictions. We improve the performance of this model by enriching the synthetic training set with realistic motion artifacts and over-segmentation of the white matter. Based on extensive visual assessment, we argue that the better performance of the model trained on real T2w data may be due to systematic errors in the ground truth. We propose an original experiment combining two definitions of the ground truth allowing us to show that learning from real data will reproduce any systematic bias from the training set, while synthetic models can avoid this limitation. Overall, our experiments confirm that synthetic learning is an effective solution for segmenting neonatal brain MRI. Our adapted synthetic learning approach combines key features that will be instrumental for large multi-site studies and clinical applications

    The Value of Suction Drainage Fluid Culture during Aseptic and Septic Orthopedic Surgery: A Prospective Study of 901 Patients

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    There are no guidelines on the value of suction drainage fluid culture (SDC), and it is difficult to determine whether the organisms cultured from suction drainage fluid samples are pathogenic or simply contaminants. We performed 2989 cultures of suction drainage fluid samples obtained, during a 1-year period, from 901 patients who underwent aseptic or septic orthopedic surgery (946 operations). The culture results were analyzed to evaluate their ability to detect postoperative infection after aseptic operations or to detect either a persistent or new episode of sepsis in patients known to have infection. For aseptic operations, the sensitivity of SDC was 25%, the specificity was 99%, the positive predictive value was 25%, and the negative predictive value was 99%. For septic operations, the sensitivity of SDC was 81%, the specificity was 96%, the positive predictive value was 87%, and the negative predictive value was 94%. We conclude that, for aseptic orthopedic surgery, SDC is not useful in detecting postoperative infection. However, for septic orthopedic surgery, it is of clinical importanc

    Определение расхода топлива на основе теплового баланса при нагреве тонких тел конвекцией и излучением

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    The paper shows that it is possible to determine value of fuel expenditure that is necessary to maintain the required temperature regime in a furnace on the basis of heat balance equation.The proposed methodology makes it possible to obtain an equation for calculation of immediate fuel expenditure at any time moment. The given solution of the problem takes into consideration initial and final teiręerature of metal and temperature distribution at the current time moment that significantly improves calculation accuracy.Определить величину расхода топлива,' необходимую для поддержания требуемого температурного режима в печи, можно на основе уравнения теплового баланса.Предлагаемая методика позволяет получить уравнения для расчета мгновенного расхода топлива в любой момент времени. Данный способ решения этой задачи учитывает не начальную и конечную температуры металла, а распределение температуры в текущий момент времени, что существенно повышает точность расчетов

    Determining the sequence and backbone structure of “semi-statistical” copolymers as donor–acceptor polymers in organic solar cells

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    Organic photovoltaics (OPVs) are attracting significant attention due to the growing demand for economically viable and renewable energy sources. With efficiencies exceeding 16.5%, single junction bulk heterojunction (BHJ) devices are amongst the most promising and are nearing commercialisation. One recent avenue of research has focused on statistical conjugated copolymers. However, a detailed investigation as to why these materials can achieve higher power conversion efficiencies than their regular alternating counterparts is seldom reported. This work describes an investigation into donor–acceptor polymers demonstrating how differing monomer activities can lead to differing microstructures in a simple batch reaction, which in turn demonstrates promising optoelectronic and morphological properties required for organic photovoltaic devices. A one pot condensation polymerisation reaction with three monomers leads to an ABA triblock structure from differing monomer reactivities. This structure in turn leads to visualised phase separation which is possibly linked to an increase in performance. Further to this we report on the reliability of the Stille coupling for the synthesis of conjugated polymers

    Probing host pathogen cross-talk by transcriptional profiling of both Mycobacterium tuberculosis and infected human dendritic cells and macrophages

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    This study provides the proof of principle that probing the host and the microbe transcriptomes simultaneously is a valuable means to accessing unique information on host pathogen interactions. Our results also underline the extraordinary plasticity of host cell and pathogen responses to infection, and provide a solid framework to further understand the complex mechanisms involved in immunity to M. tuberculosis and in mycobacterial adaptation to different intracellular environments

    Detailed study of N,N'-(diisopropylphenyl)- terrylene-3,4:11,12-bis(dicarboximide) as electron acceptor for solar cells application

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    We report on terrylene-3,4:11,12-bis(dicarboximide) (TDI) as electron acceptor for bulk-heterojunction solar cells using poly(3-hexyl thiophene) (P3HT) as complementary donor component. Enhanced absorption was observed in the blend compared to pure P3HT. As shown by the very efficient photoluminescence (PL) quenching, the generated excitons are collected at the interface between the donor and acceptor, where they separate into charges which we detect by photoinduced absorption and electron-spin resonance (ESR). Time-of-flight (TOF) photoconductivity measurements reveal a good electron mobility of 10-3 cm2 V-1 s-1 in the blend. Nevertheless, the photocurrent in solar cells was found to be surprisingly low. Supported by the external quantum efficiency (EQE) spectrum as well as morphological studies by way of X-ray diffraction and atomic force microscopy, we explain our observation by the formation of a TDI hole blocking layer at the anode interface which prevents the efficiently generated charges to be extracted.Comment: Original research article, 9 pages, 10 figures, 1 tabl

    Дозы облучения персонала и населения при нормальной эксплуатации пунктов захоронения радиоактивных отходов

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    This paper focuses on occupational and public exposure during operation of disposal facilities receiving liquid and solid radioactive waste of various classes and provides a comparative analysis of the relevant doses: actual and calculated at the design stage. Occupational and public exposure study presented in this paper covers normal operations of a radioactive waste disposal facility receiving waste. Results: Analysis of individual and collective occupational doses was performed based on data collected during operation of near-surface disposal facilities for short-lived intermediate-, lowand very low-level waste in France, as well as nearsurface disposal facilities for long-lived waste in Russia. Further analysis of occupational and public doses calculated at the design stage was completed covering a near-surface disposal facility in Belgium and deep disposal facilities in the United Kingdom and the Nizhne-Kansk rock massive (Russia). The results show that engineering and technical solutions enable almost complete elimination of internal occupational exposure, whereas external exposure doses would fall within the range of values typical for a basic nuclear facility. Conclusion: radioactive waste disposal facilities being developed, constructed and operated meet the safety requirements effective in the Russian Federation and consistent with relevant international recommendations. It has been found that individual occupational exposure doses commensurate with those received by personnel of similar facilities abroad. Furthermore, according to the forecasts, mean individual doses for personnel during radioactive waste disposal would be an order of magnitude lower than the dose limit of 20 mSv/year. As for the public exposure, during normal operation, potential impact is virtually impossible by delaminating boundaries of a nuclear facility sanitary protection zone inside which the disposal facility is located and can be solely attributed to the use of public roads during radioactive waste transportation to the disposal facility site. Цель работы – сравнительный анализ фактических и оцениваемых на этапе проектирования доз облучения персонала и населения при захоронении жидких радиоактивных отходов и твердых радиоактивных отходов различных классов. В рамках настоящей статьи рассматривается вариант облучения персонала и населения при нормальной эксплуатации пункта захоронения радиоактивных отходов в режиме размещения отходов. Результаты: выполнен анализ индивидуальных и коллективных доз облучения персонала при приповерхностном захоронении короткоживущих среднеактивных, низкоактивных и очень низкоактивных радиоактивных отходов во Франции, а также при приповерхностном захоронении долгоживущих радиоактивных отходов в России. Проведен анализ проектных оценок доз облучения персонала и населения для объекта приповерхностной изоляции радиоактивных отходов, планируемого к сооружению в Бельгии, а также проектируемых объектов глубинного захоронения в Великобритании и Нижнеканском массиве (Российская Федерация). Техническими и технологическими решениями удается практически полностью исключить внутреннее облучение персонала, а дозы внешнего облучения ограничить диапазоном, характерным и для базовых ядерных технологий. Заключение: планируемые к сооружению, сооружаемые и эксплуатируемые пункты захоронения удаляемых радиоактивных отходов соответствуют действующим в России требованиям безопасности, согласующимся с международными рекомендациями. Оценено, что индивидуальные дозы облучения персонала сопоставимы с данными контроля персонала аналогичных объектов в других странах. Средние индивидуальные дозы облучения персонала при захоронении радиоактивных отходов прогнозируются на порядок ниже установленного предела дозы – 20 мЗв/год. Воздействие на население при нормальной эксплуатации практически исключено установлением санитарно-защитной зоны объекта использования атомной энергии, на которой размещена установка по захоронению отходов, и возможно только при транспортировке радиоактивных отходов по дорогам общего пользования к месту расположения пункта захоронения радиоактивных отходов.

    Sexuality and Body Image After Uterine Artery Embolization and Hysterectomy in the Treatment of Uterine Fibroids: A Randomized Comparison

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    In this paper the effect of uterine artery embolization (UAE) on sexual functioning and body image is investigated in a randomized comparison to hysterectomy for symptomatic uterine fibroids. The EMbolization versus hysterectoMY (EMMY) trial is a randomized controlled study, conducted at 28 Dutch hospitals. Patients were allocated hysterectomy (n = 89) or UAE (n = 88). Two validated questionnaires (the Sexual Activity Questionnaire [SAQ] and the Body Image Scale [BIS]) were completed by all patients at baseline, 6 weeks, and 6, 12, 18, and 24 months after treatment. Repeated measurements on SAQ scores revealed no differences between the groups. There was a trend toward improved sexual function in both groups at 2 years, although this failed to reach statistical significance except for the dimensions discomfort and habit in the UAE arm. Overall quality of sexual life deteriorated in a minority of cases at all time points, with no significant differences between the groups (at 24 months: UAE, 29.3%, versus hysterectomy, 23.5%; p = 0.32). At 24 months the BIS score had improved in both groups compared to baseline, but the change was only significant in the UAE group (p = 0.009). In conclusion, at 24 months no differences in sexuality and body image were observed between the UAE and the hysterectomy group. On average, both after UAE and hysterectomy sexual functioning and body image scores improved, but significantly so only after UAE

    Radiosensitising effect of electrochemotherapy with bleomycin in LPB sarcoma cells and tumors in mice

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    BACKGROUND: Bleomycin is poorly permeant but potent cytotoxic and radiosensitizing drug. The aim of the study was to evaluate whether a physical drug delivery system – electroporation can increase radiosensitising effect of bleomycin in vitro and in vivo. METHODS: LPB sarcoma cells and tumors were treated either with bleomycin, electroporation or ionizing radiation, and combination of these treatments. In vitro, response to different treatments was determined by colony forming assay, while in vivo, treatment effectiveness was determined by local tumor control (TCD(50)). Time dependence of partial oxygen pressure in LPB tumors after application of electric pulses was measured by electron paramagnetic oxyimetry. RESULTS: Electroporation of cells in vitro increased radiosensitising effect of bleomycin for 1.5 times, in vivo radiation response of tumors was enhanced by 1.9 fold compared to response of tumors that were irradiated only. Neither treatment of tumors with bleomycin nor application of electric pulses only, affected radiation response of tumors. Application of electric pulses to the tumors induced profound but transient reduction of tumor oxygenation. Although tumor oxygenation after electroporation partially restored at the time of irradiation, it was still reduced at the level of radiobiologically relevant hypoxia. CONCLUSION: Our study shows that application of electric pulses to cells and tumors increases radiosensitising effect of bleomycin. Furthermore, our results demonstrate that the radiobiologically relevant hypoxia induced by electroporation of tumors did not counteract the pronounced radiosensitising effect of electrochemotherapy with bleomycin

    Short-term consumption of a high-fat diet increases host susceptibility to Listeria monocytogenes infection

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    peer-reviewedBackground A westernized diet comprising a high caloric intake from animal fats is known to influence the development of pathological inflammatory conditions. However, there has been relatively little focus upon the implications of such diets for the progression of infectious disease. Here, we investigated the influence of a high-fat (HF) diet upon parameters that influence Listeria monocytogenes infection in mice. Results We determined that short-term administration of a HF diet increases the number of goblet cells, a known binding site for the pathogen, in the gut and also induces profound changes to the microbiota and promotes a pro-inflammatory gene expression profile in the host. Host physiological changes were concordant with significantly increased susceptibility to oral L. monocytogenes infection in mice fed a HF diet relative to low fat (LF)- or chow-fed animals. Prior to Listeria infection, short-term consumption of HF diet elevated levels of Firmicutes including Coprococcus, Butyricicoccus, Turicibacter and Clostridium XIVa species. During active infection with L. monocytogenes, microbiota changes were further exaggerated but host inflammatory responses were significantly downregulated relative to Listeria-infected LF- or chow-fed groups, suggestive of a profound tempering of the host response influenced by infection in the context of a HF diet. The effects of diet were seen beyond the gut, as a HF diet also increased the sensitivity of mice to systemic infection and altered gene expression profiles in the liver. Conclusions We adopted a systems approach to identify the effects of HF diet upon L. monocytogenes infection through analysis of host responses and microbiota changes (both pre- and post-infection). Overall, the results indicate that short-term consumption of a westernized diet has the capacity to significantly alter host susceptibility to L. monocytogenes infection concomitant with changes to the host physiological landscape. The findings suggest that diet should be a consideration when developing models that reflect human infectious disease.This research was funded by the European Union’s Horizon 2020 Research and Innovation Program under the Marie Skłodowska-Curie grant agreement No. 641984, through funding of the List_MAPS consortium. We also acknowledge funding and support from Science Foundation Ireland (SFI) in the form of a center grant (APC Microbiome Ireland grant SFI/12/RC/2273)
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