40 research outputs found

    Fetal brain magnetic resonance imaging findings predict neurodevelopment in children with tuberous sclerosis complex

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    Objective: To correlate fetal brain magnetic resonance imaging (MRI) findings with epilepsy characteristics and neurodevelopment at 2 years of age in children with tuberous sclerosis complex (TSC) to improve prenatal counseling. Study design: This retrospective cohort study was performed in a collaboration between centers of the EPISTOP consortium. We included children with definite TSC, fetal MRIs, and available follow-up data at 2 years of age. A pediatric neuroradiologist masked to the patient's clinical characteristics evaluated all fetal MRIs. MRIs were categorized for each of the 10 brain lobes as score 0: no (sub)cortical lesions or doubt; score 1: a single small lesion; score 2: more than one small lesion or at least one large lesion (&gt;5 mm). Neurologic manifestations were correlated to lesion sum scores. Results: Forty-one children were included. Median gestational age at MRI was 33.3 weeks; (sub)cortical lesions were detected in 97.6%. Mean lesion sum score was 4.5. At 2 years, 58.5% of patients had epilepsy and 22% had drug-resistant epilepsy. Cognitive, language, and motor development were delayed in 38%, 81%, and 50% of patients, respectively. Autism spectrum disorder (ASD) was diagnosed in 20.5%. Fetal MRI lesion sum scores were significantly associated with cognitive and motor development, and with ASD diagnosis, but not with epilepsy characteristics. Conclusions: Fetal cerebral lesion scores correlate with neurodevelopment and ASD at 2 years in children with TSC.</p

    Understanding eParticipation services in indonesian local government

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    Published version of a chapter in the book: Information and Communication Technology. Also available from the publisher at: http://dx.doi.org/10.1007/978-3-642-55032-4_32This study aims at understanding how local government from a developing country, in this case Indonesia, implement and manage eParticipation services. In doing so, we combine institutional theory and stakeholder theory to build a sharper analytical lens. From an interpretive case study in the city of Yogyakarta, we reveal the institutionalization process of the services since their inception and identify major stakeholders and their salience. Based on our findings, we propose implications for practice and suggest implications for further research. Future work, based on a multiple case strategy including several eParticipation cases from other parts of Indonesia, will further explore the findings reported here

    Diving into the vertical dimension of elasmobranch movement ecology

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    Knowledge of the three-dimensional movement patterns of elasmobranchs is vital to understand their ecological roles and exposure to anthropogenic pressures. To date, comparative studies among species at global scales have mostly focused on horizontal movements. Our study addresses the knowledge gap of vertical movements by compiling the first global synthesis of vertical habitat use by elasmobranchs from data obtained by deployment of 989 biotelemetry tags on 38 elasmobranch species. Elasmobranchs displayed high intra- and interspecific variability in vertical movement patterns. Substantial vertical overlap was observed for many epipelagic elasmobranchs, indicating an increased likelihood to display spatial overlap, biologically interact, and share similar risk to anthropogenic threats that vary on a vertical gradient. We highlight the critical next steps toward incorporating vertical movement into global management and monitoring strategies for elasmobranchs, emphasizing the need to address geographic and taxonomic biases in deployments and to concurrently consider both horizontal and vertical movements

    Activités physiques et sportives et évolution des réseaux sociaux pendant la jeunesse : une étude exploratoire

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    A partir de l'étude de 6 récits de vie de jeunes, recherche centrée sur les liens entre les activités physiques et sportives et les réseaux sociaux (relations avec les partenaires de club, les collègues ou condisciples, les amis, les membres de la famille), au cours de l'itinéraire de pratiquants sportifs

    Conformational substates and motions in myoglobin. External influences on structure and dynamics

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    Myoglobin, a simppe dioxygen-storage protein, is a good laboratory for the investigation of the connection between protein structure, dynamics, and function. Fourier-transform infrared spectroscopy on carbon-monoxymyoglobin (MbCO) shows three major CO bands. These bands are excellent probes for the investigation of the structure-function relationship. They have different CO binding kinetics and their CO dipoles form different angles with respect to the heme normal, implying that MbCO exists in three major conformational substates, A0, A1, and A3. The entropies and enthalpies of these substates depend on temperature above approximately 180 K and are influenced by pH, solvent, and pressure. These results suggest that even a protein as simple as Mb can assume a small number of clearly different structures that perform the same function, but with different rates. Moreover, protein structure and dynamics depend strongly on the interaction of the protein with its environment
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