79 research outputs found

    The French national prospective cohort of patients co-infected with HIV and HCV (ANRS CO13 HEPAVIH): Early findings, 2006-2010

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    <p>Abstract</p> <p>Background</p> <p>In France, it is estimated that 24% of HIV-infected patients are also infected with HCV. Longitudinal studies addressing clinical and public health questions related to HIV-HCV co-infection (HIV-HCV clinical progression and its determinants including genetic dimension, patients' experience with these two diseases and their treatments) are limited. The ANRS CO 13 HEPAVIH cohort was set up to explore these critical questions.</p> <p>To describe the cohort aims and organization, monitoring and data collection procedures, baseline characteristics, as well as follow-up findings to date.</p> <p>Methods</p> <p>Inclusion criteria in the cohort were: age > 18 years, HIV-1 infection, chronic hepatitis C virus (HCV) infection or sustained response to HCV treatment. A standardized medical questionnaire collecting socio-demographic, clinical, biological, therapeutic, histological, ultrasound and endoscopic data is administered at enrolment, then every six months for cirrhotic patients or yearly for non-cirrhotic patients. Also, a self-administered questionnaire documenting socio-behavioral data and adherence to HIV and/or HCV treatments is administered at enrolment and yearly thereafter.</p> <p>Results</p> <p>A total of 1,175 patients were included from January 2006 to December 2008. Their median age at enrolment was 45 years and 70.2% were male. The median CD4 cell count was 442 (IQR: 304-633) cells/μl and HIV RNA plasma viral load was undetectable in 68.8%. Most participants (71.6%) were on HAART. Among the 1,048 HIV-HCV chronically co-infected patients, HCV genotype 1 was predominant (56%) and cirrhosis was present in 25%. As of January, 2010, after a median follow-up of 16.7 months (IQR: 11.3-25.3), 13 new cases of decompensated cirrhosis, nine hepatocellular carcinomas and 20 HCV-related deaths were reported, resulting in a cumulative HCV-related severe event rate of 1.9/100 person-years (95% CI: 1.3-2.5). The rate of HCV-related severe events was higher in cirrhotic patients and those with a low CD4 cells count, but did not differ according to sex, age, alcohol consumption, CDC clinical stage or HCV status.</p> <p>Conclusion</p> <p>The ANRS CO 13 HEPAVIH is a nation-wide cohort using a large network of HIV treatment, infectious diseases and internal medicine clinics in France, and thus is highly representative of the French population living with these two viruses and in care.</p

    Pratos e mais pratos: louças domésticas, divisões culturais e limites sociais no Rio de Janeiro, século XIX

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    Reply to ten comments on a paper published in the last issue of this journal. The discussion follows along six main lines: History museums, identity, ideology and the category of nation; the need of material collections and their modalities: patrimonial, operational, virtual; theater versus laboratory; visitors and their ambiguities; Public History: the museum and the academy.Resposta aos comentários de dez especialistas que contribuíram no debate de texto publicado no último número desta revista. A discussão orientou-se segundo seis tópicos principais: museus históricos, identidade, ideologia e a categoria de nação; a necessidade de acervos materiais e suas modalidades: acervo patrimonial, operacional, virtual; teatro versus laboratório; o público e suas ambigüidades; História Pública: o museu e a Academia

    Nouvelle description des bicuspidies par le biais du scanner

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    PARIS7-Xavier Bichat (751182101) / SudocSudocFranceF

    Segmentation-free Super-resolved 4D FLox MRI Reconstruction Exploiting Navier-Stokes Equations and Spatial Regularization

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    International audienceInterest in 4D blood flow MRI grows due to its ability to image the anatomic shape and the three velocity components within a volume along the cardiac cycle. However, some biomarkers' quantification from these data can be inaccurate due to the low resolution of the images. The reference method to improve the spatial resolution numerically is to run computational fluid dynamic (CFD) simulations in order to deduce the associated images in a higher resolution grid. However, such approaches induce complex time-consuming steps and require precise estimates of the vessel wall and the inlet velocity. In this work, an original segmentation-free superresolution (SR) solution is proposed using an inverse problem resolution approach by the minimization of a compound criterion involving three terms, a mechanical term based on Navier-Stokes equations, and a velocity smoothness promoting term, and a spatially weighted data fidelity term. The proposed solution has been validated regarding estimation error and computation time on simulated data and experimental acquisition from a phantom. Super-resolved velocity reconstruction demonstrates promising performance, even without segmentation knowledge, compared to state-of-the-art solutions

    NAVIER-STOKES-BASED REGULARIZATION FOR 4D FLOW MRI SUPER-RESOLUTION

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    International audience4D flow MRI is a promising tool in cardiovascular imaging. However, its lack of resolution can degrade some biomarkers' evaluation accuracy. The computational fluid dynamics (CFD) simulation is considered as the reference method to improve numerically the image resolution. However, CFD simulations are complex and time consuming, and matching their results with 4D Flow MRI data is very challenging. This paper aims to introduce a fast and efficient super-resolution (SR) approach thanks to the minimization of a L 2-penalized criterion, which combines a weighted least-squares data fidelity term and Navier-Stokes equations. The algorithm has been validated on synthetic and phantom datasets and compared to state-of-the-art solutions. Moreover, a prospective study is conducted on the segmentationfree application of the proposed algorithm

    Segmentation-free Super-resolved 4D FLox MRI Reconstruction Exploiting Navier-Stokes Equations and Spatial Regularization

    No full text
    International audienceInterest in 4D blood flow MRI grows due to its ability to image the anatomic shape and the three velocity components within a volume along the cardiac cycle. However, some biomarkers' quantification from these data can be inaccurate due to the low resolution of the images. The reference method to improve the spatial resolution numerically is to run computational fluid dynamic (CFD) simulations in order to deduce the associated images in a higher resolution grid. However, such approaches induce complex time-consuming steps and require precise estimates of the vessel wall and the inlet velocity. In this work, an original segmentation-free superresolution (SR) solution is proposed using an inverse problem resolution approach by the minimization of a compound criterion involving three terms, a mechanical term based on Navier-Stokes equations, and a velocity smoothness promoting term, and a spatially weighted data fidelity term. The proposed solution has been validated regarding estimation error and computation time on simulated data and experimental acquisition from a phantom. Super-resolved velocity reconstruction demonstrates promising performance, even without segmentation knowledge, compared to state-of-the-art solutions

    NAVIER-STOKES-BASED REGULARIZATION FOR 4D FLOW MRI SUPER-RESOLUTION

    No full text
    International audience4D flow MRI is a promising tool in cardiovascular imaging. However, its lack of resolution can degrade some biomarkers' evaluation accuracy. The computational fluid dynamics (CFD) simulation is considered as the reference method to improve numerically the image resolution. However, CFD simulations are complex and time consuming, and matching their results with 4D Flow MRI data is very challenging. This paper aims to introduce a fast and efficient super-resolution (SR) approach thanks to the minimization of a L 2-penalized criterion, which combines a weighted least-squares data fidelity term and Navier-Stokes equations. The algorithm has been validated on synthetic and phantom datasets and compared to state-of-the-art solutions. Moreover, a prospective study is conducted on the segmentationfree application of the proposed algorithm
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