181 research outputs found

    Design of CMOS UWB Pulse Generators

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    Boolean networks synchronism sensitivity and XOR circulant networks convergence time

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    In this paper are presented first results of a theoretical study on the role of non-monotone interactions in Boolean automata networks. We propose to analyse the contribution of non-monotony to the diversity and complexity in their dynamical behaviours according to two axes. The first one consists in supporting the idea that non-monotony has a peculiar influence on the sensitivity to synchronism of such networks. It leads us to the second axis that presents preliminary results and builds an understanding of the dynamical behaviours, in particular concerning convergence times, of specific non-monotone Boolean automata networks called XOR circulant networks.Comment: In Proceedings AUTOMATA&JAC 2012, arXiv:1208.249

    Experienced physicians benefit from analyzing initial diagnostic hypotheses

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    Background: Most incorrect diagnoses involve at least one cognitive error, of which premature closure is the most prevalent. While metacognitive strategies can mitigate premature closure in inexperienced learners, these are rarely studied in experienced physicians. Our objective here was to evaluate the effect of analytic information processing on diagnostic performance of nephrologists and nephrology residents. Methods: We asked nine nephrologists and six nephrology residents at the University of Calgary and Glasgow University to diagnose ten nephrology cases. We provided presenting features along with contextual information, after which we asked for an initial diagnosis. We then primed participants to use either hypothetico-deductive reasoning or scheme-inductive reasoning to analyze the remaining case data and generate a final diagnosis. Results: After analyzing initial hypotheses, both nephrologists and residents improved the accuracy of final diagnoses (31.1% vs. 65.6%, p < 0.001, and 40.0% vs. 70.0%, p < 0.001, respectively). We found a significant interaction between experience and analytic processing strategy (p = 0.002): nephrology residents had significantly increased odds of diagnostic success when using scheme-inductive reasoning (odds ratio [95% confidence interval] 5.69 [1.59, 20.33], p = 0.007), whereas the performance of experienced nephrologists did not differ between strategies (odds ratio 0.57 [0.23, 1.39], p = 0.2). Discussion: Experienced nephrologists and nephrology residents can improve their performance by analyzing initial diagnostic hypotheses. The explanation of the interaction between experience and the effect of different reasoning strategies is unclear, but may relate to preferences in reasoning strategy, or the changes in knowledge structure with experience

    On Internalizing Modules as Agents in Concurrent Constraint Programming

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    Module systems are an essential feature of programming languages as they facilitate the re-use of existing code and the development of general purpose libraries. There are however two somewhat contradictory ways of looking at modules in a given programming language. On the one hand, module systems are largely independent of the particulars of programming languages, and several examples of module systems have indeed been adapted to different programming languages. On the other hand, the module constructs often interfere with the programming constructs, and may be redundant with other scope mechanisms of programming languages, such as closures for instance. There is therefore a need to unify the programming concepts and constructs that are similar, and retain a minimum number of essential constructs to avoid arbitrary programming choices. In this paper, we realize this aim in the framework of linear logic concurrent constraint programming (LCC) languages. We first show how declarations and closures can be internalized as agents in LCC. We then present a modular version of LCC (MLCC), where modules are referenced by variables and where implementation hiding is obtained with the usual hiding operator for variables. We develop the logical semantics of MLCC in linear logic, and show the completeness of the operational semantics for the observation of successes and accessible stores. Finally we discuss a complete module system for constraint logic programming, derived from the MLCC scheme

    Modelling molecular networks: relationships between different formalisms and levels of details

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    This document is the deliverable 1.3 of French ANR CALAMAR. It presents a study of different formalisms used for modelling and analyzing large molecular regulation networks, their formal links, in terms of mutual encodings and of abstractions, and the corresponding levels of detail captured

    Elevated monocyte HLA-DR in pediatric secondary hemophagocytic lymphohistiocytosis: a retrospective study

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    IntroductionHemophagocytic lymphohistiocytosis (HLH) is a life-threatening condition, and its diagnosis may be challenging. In particular, some cases show close similarities to sepsis (fever, organ failure, and high ferritin), but their treatment, while urgent, differ: prompt broad-spectrum antibiotherapy for sepsis and immunosuppressive treatment for HLH. We questioned whether monocyte human leucocyte antigen (mHLA)–DR could be a diagnostic marker for secondary HLH (sHLH).MethodsWe retrospectively reviewed data from patients with a sHLH diagnosis and mHLA-DR quantification. mHLA-DR data from healthy children and children with septic shock, whose HLA-DR expression is reduced, from a previously published study were also included for comparison.ResultsSix patients with sHLH had mHLA-DR quantification. The median level of monocyte mHLA-DR expression in patients with sHLH [79,409 antibodies bound per cell (AB/C), interquartile range (IQR) (75,734–86,453)] was significantly higher than that in healthy children and those with septic shock (29,668 AB/C, IQR (24,335–39,199), and 7,493 AB/C, IQR (3,758–14,659), respectively). Each patient with sHLH had a mHLA-DR higher than our laboratory normal values. Four patients had a second mHLA-DR sampling 2 to 4 days after the initial analysis and treatment initiation with high-dose corticosteroids; for all patients, mHLA-DR decreased to within or close to the normal range. One patient with systemic juvenile idiopathic arthritis had repeated mHLA-DR measurements over a 200-day period during which she underwent four HLH episodes. mHLA-DR increased during relapses and normalized after treatment incrementation.ConclusionIn this small series, mHLA-DR was systematically elevated in patients with sHLH. Elevated mHLA-DR could contribute to sHLH diagnosis and help earlier distinction with septic shock

    Outcome of COVID-19 in Patients With Mantle Cell Lymphoma-Report From the European MCL Registry

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    Data on outcome of patients with mantle cell lymphoma (MCL) and COVID-19 infection are limited. The European MCL (EMCL) registry is a centralized registry of the EMCL network, collecting real-world information about treatments and disease courses. During the COVID-19 pandemic, additional data on MCL patients with COVID-19 infection were collected, aiming to identify risk factors for mortality from COVID-19. In our retrospective, multicenter, international study, we collected data from 63 MCL patients with a median age of 64 years (range, 44–84) in 9 countries with evidence of a COVID-19 infection between February 2020 and October 2021. The overall mortality rate was high (44.4%), especially in hospitalized patients (61%) and in patients with need for intensive care unit care (94%). Patients receiving rituximab had significantly poorer survival than patients not receiving rituximab (P = 0.04). Our data highlight the importance of prevention strategies and underline the need for effective vaccination in this vulnerable cohort
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