Density-based crystal plasticity : from the discrete to the continuum

Because of the enormous range of time and space scales involved in dislocation dynamics, plastic modeling at macroscale requires a continuous formulation. In this paper, we present a rigorous formulation of the transition between the discrete, where plastic flow is resolved at the scale of individual dislocations, and the continuum, where dislocations are represented by densities. First, we focus on the underlying coarse-graining procedure and show that the emerging correlation-induced stresses are scale-dependent. Each of these stresses can be expanded into the sum of two components. The first one depends on the local values of the dislocation densities and always opposes the sum of the applied stress and long-range mean field stress generated by the geometrically necessary dislocation (GND) density; this stress acts as a friction stress. The second component depends on the local gradients of the dislocation densities and is inherently associated to a translation of the elastic domain; therefore, it acts as a back-stress. We also show that these friction and back- stresses contain symmetry-breaking components that make the local stress experienced by dislocations to depend on the sign of their Burgers vector

Essais en économie de l'éducation

Thèse (de doctorat) - École des hautes études en sciences sociales, 2011"Thèse pour obtenir le grade de Docteur de lÉcole des Hautes Etudes en Sciences Sociales en Sciences Economiques"Titre de l'écran-titre (visionné le 4 mai 2012

Hardware-aware Training Techniques for Improving Robustness of Ex-Situ Neural Network Transfer onto Passive TiO2 ReRAM Crossbars

Passive resistive random access memory (ReRAM) crossbar arrays, a promising emerging technology used for analog matrix-vector multiplications, are far superior to their active (1T1R) counterparts in terms of the integration density. However, current transfers of neural network weights into the conductance state of the memory devices in the crossbar architecture are accompanied by significant losses in precision due to hardware variabilities such as sneak path currents, biasing scheme effects and conductance tuning imprecision. In this work, training approaches that adapt techniques such as dropout, the reparametrization trick and regularization to TiO2 crossbar variabilities are proposed in order to generate models that are better adapted to their hardware transfers. The viability of this approach is demonstrated by comparing the outputs and precision of the proposed hardware-aware network with those of a regular fully connected network over a few thousand weight transfers using the half moons dataset in a simulation based on experimental data. For the neural network trained using the proposed hardware-aware method, 79.5% of the test set's data points can be classified with an accuracy of 95% or higher, while only 18.5% of the test set's data points can be classified with this accuracy by the regularly trained neural network.Comment: 15 pages, 11 figure

Trials

BACKGROUND: Recent data suggest that 10-20% of injury patients will suffer for several months after the event from diverse symptoms, generally referred to as post-concussion-like symptoms (PCLS), which will lead to a decline in quality of life. A preliminary randomized control trial suggested that this condition may be induced by the stress experienced during the event or emergency room (ER) stay and can be prevented in up to 75% of patients with a single, early, short eye movement desensitization and reprocessing (EMDR) psychotherapeutic session delivered in the ER. The protocol of the SOFTER 3 study was designed to compare the impact on 3-month PCLS of early EMDR intervention and usual care in patients presenting at the ER. Secondary outcomes included 3-month post-traumatic stress disorder, 12-month PCLS, self-reported stress at the ER, self-assessed recovery expectation at discharge and 3 months, and self-reported chronic pain at discharge and 3 months. METHODS: This is a two-group, open-label, multicenter, comparative, randomized controlled trial with 3- and 12-month phone follow-up for reports of persisting symptoms (PCLS and post-traumatic stress disorder). Those eligible for inclusion were adults (>/=18 years old) presenting at the ER departments of the University Hospital of Bordeaux and University Hospital of Lyon, assessed as being at high risk of PCLS using a three-item scoring rule. The intervention groups were a (1) EMDR Recent Traumatic Episode Protocol intervention performed by a trained psychologist during ER stay or (2) usual care. The number of patients to be enrolled in each group was 223 to evidence a 15% decrease in PCLS prevalence in the EMDR group. DISCUSSION: In 2012, the year of the last national survey in France, 10.6 million people attended the ER, some of whom did so several times since 18 million visits were recorded in the same year. The SOFTER 3 study therefore addresses a major public health challenge. TRIAL REGISTRATION: Clinical Trials. NCT03400813 . Registered 17 January 2018 - retrospectively registered

Isoforms of endothelin-converting enzyme-1 (ECE-1) have opposing effects on prostate cancer cell invasion

Cross-talk between tumour and stromal cells can profoundly influence cancer cell invasion by increasing the availability of mitogenic peptides such as endothelin-1 (ET-1). Endothelin-1 is elevated in men with metastatic prostate cancer (PC), and can exert both an autocrine (epithelial) and a paracrine (stromal) influence on growth. Endothelin-1 is generated from its inactive precursor big-ET-1 by endothelin-converting enzyme 1 (ECE-1). We and others have demonstrated that ECE-1 expression is significantly elevated in tumours and surrounding stromal tissue. Our current data show siRNA-mediated knockdown of stromal ECE-1 reduces epithelial (PC-3) cell invasion in coculture. Interestingly, readdition of ET-1 only partially recovers this effect suggesting a novel role for ECE-1 independent of ET-1 activation. Parallel knockdown of ECE-1 in both stromal and epithelial compartments results in an additive decrease in cell invasion. We extrapolated this observation to the four recognised isoforms ECE-1a, ECE-1b, ECE-1c and ECE-1d. Only ECE-1a and ECE-1c were significant but with reciprocal effects on cell invasion. Transient ECE-1c overexpression increased PC-3 invasiveness through matrigel, whereas transient ECE-1a expression suppressed invasion. Furthermore, transient ECE-1a expression in stromal cells strongly counteracts the effect of transient ECE-1c expression in PC-3 cells. The ECE-1 isoforms may, therefore, be relevant targets for antiinvasive therapy in prostate and other cancers

Prevention of post-concussion-like symptoms in emergency room patients: Results from a two-center randomized controlled study comparing an early single-session Eye Movement Desensitization and Reprocessing intervention with usual care

Importance After a traumatic event, 10–20% of injured patients will suffer for several months from various symptoms, collectively termed post-concussion-like symptoms (PCLS), which can lead to a decline in quality of life. Moreover, recent findings suggested that this condition may also apply to patients with an acute medical condition. A preliminary randomized controlled trial suggested that this condition may be prevented by a single early short Eye Movement Desensitization and Reprocessing (EMDR) psychotherapeutic session delivered at the ER. Objective The present study was designed to compare the impact of the early EMDR intervention versus usual care on 3-month PCLS in patients presenting at the ER. Design, Setting, and Participants: This study was an open-label two-center comparative randomized controlled trial with phone follow-up assessments at 3 months. Eligible participants included adults (≥18 years old) presenting at the ER who have a high risk of PCLS using a 3-item scoring scale. Interventions The randomization groups were as follows: (i) EMDR Recent Traumatic Episode Protocol (R-TEP) intervention performed during the ER stay and (ii) usual care. Main Outcomes and Measures: The primary and secondary outcomes were respectively the frequency of PCLS and PTSD at 3 months after the ER visit. Results This study included 313 patients with a high risk of PCLS who were randomized into two groups; of these patients, 219 were contacted by phone at 3 months. There was no difference in the primary outcome (EMDR: 53.8% vs. Control: 49.6%), but for the secondary outcome, the occurrence of PTSD was greater in the intervention group (9.4% vs. 2.7%, p = 0.04). In the EMDR group, a high level of self-assessed stress at admission (>6) was strongly associated with persistent PCLS (76.9% vs. 40.9%, p = 0.04). Conclusion and Relevance The present results showed that a single EMDR R-TEP session did not reduce the incidence of PCLS at 3 months in patients admitted to the ER. However, the rate of PTSD was higher in the EMDR group. These results suggest that more data should be collected to define which treatment options may be offered to patients attending the ER and the role that psychologist skill plays in this process. Trial registration ClinicalTrials.gov identifier NCT03400813. Question Does early EMDR in the emergency room reduce the incidence of PCLS at 3 months after care?Findings In patients admitted to the ER, a single EMDR R-TEP session did not reduce the incidence of PCLS at 3 months, especially among patients who reported a high level of stress at admission.Meaning The present results suggest that more data will be necessary to determine the available treatment options for patients attending the ER and the role that psychologist skill plays in this process

A multi-centric evaluation of self-learning GAN based pseudo-CT generation software for low field pelvic magnetic resonance imaging

Purpose/objectivesAn artificial intelligence-based pseudo-CT from low-field MR images is proposed and clinically evaluated to unlock the full potential of MRI-guided adaptive radiotherapy for pelvic cancer care.Materials and methodIn collaboration with TheraPanacea (TheraPanacea, Paris, France) a pseudo-CT AI-model was generated using end-to-end ensembled self-supervised GANs endowed with cycle consistency using data from 350 pairs of weakly aligned data of pelvis planning CTs and TrueFisp-(0.35T)MRIs. The image accuracy of the generated pCT were evaluated using a retrospective cohort involving 20 test cases coming from eight different institutions (US: 2, EU: 5, AS: 1) and different CT vendors. Reconstruction performance was assessed using the organs at risk used for treatment. Concerning the dosimetric evaluation, twenty-nine prostate cancer patients treated on the low field MR-Linac (ViewRay) at Montpellier Cancer Institute were selected. Planning CTs were non-rigidly registered to the MRIs for each patient. Treatment plans were optimized on the planning CT with a clinical TPS fulfilling all clinical criteria and recalculated on the warped CT (wCT) and the pCT. Three different algorithms were used: AAA, AcurosXB and MonteCarlo. Dose distributions were compared using the global gamma passing rates and dose metrics.ResultsThe observed average scaled (between maximum and minimum HU values of the CT) difference between the pCT and the planning CT was 33.20 with significant discrepancies across organs. Femoral heads were the most reliably reconstructed (4.51 and 4.77) while anal canal and rectum were the less precise ones (63.08 and 53.13). Mean gamma passing rates for 1%1mm, 2%/2mm, and 3%/3mm tolerance criteria and 10% threshold were greater than 96%, 99% and 99%, respectively, regardless the algorithm used. Dose metrics analysis showed a good agreement between the pCT and the wCT. The mean relative difference were within 1% for the target volumes (CTV and PTV) and 2% for the OARs.ConclusionThis study demonstrated the feasibility of generating clinically acceptable an artificial intelligence-based pseudo CT for low field MR in pelvis with consistent image accuracy and dosimetric results