Clinical and radiological characteristics of 82 solitary benign peripheral nerve tumours

Benign peripheral nerve tumours are rare lesions. The surgical treatment and clinical outcomes depend on the resectability. The aim of this retrospective study was to identify clinical or radiological features that may predict the surgical technique that should be used to improve clinical outcome. Eighty-two patients were diagnosed with solitary benign peripheral nerve tumours. Fifty-five tumours were surgically resectable, and 27 were nonresectable. Pre-operative magnetic resonance imaging and ultrasound were used, which were predictive of the neural origin of the tumours in 87% (39/45) of cases imaged. In 78% (50/64) of cases imaged, an origin from the nerve sheath (peripheral nerve sheath tumour), or from non-neural elements was possible. However, no imaging or clinical criteria were identified that could determine tumour resectability preoperatively. The diagnosis of solitary peripheral nerve tumour still relies on the macroscopic appearance and definitive histology after epineurotomy

Modified Cramér-Rao lower bound for TOA and symbol width estimation. An application to search and rescue signals

International audienceThis paper focuses on the performance of time of arrival estimators for distress beacon signals which are defined by pulses with smooth transitions. These signals are used in the satellite-based search and rescue Cospas-Sarsat system. We propose a signal model based on sigmoidal functions. Closed-form expressions for the modified Cramér-Rao bounds associated with the parameters of this model are derived. The obtained expressions are easy to interpret since they analytically depend on the system parameters. Simulations conducted on realistic search and rescue signals show good agreement with the theoretical results

Bornes de Cramér-Rao modifiées pour le temps d'arrivée et la période symbole. Application aux signaux de recherche et de sauvetage

National audienceCet article étudie la performance des estimateurs de temps d’arrivée de signaux de détresse qui sont définis par des formes d’onde ayant des transitions douces. Ces signaux sont utilisés dans le système de recherche et sauvetage par satellite Cospas-Sarsat. Nous proposons un modèle de signal basé sur des transitions sigmoïdales. Des expressions analytiques des bornes de Cramér-Rao modifiées associées aux paramètres de ce modèle sont déterminées. Les expressions obtenues sont faciles à interpréter, car elles dépendent analytiquement des paramètres du système. Des simulations effectuées avec des signaux réalistes concordent avec les résultats théoriques

Tunable distributed sensing performance in Ca-based nanoparticle-doped optical fibers

Rayleigh scattering enhanced nanoparticle-doped optical fibers is a technology very promising for distributed sensing applications, however, it remains largely unexplored. This work demonstrates for the first time the possibility of tuning Rayleigh scattering and optical losses in Ca-based nanoparticle-doped silica optical fibers by controlling the kinetics of the re-nucleation process that nanoparticles undergo during fiber drawing by controlling preform feed, drawing speed and temperature. A 3D study by SEM, FIB-SEM and optical backscatter reflectometry (OBR) reveals an early-time kinetics at 1870 °C, with tunable Rayleigh scattering enhancement 43.2–47.4 dB, regarding a long-haul single mode fiber, SMF-28, and associated sensing lengths of 3–5.5 m. At 2065 °C, kinetics is slower and nanoparticle dissolution is favored. Consequently, enhanced scattering values of 24.9–26.9 dB/m and sensing lengths of 135–250 m are attained. Finally, thermal stability above 500 °C and tunable distributed temperature sensitivity are proved, from 18.6 pm/°C to 23.9 pm/°C, ∼1.9–2.4 times larger than in a SMF-28. These results show the promising future of Rayleigh scattering enhanced nanoparticle-doped optical fibers for distributed sensing

Modified Cramér-Rao lower bound for TOA and symbol width estimation. An application to search and rescue signals

This paper focuses on the performance of time of arrival estimators for distress beacon signals which are defined by pulses with smooth transitions. These signals are used in the satellite-based search and rescue Cospas-Sarsat system. We propose a signal model based on sigmoidal functions. Closed-form expressions for the modified Cramér-Rao bounds associated with the parameters of this model are derived. The obtained expressions are easy to interpret since they analytically depend on the system parameters. Simulations conducted on realistic search and rescue signals show good agreement with the theoretical results

Exploration of trance states: phenomenology, brain correlates and clinical applications

peer reviewe

Sistematización del proceso participativo para la creación de la política de innovación en la UNED

Las universidades, como organizaciones sociales requieren transitar en un proceso de transformación que les permita repensar su quehacer y, alcanzar una mayor cercanía a las comunidades educativas, por medio del trabajo en sus áreas sustantivas. La innovación, se constituye en este contexto, en un acicate para la educación superior; que invoca cambio y transformación profunda en lo que hace y en las formas, procesos y herramientas que emplea para lograrlo. Esta concepción de innovación va más allá de lo que se considera en estos días y en diferentes contextos, reducida al uso intensivo de las tecnologías de la información y comunicación. La necesidad de sistematizar y generar conocimiento que permitiera comprender y fortalecer las capacidades innovadoras en la UNED, propició que un grupo interdisciplinario, conformado por decisión abierta e individual de sus integrantes y, con representación de las distintas Vicerrectorías de la universidad, se organizara y conformara el Nodo de Innovación. Este grupo asumió la tarea de investigar el quehacer innovador de la institución y el estudio de distintos marcos de referencia teórico-conceptuales sobre la innovación y la organización para ofrecer a las autoridades universitarias y la comunidad educativa en general, un diseño de sistema de innovación particular orientado a la UNED; sustentado en la aprobación de una política institucional y su respectivo plan de implementación. Esta ponencia explica la sistematización diseñada especialmente por el Nodo de Innovación, en la definición de esa propuesta de la política de innovación como sistema y que desde el mes de julio del 2017, se encuentra en discusión dentro de dos comisiones del Consejo Universitario, con la intención de ser llevada y aprobada al seno del plenario de ese órgano político colegiado

Teaching of English in French-Canada

Thesis (Ed.M.)--Boston University, 1935. This item was digitized by the Internet Archive

Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016

Background: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97\ub71 (95% UI 95\ub78-98\ub71) in Iceland, followed by 96\ub76 (94\ub79-97\ub79) in Norway and 96\ub71 (94\ub75-97\ub73) in the Netherlands, to values as low as 18\ub76 (13\ub71-24\ub74) in the Central African Republic, 19\ub70 (14\ub73-23\ub77) in Somalia, and 23\ub74 (20\ub72-26\ub78) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91\ub75 (89\ub71-93\ub76) in Beijing to 48\ub70 (43\ub74-53\ub72) in Tibet (a 43\ub75-point difference), while India saw a 30\ub78-point disparity, from 64\ub78 (59\ub76-68\ub78) in Goa to 34\ub70 (30\ub73-38\ub71) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4\ub78-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20\ub79-point to 17\ub70-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17\ub72-point to 20\ub74-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was positively associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries. Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle- SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage hinges upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view-and subsequent provision-of quality health care for all populations