759 research outputs found

    Controlled Deposition of Tin Oxide and Silver Nanoparticles Using Microcontact Printing

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    This report describes extensive studies of deposition processes involving tin oxide (SnOx) nanoparticles on smooth glass surfaces. We demonstrate the use of smooth films of these nanoparticles as a platform for spatially-selective electroless deposition of silver by soft lithographic stamping. The edge and height roughness of the depositing metallic films are 100 nm and 20 nm, respectively, controlled by the intrinsic size of the nanoparticles. Mixtures of alcohols as capping agents provide further control over the size and shape of nanoparticles clusters. The distribution of cluster heights obtained by atomic force microscopy (AFM) is modeled through a modified heterogeneous nucleation theory as well as Oswald ripening. The thermodynamic modeling of the wetting properties of nanoparticles aggregates provides insight into their mechanism of formation and how their properties might be further exploited in wide-ranging applications

    Analyses of gait parameters and fall risk in Korean older adults

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    More than one in four older adults fall each year. As the first fall doubles one’s chances of falling again, fall prevention in older adults is a public health priority. Since it is well-established that most falls occur on flat surfaces during walking, identifying the changes in gait parameters before one’s first fall may be a strong predictor of falling.PURPOSE: To examine gait parameters in older adults associated with the risk of falls.METHODS: 200 older adults (72.8 ± 5.6 years; 74% women) participated in the study. Participants’ gait parameters were measured through a gait analysis system. The Fall Risk Assessment (FRA) system measured sensory, nervous, integrated balance abilities, and musculoskeletal systems to assess fall risks. Participants were classified into one of two groups: low- and high-risk of falls based on the FRA scores. Independent t-tests were used to compare the gait parameters between the two groups. One-way ANOVAs were performed to compare the differences in gait parameters by age (65-69, 70-74, 75-79, and ≥80 years). Lastly, Pearson correlation and logistic regression were used to examine variables in step length and fall risk.RESULTS: For both men and women, there were significant differences (p < .001) in all gait parameters between the two groups except for cadence in men. There were also significant changes in trends of gait parameters by age in both men and women except for cadence in men (Ptrend <.001). Lastly, significant positive correlations were observed between adjusted stride length (stride length/height) and the FRA scores (r=.524 and .323 for men and women, respectively). For both men and women, the participants in the fourth quartile (shorter) of adjusted stride length were more likely to increase one’s fall risk (OR = 9.10 and 7.88; 95% CI: 1.39, 59.62 and 2.50, 24.84 for men and women, respectively) compared to the first quartile (longer).CONCLUSION: The risk of falls was increased by changes in gait parameters such as shorter and slower gait cycles and higher proportions of the stance phase and double supporting phase. Gait changes could be a successful indicator for identifying high-risk of falls in older adults.Community Health Sciences, Counseling and Counseling Psycholog

    Automated radiation treatment planning for cervical cancer

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    CITATION: Rhee, D. J. et al. 2020. Automated radiation treatment planning for cervical cancer. Seminars in Radiation Oncology, 30(4):340-347, doi:10.1016/j.semradonc.2020.05.006.The original publication is available at https://www.sciencedirect.comThe radiation treatment-planning process includes contouring, planning, and reviewing the final plan, and each component requires substantial time and effort from multiple experts. Automation of treatment planning can save time and reduce the cost of radiation treatment, and potentially provides more consistent and better quality plans. With the recent breakthroughs in computer hardware and artificial intelligence technology, automation methods for radiation treatment planning have achieved a clinically acceptable level of performance in general. At the same time, the automation process should be developed and evaluated independently for different disease sites and treatment techniques as they are unique from each other. In this article, we will discuss the current status of automated radiation treatment planning for cervical cancer for simple and complex plans and corresponding automated quality assurance methods. Furthermore, we will introduce Radiation Planning Assistant, a web-based system designed to fully automate treatment planning for cervical cancer and other treatment sites.Publisher's versio

    Comments on the Mechanism of Aging of Antimony Doped Tin Oxide Based Electrochromic Devices

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    Electrochromic effects of antimony doped tin oxide (ATO) nanoparticles are investigated to probe device yellowing (degradation). Voltage vs contrast ratio curves exhibit hysteresis, i.e., image-sticking phenomena due to irreversible charge insertion. X-ray, impedance and optical b* studies suggest that the yellowing/charge trapping is nanoparticle size-dependent with 4 nm size particles exhibiting the least yellowing. Yellowing results in increased impedances of electrode–electrolyte interface and electrode corrosion. Plausible sources of discoloration are formation of insulating complex alkali oxide film, carrier inversion (n-to-p type) through electrochemical Li doping, redeposition of the corroded electrode material and perhaps residual concentration of charge-transfer species

    Rats use memory confidence to guide decisions.

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    Memory enables access to past experiences to guide future behavior. Humans can determine which memories to trust (high confidence) and which to doubt (low confidence). How memory retrieval, memory confidence, and memory-guided decisions are related, however, is not understood. In particular, how confidence in memories is used in decision making is unknown. We developed a spatial memory task in which rats were incentivized to gamble their time: betting more following a correct choice yielded greater reward. Rat behavior reflected memory confidence, with higher temporal bets following correct choices. We applied machine learning to identify a memory decision variable and built a generative model of memories evolving over time that accurately predicted both choices and confidence reports. Our results reveal in rats an ability thought to exist exclusively in primates and introduce a unified model of memory dynamics, retrieval, choice, and confidence

    Customizable landmark-based field aperture design for automated whole-brain radiotherapy treatment planning.

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    PURPOSE: To develop and evaluate an automated whole-brain radiotherapy (WBRT) treatment planning pipeline with a deep learning-based auto-contouring and customizable landmark-based field aperture design. METHODS: The pipeline consisted of the following steps: (1) Auto-contour normal structures on computed tomography scans and digitally reconstructed radiographs using deep learning techniques, (2) locate the landmark structures using the beam's-eye-view, (3) generate field apertures based on eight different landmark rules addressing different clinical purposes and physician preferences. Two parallel approaches for generating field apertures were developed for quality control. The performance of the generated field shapes and dose distributions were compared with the original clinical plans. The clinical acceptability of the plans was assessed by five radiation oncologists from four hospitals. RESULTS: The performance of the generated field apertures was evaluated by the Hausdorff distance (HD) and mean surface distance (MSD) from 182 patients' field apertures used in the clinic. The average HD and MSD for the generated field apertures were 16 ± 7 and 7 ± 3 mm for the first approach, respectively, and 17 ± 7 and 7 ± 3 mm, respectively, for the second approach. The differences regarding HD and MSD between the first and the second approaches were 1 ± 2 and 1 ± 3 mm, respectively. A clinical review of the field aperture design, conducted using 30 patients, achieved a 100% acceptance rate for both the first and second approaches, and the plan review achieved a 100% acceptance rate for the first approach and a 93% acceptance rate for the second approach. The average acceptance rate for meeting lens dosimetric recommendations was 80% (left lens) and 77% (right lens) for the first approach, and 70% (both left and right lenses) for the second approach, compared with 50% (left lens) and 53% (right lens) for the clinical plans. CONCLUSION: This study provided an automated pipeline with two field aperture generation approaches to automatically generate WBRT treatment plans. Both quantitative and qualitative evaluations demonstrated that our novel pipeline was comparable with the original clinical plans

    Origins of direction selectivity in the primate retina

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    From mouse to primate, there is a striking discontinuity in our current understanding of the neural coding of motion direction. In non-primate mammals, directionally selective cell types and circuits are a signature feature of the retina, situated at the earliest stage of the visual process. In primates, by contrast, direction selectivity is a hallmark of motion processing areas in visual cortex, but has not been found in the retina, despite significant effort. Here we combined functional recordings of light-evoked responses and connectomic reconstruction to identify diverse direction-selective cell types in the macaque monkey retina with distinctive physiological properties and synaptic motifs. This circuitry includes an ON-OFF ganglion cell type, a spiking, ON-OFF polyaxonal amacrine cell and the starburst amacrine cell, all of which show direction selectivity. Moreover, we discovered that macaque starburst cells possess a strong, non-GABAergic, antagonistic surround mediated by input from excitatory bipolar cells that is critical for the generation of radial motion sensitivity in these cells. Our findings open a door to investigation of a precortical circuitry that computes motion direction in the primate visual system.This work was largely supported by grants from the National Eye Institute (NIH NEI) to D.M.D. (EY032045), R.G.S. (EY022070), P.D.G. (EY018369) and by National Institutes of Health (NIH) Grant RR-00166 to the Tissue Distribution Program of the Washington National Primate Research Center (WaNPRC), grant P51 OD010425 from the NIH Office of Research Infrastructure Program to the WaNPRC. and EY01730 to the Vision Research Core at the University of Washington. Additional support from MICINN Programa de Movilidad Salvador de Madariaga (PRX16/00188) to F.V. and NIH (NIBIB) R21EB028069 to J.B.T, and a Christina Enroth-Cugell and David Cugell Fellowship to J.W.Peer reviewe

    Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

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    Background: In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods: GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation: As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and developm nt investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens
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