137 research outputs found

    Vertex-based Compatible Discrete Operator schemes on polyhedral meshes for advection-diffusion equations

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    International audienceWe devise and analyze vertex-based, Péclet-robust, lowest-order schemes for advection-diffusion equations that support polyhedral meshes. The schemes are formulated using Compatible Discrete Operators (CDO), namely primal and dual discrete differential operators, a discrete contraction operator for advection, and a discrete Hodge operator for diffusion. Moreover, discrete boundary operators are devised to weakly enforce Dirichlet boundary conditions. The analysis sheds new light on the theory of Friedrichs' operators at the purely algebraic level. Moreover, an extension of the stability analysis hinging on inf-sup conditions is presented to incorporate divergence-free velocity fields under some assumptions. Error bounds and convergence rates for smooth solutions are derived, and numerical results are presented on three-dimensional polyhedral meshes

    Para-iliac actinomycetoma presenting as sarcoma, a late complication of appendicitis: A case report

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    AbstractINTRODUCTIONActinomycosis is known to mimic several types of neoplasms, leading to morbid surgical interventions.PRESENTATION OF CASEWe report the particular case of an extensive right para-iliac actinomycetoma presenting as a sarcoma, which to our knowledge has not yet been described in the literature, in a patient with previous ruptured appendicitis. Thanks to the collaborative work between the orthopedic and general surgeons, pathologist and microbiologist, the diagnosis of actinomycosis was made pre-operatively, saving this 15-year-old patient from a tumor resection protocol.DISCUSSIONActinomycetomas have often been reported to present in the same way as several abdominal and gynecological neoplasms, and on rare occasions been described as mimicking other soft-tissue sarcomas, leading to unnecessary morbid tumor resection protocols. The most common cause of abdominal actinomycosis is perforated appendicitis, and may present several years later.CONCLUSIONWhile faced with a soft tissue mass transgressing tissue planes and possibly extending to the region of the right lower quadrant, especially with a history of previous perforated appendicitis, one should consider the possibility of an abscess caused by pathogens of intestinal origin, including the gram positive anaerobe Actinomycosis israelii. Failure to actively search for this pathogen, which is not detectable with routine staining techniques and may take up to 1–2 weeks to isolate, may lead to unnecessary morbid surgical procedures

    Learning parameters for the sequence constraint from solutions

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    This paper studies the problem of learning parameters for global constraints such as Sequence from a small set of positive examples. The proposed technique computes the probability of observing a given constraint in a random solution. This probability is used to select the more likely constraint in a list of candidates. The learning method can be applied to both soft and hard constraint

    Conception et évaluation d’ateliers de formation visant à développer un comportement préventif au travail chez les élèves en apprentissage d’un métier

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    La formation à la prévention offerte dans les programmes de formation professionnelle présente plusieurs lacunes, faisant en sorte que les apprentissages qui y sont faits seraient peu mobilisés à l’entrée sur le marché du travail. Il appert, entre autres, que les ressources pédagogiques utilisées ne cibleraient pas les risques à la santé spécifiques au métier. Concevoir et évaluer des ateliers de formation visant le développement d’un comportement préventif au travail chez les élèves des programmes de secrétariat et de réalisation d’aménagements paysagers. Un processus systématique a été suivi pour concevoir les ateliers de formation. L’évaluation a porté sur trois variables : 1) la perception des apprenants, 2) les apprentissages réalisés et 3) le comportement préventif. Les résultats de cette étude décrivent la démarche de conception des ateliers de formation et suggèrent une amélioration significative sur les trois variables à la suite de la participation des élèves à ces mêmes ateliers. La démarche de conception des ateliers de formation détaillée dans cet article permet la réplication dans d’autres programmes de formation professionnelle. Des bases empiriques sont maintenant connues et peuvent servir de références dans l’élaboration d’études futures.The prevention training offered in vocational programs has several shortcomings, and, as a result, students make little use of it when they enter the labour market. It would appear that the teaching resources employed do not target the specific health risks associated with a given occupation. To design and evaluate workshops aimed at developing preventive behaviour in the workplace among students in secretarial and landscaping programs. A systematic process was followed in the development of the workshops. The evaluation focused on three variables : 1) the satisfaction with the workshops, 2) the apprenticeship, and 3) preventive behaviour. The results of this study describe the process for designing the workshops and suggest a significant improvement in the three variables following the participation of the students in these workshops. The process for designing the workshops described in this article can be replicated in other vocational programs. The empirical bases are now known and can be used as references in the development of future studies.La formación en prevención ofrecida en los programas de capacitación profesional presenta varias lagunas, lo que hace que los aprendizajes que se realizan en estos son poco movilizadores a la entrada en el mercado de trabajo. Parece ser, entre otras cosas, que los recursos educativos utilizados no se enfocan en los riesgos específicos a la profesión. Diseñar y evaluar talleres de capacitación encaminados a desarrollar un comportamiento preventivo en el trabajo en los estudiantes de los programas de secretariado y paisajismo. Se siguió un proceso sistemático para diseñar los talleres de capacitación. La evaluación se centró en tres variables: 1) la percepción de los alumnos, 2) el aprendizaje alcanzado y 3) el comportamiento preventivo. Los resultados de este estudio describen el proceso de diseño de los talleres de capacitación y sugieren una mejora significativa en las tres variables como resultado de la participación de los estudiantes en estos mismos talleres. El proceso de diseño de los talleres de capacitación detallado en este artículo permite la reproducción en otros programas de capacitación profesional. Se conocen ahora las bases empíricas y estas pueden servir como referencias en el desarrollo de estudios futuros

    J Ultrasound Med

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    Chest CT is the reference test for assessing pulmonary injury in suspected or diagnosed COVID-19 with signs of clinical severity. This study aimed to evaluate the association of a lung ultrasonography score and unfavorable clinical evolution at 28 days. The eChoVid is a multicentric study based on routinely collected data that was conducted in 8 emergency units in France; patients were included between March 19, 2020 and April 28, 2020 and underwent lung ultrasonography, a short clinical assessment by 2 emergency physicians blinded to each other's assessment, and chest CT. Lung ultrasonography consisted of scoring lesions from 0 to 3 in 8 chest zones, thus defining a global score (GS) of severity from 0 to 24. The primary outcome was the association of lung damage severity as assessed by the GS at day 0 and patient status at 28 days. Secondary outcomes were comparing the performance between GS and CT scan and the performance between a new trainee physician and an ultrasonography expert in scores. For the 328 patients analyzed, the GS showed good performance in predicting clinical worsening at 28 days (area under the receiver operating characteristic curve [AUC] 0.83, sensitivity 84.2%, specificity 76.4%). The GS showed good performance in predicting the CT severity assessment (AUC 0.84, sensitivity 77.2%, specificity 83.7%). A lung ultrasonography GS is a simple tool that can be used in the emergency department to predict unfavorable assessment at 28 days in patients with COVID-19

    In-Datacenter Performance Analysis of a Tensor Processing Unit

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    Many architects believe that major improvements in cost-energy-performance must now come from domain-specific hardware. This paper evaluates a custom ASIC---called a Tensor Processing Unit (TPU)---deployed in datacenters since 2015 that accelerates the inference phase of neural networks (NN). The heart of the TPU is a 65,536 8-bit MAC matrix multiply unit that offers a peak throughput of 92 TeraOps/second (TOPS) and a large (28 MiB) software-managed on-chip memory. The TPU's deterministic execution model is a better match to the 99th-percentile response-time requirement of our NN applications than are the time-varying optimizations of CPUs and GPUs (caches, out-of-order execution, multithreading, multiprocessing, prefetching, ...) that help average throughput more than guaranteed latency. The lack of such features helps explain why, despite having myriad MACs and a big memory, the TPU is relatively small and low power. We compare the TPU to a server-class Intel Haswell CPU and an Nvidia K80 GPU, which are contemporaries deployed in the same datacenters. Our workload, written in the high-level TensorFlow framework, uses production NN applications (MLPs, CNNs, and LSTMs) that represent 95% of our datacenters' NN inference demand. Despite low utilization for some applications, the TPU is on average about 15X - 30X faster than its contemporary GPU or CPU, with TOPS/Watt about 30X - 80X higher. Moreover, using the GPU's GDDR5 memory in the TPU would triple achieved TOPS and raise TOPS/Watt to nearly 70X the GPU and 200X the CPU.Comment: 17 pages, 11 figures, 8 tables. To appear at the 44th International Symposium on Computer Architecture (ISCA), Toronto, Canada, June 24-28, 201

    Low incidence of SARS-CoV-2, risk factors of mortality and the course of illness in the French national cohort of dialysis patients

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    Well-posedness of the scalar and the vector advection-reaction problems in Banach graph spaces

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    An extension of the well-posedness analysis of the scalar and the vector advection-reaction problem in Banach graph spaces of power p ∈ (1, ∞) is proposed. This analysis is based on the sign of the associated Friedrichs tensor, taking positive, null or reasonably negative values

    III – Une nouvelle dimension de la responsabilité

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