Automatic generation of real-time deformable parametric model of the aorta for a VR-based catheterism guidance system

The purpose of this work is twofold: first, to develop a process to automatically create parametric models of the aorta that can adapt to any possible intraoperative deformation of the vessel. Second, it intends to provide the tools needed to perform this deformation in real time, by means of a non-rigid registration method. This dynamically deformable model will later be used in a VR-based surgery guidance system for aortic catheterism procedures, showing the vessel changes in real time

Modification of the Alfvén wave spectrum by pellet injection

International audienceAlfvén eigenmodes driven by energetic particles are routinely observed in tokamak plasmas. These modes consist of poloidal harmonics of shear Alfvén waves coupled by inhomogeneity in the magnetic field. Further coupling is introduced by 3D inhomogeneities in the ion density during the assimilation of injected pellets. This additional coupling modifies the Alfvén continuum and discrete eigenmode spectrum. The frequencies of Alfvén eigenmodes drop dramatically when a pellet is injected in JET. From these observations, information about the changes in the ion density caused by a pellet can be inferred. To use Alfvén eigenmodes for MHD spectroscopy of pellet injected plasmas, the 3D MHD codes Stellgap and AE3D were generalised to incorporate 3D density profiles. A model for the expansion of the ionised pellet plasmoid along a magnetic field line was derived from the fluid equations. Thereby, the time evolution of the Alfvén eigenfrequency is reproduced. By comparing the numerical frequency drop of a toroidal Alfvén eigenmode (TAE) to experimental observations, the initial ion density of a cigar-shaped ablation region of length 4cm is estimated to be n * = 6.8×10 22 m −3 at the TAE location (r/a ≈ 0.75). The frequency sweeping of an Alfvén eigenmode ends when the ion density homogenises poloidally. Modelling suggests that the time for poloidal homogenisation of the ion density at the TAE position is τ h = 18 ± 4 ms for inboard pellet injection, and τ h = 26 ± 2 ms for outboard pellet injection. By reproducing the frequency evolution of the elliptical Alfvén eigenmode (EAE), the initial ion density at the EAE location (r/a ≈ 0.9) can be estimated to be n * = 4.8 × 10 22 m −3. Poloidal homogenisation of the ion density takes 2.7 times longer at the EAE location than at the TAE location for both inboard and outboard pellet injection

Does the Potential for Chaos Constrain the Embryonic Cell-Cycle Oscillator?

Although many of the core components of the embryonic cell-cycle network have been elucidated, the question of how embryos achieve robust, synchronous cellular divisions post-fertilization remains unexplored. What are the different schemes that could be implemented by the embryo to achieve synchronization? By extending a cell-cycle model previously developed for embryos of the frog Xenopus laevis to include the spatial dimensions of the embryo, we establish a novel role for the rapid, fertilization-initiated calcium wave that triggers cell-cycle oscillations. Specifically, in our simulations a fast calcium wave results in synchronized cell cycles, while a slow wave results in full-blown spatio-temporal chaos. We show that such chaos would ultimately lead to an unpredictable patchwork of cell divisions across the embryo. Given this potential for chaos, our results indicate a novel design principle whereby the fast calcium-wave trigger following embryo fertilization synchronizes cell divisions

Panton-Valentine Leukocidin Is Not the Primary Determinant of Outcome for Staphylococcus aureus Skin Infections: Evaluation from the CANVAS Studies

The impact of Panton-Valentine leukocidin (PVL) on the severity of complicated skin and skin structure infections (cSSSI) caused by Staphylococcus aureus is controversial. We evaluated potential associations between clinical outcome and PVL presence in both methicillin-resistant S. aureus (MRSA) and methicillin-susceptible S. aureus (MSSA) isolates from patients enrolled in two large, multinational phase three clinical trials assessing ceftaroline fosamil for the treatment of cSSSI (the CANVAS 1 and 2 programs). Isolates from all microbiologically evaluable patients with monomicrobial MRSA or MSSA infections (n = 473) were genotyped by PCR for pvl and underwent pulsed-field gel electrophoresis (PFGE). Genes encoding pvl were present in 266/473 (56.2%) isolates. Infections caused by pvl-positive S. aureus were associated with younger patient age, North American acquisition, and presence of major abscesses (P<0.001 for each). Cure rates of patients infected with pvl-positive and pvl-negative S. aureus were similar overall (93.6% versus 92.8%; P = 0.72), and within MRSA-infected (94.5% vs. 93.1%; P = 0.67) and MSSA-infected patients (92.2% vs. 92.7%; P = 1.00). This finding persisted after adjustment for multiple patient characteristics. Outcomes were also similar when USA300 PVL+ and non-USA300 PVL+ infections were compared. The results of this contemporary, international study suggest that pvl presence was not the primary determinant of outcome in patients with cSSSI due to either MRSA or MSSA

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

"War is at us, my black skin": The Politics of Naming an Event

The event that scholars and Jamaicans frequently call the “Morant Bay Rebellion” of 1865 resulted in long-term social and political consequences which profoundly shaped the course of Jamaican history. Yet contestation concerning the name and the naming of this event by Jamaican people on the ground has received scant attention in the historiography. In contrast to previous approaches, this thesis establishes that ordinary, subaltern Jamaicans from 1865 to the present day specifically named and remembered the events in question as a war at the exclusion of names like “rebellion,” “uprising,” “riot,” and “insurrection,” and that (post)colonial elites, aided by conventional scholars and commentators, have omitted this history in order to (re)produce and legitimize the idea that oppression and exploitation on the basis of race are things of the past. In turn, this thesis demonstrates that perceptions of blackness and whiteness during the events of 1865 were contingent and shifting rather than reducible to racial binaries and essentialisms which corresponded simply with skin color. Paul Bogle and his allies imagined blackness as tied to anti-statist political orientations, while many contemporaries in support of the colonial state used racial identification to represent and differentiate various groupings of black people as (dis)loyal to the governing regime and its racial hierarchies

Radionuclide transport in sandstones with WIPP brine

Retardation factors (R) have been measured for the transport of /sup 3/H, /sup 95m/Tc, and /sup 85/Sr in WIPP brine using St. Peter, Berea, Kayenta, and San Felipe sandstone cores. If tritium is assumed to have R=1, /sup 95m/Tc has R=1.0 to 1.3 and therefore is essentially not retarded. Strontium-85 has R = 1.0 to 1.3 on St. Peter, Berea, and Kayenta, but R=3 on San Felipe. This is attributed to sorption on the matrix material of San Felipe, which has 45 volume % matrix compared with 1 to 10 volume % for the others. Retardation factors (R/sub s/) for /sup 85/Sr calculated from static sorption measurements are unity for all the sandstones. Therefore, the static and transport results for /sup 85/Sr disagree in the case of San Felipe, but agree for St. Peter, Berea, and Kayenta

Effect of written emotional expression on immune function in patients with human immunodeficiency virus infection: A randomized trial

Objectives: To determine whether writing about emotional topics compared with writing about neutral topics could affect CD4 lymphocyte count and human immunodeficiency virus (HIV) viral load among HIV-infected patients. Methods: Thirty-seven HIV-infected patients were randomly allocated to 2 writing conditions focusing on emotional or control topics. Participants wrote for 4 days, 30 minutes per day. The CD4 lymphocyte count and HIV viral load were measured at baseline and at 2 weeks, 3 months, and 6 months after writing. Results: The emotional writing participants rated their essays as more personal, valuable, and emotional than those in the control condition. Relative to the drop in HIV viral load, CD4 lymphocyte counts increased after the intervention for participants in the emotional writing condition compared with control writing participants. Conclusions: The results are consistent with those of previous studies using emotional writing in other patient groups. Based on the self-reports of the value of writing and the preliminary laboratory findings, the results suggest that emotional writing may provide benefit for patients with HIV infection. Key words: HIV infection, disclosure, emotional writing, HIV viral load, CD4 lymphocyte count. HIV human immunodeficiency virus; AIDS acquired immune deficiency syndrome; ANOVA analysis of variance