Characterizing the size of the target region for atraumatic opening of the cochlea through the facial recess

2019 ◽  
Vol 77 ◽  
pp. 101655
Author(s):  
Thomas S. Rau ◽  
Diana Kreul ◽  
Jakob Lexow ◽  
Silke Hügl ◽  
M. Geraldine Zuniga ◽  
...  
Keyword(s):  
Author(s):  
T. J. Marini ◽  
S. L. Weiss ◽  
A. Gupta ◽  
Y. T. Zhao ◽  
T. M. Baran ◽  
...  

Abstract Purpose Thyroid ultrasound is a key tool in the evaluation of the thyroid, but billions of people around the world lack access to ultrasound imaging. In this study, we tested an asynchronous telediagnostic ultrasound system operated by individuals without prior ultrasound training which may be used to effectively evaluate the thyroid and improve access to imaging worldwide. Methods The telediagnostic system in this study utilizes volume sweep imaging (VSI), an imaging technique in which the operator scans the target region with simple sweeps of the ultrasound probe based on external body landmarks. Sweeps are recorded and saved as video clips for later interpretation by an expert. Two operators without prior ultrasound experience underwent 8 h of training on the thyroid VSI protocol and the operation of the telemedicine platform. After training, the operators scanned patients at a health center in Lima. Telediagnostic examinations were sent to the United States for remote interpretation. Standard of care thyroid ultrasound was performed by an experienced radiologist at the time of VSI examination to serve as a reference standard. Results Novice operators scanned 121 subjects with the thyroid VSI protocol. Of these exams, 88% were rated of excellent image quality showing complete or near complete thyroid visualization. There was 98.3% agreement on thyroid nodule presence between VSI teleultrasound and standard of care ultrasound (Cohen’s kappa 0.91, P < 0.0001). VSI measured the thyroid size, on average, within 5 mm compared to standard of care. Readers of VSI were also able to effectively characterize thyroid nodules, and there was no significant difference in measurement of thyroid nodule size (P = 0.74) between VSI and standard of care. Conclusion Thyroid VSI telediagnostic ultrasound demonstrated both excellent visualization of the thyroid gland and agreement with standard of care thyroid ultrasound for nodules and thyroid size evaluation. This system could be deployed for evaluation of palpable thyroid abnormalities, nodule follow-up, and epidemiological studies to promote global health and improve the availability of diagnostic imaging in underserved communities.


Author(s):  
Giusy Tiseo ◽  
Marco Falcone ◽  
Alessandro Leonildi ◽  
Cesira Giordano ◽  
Simona Barnini ◽  
...  

Abstract A 68-year-old man had recurrent bacteremia by Klebsiella pneumoniae carbapenemase (KPC)-producing K. pneumoniae resistant to ceftazidime-avibactam and cefiderocol. The sequencing of a target region showed that it harbored a KPC-3 variant enzyme (D179Y; KPC-31), which confers resistance to ceftazidime-avibactam and restores meropenem susceptibility. The patient was successfully treated with meropenem-vaborbactam.


2021 ◽  
pp. 1-12
Author(s):  
Xi Bai ◽  
Peter Vajkoczy ◽  
Katharina Faust

<b><i>Objective:</i></b> The pathophysiology of dystonia is poorly understood. As opposed to secondary forms of dystonia, primary dystonia has long been believed to lack any neuroanatomical substrate. During trajectory planning for DBS, however, conspicuous T2-hyperinstensive signal alterations (SA) were registered within the target region, even in young patients, where ischemia is rare. <b><i>Methods:</i></b> Fifty MRIs of primary dystonia patients scheduled for DBS were analyzed. Total basal ganglia (BG) volumes, as well as proportionate SA volumes, were measured and compared to 50 age-matched control patients. <b><i>Results:</i></b> There was a 10-fold preponderance of percentaged SA within the globus pallidus (GP) in dystonia patients. The greatest disparity was in young patients &#x3c;25 years. Also, total BG volume differences were observed with larger GP and markedly smaller putamen and caudate in the dystonia group. <b><i>Conclusions:</i></b> BG morphology in primary dystonia differed from a control population. Volume reductions of the putamen and caudate may reflect functional degeneration, while volume increases of the GP may indicate overactivity. T2-hyperintensive SA in the GP of young primary dystonia patients, where microvascular lesions are highly unlikely, are striking. Their pathogenic role remains unclear.


Fermentation ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Jared McCune ◽  
Alex Riley ◽  
Bernard Chen

Wineinformatics is a new data science research area that focuses on large amounts of wine-related data. Most of the current Wineinformatics researches are focused on supervised learning to predict the wine quality, price, region and weather. In this research, unsupervised learning using K-means clustering with optimal K search and filtration process is studied on a Bordeaux-region specific dataset to form clusters and find representative wines in each cluster. 14,349 wines representing the 21st century Bordeaux dataset are clustered into 43 and 13 clusters with detailed analysis on the number of wines, dominant wine characteristics, average wine grades, and representative wines in each cluster. Similar research results are also generated and presented on 435 elite wines (wines that scored 95 points and above on a 100 points scale). The information generated from this research can be beneficial to wine vendors to make a selection given the limited number of wines they can realistically offer, to connoisseurs to study wines in a target region/vintage/price with a representative short list, and to wine consumers to get recommendations. Many possible researches can adopt the same process to analyze and find representative wines in different wine making regions/countries, vintages, or pivot points. This paper opens up a new door for Wineinformatics in unsupervised learning researches.


2021 ◽  
Vol 7 (11) ◽  
pp. eabf1913
Author(s):  
Takuma Kitanishi ◽  
Ryoko Umaba ◽  
Kenji Mizuseki

The dorsal hippocampus conveys various information associated with spatial navigation; however, how the information is distributed to multiple downstream areas remains unknown. We investigated this by identifying axonal projections using optogenetics during large-scale recordings from the rat subiculum, the major hippocampal output structure. Subicular neurons demonstrated a noise-resistant representation of place, speed, and trajectory, which was as accurate as or even more accurate than that of hippocampal CA1 neurons. Speed- and trajectory-dependent firings were most prominent in neurons projecting to the retrosplenial cortex and nucleus accumbens, respectively. Place-related firing was uniformly observed in neurons targeting the retrosplenial cortex, nucleus accumbens, anteroventral thalamus, and medial mammillary body. Theta oscillations and sharp-wave/ripples tightly controlled the firing of projection neurons in a target region–specific manner. In conclusion, the dorsal subiculum robustly routes diverse navigation-associated information to downstream areas.


Author(s):  
Bridget Copson ◽  
Sudanthi Wijewickrema ◽  
Xingjun Ma ◽  
Yun Zhou ◽  
Jean-Marc Gerard ◽  
...  

2019 ◽  
Vol 20 (15) ◽  
pp. 3623 ◽  
Author(s):  
Tobias Bruegmann ◽  
Khira Deecke ◽  
Matthias Fladung

CRISPR/Cas9 has become one of the most promising techniques for genome editing in plants and works very well in poplars with an Agrobacterium-mediated transformation system. We selected twelve genes, including SOC1, FUL, and their paralogous genes, four NFP-like genes and TOZ19 for three different research topics. The gRNAs were designed for editing, and, together with a constitutively expressed Cas9 nuclease, transferred either into the poplar hybrid Populus × canescens or into P. tremula. The regenerated lines showed different types of editing and revealed several homozygous editing events which are of special interest in perennial species because of limited back-cross ability. Through a time series, we could show that despite the constitutive expression of the Cas9 nuclease, no secondary editing of the target region occurred. Thus, constitutive Cas9 expression does not seem to pose any risk to additional editing events. Based on various criteria, we obtained evidence for a relationship between the structure of gRNA and the efficiency of gene editing. In particular, the GC content, purine residues in the gRNA end, and the free accessibility of the seed region seemed to be highly important for genome editing in poplars. Based on our findings on nine different poplar genes, efficient gRNAs can be designed for future efficient editing applications in poplars.


2015 ◽  
Vol 138 (2) ◽  
Author(s):  
Diego Andrade ◽  
Ved Vyas ◽  
Kenji Shimada

While modern computer aided design (CAD) systems currently offer tools for generating simple patterns, such as uniformly spaced rectangular or radial patterns, these tools are limited in several ways: (1) They cannot be applied to free-form geometries used in industrial design, (2) patterning of these features happens within a single working plane and is not applicable to highly curved surfaces, and (3) created features lack anisotropy and spatial variations, such as changes in the size and orientation of geometric features within a given region. In this paper, we introduce a novel approach for creating anisotropic patterns of geometric features on free-form surfaces. Complex patterns are generated automatically, such that they conform to the boundary of any specified target region. Furthermore, user input of a small number of geometric features (called “seed features”) of desired size and orientation in preferred locations could be specified within the target domain. These geometric seed features are then transformed into tensors and used as boundary conditions to generate a Riemannian metric tensor field. A form of Laplace's heat equation is used to produce the field over the target domain, subject to specified boundary conditions. The field represents the anisotropic pattern of geometric features. This procedure is implemented as an add-on for a commercial CAD package to add geometric features to a target region of a three-dimensional model using two set operations: union and subtraction. This method facilitates the creation of a complex pattern of hundreds of geometric features in less than 5 min. All the features are accessible from the CAD system, and if required, they are manipulable individually by the user.


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