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Maximal Sensitivity (maximal + sensitivity)
Selected AbstractsA Prospective Pediatric Clinical Trial of Digital Music Players: Do They Interfere with Pacemakers?JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 1 2009CHRISTINE C. CHIU M.Sc. Background: There has been recent concern in the media about iPodÔ interference with pacemakers. We systematically tested two types of digital music players (DMP) on pacemaker or ICD function in children. Methods/Results: Patients were monitored by a 6-lead ECG and programmer telemetry. The pacemaker was tested in bipolar and unipolar sensing at normal and maximal sensitivities. The order of DMP tested was randomized. Each DMP was placed on top of the pacemaker pocket, put into "play" mode three times (5 seconds each), with and without programmer wand placed one cm adjacent to DMP. Pacemaker interference was defined as: pacing inhibition, inappropriate pacing, oversensing, or detection of high-rate episodes associated with the use of DMP. Of the 67 patients (mean age 12 ± 5 years), 62 had pacemakers and five had ICDs; 39 endocardial and 28 epicardial systems. Patients were tested with SansaÔ (67), iPodÔ 30 GB (51), and other DMPs (43). There was no evidence of interference with pacemaker function by any DMP under any of the study conditions (each performed in triplicate). Reproducible programmer telemetry interference was shown in 11 cases (Medtronic 6/47, St. Jude Medical 5/18, Guidant 0/2) related to use of iPodÔ (6), SansaÔ (1), or others (4). None of these were associated with any evidence of pacemaker malfunction. Conclusion: Interference with pacemaker function could not be shown with iPodÔ or MP3 players. No additional precaution beyond standard is necessary for patients with pacemakers when they are using these players. [source] Hyperefficient PrPSc amplification of mouse-adapted BSE and scrapie strain by protein misfolding cyclic amplification techniqueFEBS JOURNAL, Issue 10 2009Aiko Fujihara Abnormal forms of prion protein (PrPSc) accumulate via structural conversion of normal PrP (PrPC) in the progression of transmissible spongiform encephalopathy. Under cell-free conditions, the process can be efficiently replicated using in vitro PrPSc amplification methods, including protein misfolding cyclic amplification. These methods enable ultrasensitive detection of PrPSc; however, there remain difficulties in utilizing them in practice. For example, to date, several rounds of protein misfolding cyclic amplification have been necessary to reach maximal sensitivity, which not only take several weeks, but also result in an increased risk of contamination. In this study, we sought to further promote the rate of PrPSc amplification in the protein misfolding cyclic amplification technique using mouse transmissible spongiform encephalopathy models infected with either mouse-adapted bovine spongiform encephalopathy or mouse-adapted scrapie, Chandler strain. Here, we demonstrate that appropriate regulation of sonication dramatically accelerates PrPSc amplification in both strains. In fact, we reached maximum sensitivity, allowing the ultrasensitive detection of < 1 LD50 of PrPSc in the diluted brain homogenates, after only one or two reaction rounds, and in addition, we detected PrPSc in the plasma of mouse-adapted bovine spongiform encephalopathy-infected mice. We believe that these results will advance the establishment of a fast, ultrasensitive diagnostic test for transmissible spongiform encephalopathies. [source] Optimized damage detection of steel plates from noisy impact testINTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN ENGINEERING, Issue 7 2006G. Rus Abstract Model-based non-destructive evaluation proceeds measuring the response after an excitation on an accessible area of the structure. The basis for processing this information has been established in recent years as an iterative scheme that minimizes the discrepancy between this experimental measurement and sequence of measurement trials predicted by a numerical model. The unknown damage that minimizes this discrepancy by means of a cost functional is to be found. The damage location and size is quantified and sought by means of a well-conditioned parametrization. The design of the magnitude to measure, its filtering for reducing noise effects and calibration, as well as the design of the cost functional and parametrization, determines the robustness of the search to combat noise and other uncertainty factors. These are key open issues to improve the sensitivity and identifiability during the information processing. Among them, a filter for the cost functional is proposed in this study for maximal sensitivity to the damage detection of steel plate under the impact loading. This filter is designed by means of a wavelet decomposition together with a selection of the measuring points, and the optimization criterion is built on an estimate of the probability of detection, using genetic algorithms. Numerical examples show that the use of the optimal filter allows to find damage of a magnitude several times smaller. Copyright © 2006 John Wiley & Sons, Ltd. [source] Optimized balanced steady-state free precession magnetization transfer imagingMAGNETIC RESONANCE IN MEDICINE, Issue 3 2007O. Bieri Abstract Balanced steady-state free precession (bSSFP) suffers from a considerable signal loss in tissues. This apparent signal reduction originates from magnetization transfer (MT) and may be reduced by an increase in repetition time or by a reduction in flip angle. In this work, MT effects in bSSFP are modulated by a modification of the bSSFP sequence scheme. Strong signal attenuations are achieved with short radio frequency (RF) pulses in combination with short repetition times, whereas near full, i.e., MT-free, bSSFP signal is obtained by a considerable prolongation of the RF pulse duration. Similar to standard methods, the MT ratio (MTR) in bSSFP depends on several sequence parameters. Optimized bSSFP protocol settings are derived that can be applied to various tissues yielding maximal sensitivity to MT while minimizing contribution from other impurities, such as off-resonances. Evaluation of MT in human brain using such optimized bSSFP protocols shows high correlation with MTR values from commonly used gradient echo (GRE) sequences. In summary, a novel method to generate MTR maps using bSSFP image acquisitions is presented and factors that optimize and influence this contrast are discussed. Magn Reson Med 58:511,518, 2007. © 2007 Wiley-Liss, Inc. [source] Circadian rhythms and the evolution of photoperiodic timing in insectsPHYSIOLOGICAL ENTOMOLOGY, Issue 4 2009DAVID S. SAUNDERS Abstract. This review discusses possible evolutionary trends in insect photoperiodism, mainly from a chronobiological perspective. A crucial step was the forging of a link between the hormones regulating diapause and the systems of biological rhythms, circadian or circannual, which have independently evolved in eukaryotes to synchronize physiology and behaviour to the daily cycles of light and darkness. In many of these responses a central feature is that the circadian system resets to a constant phase at the beginning of the subjective night, and then ,measures' the duration of the next scotophase. In ,external coincidence', one version of such a clock, light now has a dual role. First, it serves to entrain the circadian system to the stream of pulses making up the light/dark cycle and, second, it regulates the nondiapause/diapause switch in development by illuminating/not illuminating a specific light sensitive phase falling at the end of the critical night length. Important work by A. D. Lees on the aphid Megoura viciae using so-called ,night interruption experiments' demonstrates that pulses falling early in the night lead to long-day effects that are reversible by a subsequent dark period longer than the critical night length and also show maximal sensitivity in the blue,green range of the spectrum. Pulses falling in the latter half of the night, however, produce long-day effects that are irreversible by a subsequent long-night and show a spectral sensitivity extending into the red. With movement to higher latitudes, insects develop genetic clines in various parameters, including critical night length, the number of long-night cycles needed for diapause induction, the strength of the response, and the ,depth' or intensity of the diapause thus induced. Evidence for these and other types of photoperiodic response suggests that they provided strong selective advantages for insect survival. [source] |