4 resultados para Glasgow Outcome Scale
em Universidad Politécnica de Madrid
Resumo:
Objective The main purpose of this research is the novel use of artificial metaplasticity on multilayer perceptron (AMMLP) as a data mining tool for prediction the outcome of patients with acquired brain injury (ABI) after cognitive rehabilitation. The final goal aims at increasing knowledge in the field of rehabilitation theory based on cognitive affectation. Methods and materials The data set used in this study contains records belonging to 123 ABI patients with moderate to severe cognitive affectation (according to Glasgow Coma Scale) that underwent rehabilitation at Institut Guttmann Neurorehabilitation Hospital (IG) using the tele-rehabilitation platform PREVIRNEC©. The variables included in the analysis comprise the neuropsychological initial evaluation of the patient (cognitive affectation profile), the results of the rehabilitation tasks performed by the patient in PREVIRNEC© and the outcome of the patient after a 3–5 months treatment. To achieve the treatment outcome prediction, we apply and compare three different data mining techniques: the AMMLP model, a backpropagation neural network (BPNN) and a C4.5 decision tree. Results The prediction performance of the models was measured by ten-fold cross validation and several architectures were tested. The results obtained by the AMMLP model are clearly superior, with an average predictive performance of 91.56%. BPNN and C4.5 models have a prediction average accuracy of 80.18% and 89.91% respectively. The best single AMMLP model provided a specificity of 92.38%, a sensitivity of 91.76% and a prediction accuracy of 92.07%. Conclusions The proposed prediction model presented in this study allows to increase the knowledge about the contributing factors of an ABI patient recovery and to estimate treatment efficacy in individual patients. The ability to predict treatment outcomes may provide new insights toward improving effectiveness and creating personalized therapeutic interventions based on clinical evidence.
Resumo:
The use of GaAsSbN capping layers on InAs/GaAs quantum dots (QDs) has recently been proposed for micro- and optoelectronic applications for their ability to independently tailor electron and hole confinement potentials. However, there is a lack of knowledge about the structural and compositional changes associated with the process of simultaneous Sb and N incorporation. In the present work, we have characterized using transmission electron microscopy techniques the effects of adding N in the GaAsSb/InAs/GaAs QD system. Firstly, strain maps of the regions away from the InAs QDs had revealed a huge reduction of the strain fields with the N incorporation but a higher inhomogeneity, which points to a composition modulation enhancement with the presence of Sb-rich and Sb-poor regions in the range of a few nanometers. On the other hand, the average strain in the QDs and surroundings is also similar in both cases. It could be explained by the accumulation of Sb above the QDs, compensating the tensile strain induced by the N incorporation together with an In-Ga intermixing inhibition. Indeed, compositional maps of column resolution from aberration-corrected Z-contrast images confirmed that the addition of N enhances the preferential deposition of Sb above the InAs QD, giving rise to an undulation of the growth front. As an outcome, the strong redshift in the photoluminescence spectrum of the GaAsSbN sample cannot be attributed only to the N-related reduction of the conduction band offset but also to an enhancement of the effect of Sb on the QD band structure.
Resumo:
Background Gray scale images make the bulk of data in bio-medical image analysis, and hence, the main focus of many image processing tasks lies in the processing of these monochrome images. With ever improving acquisition devices, spatial and temporal image resolution increases, and data sets become very large. Various image processing frameworks exists that make the development of new algorithms easy by using high level programming languages or visual programming. These frameworks are also accessable to researchers that have no background or little in software development because they take care of otherwise complex tasks. Specifically, the management of working memory is taken care of automatically, usually at the price of requiring more it. As a result, processing large data sets with these tools becomes increasingly difficult on work station class computers. One alternative to using these high level processing tools is the development of new algorithms in a languages like C++, that gives the developer full control over how memory is handled, but the resulting workflow for the prototyping of new algorithms is rather time intensive, and also not appropriate for a researcher with little or no knowledge in software development. Another alternative is in using command line tools that run image processing tasks, use the hard disk to store intermediate results, and provide automation by using shell scripts. Although not as convenient as, e.g. visual programming, this approach is still accessable to researchers without a background in computer science. However, only few tools exist that provide this kind of processing interface, they are usually quite task specific, and don’t provide an clear approach when one wants to shape a new command line tool from a prototype shell script. Results The proposed framework, MIA, provides a combination of command line tools, plug-ins, and libraries that make it possible to run image processing tasks interactively in a command shell and to prototype by using the according shell scripting language. Since the hard disk becomes the temporal storage memory management is usually a non-issue in the prototyping phase. By using string-based descriptions for filters, optimizers, and the likes, the transition from shell scripts to full fledged programs implemented in C++ is also made easy. In addition, its design based on atomic plug-ins and single tasks command line tools makes it easy to extend MIA, usually without the requirement to touch or recompile existing code. Conclusion In this article, we describe the general design of MIA, a general purpouse framework for gray scale image processing. We demonstrated the applicability of the software with example applications from three different research scenarios, namely motion compensation in myocardial perfusion imaging, the processing of high resolution image data that arises in virtual anthropology, and retrospective analysis of treatment outcome in orthognathic surgery. With MIA prototyping algorithms by using shell scripts that combine small, single-task command line tools is a viable alternative to the use of high level languages, an approach that is especially useful when large data sets need to be processed.
Resumo:
El agotamiento, la ausencia o, simplemente, la incertidumbre sobre la cantidad de las reservas de combustibles fósiles se añaden a la variabilidad de los precios y a la creciente inestabilidad en la cadena de aprovisionamiento para crear fuertes incentivos para el desarrollo de fuentes y vectores energéticos alternativos. El atractivo de hidrógeno como vector energético es muy alto en un contexto que abarca, además, fuertes inquietudes por parte de la población sobre la contaminación y las emisiones de gases de efecto invernadero. Debido a su excelente impacto ambiental, la aceptación pública del nuevo vector energético dependería, a priori, del control de los riesgos asociados su manipulación y almacenamiento. Entre estos, la existencia de un innegable riesgo de explosión aparece como el principal inconveniente de este combustible alternativo. Esta tesis investiga la modelización numérica de explosiones en grandes volúmenes, centrándose en la simulación de la combustión turbulenta en grandes dominios de cálculo en los que la resolución que es alcanzable está fuertemente limitada. En la introducción, se aborda una descripción general de los procesos de explosión. Se concluye que las restricciones en la resolución de los cálculos hacen necesario el modelado de los procesos de turbulencia y de combustión. Posteriormente, se realiza una revisión crítica de las metodologías disponibles tanto para turbulencia como para combustión, que se lleva a cabo señalando las fortalezas, deficiencias e idoneidad de cada una de las metodologías. Como conclusión de esta investigación, se obtiene que la única estrategia viable para el modelado de la combustión, teniendo en cuenta las limitaciones existentes, es la utilización de una expresión que describa la velocidad de combustión turbulenta en función de distintos parámetros. Este tipo de modelos se denominan Modelos de velocidad de llama turbulenta y permiten cerrar una ecuación de balance para la variable de progreso de combustión. Como conclusión también se ha obtenido, que la solución más adecuada para la simulación de la turbulencia es la utilización de diferentes metodologías para la simulación de la turbulencia, LES o RANS, en función de la geometría y de las restricciones en la resolución de cada problema particular. Sobre la base de estos hallazgos, el crea de un modelo de combustión en el marco de los modelos de velocidad de la llama turbulenta. La metodología propuesta es capaz de superar las deficiencias existentes en los modelos disponibles para aquellos problemas en los que se precisa realizar cálculos con una resolución moderada o baja. Particularmente, el modelo utiliza un algoritmo heurístico para impedir el crecimiento del espesor de la llama, una deficiencia que lastraba el célebre modelo de Zimont. Bajo este enfoque, el énfasis del análisis se centra en la determinación de la velocidad de combustión, tanto laminar como turbulenta. La velocidad de combustión laminar se determina a través de una nueva formulación capaz de tener en cuenta la influencia simultánea en la velocidad de combustión laminar de la relación de equivalencia, la temperatura, la presión y la dilución con vapor de agua. La formulación obtenida es válida para un dominio de temperaturas, presiones y dilución con vapor de agua más extenso de cualquiera de las formulaciones previamente disponibles. Por otra parte, el cálculo de la velocidad de combustión turbulenta puede ser abordado mediante el uso de correlaciones que permiten el la determinación de esta magnitud en función de distintos parámetros. Con el objetivo de seleccionar la formulación más adecuada, se ha realizado una comparación entre los resultados obtenidos con diversas expresiones y los resultados obtenidos en los experimentos. Se concluye que la ecuación debida a Schmidt es la más adecuada teniendo en cuenta las condiciones del estudio. A continuación, se analiza la importancia de las inestabilidades de la llama en la propagación de los frentes de combustión. Su relevancia resulta significativa para mezclas pobres en combustible en las que la intensidad de la turbulencia permanece moderada. Estas condiciones son importantes dado que son habituales en los accidentes que ocurren en las centrales nucleares. Por ello, se lleva a cabo la creación de un modelo que permita estimar el efecto de las inestabilidades, y en concreto de la inestabilidad acústica-paramétrica, en la velocidad de propagación de llama. El modelado incluye la derivación matemática de la formulación heurística de Bauwebs et al. para el cálculo de la incremento de la velocidad de combustión debido a las inestabilidades de la llama, así como el análisis de la estabilidad de las llamas con respecto a una perturbación cíclica. Por último, los resultados se combinan para concluir el modelado de la inestabilidad acústica-paramétrica. Tras finalizar esta fase, la investigación se centro en la aplicación del modelo desarrollado en varios problemas de importancia para la seguridad industrial y el posterior análisis de los resultados y la comparación de los mismos con los datos experimentales correspondientes. Concretamente, se abordo la simulación de explosiones en túneles y en contenedores, con y sin gradiente de concentración y ventilación. Como resultados generales, se logra validar el modelo confirmando su idoneidad para estos problemas. Como última tarea, se ha realizado un analisis en profundidad de la catástrofe de Fukushima-Daiichi. El objetivo del análisis es determinar la cantidad de hidrógeno que explotó en el reactor número uno, en contraste con los otros estudios sobre el tema que se han centrado en la determinación de la cantidad de hidrógeno generado durante el accidente. Como resultado de la investigación, se determinó que la cantidad más probable de hidrogeno que fue consumida durante la explosión fue de 130 kg. Es un hecho notable el que la combustión de una relativamente pequeña cantidad de hidrogeno pueda causar un daño tan significativo. Esta es una muestra de la importancia de este tipo de investigaciones. Las ramas de la industria para las que el modelo desarrollado será de interés abarca la totalidad de la futura economía de hidrógeno (pilas de combustible, vehículos, almacenamiento energético, etc) con un impacto especial en los sectores del transporte y la energía nuclear, tanto para las tecnologías de fisión y fusión. ABSTRACT The exhaustion, absolute absence or simply the uncertainty on the amount of the reserves of fossil fuels sources added to the variability of their prices and the increasing instability and difficulties on the supply chain are strong incentives for the development of alternative energy sources and carriers. The attractiveness of hydrogen in a context that additionally comprehends concerns on pollution and emissions is very high. Due to its excellent environmental impact, the public acceptance of the new energetic vector will depend on the risk associated to its handling and storage. Fromthese, the danger of a severe explosion appears as the major drawback of this alternative fuel. This thesis investigates the numerical modeling of large scale explosions, focusing on the simulation of turbulent combustion in large domains where the resolution achievable is forcefully limited. In the introduction, a general description of explosion process is undertaken. It is concluded that the restrictions of resolution makes necessary the modeling of the turbulence and combustion processes. Subsequently, a critical review of the available methodologies for both turbulence and combustion is carried out pointing out their strengths and deficiencies. As a conclusion of this investigation, it appears clear that the only viable methodology for combustion modeling is the utilization of an expression for the turbulent burning velocity to close a balance equation for the combustion progress variable, a model of the Turbulent flame velocity kind. Also, that depending on the particular resolution restriction of each problem and on its geometry the utilization of different simulation methodologies, LES or RANS, is the most adequate solution for modeling the turbulence. Based on these findings, the candidate undertakes the creation of a combustion model in the framework of turbulent flame speed methodology which is able to overcome the deficiencies of the available ones for low resolution problems. Particularly, the model utilizes a heuristic algorithm to maintain the thickness of the flame brush under control, a serious deficiency of the Zimont model. Under the approach utilized by the candidate, the emphasis of the analysis lays on the accurate determination of the burning velocity, both laminar and turbulent. On one side, the laminar burning velocity is determined through a newly developed correlation which is able to describe the simultaneous influence of the equivalence ratio, temperature, steam dilution and pressure on the laminar burning velocity. The formulation obtained is valid for a larger domain of temperature, steam dilution and pressure than any of the previously available formulations. On the other side, a certain number of turbulent burning velocity correlations are available in the literature. For the selection of the most suitable, they have been compared with experiments and ranked, with the outcome that the formulation due to Schmidt was the most adequate for the conditions studied. Subsequently, the role of the flame instabilities on the development of explosions is assessed. Their significance appears to be of importance for lean mixtures in which the turbulence intensity remains moderate. These are important conditions which are typical for accidents on Nuclear Power Plants. Therefore, the creation of a model to account for the instabilities, and concretely, the acoustic parametric instability is undertaken. This encloses the mathematical derivation of the heuristic formulation of Bauwebs et al. for the calculation of the burning velocity enhancement due to flame instabilities as well as the analysis of the stability of flames with respect to a cyclic velocity perturbation. The results are combined to build a model of the acoustic-parametric instability. The following task in this research has been to apply the model developed to several problems significant for the industrial safety and the subsequent analysis of the results and comparison with the corresponding experimental data was performed. As a part of such task simulations of explosions in a tunnel and explosions in large containers, with and without gradient of concentration and venting have been carried out. As a general outcome, the validation of the model is achieved, confirming its suitability for the problems addressed. As a last and final undertaking, a thorough study of the Fukushima-Daiichi catastrophe has been carried out. The analysis performed aims at the determination of the amount of hydrogen participating on the explosion that happened in the reactor one, in contrast with other analysis centered on the amount of hydrogen generated during the accident. As an outcome of the research, it was determined that the most probable amount of hydrogen exploding during the catastrophe was 130 kg. It is remarkable that the combustion of such a small quantity of material can cause tremendous damage. This is an indication of the importance of these types of investigations. The industrial branches that can benefit from the applications of the model developed in this thesis include the whole future hydrogen economy, as well as nuclear safety both in fusion and fission technology.