Le rôle de l’Oxygénation Extracorporelle par Membrane (ECMO) dans la réanimation cardio-pulmonaire

Rapport de stage présenté à la Faculté de médecine en vue de l'obtention du grade de Maître ès sciences appliquées (M.Sc.A.) en génie biomédical, option génie clinique.

On the remoteness function in median graphs

A profile on a graph G is any nonempty multiset whose elements are vertices from G. The corresponding remoteness function associates to each vertex x 2 V.G/ the sum of distances from x to the vertices in the profile. Starting from some nice and useful properties of the remoteness function in hypercubes, the remoteness function is studied in arbitrary median graphs with respect to their isometric embeddings in hypercubes. In particular, a relation between the vertices in a median graph G whose remoteness function is maximum (antimedian set of G) with the antimedian set of the host hypercube is found. While for odd profiles the antimedian set is an independent set that lies in the strict boundary of a median graph, there exist median graphs in which special even profiles yield a constant remoteness function. We characterize such median graphs in two ways: as the graphs whose periphery transversal number is 2, and as the graphs with the geodetic number equal to 2. Finally, we present an algorithm that, given a graph G on n vertices and m edges, decides in O.mlog n/ time whether G is a median graph with geodetic number 2

Axiomatic Characterization of the Antimedian Function on Paths and Hypercubes

An antimedian of a pro le = (x1; x2; : : : ; xk) of vertices of a graph G is a vertex maximizing the sum of the distances to the elements of the pro le. The antimedian function is de ned on the set of all pro les on G and has as output the set of antimedians of a pro le. It is a typical location function for nding a location for an obnoxious facility. The `converse' of the antimedian function is the median function, where the distance sum is minimized. The median function is well studied. For instance it has been characterized axiomatically by three simple axioms on median graphs. The median function behaves nicely on many classes of graphs. In contrast the antimedian function does not have a nice behavior on most classes. So a nice axiomatic characterization may not be expected. In this paper such a characterization is obtained for the two classes of graphs on which the antimedian is well-behaved: paths and hypercubes.

Root parametrized differential equations

The present thesis is about the inverse problem in differential Galois Theory. Given a differential field, the inverse  problem asks which linear algebraic groups can be realized as differential Galois groups of Picard-Vessiot extensions of this field.   In this thesis we will concentrate on the realization of the classical groups as differential Galois groups. We introduce a method for a very general realization of these groups. This means that we present for the classical groups of Lie rank $l$ explicit linear differential equations where the coefficients are differential polynomials in $l$ differential indeterminates over an algebraically closed field of constants $C$, i.e. our differential ground field is purely differential transcendental over the constants.   For the groups of type $A_l$, $B_l$, $C_l$, $D_l$ and $G_2$ we managed to do these realizations at the same time in terms of Abhyankar's program 'Nice Equations for Nice Groups'. Here the choice of the defining matrix is important. We found out that an educated choice of $l$ negative roots for the parametrization together with the positive simple roots leads to a nice differential equation and at the same time defines a sufficiently general element of the Lie algebra. Unfortunately for the groups of type $F_4$ and $E_6$ the linear differential equations for such elements are of enormous length. Therefore we keep in the case of $F_4$ and $E_6$ the defining matrix differential equation which has also an easy and nice shape.   The basic idea for the realization is the application of an upper and lower bound criterion for the differential Galois group to our parameter equations and to show that both bounds coincide. An upper and lower bound criterion can be found in literature. Here we will only use the upper bound, since for the application of the lower bound criterion an important condition has to be satisfied. If the differential ground field is $C_1$, e.g., $C(z)$ with standard derivation, this condition is automatically satisfied. Since our differential ground field is purely differential transcendental over $C$, we have no information whether this condition holds or not.   The main part of this thesis is the development of an alternative lower bound criterion and its application. We introduce the specialization bound. It states that the differential Galois group of a specialization of the parameter equation is contained in the differential Galois group of the parameter equation. Thus for its application we need a differential equation over $C(z)$ with given differential Galois group. A modification of a result from Mitschi and Singer yields such an equation over $C(z)$ up to differential conjugation, i.e. up to transformation to the required shape. The transformation of their equation to a specialization of our parameter equation is done for each of the above groups in the respective transformation lemma.

Crisis or failure of hegemonic masculinities in David Lodge’s Campus Trilogy

This bachelor’s thesis examines the crisis of hegemonic masculinities in David Lodge’s Campus Trilogy. In the course of the thesis, I demonstrate that the male characters in the novels aspire to hegemonic ideals of masculinity, but that ultimately most of them fail in their aspirations. However, I also show that this does not lead to the abandonment of this pursuit, but merely to its reformulation and a continued attempt of male characters to aspire to this reformulated ideal. In order to achieve this, I conduct a close reading of the novels and based on this, first determine the predominant types of hegemonic masculinities in each novel, and then whether certain characters aspire to these hegemonic ideals. Next I analyze whether or not they are successful. This analysis is chiefly based on the sociological concept of hegemonic masculinities developed by Connell. With the help of this concept, this thesis shows that several types of masculinities can be identified in the novels and that these exist in hierarchical relation to each other. Furthermore, it shows that these aspirations and the ideals themselves are always prone to crises that are brought on by societal changes in their environment. However, it is also demonstrated that in most cases these crises do not lead to the collapse of the ideal or the failure of its pursuit, but rather to the reformulation and continuation of both.

Hardy-Weinberg Equilibrium and the Ternary Plot

The Hardy-Weinberg law, formulated about 100 years ago, states that under certain assumptions, the three genotypes AA, AB and BB at a bi-allelic locus are expected to occur in the proportions p2, 2pq, and q2 respectively, where p is the allele frequency of A, and q = 1-p. There are many statistical tests being used to check whether empirical marker data obeys the Hardy-Weinberg principle. Among these are the classical xi-square test (with or without continuity correction), the likelihood ratio test, Fisher's Exact test, and exact tests in combination with Monte Carlo and Markov Chain algorithms. Tests for Hardy-Weinberg equilibrium (HWE) are numerical in nature, requiring the computation of a test statistic and a p-value. There is however, ample space for the use of graphics in HWE tests, in particular for the ternary plot. Nowadays, many genetical studies are using genetical markers known as Single Nucleotide Polymorphisms (SNPs). SNP data comes in the form of counts, but from the counts one typically computes genotype frequencies and allele frequencies. These frequencies satisfy the unit-sum constraint, and their analysis therefore falls within the realm of compositional data analysis (Aitchison, 1986). SNPs are usually bi-allelic, which implies that the genotype frequencies can be adequately represented in a ternary plot. Compositions that are in exact HWE describe a parabola in the ternary plot. Compositions for which HWE cannot be rejected in a statistical test are typically “close" to the parabola, whereas compositions that differ significantly from HWE are “far". By rewriting the statistics used to test for HWE in terms of heterozygote frequencies, acceptance regions for HWE can be obtained that can be depicted in the ternary plot. This way, compositions can be tested for HWE purely on the basis of their position in the ternary plot (Graffelman & Morales, 2008). This leads to nice graphical representations where large numbers of SNPs can be tested for HWE in a single graph. Several examples of graphical tests for HWE (implemented in R software), will be shown, using SNP data from different human populations

Robust decoupled visual servoing based on structured light

This paper focuses on the problem of realizing a plane-to-plane virtual link between a camera attached to the end-effector of a robot and a planar object. In order to do the system independent to the object surface appearance, a structured light emitter is linked to the camera so that 4 laser pointers are projected onto the object. In a previous paper we showed that such a system has good performance and nice characteristics like partial decoupling near the desired state and robustness against misalignment of the emitter and the camera (J. Pages et al., 2004). However, no analytical results concerning the global asymptotic stability of the system were obtained due to the high complexity of the visual features utilized. In this work we present a better set of visual features which improves the properties of the features in (J. Pages et al., 2004) and for which it is possible to prove the global asymptotic stability

Plane-to-plane positioning from image-based visual servoing and structured light

In this paper we face the problem of positioning a camera attached to the end-effector of a robotic manipulator so that it gets parallel to a planar object. Such problem has been treated for a long time in visual servoing. Our approach is based on linking to the camera several laser pointers so that its configuration is aimed to produce a suitable set of visual features. The aim of using structured light is not only for easing the image processing and to allow low-textured objects to be treated, but also for producing a control scheme with nice properties like decoupling, stability, well conditioning and good camera trajectory

Utilidad del [99m] Tc TRODAT-1 en el diagnóstico de la Enfermedad de Parkinson: revisión sistemática de la literatura

Propósito de la revisión: la enfermedad de Parkinson (EP) es un trastorno degenerativo caracterizado clínicamente por presentar temblor en reposo, rigidez y bradicinesia. El propósito es determinar la utilidad de la molécula TRODAT-1 en el diagnóstico de la EP. Metodología: se realizó una búsqueda en las bases de datos: PUBMED, COCHRANE, MEDLINE, LILACS y SCIELO en un período de 10 años desde enero de 1998 a enero de 2008. Se obtuvieron 26 artículos, estos se analizaron y se seleccionaron 10 artículos, de los cuales sólo 6 respondían a las necesidades del estudio, de acuerdo a los criterios de inclusión. De los 6 artículos analizados, 4 fueron clasificados como evidencia grado (+) y los 2 restantes evidencia grado (-) de acuerdo con las guías NICE. Todos los artículos revisados reportan una disminución importante en la captación del TRODAT-1 a nivel estriatal, su utilidad en el diagnóstico de EP en estadios tempranos, bajo costo y seguridad. Sólo tres reportan valores de sensibilidad y especificidad, pero su nivel de calidad no permite hacer una comparación de los mismos. Conclusiones: se propone realizar estudios de prueba diagnóstica comparados con el diagnóstico clínico de la enfermedad, que tengan un acuerdo en la forma de plantear las mediciones semicuantitativas de las unidades de captación utilizando las mismas fórmulas para hacerlos comparables.

El ponqué Chocoramo y la teoría de la innovación como factor de éxito

Existen en la mente muchos recuerdos y aquellos que marcan aun más son aquellos de la niñez. Para muchos colombianos el Chocoramo hace parte de esos recuerdos; ya sea en la lonchera, en recreos, o en la alacena de casa. Esta porción de ponqué cubierta con chocolate representa algunas de las cosas que los colombianos apreciamos. El Chocoramo es un ponqué simple, tradicional, fresco, rico y conveniente para calmar el hambre cuando no el tiempo es escaso. Por lo que significa, por hacer parte de nuestros recuerdos y porqué crecimos comiendo Chocoramo; sin duda alguna este ponqué de empaque naranja hace parte de la tradición colombiana. Si bien la innovación continua en empaque y producto se convierte en la clave del éxito para muchas de las firmas, Productos Ramo nos enseña que no podemos olvidar quienes son nuestros clientes y cuál es la razón por la que aprecian nuestros productos, para el consumidor del ponqué Chocoramo significa mucho más que un lindo empaque.

Análisis de la influencia de las corrientes de integración europea en las decisiones políticas irlandesas con respecto al futuro de la construcción de la UE durante el periodo 2000 a 2009.

Esta monografía es una aproximación a las definiciones de Europeísmo y Euroescepticismo irlandés, basadas en las características obtenidas del análisis del marco (discurso manejado, actores principales y repertorio) de las campañas desarrolladas durante los 4 referendos irlandeses en temas europeos (Tratados de Niza y Lisboa) entre 2000 y 2009.

Blackboard Blogging & beyond

This Share contains videos and links to help you get up to speed with blogging using Blackboard, Blackboard blogs are nice safe places to start blogging and although they don't look cool, there alright ! Then check out tumblr, wordpress or blogger to start blogging on your own in public !

PAPP-A y β-hCG libre como predictores de preeclampsia y bajo peso al nacer en una población latina

Introducción: La Preeclampsia ocurre entre el 2-7% de los embarazos. Previos estudios han sugerido la asociación entre los niveles alterados de PAPP-A y la β-hCG libre con el desarrollo de Preeclampsia (PE) y/o Bajo Peso al Nacer (BPN). Metodología: El diseño del estudio es de Prueba Diagnóstica con enfoque de casos y controles. Las mediciones séricas de PAPP-A y la β-hCG libre, fueron realizadas entre la semana 11-13.6 días durante 2 años. Resultados: La cohorte incluyó 399 pacientes, la incidencia de PE fue de 2,26% y de BPN fue de 14.54%. El punto de corte del percentil 10 fue MoM PAPP-A: 0,368293 y MoM β-hCG libre: 0,412268; la especificidad en PE leve fue de 90,5 y para BPN de 90. Los MoM de la β-hCG libre, la edad y el peso materno se comportan como factores de riesgo, mientras que mayores valores de MoM de la PAPP-A y mayor número de partos factores de protección. Para el BPEG severo la edad materna y la paridad se comportan como factores de riesgo, mientras que un aumento promedio de los valores de los MoM de la PAPP-A y la β-hCG libre, como factores de protección en el desarrollo de BPEG Severo. Conclusiones: Existe una relación significativa entre los valores alterados de PAPP-A y de β-hCG libre, valorados a la semana 11 a 13 con la incidencia de Preeclampsia y de Bajo Peso al nacer en fetos cromosómicamente normales, mostrando unos niveles significativamente más bajos a medida que aumentaba la severidad de la enfermedad.

Eficacia de las intervenciones psicoeducativas en pacientes con esquizofrenia: una revisión sistemática

Introducción: La esquizofrenia es una enfermedad crónica que genera deterioro cognitivo y diversos grados de discapacidad. Dentro del tratamiento no solo debe considerarse el abordaje farmacológico sino también un enfoque psicoterapéutico. La psicoeducación es una intervención terapéutica con alto potencial en el manejo de pacientes con esquizofrenia, tiene importantes resultados especialmente en el área cognitiva. Métodos: Revisión sistemática de la literatura de artículos de bases de datos y búsqueda manual de revistas relacionadas que aportaran la mejor evidencia. Se evaluó calidad metodológica de los estudios y estos se organizaron en tablas de evidencia. Resultados: De 34 artículos potenciales, se seleccionaron finalmente dos para ser incluidos en la revisión. Se clasificaron como nivel de evidencia I. A pesar de la ambigüedad de las comparaciones, en general, las intervenciones psicoeducativas aportan beneficios con disminución de recaídas y reingresos hospitalarios. Discusión: La amplia gama de comparaciones aportó complejidad en el momento de incluir estudios para la presente revisión, la falta de detalle sobre aspectos propios de la intervención utilizada en cada estudio, generó limitaciones al momento de realizar comparaciones. La psicoeducación aporta beneficios, sin embargo debe tenerse en cuenta el compromiso cognitivo propio de la enfermedad, al momento de evaluar los desenlaces de este tipo de intervenciones. Conclusión: Las intervenciones psicoeducativas juegan un importante papel en el tratamiento de los pacientes con esquizofrenia. Es necesaria la realización de más estudios que consoliden con mayor firmeza la evidencia científica en éste área en particular.

COMP1204: Programming the Shell - Apple Handbook (2013)

This is optional reading, it provides a very nice and clear reference to BASH with references to CShell