Bladder function in patients with dystonia undergoing deep brain stimulation

INTRODUCTION Neurogenic bladder dysfunction is well described in Parkinson's disease and has a major impact on quality of live. In contrast, little is known about the extent of urinary symptoms in other movement disorders such as dystonia and about the role of the basal ganglia in bladder control.. PATIENTS AND METHODS A consecutive series of 11 patients with severe dystonia undergoing deep brain stimulation (DBS) of the globus pallidus internus was prospectively enrolled. Bladder function was assessed by the International Prostate Symptom Score and urodynamic investigation (UDI) before DBS surgery and afterwards in the conditions with and without DBS. RESULTS In UDI before DBS surgery, detrusor overactivity was found in 36% (4/11) of dystonia patients. With pallidal DBS ON, maximum flow rate significantly decreased, post-void residual significantly increased and detrusor overactivity disappeared.. CONCLUSIONS Pathological urodynamic changes can be found in a relevant percentage of dystonia patients. Pallidal DBS has a relaxing effect on detrusor function indicating a role of the basal ganglia in lower urinary tract control. Thus, a better understanding on how subcortical networks influence lower urinary tract function might open new therapeutic perspectives..

Coupled human and natural system dynamics as key to the sustainability of Lake Victoria's ecosystem services

East Africa’s Lake Victoria provides resources and services to millions of people on the lake’s shores and abroad. In particular, the lake’s fisheries are an important source of protein, employment, and international economic connections for the whole region. Nonetheless, stock dynamics are poorly understood and currently unpredictable. Furthermore, fishery dynamics are intricately connected to other supporting services of the lake as well as to lakeshore societies and economies. Much research has been carried out piecemeal on different aspects of Lake Victoria’s system; e.g., societies, biodiversity, fisheries, and eutrophication. However, to disentangle drivers and dynamics of change in this complex system, we need to put these pieces together and analyze the system as a whole. We did so by first building a qualitative model of the lake’s social-ecological system. We then investigated the model system through a qualitative loop analysis, and finally examined effects of changes on the system state and structure. The model and its contextual analysis allowed us to investigate system-wide chain reactions resulting from disturbances. Importantly, we built a tool that can be used to analyze the cascading effects of management options and establish the requirements for their success. We found that high connectedness of the system at the exploitation level, through fisheries having multiple target stocks, can increase the stocks’ vulnerability to exploitation but reduce society’s vulnerability to variability in individual stocks. We describe how there are multiple pathways to any change in the system, which makes it difficult to identify the root cause of changes but also broadens the management toolkit. Also, we illustrate how nutrient enrichment is not a self-regulating process, and that explicit management is necessary to halt or reverse eutrophication. This model is simple and usable to assess system-wide effects of management policies, and can serve as a paving stone for future quantitative analyses of system dynamics at local scales.

Using MDEFT MRI Sequences to Target the GPi in DBS Surgery.

OBJECTIVE Recent advances in different MRI sequences have enabled direct visualization and targeting of the Globus pallidus internus (GPi) for DBS surgery. Modified Driven Equilibrium Fourier Transform (MDEFT) MRI sequences provide high spatial resolution and an excellent contrast of the basal ganglia with low distortion. In this study, we investigate if MDEFT sequences yield accurate and reliable targeting of the GPi and compare direct targeting based on MDEFT sequences with atlas-based targeting. METHODS 13 consecutive patients considered for bilateral GPi-DBS for dystonia or PD were included in this study. Preoperative targeting of the GPi was performed visually based on MDEFT sequences as well as by using standard atlas coordinates. Postoperative CT imaging was performed to calculate the location of the implanted leads as well as the active electrode(s). The coordinates of both visual and atlas based targets were compared. The stereotactic coordinates of the lead and active electrode(s) were calculated and projected on the segmented GPi. RESULTS On MDEFT sequences the GPi was well demarcated in most patients. Compared to atlas-based planning the mean target coordinates were located significantly more posterior. Subgroup analysis showed a significant difference in the lateral coordinate between dystonia (LAT = 19.33 ± 0.90) and PD patients (LAT = 20.67 ± 1.69). Projected on the segmented preoperative GPi the active contacts of the DBS electrode in both dystonia and PD patients were located in the inferior and posterior part of the structure corresponding to the motor part of the GPi. CONCLUSIONS MDEFT MRI sequences provide high spatial resolution and an excellent contrast enabling precise identification and direct visual targeting of the GPi. Compared to atlas-based targeting, it resulted in a significantly different mean location of our target. Furthermore, we observed a significant variability of the target among the PD and dystonia subpopulation suggesting accurate targeting for each individual patient.

Tracking the origins of Yakutian horses and the genetic basis for their fast adaptation to subarctic environments

Yakutia, Sakha Republic, in the Siberian Far East, represents one of the coldest places on Earth, with winter record temperatures dropping below -70 °C. Nevertheless, Yakutian horses survive all year round in the open air due to striking phenotypic adaptations, including compact body conformations, extremely hairy winter coats, and acute seasonal differences in metabolic activities. The evolutionary origins of Yakutian horses and the genetic basis of their adaptations remain, however, contentious. Here, we present the complete genomes of nine present-day Yakutian horses and two ancient specimens dating from the early 19th century and ∼5,200 y ago. By comparing these genomes with the genomes of two Late Pleistocene, 27 domesticated, and three wild Przewalski's horses, we find that contemporary Yakutian horses do not descend from the native horses that populated the region until the mid-Holocene, but were most likely introduced following the migration of the Yakut people a few centuries ago. Thus, they represent one of the fastest cases of adaptation to the extreme temperatures of the Arctic. We find cis-regulatory mutations to have contributed more than nonsynonymous changes to their adaptation, likely due to the comparatively limited standing variation within gene bodies at the time the population was founded. Genes involved in hair development, body size, and metabolic and hormone signaling pathways represent an essential part of the Yakutian horse adaptive genetic toolkit. Finally, we find evidence for convergent evolution with native human populations and woolly mammoths, suggesting that only a few evolutionary strategies are compatible with survival in extremely cold environments.

Distinct roles of cortical and pallidal β and γ frequencies in hemiparkinsonian and dyskinetic rats.

Enhanced β band (βB) activity, which is suppressed by levodopa (LD) treatment, has been demonstrated within the basal ganglia (BG) of Parkinson's disease (PD) patients. However, some data suggest that Parkinsonian symptoms are not directly related to this brain frequency and therefore, its causative role remains questionable. A less explored phenomenon is the link between the γ band (γB) and PD phenomenology. Here, we monitored the development of the oscillatory activity during chronic LD depletion and LD treatment in Parkinsonian and levodopa-induced dyskinesia (LID) in rats. We found a significant and bilateral power increase in the high βB frequencies (20-30Hz) within the first 10days after 6-hydroxydopamine (6-OHDA) lesion, which was in accordance with a significant depletion of dopaminergic fibers in the striatum. We also observed a clear-cut γB increase during LD treatment. The development of LID was characterized by a slight increase in the cumulative power of βB accompanied by a large augmentation in the γB frequency (60-80Hz). This latter effect reached a plateau in the frontal cortex bilaterally and the left globus pallidus after the second week of LD treatment. Our data suggest that the βB parallels the emergence of Parkinsonian signs and can be taken as a predictive sign of DA depletion, matching TH-staining reduction. On the other hand, the γB is strictly correlated to the development of LID. LD treatment had an opposite effect on βB and γB, respectively.

Klarheit in der Ostjudenfrage : Tatsachen, Gedanken und Grundsätze

von Erich Bischoff

Das Rheingold : Vorabend zur Trilogie Der Ring des Nibelungen

von Richard Wagner. Durchges., mit den urspr. Fass. vergl., mit einer Einl. sowie den hauptsächlichst. Motiven und Notenbeisp. vers. von Edmund E. F. Kühn

Kamerun im Jahre 1902

von H. Seidel

Die Dreiländerecke am Tschadsee : eine kolonialpolitische Betrachtung

Aus: Globus. 81. 1902

Servicios de aborto para las mujeres jóvenes: Un juego de herramientas para la capacitación

Documentos del juego de herramientas: Servicios de aborto para las mujeres jóvenes: un juego de herramientas para la capacitación; Presentación en PowerPoint de Servicios de aborto para las mujeres jóvenes; Servicios de aborto para las mujeres jóvenes: resultados y recomendaciones de la encuesta de evaluación de necesidades; Servicios de aborto para las mujeres jóvenes: revisión de la literatura; Ejemplo de un cartel; herramientas para el taller Recursos; Transformación de actitudes respecto al aborto: Un juego de herramientas para la aclaración de valores para audiencias mundiales, que incluye: Actividades adaptadas para mujeres jóvenes en situación de aborto; Capacitación eficaz en salud reproductiva: Diseño y ejecución del curso. Manual de referencia y Manual del capacitador; Explorando el tema de aborto: recopilación de actividades de autorreflexión y sensibilización para audiencias internacionales; La atención del aborto centrada en la mujer. Manual de referencia y Manual del capacitador

Migration to an a on-line laboatory in mechanical engineering. The case of a cam-follower design practice.

The European Higher Education Area (EHEA) has leaded to a change in the way the subjects are taught. One of the more important aspects of the EHEA is to support the autonomous study of the students. Taking into account this new approach, the virtual laboratory of the subject Mechanisms of the Aeronautical studies at the Technical University of Madrid is being migrated to an on-line scheme. This virtual laboratory consist on two practices: the design of cam-follower mechanisms and the design of trains of gears. Both practices are software applications that, in the current situation, need to be installed on each computer and the students carry out the practice at the computer classroom of the school under the supervision of a teacher. During this year the design of cam-follower mechanisms practice has been moved to a web application using Java and the Google Development Toolkit. In this practice the students has to design and study the running of a cam to perform a specific displacement diagram with a selected follower taking into account that the mechanism must be able to work properly at high speed regime. The practice has maintained its objectives in the new platform but to take advantage of the new methodology and try to avoid the inconveniences that the previous version had shown. Once the new practice has been ready, a pilot study has been carried out to compare both approaches: on-line and in-lab. This paper shows the adaptation of the cam and follower practice to an on-line methodology. Both practices are described and the changes that has been done to the initial one are shown. They are compared and the weak and strong points of each one are analyzed. Finally we explain the pilot study carried out, the students impression and the results obtained.

Migration to an a on.line laboratory in mechanical engineering. The case of a cam follower design practice.

The European Higher Education Area (EHEA) has leaded to a change in the way the subjects are taught. One of the more important aspects of the EHEA is to support the autonomous study of the students. Taking into account this new approach, the virtual laboratory of the subject Mechanisms of the Aeronautical studies at the Technical University of Madrid is being migrated to an on-line scheme. This virtual laboratory consist on two practices: the design of cam-follower mechanisms and the design of trains of gears. Both practices are software applications that, in the current situation, need to be installed on each computer and the students carry out the practice at the computer classroom of the school under the supervision of a teacher. During this year the design of cam-follower mechanisms practice has been moved to a web application using Java and the Google Development Toolkit. In this practice the students has to design and study the running of a cam to perform a specific displacement diagram with a selected follower taking into account that the mechanism must be able to work properly at high speed regime. The practice has maintained its objectives in the new platform but to take advantage of the new methodology and try to avoid the inconveniences that the previous version had shown. Once the new practice has been ready, a pilot study has been carried out to compare both approaches: on-line and in-lab. This paper shows the adaptation of the cam and follower practice to an on-line methodology. Both practices are described and the changes that has been done to the initial one are shown. They are compared and the weak and strong points of each one are analyzed. Finally we explain the pilot study carried out, the students impression and the results obtained.

Caracterización de colectores para sistemas de concentración fotovoltaica

Este proyecto, titulado “Caracterización de colectores para concentración fotovoltaica”, consiste en una aplicación en Labview para obtener las características de los elementos ópticos utilizados en sistemas de concentración fotovoltaica , atendiendo a la distribución espacial del foco de luz concentrado que generan. Un sistema de concentración fotovoltaica utiliza un sistema óptico para transmitir la radiación luminosa a la célula solar aumentando la densidad de potencia luminosa. Estos sistemas ópticos están formados por espejos o lentes para recoger la radiación incidente en ellos y concentrar el haz de luz en una superficie mucho menor. De esta manera se puede reducir el área de material semiconductor necesario, lo que conlleva una importante reducción del coste del sistema. Se pueden distinguir diferentes sistemas de concentración dependiendo de la óptica que emplee, la estructura del receptor o el rango de concentración. Sin embargo, ya que el objetivo es analizar la distribución espacial, diferenciaremos dos tipos de concentradores dependiendo de la geometría que presenta el foco de luz. El concentrador lineal o cilíndrico que enfoca sobre una línea, y el concentrador de foco puntual o circular que enfoca la luz sobre un punto. Debido a esta diferencia el análisis en ambos casos se realizará de forma distinta. El análisis se realiza procesando una imagen del foco tomada en el lugar del receptor, este método se llama LS-CCD (Difusión de luz y captura con CCD). Puede utilizarse en varios montajes dependiendo si se capta la imagen por reflexión o por transmisión en el receptor. En algunos montajes no es posible captar la imagen perpendicular al receptor por lo que la aplicación realizará un ajuste de perspectiva para obtener el foco con su forma original. La imagen del foco ofrece información detallada acerca de la uniformidad del foco mediante el mapa de superficie, que es una representación en 3D de la imagen pero que resulta poco manejable. Una representación más sencilla y útil es la que ofrecen los llamados “perfiles de intensidad”. El perfil de intensidad o distribución de la irradiancia que representa la distribución de la luz para cada distancia al centro, y el perfil acumulado o irradiancia acumulada que representa la luz contenida en relación también al centro. Las representaciones de estos perfiles en el caso de un concentrador lineal y otro circular son distintas debido a su diferente geometría. Mientras que para un foco lineal se expresa el perfil en función de la semi-anchura del receptor, para uno circular se expresa en función del radio. En cualquiera de los casos ofrecen información sobre la uniformidad y el tamaño del foco de luz necesarios para diseñar el receptor. El objetivo de este proyecto es la creación de una aplicación software que realice el procesado y análisis de las imágenes obtenidas del foco de luz de los sistemas ópticos a caracterizar. La aplicación tiene una interfaz sencilla e intuitiva para que pueda ser empleada por cualquier usuario. Los recursos necesarios para realizar el proyecto son: un PC con sistema operativo Windows, el software Labview 8.6 Professional Edition y los módulos NI Vision Development Module (para trabajar con imágenes) y NI Report Generation Toolkit (para realizar reportes y guardar datos de la aplicación). ABSTRACT This project, called “Characterization of collectors for concentration photovoltaic systems”, consists in a Labview application to obtain the characteristics of the optical elements used in photovoltaic concentrator, taking into account the spatial distribution of concentrated light source generated. A concentrator photovoltaic system uses an optical system to transmit light radiation to the solar cell by increasing the light power density. This optical system are formed by mirrors or lenses to collect the radiation incident on them and focus the beam of light in a much smaller surface area. In this way you can reduce the area of semiconductor material needed, which implies a significant reduction in system cost. There are different concentration systems depending on the optics used, receptor structure or concentration range. However, as the aim is to analyze the spatial distribution, distinguish between two types of concentrators depending on the geometry that has the light focus. The linear or cylindrical concentrator that focused on a line, and the circular concentrator that focused light onto a point. Because this difference in both cases the analysis will be carried out differently. The analysis is performed by processing a focus image taken at the receiver site, this method is called “LS-CCD” (Light Scattering and CCD recording). Can be used in several mountings depending on whether the image is captured by reflection or transmission on the receiver. In some mountings it is not possible to capture the image perpendicular to the receivers so that the application makes an adjustment of perspective to get the focus to its original shape. The focus image provides detail information about the uniformity of focus through the surface map, which is a 3D image representation but it is unwieldy. A simple and useful representation is provided by so called “intensity profiles”. The intensity profile or irradiance distribution which represents the distribution of light to each distance to the center. The accumulated profile or accumulated irradiance that represents the cumulative light contained in relation also to the center. The representation of these profiles in the case of a linear and a circular concentrator are different due to their distinct geometry. While for a line focus profile is expressed in terms of semi-width of the receiver, for a circular concentrator is expressed in terms of radius. In either case provides information about the uniformity and size of focus needed to design the receiver. The objective of this project is the creation of a software application to perform processing and analysis of images obtained from light source of optical systems to characterize.The application has a simple and a intuitive interface so it can be used for any users. The resources required for the project are: a PC with Windows operating system, LabVIEW 8.6 Professional Edition and the modules NI Vision Development Module (for working with images) and NI Report Generation Toolkit (for reports and store application data .)

Monte-Carlo dosimetry on a realistic cell monolayer geometry exposed to alpha particles

The energy and specific energy absorbed in the main cell compartments (nucleus and cytoplasm) in typical radiobiology experiments are usually estimated by calculations as they are not accessible for a direct measurement. In most of the work, the cell geometry is modelled using the combination of simple mathematical volumes. We propose a method based on high resolution confocal imaging and ion beam analysis (IBA) in order to import realistic cell nuclei geometries in Monte-Carlo simulations and thus take into account the variety of different geometries encountered in a typical cell population. Seventy-six cell nuclei have been imaged using confocal microscopy and their chemical composition has been measured using IBA. A cellular phantom was created from these data using the ImageJ image analysis software and imported in the Geant4 Monte-Carlo simulation toolkit. Total energy and specific energy distributions in the 76 cell nuclei have been calculated for two types of irradiation protocols: a 3 MeV alpha particle microbeam used for targeted irradiation and a 239Pu alpha source used for large angle random irradiation. Qualitative images of the energy deposited along the particle tracks have been produced and show good agreement with images of DNA double strand break signalling proteins obtained experimentally. The methodology presented in this paper provides microdosimetric quantities calculated from realistic cellular volumes. It is based on open-source oriented software that is publicly available.

Distributed static linear Gaussian models using consensus

Algorithms for distributed agreement are a powerful means for formulating distributed versions of existing centralized algorithms. We present a toolkit for this task and show how it can be used systematically to design fully distributed algorithms for static linear Gaussian models, including principal component analysis, factor analysis, and probabilistic principal component analysis. These algorithms do not rely on a fusion center, require only low-volume local (1-hop neighborhood) communications, and are thus efficient, scalable, and robust. We show how they are also guaranteed to asymptotically converge to the same solution as the corresponding existing centralized algorithms. Finally, we illustrate the functioning of our algorithms on two examples, and examine the inherent cost-performance tradeoff.