TBS discrimine les femmes avec ostéoporose fracturaire des femmes non ostéoporotiques indépendamment de la DMO, de l'âge et de l'IMC : Etude de la cohorte Ostéo-Mobile Vaud

Introduction. - « Ostéo-Mobile Vaud » est un projet pilote visant àinformer et promouvoir les mesures générales de prévention del'ostéoporose chez les femmes vaudoises de 60 ans et plus. Son butest également d'évaluer le risque de fracture dans cette populationen associant les facteurs de risque cliniques, la mesure de la DMOpar DXA de la colonne lombaire et du fémur proximal (Hologic Discovery),la recherche des fractures vertébrales préexistantes parVFA et une appréciation de la « qualité osseuse » par TBS. Une phaseprospective de 5 ans est prévue. Le Trabecular Bone Score (TBS) estun procédé qui consiste à appliquer un traitement informatique àl'image 2D de projection de la DXA basé sur la quantification desvariations locales de niveaux de gris. Un modèle mathématiquerelie le paramètre TBS avec des paramètres de microarchitecture 3Dtels la connectivité 3D, le nombre de travées et l'espace inter-trabéculaire.Ce modèle fait de TBS une mesure indirecte de microarchitectureosseuse.Résultats. - Fin juillet 2011, 510 femmes de ± 67 ans, IMC ± 26 kg/m2,ont été évaluées. Une ou plusieurs fractures de fragilité ont été rapportéeschez 72 femmes, parmi lesquelles 39 avec fractures vertébrales.TBS diminue avec l'âge (-0.005 par année, p < 0,001) etdiminue en fonction de l'IMC (- 0,011 par kg/m2, p < 0,001). La corrélationentre TBS et la DMO de la colonne lombaire est faible(r = 0,4, p < 0,001) et un grand pourcentage de la variabilité du TBSest indépendant de la DMO (> 84%). TBS discrimine les femmes avecfractures vertébrales des femmes sans fracture vertébrale et lesfemmes avec OP clinique (fractures de fragilité) de celles sans OPclinique. Ce pouvoir discriminatif est indépendant de la DMO de lacolonne lombaire ou du T-score le plus bas, après ajustement pourl'âge et l'IMC.Odd ratio (OR, 95 % IC) pour une diminution d'une déviation standarddu TBS, ajusté pour l'âge, l'IMC et la mesure de DMO :Conclusion. - TBS représente une plus-value par rapport à la DMOdans l'appréciation du risque de fracture chez les femmes vaudoisesde 60 ans et plus.

A Web a Três Dimensões

A utilização da Web para a divulgação de produtos e negócios através da Internet já não é novidade, novidade é a Web3D2, uma nova tecnologia concebido para lhe proporcionar inúmeros momentos de interactividade e dinamismo. Pretende-se assim fazer uma pequena abordagem dos objectos 3D na WWW, passando uma visão sobre a Web, identificando algumas as funcionalidades e serviços, a visualização de objecto 3D na Web, os navegadores comuns e os visualizadores que permitem visualizar conteúdos tanto 2D como 3D. Pretende-se desta forma partilhar e dar a conhecer os trabalhos e os avanços conseguidos na criação da das tecnologias Web3D, iniciando com uma contextualização da Web3D, fazendo uma passagem pelos mundos virtuais na Internet criados em Virtual Reality Modeling Language, realçando as dificuldades dessa linguagem na altura e os novos incentivos que deram origem a outras especificação como a X3D. Ainda são identificadas algumas plataformas e ferramentas de tecnologia Web3D, exemplos de algumas áreas onde se aplicam e a perspectiva para o futuro da Web3D centrada na visão do Web3D consortium.

Desenvolvimento de objectos tridimensionais na Web

Este trabalho de uma forma geral pretende apresentar os progressos realizados na área da Web3D, e que este sirva de guia para os potenciais interessados em descobrir as maravilhas que a tecnologia Web3D proporciona. Começa-se por fazer uma alusão sobre os objectos tridimensionais e mencionar exemplos de algumas áreas onde se aplicam. Depois é feita uma pequena abordagem do enquadramento dos objectos 3D na WWW, passando uma visão sobre a Web, identificando as funcionalidades e serviços, por fim uma vista de olhos sobre a visualização de objecto 3D na Web, identificando os navegadores comuns e os visualizadores que permitem visualizar conteúdos tanto 2D como 3D. A seguir são abordados os avanços conseguidos na Web3D, iniciando com uma contextualização da Web3D, fazendo uma passagem pelos mundos virtuais na Internet criados em Virtual Reality Modeling Language, realçando as dificuldades dessa linguagem na altura e os novos incentivos que deram origem a outras especificação como a X3D. Ainda são identificadas algumas plataformas e ferramentas de tecnologia Web3D, exemplos de algumas áreas onde se aplicam e a perspectiva para o futuro da Web3D centrada na visão do Web3D consortium. Por último, apresenta-se um caso prático onde estão descritas as etapas da construção, em modelo proposto, conversão e disponibilização do objecto 3D na Web

Quantitative Assessment of T1 Relaxation and Diffusion as a Prognostic Tool for Brain Development: A Longitudinal Preliminary Study on Preterm Babies

BACKGROUND: Despite major advances in care of premature infants, survivors exhibit mild cognitive deficits in around 40%. Beside severe intraventricular haemorrhages (IVH) and cystic periventricular leucomalacia (PVL), more subtle patterns such as grade I and II IVH, punctuate WM lesions and diffuse PVL might be linked to the cognitive deficits. Grey matter disease is also recognized to contribute to long-term cognitive impairment.¦OBJECTIVE: We intend to use novel MR techniques to study more precisely the different injury patterns. In particular MP2RAGE (magnetization prepared dual rapid echo gradient) produces high-resolution quantitative T1 relaxation maps. This contrast is known to reflect tissue anomalies such as white matter injury in general and dysmyelination in particular. We also used diffusion tensor imaging, a quantitative technique known to reflect white matter maturation and disease.¦DESIGN/METHODS: All preterm infants born under 30 weeks of GA were included. Serial 3T MR-imaging using a neonatal head-coil at DOL 3, 10 and at term equivalent age (TEA), using DTI and MP2RAGE sequences was performed. MP2RAGE generates a T1 map and allows calculating the relaxation time T1. Multiple measurements were performed for each exam in 12 defined white and grey matter ROIs.¦RESULTS: 16 patients were recruited: mean GA 27 2/7 w (191,2d SD±10,8), mean BW 999g (SD±265). 39 MRIs were realized (12 early: mean 4,83d±1,75, 13 late: mean 18,77d±8,05 and 14 at TEA: 88,91d±8,96). Measures of relaxation time T1 show a gradual and significant decrease over time (for ROI PLIC mean±SD in ms: 2100.53±102,75, 2116,5±41,55 and 1726,42±51,31 and for ROI central WM: 2302,25±79,02, 2315,02±115,02 and 1992,7±96,37 for early, late and TEA MR respectively). These trends are also observed in grey matter area, especially in thalamus. Measurements of ADC values show similar monotonous decrease over time.¦CONCLUSIONS: From these preliminary results, we conclude that quantitative MR imaging in very preterm infants is feasible. On the successive MP2RAGE and DTI sequences, we observe a gradual decrease over time in the described ROIs, representing the progressive maturation of the WM micro-structure and interestingly the same evolution is observed in the grey matter. We speculate that our study will provide normative values for T1map and ADC and might be a predictive factor for favourable or less favourable outcome.

Geophysical Investigations for Hydrogeological Characterization at the Kappelen Test Site (Switzerland)

Vertical electric soundings, 2D resistivity imaging and several logging measurements were performed at Kappelen test site to identify the various geolelectric facies that allowed determining the tabular and horizontal structure of the aquifer. The surface-based geoelectric methods allowed for a reliable characterization of the overall structure and the geometry of the aquifer, while geophysical logging methods allowed for inferring detailed hydrogeophysical characteristics, such as the electrical resistivity, total porosity, global and matrix density and hydraulic conductivity. The synoptic interpretation and integration of this broad and diverse database allows for constraining the key hydrological characteristics and hence forms the basis for the detailed hydraulic modelling of flow and transport process.

Modelação da circulação oceânica no Arquipélago de Cabo Verde

O conhecimento dos oceanos é limitado pela disponibilidade de dados disponíveis. Este estudo mostra como modelos numéricos podem aumentar o conhecimento com pouca informação local, e de forma económica. Neste trabalho é efetuado a implementação do modelo numérico MOHID, bidimensional (2D) para simular a propagação da maré e tridimensional (3D) para estudar o escoamento baroclíncio no Arquipélago de Cabo Verde. O modelo 2D é baseado num modelo de escala regional com passo espacial de 6 km (nível 1), com dois modelos encaixados de passo espacial de 3 km (nível 2). Também foi utilizado para impor a maré (nível 0) no modelo 3D (nível 1, com passo de 6 km). O modelo tridimensional tem 50 camadas na vertical e fornece informação sobre a circulação geral. A fronteira lateral aberta foi forçada pelo modelo global de maré FES 2004 e pelos resultados do projecto MyOcean fornecendo condições de temperatura, salinidade e níveis médios diários para o modelo 3D. O forçamento meteorológico foi fornecido pelos resultados do modelo meteorológico GFS (Global Forecasting System). Os resultados dos modelos foram analisados com as informações conhecidas como as principais correntes da região, as imagens de satélite de temperatura da superfície do mar, perfis verticais obtidos pelas bóias argo e os resultados do projeto MyOcean. O modelo reproduz o padrão de circulação conhecido para a região e os resultados apresentam boa concordância com a informação disponível. O modelo mostra que o vento tem influência sobre o escoamento à superfície, mas tem pouca influência sobre os níveis.

Hierarchal utilization of different T-cell receptor Vbeta gene segments in the CD8(+)-T-cell response to an immunodominant Moloney leukemia virus-encoded epitope in vivo.

The CD8(+)-T-cell response to Moloney murine leukemia virus (M-MuLV)-associated antigens in C57BL/6 mice is directed against an immunodominant gag-encoded epitope (CCLCLTVFL) presented in the context of H-2D(b) and is restricted primarily to cytotoxic T lymphocytes (CTL) expressing the Valpha3.2 and Vbeta5.2 gene segments. We decided to examine the M-MuLV response in congenic C57BL/6 Vbeta(a) mice which are unable to express the dominant Valpha3.2(+) Vbeta5.2(+) T-cell receptor (TCR) due to a large deletion at the TCR locus that includes the Vbeta5.2 gene segment. Interestingly, M-MuLV-immune C57BL/6 Vbeta(a) mice were still able to reject M-MuLV-infected tumor cells and direct ex vivo analysis of peripheral blood lymphocytes from these immune mice revealed a dramatic increase in CD8(+) cells utilizing the same Valpha3.2 gene segment in association with two different Vbeta segments (Vbeta3 and Vbeta17). Surprisingly, all these CTL recognized the same immunodominant M-MuLV gag epitope. Analysis of the TCR repertoire of individual M-MuLV-immune (C57BL/6 x C57BL/6 Vbeta(a))F(1) mice revealed a clear hierarchy in Vbeta utilization, with a preferential usage of the Vbeta17 gene segment, whereas Vbeta3 and especially Vbeta5.2 were used to much lesser extents. Sequencing of TCRalpha- and -beta-chain junctional regions of CTL clones specific for the M-MuLV gag epitope revealed a diverse repertoire of TCRbeta chains in Vbeta(a) mice and a highly restricted TCRbeta-chain repertoire in Vbeta(b) mice, whereas TCRalpha-chain sequences were highly conserved in both cases. Collectively, our data indicate that the H-2D(b)-restricted M-MuLV gag epitope can be recognized in a hierarchal fashion by different Vbeta domains and that the degree of beta-chain diversity varies according to Vbeta utilization.

Nrf2 links epidermal barrier function with antioxidant defense.

The skin provides an efficient permeability barrier and protects from microbial invasion and oxidative stress. Here, we show that these essential functions are linked through the Nrf2 transcription factor. To test the hypothesis that activation of Nrf2 provides skin protection under stress conditions, we determined the consequences of pharmacological or genetic activation of Nrf2 in keratinocytes. Surprisingly, mice with enhanced Nrf2 activity in keratinocytes developed epidermal thickening, hyperkeratosis and inflammation resembling lamellar ichthyosis. This resulted from upregulation of the cornified envelope proteins small proline-rich proteins (Sprr) 2d and 2h and of secretory leukocyte peptidase inhibitor (Slpi), which we identified as novel Nrf2 targets in keratinocytes. Since Sprrs are potent scavengers of reactive oxygen species and since Slpi has antimicrobial activities, their upregulation contributes to Nrf2's protective function. However, it also caused corneocyte fragility and impaired desquamation, followed by alterations in the epidermal lipid barrier, inflammation and overexpression of mitogens that induced keratinocyte hyperproliferation. These results identify an unexpected role of Nrf2 in epidermal barrier function, which needs to be considered for pharmacological use of Nrf2 activators.

Courbe d'apprentissage lors de la réalisation des DALKs (Deep Anterior Lamellar Keratoplasty) : pièges et complications lors de nos 20 premières procédures

Objectif Analyser les résultats, les complications et les pièges rencontrés lors de la période d'apprentissage de la technique de la DALK avec réalisation d'une Big Bubble . Matériels et Méthodes : Étude rétrospective de 20 DALKs réalisées entre 2006 et 2007. L'âge moyen était de 45.21 ans (18 à 76). Le groupe comprenait 7 hommes et 13 femmes. Les indications opératoires étaient : kératocône (n=15), leucome herpétique (n=3) et taie cornéenne post-abcès bactérien (n=2). Le suivi comprenait la MAVC pré et post-opératoire, la réfraction post-opératoire, la transparence de la greffe, la qualité de l'interface donneur/receveur, et l'analyse des complications per et post-opératoires. Résultats Parmi les 20 DALKs, 8 cas ont été transformés en kératoplastie perforante à cause d'une perforation per-opératoire de la membrane de Descemet (40 % des cas). Le suivi moyen était de 7.77 mois. Les meilleures acuités visuelles corrigées moyennes pré et post-opératoires étaient de 0.158 (0.02 à 0.4) et 0.4357 (0.25 à 0.6) pour les DALKs et de 0.125 (0.1 à 0.3) et 0.463 (0.02 à 0.8) pour les DALKs transformées en kératoplastie perforante. Les greffes étaient transparentes dans tous les cas. Dans 3 cas, des plis de l'interface ont constitués une gêne de la qualité visuelle (di ou triplopie). Un haze de l'interface a été observé dans 5 cas avec disparition progressive lors du suivi. Discussion La DALK est une technique efficace dans le traitement des atteintes stromales profondes de la cornée, elle permet de préserver l'endothélium du donneur qui est sain dans ce type de pathologie. Conclusion La réalisation de la Big Bubble lors de la dissection de la Descemet et la qualité de l'interface donneur/receveur demeurent les éléments clés d'une telle procédure. Cette technique opératoire est probablement une des techniques les plus difficiles qu'un chirurgien de la cornée ait à maîtriser.

Edad y crecimiento de Mugil cephalus “lisa” de la Región La Libertad, 2012

La investigación se realizó con el objetivo de determinar la edad y crecimiento de Mugil cephalus “lisa”. Los especímenes fueron colectados en los Puertos de la región La Libertad (Pacasmayo, Malabrigo, Huanchaco, Salaverry, Pto. Morín) durante el 2012. La edad fue determinada mediante la lectura e interpretación de los anillos de crecimiento de los otolitos sagita. La muestra estuvo constituida por 358 otolitos (169 correspondieron a machos y 189 a hembras). Se estimaron los parámetros de crecimiento de von Bertalanffy mediante el programa Table Curve 2D V5.01, siendo el crecimiento en longitud: Lt = 48,08 (1-e(-0,3233*(t-0,2284))) y el crecimiento en peso: Wt = 1159,37 (1-e(-0,3233(t-0,2284)))2,722, no encontrándose diferencias significativas entre sexos. Asimismo se elaboró la clave talla-edad. Del análisis se encontraron 5 grupos de edad (2-6), de los cuales predominaron los grupos de 2 y 3 años. El análisis de borde e incremento marginal permitieron comprobar que la periodicidad de formación de los anillos de crecimiento es anual con un pico máximo en julio.

Cis association of Ly49A with MHC class I restricts natural killer cell inhibition.

Natural killer (NK) cell function is negatively regulated by inhibitory receptors interacting with major histocompatibility complex class I molecules expressed on target cells. Here we show that the inhibitory Ly49A NK cell receptor not only binds to its H-2D(d) ligand expressed on potential target cells (in trans) but also is constitutively associated with H-2D(d) in cis (on the same cell). Cis association and trans interaction occur through the same binding site. Consequently, cis association restricts the number of Ly49A receptors available for binding of H-2D(d) on target cells and reduces NK cell inhibition through Ly49A. By lowering the threshold at which NK cell activation exceeds NK cell inhibition, cis interaction allows optimal discrimination of normal and abnormal host cells.

Policy attitudes, ideological values and social representations

This article reviews research on policy attitudes and ideological values from the perspective of social representations theory. In the first part of the paper, key features of lay political thinking are presented, its pragmatic imperative, its focus on communication and the social functions of shared knowledge. Objectification transforms abstract and group-neutral ideological values into concrete and socially useful knowledge, in particular stereotypes of value-conforming and value-violating groups. Such shared understandings of intergroup relations provide citizens with common reference knowledge which provides the cognitive and cultural basis of policy attitudes. Social representations theory further suggests that lay knowledge reflects the social context in which it has been elaborated (anchoring), an aspect which allows conceptualising aggregate-level differences in policy attitudes. In the second part of the paper, a model of lay conceptions of social order is outlined which organises four shared conceptions of social order, along with the stereotype-based thinking associated with each conception: Moral order, Free Market, Social diversity and Structural inequality. We conclude by arguing that policy attitudes are symbolic devices expressed to justify or to challenge existing social arrangements.

Direct Fourier Tomographic Reconstruction Image-To-Image Filter

We present an open-source ITK implementation of a directFourier method for tomographic reconstruction, applicableto parallel-beam x-ray images. Direct Fourierreconstruction makes use of the central-slice theorem tobuild a polar 2D Fourier space from the 1D transformedprojections of the scanned object, that is resampled intoa Cartesian grid. Inverse 2D Fourier transform eventuallyyields the reconstructed image. Additionally, we providea complex wrapper to the BSplineInterpolateImageFunctionto overcome ITKâeuro?s current lack for image interpolatorsdealing with complex data types. A sample application ispresented and extensively illustrated on the Shepp-Loganhead phantom. We show that appropriate input zeropaddingand 2D-DFT oversampling rates together with radial cubicb-spline interpolation improve 2D-DFT interpolationquality and are efficient remedies to reducereconstruction artifacts.

Multiresolution-based image fusion with additive wavelet decomposition

The standard data fusion methods may not be satisfactory to merge a high-resolution panchromatic image and a low-resolution multispectral image because they can distort the spectral characteristics of the multispectral data. The authors developed a technique, based on multiresolution wavelet decomposition, for the merging and data fusion of such images. The method presented consists of adding the wavelet coefficients of the high-resolution image to the multispectral (low-resolution) data. They have studied several possibilities concluding that the method which produces the best results consists in adding the high order coefficients of the wavelet transform of the panchromatic image to the intensity component (defined as L=(R+G+B)/3) of the multispectral image. The method is, thus, an improvement on standard intensity-hue-saturation (IHS or LHS) mergers. They used the ¿a trous¿ algorithm which allows the use of a dyadic wavelet to merge nondyadic data in a simple and efficient scheme. They used the method to merge SPOT and LANDSATTM images. The technique presented is clearly better than the IHS and LHS mergers in preserving both spectral and spatial information.

A wavelet-based method for the determination of the relative resolution between remotely sensed images

Spatial resolution is a key parameter of all remote sensing satellites and platforms. The nominal spatial resolution of satellites is a well-known characteristic because it is directly related to the area in ground that represents a pixel in the detector. Nevertheless, in practice, the actual resolution of a specific image obtained from a satellite is difficult to know precisely because it depends on many other factors such as atmospheric conditions. However, if one has two or more images of the same region, it is possible to compare their relative resolutions. In this paper, a wavelet-decomposition-based method for the determination of the relative resolution between two remotely sensed images of the same area is proposed. The method can be applied to panchromatic, multispectral, and mixed (one panchromatic and one multispectral) images. As an example, the method was applied to compute the relative resolution between SPOT-3, Landsat-5, and Landsat-7 panchromatic and multispectral images taken under similar as well as under very different conditions. On the other hand, if the true absolute resolution of one of the images of the pair is known, the resolution of the other can be computed. Thus, in the last part of this paper, a spatial calibrator that is designed and constructed to help compute the absolute resolution of a single remotely sensed image is described, and an example of its use is presented.