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An active structural–acoustic control system for a composite fuselage type structure is developed in this paper. The focus of the active control system is the global reduction of the sound field in an enclosed acoustic cavity using structure-integrated sensors and actuators. Active structural–acoustic control systems are commonly designed based on the acoustic radiation modes which diagonalize a radiation operator. In the case of interior sound radiation, this radiation operator is derived in this paper from the coupled acoustic modes, which take into account the boundary conditions of the coupled velocity from the fuselage type structure. This results in frequency-independent radiation modes which do not rely on the validity of the modal interaction approach. The latter one violates the continuity condition of the velocity along the coupling surface. Parameter studies regarding active control implementations are conducted in order to evaluate how many radiation modes need to be considered for achieving a global sound attenuation. [ABSTRACT FROM AUTHOR]

Active control of structural sound radiation is a promising technique to overcome the poor passive acoustic isolation performance of lightweight structures in the low–frequency region. Active structural acoustic control commonly aims at the suppression of the far–field radiated sound power. This paper is concerned with the active control of sound radiation into acoustic enclosures. Experimental results of a coupled rectangular plate-fluid system under stochastic excitation are presented. The amplitudes of the frequency-independent interior radiation modes are determined in real-time using a set of structural vibration sensors, for the purpose of estimating their contribution to the acoustic potential energy in the enclosure. This approach is validated by acoustic measurements inside the cavity. Utilizing a feedback control approach, a broadband reduction of the global acoustic response inside the enclosure is achieved. [ABSTRACT FROM AUTHOR]

Global active control methods of sound radiation into acoustic cavities necessitate the formulation of the interior sound field in terms of the surrounding structural velocity. This paper proposes an efficient approach to do this by presenting an analytical method to describe the radiation modes of interior sound radiation. The method requires no knowledge of the structural modal properties, which are often difficult to obtain in control applications. The procedure is exemplified for two generic systems of fluid–structure interaction, namely a rectangular plate coupled to a cuboid cavity and a hollow cylinder with the fluid in its enclosed cavity. The radiation modes are described as a subset of the acoustic eigenvectors on the structural–acoustic interface. For the two studied systems, they are therefore independent of frequency. [ABSTRACT FROM AUTHOR]

Abstract: Technical OPC contains mixed sulfate carriers in varying amounts. Gypsum and anhydrite are added to the clinker during the milling process where the gypsum dehydrates partially to bassanite and anhydrite. Due to different hydration kinetics of these phases, it is crucial to be able to characterize the composition of sulfate in a cement system to reach an optimal and reproducible cement hydration. In the current paper different calcium sulfate compositions are investigated by XRD methods in order to identify phase content. Special focus is put on the discrimination of the hemihydrate (bassanite) and anhydrite III as well as on transformation processes of anhydrite III through ambient humidity. [Copyright &y& Elsevier]

Abstract: We tested whether a delay between stimulus presentation and grasping leads to a shift from dorsal to ventral control of the movement, as suggested by the perception–action theory of Milner and Goodale (Milner, A.D., & Goodale, M.A. (1995). The visual brain in action. Oxford: Oxford University Press.). In this theory the dorsal cortical stream has a short memory, such that after a few seconds the dorsal information is decayed and the action is guided by the ventral stream. Accordingly, grasping should become responsive to certain visual illusions after a delay (because only the ventral stream is assumed to be deceived by these illusions). We used the Müller-Lyer illusion, the typical illusion in this area of research, and replicated the increase of the motor illusion after a delay. However, we found that this increase is not due to memory demands but to the availability of visual feedback during movement execution which leads to online corrections of the movement. Because such online corrections are to be expected if the movement is guided by one single representation of object size, we conclude that there is no evidence for a shift from dorsal to ventral control in delayed grasping of the Müller-Lyer illusion. We also performed the first empirical test of a critique Goodale (Goodale, M.A. (2006, October 27). Visual duplicity: Action without perception in the human visual system. The XIV. Kanizsa lecture, Triest, Italy.) raised against studies finding illusion effects in grasping: Goodale argued that these studies used methods that lead to unnatural grasping which is guided by the ventral stream. Therefore, these studies might never have measured the dorsal stream, but always the ventral stream. We found clear evidence against this conjecture. [Copyright &y& Elsevier]

Conventional methods for monitoring clinical (epileptiform) multichannel electroencephalogram (EEG) signals often involve morphological, spectral or time-frequency analysis on individual channels to determine waveform features for detecting and classifying ictal events (seizures) and inter-ictal spikes. Blind source separation (BSS) methods, such as independent component analysis (ICA), are increasingly being used in biomedical signal processing and EEG analysis for extracting a set of underlying source waveforms and sensor projections from multivariate time-series data, some of which reflect clinically relevant neurophysiological (epileptiform) activity. The work presents an alternative spatial approach to source tracking and detection in multichannel EEG that exploits prior knowledge of the spatial topographies of the sensor projections associated with the target sources. The target source sensor projections are obtained by ICA decomposition of data segments containing representative examples of target source activity, e.g. a seizure or ocular artifact. Source tracking and detection are then based on the subspace correlation between individual target sensor projections and the signal subspace over a moving window. Different window lengths and subspace correlation threshold criteria reflect transient or sustained target source activity. To study the behaviour and potential application of this spatial source tracking and detection approach, the method was used to detect (transient) ocular artifacts and (sustained) seizure activity in two segments of 25-channel EEG data recorded from one epilepsy patient on two separate occasions, with promising and intuitive results. [ABSTRACT FROM AUTHOR]

Conventional methods for monitoring clinical (epileptiform) multichannel electroencephalogram (EEG) signals often involve morphological, spectral or time-frequency analysis on individual channels to determine waveform features for detecting and classifying ictal events (seizures) and inter-ictal spikes. Blind source separation (BSS) methods, such as independent component analysis (ICA), are increasingly being used in biomedical signal processing and EEG analysis for extracting a set of underlying source waveforms and sensor projections from multivariate time-series data, some of which reflect clinically relevant neurophysiological (epileptiform) activity. The work presents an alternative spatial approach to source tracking and detection in multichannel EEG that exploits prior knowledge of the spatial topographies of the sensor projections associated with the target sources. The target source sensor projections are obtained by ICA decomposition of data segments containing representative examples of target source activity, e.g. a seizure or ocular artifact. Source tracking and detection are then based on the subspace correlation between individual target sensor projections and the signal subspace over a moving window. Different window lengths and subspace correlation threshold criteria reflect transient or sustained target source activity. To study the behaviour and potential application of this spatial source tracking and detection approach, the method was used to detect (transient) ocular artifacts and (sustained) seizure activity in two segments of 25-channel EEG data recorded from one epilepsy patient on two separate occasions, with promising and intuitive results. [ABSTRACT FROM AUTHOR]

After a period of eccentric exercise of elbow flexor muscles of one arm in young, adult human subjects, muscles became fatigued and damaged. Damage indicators were a fall in force, change in resting elbow angle and delayed onset of soreness. After the exercise, subjects were asked to match the forearm angle of one arm, whose position was set by the experimenter, with their other arm. Subjects matched the position of the unsupported reference arm, when this was unexercised, with a significantly more flexed position in their exercised indicator arm. Errors were in the opposite direction when the reference arm was exercised. The size of the errors correlated with the drop in force. Less consistent errors were observed when the reference arm was supported. A similar pattern of errors was seen after concentric exercise, which does not produce muscle damage. The data suggested that subjects were using as a position cue the perceived effort required to maintain a given forearm angle against the force of gravity. The fall in force from fatigue after exercise meant more effort was required to maintain a given position. That led to matching errors between the exercised and unexercised arms. It was concluded that while a role for muscle spindles in kinaesthesia cannot be excluded, detailed information about static limb position can be derived from the effort required to support the limb against the force of gravity. [ABSTRACT FROM AUTHOR]

Photorefractive self-focusing and self-trapping has proved, over the past decade, to be an efficient low power method able to provide beam control and steering. In this paper, several photorefractive samples are investigated in the aim to provide a comparative study in both continuous wave and pulsed laser light regime. Whereas their holography-like behavior can be thought of as similar, they exhibit strong differences when considering the propagation of a single high contrast narrow beam. Perovskite KNbO 3 and illmenite LiNbO 3 are shown to exhibit respectively self-focusing and self-defocusing features, the latter needing an erasing process to be undertaken for the experiment to be fully reproducible. Finally, Sr x Ba 1 - x Nb 2 O 6 (SBN) is shown to be the most promising sample for applications ranging from optical limiting to all optical routing, though it exhibits instabilities such as optical branching. [ABSTRACT FROM AUTHOR]

Photorefractive self-focusing and self-trapping has proved, over the past decade, to be an efficient low power method able to provide beam control and steering. Over the years, photorefractive Sr x Ba 1 - x Nb 2 O 6 has been shown to be the most promising photorefractive media in this field. Its ability to sustain photorefractive solitons at steady state has been thoroughly investigated. In this paper, the focus is set on the temporal development of self focusing in Sr x Ba 1 - x Nb 2 O 6 , evidencing a soft transition from self-focusing through self-bending and finally optical-branching. This evolution is shown to occur not only as a function of experimental conditions such as electric field applied or beam intensity, but also as a function of time. [ABSTRACT FROM AUTHOR]

Reafferentelectroencephalography (EEG) potentials evoked by active or passive movement are largely dependent on muscle spindle input, which projects to postrolandic sensory areas as well as the precentral motor cortex. The origin of these proprioception-related evoked potentials has previously been studied by using N20-P20 source locations of the median nerve somatosensory evoked potential as an landmark for postcentral area 3b. As this approach has yielded contradictory findings, likely due to spatial undersampling, we applied dipole source analysis on two independently collected sets of high-density EEG data, containing the proprioception-related N90 elicited by passive finger movement, and the N20-P20 elicited by median nerve stimulation. In addition, the influence of movement parameters on the N90 was explored by varying amplitude/duration and direction of passive movements. The results showed that the proprioceptive N90 component was not influenced by movement direction, but had a duration that covaried with the duration of the movement. Sources were localized in the precentral cortex, located on average 10 mm anterior to the N20-P20 sources. The latter result supports earlier claims that the motor cortex is involved in the generation of proprioception-related EEG potentials. [Copyright &y& Elsevier]

The protein clusterin has been suggested to be involved in the pathogenesis of Alzheimer's disease (AD). Its expression is increased in brain regions affected by AD pathology, and to elucidate if there is a concomitant increase of clusterin also in the cerebrospinal fluid (CSF) in different neurological disorders, CSF samples from patients with AD, vascular dementia (VAD), Parkinson's disease (PD), and controls were analysed. Also longitudinal (five occasions) samples from patients with acute stroke were analysed, to follow any degenerative/regenerative phase after acute brain damage. However, there were no changes in CSF-clusterin levels from patients in AD, VAD, PD or acute stroke, as compared to controls. The increase of clusterin in brain tissue is suggested to reflect a regenerative response process, which here is shown not to be followed by a concomitant increase in the CSF. Thus, CSF-clusterin can not be used as an indicator or a diagnostic marker for AD. [ABSTRACT FROM AUTHOR]

Since the very beginning of space physiology research, the deficit in body mass that is often observed after landing has always been interpreted as an indication of the absolute fluid loss early during space missions. However, in contrast to central hypervolemic conditions on Earth, the acute shift of blood volume from the legs to the upper part of the body in astronauts entering µ-gravity (µ-G) has neither stimulated diuresis and natriuresis nor resulted in negative water-and sodium-balances. We therefore examined the kinetics of body mass changes in astronauts (n = 3) during their several weeks aboard the space station MIR. A continuous diet monitoring was performed during the first mission (EuroMIR94, 30 days). The second mission (MIR97, 19 days) comprised a 15-day metabolic ward period (including predefined constant energy and sodium intake). Water and sodium balances were calculated and the kinetic of changes in basal concentrations of fluid-balance-related hormones during flight were determined. The data suggest firstly that loss of body mass during space flight is rather a consequence of hypocaloric nutrition. Secondly, µ-G provokes a sodium retaining hormonal status and may lead to sodium storage without an accompanying fluid retention. [ABSTRACT FROM AUTHOR]

Potato is an important crop for thousands of small-holder farmers in Bolivia. The potato cyst nematodes (Globodera rostochiensis and G. pallida) have been reported in most cultivated areas of Bolivia and are a significant constraint to the production of potato in the country. A survey was conducted in 2022 to provide a current understanding of the identity, distribution, and occurrence of Globodera spp. in Bolivia. Soil samples were collected from 144 potato fields and Globodera spp. cysts were found in 82% of the samples. There were significantly (P < 0.001) higher population densities of Globodera spp. in the departments of La Paz, Cochabamba, and Chuquisaca (297 to 1,008 cysts/250 cm3 soil) compared to Potosí and Tarija (~85 cysts/250 cm3soil). Based upon molecular identification, both G. rostochiensis and G. pallida were found, with G. rostochiensis being the most prevalent species in Bolivia found in 87% of infested fields. These findings provide an updated assessment of the current status of Globodera spp. in Bolivia. [ABSTRACT FROM AUTHOR]

• It's possible to produce an erythrocyte component from umbilical cord blood (UCB) in a sterile and safe enclosed process. • Erythrocyte morphology, biological and storage parameters for the UCB component are comparable with adult units. • The UCB component contains 77% HbF, compared to <1% in adult units, and might be suitable for transfusion in neonates. • The HbF percentage in this UCB component resembles levels in extremely low gestational age newborns. [ABSTRACT FROM AUTHOR]

Abstract: A major concept in autoimmunity is that disruption of Foxp3+ regulatory T cells (Tregs) predisposes to breach of tolerance. This is exemplified by the Foxp3-linked disorder termed IPEX (immunodysregulation, polyendocrinopathy, enteropathy, X-linked) which affects newborn children. There has been considerable clinical interest in the role of non-depleting anti-CD4 antibodies as a means of upregulating the function of Foxp3+ Tregs in order to control detrimental inflammatory responses such as transplant rejection. However, according to the paradigm of a Treg-dependent mechanism of action, the effectiveness of anti-CD4 antibodies as a therapy for human autoimmune diseases is unclear considering that Treg function might be intrinsically impaired. Specifically, anti-CD4 therapy is expected to fail in patients suffering from the IPEX syndrome due to the lack of functional Foxp3+ Tregs. Taking advantage of natural Foxp3 mutant scurfy (sf) mice closely resembling the IPEX syndrome, and genetically engineered mice depleted of Foxp3+ Tregs, we report here that anti-CD4 treatment induces tolerance independent of Foxp3+ Tregs. This so far undefined mechanism is dependent on the recessive non-infectious tolerization of autoreactive T cells. Treg-independent tolerance alone is powerful enough to suppress both the onset and severity of autoimmunity and reduces clinically relevant autoantibody levels and liver fibrosis. Mechanistically, tolerance induction requires the concomitant activation of autoreactive T cells and is associated with the down-regulation of the co-stimulatory TNF-receptor superfamily members OX40 and CD30 sustaining CD4+ T cell survival. In the light of ongoing clinical trials, our results highlight an unexpected potency of anti-CD4 antibodies for the treatment of autoimmune diseases. Particularly, CD4 blockade might represent a novel therapeutic option for the human IPEX syndrome. [Copyright &y& Elsevier]

Background: Treatment with P2Y12 receptor antagonists increases the risk for perioperative bleeding, but there is individual variation in the antiplatelet effect and time to offset of this effect. We investigated whether preoperative platelet function predicts the risk of bleeding complications in ticagrelor-treated cardiac surgery patients.Methods: Ninety patients with ticagrelor treatment within <5 days of surgery were included in a prospective observational study. Preoperative platelet aggregation was assessed with impedance aggregometry using adenosine diphosphate (ADP), arachidonic acid (AA), and thrombin receptor-activating peptide (TRAP) as initiators. Severe bleeding complications were registered using a new universal definition of perioperative bleeding. The accuracy of aggregability tests for predicting severe bleeding was assessed using receiver operating characteristic (ROC) curves, which also identified optimal cut-off values with respect to sensitivity and specificity, based on Youden's index.Results: The median time from the last ticagrelor dose to surgery was 35 (range 4-108) h. The accuracy of platelet function tests to predict severe bleeding was highest for ADP [area under the ROC curve 0.73 (95% confidence interval 0.63-0.84, P<0.001); TRAP 0.61 (0.49-0.74); AA 0.53 (0.40-0.66)]. The optimal cut-off for ADP-induced aggregation was 22 U. In subjects with ADP-induced aggregation below the cut-off value, 24/38 (61%) developed severe bleeding compared with 8/52 (14%) when aggregation was at or above the cut-off value (P<0.001). The positive and negative predictive values for this cut-off value were 63 and 85%, respectively.Conclusions: Preoperative ADP-induced platelet aggregability predicts the risk for severe bleeding complications in ticagrelor-treated cardiac surgery patients. [ABSTRACT FROM AUTHOR]

Background Transfusion of platelet concentrate is often used to treat bleeding in patients on platelet inhibitors, but little is known about its efficacy between different inhibitors. We assessed the effect of ex vivo platelet supplementation on platelet aggregability in blood samples from patients treated with acetylsalicylic acid (ASA), clopidogrel, or ticagrelor. Methods Platelet aggregability was investigated with multiple electrode aggregometry with adenosine diphosphate (ADP), arachidonic acid (to assess ASA-dependent aggregability), and thrombin receptor activating peptide-6 (TRAP) as activators in whole-blood samples from patients treated with ASA (n=10), ASA+clopidogrel (n=15), or ASA+ticagrelor (n=15), and from healthy controls (n=10). Aggregability was measured before and after supplementation of AB0-compatible fresh apheresis platelets (+46, +92, and +138×109 litre−1). Results Both ASA-dependent and ADP-dependent aggregability improved in a dose-dependent fashion after platelet supplementation. ASA-dependent aggregability was completely restored in all patient groups, but there was only a small improvement in ADP-dependent aggregability in patients on dual antiplatelet therapy. There was less effect of platelet supplementation on ADP- and ASA-dependent aggregability in ticagrelor-treated patients than in clopidogrel-treated patients [3.9 (95% confidence interval 1.6–6.3) vs 9.0 (5.2–12.8) AU×min (P=0.021) and 48 (36–59) vs 69 (60–78) AU×min (P=0.004), respectively, at the highest platelet dose]. Conclusions Platelet supplementation improved platelet aggregability independently of antiplatelet therapy. The effect on ADP-dependent platelet inhibition was limited however. Reduced effect of platelet transfusion is more likely within 2 h of drug intake in patients treated with ASA+ticagrelor compared with ASA+clopidogrel. [ABSTRACT FROM AUTHOR]

Background: This study compared the results of exercise Doppler echocardiography (EDE) with right-sided heart catheterization (RHC) and evaluated the combination of EDE and cardiopulmonary exercise testing (CPET) as a screening method for early pulmonary vasculopathy in patients with connective tissue disease.Methods: Patients (N = 52) with connective tissue disease (predominantly systemic sclerosis) and without known pulmonary arterial hypertension underwent both EDE and CPET. If systolic pulmonary arterial pressure (SPAP) was > 40 mm Hg during exercise or peak oxygen uptake (Vo(2)) was < 75% predicted, RHC was suggested.Results: EDE showed an SPAP > 40 mm Hg during exercise in 26/52 patients. Additionally, CPET showed a peak Vo(2) < 75% predicted in 10/26 patients with SPAP 40 mm Hg in 25 patients (n = 1 at rest, n = 24 during exercise). SPAP values assessed by EDE showed no significant difference vs RHC at rest, 25 W, 50 W, and maximal exercise (difference [95% CI]: 0.3 [-2.7; 3.2], -1.3 [-7.1; 4.4], 0.9 [-7.7; 5.9], and -5.6 [-13.5; 2.2] mm Hg). Eight patients with exercise SPAP > 40 mm Hg had an exercise pulmonary arterial wedge pressure > 20 mm Hg, suggesting exercise-induced left ventricular diastolic dysfunction not detectable by EDE.Conclusions: EDE appears to be a reasonable noninvasive method to detect SPAP increase during exercise in connective tissue disease. In combination with CPET, it may be a useful screening tool for early pulmonary vasculopathy, although RHC remains the gold standard for hemodynamic assessment.Trial Registration: clinicaltrials.gov; Identifier: NCT00609349 (Early Recognition of Pulmonary Arterial Hypertension). [ABSTRACT FROM AUTHOR]

Presents preliminary results concerning the relationship of self and gender in patients requesting or seriously considering sex change. The pathological features in regulatory processes of the self-system as well as on personality factors of gender disorders; Identification of subtypes of gender dysphoric patients based on psychiatric and psychpathological evaluation; Indication of significant psychopathological aspects and narcissistic dysregulations in a substantial proportion of patients.

Donor-specific CTL present within the cardiac allograft during a rejection episode are distinct from those that populate the cardiac allograft in the absence of rejection. Whereas the former generally have a high avidity for donor cells, the latter mainly have a low avidity for donor cells. This observation made us reason that high-avidity CTL are implicated in transplant rejection, whereas low-avidity CTL are not. In the present study, we analyse whether both CTL subsets were distinct with respect to their IL-2, IL-4, IL-6 and interferon-gamma (IFN-γ) secretion pattern. CTL clones with either a high or a low avidity for donor antigens were stimulated with donor cells, third party cells, or immobilized anti-CD3 MoAb and the amount of cytokine released was measured. High- and low-avidity CTL clones were found to differ with respect to their IFN-γ production profile. Stimulation with donor cells resulted in IFN-γ secretion by high-avidity CTL clones, but not by low-avidity CTL clones. CD3 stimulation, in contrast, led to secretion of equivalent amounts of IFN-γ by both CTL subsets. These observations indicate that low-avidity CTL are fully capable of producing IFN-γ, but, in contrast to high avidity CTL, fail to do so when they encounter donor cells. As IFN-γ favours the occurrence of transplant rejection, this observation emphasizes the relevance of high-avidity CTL in the rejection process. Additionally, the data show that the cytokine production profile of CTL depends on the nature of the stimulus. [ABSTRACT FROM AUTHOR]

We retrospectively evaluated 107 fiberoptic bronchoscopies with and without transbronchial lung biopsy (TBLB) in 98 consecutive patients with haematologic malignancies and pulmonary infiltrates. Bronchoalveolar lavage (BAL) was performed in 45 and BAL plus TBLB in 62 procedures. There was no procedure-related severe haemorrhage, pneumothorax or death. Infectious aetiology was identified in 26 of 107 (24%), toxic pneumonitis in 17 of 107 (16%) and neoplastic infiltration in 9 of 107 (8.5%) episodes. Combined BAL and TBLB was significantly superior to BAL alone with respect to the diagnosis of neoplastic infiltrates (p=0.008) and toxic pneumonitis (p<0.001) and should therefore be included in the diagnostic work-up of this patient cohort. [ABSTRACT FROM AUTHOR]

An abstract of the article "Renal insufficiency after heart transplantation: a case-control study," by T. van Gelder, A. H. Balk, R. Zietse, C. Hesse, B. Mochtar and W. Weimar is presented.