Search

New finding What is the central question of this study? Transition to supine posture induces an inspiratory load associated with cortical activation in awake healthy subjects. Some obstructive sleep apnoea patients exhibit this cortical activity in the sitting position contributing to the arousal-dependent compensation of their upper airway abnormalities. Does a transition to the supine posture in awake obstructive sleep apnoea patients increase this cortical activity? What is the main finding and its importance? The transition to supine posture induces a reduction in the cortical activity despite evidence of an increase in genioglossus activity, suggesting that genioglossus activation is not driven by cortical activity. Abstract The anatomy and mechanical properties of the upper airway (UA) depend on posture. Lying in a supine position causes cephalad fluid shift to the neck, thus narrowing the UA and predisposing the individual to obstructive sleep apnoea (OSA). Increased UA dilator muscle activity during wakefulness prevents the UA collapse but the underlying mechanism has not yet been elucidated. In the sitting position during wakefulness, some OSA patients exhibit preinspiratory cortical activity (preinspiratory potential, PIP) probably related to UA abnormalities. The aim of this study was to investigate changes in the preinspiratory cortical activity and UA dilator muscle in OSA patients during postural challenge. An electroencephalogram was used to detect PIP, and the genioglossus electromyographic activity and ventilation were analysed in 17 awake, male OSA patients while they were sitting, just after lying down, and then in response to leg positive pressure to enhance cephalad fluid shift. The prevalence of PIP decreased from 53% (sitting) to 12% (supine) (P = 0.002) in association with increased genioglossus activity (tonic from median (25th, 75th centiles) 2.3 (1.8, 2.8)% to 3.6 (1.7, 5.0)% of voluntary deglutition, P = 0.019; phasic from 2.3 (1.9, 2.8)% to 3.7 (2.0, 6.1)%, P = 0.024), and with increased transcutaneous carbon dioxide pressure (from 43.0 (42.4, 44.2) to 44.6 (43.5, 45.2) mmHg). No change was observed during leg-positive-pressure application. Moving from the sitting position to the supine position reduces respiratory-related premotor cortical activity in awake OSA patients. The concomitant increase in genioglossus activity, therefore, is not driven by cortical respiratory activity.

Free alternate bars are large-scale, downstream-migrating bedforms characterized by an alternate sequence of three-dimensional scour and deposition patches that frequently develop in rivers as the ...

Heterogeneity of cohorts, in terms of inclusion criteria, design of follow-up visits and batteries of cognitive assessments, hinders any thorough comparisons between them. For that reason, we build a cross-cohort model of cognitive decline that can be personalized to any patient, allowing to impute partially or totally missing scores. This enables to compare at an individual level disease progression of subjects from different cohorts, with a temporal realignment and regarding a broader set of biomarkers.

Assessing the conservation status of protected species needs quantitative population data, generally obtained using Capture-Mark-Recapture methods (CMR). The exploitation of natural marking (e.g. individual morphological traits) offers an interesting alternative, based on image analyses, which may result in a less manipulation of protected species compared to the typical artificial marking method. In our 2-year CMR study, we tested for the first time in the natural setting the feasibility and the application of the computer-aided photographic identification method of Rosalia alpina using the individual elytral spots as the natural marking. The I3SC software was used for the photographic analysis. Data were collected from populations of two National Parks of central Italy during July–August in 2014 and 2015. We developed a standard procedure in order to optimise the image acquisition in the field and to acquire clear and comparable images, facilitating the I3SC screening process. The results demonstrated that the computer-aided photographic identification of natural markings can be implemented in a CMR population study of R. alpina. Our image processing approach showed that using only the elytral central spot contours made the tracing contour process less time-consuming obtaining reliable results. Furthermore, I3SC output scores were used to identify a threshold value for the identification of new individuals or recaptures, facilitating the final identification proposed by operators. Finally, we assessed the possibility of performing the methodology using a Citizen Science approach.

Introduction Both types of sleep-disordered breathing (SDB), obstructive and central sleep apnoea (OSA and CSA, respectively), are common in patients with heart failure and reduced ejection fraction (HFrEF). In such patients, SDB is associated with increased cardiovascular morbidity and mortality but it remains uncertain whether treating SDB by adaptive servo-ventilation (ASV) in such patients reduces morbidity and mortality. Aim ADVENT-HF is designed to assess the effects of treating SDB with ASV on morbidity and mortality in patients with HFrEF. Methods ADVENT-HF is a multicentre, multinational, randomized, parallel-group, open-label trial with blinded assessment of endpoints of standard medical therapy for HFrEF alone vs. with the addition of ASV in patients with HFrEF and SDB. Patients with a history of HFrEF undergo echocardiography and polysomnography. Those with a left ventricular ejection fraction ≤45% and SDB (apnoea–hypopnoea index ≥15) are eligible. SDB is stratified into OSA with ≥50% of events obstructive or CSA with >50% of events central. Those with OSA must not have excessive daytime sleepiness (Epworth score of ≤10). Patients are then randomized to receive or not receive ASV. The primary outcome is the composite of all-cause mortality, cardiovascular hospital admissions, new-onset atrial fibrillation requiring anti-coagulation but not hospitalization, and delivery of an appropriate discharge from an implantable cardioverter-defibrillator not resulting in hospitalization during a maximum follow-up time of 5 years. Conclusion The ADVENT-HF trial will help to determine whether treating SDB by ASV in patients with HFrEF improves morbidity and mortality.

Monitoring sediment transport in morphologically complex and labile channels remains a difficult task, even at the laboratory scale. To address this challenge, a fully automated imagery technique for continuously mapping the spatial and temporal variability of bedload transport is proposed. This method uses differentiated time-lapse imagery taken from a fixed camera to detect bed variations induced by grain displacement. The technique is not based on tracking the individual particles; rather, it evaluates macroscopic colour changes within a region that contains several grains, which depend on the occurrence and intensity of the bedload transport. Image-derived data were compared with the sediment flux measured during four flume experiments, and produced good correspondence. The method provides continuous tracking of the location of the transporting channels, and enables estimation of local variations in the magnitude of the bedload flux. Moreover, the spatial extent of the monitoring area offers an unprecedented opportunity to aggregate spatially dense and continuous data at the reach scale, as needed to properly capture the full range of variability of morphologically complex and rapidly evolving gravel-bed rivers. Despite being limited to laboratory-scale physical experiments, the method provides useful data to investigate fundamental morphodynamic processes such as bar migration, bank erosion, anabranches opening/closure, and the associate spatial and temporal scales. Further, the data obtained have the potential to enhance numerical model calibration and improve our understanding of the complex dynamics of real-world settings. Copyright © 2017 John Wiley & Sons, Ltd.

In this work, we prove that, for a current regime of 10 μA and using industry-relevant programming pulse-width, Cu/Al2O3-based conductive-bridging RAM (CBRAM) cells ensure reliably larger memory window (MW) than state-of-the-art oxygen-vacancy-based RRAM (OxRRAM) cells. Due to the intrinsically stochastic nature of the switching mechanism, the Ron and Roff values can be widely distributed, especially in a low-current regime, drastically reducing the overall memory window. For this reason, in this study we adopt a statistical approach, focusing on the tails of the distributions. Using a program-verify method we show that the larger median MW in CBRAM allows to program a MW ≥×10 using ×10 shorter programming time with respect to OxRRAM. Moreover, we show that, in order to ensure a MW >×10 after a fixed retention time, the programming time needs to be several decades larger for OxRRAM than for CBRAM.

In this paper, we introduce rare-earth hygroscopic oxide Gd2O3 as a novel switching material allowing extended reset operation as compared to standard state-of-the-art oxide like (Hf,Al)O2. We prepared 5 nm-thick oxide layers, as integrated between TiN and Hf electrodes in 1-transistor/1-resistor configuration. Using industry-relevant programming current I ≤ 10 µA and pulse width ≤1 µs, 40 nm-size TiN\Gd2O3\Hf cells allowed reaching a median memory window (MW) > × 70 while state-of-the-art materials exhibited MW 106 cycles), and good retention of Gd2O3-based cells (>5 days at 85 °C), verify algorithms allow reliable programming with low latency.

Enlarged weapons and ornamental traits under sexual selection often show a positive allometric relationship with the overall body size. The present study explores the allometry of mandibles and their supporting structure, the head, in males of the European stag beetle, Lucanus cervus. This species shows a remarkable dimorphism in mandible shape and size that are used by males in intraspecific combats. Stag beetles were captured, measured, weighed, and released in the framework of a capture-mark-recapture study. The relationship of mandible length (ML) and head width in respect to the overall body size was described by a segmented regression model. A linear relationship was detected between ML and head width. The scaling relationships for both ML and head width identified the same switchpoint, highlighting the advantages of using combined results of weapons and their supporting structures in such analysis. These results led to a more consistent distinction of males in two morphologies: minor and major. The survival probability of individuals was dependent on the morphological class and was higher for minor males than for major. Elytron length and body mass of the individuals did not show any significant variation during the season. Differences in predatory pressure were detected between morphs by the collection and analysis of body fragments due to the predatory activity of corvids. Morphological differences and shift in demographic and ecological parameters between the two classes suggested that selection continues to favor intrasexual dimorphism in this species throughout a trade-off mechanism between costs and benefits of carrying exaggerated traits.

Background Hippocampal volumetry on magnetic resonance imaging is recognized as an Alzheimer's disease (AD) biomarker, and manual segmentation is the gold standard for measurement. However, a standard procedure is lacking. We operationalize and quantitate landmark differences to help a Delphi panel converge on a set of landmarks. Methods One hundred percent of anatomic landmark variability across 12 different protocols for manual segmentation was reduced into four segmentation units (the minimum hippocampus, the alveus/fimbria, the tail, and the subiculum), which were segmented on magnetic resonance images by expert raters to estimate reliability and AD-related atrophy. Results Intra- and interrater reliability were more than 0.96 and 0.92, respectively, except for the alveus/fimbria, which were 0.86 and 0.77, respectively. Of all AD-related atrophy, the minimum hippocampus contributed to 67%; tail, 24%; alveus/fimbria, 4%; and the subiculum, 5%. Conclusions Anatomic landmark variability in available protocols can be reduced to four discrete and measurable segmentation units. Their quantitative assessment will help a Delphi panel to define a set of landmarks for a harmonized protocol.