Transcranial ultrasound modeling using the spectral-element method.

This work explores techniques for accurately modeling the propagation of ultrasound waves in lossy fluid-solid media, such as within transcranial ultrasound, using the spectral-element method. The objectives of this work are twofold, namely, (1) to present a formulation of the coupled viscoacoustic-viscoelastic wave equation for the spectral-element method in order to incorporate attenuation in both fluid and solid regions and (2) to provide an end-to-end workflow for performing spectral-element simulations in transcranial ultrasound. The matrix-free implementation of this high-order finite-element method is very well-suited for performing waveform-based ultrasound simulations for both transcranial imaging and focused ultrasound treatment thanks to its excellent accuracy, flexibility for dealing with complex geometries, and computational efficiency.

Health Economic Evaluation of Antimicrobial Stewardship, Procalcitonin Testing, and Rapid Blood Culture Identification in Sepsis Care: A 90-Day Model-Based, Cost-Utility Analysis.

Objective: We evaluated the cost-effectiveness of a bundled intervention including an antimicrobial stewardship program (ASP), procalcitonin (PCT) testing, and rapid blood culture identification (BCID), compared with pre-implementation standard care in critically ill adult patients with sepsis.

Methods: We conducted a decision tree model-based cost-effectiveness analysis alongside a previously published pre- and post-implementation quality improvement study. We adopted a public Canadian healthcare payer's perspective.

Deep learning based decoding of single local field potential events.

How is information processed in the cerebral cortex? In most cases, recorded brain activity is averaged over many (stimulus) repetitions, which erases the fine-structure of the neural signal. However, the brain is obviously a single-trial processor. Thus, we here demonstrate that an unsupervised machine learning approach can be used to extract meaningful information from electro-physiological recordings on a single-trial basis.

Removal of the large inverted repeat from the plastid genome reveals gene dosage effects and leads to increased genome copy number.

The chloroplast genomes of most plants and algae contain a large inverted repeat (IR) region that separates two single-copy regions and harbours the ribosomal RNA operon. We have addressed the functional importance of the IR region by removing an entire copy of the 25.3-kb IR from the tobacco plastid genome.

Anxiety and dysautonomia symptoms in patients with a Na1.7 mutation and the potential benefits of low-dose short-acting guanfacine.

Purpose: Guanfacine is an α-adrenergic receptor agonist, FDA-approved to treat attention-deficit hyperactivity disorder and high blood pressure, typically as an extended-release formulation up to 7 mg/day. In our dysautonomia clinic, we observed that off-label use of short-acting guanfacine at 1 mg/day facilitated symptom relief in two families with multiple members presenting with severe generalized anxiety. We also noted anecdotal improvements in associated dysautonomia symptoms such as hyperhidrosis, cognitive impairment, and palpitations.