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https://www.readbyqxmd.com/read/28079172/25-oh-d-and-1-25-oh-d-vitamin-d-fails-to-predict-sepsis-and-mortality-in-a-prospective-cohort-study
#1
Franz Ratzinger, Helmuth Haslacher, Markus Stadlberger, Ralf L J Schmidt, Markus Obermüller, Klaus G Schmetterer, Thomas Perkmann, Athanasios Makristathis, Rodrig Marculescu, Heinz Burgmann
The clinical role of vitamin D in sepsis and mortality prediction is controversially discussed. Therefore, we conducted a prospective cohort study on standard care wards, including 461 patients with suspected sepsis fulfilling two or more SIRS criteria. On the first and third day after onset of SIRS symptoms levels of 25(OH)D, 1,25(OH)D and sepsis biomarkers were analysed for their predictive capacity for identifying infection, bacteraemia and an elevated mortality risk. Additionally, several SNPs associated with vitamin D metabolism were evaluated...
January 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28078555/control-blindness-why-people-can-make-incorrect-inferences-about-the-intentions-of-others
#2
Andrew B S Willett, Richard S Marken, Maximilian G Parker, Warren Mansell
There is limited evidence regarding the accuracy of inferences about intention. The research described in this article shows how perceptual control theory (PCT) can provide a "ground truth" for these judgments. In a series of 3 studies, participants were asked to identify a person's intention in a tracking task where the person's true intention was to control the position of a knot connecting a pair of rubber bands. Most participants failed to correctly infer the person's intention, instead inferring complex but nonexistent goals (such as "tracing out two kangaroos boxing") based on the actions taken to keep the knot under control...
January 11, 2017: Attention, Perception & Psychophysics
https://www.readbyqxmd.com/read/28076338/quantification-of-confounding-factors-in-mri-based-dose-calculations-as-applied-to-prostate-imrt
#3
Matteo Maspero, Peter R Seevinck, Gerald Schubert, Michaela A U Hoesl, Bram van Asselen, Max A Viergever, Jan J W Lagendijk, Gert J Meijer, Cornelis A T van den Berg
Magnetic resonance (MR)-only radiotherapy treatment planning requires pseudo-CT (pCT) images to enable MR-based dose calculations. To verify the accuracy of MR-based dose calculations, institutions interested in introducing MR-only planning will have to compare pCT-based and computer tomography (CT)-based dose calculations. However, interpreting such comparison studies may be challenging, since potential differences arise from a range of confounding factors which are not necessarily specific to MR-only planning...
January 11, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28071761/plasma-heme-induced-renal-toxicity-is-related-to-a-capillary-rarefaction
#4
Nahid Tabibzadeh, Céline Estournet, Sandrine Placier, Joëlle Perez, Héloïse Bilbault, Alexis Girshovich, Sophie Vandermeersch, Chantal Jouanneau, Emmanuel Letavernier, Nadjib Hammoudi, François Lionnet, Jean-Philippe Haymann
Severe hypertension can lead to malignant hypertension (MH) with renal thrombotic microangiopathy and hemolysis. The role of plasma heme release in this setting is unknown. We aimed at evaluating the effect of a mild plasma heme increase by hemin administration in angiotensin II (AngII)-mediated hypertensive rats. Prevalence of MH and blood pressure values were similar in AngII and AngII + hemin groups. MH rats displayed a decreased renal blood flow (RBF), increased renal vascular resistances (RVR), and increased aorta and interlobar arteries remodeling with a severe renal microcirculation assessed by peritubular capillaries (PTC) rarefaction...
January 10, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28066887/the-effect-of-beam-purity-and-scanner-complexity-on-proton-ct-accuracy
#5
P Piersimoni, J Ramos-Méndez, T Geoghegan, V A Bashkirov, R W Schulte, B A Faddegon
PURPOSE: To determine the dependence of the accuracy in reconstruction of relative stopping power (RSP) with proton computerized tomography (pCT) scans on the purity of the proton beam and the technological complexity of the pCT scanner using standard phantoms and a digital representation of a pediatric patient. METHODS: The Monte Carlo method was applied to simulate the pCT scanner, using both a pure proton beam (uniform 200 MeV mono-energetic, parallel beam) and the Northwestern Medicine Chicago Proton Center (NMCPC) clinical beam in uniform scanning mode...
November 22, 2016: Medical Physics
https://www.readbyqxmd.com/read/28064396/efficient-removal-of-amoxicillin-and-paracetamol-from-aqueous-solutions-using-magnetic-activated-carbon
#6
Caroline Saucier, P Karthickeyan, V Ranjithkumar, Eder C Lima, Glaydson S Dos Reis, Irineu A S de Brum
Activated carbon (AC)/CoFe2O4 nanocomposites, MAC-1 and MAC-2, were prepared by a simple pyrolytic method using a mixture of iron(III)/cobalt(II) benzoates and iron(III)/cobalt(II) oxalates, respectively, and were used as efficient adsorbents for the removal of amoxicillin (AMX) and paracetamol (PCT) of aqueous effluents. The synthesized nanocomposites were characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), vibrating sample magnetometry (VSM), scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDX) and transmission electron microscopy (TEM)...
January 7, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28060043/chikungunya-infection-in-hospitalized-febrile-infants-younger-than-3-months-of-age
#7
Narcisse Elenga, Marion Folin, Yves-Marie Vandamme, Emma Cuadro-Alvarez, Laurence Long, Falucar Njuieyon, Elise Martin, Rémi Kom-Tchameni, Antoine Defo, Sitraka Herinantenaina Razafindrakoto, Yajaira Mrsic, Pierre Couppie, Mathieu Nacher, Julie Dufour
BACKGROUND: Fever in infants younger than 3 months is generally a cause for concern because of the risk for a serious bacterial infection. The aim of this study was to describe clinical and biological features of Chikungunya infection in infants < 3 months of age hospitalized in Cayenne Hospital during the 2014-2015 outbreak. METHODS: We performed a preliminary retrospective study followed by a prospective study from March 2014 to February 2015. All infants younger than 3 months presenting with fever and hospitalized in Cayenne Hospital were included...
January 3, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28056911/prospective-cohort-study-of-procalcitonin-levels-in-children-with-cancer-presenting-with-febrile-neutropenia
#8
Victoria Hemming, Adam D Jakes, Geoff Shenton, Bob Phillips
BACKGROUND: Febrile neutropenia (FNP) causes significant morbidity and mortality in children undergoing treatment for cancer. The development of clinical decision rules to help stratify risks in paediatric FNP patients and the use of inflammatory biomarkers to identify high risk patients is an area of recent research. This study aimed to assess if procalcitonin (PCT) levels could be used to help diagnose or exclude severe infection in children with cancer who present with febrile neutropenia, both as a single measurement and in addition to previously developed clinical decision rules...
January 5, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28054289/procalcitonin-is-a-poor-predictor-of-non-infectious-fever-in-the-neurocritical-care-unit
#9
Karin Halvorson, Sameer Shah, Corey Fehnel, Bradford Thompson, N Stevenson Potter, Mitchell Levy, Linda Wendell
BACKGROUND: Fever is a common occurrence in the Neurocritical Care Unit (NCCU). It is reported that up to 50 % of these fevers are associated with a non-infectious source. As this is a diagnosis of exclusion, a complete fever evaluation must be done to rule out infection. Procalcitonin (PCT) has been identified as a possible biomarker to distinguish infectious from non-infectious etiologies of fever. We hypothesized that PCT could be used as a predictor of infectious fever in febrile patients with intracranial hemorrhage admitted to the NCCU...
January 4, 2017: Neurocritical Care
https://www.readbyqxmd.com/read/28054250/pupil-cycle-time-as-indicator-of-visual-pathway-dysfunction-in-multiple-sclerosis
#10
Eyyup Karahan, Omer Karti, Aslı Koskderelioglu, Dilek Top Karti, Murat Uyar, Murat Yildirim Kale, Muhtesem Gedizlioglu
To evaluate the value of pupil cycle time (PCT) as an indicator of optic nerve dysfunction in patients with multiple sclerosis (MS), 42 patients with MS and 35 control subjects were included to the study. Patients with MS with a history of ON were accepted as group 1, without a history of ON as group 2 and healthy control subjects as group 3. Groups were compared with Chi-square and one-way ANOVA tests. Correlations of PCT results with age, best corrected visual acuity, duration of MS, visual field (VF) test, visual evoked potential (VEP) latans, retinal nerve fiber layer (RNFL), and ganglion cell layer-inner plexiform layer (GCL-IPL) thicknesses were analyzed...
January 4, 2017: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/28048870/su-f-j-81-evaluation-of-automated-deformable-registration-between-planning-computed-tomography-ct-and-daily-cone-beam-ct-images-over-the-course-of-prostate-cancer-radiotherapy
#11
J Matney, J Hammers, O Kaidar-Person, A Wang, R Chen, S Das, L Marks, P Mavroidis
PURPOSE: To compute daily dose delivered during radiotherapy, deformable registration needs to be relatively fast, automated, and accurate. The aim of this study was to evaluate the performance of commercial deformable registration software for deforming between two modalities: planning computed tomography (pCT) images acquired for treatment planning and cone beam (CB) CT images acquired prior to each fraction of prostate cancer radiotherapy. METHODS: A workflow was designed using MIM Software™ that aligned and deformed pCT into daily CBCT images in two steps: (1) rigid shifts applied after daily CBCT imaging to align patient anatomy to the pCT and (2) normalized intensity-based deformable registration to account for interfractional anatomical variations...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048860/su-f-p-54-guidelines-to-check-image-registration-qa-of-a-clinical-deformation-registration-software-a-single-institution-preliminary-study
#12
G Gill, S Souri, A Rea, Y Chen, J Antone, X Qian, A Riegel, P Taylor, M Marrero, F Diaz, Y Cao, A Jamshidi, S Barley, V Sorell, G Karangelis, T Button, E Klein
PURPOSE: The objective of this study is to verify and analyze the accuracy of a clinical deformable image registration (DIR) software. METHODS: To test clinical DIR software qualitatively and quantitatively, we focused on lung radiotherapy and analyzed a single (Lung) patient CT scan. Artificial anatomical changes were applied to account for daily variations during the course of treatment including the planning target volume (PTV) and organs at risk (OAR). The primary CT (pCT) and the structure set (pST) was deformed with commercial tool (ImSimQA-Oncology Systems Limited) and after artificial deformation (dCT and dST) sent to another commercial tool (VelocityAI-Varian Medical Systems)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048796/mo-fg-campus-jep2-04-comparison-study-for-ct-and-mr-only-prostate-imrt-treatment-planning-a-framework-for-the-estimation-of-relative-contribution-of-body-contour-discrepancies-tissue-stratification-and-hu-red-conversion-to-the-overall-dose-difference
#13
M Maspero, P R Seevinck, G Schubert, M Hoesl, G J Meijer, M A Viergever, Jjw Lagendijk, Cat van den Berg
PURPOSE: To compare dose of prostate IMRT plans on CT vs MR-based pseudo-CT (pCT). A framework is demonstrated to isolate various confounding factors causing dose differences. This approach will be valuable for medical physicists interested in commissioning strategy of MR-only dose planning. METHODS: A retrospective study was conducted on fourteen prostate patients that underwent CT and MRI scans. MR was equipped with an in-house-developed flat table-top and coil support...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048794/su-f-i-54-spatial-resolution-studies-in-proton-ct-using-a-phase-ii-prototype-head-scanner
#14
Tia E Plautz, R P Johnson, H F-W Sadrozinski, A Zatserklyaniy, V Bashkirov, R F Hurley, R W Schulte, P Piersimoni, V Giacometti
PURPOSE: To characterize the modulation transfer function (MTF) of the pre-clinical (phase II) head scanner developed for proton computed tomography (pCT) by the pCT collaboration. To evaluate the spatial resolution achievable by this system. METHODS: Our phase II proton CT scanner prototype consists of two silicon telescopes that track individual protons upstream and downstream from a phantom, and a 5-stage scintillation detector that measures a combination of the residual energy and range of the proton...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048732/su-f-j-15-the-use-of-cbct-for-dose-calculations-in-h-n-patients-impact-of-limited-fov
#15
B Rosen, C Lee, K Brock
PURPOSE: To investigate the impact of limited superior and inferior (SI) field-of-view (FOV) associated with on-board kV CBCT images for dose calculation. METHODS: First, a (10×10) cm(2) continuous arc 6 MV treatment plan was calculated for fourteen virtual water phantoms of varying SI thicknesses (5 to 15 cm) to replicate the FOV effect. In addition, 70 Gy VMAT plans from two H/N patients were calculated on their corresponding planning CT (pCT) and first fraction CBCT image volumes...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048636/tu-fg-brb-04-a-new-optimization-method-for-pre-treatment-patient-specific-stopping-power-by-combining-proton-radiography-and-x-ray-ct
#16
C Collins-Fekete, R Schulte, L Beaulieu, J Seco
PURPOSE: The relative stopping power (RSP) uncertainty is the largest contributor to the range uncertainty in proton therapy. The purpose of this work is to develop a robust and systematic method that yields accurate patient specific RSPs by combining pre-treatment X-ray CT and daily proton radiography. METHODS: The method is formulated as a penalized least squares optimization (PLSO) problem min(|Ax-B|). The matrix A represents the cumulative path-length crossed in each material computed by calculating proton trajectories through the X-ray CT...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048538/th-ab-209-05-validating-hemoglobin-saturation-and-dissolved-oxygen-in-tumors-using-photoacoustic-computed-tomographic-spectroscopic-imaging
#17
J Burnett, J Sick, N Cao, B Liu, H Nakshatri, M Mendonca, K Stantz
PURPOSE: Photoacoustic computed tomographic spectroscopy (PCT-S) provides intra-tumor measurements of oxygenation with high spatial resolution (0.2mm) and temporal fidelity (1-2 minutes) without the need for exogenous agents or ionizing radiation, thus providing a unique in vivo assay to measure SaO2 and investigate acute and chronic forms of hypoxia. The goal of this study is to validate in vivo SaO2 levels within tail artery of mice and the relationship between SaO2 and pO2 within subcutaneous breast tumors using PCT-S imaging, pulse oximetry and an OxyLite probe...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048314/su-d-204-07-retrospective-correlation-of-dose-accuracy-with-regions-of-local-failure-for-early-stage-lung-cancer-patients-treated-with-stereotactic-body-radiotherapy
#18
S Devpura, H Li, C Liu, C Fraser, M Ajlouni, B Movsas, I Chetty
PURPOSE: To correlate dose distributions computed using six algorithms for recurrent early stage non-small cell lung cancer (NSCLC) patients treated with stereotactic body radiotherapy (SBRT), with outcome (local failure). METHODS: Of 270 NSCLC patients treated with 12Gyx4, 20 were found to have local recurrence prior to the 2-year time point. These patients were originally planned with 1-D pencil beam (1-D PB) algorithm. 4D imaging was performed to manage tumor motion...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048238/su-g-tep1-06-fast-gpu-framework-for-four-dimensional-monte-carlo-in-adaptive-intensity-modulated-proton-therapy-impt-for-mobile-tumors
#19
P Botas, C Grassberger, G Sharp, N Qin, X Jia, S Jiang, H Paganetti
PURPOSE: To demonstrate the feasibility of fast Monte Carlo (MC) treatment planning and verification using four-dimensional CT (4DCT) for adaptive IMPT for lung cancer patients. METHODS: A validated GPU MC code, gPMC, has been linked to the patient database at our institution and employed to compute the dose-influence matrices (Dij) on the planning CT (pCT). The pCT is an average of the respiratory motion of the patient. The Dijs and patient structures were fed to the optimizer to calculate a treatment plan...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048222/su-f-j-186-enabling-adaptive-impt-with-cbct-based-dose-recalculation-for-h-n-and-prostate-cancer-patients
#20
C Kurz, Y Park, F Kamp, S Rit, B Winey, G Sharp, M Reiner, R Nijhuis, D Hansen, U Ganswindt, C Thieke, C Belka, K Parodi, G Landry
PURPOSE: To enable adaptive intensity modulated proton therapy for sites sensitive to inter-fractional changes on the basis of accurate CBCT-based proton dose calculations. To this aim two CBCT intensity correction methods are considered: planning CT (pCT) to CBCT DIR and projection correction based on pCT DIR prior. METHODS: 3 H&N and 3 prostate cancer patients with CBCT images and corresponding projections were used in this study, in addition to pCT and re-planning CT (rpCT) images (H&N only)...
June 2016: Medical Physics
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