Dramatic Improvement Research Articles

Intelligent Pick-and-Place System Using MobileNet

The current development of a robotic arm solution for the manufacturing industry requires performing pick-and-place operations for work pieces varying in size, shape, and color across different stages of manufacturing processes. It aims to reduce or eliminate the human error and human intervention in order to save manpower costs and enhance safety at the workplace. Machine learning has become more and more prominent for object recognition in these pick-and-place applications with the aid of imaging devices and advances in the image processing hardware. One of the key tasks in object recognition is feature extraction and object classification based on convolutional neural network (CNN) models, which are generally computationally intensive. In this paper, an intelligent object detection and picking system based on MobileNet is developed and integrated into an educational six-axis robotic arm, which requires less computation resources. An experimental test is conducted on six-axis robotic arm called Niryo One to train the model and identify three objects with difference shapes and colors. It is shown by the confusion matrix that the MobileNet model achieves an accuracy of 91%, a dramatic improvement compared to 65% of the Niryo One’s original sequential model. The statistical study also shows the MobileNet can achieve a higher precision with more clustered spread of accuracy.

Factors Affecting Implementation of Radiological Protection Aspects of Imaging in Radiotherapy

Dramatic improvements in radiotherapy equipment have allowed radiation fields to be conformed to tumours for more accurate treatment. Successful delivery often requires imaging at every treatment fraction, a method known as image guided radiation therapy (IGRT). But increased X-ray imaging exposes patients to doses that carry risks of inducing second cancers in normal tissues. Therefore, reductions in high-dose treatment margins achieved with IGRT must be balanced against detriments from greater imaging doses. ICRP Task Group 116 has been set up to prepare guidance on radiological protection aspects of IGRT. Factors affecting the optimization of radiological protection are the modalities used, the frequency of imaging, the image acquisition parameters influencing image quality and radiation dose, and the volume of normal tissue included in the images. The Task Group has undertaken two projects: (1) a snapshot survey of radiotherapy imaging practices across six continents, which has shown that use of kV cone beam CT (CBCT) increases with Human Development Index for the country; and (2) a project looking at ways for measuring CBCT doses that could be applied more widely. The results highlight the need for raising awareness of imaging doses, and development of the dose quantities displayed on imaging equipment used in radiotherapy.

What's New in Hand and Wrist Surgery.

What's New in Hand and Wrist Surgery.

A Roadmap for Gigabit to Terabit Optical Wireless Communications Receivers.

Silicon photomultipliers' relatively large areas and ability to detect single photons make them attractive as receivers for optical wireless communications. In this paper, the relative importance of the non-linearity and width of SiPMs' fast output in their performance in receivers is investigated using Monte Carlo simulations. Using these results, the performances of receivers containing different SiPMs are estimated. This is followed by a discussion of the potential performances of arrays of existing SiPMs. Finally, the possible dramatic improvements in performance that could be achieved by using two stacked integrated circuits are highlighted.

Dramatic improvement after palliative whole-liver radiotherapy for liver damage caused by diffuse liver metastases from castration-resistant prostate cancer: A case report

Introduction: Whole-liver radiotherapy (WLRT) is performed for palliative purposes in patients with metastatic liver tumors. However, it remains unclear whether the benefits obtained from WLRT surpass the potential disadvantages of radiotherapy-induced liver disease in such patients, particularly those with severe liver damage. We present the case of a 76-year-old man with diffuse liver metastases from castration-resistant prostate cancer. Case Report: He was diagnosed as having prostate cancer with multiple metastases to the bone, pleura, and para-aortic lymph nodes three years and six months earlier and developed hepatic metastases following a sequence of therapies, including surgical castration, bicalutamide, enzalutamide, and 10 cycles of docetaxel. Despite administering abiraterone acetate for two months, the prostate-specific antigen (PSA) levels increased, and the patient developed symptomatic liver damage, presenting with jaundice, anorexia, and fatigue. His serum total bilirubin (9.5 mg/dL) and liver transaminase (>100 U/L) levels were markedly elevated. The patient received WLRT at 8 Gy in a single fraction for palliative intent. Symptomatic relief was achieved shortly after WLRT, and the total bilirubin and transaminase levels decreased and normalized within two months. Additionally, two months after WLRT, the PSA level decreased from 285 to 23.3 ng/mL, and a robust partial tumor response was observed on computed tomography images. Although the patient died of cancer eight months after WLRT, radiotherapy-induced liver disease was not confirmed during the follow-up period. Conclusion: In the present case, WLRT successfully relieved the symptoms and reversed the liver damage caused by diffuse metastases, and it was considered to contribute to cancer control without adverse events. Thus, WLRT can be a viable option for patients with liver damage induced by diffuse liver metastases.

Enhancement of Electromagnetic Wave Shielding Effectiveness by the Incorporation of Carbon Nanofibers-Carbon Microcoils Hybrid into Commercial Carbon Paste for Heating Films.

Carbon microcoils (CMCs) were formed on stainless steel substrates using C2H2 + SF6 gas flows in a thermal chemical vapor deposition (CVD) system. The manipulation of the SF6 gas flow rate and the SF6 gas flow injection time was carried out to obtain controllable CMC geometries. The change in CMC geometry, especially CMC diameter as a function of SF6 gas flow injection time, was remarkable. In addition, the incorporation of H2 gas into the C2H2 + SF6 gas flow system with cyclic SF6 gas flow caused the formation of the hybrid of carbon nanofibers-carbon microcoils (CNFs-CMCs). The hybrid of CNFs-CMCs was composed of numerous small-sized CNFs, which formed on the CMCs surfaces. The electromagnetic wave shielding effectiveness (SE) of the heating film, made by the hybrids of CNFs-CMCs incorporated carbon paste film, was investigated across operating frequencies in the 1.5-40 GHz range. It was compared to heating films made from commercial carbon paste or the controllable CMCs incorporated carbon paste. Although the electrical conductivity of the native commercial carbon paste was lowered by both the incorporation of the CMCs and the hybrids of CNFs-CMCs, the total SE values of the manufactured heating film increased following the incorporation of these materials. Considering the thickness of the heating film, the presently measured values rank highly among the previously reported total SE values. This dramatic improvement in the total SE values was mainly ascribed to the intrinsic characteristics of CMC and/or the hybrid of CNFs-CMCs contributing to the absorption shielding route of electromagnetic waves.

Comprehensive review: Frailty in pancreas transplant candidates and recipients.

Well-selected patients with kidney disease and diabetes mellitus who undergo simultaneous kidney-pancreas transplantation often experience dramatic improvements in quality of life and long-term survival compared to those who remain on medical therapy. Over the past several years the importance of frailty in the pancreas transplant candidate and recipient populations has grown. More patients with advanced age have entered the waitlist, and complications from prolonged diabetes, even in younger patients, have created increased evidence of risk for frailty. Given these concerns, and the broad challenges facing pancreas transplantation volumes overall, we generated this review to help establish the impact and implications. We summarize the interplay of immunological factors, aging, environmental factors, diabetes mellitus, and chronic kidney disease that put these patients at risk for frailty. We discuss its measurement and recommend a combination of two instruments (both well-validated and one entirely objective). We describe the outcomes for patients before and after pancreas transplantation who may have frailty, and what interventions can be taken to mitigate its effects. Broader investigation into frailty in the pancreas transplant population is needed to better understand how to select patients for pancreas transplantation and to how manage its consequences thereafter.

“We got so much better at reading each other’s energy”: Knowing, acting, and attuning as an improv ensemble

ABSTRACT Background Long-form dramatic improvisation has been investigated as an accomplishment of emergent creativity among an ensemble of “players,” focusing on how the group achieves “group flow” in performance. Methods This article employs ethnographic methods (focus group, interviews, and video-assisted self-interviews) to investigate the case of a musical theater improv group. The analysis focuses on how the group describes its shared modes of knowing, drawing on the group’s history and their interpreted enactment of these modes in an improvised scene. Findings Improvisation in this group requires two inter-related forms of knowing: Shared Social Practice (SSP) and Collaborative Affective Attunement (CAA), where SSP involves definable repertoires, resources, conventions, and techniques, and CAA involves affective sensibility of in-the-moment responding, or affective attunement. These two forms of knowing develop over the course of a group’s history and are entangled in complex ways over the course of performance. Contribution Through a case study of a musical theater improv ensemble, the paper contributes to ongoing efforts to theorize the relationship between embodied experience, social practice, and affect in group knowing with special consideration for the significant role of collaborative affective attunement.

Learning sparse nonlinear dynamics via mixed-integer optimization

Discovering governing equations of complex dynamical systems directly from data is a central problem in scientific machine learning. In recent years, the sparse identification of nonlinear dynamics (SINDy) framework, powered by heuristic sparse regression methods, has become a dominant tool for learning parsimonious models. We propose an exact formulation of the SINDy problem using mixed-integer optimization (MIO-SINDy) to solve the sparsity constrained regression problem to provable optimality in seconds. On a large number of canonical ordinary and partial differential equations, we illustrate the dramatic improvement in our approach in accurate model discovery while being more sample efficient, robust to noise, and flexible in accommodating physical constraints.

A chart review on surgical myocardial debridging in symptomatic patients: a safe procedure with good long-term clinical outcome and coronary computed tomographic angiography results

Myocardial bridging is mostly diagnosed as an incidental imaging finding but can result in severe vessel compression and significant clinical adverse complications. Since there is still an ongoing debate when to propose surgical unroofing, we studied a group of patients where this was performed as an isolated procedure. In 16 patients (38.9 ± 15.7 years, 75% men) who had surgical unroofing for symptomatic isolated myocardial bridges of the left anterior descending artery, we retrospectively analysed symptomatology, medication, imaging modalities used, operative techniques, complications and long-term outcome. Computed tomographic fractional flow reserve was calculated to understand its potential value for decision-making. Most procedures were performed on-pump (75%, mean cardiopulmonary bypass 56.5 ± 27.9 min, mean aortic cross-clamping 36.4 ± 19.7 min). Three patients needed a left internal mammary artery bypass since the artery dived inside the ventricle. There were no major complications or deaths. The mean follow-up was 5.5 years. Although there was a dramatic improvement in symptoms, still 31% experienced atypical chest pain at various moments during follow-up. Postoperative radiological control was performed in 88%, showing no residual compression or recurrent myocardial bridge and patent bypass if performed. All postoperative computed tomographic flow calculations (7) showed a normalization of coronary flow. Surgical unroofing for symptomatic isolated myocardial bridging is a safe procedure. Patient selection remains difficult but introducing standard coronary computed tomographic angiography with flow calculations could be helpful in preoperative decision-making and during follow-up.

Expanding the toolbox of metabolically stable lipid prodrug strategies.

Nucleoside- and nucleotide-based therapeutics are indispensable treatment options for patients suffering from malignant and viral diseases. These agents are most commonly administered to patients as prodrugs to maximize bioavailability and efficacy. While the literature provides a practical prodrug playbook to facilitate the delivery of nucleoside and nucleotide therapeutics, small context-dependent amendments to these popular prodrug strategies can drive dramatic improvements in pharmacokinetic (PK) profiles. Herein we offer a brief overview of current prodrug strategies, as well as a case study involving the fine-tuning of lipid prodrugs of acyclic nucleoside phosphonate tenofovir (TFV), an approved nucleotide HIV reverse transcriptase inhibitor (NtRTI) and the cornerstone of combination antiretroviral therapy (cART). Installation of novel lipid terminal motifs significantly reduced fatty acid hepatic ω-oxidation while maintaining potent antiviral activity. This work contributes important insights to the expanding repertoire of lipid prodrug strategies in general, but particularly for the delivery and distribution of acyclic nucleoside phosphonates.

Efficient Quantum Dot Color Conversion Layer with Mixed Spherical/Rod-Shaped Scattering Particles

A quantum dot (QD) color conversion layer (CCL) with mixed-shaped scattering nanoparticles exhibits enhanced light conversion and reduced blue leakage in QD-organic light-emitting diodes (OLEDs). In this study, nontoxic bright red QDs and spherical and rod-shaped zinc oxide (ZnO) nanoparticles were mixed in an ultraviolet-curable resin without aggregation. The mixture of spherical and rod-shaped ZnO nanoparticles enhanced the blue light scattering inside the QD CCL, which results in an increase of the blue absorption by the QDs and a dramatic improvement of the color conversion. Extraction of the converted red light was also attributed to the Mie scattering of the rod-shaped scattering nanoparticles. The QD CCL with 15 wt % mixed-shaped scattering particles showed seven times increase of red intensity and four times decrease of blue intensity compared to that without scattering particles. We fabricated direct coat-type QD-OLEDs and confirmed that the color conversion and output/input efficiencies were improved and the blue leakage was decreased with increasing number of QD CCLs. This method improves the color conversion efficiency without increasing the amount of QDs and reducing the blue leakage without using a color filter.

Is CD19-directed chimeric antigen receptor T cell therapy a smart strategy to combat central nervous system lymphoma?

Primary central nervous system lymphoma (PCNSL) is a rare form and aggressive type of diffuse large B-cell lymphoma (DLBCL) that occurs in both immunocompetent and immunocompromised adults. While adding rituximab to chemotherapeutic regimens resulted in dramatic improvement in both progression-free survival and overall survival in patients with non-central nervous system (CNS) DLBCL, the outcomes of PCNSL are generally poor due to the immune-privileged tumor microenvironment or suboptimal delivery of systemic agents into tumor tissues. Therefore, more effective therapy for PCNSL generally requires systemic therapy with sufficient CNS penetration, including high-dose intravenous methotrexate with rituximab or high-dose chemotherapy followed by autologous stem cell transplantation. However, overall survival is usually inferior in comparison to non-CNS lymphomas, and treatment options are limited for elderly patients or patients with relapsed/refractory disease. Chimeric antigen receptor T (CAR-T) cell therapy has emerged as a cutting-edge cancer therapy, which led to recent FDA approvals for patients with B-cell malignancies and multiple myeloma. Although CAR-T cell therapy in patients with PCNSL demonstrated promising results without significant toxicities in some small cohorts, most cases of PCNSL are excluded from the pivotal CAR-T cell trials due to the concerns of neurotoxicity after CAR-T cell infusion. In this review, we will provide an overview of PCNSL and highlight current approaches, resistance mechanisms, and future perspectives of CAR-T cell therapy in patients with PCNSL.

Improving the hydrothermal stability and hydrogen selectivity of Ni-Cu based catalysts for the aqueous-phase reforming of methanol

Non-precious metal catalysts suitable for hydrogen production via aqueous phase reforming (APR) of methanol show important technical and commercial value in the development of distributed, small/micro-scale on-site hydrogen production systems. They still face the challenges of reduced activity and stability due to sintering and oxidation of active metal nanoparticles, change of the surface state and collapse of the pore structure of used supports under hydrothermal conditions. To solve these problems, a series of ZnO/Ni-xCu/Al2O3 (x = 0, 2, 4, 6, 8, 10) catalysts were prepared by a simple impregnation method in this work. The addition of Cu improved the reducibility of NiO, and promoted the formation of smaller and more dispersed metal particles on the surface of Al2O3, facilitating hydrogen production and hindering methane formation. Among them, the highest average hydrogen production rate (362.1 μmol‧min−1‧gcat−1) and the highest hydrogen selectivity (99%) were reached using ZnO/Ni-8Cu/Al2O3 catalyst, which were 1.6 times and 20.7% higher than those obtained on the mono-metallic ZnO/Ni/Al2O3 catalyst, respectively. On the other hand, the modification of Ni-8Cu/Al2O3 with ZnO prevented effectively the reaction of surface water with Al2O3 and inhibited the formation of boehmite phase, leading to dramatical improvement of its stability during APR of methanol with a prolonged lifetime (72 h) by 6 times. This new developed ZnO/Ni-xCu/Al2O3 catalysts offer great potential for the development of commercial catalysts to produce hydrogen from APR of methanol.

Interfacial Contact Management in Perovskite Solar Cells with Carbon Top Electrode

Perovskite solar cells (PSCs) represent a promising photovoltaic technology that has great potential for mass application. The main advantages of the perovskite solar cells are related to simplicity of their fabrication, tunable optical properties, and low cost of active materials. For further reducing the device costs, graphite‐based contacts are often used to replace an energy‐inefficient deposition of metal contacts, which is a trade‐off between the cost and power conversion efficiency (PCE) of devices. Herein, a new approach to increase the PCE of hole transport layer‐free perovskite cells with carbon‐based electrodes by the sequential treatment of the perovskite absorber layer and perovskite/carbon electrode interface with methylammonium iodide is presented. The proposed passivation technique leads to a dramatic improvement in the device power conversion efficiency from the initial 3.9% to 7.9%. The origin of the enhanced device performance is attributed to the passivation of defects on the perovskite/carbon interface and, most importantly, improving the electrical contact between the top electrode and absorber layer.

An automatic pipeline for atlas-based fetal and neonatal brain segmentation and analysis

Background and ObjectiveThe automatic segmentation of perinatal brain structures in magnetic resonance imaging (MRI) is of utmost importance for the study of brain growth and related complications. While different methods exist for adult and pediatric MRI data, there is a lack for automatic tools for the analysis of perinatal imaging. MethodsIn this work, a new pipeline for fetal and neonatal segmentation has been developed. We also report the creation of two new fetal atlases, and their use within the pipeline for atlas-based segmentation, based on novel registration methods. The pipeline is also able to extract cortical and pial surfaces and compute features, such as curvature, local gyrification index, sulcal depth, and thickness. ResultsResults show that the introduction of the new templates together with our segmentation strategy leads to accurate results when compared to expert annotations, as well as better performances when compared to a reference pipeline (developing Human Connectome Project (dHCP)), for both early and late-onset fetal brains. ConclusionsThese findings show the potential of the presented atlases and the whole pipeline for application in both fetal, neonatal, and longitudinal studies, which could lead to dramatic improvements in the understanding of perinatal brain development.

Towards adaptive structuring of the lupologist’s consultation to transform the care pathway of systemic lupus erythematosus

Systemic lupus erythematosus (SLE) is a complex autoimmune disease, which can be clinically heterogeneous in the same patient over the disease process and has an unpredictable evolution. Although its prevalence is increasing, SLE remains a rare disease with frequent extra-articular manifestations managed by multiple specialists. Among these, the internist is a key player in the overall coordination of the care pathway. The dramatic improvement in the short-term prognosis of SLE observed over the past few decades has favoured the emergence of more chronic disease-associated morbidities, especially infectious, cardiovascular and/or related to sequelae, notably renal. Thus, every lupologist is confronted with the difficulty of having to address, in an educational, individualised but also systematic way, a certain number of key items on which the short-, medium- and long-term medical future of patients who develop SLE at a relatively young age depend. In recent years, in addition to the creation of a network of reference centres and the drafting of regularly updated national therapeutic guidelines and therapeutic education programs, international consensus about the factors to consider in SLE patients has been reached, including the definition of therapeutic objectives according to a treat-to-target (T2T) strategy. However, the translation of these new objectives/paradigms in real-life has encountered a number of difficulties. As part of a multidisciplinary team involving SLE patients, we developed practical tools in the form of CHECKLISTs addressing the problems of refractory SLE (D2T), the management of comorbidities and toxicities (BASICs), and, more recently, therapeutic de-escalation with a shared medical decision (T2U). It appears that there is an opportunity to transform the care pathway of SLE patients by allowing the implementation of these tools within adaptive structuring of the consultation, which has the advantage of defining a starting point within the care pathway as a common denominator for lupologists, regardless of their specialty or where they work.

Dramatic improvement in freezing of gait with levodopa in a patient with vascular parkinsonism

Dramatic improvement in freezing of gait with levodopa in a patient with vascular parkinsonism

Dramatic improvement in the stability and mechanism of high-performance inverted polymer solar cells featuring a solution-processed buffer layer.

In this study, we demonstrate inverted PTB7:PC71BM polymer solar cells (PSCs) featuring a solution-processed s-MoO3 hole transport layer (HTL) that can, after thermal aging at 85 °C, retain their initial power conversion efficiency (PCE) for at least 2200 h. The T80 lifetimes of the PSCs incorporating the novel s-MoO3 HTL were up to ten times greater than those currently reported for PTB7- or low-band-gap polymer:PCBM PSCs, the result of the inhibition of burn-in losses and long-term degradation under various heat-equivalent testing conditions. We used X-ray photoelectron spectroscopy (XPS) to study devices containing thermally deposited t-MoO3 and s-MoO3 HTLs and obtain a mechanistic understanding of how the robust HTL is formed and how it prevented the PSCs from undergoing thermal degradation. Heat tests revealed that the mechanisms of thermal inter-diffusion and interaction of various elements within active layer/HTL/Ag electrodes controlled by the s-MoO3 HTL were dramatically different from those controlled by the t-MoO3 HTL. The new prevention mechanism revealed here can provide the conceptual strategy for designing the buffer layer in the future. The PCEs of PSCs featuring s-MoO3 HTLs, measured in damp-heat (65 °C/65% RH; 85 °C per air) and light soaking tests, confirmed their excellent stability. Such solution-processed MoO3 HTLs appear to have great potential as replacements for commonly used t-MoO3 HTLs.

Quantitative Thermal Imaging

Quantitative thermal imaging, the measurement of temperature by use of thermal imaging devices, is reviewed here from a metrological perspective with a focus on measurement confidence and system application to fields such as condition monitoring and healthcare diagnostics. Thermal imaging has seen greatly increased application for the measurement of temperature following dramatic improvements in practicality and price. Selected thermal imaging systems are reviewed here by providing some example measurements outputs from devices, highlighting their outcomes on measurement confidence and impact on practical use, such as in condition monitoring and healthcare diagnostics.