Secherlevesque4693

Purpose The stoichiometric calibration method for dual-energy CT (DECT) proposed by Bourque et al. (Phys. Med. Biol. 59(8)2059, 2014), which provides estimators of the electron density and the effective atomic number, is adapted to a maximum a posteriori (MAP) framework to increase the model's robustness to noise and biases in CT data, specifically for human tissues. Robust physical parameter estimation from noisy DECT scans is required to maximize the precision of quantities used for radiotherapy treatment planning such as the proton stopping power (SPR). Pifithrin-α supplier Methods Estimation of electron density and effective atomic number is performed by constraining their variation to the natural range of values expected for human tissues, while maximizing attenuation data fidelity. The MAP framework is first compared against the original method using theoretical CT numbers with Gaussian noise. The quantitative accuracy of the MAP framework is then validated experimentally on the Gammex 467 phantom. Then, using two clinical cle, adipose, and cranium) respectively differ by 0.7, 1.8 and 0.9% between both frameworks. The standard deviation in the same regions of interest is also reduced, on average, by factors of 1.8, 6.6 and 3.2 with the MAP framework. Differences in mean value and standard deviations are statistically significant. Conclusion Theoretical and experimental results suggest that the MAP framework produces more accurate and precise estimates of the electron density and SPR. Thus, the present approach limits the propagation of noise in DECT attenuation data to radiotherapy-related parameters maps such as the SPR and the electron density. Using a MAP framework with DECT for radiotherapy treatment planning can help maximizing the precision of dose calculation. The method also provides more precise estimates of the effective atomic number. The MAP methodology is presented in a general way such that it can be adapted to any DECT image-based tissue characterization method.Introduction In Norway, all patient-reported claims for compensation are evaluated by The Norwegian System of Patient Injury Compensation (NPE). The number of claims from women with cervical cancer is rising, and the approval rate is high. Our aim was to study claims for compensation from women with cervical cancer to identify the type of failures, when, during the time-course of treatment, the medical failures occurred, and the consequences of the failures. Material and methods A retrospective, descriptive study of claims for compensation to NPE from cervical cancer patients during a 12-year period, from 2007 through 2018. We used anonymized medical expert statements and summaries of NPE cases. Results In all, 161 women claimed compensation for alleged medical failure related to cervical cancer. Compensation was approved for 100 (62%) women. Mean age at the time of alleged failure was 37.5 years (SD ±9.9). The main reasons why women sought medical attention were routine cervical screening (56%), or vaginal bical examinations might improve patient safety for women in risk of cervical cancer.Chitooligosaccharide oxidase (ChitO) is a fungal carbohydrate oxidase containing a bicovalently bound FAD cofactor. The enzyme is known to catalyse the oxidation of chitooligosaccharides, oligomers of N-acetylated glucosamines derived from chitin degradation. In this study, the unique substrate acceptance was explored by testing a range of N-acetyl-d-glucosamine derivatives, revealing that ChitO preferentially accepts carbohydrates with a hydrophobic group attached to C2. The enzyme also accepts streptozotocin, a natural product used to treat tumours. Elucidation of the crystal structure provides an explanation for the high affinity towards C2-decorated glucosamines the active site has a secondary binding pocket that accommodates groups attached at C2. Docking simulations are fully in line with the observed substrate preference. This work expands the knowledge on this versatile enzyme.Many patients with chronic migraine are difficult to treat. We present a patient with chronic migraine with good response to onabotulinum toxin type A whose headaches worsened in clear temporal relationship to local treatment with glyceryl trinitrate for an anal fissure. Our case shows that the use, even at distance, of nitric oxide donors can be a precipitating factor for migraineurs and should be always inquired in chronic migraine patients. In addition, the presence of frequent headaches should always be ruled out before prescribing such medications.There is no previously reported information on the applied anatomy and clinical significance of the maxillofacial and mandibular regions of the barking deer and sambar deer. Therefore, the present study was designed to provide some important clinical landmarks related to tracking of the infraorbital, mental and mandibular nerves with its clinical implications in regional anaesthesia in both the species. In the present study, the distance between the most lateral bulging of the facial tuberosity to the infraorbital foramen and from the latter to the root of the alveolar tooth directly ventral to it was found to be 2.65 ± 0.01 cm and 0.90 ± 0.02 cm in males; 2.75 ± 0.01 cm, 1.11 ± 0.01 cm in females of barking deer and 4.57 ± 0.01 cm and 1.83 ± 0.02 cm in males; 4.52 ± 0.02 cm and 1.76 ± 0.02 cm in females of sambar deer. The infraorbital foramen was small, elliptical and was located at the level of first superior premolar teeth in barking deer and sambar deer. The facial tuberosity was located above the third superior premolar teeth in the barking deer but was located at the level of the first superior molar teeth in sambar deer. The distance between the lateral alveolar root of the third inferior incisor tooth to the mental foramen was 2.84 ± 0.01 cm in males, 2.78 ± 0.01 cm in females of barking deer and 3.04 ± 0.02 cm in males, 2.96 ± 0.01 cm in females of sambar deer which is an important landmark for achieving the location of the mental foramen nerve for the regional nerve block in both the species. The mandible of both the species showed oval-shaped mental foramen with unossified mandibular symphysis. The present study revealed that most of the parameters showed a statistically significant difference between the sexes in barking deer and sambar deer, however, considering from the practical point of view, these differences were meager. The results were discussed with regard to their clinical applications in various regional anaesthesia performed in maxillofacial and mandibular regions of both the species.