RESUMEN
Performing reproducible vessel source level (SL) measurements is complicated by seabed reflections in shallow water. In deep water, with a hydrophone far from the seabed, it is straightforward to estimate propagation loss (PL) and convert sound pressure level (SPL) into SL using the method codified in the international standard ISO 17208-2 [International Organization for Standardization (ISO), Geneva, Switzerland (2019)]. Estimating PL is more difficult in shallow water because of the way that sound reflects from the seabed such that multiple propagation paths contribute to SPL. Obtaining reproducible SL measurements in shallow water requires straightforward and robust methods to estimate PL. From May to July 2021, a field experiment evaluated different methods of measuring vessel SL in shallow water. The same vessels were measured many times in water depths of 30, 70, and 180 m. In total, 12 079 SL measurements were obtained from 1880 vessel transits and 16 hydrophones, distributed across 3 moored vertical line arrays and 2 moored horizontal line arrays. The experiment confirmed that it is possible to obtain reproducible vessel SL estimates in shallow water comparable to within ±2.5 dB of ISO-compliant measurements in deep water and repeatable to within ±1.5 dB.
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We report two cases of progressive lateralising encephalopathy in adult patients with treated HIV in the absence of opportunistic infection or vasculitis. One case was characterised by CD8 cortical infiltrates and was steroid responsive and may represent a variant of CD8 encephalitis. The other case presented with focal seizures and episodes of status epilepticus and pathology showed severe cortical atrophy with features reminiscent of the chronic phase of Rasmussen's encephalitis.
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Encefalitis , Infecciones por VIH , Adulto , Atrofia/patología , Linfocitos T CD8-positivos/patología , Encefalitis/complicaciones , Encefalitis/patología , Infecciones por VIH/complicaciones , Infecciones por VIH/patología , Humanos , Imagen por Resonancia Magnética , Convulsiones/patologíaRESUMEN
BACKGROUND: White matter disconnection of language-specific brain regions associates with worse aphasia recovery. Despite a loss of direct connections, many stroke survivors may maintain indirect connections between brain regions. OBJECTIVE: To determine (1) whether preserved direct connections between language-specific brain regions relate to better poststroke naming treatment outcomes compared to no direct connections and (2) whether for individuals with a loss of direct connections, preserved indirect connections are associated with better treatment outcomes compared to individuals with no connections. METHODS: We computed structural whole-brain connectomes from 69 individuals with chronic left-hemisphere stroke and aphasia who completed a 3-week-long language treatment that was supplemented by either anodal transcranial direct current stimulation (A-tDCS) or sham stimulation (S-tDCS). We determined differences in naming improvement between individuals with direct, indirect, and no connections using 1-way analyses of covariance and multivariable linear regressions. RESULTS: Independently of tDCS modality, direct or indirect connections between the inferior frontal gyrus pars opercularis and angular gyrus were both associated with a greater increase in correct naming compared to no connections (P = .027 and P = .039, respectively). Participants with direct connections between the inferior frontal gyrus pars opercularis and middle temporal gyrus who received S-tDCS and participants with indirect connections who received A-tDCS significantly improved in naming accuracy. CONCLUSIONS: Poststroke preservation of indirect white matter connections is associated with better treated naming improvement in aphasia even when direct connections are damaged. This mechanistic information can be used to stratify and predict treated naming recovery in individuals with aphasia.
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Afasia/patología , Afasia/rehabilitación , Accidente Cerebrovascular Isquémico/patología , Accidente Cerebrovascular Isquémico/rehabilitación , Red Nerviosa/patología , Rehabilitación de Accidente Cerebrovascular , Estimulación Transcraneal de Corriente Directa , Sustancia Blanca/patología , Adulto , Anciano , Afasia/diagnóstico por imagen , Afasia/etiología , Enfermedad Crónica , Humanos , Accidente Cerebrovascular Isquémico/complicaciones , Accidente Cerebrovascular Isquémico/diagnóstico por imagen , Imagen por Resonancia Magnética , Persona de Mediana Edad , Red Nerviosa/diagnóstico por imagen , Vías Nerviosas/diagnóstico por imagen , Vías Nerviosas/patología , Evaluación de Resultado en la Atención de Salud , Sustancia Blanca/diagnóstico por imagenRESUMEN
Neuromyelitis optica spectrum disorder is an inflammatory autoimmune central nervous system condition caused in the majority of cases by aquaporin-4 IgG antibodies. Aquaporin-4 is expressed in the cochlear and vestibular nuclei regions in the brainstem and a handful of cases of retro-cochlear type hearing loss have been documented in the literature. Aquaporin-4 has also been reported within the organ of Corti and the cristae and maculae of the vestibular apparatus. We present a case where there is evidence of peripheral (labyrinthine) rather than central pathology and propose this is due to autoimmune inflammation as part of neuromyelitis optica spectrum disorder. This is the first case in the literature suggesting a 'cochlear-type' hearing loss occurring as part of neuromyelitis optica spectrum disorder. It raises the possibility of peripheral relapses of neuromyelitis optica spectrum disorder going unnoticed, resulting in patient morbidity, and highlights the importance of research within this area.
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Acuaporina 4/inmunología , Autoanticuerpos/sangre , Cóclea/inmunología , Pérdida Auditiva/inmunología , Neuromielitis Óptica/complicaciones , Audiometría de Tonos Puros , Autoanticuerpos/inmunología , Femenino , Glucocorticoides/uso terapéutico , Pérdida Auditiva/sangre , Pérdida Auditiva/diagnóstico , Pérdida Auditiva/tratamiento farmacológico , Humanos , Inmunoglobulina G/sangre , Inmunoglobulina G/inmunología , Persona de Mediana Edad , Neuromielitis Óptica/sangre , Neuromielitis Óptica/diagnóstico , Neuromielitis Óptica/inmunologíaRESUMEN
As the sharing of data is mandated by funding agencies and journals, reuse of data has become more prevalent. It becomes imperative, therefore, to develop methods to characterize the similarity of data. While users can group data based on the acquisition parameters stored in the file headers, these gives no indication whether a file can be combined with other data without increasing the variance in the data set. Methods have been implemented that characterize the signal-to-noise ratio or identify signal drop-outs in the raw image files, but potential users of data often have access to calculated metric maps and these are more difficult to characterize and compare. Here we describe a histogram-distance-based method applied to diffusion metric maps of fractional anisotropy and mean diffusivity that were generated using data extracted from a repository of clinically-acquired MRI data. We describe the generation of the data set, the pitfalls specific to diffusion MRI data, and the results of the histogram distance analysis. We find that, in general, data from GE scanners are less similar than are data from Siemens scanners. We also find that the distribution of distance metric values is not Gaussian at any selection of the acquisition parameters considered here (field strength, number of gradient directions, b-value, and vendor).
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This paper estimates bowhead whale locations and uncertainties using nonlinear Bayesian inversion of the time-difference-of-arrival (TDOA) of low-frequency whale calls recorded on onmi-directional asynchronous recorders in the shallow waters of the northeastern Chukchi Sea, Alaska. A Y-shaped cluster of seven autonomous ocean-bottom hydrophones, separated by 0.5-9.2 km, was deployed for several months over which time their clocks drifted out of synchronization. Hundreds of recorded whale calls are manually associated between recorders. The TDOA between hydrophone pairs are calculated from filtered waveform cross correlations and depend on the whale locations, hydrophone locations, relative recorder clock offsets, and effective waveguide sound speed. A nonlinear Bayesian inversion estimates all of these parameters and their uncertainties as well as data error statistics. The problem is highly nonlinear and a linearized inversion did not produce physically realistic results. Whale location uncertainties from nonlinear inversion can be low enough to allow accurate tracking of migrating whales that vocalize repeatedly over several minutes. Estimates of clock drift rates are obtained from inversions of TDOA data over two weeks and agree with corresponding estimates obtained from long-time averaged ambient noise cross correlations. The inversion is suitable for application to large data sets of manually or automatically detected whale calls.
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Acústica/instrumentación , Transductores , Vocalización Animal , Ballenas/fisiología , Animales , Teorema de Bayes , Diseño de Equipo , Movimiento (Física) , Dinámicas no Lineales , Procesamiento de Señales Asistido por Computador , Sonido , Espectrografía del Sonido , Factores de Tiempo , Ballenas/clasificaciónRESUMEN
This paper estimates bowhead whale locations and uncertainties using non-linear Bayesian inversion of their modally-dispersed calls recorded on asynchronous recorders in the Chukchi Sea, Alaska. Bowhead calls were recorded on a cluster of 7 asynchronous ocean-bottom hydrophones that were separated by 0.5-9.2 km. A warping time-frequency analysis is used to extract relative mode arrival times as a function of frequency for nine frequency-modulated whale calls that dispersed in the shallow water environment. Each call was recorded on multiple hydrophones and the mode arrival times are inverted for: the whale location in the horizontal plane, source instantaneous frequency (IF), water sound-speed profile, seabed geoacoustic parameters, relative recorder clock drifts, and residual error standard deviations, all with estimated uncertainties. A simulation study shows that accurate prior environmental knowledge is not required for accurate localization as long as the inversion treats the environment as unknown. Joint inversion of multiple recorded calls is shown to substantially reduce uncertainties in location, source IF, and relative clock drift. Whale location uncertainties are estimated to be 30-160 m and relative clock drift uncertainties are 3-26 ms.
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Ballena de Groenlandia , Vocalización Animal , Acústica , Alaska , Animales , Teorema de Bayes , Vigilancia de la Población/métodos , Espectrografía del Sonido , Factores de Tiempo , IncertidumbreRESUMEN
This paper presents estimated water-column and seabed parameters and uncertainties for a shallow-water site in the Chukchi Sea, Alaska, from trans-dimensional Bayesian inversion of the dispersion of water-column acoustic modes. Pulse waveforms were recorded at a single ocean-bottom hydrophone from a small, ship-towed airgun array during a seismic survey. A warping dispersion time-frequency analysis is used to extract relative mode arrival times as a function of frequency for source-receiver ranges of 3 and 4 km which are inverted for the water sound-speed profile (SSP) and subbottom geoacoustic properties. The SSP is modeled using an unknown number of sound-speed/depth nodes. The subbottom is modeled using an unknown number of homogeneous layers with unknown thickness, sound speed, and density, overlying a halfspace. A reversible-jump Markov-chain Monte Carlo algorithm samples the model parameterization in terms of the number of water-column nodes and subbottom interfaces that can be resolved by the data. The estimated SSP agrees well with a measured profile, and seafloor sound speed is consistent with an independent headwave arrival-time analysis. Environmental properties are required to model sound propagation in the Chukchi Sea for estimating sound exposure levels and environmental research associated with marine mammal localization.
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Acústica/instrumentación , Algoritmos , Teorema de Bayes , Monitoreo del Ambiente/instrumentación , Modelos Teóricos , Procesamiento de Señales Asistido por Computador , Sonido , Transductores de Presión , Simulación por Computador , Monitoreo del Ambiente/métodos , Diseño de Equipo , Sedimentos Geológicos , Cadenas de Markov , Método de Montecarlo , Movimiento (Física) , Océanos y Mares , Presión , Espectrografía del Sonido , Factores de Tiempo , AguaRESUMEN
BACKGROUND: Although a molecular diagnosis is possible in most patients having Charcot-Marie-Tooth disease (CMT), recessively inherited and axonal neuropathies still present a diagnostic challenge. OBJECTIVE: To determine the cause of axonal CMT type 2 in 3 siblings. DESIGN: Case report. SETTING: Academic research. PARTICIPANTS: Three siblings who subsequently developed profound cerebellar ataxia. MAIN OUTCOME MEASURES: Muscle biopsy specimen molecular genetic analysis of the POLG1 (polymerase gamma-1) gene, as well as screening of control subjects for POLG1 sequence variants. RESULTS: Cytochrome c oxidase deficient fibers and multiple deletions of mitochondrial DNA were detected in skeletal muscle. Three compound heterozygous substitutions were detected in POLG1. CONCLUSION: Even in the absence of classic features of mitochondrial disease, POLG1 should be considered in patients having axonal CMT that may be associated with tremor or ataxia.
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Axones/patología , Enfermedad de Charcot-Marie-Tooth/genética , Enfermedad de Charcot-Marie-Tooth/patología , ADN Polimerasa Dirigida por ADN/genética , Adulto , Sustitución de Aminoácidos , Enfermedad de Charcot-Marie-Tooth/diagnóstico , Análisis Citogenético , ADN Polimerasa gamma , ADN Mitocondrial/genética , Complejo IV de Transporte de Electrones/genética , Familia , Femenino , Genes Recesivos/genética , Heterocigoto , Humanos , Masculino , Persona de Mediana Edad , Fibras Musculares Esqueléticas/enzimología , Fibras Musculares Esqueléticas/patología , Músculo Esquelético/enzimología , Músculo Esquelético/patología , Mutación/genética , Examen Neurológico , Linaje , Sistema Nervioso Periférico/patología , Espectrometría de Masa por Láser de Matriz Asistida de Ionización Desorción , Degeneraciones Espinocerebelosas/diagnóstico , Degeneraciones Espinocerebelosas/genética , Degeneraciones Espinocerebelosas/patologíaRESUMEN
We describe the first case of paroxysmal nonkinesogenic dyskinesia secondary to pallidal ischaemia, which is uniquely and specifically triggered by alcohol.