71 research outputs found

    The humanities in palliative medicine training: perspectives of academic palliative medicine physicians and trainees

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    Abstract Background The humanities can aid in the development of important skills for trainee physicians. Because of the nature of their work, palliative medicine residents are expected to apply humanities-based skills frequently in their clinical work and are also likely to use humanities-based skills to support their own self-care. Our project explored the role of the humanities in palliative medicine residency programs across Canada. Methods Each priority topic or objective of the current palliative medicine residency training standards in Canada was reviewed to determine whether they relate to the humanities. A cross-sectional survey was subsequently created using Qualtrics, with the target study population being current palliative medicine residents and palliative medicine staff physicians at academic centers in Canada. Results Multiple humanities objectives exist in Canadian palliative medicine training standards, primarily in the ethical, cultural, and spiritual domains. Eighty-seven people completed the cross-sectional survey, for a 17.4% response rate and 94.6% completion rate. The vast majority (90%) of survey participants felt that the humanities had an important role in medical training at the undergraduate and postgraduate levels, and more than 70% of participants felt that the humanities had an important role in palliative medicine residency training. In some areas, the humanities participants felt that their programs would most benefit from ethics, philosophy, and culture. Over 65% agreed or strongly agreed that their own palliative medicine program would benefit from more humanities content. Conclusion Canadian palliative medicine training standards require residents to demonstrate humanities-based skills. Most survey participants state that the humanities have an important role in medical training at the undergraduate and postgraduate levels, and that their own palliative medicine residency program would benefit from more humanities content. These results may guide future studies to better understand why and how more humanities content can be added to palliative medicine residency programs to optimize residents’ learning experiences and better prepare them for careers in palliative medicine

    Corrigendum to “Interstitial ectopic pregnancy diagnosis by three-dimensional ultrasound and its laparoscopic management: A case report” [Int J Reprod BioMed 2019; 17: 945-950]

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    The publisher has been informed of an error that occurred on page 945 in which the Institute name must be changed to Royan instead of Rayan. On behalf of the author, the publisher wishes to apologize for this error. The online version of the article has been updated on 29 February 2020

    Significance of Static Backgrounds for Video Object Detection

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    Video Object Detectors (VID) are used in various applications such as surveillance, inspection, etc. Often in these applications there exists a spatial area of interest and a static background. The static backgrounds remain constant throughout the video sequence in the training data establishing an undesirable correlation with the moving object during training. To hide static backgrounds in the video, masking is an option. We create multiple synthetic datasets and reveal that (i) VIDs detect moving objects better if the static background in the train and test set are similar or from the same distribution.(ii) VIDs drop in performance if the static background in the train and test are different. (iii) Adding more static backgrounds during training does not make VID robust to static background changes at test time. (iv) Masking or removing static backgrounds cannot prevent VIDs from learning correlations with static backgrounds. The experiments shed light on the usage of static backgrounds for detecting dynamic objects.Mechanical Engineering | Vehicle Engineering | Cognitive Robotic

    Autonomous Guidance and Control for Precision Landing on Planetary Bodies: Convex Optimization Approach For Mars and Titan Case Studies

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    Autonomously landing a spacecraft on the surface of a planetary body with a degree of precision in the order of meters is highly challenging. Over the course of time, the landing ellipse, defined as the region with a 99% likelihood of where a space vehicle will land, has improved steadily but currently still has dimensions in the order of kilometers. The first and single Martian spacecraft that has performed a guided atmospheric entry and utilized precision landing technologies is the Mars Science Laboratory (MSL). The MSL probe and its focal point, the Curiosity rover, has thus been the most advanced mission yet to have flown to Mars. Nonetheless, space missions to the Red Planet have thus-far never landed following fuel optimal paths. Similarly, dispersions for landing on Titan with current technologies expand to hundreds of kilometers. The only reference mission to Titan is the Huygens probe, which has not utilized precision landing technologies nor optimal path planning. Besides, the goal of the Cassini-Huygens mission was to maximize descent time to augment scientific data retrieval of Titan's atmosphere. As part of the NASA Space Exploration Technology Directorate, a parafoil is proposed for landing on Titan due to its cost effectiveness, ease of deployment, relatively low mass compared to the prospective payload and capabilities of precise autonomous delivery. While considering all phases of Entry, Descent and Landing (EDL) and all elements of Guidance, Navigation and Control (GNC), the central focus of the research was put on the (powered and parafoil) terminal descent phase. The research core concerns a convex optimization programming approach to guarantee soft-landing. The algorithm has been verified based on the extensive Mars powered descent guidance literature. As part of the research conducted at NASA/JPL/Caltech, the algorithm has been extended to become compatible with landing a parafoil on Saturn's moon Titan. Throughout the discussion a distinction is made between lossless and successive convexification for optimal guidance. Both types have been simulated to either compute fuel optimal paths for powered Mars landing or pull-power optimal paths for parafoil Titan landing. The soft-landing is guaranteed while adhering to imposed mission constraints. By using the full capability of the spacecraft unprecedented precision may be achieved. This will enable engineers and scientists to reach the most alluring places on planetary bodies, thereby providing humanity a deeper understanding of the Universe.JPL Visiting Student Research ProgramAerospace Engineerin

    Measuring the quality of publicly available synthetic IDS datasets: A comparative study

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    Year after year, the amount of network intrusions and costs associated to them rises. Research in this area is, therefore, of high importance and provides valuable insight in how to prevent or counteract intrusions. Machine learning algorithms seem to be a promising answer for automated network intrusion detection, as their results often reach upwards of 99\%+ on datasets. Yet even with these results, the problem does not seem to be solved as the same models do not reach similar scores on real live network traffic. This indicates a problem with the datasets. In this work, we explored six recent network intrusion datasets and measured the quality of them from a design perspective and through a practical binary classification approach. Furthermore, we explored the need for complex classification models on these datasets, as research has shifted more towards using black-box models as opposed to white-box models. Through a literature study on the quality metrics of a dataset, we found there is a general lack of agreement amongst researchers regarding what makes a dataset good and realistic. We also found areas in which datasets are often lacking in and provide concrete advice on how to upgrade the quality of these datasets. For our practical classification approach, we built a general classification pipeline using a Random Forest. Three feature sets were tested, two of which form an ablation study to measure the effects of trigrams on the classification score. On all datasets the general classification model reaches good classification results (>90\%+) and for three datasets even reached state-of-the-art results. The ablation study yielded a positive effect of using trigrams for classification on the datasets. Our white-box approach performed on par or better than most black-box techniques. We conclude that black-box models are unnecessary in this problem context and that the techniques should shift back to white-box approaches. Next, we attempted to link the quality of dataset methodologies to the difficulty of obtaining state-of-the-art classification results. Apart from the complexity of the attack vector and benign traffic variety, we found no further properties that define this relationship. Finally, this work started with the assumption that real live network traffic is more complex and therefore more difficult to classify well on than most available datasets. Newer datasets do show improvements over older datasets and our classification results corroborated the validity of the assumption.Computer Science | Cyber Securit

    Convex Optimization Guidance for Precision Landing on Titan

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    Precision landing is an anticipated technology for future interplanetary missions. Autonomous spacecraft Entry, Descent and Landing (EDL) on the surface of a planetary body with a degree of precision in the order of meters is highly challenging. In this paper, a successive convexification guidance algorithm is utilized to simulate autonomous precision landing sequences on Saturn’s moon Titan. Due to its unique geophysical features, studying the science of matter within Titan’s atmosphere and beneath its surface is one of NASA’s most important planetary science objectives. As part of the Space Exploration Technology Directorate, a parafoil is proposed for landing on Titan due to its cost effectiveness, ease of deployment, low mass compared to the prospective payload and capabilities of precise autonomous delivery. This paper focuses on path optimization and guidance law development for high-fidelity dynamics parafoil tuning in the dense and adverse wind atmosphere of Titan, defined as a nonlinear and nonconvex optimal control problem. The powerful successive convexification method is used to solve the problem accordingly. The algorithm is designed such that the converged solution adheres to the nonlinear dynamics and kinematics in accordance with the original formulation, while respecting the state and control constraints. The six-degree-of-freedom (6DoF) simulations results show that this robust method is suitable for autonomous interplanetary applications.Virtual/online event due to COVID-19Astrodynamics & Space Mission

    Non-Commutative Probability for the Spectral Analysis of Simplicial Complexes

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    Free probability theory, invented by Voiculescu, and greatly expanded by Speicher, is a young and active area of research with numerous applications in pure and applied mathematics. This Master thesis is a comprehensive study of a specific result in the recent preprint by C. Vargas, in which Vargas presents a survey of applications of non-commutative and free probability to topological data analysis. The relevant result from the preprint reveals a new interpretation of Betti numbers for simplicial complexes in terms of distributions in an operator-valued probability space. This thesis is mostly an exposition of the areas of free probability and algebraic topology; here, we do not present cutting-edge research in either free probability or algebraic topology. The author did a literature review for both fields and presents here the results in a comprehensive way along with detailed proofs and motivating examples that one may not find in a research paper. We believe that this thesis would help researchers to quickly grasp the main ideas and tools in both fields, and we hope it will help to advance the research in both areas and to develop applications in related areas

    Algorithmes basés sur les k-mères pour la métagénomique orale ancienne : outils pour l'élimination et l'évaluation de la contamination en paléométagénomique

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    La paléométagénomique est l'étude du matériel génétique ancien à l'aide du séquençage métagénomique, un processus qui implique la caractérisation de l'ADN de tous les organismes d'un échantillon. Par matériel génétique ancien, nous entendons l'ADN provenant d'une source non vivante et présentant des signes de dégradation moléculaire. Le tartre dentaire s'est révélé être une source exceptionnellement riche d'ADN ancien et a été utilisé pour étudier l'évolution du microbiome buccal, ainsi que la santé bucco-dentaire et l'alimentation de l'homme. Malgré la mise en place de protocoles de laboratoire rigoureux pour le contrôle de la contamination de l'ADN ancien, les échantillons d'ADN ancien court sont encore très sensibles à la contamination par des sources environnementales, ce qui peut modifier radicalement la composition microbienne et conduire à des conclusions erronées après les analyses en aval. Cette thèse propose deux algorithmes qui s'appuient sur les k-mers (sous-séquences d'ADN) pour relever deux défis importants dans le domaine de la paléométagénomique : l'évaluation de la contamination via le suivi des sources microbiennes et l'élimination de la contamination au niveau des lectures. La première tâche a donné lieu à une publication en première auteure et à un logiciel ouvert appelé decOM, tandis que la seconde a également été publiée en tant qu'article du première auteure accompagné d'un logiciel ouvert appelé aKmerBroom. Les deux méthodes ont été testées sur des données métagénomiques orales anciennes, mais leur utilité peut être étendue à des échantillons qui ne proviennent pas de sources orales anciennes. Dans l'ensemble, cette thèse a prouvé que les algorithmes basés sur k-mer ont un immense potentiel pour l'élimination de la contamination et l'évaluation de la contamination des métagénomes, car ils tirent parti de la richesse des informations métagénomiques qui ont été séquencées et mises à la disposition du public au fil des ans.Palaeometagenomics is the study of ancient genetic material by using metage- nomic sequencing, a process that entails the characterisation of the DNA from all the organisms in a sample. By ancient genetic material we refer to the DNA that comes from a non-living source and that shows signs of molecular degradation. Dental calculus has proven to be an exceptionally rich source of ancient DNA (aDNA) and it has been used to investigate the evolution of the oral microbiome, as well as human oral health and diet. Despite the establishment of rigorous laboratory protocols for aDNA contamination control, aDNA samples are still highly susceptible to contamination from environmental sources, which can drastically alter the microbial composition and lead to erroneous conclusions after downstream analyses. This dissertation proposes two algorithms that rely on k-mers (sub-sequences of DNA) to address two relevant challenges in the field of palaeometagenomics: contamination assessment via Microbial Source Tracking and contamination removal at the read level. The former task resulted in a first-author publication and an open-software called decOM, while the latter has also been published as a first-author paper accompanied by an open-software called aKmerBroom. Both methods were tested on ancient oral metagenomic data, yet their utility can be extended to samples that do not originate from ancient oral sources. Overall, this thesis has proven that k-mer-based algorithms have an immense potential for contamination removal and contamination assessment of metagenomes, as they leverage the wealth of metagenomic information that has been sequenced and made publicly available throughout the years

    Understanding the role of Dibenzofuran 4,4a dioxygenase reveals a silent pathway for biphenyl degradation in Sphingomonas wittichii RW1 and helps in engineering dioxin degrading strains

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    Sphingomonas wittichii RW1 is one of three strains known to degrade dibenzo-pdioxin (DXN) and dibenzofuran (DBF). Due to the toxic, carcinogenic, and endocrine disruption characteristics of these compounds molecular and biochemical studies of the enzymes involved in the DXN and DBF degradative pathways has been of great interest. Dibenzofuran 4,4a-dioxygenase (DBFDO) is the first enzyme involved in the DXN and DBF degradation pathways. This enzyme is a heterodimer of two polypeptides DxnA1 (45KDa) and DxnA2 (23KDa) which functions to add two atoms of molecular oxygen at two adjacent carbon atoms where one of the carbons is a bridge atom between the two benzene rings. This enzyme is thus often called an angular dioxygenase. Based on studies with the purified enzyme DBFDO is known to be capable of hydroxylating other aromatic compounds, however, the exact product made and the location where the dioxygenation occurs on these aromatics are unknown. For that purpose, we cloned the four genes necessary for DBFDO into E. coli in the pET30a expression vector. This included the genes for the two oxygenase subunits dxnA1 and dxnA2, the reductase redA2, and the ferredoxin fdx3. Results based on the HPLC, GC-MS, and NMR analysis showed that E. coli BL21 strains harboring this clone when induced had the ability to perform three types of oxygenations: angular dioxygenation towards DBF, DXN, 2-hydroxyDBF, xanthene, and xanthone; cis-dihydroxylation towards biphenyl, phenanthrene, anthracene, and xanthone; and monooxygenation to the benzylic methylenic group in fluorene as well as monooxygenation and dioxygenation to the sulfur heteroatom in dibenzothiophene. On the other hand, no oxygenation was seen for diphenylmethane, diphenyl ether, carbazole, chrysene, naphthalene, pyrene, anthrone, salicylate, and toluene. Our next goal was to engineer a DXN and DBF degrading strain which was achieved through cloning the S. wittichii RW1 dxnA1-dxnA2-redA2-fdx3 genes into the biphenyl degrading organism S. yanoikuyae B1 in place of the bphA1f-bphA2f genes thus placing the RW1 oxygenase under control of the B1 biphenyl pathway promoter. This allowed us to examine if the enzymatic activity of DBFDO towards biphenyl is sufficient to allow growth on biphenyl as the sole carbon source. More importantly, the engineered S. yanoikuyae B1 (B1DR, DR for dioxygenase replacement) will now have the ability to perform angular dioxygenation towards DXN and DBF which will allow us to identify if S. yanoikuyae B1 contains genes that metabolize these aromatics. Our results showed that B1DR had the ability to grow on biphenyl and DXN but not DBF indicating the presence of downstream DXN degrading enzymes in this organism and showing that the enzymes do not function on DBF. Gene knockout and gene insertion experiments showed that the biphenyl extradiol dioxygenase, BphC, and the HOPDA hydrolase, BphD, from S. yanoikuyae B1 are the enzymes that showed activity on DXN metabolites, as deleting bphC abolished the ability of B1DR to metabolize DXN but not biphenyl. However, deletion of bphD abolished growth of B1DR on both DXN and biphenyl. On the other hand complementing B1DRΔbphC with the specific DXN extradiol dioxygenase, SWIT3046, from RW1 retained growth on DXN, while complementing B1DRΔbphD with RW1 hydrolase, dxnB, retained growth on both DXN and biphenyl to similar growth rates as of B1DR. These results show that bphC and bphD from S. yanoikuyae B1 carry similar activity to specific DXN metabolizing genes from S. wittichii RW1 and shows that more than one extradiol dioxygenase is involved in biphenyl degradation in S. yanoikuyae B1 but only BphC functions on DXN metabolites. This work also shows that S. yanoikuyae B1 uses a single hydrolase, BphD, for biphenyl degradation which also has activity towards DXN. DBF was metabolized by B1DR only after inserting both an extradiol dioxygenase (dbfB or SWIT3046) and a hydrolase (dxnB) from S. wittichii RW1, indicating the lack of DBF degrading genes in S. yanoikuyae B1. Even though S. wittichii RW1 is unable to use biphenyl as a sole carbon source, the present work showed that it contains an angular dioxygenase that can attack biphenyl at a lateral position producing cis-2,3-dihydro-2,3-dihydroxybiphenyl. Also, a previous study showed that its 2,2’,3-trihydroxybiphenyl dioxygenase involved in the DBF pathway, dbfB, showed activity towards 2,3-dihydroxybiphenyl. Finally, its hydrolase, dxnB, is able to hydrolyze HOPDA generated from biphenyl degradation. All these facts collectively led us to hypothesize that the only missing gene for S. witichii RW1 to grow on biphenyl would be the cis-dihydrodiol dehydrogenase. To prove our hypothesis, the gene for cis-dihydrodiol dehydrogenase, bphB, from the biphenyl degrader Sphingobium yanaikuyae B1 was placed downstream of the fdx3 gene under the control of the constitutive promoter of the dxn locus in S. wittichii RW1. Interestingly, this engineered strain grew on biphenyl revealing a hidden pathway for biphenyl degradation in RW1. Using a series of knockout mutant strains we showed the involvement of two different ring-cleavage dioxygenases and two different hydrolases in the biphenyl degradation pathway. This work demonstrates that the enzymes in the upper pathway for DBF and DXN degradation have a wide substrate range with activity towards other aromatic hydrocarbons.Ph.D.Includes bibliographical reference
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