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- Di Renzo, G C, et al.
(author)
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Intrapartum GBS screening and antibiotic prophylaxis : a European consensus conference
- 2015
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In: The Journal of Maternal-Fetal & Neonatal Medicine. - : Informa UK Limited. - 1476-7058 .- 1476-4954. ; 7-8, s. 766-782
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Journal article (peer-reviewed)abstract
- Abstract Group B streptococcus (GBS) remains worldwide a leading cause of severe neonatal disease. Since the end of the 1990s, various strategies for prevention of the early onset neonatal disease have been implemented and have evolved. When a universal antenatal GBS screening-based strategy is used to identify women who are given an intrapartum antimicrobial prophylaxis, a substantial reduction of incidence up to 80% has been reported in the USA as in other countries including European countries. However recommendations are still a matter of debate due to challenges and controversies on how best to identify candidates for prophylaxis and to drawbacks of intrapartum administration of antibiotics. In Europe, some countries recommend either antenatal GBS screening or risk-based strategies, or any combination, and others do not have national or any other kind of guidelines for prevention of GBS perinatal disease. Furthermore, accurate population-based data of incidence of GBS neonatal disease are not available in some countries and hamper good effectiveness evaluation of prevention strategies. To facilitate a consensus towards European guidelines for the management of pregnant women in labor and during pregnancy for the prevention of GBS perinatal disease, a conference was organized in 2013 with a group of experts in neonatology, gynecology-obstetrics and clinical microbiology coming from European representative countries. The group reviewed available data, identified areas where results were suboptimal, where revised procedures and new technologies could improve current practices for prevention of perinatal GBS disease. The key decision issued after the conference is to recommend intrapartum antimicrobial prophylaxis based on a universal intrapartum GBS screening strategy using a rapid real time testing.
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- Kehoe, Laura, et al.
(author)
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Make EU trade with Brazil sustainable
- 2019
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In: Science. - : American Association for the Advancement of Science (AAAS). - 0036-8075 .- 1095-9203. ; 364:6438, s. 341-
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Journal article (other academic/artistic)
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- Blösch, Günter, et al.
(author)
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Twenty-three unsolved problems in hydrology (UPH) - a community perspective
- 2019
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In: Hydrological Sciences Journal. - : Informa UK Limited. - 0262-6667 .- 2150-3435. ; 64:10, s. 1141-1158
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Journal article (peer-reviewed)abstract
- This paper is the outcome of a community initiative to identify major unsolved scientific problems in hydrology motivated by a need for stronger harmonisation of research efforts. The procedure involved a public consultation through online media, followed by two workshops through which a large number of potential science questions were collated, prioritised, and synthesised. In spite of the diversity of the participants (230 scientists in total), the process revealed much about community priorities and the state of our science: a preference for continuity in research questions rather than radical departures or redirections from past and current work. Questions remain focused on the process-based understanding of hydrological variability and causality at all space and time scales. Increased attention to environmental change drives a new emphasis on understanding how change propagates across interfaces within the hydrological system and across disciplinary boundaries. In particular, the expansion of the human footprint raises a new set of questions related to human interactions with nature and water cycle feedbacks in the context of complex water management problems. We hope that this reflection and synthesis of the 23 unsolved problems in hydrology will help guide research efforts for some years to come.
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- Galosi, Serena, et al.
(author)
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De novo DHDDS variants cause a neurodevelopmental and neurodegenerative disorder with myoclonus
- 2022
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In: Brain : a journal of neurology. - : Oxford University Press (OUP). - 1460-2156. ; 145:1, s. 208-223
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Journal article (peer-reviewed)abstract
- Subcellular membrane systems are highly enriched in dolichol, whose role in organelle homeostasis and endosomal-lysosomal pathway remains largely unclear besides being involved in protein glycosylation. DHDDS encodes for the catalytic subunit (DHDDS) of the enzyme cis-prenyltransferase (cis-PTase), involved in dolichol biosynthesis and dolichol-dependent protein glycosylation in the endoplasmic reticulum. An autosomal recessive form of retinitis pigmentosa (retinitis pigmentosa 59) has been associated with a recurrent DHDDS variant. Moreover, two recurring de novo substitutions were detected in a few cases presenting with neurodevelopmental disorder, epilepsy, and movement disorder. We evaluated a large cohort of patients (n=25) with de novo pathogenic variants in DHDDS and provided the first systematic description of the clinical features and long-term outcome of this new neurodevelopmental and neurodegenerative disorder. The functional impact of the identified variants was explored by yeast complementation system and enzymatic assay. Patients presented during infancy or childhood with a variable association of neurodevelopmental disorder, generalized epilepsy, action myoclonus/cortical tremor, and ataxia. Later in the disease course they experienced a slow neurological decline with the emergence of hyperkinetic and/or hypokinetic movement disorder, cognitive deterioration, and psychiatric disturbances. Storage of lipidic material and altered lysosomes were detected in myelinated fibers and fibroblasts, suggesting a dysfunction of the lysosomal enzymatic scavenger machinery. Serum glycoprotein hypoglycosylation was not detected and, in contrast to retinitis pigmentosa and other congenital disorders of glycosylation involving dolichol metabolism, the urinary dolichol D18/D19 ratio was normal. Mapping the disease-causing variants into the protein structure revealed that most of them clustered around the active site of the DHDDS subunit. Functional studies using yeast complementation assay and in vitro activity measurements confirmed that these changes affected the catalytic activity of the cis-PTase and showed growth defect in yeast complementation system as compared with the wild-type enzyme and retinitis pigmentosa-associated protein. In conclusion, we characterized a distinctive neurodegenerative disorder due to de novo DHDDS variants, which clinically belongs to the spectrum of genetic progressive encephalopathies with myoclonus. Clinical and biochemical data from this cohort depicted a condition at the intersection of congenital disorders of glycosylation and inherited storage diseases with several features akin to of progressive myoclonus epilepsy such as neuronal ceroid lipofuscinosis and other lysosomal disorders.
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- Li, Y., et al.
(author)
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Precoded Optical Spatial Modulation for Indoor Visible Light Communications
- 2021
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In: IEEE Transactions on Communications. - : Institute of Electrical and Electronics Engineers (IEEE). - 0090-6778 .- 1558-0857. ; 69:4, s. 2518-2531
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Journal article (peer-reviewed)abstract
- This paper proposes a precoded optical space-domain index modulation scheme for indoor visible light communications, which is based on optimization of the minimum Euclidean distance in optical spatial modulation (OSM) with real-valued modulation constellations. We find that the precoding matrix design can be formulated as a non-convex quadratically constrained quadratic program (QCQP) problem, whose solution is generally intractable. To tackle this problem, we first consider the case of two optical transmit antennas (Nt = 2) in precoded OSM and derive the closed-form solution for arbitrary M-order pulse amplitude modulation (PAM). Based on the derived solutions and the error vector reduction method, we then propose a low-complexity iterative (LCI) algorithm to identify the precoding matrix for the cases of Nt > 2. To strike a flexible complexity-BER (bit error rate) tradeoff, we propose a successive convex approximation (SCA)-assisted matrix-based optimization method to transform the non-convex QCQP problem into a series of linear convex subproblems, which can easily be solved by low-complexity solvers. Simulation results show that these proposed algorithms are capable of substantially improving the system error performance compared with conventional OSM systems. Besides, the symbol-based SCA algorithm is introduced and it outperforms the matrix-based SCA and the suboptimal LCI algorithm in terms of the BER.
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- Vu, T. X., et al.
(author)
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Machine Learning-Enabled Joint Antenna Selection and Precoding Design : From Offline Complexity to Online Performance
- 2021
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In: IEEE Transactions on Wireless Communications. - : Institute of Electrical and Electronics Engineers (IEEE). - 1536-1276 .- 1558-2248.
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Journal article (peer-reviewed)abstract
- We investigate the performance of multi-user multiple-antenna downlink systems in which a base station (BS) serves multiple users via a shared wireless medium. In order to fully exploit the spatial diversity while minimizing the passive energy consumed by radio frequency (RF) components, the BS is equipped with M RF chains and N antennas, where M < N. Upon receiving pilot sequences to obtain the channel state information (CSI), the BS determines the best subset of M antennas for serving the users. We propose a joint antenna selection and precoding design (JASPD) algorithm to maximize the system sum rate subject to a transmit power constraint and quality of service (QoS) requirements. The JASPD overcomes the non-convexity of the formulated problem via a doubly iterative algorithm, in which an inner loop successively optimizes the precoding vectors, followed by an outer loop that tries all valid antenna subsets. Although approaching the (near) global optimality, the JASPD suffers from a combinatorial complexity, which may limit its application in real-time network operations. To overcome this limitation, we propose a learning-based antenna selection and precoding design algorithm (L-ASPA), which employs a deep neural network (DNN) to establish underlaying relations between the key system parameters and the selected antennas. The proposed L-ASPD is robust against the number of users and their locations, BS’s transmit power, as well as the small-scale channel fading. With a well-trained learning model, it is shown that the L-ASPD significantly outperforms baseline schemes based on the block diagonalization [5] and a learning-assisted solution for broadcasting systems [29] and achieves higher effective sum rate than that of the JASPA under limited processing time. In addition, we observed that the proposed L-ASPD can reduce the computation complexity by 95% while retaining more than 95% of the optimal performance.
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