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1.
Article in English | MEDLINE | ID: mdl-38082908

ABSTRACT

Cortical visual prostheses are designed to treat blindness by restoring visual perceptions through artificial electrical stimulation of the primary visual cortex (V1). Intracortical microelectrodes produce the smallest visual percepts and thus higher resolution vision - like a higher density of pixels on a monitor. However, intracortical microelectrodes must maintain a minimum spacing to preserve tissue integrity. One solution to increase the density of percepts is to implant and stimulate multiple visual areas, such as V1 and V2, although the properties of microstimulation in V2 remain largely unexplored. We provide a direct comparison of V1 and V2 microstimulation in two common marmoset monkeys. We find similarities in response trends between V1 and V2 but differences in threshold, neural activity duration, and spread of activity at the threshold current. This has implications for using multi-area stimulation to increase the resolution of cortical visual prostheses.


Subject(s)
Visual Cortex , Visual Prosthesis , Humans , Visual Cortex/physiology , Visual Perception/physiology , Blindness , Electric Stimulation
2.
Article in English | MEDLINE | ID: mdl-38083444

ABSTRACT

It has been shown that we can restore sensations of light by stimulating the visual cortex. Cortical prosthetic vision consists of light perception in the visual field named phosphenes. Phosphenes are like pixels on a monitor which we can control to form the desired perception. However, the locations of phosphenes evoked vary between individuals. One of the biggest challenges is how to utilize phosphenes to present recognizable patterns that represent real-world scenes. Because of the difficulties of recruiting participants, and the risks of neurosurgery, researchers have used computer simulations to investigate the outcome of cortical visual prostheses. Previous simulations used regular phosphene maps, which may overestimate the visual ability cortical visual prosthesis can provide. This study aims to develop a more realistic simulation for cortical visual prostheses. We derived realistic phosphene maps using an existing cortical retinotopy dataset and decided implant placement by considering neurosurgery restrictions. We rendered some visual stimuli to evaluate the usability of those phosphene maps. The results indicate that presenting information on phosphenes maps may be more challenging than previously estimated.


Subject(s)
Visual Cortex , Visual Prosthesis , Humans , Phosphenes , Vision, Ocular , Computer Simulation , Visual Cortex/physiology
3.
Article in English | MEDLINE | ID: mdl-38083703

ABSTRACT

Resting-state functional connectivity is a promising tool for understanding and characterizing brain network architecture. However, obtaining uninterrupted long recording of resting-state data is challenging in many clinically relevant populations. Moreover, the interpretation of connectivity results may heavily depend on the data length and functional connectivity measure used. We compared the performance of three frequency-domain connectivity measures: magnitude-squared, wavelet and multitaper coherence; and the effect of data length ranging from 3 to 9 minutes. Performance was characterized by distinguishing two groups of channel pairs with known different connectivity strengths. While all methods considered improved the ability to distinguish the two groups with increasing data lengths, wavelet coherence performed best for the shortest time window of 3 minutes. Knowledge of which measure is more reliably used when shorter fNIRS recordings are available could make the utility of functional connectivity biomarkers more feasible in clinical populations of interest.


Subject(s)
Brain Mapping , Brain , Brain/diagnostic imaging , Brain Mapping/methods , Spectrum Analysis
4.
bioRxiv ; 2023 Nov 04.
Article in English | MEDLINE | ID: mdl-37961279

ABSTRACT

As a result of recombination, adjacent nucleotides can have different paths of genetic inheritance and therefore the genealogical trees for a sample of DNA sequences vary along the genome. The structure capturing the details of these intricately interwoven paths of inheritance is referred to as an ancestral recombination graph (ARG). New developments have made it possible to infer ARGs at scale, enabling many new applications in population and statistical genetics. This rapid progress, however, has led to a substantial gap opening between theory and practice. Standard mathematical formalisms, based on exhaustively detailing the "events" that occur in the history of a sample, are insufficient to describe the outputs of current methods. Moreover, we argue that the underlying assumption that all events can be known and precisely estimated is fundamentally unsuited to the realities of modern, population-scale datasets. We propose an alternative mathematical formulation that encompasses the outputs of recent methods and can capture the full richness of modern large-scale datasets. By defining this ARG encoding in terms of specific genomes and their intervals of genetic inheritance, we avoid the need to exhaustively list (and estimate) all events. The effects of multiple events can be aggregated in different ways, providing a natural way to express many forms of approximate and partial knowledge about the recombinant ancestry of a sample.

5.
J Neural Eng ; 20(4)2023 08 10.
Article in English | MEDLINE | ID: mdl-37531948

ABSTRACT

Objective.We developed a realistic simulation paradigm for cortical prosthetic vision and investigated whether we can improve visual performance using a novel clustering algorithm.Approach.Cortical visual prostheses have been developed to restore sight by stimulating the visual cortex. To investigate the visual experience, previous studies have used uniform phosphene maps, which may not accurately capture generated phosphene map distributions of implant recipients. The current simulation paradigm was based on the Human Connectome Project retinotopy dataset and the placement of implants on the cortices from magnetic resonance imaging scans. Five unique retinotopic maps were derived using this method. To improve performance on these retinotopic maps, we enabled head scanning and a density-based clustering algorithm was then used to relocate centroids of visual stimuli. The impact of these improvements on visual detection performance was tested. Using spatially evenly distributed maps as a control, we recruited ten subjects and evaluated their performance across five sessions on the Berkeley Rudimentary Visual Acuity test and the object recognition task.Main results.Performance on control maps is significantly better than on retinotopic maps in both tasks. Both head scanning and the clustering algorithm showed the potential of improving visual ability across multiple sessions in the object recognition task.Significance.The current paradigm is the first that simulates the experience of cortical prosthetic vision based on brain scans and implant placement, which captures the spatial distribution of phosphenes more realistically. Utilisation of evenly distributed maps may overestimate the performance that visual prosthetics can restore. This simulation paradigm could be used in clinical practice when making plans for where best to implant cortical visual prostheses.


Subject(s)
Visual Cortex , Visual Prosthesis , Humans , Phosphenes , Visual Perception , Magnetic Resonance Imaging
6.
Elife ; 122023 06 21.
Article in English | MEDLINE | ID: mdl-37342968

ABSTRACT

Simulation is a key tool in population genetics for both methods development and empirical research, but producing simulations that recapitulate the main features of genomic datasets remains a major obstacle. Today, more realistic simulations are possible thanks to large increases in the quantity and quality of available genetic data, and the sophistication of inference and simulation software. However, implementing these simulations still requires substantial time and specialized knowledge. These challenges are especially pronounced for simulating genomes for species that are not well-studied, since it is not always clear what information is required to produce simulations with a level of realism sufficient to confidently answer a given question. The community-developed framework stdpopsim seeks to lower this barrier by facilitating the simulation of complex population genetic models using up-to-date information. The initial version of stdpopsim focused on establishing this framework using six well-characterized model species (Adrion et al., 2020). Here, we report on major improvements made in the new release of stdpopsim (version 0.2), which includes a significant expansion of the species catalog and substantial additions to simulation capabilities. Features added to improve the realism of the simulated genomes include non-crossover recombination and provision of species-specific genomic annotations. Through community-driven efforts, we expanded the number of species in the catalog more than threefold and broadened coverage across the tree of life. During the process of expanding the catalog, we have identified common sticking points and developed the best practices for setting up genome-scale simulations. We describe the input data required for generating a realistic simulation, suggest good practices for obtaining the relevant information from the literature, and discuss common pitfalls and major considerations. These improvements to stdpopsim aim to further promote the use of realistic whole-genome population genetic simulations, especially in non-model organisms, making them available, transparent, and accessible to everyone.


Subject(s)
Genome , Software , Computer Simulation , Genetics, Population , Genomics
7.
J Neural Eng ; 20(3)2023 06 15.
Article in English | MEDLINE | ID: mdl-37267940

ABSTRACT

Objective.Blindness affects approximately 40 million people worldwide and has inspired the development of cortical visual prostheses for restoring sight. Cortical visual prostheses electrically stimulate neurons of the visual cortex to artificially evoke visual percepts. Of the 6 layers of the visual cortex, layer 4 contains neurons that are likely to evoke a visual percept. Intracortical prostheses therefore aim to target layer 4; however, this can be difficult due to cortical curvature, inter-subject cortical variability, blindness-induced anatomical changes in cortex, and electrode placement variations. We investigated the feasibility of using current steering to stimulate specific cortical layers between electrodes in the laminar column.Approach.We explored whether the multiunit neural activity peak can be manipulated between two simultaneously stimulating electrodes in different layers of the cortical column. A 64-channel, 4-shank electrode array was implanted into the visual cortex of Sprague-Dawley rats (n= 7) orthogonal to the cortical surface. A remote return electrode was positioned over the frontal cortex in the same hemisphere. Charge was supplied to two stimulating electrodes along a single shank. Differing ratios of charge (100:0, 75:25, 50:50) and separation distances (300-500µm) were tested.Results.Current steering across the cortical layers did not result in a consistent shift of the neural activity peak. Both single-electrode and dual-electrode stimulation induced activity throughout the cortical column. This contrasts observations that current steering evoked a controllable peak of neural activity between electrodes implanted at similar cortical depths. However, dual-electrode stimulation across the layers did reduce the stimulation threshold at each site compared to single-electrode stimulation.Significance.Multi-electrode stimulation is not suitable for targeted activation of layers using current steering. However, it can be used to reduce activation thresholds at adjacent electrodes within a given cortical layer. This may be applied to reduce the stimulation side effects of neural prostheses, such as seizures.


Subject(s)
Visual Prosthesis , Rats , Animals , Electrodes, Implanted , Electric Stimulation/methods , Rats, Sprague-Dawley , Evoked Potentials, Visual
8.
Neuron ; 111(12): 1979-1992.e7, 2023 06 21.
Article in English | MEDLINE | ID: mdl-37044088

ABSTRACT

In the reach and saccade regions of the posterior parietal cortex (PPC), multiregional communication depends on the timing of neuronal activity with respect to beta-frequency (10-30 Hz) local field potential (LFP) activity, termed dual coherence. Neural coherence is believed to reflect neural excitability, whereby spiking tends to occur at a particular phase of LFP activity, but the mechanisms of multiregional dual coherence remain unknown. Here, we investigate dual coherence in the PPC of non-human primates performing eye-hand movements. We computationally model dual coherence in terms of multiregional neural excitability and show that one latent component, a multiregional mode, reflects shared excitability across distributed PPC populations. Analyzing the power in the multiregional mode with respect to different putative cell types reveals significant modulations with the spiking of putative pyramidal neurons and not inhibitory interneurons. These results suggest a specific role for pyramidal neurons in dual coherence supporting multiregional communication in PPC.


Subject(s)
Neurons , Parietal Lobe , Animals , Action Potentials/physiology , Parietal Lobe/physiology , Neurons/physiology , Pyramidal Cells/physiology
9.
J Neural Eng ; 20(1)2023 02 24.
Article in English | MEDLINE | ID: mdl-36763991

ABSTRACT

Objective.Hearing is an important sensory function that plays a key role in how children learn to speak and develop language skills. Although previous neuroimaging studies have established that much of brain network maturation happens in early childhood, our understanding of the developmental trajectory of language areas is still very limited. We hypothesized that typical development trajectory of language areas in early childhood could be established by analyzing the changes of functional connectivity in normal hearing infants at different ages using functional near-infrared spectroscopy.Approach.Resting-state data were recorded from two bilateral temporal and prefrontal regions associated with language processing by measuring the relative changes of oxy-hemoglobin (HbO) and deoxy-hemoglobin (HbR) concentrations. Connectivity was calculated using magnitude-squared coherence of channel pairs located in (a) inter-hemispheric homologous and (b) intra-hemispheric brain regions to assess connectivity between homologous regions across hemispheres and two regions of interest in the same hemisphere, respectively.Main results.A linear regression model fitted to the age vs coherence of inter-hemispheric homologous test group revealed a significant coefficient of determination for both HbO (R2= 0.216,p= 0.0169) and HbR (R2= 0.206,p= 0.0198). A significant coefficient of determination was also found for intra-hemispheric test group for HbO (R2= 0.237,p= 0.0117) but not for HbR (R2= 0.111,p= 0.0956).Significance.The findings from HbO data suggest that both inter-hemispheric homologous and intra-hemispheric connectivity between primary language regions significantly strengthen with age in the first year of life. Mapping out the developmental trajectory of primary language areas of normal hearing infants as measured by functional connectivity could potentially allow us to better understand the altered connectivity and its effects on language delays in infants with hearing impairments.


Subject(s)
Brain , Spectroscopy, Near-Infrared , Child , Humans , Infant , Child, Preschool , Spectroscopy, Near-Infrared/methods , Brain/metabolism , Brain Mapping/methods , Language , Hemoglobins , Magnetic Resonance Imaging
10.
Nat Cell Biol ; 25(3): 481-492, 2023 03.
Article in English | MEDLINE | ID: mdl-36690849

ABSTRACT

Cell proliferation is fundamental for almost all stages of development and differentiation that require an increase in cell number. Although cell cycle phase has been associated with differentiation, the actual process of proliferation has not been considered as having a specific role. Here we exploit human embryonic stem cell-derived endodermal progenitors that we find are an in vitro model for the ventral foregut. These cells exhibit expansion-dependent increases in differentiation efficiency to pancreatic progenitors that are linked to organ-specific enhancer priming at the level of chromatin accessibility and the decommissioning of lineage-inappropriate enhancers. Our findings suggest that cell proliferation in embryonic development is about more than tissue expansion; it is required to ensure equilibration of gene regulatory networks allowing cells to become primed for future differentiation. Expansion of lineage-specific intermediates may therefore be an important step in achieving high-fidelity in vitro differentiation.


Subject(s)
Chromatin , Pancreas , Humans , Cell Lineage/genetics , Cell Differentiation/genetics , Chromatin/genetics , Chromatin/metabolism , Pancreas/metabolism , Enhancer Elements, Genetic/genetics
11.
Nat Commun ; 13(1): 6116, 2022 Oct 17.
Article in English | MEDLINE | ID: mdl-36253477

ABSTRACT

Organic radicals feature unpaired electrons, and these compounds may have applications in biomedical technology and as materials for solar energy conversion. However, unpaired electrons tend to pair up (to form chemical bonds), making radicals unstable and hampering their applications. Here we report an organic radical system that is stable even at 350 °C, surpassing the upper temperature limit (200 °C) observed for other organic radicals. The system reported herein features a sulfur-rich organic linker that facilitates the formation of the radical centers; on the solid-state level, the molecules are crystallized with Eu(III) ions to form a 3D framework featuring stacks of linker molecules. The stacking is, however, somewhat loose and allows the molecules to wiggle and transform into sulfur-stabilized radicals at higher temperatures. In addition, the resulting solid framework remains crystalline, and it is stable to water and air. Moreover, it is black and features strong broad absorption in the visible and near IR region, thereby enhancing both photothermal conversion and solar-driven water evaporation.

12.
Nat Cell Biol ; 24(6): 833-844, 2022 06.
Article in English | MEDLINE | ID: mdl-35681011

ABSTRACT

High-resolution maps of embryonic development suggest that acquisition of cell identity is not limited to canonical germ layers but proceeds via alternative routes. Despite evidence that visceral organs are formed via embryonic and extra-embryonic trajectories, the production of organ-specific cell types in vitro focuses on the embryonic one. Here we resolve these differentiation routes using massively parallel single-cell RNA sequencing to generate datasets from FOXA2Venus reporter mouse embryos and embryonic stem cell differentiation towards endoderm. To relate cell types in these datasets, we develop a single-parameter computational approach and identify an intermediate en route from extra-embryonic identity to embryonic endoderm, which we localize spatially in embryos at embryonic day 7.5. While there is little evidence for this cell type in embryonic stem cell differentiation, by following the extra-embryonic trajectory starting with naïve extra-embryonic endoderm stem cells we can generate embryonic gut spheroids. Exploiting developmental plasticity therefore offers alternatives to pluripotent cells and opens alternative avenues for in vitro differentiation.


Subject(s)
Endoderm , Transcriptome , Animals , Cell Differentiation/genetics , Embryonic Stem Cells , Female , Gene Expression Regulation, Developmental , Germ Layers , Mice , Pregnancy
13.
J Neural Eng ; 19(3)2022 06 23.
Article in English | MEDLINE | ID: mdl-35688125

ABSTRACT

Objective.Intracortical visual prostheses are being developed to restore sight in people who are blind. The resolution of artificial vision is dictated by the location, proximity and number of electrodes implanted in the brain. However, increasing electrode count and proximity is traded off against tissue damage. Hence, new stimulation methods are needed that can improve the resolution of artificial vision without increasing the number of electrodes. We investigated whether a technique known as current steering can improve the resolution of artificial vision provided by intracortical prostheses without increasing the number of physical electrodes in the brain.Approach.We explored how the locus of neuronal activation could be steered when low amplitude microstimulation was applied simultaneously to two intracortical electrodes. A 64-channel, four-shank electrode array was implanted into the visual cortex of rats (n= 7). The distribution of charge ranged from single-electrode stimulation (100%:0%) to an equal distribution between the two electrodes (50%:50%), thereby steering the current between the physical electrodes. The stimulating electrode separation varied between 300 and 500µm. The peak of the evoked activity was defined as the 'virtual electrode' location.Main results.Current steering systematically shifted the virtual electrode on average between the stimulating electrodes as the distribution of charge was moved from one stimulating electrode to another. This effect was unclear in single trials due to the limited sampling of neurons. A model that scales the cortical response to each physical electrode when stimulated in isolation predicts the evoked virtual electrode response. Virtual electrodes were found to elicit a neural response as effectively and predictably as physical electrodes within cortical tissue on average.Significance.Current steering could be used to increase the resolution of intracortical electrode arrays without altering the number of physical electrodes which will reduce neural tissue damage, power consumption and potential heat dispersion issues.


Subject(s)
Visual Cortex , Visual Prosthesis , Animals , Electric Stimulation/methods , Electrodes, Implanted , Evoked Potentials, Visual , Humans , Rats , Visual Cortex/physiology
14.
Article in English | MEDLINE | ID: mdl-35533168

ABSTRACT

Brain-Machine Interfaces (BMI) offer the potential to modulate dysfunctional neurological networks by electrically stimulating the cerebral cortex via chronically-implanted microelectrodes. Wireless transmitters worn by BMI recipients must operate within electromagnetic emission and tissue heating limits, such as those prescribed by the IEEE and International Commission on Non-Ionizing Radiation Protection (ICNIRP), to ensure that radiofrequency emissions of BMI systems are safe. Here, we describe an approach to generating pre-compliance safety data by simulating the Specific Absorption Rate (SAR) and tissue heating of a multi-layered human head model containing a system of wireless, modular BMIs powered and controlled by an externally worn telemetry unit. We explore a number of system configurations such that our approach can be utilized for similar BMI systems, and our results provide a benchmark for the electromagnetic emissions of similar telemetry units. Our results show that the volume-averaged SAR per 10g of tissue exposed to our telemetry field complies with ICNIRP and IEEE reference levels, and that the maximum temperature increase in tissues was within permissible limits. These results were unaffected by the number of implants in the system model, and therefore we conclude that the electromagnetic emissions our BMI in any configuration are safe.


Subject(s)
Brain-Computer Interfaces , Radiation Protection , Electromagnetic Fields/adverse effects , Humans , Radiation Protection/methods , Radio Waves/adverse effects
15.
Stem Cell Reports ; 17(5): 1215-1228, 2022 05 10.
Article in English | MEDLINE | ID: mdl-35452596

ABSTRACT

With the aim of producing ß cells for replacement therapies to treat diabetes, several protocols have been developed to differentiate human pluripotent stem cells to ß cells via pancreatic progenitors. While in vivo pancreatic progenitors expand throughout development, the in vitro protocols have been designed to make these cells progress as fast as possible to ß cells. Here, we report on a protocol enabling a long-term expansion of human pancreatic progenitors in a defined medium on fibronectin, in the absence of feeder layers. Moreover, through a screening of a polymer library we identify a polymer that can replace fibronectin. Our experiments, comparing expanded progenitors to directly differentiated progenitors, show that the expanded progenitors differentiate more efficiently into glucose-responsive ß cells and produce fewer glucagon-expressing cells. The ability to expand progenitors under defined conditions and cryopreserve them will provide flexibility in research and therapeutic production.


Subject(s)
Insulin-Secreting Cells , Pluripotent Stem Cells , Cell Differentiation , Fibronectins/pharmacology , Humans , Pancreas , Polymers
16.
Science ; 375(6583): eabi8264, 2022 02 25.
Article in English | MEDLINE | ID: mdl-35201891

ABSTRACT

The sequencing of modern and ancient genomes from around the world has revolutionized our understanding of human history and evolution. However, the problem of how best to characterize ancestral relationships from the totality of human genomic variation remains unsolved. Here, we address this challenge with nonparametric methods that enable us to infer a unified genealogy of modern and ancient humans. This compact representation of multiple datasets explores the challenges of missing and erroneous data and uses ancient samples to constrain and date relationships. We demonstrate the power of the method to recover relationships between individuals and populations as well as to identify descendants of ancient samples. Finally, we introduce a simple nonparametric estimator of the geographical location of ancestors that recapitulates key events in human history.


Subject(s)
DNA, Ancient , Genome, Human , Genomics , Pedigree , Africa , Chromosomes, Human, Pair 20/genetics , Computer Simulation , Databases, Nucleic Acid , Datasets as Topic , Evolution, Molecular , Genetic Variation , Genetics, Population , Geography , Haplotypes , Human Migration , Humans , Mutation , Sequence Analysis, DNA , Spatio-Temporal Analysis , Statistics, Nonparametric
17.
Neurophotonics ; 9(1): 015001, 2022 Jan.
Article in English | MEDLINE | ID: mdl-35071689

ABSTRACT

Significance: Functional near-infrared spectroscopy (fNIRS) is a neuroimaging tool that can measure resting-state functional connectivity; however, non-neuronal components present in fNIRS signals introduce false discoveries in connectivity, which can impact interpretation of functional networks. Aim: We investigated the effect of short channel correction on resting-state connectivity by removing non-neuronal signals from fNIRS long channel data. We hypothesized that false discoveries in connectivity can be reduced, hence improving the discriminability of functional networks of known, different connectivity strengths. Approach: A principal component analysis-based short channel correction technique was applied to resting-state data of 10 healthy adult subjects. Connectivity was analyzed using magnitude-squared coherence of channel pairs in connectivity groups of homologous and control brain regions, which are known to differ in connectivity. Results: By removing non-neuronal components using short channel correction, significant reduction of coherence was observed for oxy-hemoglobin concentration changes in frequency bands associated with resting-state connectivity that overlap with the Mayer wave frequencies. The results showed that short channel correction reduced spurious correlations in connectivity measures and improved the discriminability between homologous and control groups. Conclusions: Resting-state functional connectivity analysis with short channel correction performs better than without correction in its ability to distinguish functional networks with distinct connectivity characteristics.

18.
Brain Struct Funct ; 227(4): 1523-1543, 2022 May.
Article in English | MEDLINE | ID: mdl-34773502

ABSTRACT

Neural implants have the potential to restore visual capabilities in blind individuals by electrically stimulating the neurons of the visual system. This stimulation can produce visual percepts known as phosphenes. The ideal location of electrical stimulation for achieving vision restoration is widely debated and dependent on the physiological properties of the targeted tissue. Here, the neurophysiology of several potential target structures within the visual system will be explored regarding their benefits and downfalls in producing phosphenes. These regions will include the lateral geniculate nucleus, primary visual cortex, visual area 2, visual area 3, visual area 4 and the middle temporal area. Based on the existing engineering limitations of neural prostheses, we anticipate that electrical stimulation of any singular brain region will be incapable of achieving high-resolution naturalistic perception including color, texture, shape and motion. As improvements in visual acuity facilitate improvements in quality of life, emulating naturalistic vision should be one of the ultimate goals of visual prostheses. To achieve this goal, we propose that multiple brain areas will need to be targeted in unison enabling different aspects of vision to be recreated.


Subject(s)
Visual Cortex , Visual Prosthesis , Electric Stimulation , Humans , Phosphenes , Quality of Life , Vision, Ocular , Visual Cortex/physiology , Visual Perception/physiology
19.
Genetics ; 220(3)2022 03 03.
Article in English | MEDLINE | ID: mdl-34897427

ABSTRACT

Stochastic simulation is a key tool in population genetics, since the models involved are often analytically intractable and simulation is usually the only way of obtaining ground-truth data to evaluate inferences. Because of this, a large number of specialized simulation programs have been developed, each filling a particular niche, but with largely overlapping functionality and a substantial duplication of effort. Here, we introduce msprime version 1.0, which efficiently implements ancestry and mutation simulations based on the succinct tree sequence data structure and the tskit library. We summarize msprime's many features, and show that its performance is excellent, often many times faster and more memory efficient than specialized alternatives. These high-performance features have been thoroughly tested and validated, and built using a collaborative, open source development model, which reduces duplication of effort and promotes software quality via community engagement.


Subject(s)
Algorithms , Models, Genetic , Computer Simulation , Genetics, Population , Mutation , Software
20.
Int J Surg Case Rep ; 90: 106713, 2022 Jan.
Article in English | MEDLINE | ID: mdl-34959091

ABSTRACT

INTRODUCTION AND IMPORTANCE: Abdominal aortic aneurysm (AAA) is commonly a disease of the elderly population with an atherosclerotic aorta. We present a rare case scenario of a large ruptured AAA in a young patient. CASE PRESENTATION: A 32-year-old man presented to the Emergency Department with abdominal pain. On examination he had hypotension with a severely tender abdomen. Imaging revealed a ruptured 10 cm abdominal aortic aneurysm (AAA). He underwent an emergency open aneurysm repair and was discharged well on post-operative day 12. Apart from smoking, he had no known significant risk factors contributing to an AAA of such size. Clinical features and family history suggested a possible underlying connective tissue disorder. CLINICAL DISCUSSION: A painful abdomen and hypotension in a young patient should prompt investigations to rule out a rare but life-threatening diagnosis of a ruptured AAA. CONCLUSION: A possible underlying connective tissue disorder should be investigated for in any young patient presenting with an AAA.

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