The main objective of this paper is to develop and test the ability of the Leap Motion controller (LMC) to assess the motor dysfunction in patients with Parkinson disease (PwPD) based on the ...MDS-UPDRSIII exercises. Four exercises (thumb forefinger tapping, hand opening/closing, pronation/supination, postural tremor) were used to evaluate the characteristics described in MDS-UPDRSIII. Clinical ratings according to the MDS/UPDRS-section III items were used as target. For that purpose, 16 participants with PD and 12 healthy people were recruited in Ospedale Cisanello, Pisa, Italy. The participants performed standardized hand movements with camera-based marker. Time and frequency domain features related to velocity, angle, amplitude, and frequency were derived from the LMC data.
Different machine learning techniques were used to classify the PD and healthy subjects by comparing the subjective scale given by neurologists against the predicted diagnosis from the machine learning classifiers. Feature selection methods were used to choose the most significant features. Logistic regression (LR), naive Bayes (NB), and support vector machine (SVM) were trained with tenfold cross validation with selected features. The maximum obtained classification accuracy with LR was 70.37%; the average area under the ROC curve (AUC) was 0.831. The obtained classification accuracy with NB was 81.4%, with AUC of 0.811. The obtained classification accuracy with SVM was 74.07%, with AUC of 0.675.
Results revealed that the system did not return clinically meaningful data for measuring postural tremor in PwPD. In addition, it showed limited potential to measure the forearm pronation/supination. In contrast, for finger tapping and hand opening/closing, the derived parameters showed statistical and clinical significance. Future studies should continue to validate the LMC as updated versions of the software are developed. The obtained results support the fact that most of the set of selected features contributed significantly to classify the PwPD and healthy subjects.
In this work the selective uptake of native horse spleen ferritin and apoferritin loaded with MRI contrast agents has been assessed in human breast cancer cells (MCF-7 and MDA-MB-231). The higher ...expression of L-ferritin receptors (SCARA5) led to an enhanced uptake in MCF-7 as shown in T2 and T1 weighted MR images, respectively. The high efficiency of ferritin internalization in MCF-7 has been exploited for the simultaneous delivery of curcumin, a natural therapeutic molecule endowed with antineoplastic and anti-inflammatory action, and the MRI contrast agent Gd-HPDO3A. This theranostic system is able to treat selectively breast cancer cells over-expressing ferritin receptors. By entrapping in apoferritin both Gd-HPDO3A and curcumin, it was possible to deliver a therapeutic dose of 167 μg ml(-1) (as calculated by MRI) of this natural drug to MCF-7 cells, thus obtaining a significant reduction of cell proliferation.
Polymerase chain reaction (PCR)-based minimal residual disease (MRD) analysis is a useful prognostic tool in multiple myeloma (MM), although its long-term impact still needs to be addressed. This ...report presents the updated results of the GIMEMA-VEL-03-096 trial. Thirty-nine MM patients receiving bortezomib-thalidomide-dexamethasone after autologous transplantation were monitored for MRD by both nested and real-time quantitative-PCR until relapse. Our data confirm the strong impact of MRD on survival: overall survival was 72% at 8 years median follow-up for patients in major MRD response versus 48% for those experiencing MRD persistence (P=0.041). In addition, MRD kinetics resulted predictive for relapse: indeed median remission duration was not reached for patients in major MRD response, 38 months for those experiencing MRD reappearance and 9 months for patients with MRD persistence (P<0.001). Moreover: (1) 26 patients achieving major MRD response (67%) benefit of excellent disease control (median TNT: 42 months); (2) MRD reappearance heralds relapse, with a TNT comparable to that of MRD persistence (9 versus 10 months, P=0.706); (3) the median lag between MRD reappearance and need for salvage treatment is 9 months. These results suggest the usefulness of a long-term MRD monitoring in MM patients and the need for maintenance or pre-emptive treatments ensuring durable responses.
In the emerging field of whole-brain imaging at single-cell resolution, which represents one of the new frontiers to investigate the link between brain activity and behavior, the nematode ...Caenorhabditis elegans offers one of the most characterized models for systems neuroscience. Whole-brain recordings consist of 3D time series of volumes that need to be processed to obtain neuronal traces. Current solutions for this task are either computationally demanding or limited to specific acquisition setups. Here, we propose See Elegans, a direct programming algorithm that combines different techniques for automatic neuron segmentation and tracking without the need for the RFP channel, and we compare it with other available algorithms. While outperforming them in most cases, our solution offers a novel method to guide the identification of a subset of head neurons based on position and activity. The built-in interface allows the user to follow and manually curate each of the processing steps. See Elegans is thus a simple-to-use interface aimed at speeding up the post-processing of volumetric calcium imaging recordings while maintaining a high level of accuracy and low computational demands. (Contact: enrico.lanza@iit.it).
An ambulatory monitoring system is developed for the estimation of spatio-temporal gait parameters. The inertial measurement unit embedded in the system is composed of one biaxial accelerometer and ...one rate gyroscope, and it reconstructs the sagittal trajectory of a sensed point on the instep of the foot. A gait phase segmentation procedure is devised to determine temporal gait parameters, including stride time and relative stance; the procedure allows to define the time intervals needed for carrying an efficient implementation of the strapdown integration, which allows to estimate stride length, walking speed, and incline. The measurement accuracy of walking speed and inclines assessments is evaluated by experiments carried on adult healthy subjects walking on a motorized treadmill. Root-mean-square errors less than 0.18 km/h (speed) and 1.52% (incline) are obtained for tested speeds and inclines varying in the intervals 3, 6 km/h and -5, +15%, respectively. Based on the results of these experiments, it is concluded that foot inertial sensing is a promising tool for the reliable identification of subsequent gait cycles and the accurate assessment of walking speed and incline.
The goal of this work is to introduce the flamelet model into large eddy simulation (LES) of realistic coal furnaces. A flamelet table based on two mixture fractions (for volatile and char off-gases) ...and enthalpy is generated and used in a massively parallel LES of the semi-industrial IFRF coal furnace (Weber et al. 1992 1, 2) for which comprehensive experimental data is available enabling the validation of the flamelet model under realistic conditions. Comparison between experiment and simulation is shown by means of averaged quantities of velocities, species concentrations and temperature. Overall good agreement between experiment and simulation could be obtained, giving evidence for the suitability of the flamelet model. The results of the LES are further analyzed, focussing on instantaneous particle and gas phase data to gain additional insight into the coal conversion process inside the furnace.
Large eddy simulations of pulverised coal combustion (PCC-LES) stabilised on a laboratory-scale piloted jet burner are carried out. The joint simulation effort of three research groups at Freiberg ...University (FG), Imperial College (IC) and Stuttgart University (ST) is presented, and the details of the comprehensive coal combustion models and their numerical implementation in three different computer programs are discussed. The (standard) coal sub-models and parameters used by the different groups are unified wherever possible. Differences amongst the groups are a different code basis and an Eulerian treatment of the coal particles by IC, while FG and ST use the Lagrangian framework for particle transport. The flow modelling is first validated for the corresponding non-reacting case and all LES calculations accurately capture the experimental trends. Velocity field statistics for the PCC case are in good accordance with the experimental evidence, but scalar statistics illustrate the complexity of coal combustion modelling. The results show notable differences amongst the groups that cannot only be attributed to the different treatment of the particle phase, and they highlight the difficulty to assess and interpret the quality of specific modelling approaches, and a need for further work by the research community. The present study is the first to compare three originally independent transient coal simulations and a step towards comprehensive PCC-LES.
A detailed Large Eddy Simulation (LES) of pulverised coal combustion in a large-scale laboratory furnace is presented. To achieve a detailed representation of the flow, mixing and particle ...dispersion, a massively parallel LES was performed. Different phenomenological network models were applied and compared to each other in order to obtain the most adequate devolatilization kinetic data for the LES. An iterative procedure allowed to optimise the devolatilization kinetic data for the studied coal and operating conditions. The particle combustion history is studied by analysing particle instantaneous properties giving a perspective on coal combustion that currently is not available by other means than LES. Predicted major species and temperature were compared with measurements and a good agreement was obtained. The finely resolved near burner region revealed that the flame is stabilised very close to the burner. Furthermore, two distinct zones of CO2 production were found - one in the internal recirculation zone (IRZ) due to gaseous combustion, and one downstream of the vortex breakdown, due to intense char combustion. It was found that particle properties are inhomogeneous within the IRZ, whereas in the external recirculation zone (ERZ) and downstream of the vortex breakdown they were found to be homogeneous.
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