On The Potential of Image Moments for Medical Diagnosis

Medical imaging is widely used for diagnosis and postoperative or post-therapy monitoring. The ever-increasing number of images produced has encouraged the introduction of automated methods to assist doctors or pathologists. In recent years, especially after the advent of convolutional neural networks, many researchers have focused on this approach, considering it to be the only method for diagnosis since it can perform a direct classification of images. However, many diagnostic systems still rely on handcrafted features to improve interpretability and limit resource consumption. In this work, we focused our efforts on orthogonal moments, first by providing an overview and taxonomy of their macrocategories and then by analysing their classification performance on very different medical tasks represented by four public benchmark data sets. The results confirmed that convolutional neural networks achieved excellent performance on all tasks. Despite being composed of much fewer features than those extracted by the networks, orthogonal moments proved to be competitive with them, showing comparable and, in some cases, better performance. In addition, Cartesian and harmonic categories provided a very low standard deviation, proving their robustness in medical diagnostic tasks. We strongly believe that the integration of the studied orthogonal moments can lead to more robust and reliable diagnostic systems, considering the performance obtained and the low variation of the results. Finally, since they have been shown to be effective on both magnetic resonance and computed tomography images, they can be easily extended to other imaging techniques

Observer-based Control of Inflatable Robot with Variable Stiffness

In the last decade, soft robots have been at the forefront of a robotic revolution. Due to the flexibility of the soft materials employed, soft robots are equipped with a capability to execute new tasks in new application areas -beyond what can be achieved using classical rigid-link robots. Despite these promising properties, many soft robots nowadays lack the capability to exert sufficient force to perform various real-life tasks. This has led to the development of stiffness-controllable inflatable robots instilled with the ability to modify their stiffness during motion. This new capability, however, poses an even greater challenge for robot control. In this paper, we propose a model-based kinematic control strategy to guide the tip of an inflatable robot arm in its environment. The bending of the robot is modelled using an Euler-Bernoulli beam theory which takes into account the variation of the robot's structural stiffness. The parameters of the model are estimated online using an observer based on the Extended Kalman Filter (EKF). The parameters' estimates are used to approximate the Jacobian matrix online and used to control the robot's tip considering also variations in the robot's stiffness. Simulation results and experiments using a fabric-based planar 3-degree-of-freedom (DOF) inflatable manipulators demonstrate the promising performance of the proposed control algorithm

Maltese mushroom (Cynomorium coccineum L.) as source of oil with potential anticancer activity

The present study aimed to examine the potential anticancer properties of fixed oil obtained from Maltese mushroom (Cynomorium coccineum L.), an edible, non-photosynthetic plant, used in traditional medicine of Mediterranean countries to treat various ailments and as an emergency food during the famine. We investigated the effect of the oil, obtained from dried stems by supercritical fractioned extraction with CO2, on B16F10 melanoma and colon cancer Caco-2 cell viability and lipid profile. The oil, rich in essential fatty acids (18:3n-3 and 18:2n-6), showed a significant growth inhibitory effect on melanoma and colon cancer cells. The incubation (24 h) with non-toxic oil concentrations (25 and 50 mu g/mL) induced in both cancer cell lines a significant accumulation of the fatty acids 18:3n-3 and 18:2n-6 and an increase of the cellular levels of eicosapentaenoic acid (20:5n-3) with anticancer activity. Moreover, the oil exhibited the ability to potentiate the growth inhibitory effect of the antitumor drug 5-fluorouracil in Caco-2 cells and to influence the melanin content in B16F10 cells. The results qualify C. coccineum as a resource of oil, with potential benefits in cancer prevention, for nutraceutical and pharmaceutical applications

Highly Manoeuvrable Eversion Robot Based on Fusion of Function with Structure

Despite their soft and compliant bodies, most of today’s soft robots have limitations when it comes to elongation or extension of their main structure. In contrast to this, a new type of soft robot called the eversion robot can grow longitudinally, exploiting the principle of eversion. Eversion robots can squeeze through narrow openings, giving the possibility to access places that are inaccessible by conventional robots. The main drawback of these types of robots is their limited bending capability due to the tendency to move along a straight line. In this paper, we propose a novel way to fuse bending actuation with the robot’s structure. We devise an eversion robot whose body forms both the central chamber that acts as the backbone as well as the actuators that cause bending and manoeuvre the manipulator. The proposed technique shows a significantly improved bending capability compared to externally attaching actuators to an eversion robot showing a 133% improvement in bending angle. Due to the increased manoeuvrability, the proposed solution is a step towards the employment of eversion robots in remote and difficult-to-access environments

Liberal transfusion strategy improves survival in perioperative but not in critically ill patients. A meta-analysis of randomised trials

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Elastin-like-recombinamers multilayered nanofibrous scaffolds for cardiovascular applications

Producción CientíficaCoronary angioplasty is the most widely used technique for removing atherosclerotic plaques in blood vessels. The regeneration of the damaged intima layer after this treatment is still one of the major challenges in the field of cardiovascular tissue engineering. Different polymers have been used in scaffold manufacturing in order to improve tissue regeneration. Elastin-mimetic polymers are a new class of molecules that have been synthesized and used to obtain small diameter fibers with specific morphological characteristics. Elastin-like polymers produced by recombinant techniques and called elastin-like recombinamers (ELRs) are particularly promising due to their high degree of functionalization. Generally speaking, ELRs can show more complex molecular designs and a tighter control of their sequence than other chemically synthetized polymers Rodriguez Cabello et al (2009 Polymer 50 5159–69, 2011 Nanomedicine 6 111–22). For the fabrication of small diameter fibers, different ELRs were dissolved in 2,2,2-fluoroethanol (TFE). Dynamic light scattering was used to identify the transition temperature and get a deep characterization of the transition behavior of the recombinamers. In this work, we describe the use of electrospinning technique for the manufacturing of an elastic fibrous scaffold; the obtained fibers were characterized and their cytocompatibility was tested in vitro. A thorough study of the influence of voltage, flow rate and distance was carried out in order to determine the appropriate parameters to obtain fibrous mats without beads and defects. Moreover, using a rotating mandrel, we fabricated a tubular scaffold in which ELRs containing different cell adhesion sequences (mainly REDV and RGD) were collected. The stability of the scaffold was improved by using genipin as a crosslinking agent. Genipin-ELRs crosslinked scaffolds show a good stability and fiber morphology. Human umbilical vein endothelial cells were used to assess the in vitro bioactivity of the cell adhesion domains within the backbone of the ELRs.2018-08-0

Efficacy of Dexrazoxane in Preventing Anthracycline Cardiotoxicity in Breast Cancer

Abstract Objectives The authors performed a systematic review and meta-analysis of randomized and nonrandomized trials on the efficacy of dexrazoxane in patients with breast cancer who were treated with anthracyclines with or without trastuzumab. Background Breast cancer treatment with anthracyclines and trastuzumab is associated with an increased risk of cardiotoxicity. Among the various strategies to reduce the risk of cardiotoxicity, dexrazoxane is an option for primary prevention, but it is seldom used in clinical practice. Methods Online databases were searched from January 1990 up to March 1, 2019, for clinical trials on the use of dexrazoxane for the prevention of cardiotoxicity in patients with breast cancer receiving anthracyclines with or without trastuzumab. Risk ratios (RRs) with 95% confidence intervals (CIs) were calculated using a random-effects model meta-analysis. Results Seven randomized trials and 2 retrospective trials with a total of 2,177 patients were included. Dexrazoxane reduced the risk of clinical heart failure (RR: 0.19; 95% CI: 0.09 to 0.40; p Conclusions Dexrazoxane reduced the risk of clinical heart failure and cardiac events in patients with breast cancer undergoing anthracycline chemotherapy with or without trastuzumab and did not significantly impact cancer outcomes. However, the quality of available evidence is low, and further randomized trials are warranted before the systematic implementation of this therapy in clinical practice

Efficacy of the combination of cisplatin with either gemcitabine and vinorelbine or gemcitabine and paclitaxel in the treatment of locally advanced or metastatic non-small-cell lung cancer: a phase III randomised trial of the Southern Italy Cooperative Oncology Group (SICOG 0101)

Triplet regimens were occasionally reported to produce a higher response rate (RR) than doublets in locally advanced or metastatic non-small-cell lung cancer (NSCLC). This trial was conducted to assess (i) whether the addition of cisplatin (CDDP) to either gemcitabine (GEM) and vinorelbine (VNR) or GEM and paclitaxel (PTX) significantly prolongs overall survival (OS) and (ii) to compare the toxicity of PTX-containing and VNR-containing combinations

Vasopressors During Cardiopulmonary Resuscitation. A Network Meta-Analysis of Randomized Trials.

OBJECTIVES Several randomized controlled trials have compared adrenaline (epinephrine) with alternative therapies in patients with cardiac arrest with conflicting results. Recent observational studies suggest that adrenaline might increase return of spontaneous circulation but worsen neurologic outcome. We systematically compared all the vasopressors tested in randomized controlled trials in adult cardiac arrest patients in order to identify the treatment associated with the highest rate of return of spontaneous circulation, survival, and good neurologic outcome. DESIGN Network meta-analysis. PATIENTS Adult patients undergoing cardiopulmonary resuscitation. INTERVENTIONS PubMed, Embase, BioMed Central, and the Cochrane Central register were searched (up to April 1, 2017). We included all the randomized controlled trials comparing a vasopressor with any other therapy. A network meta-analysis with a frequentist approach was performed to identify the treatment associated with the highest likelihood of survival. MEASUREMENTS AND MAIN RESULTS Twenty-eight studies randomizing 14,848 patients in 12 treatment groups were included. Only a combined treatment with adrenaline, vasopressin, and methylprednisolone was associated with increased likelihood of return of spontaneous circulation and survival with a good neurologic outcome compared with several other comparators, including adrenaline. Adrenaline alone was not associated with any significant difference in mortality and good neurologic outcome compared with any other comparator. CONCLUSIONS In randomized controlled trials assessing vasopressors in adults with cardiac arrest, only a combination of adrenaline, vasopressin, and methylprednisolone was associated with improved survival with a good neurologic outcome compared with any other drug or placebo, particularly in in-hospital cardiac arrest. There was no significant randomized evidence to support neither discourage the use of adrenaline during cardiac arrest