Differences between kinematic synergies and muscle synergies during two-digit grasping

International audienceThe large number of mechanical degrees of freedom of the hand is not fully exploited during actual movements such as grasping. Usually, angular movements in various joints tend to be coupled, and EMG activities in different hand muscles tend to be correlated. The occurrence of covariation in the former was termed kinematic synergies, in the latter muscle synergies. This study addresses two questions: (i) Whether kinematic and muscle synergies can simultaneously accommodate for kinematic and kinetic constraints. (ii) If so, whether there is an interrelation between kinematic and muscle synergies. We used a reach-grasp-and-pull paradigm and recorded the hand kinematics as well as eight surface EMGs. Subjects had to either perform a precision grip or side grip and had to modify their grip force in order to displace an object against a low or high load. The analysis was subdivided into three epochs: reach, grasp-and-pull, and static hold. Principal component analysis (PCA, temporal or static) was performed separately for all three epochs, in the kinematic and in the EMG domain. PCA revealed that (i) Kinematic-and muscle-synergies can simultaneously accommodate kinematic (grip type) and kinetic task constraints (load condition). (ii) Upcoming grip and load conditions of the grasp are represented in kinematic-and muscle-synergies already during reach. Phase plane plots of the principal muscle-synergy against the principal kinematic synergy revealed (iii) that the muscle-synergy is linked (correlated, and in phase advance) to the kinematic synergy during reach and during grasp-and-pull. Furthermore (iv), pair-wise correlations of EMGs during hold suggest that muscle-synergies are (in part) implemented by coactivation of muscles through common input. Together, these results suggest that kinematic synergies have (at least in part) their origin not just in muscular activation, but in synergistic muscle activation. In short: kinematic synergies may result from muscle synergies

Characteristics of people living in Italy after a cancer diagnosis in 2010 and projections to 2020

BACKGROUND: Estimates of cancer prevalence are widely based on limited duration, often including patients living after a cancer diagnosis made in the previous 5 years and less frequently on complete prevalence (i.e., including all patients regardless of the time elapsed since diagnosis). This study aims to provide estimates of complete cancer prevalence in Italy by sex, age, and time since diagnosis for all cancers combined, and for selected cancer types. Projections were made up to 2020, overall and by time since diagnosis. METHODS: Data were from 27 Italian population-based cancer registries, covering 32% of the Italian population, able to provide at least 7 years of registration as of December 2009 and follow-up of vital status as of December 2013. The data were used to compute the limited-duration prevalence, in order to estimate the complete prevalence by means of the COMPREV software. RESULTS: In 2010, 2,637,975 persons were estimated to live in Italy after a cancer diagnosis, 1.2 million men and 1.4 million women, or 4.6% of the Italian population. A quarter of male prevalent cases had prostate cancer (n\u2009=\u2009305,044), while 42% of prevalent women had breast cancer (n\u2009=\u2009604,841). More than 1.5 million people (2.7% of Italians) were alive since 5 or more years after diagnosis and 20% since 6515 years. It is projected that, in 2020 in Italy, there will be 3.6 million prevalent cancer cases (+\u200937% vs 2010). The largest 10-year increases are foreseen for prostate (+\u200985%) and for thyroid cancers (+\u200979%), and for long-term survivors diagnosed since 20 or more years (+\u200945%). Among the population aged 6575 years, 22% will have had a previous cancer diagnosis. CONCLUSIONS: The number of persons living after a cancer diagnosis is estimated to rise of approximately 3% per year in Italy. The availability of detailed estimates and projections of the complete prevalence are intended to help the implementation of guidelines aimed to enhance the long-term follow-up of cancer survivors and to contribute their rehabilitation need

Isogeometric Analysis for Reduced Fluid-Structure Interaction Models in Haemodynamic Applications

Isogeometric analysis (IGA) is a computational methodology recently developed to numerically approximate Partial Differential Equation (PDEs). It is based on the isogeometric paradigm, for which the same basis functions used to represent the geometry are then used to approximate the unknown solution of the PDEs. In the case in which Non-Uniform Rational B-Splines (NURBS) are used as basis functions, their mathematical properties lead to appreciable benefits for the numerical approximation of PDEs, especially for high order PDEs in the standard Galerkin formulation. In this framework, we propose an a priori error estimate, extending existing results limited to second order PDEs. The improvements in both accuracy and efficiency of IGA compared to Finite Element Analysis (FEA), encourage the use of this methodology in the haemodynamic applications. In fact, the simulation of blood flow in arteries requires the numerical approximation of Fluid-Structure Interaction (FSI) problems. In order to account for the deformability of the vessel, the Navier-Stokes equations representing the blood flows, are coupled with structural models describing the mechanical response of the arterial wall. However, the FSI models are complex from both the mathematical and the numerical points of view, leading to high computational costs during the simulations. With the aim of reducing the complexity of the problem and the computational costs of the simulations, reduced FSI models can be considered. A first simplification, based on the assumption of a thin arterial wall structure, consists in considering shell models to describe the mechanical properties of the arterial walls. Moreover, by means of the additional kinematic condition (continuity of velocities) and dynamic condition (balance of contact forces), the structural problem can be rewritten as generalized boundary condition for the fluid problem. This results in a generalized Navier-Stokes problem which can be expressed only in terms of the primitive variables of the fluid equations (velocity and pressure) and in a fixed computational domain. As a consequence, the computational costs of the numerical simulations are significantly reduced. On the other side, the generalized boundary conditions associated to the reduced FSI model could involve high order derivatives, which need to be suitably approximated. With this respect, IGA allows an accurate, straightforward and efficient numerical approximation of the generalized Navier-Stokes equations characterizing the reduced FSI problem. In this work we consider the numerical approximation of reduced FSI models by means of IGA, for which we discuss the numerical results obtained in Haemodynamic applications

Thermally-reconfigurable metalens

Thanks to the compact design and multi-functional light-manipulation capabilities, reconfigurable metalenses, which consist of arrays of sub-wavelength meta-atoms, offer unique opportunities for advanced optical systems, from microscopy to augmented reality platforms. Although poorly explored in the context of reconfigurable metalens, thermo-optical effects in resonant silicon nanoresonators have recently emerged as a viable strategy to realize tunable meta-atoms. In this work, we report the proof-of-concept design of an ultrathin (300 nm thick) and thermo-optically reconfigurable silicon metalens operating at a fixed, visible wavelength (632 nm). Importantly, we demonstrate continuous, linear modulation of the focal-length up to 21% (from 165 $\mu$m at 20$\deg$C to 135 $\mu$m at 260$\deg$C). Operating under right-circularly polarized light, our metalens exhibits an average conversion efficiency of 26%, close to mechanically modulated devices, and has a diffraction-limited performance. Overall, we envision that, combined with machine-learning algorithms for further optimization of the meta-atoms, thermally-reconfigurable metalenses with improved performance will be possible. Also, the generality of this approach could offer inspiration for the realization of active metasurfaces with other emerging material within field of thermo-nanophotonics

Is drop-out from obesity treatment a predictable and preventable event?

BACKGROUND: Attrition is an important but understudied issue that plays a vital role in the successful treatment of obesity. To date, most studies focusing on attrition rates and/or its predictors have been based on pretreatment data routinely collected for other purposes. Our study specifically aims at identifying the predictors of drop-out focusing on empirically or theoretically-based factors. METHODS: We conducted a retrospective observational study in an academic outpatient clinical nutrition service in Pavia, Italy. We examined a total of 98 adult obese patients (36 males, 62 females) who underwent a 6-month dietary behavioral weight-loss treatment at our Center. Pre-treatment and treatment-related variables were collected or calculated from clinical charts in order to discriminate those subjects who completed treatment from those who abandoned it before its completion. Multivariable regression analysis was used to identify the independent predictors of drop-out. RESULTS: The drop-out rates were 21% at 1 month and 57% at 6 months. Compared with completers, noncompleters were significantly younger in terms of age at first dieting attempt (24.0 ± 10.7 vs. 31.3 ± 11.2 years, P = 0.005), had lower diastolic blood pressure (87.8 ± 9.7 vs. 92.7 ± 11.4 mmHg, P = 0.022), had a lower baseline body fat percentage (38.5 ± 6.4 vs. 41.2 ± 4.4% weight, P = 0.015), and had a lower percentage of early weight loss (-1.8 ± 1.8% vs. -3.1 ± 2.1%, P = 0.035). Moreover, noncompleters significantly differed from completers with regard to type of referral (34.1% vs. 53.3% sent by a physician, P = 0.036) and SCL-90 anger-hostility subscale (0.83 ± 0.72 vs. 0.53 ± 0.51, P = 0.022). A multivariable logistic regression analysis including pre-treatment variables showed that body fat percentage (P = 0.030) and SCL-90 anger-hostility subscale (P = 0.021) were independently associated with attrition. In a multivariable model considering both pre-treatment and treatment-related factors, attrition was found to be independently related to the age at first dieting attempt (P = 0.016) and the achievement of early weight loss (P = 0.029). CONCLUSIONS: Our data confirm that psychopathological tracts, early dieting attempts, and a poor initial treatment response are key independent predictors of drop-out from obesity treatment

How the heterogeneity of the severely injured brain affects hybrid diffuse optical signals: case examples and guidelines

Atypical tissue effect; Data quality control; Hybrid diffuse opticsEfecto tisular atípico; Control de calidad de datos; Óptica difusa híbridaEfecte tissular atípic; Control de qualitat de dades; Òptica difusa híbridaSignificance A shortcoming of the routine clinical use of diffuse optics (DO) in the injured head has been that the results from commercial near-infrared spectroscopy-based devices are not reproducible, often give physiologically invalid values, and differ among systems. Besides the limitations due to the physics of continuous-wave light sources, one culprit is the head heterogeneity and the underlying morphological and functional abnormalities of the probed tissue. Aim The aim is to investigate the effect that different tissue alterations in the damaged head have on DO signals and provide guidelines to avoid data misinterpretation. Approach DO measurements and computed tomography scans were acquired on brain-injured patients. The relationship between the signals and the underlying tissue types was classified on a case-by-case basis. Results Examples and suggestions to establish quality control routines were provided. The findings suggested guidelines for carrying out DO measurements and speculations toward improved devices. Conclusions We advocate for the standardization of the DO measurements to secure a role for DO in neurocritical care. We suggest that blind measurements are unacceptably problematic due to confounding effects and care using a priori and a posteriori quality control routines that go beyond an assessment of the signal-to-noise ratio that is typically utilized.This research was funded by the European Union’s Horizon 2020 research and innovation programme under grant agreements No. 675332 (BitMap), No. 101016087 (VASCOVID) and No. 101017113 (TinyBRAINS). Moreover, this work was funded by: Fundació CELLEX Barcelona, Fundació Mir-Puig, Agencia Estatal de Investigación (PHOTOMETABO, PID2019-106481RBC31/10.13039/501100011033), the “Severo Ochoa” Programme for Centres of Excellence in R&D (CEX2019-000910-S); LUX4MED and MEDLUX special programs; Generalitat de Catalunya (CERCA, AGAUR-2017-SGR-1380, RIS3CAT-001-P-001682 CECH, and AGAUR-2021SGR/00810), FEDER EC and LASERLAB-EUROPE V (EC H2020 no. 871124), KidsBrainIT (ERA-NET NEURON), la Fundació La Marató de TV3 (201724.31, 201709.31 and 202109-30), “PLEC2022-009290, SafeICP” project funded by MCIN/AEI/10.13039/501100011033 and by the “European Union NextGenerationEU/PRTR.” The study was partially financed by the National Science Centre of Poland (NCN) in the framework of project 2019/33/B/ST7/0138

Oxygen consumption is depressed in patients with lactic acidosis due to biguanide intoxication

INTRODUCTION: Lactic acidosis can develop during biguanide (metformin and phenformin) intoxication, possibly as a consequence of mitochondrial dysfunction. To verify this hypothesis, we investigated whether body oxygen consumption (VO2), that primarily depends on mitochondrial respiration, is depressed in patients with biguanide intoxication. METHODS: Multicentre retrospective analysis of data collected from 24 patients with lactic acidosis (pH 6.93 +/- 0.20; lactate 18 +/- 6 mM at hospital admission) due to metformin (n = 23) or phenformin (n = 1) intoxication. In 11 patients, VO2 was computed as the product of simultaneously recorded arterio-venous difference in O2 content [C(a-v)O2] and cardiac index (CI). In 13 additional cases, C(a-v)O2, but not CI, was available. RESULTS: On day 1, VO2 was markedly depressed (67 +/- 28 ml/min/m2) despite a normal CI (3.4 +/- 1.2 L/min/m2). C(a-v)O2 was abnormally low in both patients either with (2.0 +/- 1.0 ml O2/100 ml) or without (2.5 +/- 1.1 ml O2/100 ml) CI (and VO2) monitoring. Clearance of the accumulated drug was associated with the resolution of lactic acidosis and a parallel increase in VO2 (P < 0.001) and C(a-v)O2 (P < 0.05). Plasma lactate and VO2 were inversely correlated (R2 0.43; P < 0.001, n = 32). CONCLUSIONS: VO2 is abnormally low in patients with lactic acidosis due to biguanide intoxication. This finding is in line with the hypothesis of inhibited mitochondrial respiration and consequent hyperlactatemia

How the heterogeneity of the severely injured brain affects hybrid 2 diffuse optical signals: case examples and guidelines

Significance: A shortcoming for the routine clinical use of diffuse optics (DO) in the injured head has been that the results from commercial near-infrared spectroscopy-based devices are not reproducible, often give phys iologically invalid values and differ between systems. Besides the limitations due to the physics of continuous23 wave light sources, one culprit is the head heterogeneity and the underlying morphological and functional abnor malities of the probed tissue. Aim: To investigate the effect that different tissue alterations in the damaged head has on DO signals and provide guidelines to avoid data misinterpretation. Approach: DO measurements and computed tomography scans were acquired on brain-injured patients. The relationship between the signals and the underlying tissue types was classified on a case-by-case basis. Results: Examples and suggestions to establish quality control routines were provided. The findings suggested guidelines for carrying out DO measurements and speculations towards improved devices. Conclusions: This study advocates for the standardization of the DO measurements to secure a role for DO in neurocritical care. We suggest that blind measurements are unacceptably problematic due to confounding effects and care using a priori and a posteriori quality control routines that go beyond an assessment of the signal-to-noise ratio that is typically utilized.Preprin

How the heterogeneity of the severely injured brain affects hybrid diffuse optical signals : case examples and guidelines

Altres ajuts: National Science Centre of Poland (NCN) 2019/33/B/ST7/01387A shortcoming of the routine clinical use of diffuse optics (DO) in the injured head has been that the results from commercial near-infrared spectroscopy-based devices are not reproducible, often give physiologically invalid values, and differ among systems. Besides the limitations due to the physics of continuous-wave light sources, one culprit is the head heterogeneity and the underlying morphological and functional abnormalities of the probed tissue. The aim is to investigate the effect that different tissue alterations in the damaged head have on DO signals and provide guidelines to avoid data misinterpretation. DO measurements and computed tomography scans were acquired on brain-injured patients. The relationship between the signals and the underlying tissue types was classified on a case-by-case basis. Examples and suggestions to establish quality control routines were provided. The findings suggested guidelines for carrying out DO measurements and speculations toward improved devices. We advocate for the standardization of the DO measurements to secure a role for DO in neurocritical care. We suggest that blind measurements are unacceptably problematic due to confounding effects and care using a priori and a posteriori quality control routines that go beyond an assessment of the signal-to-noise ratio that is typically utilized