970 research outputs found

    I. Necesidad de información sobre salud

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    How does our choice of observable influence our estimation of the centre of a galaxy cluster? Insights from cosmological simulations

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    Galaxy clusters are an established and powerful test-bed for theories of both galaxy evolution and cosmology. Accurate interpretation of cluster observations often requires robust identification of the location of the centre. Using a statistical sample of clusters drawn from a suite of cosmological simulations in which we have explored a range of galaxy formation models, we investigate how the location of this centre is affected by the choice of observable - stars, hot gas, or the full mass distribution as can be probed by the gravitational potential. We explore several measures of cluster centre: the minimum of the gravitational potential, which would expect to define the centre if the cluster is in dynamical equilibrium; the peak of the density; the centre of BCG; and the peak and centroid of X-ray luminosity. We find that the centre of BCG correlates more strongly with the minimum of the gravitational potential than the X-ray defined centres, while AGN feedback acts to significantly enhance the offset between the peak X-ray luminosity and minimum gravitational potential. These results highlight the importance of centre identification when interpreting clusters observations, in particular when comparing theoretical predictions and observational data.Comment: 11 pages, 6 figures, MNRAS accepte

    The Overlooked Potential of Generalized Linear Models in Astronomy - I: Binomial Regression

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    Revealing hidden patterns in astronomical data is often the path to fundamental scientific breakthroughs; meanwhile the complexity of scientific inquiry increases as more subtle relationships are sought. Contemporary data analysis problems often elude the capabilities of classical statistical techniques, suggesting the use of cutting edge statistical methods. In this light, astronomers have overlooked a whole family of statistical techniques for exploratory data analysis and robust regression, the so-called Generalized Linear Models (GLMs). In this paper -- the first in a series aimed at illustrating the power of these methods in astronomical applications -- we elucidate the potential of a particular class of GLMs for handling binary/binomial data, the so-called logit and probit regression techniques, from both a maximum likelihood and a Bayesian perspective. As a case in point, we present the use of these GLMs to explore the conditions of star formation activity and metal enrichment in primordial minihaloes from cosmological hydro-simulations including detailed chemistry, gas physics, and stellar feedback. We predict that for a dark mini-halo with metallicity ≈1.3×10−4Z⨀\approx 1.3 \times 10^{-4} Z_{\bigodot}, an increase of 1.2×10−21.2 \times 10^{-2} in the gas molecular fraction, increases the probability of star formation occurrence by a factor of 75%. Finally, we highlight the use of receiver operating characteristic curves as a diagnostic for binary classifiers, and ultimately we use these to demonstrate the competitive predictive performance of GLMs against the popular technique of artificial neural networks.Comment: 20 pages, 10 figures, 3 tables, accepted for publication in Astronomy and Computin

    Robust PCA and MIC statistics of baryons in early minihaloes

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    We present a novel approach, based on robust principal components analysis (RPCA) and maximal information coefficient (MIC), to study the redshift dependence of halo baryonic properties. Our data are composed of a set of different physical quantities for primordial minihaloes: dark matter mass (M-dm), gas mass (M-gas), stellar mass (M-star), molecular fraction (x(mol)), metallicity (Z), star formation rate (SFR) and temperature. We find that M-dm and M-gas are dominant factors for variance, particularly at high redshift. Nonetheless, with the emergence of the first stars and subsequent feedback mechanisms, x(mol), SFR and Z start to have a more dominant role. Standard PCA gives three principal components (PCs) capable to explain more than 97 per cent of the data variance at any redshift (two PCs usually accounting for no less than 92 per cent), whilst the first PC from the RPCA analysis explains no less than 84 per cent of the total variance in the entire redshift range (with two PCs explaining greater than or similar to 95 per cent anytime). Our analysis also suggests that all the gaseous properties have a stronger correlation with M-gas than with M-dm, while M-gas has a deeper correlation with x(mol) than with Z or SFR. This indicates the crucial role of gas molecular content to initiate star formation and consequent metal pollution from Population III and Population II/I regimes in primordial galaxies. Finally, a comparison between MIC and Spearman correlation coefficient shows that the former is a more reliable indicator when halo properties are weakly correlated

    Investigating Cardiac Motion Patters Using Synthetic High-Resolution 3D Cardiovascular Magnetic Resonance Images and Statistical Shape Analysis

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    Diagnosis of ventricular dysfunction in congenital heart disease is more and more based on medical imaging, which allows investigation of abnormal cardiac morphology and correlated abnormal function. Although analysis of 2D images represents the clinical standard, novel tools performing automatic processing of 3D images are becoming available, providing more detailed and comprehensive information than simple 2D morphometry. Among these, statistical shape analysis (SSA) allows a consistent and quantitative description of a population of complex shapes, as a way to detect novel biomarkers, ultimately improving diagnosis and pathology understanding. The aim of this study is to describe the implementation of a SSA method for the investigation of 3D left ventricular shape and motion patterns and to test it on a small sample of 4 congenital repaired aortic stenosis patients and 4 age-matched healthy volunteers to demonstrate its potential. The advantage of this method is the capability of analyzing subject-specific motion patterns separately from the individual morphology, visually and quantitatively, as a way to identify functional abnormalities related to both dynamics and shape. Specifically, we combined 3D, high-resolution whole heart data with 2D, temporal information provided by cine cardiovascular magnetic resonance images, and we used an SSA approach to analyze 3D motion per se. Preliminary results of this pilot study showed that using this method, some differences in end-diastolic and end-systolic ventricular shapes could be captured, but it was not possible to clearly separate the two cohorts based on shape information alone. However, further analyses on ventricular motion allowed to qualitatively identify differences between the two populations. Moreover, by describing shape and motion with a small number of principal components, this method offers a fully automated process to obtain visually intuitive and numerical information on cardiac shape and motion, which could be, once validated on a larger sample size, easily integrated into the clinical workflow. To conclude, in this preliminary work, we have implemented state-of-the-art automatic segmentation and SSA methods, and we have shown how they could improve our understanding of ventricular kinetics by visually and potentially quantitatively highlighting aspects that are usually not picked up by traditional approaches

    Beta-blocker treatment guided by head-up tilt test in neurally mediated syncope

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    This study was an open-label, uncontrolled, dose-escalation trial of beta-blockers in patients with a history of syncope without warning or syncope resulting in trauma (malignant vasovagal syncope) who had positive head-up tilt test (HUT) responses, with or without isoproterenol infusion. Thirty patients (mean age, 37 +/- 21 years) with recurrent syncopal and near-syncopal episodes of unexplained origin in the previous year (6 +/- 14 syncopal episodes and 17 +/- 3 near-syncopes) underwent HUT for diagnostic purposes and for guiding prophylactic treatment. After patients were given a 10-minute rest in a recumbent position, rye performed an WT at 70 degrees for 25 minutes; if indicated, isoproterenol testing was performed at incremental dosages (dye steps at 10-minute intervals at 80 degrees), AU patients experienced syncope during HUT, 15 (50%) at baseline HUT and 15 (50%) during isoproterenol infusion (1 to 3 mu g/min; mean, 1.6 mu g/min). Sixteen syncopes were of vasodepressor type, 10 were mixed, and 4 were of cardioinhibitory type. After baseline HUT, betablocking drugs were prescribed to all patients as follows: 1 patient was given propranolol (160 mg daily), and 29 patients were given metoprolol (246 +/- 49 mg daily), with a dose titration period of 14 days. HUT was repeated after 3 weeks, and 24 patients (80%) had negative results (no syncope or anomalous responses). After further dosage adjustment of beta-blockers in nonresponders, a negative HUT was obtained in 28 patients (93%). Overall mean metoprolol daily dose was 262 +/- 60 mg (29 patients), and propranolol was administered at 160 mg daily in 1 patient. Thirteen patients (43%) reported side effects, none of which required drug withdrawal. At an average follow-up of 16 +/- 4 months, none of the patients experienced syncope, a statistically significant reduction. Moreover, a statistically significant reduction in the number of near-syncopal episodes was observed in comparison to the previous year. None of the patients discontinued treatment because of long-term side effects. Beta-blockers were well tolerated and achieved a high rate of efficacy, even in cardioinhibitory syncopes. In conclusion, in selected patients with malignant vasovagal syncope, treatment with metoprolol or propranolol at relatively high doses is feasible and, if guided by HUT results, is associated with a favorable outcome in terms of freedom from syncopal recurrences. Appropriate titration to achieve the full beta-blocking effect appears to be advisable

    Design, simulation, and fabrication of a three-dimensional printed pump mimicking the left ventricle motion

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    The development of accurate replicas of the circulatory and cardiac system is fundamental for a deeper understanding of cardiovascular diseases and the testing of new devices. Although numerous works concerning mock circulatory loops are present in the current state of the art, still some limitations are present. In particular, a pumping system able to reproduce the left ventricle motion and completely compatible with the magnetic resonance environment to permit the four-dimensional flow monitoring is still missing. The aim of this work was to evaluate the feasibility of an actuator suitable for cardiovascular mock circuits. Particular attention was given to the ability to mimic the left ventricle dynamics including both compression and twisting with the magnetic resonance compatibility. In our study, a left ventricle model to be actuated through vacuum was designed. The realization of the system was evaluated with finite element analysis of different design solutions. After the in silico evaluation phase, the most suitable design in terms of physiological values reproduction was fabricated through three-dimensional printing for in vitro validation. A pneumatic experimental setup was developed to evaluate the pump performances in terms of actuation, in particular ventricle radial and longitudinal displacement, twist rotation, and ejection fraction. The study demonstrated the feasibility of a custom pneumatic pump for mock circulatory loops able to reproduce the physiological ventricle movement and completely suitable for the magnetic resonance environment

    Platelet Activation in Ovarian Cancer Ascites: Assessment of GPIIb/IIIa and PF4 in Small Extracellular Vesicles by Nano-Flow Cytometry Analysis

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    In ovarian cancer, ascites represent the microenvironment in which the platelets extravasate to play their role in the disease progression. We aimed to develop an assay to measure ascites’ platelet activation. We enriched small extracellular vesicles (EVs) (40–200 nm) from ascites of high-grade epithelial ovarian cancer patients (n = 12) using precipitation with polyethylene glycol, and we conducted single-particle phenotyping analysis by nano-flow cytometry after labelling and ultra-centrifugation. Atomic force microscopy single-particle nanomechanical analysis showed heterogeneous distributions in the size of the precipitated particles and their mechanical stiffness. Samples were fluorescently labelled with antibodies specific to the platelet markers GPIIb/IIIa and PF4, showing 2.6 to 18.16% of all particles stained positive for the biomarkers and, simultaneously, the EV membrane labelling. Single-particle phenotyping analysis allowed us to quantify the total number of non-EV particles, the number of small-EVs and the number of platelet-derived small-EVs, providing a platelet activation assessment independent of the ascites volume. The percentage of platelet-derived small-EVs was positively correlated with platelet distribution width to platelet count in sera (PDW/PLT). Overall, we presented a high-throughput method that can be helpful in future studies to determine the correlation between the extent of platelet activation in ascites and disease status

    Biodegradable magnesium coronary stents: Material, design and fabrication

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    Biodegradable cardiovascular stents in magnesium (Mg) alloys constitute a promising option for a less intrusive treatment, due to their high compatibility with the body tissue and intrinsic dissolution in body fluids. The design and fabrication aspects of this medical device require an integrated approach considering different aspects such as mechanical properties, corrosion behaviour and biocompatibility. This work gathers and summarises a multidisciplinary work carried out by three different research teams for the design and fabrication of Mg stents. In particular, the paper discusses the design of the novel stent mesh, the deformability study of the Mg alloys for tubular raw material and laser microcutting for the realisation of the stent mesh. Although, the results are not fully validated as the device has not been fully tested, they show the feasibility of the used approaches, as the first prototype stents in Mg alloy were produced successfully. © 2013 Copyright Taylor and Francis Group, LLC
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