Low-Power Wearable ECG Monitoring System for Multiple-Patient Remote Monitoring

Many devices and solutions for remote electrocardiogram (ECG) monitoring have been proposed in the literature. These solutions typically have a large marginal cost per added sensor and are not seamlessly integrated with other smart home solutions. Here, we propose an ECG remote monitoring system that is dedicated to non-technical users in need of long-term health monitoring in residential environments and is integrated in a broader Internet-of-Things (IoT) infrastructure. Our prototype consists of a complete vertical solution with a series of advantages with respect to the state of the art, considering both the prototypes with integrated front end and prototypes realized with off-the-shelf components: 1) ECG prototype sensors with record-low energy per effective number of quantized levels; 2) an architecture providing low marginal cost per added sensor/user; and 3) the possibility of seamless integration with other smart home systems through a single IoT infrastructure

On the evolution of elastic properties during laboratory stick-slip experiments spanning the transition from slow slip to dynamic rupture

The physical mechanisms governing slow earthquakes remain unknown, as does the relationship between slow and regular earthquakes. To investigate the mechanism(s) of slow earthquakes and related quasi-dynamic modes of fault slip we performed laboratory experiments on simulated fault gouge in the double direct shear configuration. We reproduced the full spectrum of slip behavior, from slow to fast stick slip, by altering the elastic stiffness of the loading apparatus (k) to match the critical rheologic stiffness of fault gouge (kc). Our experiments show an evolution from stable sliding, when k>kc, to quasi-dynamic transients when k ~ kc, to dynamic instabilities when k<kc. To evaluate the microphysical processes of fault weakening we monitored variations of elastic properties. We find systematic changes in P wave velocity (Vp) for laboratory seismic cycles. During the coseismic stress drop, seismic velocity drops abruptly, consistent with observations on natural faults. In the preparatory phase preceding failure, we find that accelerated fault creep causes a Vp reduction for the complete spectrum of slip behaviors. Our results suggest that the mechanics of slow and fast ruptures share key features and that they can occur on same faults, depending on frictional properties. In agreement with seismic surveys on tectonic faults our data show that their state of stress can be monitored by Vp changes during the seismic cycle. The observed reduction in Vp during the earthquake preparatory phase suggests that if similar mechanisms are confirmed in nature high-resolution monitoring of fault zone properties may be a promising avenue for reliable detection of earthquake precursors

Last-Meter Smart Grid Embedded in an Internet-of-Things Platform

The customer domain of the smart grid natu- rally blends with smart home and smart building systems, but typical proposed approaches are “distributor-centric” rather than “customer-centric,” undermining user acceptance, and are often poorly scalable. To solve this problem, we propose a detailed architecture and an implementation of a “last-meter” smart grid—the portion of the smart grid on customer premises—embedded in an internet-of-things (IoT) platform. Our approach has four aspects of novelty and advantages with respect to the state of the art: 1) seamless integration of smart grid with smart home applications in the same infrastructure; 2) data gathering from heterogeneous sensor communication protocols; 3) secure and customized data access; and 4) univocal sensor and actuator mapping to a common abstraction layer on which additional concurrent applications can be built. A demonstrator has been built and tested with purposely-developed ZigBee smart meters and gateways, a distributed IoT server, and a flexible user interface

Indentifying sub-network functional modules in protein undirected networks

Protein networks are usually used to describe the interacting behaviours of complex biosystems. Bioinformatics must be able to provide methods to mine protein undirected networks and to infer subnetworks of interacting proteins for identifying relevant biological pathways. Here we present FunMod an innovative Cytoscape version 2.8 plugin able to identify biologically significant sub-networks within informative protein networks, enabling new opportunities for elucidating pathways involved in diseases. Moreover FunMod calculates three topological coefficients for each subnetwork, for a better understanding of the cooperative interactions between proteins and discriminating the role played by each protein within a functional module. FunMod is the first Cytoscape plugin with the ability of combining pathways and topological analysis allowing the identification of the key proteins within sub-network functional modules

Effects of lack of microRNA-34 on the neural circuitry underlying the stress response and anxiety

Stress-related psychiatric disorders, including anxiety, are complex diseases that have genetic, and environmental causes. Stressful experiences increase the release of prefrontal amygdala neurotransmitters, a response that is relevant to cognitive, emotional, and behavioral coping. Moreover, exposure to stress elicits anxiety-like behavior and dendritic remodeling in the amygdala. Members of the miR-34 family have been suggested to regulate synaptic plasticity and neurotransmission processes, which mediate stress-related disorders. Using mice that harbored targeted deletions of all 3 members of the miR-34-family (miR-34-TKO), we evaluated acute stress-induced basolateral amygdala (BLA)-GABAergic and medial prefrontal cortex (mpFC) aminergic outflow by intracerebral in vivo microdialysis. Moreover, we also examined fear conditioning/extinction, stress-induced anxiety, and dendritic remodeling in the BLA of stress-exposed TKO mice. We found that TKO mice showed resilience to stress-induced anxiety and facilitation in fear extinction. Accordingly, no significant increase was evident in aminergic prefrontal or amygdala GABA release, and no significant acute stress-induced amygdalar dendritic remodeling was observed in TKO mice. Differential GRM7, 5-HT2C, and CRFR1 mRNA expressionwas noted in the mpFC and BLA between TKO andWT mice. Our data demonstrate that the miR-34 has a critical function in regulating the behavioral and neurochemical response to acute stress and in inducing stress-related amygdala neuroplasticity

Control of Grapevine Downy Mildew by an Italian Copper Chabasite-Rich Zeolitite

Abstract: The progressive reduction in the quantities of copper regulated by the European Union is focusing the research on new formulations with a reduced copper content but equally effective. In this regard, the activity of an Italian copper chabasite-rich zeolitite, which proved to be effective against grapevine grey mold and sour rot, was assessed against downy mildew. A two-year study was carried out in the Abruzzo region, Italy, in a cv. Montepulciano vineyard. The applications of the copper zeolitite showed the same good results obtained by a standard integrated/conventional strategy based on contact and systemic fungicides. At harvest, in both trial years, the plants with infected bunches in the untreated control ranged from 86.25% to 100%, compared to 15–30% of the treated plants. Furthermore, infected bunches and berries of the untreated control vines were 70–100% while treated ones never exceeded 2.32%. Furthermore, an increase in the polyphenol content and color intensity in wines made from vines treated with copper zeolitite was confirmed and appeared to be particularly evident in hot and dry seasons. The activity of copper zeolitite towards downy mildew, the potential use against grey mold and sour rot and the protection of grapes from high temperatures indicate that this product is a promising tool for a viticulture environmentally friendly control strategy

Migraine-specific quality of life questionnaire and relapse on medication overuse headache

Background: The management of Medication overuse headache (MOH) represents a difficult challenge for clinicians and headache experts, particularly for the responder rate after a successful withdrawal treatment. The purpose of this study was to investigate the role of demographic and clinical characteristics as well as the score of Migraine-Specific Quality of Life Questionnaire (MSQ), Migraine Disability Questionnaire and Leeds Dependence Questionnaire in predicting a response after a successful withdrawal treatment in patients with MOH. Methods: This ancillary study is part of a randomized trial that demonstrated the safety and the efficacy of a 3-month treatment with sodium valproate (VPA) (800 mg/day vs placebo) in MOH. Demographic and clinical characteristics and questionnaire results were obtained from the entire sample. Results: A significant correlation was found only between MOH relapse and the total MSQ score, the Role Preventive sub-scale and the Emotional Function sub-scale, suggesting a poorer quality of life in non responders. Conclusion: A high MSQ score could be associated with a poor short-term outcome in MOH patients after a successful treatment with detoxification followed by a new treatment

True muonium resonant production at e+e−e^+e^- colliders with standard crossing angle

True muonium ($\mu^+\mu^-$) is the heaviest and smallest bound state not involving quantum chromodynamics, after true tauonium ($\tau^+\tau^-$) and mu-tauonium ($\mu^\pm\tau^\mp$). Unlike atoms containing $\tau$ particles, the muon lifetime is long enough to allow observation of true muonium (TM) decays and transitions. One of the proposed methods to observe the spin 1 fundamental state of TM, which has the smallest lifetime among TM spin 1 states, was to build an $e^+e^-$ collider with a large crossing angle ($\theta \sim 30^\circ$) in order to provide TM with a large boost and detect its decay vertex in $e^+ e^-$. The following paper will instead show that TM excited states ($n\geq2$) can be observed in relatively large quantities ($\mathcal{O}$(10)/month) at a feasible $e^+e^-$ collider with standard crossing angles, after setting their center-of-mass energy to the TM mass ($\sim2m_{\mu}=211.4$ MeV)

A cost-effectiveness analysis of E/C/F/TAF vs three boosted regimens in the Italian context

BACKGROUND: Highly Active Antiretroviral Therapy (HAART) has transformed HIV into a lifelong condition. Following the chronicity of the disease, and significant increase in lifespan – the prevalence of comorbidities increased in HIV+ subjects that are exposed both to a higher risk of developing cardiovascular disease, renal disease, osteopenia/osteoporosis and diabetes, and to the risk of developing them early. Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Fumarate (E/C/F/TAF), a complete, Single-Tablet antiretroviral Regimen (STR) that combines the effectiveness and tolerability of integrase inhibitors with an innovative backbone was recently introduced in Italy. Compared to Tenofovir Disoproxil Fumarate (TDF), TAF reaches the sites of action more efficiently, reducing tenofovir plasma concentration to more than 90% and the risk of off-target effects.OBJECTIVE: A patient-level micro-simulation model was adapted to the Italian context to evaluate E/C/F/TAF cost-effectiveness vs three boosted regimens for HIV+ patients treatment.METHODS: A Markov micro-simulation model was adapted to the Italian context for the evaluation of the cost-effectiveness in patients with HIV. The total cost per patient accounts for drug therapies and the management of adverse events and comorbidities. The quality-adjusted life expectancy (in QALYs) is calculated by weighing the years of life lived by the utility weights. A 70-year time horizon was adopted to simulate a lifetime analysis; shorter time horizons were considered in the sensitivity analyses. 3.5% discount rate was applied both for costs and future benefits. The rate of virologic suppression at 48 weeks with E/C/F/TAF is 92.3%; for the other treatments such proportion is calculated by applying to the reference rate the relative risks, as calculated in a recent network meta-analysis (NMA). Alternative treatments considered in this analysis are three boosted regimens commonly used in Italy: tenofovir disoproxil fumarate/emtricitabine/elvitegravir/cobicistat in STR; tenofovir disoproxil fumarate/emtricitabine + darunavir/ritonavir; tenofovir disoproxil fumarate/emtricitabine + atazanavir/ritonavir.RESULTS: E/C/F/TAF improves survival and quality of life (20.17 LY and 14.89 QALY), with the lowest total cost (€ 280,528), thus resulting dominant over three comparators considered as starting therapy. The sensitivity analysis confirms the results of the base case: at a willingness-to-pay threshold of € 30,000 per QALY, the E/C/F/TAF strategy is the most cost-effective, with a 90% probability and it is the most cost-effective even with a threshold of € 10,000 per QALY, with a 50% probability.CONCLUSION: E/C/F/TAF can be a sustainable alternative to currently available treatments, combining the advantage of the STR to lower risks of kidney and bone damage than observed in regimens based on TDF