69 research outputs found

    Reproductive life disorders in Italian celiac women. A case-control study

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    BACKGROUND: The aim of this study is to explore the association between celiac disease and menstrual cycle, gestation and puerperal disorders. METHODS: The association between celiac disease and menstrual cycle, gestation and puerperal disorders in a sample of 62 childbearing age women (15-49 age) was assessed within an age and town of residence matched case-control study conducted in 2008. Main outcome measures were the presence of one or more disorders in menstrual cycle and the presence of one or more complication during pregnancy. RESULTS: 62 celiac women (median age: 31.5, range: 17-49) and 186 healthy control (median age: 32.5, range: 15-49) were interviewed. A higher percentage of menstrual cycle disorders has been observed in celiac women. 19.4% frequency of amenorrhea was reported among celiac women versus 2.2% among healthy controls (OR = 33, 95% CI = 7.17-151.8;, p = 0.000). An association has been observed between celiac disease and oligomenorrhea, hypomenorrhea, dysmenorrhea and metrorrhagia (p < 0.05). The likelihood of having at least one complication during pregnancy has been estimated to be at least four times higher in celiac women than in healthy women (OR = 4.1, 95% CI = 2-8.6, p = 0.000). A significant correlation has emerged for celiac disease and threatened abortion, gestational hypertension, placenta abruption, severe anaemia, uterine hyperkinesia, intrauterine growth restriction (p < 0.001). A shorter gestation has on average been observed in celiac women together with a lower birth weight of celiac women babies (p < 0.001). CONCLUSIONS: The occurrence of a significant correlation between celiac disease and reproductive disorders could suggest to consider celiac disease diagnostic procedures (serological screening) in women affected by these disorders

    EEG artifacts reduction by multivariate empirical mode decomposition and multiscale entropy for monitoring depth of anaesthesia during surgery

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    Electroencephalography (EEG) has been widely utilized to measure the depth of anaesthesia (DOA) during operation. However, the EEG signals are usually contaminated by artifacts which have a consequence on the measured DOA accuracy. In this study, an effective and useful filtering algorithm based on multivariate empirical mode decomposition and multiscale entropy (MSE) is proposed to measure DOA. Mean entropy of MSE is used as an index to find artifacts-free intrinsic mode functions. The effect of different levels of artifacts on the performances of the proposed filtering is analysed using simulated data. Furthermore, 21 patients' EEG signals are collected and analysed using sample entropy to calculate the complexity for monitoring DOA. The correlation coefficients of entropy and bispectral index (BIS) results show 0.14 ± 0.30 and 0.63 ± 0.09 before and after filtering, respectively. Artificial neural network (ANN) model is used for range mapping in order to correlate the measurements with BIS. The ANN method results show strong correlation coefficient (0.75 ± 0.08). The results in this paper verify that entropy values and BIS have a strong correlation for the purpose of DOA monitoring and the proposed filtering method can effectively filter artifacts from EEG signals. The proposed method performs better than the commonly used wavelet denoising method. This study provides a fully adaptive and automated filter for EEG to measure DOA more accuracy and thus reduce risk related to maintenance of anaesthetic agents.This research was financially supported by the Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taiwan, which is sponsored by Ministry of Science and Technology (Grant Number: NSC102-2911-I-008-001). Also, it was supported by Chung-Shan Institute of Science and Technology in Taiwan (Grant Numbers: CSIST-095-V301 and CSIST-095-V302) and National Natural Science Foundation of China (Grant Number: 51475342)

    Orienting and locating ocean-bottom seismometers from ship noise analysis

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    Breakthroughs in understanding the structure and dynamics of our planet will strongly depend upon instrumenting deep oceans. Progress has been made these last decades in ocean-bottom seismic observations, but ocean-bottom seismometer (OBS) temporary deployments are still challenging and face setup limitations. Launched from oceanographic vessels, OBSs fall freely and may slightly drift laterally, dragged by currents. Therefore, their actual orientation and location on the landing sites are hard to assess precisely. Numerous techniques have been developed to retrieve this key information, but most of them are costly, time-consuming or inaccurate. In this work, we show how ship noise can be used as an acoustic source of opportunity to retrieve both the orientation and the location of OBSs on the ocean floor. To retrieve the OBS orientation, we developed a first method based on a combination of seismic and pressure data through the use of the acoustic intensity. This latter can be used to quantify the OBS orientation from the ship noise direction of arrival (DOA), which can then be compared with known ship trajectories obtained from the automatic identification system (AIS). To accurately relocate OBSs, we also developed a second method based on the hydrophone data which computes distances of acoustical sources by measuring time differences of arrival (TDOA) between direct and reverberated phases. The OBS location is then retrieved by fitting measured ship distances with known ship trajectories. In this study, a full network of OBSs deployed in the SW Indian Ocean was reoriented and a test station was relocated. We demonstrate that our new methods may quantify the OBS orientation with an accuracy of about one degree, and its location with an accuracy of a few tens of metres, depending on the number of ships used in the analysis.Imagerie mantellique du point chaud de La Réunio

    Voiced speech enhancement based on adaptive filtering of selected intrinsic mode functions

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    In this paper a new method for voiced speech enhancement combining the Empirical Mode Decomposition (EMD) and the Adaptive Center Weighted Average (ACWA) filter is introduced. Noisy signal is decomposed adaptively into intrinsic oscillatory components called Intrinsic Mode Functions (IMFs). Since voiced speech structure is mostly distributed on both medium and low frequencies, the shorter scale IMFs of the noisy signal are beneath noise, however the longer scale ones are less noisy. Therefore, the main idea of the proposed approach is to only filter the shorter scale IMFs, and to keep the longer scale ones unchanged. In fact, the filtering of longer scale IMFs will introduce distortion rather than reducing noise. The denoising method is applied to several voiced speech signals with different noise levels and the results are compared with wavelet approach, ACWA filter and EMD–ACWA (filtering of all IMFs using ACWA filter). Relying on exhaustive simulations, we show the efficiency of the proposed method for reducing noise and its superiority over other denoising methods, i.e., to improve Signal-to-Noise Ratio (SNR), and to offer better listening quality based on a Perceptual Evaluation of Speech Quality (PESQ). The present study is limited to signals corrupted by additive white Gaussian noise.In this paper a new method for voiced speech enhancement combining the Empirical Mode Decomposition (EMD) and the Adaptive Center Weighted Average (ACWA) filter is introduced. Noisy signal is decomposed adaptively into intrinsic oscillatory components called Intrinsic Mode Functions (IMFs). Since voiced speech structure is mostly distributed on both medium and low frequencies, the shorter scale IMFs of the noisy signal are beneath noise, however the longer scale ones are less noisy. Therefore, the main idea of the proposed approach is to only filter the shorter scale IMFs, and to keep the longer scale ones unchanged. In fact, the filtering of longer scale IMFs will introduce distortion rather than reducing noise. The denoising method is applied to several voiced speech signals with different noise levels and the results are compared with wavelet approach, ACWA filter and EMD–ACWA (filtering of all IMFs using ACWA filter). Relying on exhaustive simulations, we show the efficiency of the proposed method for reducing noise and its superiority over other denoising methods, i.e., to improve Signal-to-Noise Ratio (SNR), and to offer better listening quality based on a Perceptual Evaluation of Speech Quality (PESQ). The present study is limited to signals corrupted by additive white Gaussian noise
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