IL METODO DELLE SOLUZIONI FONDAMENTALI PER LA SOLUZIONE DEL PROBLEMA DIRETTO M/EEG

The research already started on the mesh-free solution of the M / EEG direct problem has led to the development of a solver based on the method of fundamental solutions (MFS, method of fundamental solutions) able to manage the physical-geometric complexity of realistic models of the head more efficiently than traditional

A Meshfree Solver for the MEG Forward Problem

Noninvasive estimation of brain activity via magnetoencephalography (MEG) involves an inverse problem whose solution requires an accurate and fast forward solver. To this end, we propose the Method of Fundamental Solutions (MFS) as a meshfree alternative to the Boundary Element Method (BEM). The solution of the MEG forward problem is obtained, via the Method of Particular Solutions (MPS), by numerically solving a boundary value problem for the electric scalar potential, derived from the quasi-stationary approximation of Maxwell’s equations. The magnetic field is then computed by the Biot-Savart law. Numerical experiments have been carried out in a realistic single-shell head geometry. The proposed solver is compared with a state-of-the-art BEM solver. A good agreement and a reduced computational load show the attractiveness of the meshfree approach

ADVANCED BIO-ELECTROMAGNETIC NUMERICAL MODELLING AND ICT FOR HUMAN BRAIN RESEARCH

Functional imaging is used in the research area neurological, neurophysiology and cognitive psychology, for the diagnosis of diseases metabolic and for the detection of thin / squamous lesions (eg Alzheimer's disease) and for the development of neural interfaces (brain-computer interfaces - BCI)

Nanostructured electrochemical devices for sensing, energy conversion and storage

Nanostructured materials are attracting growing interest for improving performance of devices and systems of large technological interest. In this work, the principal results about the use of nanostructured materials in the field of electrochemical energy storage, electrochemical water splitting, and electrochemical sensing are presented. Nanostructures were fabricated with two different techniques. One of these was the electrodeposition of the desired material inside the channels of a porous support acting as template. The other one was based on displacement reaction induced by galvanic contact between metals with different electrochemical nobility. In the present work, a commercial polycarbonate membrane was used as template. In the field of the electrochemical energy storage, the attention was focused on lead-acid battery, and it has been found that nanostructured morphology enhances the active mass utilization up to about 80%, with consequent increase of specific energy and cycling rates to unattainable values for the commercial battery. Nanostructured Ni-IrO2 composite electrodes showed valuable catalytic activity for water oxidation. By comparison with other Ni-based electrocatalyst, this electrode appears as the most promising anode for electrochemical water splitting in alkaline cells. Also in the field of sensing, the nanostructured materials fabricated by displacement reaction showed performance of high interest. Some new results about the use of copper nanowires for H2O22 sensing will be showed, evidencing better performance in comparison with copper thin film. In this work, we will show that nanostructured electrodes are very promising candidate to form different electrochemical setups that operate more efficiently comparing to device with flat electrode materials

A Numerical Method for Imaging of Biological Microstructures by VHF Waves

Imaging techniques give a fundamental support to medical diagnostics during the pathology discovery as well as for the characterization of bio-medical structures. The imaging methods involve electromagnetic waves in a frequency range that spans from some Hz to GHz and over. Most of these methods involve ionizing waves and scanning of a large human body area even if only a focused inspection is needed. In this paper, a numerical method to evaluate the shape of microstructures for application in the medical field, with a very low invasiveness for the human body, is proposed. In particular, the tooth’s root canal is considered. In fact, this is one of the hot topics in the endodontic procedures where rotary instruments are widely used. These instruments are subjected to sudden mechanical damage during the surgical process, due to cyclic fatigue directly related to the canal’s geometrical characteristics. In order to develop an improved endodontic procedure so that instrument breakage probability and canal milling precision are optimized, preliminary canal root reconstruction techniques have to be implemented. These techniques are usually based on invasive X-ray imaging. Thus, a minimally invasive, easy to use imaging technique that can be applied many times on the patient is of great interest. To this aim, a method based on a flexible thin-wire antenna radiating non ionizing VHF waves is proposed. By measuring the spatial magnetic field distribution in the neighboring area, it is possible to reconstruct the microstructure image by estimating the shape of the antenna against a sensor panel. The mathematical model is strictly non-linear and the inverse problem described above is solved numerically; first simulation results are presented in order to show the validity and the robustness of the proposed approach

A complex case of fatal calciphylaxis in a female patient with hyperparathyroidism secondary to end stage renal disease of graft and coexistence of haemolytic uremic syndrome

Background. Calciphylaxis is a potentially fatal complication of persistent secondary hyperparathyroidism; its cause is still not clear. Unfortunately there is no close relation in severity of clinical picture, serological and pathological alteration. For this reason the prognosis is difficult to establish. Administration of sodium thiosulphate may reduce the precipitation of calcium crystals and improve the general clinical conditions before surgical parathyroidectomy, which seems the only therapeutic approach able to reduce the mortality risk in these patients. Methods and Results. A 60 year old female patient suffering from End Renal Stage Disease, on haemodialysis from 2001 due to the onset of haemolytic uremic syndrome, underwent a kidney transplant in April 2008. After transplantation there was a recurrence of the haemolytic uremic syndrome, with temporary worsening of the graft. Six months later there was a definite loss of graft and return to dialysis treatment. On April 2010 a severe systemic calciphylaxis related to secondary hyperparathyroidism was diagnosed. The patient underwent parathyroidectomy but, because of the unimproved clinical picture, treatment with sodium thiosulphate was initiated. There was only improvement in cutaneous lesions. The worsening general clinical condition of the patient caused death due to general septic complications. Conclusions. The coexistence of haemolytic uremic syndrome and secondary hyperpathyroidism makes the prognosis poor and, in this case, therapy, which counteracts calcium crystals precipitation, has no effect. Preventive parathyroidectomy can be considered as the only possible treatment

Use of bivalirudin for heparin-induced thrombocytopaenia after thrombolysis in massive pulmonary embolism: a case report

A 68-year-old man was referred to the emergency department 6 h after onset of sudden acute dyspnoea. Immediate ECG showed sinus tachycardia with the typical S1-Q3-T3 pattern and incomplete right bundle branch block. The echocardiogram showed the presence of mobile thrombus in the right atrium, a distended right ventricle with free wall hypokinesia and displacement of the interventricular septum towards the left ventricle. Lung spiral computed tomography (CT) showed bilateral pulmonary involvement and confirmed the picture of a thrombotic system in the right atrium and caval vein. Thrombolytic treatment with recombinant tissue plasminogen activator (rt-PA) and heparin (alteplase 10 mg bolus, then 90 mg over 2 h) was administered. Six hours after thrombolysis bleeding gums and significant reduction in platelet count (around 50,000) were observed. Heparin was discontinued and bivalirudin (0.1 mg/kg bolus and 1.75 mg/kg per h infusion) plus warfarin was initiated and continued for 5 days until the international normalised ratio (INR) was within the therapeutic range (2.0–3.0) for 2 consecutive days, with concomitant platelet count normalisation. Lung spiral and lower abdominal CT before discharge did not show the presence of clots in the pulmonary arteries of the right and left lung. This case suggests that bivalirudin could offer promise for use in patients with heparin-induced thrombocytopaenia (HIT) after thrombolysis for massive pulmonary embolism