Right minithoracotomy as an alternative approach for endovascular repair of thoracic aortic aneurysm

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A multi-artifact EEG denoising by frequency-based deep learning

Electroencephalographic (EEG) signals are fundamental to neuroscience research and clinical applications such as brain-computer interfaces and neurological disorder diagnosis. These signals are typically a combination of neurological activity and noise, originating from various sources, including physiological artifacts like ocular and muscular movements. Under this setting, we tackle the challenge of distinguishing neurological activity from noise-related sources. We develop a novel EEG denoising model that operates in the frequency domain, leveraging prior knowledge about noise spectral features to adaptively compute optimal convolutional filters for noise separation. The model is trained to learn an empirical relationship connecting the spectral characteristics of noise and noisy signal to a non-linear transformation which allows signal denoising. Performance evaluation on the EEGdenoiseNet dataset shows that the proposed model achieves optimal results according to both temporal and spectral metrics. The model is found to remove physiological artifacts from input EEG data, thus achieving effective EEG denoising. Indeed, the model performance either matches or outperforms that achieved by benchmark models, proving to effectively remove both muscle and ocular artifacts without the need to perform any training on the particular type of artifact.Comment: Accepted at the Italian Workshop on Artificial Intelligence for Human-Machine Interaction (AIxHMI 2023), November 06, 2023, Rome, Ital

Televisione e infanzia. La parola ai protagonisti

Terzo, e ultimo, rapporto che chiude l’indagine triennale che OssCom, Centro di ricerca sui media e la comunicazione dell’Università Cattolica, ha realizzato con il supporto di Sky Italia per conto di Focus in media – Osservatorio della Fondazione per la Sussidiarietà sul tema della Children’s Television (CT), cioè della televisione rivolta ai bambini e ai preadolescenti nel nostro Paese. Dopo l’analisi dell’offerta di televisione tematica destinata a questo target specifico (primo rapporto) e la descrizione dei discorsi sociali a carattere normativo che esprimono le aspettative nutrite dai diversi attori e stakeholder nei confronti della CT (secondo rapporto), questo report presenta una raccolta ragionata di testimonianze privilegiate maturate nel contesto dell’intero ecosistema della CT. Le domande di ricerca a cui il report risponde è “quali condizioni rendono più facile che la CT risponda efficacemente a tali aspettative” e “perché la CT non è sempre in grado di soddisfarle”. Si è trattato, dunque, di cogliere punti di forza e punti di debolezza della CT in un’ottica sistemica: cercando, cioè, di prendere in considerazione la complessità delle relazioni che legano fra di loro gli attori della filiera produttiva e distributiva, le istituzioni volte alla regolamentazione e al controllo della programmazione, i pubblici diretti e indiretti di questa forma di produzione culturale

Televisione e infanzia. Le aspettative nei confronti dell'offerta televisiva per i bambini

Secondo report dell’indagine triennale che OssCom, Centro di ricerca sui media e la comunicazione dell’Università Cattolica, sta realizzando per Focus in Media, l’osservatorio sulla comunicazione e i media della Fondazione per la Sussidiarietà. In questo report si presenta l’analisi delle aspettative che i diversi soggetti sociali interessati (mercato, istituzioni, società civile, ricercatori) nutrono nei confronti della programmazione della Children’s Television

Global diversity in the TAS2R38 bitter taste receptor: Revisiting a classic evolutionary PROPosal

The ability to taste phenylthiocarbamide (PTC) and 6-n-propylthiouracil (PROP) is a polymorphic trait mediated by the TAS2R38 bitter taste receptor gene. It has long been hypothesized that global genetic diversity at this locus evolved under pervasive pressures from balancing natural selection. However, recent high-resolution population genetic studies of TAS2Rs suggest that demographic events have played a critical role in the evolution of these genes. We here utilized the largest TAS2R38 database yet analyzed, consisting of 5,589 individuals from 105 populations, to examine natural selection, haplotype frequencies and linkage disequilibrium to estimate the effects of both selection and demography on contemporary patterns of variation at this locus. We found signs of an ancient balancing selection acting on this gene but no post Out-Of-Africa departures from neutrality, implying that the current observed patterns of variation can be predominantly explained by demographic, rather than selective events. In addition, we found signatures of ancient selective forces acting on different African TAS2R38 haplotypes. Collectively our results provide evidence for a relaxation of recent selective forces acting on this gene and a revised hypothesis for the origins of the present-day worldwide distribution of TAS2R38 haplotypes

Presenilin 1 Protein Directly Interacts with Bcl-2

Presenilin proteins are involved in familial Alzheimer's disease, a neurodegenerative disorder characterized by massive death of neurons. We describe a direct interaction between presenilin 1 (PS1) and Bcl-2, a key factor in the regulation of apoptosis, by yeast two-hybrid interaction system, by co-immunoprecipitation, and by cross-linking experiments. Our data show that PS1 and Bcl-2 assemble into a macromolecular complex, and that they are released from this complex in response to an apoptotic stimulus induced by staurosporine. The results support the idea of cross-talk between these two proteins during apoptosis

Localization of parathyroid enlargement: experience with technetium-99m methoxyisobutylisonitrile and thallium-201 scintigraphy, ultrasonography and computed tomography

Technetium-99m methoxyisobutylisonitrile (MIBI), like thallium-201, has recently been introduced as a myocardial perfusion agent and is now also showing very promising results in parathyroid scintigrapy. The results of 201 Tl/ 99m Tc-pertechnetate and 99m Tc-MIBI/ 99m Tc-pertechnetate subtraction scintigraphy, ultrasonography and computed tomography are presented in a series of 43 patients operated on for hyperparathyroidism. All four imaging modalities were confirmed to be reliable, scintigraphy being the most accurate. Sensitivities ranged from 81% to 95%, that of 99m Tc-MIBI being the highest. Moreover this tracer, which has more favourable physical and also biochemical properties, yielded images of superior quality. This allowed localization of the lesion by visual inspection only in as many as 86% of the patients with positive 99m Tc-MIBI/ 99m Tc-pertechnetate subtraction scintigraphy. We believe that the higher sensitivity, superior image quality and lower cost of 99m Tc-MIBI imaging will make 99m Tc-MIBI the new radiopharmaceutical of choice for parathyroid scintigraphy (when one takes into account the stability of labelling with large activities it is possible to perform three or four cardiac studies together with one parathyroid scintigraphic examination using one lyophililzed vial).Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46834/1/259_2004_Article_BF00182301.pd

A large genomic deletion leads to enhancer adoption by the lamin B1 gene: a second path to autosomal dominant adult-onset demyelinating leukodystrophy (ADLD)

Chromosomal rearrangements with duplication of the lamin B1 (LMNB1) gene underlie autosomal dominant adult-onset demyelinating leukodystrophy (ADLD), a rare neurological disorder in which overexpression of LMNB1 causes progressive central nervous system demyelination. However, we previously reported an ADLD family (ADLD-1-TO) without evidence of duplication or other mutation in LMNB1 despite linkage to the LMNB1 locus and lamin B1 overexpression. By custom array-CGH, we further investigated this family and report here that patients carry a large (∼660 kb) heterozygous deletion that begins 66 kb upstream of the LMNB1 promoter. Lamin B1 overexpression was confirmed in further ADLD-1-TO tissues and in a postmortem brain sample, where lamin B1 was increased in the frontal lobe. Through parallel studies, we investigated both loss of genetic material and chromosomal rearrangement as possible causes of LMNB1 overexpression, and found that ADLD-1-TO plausibly results from an enhancer adoption mechanism. The deletion eliminates a genome topological domain boundary, allowing normally forbidden interactions between at least three forebrain-directed enhancers and the LMNB1 promoter, in line with the observed mainly cerebral localization of lamin B1 overexpression and myelin degeneration. This second route to LMNB1 overexpression and ADLD is a new example of the relevance of regulatory landscape modifications in determining Mendelian phenotype

Cognitive and behavioural effects of chronic stimulation of the subthalamic nucleus in patients with Parkinson's disease

Objective: To investigate cognitive and behavioural effects of bilateral lead implants for high frequency stimulation (HFS) of the subthalamic nucleus in patients with Parkinson's disease; and to discriminate between HFS and the effects of surgical intervention on cognitive function by carrying out postoperative cognitive assessments with the stimulators turned on or off. Methods: Motor, cognitive, behavioural, and functional assessments were undertaken in 20 patients with Parkinson's disease before implantation and then at three, six, and 12 months afterwards. Nine patients were also examined 18 months after surgery. Postoperative cognitive assessments were carried out with stimulators turned off at three and 18 months, and turned on at six and 12 months. Results: Cognitive assessment showed a significant postoperative decline in performance on tasks of letter verbal fluency (across all postoperative assessments, but more pronounced at three months) and episodic verbal memory (only at three months, with stimulators off). At three, six, and 12 months after surgery, there was a significant improvement in the mini-mental state examination and in a task of executive function (modified Wisconsin card sorting test). On all postoperative assessments, there was an improvement in parkinsonian motor symptoms, quality of life, and activities of daily living while off antiparkinsonian drugs. A significant postoperative decrease in depressive and anxiety symptoms was observed across all assessments. Similar results were seen in the subgroup of nine patients with an 18 month follow up. Following implantation, three patients developed transient manic symptoms and one showed persistent psychic akinesia. Conclusions: Bilateral HFS of the subthalamic nucleus is a relatively safe procedure with respect to long term cognitive and behavioural morbidity, although individual variability in postoperative cognitive and behavioural outcome invites caution. Stimulation of the subthalamic nucleus does not per se appear to impair cognitive performance in patients with Parkinson's disease and may alleviate the postpoperative decline in verbal fluency

Diagnostic Accuracy of Obstructive Airway Adult Test for Diagnosis of Obstructive Sleep Apnea

Rationale. The gold standard for the diagnosis of Obstructive Sleep Apnea (OSA) is polysomnography, whose access is however reduced by costs and limited availability, so that additional diagnostic tests are needed. Objectives. To analyze the diagnostic accuracy of the Obstructive Airway Adult Test (OAAT) compared to polysomnography for the diagnosis of OSA in adult patients. Methods. Ninety patients affected by OSA verified with polysomnography (AHI ≥ 5) and ten healthy patients, randomly selected, were included and all were interviewed by one blind examiner with OAAT questions. Measurements and Main Results. The Spearman rho, evaluated to measure the correlation between OAAT and polysomnography, was 0.72 ( < 0.01). The area under the ROC curve (95% CI) was the parameter to evaluate the accuracy of the OAAT: it was 0.91 (0.81-1.00) for the diagnosis of OSA (AHI ≥ 5), 0.90 (0.82-0.98) for moderate OSA (AHI ≥ 15), and 0.84 (0.76-0.92) for severe OSA (AHI ≥ 30). Conclusions. The OAAT has shown a high correlation with polysomnography and also a high diagnostic accuracy for the diagnosis of OSA. It has also been shown to be able to discriminate among the different degrees of severity of OSA. Additional large studies aiming to validate this questionnaire as a screening or diagnostic test are needed