GMM-based classifiers for the automatic detection of obstructive sleep apnea

The aim of automatic pathological voice detection systems is to serve as tools, to medical specialists, for a more objective, less invasive and improved diagnosis of diseases. In this respect, the gold standard for those system include the usage of a optimized representation of the spectral envelope, either based on cepstral coefficients from the mel-scaled Fourier spectral envelope (Mel-Frequency Cepstral Coefficients) or from an all-pole estimation (Linear Prediction Coding Cepstral Coefficients) forcharacterization, and Gaussian Mixture Models for posterior classification. However, the study of recently proposed GMM-based classifiers as well as Nuisance mitigation techniques, such as those employed in speaker recognition, has not been widely considered inpathology detection labours. The present work aims at testing whether or not the employment of such speaker recognition tools might contribute to improve system performance in pathology detection systems, specifically in the automatic detection of Obstructive Sleep Apnea. The testing procedure employs an Obstructive Sleep Apnea database, in conjunction with GMM-based classifiers looking for a better performance. The results show that an improved performance might be obtained by using such approach

Paleoseismic analysis of the San Vicente segment of the El Salvador Fault Zone, El Salvador, Central America

The El Salvador earthquake of February 13th 2001 (Mw 6.6) was associated with the tectonic rupture of the El Salvador Fault Zone. Paleoseismic studies of the El Salvador Fault Zone undertaken after this earthquake provide a basis for examining the longer history of surface rupturing earthquakes on the fault. Trenching at five sites along the San Vicente segment, a 21km-long and up to 2km-wide central section of the El Salvador Fault Zone, shows that surface fault rupture has occurred at least seven times during the past 8ka. Single-event displacements identified at each trench vary from several decimetres to at least 3.7m. Fault trace mapping, geomorphic analysis, and paleoseismic studies indicate a maximum magnitude for the El Salvador Fault Zone is c. Mw 7.6, with a recurrence interval of around 800yr. Earthquakes of Mw 6.6 or smaller, such as the February 2001 event are unlikely to be identified in the paleoseismic trenches, so our observations represent the minimum number of moderate to large earthquakes that have occurred on this part of the El Salvador Fault Zone. We observe significant variability in single-event displacement in the trenches, which we interpret as possible cascade rupture of several segments of the El Salvador Fault Zone. Combining displacements of river courses and the timing of events revealed in the trenches, we calculate a slip rate of c. 4mm/yr for El Salvador Fault Zone, identifying the fault zone as a major tectonic feature of the region, and a major source of seismic hazard and risk in El Salvador

On Deception-Based Protection Against Cryptographic Ransomware

In order to detect malicious file system activity, some commercial and academic anti-ransomware solutions implement deception-based techniques, specifically by placing decoy files among user files. While this approach raises the bar against current ransomware, as any access to a decoy file is a sign of malicious activity, the robustness of decoy strategies has not been formally analyzed and fully tested. In this paper, we analyze existing decoy strategies and discuss how they are effective in countering current ransomware by defining a set of metrics to measure their robustness. To demonstrate how ransomware can identify existing deception-based detection strategies, we have implemented a proof-of-concept anti-decoy ransomware that successfully bypasses decoys by using a decision engine with few rules. Finally, we discuss existing issues in decoy-based strategies and propose practical solutions to mitigate them

Influencia del nivel de competición en las acciones técnicas de punto realizadas en Shiai Kumite femenino de karate. Análisis de coordenadas polares

El objetivo es identificar las acciones técnicas de las karatekas queconsiguen puntuar en competición y explorar si el comportamiento técnicopuede discriminar entre diferentes niveles competitivos. Se ha registrado elcomportamiento técnico de 35 karatekas, modalidad de kumite femenino, enun total de 40 combates (18 de nivel regional/nacional y 22 de nivel internacional).Se ha utilizado un diseño observacional situado en el cuarto de cuadrantede carácter nomotético y de seguimiento multidimensional. El registrose ha realizado con el programa Lince y una herramienta de observación“ad hoc” formada por un sistema mixto de formatos de campo y un sistema decategorías denominado FCSCSHIAIKUMITE. Se ha utilizado la prueba deChi-cuadrado (p≤ 0,05) y se ha realizado un análisis de coordenadas polares,escogiendo como conductas focales aquellas relativas a la puntuación y comoconductas condicionadas todas aquellas relativas a los demás criterios. Losresultados muestran que solo el criterio puntuación discrimina entre ambosniveles de rendimiento, sumando 152 puntos en nivel internacional frente a78 en nivel nacional (p= 0,002). El Yuko es la forma de obtener punto másfrecuentada en ambos niveles (76,4% vs 86,8%), no obstante, el Ippon eseficiente y frecuentado a nivel internacional (21,7%), y solo representa un4,4% en combates de nivel nacional. En conclusión, hay dos aspectos quepodrían ser de especial atención, el perfeccionamiento de las acciones técnicasde punto más habituales y de las acciones defensivas a esas técnicas, así comola eficacia para obtener más puntuación al utilizarlas

Evaluación urodinámica y comparativa de la calidad de vida en pacientes con trastorno de vaciamiento vesical sometidos a terapia InterStim, Medtronic®

ResumenAntecedentesDesde 1980 la terapia de neuroestimulación sacra ha demostrado ser una terapia válida y alternativa en el manejo de los trastornos miccionales por patología del tracto urinario bajo, siendo sus principales indicaciones la retención urinaria idiopática, la incontinencia de urgencia y la incontinencia fecal. En nuestro país sigue siendo una terapia novedosa y no se cuenta aún con estudios que evalúen esta eficacia en términos de calidad de vida o con parámetros cuantitativos.Objetivo del estudioEstablecer la eficacia de la terapia de neuroestimulación sacra tipo InterStim, Medtronic®, en el manejo de los pacientes con trastornos de vaciamiento vesical, efectuando un análisis urodinámico y de la calidad de vida comparativo previo y posterior al tratamiento, determinando los volúmenes miccionales, los períodos de incontinencia, la satisfacción del paciente y la calidad de vida.Material y métodosDesde enero de 2010 hasta junio de 2013, en el Hospital Central Militar se realizó evaluación urodinámica y comparativa de la calidad de vida mediante el empleo del instrumento SF-36 v2 (versión mexicana) e ICIQSF, en los pacientes que presentaron trastorno de vaciamiento vesical de etiología no obstructiva y que fueron refractarios a tratamiento médico.ResultadosSe incluyeron 10 pacientes en el estudio, bajo los siguientes diagnósticos: disinergia detrusor-esfínter, vejiga hiperactiva y retención urinaria no obstructiva, ubicados por género (2 masculinos y 8 femeninos). En la totalidad de los pacientes se presentó mejoría del 50% o superior durante la fase de prueba de la terapia de neuroestimulación, y se colocó fase definitiva con los siguientes resultados: se obtuvieron resultados equivalentes al 50-65% de mejoría en los parámetros cualitativos de función física, función social y rol emocional, así como en las variables cuantitativas de volumen de vaciamiento, eficacia de vaciamiento y disminución de los períodos de incontinencia.DiscusiónComo se ha establecido a nivel de la literatura mundial, nuestros resultados fueron similares en el efecto benéfico y la eficacia en la calidad de vida e incontinencia urinaria, respectivamente, y se reportan porcentajes de éxito mayores al 50% en el cese total de los episodios de incontinencia.ConclusionesLa neuromodulación mediante la estimulación del nervio sacro es una forma exitosa de tratamiento en los trastornos de vaciamiento vesical de etiología no obstructiva y refractaria al tratamiento médico, es segura, mínimamente invasiva y de fácil aplicación, y mejora la calidad de vida de los pacientes. Sin embargo, es necesario realizar estudios aleatorizados y que consideren parámetros objetivos (urodinámicos), así como las complicaciones posibles a mediano y largo plazo en este tipo de terapia.AbstractBackgroundSince 1980, sacral neuromodulation therapy has been shown to be a valid alternative therapy in the management of urinary disorders due to lower urinary tract pathology, and its primary indications are: idiopathic urinary retention, urge incontinence, and fecal incontinence. It is still considered a novel therapy in Mexico and there are no studies using quantitative parameters that evaluate its efficacy in terms of quality of life.AimsTo establish the efficacy of the Medtronic InterStim® sacral neuromodulation therapy in the management of patients with bladder voiding disorders through urodynamic and quality of life analyses before and after treatment. Urine volume, periods of incontinence, patient satisfaction, and quality of life were determined.MethodsA comparative urodynamic and quality of life evaluation was carried out using the SF-36 v2 (Mexican version) and the ICIQSF instruments on patients presenting with nonobstructive bladder voiding disorders that were refractory to medical treatment.ResultsTen patients with the following diagnoses were included in the study: detrusor sphincter dyssynergia, overactive bladder, and nonobstructive urinary retention. Two of the patients were men and 8 were women. There was a 50% or greater improvement in all 10 patients during the test phase of the neuromodulation therapy and the definitive placement phase produced the following results: a 50-65% improvement in the qualitative parameters of physical function, social function, and emotional role, as well as in the quantitative variables of voiding volume, voiding efficacy, and reduced periods of incontinence.DiscussionOur results were similar to those established in the international literature in relation to the beneficial effect on quality of life and efficacy in urinary incontinence management; the literature reports success percentages in the complete cessation of incontinence episodes at above 50%.ConclusionsNeuromodulation through sacral nerve stimulation is a successful form of treatment of nonobstructive and medical treatment-refractory bladder voiding disorders. It is safe, minimally invasive, and easy to apply and it improves patient quality of life. Nevertheless, further randomized studies on this type of therapy need to be conducted that take into account objective parameters (urodynamics) and possible medium and long-term complications

Trends in design of ransomware viruses

The ransomware nightmare is taking over the internet impacting common users,small businesses and large ones. The interest and investment which are pushed into this market each month, tells us a few things about the evolution of both technical and social engineering and what to expect in the short-coming future from them. In this paper we analyze how ransomware programs developed in the last few years and how they were released in certain market segments throughout the deep web via RaaS, exploits or SPAM, while learning from their own mistakes to bring profit to the next level. We will also try to highlight some mistakes that were made, which allowed recovering the encrypted data, along with the ransomware authors preference for specific encryption types, how they got to distribute, the silent agreement between ransomwares, coin-miners and bot-nets and some edge cases of encryption, which may prove to be exploitable in the short-coming future

Do Religious Factors Influence the Attitude Toward Organ Donation Among Medical Students? A Spanish Multicenter Study

Introduction Religious factors have conditioned the attitude toward organ donation and transplantation (ODT) since the beginning of transplantation, despite the fact that most religions are in favor of transplantation. Objective To assess the impact of religious beliefs of medical students on their attitude toward ODT. Method Population under study: Medical students in Spanish universities. Study sample: Stratified by geographical area and academic course. Assessment instrument: Attitude ODT questionnaire PCID-DTO-Ríos, anonymous and self-administered. Results Of all students, 42% (n = 3907) declare themselves atheists or agnostics. The remaining 58% (n = 5368) declare themselves to be religious, the majority being Catholic (55%, n = 5102). Of the rest, 0.2% are Muslims (n = 8), 0.1% Protestants (n = 1), and the remaining 2.7% (n = 257) indicate other religious doctrines but do not want to specify it. Regarding their attitude toward ODT, those who consider themselves atheists or agnostics have a more favorable attitude than those who consider themselves religious (84% versus 76%; P < .001). Among those who follow some kind of religion, Catholics are more in favor of ODT than non-Catholics (77% vs 64%, P < .001). Note that among the religious, only 57% (n = 3050) know which religion is in favor of transplantation, while 22% (n = 1,152) consider that it has not been pronounced on the matter, 13% (n = 723) think the religion is against donation, and the remaining 8% (n = 443) do not know. Conclusion The religion professed by medical students conditions their attitude toward donation, with the atheists and agnostics being more in favor of donation.Sin financiación0.784 JCR (2019) Q4, 155/158 Immunology, 191/210 Surgery, 24/24 Transplantation0.363 SJR (2019) Q3, 254/451 Surgery, 27/41 TransplantationNo data IDR 2019UE

A precision medicine test predicts clinical response after idarubicin and cytarabine induction therapy in AML patients

Complete remission (CR) after induction therapy is the first treatment goal in acute myeloid leukemia (AML) patients and has prognostic impact. Our purpose is to determine the correlation between the observed CR/CRi rate after idarubicin (IDA) and cytarabine (CYT) 3 + 7 induction and the leukemic chemosensitivity measured by an ex vivo test of drug activity. Bone marrow samples from adult patients with newly diagnosed AML were included in this study. Whole bone marrow samples were incubated for 48 h in well plates containing IDA, CYT, or their combination. Pharmacological response parameters were estimated using population pharmacodynamic models. Patients attaining a CR/CRi with up to two induction cycles of 3 + 7 were classified as responders and the remaining as resistant. A total of 123 patients fulfilled the inclusion criteria and were evaluable for correlation analyses. The strongest clinical predictors were the area under the curve of the concentration response curves of CYT and IDA. The overall accuracy achieved using MaxSpSe criteria to define positivity was 81%, predicting better responder (93%) than non-responder patients (60%). The ex vivo test provides better yet similar information than cytogenetics, but can be provided before treatment representing a valuable in-time addition. After validation in an external cohort, this novel ex vivo test could be useful to select AML patients for 3 + 7 regimen vs. alternative schedules

Acoustic and optical variations during rapid downward motion episodes in the deep north-western Mediterranean Sea

An Acoustic Doppler Current Profiler (ADCP) was moored at the deep-sea site of the ANTARES neutrino telescope near Toulon, France, thus providing a unique opportunity to compare high-resolution acoustic and optical observations between 70 and 170 m above the sea bed at 2475 m. The ADCP measured downward vertical currents of magnitudes up to 0.03 m s-1 in late winter and early spring 2006. In the same period, observations were made of enhanced levels of acoustic reflection, interpreted as suspended particles including zooplankton, by a factor of about 10 and of horizontal currents reaching 0.35 m s-1. These observations coincided with high light levels detected by the telescope, interpreted as increased bioluminescence. During winter 2006 deep dense-water formation occurred in the Ligurian subbasin, thus providing a possible explanation for these observations. However, the 10-20 days quasi-periodic episodes of high levels of acoustic reflection, light and large vertical currents continuing into the summer are not direct evidence of this process. It is hypothesized that the main process allowing for suspended material to be moved vertically later in the year is local advection, linked with topographic boundary current instabilities along the rim of the 'Northern Current'.Comment: 30 pages, 7 figure