Ultrasound imaging in women's arm flexor muscles : intra-rater reliability of muscle thickness and echo intensity

Background Different ultrasound parameters have been frequently used to assess changes associated with training, aging, immobilization, and neuromuscular diseases. However, an exploratory reliability analysis of the echo intensity (EI) and muscle thickness (MT) of the forearm flexors is scarce, especially in women. Objective The purpose of the present study was to determine the intra-rater reliability of MT and EI assessed by ultrasound in young women. Method Ultrasonographic MT and EI were acquired in the forearm flexors of 41 young women (22±2 yrs). Reliability was calculated using intraclass correlation coefficient (ICC2,1), standard error of measurement (SEM), coefficient of variation (CV), smallest detectable change (SDC), and Bland and Altman plot analysis. Results ICC values for MT and EI were 0.88 (95% CI: 0.78-0.93). The SEM and CV values were lower than 10%. Bland and Altman analysis revealed that ultrasound mean differences were 0.27 mm (Limits of Agreement - LOA 95%: - 2.6 to 3.2 mm) and -0.09 a.u. (LOA 95%: - 10.9 to 10.7 a.u.). Conclusion MT and EI assessed by ultrasonography in young women appear to be reliable and may be used to monitor changes in muscle mass induced by strength training when these changes exceed the precision of ultrasound

Caracterização de textura em imagens de lesões de pele por máquina de vetor de suporte

Due to the increased incidence of skin cancer, computational methods using intelligent systems have been developed to aid dermatologists in the diagnosis of skin lesions. This paper proposes a method to classify the texture, considering that it is an important feature in identification of lesions. For this is defined a feature vector with the fractal dimension of images through the box-counting method (BCM), which were used by SVM to classify the texture of the lesions in non-irregular or irregular, where it obtained 72.84% of accuracy

A Brazilian popular music digital library oriented to musical harmony e-learning

This poster presents a digital library proposal conceived for people interested in acquiring knowledge about Brazilian popular music harmony, particularly in Choro. This Brazilian musical style is a complex popular music form based on improvisation, although it contains classical music elements such as the counterpoint. We are proposing two ways of accessing the music virtual library content: a guided navigation mode, in which users interact with a cooperative Web-based learning system; and a free navigation mode, in which users can make their own queries, both through browsers or client applications

Classificação de assimetria em lesões de pele por meio de imagens usando máquina de vetor de suporte

The increased occurrence of cancer cases over the years and the importance of prevention work motivated the development of this work. It aim is help the dermatologist in the diagnosis of skin lesions, providing information about the characteristics of asymmetry of ABCD rule (Asymmetry, Edge, Color and Diameter), widely used in the initial examination to determine if a lesion is malignant or no. To do so, are extracted from scanned images of the asymmetric features of the lesion, and classified as symmetrical or asymmetrical, through a Support Vector Machine (SVM). This process is used an anisotropic diffusion filter to soften the image and the model of active contour without edge (Chan-vese) to segment them. Thus, allows to define the contour of the lesion so that can be extracted their characteristics of asymmetry, used as input in the smart classifier

Hepatitis C in Brazil: lessons learned with boceprevir and telaprevir

In 2012, the first-generation protease inhibitors telaprevir (TVR) and boceprevir (BOC) were introduced in the Brazilian health system for treatment of chronic hepatitis C, after their approval by the National Committee for Health Technology Incorporation (CONITEC). However, these medicines were discontinued in 2015. The short period of use in therapy and their high cost require a discussion about the consequences for patients and for the health system of the early incorporation of new therapies. The article presents a qualitative analysis of the incorporation process of both medications in Brazil and the results of a multicenter study that included patients treated with BOC or TVR between January 2011 and December 2015 in five Brazilian cities. The study included 855 patients (BOC: n=247) and (TVR: n=608). The document analysis showed that CONITEC’s decision to incorporate BOC and TVR was based on results of phase III clinical trials that compared sustained virologic response (SVR) rates of patients treated with BOC and TVR with rates of those that received placebo. However, these studies included a low percentage of cirrhotic patients. The SVR rates observed in this multicenter study were worse than clinical trials pointed out (BOC: 45.6%; TVR: 51.8%), but similar to those achieved with previously adopted therapies. The discontinuation rate due to adverse events was (BOC: 15.4%; TVR: 12.7%). Based on these unsatisfactory results, the study brings a discussion that goes beyond the therapy outcomes, exploring the incorporation of these high-cost medicines and the related decision-making process, contributing to future decisions in medicine policies and in the treatment of chronic hepatitis C