Regularization Techniques for Inverse Problem in DOT Applications

Diffuse optical tomography (DOT) is an emerging diagnostic technique which uses near-infra-red light to investigate the optical coefficients distribution in biological tissues. The surface of the tissue is illuminated by light sources, then the outgoing light is measured by detectors placed at various locations on the surface itself. In order to reconstruct the optical coefficients, a mathematical model of light propagation is employed: such model leads to the minimization of the discrepancy between the detected data and the corresponding theoretical field. Due to severe ill-conditioning, regularization techniques are required: common procedures consider mainly \u2113 1-norm (LASSO) and \u2113 2-norm (Tikhonov) regularization. In the present work we investigate two original approaches in this context: The elastic-net regularization, previously used in machine learning problems, and the Bregman procedure. Numerical experiments are performed on synthetic 2D geometries and data, to evaluate the performance of these approaches. The results show that these techniques are indeed suitable choices for practical applications, where DOT is used as a cheap, first-level and almost real-Time screening technique for breast cancer detection

Ultrasound monitoring of applied forcing, material ageing, and catastrophic yield of crustal structures

International audienceA new kind of data analysis is discussed ? and a few case histories of actual application are presented ? concerning the physical information attainable by acoustic emission (AE) records in geodynamically active or volcanic areas. The previous analyses of such same kind of observations were reported in several papers appeared in the last few years, and here briefly recalled. They are concerned with the inference of the forcing ("F") acting on the physical system, and on the ageing ("T") or fatigue of its "solid" structures. The new analysis here discussed deals with the distinction between a state of applied stress ("hammer regime"), compared to state of "recovery regime" of the system while it seeks a new equilibrium state after having been perturbed. For instance, in the case of a seismic event ? and according to some kind of almost intuitive argument ? the "hammer regime" is the phenomenon leading to the main shock, while the "recovery regime" deals with the well known aftershocks. Such same intuitive inference, however, can be investigated by a much more formal algorithm, aimed at envisaging the minor changes of the behaviour of the system, during its history and during its present dynamic evolution. As a demonstrative application, detailed consideration is given of AE records ? each one lasting for a few years ? collected on the Italian peninsula vs. records collected on the Kefallinìa Island (western Greece). Such two areas are well known being characterised by some great comparative difference in their respective tectonic setting. When considering planetary scale phenomena, they appear comparatively very close to each other. Hence, they are likely being presumably affected by similar large-scale external actions, although they ought to be expected to respond in some completely different way. Such facts are clearly manifested by some substantially different AE responses of the local crustal structures. However, a full understanding of such entire set of geodynamic and tectonic details ought to require several year data series of AE records, and/or (maybe) also simultaneous AE records collected within some suitable array of AE stations. Such understanding ought to permit the inference of the spatial features of the crustal stress propagation ? including its diagnosis and "forecasting" ? in addition to the temporal diagnosis and "prevision" that can be attained by isolated point-like AE recording stations. Additional analyses are in progress

A high resolution wind&wave forecast model chain for the Mediterranean and Adriatic Sea

DHI (Danish Hydraulic Institute) and HyMOLab (Hydrodynamics and Met-Ocean Laboratory of the Dept. of Engineering and Architecture of the University of Trieste) have undertaken a joint applied research project with the aim to develop a state-of-art wind-wave forecast service at mid resolution for the Mediterranean Sea and at very high resolution for the Adriatic Sea. Weather routing, civil protection, coastal engineering, oil&gas and renewable energy fields, the planning of operations at sea, ... are just few among the multiple potential applications of this service. The meteorological model used in this study is WRF-ARW, one of the most widely used state-of-the-art open-source non-hydrostatic model. Global Forecast System (GFS) dataset provides the boundary and initial conditions. MIKE21-Spectral Waves is used as wave model with resolution ranging from 0.1 to 0.03 approximately. The use of a local area meteorological model guarantees higher levels of resolution and accuracy in an area such as the Mediterranean Sea where the complex orography and coastline induce short-time/small-space weather scales. The model chain runs daily (or twice a day on demand) on the High Performance Computing (HPC) infrastructure of HyMOLab. The validation of the entire model chain and specifically the forecast data obtained for the sea state is continuously updated according to new available data from satellites and buoys. Anyway, a major verification of the performance of the model chain against historic data (hindcast) is almost mandatory. For this aim, we performed a multi-decade test obtaining very good statistical parameters for the entire model chain performance. In this context the hindcast dataset developed by DHI and HyMOLab consists of 35 years of hourly data for the period 1979-2013, with the same model chain. The CFSR d093.0 hourly dataset with a spatial resolution of 0.5 provides the boundary and initial conditions. The atmospheric and wave models performance is checked against six satellite datasets, missions Envisat, ERS-2, Geosat FO, Jason-1, Jason-2, Topex-Poseidon, using a moving window technique procedure. Wave data close to coast are compared with available data from more than 20 buoys. The paper describes the validation procedure adopted for the hindcasted data. Furthermore the forecast service is described too, with specific emphasis to the very high resolution adopted in the Adriatic Sea

Factors precipitating the risk of aspiration in hospitalized patients: findings from a multicentre critical incident technique study

Objective: To elucidate factors, other than those clinical, precipitating the risk of aspiration in hospitalized patients. Design: The Critical Incident Technique was adopted for this study in 2015. Setting: Three departments located in two academic hospitals in the northeast of Italy, equipped with 800 and 1500 beds, respectively. Participants: A purposeful sample of 12 registered nurses (RN), all of whom (i) had reported one or more episodes of aspiration during the longitudinal survey, (ii) had worked 653 years in the department, and (iii) were willing to participate, were included. Main Outcome Measure(s): Antecedent factors involved in episodes of aspiration as experienced by RNs were collected through an open-ended interview, and qualitatively analysed. Results: In addition to clinical factors, other factors interacting with each other may precipitate the risk of aspiration episodes during hospitalization: at the nursing care level (misclassifying patients, transferring tasks to other healthcare professionals and standardizing processes to remove potential threats); at the family level (misclassifying patients, dealing with the cultural relevance of eating) and at the environmental level (positioning the patient, managing time pressures, distracting patient while eating, dealing with food consistency and irritating oral medication). Conclusions: At the hospital level, an adequate nursing workforce and models of care delivery, as well as time for initial and continuing patient and family assessment are required. At the unit level, patient-centred models of care aimed at reducing care standardization are also recommended; in addition, nursing, family and environmental factors should be recorded in the incident reports documenting episodes of aspiratio

Quantum stochastic models of two-level atoms and electromagnetic cross sections

Quantum stochastic differential equations have been used to describe the dynamics of an atom interacting with the electromagnetic field via absorption/emission processes. Here, by using the full quantum stochastic Schroedinger equation proposed by Hudson and Parthasarathy fifteen years ago, we show that such models can be generalized to include other processes into the interaction. In the case of a two-level atom we construct a model in which the interaction with the field is due either to absorption/emission processes either to direct scattering processes, which simulate the interaction due to virtual transitions to the levels which have been eliminated from the description. To see the effects of the new terms, the total, elastic and inelastic eloctromagnetic cross sections are studied. The new power spectrum is compared with Mollow's results

Patient participation in nursing bedside handover: a systematic mixed-methods review

Background: Numerous reviews of nursing handover have been undertaken, but none have focused on the patients’ role. Objectives: To explore how patient participation in nursing shift-to-shift bedside handover can be enacted. Design: Systematic mixed-methods review. Data sources: Three search strategies were undertaken in July-August 2016: database searching, backwards citation searching and forward citation searching. To be included, papers had to either be research or quality improvement (QI) projects focusing on the patient role. Fifty-four articles were retrieved, including 21 studies and 25 QI projects. Review methods: Screening, data extraction and quality appraisal was undertaken systematically by two reviewers. Research studies and QI projects were synthesised separately using thematic synthesis, then the results of this synthesis were combined using a mixed-method synthesis table. Results: Segregated synthesis of research of patients’ perceptions revealed two contrasting categories; (1) patient-centred handover and (2) nurse-centred handover. Segregated synthesis of research of nurses’ perceptions included three categories: (1) viewing the patient as an information resource; (2) dealing with confidential and sensitive information; and (3) enabling patient participation. The segregated synthesis of QI projects included two categories: (1) nurse barrier to enacting patient participation in bedside handover; and (2) involving patients in beside handover. Once segregated findings were configured, we discovered that the patients’ role in bedside handover involves contributing clinical information related to their care or progress, which may affect patient safety. Barriers relate to nurses’ concerns for the consequences of encouraging patient participation, worries for sharing confidential and sensitive information and feeling hesitant in changing their handover methods. The way nurses approach patients, and how patient-centred they are, constitute further potential barriers. Strategies to improve patient participation in handover include training nurses, making handovers predictable for patients and involving both patients and nurses throughout the change process. Conclusions: Using research and QI projects allowed diverse findings to expand each other and identify gaps between research and heuristic knowledge. Our review showed the tension between standardising handovers and making them predictable for patient participation, while promoting tailored and flexible handovers. Further investigation of this issue is required, to understand how to train nurses and ensure patients’ viewpoint is captured. Many barriers and strategies identified QI projects were from the nurse perspective, thus caution interpreting results is required. We recommend steps be taken in the future to ensure improved quality of QI projects

A new class of glycomimetic drugs to prevent free fatty acid-induced endothelial dysfunction

Background: Carbohydrates play a major role in cell signaling in many biological processes. We have developed a set of glycomimetic drugs that mimic the structure of carbohydrates and represent a novel source of therapeutics for endothelial dysfunction, a key initiating factor in cardiovascular complications. Purpose: Our objective was to determine the protective effects of small molecule glycomimetics against free fatty acid­induced endothelial dysfunction, focusing on nitric oxide (NO) and oxidative stress pathways. Methods: Four glycomimetics were synthesized by the stepwise transformation of 2,5­dihydroxybenzoic acid to a range of 2,5­substituted benzoic acid derivatives, incorporating the key sulfate groups to mimic the interactions of heparan sulfate. Endothelial function was assessed using acetylcholine­induced, endotheliumdependent relaxation in mouse thoracic aortic rings using wire myography. Human umbilical vein endothelial cell (HUVEC) behavior was evaluated in the presence or absence of the free fatty acid, palmitate, with or without glycomimetics (1µM). DAF­2 and H2DCF­DA assays were used to determine nitric oxide (NO) and reactive oxygen species (ROS) production, respectively. Lipid peroxidation colorimetric and antioxidant enzyme activity assays were also carried out. RT­PCR and western blotting were utilized to measure Akt, eNOS, Nrf­2, NQO­1 and HO­1 expression. Results: Ex vivo endothelium­dependent relaxation was significantly improved by the glycomimetics under palmitate­induced oxidative stress. In vitro studies showed that the glycomimetics protected HUVECs against the palmitate­induced oxidative stress and enhanced NO production. We demonstrate that the protective effects of pre­incubation with glycomimetics occurred via upregulation of Akt/eNOS signaling, activation of the Nrf2/ARE pathway, and suppression of ROS­induced lipid peroxidation. Conclusion: We have developed a novel set of small molecule glycomimetics that protect against free fatty acidinduced endothelial dysfunction and thus, represent a new category of therapeutic drugs to target endothelial damage, the first line of defense against cardiovascular disease

Instruments and mutual entropies in quantum information

General quantum measurements are represented by instruments. In this paper the mathematical formalization is given of the idea that an instrument is a channel which accepts a quantum state as input and produces a probability and an a posteriori state as output. Then, by using mutual entropies on von Neumann algebras and the identification of instruments and channels, many old and new informational inequalities are obtained in a unified manner. Such inequalities involve various quantities which characterize the performances of the instrument under study; in particular, these inequalities include and generalize the famous Holevo's bound