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Classification of the Gait Pattern in Polymyalgia Rheumatica Patients Using Recurrent Neural Networks
The early detection of movement disorders is essential for clinicians in many diseases, and it forms an integral part of effective treatment planning for patients. Polymyalgia rheumatica (PMR) is an autoimmune musculoskeletal disease that affects muscles around the pelvic girdle and shoulder blade. It is currently unknown how the strained hip muscles around the pelvic girdle create mobility limitations in patients. This study presents an algorithm for the classification of the hip muscle activation pattern in clinical gait analysis using recurrent neural networks (RNNs). RNNs was chosen because of its ability to capture temporal dependencies and process sequential electromyography (EMG) data in gait classification. A clinical gait assessment was conducted at KATH hospital which collected 250 gait segments from 18 PMR patients and 7 healthy control subjects. EMG signals were recorded from the vastus lateralis (VL), rectus femoris (RF), biceps femoris (BF), and semitendinosus (SE). Different optimizers were used in the RNN model to classify the hip muscle activation of the two groups to discriminate the gait pattern. Four optimizers (Adamax, Adagrad, SGD, and RMSprop) were used to evaluate the best optimizer for the RNN model. The accuracy results recorded from a cross-validation were, Adamax = 89%, Adagrad = 83%, SGD = 85%, and RMSprop = 78%. Adamax was the best performing optimizer while RMSprop was the least performing in the gait classification. An average accuracy of 84% from the four optimizers was sufficient to distinguish the gait pattern of the two groups. The findings of this study are useful in discriminating gait patterns based on hip muscle activation. This will provide essential information for the early detection of gait impairments by clinicians to make more informed a nd ti me ly decisions
Trends in community response and long term outcomes from paediatric cardiac arrest:A retrospective observational study
AIM: This study aimed to investigate trends over time in pre-hospital factors for pediatric out-of-hospital cardiac arrest (pOHCA) and long-term neurological and neuropsychological outcomes. These have not been described before in large populations.METHODS: Non-traumatic arrest patients, 1 day-17 years old, presented to the Sophia Children's Hospital from January 2002 to December 2020, were eligible for inclusion. Favorable neurological outcome was defined as Pediatric Cerebral Performance Categories (PCPC) 1-2 or no difference with pre-arrest baseline. The trend over time was tested with multivariable logistic and linear regression models with year of event as independent variable.FINDINGS: Over a nineteen-year study period, the annual rate of long-term favorable neurological outcome, assessed at a median 2·5 years follow-up, increased significantly (OR 1·10, 95%-CI 1·03-1·19), adjusted for confounders. Concurrently, annual automated external defibrillator (AED) use and, among adolescents, initial shockable rhythm increased significantly (OR 1·21, 95% CI 1·10-1·33 and OR 1·15, 95% CI 1·02-1·29, respectively), adjusted for confounders. For generalizability purposes, only the total intelligence quotient (IQ) was considered for trend analysis of all tested domains. Total IQ scores and bystander basic life support (BLS) rate did not change significantly over time.INTERPRETATION: Long-term favorable neurological outcome, assessed at a median 2·5 years follow-up, improved significantly over the study period. Total IQ scores did not significantly change over time. Furthermore, AED use (OR 1·21, 95%CI 1.10-1·33) and shockable rhythms among adolescents (OR1·15, 95%CI 1·02-1·29) increased over time.</p
Redefining radiotherapy for early-stage breast cancer with single dose ablative treatment: a study protocol
Contains fulltext :
181789.pdf (publisher's version ) (Open Access
Large scale cosmic-ray anisotropy with KASCADE
The results of an analysis of the large scale anisotropy of cosmic rays in
the PeV range are presented. The Rayleigh formalism is applied to the right
ascension distribution of extensive air showers measured by the KASCADE
experiment.The data set contains about 10^8 extensive air showers in the energy
range from 0.7 to 6 PeV. No hints for anisotropy are visible in the right
ascension distributions in this energy range. This accounts for all showers as
well as for subsets containing showers induced by predominantly light
respectively heavy primary particles. Upper flux limits for Rayleigh amplitudes
are determined to be between 10^-3 at 0.7 PeV and 10^-2 at 6 PeV primary
energy.Comment: accepted by The Astrophysical Journa
Primary Proton Spectrum of Cosmic Rays measured with Single Hadrons
The flux of cosmic-ray induced single hadrons near sea level has been
measured with the large hadron calorimeter of the KASCADE experiment. The
measurement corroborates former results obtained with detectors of smaller size
if the enlarged veto of the 304 m^2 calorimeter surface is encounted for. The
program CORSIKA/QGSJET is used to compute the cosmic-ray flux above the
atmosphere. Between E_0=300 GeV and 1 PeV the primary proton spectrum can be
described with a power law parametrized as
dJ/dE_0=(0.15+-0.03)*E_0^{-2.78+-0.03} m^-2 s^-1 sr^-1 TeV^-1. In the TeV
region the proton flux compares well with the results from recent measurements
of direct experiments.Comment: 13 pages, accepted by Astrophysical Journa
KASCADE: Astrophysical results and tests of hadronic interaction models
KASCADE is a multi-detector setup to get redundant information on single air
shower basis. The information is used to perform multiparameter analyses to
solve the threefold problem of the reconstruction of (i)the unknown primary
energy, (ii) the primary mass, and (iii) to quantify the characteristics of the
hadronic interactions in the air-shower development. In this talk recent
results of the KASCADE data analyses are summarized concerning cosmic ray
anisotropy studies, determination of flux spectra for different primary mass
groups, and approaches to test hadronic interaction models. Neither large scale
anisotropies nor point sources were found in the KASCADE data set. The energy
spectra of the light element groups result in a knee-like bending and a
steepening above the knee. The topology of the individual knee positions shows
a dependency on the primary particle. Though no hadronic interaction model is
fully able to describe the multi-parameter data of KASCADE consistently, the
more recent models or improved versions of older models reproduce the data
better than few years ago.Comment: to appear in Nucl. Phys. B (Proc. Suppl.), Proc. of the XIII
ISVHECRI, Pylos 2004 - with a better quality of the figure
Dissecting the knee - Air shower measurements with KASCADE
Recent results of the KASCADE air shower experiment are presented in order to
shed some light on the astrophysics of cosmic rays in the region of the knee in
the energy spectrum. The results include investigations of high-energy
interactions in the atmosphere, the analysis of the arrival directions of
cosmic rays, the determination of the mean logarithmic mass, and the unfolding
of energy spectra for elemental groups
Modeling focal epileptic activity in the Wilson-Cowan model with depolarization block
Measurements of neuronal signals during human seizure activity and evoked epileptic activity in experimental models suggest that, in these pathological states, the individual nerve cells experience an activity driven depolarization block, i.e. they saturate. We examined the effect of such a saturation in the Wilson–Cowan formalism by adapting the nonlinear activation function; we substituted the commonly applied sigmoid for a Gaussian function. We discuss experimental recordings during a seizure that support this substitution. Next we perform a bifurcation analysis on the Wilson–Cowan model with a Gaussian activation function. The main effect is an additional stable equilibrium with high excitatory and low inhibitory activity. Analysis of coupled local networks then shows that such high activity can stay localized or spread. Specifically, in a spatial continuum we show a wavefront with inhibition leading followed by excitatory activity. We relate our model simulations to observations of spreading activity during seizures
Rational design of HIV vaccine and microbicides: report of the EUROPRISE annual conference
EUROPRISE is a Network of Excellence sponsored from 2007 to 2011 by the European Commission within the 6th Framework Program. The Network encompasses a wide portfolio of activities ranging from an integrated research program in the field of HIV vaccines and microbicides to training, dissemination and advocacy. The research program covers the whole pipeline of vaccine and microbicide development from discovery to early clinical trials. The Network is composed of 58 partners representing more than 65 institutions from 13 European countries; it also includes three major pharmaceutical companies (GlaxoSmithKline, Novartis and Sanofi-Pasteur) involved in HIV microbicide and vaccine research. The Network displays a dedicated and informative web page: http://www.europrise.org. Finally, a distinguishing trait of EUROPRISE is its PhD School of students from across Europe, a unique example in the world of science aimed at spreading excellence through training
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