143 research outputs found

    Real-time ECG Monitoring using Compressive sensing on a Heterogeneous Multicore Edge-Device

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    The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.In a typical ambulatory health monitoring systems, wearable medical sensors are deployed on the human body to continuously collect and transmit physiological signals to a nearby gateway that forward the measured data to the cloud-based healthcare platform. However, this model often fails to respect the strict requirements of healthcare systems. Wearable medical sensors are very limited in terms of battery lifetime, in addition, the system reliance on a cloud makes it vulnerable to connectivity and latency issues. Compressive sensing (CS) theory has been widely deployed in electrocardiogramme ECG monitoring application to optimize the wearable sensors power consumption. The proposed solution in this paper aims to tackle these limitations by empowering a gatewaycentric connected health solution, where the most power consuming tasks are performed locally on a multicore processor. This paper explores the efficiency of real-time CS-based recovery of ECG signals on an IoT-gateway embedded with ARM’s big.littleTM multicore for different signal dimension and allocated computational resources. Experimental results show that the gateway is able to reconstruct ECG signals in real-time. Moreover, it demonstrates that using a high number of cores speeds up the execution time and it further optimizes energy consumption. The paper identifies the best configurations of resource allocation that provides the optimal performance. The paper concludes that multicore processors have the computational capacity and energy efficiency to promote gateway-centric solution rather than cloud-centric platforms

    Genetic vs community diversity patterns of macrobenthic species: preliminary results from the lagoonal ecosystem

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    1 - The use of molecular data derived from multispecies assemblages in order to test ecological theory has only recently been introduced in the scientific literature.2 - As a first step, we compared patterns of abiotic environment, polychaeta distribution and their genetic diversity in five lagoon ecosystems in Greece. Our results confirm the hypothesis that higher genetic diversity is expected in the populations of the species occurring in the transitional waters rather than of those occurring in the marine environment.3 - Patterns derived from the polychaete community level and from the mitochondrial DNA (16S rRNA) obtained from Nephtys hombergii and Hediste diversicolor showed convergence, indicating the potential use of molecular matrices as surrogates in community analysis.4 - Finally, the high correlation between the genetic diversity pattern of H. diversicolor and the phosphorus concentration in the sediments may imply the broadening of the hierarchic-response-tostress hypothesis towards lower than species level

    Ekspresija i obrada somatostatina u guơterači u razvoju i u duktalnom adenokarcinomu guơterače

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    Somatostatin is a gastrointestinal peptide hormone that inhibits growth of pancreatic cancer as reported by an increasing body of evidence. Yet this is not always the case. To clarify the controversy we aimed to identify the expression of somatostatin in developing human embryonic pancreatic tissue and pancreatic adenocarcinoma given that somatostatin positive cells were shown either into primitive pancreatic ductal epithelium or into pancreatic carcinoma. Tissue sections representing pancreatic fetal specimens (n=15) and ductal pancreatic adenocarcinoma specimens (n=15) were assessed using immunohistochemical methods for somatostatin expression. Normal primitive exocrine ductal epithelium and endocrine epithelium showed a definite, statistically significant, higher expression of somatostatin over neoplastic pancreatic tissue of mixed (ductal-endocrine) and pure ductal type (p1=0.021, p2=0.001, p3<0.0001and p4=0.003 respectively) during the 8th to the 10th week. No statistically significantly different expression of somatostatin in the mantle zone of the islets over neoplastic tissue of mixed (p5=0.16) and pureductal type (p6=0.65), from the 13th to the 24th week was demonstrated. Pancreatic cancer cells can express somatostatin in a model that reproduces the normal expression of the peptide by d-cells during embryonal organogenesis. Therapy aimed at pancreatic cancer must be targeted to somatostatin and analogues as a potential adjuvant novel option.Somatostatin je probavni peptidni hormon koji suzbija rast raka guĆĄterače, za ĆĄto postoji sve viĆĄe dokaza. No to se ne događa uvijek. Cilj studije bio je utvrditi ekspresiju somatostatina u ljudskom embrijskom tkivu guĆĄterače u razvoju i u adenokarcinomu guĆĄterače, s tim da su na somatostatin pozitivne stanice dokazane ili u primitivnom duktalnom epitelu guĆĄterače ili u karcinomu guĆĄterače. Tkivni isječci koji su predstavljali uzorke fetalne guĆĄterače (n=15) i uzorke adenokarcinoma guĆĄterače (n=15) ispitani su pomoću imunohistokemijskih metoda za ekspresiju somatostatina. Normalan primitivni egzokrini duktalni epitel i endokrini epitel pokazao je konačnu, statistički značajno viĆĄu ekspresiju somatostatina iznad neoplastičnog tkiva guĆĄterače mijeĆĄanog (duktalno-endokrinog) i čistog duktalnog tipa (p1=0,021, P2=0,001, p3<0,0001 odnosno p4=0,003) tijekom 8. do 10. tjedna. Nije dokazana statistički značajno različita ekspresija somatostatina u ovojnom sloju (mantle zone, mantle layer) otočića iznadneoplastičnog tkiva mijeĆĄanog (p5=0,16) i čistog duktalnog tipa (p6=0,65) od 13. do 24. tjedna. Dakle, stanice raka guĆĄterače mogu izraĆŸavati somatostatin na naein koji ponavlja normalnu d-staničnu ekspresiju peptida za vrijeme embrijske organogeneze. Liječenje zbog raka guĆĄterače usmjereno na somatostatin i njegove analoge moglo bi predstavljati novu mogućnosti adjuvantne terapije

    Empowering the migrant and refugee family's parenting skills: a literature review

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    Bachground: Worldwide, more than 79.5 million people are forcibly displaced, including a significant number of migrant and refugee families with children. Migration and refugeedom affect these families in different dimensions, such as mental, physical and spiritual health. Identifying family needs and enhancing parenting skills can improve family cohesion and health, as well as smooth integration into the host country. This review is part of the Erasmus+ funded project- IENE 8 (Intercultural Education for Nurses in Europe) aiming at empowering migrant and refugee families regarding parenting skills. Methods: This was a scoping review of literature. The IENE 8 partner countries (Cyprus, Germany, Greece, Italy, Romania, and United Kingdom) searched for peer reviewed papers, grey literature and mass media reports at international, European and national level. The time period for the search of scientific and grey literature was between2013-2018, and for mass media, it was between 2016 and 2018. Results: 124 relevant sources were identified. They included 33 Peer reviewed papers, 47 Grey literature documents and 44 mass media reports. This revealed the importance of understanding the needs of migrant families with children. Conclusion: It is evident from the literature that there is a need to support refugee parents to adjust their existing skill and to empower them to develop new ones. Healthcare and social services professionals have an essential role in improving the refugees' parenting skills. This can be done by developing and implementing family-centered and culturally-sensitive intervention programs

    Machine learning methodologies versus cardiovascular risk scores, in predicting disease risk

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    BACKGROUND: The use of Cardiovascular Disease (CVD) risk estimation scores in primary prevention has long been established. However, their performance still remains a matter of concern. The aim of this study was to explore the potential of using ML methodologies on CVD prediction, especially compared to established risk tool, the HellenicSCORE. METHODS: Data from the ATTICA prospective study (n = 2020 adults), enrolled during 2001-02 and followed-up in 2011-12 were used. Three different machine-learning classifiers (k-NN, random forest, and decision tree) were trained and evaluated against 10-year CVD incidence, in comparison with the HellenicSCORE tool (a calibration of the ESC SCORE). Training datasets, consisting from 16 variables to only 5 variables, were chosen, with or without bootstrapping, in an attempt to achieve the best overall performance for the machine learning classifiers. RESULTS: Depending on the classifier and the training dataset the outcome varied in efficiency but was comparable between the two methodological approaches. In particular, the HellenicSCORE showed accuracy 85%, specificity 20%, sensitivity 97%, positive predictive value 87%, and negative predictive value 58%, whereas for the machine learning methodologies, accuracy ranged from 65 to 84%, specificity from 46 to 56%, sensitivity from 67 to 89%, positive predictive value from 89 to 91%, and negative predictive value from 24 to 45%; random forest gave the best results, while the k-NN gave the poorest results. CONCLUSIONS: The alternative approach of machine learning classification produced results comparable to that of risk prediction scores and, thus, it can be used as a method of CVD prediction, taking into consideration the advantages that machine learning methodologies may offer

    Diffuse large B-cell lymphoma arising from a multicentric mixed variant of Castleman's disease

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    This case report describes a patient with multicentric mixed type Castleman\u2032s disease and concomitant non-Hodgkin\u2032s lymphoma of diffuse large B cell type in the neck. Multicentric CD is a systemic illness with disseminated lymphadenopathy; its aggressive and usually fatal course is associated with infectious complications and risk for malignant tumors, such as lymphoma or Kaposi sarcoma

    Implication of human papillomavirus-66 in vulvar carcinoma: a case report

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    <p>Abstract</p> <p>Introduction</p> <p>Vulvar cancer in older women is seldom associated with human papillomavirus infection.</p> <p>Case presentation</p> <p>We present the case of an 80-year-old Greek Caucasian woman with an undetermined obstetric and gynecologic history. The patient underwent radical vulvectomy and bilateral inguinal lymphadenectomy for a vulvar carcinoma. A human papillomavirus infection was suggested on the basis of histological and cytological examinations followed by human papillomavirus DNA typing, which revealed the presence of human papillomavirus-66.</p> <p>Conclusion</p> <p>Even though human papillomavirus-16 and human papillomavirus-18 are most frequently implicated in the pathogenesis of vulvar carcinoma, human papillomavirus-66 can also be regarded as a causative factor. Suspicious lesions should be biopsied, and in the presence of carcinoma, vulvectomy with bilateral lymphadenectomy, if necessary, must be performed. Furthermore, polymerase chain reaction assay analysis with clinical arrays in cytological samples is an accurate test for the detection of a wide range of human papillomavirus genotypes and can be used to verify the infection and specify the human papillomavirus type implicated.</p

    WASTE PREVENTION SCENARIOS USING A WEB-BASED TOOL FOR LOCAL AUTHORITIES

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    Abstract Waste prevention is the highest ranked priority in the European Waste Framework Directive. The aim of this paper is to present the design, development and main features of a web-based tool that enables local authorities to select and implement optimum waste prevention programmes for their local conditions and to prepare their Waste Prevention Plans. The aforementioned tool, namely the WASP-Tool, is implemented as a knowledge-based decision support system which extracts characteristics and features of the waste prevention strategy models and applies multi-criteria evaluation techniques in order to facilitate decision making. It has been developed in Greek and reflects Greek and Cypriot data, context and waste prevention potential, to facilitate its use by local authorities and local administration

    System Test of the ATLAS Muon Spectrometer in the H8 Beam at the CERN SPS

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    An extensive system test of the ATLAS muon spectrometer has been performed in the H8 beam line at the CERN SPS during the last four years. This spectrometer will use pressurized Monitored Drift Tube (MDT) chambers and Cathode Strip Chambers (CSC) for precision tracking, Resistive Plate Chambers (RPCs) for triggering in the barrel and Thin Gap Chambers (TGCs) for triggering in the end-cap region. The test set-up emulates one projective tower of the barrel (six MDT chambers and six RPCs) and one end-cap octant (six MDT chambers, A CSC and three TGCs). The barrel and end-cap stands have also been equipped with optical alignment systems, aiming at a relative positioning of the precision chambers in each tower to 30-40 micrometers. In addition to the performance of the detectors and the alignment scheme, many other systems aspects of the ATLAS muon spectrometer have been tested and validated with this setup, such as the mechanical detector integration and installation, the detector control system, the data acquisition, high level trigger software and off-line event reconstruction. Measurements with muon energies ranging from 20 to 300 GeV have allowed measuring the trigger and tracking performance of this set-up, in a configuration very similar to the final spectrometer. A special bunched muon beam with 25 ns bunch spacing, emulating the LHC bunch structure, has been used to study the timing resolution and bunch identification performance of the trigger chambers. The ATLAS first-level trigger chain has been operated with muon trigger signals for the first time

    Contrast Enhanced Micro-Computed Tomography Resolves the 3-Dimensional Morphology of the Cardiac Conduction System in Mammalian Hearts

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    The general anatomy of the cardiac conduction system (CCS) has been known for 100 years, but its complex and irregular three-dimensional (3D) geometry is not so well understood. This is largely because the conducting tissue is not distinct from the surrounding tissue by dissection. The best descriptions of its anatomy come from studies based on serial sectioning of samples taken from the appropriate areas of the heart. Low X-ray attenuation has formerly ruled out micro-computed tomography (micro-CT) as a modality to resolve internal structures of soft tissue, but incorporation of iodine, which has a high molecular weight, into those tissues enhances the differential attenuation of X-rays and allows visualisation of fine detail in embryos and skeletal muscle. Here, with the use of a iodine based contrast agent (I2KI), we present contrast enhanced micro-CT images of cardiac tissue from rat and rabbit in which the three major subdivisions of the CCS can be differentiated from the surrounding contractile myocardium and visualised in 3D. Structures identified include the sinoatrial node (SAN) and the atrioventricular conduction axis: the penetrating bundle, His bundle, the bundle branches and the Purkinje network. Although the current findings are consistent with existing anatomical representations, the representations shown here offer superior resolution and are the first 3D representations of the CCS within a single intact mammalian heart
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