Spatio temporal parameters and symmetry in subjects ascending and descending a ramp, using three different prosthetic feet

This is a post-peer-review, pre-copyedit version of an article published in Journal of Mechanical Science and Technology. The final authenticated version is available online at: https://doi.org/10.1007/s12206-020-0145-

Towards Intelligent Lower Limb Prostheses with Activity Recognition

User’s volitional control of lower limb prostheses is still challenging task despite technological advancements. There is still a need for amputees to impose their will upon the prosthesis to drive in an accurate and interactive fashion. This study represents a brief review on control strategies using different sensor modalities for the purpose of phases/events detection and activity recognition. The preliminary work that is associated with middle-level control shows a simple and reliable method for event detection in real-time using a single inertial measurement unit. The outcome shows promising results

The Utility of Capsicum annuum L. in Internal Medicine and In Dentistry: A Comprehensive Review

Capsaicin is a chili peppers extract, genus Capsicum, commonly used as a food spice. Since ancient times, Capsaicin has been used as a "homeopathic remedy" for treating a wild range of pathological conditions but without any scientific knowledge about its action. Several studies have demonstrated its potentiality in cardiovascular, nephrological, nutritional, and other medical fields. Capsaicin exerts its actions thanks to the bond with transient receptor potential vanilloid subtype 1 (TRPV1). TRPV1 is a nociceptive receptor, and its activation starts with a neurosensitive impulse, responsible for a burning pain sensation. However, constant local application of Capsaicin desensitized neuronal cells and leads to relief from neuropathic pain. In this review, we analyze the potential adjuvant role of Capsaicin in the treatment of different pathological conditions either in internal medicine or dentistry. Moreover, we present our experience in five patients affected by oro-facial pain consequent to post-traumatic trigeminal neuropathy, not responsive to any remedy, and successfully treated with topical application of Capsaicin. The topical application of Capsaicin is safe, effective, and quite tolerated by patients. For these reasons, in addition to the already-proven beneficial actions in the internal field, it represents a promising method for the treatment of neuropathic oral diseases

Anterior Cruciate Ligament Injury: Compensation during Gait using Hamstring Muscle Activity

Previous research has shown that an increase in hamstring activation may compensate for anterior tibial transalation (ATT) in patients with anterior cruciate ligament deficient knee (ACLd); however, the effects of this compensation still remain unclear. The goals of this study were to quantify the activation of the hamstring muscles needed to compensate the ATT in ACLd knee during the complete gait cycle and to evaluate the effect of this compensation on quadriceps activation and joint contact forces. A two dimensional model of the knee was used, which included the tibiofemoral and patellofemoral joints, knee ligaments, the medial capsule and two muscles units. Simulations were conducted to determine the ATT in healthy and ACLd knee and the hamstring activation needed to correct the abnormal ATT to normal levels (100% compensation) and to 50% compensation. Then, the quadriceps activation and the joint contact forces were calculated. Results showed that 100% compensation would require hamstring and quadriceps activations larger than their maximum isometric force, and would generate an increment in the peak contact force at the tibiofemoral (115%) and patellofemoral (48%) joint with respect to the healthy knee. On the other hand, 50% compensation would require less force generated by the muscles (less than 0.85 of maximum isometric force) and smaller contact forces (peak tibiofemoral contact force increased 23% and peak patellofemoral contact force decreased 7.5% with respect to the healthy knee). Total compensation of ATT by means of increased hamstring activity is possible; however, partial compensation represents a less deleterious strategy

Validation of satellite-based noontime UVI with NDACC ground-based instruments: influence of topography, environment and satellite overpass time

Spectral solar UV radiation measurements are performed in France using three spectroradiometers located at very different sites. One is installed in Villeneuve d'Ascq, in the north of France (VDA). It is an urban site in a topographically flat region. Another instrument is installed in Observatoire de Haute-Provence, located in the southern French Alps (OHP). It is a rural mountainous site. The third instrument is installed in Saint-Denis, Réunion Island (SDR). It is a coastal urban site on a small mountainous island in the southern tropics. The three instruments are affiliated with the Network for the Detection of Atmospheric Composition Change (NDACC) and carry out routine measurements to monitor the spectral solar UV radiation and enable derivation of UV index (UVI). The ground-based UVI values observed at solar noon are compared to similar quantities derived from the Ozone Monitoring Instrument (OMI, onboard the Aura satellite) and the second Global Ozone Monitoring Experiment (GOME-2, onboard the Metop-A satellite) measurements for validation of these satellite-based products. The present study concerns the period 2009–September 2012, date of the implementation of a new OMI processing tool. The new version (v1.3) introduces a correction for absorbing aerosols that were not considered in the old version (v1.2). Both versions of the OMI UVI products were available before September 2012 and are used to assess the improvement of the new processing tool. On average, estimates from satellite instruments always overestimate surface UVI at solar noon. Under cloudless conditions, the satellite-derived estimates of UVI compare satisfactorily with ground-based data: the median relative bias is less than 8 % at VDA and 4 % at SDR for both OMI v1.3 and GOME-2, and about 6 % for OMI v1.3 and 2 % for GOME-2 at OHP. The correlation between satellite-based and ground-based data is better at VDA and OHP (about 0.99) than at SDR (0.96) for both space-borne instruments. For all sky conditions, the median relative biases are much larger, with large dispersion for both instruments at all sites (VDA: about 12 %; OHP: 9 %; SDR: 11 %). Correlation between satellite-based and ground-based data is still better at VDA and OHP (about 0.95) than at SDR (about 0.73) for both satellite instruments. These results are explained considering the time of overpass of the two satellites, which is far from solar noon, preventing a good estimation of the cloud cover necessary for a good modelling of the UVI. Site topography and environment are shown to have a non-significant influence. At VDA and OHP, OMI v1.3 shows a significant improvement with respect to v1.2, which did not account for absorbing aerosols

Immune Activation, Cd4+ T Cell Counts, and Viremia Exhibit Oscillatory Patterns over Time in Patients with Highly Resistant HIV Infection

The rates of immunologic and clinical progression are lower in patients with drug-resistant HIV compared to wild-type HIV. This difference is not fully explained by viral load. It has been argued that reductions in T cell activation and/or viral fitness might result in preserved target cells and an altered relationship between the level of viremia and the rate of CD4+ T cell loss. We tested this hypothesis over time in a cohort of patients with highly resistant HIV. Fifty-four antiretroviral-treated patients with multi-drug resistant HIV and detectable plasma HIV RNA were followed longitudinally. CD4+ T cell counts and HIV RNA levels were measured every 4 weeks and T cell activation (CD38/HLA-DR) was measured every 16 weeks. We found that the levels of CD4+ T cell activation over time were a strong independent predictor of CD4+ T cell counts while CD8+ T cell activation was more strongly associated with viremia. Using spectral analysis, we found strong evidence for oscillatory (or cyclic) behavior in CD4+ T cell counts, HIV RNA levels, and T cell activation. Each of the cell populations exhibited an oscillatory behavior with similar frequencies. Collectively, these data suggest that there may be a mechanistic link between T cell activation, CD4+ T cell counts, and viremia and lends support for the hypothesis of altered predator-prey dynamics as a possible explanation of the stability of CD4+ T cell counts in the presence of sustained multi-drug resistant viremia

Marked Differences in Human Melanoma Antigen-Specific T Cell Responsiveness after Vaccination Using a Functional Microarray

BACKGROUND: In contrast to many animal model studies, immunotherapeutic trials in humans suffering from cancer invariably result in a broad range of outcomes, from long-lasting remissions to no discernable effect. METHODS AND FINDINGS: In order to study the T cell responses in patients undergoing a melanoma-associated peptide vaccine trial, we have developed a high-throughput method using arrays of peptide-major histocompatibility complexes (pMHC) together with antibodies against secreted factors. T cells were specifically immobilized and activated by binding to particular pMHCs. The antibodies, spotted together with the pMHC, specifically capture cytokines secreted by the T cells. This technique allows rapid, simultaneous isolation and multiparametric functional characterization of antigen-specific T cells present in clinical samples. Analysis of CD8+ lymphocytes from ten melanoma patients after peptide vaccination revealed a diverse set of patient- and antigen-specific profiles of cytokine secretion, indicating surprising differences in their responsiveness. Four out of four patients who showed moderate or greater secretion of both interferon-γ (IFNγ) and tumor necrosis factor-α (TNFα) in response to a gp100 antigen remained free of melanoma recurrence, whereas only two of six patients who showed discordant secretion of IFNγ and TNFα did so. CONCLUSION: Such multiparametric analysis of T cell antigen specificity and function provides a valuable tool with which to dissect the molecular underpinnings of immune responsiveness and how this information correlates with clinical outcome