485 research outputs found

    Subchondroplasty in the treatment of bone marrow lesions of the knee: Preliminary experience on first 15 patients

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    Purpose The aim of this prospective study was to assess the effectiveness in terms of pain relief and functional improvement of the Subchondroplasty procedure in the treatment of osteoarthritis-related bone marrow lesions (BMLs) of the knee. Methods The study included first 15 consecutive patients undergone to Subchon-droplasty procedure for the treatment of chronic degenerative BMLs in which previous conservative treatment have failed. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, Knee Injury and Osteoarthritis Outcome Scores (KOOS), and visual analog scale (VAS) pain scores were obtained preoperatively and at 1, 6, and 12 months of follow-up. Results WOMAC scores significantly improved from 39.7 \ub1 20.2 before surgery to 26.8 \ub1 16.1 at the 1-month follow-up (p = 0.045). A further significant improvement to 15.5 \ub1 12.7 (p = 0.02) and to 8.6 \ub1 3.1 (p <0.01) was obtained both at 6-month and at 1-year follow-up. KOOS scores improved significantly from 47.5 \ub1 16.6 before surgery to 65.4 \ub1 14.9 at 1 month (p = 0.013) and to 80.4 \ub1 15.1 at 6-month follow-up (p = 0.01). A further improvement to 85.6 \ub1 15.1 was recorded 1 year postoperatively, although nonsignificant. VAS score showed a significant improvement from 55.8 \ub1 20.5 preoperatively to 36.2 \ub1 16.9 at 1 month (p = 0.008) and to 18.2 \ub1 17.3 at 6-month follow-up (p = 0.005). This further improved to 12.8 \ub1 17.9 at 1-year follow-up, although not significantly. Conclusion Subchondroplasty procedure represents a safe and valid surgical option in the treatment of osteoarthritis-related BMLs of the knee, providing an improvement in terms of pain relief and functional recovery. Longer studies are required to evaluate how long these improvements may last. Level of Evidence Therapeutic case-series, Level IV study

    Seismic location improvements from an OBS/H temporary network in Southern Tyrrhenian Sea

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    We present the first investigation performed on the seismicity of Southern Tyrrhenian Sea, off-shore Sicily with the contribution of data from broad-band ocean bottom seismometers and hydrophones (OBS/H). Offshore data were recorded during the TYrrhenian Deep sea Experiment (TYDE) from December 2000 to May 2001 in the Southern Tyrrhenian Sea. Hypocenter locations of a cluster of 53 seismic events occurred in March 2001 in north-eastern Sicily were estimated by the integration of land (permanent network) and offshore (temporary network) data and compared with locations estimated from land data only. The scatter of the cluster was evaluated by dispersion parameters. The off-shore data significantly reduced the scatter of the swarm hypocenters also restricting the depth range of the cluster. Moreover, space trends of the event distribution originally shown by the land data were only partially confirmed by the land-sea joint data. In order to assess the efficiency in terms of hypocenter mislocations in the subject area, of a land-sea integrated network with respect to a land-based network, we performed simulations by assuming a grid distribution of earthquakes and a recent local 3D velocity model, computing synthetic arrival times of body waves to the stations of both network configurations (integrated and land-based) perturbing the computed times and relocating earthquakes by inversion. The results of the synthetic tests demonstrated that the presence of sea bottom stations in the Tyrrhenian basin can reduce the mislocations of large magnitude and/or superficial earthquakes in the southernmost Calabria and Messina Strait and of low magnitude and/or deep earthquakes in north-eastern Sicily. The major accuracy of synthetic earthquake locations obtained including OBS/H data provides an additional support to the interpretation of the cluster occurred in March 2001 and to the opportunity of long-term installation of an off-shore network like TYDE in the study region

    A tutorial on optimal control and reinforcement learning methods for quantum technologies

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    Quantum Optimal Control is an established field of research which is necessary for the development of Quantum Technologies. In recent years, Machine Learning techniques have been proved useful to tackle a variety of quantum problems. In particular, Reinforcement Learning has been employed to address typical problems of control of quantum systems. In this tutorial we introduce the methods of Quantum Optimal Control and Reinforcement Learning by applying them to the problem of three-level population transfer. The jupyter notebooks to reproduce some of our results are open-sourced and available on github1

    Reinforcement learning-enhanced protocols for coherent population-transfer in three-level quantum systems

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    We deploy a combination of reinforcement learning-based approaches and more traditional optimization techniques to identify optimal protocols for population transfer in a multi-level system. We constrain our strategy to the case of fixed coupling rates but time-varying detunings, a situation that would simplify considerably the implementation of population transfer in relevant experimental platforms, such as semiconducting and superconducting ones. Our approach is able to explore the space of possible control protocols to reveal the existence of efficient protocols that, remarkably, differ from (and can be superior to) standard Raman, stimulated Raman adiabatic passage or other adiabatic schemes. The new protocols that we identify are robust against both energy losses and dephasing

    Identification and Rational Redesign of Peptide Ligands to CRIP1, A Novel Biomarker for Cancers

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    Cysteine-rich intestinal protein 1 (CRIP1) has been identified as a novel marker for early detection of cancers. Here we report on the use of phage display in combination with molecular modeling to identify a high-affinity ligand for CRIP1. Panning experiments using a circularized C7C phage library yielded several consensus sequences with modest binding affinities to purified CRIP1. Two sequence motifs, A1 and B5, having the highest affinities for CRIP1, were chosen for further study. With peptide structure information and the NMR structure of CRIP1, the higher-affinity A1 peptide was computationally redesigned, yielding a novel peptide, A1M, whose affinity was predicted to be much improved. Synthesis of the peptide and saturation and competitive binding studies demonstrated approximately a 10–28-fold improvement in the affinity of A1M compared to that of either A1 or B5 peptide. These techniques have broad application to the design of novel ligand peptides

    THE SHALLOW MAGMA CHAMBER OF STROMBOLI

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    AbstractIn this work, we integrate artificial and natural seismic sources data to obtain high‐resolution images of the shallow inner structure of Stromboli Volcano. Overall, we used a total of 21,953 P readings from an active seismic experiment and an additional 2731 P and 992 S readings deriving from 269 local events. The well‐defined Vp, Vs, and Vp/Vs tomograms have highlighted the following: (i) the region where magma cumulates at shallow depths (2–4 km below sea level (bsl)), forming an elongated NE‐SW high‐velocity body (Vp ≥ 6.0 km/s and Vs ≥ 3.5 km/s), with a very fast velocity core (6.5 ≤ Vp < 7.0 km/s) of ~2 km3; (ii) the presence of some near‐vertical pipe‐like structures, characterized by relatively high P velocities values, mainly linked to past activity (e.g., Strombolicchio); and (iii) a near‐vertical pipe‐like volume with high Vp/Vs (1.78 ÷ 1.85), located beneath to the craters (down to ~1.0 km bsl), overlying a deeper region (1.0 to 3.0 km bsl) with low Vp/Vs (1.64 ÷ 1.69), interpreted as the actual and preferential pathway of magma toward the surface. Our results demonstrate the importance of combining passive and active seismic data to improve, in a tomographic inversion, the resolution of the volcanic structures and to discover where magma may be stored

    Haematological and biochemical abnormalities in hunting dogs infected with Acanthocheilonema reconditum, associated risk factors, and a European overview

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    Acanthocheilonema reconditum is a filarial parasite transmitted by arthropods (fleas, lice, and ticks) that infect dogs. There is minimal published data available to date on potential haematological and biochemical changes associated with this parasitic infection. Study aims were (i) provide an overview of A. reconditum in Europe, (ii) define A. reconditum prevalence and risk factors in a specific dog population (hunting) from southern Italy, and (iii) assess the frequency of haemato-biochemical abnormalities associated with infection. Blood samples collected from 3020 dogs were tested by a modified Knott’s technique to count and identify microfilariae. Eighty-four dogs were infected by A. reconditum (2.78%; 95% CI 2.19–3.37%). Microfilariae ranged from 1 to 212/ml. Based on clinical examination, all but six dogs with non-specific symptoms were healthy. Haematological abnormalities included leucocytosis (n = 15), with eosinophilia (n = 14) and monocytosis (n = 13). Serum biochemical abnormalities included increased total serum proteins (n = 19), albumins (n = 7), total globulins (n = 14), ALT (n = 1), and ALP (n = 1); one dog was hypoalbuminemic, and BUN was mildly increased in 2 dogs. Risk factors included the province origin (Napoli, OR=5.4, 95%CI: 2.1–14.0; Caserta, OR=5.1, 95%CI: 2.5–10.6), hunting wild mammals (OR=2.8, 95% 95%CI: 1.6–4.8), and ectoparasite infestation (OR=1.9, 95%CI: 1.1–3.1). There was a negative correlation between microfilaraemic load and decreased albumin level (−0.37; p=0.021). Our results showed that A. reconditum circulates within the hunting dog population of southern Italy, with seemingly low pathogenic potential
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