19 research outputs found

    37th International Symposium on Intensive Care and Emergency Medicine (part 3 of 3)

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    An intelligent mobile-based automatic diagnostic system to identify retinal diseases using mathematical morphological operations

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    Diabetic retinopathy is considered in terms of the presence of exudates which cause vision loss in the areas affected. This study targets the development of an intelligent mobile-based automatic diagnosis integrated with a microscopic lens to identify retinal diseases at initial stage at any time or place. Exudate detection is a significant step in order obtaining an early diagnosis of diabetic retinopathy, and if they are segmented accurately, laser treatment can be applied effectively. Consequently, precise segmentation is the fundamental step in exudate extraction. This paper proposes a technique for exudate segmentation in colour retinal images using morphological operations. In this method, after pre-processing, the optic disc and blood vessels are isolated from the retinal image. Exudates are then segmented by a combination of morphological operations such as the modified regionprops function and a reconstruction technique. The proposed technique is verified against the DIARETDB1 database and achieves 85.39% sensitivity. The proposed technique achieves better exudate detection results in terms of sensitivity than other recent methods reported in the literature. In future work, our system will be deployed to a mobile platform to allow efficient and instant diagnosis

    BDNF variants may modulate long-term visual memory performance in a healthy cohort

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    Brain-derived neurotrophic factor (BDNF) is involved in numerous cognitive functions including learning and memory. BDNF plays an important role in synaptic plasticity in humans and rats with BDNF shown to be essential for the formation of long-term memories. We previously identified a significant association between the BDNF Val66Met polymorphism (rs6265) and long-term visual memory (p-value = 0.003) in a small cohort (n = 181) comprised of healthy individuals who had been phenotyped for various aspects of memory function. In this study, we have extended the cohort to 597 individuals and examined multiple genetic variants across both the BDNF and BDNF-AS genes for association with visual memory performance as assessed by the Wechsler Memory Scale-Fourth Edition subtests Visual Reproduction I and II (VR I and II). VR I assesses immediate visual memory, whereas VR II assesses long-term visual memory. Genetic association analyses were performed for 34 single nucleotide polymorphisms genotyped on Illumina OmniExpress BeadChip arrays with the immediate and long-term visual memory phenotypes. While none of the BDNF and BDNF-AS variants were shown to be significant for immediate visual memory, we found 10 variants (including the Val66Met polymorphism (p-value = 0.006)) that were nominally associated, and three variants (two variants in BDNF and one variant in the BDNF-AS locus) that were significantly associated with long-term visual memory. Our data therefore suggests a potential role for BDNF, and its anti-sense transcript BDNF-AS, in long-term visual memory performance

    Investigation of the CADM2 polymorphism rs17518584 in memory and executive functions measures in a cohort of young healthy individuals

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    The common polymorphism rs17518584, near the cell adhesion molecule 2 gene (CADM2), was previously identified as playing a role in information processing speed in a genome-wide association study of executive functions and processing speed performed in a cohort of non-demented older adults. In this study, we investigated this polymorphism in a younger population cohort 30 years old, median age 19 years), with no known memory or psychiatric disorders, for which we had phenotyped all participants for memory function (n = 514), and a subset of the participants for executive functions (n = 338), using a battery of tests measuring visuo-spatial memory, working memory, verbal memory, and frontal lobe functions (visual scanning, graphomotor speed, and cognitive flexibility). The polymorphism rs17518584 was genotyped by a restriction fragment length polymorphism assay and analysis indicated that the CADM2 polymorphism showed evidence of association with information processing speed as inferred from scores from the Stroop Word, Colour, and Colour Word Tests (p = 0.005, p = 0.04, and p = 0.028, respectively, in a dominant inheritance model), as well as Trail Making Test Part A (p = 0.005 in an additive model). Significant associations of rs17518584 with scores from other tests of memory subtypes were not detected. The findings of this study provide further support for a role of CADM2 in aspects of cognitive function, in particular reading and information processing speed, and suggest that this role extends to younger individuals.</p
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