Classification of grasping tasks based on EEG-EMG coherence

This work presents an innovative application of the well-known concept of cortico-muscular coherence for the classification of various motor tasks, i.e., grasps of different kinds of objects. Our approach can classify objects with different weights (motor-related features) and different surface frictions (haptics-related features) with high accuracy (over 0:8). The outcomes presented here provide information about the synchronization existing between the brain and the muscles during specific activities; thus, this may represent a new effective way to perform activity recognition

Gender-specific association of body composition with inflammatory and adipose-related markers in healthy elderly Europeans from the NU-AGE study

Objectives: The aim of this work was to examine the cross-sectional relationship between body composition (BC) markers for adipose and lean tissue and bone mass, and a wide range of specific inflammatory and adipose-related markers in healthy elderly Europeans. Methods: A whole-body dual-energy X-ray absorptiometry (DXA) scan was made in 1121 healthy (65–79 years) women and men from five European countries of the “New dietary strategies addressing the specific needs of elderly population for a healthy aging in Europe” project (NCT01754012) cohort to measure markers of adipose and lean tissue and bone mass. Pro-inflammatory (IL-6, IL-6Rα, TNF-α, TNF-R1, TNF-R2, pentraxin 3, CRP, alpha-1-acid glycoprotein, albumin) and anti-inflammatory (IL-10, TGF-β1) molecules as well as adipose-related markers such as leptin, adiponectin, ghrelin, and resistin were measured by magnetic bead-based multiplex-specific immunoassays and biochemical assays. Results: BC characteristics were different in elderly women and men, and more favorable BC markers were associated with a better adipose-related inflammatory profile, with the exception of skeletal muscle mass index. No correlation was found with the body composition markers and circulating levels of some standard pro- and anti-inflammatory markers like IL-6, pentraxin 3, IL-10, TGF-β1, TNF-α, IL-6Rα, glycoprotein 130, TNF-α-R1, and TNF-α-R2. Conclusions: The association between BC and inflammatory and adipose-related biomarkers is crucial in decoding aging and pathophysiological processes, such as sarcopenia. DXA can help in understanding how the measurement of fat and muscle is important, making the way from research to clinical practice. Key Points: • Body composition markers concordantly associated positively or negatively with adipose-related and inflammatory markers, with the exception of skeletal muscle mass index. • No correlation was found with the body composition markers and circulating levels of some standard pro- and anti-inflammatory markers like IL-6, pentraxin 3, IL-10, TGF-β1, TNF-α, IL-6Rα, gp130, TNF-α-R1, and TNF-α-R2. • Skeletal muscle mass index (SMI) shows a good correlation with inflammatory profile in age-related sarcopenia

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Surface-enhanced Raman spectroscopy (SERS) on silver colloids for the identification of ancient textile dyes. Part II: pomegranate and sumac.

The effectiveness of surface-enhanced Raman spectroscopy (SERS) spectrocsopy on Ag colloids has been successfully demonstrated for the identification of a yellow dye in two ancient wool threads found in the Royal Tumulus of In Aghelachem, Libyan Sahara, belonging to the Garamantian period (2nd \u2013 3rd century A.D.). High-performance liquid chromatography (HPLC) highlighted the presence of ellagic acid in the extracts from the threads, excluding other chromophores. This result, together with the abundance of malic acid detected by gas chromatography-mass spectrometry (GC-MS), suggested the possible use of pomegranate rind or sumac berries as source of the yellow dye, both plants being documented in the Fezzan area during the Garamantian period. HPLC analyses and SERS spectra acquired on the extracts of the ancient threads were therefore compared with those obtained from pomegranate and sumac extracts of the corresponding fruits and reference dyed wool samples, allowing us to identify the yellow dye as deriving from pomegranate (Punica granatum L.). SERS spectra of ellagic acid and dyes extracted from pomegranate rind and sumac berries are reported here for the first time. A methodological improvement is also presented, based on the use of NaClO4 as aggregating agent, that leads to a significant increase of the signal-to-noise ratio in the SERS spectra

Frequency-Dependent Functional Connectivity of Brain Networks at Resting-State

Functional imaging methods such as resting-state fMRI allow to describe interactions among different areas of the brain, thus deriving a functional connectivity matrix of the entire brain network. Tracking functional relationships among different regions of interest can be applied, besides a pure modelling perspective, also to discovering procedures to detect brain diseases and anomalies, or pursuing rehabilitation of subjects with structural damages. However, network characterization is often regarded as frequency-independent, so that the frequency at which interactions take place among different regions is ignored. In this paper, we show how simple filtering procedures over different bands, applied to the resting-state fMRI signals, result in highly different connectivity matrices. Thus, it is highlighted that the functional network can be significantly dependent on the considered frequency range for the fMRI signal. This both justifies the need for a careful filtering of the signals, that avoids filtering out relevant frequencies, and also hints the possibility of classifying functional interactions according to the frequency where the connectivity among two areas is the strongest

Information Theoretic Key Agreement Protocol based on ECG signals

Wireless body area networks (WBANs) are becoming increasingly popular as they allow individuals to continuously monitor their vitals and physiological parameters remotely from the hospital. With the spread of the SARS-CoV-2 pandemic, the availability of portable pulse-oximeters and wearable heart rate detectors has boomed in the market. At the same time, in 2020 we assisted to an unprecedented increase of healthcare breaches, revealing the extreme vulnerability of the current generation of WBANs. Therefore, the development of new security protocols to ensure data protection, authentication, integrity and privacy within WBANs are highly needed. Here, we targeted a WBAN collecting ECG signals from different sensor nodes on the individual's body, we extracted the inter-pulse interval (i.e., R-R interval) sequence from each of them, and we developed a new information theoretic key agreement protocol that exploits the inherent randomness of ECG to ensure authentication between sensor pairs within the WBAN. After proper pre-processing, we provide an analytical solution that ensures robust authentication; we provide a unique information reconciliation matrix, which gives good performance for all ECG sensor pairs; and we can show that a relationship between information reconciliation and privacy amplification matrices can be found. Finally, we show the trade-off between the level of security, in terms of key generation rate, and the complexity of the error correction scheme implemented in the system