Extraocular muscle sampled volume in Graves' orbitopathy using 3-T fast spin-echo MRI with iterative decomposition of water and fat sequences

Abstract Background: Current magnetic resonance imaging (MRI) techniques for measuring extraocular muscle (EOM) volume enlargement are not ideally suited for routine follow-up of Graves’ ophthalmopathy (GO) because the difficulty of segmenting the muscles at the tendon insertion complicates and lengthens the study protocol. Purpose: To measure the EOM sampled volume (SV) and assess its correlation with proptosis. Material and Methods: A total of 37 patients with newly diagnosed GO underwent 3-T MRI scanning with iterative decomposition of water and fat (IDEAL) sequences with and without contrast enhancement. In each patient, the three largest contiguous coronal cross-sectional areas (CSA) on the EOM slices were segmented using a polygon selection tool and then summed to compute the EOM-SV. Proptosis was evaluated with the Hertel index (HI). The relationships between the HI value and EOM-SV and between HI and EOM-CSA were compared and assessed with Pearson’s correlation coefficient and the univariate regression coefficient. Inter-observer and intra-observer variability were calculated. Results: HI showed a stronger correlation with EOM-SV (P<0.001; r¼0.712, r2¼0.507) than with EOM-CSA (P<0.001; r¼0.645 and r2¼0.329). The intraclass correlation coefficient indicated that the inter-observer agreement was high (0.998). The standard deviation between repeated measurements was 1.9–5.3%. Conclusion: IDEAL sequences allow for the measurement EOM-SV both on non-contrast and contrast-enhanced scans. EOM-SV predicts proptosis more accurately than does EOM-CSA. The measurement of EOM-SV is practical and reproducible. EOM-SV changes of 3.5–8.3% can be assumed to reflect true volume changes

The biocalcarenite stone of Agrigento (Italy): Preliminary investigations of compatible nanolime treatments

Nanolime is a promising consolidant for the conservation of most historic structures thanks to its high compatibility with carbonate-based substrates. Nanolime can recover the superficial cohesion of deteriorated surfaces thanks to its potential to complete the carbonation process, recreating a thin network of new cementing calcium carbonate. In this paper, the nanolime was produced by an innovative, time and energy-saving and scalable method, and its efficacy was tested preliminarily on biocalcarenite stones from Agrigento. The stones characterization as well as the treatment effectiveness, in terms of protection against water and superficial consolidation, was investigated by several techniques such as X-ray fluorescence, X-ray diffraction, scotch tape test, water absorption by capillarity, mercury intrusion porosimetry, drilling resistance measurement system and colorimeter. Investigations showed that nanolime could guarantee a complete transformation in pure calcite together with a superficial consolidation and a reduction in water absorption

Measuring High-Order Interactions in Rhythmic Processes through Multivariate Spectral Information Decomposition

Many complex systems in physics, biology and engineering are modeled as dynamical networks and described using multivariate time series analysis. Recent developments have shown that the emergent dynamics of a network system are significantly affected by interactions involving multiple network nodes which cannot be described using pairwise links. While these higher-order interactions can be probed using information-theoretic measures, a rigorous framework to describe them in the frequency domain is still lacking. This work presents an approach for the spectral decomposition of multivariate information measures, capable of identifying higher-order synergistic and redundant interactions between oscillatory processes. We show theoretically that synergy and redundancy can coexist at different frequencies among the output signals of a network system and can be detected only using the proposed spectral method. To demonstrate the broad applicability of the framework, we provide parametric and non-parametric data-efficient estimators for the spectral information measures, and employ them to describe multivariate interactions in three complex systems producing rich oscillatory dynamics, namely the human brain, a ring of electronic oscillators, and the global climate system. In these systems, we show that the use of our framework for the spectral decomposition of information measures reveals multivariate and higher-order interactions not detectable in the time domain. Our results are exemplary of how the frequency-specific analysis of multivariate dynamics can aid the implementation of assessment and control strategies in realworld network systems

Design of a Novel Long-Reach Cable-Driven Hyper-Redundant Snake-like Manipulator for Inspection and Maintenance

Robotic inspection and maintenance are gaining importance due to the number of different scenarios in which robots can operate. The use of robotic systems to accomplish such tasks has deep implications in terms of safety for human workers and can significantly extend the life of infrastructures and industrial facilities. In this context, long-reach cable-driven hyper-redundant robots can be employed to inspect areas that are difficult to reach and hazardous environments such as tanks and vessels. This paper presents a novel long-reach cable-driven hyper-redundant robot called SLIM (Snake-Like manipulator for Inspection and Maintenance). SLIM consists of a robotic arm, a pan and tilt mechanism as end-effector, and an actuation box that can rotate and around which the arm can wrap. The robot has a total of 15 degrees of freedom and, therefore, for the task of positioning the tool centre point in a bi-dimensional Cartesian space with a specific attitude, it has 10 degrees of redundancy. The robot is designed to operate in harsh environments and high temperatures and can deploy itself up to about 4.8 m. This paper presents the requirements that drove the design of the robot, the main aspects of the mechanical and electronic systems, the control strategy, and the results of preliminary experimental tests performed with a physical prototype to evaluate the robot performances

Transanal hemorrhoidal dearterialization (THD) for hemorrhoidal disease: An Italian single-institution 5-year experience analysis and updated literature review

Background: Hemorrhoidal disease is a highly prevalent, chronic disorder that usually compromise patients' quality of life. Despite recent advances in pharmacologic and surgical therapeutic options, a clear treatment "gold standard" is lacking. Our aim is to analyze the outcomes following Transanal Hemorrhoidal Dearterialization (THD) procedure. MethodsPatients who failed conservative treatment and underwent THD Doppler between 2017 and 2021 were enrolled. Follow-up interviews (consisting of clinical examination, Visual Analog Scale for pain-VAS, Vaizey incontinence score, Hemorrhoid Severity Score) were administered 1 week, 2 weeks, 1 month and 6 months after surgery. ResultsForty-seven out of 75 patients were male, and the mean age was 50 (+/- 17.9) years. Hemorrhoids were classified as Goligher's degree II in 25 cases, III in 40 and IV, simple irreducible without ischemic changes, in 10. The mean operative time was 35 (28-60) minutes, and most procedures were performed with epidural anesthesia (80%). No intraoperative complications occurred, and 73 patients (97.3%) were discharged within post-operative day 1. Early post-operative pain and bleeding occurred in 37.3% and 8% of patients, respectively. No patients experienced anal incontinence and severe symptoms at 6 months after surgery. The overall success rate was 97.3%. ConclusionsTHD is safe and effective in hemorrhoidal disease at degree II if bleeding, III, and IV without ischemic changes, both as a first intervention and on recurrence. Physician and patient need to understand each other's expectations, weight the risks and benefits, and customize the treatment

PARLOMA – A Novel Human-Robot Interaction System for Deaf-blind Remote Communication

Deaf-blindness forces people to live in isolation. Up to now there is no existing technological solution enabling two (or many) Deaf-blind persons to communicate remotely among them in tactile Sign Language (t-SL). When resorting to t-SL, Deaf-blind persons can communicate only with persons physically present in the same place, because they are required to reciprocally explore their hands to exchange messages. We present a preliminary version of PARLOMA, a novel system to enable remote communication between Deaf-blind persons. It is composed of a low-cost depth sensor as the only input device, paired with a robotic hand as output device. Essentially, any user can perform handshapes in front of the depth sensor. The system is able to recognize a set of handshapes that are sent over the web and reproduced by an anthropomorphic robotic hand. PARLOMA can work as a “telephone” for Deaf-blind people. Hence, it will dramatically improve life quality of Deaf-blind persons. PARLOMA has been designed in strict collaboration with the main Italian Deaf-blind associations, in order to include end-users in the design phase

Constrained Spherical Deconvolution Tractography reveals a direct cerebello-ventro tegmental pathway in humans

Introduction. In addition to its role in motor control, reflex adaption and motor learning in the past years numerous studies demonstrated the role of the cerebellum in non-motor functions. Furthermore, lesional animal and neuroimaging in vivo human studies demonstrated connections of the cerebellum with brain regions involved in cognitive, emotional, motivation linguistic processing [1, 2]. Although, studies suggest the role of the cerebellum in neuropsychiatric disorders of the mesocorticolimbic structure (i.e. schizophrenia), at the present time the existence cerebello-ventro tegmental pathway has been demonstrated in only in rodents and only hypothesized in humans. Aim. The goal of this in vivo constrained spherical deconvolution (CSD) tractography study is the investigation on the presence of a direct cerebello-ventro tegmental pathway in the human brain. Material and Methods. We recruited 15 human subjects with no previous history of neurological or psychiatric disorders. The entire study was performed using a 3T Achieva Philips scanner; a SENSE 8 channels head coil, acquiring T1 weighted 3D TFE, DTI sequence; data were analyzed by using constrained spherical deconvolution techniques (CDS). Results. We demonstrated with CSD dentate-ventral midbrain connections. In particular, we found a direct route linking between the dentate nucleus and the ventro tegmental area. Conclusions. This study provides for the first time the existence of a human dentate nucleus connections with the ventro tegmental area, moreover the existence of this cerebello-midbrain pathway suggest that the cerebellum may be involved in the modulation of the mesocorticolimbic system and in related neuropsychiatric disorders such as the schizophrenia

All we know about COVID-19 in pregnancy: from perinatal to ethical and psychological perspective

The Novel Coronavirus (SARS-CoV-2), also known as Wuhan coronavirus, causes the 2019-nCoV acute respiratory disease or COVID-19. While coronavirus infection is a common and usually self-limiting infection, in a specific population like pregnant women, complications of the disease appear to be more relevant, and pregnant women are particularly susceptible to morbidity and mortality, especially in case of high pathogenicity virus. Most common complications associated with COVID-19 in pregnancy include preterm birth, cesarean delivery, and perinatal deaths. The risk of vertical transmission seems to be negligible