Machine Learning-Based Classification of Pulmonary Diseases through Real-Time Lung Sounds

    The study presents a computer-based automated system that employs machine learning to classify pulmonary diseases using lung sound data collected from hospitals. Denoising techniques, such as discrete wavelet transform and variational mode decomposition, are applied to enhance classifier performance. The system combines cepstral features, such as Mel-frequency cepstrum coefficients and gammatone frequency cepstral coefficients, for classification. Four machine learning classifiers, namely the decision tree, k-nearest neighbor, linear discriminant analysis, and random forest, are compared. Evaluation metrics such as accuracy, recall, specificity, and f1 score are employed. This study includes patients affected by chronic obstructive pulmonary disease, asthma, bronchiectasis, and healthy individuals. The results demonstrate that the random forest classifier outperforms the others, achieving an accuracy of 99.72% along with 100% recall, specificity, and f1 scores. The study suggests that the computer-based system serves as a decision-making tool for classifying pulmonary diseases, especially in resource-limited settings

Deep-Facial Feature-Based Person Reidentification for Authentication in Surveillance Applications

Person reidentification (Re-ID) has been a problem recently faced in computer vision. Most of the existing methods focus on body features which are captured in the scene with high-end surveillance system. However, it is unhelpful for authentication. The technology came up empty in surveillance scenario such as in London’s subway bomb blast, and Bangalore ATM brutal attack cases, even though the suspected images exist in official databases. Hence, the prime objective of this chapter is to develop an efficient facial feature-based person reidentification framework for controlled scenario to authenticate a person. Initially, faces are detected by faster region-based convolutional neural network (Faster R-CNN). Subsequently, landmark points are obtained using supervised descent method (SDM) algorithm, and the face is recognized, by the joint Bayesian model. Each image is given an ID in the training database. Based on their similarity with the query image, it is ranked with the Re-ID index. The proposed framework overcomes the challenges such as pose variations, low resolution, and partial occlusions (mask and goggles). The experimental results (accuracy) on benchmark dataset demonstrate the effectiveness of the proposed method which is inferred from the observation of receiver operating characteristic (ROC) curve and cumulative matching characteristics (CMC) curve

Mie light scattering calculations for an Indian age-related nuclear cataract with a high density of multilamellar bodies

Purpose: Multilamellar bodies (MLBs) are lipid-coated spheres (1–4 µm in diameter) found with greater frequency in the nuclear region of human age-related cataracts compared with human transparent lenses. Mie light scattering calculations have demonstrated that MLBs are potential sources of forward light scattering in human age-related nuclear cataracts due to their shape, size, frequency, and cytoplasmic contents, which often differ in refractive index from their surroundings. Previous studies have used data from several non-serial tissue sections viewed by light microscopy to extrapolate a volume and have assumed that MLBs are random in distribution. Currently, confocal microscopy is being used to examine actual tissue volumes from age-related nuclear cataracts and transparent lenses collected in India to confirm MLB shape, size, frequency, and randomness. These data allow Mie scattering calculations to be done with directly observed MLBs in intact tissue. Methods: Whole Indian donor lenses and Indian lens nuclei after extracapsular cataract extraction were immersion-fixed in 10% formalin for 24 h and in 4% paraformaldehyde for 24 h before sectioning with a Vibratome. The 160 µm thick sections were stained for 24 h in the lipid dye DiI (1,1’-dilinoleyl-3,3,3′,3′ tetramethylindocarbocyanine, 4-chlorobenzenesulfonate), washed, stabilized in Permount under coverslips and examined with a Zeiss LSM 510 confocal microscope. Individual volumes of tissue (each typically 500,000 µm3) were examined using a plan-apochromat 63X oil (NA=1.4) lens. Other lenses were prepared for electron microscopy and histological examination using previously described procedures. Results: Analysis of tissue volumes within Indian age-related nuclear cataracts and transparent lenses has confirmed that most MLBs are 1–4 µm in diameter and typically spherical with some occurring as doublets or in clusters. Most Indian cataracts and transparent lenses are similar to samples obtained in the United States. One cataract contained as many as 400,000 MLBs per mm3 –100 times more than in cataracts collected in the United States. Pairwise distribution analysis has revealed that MLBs even in this exceptional case are found with a distribution that appears to be random. Mie calculations indicate that more than 90% of the incident light could be scattered by the high density of MLBs. Conclusions: An important finding was that one advanced Indian cataract contained many more MLBs than cataracts examined from India and previously from the United States. This indicates that specific conditions or susceptibilities may exist that promote the formation of excessive MLBs. Based on the extremely high frequency, as well as their spherical shape, large size, and apparent random distribution, the MLBs are predicted according to Mie light scattering calculations to cause high amounts of forward scattering sufficient to produce nuclear opacity

Multilamellar spherical particles as potential sources of excessive light scattering in human age-related nuclear cataracts

The goal of this project was to determine the relative refractive index (RI) of the interior of multilamellar bodies (MLBs) compared to the adjacent cytoplasm within human nuclear fiber cells. MLBs have been characterized previously as 1-4 μm diameter spherical particles covered by multiple lipid bilayers surrounding a cytoplasmic core of variable density. Age-related nuclear cataracts have more MLBs than transparent donor lenses and were predicted to have high forward scattering according to Mie scattering theory, assuming different RIs for the MLB and cytoplasm. In this study quantitative values of relative RI were determined from specific MLBs in electron micrographs of thin sections and used to calculate new Mie scattering plots. Fresh lenses were Vibratome sectioned, immersion fixed and en bloc stained with osmium tetroxide and uranyl acetate, or uranyl acetate alone, prior to dehydration and embedding in epoxy or acrylic resins. Thin sections 70 nm thick were cut on a diamond knife and imaged without grid stains at 60 kV using a CCD camera on a transmission electron microscope (TEM). Integrated intensities in digital electron micrographs were related directly to protein density, which is linearly related to RI for a given substance. The RI of the MLB interior was calculated assuming an RI value of 1.42 for the cytoplasm from the literature. Calculated RI values for MLBs ranged from 1.35 to 1.53. Thus, some MLBs appeared to have interior protein densities similar to or less than the adjacent cytoplasm whereas others had significantly higher densities. The higher density MLBs occurred preferentially in older and more advanced cataracts suggesting a maturation process. The bilayer coats were more often observed in MLBs from transparent donors and early stage cataracts indicating that bilayer loss was part of the MLB maturation, producing large low-density spaces around dense MLB cores. These spaces were frequently observed in advanced cataracts from India as large low-density crescents and annular rings. Predicted scattering from Mie plots using particles with dense cores and low-density rims was higher than reported previously, although the most important factor was the relative RI , not the MLB coat or lack thereof. In conclusion, the measurements confirm the high protein density and RI of some MLB interiors compared to adjacent cytoplasm. This high RI ratio used in the Mie calculations suggests that for 2 000 MLBs/mm3, about half that reported for early stage nuclear cataracts from the US, the forward scattering could be more than 30% of the incident light. Therefore, the extent of forward scattering and its influence on macular visual acuity could be important components of ophthalmological evaluations of cataract patients

Ultrastructural analysis of damage to nuclear fiber cell membranes in advanced age-related cataracts from India

The primary goal was to characterize the structural alterations that occur at the fiber cell interfaces in nuclei of fully opaque cataracts removed by extracapsular cataract surgery in India. The dark yellow to brunescent nuclei, ages 38–78 years, were probably representative of advanced age-related nuclear cataracts. Thick tissue slices were fixed, en bloc stained and embedded for transmission electron microscopy. Stained thin sections contained well-preserved membranes and junctions, although the complex cellular topology often made it necessary to tilt the grid extensively to visualize the membranes. Damage to the fiber cell membranes was noted in all regions of the nucleus. The most important damage occurred within undulating membrane junctions where the loss of membrane segments was common. These membrane breaks were not sites of fusion as membrane edges were detected and cytoplasm appeared to be in contact with extracellular space, which was enlarged in many regions. Dense deposits of protein-like material were frequently observed within the extracellular space and appeared to be similar to protein in the adjacent cytoplasm. The deposits were often 20–50 nm thick, variable in length and located on specific sites on plasma membranes and between clusters of cells or cell processes. In addition, low density regions were seen within the extracellular space, especially within highly undulating membranes where spaces about 100 nm in diameter were observed. The membrane damage was more extensive and extracellular spaces were larger than in aged transparent donor lenses. Because high and low density regions contribute equally to the fluctuations in refractive index, the changes in density due to the observed damage near membranes are likely to produce significant light scattering based on theoretical analysis. The dimensions of the fluctuations in the range 20–100 nm imply that the scattering is probably similar to that of small particles that would increase high-angle scattering visible in the slit lamp. Such damage to membranes would be expected to contribute to the total opacification of the nucleus as the cataract matures. The main sources of the fluctuations appear to be the degradation of membranes and adjacent cytoplasmic proteins, as well as the redistribution of proteins and fragments

A hospital based study on laboratory investigations on heriditary muscle disorders

Background: Myopathies are a group of neuro muscular diseases that cause muscle weakness, cramps, and spasms due to a primary defect of the muscle fiber. We undertook this study of hereditary muscle disorders to identify the clinical patterns and laboratory findings in these conditions and study the correlation between them, which will help in recognizing them early for adequate management with rehabilitation measures and for prognostication. Aim: To assess the correlation between the clinical and investigational profile in Hereditary muscle disorders. Methods: A cross sectional  study was conducted among 44 patients with clinical features suggestive of hereditary muscle disorders who sort health care at Institute of neurology, Madras Medical college, Chennai using various investigation techniques like Serum CK measurement, Nerve conduction Study, Electromyography, Muscle biopsy. Results: CK elevation was found in all patients in our study, but the degree of elevation differs among various hereditary muscle disorders. It was maximal (>25 times normal) in patients with DMD (50%), BMD (40%) and in LGMD (4%). High degree of correlation between clinical diagnosis of hereditary muscle disorders and myopathic EMG was found. Myopathic pattern was observed in all patients of Muscular dystrophy, congenital myopathy and distal myopathy

Hospital based study on demographic profile and clinical spectrum on hereditary muscle disorder

Background: Myopathies are disorders in which a primary functional or structural impairment of skeletal muscle. In general, Muscle disorders are classified into hereditary and acquired disorders. The approach to a patient with a suspected muscle disease is to determine the correct site of the lesion from history and physical examination. This will help to decide on management and prognostication issues. We undertook this study of hereditary muscle disorders to identify the demographic profile and clinical spectrum of hereditary muscle disorders. Aims and Objectives: To study the demographic profile of patients with hereditary muscle disorders and to study the clinical spectrum of hereditary muscle disorders. Methods and Materials: A cross sectional study was conducted on Institute of Neurology, Madras Medical College, Chennai during the period of July 2018 to February 2019 (8 months), among 44 patients (Males-32, Females-12), with clinical features suggestive of hereditary muscle disorders, with certain exclusion criteria’s. Clinical evaluation was done by detailed history taking followed by general and CNS examination, along with motor system examination. All the data were tabulated in Microsoft XL sheet, followed by analysis using SPSS software (version 20.0)

Structural dynamics of full-length retroviral integrase: a molecular dynamics analysis

<div><p>HIV integrase catalyzes the integration between host and viral DNA and is considered as an interesting target for treating HIV. Knowledge of the complete structure of integrase is inevitable to describe the communicative inter-domain interactions affecting the HIV integration and disintegration process and hence the study on full-length integrase turns out to be an essential task. In this investigation, a structure of full-length integrase is designed to analyze the global dynamics of integrase dimer and monomers (with and without the C-terminal, 270–288 amino acids) for a period of 20 ns. The molecular dynamics analysis and the subsequent DynDom analysis reveal (i) a stable dynamics of dimeric CCD and NTD domains and (ii) CCD-α11-mediated rotational-cum-translational CTD motion as the functional dynamics of IN dimer. This observation supports that (i) aggregation enhances the integrase activity and (ii) flexible CTD for its <i>cis</i> and <i>trans</i> coordination with CCD. The role of C-loop over the dynamics of integrase is also explored, which unveils that the spatial arrangement of integrase domains is changed during dynamics in the absence of C-loop. In essence, here we report a C-loop-dependent structural dynamics of integrase and the active dynamics of integrase in dimer. Further studies on C-loop sensing mechanism and the multimerization of integrase would provide insight into HIV integration and disintegration processes.</p> <p> <b>Supplementary material</b>. Movies generated from molecular dynamics trajectory showing the CTD dynamics of IN structures (monomers with & without C-loop and dimer) are linked online to this article. The remaining supplementary data can be downloaded from the author’s server at the URL <a href="http://ramutha.bicpu.edu.in" target="_blank">http://ramutha.bicpu.edu.in</a>.</p> </div