Deriving the respiratory sinus arrhythmia from the heartbeat time series using Empirical Mode Decomposition

Heart rate variability (HRV) is a well-known phenomenon whose characteristics are of great clinical relevance in pathophysiologic investigations. In particular, respiration is a powerful modulator of HRV contributing to the oscillations at highest frequency. Like almost all natural phenomena, HRV is the result of many nonlinearly interacting processes; therefore any linear analysis has the potential risk of underestimating, or even missing, a great amount of information content. Recently the technique of Empirical Mode Decomposition (EMD) has been proposed as a new tool for the analysis of nonlinear and nonstationary data. We applied EMD analysis to decompose the heartbeat intervals series, derived from one electrocardiographic (ECG) signal of 13 subjects, into their components in order to identify the modes associated with breathing. After each decomposition the mode showing the highest frequency and the corresponding respiratory signal were Hilbert transformed and the instantaneous phases extracted were then compared. The results obtained indicate a synchronization of order 1:1 between the two series proving the existence of phase and frequency coupling between the component associated with breathing and the respiratory signal itself in all subjects.Comment: 12 pages, 6 figures. Will be published on "Chaos, Solitons and Fractals

Lifestyle intervention on body weight and physical activity in patients with breast cancer can reduce the risk of death in obese women: The EMILI study

Background obesity and sedentary lifestyle have been shown to negatively affect survival in breast cancer (BC). The purpose of this study was to test the efficacy of a lifestyle intervention on body mass index (BMI) and physical activity (PA) levels among BC survivors in Modena, Italy, in order to show an outcome improvement in obese and overweight patients. Methods: This study is a single-arm experimental design, conducted between November 2009 and May 2016 on 430 women affected by BC. Weight, BMI, and PA were assessed at baseline, at 12 months, and at the end of the study. Survival curves were estimated among normal, overweight, and obese patients. Results: Mean BMI decreased from baseline to the end of the study was equal to 2.9% (p = 0.065) in overweight patients and 3.3% in obese patients (p = 0.048). Mean PA increase from baseline to the end of the study was equal to 125% (p < 0.001) in normal patients, 200% (p < 0.001) in overweight patients and 100% (p < 0.001) in obese patients. After 70 months of follow-up, the 5-year overall survival (OS) rate was 96%, 96%, and 93%, respectively in normal, obese, and overweight patients. Overweight patients had significantly worse OS than normal ones (HR = 3.69, 95%CI = 1.82–4.53 p = 0.027) whereas no statistically significant differences were seen between obese and normal patients (HR 2.45, 95%CI = 0.68–8.78, p = 0.169). Conclusions: A lifestyle intervention can lead to clinically meaningful weight loss and increase PA in patients with BC. These results could contribute to improving the OS in obese patients compared to overweight ones

Cocoa Bar Antioxidant Profile Enrichment with Underutilized Apples Varieties

: The impact of dried apples (Malus × domestica Borkh.) addition on improving the antioxidant characteristics of dark chocolate was evaluated. The antioxidant activity was measured through DPPH scavenging activity and showed an increase in the cocoa bar with 'Nesta' dry apple (17.3% vs. 46.8%) in comparison to cocoa mass. The 15 polyphenols analyzed by UHPLC-ESI-MS/MS indicated great variability among the apple varieties. Quercetin was detected in the highest concentrations (ranged from 753.3 to 1915.5 µg g-1), while the lowest were for kaempferol 7-O-glucoside, measured only in 'Mora' and 'Nesta' cocoa bars (from 0.034 to 0.069 µg g-1, respectively). P-coumaric acid, trans-ferulic acid, and chlorogenic acid contribute largely to the antioxidant activity in cocoa bars. Principal component analysis shows that a cocoa bar with the addition of 'Nesta' dry apple differ from others due to its higher content of polyphenols (1614 ± 61.8 mg gallic acid equivalents per 100 g). In conclusion, data confirm that cocoa bars with dry apples might be considered as a polyphenol-enriched food

Canopy-applied silicon is an effective strategy for reducing sweet cherry cracking

Fruit cracking caused by rainfall prior to harvest, a major problem in sweet cherry production, is being exacerbated by climate change. Currently, pre-harvest spraying with calcium salt solutions is the prevalent technique to reduce fruit cracking in cherry orchards not covered by plastic roofs. This study evaluated the effectiveness of canopy-applied silicon in the reduction of sweet cherry cracking under different field conditions. Four field trials were conducted on mature trees of the cultivars Van, New Star, and Emperor Francis. Treatments included water (control), calcium chloride, and sodium silicate. Multiple sprays (three) were applied weekly from fruit onset of color to approximately 1 week before harvest. The results showed that under conditions conducive to cracking, sodium silicate reduced the percentage of cracked fruits to a similar or larger extent than calcium chloride. This study highlights how canopy-applied silicon sources may effectively contribute to reducing cherry cracking, acting as an alternative technique to other preventive methods

Nailfold videocapillaroscopy in antisynthetase syndrome

A 57-year-old woman with a diagnosis of antisynthetase syndrome (ASSD) underwent a nailfold videocapillaroscopy (NVC) showing a scleroderma pattern. Alterations in capillary morphology have been reported in adults with inflammatory myositis (IM) but only recently have the differences in NVC findings between these two diseases been established. ASSD is currently classified as a subset of IM, for which reason only a few studies in literature evaluate its specific hallmarks, showing nonspecific features of NVC in patients with polymyositis and dermatomyositis (DM) and antisynthetase antibodies. To our knowledge, this is the first description of ASSD capillaroscopy features, and the first report of NVC in ASSD with evidence of scleroderma pattern. Further studies are needed to define clearly frequency, typical features, and possible correlation with clinical and serological data of NVC changes in ASSD, differences between microangiopathy in ASSD and systemic sclerosis or DM

Nailfold videocapillaroscopy in antisynthetase syndrome

A 57-year-old woman with a diagnosis of antisynthetase syndrome (ASSD) underwent a nailfold videocapillaroscopy (NVC) showing a scleroderma pattern. Alterations in capillary morphology have been reported in adults with inflammatory myositis (IM) but only recently have the differences in NVC findings between these two diseases been established. ASSD is currently classified as a subset of IM, for which reason only a few studies in literature evaluate its specific hallmarks, showing nonspecific features of NVC in patients with polymyositis and dermatomyositis (DM) and antisynthetase antibodies. To our knowledge, this is the first description of ASSD capillaroscopy features, and the first report of NVC in ASSD with evidence of scleroderma pattern. Further studies are needed to define clearly frequency, typical features, and possible correlation with clinical and serological data of NVC changes in ASSD, differences between microangiopathy in ASSD and systemic sclerosis or DM

Conserved Quantities in f(R)f(R) Gravity via Noether Symmetry

This paper is devoted to investigate $f(R)$ gravity using Noether symmetry approach. For this purpose, we consider Friedmann Robertson-Walker (FRW) universe and spherically symmetric spacetimes. The Noether symmetry generators are evaluated for some specific choice of $f(R)$ models in the presence of gauge term. Further, we calculate the corresponding conserved quantities in each case. Moreover, the importance and stability criteria of these models are discussed.Comment: 14 pages, accepted for publication in Chin. Phys. Let