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There is a significant risk of injury in sports and intense competition due to the demanding physical and psychological requirements. Hamstring strain injuries (HSIs) are the most prevalent type of injury among professional soccer players and are the leading cause of missed days in the sport. These injuries stem from a combination of factors, making it challenging to pinpoint the most crucial risk factors and their interactions, let alone find effective prevention strategies. Recently, there has been growing recognition of the potential of tools provided by artificial intelligence (AI). However, current studies primarily concentrate on enhancing the performance of complex machine learning models, often overlooking their explanatory capabilities. Consequently, medical teams have difficulty interpreting these models and are hesitant to trust them fully. In light of this, there is an increasing need for advanced injury detection and prediction models that can aid doctors in diagnosing or detecting injuries earlier and with greater accuracy. Accordingly, this study aims to identify the biomarkers of muscle injuries in professional soccer players through biomechanical analysis, employing several ML algorithms such as decision tree (DT) methods, discriminant methods, logistic regression, naive Bayes, support vector machine (SVM), K-nearest neighbor (KNN), ensemble methods, boosted and bagged trees, artificial neural networks (ANNs), and XGBoost. In particular, XGBoost is also used to obtain the most important features. The findings highlight that the variables that most effectively differentiate the groups and could serve as reliable predictors for injury prevention are the maximum muscle strength of the hamstrings and the stiffness of the same muscle. With regard to the 35 techniques employed, a precision of up to 78% was achieved with XGBoost, indicating that by considering scientific evidence, suggestions based on various data sources, and expert opinions, it is possible to attain good precision, thus enhancing the reliability of the results for doctors and trainers. Furthermore, the obtained results strongly align with the existing literature, although further specific studies about this sport are necessary to draw a definitive conclusion.
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Fútbol , Humanos , Inteligencia Artificial , Teorema de Bayes , Reproducibilidad de los Resultados , Aprendizaje Automático , MúsculosRESUMEN
INTRODUCTION: Functional magnetic resonance imaging is a powerful tool that has provided many insights into cognitive sciences. Yet, as its analysis is mostly based on the knowledge of an a priori canonical hemodynamic response function (HRF), its reliability in patients' applications has been questioned. There have been reports of neurovascular uncoupling in patients with glioma, but no specific description of the Hemodynamic Response Function (HRF) in glioma has been reported so far. The aim of this work is to describe the HRF in patients with glioma. METHODS: Forty patients were included. MR images were acquired on a 1.5T scanner. Activated clusters were identified using a fuzzy general linear model; HRFs were adjusted with a double-gamma function. Analyses were undertaken considering the tumor grade, age, sex, tumor location, and activated location. RESULTS: Differences are found in the occipital, limbic, insular, and sub-lobar areas, but not in the frontal, temporal, and parietal lobes. The presence of a glioma slows the time-to-peak and onset times by 5.2 and 3.8 % respectively; high-grade gliomas present 8.1 % smaller HRF widths than low-grade gliomas. DISCUSSION AND CONCLUSION: There is significant HRF variation due to the presence of glioma, but the magnitudes of the observed differences are small. Most processing pipelines should be robust enough for this magnitude of variation and little if any impact should be visible on functional maps. The differences that have been observed in the literature between functional mapping obtained with magnetic resonance vs. that obtained with direct electrostimulation during awake surgery are more probably due to the intrinsic difference in the mapping process: fMRI mapping detects all recruited areas while intra-surgical mapping indicates only the areas indispensable for the realization of a certain task. Surgical mapping might not be the gold standard to use when trying to validate the fMRI mapping process.
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Electric power forecasting plays a substantial role in the administration and balance of current power systems. For this reason, accurate predictions of service demands are needed to develop better programming for the generation and distribution of power and to reduce the risk of vulnerabilities in the integration of an electric power system. For the purposes of the current study, a systematic literature review was applied to identify the type of model that has the highest propensity to show precision in the context of electric power forecasting. The state-of-the-art model in accurate electric power forecasting was determined from the results reported in 257 accuracy tests from five geographic regions. Two classes of forecasting models were compared: classical statistical or mathematical (MSC) and machine learning (ML) models. Furthermore, the use of hybrid models that have made significant contributions to electric power forecasting is identified, and a case of study is applied to demonstrate its good performance when compared with traditional models. Among our main findings, we conclude that forecasting errors are minimized by reducing the time horizon, that ML models that consider various sources of exogenous variability tend to have better forecast accuracy, and finally, that the accuracy of the forecasting models has significantly increased over the last five years.
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Terrestrial predators on marine shores benefit from the inflow of organisms and matter from the marine ecosystem, often causing very high predator densities and indirectly affecting the abundance of other prey species on shores. This indirect effect may be particularly strong if predators shift diets between seasons. We therefore quantified the seasonal variation in diet of two wolf spider species that dominate the shoreline predator community, using molecular gut content analyses with general primers to detect the full prey range. Across the season, spider diets changed, with predominantly terrestrial prey from May until July and predominantly marine prey (mainly chironomids) from August until October. This pattern coincided with a change in the spider age and size structure, and prey abundance data and resource selection analyses suggest that the higher consumption of chironomids during autumn is due to an ontogenetic diet shift rather than to variation in prey abundance. The analyses suggested that small dipterans with a weak flight capacity, such as Chironomidae, Sphaeroceridae, Scatopsidae and Ephydridae, were overrepresented in the gut of small juvenile spiders during autumn, whereas larger, more robust prey, such as Lepidoptera, Anthomyidae and Dolichopodidae, were overrepresented in the diet of adult spiders during spring. The effect of the inflow may be that the survival and growth of juvenile spiders is higher in areas with high chironomid abundances, leading to higher densities of adult spiders and higher predation rates on the terrestrial prey next spring.
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Ecosistema , Cadena Alimentaria , Arañas/fisiología , Animales , Chironomidae/clasificación , Chironomidae/genética , Dieta , Contenido Digestivo/química , Conducta Predatoria/fisiología , Arañas/genéticaRESUMEN
The symptomatic patent ductus arteriosus (sPDA) is common in extremely premature infants (EPI). In order to decrease the hemodynamic repercussion and avoid complications it is necessary to close it. Indomethacin or ibuprofen are used for this purpose with its associated risks. OBJECTIVE: Characterize digestive and renal complications in EPI who received indomethacin or ibuprofen as sPDA treatment. PATIENTS AND METHOD: Retrospective study on EPI between January-2004 and December-2013. Three groups were compared: treated with indomethacin or ibuprofen and a non-treated group. EPI with other serious complications were excluded. The primary outcomes on each group were digestive and/or renal complications. Statistical significance was p < 0.05. RESULTS: 599 EPI were included, 33.1% with PDA received treatment and 66.9% did not need it. A statistical association was found between sPDA and lower gestational ages, neonatal depression and respiratory distress. In the non-treated group, 5% presented enterocolitis and 0.25% renal failure; on the treated group, 2.5% presented enterocolitis and 1.0% renal failure. No significant differences were found between the treated and non-treated groups in relation to complications considering enterocolitis (p = 0.11) or renal failure (p = 0.33) alone, or combined (p = 0.17). No difference were detected either between those treated with indomethacin or ibuprofen. CONCLUSIONS: The results show that in absence of other clinical complication, medical treatment of sPDA with indomethacin or ibuprofen, do not increase the risk of serious digestive or renal disorders. There were no advantages of using indomethacin or ibuprofen over the other.
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Antiinflamatorios no Esteroideos/administración & dosificación , Conducto Arterioso Permeable/tratamiento farmacológico , Ibuprofeno/administración & dosificación , Indometacina/administración & dosificación , Antiinflamatorios no Esteroideos/efectos adversos , Enterocolitis/epidemiología , Femenino , Humanos , Ibuprofeno/efectos adversos , Indometacina/efectos adversos , Recien Nacido Extremadamente Prematuro , Recién Nacido , Masculino , Insuficiencia Renal/epidemiología , Estudios RetrospectivosRESUMEN
Forefoot (FF) and rearfoot (RF) running techniques can induce different lower-limb muscle activation patterns. However, few studies have evaluated temporal changes in the electromyographic activity (EMG) of lower limb muscles during running. The aim of this study was to compare temporal changes in EMG amplitude between RF and FF running techniques. Eleven recreational runners ran on a treadmill at a self-selected speed, once using a RF strike pattern and once using a FF strike pattern (randomized order). The EMG of five lower limb muscles [rectus femoris (RFe), biceps femoris (BF), tibialis anterior (TA), medial and lateral gastrocnemius (MG and LG)] was evaluated, using bipolar electrodes. EMG data from the RF and FF running techniques was then processed and compared with statistical parametric mapping (SPM), dividing the analysis of the running cycle into stance and swing phases. The MG and LG muscles showed higher activation during FF running at the beginning of the stance phase and at the end of the swing phase. During the end of the swing phase, the TA muscle's EMG amplitude was higher, when the RF running technique was used. A higher level of co-activation between the gastrocnemius and TA muscles was observed in both stance and swing phases using RF. The myoelectric behaviour of the RFe and BF muscles was similar during both running techniques. The current findings highlight that the two running techniques predominately reflect adjustments of the shank and not the thigh muscles, in both phases of the running cycle.HighlightsStatistical parametric mapping (SPM) can reveal temporal differences in muscle activity between running techniques.The medial and lateral gastrocnemius muscles were more active at specific time-instants of the initial stance and late swing phases during forefoot (FF) running compared to rearfoot (RF) running.Higher activation was observed for the tibialis anterior muscle at the end of the swing phase during RF runningContrary to the muscle activity differences observed in the leg muscles, the muscle activity of the thigh muscles was similar during RF and FF running.
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Pie , Extremidad Inferior , Humanos , Electromiografía , Pie/fisiología , Músculo Esquelético/fisiología , Pierna/fisiologíaRESUMEN
Cardiovascular diseases represent the leading cause of death worldwide. Thus, cardiovascular rehabilitation programs are crucial to mitigate the deaths caused by this condition each year, mainly in patients with coronary artery disease. COVID-19 was not only a challenge in this area but also an opportunity to open remote or hybrid versions of these programs, potentially reducing the number of patients who leave rehabilitation programs due to geographical/time barriers. This paper presents a method for building a cardiovascular rehabilitation prediction model using retrospective and prospective data with different features using stacked machine learning, transfer feature learning, and the joint distribution adaptation tool to address this problem. We illustrate the method over a Chilean rehabilitation center, where the prediction performance results obtained for 10-fold cross-validation achieved error levels with an NMSE of 0.03±0.013 and an R2 of 63±19%, where the best-achieved performance was an error level with a normalized mean squared error of 0.008 and an R2 up to 92%. The results are encouraging for remote cardiovascular rehabilitation programs because these models could support the prioritization of remote patients needing more help to succeed in the current rehabilitation phase.
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OBJECTIVES: Human tissues are usually studied using a series of two-dimensional visualizations of in vivo or cutout specimens. However, there is no precise anatomical description of some of the processes of human fetal development. The purpose of our study is to develop a quantitative description of the normal axial skeleton by means of high-resolution three-dimensional magnetic resonance (MR) images, collected from six normal 20-week-old human fetuses fixed in formaldehyde. METHODS: Fetuses were collected after spontaneous abortion and subsequently fixed with formalin. They were imaged using a 1.5 T MR scanner with an isotropic spatial resolution of 200 µm. The correct tissue discrimination between ossified and cartilaginous bones was confirmed by comparing the images achieved by MR scans and computerized axial tomographies. The vertebral column was segmented out from each image using a specially developed semi-automatic algorithm. RESULTS: Vertebral body dimensions and inter-vertebral distances were larger in the lumbar region, in agreement with the beginning of the ossification process from the thoracolumbar region toward the sacral and cephalic ends. CONCLUSION: In this article, we demonstrate the feasibility of using MR images to study the ossification process in formalin-fixed fetal tissues. A quantitative description of the ossification centers of vertebral bodies and arches is presented.
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Feto Abortado/diagnóstico por imagen , Huesos/diagnóstico por imagen , Huesos/embriología , Imagen por Resonancia Magnética , Osteogénesis/fisiología , Segundo Trimestre del Embarazo , Feto Abortado/anatomía & histología , Feto Abortado/efectos de los fármacos , Feto Abortado/embriología , Aborto Espontáneo/diagnóstico por imagen , Tipificación del Cuerpo/fisiología , Densidad Ósea/fisiología , Huesos/anatomía & histología , Huesos/fisiología , Femenino , Fémur/anatomía & histología , Fémur/diagnóstico por imagen , Formaldehído/farmacología , Edad Gestacional , Humanos , Imagen por Resonancia Magnética/métodos , Masculino , Tamaño de los Órganos , Embarazo , RadiografíaRESUMEN
Experts and international organizations hypothesize that the number of cases of fatal intimate partner violence against women increased during the COVID-19 pandemic, primarily due to social distancing strategies and the implementation of lockdowns to reduce the spread of the virus. We described cases of attempted femicide and femicide in Chile before (January 2014 to February 2020) and during (March 2020 to June 2021) the pandemic. The attempted-femicide rate increased during the pandemic (incidence rate ratio: 1.22 [95% confidence interval: 1.04 to 1.43], p value: 0.016), while the rate of femicide cases remained unchanged. When a comparison between attempted-femicide and femicide cases was performed, being a foreigner, having an intimate partner relationship with a perpetrator aged 40 years or more, and the use of firearms during the assault were identified as factors associated independently with a higher probability of being a fatal victim in Chile. In conclusion, this study emphasizes that attempted femicide and femicide continued to occur frequently in family contexts both before and during the COVID-19 pandemic.
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COVID-19 , Violencia de Pareja , COVID-19/epidemiología , Chile/epidemiología , Control de Enfermedades Transmisibles , Femenino , Homicidio , Humanos , PandemiasRESUMEN
The evaluation of white blood cells is essential to assess the quality of the human immune system; however, the assessment of the blood smear depends on the pathologist's expertise. Most machine learning tools make a one-level classification for white blood cell classification. This work presents a two-stage hybrid multi-level scheme that efficiently classifies four cell groups: lymphocytes and monocytes (mononuclear) and segmented neutrophils and eosinophils (polymorphonuclear). At the first level, a Faster R-CNN network is applied for the identification of the region of interest of white blood cells, together with the separation of mononuclear cells from polymorphonuclear cells. Once separated, two parallel convolutional neural networks with the MobileNet structure are used to recognize the subclasses in the second level. The results obtained using Monte Carlo cross-validation show that the proposed model has a performance metric of around 98.4% (accuracy, recall, precision, and F1-score). The proposed model represents a good alternative for computer-aided diagnosis (CAD) tools for supporting the pathologist in the clinical laboratory in assessing white blood cells from blood smear images.
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Introduction: In Chile, 1 in 8 pregnant women of middle socioeconomic level has gestational diabetes mellitus (GDM), and in general, 5-10% of women with GDM develop type 2 diabetes after giving birth. Recently, various technological tools have emerged to assist patients with GDM to meet glycemic goals and facilitate constant glucose monitoring, making these tasks more straightforward and comfortable. Objective: To evaluate the impact of remote monitoring technologies in assisting patients with GDM to achieve glycemic goals, and know the respective advantages and disadvantages when it comes to reducing risk during pregnancy, both for the mother and her child. Methods: A total of 188 articles were obtained with the keywords "gestational diabetes mellitus," "GDM," "gestational diabetes," added to the evaluation levels associated with "glucose level," "glycemia," "glycemic index," "blood sugar," and the technological proposal to evaluate with "glucometerm" "mobile application," "mobile applications," "technological tools," "telemedicine," "technovigilance," "wearable" published during the period 2016-2021, excluding postpartum studies, from three scientific databases: PUBMED, Scopus and Web of Science. These were managed in the Mendeley platform and classified using the PRISMA method. Results: A total of 28 articles were selected after elimination according to inclusion and exclusion criteria. The main measurement was glycemia and 4 medical devices were found (glucometer: conventional, with an infrared port, with Bluetooth, Smart type and continuous glucose monitor), which together with digital technology allow specific functions through 2 identified digital platforms (mobile applications and online systems). In four articles, the postprandial glucose was lower in the Tele-GDM groups than in the control group. Benefits such as improved glycemic control, increased satisfaction and acceptability, maternal confidence, decreased gestational weight gain, knowledge of GDM, and other relevant aspects were observed. There were also positive comments regarding the optimization of the medical team's time. Conclusion: The present review offers the opportunity to know about the respective advantages and disadvantages of remote monitoring technologies when it comes to reducing risk during pregnancy. GDM centered technology may help to evaluate outcomes and tailor personalized solutions to contribute to women's health. More studies are needed to know the impact on a healthcare system.
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Recent advances in medical imaging have confirmed the presence of altered hemodynamics in bicuspid aortic valve (BAV) patients. Therefore, there is a need for new hemodynamic biomarkers to refine disease monitoring and improve patient risk stratification. This research aims to analyze and extract multiple correlation patterns of hemodynamic parameters from 4D Flow MRI data and find which parameters allow an accurate classification between healthy volunteers (HV) and BAV patients with dilated and non-dilated ascending aorta using machine learning. Sixteen hemodynamic parameters were calculated in the ascending aorta (AAo) and aortic arch (AArch) at peak systole from 4D Flow MRI. We used sequential forward selection (SFS) and principal component analysis (PCA) as feature selection algorithms. Then, eleven machine-learning classifiers were implemented to separate HV and BAV patients (non- and dilated ascending aorta). Multiple correlation patterns from hemodynamic parameters were extracted using hierarchical clustering. The linear discriminant analysis and random forest are the best performing classifiers, using five hemodynamic parameters selected with SFS (velocity angle, forward velocity, vorticity, and backward velocity in AAo; and helicity density in AArch) a 96.31 ± 1.76% and 96.00 ± 0.83% accuracy, respectively. Hierarchical clustering revealed three groups of correlated features. According to this analysis, we observed that features selected by SFS have a better performance than those selected by PCA because the five selected parameters were distributed according to 3 different clusters. Based on the proposed method, we concluded that the feature selection method found five potentially hemodynamic biomarkers related to this disease.
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Enfermedad de la Válvula Aórtica Bicúspide , Enfermedades de las Válvulas Cardíacas , Válvula Aórtica/diagnóstico por imagen , Biomarcadores , Dilatación , Enfermedades de las Válvulas Cardíacas/diagnóstico por imagen , Hemodinámica , Humanos , Aprendizaje Automático , Imagen por Resonancia Magnética/métodosRESUMEN
Pregnant women may develop gestational diabetes mellitus (GDM), a disease of pregnancy characterised by maternal and fetal hyperglycaemia with hazardous consequences to the mother, the fetus, and the newborn. Maternal hyperglycaemia in GDM results in fetoplacental endothelial dysfunction. GDM-harmful effects result from chronic and short periods of hyperglycaemia. Thus, it is determinant to keep glycaemia within physiological ranges avoiding short but repetitive periods of hyper or hypoglycaemia. The variation of glycaemia over time is defined as 'glycaemia dynamics'. The latter concept regards with a variety of mechanisms and environmental conditions leading to blood glucose handling. In this review we summarized the different metrics for glycaemia dynamics derived from quantitative, plane distribution, amplitude, score values, variability estimation, and time series analysis. The potential application of the derived metrics from self-monitoring of blood glucose (SMBG) and continuous glucose monitoring (CGM) in the potential alterations of pregnancy outcome in GDM are discussed.
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Diabetes Gestacional , Hiperglucemia , Glucemia , Automonitorización de la Glucosa Sanguínea , Femenino , Humanos , Recién Nacido , EmbarazoRESUMEN
BACKGROUND: Calcific aortic valve stenosis (CAVS) is a fatal disease and there is no pharmacological treatment to prevent the progression of CAVS. This study aims to identify genes potentially implicated with CAVS in patients with congenital bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV) in comparison with patients having normal valves, using a knowledge-slanted random forest (RF). RESULTS: This study implemented a knowledge-slanted random forest (RF) using information extracted from a protein-protein interactions network to rank genes in order to modify their selection probability to draw the candidate split-variables. A total of 15,191 genes were assessed in 19 valves with CAVS (BAV, n = 10; TAV, n = 9) and 8 normal valves. The performance of the model was evaluated using accuracy, sensitivity, and specificity to discriminate cases with CAVS. A comparison with conventional RF was also performed. The performance of this proposed approach reported improved accuracy in comparison with conventional RF to classify cases separately with BAV and TAV (Slanted RF: 59.3% versus 40.7%). When patients with BAV and TAV were grouped against patients with normal valves, the addition of prior biological information was not relevant with an accuracy of 92.6%. CONCLUSION: The knowledge-slanted RF approach reflected prior biological knowledge, leading to better precision in distinguishing between cases with BAV, TAV, and normal valves. The results of this study suggest that the integration of biological knowledge can be useful during difficult classification tasks.
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Introduction: Artificial intelligence is widely used in medical field, and machine learning has been increasingly used in health care, prediction, and diagnosis and as a method of determining priority. Machine learning methods have been features of several tools in the fields of obstetrics and childcare. This present review aims to summarize the machine learning techniques to predict perinatal complications. Objective: To identify the applicability and performance of machine learning methods used to identify pregnancy complications. Methods: A total of 98 articles were obtained with the keywords "machine learning," "deep learning," "artificial intelligence," and accordingly as they related to perinatal complications ("complications in pregnancy," "pregnancy complications") from three scientific databases: PubMed, Scopus, and Web of Science. These were managed on the Mendeley platform and classified using the PRISMA method. Results: A total of 31 articles were selected after elimination according to inclusion and exclusion criteria. The features used to predict perinatal complications were primarily electronic medical records (48%), medical images (29%), and biological markers (19%), while 4% were based on other types of features, such as sensors and fetal heart rate. The main perinatal complications considered in the application of machine learning thus far are pre-eclampsia and prematurity. In the 31 studies, a total of sixteen complications were predicted. The main precision metric used is the AUC. The machine learning methods with the best results were the prediction of prematurity from medical images using the support vector machine technique, with an accuracy of 95.7%, and the prediction of neonatal mortality with the XGBoost technique, with 99.7% accuracy. Conclusion: It is important to continue promoting this area of research and promote solutions with multicenter clinical applicability through machine learning to reduce perinatal complications. This systematic review contributes significantly to the specialized literature on artificial intelligence and women's health.
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The handstand is an uncommon posture, highly demanding in terms of muscle and joint stability, used in sporting and artistic practices in a variety of disciplines. Despite its becoming increasingly widespread, there is no specific way to perform a handstand, and the neuromuscular organizational mechanisms involved are unknown. The objective of this study was to determine the muscle synergy of four handstand postures through a semblance analysis based on wavelets of electromyographic signals in the upper limbs of experienced circus performers between 18- and 35-year old. The results show that there is a large difference in positive and negative correlations depending on the posture, which suggests that the more asymmetrical the position of the lower limbs, the greater the number of strategies to maintain the posture. Although it is not a statistically significant data, it is observed that the posture 3 in particular, possesses the greatest number of positive correlations, which suggests it has the greatest synergy.
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Atletas , Postura , Adolescente , Adulto , Electromiografía , Humanos , Músculo Esquelético , Análisis de Ondículas , Adulto JovenRESUMEN
The prediction of air pollution is of great importance in highly populated areas because it directly impacts both the management of the city's economic activity and the health of its inhabitants. This work evaluates and predicts the Spatio-temporal behavior of air quality in Metropolitan Lima, Peru, using artificial neural networks. The conventional feedforward backpropagation known as Multilayer Perceptron (MLP) and the Recurrent Artificial Neural network known as Long Short-Term Memory networks (LSTM) were implemented for the hourly prediction of [Formula: see text] based on the past values of this pollutant and three meteorological variables obtained from five monitoring stations. The models were validated using two schemes: The Hold-Out and the Blocked-Nested Cross-Validation (BNCV). The simulation results show that periods of moderate [Formula: see text] concentration are predicted with high precision. Whereas, for periods of high contamination, the performance of both models, the MLP and LSTM, were diminished. On the other hand, the prediction performance improved slightly when the models were trained and validated with the BNCV scheme. The simulation results showed that the models obtained a good performance for the CDM, CRB, and SMP monitoring stations, characterized by a moderate to low level of contamination. However, the results show the difficulty of predicting this contaminant in those stations that present critical contamination episodes, such as ATE and HCH. In conclusion, the LSTM recurrent artificial neural networks with BNCV adapt more precisely to critical pollution episodes and have better predictability performance for this type of environmental data.
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PURPOSE: Intravoxel incoherent motion (IVIM) analysis has attracted the interest of the clinical community due to its close relationship with microperfusion. Nevertheless, there is no clear reference protocol for its implementation; one of the questions being which b-value distribution to use. This study aimed to stress the importance of the sampling scheme and to show that an optimized b-value distribution decreases the variance associated with IVIM parameters in the brain with respect to a regular distribution in healthy volunteers. METHODS: Ten volunteers were included in this study; images were acquired on a 1.5T MR scanner. Two distributions of 16 b-values were used: one considered 'regular' due to its close association with that used in other studies, and the other considered 'optimized' according to previous studies. IVIM parameters were adjusted according to the bi-exponential model, using two-step method. Analysis was undertaken in ROI defined using in the Automated Anatomical Labeling atlas, and parameters distributions were compared in a total of 832 ROI. RESULTS: Maps with fewer speckles were obtained with the 'optimized' distribution. Coefficients of variation did not change significantly for the estimation of the diffusion coefficient D but decreased by approximately 39% for the pseudo-diffusion coefficient estimation and by 21% for the perfusion fraction. Distributions of adjusted parameters were found significantly different in 50% of the cases for the perfusion fraction, in 80% of the cases for the pseudo-diffusion coefficient and 17% of the cases for the diffusion coefficient. Observations across brain areas show that the range of average values for IVIM parameters is smaller in the 'optimized' case. CONCLUSION: Using an optimized distribution, data are sampled in a way that the IVIM signal decay is better described and less variance is obtained in the fitted parameters. The increased precision gained could help to detect small variations in IVIM parameters.
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Encéfalo/diagnóstico por imagen , Imagen de Difusión por Resonancia Magnética/métodos , Procesamiento de Imagen Asistido por Computador/métodos , Humanos , Movimiento/fisiologíaRESUMEN
PURPOSE: Like other malignancies, GI stromal tumors (GIST) are highly heterogeneous. This not only applies to histologic features and malignant potential, but also to geographic incidence rates. Several studies have reported GIST incidence and prevalence in Europe and North America. In contrast, GIST incidence rates in South America are largely unknown, and only a few studies have reported GIST prevalence in Latin America. PATIENTS AND METHODS: Our study was part of a collaborative effort between Chile and Mexico, called Salud con Datos. We sought to determine GIST prevalence and patients' clinical characteristics, including survival rates, through retrospective analysis. RESULTS: Overall, 624 patients were included in our study. Our results found significant differences between Mexican and Chilean registries, such as stage at diagnosis, primary tumor location, CD117-positive immunohistochemistry status, mitotic index, and tumor size. Overall survival (OS) times for Chilean and Mexican patients with GIST were 134 and 156 months, respectively. No statistically significant differences in OS were detected by sex, age, stage at diagnosis, or recurrence status in both cohorts. As expected, patients categorized as being at high risk of recurrence displayed a trend toward poorer progression-free survival in both registries. CONCLUSION: To the best of our knowledge, this is the largest report from Latin America assessing the prevalence, clinical characteristics, postsurgery risk of recurrence, and outcomes of patients with GIST. Our data confirm surgery as the standard treatment of localized disease and confirm a poorer prognosis in patients with regional or distant disease. Finally, observed differences between registries could be a result of registration bias.
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Tumores del Estroma Gastrointestinal , Sistema de Registros , Chile/epidemiología , Europa (Continente) , Tumores del Estroma Gastrointestinal/epidemiología , Humanos , América Latina/epidemiología , México/epidemiología , Recurrencia Local de Neoplasia , América del Norte , Estudios RetrospectivosRESUMEN
Based on similarity measures in the wavelet domain under a multichannel EEG setting, two new methods are developed for single-trial event-related potential (ERP) detection. The first method, named "multichannel EEG thresholding by similarity" (METS), simultaneously denoises all of the information recorded by the channels. The second approach, named "semblance-based ERP window selection" (SEWS), presents two versions to automatically localize the ERP in time for each subject to reduce the time window to be analysed by removing useless features. We empirically show that when these methods are used independently, they are suitable for ERP denoising and feature extraction. Meanwhile, the combination of both methods obtains better results compared to using them independently. The denoising algorithm was compared with classic thresholding methods based on wavelets and was found to obtain better results, which shows its suitability for ERP processing. The combination of the two algorithms for denoising the signals and selecting the time window has been compared to xDAWN, which is an efficient algorithm to enhance ERPs. We conclude that our wavelet-based semblance method performs better than xDAWN for single-trial detection in the presence of artifacts or noise.