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1.
Int J Mol Sci ; 25(4)2024 Feb 11.
Artículo en Inglés | MEDLINE | ID: mdl-38396856

RESUMEN

The aim of this study was to conduct QuantiFERON Monitor (QFM) testing in patients with multiple sclerosis (MS), which is used to monitor the state of the immune system through the non-specific stimulation of leukocytes followed by determining the level of interferon-gamma (IFN-γ) released from activated cells. Additionally, we tested the level of selected cytokines (IFN-α, IFN-γ, IL-1α, IL-1ß, IL-1ra, IL-2, IL-3, IL-4, IL-6, IL-7, IL-10, IL-15, IL-33, VEGF) from stimulated blood samples to further understand the immune response. This study builds upon a previously published study, utilizing activated serum samples that were initially used for IFN-γ determination. However, our current focus shifts from IFN-γ to exploring other cytokines that could provide further insights into the immune response. A screening was conducted using Luminex technology, which yielded promising results. These results were then further elaborated upon using ELISA to provide a more detailed understanding of the cytokine profiles involved. This study, conducted from August 2019 to June 2023, included 280 participants: 98 RRMS patients treated with fingolimod (fMS), 96 untreated patients with progressive MS (pMS), and 86 healthy controls (HC). Our results include Violin plots showing elevated IL-1α in pMS and fMS. Statistical analysis indicated significant differences in the interleukin levels between groups, with IL-1ra and age as key predictors in differentiating HC from pMS and IL-1ra, IL-1α, age, and EDSS in distinguishing pMS from fMS. These findings suggest cytokines' potential as biomarkers in MS progression and treatment response.


Asunto(s)
Esclerosis Múltiple , Humanos , Esclerosis Múltiple/diagnóstico , Proteína Antagonista del Receptor de Interleucina 1 , Citocinas , Interferón gamma , Sistema Inmunológico
2.
Sensors (Basel) ; 21(16)2021 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-34451018

RESUMEN

Gait disorders accompany a number of neurological and musculoskeletal disorders that significantly reduce the quality of life. Motion sensors enable high-quality modelling of gait stereotypes. However, they produce large volumes of data, the evaluation of which is a challenge. In this publication, we compare different data reduction methods and classification of reduced data for use in clinical practice. The best accuracy achieved between a group of healthy individuals and patients with ataxic gait extracted from the records of 43 participants (23 ataxic, 20 healthy), forming 418 segments of straight gait pattern, is 98% by random forest classifier preprocessed by t-distributed stochastic neighbour embedding.


Asunto(s)
Trastornos Neurológicos de la Marcha , Calidad de Vida , Ataxia/diagnóstico , Marcha , Humanos
3.
Sensors (Basel) ; 20(5)2020 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-32164235

RESUMEN

Motion analysis is an important topic in the monitoring of physical activities and recognition of neurological disorders. The present paper is devoted to motion assessment using accelerometers inside mobile phones located at selected body positions and the records of changes in the heart rate during cycling, under different body loads. Acquired data include 1293 signal segments recorded by the mobile phone and the Garmin device for uphill and downhill cycling. The proposed method is based upon digital processing of the heart rate and the mean power in different frequency bands of accelerometric data. The classification of the resulting features was performed by the support vector machine, Bayesian methods, k-nearest neighbor method, and neural networks. The proposed criterion is then used to find the best positions for the sensors with the highest discrimination abilities. The results suggest the sensors be positioned on the spine for the classification of uphill and downhill cycling, yielding an accuracy of 96.5% and a cross-validation error of 0.04 evaluated by a two-layer neural network system for features based on the mean power in the frequency bands 〈 3 , 8 〉 and 〈 8 , 15 〉 Hz. This paper shows the possibility of increasing this accuracy to 98.3% by the use of more features and the influence of appropriate sensor positioning for motion monitoring and classification.


Asunto(s)
Acelerometría/métodos , Ciclismo , Monitores de Ejercicio , Frecuencia Cardíaca , Algoritmos , Teorema de Bayes , Teléfono Celular/instrumentación , Ejercicio Físico , Humanos , Modelos Estadísticos , Movimiento (Física) , Redes Neurales de la Computación , Reconocimiento de Normas Patrones Automatizadas , Reproducibilidad de los Resultados , Procesamiento de Señales Asistido por Computador , Programas Informáticos , Máquina de Vectores de Soporte
4.
Sensors (Basel) ; 20(5)2020 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-32121672

RESUMEN

This paper is devoted to proving two goals, to show that various depth sensors can be used to record breathing rate with the same accuracy as contact sensors used in polysomnography (PSG), in addition to proving that breathing signals from depth sensors have the same sensitivity to breathing changes as in PSG records. The breathing signal from depth sensors can be used for classification of sleep [d=R2]apneaapnoa events with the same success rate as with PSG data. The recent development of computational technologies has led to a big leap in the usability of range imaging sensors. New depth sensors are smaller, have a higher sampling rate, with better resolution, and have bigger precision. They are widely used for computer vision in robotics, but they can be used as non-contact and non-invasive systems for monitoring breathing and its features. The breathing rate can be easily represented as the frequency of a recorded signal. All tested depth sensors (MS Kinect v2, RealSense SR300, R200, D415 and D435) are capable of recording depth data with enough precision in depth sensing and sampling frequency in time (20-35 frames per second (FPS)) to capture breathing rate. The spectral analysis shows a breathing rate between 0.2 Hz and 0.33 Hz, which corresponds to the breathing rate of an adult person during sleep. To test the quality of breathing signal processed by the proposed workflow, a neural network classifier (simple competitive NN) was trained on a set of 57 whole night polysomnographic records with a classification of sleep [d=R2]apneaapnoas by a sleep specialist. The resulting classifier can mark all [d=R2]apneaapnoa events with 100% accuracy when compared to the classification of a sleep specialist, which is useful to estimate the number of events per hour. [d=R2]When compared to the classification of polysomnographic breathing signal segments by a sleep specialistand, which is used for calculating length of the event, the classifier has an [d=R1] F 1 score of 92.2%Accuracy of 96.8% (sensitivity 89.1% and specificity 98.8%). The classifier also proves successful when tested on breathing signals from MS Kinect v2 and RealSense R200 with simulated sleep [d=R2]apneaapnoa events. The whole process can be fully automatic after implementation of automatic chest area segmentation of depth data.


Asunto(s)
Síndromes de la Apnea del Sueño/fisiopatología , Sueño/fisiología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Polisomnografía/métodos , Respiración , Frecuencia Respiratoria/fisiología , Sensibilidad y Especificidad , Procesamiento de Señales Asistido por Computador
5.
Sensors (Basel) ; 20(9)2020 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-32370185

RESUMEN

Accurately diagnosing sleep disorders is essential for clinical assessments and treatments. Polysomnography (PSG) has long been used for detection of various sleep disorders. In this research, electrocardiography (ECG) and electromayography (EMG) have been used for recognition of breathing and movement-related sleep disorders. Bio-signal processing has been performed by extracting EMG features exploiting entropy and statistical moments, in addition to developing an iterative pulse peak detection algorithm using synchrosqueezed wavelet transform (SSWT) for reliable extraction of heart rate and breathing-related features from ECG. A deep learning framework has been designed to incorporate EMG and ECG features. The framework has been used to classify four groups: healthy subjects, patients with obstructive sleep apnea (OSA), patients with restless leg syndrome (RLS) and patients with both OSA and RLS. The proposed deep learning framework produced a mean accuracy of 72% and weighted F1 score of 0.57 across subjects for our formulated four-class problem.


Asunto(s)
Técnicas Biosensibles , Aprendizaje Profundo , Procesamiento de Señales Asistido por Computador , Trastornos del Sueño-Vigilia , Algoritmos , Electrocardiografía , Entropía , Frecuencia Cardíaca , Humanos , Polisomnografía , Respiración , Apnea Obstructiva del Sueño , Análisis de Ondículas
6.
Circ J ; 82(3): 866-873, 2018 02 23.
Artículo en Inglés | MEDLINE | ID: mdl-29176266

RESUMEN

BACKGROUND: The composition of intra-arterial clots might influence the efficacy of mechanical thrombectomy (MT) in ischemic stroke (IS) due to the acute occlusions within large cerebral arteries. The aims were to assess the factors associated with blood clot structure and the impact of thromboembolus structure on MT using stent-retrievers in patients with acute large artery IS in the anterior circulation.Methods and Results:In an observational cohort study, we studied the components of intra-arterial clots retrieved from large cerebral arteries in 80 patients with acute IS treated with MT with or without i.v. thrombolysis (IVT). Histology of the clots was carried out without knowledge of the clinical findings, including the treatment methods. The components of the clots, their age, origin and semi-quantitative graded changes in the architecture of the fibrin components (e.g., "thinning") were compared via neuro-interventional, clinical and laboratory data. The most prominent changes in the architecture of the fibrin components in the thromboemboli were associated with IVT (applied in 44 patients; OR, 3.50; 95% CI: 1.21-10.10, P=0.02) and platelet count (OR, 2.94; 95% CI: 1.06-8.12, P=0.04). CONCLUSIONS: In patients with large artery IS treated with the MT using stent-retrievers, bridging therapy with IVT preceding MT and higher platelet count were associated with significant changes of the histological structure of blood clots.


Asunto(s)
Fibrina/ultraestructura , Accidente Cerebrovascular/patología , Trombosis/patología , Adulto , Anciano , Anciano de 80 o más Años , Isquemia Encefálica , Estudios de Cohortes , Femenino , Humanos , Masculino , Trombolisis Mecánica , Persona de Mediana Edad , Recuento de Plaquetas , Stents , Accidente Cerebrovascular/terapia , Adulto Joven
7.
Neurol Neurochir Pol ; 52(5): 587-592, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30190211

RESUMEN

BACKGROUND: The goal of this study was to determine the characteristics that are affected in patients treated with glatiramer acetate (GA). METHODS: A total of 113 patients were included in this study. Patients were treated with glatiramer acetate (subcutaneous injection, 20 mg, each day). Peripheral blood samples were obtained just prior to treatment as well as 5 years after GA treatment. All the calculations were performed with the statistical system R (r-project.org). RESULTS: After 5 years of treatment, a significant decrease was found in the absolute and relative CD3+/CD69+ counts, the absolute and relative CD69 counts, the relative CD8+/CD38+ count and the relative CD38 count. A significant increase was found in the absolute and relative CD5+/CD45RA+ counts and the absolute CD5+/CD45RO+ count after 5 years of treatment. CONCLUSION: This study presents some parameters that were affected by long-term GA treatment.


Asunto(s)
Acetato de Glatiramer/farmacología , Linfocitos , Humanos , Péptidos
8.
Sensors (Basel) ; 17(6)2017 Jun 16.
Artículo en Inglés | MEDLINE | ID: mdl-28621708

RESUMEN

The paper is devoted to the study of facial region temperature changes using a simple thermal imaging camera and to the comparison of their time evolution with the pectoral area motion recorded by the MS Kinect depth sensor. The goal of this research is to propose the use of video records as alternative diagnostics of breathing disorders allowing their analysis in the home environment as well. The methods proposed include (i) specific image processing algorithms for detecting facial parts with periodic temperature changes; (ii) computational intelligence tools for analysing the associated videosequences; and (iii) digital filters and spectral estimation tools for processing the depth matrices. Machine learning applied to thermal imaging camera calibration allowed the recognition of its digital information with an accuracy close to 100% for the classification of individual temperature values. The proposed detection of breathing features was used for monitoring of physical activities by the home exercise bike. The results include a decrease of breathing temperature and its frequency after a load, with mean values -0.16 °C/min and -0.72 bpm respectively, for the given set of experiments. The proposed methods verify that thermal and depth cameras can be used as additional tools for multimodal detection of breathing patterns.


Asunto(s)
Respiración , Algoritmos , Inteligencia Artificial , Procesamiento de Imagen Asistido por Computador , Movimiento (Física)
9.
Sensors (Basel) ; 16(7)2016 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-27367687

RESUMEN

This paper is devoted to a new method of using Microsoft (MS) Kinect sensors for non-contact monitoring of breathing and heart rate estimation to detect possible medical and neurological disorders. Video sequences of facial features and thorax movements are recorded by MS Kinect image, depth and infrared sensors to enable their time analysis in selected regions of interest. The proposed methodology includes the use of computational methods and functional transforms for data selection, as well as their denoising, spectral analysis and visualization, in order to determine specific biomedical features. The results that were obtained verify the correspondence between the evaluation of the breathing frequency that was obtained from the image and infrared data of the mouth area and from the thorax movement that was recorded by the depth sensor. Spectral analysis of the time evolution of the mouth area video frames was also used for heart rate estimation. Results estimated from the image and infrared data of the mouth area were compared with those obtained by contact measurements by Garmin sensors (www.garmin.com). The study proves that simple image and depth sensors can be used to efficiently record biomedical multidimensional data with sufficient accuracy to detect selected biomedical features using specific methods of computational intelligence. The achieved accuracy for non-contact detection of breathing rate was 0.26% and the accuracy of heart rate estimation was 1.47% for the infrared sensor. The following results show how video frames with depth data can be used to differentiate different kinds of breathing. The proposed method enables us to obtain and analyse data for diagnostic purposes in the home environment or during physical activities, enabling efficient human-machine interaction.


Asunto(s)
Frecuencia Cardíaca/fisiología , Monitoreo Fisiológico/instrumentación , Respiración , Humanos , Movimiento , Factores de Tiempo , Grabación en Video
10.
Biomed Eng Online ; 14: 67, 2015 Jul 11.
Artículo en Inglés | MEDLINE | ID: mdl-26162755

RESUMEN

BACKGROUND: Plaster casts of individual patients are important for orthodontic specialists during the treatment process and their analysis is still a standard diagnostical tool. But the growing capabilities of information technology enable their replacement by digital models obtained by complex scanning systems. METHOD: This paper presents the possibility of using a digital camera as a simple instrument to obtain the set of digital images for analysis and evaluation of the treatment using appropriate mathematical tools of image processing. The methods studied in this paper include the segmentation of overlapping dental bodies and the use of different illumination sources to increase the reliability of the separation process. The circular Hough transform, region growing with multiple seed points, and the convex hull detection method are applied to the segmentation of orthodontic plaster cast images to identify dental arch objects and their sizes. RESULTS: The proposed algorithm presents the methodology of improving the accuracy of segmentation of dental arch components using combined illumination sources. Dental arch parameters and distances between the canines and premolars for different segmentation methods were used as a measure to compare the results obtained. CONCLUSION: A new method of segmentation of overlapping dental arch components using digital records of illuminated plaster casts provides information with the precision required for orthodontic treatment. The distance between corresponding teeth was evaluated with a mean error of 1.38% and the Dice similarity coefficient of the evaluated dental bodies boundaries reached 0.9436 with a false positive rate [Formula: see text] and false negative rate [Formula: see text].


Asunto(s)
Algoritmos , Arco Dental/anatomía & histología , Técnica de Colado Dental , Registros Odontológicos , Registros Electrónicos de Salud , Procesamiento de Imagen Asistido por Computador/métodos , Fotograbar/métodos , Conversión Analogo-Digital , Conjuntos de Datos como Asunto , Humanos , Almacenamiento y Recuperación de la Información , Iluminación/métodos , Relación Señal-Ruido
11.
Biomed Eng Online ; 14: 97, 2015 Oct 24.
Artículo en Inglés | MEDLINE | ID: mdl-26499251

RESUMEN

BACKGROUND: Analysis of gait features provides important information during the treatment of neurological disorders, including Parkinson's disease. It is also used to observe the effects of medication and rehabilitation. The methodology presented in this paper enables the detection of selected gait attributes by Microsoft (MS) Kinect image and depth sensors to track movements in three-dimensional space. METHODS: The experimental part of the paper is devoted to the study of three sets of individuals: 18 patients with Parkinson's disease, 18 healthy aged-matched individuals, and 15 students. The methodological part of the paper includes the use of digital signal-processing methods for rejecting gross data-acquisition errors, segmenting video frames, and extracting gait features. The proposed algorithm describes methods for estimating the leg length, normalised average stride length (SL), and gait velocity (GV) of the individuals in the given sets using MS Kinect data. RESULTS: The main objective of this work involves the recognition of selected gait disorders in both the clinical and everyday settings. The results obtained include an evaluation of leg lengths, with a mean difference of 0.004 m in the complete set of 51 individuals studied, and of the gait features of patients with Parkinson's disease (SL: 0.38 m, GV: 0.61 m/s) and an age-matched reference set (SL: 0.54 m, GV: 0.81 m/s). Combining both features allowed for the use of neural networks to classify and evaluate the selectivity, specificity, and accuracy. The achieved accuracy was 97.2 %, which suggests the potential use of MS Kinect image and depth sensors for these applications. CONCLUSIONS: Discussion points include the possibility of using the MS Kinect sensors as inexpensive replacements for complex multi-camera systems and treadmill walking in gait-feature detection for the recognition of selected gait disorders.


Asunto(s)
Marcha , Imagenología Tridimensional/métodos , Enfermedad de Parkinson/fisiopatología , Aceleración , Adulto , Anciano , Anciano de 80 o más Años , Algoritmos , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Persona de Mediana Edad , Red Nerviosa
12.
Biomed Eng Online ; 13: 68, 2014 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-24893983

RESUMEN

BACKGROUND: Diagnostic orthodontic and prosthetic procedures commence with an initial examination, during which a number of individual findings on occlusion or malocclusion are clarified. Nowadays we try to replace standard plaster casts by scanned objects and digital models. METHOD: Geometrically calibrated images aid in the comparison of several different steps of the treatment and show the variation of selected features belonging to individual biomedical objects. The methods used are based on geometric morphometrics, making a new approach to the evaluation of the variability of features. The study presents two different methods of measurement and shows their accuracy and reliability. RESULTS: The experimental part of the present paper is devoted to the analysis of the dental arch objects of 24 patients before and after the treatment using the distances between the canines and premolars as the features important for diagnostic purposes. Our work proved the advantage of measuring digitalized orthodontic models over manual measuring of plaster casts, with statistically significant results and accuracy sufficient for dental practice. CONCLUSION: A new method of computer imaging and measurements of a dental stone cast provides information with the precision required for orthodontic treatment. The results obtained point to the reduction in the variance of the distances between the premolars and canines during the treatment, with a regression coefficient RC=0.7 and confidence intervals close enough for dental practice. The ratio of these distances pointed to the nearly constant value of this measure close to 0.84 for the given set of 24 individuals.


Asunto(s)
Simulación por Computador , Ortodoncia/métodos , Diente/anatomía & histología , Diente/cirugía , Moldes Quirúrgicos , Humanos , Análisis de Regresión , Programas Informáticos
13.
Conscious Cogn ; 30: 13-23, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25129036

RESUMEN

Complex continuous wavelet coherence (WTC) can be used for non-stationary signals, such as electroencephalograms. Areas of the WTC with a coherence higher than the calculated optimal threshold were obtained, and the sum of their areas was used as a criterion to differentiate between groups of experienced insight-focused meditators, calm-focused meditators and a control group. This method demonstrated the highest accuracy for the real WTC parts in the frontal region, while for the imaginary parts, the highest accuracy was shown for the frontal occipital pairs of electrodes. In the frontal area, in the broadband frequency, both types of experienced meditators demonstrated an enlargement of the increased coherence areas for the real WTC parts. For the imaginary parts unaffected by the volume conduction and global artefacts, the most significant increase occurred for the frontal occipital pair of electrodes.


Asunto(s)
Corteza Cerebral/fisiología , Electroencefalografía/métodos , Meditación/psicología , Adulto , Femenino , Humanos , Imaginación/fisiología , Masculino , Persona de Mediana Edad , Adulto Joven
14.
Acta Medica (Hradec Kralove) ; 57(4): 157-61, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25938899

RESUMEN

INTRODUCTION: The issue of resistance to antiplatelet therapy has raised many questions in the area of neurovascular diseases. The first objective of this work was to determine the prevalence of aspirin resistance in neurovascular patients with clinical non-responsiveness to aspirin treatment and a high-risk of atherothrombotic complications using two interpretable and independent methods (aggregation and PFA 100). The second objective was to find the correlation between both assays and to evaluate the results in groups at risk for various cerebrovascular diseases. MATERIAL AND METHODS: Laboratory tests of aspirin resistance were performed in 79 patients with clinical non-responsiveness to aspirin treatment suffering from neurovascular diseases. Patients were divided into the two groups: expected low risk for aspirin resistance due to the first manifestation of a neurovascular disease (n = 34) and expected high risk due to the second clinical manifestation of a neurovascular disease (n = 45). RESULTS: The prevalence of aspirin resistance in both groups combined as determined by the PFA-100 and CPG techniques were 50.6% and 17.7%, respectively. No correlation was found between the two techniques. CONCLUSIONS: No significant prevalence of aspirin resistance was demonstrated by either method despite the heterogeneous pathophysiological mechanisms. However, we are presently unable to provide an accurate opinion on the value of laboratory test result or routine monitoring in clinical neurology.


Asunto(s)
Aspirina/farmacología , Trastornos Cerebrovasculares/tratamiento farmacológico , Resistencia a Medicamentos , Inhibidores de Agregación Plaquetaria/farmacología , Anciano , Femenino , Humanos , Masculino , Prevalencia
15.
Neurol Neurochir Pol ; 48(1): 35-8, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24636768

RESUMEN

BACKGROUND AND PURPOSE: Coherence changes can reflect the pathophysiological processes involved in human ageing. We conducted a retrospective population study that sought to analyze the age-related changes in EEG coherence in a group of 17,722 healthy professional drivers. MATERIALS AND METHODS: The EEGs were obtained using a standard 10-20 electrode configuration on the scalp. The recordings from 19 scalp electrodes were taken while the participants' eyes were closed. The linear correlations between the age and coherence were estimated by linear regression analysis. RESULTS: Our results showed a significant decrease in coherence with age in the theta and alpha bands, and there was an increasing coherence with the beta bands. The most prominent changes occurred in the alpha bands. The delta bands contained movement artefacts, which most likely do not change with age. CONCLUSIONS: The age-related EEG desynchrony can be partly explained by the age-related reduction of cortical connectivity. Higher frequencies of oscillations require less cortical area of high coherence. These findings explain why the lowest average coherence values were observed in the beta and sigma bands, as well as why the beta bands show borderline statistical significance and the sigma bands show non-significance. The age-dependent decrease in coherence may influence the estimation of age-related changes in EEG energy due to phase cancellation.


Asunto(s)
Envejecimiento/fisiología , Sincronización de Fase en Electroencefalografía/fisiología , Electroencefalografía , Adulto , Anciano , Algoritmos , Ritmo alfa/fisiología , Ritmo beta/fisiología , Interpretación Estadística de Datos , Ritmo Delta/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Ritmo Teta/fisiología , Adulto Joven
16.
Biomedicines ; 12(2)2024 Feb 09.
Artículo en Inglés | MEDLINE | ID: mdl-38398006

RESUMEN

The safety and efficacy of intravenous thrombolysis (IVT) are well established in anterior circulation stroke (ACS) but are much less clear for posterior circulation stroke (PCS). The aim of this study was to evaluate the occurrence of parenchymal hematoma (PH) and 3-month clinical outcomes after IVT in PCS and ACS. In an observational, cohort multicenter study, we analyzed data from ischemic stroke patients treated with IVT prospectively collected in the SITS (Safe Implementation of Treatments in Stroke) registry in the Czech Republic between 2004 and 2018. Out of 10,211 patients, 1166 (11.4%) had PCS, and 9045 (88.6%) ACS. PH was less frequent in PCS versus ACS patients: 3.6 vs. 5.9%, odds ratio (OR) = 0.594 in the whole set, 4.4 vs. 7.8%, OR = 0.543 in those with large vessel occlusion (LVO), and 2.2 vs. 4.7%, OR = 0.463 in those without LVO. At 3 months, PCS patients compared with ACS patients achieved more frequently excellent clinical outcomes (modified Rankin scale [mRS] 0-1: 55.5 vs. 47.6%, OR = 1.371 in the whole set and 49.2 vs. 37.6%, OR = 1.307 in those with LVO), good clinical outcomes (mRS 0-2: 69.9 vs. 62.8%, OR = 1.377 in the whole set and 64.5 vs. 50.5%, OR = 1.279 in those with LVO), and had lower mortality (12.4 vs. 16.6%, OR = 0.716 in the whole set and 18.4 vs. 25.5%, OR = 0.723 in those with LVO) (p < 0.05 in all cases). In PCS versus ACS patients, an extensive analysis showed a lower risk of PH both in patients with and without LVO, more frequent excellent and good clinical outcomes, and lower mortality 3 months after IVT in patients with LVO.

17.
Cogn Behav Neurol ; 26(4): 189-94, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24378604

RESUMEN

We describe a patient with corticobasal syndrome in whom neuropathological examination on autopsy revealed Pick and Alzheimer diseases in comorbidity. Corticobasal degeneration is a tauopathy usually associated with asymmetric parkinsonism, parietal lobe involvement, and cognitive impairment. Corticobasal syndrome is the clinical presentation of corticobasal degeneration without neuropathological confirmation. A 66-year-old right-handed man slowly developed speech difficulties, right-hand clumsiness, and forgetfulness. His speech apraxia progressed to mutism with preserved comprehension, and his clumsiness progressed to severe apraxia involving both hands. He developed behavioral changes and severe amnesia. All of these features were consistent with corticobasal syndrome. His loss of episodic, verbal, and visuospatial memory suggested Alzheimer disease; however, beyond his frontotemporal neuropsychological profile, he had few symptoms characteristic of frontal lobe dementia. Magnetic resonance imaging scans showed worsening temporal, frontal, and parietal atrophy, predominant in the left hemisphere. Neuropathological examination at autopsy revealed abundant neuritic plaques and neurofibrillary tangles consistent with fully developed Alzheimer disease, as well as numerous intraneuronal Pick bodies in the frontotemporal lobes. Our findings confirm the importance of clinical and neuropathological correlations in patients with atypical neurodegenerative dementias.


Asunto(s)
Enfermedad de Alzheimer/diagnóstico , Ganglios Basales/patología , Corteza Cerebral/patología , Enfermedad de Pick/diagnóstico , Anciano , Enfermedad de Alzheimer/complicaciones , Enfermedad de Alzheimer/patología , Apraxias/etiología , Atrofia/diagnóstico , Autopsia , Enfermedades de los Ganglios Basales/patología , Trastornos del Conocimiento/patología , Comorbilidad , Demencia/patología , Humanos , Imagen por Resonancia Magnética , Masculino , Trastornos de la Memoria/patología , Mutismo/etiología , Enfermedad de Pick/complicaciones , Enfermedad de Pick/patología , Síndrome
18.
J Immunol Res ; 2023: 4653627, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37064009

RESUMEN

Background: The QuantiFERON®-Monitor (QFM) is an assay that measures interferon-γ production and was developed to provide an objective marker of complex immune response. In this study, we evaluated the use of the QFM test in patients with two forms of multiple sclerosis (MS), relapsing-remitting form treated with fingolimod (fMS) and secondarily progressive form not treated pharmacologically (pMS), and in healthy controls (HC). We hypothesized that IFN-γ levels would be lower in those subjects who are relatively more immunosuppressed and higher in those with normal or activated immune function. Methods: This single-center observational study was conducted from November 2020 to October 2021 and compared results in three groups of patients: 86 healthy controls, 96 patients with pMS, and 78 fMS. Combination of lyophilized stimulants was added to 1 ml heparinized whole blood within 8 hr of collection. Plasmatic IFN-γ was measured using the ELISA kit for the QFM and data were obtained in IU/ml. Results: The results showed that controls had nearly 2-fold higher levels of IFN-γ (QFM score) in median (q25, q75) 228.00 (112.20, 358.67) than the MS patient groups: pMS 144.80 (31.23, 302.00); fMS 130.50 (39.95, 217.07) which is statistically significant difference P-value: HC vs. pMS = 0.0071; HC vs. fMS = 0.0468. This result was also confirmed by a validation analysis to exclude impact of variable factors, such as disease duration and Expanded Disability Status Scale scores. Conclusions: Results showed that controls had higher levels of IFN-γ production than the MS patient groups and suggest that MS patients included in this study have a lower ability of immune system activation than HC. Results confirm that fingolimod is able to suppress production of IFN-γ. The fact that the QFM score of MS patients is significantly lower than that of HC may indicate a dysfunctional state of the immune system in baseline conditions.


Asunto(s)
Esclerosis Múltiple Recurrente-Remitente , Esclerosis Múltiple , Humanos , Esclerosis Múltiple/diagnóstico , Esclerosis Múltiple/tratamiento farmacológico , Clorhidrato de Fingolimod/uso terapéutico , Interferón gamma , Ensayo de Inmunoadsorción Enzimática , Sistema Inmunológico
19.
Artículo en Inglés | MEDLINE | ID: mdl-36001515

RESUMEN

Gait analysis and the assessment of rehabilitation exercises are important processes that occur during fitness level monitoring and the treatment of neurological disorders. This paper presents the possibility of using oximetric, heart rate (HR), accelerometric, and global navigation satellite systems (GNSSs) to analyse signals recorded during uphill and downhill walking without and with a face mask to find its influence on physiological functions during selected walking patterns. The experimental dataset includes 86 signal segments acquired under different conditions. The proposed methodology is based on signal analysis in both the time and frequency domains. The results indicate that face mask use has a minimal effect on blood oxygen concentration and heart rate, with the average mean changes of these parameters being less than 2%. The support vector machine, a Bayesian method, the k -nearest neighbour method, and a two-layer neural network showed very good separation abilities and successfully classified different walking patterns only in the case when the effect of face mask wearing was not included in the classification process. Our methodology suggests that artificial intelligence and machine learning tools are efficient methods for the assessment of motion patterns in different motion conditions and that face masks have a negligible effect for short-duration experiments.


Asunto(s)
Inteligencia Artificial , Máscaras , Teorema de Bayes , Humanos , Redes Neurales de la Computación , Caminata/fisiología
20.
Med Biol Eng Comput ; 59(11-12): 2287-2296, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34535856

RESUMEN

Alzheimer's disease is diagnosed via means of daily activity assessment. The EEG recording evaluation is a supporting tool that can assist the practitioner to recognize the illness, especially in the early stages. This paper presents a new approach for detecting Alzheimer's disease and potentially mild cognitive impairment according to the measured EEG records. The proposed method evaluates the amount of novelty in the EEG signal as a feature for EEG record classification. The novelty is measured from the parameters of EEG signal adaptive filtration. A linear neuron with gradient descent adaptation was used as the filter in predictive settings. The extracted feature (novelty measure) is later classified to obtain Alzheimer's disease diagnosis. The proposed approach was cross-validated on a dataset containing EEG records of 59 patients suffering from Alzheimer's disease; seven patients with mild cognitive impairment (MCI) and 102 controls. The results of cross-validation yield 90.73% specificity and 89.51% sensitivity. The proposed method of feature extraction from EEG is completely new and can be used with any classifier for the diagnosis of Alzheimer's disease from EEG records.


Asunto(s)
Enfermedad de Alzheimer , Disfunción Cognitiva , Enfermedad de Alzheimer/diagnóstico , Disfunción Cognitiva/diagnóstico , Electroencefalografía , Humanos
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