Cardiac injuries in blunt chest trauma

Blunt chest traumas are a clinical challenge, both for diagnosis and treatment. The use ofCardiovascular Magnetic Resonance can play a major role in this setting. We present two cases: a12-year-old boy and 45-year-old man. Late gadolinium enhancement imaging enabled visualizationof myocardial damage resulting from the trauma.

Bilinear models for spatio-temporal point distribution analysis: application to extrapolation of left ventricular, biventricular and whole heart cardiac dynamics

In this work we describe the usage of bilinear statistical models as a means of factoring the shape variability into two components attributed to inter-subject variation and to the intrinsic dynamics of the human heart. We show that it is feasible to reconstruct the shape of the heart at discrete points in the cardiac cycle. Provided we are given a small number of shape instances representing the same heart atdifferent points in the same cycle, we can use the bilinearmodel to establish this. Using a temporal and a spatial alignment step in the preprocessing of the shapes, around half of the reconstruction errors were on the order of the axial image resolution of 2 mm, and over 90% was within 3.5 mm. From this, weconclude that the dynamics were indeed separated from theinter-subject variability in our dataset.

Temporal diffeomorphic free-form deformation: application to motion and strain estimation from 3D echocardiography

This paper presents a new registration algorithm, called Temporal Di eomorphic Free Form Deformation (TDFFD), and its application to motion and strain quanti cation from a sequence of 3D ultrasound (US) images. The originality of our approach resides in enforcing time consistency by representing the 4D velocity eld as the sum of continuous spatiotemporal B-Spline kernels. The spatiotemporal displacement eld is then recovered through forward Eulerian integration of the non-stationary velocity eld. The strain tensor iscomputed locally using the spatial derivatives of the reconstructed displacement eld. The energy functional considered in this paper weighs two terms: the image similarity and a regularization term. The image similarity metric is the sum of squared di erences between the intensities of each frame and a reference one. Any frame in the sequence can be chosen as reference. The regularization term is based on theincompressibility of myocardial tissue. TDFFD was compared to pairwise 3D FFD and 3D+t FFD, bothon displacement and velocity elds, on a set of synthetic 3D US images with di erent noise levels. TDFFDshowed increased robustness to noise compared to these two state-of-the-art algorithms. TDFFD also proved to be more resistant to a reduced temporal resolution when decimating this synthetic sequence. Finally, this synthetic dataset was used to determine optimal settings of the TDFFD algorithm. Subsequently, TDFFDwas applied to a database of cardiac 3D US images of the left ventricle acquired from 9 healthy volunteers and 13 patients treated by Cardiac Resynchronization Therapy (CRT). On healthy cases, uniform strain patterns were observed over all myocardial segments, as physiologically expected. On all CRT patients, theimprovement in synchrony of regional longitudinal strain correlated with CRT clinical outcome as quanti ed by the reduction of end-systolic left ventricular volume at follow-up (6 and 12 months), showing the potential of the proposed algorithm for the assessment of CRT.

Characterization of myocardial deformation in patients with different etiologies of left ventricular hypertrophy by using strain distribution from Magnetic Resonance Imaging

Introducción y objetivos. Se ha señalado que, en la miocardiopatía hipertrófica (MCH), la desorganización de las fibras regionales da lugar a segmentos en los que la deformación es nula o está gravemente reducida, y que estos segmentos tienen una distribución no uniforme en el ventrículo izquierdo (VI). Esto contrasta con lo observado en otros tipos de hipertrofia como en el corazón de atleta o la hipertrofia ventricular izquierda hipertensiva (HVI-HT), en los que puede haber una deformación cardiaca anormal, pero nunca tan reducida como para que se observe ausencia de deformación. Así pues, proponemos el empleo de la distribución de los valores de strain para estudiar la deformación en la MCH. Métodos. Con el empleo de resonancia magnética marcada (tagged), reconstruimos la deformación sistólica del VI de 12 sujetos de control, 10 atletas, 12 pacientes con MCH y 10 pacientes con HVI-HT. La deformación se cuantificó con un algoritmo de registro no rígido y determinando los valores de strain sistólico máximo radial y circunferencial en 16 segmentos del VI. Resultados. Los pacientes con MCH presentaron unos valores medios de strain significativamente inferiores a los de los demás grupos. Sin embargo, aunque la deformación observada en los individuos sanos y en los pacientes con HVI-HT se concentraba alrededor del valor medio, en la MCH coexistían segmentos con contracción normal y segmentos con una deformación nula o significativamente reducida, con lo que se producía una mayor heterogeneidad de los valores de strain. Se observaron también algunos segmentos sin deformación incluso en ausencia de fibrosis o hipertrofia. Conclusiones. La distribución de strain caracteriza los patrones específicos de deformación miocárdica en pacientes con diferentes etiologías de la HVI. Los pacientes con MCH presentaron un valor medio de strain significativamente inferior, así como una mayor heterogeneidad de strain (en comparación con los controles, los atletas y los pacientes con HVI-HT), y tenían regiones sin deformación.

Réquiem por la muerte del yo artista

RÉQUIEM POR LA MUERTE DEL YO ARTISTA es un proyecto audiovisual en forma de performance sobre la música del compositor finlandés contemporáneo Einojuhani Rautavaara, los Requiem del poeta alemán Rainer Maria Rilke y la concepción filosófica del arte y su comercialidad del artista americano Andy Warhol. RÉQUIEM POR LA MUERTE DEL YO ARTISTA es mi sangre. Es mi compromiso. Trata sobre la dualidad entre el artista y la persona, y cómo esto afecta a nuestro arte. RÉQUIEM POR LA MUERTE DEL YO ARTISTA es una operación de corazón. Es provocación; es sobre vomitar tu mente y estar sediento de futuro. Es comerte a ti mismo. Pero sobre todo, es mi concepción de arte: arte es todo aquello por lo que el creador esté dispuesto a morir.

Cantant entre guerres : música coral per a veus blanques a França i Catalunya a principis del segle XX

Aquest treball busca definir algunes característiques comunes d'obres musicals escrites a principis del segle XX per compositors francesos i catalans per a cor de veus blanques, mitjançant l'estudi de les seves biografies i l'anàlisi de les pròpies obres. Aquestes peces, compostes en llocs i moments diferents, convergeixen però en alguns punts estilístics, transcendint les fronteres per contribuir a l'elaboració d'un llenguatge propi d'un entorn cultural més ampli, de París a Barcelona.

Efectes de l’altura solar, la nuvolositat i la temperatura en les mesures dels piranòmetres de silici = Efectos de la altura solar, la nubosidad y la temperatura en las medidas de los piranometros de silicio

La mesura de la irradiància solar en superfície es fa mitjançant piranòmetres amb sensor termoelèctric o amb sensor de silici. Aquests darrers presenten una resposta espectral no uniforme i limitada a la banda de 400 a 1100 nm, i, a més, la seva sensibilitat depèn fortament de la temperatura. Els piranòmetres termoelèctrics, en canvi, presenten una resposta espectral uniforme en la banda solar, i un coeficient de temperatura reduït. L’objectiu de l’estudi que es presenta ha estat millorar l’acord entre les mesures d’irradiància global preses amb un piranòmetre termoelèctric CM11 de Kipp & Zonen, i diversos piranòmetres fotovoltaics o de silici Li200SA de Li-Cor. Com que la resposta angular dels sensors s’aparta en general de la resposta cosinus ideal, es proposen unes correccions a tal efecte. S’han analitzat les dades minutals corresponents a un cicle anual de mesures d’irradiància preses pels dos tipus de piranòmetres a l’estació radiomètrica de la Universitat de Girona. Les correccions proposades per la resposta angular dels instruments es basen en bibliografia prèvia, i també en simulacions realitzades amb un model espectral de transferència radiativa multicapa. La simulació ha permès obtenir correccions per compensar les diferents respostes angulars i espectrals dels dos tipus d’instruments. Per a cels serens, les correccions angulars i espectrals milloren notablement l’acord entre les mesures dels dos tipus de piranòmetres. També es proposa una correcció de l’efecte de la temperatura sobre la mesura dels piranòmetres de silici, obtinguda empíricament. Malgrat que les correccions s’han obtingut per a cels serens, han estat també aplicades a condicions de cel ennuvolat, caracteritzades objectivament mitjançant un algorisme basat en mesures d’irradiància global i difusa. Finalment s’ha comprovat que les correccions també milloren l’acord entre les mesures dels dos tipus de sensors independentment de l’extensió de la coberta de núvols

The set of undominated imputations and the core: an axiomatic approach

This paper provides an axiomatic framework to compare the D-core (the set of undominatedimputations) and the core of a cooperative game with transferable utility. Theorem1 states that the D-core is the only solution satisfying projection consistency, reasonableness (from above), (*)-antimonotonicity, and modularity. Theorem 2 characterizes the core replacing (*)-antimonotonicity by antimonotonicity. Moreover, these axioms alsocharacterize the core on the domain of convex games, totally balanced games, balancedgames, and superadditive games

Obesity and the incidence of chronic diseases: a seemingly unrelated probit approach

Western societies can reduce avoidable mortality and morbidity by better understanding the relationship between obesity and chronic disease. This paper examines the joint determinants of obesity and of heart disease, diabetes, hypertension, and elevated cholesterol. It analyzes a broadly representative Spanish dataset, the 1999 Survey on Disabilities, Impairments and Health Status, using a health production theoretical framework together with a seemingly unrelated probit model approach that controls for unobserved heterogeneity and endogeneity. Its findings provide suggestive evidence of a positive and significant, although specification-dependent, association between obesity and the prevalence of chronic illness

The set of undominated imputations and the core: an axiomatic approach

This paper provides an axiomatic framework to compare the D-core (the set of undominatedimputations) and the core of a cooperative game with transferable utility. Theorem1 states that the D-core is the only solution satisfying projection consistency, reasonableness (from above), (*)-antimonotonicity, and modularity. Theorem 2 characterizes the core replacing (*)-antimonotonicity by antimonotonicity. Moreover, these axioms alsocharacterize the core on the domain of convex games, totally balanced games, balancedgames, and superadditive games

Neck pounding during sinus rhythm: a new clinical manifestation of dual atrioventricular nodal pathways

Objective To determine the clinical and electrophysiological characteristics of patients with paroxysmal palpitations and neck pounding during sinus rhythm. Methods Clinical, electrocardiographic, and electrophysiological characteristics of six patients with paroxysmal palpitations and neck pounding during sinus rhythm were studied in basal conditions and when symptomatic. Response to treatment was observed. Results Baseline ECGs were normal (four patients) or had first degree atrioventricular block with intermittent PR shortening. During symptoms, narrow QRS rhythms were seen without visible P waves (three patients) or with P waves partially hidden in the QRS complex (three patients). Dual atrioventricular nodal pathways were found in all five patients who had electrophysiological studies. In these patients the slow pathway conduction time was long enough (mean (SD), 425 (121)¿ms) for ventricular activation after slow pathway conduction during sinus rhythm to coincide with the next atrial depolarisation, causing neck pounding during exercise (four patients) or at rest (two patients). Tachycardia was not induced in any patient. Medical treatment aggravated symptoms in three patients. A pacemaker was successfully used in two. Conclusions Neck pounding during sinus rhythm is a clinical manifestation of dual atrioventricular nodal pathways. Medical treatment may aggravate symptoms but a pacemaker may offer definitive relief.

Obesity and the incidence of chronic diseases: a seemingly unrelated probit approach

Western societies can reduce avoidable mortality and morbidity by better understanding the relationship between obesity and chronic disease. This paper examines the joint determinants of obesity and of heart disease, diabetes, hypertension, and elevated cholesterol. It analyzes a broadly representative Spanish dataset, the 1999 Survey on Disabilities, Impairments and Health Status, using a health production theoretical framework together with a seemingly unrelated probit model approach that controls for unobserved heterogeneity and endogeneity. Its findings provide suggestive evidence of a positive and significant, although specification-dependent, association between obesity and the prevalence of chronic illness

Una reflexió sobre la relació entre el grau de presencialitat i el procés d'aprenentatge-avaluació

El presente trabajo propone una reflexión sobre la relación entre el sistema de enseñanza-aprendizaje y el grado de presencialidad tomando como punto de partida la experiencia desarrollada en tres asignaturas obligatorias de la licenciatura de Ciencias Actuariales y Financieras (CAF) de la Universidad de Barcelona: Matemática Actuarial Vida (MAV), Matemática Actuarial No Vida (MANV) y Análisis Numérico (AN). Todas son asignaturas obligatorias en la licenciatura y constan de 9 créditos en el caso de las dos primeras (6 teóricos y 3 prácticos) y de 6 créditos el Análisis Numérico (3 teóricos y 3 prácticos). La implantación de un sistema de evaluación continuada a partir del curso 2004-05 ha supuesto un cambio de enfoque del proceso de enseñanza-aprendizaje que ha afectado tanto al profesorado implicado como al alumnado, se ha basado en el control de la asistencia del estudiante, en la valoración conjunta teoría-práctica, en el trabajo en grupo y en el portafolio docente como herramientas de trabajo del estudiante y de evaluación para el profesor. A partir del curso 2007-08 la Universidad de Barcelona establece un cambio en las normas reguladoras de la evaluación y de la calificación de los aprendizajes, de manera que se considerará que la evaluación será continuada como norma general. Debido a este cambio y a la valoración que habían realizado los alumnos respecto al sistema de evaluación continuada aplicado en cursos anteriores, mediante la realización de encuestas de opinión, se toma la decisión de introducir modificaciones en dicho sistema. Al finalizar el primer semestre del curso 2007-08 se analizan cómo han afectado estos cambios en los resultados académicos y nos planteamos el enfoque que hay que dar a estas asignaturas que, debido a sus contenidos, exigen un alto grado de presencialidad de los alumnos. Debido a que muchos estudiantes están compaginando trabajo y estudios, los profesores implicados se plantean si sería conveniente tender hacia un nuevo sistema de enseñanza-aprendizaje en el cual el grado de presencialidad requerido no fuese tan elevado.

Utilització de la variabilitat de la freqüència cardíaca (VFC) per a la valoració de l'estat de recuperació-estrès en l'entrenament del judo

Usually, competitive stress, work life or just the training load in athletes can cause a phenomenon called overtraining syndrome. It is described as imbalance between stimulus and recovery in which decreases performance of athletes without being apparently immersed in a frame of injury or disease. That prolonged fatigue may affect the ability to adapt and thus severely reduce performance. This situation can be prolonged in time despite the existence of weekly or monthly periods of recovery. We want to see if the parameters of HRV, RESTQ-Sport questionnaire and strength values vary significantly in front 2 types of training (an intensive two daily sessions, large volume of work and little rest between the sessions; and another with 4 weekly workouts, with longer recovery time and less volume of work), in national judo players (n=14) to study the relationship between VFC and the imbalance of stress-recovery. METHODOLOGY: We performed a longitudinal and experimental study of HRV in 14 subjects, judo players at the national, randomly divided into 2 groups. One of these was conducted intensive training (high volume and low recovery) and another who made a smoother workout (less volume and less recovery) during a period of 4 weeks. CONCLUTIONS: The correct interpretation of the fluctuation parameters of HRV during the training judo players, may be a good indicator of stress levels, the recovery workload and therefore the observation of VFC is becomes an economic and noninvasive method of monitoring training in judo.

Cardiac motion estimation by joint alignment of tagged MRI sequences

Image registration has been proposed as an automatic method for recovering cardiac displacement fields from Tagged Magnetic Resonance Imaging (tMRI) sequences. Initially performed as a set of pairwise registrations, these techniques have evolved to the use of 3D+t deformation models, requiring metrics of joint image alignment (JA). However, only linear combinations of cost functions defined with respect to the first frame have been used. In this paper, we have applied k-Nearest Neighbors Graphs (kNNG) estimators of the -entropy (H ) to measure the joint similarity between frames, and to combine the information provided by different cardiac views in an unified metric. Experiments performed on six subjects showed a significantly higher accuracy (p < 0.05) with respect to a standard pairwise alignment (PA) approach in terms of mean positional error and variance with respect to manually placed landmarks. The developed method was used to study strains in patients with myocardial infarction, showing a consistency between strain, infarction location, and coronary occlusion. This paper also presentsan interesting clinical application of graph-based metric estimators, showing their value for solving practical problems found in medical imaging.