AMELIE: Authoring Multimedia-Enhanced Learning Interactive Environment for e-Health Contents

This paper presents the AMELIE Authoring Tool for e-health applications. AMELIE provides the means for creating video-based contents with a focus on e-learning and telerehabilitation processes. The main core of AMELIE lies in the efficient exploitation of raw multimedia resources, which may be already available at clinical centers or recorded ad hoc for learning purposes by health professionals. Three real use cases scenarios involving different target users are presented: (1) cognitive skills? training of surgeons in minimally invasive surgery (medical professionals), (2) training of informal carers for elderly home assistance and (3) cognitive rehabilitation of patients with acquired brain injury. Preliminary validation in the field of surgery hints at the potential of AMELIE; and its versatility in different medical applications is patent from the use cases described. Regardless, new validation studies are planned in the three main application areas identified in this work.

Propiedades Ópticas de los Materiales Activos en Diodos Láser con Confinamiento Cuántico

En esta tesis se recoge el trabajo experimental realizado para la caracterización de las propiedades ópticas en diodos láser construidos con estructuras basadas en pozos cuánticos (QW) y puntos cuánticos (QD). Las propiedades que se han estudiado en estos dispositivos son los espectros de ganancia, ganancia diferencial, índice diferencial y factor de ensanchamiento de línea (LEF). La comprensión de estas propiedades es de especial importancia para el diseño de nuevos diodos láser destinados a ser utilizados en aplicaciones exigentes como son las comunicaciones ópticas o aplicaciones médicas. El estudio se ha llevado a cabo en muestras de diodos láser suministrados por diferentes fabricantes: Ferdinand Braun Institut für Hóchstfrequenztechnik, Thales Research and Technology y la Universidad de Würzburg. Debido a esto las muestras de los láseres se han suministrado en diferentes configuraciones, utilizándose tanto dispositivos con cavidades de área ancha como de tipo caballete (“ridge”). En los trabajos se ha realizado el diseño y la construcción de los montajes experimentales y la implementación de los métodos analíticos necesarios para el estudio de las diferentes muestras. En los montajes experimentales se han implementado procesos para el filtrado espacial de los modos laterales de la cavidad presentes en los láseres de área ancha. Los métodos analíticos implementados se han utilizado para reducir los errores existentes en los sistemas de medida, mejorar su precisión y para separar la variación de índice en debida al calentamiento y la variación de corriente cuando los láseres operan en continua. El estudio sistemático de las propiedades de ópticas de los diodos láser basados en QW y QD ha permitido concluir que propiedades como el factor de ensanchamiento de línea no tienen por qué ser necesariamente inferiores en estos últimos, ya que dependen de las condiciones de inyección. En los láseres de QW se ha observado experimentalmente una reducción del factor de ensanchamiento de línea al alcanzarse la segunda transición, debido al aumento de la ganancia diferencial. ABSTRACT This thesis includes the experimental work for the characterization of optical properties of quantum well (QW) and quantum dot (QD) laser diodes. The properties that have been studied in these devices are the gain, differential gain, differential index and the linewith enhancement factor (LEF). The understating of these properties is of special importance for the design of new laser diodes to be used in exigent applications such as optical communications or medical applications. The study has been carried out using laser samples supplied by different manufacturers: Ferdinand Braun Institut fu¨r H¨ochstfrequenztechnik, Thales Research and Technology and the University of Wu¨rzburg. Because of this the laser samples were supplied in various configurations, using both broad area and ridge devices. In the work it has been done the design and construction of the experimental setups and implementation of analytical methods required for the study of the different devices. In the experimental set-ups it has been implemented a spatial filtering process to remove the lateral modes present in broad area lasers. The implemented analytical methods has been used to reduce the experimental errors in the measurement systems, improve the accuracy and separate the index variation caused by heating and current variation when the lasers operated on continuous wave. The systematic study of the optical properties of the QW and QD laser diodes has allowed concluding that properties such the linewith enhancement factor does not have to be necessary to be lower in the QD devices, since it is dependent on the injections conditions. In this work it has been experimentally observed a reduction of the linewith enhancement factor where the second transition has been reached mainly due to in the increased of the differential gain which is observed in this situation.

Development of novel melt-processable biopolymer nanocomposites based on poly(L-lactic acid) and WS2 inorganic nanotubes.

The use of tungsten disulphide inorganic nanotubes (INT-WS2) offers the opportunity to produce novel and advanced biopolymer-based nanocomposite materials with excellent nanoparticle dispersion without the need for modifiers or surfactants via conventional melt blending. The study of the non-isothermal melt-crystallization kinetics provides a clear picture of the transformation of poly(L-lactic acid) (PLLA) molecules from the non-ordered to the ordered state. The overall crystallization rate, final crystallinity and subsequent melting behaviour of PLLA were controlled by both the incorporation of INT-WS2 and the variation of the cooling rate. In particular, it was shown that INT-WS2 exhibits much more prominent nucleation activity on the crystallization of PLLA than other specific nucleating agents or nano-sized fillers. These features may be advantageous for the enhancement of mechanical properties and process-ability of PLLA-based materials. PLLA/INT-WS2 nanocomposites can be employed as low cost biodegradable materials for many eco-friendly and medical applications, and the exceptional crystallization behaviour observed opens new perspectives for scale-up and broader applications.

Extensiones a los métodos de planificación de sistemas de tiempo real críticos basados en prioridades

Los sistemas de tiempo real tienen un papel cada vez más importante en nuestra sociedad. Constituyen un componente fundamental de los sistemas de control, que a su vez forman parte de diversos sistemas de ingeniería básicos en actividades industriales, militares, de comunicaciones, espaciales y médicas. La planificación de recursos es un problema fundamental en la realización de sistemas de tiempo real. Su objetivo es asignar los recursos disponibles a las tareas de forma que éstas cumplan sus restricciones temporales. Durante bastante tiempo, el estado de la técnica en relación con los métodos de planificación ha sido rudimentario. En la actualidad, los métodos de planificación basados en prioridades han alcanzado un nivel de madurez suficiente para su aplicación en entornos industriales. Sin embargo, hay cuestiones abiertas que pueden dificultar su utilización. El objetivo principal de esta tesis es estudiar los métodos de planificación basados en prioridades, detectar las cuestiones abiertas y desarrollar protocolos, directrices y esquemas de realización práctica que faciliten su empleo en sistemas industriales. Una cuestión abierta es la carencia de esquemas de realización de algunos protocolos con núcleos normalizados. El resultado ha sido el desarrollo de esquemas de realización de tareas periódicas y esporádicas de tiempo real, con detección de fallos de temporización, comunicación entre tareas, cambio de modo de ejecución del sistema y tratamiento de fallos mediante grupos de recuperación. Los esquemas se han codificado en Ada 9X y se proporcionan directrices para analizar la planificabilidad de un sistema desarrollado con esta base. Un resultado adicional ha sido la identificación de la funcionalidad mínima necesaria para desarrollar sistemas de tiempo real con las características enumeradas. La capacidad de adaptación a los cambios del entorno es una característica deseable de los sistemas de tiempo real. Si estos cambios no estaban previstos en la fase de diseño o si hay módulos erróneos, es necesario modificar o incluir algunas tareas. La actualización del sistema se suele realizar estáticamente y su instalación se lleva a cabo después de parar su ejecución. Sin embargo, hay sistemas cuyo funcionamiento no se puede detener sin producir daños materiales o económicos. Una alternativa es diseñar el sistema como un conjunto de unidades que se pueden reemplazar, sin interferir con la ejecución de otras unidades. Para tal fin, se ha desarrollado un protocolo de reemplazamiento dinámico para sistemas de tiempo real crítico y se ha comprobado su compatibilidad con los métodos de planificación basados en prioridades. Finalmente se ha desarrollado un esquema de realización práctica del protocolo.---ABSTRACT---Real-time systems are very important now a days. They have become a relevant issue in the design of control systems, which are a basic component of several engineering systems in industrial, telecommunications, military, spatial and medical applications. Resource scheduling is a central issue in the development of real-time systems. Its purpose is to assign the available resources to the tasks, in such a way that their deadlines are met. Historically, hand-crafted techniques were used to develop real-time systems. Recently, the priority-based scheduling methods have reached a sufficient maturity level to be feasible its extensive use in industrial applications. However, there are some open questions that may decrease its potential usefulness. The main goal of this thesis is to study the priority-based scheduling methods, to identify the remaining open questions and to develop protocols, implementation templates and guidelines that will make more feasible its use in industrial applications. One open question is the lack of implementation schemes, based on commercial realtime kernels, of some of the protocols. POSIX and Ada 9X has served to identify the services usually available. A set of implementation templates for periodic and sporadic tasks have been developed with provisión for timing failure detection, intertask coraraunication, change of the execution mode and failure handling based on recovery groups. Those templates have been coded in Ada 9X. A set of guidelines for checking the schedulability of a system based on them are also provided. An additional result of this work is the identification of the minimal functionality required to develop real-time systems based on priority scheduling methods, with the above characteristics. A desirable feature of real-time systems is their capacity to adapt to changes in the environment, that cannot be entirely predicted during the design, or to misbehaving software modules. The traditional maintenance techniques are performed by stopping the whole system, installing the new application and finally resuming the system execution. However this approach cannot be applied to non-stop systems. An alternative is to design the system as a set of software units that can be dynamically replaced within its operative environment. With this goal in mind, a dynamic replacement protocol for hard real-time systems has been defined. Its compatibility with priority-based scheduling methods has been proved. Finally, a execution témplate of the protocol has been implemented.

Novel poly(3-hydroxybutyrate) nanocomposites containing WS2 inorganic nanotubes with improved thermal, mechanical and tribological properties

Poly(3-hydroxybutyrate) (PHB) nanocomposites containing environmentally-friendly tungsten disulphide inorganic nanotubes (INTeWS2) have been successfully prepared by a simple solution blending method. The dynamic and isothermal crystallization studies by differential scanning calorimetry (DSC) demonstrated that the INTeWS2 exhibits much more prominent nucleation activity on the crystallization of PHB than specific nucleating agents or other nanoscale fillers. Both crystallization rate and crystallinity significantly increase in the nanocomposites compared to neat PHB. These changes occur without modifying the crystalline structure of PHB in the nanocomposites, as shown by wide-angle X-ray diffraction (WAXS) and infrared/Raman spectroscopy. Other parameters such as the Avrami exponent, the equilibrium melting temperature, global rate constant and the fold surface free energy of PHB chains in the nanocomposites were obtained from the calorimetric data in order to determine the influence of the INTeWS2 filler. The addition of INTeWS2 remarkably influences the energetics and kinetics of nucleation and growth of PHB, reducing the fold surface free energy by up to 20%. Furthermore, these nanocomposites also show an improvement in both tribological and mechanical (hardness and modulus) properties with respect to pure PHB evidenced by friction and nanoindentation tests, which is of important potential interest for industrial and medical applications.

A strategy for the identification of proteins targeted by thioredoxin

Thioredoxins are 12-kDa proteins functional in the regulation of cellular processes throughout the animal, plant, and microbial kingdoms. Growing evidence with seeds suggests that an h-type of thioredoxin, reduced by NADPH via NADP-thioredoxin reductase, reduces disulfide bonds of target proteins and thereby acts as a wakeup call in germination. A better understanding of the role of thioredoxin in seeds as well as other systems could be achieved if more were known about the target proteins. To this end, we have devised a strategy for the comprehensive identification of proteins targeted by thioredoxin. Tissue extracts incubated with reduced thioredoxin are treated with a fluorescent probe (monobromobimane) to label sulfhydryl groups. The newly labeled proteins are isolated by conventional two-dimensional electrophoresis: (i) nonreducing/reducing or (ii) isoelectric focusing/reducing SDS/PAGE. The isolated proteins are identified by amino acid sequencing. Each electrophoresis system offers an advantage: the first method reveals the specificity of thioredoxin in the reduction of intramolecular vs. intermolecular disulfide bonds, whereas the second method improves the separation of the labeled proteins. By application of both methods to peanut seed extracts, we isolated at least 20 thioredoxin targets and identified 5—three allergens (Ara h2, Ara h3, and Ara h6) and two proteins not known to occur in peanut (desiccation-related and seed maturation protein). These findings open the door to the identification of proteins targeted by thioredoxin in a wide range of systems, thereby enhancing our understanding of its function and extending its technological and medical applications.

Anthrax toxin-mediated delivery of a cytotoxic T-cell epitope in vivo.

The protective antigen (PA) component of anthrax toxin mediates entry of the toxin's lethal factor (LF) and edema factor into the cytosolic compartment of mammalian cells. The amino-terminal domain of LF (LFn; 255 amino acids) binds LF to PA, and when fused to heterologous proteins, the LFn domain delivers such proteins to the cytoplasm in the presence of PA. In the current study, we fused a 9-amino acid cytotoxic T-lymphocyte (CTL) epitope (LLO91-99) from an intracellular pathogen, Listeria monocytogenes, to LFn and measured the ability of the resulting LFn-LLO91-99 fusion protein to stimulate a CTL response against the epitope in BALB/c mice. As little as 300 fmol of fusion could stimulate a response. The stimulation was PA-dependent and occurred with the peptide fused to either the amino terminus or the carboxyl terminus of LFn. Upon challenge with L. monocytogenes, mice previously injected with LFn-LLO91-99 and PA showed a reduction of colony-forming units in spleen and liver, relative to nonimmunized control mice. These results indicate that anthrax toxin may be useful as a CTL-peptide delivery system for research and medical applications.

Determination of optimal parameters in drilling composite materials to minimize the machining temperature using the Taguchi method

Dental implant is used to replace the natural dental root. The process to fix the dental implant in the maxillary bone needs a previous drilling operation. This machining operation involves the increasing of temperature in the drilled region which can reach values higher than 47°C and for this temperature is possible to occur the osseous necrosis [I]. The main goal of this work is to implement an optimization method to define the optimal drilling parameters that could minimize the drilling temperature. The proposal optimization method is the Taguchi method. This method has been used with success in machining processes optimization of metallic materials [2]. However, the Taguchi method is also used in medical applications, namely in dental medicine [3].

NIH Consensus Development Conference on Celiac Disease : June 28-30, 2004, William H. Natcher Conference Center, National Institutes of Health, Bethesda, Maryland /

Shipping list no.: 2004-0216-P.

A study of the effect of high yield criteria for emergency room skull radiography /

Mode of access: Internet.

NIH consensus statement.

Each issue has also a distinctive title.

A planar microwave imaging system with step-frequency synthesized pulse using different calibration methods

An experimental study of a planar microwave imaging system with step-frequency synthesized pulse for possible use in medical applications is described. Simple phantoms, consisting of a cylindrical plastic container with air or oil imitating fatty tissues and small highly reflective objects emulating tumors, are scanned with a probe antenna over a planar surface in the X-band. Different calibration schemes are considered for successful detection of these objects. (c) 2006 Wiley Periodicals, Inc.

Evaluating the effectiveness of Bayesian feature selection

A practical Bayesian approach for inference in neural network models has been available for ten years, and yet it is not used frequently in medical applications. In this chapter we show how both regularisation and feature selection can bring significant benefits in diagnostic tasks through two case studies: heart arrhythmia classification based on ECG data and the prognosis of lupus. In the first of these, the number of variables was reduced by two thirds without significantly affecting performance, while in the second, only the Bayesian models had an acceptable accuracy. In both tasks, neural networks outperformed other pattern recognition approaches.

The synthesis of novel biodegradable polyesters and copolyesters from anhydrosulfites

This thesis was concerned primarily with the synthesis and the ring-opening polymerisation of anhydrosulfites (1,3,2-dioxa-thiolan-4-one-2-oxides), and secondly with the copolymerisation of anhydrosulfites with -caprolactone. The polyesters and copolyesters synthesised are of considerable interest in medical applications and also for use as environmental friendly packaging. A range of anhydrosulfites were prepared according to an established method. Aliphatic anhydrosulfites were obtained with a level of purity satisfactory for polymerisation whereas aromatic anhydrosulfites decomposed during distillation and purification by chromatographic techniques. Aliphatic anhydrosulfites with a substituent, such as methyl, isopropyl, n-butyl and isobutyl were studied by NMR spectroscopy. Analysis of these spectra revealed that the five-membered anhydrosulfite ring was puckered and that when the substituent was bulky, rotations about the alkyl chains were restricted. A wide range of anionic initiators may be used to initiate anhydrosulfites. Lithium alkyls turned out to be more successful than alkali metal alkoxides and amides. The molecular weights were found to depend on the basicity of the initiator, the monomer-to-initiator ratio, the nature of the solvent and the polymerisation temperature. The molecular weight M0 of poly(L-lactic acid) ranged from (0.5 to 6)x104. Highly crystalline and purely isotactic poly(lactic acid) was synthesised from L-lactic acid anhydrosulfite (L-LAAS) whereas DL-LAAS led to an amorphous polymer with randomly distributed D-and L-lactic units. This indicated that this polymerisation was not stereoselective. However, the bulkiness of the substituent in the anhydrosulfites molecule was found to influence the stereoselectivity of the polymerisation, thus polyesters with isobutyl or n-butyl pendant group were preferentially isotactic. Block-copolymers of ε-caprolactone and several anhydrosulfites were successfully produced. Block-copolymers of LAAS with ε-caprolactone were also synthesised, but the incorporation of caprolactone units was rather small. In contrast, random copolymerisation of LAAS and ε-caprolactone led to polymers with blocky structures similar to those obtained in the block-copolymerisation of LAAS with  ε-caprolactone.

Outliers Resistant Learning Algorithm for Radial-basis-fuzzy-wavelet-neural Network in Stomach Acute Injury Diagnosis Tasks

In this paper an outliers resistant learning algorithm for the radial-basis-fuzzy-wavelet-neural network based on R. Welsh criterion is proposed. Suggested learning algorithm under consideration allows the signals processing in presence of significant noise level and outliers. The robust learning algorithm efficiency is investigated and confirmed by the number of experiments including medical applications.