Progettazione e sviluppo del sistema di analisi dati del registro diabetici

L'obiettivo di questa tesi è la progettazione e realizzazione di una porzione del sistema informatico relativo al registro di patologia per il diabete. L'attività di progettazione e realizzazione del Registro diabetici è stata svolta prevalentemente durante il tirocinio presso il SITIC e ha compreso fasi di ricerca, analisi e sviluppo di un'applicazione in Qlikview.

The therapeutic potential of the humoral pattern recognition molecule PTX3 in chronic lung infection caused by Pseudomonas aeruginosa

Chronic lung infections by Pseudomonas aeruginosa strains are a major cause of morbidity and mortality in cystic fibrosis (CF) patients. Although there is no clear evidence for a primary defect in the immune system of CF patients, the host is generally unable to clear P. aeruginosa from the airways. PTX3 is a soluble pattern recognition receptor that plays nonredundant roles in the innate immune response to fungi, bacteria, and viruses. In particular, PTX3 deficiency is associated with increased susceptibility to P. aeruginosa lung infection. To address the potential therapeutic effect of PTX3 in P. aeruginosa lung infection, we established persistent and progressive infections in mice with the RP73 clinical strain RP73 isolated from a CF patient and treated them with recombinant human PTX3. The results indicated that PTX3 has a potential therapeutic effect in P. aeruginosa chronic lung infection by reducing lung colonization, proinflammatory cytokine levels (CXCL1, CXCL2, CCL2, and IL-1β), and leukocyte recruitment in the airways. In models of acute infections and in in vitro assays, the prophagocytic effect of PTX3 was maintained in C1q-deficient mice and was lost in C3- and Fc common γ-chain-deficient mice, suggesting that facilitated recognition and phagocytosis of pathogens through the interplay between complement and FcγRs are involved in the therapeutic effect mediated by PTX3. These data suggested that PTX3 is a potential therapeutic tool in chronic P. aeruginosa lung infections, such as those seen in CF patients.

Applied Graph Theory in Computer Vision and Pattern Recognition

This book will serve as a foundation for a variety of useful applications of graph theory to computer vision, pattern recognition, and related areas. It covers a representative set of novel graph-theoretic methods for complex computer vision and pattern recognition tasks. The first part of the book presents the application of graph theory to low-level processing of digital images such as a new method for partitioning a given image into a hierarchy of homogeneous areas using graph pyramids, or a study of the relationship between graph theory and digital topology. Part II presents graph-theoretic learning algorithms for high-level computer vision and pattern recognition applications, including a survey of graph based methodologies for pattern recognition and computer vision, a presentation of a series of computationally efficient algorithms for testing graph isomorphism and related graph matching tasks in pattern recognition and a new graph distance measure to be used for solving graph matching problems. Finally, Part III provides detailed descriptions of several applications of graph-based methods to real-world pattern recognition tasks. It includes a critical review of the main graph-based and structural methods for fingerprint classification, a new method to visualize time series of graphs, and potential applications in computer network monitoring and abnormal event detection.

Analysis of pattern recognition techniques for in-air signature biometrics

As a result of advances in mobile technology, new services which benefit from the ubiquity of these devices are appearing. Some of these services require the identification of the subject since they may access private user information. In this paper, we propose to identify each user by drawing his/her handwritten signature in the air (in-airsignature). In order to assess the feasibility of an in-airsignature as a biometric feature, we have analysed the performance of several well-known patternrecognitiontechniques—Hidden Markov Models, Bayes classifiers and dynamic time warping—to cope with this problem. Each technique has been tested in the identification of the signatures of 96 individuals. Furthermore, the robustness of each method against spoofing attacks has also been analysed using six impostors who attempted to emulate every signature. The best results in both experiments have been reached by using a technique based on dynamic time warping which carries out the recognition by calculating distances to an average template extracted from several training instances. Finally, a permanence analysis has been carried out in order to assess the stability of in-airsignature over time.

Damage detection by using FBGs and strain field pattern recognition techniques

A novel methodology for damage detection and location in structures is proposed. The methodology is based on strain measurements and consists in the development of strain field pattern recognition techniques. The aforementioned are based on PCA (principal component analysis) and damage indices (T 2 and Q). We propose the use of fiber Bragg gratings (FBGs) as strain sensors

Analysis of pattern recognition and dimensionality reduction techniques for odor biometrics

In this paper, we analyze the performance of several well-known pattern recognition and dimensionality reduction techniques when applied to mass-spectrometry data for odor biometric identification. Motivated by the successful results of previous works capturing the odor from other parts of the body, this work attempts to evaluate the feasibility of identifying people by the odor emanated from the hands. By formulating this task according to a machine learning scheme, the problem is identified with a small-sample-size supervised classification problem in which the input data is formed by mass spectrograms from the hand odor of 13 subjects captured in different sessions. The high dimensionality of the data makes it necessary to apply feature selection and extraction techniques together with a simple classifier in order to improve the generalization capabilities of the model. Our experimental results achieve recognition rates over 85% which reveals that there exists discriminatory information in the hand odor and points at body odor as a promising biometric identifier.

Detection and pattern recognition applied to leaves and chromosomes

The Project you are about to see it is based on the technologies used on object detection and recognition, especially on leaves and chromosomes. To do so, this document contains the typical parts of a scientific paper, as it is what it is. It is composed by an Abstract, an Introduction, points that have to do with the investigation area, future work, conclusions and references used for the elaboration of the document. The Abstract talks about what are we going to find in this paper, which is technologies employed on pattern detection and recognition for leaves and chromosomes and the jobs that are already made for cataloguing these objects. In the introduction detection and recognition meanings are explained. This is necessary as many papers get confused with these terms, specially the ones talking about chromosomes. Detecting an object is gathering the parts of the image that are useful and eliminating the useless parts. Summarizing, detection would be recognizing the objects borders. When talking about recognition, we are talking about the computers or the machines process, which says what kind of object we are handling. Afterwards we face a compilation of the most used technologies in object detection in general. There are two main groups on this category: Based on derivatives of images and based on ASIFT points. The ones that are based on derivatives of images have in common that convolving them with a previously created matrix does the treatment of them. This is done for detecting borders on the images, which are changes on the intensity of the pixels. Within these technologies we face two groups: Gradian based, which search for maximums and minimums on the pixels intensity as they only use the first derivative. The Laplacian based methods search for zeros on the pixels intensity as they use the second derivative. Depending on the level of details that we want to use on the final result, we will choose one option or the other, because, as its logic, if we used Gradian based methods, the computer will consume less resources and less time as there are less operations, but the quality will be worse. On the other hand, if we use the Laplacian based methods we will need more time and resources as they require more operations, but we will have a much better quality result. After explaining all the derivative based methods, we take a look on the different algorithms that are available for both groups. The other big group of technologies for object recognition is the one based on ASIFT points, which are based on 6 image parameters and compare them with another image taking under consideration these parameters. These methods disadvantage, for our future purposes, is that it is only valid for one single object. So if we are going to recognize two different leaves, even though if they refer to the same specie, we are not going to be able to recognize them with this method. It is important to mention these types of technologies as we are talking about recognition methods in general. At the end of the chapter we can see a comparison with pros and cons of all technologies that are employed. Firstly comparing them separately and then comparing them all together, based on our purposes. Recognition techniques, which are the next chapter, are not really vast as, even though there are general steps for doing object recognition, every single object that has to be recognized has its own method as the are different. This is why there is not a general method that we can specify on this chapter. We now move on into leaf detection techniques on computers. Now we will use the technique explained above based on the image derivatives. Next step will be to turn the leaf into several parameters. Depending on the document that you are referring to, there will be more or less parameters. Some papers recommend to divide the leaf into 3 main features (shape, dent and vein] and doing mathematical operations with them we can get up to 16 secondary features. Next proposition is dividing the leaf into 5 main features (Diameter, physiological length, physiological width, area and perimeter] and from those, extract 12 secondary features. This second alternative is the most used so it is the one that is going to be the reference. Following in to leaf recognition, we are based on a paper that provides a source code that, clicking on both leaf ends, it automatically tells to which specie belongs the leaf that we are trying to recognize. To do so, it only requires having a database. On the tests that have been made by the document, they assure us a 90.312% of accuracy over 320 total tests (32 plants on the database and 10 tests per specie]. Next chapter talks about chromosome detection, where we shall pass the metaphasis plate, where the chromosomes are disorganized, into the karyotype plate, which is the usual view of the 23 chromosomes ordered by number. There are two types of techniques to do this step: the skeletonization process and swiping angles. Skeletonization progress consists on suppressing the inside pixels of the chromosome to just stay with the silhouette. This method is really similar to the ones based on the derivatives of the image but the difference is that it doesnt detect the borders but the interior of the chromosome. Second technique consists of swiping angles from the beginning of the chromosome and, taking under consideration, that on a single chromosome we cannot have more than an X angle, it detects the various regions of the chromosomes. Once the karyotype plate is defined, we continue with chromosome recognition. To do so, there is a technique based on the banding that chromosomes have (grey scale bands] that make them unique. The program then detects the longitudinal axis of the chromosome and reconstructs the band profiles. Then the computer is able to recognize this chromosome. Concerning the future work, we generally have to independent techniques that dont reunite detection and recognition, so our main focus would be to prepare a program that gathers both techniques. On the leaf matter we have seen that, detection and recognition, have a link as both share the option of dividing the leaf into 5 main features. The work that would have to be done is to create an algorithm that linked both methods, as in the program, which recognizes leaves, it has to be clicked both leaf ends so it is not an automatic algorithm. On the chromosome side, we should create an algorithm that searches for the beginning of the chromosome and then start to swipe angles, to later give the parameters to the program that searches for the band profiles. Finally, on the summary, we explain why this type of investigation is needed, and that is because with global warming, lots of species (animals and plants] are beginning to extinguish. That is the reason why a big database, which gathers all the possible species, is needed. For recognizing animal species, we just only have to have the 23 chromosomes. While recognizing a plant, there are several ways of doing it, but the easiest way to input a computer is to scan the leaf of the plant. RESUMEN. El proyecto que se puede ver a continuación trata sobre las tecnologías empleadas en la detección y reconocimiento de objetos, especialmente de hojas y cromosomas. Para ello, este documento contiene las partes típicas de un paper de investigación, puesto que es de lo que se trata. Así, estará compuesto de Abstract, Introducción, diversos puntos que tengan que ver con el área a investigar, trabajo futuro, conclusiones y biografía utilizada para la realización del documento. Así, el Abstract nos cuenta qué vamos a poder encontrar en este paper, que no es ni más ni menos que las tecnologías empleadas en el reconocimiento y detección de patrones en hojas y cromosomas y qué trabajos hay existentes para catalogar a estos objetos. En la introducción se explican los conceptos de qué es la detección y qué es el reconocimiento. Esto es necesario ya que muchos papers científicos, especialmente los que hablan de cromosomas, confunden estos dos términos que no podían ser más sencillos. Por un lado tendríamos la detección del objeto, que sería simplemente coger las partes que nos interesasen de la imagen y eliminar aquellas partes que no nos fueran útiles para un futuro. Resumiendo, sería reconocer los bordes del objeto de estudio. Cuando hablamos de reconocimiento, estamos refiriéndonos al proceso que tiene el ordenador, o la máquina, para decir qué clase de objeto estamos tratando. Seguidamente nos encontramos con un recopilatorio de las tecnologías más utilizadas para la detección de objetos, en general. Aquí nos encontraríamos con dos grandes grupos de tecnologías: Las basadas en las derivadas de imágenes y las basadas en los puntos ASIFT. El grupo de tecnologías basadas en derivadas de imágenes tienen en común que hay que tratar a las imágenes mediante una convolución con una matriz creada previamente. Esto se hace para detectar bordes en las imágenes que son básicamente cambios en la intensidad de los píxeles. Dentro de estas tecnologías nos encontramos con dos grupos: Los basados en gradientes, los cuales buscan máximos y mínimos de intensidad en la imagen puesto que sólo utilizan la primera derivada; y los Laplacianos, los cuales buscan ceros en la intensidad de los píxeles puesto que estos utilizan la segunda derivada de la imagen. Dependiendo del nivel de detalles que queramos utilizar en el resultado final nos decantaremos por un método u otro puesto que, como es lógico, si utilizamos los basados en el gradiente habrá menos operaciones por lo que consumirá más tiempo y recursos pero por la contra tendremos menos calidad de imagen. Y al revés pasa con los Laplacianos, puesto que necesitan más operaciones y recursos pero tendrán un resultado final con mejor calidad. Después de explicar los tipos de operadores que hay, se hace un recorrido explicando los distintos tipos de algoritmos que hay en cada uno de los grupos. El otro gran grupo de tecnologías para el reconocimiento de objetos son los basados en puntos ASIFT, los cuales se basan en 6 parámetros de la imagen y la comparan con otra imagen teniendo en cuenta dichos parámetros. La desventaja de este método, para nuestros propósitos futuros, es que sólo es valido para un objeto en concreto. Por lo que si vamos a reconocer dos hojas diferentes, aunque sean de la misma especie, no vamos a poder reconocerlas mediante este método. Aún así es importante explicar este tipo de tecnologías puesto que estamos hablando de técnicas de reconocimiento en general. Al final del capítulo podremos ver una comparación con los pros y las contras de todas las tecnologías empleadas. Primeramente comparándolas de forma separada y, finalmente, compararemos todos los métodos existentes en base a nuestros propósitos. Las técnicas de reconocimiento, el siguiente apartado, no es muy extenso puesto que, aunque haya pasos generales para el reconocimiento de objetos, cada objeto a reconocer es distinto por lo que no hay un método específico que se pueda generalizar. Pasamos ahora a las técnicas de detección de hojas mediante ordenador. Aquí usaremos la técnica explicada previamente explicada basada en las derivadas de las imágenes. La continuación de este paso sería diseccionar la hoja en diversos parámetros. Dependiendo de la fuente a la que se consulte pueden haber más o menos parámetros. Unos documentos aconsejan dividir la morfología de la hoja en 3 parámetros principales (Forma, Dentina y ramificación] y derivando de dichos parámetros convertirlos a 16 parámetros secundarios. La otra propuesta es dividir la morfología de la hoja en 5 parámetros principales (Diámetro, longitud fisiológica, anchura fisiológica, área y perímetro] y de ahí extraer 12 parámetros secundarios. Esta segunda propuesta es la más utilizada de todas por lo que es la que se utilizará. Pasamos al reconocimiento de hojas, en la cual nos hemos basado en un documento que provee un código fuente que cucando en los dos extremos de la hoja automáticamente nos dice a qué especie pertenece la hoja que estamos intentando reconocer. Para ello sólo hay que formar una base de datos. En los test realizados por el citado documento, nos aseguran que tiene un índice de acierto del 90.312% en 320 test en total (32 plantas insertadas en la base de datos por 10 test que se han realizado por cada una de las especies]. El siguiente apartado trata de la detección de cromosomas, en el cual se debe de pasar de la célula metafásica, donde los cromosomas están desorganizados, al cariotipo, que es como solemos ver los 23 cromosomas de forma ordenada. Hay dos tipos de técnicas para realizar este paso: Por el proceso de esquelotonización y barriendo ángulos. El proceso de esqueletonización consiste en eliminar los píxeles del interior del cromosoma para quedarse con su silueta; Este proceso es similar a los métodos de derivación de los píxeles pero se diferencia en que no detecta bordes si no que detecta el interior de los cromosomas. La segunda técnica consiste en ir barriendo ángulos desde el principio del cromosoma y teniendo en cuenta que un cromosoma no puede doblarse más de X grados detecta las diversas regiones de los cromosomas. Una vez tengamos el cariotipo, se continua con el reconocimiento de cromosomas. Para ello existe una técnica basada en las bandas de blancos y negros que tienen los cromosomas y que son las que los hacen únicos. Para ello el programa detecta los ejes longitudinales del cromosoma y reconstruye los perfiles de las bandas que posee el cromosoma y que lo identifican como único. En cuanto al trabajo que se podría desempeñar en el futuro, tenemos por lo general dos técnicas independientes que no unen la detección con el reconocimiento por lo que se habría de preparar un programa que uniese estas dos técnicas. Respecto a las hojas hemos visto que ambos métodos, detección y reconocimiento, están vinculados debido a que ambos comparten la opinión de dividir las hojas en 5 parámetros principales. El trabajo que habría que realizar sería el de crear un algoritmo que conectase a ambos ya que en el programa de reconocimiento se debe clicar a los dos extremos de la hoja por lo que no es una tarea automática. En cuanto a los cromosomas, se debería de crear un algoritmo que busque el inicio del cromosoma y entonces empiece a barrer ángulos para después poder dárselo al programa que busca los perfiles de bandas de los cromosomas. Finalmente, en el resumen se explica el por qué hace falta este tipo de investigación, esto es que con el calentamiento global, muchas de las especies (tanto animales como plantas] se están empezando a extinguir. Es por ello que se necesitará una base de datos que contemple todas las posibles especies tanto del reino animal como del reino vegetal. Para reconocer a una especie animal, simplemente bastará con tener sus 23 cromosomas; mientras que para reconocer a una especie vegetal, existen diversas formas. Aunque la más sencilla de todas es contar con la hoja de la especie puesto que es el elemento más fácil de escanear e introducir en el ordenador.

Automatic physical activity pattern recognition and meal intake modelling in type 1 diabetes for their inclusion in artificial pancreas systems

La diabetes comprende un conjunto de enfermedades metabólicas que se caracterizan por concentraciones de glucosa en sangre anormalmente altas. En el caso de la diabetes tipo 1 (T1D, por sus siglas en inglés), esta situación es debida a una ausencia total de secreción endógena de insulina, lo que impide a la mayoría de tejidos usar la glucosa. En tales circunstancias, se hace necesario el suministro exógeno de insulina para preservar la vida del paciente; no obstante, siempre con la precaución de evitar caídas agudas de la glucemia por debajo de los niveles recomendados de seguridad. Además de la administración de insulina, las ingestas y la actividad física son factores fundamentales que influyen en la homeostasis de la glucosa. En consecuencia, una gestión apropiada de la T1D debería incorporar estos dos fenómenos fisiológicos, en base a una identificación y un modelado apropiado de los mismos y de sus sorrespondientes efectos en el balance glucosa-insulina. En particular, los sistemas de páncreas artificial –ideados para llevar a cabo un control automático de los niveles de glucemia del paciente– podrían beneficiarse de la integración de esta clase de información. La primera parte de esta tesis doctoral cubre la caracterización del efecto agudo de la actividad física en los perfiles de glucosa. Con este objetivo se ha llevado a cabo una revisión sistemática de la literatura y meta-análisis que determinen las respuestas ante varias modalidades de ejercicio para pacientes con T1D, abordando esta caracterización mediante unas magnitudes que cuantifican las tasas de cambio en la glucemia a lo largo del tiempo. Por otro lado, una identificación fiable de los periodos con actividad física es un requisito imprescindible para poder proveer de esa información a los sistemas de páncreas artificial en condiciones libres y ambulatorias. Por esta razón, la segunda parte de esta tesis está enfocada a la propuesta y evaluación de un sistema automático diseñado para reconocer periodos de actividad física, clasificando su nivel de intensidad (ligera, moderada o vigorosa); así como, en el caso de periodos vigorosos, identificando también la modalidad de ejercicio (aeróbica, mixta o de fuerza). En este sentido, ambos aspectos tienen una influencia específica en el mecanismo metabólico que suministra la energía para llevar a cabo el ejercicio y, por tanto, en las respuestas glucémicas en T1D. En este trabajo se aplican varias combinaciones de técnicas de aprendizaje máquina y reconocimiento de patrones sobre la fusión multimodal de señales de acelerometría y ritmo cardíaco, las cuales describen tanto aspectos mecánicos del movimiento como la respuesta fisiológica del sistema cardiovascular ante el ejercicio. Después del reconocimiento de patrones se incorpora también un módulo de filtrado temporal para sacar partido a la considerable coherencia temporal presente en los datos, una redundancia que se origina en el hecho de que en la práctica, las tendencias en cuanto a actividad física suelen mantenerse estables a lo largo de cierto tiempo, sin fluctuaciones rápidas y repetitivas. El tercer bloque de esta tesis doctoral aborda el tema de las ingestas en el ámbito de la T1D. En concreto, se propone una serie de modelos compartimentales y se evalúan éstos en función de su capacidad para describir matemáticamente el efecto remoto de las concetraciones plasmáticas de insulina exógena sobre las tasas de eleiminación de la glucosa atribuible a la ingesta; un aspecto hasta ahora no incorporado en los principales modelos de paciente para T1D existentes en la literatura. Los datos aquí utilizados se obtuvieron gracias a un experimento realizado por el Institute of Metabolic Science (Universidad de Cambridge, Reino Unido) con 16 pacientes jóvenes. En el experimento, de tipo ‘clamp’ con objetivo variable, se replicaron los perfiles individuales de glucosa, según lo observado durante una visita preliminar tras la ingesta de una cena con o bien alta carga glucémica, o bien baja. Los seis modelos mecanísticos evaluados constaban de: a) submodelos de doble compartimento para las masas de trazadores de glucosa, b) un submodelo de único compartimento para reflejar el efecto remoto de la insulina, c) dos tipos de activación de este mismo efecto remoto (bien lineal, bien con un punto de corte), y d) diversas condiciones iniciales. ABSTRACT Diabetes encompasses a series of metabolic diseases characterized by abnormally high blood glucose concentrations. In the case of type 1 diabetes (T1D), this situation is caused by a total absence of endogenous insulin secretion, which impedes the use of glucose by most tissues. In these circumstances, exogenous insulin supplies are necessary to maintain patient’s life; although caution is always needed to avoid acute decays in glycaemia below safe levels. In addition to insulin administrations, meal intakes and physical activity are fundamental factors influencing glucose homoeostasis. Consequently, a successful management of T1D should incorporate these two physiological phenomena, based on an appropriate identification and modelling of these events and their corresponding effect on the glucose-insulin balance. In particular, artificial pancreas systems –designed to perform an automated control of patient’s glycaemia levels– may benefit from the integration of this type of information. The first part of this PhD thesis covers the characterization of the acute effect of physical activity on glucose profiles. With this aim, a systematic review of literature and metaanalyses are conduced to determine responses to various exercise modalities in patients with T1D, assessed via rates-of-change magnitudes to quantify temporal variations in glycaemia. On the other hand, a reliable identification of physical activity periods is an essential prerequisite to feed artificial pancreas systems with information concerning exercise in ambulatory, free-living conditions. For this reason, the second part of this thesis focuses on the proposal and evaluation of an automatic system devised to recognize physical activity, classifying its intensity level (light, moderate or vigorous) and for vigorous periods, identifying also its exercise modality (aerobic, mixed or resistance); since both aspects have a distinctive influence on the predominant metabolic pathway involved in fuelling exercise, and therefore, in the glycaemic responses in T1D. Various combinations of machine learning and pattern recognition techniques are applied on the fusion of multi-modal signal sources, namely: accelerometry and heart rate measurements, which describe both mechanical aspects of movement and the physiological response of the cardiovascular system to exercise. An additional temporal filtering module is incorporated after recognition in order to exploit the considerable temporal coherence (i.e. redundancy) present in data, which stems from the fact that in practice, physical activity trends are often maintained stable along time, instead of fluctuating rapid and repeatedly. The third block of this PhD thesis addresses meal intakes in the context of T1D. In particular, a number of compartmental models are proposed and compared in terms of their ability to describe mathematically the remote effect of exogenous plasma insulin concentrations on the disposal rates of meal-attributable glucose, an aspect which had not yet been incorporated to the prevailing T1D patient models in literature. Data were acquired in an experiment conduced at the Institute of Metabolic Science (University of Cambridge, UK) on 16 young patients. A variable-target glucose clamp replicated their individual glucose profiles, observed during a preliminary visit after ingesting either a high glycaemic-load or a low glycaemic-load evening meal. The six mechanistic models under evaluation here comprised: a) two-compartmental submodels for glucose tracer masses, b) a single-compartmental submodel for insulin’s remote effect, c) two types of activations for this remote effect (either linear or with a ‘cut-off’ point), and d) diverse forms of initial conditions.

Geometry of circular vectors and pattern recognition of shape of a boundary

This paper deals with pattern recognition of the shape of the boundary of closed figures on the basis of a circular sequence of measurements taken on the boundary at equal intervals of a suitably chosen argument with an arbitrary starting point. A distance measure between two boundaries is defined in such a way that it has zero value when the associated sequences of measurements coincide by shifting the starting point of one of the sequences. Such a distance measure, which is invariant to the starting point of the sequence of measurements, is used in identification or discrimination by the shape of the boundary of a closed figure. The mean shape of a given set of closed figures is defined, and tests of significance of differences in mean shape between populations are proposed.

The Illinois pattern recognition computer (Illiac III) /

"Presented at the 18th Annual ACM National Conference, Denver, Colorado August 27, 1963"