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1.
Infect Dis Model ; 9(1): 10-26, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38094224

ABSTRACT

Prevention and early diagnosis are the best and most effective ways for defeating HIV. There is still no vaccine, but treatments with antiretroviral drugs are now available which, in many cases, allow the infection to become chronic. However, research has highlighted side effects of these drugs and the fact that a flare-up of the infection occurs if the therapy is stopped. In recent years, the presence of virus reserves located in various parts of the body, including the brain, has been hypothesized. The possibility of controlling the infection of healthy cells and of interrupting the proliferation of virions inside the brain has been studied, proposing optimal control strategies.

2.
Healthcare (Basel) ; 11(18)2023 Sep 21.
Article in English | MEDLINE | ID: mdl-37761800

ABSTRACT

Portal hypertension is a complex medical condition characterized by elevated blood pressure in the portal venous system. The conventional diagnosis of such disease often involves invasive procedures such as liver biopsy, endoscopy, or imaging techniques with contrast agents, which can be uncomfortable for patients and carry inherent risks. This study presents a deep neural network method in support of the non-invasive diagnosis of portal hypertension in patients with chronic liver diseases. The proposed method utilizes readily available clinical data, thus eliminating the need for invasive procedures. A dataset composed of standard laboratory parameters is used to train and validate the deep neural network regressor. The experimental results exhibit reasonable performance in distinguishing patients with portal hypertension from healthy individuals. Such performances may be improved by using larger datasets of high quality. These findings suggest that deep neural networks can serve as useful auxiliary diagnostic tools, aiding healthcare professionals in making timely and accurate decisions for patients suspected of having portal hypertension.

3.
Infect Dis Model ; 8(2): 341-355, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37008700

ABSTRACT

In the last decades several epidemic emergencies have been affecting the world, influencing the social relationships, the economics and the habits. In particular, starting in the early '80, the Acquired Immunodeficiency Syndrome, AIDS, is representing one of the most worrying sanitary emergency, that has caused up to now more than 25 million of dead patients. The infection is caused by the Human Immunodeficiency Virus, HIV, that may be transmitted by body fluids; therefore with wise behaviours the epidemic spread could rapidly be contained. This sanitary emergency is peculiar for the long incubation time: it can reach even 10 years, a long period in which the individual can unconsciously infect other subjects. The identification of the number of infected unaware people, mandatory to define suitable containment measures, is here obtained by using the extended Kalman filter applied to a noisy model in which, reasonably, only the number of infected diagnosed patients is available. Numerical simulations and real data analysis support the effectiveness of the approach.

4.
Nonlinear Dyn ; 106(2): 1239-1266, 2021.
Article in English | MEDLINE | ID: mdl-34493902

ABSTRACT

An epidemic multi-group model formed by interconnected SEIR-like structures is formulated and used for data fitting to gain insight into the COVID-19 dynamics and into the role of non-pharmaceutical control actions implemented to limit the infection spread since its outbreak in Italy. The single submodels provide a rather accurate description of the COVID-19 evolution in each subpopulation by an extended SEIR model including the class of asymptomatic infectives, which is recognized as a determinant for disease diffusion. The multi-group structure is specifically designed to investigate the effects of the inter-regional mobility restored at the end of the first strong lockdown in Italy (June 3, 2020). In its time-invariant version, the model is shown to enjoy some analytical stability properties which provide significant insights on the efficacy of the implemented control measurements. In order to highlight the impact of human mobility on the disease evolution in Italy between the first and second wave onset, the model is applied to fit real epidemiological data of three geographical macro-areas in the period March-October 2020, including the mass departure for summer holidays. The simulation results are in good agreement with the data, so that the model can represent a useful tool for predicting the effects of the combination of containment measures in triggering future pandemic scenarios. Particularly, the simulation shows that, although the unrestricted mobility alone appears to be insufficient to trigger the second wave, the human transfers were crucial to make uniform the spatial distribution of the infection throughout the country and, combined with the restart of the production, trade, and education activities, determined a time advance of the contagion increase since September 2020.

5.
Biomed Signal Process Control ; 65: 102325, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33262807

ABSTRACT

The paper presents a new mathematical model for the SARS-CoV-2 virus propagation, designed to include all the possible actions to prevent the spread and to help in the healing of infected people. After a discussion on the equilibrium and stability properties of the model, the effects of each different control actions on the evolution of the epidemic spread are analysed, through numerical evaluations for a more intuitive and immediate presentation, showing the consequences on the classes of the population.

6.
Micromachines (Basel) ; 9(1)2017 Dec 30.
Article in English | MEDLINE | ID: mdl-30393290

ABSTRACT

As many studies show, there is a relation between the tissue's mechanical characteristics and some specific diseases. Knowing this relationship would help early diagnosis or microsurgery. In this paper, a new method for measuring the viscoelastic properties of soft materials at the microscale is proposed. This approach is based on the adoption of a microsystem whose mechanical structure can be reduced to a compliant four bar linkage where the connecting rod is substituted by the tissue sample. A procedure to identify both stiffness and damping coefficients of the tissue is then applied to the developed hardware. Particularly, stiffness is calculated solving the static equations of the mechanism in a desired configuration, while the damping coefficient is inferred from the dynamic equations, which are written under the hypothesis that the sample tissue is excited by a variable compression force characterized by a suitable wave form. The whole procedure is implemented by making use of a control system.

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