Fractal Brownian Motion Assessment of the Center of Pressure Excursion During Impulse Phase on Standard Vertical Jump.

This study presents and applies fractal Brownian motion assessment of the center of pressure (COP) excursion during feet ground contact on standard vertical jump impulse phase with long and short countermovement (CM) in relation with lower limb muscle stretch-shortening cycle (SSC) comparing it with no CM and SSC. Fifty-four tests were performed by a group of six healthy male students of sports and physical education degree without previous injury, specific training, or fitness ability. Three repetitions were performed by each subject of a squat jump (SJ) without CM and SSC, countermovement jump (CMJ) with long CM and SSC, as well as drop jump (DJ) with short CM and SSC after depth jump from a 40 cm step. During trial tests ground reaction force and force moments were acquired with force platform and impulse phases were segmented for COP coordinates computation. Fractal Brownian motion analysis of COP excursion during impulse phases conduced to detection of differences between critical time and displacement as well as short and long-term diffusion coefficient (Ds, Dl) and Hurst index scale exponent (Hs, Hl), with Ds, Dl presenting statistical significative correlations -0.491, -0.559 and Hs, Hl non statistical significative correlations 0.266 and -0.424 with MVJ height (ht) at 5% significance for explaining underlying mechanisms on CM and SSC at MVJ.Clinical Relevance- This work contributes with new method for the study expansion of the center of pressure excursion and stability during feet ground contact from orthostatic standing position to the impulse phase during standard maximum vertical jump as the most adequate method for assessment of lower limb muscle stretch-shortening cycle.

A Label and Probe-Free Zika Virus Immunosensor Prussian Blue@carbon Nanotube-Based for Amperometric Detection of the NS2B Protein.

Zika virus (ZIKV) is a mosquito-borne infection, predominant in tropical and subtropical regions causing international concern due to the ZIKV disease having been associated with congenital disabilities, especially microcephaly and other congenital abnormalities in the fetus and newborns. Development of strategies that minimize the devastating impact by monitoring and preventing ZIKV transmission through sexual intercourse, especially in pregnant women, since no vaccine is yet available for the prevention or treatment, is critically important. ZIKV infection is generally asymptomatic and cross-reactivity with dengue virus (DENV) is a global concern. An innovative screen-printed electrode (SPE) was developed for amperometric detection of the non-structural protein (NS2B) of ZIKV by exploring the intrinsic redox catalytic activity of Prussian blue (PB), incorporated into a carbon nanotube-polypyrrole composite. Thus, this immunosensor has the advantage of electrochemical detection without adding any redox-probe solution (probe-less detection), allowing a point-of-care diagnosis. It was responsive to serum samples of only ZIKV positive patients and non-responsive to negative ZIKV patients, even if the sample was DENV positive, indicating a possible differential diagnosis between them by NS2B. All samples used here were confirmed by CDC protocols, and immunosensor responses were also checked in the supernatant of C6/36 and in Vero cell cultures infected with ZIKV.

NS1 glycoprotein detection in serum and urine as an electrochemical screening immunosensor for dengue and Zika virus.

The incidence of infection by the dengue virus (DENV) has grown dramatically, reaching 128 countries in tropical and subtropical regions worldwide, with a pattern of hyper-endemicity. DENV is a mosquito-borne disease having four serotypes, one or two circulating in epidemic outbreaks. The diagnosis of DENV is challenging mainly due to the circulation of new viruses with remarkable similarities, such as Zika (ZIKV) that may cause fetal microcephaly. DENV affects 390 million people per year, but these numbers may be higher due to the underreported and misclassified cases. Recently, the NS1 nonstructural protein has been described in serum and urine of DENV and ZIKV patients, suggesting its use as a biomarker for screening since a negative NS1 sample confirms the absence of these infections. Herein, a label-free immunosensor comprising an assembled nanostructured thin film of carbon nanotube-ethylenediamine is described. The advantage of in situ electrosynthesis of polymer film is to allow major control of thickness and conductivity, in addition to designing the reactive groups for functionalization. A quartz crystal microbalance system was used to estimate the thickness of the polymeric film obtained. The anti-NS1 monoclonal antibodies were immobilized to carbon nanotubes by covalent linkage, permitting a high stability during measurements. Analytical responses to NS1 were obtained by differential pulse voltammetry (DPV), showing a linear range from 20 to 800 ng mL-1 and reproducibility of 3.0%, with a limit of detection (LOD) of 6.8 ng mL- 1. This immunosensor was capable of detecting ZIKV and DENV NS1 in spiked urine and real serum in a clinical range.Graphical abstract.

Generalized Lower Limb Joint Angular Phase Space Analysis of Subject Specific Normal and Modified Gait.

This study presents and applies generalized angular phase space analysis to lower limb joint angles of specific subject during normal and modified gait for discrimination of gait and joint angular movements. Case study of an adult healthy male in-vivo and noninvasive kinematic assessment of skin surface adhesive markers at lower limb was performed at human movement lab during normal gait, stiff knee gait and slow running. Musculoskeletal modeling was performed using AnyGait v.0.92 morphing Twente Lower Extremity Model (TLEM) to match the size and joint morphology of the stick-figure model. Inverse kinematics was performed obtaining hip, knee and ankle joint flexion-extension angular displacements, velocities and accelerations. Generalized phase space analysis was applied to lower limb joint angular displacements, velocities and accelerations. Directional statistics was applied to generalized phase planes with mean direction, resultant length and circular standard deviation assessment. Rayleigh test was employed for directional concentration and coordination assessment, and Watson's $\mathrm{U^{2$ goodness of fit test applied to the von Mises distribution. Results point for the importance of subject specific study, generalized joint angular phase space analysis, comparing results with other normalization methods and validation of applied methods with qualitative clinical analysis.

The role of the anode material and water matrix in the electrochemical oxidation of norfloxacin.

The roles of the anode material, boron-doped diamond (BDD), with different boron (B) and substrate Silicon (Si) or Niobium (Nb) content, and one dimensionally stable anode (DSA®), were evaluated in the oxidation of norfloxacin (NOR) by electrochemical advanced oxidation process (EAOP). The effect of other components in real wastewater on the performance of EAOP was also studied. The anode materials were characterized by cyclic voltammetry, regarding diamond quality, electro-generation of oxidants and NOR oxidation mechanism (direct and/or indirect). The results showed that the anode material influences on the NOR oxidation pathway, due to distinct characteristics of the substrate and the coating. Apparently, low difference in diamond-sp³/sp2-carbon ratio (Si/BDD100 × Si/BDD2500) does not leads to significant differences in the EAOP. On the other hand, the variation in the sp³/sp2 ratio seems to be higher when Si/BDD2500 and Nb/BDD2500 are compared, which would explain the best current efficiency result for Si substrate. However, the Nb substrate presented a similar current efficiency and a 60% lower energy consumption. Dissolved organic matter (DOM) present in the real wastewater affect the EAOP-Nb/BDD due to HO and persulfate ions scavenged. However, when supporting electrolyte was added to a real wastewater spiked with NOR, the NOR decay reaches similar values found to the synthetic one. Due to the energy saving and mechanical properties, Nb substrate presents some technological advantages in relation to Si, which can facilitate the application to industrial levels.

Impedance Analysis of Polyaniline in Comparison with Some Conventional Solid Electrolytes.

Doped polyaniline (PANI) is well-known as an electronic (polaronic) conductor and mostly is used as semiconductor in various applications. However, in the literature there are examples of employment of the acid doped form of PANI as electrolytic filler in proton exchange membranes. In order to distinguish between two types of conduction, in the present study powdered samples of polyaniline, either in the form of emeraldine base (PANI-EB) or in the form doped with camphorsulfonic acid (PANI-CSA), were investigated using impedance spectroscopy both in the dry state and in contact with liquid water. The obtained spectra were compared with the spectra of such conventional solid electrolytes, as zeolites X and ZSM5 and a strong electrolyte boron orthophosphate, acquired in identical conditions. The most important dissimilarity between conventional electrolytes and PANI was that ion diffusion dominates in the impedance response of the formers, whereas the behavior of PANI is under control of electron/hole displacement and the diffusion part is quite inessential. This corroborates the results of analysis of temperature dependence of PANI conductivity, which revealed values of activation energy twice as large as typical solid electrolytes. Equivalent circuits, simulating the impedance responses of all materials, were built up and used to estimate a possible diffusion coefficient of cations in the comparable solids. It was found that the diffusion in a strong electrolyte such as BPO4 is ∼2 orders of magnitude faster than evaluated for zeolites and ∼4 orders higher than what was PANI estimation. A conclusion was made that the slow cation diffusion both in protonated and in base form of PANI makes them less efficient solid electrolytes than conventional materials.

Consistency of surface electromyography assessment at lower limb selected muscles during vertical countermovement.

Given the difficulty of invasive methods to assess muscle action during natural human movement, surface electromyography (sEMG) has been increasingly used to capture muscle activity in relation to kinesiological analysis of specific tasks. Isolated isometric, concentric and eccentric forms of muscle action have been receiving the most attention for research purposes. Nevertheless natural muscle action frequently involves the use of a preceding eccentric muscle action as a form of potentiation of immediate muscle concentric action, in what is designated as muscle stretch-shortening cycle (SSC). The most frequently applied protocols for the evaluation of SSC on vertical jumps are by virtue of their reproducibility and control of experimental conditions, squat jump (SJ) without countermovement (CM), countermovement jump (CMJ) with long CM and drop jump (DJ) with short CM. The methods used to extract information and relationship of the captured signals also present a high diversity, with the question about the consistency of the methods and obtained results. The objective of this study is to evaluate the consistency of the analysis and results by applying different EMGs signal analysis techniques related to strategic muscle groups of the lower limbs at different countermovement evaluated in vertical jumps. Raw sEMG signals of 5 lower limb muscles of 6 subjects during SJ, CMJ and DJ were rectified, filtered and obtained their envelope, and then correlated (CR) for detection of synergistic, agonist and antagonist activity, applied principal component analysis (PCA) for the detection of uncorrelated components explaining maximum variability and normalized cross-correlation (CCRN) for detection of maximum correlations and time lag. CR of EMG envelopes presented higher coactivities (CoA) in DJ relative to SJ and these CoA superior to CMJ with greater synergy in DJ relative to SJ and CMJ that present several loop cycles corresponding to time lag of activity. CCRN of the EMG envelopes presented also higher CoA in DJ when compared to SJ and both higher CoA to CMJ. PCA allowed to detect a principal component (PC) explaining 92.2% of the variability of EMG in DJ, 90.6% in SJ and 78.7% in CMJ, the second PC responsible for the explanation of 4.9% variability in DJ, 6.7% in SJ and 15.3% in CMJ.

Evaluation of the influence of polymorphic variants CYP1A1 2B, CYP1B1 2, CYP3A4 1B, GSTM1 0, and GSTT1 0 in prostate cancer.

BACKGROUND/OBJECTIVE: Genetic polymorphisms in cytochrome P-450 (CYPs) and glutathione S-transferase (GSTs) genes can influence the appearance of tumors by the formation of new enzymes with altered activities. In the present study, 5 polymorphic variants were examined in 154 patients with prostate carcinoma and in 154 controls. MATERIALS AND METHODS: DNA analysis was carried out through PCR-based methods. The statistical methods used were odds ratio and confidence interval (95% CI), χ(2), Fisher, and Mann-Whitney. RESULTS: The study showed absence of association for CYP1A1 2B, CYP1B1 2, GSTM1 0, and GSTT1 0. The statistical analysis implied a positive association of variant CYP3A4 1B for prostate cancer. The combined analysis of CYP1A1 2B, CYP1B1 2, and CYP3A4 1B genotypes showed positive association. The analysis of histopathologic parameters detected statistically significant differences for Gleason score and biochemistry recurrence risk. The presence of the GSTT1 0 genotype in red meat consumers increased the risk for this disease. CONCLUSION: Some polymorphic variants analyzed can influence the development and the progression of prostate cancer.

A new algorithm for segmenting and counting Aedes aegypti eggs in ovitraps.

Dengue fever has become a major international public health concern in recent decades. As dengue fever not have available vaccine or specific treatment, the only known form to prevent the illness is by applying strategies to control its vector, the Aedes aegypti mosquito. Ovitraps, special traps to collect mosquito eggs, are used to detect Aedes aegypti presence and to approximate the gauge of the adult mosquitoes population in the environment by counting the number of eggs laid in an trap. This counting is usually performed in a manual, visual and non-automatic form. This work proposes a new automatic method to automatically count the number of eggs in digital images of ovitraps based on image processing techniques (color systems exploration) and k-Means clustering algorithm. The proposed method performs an improvement on the results when compared with previous studies.

Image segmentation of ovitraps for automatic counting of Aedes Aegypti eggs.

The Aedes Aegypti mosquito is the vector of the most difficult public health problems in tropical and semi-tropical world: the epidemic proliferation of dengue, a viral disease that can cause human beings death specially in its most dangerous form, dengue haemorrhagic fever. One of the most useful methods for mosquito detection and surveillance is the ovitraps: special traps to collect eggs of the mosquito. It is very important to count the number of Aedes Aegypti eggs present in ovitraps. This counting is usually performed in a manual, visual and non-automatic form. This work approaches the development of automatic methods to count the number of eggs in ovitraps images using image processing, particularly color segmentation and mathematical morphology-based non-linear filters.

Comparison between PSA density, free PSA percentage and PSA density in the transition zone in the detection of prostate cancer in patients with serum PSA between 4 and 10 ng/mL.

OBJECTIVE: Compare the capacity of the PSA density (PSAD), Free PSA percentage (%FPSA) and PSA transition zone density (PSATZ) in improving the sensitivity and specificity of the PSA to detect prostate cancer (PCa) in men with a PSA between 4 and 10 ng/mL. MATERIALS AND METHODS: One hundred and forty five men with PSA between 4 and 10 ng/mL were prospectively studied. Blood collection for the total PSA and free PSA was performed as well as transrectal ultra-sound with prostate biopsy and measurement of the total prostate volume (TPV) and transition zone volume (TZV). Patients with initial negative biopsy were followed and the prostate biopsy was repeated in those that presented PSA increase. The capacity of the PSAD, %FPSA and PSADTZ in improving the sensitivity and specificity pf the PSA test to the detection of the PCa was assessed by univariate and multivariate analyses and through the ROC curve. RESULTS: Of the 145 patients, 38 (26.2%) had PCa and in 107 (73.8%) a benign prostate disease was diagnosed. No difference among the PSAD, %FPSA and PSADTZ was found. The multivariate analysis showed that the PSADTZ, %FPSA, TZV and age were those more powerful and highly significant PCa predictors. CONCLUSION: The determination of %FPSA and PSAD can allow a better discrimination between PCa and benign disease that the isolated use of PSA. The combination of PSADTZ, %FPSA, TZV and age promote a high accuracy for PCa detection.

Comparison between PSA density, free PSA percentage and PSA density in the transition zone in the detection of prostate cancer in patients with serum PSA between 4 and 10 ng/ml

OBJECTIVE: Compare the capacity of the PSA density (PSAD), Free PSA percentage ( percentFPSA) and PSA transition zone density (PSATZ) in improving the sensitivity and specificity of the PSA to detect prostate cancer (PCa) in men with a PSA between 4 and 10 ng/mL. MATERIALS AND METHODS: One hundred and forty five men with PSA between 4 and 10 ng/mL were prospectively studied. Blood collection for the total PSA and free PSA was performed as well as transrectal ultra-sound with prostate biopsy and measurement of the total prostate volume (TPV) and transition zone volume (TZV). Patients with initial negative biopsy were followed and the prostate biopsy was repeated in those that presented PSA increase. The capacity of the PSAD, percentFPSA and PSADTZ in improving the sensitivity and specificity pf the PSA test to the detection of the PCa was assessed by univariate and multivariate analyses and through the ROC curve. RESULTS: Of the 145 patients, 38 (26.2 percent) had PCa and in 107 (73.8 percent) a benign prostate disease was diagnosed. No difference among the PSAD, percentFPSA and PSADTZ was found. The multivariate analysis showed that the PSADTZ, percentFPSA, TZV and age were those more powerful and highly significant PCa predictors. CONCLUSION:The determination of percentFPSA and PSAD can allow a better discrimination between PCa and benign disease that the isolated use of PSA. The combination of PSADTZ, percentFPSA, TZV and age promote a high accuracy for PCa detection.

Variables predictive of voiding disfunction following aponeurotic sling surgery: multivariate analysis

INTRODUCTION: Aponeurotic sling surgeries can evolve with obstruction or voiding dysfunction in 5 to 20 percent of patients. There are few studies on factors that could possibly predispose to voiding difficulties or urinary retention. The objective of this work is to identify these potential clinical or urodynamic factors. MATERIALS AND METHODS: Records from 130 patients who underwent aponeurotic sling surgeries were reviewed. All patients underwent a throughout urodynamic study during pre-operative investigation. The variables studied were age above 65 years, previous pelvic surgeries, concomitant surgeries, post-voiding residue higher than 100 mL, vesical obstruction (according to Blaivas-Groutz nomogram) and urinary flow under 12 mL/s. Post-voiding residue was assessed on the seventh post-operative day through vesical catheterization. Recovering of spontaneous voiding after 7 post-operative days or with a residue higher than 100 mL, was regarded as voiding dysfunction. Univariate analysis was performed with qui-square test and Fisher's exact test, and multivariate analysis was performed by logistic regression with alpha = 5 percent. RESULTS: Age in the studied group ranged from 41 to 83 years (mean 56.7 years), with 69 (53 percent) patients having urethral hypermobility and 61 (47 percent) having intrinsic urethral lesion. Normal voiding occurred in 97 (75.6 percent) women with 7 post-operative days. The only significant variable in the univariate (p = 0.014) and multivariate (p = 0.017) analysis was post-voiding residue higher than 100 mL. CONCLUSION: Pre-operative presence of a post-voiding residual urine higher than 100 mL was the only variable predictive of voiding dysfunction.

Variables predictive of voiding disfunction following aponeurotic sling surgery: multivariate analysis.

INTRODUCTION: Aponeurotic sling surgeries can evolve with obstruction or voiding dysfunction in 5 to 20% of patients. There are few studies on factors that could possibly predispose to voiding difficulties or urinary retention. The objective of this work is to identify these potential clinical or urodynamic factors. MATERIALS AND METHODS: Records from 130 patients who underwent aponeurotic sling surgeries were reviewed. All patients underwent a throughout urodynamic study during pre-operative investigation. The variables studied were age above 65 years, previous pelvic surgeries, concomitant surgeries, post-voiding residue higher than 100 mL, vesical obstruction (according to Blaivas-Groutz nomogram) and urinary flow under 12 mL/s. Post-voiding residue was assessed on the seventh post-operative day through vesical catheterization. Recovering of spontaneous voiding after 7 post-operative days or with a residue higher than 100 mL, was regarded as voiding dysfunction. Univariate analysis was performed with qui-square test and Fisher's exact test, and multivariate analysis was performed by logistic regression with alpha = 5%. RESULTS: Age in the studied group ranged from 41 to 83 years (mean 56.7 years), with 69 (53%) patients having urethral hypermobility and 61 (47%) having intrinsic urethral lesion. Normal voiding occurred in 97 (75.6%) women with 7 post-operative days. The only significant variable in the univariate (p = 0.014) and multivariate (p = 0.017) analysis was post-voiding residue higher than 100 mL. CONCLUSION: Pre-operative presence of a post-voiding residual urine higher than 100 mL was the only variable predictive of voiding dysfunction.

Use of cadaveric fascia lata to correct grade IV cystocele

We describe a modification of the cadaveric prolapse repair and sling - CaPS technique that uses the sling surgery principles to correct grade IV cystocele. In this modification, the central and paravaginal defects reconstitution are performed using cadaveric fascia lata fixed over rectus abdominis muscle, eliminating the need of pubic fixation by screws, as proposed by the original technique. The modification described, besides presenting the benefits of CaPS, i.e., not using impaired tissues to reconstruct vesical support, and lower risks of perineal hypercorrection, also reduces the probability of complications of bone fixation

Use of cadaveric fascia lata to correct grade IV cystocele.

We describe a modification of the cadaveric prolapse repair and sling - CaPS technique that uses the sling surgery principles to correct grade IV cystocele. In this modification, the central and paravaginal defects reconstitution are performed using cadaveric fascia lata fixed over rectus abdominis muscle, eliminating the need of pubic fixation by screws, as proposed by the original technique. The modification described, besides presenting the benefits of CaPS, i.e., not using impaired tissues to reconstruct vesical support, and lower risks of perineal hypercorrection, also reduces the probability of complications of bone fixation.