[COMPLICATED URINARY TRACT INFECTIONS IN THE ELDERLY].

Urinary tract infections (UTI) are the most common bacterial infections involving lower (cystitis, prostatitis) or upper (pyelonephritis, renal abscess, perinephric abscess) urinary tract. Differentiation of complicated and uncomplicated UTI is usually based on the presence of structural or functional urinary tract abnormalities, which can increase the risk of treatment failure and development of serious complications. Factors that increase the risk are foreign bodies, stones, obstruction, neurogenic bladder, kidney transplantation, immunosuppression, and pregnancy. Complicated UTI includes a spectrum of conditions that increase the risk of treatment failure, as well as of serious complications such as bacteremia and sepsis, perinephric abscess, renal impairment and emphysematous pyelonephritis. To avoid the potentially devastating outcomes, appropriate diagnostic procedures, antibiotic and surgical treatment, and appropriate follow-up are required. The incidence of complicated UTI will grow in the future due to general aging of the population, increasing incidence of diabetes, and ever growing number of immunocompromised and immunosuppressed patients. It is of key importance to recognize complicated UTI on time, and treat it wisely and aggressively to reduce duration of the disease and the risk of antibiotic resistance.

Corruption: Engineers are Victims, Perpetrators or Both?

This study was conducted in Serbian companies on licensed engineers and in its first part included a total of 336 licensed engineers who voluntarily completed the questionnaires about their ethical orientation and attitudes toward corruption and in the second part 214 engineers who participated in the first survey, who voluntarily evaluated their company's business operations characteristics. This study has clearly shown that there is a direct significant influence of the engineer's ethical orientations and attitudes toward corruption on their evaluation of the characteristics of their respective companies regarding business operations. This research also clearly shows that only engineers with a strong deontological orientation, low ethical subjectivity, and strong readiness to fight corruption, low corruption acceptance and high awareness of corruption can successfully fight corruption, improve the business operations of their companies and make beneficial changes to society. Otherwise, they should be considered as corruption perpetrators, not just as its victims.

The alpha band of the resting electroencephalogram under pulsed and continuous radio frequency exposures.

The effect of GSM-like electromagnetic fields with the resting electroencephalogram (EEG) alpha band activity was investigated in a double-blind cross-over experimental paradigm, testing the hypothesis that pulsed but not continuous radio frequency (RF) exposure would affect alpha activity, and the hypothesis that GSM-like pulsed low frequency fields would affect alpha. Seventy-two healthy volunteers attended a single recording session where the eyes open resting EEG activity was recorded. Four exposure intervals were presented (sham, pulsed modulated RF, continuous RF, and pulsed low frequency) in a counterbalanced order where each exposure lasted for 20 min. Compared to sham, a suppression of the global alpha band activity was observed under the pulsed modulated RF exposure, and this did not differ from the continuous RF exposure. No effect was seen in the extremely low frequency condition. That there was an effect of pulsed RF that did not differ significantly from continuous RF exposure does not support the hypothesis that "pulsed" RF is required to produce EEG effects. The results support the view that alpha is altered by RF electromagnetic fields, but suggest that the pulsing nature of the fields is not essential for this effect to occur.

Advances in methods for therapeutic peptide discovery, design and development.

Drug discovery and development are intense, lengthy and interdisciplinary processes. Traditionally, drugs were discovered by synthesizing compounds in time-consuming multi-step experimental investigations followed by in vitro and in vivo biological screening. Promising candidates were then further studied for their pharmacokinetic properties, metabolism and potential toxicity. Today, the process of drug discovery has been revolutionized due to the advances in genomics, proteomics, and bioinformatics. Efficient technologies such as combinatorial chemistry, high throughput screening (HTS), virtual screening, de novo design and structure-based drug design contribute greatly to drug discovery. Peptides are emerging as a novel class of drugs for cancer therapy, and many efforts have been made to develop peptide-based pharmacologically active compounds. This paper presents a review of current advances and novel approaches in experimental and computational drug discovery and design. We also present a novel bioactive peptide analogue, designed using the Resonant Recognition Model (RRM), and discuss its potential use for cancer therapeutics.

Monte Carlo simulations of the electric field close to the body in realistic environments for application in personal radiofrequency dosimetry.

Personal dosemeters can play an important role in epidemiological studies and in radiofrequency safety programmes. In this study, a Monte Carlo approach is used in conjunction with the finite difference time domain method to obtain distributions of the electric field strength close to a human body model in simulated realistic environments. The field is a proxy for the response of an ideal body-worn electric field dosemeter. A set of eight environments were modelled based on the statistics of Rayleigh, Rice and log-normal fading to simulate outdoor and indoor multipath exposures at 450, 900 and 2100 MHz. Results indicate that a dosemeter mounted randomly within 10-50 mm of the adult or child body model (torso region) will on average underestimate the spatially averaged value of the incident electric field strength by a factor of 0.52 to 0.74 over the frequencies of 450, 900 and 2100 MHz. The uncertainty in results, assessed at the 95 % confidence level (between the 2.5th and 97.5th percentiles) was largest at 2100 MHz and smallest at 450 MHz.

Ataxin active site determination using spectral distribution of electron ion interaction potentials of amino acids.

Ataxia is a genetic neurological disorder characterised by a neurodegenerative process affecting a motor cortex responsible for balance and coordination. Recently several genes that cause autosomal dominant ataxia development were identified. These abnormal genes share a common ability to produce abnormal ataxin proteins that can affect nerve cells in the cerebellum and spinal cord. Here, using the Resonant Recognition Model (RRM) based on signal processing, we analysed ataxin proteins and identified the characteristic features corresponding to their biological activities. The RRM is a physico-mathematical model developed for analysis of protein interactions. By incorporating Smoothed Pseudo Wigner-Ville distribution (SPWV) in the RRM, we can define the active regions along the protein molecule. The results showed that our computational predictions correspond closely with the experimentally identified locations of the active/binding sites for ataxin-1 and ataxin-3 protein groups. The results obtained provide a valuable insight into the functional performance of ataxin proteins.

Factors influencing uncertainty in measurement of electric fields close to the body in personal RF dosimetry.

This paper provides an insight into factors that can influence uncertainty in measurements at 900 MHz of electric fields close to the body for use in personal dosimetry. Computational simulations using the finite difference time domain method were used to determine the total electric field near the surface of the torso of heterogeneous (adult and child) human body models for a set of exposure scenarios that simulated both spatially constant and randomly varying incident fields. Modelling has shown that a properly responding isotropic electric field dosemeter mounted between 10 and 50 mm of the torso will on average underestimate the incident field strength by up to 6.45 dB. In the worst case (i.e. spatially constant field), the standard deviation or uncertainty reached 6.42 dB. Uncertainty was reduced to <2.17 dB by combining the simultaneous outputs of a pair of body-worn dosemeters (mounted front and rear of torso).

Investigating the interaction between oncogene and tumor suppressor protein.

It is known that cancer develops when cells in a part of the body begin to grow out of control. Because cancer cells continue to grow and divide with no order, they never differentiate into the specific tissue, and thus, they are functionally different from normal cells. However, there are some genes that help to prevent cells' malignant behavior, and therefore, are referred to as tumor suppressor genes. Here, we have investigated the structural and functional relationships of p53, oncogene and interleukin 2 (IL2) proteins using the resonant recognition model (RRM), a physico-mathematical approach based on digital signal processing methods. In addition, using the RRM concepts, we have designed the peptide analoges that would exhibit tumor-suppression-like activity and be used in anticancer vaccine development.

A reliability study of the new Back Strain Monitor based on clinical trials.

A new Back Strain Monitor (BSM) device has been developed in order to measure, record and analyze movements of the lower back. The purpose of this study was to examine the inter-tester and the intra-tester reliability of the movement measurements given by the BSM accelerometers, and compare it with the reliability of two other conventional measurement methods: the Double Inclinometer method (DI) and the Modified-Modified Schober (MMS) method. The clinical studies included 23 participants (16 males, 7 females) with no recent history of lower back pain, who wore the device during a combination of different anatomical movements (flexion, extension, left lateral flexion and right lateral flexion of the lumber spine). The tests were conducted by three therapists (testers). The reliability results for the BSM accelerometers clearly outperform the results obtained for the DI and the MMS methods. The inter-tester reliability gives the Intra-Class Correlation (ICC) value of 0.95 for the BSM flexion, 0.89 for the DI flexion and 0.74 for the MMS. The intra-tester reliability gives the ICC value of 0.99 for BSM flexion, 0.94 for DI flexion and 0.77 for the MMS. The BSM accelerometers were highly reliable in assessing back movements, measuring these movements with less error than the DI and MMS methods.

Non-thermal effects of 500MHz - 900MHz microwave radiation on enzyme kinetics.

Enzymes are essential for the catalysis of biochemical reactions and in the regulation of metabolic pathways. They function by greatly accelerating the rate of specific chemical reactions that would otherwise be slow. It has been shown that extremely low-power microwaves can influence enzyme activity [1-5]. This study is focused at investigating the effects of low level microwave exposures ranging from 500MHz to 900MHz on L-Lactate Dehydrogenase (LDH) enzyme activity. The results obtained revealed the increased bioactivity of the LDH upon microwave radiation at two particular frequencies 500MHz and 900MHz.

Influence of electromagnetic radiation on enzyme kinetics.

This study is focused on experimental validation of our hypothesis proposed within the Resonant Recognition Model (RRM) [7], [8] that protein function can be modified by an applied electromagnetic radiation of defined frequency in a range of infra red (IR), visible and ultra violet (UV) light. This postulate is investigated here by applying the electromagnetic radiation (1140-1200 nm) to example of L-Lactate Dehydrogenase (LDH) protein and its biological activity is measured before and after the exposures. The presented methodology provides a possibility of enhancing the pharmaceutical and agricultural industries by amplifying drug potency via electromagnetic radiation.

Modelling and design of extremely low frequency uniform magnetic field exposure apparatus for in vivo bioelectromagnetic studies.

Helmholtz coils are regularly utilised for various extremely low frequency (ELF) bioelectromagnetic experiments. The evaluation was conducted for the Helmholtz coil magnetic field frequency and uniformity, characterised by frequency-domain and geometric ELF magnetic exposure characteristics. An established approach which consisted of the mathematical calculations of the geometric parameters, computational modeling, and experimental development measurements of the Helmholtz coil's magnetic field frequency and uniformity, improved the quality of magnetic field uniformity and minimised the magnetic field intensity losses.

Inter and intra-hemispheric EEG coherence responses to visual stimulations.

This study investigated whether the visual stimulation at extremely low frequency (ELF) could possibly induce changes in the electroencephalographic (EEG) responses. The functional connectedness was examined between the brain regions when the Minimum Variance Distortion-less Response (MVDR) coherence algorithm together with Wilcoxon signed-ranks test statistical method was applied. The results showed that functional significance of EEG alpha rhythms at parietal, and occipital cortex, respond to oscillatory 13 Hz and 16.66 Hz light stimulation, respectively.

ECG R-R peak detection on mobile phones.

Mobile phones have become an integral part of modern life. Due to the ever increasing processing power, mobile phones are rapidly expanding its arena from a sole device of telecommunication to organizer, calculator, gaming device, web browser, music player, audio/video recording device, navigator etc. The processing power of modern mobile phones has been utilized by many innovative purposes. In this paper, we are proposing the utilization of mobile phones for monitoring and analysis of biosignal. The computation performed inside the mobile phone's processor will now be exploited for healthcare delivery. We performed literature review on RR interval detection from ECG and selected few PC based algorithms. Then, three of those existing RR interval detection algorithms were programmed on Java platform. Performance monitoring and comparison studies were carried out on three different mobile devices to determine their application on a realtime telemonitoring scenario.

Comparison of the effects of continuous and pulsed mobile phone like RF exposure on the human EEG.

It is not clear yet whether Global System for Mobiles (GSM) mobile phone radiation has the ability to interfere with normal resting brain function. There have been reports that GSM exposure increases alpha band power, and does so only when the signal is modulated at low frequencies (Huber, R., Treyer, V., Borbely, A. A., Schuderer, J., Gottselig, J. M., Landolt, H.P., Werth, E., Berthold,T., Kuster, N., Buck, A and Achermann, P. Electromagnetic fields, such as those from mobile phones, alter regional cerebral blood flow and sleep and waking EEG. J Sleep Res 11, 289-295, 2002.) However, as that research employed exposure distributions that are not typical of normal GSM handset usage (deep brain areas were overexposed), it remains to be determined whether a similar result patterning would arise from a more representative exposure. In this fully counterbalanced cross-over design, we recruited 12 participants and tried to replicate the modulation linked post exposure alpha band power increase described above, but with an exposure source (dipole antenna) more closely resembling that of a real GSM handset. Exposures lasted for 15 minutes. No changes to alpha power were found for either modulated or unmodulated radiofrequency fields, and thus we failed to replicate the above results. Possible reasons for this failure to replicate are discussed, with the main reason argued to be the lower and more representative exposure distribution employed in the present study. In addition we investigated the possible GSM exposure related effects on the non-linear features of the resting electroencephalogram using the Approximate Entropy (ApEn) method of analysis. Again, no effect was demonstrated for either modulated or unmodulated radiofrequency exposures.

Influence of sinusoidally modulated visual stimuli at extremely low frequency range on the human EEG activity.

The purpose of this study was to investigate whether sinusoidally modulated visual stimuli at extremely low frequencies (ELF) of 50, 16.66, 13, 10, 8.33 and 4Hz could influence the changes in EEG activity in 33 human subjects. An improved design of visual stimulator system has addressed an issue of electrical interference from electrical signals driven by LED arrays onto simultaneously recorded EEG. A comparison between 1 and 3-Way ANOVA was performed in order to evaluate whether visual stimuli at ELFs could influence the EEG in humans to compliment the currently active medical research in seasonal affective disorder (SAD) and photic driving. The results revealed that under evaluation of 1 and 3-Way repeated-measures ANOVA tests, the Theta, Alpha2 and Gamma EEG bands exhibited a common significant difference between ELF visual stimuli.

Alterations in human EEG activity caused by extremely low frequency electromagnetic fields.

This study has investigated whether extremely low frequency (ELF) electromagnetic fields (EMFs) can alter human brain activity. Linearly polarised magnetic flux density of 20 muT (rms) was generated using a standard double Helmholtz coils and applied to the human head over a sequence of 1 minute stimulations followed by one minute without stimulation in the following order of frequencies 50, 16.66, 13, 10, 8.33 and 4 Hz. We collected recordings on 33 human volunteers under double-blind counter-balanced conditions. Each stimulation lasted for two minutes followed by one minute post-stimulation EEG recording. The same procedure was repeated for the EMF control sessions, where the order of control and exposure sessions was determined randomly according to the subject's ID number. The rest period between two conditions (exposure and control) was 30 minutes. The results indicate that there was a significant increase in Alpha1, Alpha2, and Beta1 at the frontal brain region, and a significant decrease in Alpha2 band in parietal and occipital region due to EMF exposure.

Endurance training of trained athletes-an electromyogram study.

Little is known about the mechanism that improves the capabilities of athletes by high, intensity interval training (HIT). This study was conducted to determine the neurophysiological changes due to HIT. Changes in surface electromyography (SEMG) in well-trained endurance cyclists due to the training were identified. Seven subjects (maximal oxygen uptake [VO2max] 64.6 ±4.8 ml.kg-1.min-1, mean ± SD) undertook a 3 week training intervention, replacing ∼ 15% of their weekly endurance training with 6 sessions of laboratory-based HIT (8 × 5 min work bouts at 82% of PPO [∼85% VO2max], with 60 sec active recovery at 100 W). SEMG was used to assess neuromuscular changes before and after the 3 wk training program. During the first and sixth training session, SEMG was recorded. To determine the effects of the HIT program on performance, subjects performed a 40 km time trial (TT40) before and after the training intervention. The frequency of SEMG is a measure of the muscle fatigue and hence was used to identify the variation of the signal properties. Three weeks of intensified training decreased the mean power frequency of the SEMG signal during the latter stages of HIT (interval seven) 50.2 ± 5.1 to 47.5 ± 4.2 Hz (P < 0.05). The preliminary conclusions of these experiments suggest that high-intensity interval training enhanced endurance performance and reduced the fatiguing of the muscles. It is suggested that this was possibly due to recruitment of addition slow-twitch motor units.

Strategies to identify changes in SEMG due to muscle fatigue during cycling.

Detection, quantification and analysis of muscle fatigue is crucial in occupational/rehabilitation and sporting settings. Sports organizations such as Australian Institute of Sports (AIS) currently monitor fatigue by a battery of tests including invasive techniques that require taking blood samples and/or muscle biopsies, the latter of which is highly invasive, painful, time consuming and expensive. SEMG is non-invasive monitoring of the muscle activation and is an indication of localized muscle fatigue based on the observed shift of the power spectral density of the SEMG. But the success of SEMG based techniques is currently limited to isometric contraction and is not acceptable to the human movement community. This paper proposes and tests a simple signal processing technique to identify the onset of muscle fatigue during cyclic activities of muscles such as VL and VM during cycling. Based on experiments conducted with 7 participants, using power output as a measure of fatigue, the technique is able to identify the muscle fatigue with 98% significance.

EEG coherence changes between right and left motor cortical areas during voluntary muscular contraction.

It is known that movements of the right side of the body are controlled by the left motor cortex of the brain. The aim of this study is to evaluate the contribution of right motor cortex of the brain in the central motor control of right-sided muscle contraction. EEG/EEG coherence analysis has been used to determine the functional coupling between the right and left motor cortical areas in twenty normal volunteers, during maximum voluntary contraction (MVC) and 50% MVC of right Adductor Pollicis muscle (APM). It shows that the maximum mean coherence values were: 0.751 during MVC at 10 and 12 Hz, and 0.274 during 50% of MVC at 22 Hz. The minimum mean coherence values were: 0.716 during MVC at 48 and 50 Hz, and 0.242 during 50% MVC at 34 Hz. The high coherence values obtained during MVC, and to a lesser extent during 50% of MVC, could be attributed to the need of recruitment of both motor cortical areas during the decision phase of central motor control of voluntary muscular contraction. The "will" to perform maximum voluntary contraction could be a major factor, which contribute to the higher coherence values obtained during MVC than these associated with 50% of MVC.