Real-Time Motor Unit Tracking from sEMG Signals with Adaptive ICA on a Parallel Ultra-Low Power Processor.

Spike extraction by blind source separation (BSS) algorithms can successfully extract physiologically meaningful information from the sEMG signal, as they are able to identify motor unit (MU) discharges involved in muscle contractions. However, BSS approaches are currently restricted to isometric contractions, limiting their applicability in real-world scenarios. We present a strategy to track MUs across different dynamic hand gestures using adaptive independent component analysis (ICA): first, a pool of MUs is identified during isometric contractions, and the decomposition parameters are stored; during dynamic gestures, the decomposition parameters are updated online in an unsupervised fashion, yielding the refined MUs; then, a Pan-Tompkins-inspired algorithm detects the spikes in each MUs; finally, the identified spikes are fed to a classifier to recognize the gesture. We validate our approach on a 4-subject, 7-gesture + rest dataset collected with our custom 16-channel dry sEMG armband, achieving an average balanced accuracy of 85.58±14.91% and macro-F1 score of 85.86±14.48%. We deploy our solution onto GAP9, a parallel ultra-low-power microcontroller specialized for computation-intensive linear algebra applications at the edge, obtaining an energy consumption of 4.72 mJ @ 240 MHz and a latency of 121.3 ms for each 200 ms-long window of sEMG signal.

Outcomes of patients older than 55 years undergoing abdominoplasty after bariatric surgery.

BACKGROUND: Bariatric surgery has become widely performed for treating patients with morbid obesity, and the age limits are being pushed further and further as the procedure proves safe. After massive weight loss, many of those patients seek body-contouring surgery for excess skin and fat. OBJECTIVES: To analyze the feasibility and the safety of abdominoplasty in patients older than 55 years old after bariatric surgery. SETTING: University hospital medical center. METHODS: We performed a retrospective review of prospectively collected data from patients aged older than 55 years who had undergone abdominoplasty following massive weight loss due to a bariatric surgery at a single institution from 2004 to 2017. The data analyzed included age, gender, preoperative body mass index, associated interventions, co-morbidities, and postoperative complications. RESULTS: We retrieved records for 104 patients; 85.6% percent of them were female, and the mean age was 60.1 ± 3.9 years old. Of the 104 patients, 21 (20.2%) underwent a sleeve gastrectomy and 77 (74%) underwent a Roux-en-Y gastric bypass. The mean interval between the bariatric surgery and the abdominoplasty was 33.6 ± 26.9 months. The mean preoperative weight and body mass index were 76.1 ± 14.5 kg and 28.9 ± 4.5 kg/m2, respectively. A total complication rate of 20% was observed. The only factor significantly associated with postoperative morbidity was the associated procedure (P = .03), when we performed another procedure at the same time as the abdominoplasty. Complications included postoperative bleeding in 5 patients (4.8%), seromas in 5 patients (4.8%), surgical site infections in 12 patients (11.5%), and wound dehiscence or ischemia in 2 patients (1.9%). No mortality occurred. CONCLUSION: Abdominoplasty can be safely performed in carefully selected patients older than 55 years old after weight loss surgery, and does not present increased morbidity or mortality. We recommend that surgeons avoid adding concomitant procedures when possible, to decrease the risk of complications. It is also important to look at the patient's previous maximum BMI levels, as a higher maximum BMI can predict higher postoperative risks and longer hospital stays.

A role for neuronal piRNAs in the epigenetic control of memory-related synaptic plasticity.

Small RNA-mediated gene regulation during development causes long-lasting changes in cellular phenotypes. To determine whether small RNAs of the adult brain can regulate memory storage, a process that requires stable and long-lasting changes in the functional state of neurons, we generated small RNA libraries from the Aplysia CNS. In these libraries, we discovered an unexpectedly abundant expression of a 28 nucleotide sized class of piRNAs in brain, which had been thought to be germline specific. These piRNAs have unique biogenesis patterns, predominant nuclear localization, and robust sensitivity to serotonin, a modulatory transmitter that is important for memory. We find that the Piwi/piRNA complex facilitates serotonin-dependent methylation of a conserved CpG island in the promoter of CREB2, the major inhibitory constraint of memory in Aplysia, leading to enhanced long-term synaptic facilitation. These findings provide a small RNA-mediated gene regulatory mechanism for establishing stable long-term changes in neurons for the persistence of memory.

Alpha-1 adrenergic receptors gate rapid orientation-specific reduction in visual discrimination.

Prolonged imbalance in sensory experience leads to dramatic readjustments in cortical representation. Neuromodulatory systems play a critical role in habilitating experience-induced plasticity and regulate memory processes in vivo. Here, we show that a brief period of intense patterned visual stimulation combined with systemic activation of alpha-1 adrenergic neuromodulator receptors (α(1)-ARs) leads to a rapid, reversible, and NMDAR-dependent depression of AMPAR-mediated transmission from ascending inputs to layer II/III pyramidal cells in the visual cortex of young and adult mice. The magnitude of this form of α(1)-AR long-term depression (LTD), measured ex vivo with miniature EPSC recordings, is graded by the number of orientations used during visual experience. Moreover, behavioral tests of visual function following the induction of α(1)-AR LTD reveal that discrimination accuracy of sinusoidal drifting gratings is selectively reduced at high spatial frequencies in a reversible, orientation-specific, and NMDAR-dependent manner. Thus, α(1)-ARs enable rapid cortical synaptic depression which correlates with an orientation-specific decrease in visual discrimination. These findings contribute to our understanding of how adrenergic receptors interact with neuronal networks in response to changes in active sensory experience to produce adaptive behavior.