Persons fleeing Ukraine since February 2022 have potentially higher risk of tuberculosis (TB) vs all European Union countries. Interest of active TB screening among this population is debated and not widely adopted. In this screening intervention by a network of TB centres in France, the number needed to screen (NNS) was 862 to find one case.
View Article and Find Full Text PDFIntroduction: HIV is an exclusion criterion for most lung cancer (LC) trials, however LC is the most common non-AIDS-defined malignancy in people living with HIV (PLHIV), poorer prognosis than the general population. Circulating tumor DNA (ctDNA) was a prognostic marker in LC patients from the general population. This study assessed ctDNA's prognostic value in PLHIV from a dedicated phase II trial.
View Article and Find Full Text PDFJ Allergy Clin Immunol Pract
September 2020
Background: Viral infections are known to exacerbate asthma in adults. Previous studies have found few patients with asthma among severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia cases. However, the relationship between SARS-CoV-2 infection and severe asthma exacerbation is not known.
View Article and Find Full Text PDFEur Respir J
August 2020
HIV infection is an exclusion criterion in lung cancer trials. This multicentre phase II trial aimed to assess feasibility, efficacy and safety of first-line carboplatin plus pemetrexed (CaP) followed by pemetrexed (P) maintenance in people living with HIV (PLHIV) with advanced non-squamous non-small cell lung cancer (NS-NSCLC).Four cycles of CaP were followed by P-maintenance therapy in patients with Eastern Cooperative Oncology Group performance status ≤2.
View Article and Find Full Text PDFThis work aimed to assess the role of manual laterality in action coding strategies and, subsequently, in environmental features relevant for each hand's action. Relying on Eder and Hommel's (2013) proposal, we distinguished stimulus-related and end state-related consequences in a Simon paradigm where right-handed participants were divided into two groups, one responding with gloves and one without. Two objects were presented pictorially: one for which sensory consequences of grasping were negatively valenced (a chestnut burr), and one for which they were positively valenced (an apricot).
View Article and Find Full Text PDFFront Bioeng Biotechnol
January 2018
Poststroke hemiplegic patients often show altered weight distribution with balance disorders, increasing their risk of fall. Conventional balance training, though powerful, suffers from scarcity of trained therapists, frequent visits to clinics to get therapy, one-on-one therapy sessions, and monotony of repetitive exercise tasks. Thus, technology-assisted balance rehabilitation can be an alternative solution.
View Article and Find Full Text PDFIEEE Trans Neural Syst Rehabil Eng
July 2017
This paper aims at developing and evaluating a new practical method for the real-time estimate of joint torques and external wrenches during multi-contact sit-to-stand (STS) task using kinematics data only. The proposed method allows also identifying subject specific body inertial segment parameters that are required to perform inverse dynamics. The identification phase is performed using simple and repeatable motions.
View Article and Find Full Text PDFObjective: The goal of this study is to minimize arm forces applied during sit-to-stand (STS) transfers in persons with spinal cord injury (SCI) by using functional electrical stimulation (FES) applied to lower limbs muscles.
Materials And Methods: A new FES system has been used to automatically trigger muscle stimulation of the lower limbs, at the desired moment in regards to trunk motion. The objective was to decrease arm participation during STS motion of a person with complete paraplegia and low-level tetraplegia.
This study investigates the possibility of using the so-called Statically Equivalent Serial Chain approach to estimate the subject-specific 3D whole-body centre of mass (CoM) location. This approach is based on a compact formulation of the 3D whole-body CoM position associated with a least squares identification process. This process requires a calibration phase that uses stereophotogrammetric and dynamometric data collected in selected static postures.
View Article and Find Full Text PDFThe trajectory of the whole body center of mass (CoM) is useful as a reliable metric of postural stability. If the evaluation of a subject-specific CoM were available outside of the laboratory environment, it would improve the assessment of the effects of physical rehabilitation. This paper develops a method that enables tracking CoM position using low-cost sensors that can be moved around by a therapist or easily installed inside a patient's home.
View Article and Find Full Text PDFThe present study was aimed at evaluating the Empirical Mode Decomposition (EMD) method to estimate the 3D orientation of the lower trunk during walking using the angular velocity signals generated by a wearable inertial measurement unit (IMU) and notably flawed by drift. The IMU was mounted on the lower trunk (L4-L5) with its active axes aligned with the relevant anatomical axes. The proposed method performs an offline analysis, but has the advantage of not requiring any parameter tuning.
View Article and Find Full Text PDFThis study aimed at the real-time estimation of the lower-limb joint and torso kinematics during a squat exercise, performed in the sagittal plane, using a single inertial measurement unit placed on the lower back. The human body was modeled with a 3-DOF planar chain. The planar IMU orientation and vertical displacement were estimated using one angular velocity and two acceleration components and a weighted Fourier linear combiner.
View Article and Find Full Text PDFAnnu Int Conf IEEE Eng Med Biol Soc
July 2013
We develop and present a portable tool intended for real time estimation of the center of mass (CoM) in human subjects. Using the statically equivalent serial chain (SESC) method we can account for subject specificity after identification of the model’s parameters. CoM position estimates are then available from measurements of the subject's limbs orientations.
View Article and Find Full Text PDFDespite the marked fall in the number of cases of tuberculosis in France, the disease remains a public health issue due to its contagiousness and the current emergence of forms resistant to classic antituberculotics. Prevention and the systematic screening of the people close to the patient help to control the spread of the disease.
View Article and Find Full Text PDFThis study investigated the possibility of estimating lower-limb joint kinematics during a squat exercise performed in the sagittal plane based on data collected from a single inertial measurement unit located on the lower trunk. The human body was modeled as a three-degrees-of-freedom planar chain and the relevant joint angles (ankle, knee, and hip) are represented by Fourier series. A least-squares approach based on the minimization of the difference between the measured and estimated linear accelerations and the angular velocity of the lower trunk was used to solve the related analytical problem.
View Article and Find Full Text PDFWe investigated dynamic optimization as a tool to improve functional electrical stimulation (FES) assisted sit to stand transfers of paraplegic subjects. The objective would be to find optimal strategy for voluntary trunk movement, which would minimize hip, knee and ankle torques and demand minimal upper limb participation during the motion. Motion of the knee and the ankle were constrained by electrical stimulation.
View Article and Find Full Text PDFAnnu Int Conf IEEE Eng Med Biol Soc
June 2012
The use of dynamic optimization as a tool to estimate joint kinematics and kinetics, and ground reaction forces using data from a single inertial measurement unit (IMU) positioned on the lower trunk was investigated. The feasibility of this approach and its accuracy was explored for the analysis of a squat task, focusing on the ankle, knee and hip joints. An optimal motor control strategy aimed at minimizing the sum of the intersegmental couples and of their time derivatives was imposed to estimate the mechanics of a three-segment sagittal model.
View Article and Find Full Text PDFThis paper proposes a closed-loop optimal control model predicting changes between in-phase and anti-phase postural coordination during standing and related supra-postural activities. The model allows the evaluation of the influence of body dynamics and balance constraints onto the adoption of postural coordination. This model minimizes the instantaneous norm of the joint torques with a controller in the head space, in contrast with classical linear optimal models used in the postural literature and defined in joint space.
View Article and Find Full Text PDFPatients aged 70 and over represent the third of the population of patients with lung cancer. There has been for a long time a certain nihilism regarding the treatment of elderly patients with advanced lung cancer as well from medical doctors but also from families and patients themselves with the false belief of an indolent course of the disease in elderly patients. As a result, clinical trials devoted to elderly patients were quite scarce until the end of the last decade.
View Article and Find Full Text PDFAnnu Int Conf IEEE Eng Med Biol Soc
March 2011
This paper presents a distributed Functional Electrical Stimulation architecture based on a wireless network, for therapeutic training of disabled patients. On this distributed architecture, a global controller can pilot a set of stimulation and acquisition units and modify dynamically stimulation and acquisition parameters. This solution intend to be a tool for researchers and therapist to develop closed-loop control algorithms and strategies for therapeutic rehabilitation applications with external FES, in a clinical context.
View Article and Find Full Text PDFAnnu Int Conf IEEE Eng Med Biol Soc
April 2011
Muscle fatigue is an unavoidable problem when electrical stimulation is applied to paralyzed muscles. The detection and compensation of muscle fatigue is essential to avoid movement failure and achieve desired trajectory. This work aims to predict ankle plantar-flexion torque using stimulus evoked EMG (eEMG) during different muscle fatigue states.
View Article and Find Full Text PDFThis paper presents a contribution for restoring standing in paraplegia while using functional electrical stimulation (FES). Movement generation induced by FES remains mostly open looped and stimulus intensities are tuned empirically. To design an efficient closed-loop control, a preliminary study has been carried out to investigate the relationship between body posture and voluntary upper body movements.
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