Calhounfoss0667
The study aims to demonstrate risk factors for colitis in intensive care unit patients with and without coronavirus disease 2019 (COVID-19).
Retrospective review was performed to identify intensive care unit (ICU) patients with the diagnosis of COVID-19 with computed tomography (CT) between March 20 and December 31, 2020. ICU patients without COVID-19 diagnosis with CT between March 20 and May 10, 2020 were also identified. CT image findings of colitis or terminal ileitis as well as supportive treatment including ventilator, vasopressors, or extracorporeal membrane oxygenation (ECMO) were recorded. Statistical analysis was performed to determine if clinical factors differed in patients with and without positive CT finding.
Total 61 ICU patients were selected, including 32 (52%) COVID-19-positive patients and 29 (48%) non-COVID-19 patients. CT findings of colitis or terminal ileitis were identified in 27 patients (44%). read more Seventy-four percent of the patients with positive CT findings (20/27) received suppoOVID-19-related severe gastrointestinal complications and potential poor outcome could have been confounded by underlying severe critically ill status, and warrants a caution in diagnosis of gastrointestinal complication.
The objective of this paper was to develop a computer-aided diagnostic (CAD) tools for automated analysis of capsule endoscopic (CE) images, more precisely, detect small intestinal abnormalities like bleeding.
In particular, we explore a convolutional neural network (CNN)-based deep learning framework to identify bleeding and non-bleeding CE images, where a pre-trained AlexNet neural network is used to train a transfer learning CNN that carries out the identification. Moreover, bleeding zones in a bleeding-identified image are also delineated using deep learning-based semantic segmentation that leverages a SegNet deep neural network.
To evaluate the performance of the proposed framework, we carry out experiments on two publicly available clinical datasets and achieve a 98.49% and 88.39% F1 score, respectively, on the capsule endoscopy.org and KID datasets. For bleeding zone identification, 94.42% global accuracy and 90.69% weighted intersection over union (IoU) are achieved.
Finally, our performance rtion of CE images by a physician, our framework enables considerable annotation time and human labor savings in bleeding detection in CE images, while providing the additional benefits of bleeding zone delineation and increased detection accuracy. Moreover, the overall cost of CE enabled by our framework will also be much lower due to the reduction of manual labor, which can make CE affordable for a larger population.Some moral behaviours, often regarded as reflecting high cognitive abilities (such as empathy, cooperation, targeted helping) are known to only be present in very few species, like great apes, elephants and cetaceans. Prosocial behaviours (producing a benefit for the recipient without necessarily involving a cost for the actor) have been mostly found in primates and, more recently, in elephants. Despite dolphins' reputation for helping their conspecifics, experimental studies about their prosocial and empathic abilities are rare. We conducted Prosocial Choice Tests in six bottlenose dolphins. The subjects had to choose between three objects choosing the prosocial object induced the simultaneous rewarding of both the subject and a recipient individual; choosing the selfish object induced a reward only for the subject; choosing the null one did not reward anyone. We found prosociality and direct reciprocity in our subjects, and our results suggested that bottlenose dolphins might be able to modulate their prosocial and reciprocal tendencies according to partner-specific information. Subjects seemed to be more prosocial towards the other sex and more reciprocal towards same-sex recipients. This reciprocity might be underpinned by the same features that rule their behaviours in the wild (cooperating with same sex conspecifics). Moreover, an audience effect was reported, as the presence of the subject's young increased subjects' likelihood of prosocial response. Our findings highlighted that prosociality could appear in taxa other than primates, suggesting a convergent evolutionary phenomenon.
The aim of this study was to report preliminary data on the use of intranasal dexmedetomidine to treat postoperative restlessness, agitation, and pain in 23 patients aged > 70 years and undergoing orthopedic surgery.
Postoperative agitation and delirium are common among older adult patients undergoing orthopedic surgery. Most preparations used to treat agitation and delirium carry a risk for adverse events such as respiratory failure. Moreover, mere opioid therapy may be insufficient in treatment of pain. Dexmedetomidine, an α2-adrenoreceptor agonist with sedative and analgesic properties, has been shown to reduce opioid requirement and reduce postoperative delirium in older adults.
We studied the use of post-operative intranasal dexmedetomidine in a retrospective study cohort of geriatric patients undergoing orthopedic surgery. Primary outcomes included alterations in heart rate (HR), mean arterial pressure (MAP), respiratory rate (RR), peripheral oxygen saturation (SpO2), Modified Richmond Agitatior adult patients.
These preliminary findings suggest that intranasal dexmedetomidine reduces opioid consumption without causing respiratory depression and may be used to treat postoperative restlessness, agitation, and pain in geriatric patients. However, hemodynamic effects of dexmedetomidine may require close observation for 3 hours following administration in older adult patients.Accumulating evidence strongly indicates that the presence of cancer stem cells (CSCs) leads to the emergence of worse clinical scenarios, such as chemo- and radiotherapy resistance, metastasis, and cancer recurrence. CSCs are a highly tumorigenic population characterized by self-renewal capacity and differentiation potential. Thus, CSCs establish a hierarchical intratumor organization that enables tumor adaptation to evade the immune response and resist anticancer therapy. YY1 functions as a transcription factor, RNA-binding protein, and 3D chromatin regulator. Thus, YY1 has multiple effects and regulates several molecular processes. Emerging evidence indicates that the development of lethal YY1-mediated cancer phenotypes is associated with the presence of or enrichment in cancer stem-like cells. Therefore, it is necessary to investigate whether and to what extent YY1 regulates the CSC phenotype. Since CSCs mirror the phenotypic behavior of stem cells, we initially describe the roles played by YY1 in embryonic and adult stem cells.