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Cutaneous leishmaniasis (CL) is an intracellular parasitic infectious skin disease with a chronic self-limited course. In vivo reflectance confocal microscopy (RCM) findings in CL have been described in only two cases of CL. We report another case with RCM findings; however to our knowledge, this is the first demonstration of Leishmania amastigotes in RCM imaging. A centrally eroded reddish nodular lesion with a diameter of 12 mm was observed on the leg of a 36-years-old male with a 1-month history. On dermoscopy, a central yellowish crust, and irregularly distributed whitish opaque structures ranging in size and shape (round to polygonal) were observed. There were also irregular vessels mostly at the center and dotted/glomerular vessels at the periphery. On RCM, mild epidermal disarray with some scattered bright cells at the basal layer was observed. At the dermis, dense infiltration of polymorphic/roundish cells with heterogeneous reflectivity was seen. These large, mildly reflecting cells with fine granular structures in their cytoplasm were compatible with macrophages. Histopathology was concordant with CL. The Leishmania amastigotes seen as cytoplasmic granularity on RCM were the clue feature for the initial diagnosis.

The purposes of this work are to develop a method for efficiently processing MR-specific artifacts using a convolutional neural network (CNN), and to present its applications for the removal of the artifacts without suppressing actual signals. In MR images that are acquired using parallel imaging and/or EPI, the locations of aliasing artifacts and/or N-half ghost artifacts can be analytically calculated. However, existing methods using CNNs do not take the structures of the artifacts into account, and therefore need a large number of convolution layers for processing the artifacts.

For processing the artifacts, a new layer that is named the aliasing layer (AL) is proposed. Because a CNN stands on the assumption that an image has spatial locality, a convolution layer is formulated as a linear function of neighbor locations. For processing the artifacts, the AL preprocesses MR images by moving the calculated locations to the locations accessible through summations over all channels in a standard convolution layer. To evaluate the application of ALs for the removal of parallel imaging and EPI artifacts, CNNs with ALs were compared with those without ALs.

The results showed that image-quality metrics of a six-layer CNN with ALs were better than those of a 12-layer CNN without ALs. The results also showed that CNNs with ALs suppressed the artifacts selectively.

The aliasing layer is proposed for processing MR-specific artifacts efficiently. The experimental results demonstrated that the AL improved CNNs for removing artifacts from parallel imaging and EPI.

The aliasing layer is proposed for processing MR-specific artifacts efficiently. The experimental results demonstrated that the AL improved CNNs for removing artifacts from parallel imaging and EPI.Monitoring of the human microbiome is an emerging area of diagnostics for personalized medicine. Here, the potential of different nanomaterials and nanobiosensing technologies is reviewed for the development of novel diagnostic devices for the detection and measurement of microbiome-related biomarkers. Moreover, the current and future landscape of microbiome-based diagnostics is defined by exploring the advantages and disadvantages of current nanotechnology-based approaches, especially in the context of developing point-of-care (PoC) devices that would meet the international guidelines known as REASSURED (Real-time connectivity; Ease of specimen collection; Affordability; Sensitivity; Specificity; User-friendliness; Rapid & robust operation; Equipment-free; and Deliverability). Finally, the strategies of the latest international scientific consortia working in this field are analyzed, the current microbiome diagnostics market are reported and the principal ethical, legal, and societal issues related to microbiome R&D and innovation are discussed.Pregnancy is a period of numerous physical and emotional changes in women's lives, including alterations in sleep patterns and worsening of pre-existing sleep disturbances, which possibly lead to impaired postpartum maternal behaviour and mother-infant relationship. The effects of sleep deprivation during pregnancy in maternal behaviour have been evaluated in preclinical studies, but have provided inconsistent results. Thus, in the present study, we aimed to evaluate the effects of sleep deprivation during pregnancy on maternal behaviour of animals through a systematic review and meta-analyses. After a two-step selection process, six articles were included, all of them describing rat studies. The most frequently used method of sleep deprivation was rapid eye movement sleep restriction, using the multiple-platform method. Four meta-analyses were performed, none of them presenting significant impact of sleep deprivation on maternal behaviour, failing to reproduce the results observed in previous clinical studies. In conclusion, our results show a lack of translational applicability of animal models to evaluate the effects of sleep deprivation during pregnancy on maternal behaviour.

The reporting of deprivation measures is typically poor in musculoskeletal (MSK) research.

To explore MSK researcher's perspectives on the deprivation indices and measures that are, or could be, collected and reported in their studies, and potential barriers and facilitators to collecting these data.

An online international survey was undertaken to determine knowledge, use and reporting of deprivation indices and measures by MSK researchers and the factors which influence this. Data were analysed using descriptive statistics.

42 respondents from 16 countries completed the survey. read more The index of multiple deprivation was the most well-known measure (26%) although only 17% had reported data from this index. Most commonly reported markers of deprivation were employment (60%), education (60%) and ethnicity (50%). Most common barriers to collecting these data included uncertainty on perceived importance of deprivation measures (79%), what should be collected (71%), and concerns on missing data and sensitivities from participants reluctant to provide this information (33%).

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