Automatic detection of Crohn's disease using quantified motility in magnetic resonance enterography : initial experiences

Publisher Copyright: © 2021 The AuthorsAIM: To report initial experiences of automatic detection of Crohn's disease (CD) using quantified motility in magnetic resonance enterography (MRE). MATERIALS AND METHODS: From 302 patients, three datasets with roughly equal proportions of CD and non-CD cases with various illnesses were drawn for testing and neural network training and validation. All datasets had unique MRE parameter configurations and were performed in free breathing. Nine neural networks were devised for automatic generation of three different regions of interests (ROI): small bowel, all bowel, and non-bowel. Additionally, a full-image ROI was tested. The motility in an MRE series was quantified via a registration procedure, which, accompanied with given ROIs, resulted in three motility indices (MI). A subset of the indices was used as an input for a binary logistic regression classifier, which predicted whether the MRE series represented CD. RESULTS: The highest mean area under the curve (AUC) score, 0.78, was reached using the full-image ROI and with the dataset with the highest cine series length. The best AUC scores for the other two datasets were only 0.54 and 0.49. CONCLUSION: The automatic system was able to detect CD in the group of MRE studies with lower temporal resolution and longer cine series showing potential in primary bowel disorder diagnostics. Larger ROI selections and utilising all available cine series for motility registration yielded slight performance improvements. (c) 2021 The Authors. Published by Elsevier Ltd on behalf of The Royal College of Radiologists. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/ 4.0/).Peer reviewe

Porosities and dimensions of measures

We introduce a concept of porosity for measures and study relations between dimensions and porosities for two classes of measures: measures on $R^n$ which satisfy the doubling condition and strongly porous measures on $R$.Comment: Jarvenpaa = J\"arvenp\"a\"

MOOCs: Innovation or stagnation?

Issues of the phenomenon of Massive Open Online Course (MOOC) and its integration into current online and campus education to enhance higher education quality in universities is gaining importance. This large scale form of online education has the potential to escalate the reputations of universities and increase the global access to their institutions. However, the design and implementation of MOOCs is not easy. Thus, many higher education institutions take time for careful consideration before running them. Otherwise, this new online learning phenomenon, which is also called disruptive innovation, might cause some unintended negative economical and reputational results. This study aimed to examine the strengths and weaknesses as well as opportunities and threats of MOOCs in higher education. The data from the document analysis was examined by SWOT method to put insights on MOOCs internal and external standing. The electronic data including books, research reports, conference papers, journal articles, blog posts, discussion boards, and web forms were considered as a sample of the study. The findings show that accessibility, lifelong learning and brand extensions are some of the strengths of MOOCs, whereas dropout rates, poor pedagogy and low-quality assessments are major barriers for their effectiveness. Alternative education and collaborative learning are some of the outstanding opportunities MOOCs present, which worth the efforts to create more democratic and innovative higher education. Results indicated that it is worth to explore the ways to improve the completion rates, weak pedagogical structure, degree provision, quality insurance and assessment as well as to discover the needs of new generation in online learning.Teaching and Teacher Learning (ICLON

Utilization of Recycled Brick Powder as Supplementary Cementitious Materials - A Comprehensive Review

YesOver the past two decades, extensive research has been conducted to explore alternative supplementary cementitious materials (SCMs) in order to address the environmental concerns associated with the cement industry. Bricks, which are frequently preferred in the construction sector, generate a lot of waste during the production and demolition of existing buildings, requiring environmentally sustainable recycling practices. Therefore, many studies have been carried out in recent years on the use of brick waste as supplementary cementitious materials (SCMs) in cement mortar and concrete production. This critical review evaluates the impact of waste brick powder (WBP) on the mechanical and durability properties of mortar and concrete when used as a partial replacement for cement. It was observed that the properties of WBP-blended cement mortar or concrete depend on several factors, including WBP particle size, replacement ratio, pozzolanic activity, and mineralogical structure. The findings indicate that WBP with a particle size range of 100 µm to 25 µm, with a maximum cement replacement level of 10–20%, exhibits a positive impact on the compressive strength of both mortars and concretes. However, it is crucial to emphasize that a minimum curing duration of 28 days is imperative to facilitate the development of a pozzolanic reaction. This temporal requirement plays a vital role in realizing the optimal benefits of utilizing waste brick powder as a supplementary cementitious material in mortars and concretes

A comparative cohort study of Duhamel and Endorectal Pullthrough for Hirschsprung's Disease

Background: There are limited data available to compare outcomes between surgical approaches for Hirschsprung’s disease. Duhamel and endorectal pull-through (ERPT) are two of the most common procedures performed worldwide. // Methods: Objective outcomes were compared between contemporary cohorts (aged 4–32 years) after Duhamel or ERPT using case–control methodology. Data were collected using prospectively administered standardized questionnaires on bowel and bladder function and quality of life (Pediatric Quality of Life Inventory, Short form 36 and Gastrointestinal Quality of Life Index). Patients were compared in two age groups (18 years and younger and older than 18 years) and reference made to normative control data. Multivariable analysis explored factors associated with poor outcomes. // Results: Cohorts were well matched by demographics, disease characteristics and incidence of postoperative complications (120 patients who underwent Duhamel versus 57 patients who had ERPT). Bowel function scores were similar between groups. Patients who underwent Duhamel demonstrated worse constipation and inferior faecal awareness scores (P < 0.01 for both age groups). Recurrent postoperative enterocolitis was significantly more common after ERPT (34 versus 6 per cent; odds ratio 15.56 (95 per cent c.i. 6.19 to 39.24; P < 0.0001)). On multivariable analysis, poor bowel outcome was the only factor significantly associated with poor urinary outcome (adjusted odds ratio 6.66 (95 per cent c.i. 1.74 to 25.50; P = 0.006)) and was significantly associated with markedly reduced quality of life (QoL) in all instruments used (P < 0.001 for all). There were no associations between QoL measures and pull-through technique. // Conclusion: Outcomes from Duhamel and ERPT are good in the majority of cases, with comparable bowel function scores. Constipation and impaired faecal awareness were more prevalent after Duhamel, with differences sustained in adulthood. Recurrent enterocolitis was significantly more prevalent after ERPT. Clustering of poor QoL and poor functional outcomes were observed in both cohorts, with seemingly little effect by choice of surgical procedure in terms of QoL

Glutamatergic supramammillary nucleus neurons respond to threatening stressors and promote active coping

Threat-response neural circuits are conserved across species and play roles in normal behavior and psychiatric diseases. Maladaptive changes in these neural circuits contribute to stress, mood, and anxiety disorders. Active coping in response to stressors is a psychosocial factor associated with resilience against stress-induced mood and anxiety disorders. The neural circuitry underlying active coping is poorly understood, but the functioning of these circuits could be key for overcoming anxiety and related disorders. The supramammillary nucleus (SuM) has been suggested to be engaged by threat. SuM has many projections and a poorly understood diversity of neural populations. In studies using mice, we identified a unique population of glutamatergic SuM neurons (Su

Comparison of Manual Cross-Sectional Measurements and Automatic Volumetry of the Corpus Callosum, and Their Clinical Impact: A Study on Type 1 Diabetes and Healthy Controls

Background and purpose: Degenerative change of the corpus callosum might serve as a clinically useful surrogate marker for net pathological cerebral impact of diabetes type 1. We compared manual and automatic measurements of the corpus callosum, as well as differences in callosal cross-sectional area between subjects with type 1 diabetes and healthy controls. Materials and methods: This is a cross-sectional study on 188 neurologically asymptomatic participants with type 1 diabetes and 30 healthy age- and sex-matched control subjects, recruited as part of the Finnish Diabetic Nephropathy Study. All participants underwent clinical work-up and brain MRI. Callosal area was manually measured and callosal volume quantified with FreeSurfer. The measures were normalized using manually measured mid-sagittal intracranial area and volumetric intracranial volume, respectively. Results: Manual and automatic measurements correlated well (callosal area vs. volume: rho = 0.83, p <0.001 and mid-sagittal area vs. intracranial volume: rho = 0.82, p <0.001). We found no significant differences in the callosal measures between cases and controls. In type 1 diabetes, the lowest quartile of normalized callosal area was associated with higher insulin doses (p = 0.029) and reduced insulin sensitivity (p = 0.033). In addition, participants with more than two cerebral microbleeds had smaller callosal area (p = 0.002). Conclusion: Manually measured callosal area and automatically segmented are interchangeable. The association seen between callosal size with cerebral microbleeds and insulin resistance is indicative of small vessel disease pathology in diabetes type 1.Peer reviewe

Isolation and characterization of stem cells derived from human third molar tooth germs of young adults: Implications in neo-vascularization, osteo-, adipo-and neurogenesis

A number of studies have reported in the last decade that human tooth germs contain multipotent cells that give rise to dental and peri-odontal structures. The dental pulp, third molars in particular, have been shown to be a significant stem cell source. In this study, we isolated and characterized human tooth germ stem cells (hTGSCs) from third molars and assessed the expression of developmentally important transcription factors, such as oct4, sox2, klf4, nanog and c-myc, to determine their pluri-potency. Flow-cytometry analysis revealed that hTGSCs were positive for CD73, CD90, CD105 and CD166, but negative for CD34, CD45 and CD133, suggesting that these cells are mesenchymal-like stem cells. Under specific culture conditions, hTGSCs differentiated into osteogenic, adipogenic and neurogenic cells, as well as formed tube-like structures in Matrigel assay. hTGSCs showed significant levels of expression of sox2 and c-myc messenger RNA (mRNA), and a very high level of expression of klf4 mRNA when compared with human embryonic stem cells. This study reports for the first time that hTGSCs express developmentally important transcription factors that could render hTGSCs an attractive candidate for future somatic cell re-programming studies to differentiate germs into various tissue types, such as neurons and vascular structures. In addition, these multipotential hTGSCs could be important stem cell sources for autologous transplantation. © 2010 Nature Publishing Group All rights reserved

Adding our leaves: A communityâ wide perspective on research directions in ecohydrology

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154539/1/hyp13693.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154539/2/hyp13693_am.pd