AR2, a novel automatic muscle artifact reduction software method for ictal EEG interpretation: Validation and comparison of performance with commercially available software.

Objective: To develop a novel software method (AR2) for reducing muscle contamination of ictal scalp electroencephalogram (EEG), and validate this method on the basis of its performance in comparison to a commercially available software method (AR1) to accurately depict seizure-onset location. Methods: A blinded investigation used 23 EEG recordings of seizures from 8 patients. Each recording was uninterpretable with digital filtering because of muscle artifact and processed using AR1 and AR2 and reviewed by 26 EEG specialists. EEG readers assessed seizure-onset time, lateralization, and region, and specified confidence for each determination. The two methods were validated on the basis of the number of readers able to render assignments, confidence, the intra-class correlation (ICC), and agreement with other clinical findings. Results: Among the 23 seizures, two-thirds of the readers were able to delineate seizure-onset time in 10 of 23 using AR1, and 15 of 23 using AR2 (

Stranded beluga (Delphinapterus leucas) calf response and care: reports of two cases with different outcomes

© The Author(s), 2021. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Goertz, C. E. C., Woodie, K., Long, B., Hartman, L., Gaglione, E., Christen, D., Clauss, T., Flower, J., Tuttle, A., Richard, C., Romano, T. A., Schmitt, T., Otjen, E., Osborn, S., Aibel, S., Binder, T., Van Bonn, W., Castellote, M., Mooney, T. A., Dennison-Gibby, S., Burek-Huntington, K., & Rowles, T. K. (2021). Stranded beluga (Delphinapterus leucas) calf response and care: reports of two cases with different outcomes. Polar Research, 40, 5514, https://doi.org/10.33265/polar.v40.5514.Given the remote, rugged areas belugas typically inhabit and the low rehabilitation success rate with any cetacean, it is rare to have the opportunity to rescue a live-stranded beluga. The Alaska SeaLife Center cared for two stranded beluga calves with two different outcomes. In 2012, a neonatal male beluga calf (DL1202) stranded following intense storms in Bristol Bay. In 2017, a helicopter pilot discovered a stranded male beluga calf (DL1705) during a flight over Cook Inlet. The Alaska SeaLife Center transported both calves for rehabilitation and utilized supportive care plans based on those for other species of stranded cetaceans and care of neonatal belugas at zoological facilities. Diagnostics included complete blood counts, serum chemistries, microbial cultures, hearing tests, imaging and morphometric measurements to monitor systemic health. Treatments included in-pool flotation support; antimicrobials; gastrointestinal support; and close monitoring of respirations, urination, defecation and behaviour. After three weeks of supportive care, the Bristol Bay calf (DL1202) succumbed to sepsis secondary to a possible prematurity-related lack of passive transfer of antibodies. After seven weeks, the Cook Inlet calf (DL1705) recovered and all medications were discontinued. Unable to survive on his own, he was declared non-releasable and placed in long-term care at a zoological facility, to live with other belugas. Aspects and details from successful cases of cetacean critical care become important references especially vital for the survival of essential animals in small, endangered populations.The ASLC, Georgia Aquarium, Mystic Aquarium, SeaWorld, John G. Shedd Aquarium, the Texas Marine Mammal Stranding Network and Vancouver Aquarium self-funded the cost of travel and salaries for their staff. Additional funding was provided by the Prescott Grant Program, Prescott Emergency Grant Program, SeaWorld Busch Gardens Conservation Fund and individual and corporate donations to the ASLC Center wildlife response programme

AR2, a novel automatic muscle artifact reduction software method for ictal EEG interpretation: Validation and comparison of performance with commercially available software.

Objective: To develop a novel software method (AR2) for reducing muscle contamination of ictal scalp electroencephalogram (EEG), and validate this method on the basis of its performance in comparison to a commercially available software method (AR1) to accurately depict seizure-onset location. Methods: A blinded investigation used 23 EEG recordings of seizures from 8 patients. Each recording was uninterpretable with digital filtering because of muscle artifact and processed using AR1 and AR2 and reviewed by 26 EEG specialists. EEG readers assessed seizure-onset time, lateralization, and region, and specified confidence for each determination. The two methods were validated on the basis of the number of readers able to render assignments, confidence, the intra-class correlation (ICC), and agreement with other clinical findings. Results: Among the 23 seizures, two-thirds of the readers were able to delineate seizure-onset time in 10 of 23 using AR1, and 15 of 23 using AR2 (p<0.01). Fewer readers could lateralize seizure-onset (p<0.05). The confidence measures of the assignments were low (probable-unlikely), but increased using AR2 (p<0.05). The ICC for identifying the time of seizure-onset was 0.15 (95% confidence interval (CI), 0.11-0.18) using AR1 and 0.26 (95% CI 0.21-0.30) using AR2.  The EEG interpretations were often consistent with behavioral, neurophysiological, and neuro-radiological findings, with left sided assignments correct in 95.9% (CI 85.7-98.9%, n=4) of cases using AR2, and 91.9% (77.0-97.5%) (n=4) of cases using AR1. Conclusions: EEG artifact reduction methods for localizing seizure-onset does not result in high rates of interpretability, reader confidence, and inter-reader agreement. However, the assignments by groups of readers are often congruent with other clinical data. Utilization of the AR2 software method may improve the validity of ictal EEG artifact reduction

Importance of bacterial endotoxin (LPS) in endodontics A importância da endotoxina bacteriana (LPS) na endodontia atual

New knowledge of the structure and biological activity of endotoxins (LPS) has revolutionized concepts concerning their mechanisms of action and forms of inactivation. Since the 1980's, technological advances in microbiological culture and identification have shown that anaerobic microorganisms, especially Gram-negative, predominate in root canals of teeth with pulp necrosis and radiographically visible chronic periapical lesions. Gram-negative bacteria not only have different factors of virulence and generate sub-products that are toxic to apical and periapical tissues, as also contain endotoxin (LPS) on their cell wall. This is especially important because endotoxin is released during multiplication or bacterial death, causing a series of biological effects that lead to an inflammatory reaction and resorption of mineralized tissues. Thus, due to the role of endotoxin in the pathogenesis of periapical lesions, we reviewed the literature concerning the biological activity of endotoxin and the relevance of its inactivation during treatment of teeth with pulp necrosis and chronic periapical lesion.<br>O conhecimento mais aprofundado sobre a estrutura e atividade biológica das endotoxinas (LPS) revolucionou os conceitos sobre seu mecanismo de ação e formas de inativação. A partir da década de 80, os avanços tecnológicos na cultura e identificação microbiológica demonstraram que, em canais radiculares de dentes portadores de necrose pulpar e lesão periapical crônica, visível radiograficamente, predominam microrganismos anaeróbios, particularmente os gram-negativos. Como se sabe, os microrganismos gram-negativos, além de possuírem diferentes fatores de virulência e gerarem produtos e sub-produtos tóxicos aos tecidos apicais e periapicais, contêm endotoxina em sua parede celular. Esse conhecimento é particularmente importante, uma vez que a endotoxina é liberada durante a multiplicação ou morte bacteriana, exercendo uma série de efeitos biológicos relevantes, que conduzem a uma reação inflamatória e à reabsorção dos tecidos mineralizados. Tendo em vista o papel da endotoxina na patogênese das lesões periapicais, os autores realizaram uma revisão da literatura específica, abordando suas atividades biológicas e a importância de sua inativação durante o tratamento de dentes portadores de necrose pulpar e lesão periapical