Deep CNN for IIF Images Classification in Autoimmune Diagnostics

The diagnosis and monitoring of autoimmune diseases are very important problem in medicine. The most used test for this purpose is the antinuclear antibody (ANA) test. An indirect immunofluorescence (IIF) test performed by Human Epithelial type 2 (HEp-2) cells as substrate antigen is the most common methods to determine ANA. In this paper we present an automatic HEp-2 specimen system based on a convolutional neural network method able to classify IIF images. The system consists of a module for features extraction based on a pre-trained AlexNet network and a classification phase for the cell-pattern association using six support vector machines and a k-nearest neighbors classifier. The classification at the image-level was obtained by analyzing the pattern prevalence at cell-level. The layers of the pre-trained network and various system parameters were evaluated in order to optimize the process. This system has been developed and tested on the HEp-2 images indirect immunofluorescence images analysis (I3A) public database. To test the generalisation performance of the method, the leave-one-specimen-out procedure was used in this work. The performance analysis showed an accuracy of 96.4% and a mean class accuracy equal to 93.8%. The results have been evaluated comparing them with some of the most representative works using the same database

Microbes and Persistent Organic Pollutants in the Marine Environment

Marine pollution has increased reaching the entire marine environment, from the surface to the deepest sediment, and has become more concerning in the last 70 years. Persistent organic pollutants (POPs) are a fraction of ocean waste that includes, among the others, polycyclic aromatic hydrocarbons (PAHs) and plastic polymers. These chemicals have an extremely long half-life, and (bio)accumulate and damage the marine flora and fauna, and, ultimately, human health. Some organisms have evolved enzymes to attack POPs in the environment and transform them into biomass and CO2. Several microorganisms degrade many POPs in relatively short time. A wide variety of bacteria has been isolated with different techniques, and key catabolic enzymes used to degrade the most persistent oil hydrocarbon fractions have been identified. For plastic waste, there is less evidence of microbial degradation, but a few recent studies are revealing that a biodegradation potential exists for some of the most recalcitrant plastic polymers as well. The scientific community is focusing on microorganisms and their enzymes for POP uptake and removal from the environment, while searching novel biopolymers (also from microbiological origin) to substitute oil-derived plastics

Sedimentation of halloysite nanotubes from different deposits in aqueous media at variable ionic strengths

Halloysite clay is a natural nanomaterial that is attracting a growing interest in colloidal science. The halloysite aqueous dispersion stability is a key aspect for the configuration of a purification protocol as well as to establish the durability of a formulation. A physico-chemical study demonstrated the role of ionic strength and nanotube characteristic sizes on the sedimentation behavior. We highlighted the importance of the electrostatic repulsions exercised between the particles in the settling process. A protocol for image analysis has been proposed to provide robust information from time resolved optical images on the suspensions. In conclusion, we managed to correlate microscopic aspect to the peculiar sedimentation process of halloysite nanotubes

Fatal delayed diagnosis in a patient with falciparum malaria

This is a classical case of blackwater fever which is one of the most serious hematologic complications of falciparum malaria. The clinical manifestations of this acute intravascular hemolityc anemia are fulminating and delayed diagnosis is an important cause of mortality

Mycobacterium tuberculosis Drives Expansion of Low-Density Neutrophils Equipped With Regulatory Activities

In human tuberculosis (TB) neutrophils represent the most commonly infected phagocyte but their role in protection and pathology is highly contradictory. Moreover, a subset of low-density neutrophils (LDNs) has been identified in TB, but their functions remain unclear. Here, we have analyzed total neutrophils and their low-density and normal-density (NDNs) subsets in patients with active TB disease, in terms of frequency, phenotype, functional features, and gene expression signature. Full-blood counts from Healthy Donors (H.D.), Latent TB infected, active TB, and cured TB patients were performed. Frequency, phenotype, burst activity, and suppressor T cell activity of the two different subsets were assessed by flow cytometry while NETosis and phagocytosis were evaluated by confocal microscopy. Expression analysis was performed by using the semi-quantitative RT-PCR array technology. Elevated numbers of total neutrophils and a high neutrophil/lymphocyte ratio distinguished patients with active TB from all the other groups. PBMCs of patients with active TB disease contained elevated percentages of LDNs compared with those of H.D., with an increased expression of CD66b, CD33, CD15, and CD16 compared to NDNs. Transcriptomic analysis of LDNs and NDNs purified from the peripheral blood of TB patients identified 12 genes differentially expressed: CCL5, CCR5, CD4, IL10, LYZ, and STAT4 were upregulated, while CXCL8, IFNAR1, NFKB1A, STAT1, TICAM1, and TNF were downregulated in LDNs, as compared to NDNs. Differently than NDNs, LDNs failed to phagocyte live Mycobacterium tuberculosis (M. tuberculosis) bacilli, to make oxidative burst and NETosis, but caused significant suppression of antigen-specific and polyclonal T cell proliferation which was partially mediated by IL-10. These insights add a little dowel of knowledge in understanding the pathogenesis of human TB

Implications of SARS-COV-2 infection in the diagnosis and management of the pediatric gastrointestinal disease

Gastrointestinal diseases such as celiac disease, functional gastrointestinal disorders (FGIDs), inflammatory bowel disease (IBDs) and acute or chronic diarrhea are quite frequent in the pediatric population. The approach, the diagnosis and management can be changed in the 2019 coronavirus disease (COVID-19) pandemic era. This review has focused on: i) the current understanding of digestive involvement in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infected children and adolescents and the clinical implications of COVID-19 for pediatric gastroenterologists, ii) the impact of COVID-19 on the clinical approach to patients with pre-existing or onset diseases, including diagnosis and treatment, and iii) the role and limited access to the instrumental diagnosis such as digestive endoscopy. To date, it is unclear if immunosuppression in patients with IBD and chronic liver disease represents a risk factor for adverse outcomes. Scheduled outpatient follow-up visits may be postponed, especially in patients in remission. Conversely, telemedicine services are strongly recommended. The introduction of new therapeutic regimens should be made on an individual basis, discussing the benefits and risks with each patient. Furthermore, psychological care in all children with chronic disease and their parents should be ensured. All non-urgent and elective endoscopic procedures may be postponed as they must be considered at high risk of viral transmission. Finally, until SARS-CoV-2 vaccination is not available, strict adherence to standard social distancing protocols and the use of personal protective equipment should continue to be recommended

Fever with perinasal and tongue lesions: A diagnostic challenge

The diagnosis may be challenging, and high suspicion index should be maintained in immunosuppressed patients with unusual mucocutaneous lesions, even in non-endemic areas for mucocutaneous leishmaniasis

Geomorphologic impact of outburst flood cycle in braided gravel-bed rivers: confluence of Colonia and Baker rivers, Patagonia, Chile

Colonia River, as other glacial streams influenced by global warming, is affected by Glacial Lake Outburst Floods (OF). We present a study on geomorphologic features of Colonia River to comprehend the impact of OFs in sedimentary processes, analysing erosion and deposition linked to OF phenomena and frequency (since April 2008, more than 12 OFs have occurred). Interpolation analysis is carried out to create an elevation surface (DTM) from a set of sample measurements, given by contour line (2007 LiDAR) and rtkGPS point (2011 and 2012) data. These were used to create DTMs applying Delaunay triangulation. A comparisons between morphology during the current OF cycle that started on 8 April 2008, and the previous morphology (after 40 years without OFs, since end of previous cycle in 1968), is carried out through the creation of DEMs of Difference (DoDs) based on TINs. We created two DoDs, respectively between 2011-2007 (before/after the OFs cycle) and 2012-2011 (during the cycle, after the events of January and April 2012) to provide a high-resolution, spatially distributed surface model of topographic and volumetric change through time. The floodplain has been classified on the basis of the morphological characteristics: main and secondary channel(s), bars, braided area, island and delta fan features. The changes evidenced in the DoD are segregated according to these categories plus the geomorphic change taking place in each category (using GCD; Wheaton et al 2014). Issues regarding data quantity and quality will be discussed, and implications for the planned mega-dam that would flood the confluence