Detection of brain functional-connectivity difference in post-stroke patients using group-level covariance modeling

Functional brain connectivity, as revealed through distant correlations in the signals measured by functional Magnetic Resonance Imaging (fMRI), is a promising source of biomarkers of brain pathologies. However, establishing and using diagnostic markers requires probabilistic inter-subject comparisons. Principled comparison of functional-connectivity structures is still a challenging issue. We give a new matrix-variate probabilistic model suitable for inter-subject comparison of functional connectivity matrices on the manifold of Symmetric Positive Definite (SPD) matrices. We show that this model leads to a new algorithm for principled comparison of connectivity coefficients between pairs of regions. We apply this model to comparing separately post-stroke patients to a group of healthy controls. We find neurologically-relevant connection differences and show that our model is more sensitive that the standard procedure. To the best of our knowledge, these results are the first report of functional connectivity differences between a single-patient and a group and thus establish an important step toward using functional connectivity as a diagnostic tool

ADCP Observations of Currents and Suspended Sediment in the Macrotidal Gulf of Martaban, Myanmar

The Ayeyarwady and Thanlwin Rivers, which drain Myanmar, together form one of the largest point sources of freshwater and sediment to the global ocean. Combined, these rivers annually deliver an estimated 485 Mt of sediment to the northern Andaman Sea. This sediment contributes to a perennially muddy zone within the macro-tidal Gulf of Martaban, but little is known about the processes that dominate dispersal and trapping of sediment there, as very few water column observations are available. A research cruise in December 2017 provided a rare opportunity to obtain Acoustic Doppler Current Profiler (ADCP) data along transects from the Gulf of Martaban and adjacent continental shelf. Two transects were obtained from the outer portion of the Gulf of Martaban in water depths that ranged from about 20–35 m. These showed very fast currents, especially during flood tide conditions, exceeding 1.5 m/s. The backscatter record from the ADCP indicated asymmetries in distribution of suspended sediment during the ebb versus flood phase of the tide. During ebb tidal conditions, the backscatter record indicated that sediment was transported in either a surface advected layer, or fairly well-mixed throughout the water column. In contrast, during flood tidal conditions, sediment was confined to the bottom boundary layer, even though the velocities were faster during flood than the ebb conditions. The vertical structure of the currents during flood tide conditions indicated the presence of sediment–induced stratification because currents within the near-bed turbid layers were relatively slow, but speeds increased markedly above these layers. This albeit limited dataset provides an exciting glimpse into the dynamics of sediment transport within the muddy, macrotidal Gulf of Martaban, and implies the importance of tidal straining and bottom nepheloid layer formation there

Practice characteristics of Emergency Department extracorporeal cardiopulmonary resuscitation (eCPR) programs in the United States: The current state of the art of Emergency Department extracorporeal membrane oxygenation (ED ECMO).

PURPOSE: To characterize the current scope and practices of centers performing extracorporeal cardiopulmonary resuscitation (eCPR) on the undifferentiated patient with cardiac arrest in the emergency department. METHODS: We contacted all US centers in January 2016 that had submitted adult eCPR cases to the Extracorporeal Life Support Organization (ELSO) registry and surveyed them, querying for programs that had performed eCPR in the Emergency Department (ED ECMO). Our objective was to characterize the following domains of ED ECMO practice: program characteristics, patient selection, devices and techniques, and personnel. RESULTS: Among 99 centers queried, 70 responded. Among these, 36 centers performed ED ECMO. Nearly 93% of programs are based at academic/teaching hospitals. 65% of programs are less than 5 years old, and 60% of programs perform ≤3 cases per year. Most programs (90%) had inpatient eCPR or salvage ECMO programs prior to starting ED ECMO programs. The majority of programs do not have formal inclusion and exclusion criteria. Most programs preferentially obtain vascular access via the percutaneous route (70%) and many (40%) use mechanical CPR during cannulation. The most commonly used console is the Maquet Rotaflow(®). Cannulation is most often performed by cardiothoracic (CT) surgery, and nearly all programs (\u3e85%) involve CT surgeons, perfusionists, and pharmacists. CONCLUSIONS: Over a third of centers that submitted adult eCPR cases to ELSO have performed ED ECMO. These programs are largely based at academic hospitals, new, and have low volumes. They do not have many formal inclusion or exclusion criteria, and devices and techniques are variable

Real-time motion analytics during brain MRI improve data quality and reduce costs

Head motion systematically distorts clinical and research MRI data. Motion artifacts have biased findings from many structural and functional brain MRI studies. An effective way to remove motion artifacts is to exclude MRI data frames affected by head motion. However, such post-hoc frame censoring can lead to data loss rates of 50% or more in our pediatric patient cohorts. Hence, many scanner operators collect additional 'buffer data', an expensive practice that, by itself, does not guarantee sufficient high-quality MRI data for a given participant. Therefore, we developed an easy-to-setup, easy-to-use Framewise Integrated Real-time MRI Monitoring (FIRMM) software suite that provides scanner operators with head motion analytics in real-time, allowing them to scan each subject until the desired amount of low-movement data has been collected. Our analyses show that using FIRMM to identify the ideal scan time for each person can reduce total brain MRI scan times and associated costs by 50% or more

Engineered Natural Geosorbents for In Situ Immobilization of DNAPLs and Heavy Metals

Extensive subsurface contamination by dense non-aqueous phase liquid (DNAPL) organic solvents and heavy metals is common place at many DOE facilities. Poor performances and excessive costs have made traditional technologies and approaches less than satisfactory for remediation of such sites. It is increasingly apparent that marginal improvements in conventional methods and approaches will not suffice for clean up of many contaminated DOE sites. Innovative approaches using new and/or existing technologies in more efficient and cost-effective ways are thus urgently required

Political devolution and employment relations in Great Britain: the case of the Living Wage

This article examines the role of the devolved governments of Scotland and Wales in promoting the voluntary Living Wage. It shows that active promotion of the Living Wage standard has emerged in both countries from a broader commitment to an economic policy of ‘inclusive growth’. Employment law is not a devolved matter, and the article identifies a broad range of economic incentives and soft forms of regulation that have been used by the devolved governments to promote the Living Wage in the absence of hard power to legislate. Non‐legislative forms of state intervention are often regarded sceptically, but the article shows that the attempts of devolved governments to spread the Living Wage have been impactful, particularly in Scotland

Early Developmental Trajectories of Functional Connectivity along the Visual Pathways in Rhesus Monkeys

Early social interactions shape the development of social behavior, although the critical periods or the underlying neurodevelopmental processes are not completely understood. Here, we studied the developmental changes in neural pathways underlying visual social engagement in the translational rhesus monkey model. Changes in functional connectivity (FC) along the ventral object and motion pathways and the dorsal attention/visuo-spatial pathways were studied longitudinally using resting-state functional MRI in infant rhesus monkeys, from birth through early weaning (3 months), given the socioemotional changes experienced during this period. Our results revealed that (1) maturation along the visual pathways proceeds in a caudo-rostral progression with primary visual areas (V1-V3) showing strong FC as early as 2 weeks of age, whereas higher-order visual and attentional areas (e.g., MT-AST, LIP-FEF) show weak FC; (2) functional changes were pathway-specific (e.g., robust FC increases detected in the most anterior aspect of the object pathway (TE-AMY), but FC remained weak in the other pathways (e.g., AST-AMY)); (3) FC matures similarly in both right and left hemispheres. Our findings suggest that visual pathways in infant macaques undergo selective remodeling during the first 3 months of life, likely regulated by early social interactions and supporting the transition to independence from the mother