Skin prick test wheal detection in 3D images via convolutional neural networks

The skin prick test (SPT) is performed to diagnose different types of allergies. This medical procedure requires measuring the size of the skin wheals that appear when the test is performed. However, the manual measurement method is cumbersome and suffers from intraand inter-observer errors. Thus, multiple approaches have been developed to improve the reproducibility of the test. This work aims to improve part of the automated reading of the SPT to improve the reliability of the wheal detection procedure through the use of convolutional neural networks (CNN). Our proposal starts from the 3D images of the SPT from the arm of patients. They are processed for global surface removal, and then a CNN is trained to produce an output mask that detects the wheals. Finally, the contour of each wheal and its largest diameter is obtained. Encouraging results with mean difference 0.966 mm and mean coefficient of variation 7.29% show that the proposed method provides reliable automated skin wheal detection

Short-term movements and habitat preferences of sailfish, Istiophorus platypterus (Istiophoridae), along the southeast coast of Brazil

Pop-up satellite archival tags (PSATs) were deployed on four sailfish, Istiophorus platypterus, in the coastal waters of Rio de Janeiro State in southeast Brazil during January and February of 2009 (sailfish I and II) and between November 2010 and January 2011 (sailfish III and IV). The total number of days monitored (i.e., time that the tags remained attached) were 12 (sailfish I), 51 (sailfish II), 16 (sailfish III) and 43 days (sailfish IV). The results indicate a clear pattern of vertical habitat utilization with the majority of the time spent concentrated near the uniform sea surface layer occupying a relatively narrow temperature range. Despite the clear preference for epipelagic surface waters, sailfish regularly undertook vertical excursions into deeper waters (>50 m) within three to six hour intervals. Most Probable Tracks (estimated from raw geolocations using the state-space Kalman filter model) and linear displacements suggested that tagged sailfish did not move significant distances from the tagging site. In brief, our report provides information regarding the biology of sailfish in the southwestern Atlantic and how vertical distributions during the day and night are influenced by water temperature and how this information can improve sailfish stock assessments in southwestern Atlantic Ocean.Quatro exemplares de agulhão-vela foram marcados com marcas eletrônicas monitoradas por satélite ('Pop-up satellite archival tags - PSATs') nas águas costeiras do Rio de Janeiro, sudeste do Brasil, durante janeiro e fevereiro de 2009 (agulhão-vela I e II) e entre novembro de 2010 e janeiro de 2011 (agulhão-vela III e IV). O número total de dias monitorados (ou seja, o tempo que as marcas permaneceram implantadas nos peixes) foram 12 (agulhão-vela I), 51 (agulhão-vela II), 16 (agulhão-vela III) e 43 dias (agulhão-vela IV). Os resultados demonstram um padrão claro de utilização do hábitat com a maior parte do tempo despendido predominantemente próximo à superfície do mar ocupando águas com uma faixa de temperatura restrita. Apesar da preferência por águas superficiais, os agulhões frequentemente realizaram mergulhos para águas mais profundas (ca. > 50 m) em intervalos de três a seis horas. A rota mais provável estimada a partir dos dados brutos de geolocalização e o modelo 'State-Space Kalman Filter' sugerem que os agulhões marcados não realizaram migrações significativas a partir do local de marcação. Em resumo, nossos resultados apresentam informações sobre a biologia da espécie no Atlântico Sudoeste e como as migrações verticais durante o dia e a noite são influenciadas pela temperatura da água e como essa informação pode auxiliar as avaliações de estoques de agulhão-vela no sudoeste do Atlântico.Universidade Federal de São Paulo (UNIFESP) Departamento de Ciências do MarUniversity of Florida School of Forest Resources and ConservationPelagic Research GroupInstituto de PescaUniversidade Federal Rural de Pernambuco Departamento de Pesca e AquiculturaUNIFESP, Depto. de Ciências do MarSciEL

A Changing of the Guard: Immune Checkpoint Inhibitors With and Without Chemotherapy as First Line Treatment for Metastatic Non-small Cell Lung Cancer

Inhibitory antibodies targeting programmed death protein 1 (PD-1) and programmed death ligand 1 (PD-L1) have resulted in improved outcomes for many patients with metastatic non-small cell lung cancer in (NSCLC) in the second-line setting due to their ability to lead to prolonged anti-tumor immune responses. Combining these immunotherapies with platinum-based chemotherapy as first-line treatment has resulted in improved response rates and increased survival when compared to platinum-based chemotherapy alone. Certain patient populations may even benefit from immune checkpoint inhibitors as monotherapy in the first-line setting. The PD-1 inhibitor pembrolizumab is approved as monotherapy or in combination with platinum + pemetrexed for most newly diagnosed patients with metastatic NSCLC, excluding those with a targetable oncogene such as ALK and EGFR. The PD-L1 inhibitor atezolizumab is also approved in combination with bevacizumab + carboplatin + paclitaxel for the same population, with some parts of the world also approving this regimen for patients with ALK rearrangements or EGFR activating mutations. However, there are many other chemo-immunotherapy regimens that have been evaluated as initial treatment in metastatic NSCLC. Additionally, combinations of PD-1 axis inhibitors with cytotoxic T lymphocyte antigen-4 inhibitors have been examined, although none are yet approved. Here we review the clinical data in support of the current first-line approaches across histologies and biomarker subtypes, as well as highlight future research directions revealed by the current data

The effect on foreign multinationals: an under-explored aspect of Brexit

While most of the studies on Brexit have focused on its trade effects, very few have analysed the likely impact on foreign multinationals. Claudia Fernández-Pacheco Theurer (Universidad Autonoma de Madrid), Jose Luis López Ruiz and María C. Latorre (Universidad Complutense de Madrid, left) argue that this is an important omission. They show how data on trade and foreign multinationals affiliates' sales underlines the different relationship between the UK and EU-27 on both fronts. They go on to explain the EU trade and investment regulatory regimes and analyse a few studies of Brexit, including its effect on multinationals

Balance between the two kinin receptors in the progression of experimental focal and segmental glomerulosclerosis in mice

Focal and segmental glomerulosclerosis (FSGS) is one of the most important renal diseases related to end-stage renal failure. Bradykinin has been implicated in the pathogenesis of renal inflammation, whereas the role of its receptor 2 (B2RBK; also known as BDKRB2) in FSGS has not been studied. FSGS was induced in wild-type and B2RBK-knockout mice by a single intravenous injection of Adriamycin (ADM). in order to further modulate the kinin receptors, the animals were also treated with the B2RBK antagonist HOE-140 and the B1RBK antagonist DALBK. Here, we show that the blockage of B2RBK with HOE-140 protects mice from the development of FSGS, including podocyte foot process effacement and the re-establishment of slit-diaphragm-related proteins. However, B2RBK-knockout mice were not protected from FSGS. These opposite results were due to B1RBK expression. B1RBK was upregulated after the injection of ADM and this upregulation was exacerbated in B2RBK-knockout animals. Furthermore, treatment with HOE-140 downregulated the B1RBK receptor. the blockage of B1RBK in B2RBK-knockout animals promoted FSGS regression, with a less-inflammatory phenotype. These results indicate a deleterious role of both kinin receptors in an FSGS model and suggest a possible cross-talk between them in the progression of disease.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Universidade Federal de São Paulo, Clin & Expt Immunol Lab, Div Nephrol, BR-04023900 São Paulo, BrazilUniv São Paulo, Inst Biomed Sci 4, Dept Immunol, Lab Transplantat Immunobiol, BR-05508000 São Paulo, BrazilUniversidade Federal de São Paulo, Translat Med Div, Clin & Expt Immunol Lab, BR-04039002 São Paulo, BrazilInst Butantan, Lab Cellular Biol, BR-05503900 São Paulo, BrazilFed Univ São Paulo UNIFESP, Dept Biophys, BR-04023062 São Paulo, BrazilFed Univ São Paulo UNIFESP, Dept Microbiol Immunol & Parasitol, BR-04023062 São Paulo, BrazilINSERM, Unite Mixte Rech 699, F-75870 Paris, FranceAlbert Einstein Hosp, Inst Israelita Ensino & Pesquisa Albert Einst, Renal Transplantat Unit, BR-05521000 São Paulo, BrazilUniversidade Federal de São Paulo, Clin & Expt Immunol Lab, Div Nephrol, BR-04023900 São Paulo, BrazilUniversidade Federal de São Paulo, Translat Med Div, Clin & Expt Immunol Lab, BR-04039002 São Paulo, BrazilFed Univ São Paulo UNIFESP, Dept Biophys, BR-04023062 São Paulo, BrazilFed Univ São Paulo UNIFESP, Dept Microbiol Immunol & Parasitol, BR-04023062 São Paulo, BrazilFAPESP: 2012/05605-5FAPESP: 07/07139-3FAPESP: 12/02270-2CNPq: 140739/2008-4Web of Scienc

Annotated checklist of the birds of Brazil by the Brazilian Ornithological Records Committee-second edition

An updated version of the checklist of birds of Brazil is presented, along with a summary of the changes approved by the Brazilian Ornithological Records Committee's Taxonomy Subcommittee since the first edition, published in 2015. In total, 1971 bird species occurring in Brazil are supported by documentary evidence and are admitted to the Primary List, 4.3% more than in the previous edition. Eleven additional species are known only from undocumented records (Secondary List). For each species on the Primary List, status of occurrence in the country is provided and, in the case of polytypic species, the respective subspecies present in Brazilian territory are listed. Explanatory notes cover taxonomic changes, nomenclatural corrections, new occurrences, and other changes implemented since the last edition. Ninety species are added to the Primary List as a result of species descriptions, new occurrences, taxonomic splits, and transfers from the Secondary List due to the availability of documentation. In contrast, eight species are synonymized or assigned subspecific status and thus removed from the Primary List. In all, 293 species are endemic to Brazil, ranked third among the countries with the highest rate of bird endemism. The Brazilian avifauna currently consists of 1742 residents or breeding migrants, 126 seasonal non-breeding visitors, and 103 vagrants. The category of vagrants showed the greatest increase (56%) compared to the previous list, mainly due to new occurrences documented in recent years by citizen scientists. The list updates the diversity, systematics, taxonomy, scientific and vernacular nomenclature, and occurrence status of birds in Brazil.Peer reviewe