14 research outputs found
Ultra-high frequency ultrasound imaging of sural nerve: a comparative study with nerve biopsy in progressive neuropathies
Nerve ultrasound has been increasingly used in clinical practice as a complementary test for diagnostic assessment of neuropathies, but nerve biopsy remains invaluable in certain cases. The aim of this study was to compare ultra-high frequency ultrasound (UHF-US) to histological findings in progressive polyneuropathies
STRUCTURE AND ANALYSIS OF THE URANIUM MINING SUBSECTOR IN THE CONTEXT OF ENSURING OF ROMANIAN ENERGY SECURITY
The need for analysis of the nuclear subsector, which generates critical nuclear infrastructure, comes in the context in which the possible occurrence of non-supply cases with uranium raw materials, nuclear fuels and nuclear electricity, could generate major issues of national interest, with European and NATO implications. The authors consider that addressing the uranium mining subsector is a strict national security issue because the lack of nuclear raw materials, their prefabricated materials or nuclear electricity can cause enormous damage to domestic consumers, industry and the national economy, which are dependent on electricity
PFO-spectrum disorder: two different cerebrovascular diseases in patients with PFO as detected by AI brain imaging software
BackgroundPatent foramen ovale (PFO) is a prevalent cardiac remnant of fetal anatomy that may pose a risk factor for stroke in some patients, while others can present with asymptomatic white matter (WM) lesions. The current study aimed to test the hypothesis that patients with a PFO who have a history of stroke or transient ischemic attack, compared to those without such a history, have a different burden and distribution of cerebral WM hyperintensities. Additionally, we tested the association between PFO morphological characteristics and severity of shunt, and their impact on the occurrence of ischemic cerebral vascular events and on the burden of cerebral WM lesions.Patients and methodsRetrospective, caseâcontrol study that included patients with PFO confirmed by transesophageal echocardiography. Right-to-left shunt size was assessed using transcranial Doppler ultrasound. Cerebral MRIs were analyzed for all participants using the semi-automated Quantib NDTM software for the objective quantification of WM lesions. WM lesions volume was compared between patients with and without a history of stroke. Additionally, the anatomical characteristics of PFOs were assessed to explore their relation to stroke occurrence and WM lesions volume.ResultsOf the initial 264 patients diagnosed with PFO, 67 met the inclusion criteria and were included in the analysis. Of them, 62% had a history of PFO-related stroke/TIA. Overall burden of WM lesions, including stroke volume, was not significantly different (pâ=â0.103). However, after excluding stroke volume, WM lesions volume was significantly higher in patients without stroke (0.27âcm3, IQR 0.03â0.60) compared to those with stroke/TIA (0.08âcm3, IQR 0.02â0.18), pâ=â0.019. Patients with a history of PFO-related stroke/TIA had a tendency to larger PFO sizes by comparison to those without, in terms of length and height, and exhibited greater right-to-left shunt volumes.DiscussionWe suggest that PFO may be associated with the development of two distinct cerebrovascular conditions (stroke and âsilentâ WM lesions), each characterized by unique imaging patterns. Further studies are needed to identify better the âat-riskâ PFOs and gain deeper insights into their clinical implications
Kolmogorov compression complexity may differentiate different schools of Orthodox iconography
The complexity in the styles of 1200 Byzantine icons painted between 13th and 16th from Greece, Russia and Romania was investigated through the Kolmogorov algorithmic information theory. The aim was to identify specific quantitative patterns which define the key characteristics of the three different painting schools. Our novel approach using the artificial surface images generated with Inverse FFT and the Midpoint Displacement (MD) algorithms, was validated by comparison of results with eight fractal and non-fractal indices. From the analyzes performed, normalized Kolmogorov compression complexity (KC) proved to be the best solution because it had the best complexity pattern differentiations, is not sensitive to the image size and the least affected by noise. We conclude that normalized KC methodology does offer capability to differentiate the icons within a School and amongst the three Schools
Gestational Alloimune Liver DiseaseâCase Report
We describe the case of a newborn with the antenatal onset of hepatic failure, which has been investigated for all etiologies that can cause liver damage: infectious, metabolic, genetic, and immune. The lack of a clear answer regarding the etiology and the response to immunoglobulin therapy led us to the diagnosis of gestational alloimmune liver disease. Gestational alloimunne liver disease is an uncommon and very severe cause of neonatal acute liver failure (NALF). Initially, the therapeutic approach aimed at correcting the effects produced by iron loading, respectively, iron chelators and antioxidants. Since all aspects of this case indicated characteristic features typical for GALD, therapy with intravenous immunoglobulins (IVIG) was introduced. If such therapy alters the prognosis of newborns with GALD, the etiology and pathophysiology remain uncertain. However, in cases regarding severe hepatic failure with the perinatal onset and apparently unknown etiology, immunoglobulin or exchange transfusion therapy should be taken into account even before finalizing all the etiological investigations. The prognosis is uncertain and varies between clinical resolution, chronic hepatitis/cirrhosis, and the need for a hepatic transplant, and overall survival depends on prompt therapeutic intervention
Table_1_PFO-spectrum disorder: two different cerebrovascular diseases in patients with PFO as detected by AI brain imaging software.DOCX
BackgroundPatent foramen ovale (PFO) is a prevalent cardiac remnant of fetal anatomy that may pose a risk factor for stroke in some patients, while others can present with asymptomatic white matter (WM) lesions. The current study aimed to test the hypothesis that patients with a PFO who have a history of stroke or transient ischemic attack, compared to those without such a history, have a different burden and distribution of cerebral WM hyperintensities. Additionally, we tested the association between PFO morphological characteristics and severity of shunt, and their impact on the occurrence of ischemic cerebral vascular events and on the burden of cerebral WM lesions.Patients and methodsRetrospective, caseâcontrol study that included patients with PFO confirmed by transesophageal echocardiography. Right-to-left shunt size was assessed using transcranial Doppler ultrasound. Cerebral MRIs were analyzed for all participants using the semi-automated Quantib NDTM software for the objective quantification of WM lesions. WM lesions volume was compared between patients with and without a history of stroke. Additionally, the anatomical characteristics of PFOs were assessed to explore their relation to stroke occurrence and WM lesions volume.ResultsOf the initial 264 patients diagnosed with PFO, 67 met the inclusion criteria and were included in the analysis. Of them, 62% had a history of PFO-related stroke/TIA. Overall burden of WM lesions, including stroke volume, was not significantly different (pâ=â0.103). However, after excluding stroke volume, WM lesions volume was significantly higher in patients without stroke (0.27âcm3, IQR 0.03â0.60) compared to those with stroke/TIA (0.08âcm3, IQR 0.02â0.18), pâ=â0.019. Patients with a history of PFO-related stroke/TIA had a tendency to larger PFO sizes by comparison to those without, in terms of length and height, and exhibited greater right-to-left shunt volumes.DiscussionWe suggest that PFO may be associated with the development of two distinct cerebrovascular conditions (stroke and âsilentâ WM lesions), each characterized by unique imaging patterns. Further studies are needed to identify better the âat-riskâ PFOs and gain deeper insights into their clinical implications.</p
Varia 2007
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