Dynamic measurement of accommodative responses while viewing stereoscopic images

Using video refraction accommodative and convergence dynamic responses were measured to stepped changes in convergence stimuli with unchanged accommodative stimuli (conflicting stereoscopic image) and compared with responses to non-conflicting target stimuli. Three targets were used that varied in their spatial frequency components. An accommodative transient overshoot was evident in four out of seven subjects for only conflicting stimuli. One showed accommodative and convergence oscillation probably due to difficulty in fusing the stereoscopic target when it had a higher spatial component, however, this oscillation diminished when the target was spatial low-pass filtered. We hypothesise that transient responses to step stimuli is initiated by convergence-driven accommodation and subsequently followed by slower fine-control of accommodation modulated by the amount of blur. Inter-subject differences in convergence-driven accommodation may also be a factor to consider. For stereoscopic stimuli, it is proposed that the increase in blur immediately after the onset of the accommodative response inhibits cessation of the response

Outcomes of endoscopic treatment for malignant biliary obstruction in patients with surgically altered anatomy: analysis of risk factors for clinical failure

Background To evaluate the outcomes of endoscopic retrograde cholangiopancreatography (ERCP) for malignant biliary obstruction (MBO) using short-type double-balloon enteroscope (sDBE) in patients with surgically altered anatomy. Methods A total of 45 patients with surgically altered anatomy underwent ERCP using sDBE for the treatment of MBO between April 2011 and March 2019. We retrospectively evaluated the clinical and technical success (insertion and biliary intervention success), adverse events, and risk factors for clinical failure. Results The scope was successfully inserted in the target site in 82.2% of patients (37/45), and among them, biliary intervention success was achieved in 86.4% (32/37). The overall technical success rate was 71.1% (32/45) and clinical success rate was 68.9% (31/45), with an adverse event rate of 11.1%. In multivariate analysis, the presence of peritoneal dissemination (odds ratio, 7.3; 95% confidence interval, 1.5–43.5, p = 0.02) was as an independent risk factor for clinical failure. The clinical success rate was 38.5% in patients with peritoneal dissemination and 81.3% in those without peritoneal dissemination. Conclusion Endoscopic treatment using sDBE in patients without peritoneal dissemination provided favorable outcomes, and it can be an initial treatment for MBO in patients with surgically altered anatomy. Endoscopic biliary stent placement with endoscopic retrograde cholangiography (ERCP) for the treatment of malignant biliary obstruction (MBO) has been widely accepted as an effective drainage method because it is less invasive and safe and has a high success rate (1–3). However, MBO is treated using percutaneous transhepatic biliary drainage (PTBD) or surgical bypass because of difficulties related to endoscopic access to the bile duct following gastrointestinal reconstruction. However, these methods are associated with marked adverse event (AE) rates [1,2,3]. Recently, balloon-assisted endoscopy (BAE) facilitates ERCP in patients with surgically altered anatomy. As for a double-balloon enteroscope (DBE), a short-type DBE (sDBE) is especially useful because it allows the use of many standard ERCP accessories. The success rates of reaching the target site and ERCP-related interventions associated using these endoscopes range from 73–100% and 85–100%, respectively [4, 5]. We previously reported that the success rate of reaching the target site and biliary intervention was 93.8% and 95.7%, respectively, in patients with benign hepaticojejunostomy (HJ) anastomotic stricture [6]. However, inaccessibility of the target site may occur due to severe postoperative adhesions or a long insertion time (i.e., > 60 min). Furthermore, previous reports have shown that the success rate of BAE in MBO cases was significantly lower than that in benign biliary diseases [7, 8]. Few reports have investigated the outcome of BAE for MBO in patients with surgically altered anatomy. Additionally, the risk factors for clinical failure are not well-established. Thus, we retrospectively evaluated the outcomes of endoscopic treatment for MBO using sDBE in patients with surgically altered anatomy and identified risk factors for clinical failure

Efficacy of low dose rectal diclofenac for preventing post‐endoscopic retrograde cholangiopancreatography pancreatitis: Propensity score‐matched analysis

Background Acute pancreatitis is a major adverse event of endoscopic retrograde cholangiopancreatography (ERCP). Rectal administration of non‐steroidal anti‐inflammatory drugs (NSAIDs) decreases the incidence of post‐ERCP pancreatitis (PEP). However, the efficacy of low dose rectal NSAIDs for preventing PEP remains controversial. Methods We performed a retrospective study of 301 patients with native papilla and a body weight of Results A total of 66 pairs of patients in each group were selected. The patients and procedural‐related factors were similar in both groups. In total, 15 patients (11.4%) developed PEP: 12.1% (8/66) in the NSAIDs group and 10.6% (7/66) in the control group (Odds ratio (OR) 1.2; 95% confidence interval (CI) 0.4–3.5; P = 0.78). There was no significant difference in incidence of other adverse events related to ERCP between the two groups. Conclusions Prophylactic administration of a 25 mg dose of rectal diclofenac did not reduce the incidence of PEP in patients with a native papilla and a body weight of <50 kg in this study and a certain dose of rectal NSAIDs, such as a 100‐mg dose, should be administered regardless of body weight to prevent PEP

The Catalytic Conversion of 1,2-Propandiol to Propanal on FSM-16 Molded by Wet-Treatment and Pressurization

The catalytic conversion of 1,2-propandiol to propanal is examined using FSM-16 particles (0.85－1.70 mm) molded by wet-treatment and pressurization. When FSM-16 was molded with 0.6 g of pressurization and supplied to the catalytic conversion of 1,2-propandiol at 673 K, this system resulted in a 94.8% conversion of 1,2-propandiol and 90.5% selectivity to propanal at 0.25 h on-stream, which was the maximum amount of activity. However, at 4.50 h on-stream, the activity decreased extremely to deactivation 19.9% conversion of 1,2-propandiol and 84.7% selectivity to propanal. In contrast, when FSM-16 molded with wet-treatment (0.15 g) was used for the conversion at 573 K, activity was greatly increased and stable 98.6% conversion of 1,2-propandiol and 56.2% selectivity to propanal at 0.25 h on-stream followed by 91.9% and 52.5%, respectively, at 4.50 h on-stream. The hexagonal structure of FSM-16 was suggested to have contributed to the suitable conversion of 1,2-propandiol to propanal

Effects of Acidic Properties of FSM-16 on the Catalytic Conversion of 1,2-Propandiol in the Presence and Absence of Hydrogen

We have earlier showed how the catalytic conversion of 1,2-propandiol to propanal using FSM-16 (#16 folded sheets of mesoporous materials) when molded by wet treatment proceeded more favorably than when using FSM-16 molded by pressurization, while no comparison using other typical acidic catalysts and no examination of the acidic properties of FSM-16 was carried out. In the present study, the conversion using FSM-16 molded by wet treatment and pressurization was compared with that obtained by using typical acidic catalysts such as SiW12O40/SiO2 and MCM-41 (#41 of Mobil Composition of Matter) together with amorphous SiO2. Among these catalysts, FSM-16 molded by wet treatment showed the most suitable catalytic activity. In order to examine the effect of the molding procedure for FSM-16 on its structural and acidic properties, FSM-16 molded by both methods was examined using NH3-TPD, in situ FT-IR using NH3 as a probe molecule, and Hammett indicators together with XRD and TEM. According to Zaitsev's rule, the present conversion should afford acetone rather than propanal, which indicates that it would proceed via hydro cracking. Therefore, the conversion of 1,2-propandiol using FSM-16 was also examined in the presence and absence of hydrogen. Furthermore, hydration reactions of 1- and 2-propanol when using FMS-16 were examined. Based on the results obtained from this investigation, it was concluded that the conversion using a more acidic FSM-16 molded by wet treatment proceeded through dehydration rather than through hydro cracking

The whole blood transcriptional regulation landscape in 465 COVID-19 infected samples from Japan COVID-19 Task Force

「コロナ制圧タスクフォース」COVID-19患者由来の血液細胞における遺伝子発現の網羅的解析 --重症度に応じた遺伝子発現の変化には、ヒトゲノム配列の個人差が影響する--. 京都大学プレスリリース. 2022-08-23.Coronavirus disease 2019 (COVID-19) is a recently-emerged infectious disease that has caused millions of deaths, where comprehensive understanding of disease mechanisms is still unestablished. In particular, studies of gene expression dynamics and regulation landscape in COVID-19 infected individuals are limited. Here, we report on a thorough analysis of whole blood RNA-seq data from 465 genotyped samples from the Japan COVID-19 Task Force, including 359 severe and 106 non-severe COVID-19 cases. We discover 1169 putative causal expression quantitative trait loci (eQTLs) including 34 possible colocalizations with biobank fine-mapping results of hematopoietic traits in a Japanese population, 1549 putative causal splice QTLs (sQTLs; e.g. two independent sQTLs at TOR1AIP1), as well as biologically interpretable trans-eQTL examples (e.g., REST and STING1), all fine-mapped at single variant resolution. We perform differential gene expression analysis to elucidate 198 genes with increased expression in severe COVID-19 cases and enriched for innate immune-related functions. Finally, we evaluate the limited but non-zero effect of COVID-19 phenotype on eQTL discovery, and highlight the presence of COVID-19 severity-interaction eQTLs (ieQTLs; e.g., CLEC4C and MYBL2). Our study provides a comprehensive catalog of whole blood regulatory variants in Japanese, as well as a reference for transcriptional landscapes in response to COVID-19 infection

Parallelization and Hardware Mapping of Deep Neural Network on Reconfigurable Platform for AI-Enabled Biomedical System

COVID-19 is still disrupting many parts of the world. A rapid and accurate diagnosis solution is needed to combat the pandemic. As a part of the AIRBiS(AI-Enabled Real-time Pneumonia Detection Bio-medical System), this work conduct hardware acceleration to speed up the diagnosis. We found that more than 90% of the current diagnosis time is spent on the convolution function and have conducted three methods to speed up the convolution operations. Firstly, by applying the Winograd algorithm on convolution layers, the multiplication operations of the matrices can be decreased, which speeds up the calculation. The next step is to improve the data exchange speed between the FPGA and CPU by replacing the normal buffer with LineBuffer. We also tried to improve the calculation speed by quantization, reducing the number of bits used for the filter and the input image. The FPGA board we used for this research is ZCU102. The application used for high-level synthesis is Xilinx SDSoC 2019.1. Using the mentioned approaches, we improved the inference speed from 106ms to 22.2ms per image