Deep Learning Multi-Domain Model Provides Accurate Detection and Grading of Mucosal Ulcers in Different Capsule Endoscopy Types.

BACKGROUND AND AIMS: The aim of our study was to create an accurate patient-level combined algorithm for the identification of ulcers on CE images from two different capsules. METHODS: We retrospectively collected CE images from PillCam-SB3's capsule and PillCam-Crohn's capsule. ML algorithms were trained to classify small bowel CE images into either normal or ulcerated mucosa: a separate model for each capsule type, a cross-domain model (training the model on one capsule type and testing on the other), and a combined model. RESULTS: The dataset included 33,100 CE images: 20,621 PillCam-SB3 images and 12,479 PillCam-Crohn's images, of which 3582 were colonic images. There were 15,684 normal mucosa images and 17,416 ulcerated mucosa images. While the separate model for each capsule type achieved excellent accuracy (average AUC 0.95 and 0.98, respectively), the cross-domain model achieved a wide range of accuracies (0.569-0.88) with an AUC of 0.93. The combined model achieved the best results with an average AUC of 0.99 and average mean patient accuracy of 0.974. CONCLUSIONS: A combined model for two different capsules provided high and consistent diagnostic accuracy. Creating a holistic AI model for automated capsule reading is an essential part of the refinement required in ML models on the way to adapting them to clinical practice.

Does Photobiomodulation Therapy Enhance Maximal Muscle Strength and Muscle Recovery?

Photobiomodulation has been shown to improve tissue and cell functions. We evaluated the influence of photobiomodulation, using a B-Cure laser, on: 1) maximal performance, and 2) muscle recovery after resistance exercise. Two separate crossover randomized double-blinded placebo-controlled trials were conducted. Sixty healthy physical education students (28 men, 32 women), aged 20-35, were recruited (30 participants for each trial). Participants performed two interventions for each experiment, with real lasers (GaAlAs, 808 nm) on three quadricep locations in parallel (overall treatment energy of ~150J) or sham (placebo) treatment. In the first experiment muscle total work (TW) and peak torque (PT) were measured by an isokinetic dynamometer in five repetitions of knee extension, and in the second experiment muscle recovery was measured after the induction of muscle fatigue by evaluating TW and PT in five repetitions of knee extension. There were no differences between treatments (real or sham) regarding the TW (F(1,28) = 1.09, p = .31), or PT (F(1,29) = .056, p = .814). In addition, there was no effect of photobiomodulation on muscle recovery as measured by the TW (F(1,27) = .16, p = .69) or PT (F(1,29) = .056, p = .814). Applying photobiomodulation for 10 min immediately before exercise did not improve muscle function or muscle recovery after fatigue.

Effects of a Commercial Supplement of Ophiocordyceps sinensis and Ganoderma lucidum on Physiological Responses to Maximal Exercise in Healthy Young Participants.

Cordyceps sinensis (=Ophiocordyceps sinensis) and Ganoderma lucidum are 2 medicinal mushrooms that have been suggested to have the potential to enhance exercise capacity. We used a commercial supplement combining a traditional Chinese medicine and G. lucidum and tested its effects on human physical, aerobic, and anaerobic capacities. Physical education students (n = 96; 43 women, 53 men; mean ± standard deviation age, 26.3 ± 3.21 years) were randomly divided into 3 groups: low-dose treatment, high-dose treatment, and placebo. Participants received the supplement or the placebo for 28-33 days. Both before and after the intervention, the participants performed a graded maximum oxygen consumption (Vo2max) test on a treadmill and a Wingate anaerobic cycle test (on a different day). The following parameters were measured and recorded during the maximal graded treadmill test: heart rate, oxygen consumption, respiratory exchange ratio, and ventilation. The following parameters were calculated from the Wingate anaerobic cycle test: maximal anaerobic power, mean anaerobic power, and fatigue index. The supplements did not affect Vo2max or the physiological responses upon maximal exercise during the graded treadmill test. In a similar way, they had no effect on peak or mean power, or fatigue index, as measured by the Wingate anaerobic test. A borderline interaction indicated a somewhat lower heart rate at rest after treatment; however, post hoc analysis did not reveal any further statistically significant differences (P = 0.047; F = 3.169). The findings indicate that dual supplementation with C. sinensis and G. lucidum had no effect on Vo2max, on physiological responses at peak exercise load during a graded maximal treadmill test, or on the parameters of anaerobic capacity.

Clinical Effects of a Commercial Supplement of Ophiocordyceps sinensis and Ganoderma lucidum on Cognitive Function of Healthy Young Volunteers.

Ophiocordyceps sinensis (= Cordyceps sinensis) and Ganoderma lucidum are medicinal mushrooms used in traditional Chinese medicine. The effects of O. sinensis and G. lucidum on cognitive function have been evaluated through the use of animal models and in vitro studies, which indicated beneficial effects. The purpose of this study was to evaluate the effects of treatment with a commercially available supplement of O. sinensis and G. lucidum on cognitive function in young, healthy human participants. Physical education students (n = 96 [53 men, 43 women]; mean ± standard deviation age, 26.3 ± 3.21 years) were randomly divided into 3 treatment groups: highdose supplement (HD) group, low-dose supplement (LD) group, and a placebo (PL) group. Each group received the treatment, administered by a technician blinded to supplements/placebo, for 30 days. Participants were evaluated for various cognitive functions before and immediately after treatment. Evaluation of cognitive function domains-global cognitive score, memory, executive function, attention, information processing speed, visuospatial ability, verbal function, and motor skills-showed no significant differences between groups. These results indicate that a combination of O. sinensis and G. lucidum supplements for 30 days did not enhance cognitive function domains in young healthy participants.