Optimisation of indole acetic acid production by Neopestalotiopsis aotearoa endophyte isolated from Thymus vulgaris and its impact on seed germination of Ocimum basilicum.

BACKGROUND: Microbial growth during plant tissue culture is a common problem that causes significant losses in the plant micro-propagation system. Most of these endophytic microbes have the ability to propagate through horizontal and vertical transmission. On the one hand, these microbes provide a rich source of several beneficial metabolites. RESULTS: The present study reports on the isolation of fungal species from different in vitro medicinal plants (i.e., Breynia disticha major, Breynia disticha, Duranta plumieri, Thymus vulgaris, Salvia officinalis, Rosmarinus officinalis, and Ocimum basilicum l) cultures. These species were tested for their indole acetic acid (IAA) production capability. The most effective species for IAA production was that isolated from Thymus vulgaris plant (11.16 µg/mL) followed by that isolated from sweet basil plant (8.78 µg/mL). On screening for maximum IAA productivity, medium, "MOS + tryptophan" was chosen that gave 18.02 µg/mL. The macroscopic, microscopic examination and the 18S rRNA sequence analysis indicated that the isolate that given code T4 was identified as Neopestalotiopsis aotearoa (T4). The production of IAA by N. aotearoa was statistically modeled using the Box-Behnken design and optimized for maximum level, reaching 63.13 µg/mL. Also, IAA extract was administered to sweet basil seeds in vitro to determine its effect on plant growth traits. All concentrations of IAA extract boosted germination parameters as compared to controls, and 100 ppm of IAA extract exhibited a significant growth promotion effect for all seed germination measurements. CONCLUSIONS: The IAA produced from N. aotearoa (T4) demonstrated an essential role in the enhancement of sweet basil (Ocimum basilicum) growth, suggesting that it can be employed to promote the plant development while lowering the deleterious effect of using synthetic compounds in the environment.

A THOROUGH STUDY AND META-ANALYSIS OF THE PROGNOSTIC RELEVANCE OF THE C-REACTIVE-ALBUMIN RATIO IN ACUTE PANCREATITIS.

Although most cases of acute pancreatitis (AP) are minor, severe cases are associated with a substantial risk of death. Acute pancreatitis (AP) is a common illness. Therefore, it is critical to assess AP severity as soon as possible. This review aimed to ascertain the predictive significance of the CRP to albumin ratio in individuals with AP. We searched PubMed, Science Direct, and Cochrane Library electronic databases Until January 2023. Studies that reported the CRP/alb ratio at admission and its relationship to the severity or death of patients with AP were included. Using a random-effects model, we computed the pooled mean difference (MD) and 95% confidence interval (CI). The quality of the included studies was evaluated using the Newcastle-Ottawa scale. This meta-analysis combined data from six trials with a total of 2244 patients. Upon admission, the CRP/alb ratio was higher in patients with severe AP than in those with mild to moderate AP (pooled MD:3.59; 95% CI:2.51-4.68; p<0.00001). Additionally, non-survivor AP patients had a substantially higher CRP/alb ratio than survivor AP patients (pooled MD:2.12; 95% CI:0.43-3.8; p<0.01). Individuals with AP may benefit from a high CRP/ALB ratio as a preliminary indicator of poor prognosis.

Experimental realization of an active non-reciprocal metamaterial using an eigen-structure assignment control strategy.

This paper presents a class of active non-reciprocal metamaterials (ANMMs) in an attempt to control the flow of acoustic waves along a one-dimensional acoustic duct. The proposed method distinguishes itself from the available approaches where the non-reciprocities are generated either actively or passively by various sources of nonlinearities, circulators and gyroscopic/gyrator components, and/or spatiotemporal modulation. The proposed method relies in its operation on a controller that is designed by simultaneous allocation of both the eigenvalues and eigenvectors. In other words, the entire eigen-structure of the closed-loop system is assigned as deemed necessary. Conventionally, the placement of the eigenvalues has been employed to enhance both the damping and response of the system. However, in this study, the focus is placed on adjusting the eigenvectors in a way that enables the spatial control and redistribution of the wave propagation along the acoustic duct in order to produce any desirable non-reciprocal behavior. During this entire process, the system continues to behave in a linear fashion. The theory governing the operation of this proposed approach is introduced, and a comprehensive experimental validation effort is presented to demonstrate the basic features, non-reciprocal behavior, and control characteristics. Generalization of the presented strategies to two-dimensional acoustic systems is a natural extension of the present work.

Evaluation of tuberculosis diagnostic tools, with extending MODS assay use to second line susceptibility testing.

Tuberculosis diagnosis and drug susceptibility testing (DST) are considered a priority for prompt initiation of effective therapy, increasing the chance of cure, decreasing the development of resistance, and reducing transmission. AIM: Our objective was to evaluate currently applied diagnostic tools for tuberculosis including microscopic examination, GeneXpert, culture, and microscopic observation drug susceptibility (MODS) assay, investigating MODS assay usage for second line DST against culture based methods. MATERIAL AND METHODS: In this study the 120 sputum samples collected from suspected cases were over one year duration from December 2018 to January 2020. The samples were subjected to ZN microscopic examination, GeneXpert, MODS assay, and culture for detection of mycobacteria. Moreover, resistance to 5 drugs: isoniazid, rifampicin, ofloxacin, levofloxacin, and amikacin were tested using MODS against the proportion method. RESULTS: The sensitivity and specificity of the MODS assay were similar culture method with the advantage of obtaining the results in a median time of 10.7 days. Whereas the specificity of ZN and GeneXpert was high among untreated cases and decreased in subjects with a history of treatment. Monoresistance was the most common form of resistance detected among new cases followed by multidrug resistance, with a categorical agreement between the two methods above 90% for all tested drugs. CONCLUSIONS: MODS assay is an attractive option once standardized for second line susceptibility testing and GeneXpert assay is of high sensitivity for rapid detection of MTB and RIF resistance especially in treatment naive cases.

The effect of platelet-rich plasma as a scaffold in regeneration/revitalization endodontics of immature permanent teeth assessed using 2-dimensional radiographs and cone beam computed tomography: a randomized controlled trial.

AIM: To assess the outcomes of platelet-rich plasma as a scaffold in regenerative/revitalization endodontics (RET) using cone beam computed tomography (CBCT) and 2-dimensional radiographs. METHODOLOGY: Twenty-six healthy patients with mean age of 12.66 ± 4.47, and immature permanent anterior teeth with necrotic pulps, were randomly allocated to two groups, whereby RET was performed using platelet-rich plasma (PRP, test group) and blood clot (BLC, control group). Changes in root length (RL), root dentinal thickness (RDT), apical foramen width (AFW) and radiographic root area (RRA), were assessed using both radiographic methods, whilst changes in periapical area diameter (PAD) were assessed using CBCT, over a period of 12 months. T-test and chi-square/Fisher's exact tests were used to compare continuous and categorical data between BLC and PRP groups, respectively. Changes in RL, RDT, AFW, RRA and PAD were examined by comparing the two groups (PRP versus BLC) using multilevel modelling, considering the clustering effect of repeated measures of several teeth originating from the same participant. RESULTS: Changes in RL, RDT, AFW, RRA and PAD, over time, were found to be significant for both groups. There was, however, no difference between the RET techniques (PRP versus BLC), using both radiographic and CBCT methods. The results of both assessment techniques (CBCT and 2-dimensional radiographic methods) were highly consistent (overall ICC ranged between 0.80 and 0.94). In addition, a significant effect of baseline PAD was found on RL, RRA and AD at 12 months (RL effect = -0.68, P < 0.001; RRA effect = -1.91, P = 0.025; AD effect = 0.08, P = 0.024). CONCLUSION: The current study highlights successful and comparable clinical and radiographic outcomes of RET techniques using PRP and BLC. Standardized and calibrated 2-dimensional radiographic assessment was as effective as CBCT in assessing RET outcomes; therefore, the routine use of CBCT in RET is not recommended. Although an effect of baseline periapical lesion diameter on root development outcomes, at 12 months, were observed, more studies are recommended in order to assess such an effect.

Active synthesis of a gyroscopic-nonreciprocal acoustic metamaterial.

A class of active nonreciprocal metamaterials is developed to control the flow and distribution of energy along periodic dynamical systems. Such a development constitutes a radical departure from the currently available approaches where the non-reciprocities are generated either by utilizing various physical sources of passive nonlinearities, gyroscopic circulators, spatiotemporal modulation, or active control of nonlinear systems. The proposed active Nonreciprocal Gyroscopic Meta-Material (NGMM) cell consists of a one-dimensional acoustic duct provided with linear dynamic control capabilities that virtually synthesize a gyroscopic control action that generates non-reciprocal characteristics of tunable magnitude and direction. The controller is designed in order to enable the spatial control and redistribution of the wave propagation energy flow along the acoustic duct. During this entire process, the system behaves in a linear fashion. Numerical examples are presented to demonstrate the basic features, non-reciprocal behavior, as well as the energy flow characteristics. The presented concept and controller design of the NGMM can be extended to various critical structures to achieve realistic acoustic diode configurations in a simple and programmable manner.

Active nonreciprocal metamaterial using an eigen-structure assignment control strategy.

A class of active nonreciprocal metamaterials (ANMMs) is developed to control the flow and distribution of energy along periodic dynamical systems. Such a development constitutes a radical departure from the currently available approaches where the non-reciprocities are generated either by utilizing various sources of passive nonlinearities, gyroscopic circulators, spatiotemporal modulation, or active control of nonlinear systems. The proposed ANMM cell consists of a one-dimensional acoustic duct provided with linear active control capabilities. The controller is designed by simultaneous assignment of both the eigenvalues and eigenvectors, i.e., the entire eigen-structure, of the closed-loop system. Conventionally, the placement of the eigenvalues has been considered to improve the damping and system's response. However, in this study, the emphasis is placed also on tailoring the eigenvectors in order to enable the spatial control and redistribution of the wave propagation energy flow along the acoustic duct in such a manner that it can introduce non-reciprocity as well as control its direction and reversal. During this entire process, the system remains behaving in a linear fashion. Numerical examples are presented to demonstrate the basic features and non-reciprocal behavior, as well as the energy flow characteristics.

Finite element modeling of one-dimensional nonreciprocal acoustic metamaterial with anti-parallel diodes.

A class of passive nonreciprocal acoustic metamaterials is developed to control the flow and distribution of acoustic energy in acoustic cavities and systems. Such development departs radically from present methods that favor the transmission direction by using hardwired arrangements of the hardware and hence, it cannot be reversed. The proposed nonreciprocal acoustic metamaterial (NAMM) cell consists of a cylindrical acoustic cavity with piezoelectric flexible boundaries that provide control in one-dimension. These boundaries are connected to an array of anti-parallel diodes to introduce simultaneous nonlinear damping and stiffness effects that break the reciprocity of energy flow through the NAMM cell. A finite element model of the NAMM cell is developed to investigate the nonreciprocal characteristics of the cell by optimizing the parameters that influence the nonlinear damping and stiffness effects introduced by the diodes. Numerical examples are presented to demonstrate the effectiveness of the proposed NAMM in tuning the directivity, flow, and distribution of acoustic energy propagating though the metamaterial.

Hydatidosis: Preparation and evaluation of radiolabeled antigens and antibodies.

The present preliminary study intends to evaluate the in vitro use of hydatid antigen and their antibodies once labeled with iodine 125(I125) and characterized from viewpoint of radiochemical purity and immunoreactivity. Radiolabelled molecules gave satisfactory purity of 94% and 96%-98%, for hydatid antigen and IgG respectively. As regards, the specific activity of these latter, varied between 4.79 and 5.97 µCi/µg. The specificity test of radiolabelled IgG against the hydatid membranes showed a significant recognition that increased proportionally according to the contact surface. Likewise this immunoreactivity test performed with a simple binding assay, using human hydatid fluid antigen (HHF-Ag), previously fixed on a solid phase, gave satisfactory fixation rate of the order of 356 ±â€¯48.08cpm, 2539 ±â€¯550.12cpm and 6558 ±â€¯712.76cpm for the concentrations of 0.1 µg/ml, 2 µg/ml and 25 µg/ml respectively. Statistical study of 88 sera, carried out with radiolabelled antigen (125I-HHF-Ag) in competitive radioimmunoassay test (CRIA) showed highly significant difference (p < 0.0001) in the binding capacity of antigens from patients sera with hydatid disease (65.63 ±â€¯9.12) compared to the negative sera (19.25 ±â€¯14.84). No cross reaction was observed using sera from patients with toxoplasmosis (33, 07 ±â€¯13, 07) and the difference was highly significant (p < 0.0001) compared to E granulosus infected patient sera. Furthermore, this test seemed to be sensitive since among the 43 sera tested, only 37 (86%) were found to be positive by passive hemagglutination (HAP), while the totality (100%) responded positively by CRIA. Our findings are encouraging, suggesting that these radiolabeled molecules could be useful for advancing toward new diagnostic and therapeutic modalities.

CDMO: Chaotic Dwarf Mongoose Optimization Algorithm for feature selection.

In this paper, a modified version of Dwarf Mongoose Optimization Algorithm (DMO) for feature selection is proposed. DMO is a novel technique of the swarm intelligence algorithms which mimic the foraging behavior of the Dwarf Mongoose. The developed method, named Chaotic DMO (CDMO), is considered a wrapper-based model which selects optimal features that give higher classification accuracy. To speed up the convergence and increase the effectiveness of DMO, ten chaotic maps were used to modify the key elements of Dwarf Mongoose movement during the optimization process. To evaluate the efficiency of the CDMO, ten different UCI datasets are used and compared against the original DMO and other well-known Meta-heuristic techniques, namely Ant Colony optimization (ACO), Whale optimization algorithm (WOA), Artificial rabbit optimization (ARO), Harris hawk optimization (HHO), Equilibrium optimizer (EO), Ring theory based harmony search (RTHS), Random switching serial gray-whale optimizer (RSGW), Salp swarm algorithm based on particle swarm optimization (SSAPSO), Binary genetic algorithm (BGA), Adaptive switching gray-whale optimizer (ASGW) and Particle Swarm optimization (PSO). The experimental results show that the CDMO gives higher performance than the other methods used in feature selection. High value of accuracy (91.9-100%), sensitivity (77.6-100%), precision (91.8-96.08%), specificity (91.6-100%) and F-Score (90-100%) for all ten UCI datasets are obtained. In addition, the proposed method is further assessed against CEC'2022 benchmarks functions.

A Clinically Explainable AI-Based Grading System for Age-Related Macular Degeneration Using Optical Coherence Tomography.

We propose an automated, explainable artificial intelligence (xAI) system for age-related macular degeneration (AMD) diagnosis. Mimicking the physician's perceptions, the proposed xAI system is capable of deriving clinically meaningful features from optical coherence tomography (OCT) B-scan images to differentiate between a normal retina, different grades of AMD (early, intermediate, geographic atrophy (GA), inactive wet or active neovascular disease [exudative or wet AMD]), and non-AMD diseases. Particularly, we extract retinal OCT-based clinical imaging markers that are correlated with the progression of AMD, which include: (i) subretinal tissue, sub-retinal pigment epithelial tissue, intraretinal fluid, subretinal fluid, and choroidal hypertransmission detection using a DeepLabV3+ network; (ii) detection of merged retina layers using a novel convolutional neural network model; (iii) drusen detection based on 2D curvature analysis; (iv) estimation of retinal layers' thickness, and first-order and higher-order reflectivity features. Those clinical features are used to grade a retinal OCT in a hierarchical decision tree process. The first step looks for severe disruption of retinal layers' indicative of advanced AMD. These cases are analyzed further to diagnose GA, inactive wet AMD, active wet AMD, and non-AMD diseases. Less severe cases are analyzed using a different pipeline to identify OCT with AMD-specific pathology, which is graded as intermediate-stage or early-stage AMD. The remainder is classified as either being a normal retina or having other non-AMD pathology. The proposed system in the multi-way classification task, evaluated on 1285 OCT images, achieved 90.82% accuracy. These promising results demonstrated the capability to automatically distinguish between normal eyes and all AMD grades in addition to non-AMD diseases.

Sarcosaprophagous Diptera assemblages in natural habitats in central Spain: spatial and seasonal changes in composition.

The composition and spatial distribution of sarcosaprophagous Diptera assemblages were studied using carrion-baited traps along a bioclimatic gradient of natural habitats in central Spain throughout the different seasons during 1 year. Calliphoridae and Muscidae were the most abundant families, accounting for, respectively, 41.9% and 35.1% of all Diptera specimens collected. Other abundant families were Heleomyzidae (8.4%), Sarcophagidae (6.9%) and Piophilidae (5.1%). Fly assemblage compositions differed among bioclimatic levels, with Chrysomya albiceps (Wiedemann) (Diptera: Calliphoridae) being the dominant species in mesomediterranean habitats, Muscina levida (Harris) (Diptera: Muscidae) the dominant species in supramediterranean habitats, and Prochyliza nigrimana (Meigen) (Diptera: Piophilidae) the dominant species in oromediterranean habitats. Differences in assemblage composition were also found among seasons. Thermophobic species such as Calliphora vicina Robineau-Desvoidy (Diptera: Calliphoridae) and some species of Heleomyzidae were well represented during autumn, winter and spring in the three bioclimatic levels sampled. By contrast, thermophilic species such as Ch. albiceps and Lucilia sericata (Meigen) (Diptera: Calliphoridae) and most Muscidae and Sarcophagidae species were more abundant during summer and in mesomediterranean habitats located at lower elevations. Knowledge of the preferences of some species for certain habitats may be of ecological and forensic value and may establish a starting point for further research.

Acoustic metamaterials with circular sector cavities and programmable densities.

Considerable interest has been devoted to the development of various classes of acoustic metamaterials that can control the propagation of acoustical wave energy throughout fluid domains. However, all the currently exerted efforts are focused on studying passive metamaterials with fixed material properties. In this paper, the emphasis is placed on the development of a class of composite one-dimensional acoustic metamaterials with effective densities that are programmed to adapt to any prescribed pattern along the metamaterial. The proposed acoustic metamaterial is composed of a periodic arrangement of cell structures, in which each cell consists of a circular sector cavity bounded by actively controlled flexible panels to provide the capability for manipulating the overall effective dynamic density. The theoretical analysis of this class of multilayered composite active acoustic metamaterials (CAAMM) is presented and the theoretical predictions are determined for a cascading array of fluid cavities coupled to flexible piezoelectric active boundaries forming the metamaterial domain with programmable dynamic density. The stiffness of the piezoelectric boundaries is electrically manipulated to control the overall density of the individual cells utilizing the strong coupling with the fluid domain and using direct acoustic pressure feedback. The interaction between the neighboring cells of the composite metamaterial is modeled using a lumped-parameter approach. Numerical examples are presented to demonstrate the performance characteristics of the proposed CAAMM and its potential for generating prescribed spatial and spectral patterns of density variation.

Muscle-derived cells for treatment of iatrogenic sphincter damage and urinary incontinence in men.

INTRODUCTION: Aim of this study was to assess the safety and efficacy of injection of autologous muscle-derived cells into the urinary sphincter for treatment of postprostatectomy urinary incontinence in men and to characterize the injected cells prior to transplantation. METHODS: 222 male patients with stress urinary incontinence and sphincter damage after uroloical procedures were treated with transurethral injection of autologous muscle-derived cells. The transplanted cells were investigated after cultivation and prior to application by immunocytochemistry using different markers of myogenic differentiation. Feasibility and functionality assessment was achieved with a follow-up of at least 12 months. RESULTS: Follow-up was at least 12 months. Of the 222 treated patients, 120 responded to therapy of whom 26 patients (12%) were continent, and 94 patients (42%) showed improvement. In 102 (46%) patients, the therapy was ineffective. Clinical improvement was observed on average 4.7 months after transplantation and continued in all improved patients. The cells injected into the sphincter were at least ~50% of myogenic origin and representative for early stages of muscle cell differentiation. CONCLUSIONS: Transurethral injection of muscle-derived cells into the damaged urethral sphincter of male patients is a safe procedure. Transplanted cells represent different phases of myogenic differentiation.

Age-at-death assessed with Lamendin's original and population-specific models in a modern Brazilian osteological collection.

BACKGROUND: Estimating the age at death is a common procedure in the fields of forensic human identification and anthropological/archaeological investigations. Root translucency and periodontosis are regressive parameters used to estimate the age of adults, more specifically in Lamendin's method - established in 1992 in a French population. This study aimed to test the applicability and validity of Lamendin's method in a Brazilian osteological collection. METHODS: The sample consisted of 74 single-rooted teeth obtained from 50 skeletal remains (mean age: 53.20 ± 16.17 years) from Southeast Brazil. Lamendin's method was applied to enable a comparison between chronological (CA) and estimated ages (EA). A new population-specific equation was designed for the studied sample and the outcomes were compared with those obtained with Lamendin's original equation. RESULTS: The original methods led to a general underestimation of 11.32 years (8.83 years in males and 15.91 years in females). The method had a better performance among individuals between 40 and 59 years (mean differences between CA and EA: 4.8 years). The population-specific equation led to a mean overestimation of -2.04 years in males, and a mean underestimation of 3.77 years in females. Underestimations were considerably higher in other age groups. CONCLUSION: Despite the apparent improvements, both the original and the population-specific equations revealed coefficients of concordance that were constantly low between CA and EA. These outcomes suggest restrictions to the application of Lamendin's method in the forensic field, especially for human identification. The method, however, seems to be applicable for anthropological/archaeological applications.

Social Media Big Data Analysis: Towards Enhancing Competitiveness of Firms in a Post-Pandemic World.

In this paper, we proposed an advanced business intelligence framework for firms in a post-pandemic phase to increase their performance and productivity. The proposed framework utilizes some of the most significant tools in this era, such as social media and big data analysis for business intelligence systems. In addition, we survey the most outstanding related papers to this study. Open challenges based on this framework are described as well, and a proposed methodology to minimize these challenges is given. Finally, the conclusion and further research points that are worth studying are discussed.

Echinococcus granulosus glycoconjugates induce peritoneal B cell differentiation into antibody-secreting cells and cytokine production.

Helminth parasite infections are associated with predominant Th2-type cytokine responses, and parasite glycoconjugates have been recognized as partially responsible for such immune bias. It has been proved that Echinococcus granulosus evokes a Th2-type cytokine pattern characterized by a high production of IL-4, IL-5, IL-6 and IL-10, and no or mild IFN-γ levels in animal models and in patients with cystic echinococcosis, respectively. Here, we show that E4(+) (a glycoconjugate-enriched fraction from E. granulosus protoscolex) stimulated the secretion of a high concentration of IL-6, followed by IL-10 and TNF-α by normal peritoneal B cells. We determined that E4(+) bound to the surface of peritoneal B cells and induced their activation and, also, triggered the differentiation of peritoneal B cells into IgM-, IgG2b- and IgG3-secreting cells in a T-independent way. Interestingly, the IgM released by E4(+) -stimulated peritoneal B cells from normal mice recognized protoscolex antigens. Results showed that, after the encounter with antigens from E. granulosus protoscolex, peritoneal B cells are a source of Th2-type cytokines and polyclonal antibodies, some of which recognize parasite antigens, suggesting that peritoneal B cells can condition the outcome of the infection.

New piophilid in town: the first Palaearctic record of Piophila megastigmata and its coexistence with Piophila casei in central Spain.

The genus Piophila Fallén (Diptera: Piophilidae) is known from only two species: Piophila casei (L.) is a major pest, a cosmopolitan species and is commonly used as a forensic indicator, whereas Piophila megastigmata McAlpine has until now only been recorded in a natural environment in South Africa. The present work reports the first occurrence of P. megastigmata in the Palaearctic region from specimens collected by carrion-baited traps throughout different natural habitats of central Spain. Furthermore, the species was also collected with P. casei on corpses of domestic pigs used in a carrion succession study in a periurban habitat in central Spain. Both species occurred on carrion in different seasons, but P. megastigmata was more abundant than P. casei in autumn, arriving earlier at the carcasses and persisting for a longer period. The contrary pattern was observed in spring. The presence of P. megastigmata in different localities in central Spain and its coexistence with P. casei in a periurban habitat make it a potentially useful new tool for legal medicine in Europe; thus this species must be considered in forensic entomology studies.

Thrombin activatable fibrinolysis inhibitor (TAFI) is not associated with recurrent miscarriage.

AIM(S): The present study aimed to discover whether there is an association between thrombin-activatable fibrinolysis inhibitor (TAFI) antigen levels and recurrent miscarriage (RM). In particular, TAFI antigen levels of women with RM were compared with those of a control group of women with previous uncomplicated pregnancies. METHOD(S): Group 1 comprised 48 women with RM, defined as the occurrence of two or more fetal losses before 20 weeks of gestation. Group 2 (the control group) was made up of 40 women who had undergone at least two healthy pregnancies and had no history of miscarriage. Group 1 was then stratified in to two groups according to the number of pregnancy losses and group 1A (2 pregnancy losses) consisted of 22 women whereas group 1B (three or more pregnancy losses) consisted of 26 women. RESULTS: No difference was observed with regard to serum TAFI antigen levels between groups 1 and 2. There was also no statistical difference in serum TAFI antigen levels between group 1A and group 1B. CONCLUSION: The findings of the current study indicated that TAFI antigen levels are not associated with RM. Further multi-centric research with more subjects is needed to better evaluate the role of TAFI in RM.

A multiparametric MRI-based CAD system for accurate diagnosis of bladder cancer staging.

Appropriate treatment of bladder cancer (BC) is widely based on accurate and early BC staging. In this paper, a multiparametric computer-aided diagnostic (MP-CAD) system is developed to differentiate between BC staging, especially T1 and T2 stages, using T2-weighted (T2W) magnetic resonance imaging (MRI) and diffusion-weighted (DW) MRI. Our framework starts with the segmentation of the bladder wall (BW) and localization of the whole BC volume (Vt) and its extent inside the wall (Vw). Our segmentation framework is based on a fully connected convolution neural network (CNN) and utilized an adaptive shape model followed by estimating a set of functional, texture, and morphological features. The functional features are derived from the cumulative distribution function (CDF) of the apparent diffusion coefficient. Texture features are radiomic features estimated from T2W-MRI, and morphological features are used to describe the tumors' geometric. Due to the significant texture difference between the wall and bladder lumen cells, Vt is parcelled into a set of nested equidistance surfaces (i.e., iso-surfaces). Finally, features are estimated for individual iso-surfaces, which are then augmented and used to train and test machine learning (ML) classifier based on neural networks. The system has been evaluated using 42 data sets, and a leave-one-subject-out approach is employed. The overall accuracy, sensitivity, specificity, and area under the receiver operating characteristics (ROC) curve (AUC) are 95.24%, 95.24%, 95.24%, and 0.9864, respectively. The advantage of fusion multiparametric iso-features is highlighted by comparing the diagnostic accuracy of individual MRI modality, which is confirmed by the ROC analysis. Moreover, the accuracy of our pipeline is compared against other statistical ML classifiers (i.e., random forest (RF) and support vector machine (SVM)). Our CAD system is also compared with other techniques (e.g., end-to-end convolution neural networks (i.e., ResNet50).