The American Society of Colon and Rectal Surgeons is dedicated to ensuring high-quality patient care by advancing the science, prevention, and management of disorders and diseases of the colon, ...rectum, and anus. The Clinical Practice Guidelines Committee is composed of society members who are chosen because they have demonstrated expertise in the specialty of colon and rectal surgery. This committee was created to lead international efforts in defining quality care for conditions related to the colon, rectum, and anus. This is accompanied by developing Clinical Practice Guidelines based on the best available evidence. These guidelines are inclusive and not prescriptive. Their purpose is to provide information on which decisions can be made, rather than to dictate a specific form of treatment. These guidelines are intended for the use of all practitioners, health care workers, and patients who desire information about the management of the conditions addressed by the topics covered in these guidelines. It should be recognized that these guidelines should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all the circumstances presented by the individual patient.
Fiber-Optic Seismology Lindsey, Nathaniel J; Martin, Eileen R
Annual review of earth and planetary sciences,
05/2021, Letnik:
49, Številka:
1
Journal Article
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Distributed acoustic sensing (DAS) is an emerging technology that repurposes a fiber-optic cable as a dense array of strain sensors. This technology repeatedly pings a fiber with laser pulses, ...measuring optical phase changes in Rayleigh backscattered light. DAS is beneficial for studies of fine-scale processes over multi-kilometer distances, long-term time-lapse monitoring, and deployment in logistically challenging areas (e.g., high temperatures, power limitations, land access barriers). These benefits have motivated a decade of applications in subsurface imaging and microseismicity monitoring for energy production and carbon sequestration. DAS arrays have recorded microearthquakes, regional earthquakes, teleseisms, and infrastructure signals. Analysis of these wavefields is enabling earthquake seismology where traditional sensors were sparse, as well as structural and near-surface seismology. These studies improved understanding of DAS instrument response through comparison with traditional seismometers. More recently, DAS has been used to study cryosphere systems, marine geophysics, geodesy, and volcanology. Further advancement of geoscience using DAS requires several community efforts related to instrument access, training, outreach, and cyberinfrastructure.
DAS is a seismic acquisition technology repurposing fiber optics as arrays of dynamic strain sensors at 1- to 10-m spacing over kilometers.
Easy DAS installations have availed time-lapse geophysical sensing in formerly inaccessible sites: urban, icy, and offshore areas.
High-frequency wavefields recorded by DAS are analyzed with array-based methods to characterize seismic sources and image the subsurface.
DAS has shown low-frequency sensitivity in the laboratory and field, for slow hydrodynamic and geodynamic processes.
Abstract
Interest in amyotrophic lateral sclerosis (ALS) biomarkers has grown exponentially over the course of the last 25 years, with great hope that they might serve as tools to facilitate the ...development of meaningful therapies for this otherwise inexorably progressive and invariably fatal disease. Effective use of biomarkers, however, requires an understanding of what it means for them to be ‘fit-for-purpose’ as well as an appreciation of the nuances of the clinical context(s) in which they will be applied.
Neurofilament light chain (NfL) has emerged as a leading candidate with enormous potential to aid ALS therapy development; it is, however, also profoundly misunderstood. Within the conceptual framework of the BEST (Biomarkers, EndpointS, and other Tools) Resource, developed by the National Institutes of Health and the Food and Drug Administration in the USA, we consider the evidence supporting the use of NfL for a variety of purposes in different clinical contexts.
We conclude that: (i) it may serve as a susceptibility/risk biomarker in populations at elevated risk for ALS; (ii) it has value as a prognostic biomarker when measured early in the course of established disease, empowering stratification or dynamic randomization to amplify the signal-to-noise ratio of promising therapeutics; and (iii) there is sufficient evidence to support the use of a reduction in NfL in response to an experimental therapeutic as a pharmacodynamic biomarker that may aid in phase 2 trial go/no-go decisions. Moreover, the basis for expecting that a reduction in NfL is a reasonably likely surrogate end-point (i.e. reasonably likely to predict clinical benefit—which may be more than simply survival) is nuanced, and depends on when in the course of disease the experimental therapeutic is administered.
NfL has great potential to aid ALS therapy development, but its utility is often misunderstood. Benatar et al. discuss the value of NfL as a risk, prognostic or pharmacodynamic biomarker, depending on when in the disease course it is measured. It may even predict clinical benefit, depending on when treatment is initiated.
Thermally activated delayed fluorescence (TADF) emitters, which produce light by harvesting both singlet and triplet excitons without noble metals, are emerging as next-generation organic ...electroluminescent materials. In the past few years, there have been rapid advances in molecular design criteria, our understanding of the photophysics underlying TADF and the applications of TADF materials as emitters in organic light-emitting diodes (OLEDs). This topic is set to remain at the forefront of research in optoelectronic organic materials for the foreseeable future. In this Review, we focus on state-of-the-art materials design and understanding of the photophysical processes, which are being leveraged to optimize the performance of OLED devices. Notably, we also appraise dendritic and polymeric TADF emitters — macromolecular materials that offer the potential advantages of low cost, solution processable and large-area OLED fabrication.Thermally activated delayed fluorescence (TADF) emitters are promising electroluminescent materials for next-generation organic light-emitting diodes (OLEDs). In this Review, the molecular design, photophysical characteristics and OLEDs composed of small-molecule, dendritic and polymeric TADF emitters are discussed.
Based largely on results from preclinical studies, the concept of a brain gut microbiome axis has been established, mediating bidirectional communication between the gut, its microbiome, and the ...nervous system. Limited data obtained in human beings suggest that alterations in these interactions may play a role in several brain gut disorders.
We reviewed the preclinical and clinical literature related to the topic of brain gut microbiome interactions.
Well-characterized bidirectional communication channels, involving neural, endocrine, and inflammatory mechanisms, exist between the gut and the brain. Communication through these channels may be modulated by variations in the permeability of the intestinal wall and the blood-brain barrier. Brain gut microbiome interactions are programmed during the first 3 years of life, including the prenatal period, but can be modulated by diet, medications, and stress throughout life. Based on correlational studies, alterations in these interactions have been implicated in the regulation of food intake, obesity, and in irritable bowel syndrome, even though causality remains to be established.
Targets within the brain gut microbiome axis have the potential to become targets for novel drug development for brain gut disorders.
Background
Anti-vaccination attitudes are important predictors of vaccination behavior. Existing measures of vaccination attitudes focus on specific age groups and/or particular vaccines; a more ...comprehensive measure would facilitate comparisons across studies.
Purpose
The aim of this study was to develop a short measure of general vaccination attitudes and establish its reliability and validity.
Methods
Two studies were conducted using the
VAX
scale. For Study 1, participants were 409 individuals (53% female), with a mean age of 34.5 years. For Study 2, participants were 92 individuals (67% female) with a mean age of 28.6. Participants answered paper-and-pencil questions about their attitudes toward vaccines, prior and expected-future vaccination behaviors, perceived sensitivity to medicines, online behavior, and basic demographic information. Exploratory and confirmatory factor analyses were conducted with correlations and
t
tests then used to assess the scale’s reliability and validity.
Results
Four distinct but correlated vaccine attitudes were identified: (1) mistrust of vaccine benefit, (2) worries about unforeseen future effects, (3) concerns about commercial profiteering, and (4) preference for natural immunity. These factors were significantly related to prior vaccination behavior, future intentions to obtain recommended vaccinations, perceived sensitivity to medicines, and the tendency to obtain health information online.
Conclusions
The
VAX
scale provides an efficient method for identifying those with vaccination resistance, and the four subscales enable a more nuanced understanding of the nature of those views. It should be noted, however, that the strong correlations amongst the four subscales suggest that interventions should target all four attitude areas, and it remains to be seen whether differential emphasis across the four areas is warranted.
State of the Art on Neural Rendering Tewari, A.; Fried, O.; Thies, J. ...
Computer graphics forum,
20/May , Letnik:
39, Številka:
2
Journal Article
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Efficient rendering of photo‐realistic virtual worlds is a long standing effort of computer graphics. Modern graphics techniques have succeeded in synthesizing photo‐realistic images from ...hand‐crafted scene representations. However, the automatic generation of shape, materials, lighting, and other aspects of scenes remains a challenging problem that, if solved, would make photo‐realistic computer graphics more widely accessible. Concurrently, progress in computer vision and machine learning have given rise to a new approach to image synthesis and editing, namely deep generative models. Neural rendering is a new and rapidly emerging field that combines generative machine learning techniques with physical knowledge from computer graphics, e.g., by the integration of differentiable rendering into network training. With a plethora of applications in computer graphics and vision, neural rendering is poised to become a new area in the graphics community, yet no survey of this emerging field exists. This state‐of‐the‐art report summarizes the recent trends and applications of neural rendering. We focus on approaches that combine classic computer graphics techniques with deep generative models to obtain controllable and photorealistic outputs. Starting with an overview of the underlying computer graphics and machine learning concepts, we discuss critical aspects of neural rendering approaches. Specifically, our emphasis is on the type of control, i.e., how the control is provided, which parts of the pipeline are learned, explicit vs. implicit control, generalization, and stochastic vs. deterministic synthesis. The second half of this state‐of‐the‐art report is focused on the many important use cases for the described algorithms such as novel view synthesis, semantic photo manipulation, facial and body reenactment, relighting, free‐viewpoint video, and the creation of photo‐realistic avatars for virtual and augmented reality telepresence. Finally, we conclude with a discussion of the social implications of such technology and investigate open research problems.
Abstract The increased recognition that the worldwide increase in incidence of obesity is due to a positive energy balance has lead to a focus on lifestyle choices that may contribute to excess ...energy intake, including the widespread belief that alcohol intake is a significant risk factor for development of obesity. This brief review examines this issue by contrasting short-term laboratory-based studies of the effects of alcohol on appetite and energy balance and longer-term epidemiological data exploring the relationship between alcohol intake and body weight. Current research clearly shows that energy consumed as alcohol is additive to that from other dietary sources, leading to short-term passive over-consumption of energy when alcohol is consumed. Indeed, alcohol consumed before or with meals tends to increase food intake, probably through enhancing the short-term rewarding effects of food. However, while these data might suggest that alcohol is a risk factor for obesity, epidemiological data suggests that moderate alcohol intake may protect against obesity, particularly in women. In contrast, higher intakes of alcohol in the absence of alcohol dependence may increase the risk of obesity, as may binge-drinking, however these effects may be secondary to personality and habitual beverage preferences.
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