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As the confusion matrix indicates, our model is able to accurately identify true negatives (74) and true positives (32); this deep learning model identified three cases of false-positive and one false-negative finding from the healthy patient scans. Conclusions Our COVID-19 detection model minimizes manual interaction dependent on radiologists as it automates identification of structural abnormalities in patient's CXRs, and our deep learning model is likely to detect true positives and true negatives and weed out false positive and false negatives with > 96.3% accuracy.Background Moyamoya Disease (MMD) and moyamoya Syndrome (MMS) have been reported to be associated with pro-thrombotic states in some patients. To date, however, such reports have been limited to case reports or small case series. We sought to determine the prevalence of pro-thrombotic states among a large cohort of both MMD and MMS patients. Methods We retrospectively reviewed the medical records of all adult patients who were diagnosed with MMD or MMS from our institution. check details In addition to basic demographic and clinical data, the presence of certain pro-thrombotic conditions was noted. The presence of such conditions was determined based on review of clinical diagnoses and laboratory reports. The length of follow-up and the presence of interval ischemic events were obtained. Results Out of a total of 180 patients diagnosed with MMD or MMS, 33 were found to have a concomitant pro-thrombotic condition (18.3%). Of 147 patients with MMD, 23 were found to have a pro-thrombotic condition (15.6%). There were 10 out of 33 total patients (30.3%) in the MMS cohort that had a concomitant pro-thrombotic condition. There were no differences in specific pro-thrombotic conditions between MMD and MMS cohorts. There were no differences in future ischemic events between moyamoya patients with pro-thrombotic tendencies compared to those without (13.3% versus 23.7%, respectively, P = 0.32), and this was also true for patients who underwent revascularization procedures (22.6% versus 29.4%, P = 0.76). There was also no difference in prevalence of revascularization graft occlusion between moyamoya patients with pro-thrombotic tendencies and those without at follow-up (1.2% versus 5.9%, P = 0.31). Conclusions It is likely that both MMD and MMS are associated with or predispose to pro-thrombotic conditions in adult patients, although the clinical and surgical significance is uncertain. Further study is needed in order to further elucidate and characterize this potential association.The synergistic effects of run-of-the-river (ROR) on fish fauna, though still poorly understood, are amplified when dams form reservoir cascades. In an attempt to assist in this understanding, we used an adaptation of the Reservoir Fish Assemblage Index (RFAI) to evaluate the biotic conditions of the Rio das Antas Energy Complex, in the Neotropical Patos Lagoon ecoregion. We evaluated the attributes of the fish fauna from the point of view of the complex, for each reservoir and between different sections. Fish samplings were performed quarterly at nine sites for 2 years (2015-2017). We proposed 26 metrics, related to aspects of composition, reproduction, feeding, habitat, and tolerance, selected based on criteria of variability, responsiveness, and redundancy. The final RFAI score was distributed in four categories of biological status, based on the best-observed condition. Eight metrics composed the final index, among which, only the proportion of nektonic individuals + nektobenthic (PNNbI) correlated with all sections. The final RFAI was classified as poor in all sections of the reservoir cascade, showing no significant differences between the sampling sites. This scenario indicates that dams in sequence intensify and homogenize the amplitude of fragmentation impacts on fish fauna. The final RFAI proved to be representative of the transition sections, emphasizing the importance of these reaches in impounded environments. Although the disturbance scales presented here are applicable mainly to ROR systems with reduced discharge section, the index was developed so as to allow its replicability in any dammed water course.Purpose The violation of the cranial adjacent facet is a frequent complication in lumbar instrumentations and can induce local pain and adjacent segment disease. Minimally invasive screw implantation is often stated as risk factor in comparison with open approaches. Percutaneous pedicle screw placement (PPSP) can be performed using single X-ray images (fluoroscopy) or intraoperative 3D navigation. The study compares top-level screws in percutaneous lumbar instrumentations regarding facet violations and screw pedicle position using navigation or fluoroscopy. Methods Patients after lumbar PPSP were retrospectively separated according to the intraoperative technique navigation (NAV) or fluoroscopy (FLUORO). Two blinded investigators graded the top-level screws regarding facet violations and pedicle breach in postoperative CT scans. Subsequent matched cohort analysis was performed for comparable groups. Results Evaluating 768 screws, we assessed 70 (9.1%) facet violations. Overall, 186 (24.2%) screws were implanted using navigation. There was no significant difference in the rate of facet violations between both imaging groups (NAV 19/186, 10.2%, FLUORO 51/582, 8.8%, p = 0.55). Totally, 728 (94.8%) of all screws showed a correct pedicle position. Most of the 40 unfavorable pedicle positions were placed by fluoroscopy (NAV 4/186, 2.2%, FLUORO 36/582, 6.6%, p = 0.03). The matched cohorts verified these results (facet violations NAV 19/186, 10.2%, FLUORO 18/186, 9.7%, p = 0.55; pedicle penetrations NAV 4/186, 2.2%, FLUORO 12/186, 6.9%, p = 0.04). Conclusions Both intraoperative imaging techniques allow lumbar PPSP with low rates of cranial facet violations if the surgeon intends to preserve facet integrity. Navigation was superior concerning accurate pedicle screw position, but could not significantly prevent facet violations.Unfortunately, Fig. 7 and last paragraph of the result section have been incorrectly published. The complete corrected Fig. 7 and last paragraph of the results part (IDP measurements) have been as follows.
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