Clinical/methodological problem: The identification of clinically significant prostate carcinomas while avoiding overdiagnosis of low-malignant tumors is a challenge in routine clinical practice. Standard radiologic procedures: Multiparametric magnetic resonance imaging (MRI) of the prostate acquired and interpreted according to PI-RADS (Prostate Imaging Reporting and Data System Guidelines) is accepted as a clinical standard among urologists and radiologists. Methodological innovations: The PI-RADS guidelines have been newly updated to version 2.1 and, in addition to more precise technical requirements, include individual changes in lesion assessment. Performance: The PI-RADS guidelines have become crucial in the standardization of multiparametric MRI of the prostate and provide templates for structured reporting, facilitating communication with the referring physician. Evaluation: The guidelines, now updated to version 2.1, represent a refinement of the widely used version 2.0. Many aspects of reporting have been clarified, but some previously known limitations remain and require further improvement of the guidelines in future versions.
The human brain has been described as a complex system. Its study by means of neurophysiological signals has revealed the presence of linear and nonlinear interactions. In this context, entropy metrics have been used to uncover brain behavior in the presence and absence of neurological disturbances. Entropy mapping is of great interest for the study of progressive neurodegenerative diseases such as Alzheimer’s disease. The aim of this study was to characterize the dynamics of brain oscillations in such disease by means of entropy and amplitude of low frequency oscillations from Bold signals of the default network and the executive control network in Alzheimer’s patients and healthy individuals, using a database extracted from the Open Access Imaging Studies series. The results revealed higher discriminative power of entropy by permutations compared to low-frequency fluctuation amplitude and fractional amplitude of low-frequency fluctuations. Increased entropy by permutations was obtained in regions of the default network and the executive control network in patients. The posterior cingulate cortex and the precuneus showed differential characteristics when assessing entropy by permutations in both groups. There were no findings when correlating metrics with clinical scales. The results demonstrated that entropy by permutations allows characterizing brain function in Alzheimer’s patients, and also reveals information about nonlinear interactions complementary to the characteristics obtained by calculating the amplitude of low frequency oscillations.
Introduction: Periodontal disease affects more than half of the population in Colombia and is estimated to be one of the leading causes of oral morbidity. Diagnostic aids that allow the evaluation of its extension and severity are of importance since this will provide reliable tools to quantify the severity of the problem. Objective: To determine the inter-examiner agreement for the detection of radiographic findings in patients with localized chronic periodontitis using conventional periapical radiography. Methods: Study of diagnostic tests including patients with localized chronic periodontitis, the tooth with the worst clinical insertion level and a single conventional radiograph per dental organ using parallelism technique. The radiographic evaluations were performed by two independent and blinded evaluators for the findings: lamina dura, bone defects and type of defect. The agreement obtained was estimated through Cohen’s Kappa. Results: A total of 125 radiographs were taken. The mean age was 38.8 ± 9.9, and 61.6% were women. Concordance for lamina dura was 0.08 (95% CI: -0.04–0.21), bone defects 1.00 (95% CI: 1.00–1.00); type of defect present 0.31 (95% CI: 0.29–0.38). Conclusions: Concordance was evaluated as null, almost perfect and acceptable for the findings lamina dura, presence of bone defects and type of defect respectively. For some findings and given the importance of the diagnostic and therapeutic processes, more accurate evaluations are needed which would result in a higher degree of agreement.
Spectrum map is the foundation of spectrum resource management, security governance and spectrum warfare. Aiming at the problem that the traditional spectrum mapping is limited to two-dimensional space, a three-dimensional spectrum data acquisition and mapping system architecture for the integration of space, sky and earth is presented, and a spectrum map reconstruction scheme driven by propagation model is proposed, which can achieve high-precision three-dimensional spectrum map rendering under the condition of sparse sampling. The spectrum map reconstructed by this method in the case of single radiation source and multiple radiation sources is in good agreement with the theoretical results based on ray tracing method. In addition, the measured results of typical scenes further verify the feasibility of this method.
Context: Noise in the work environment, in all types of productive activities, represents a hazard and has not really been valued in its real dimension. Little has been seen that stakeholders have determined the urgency of managing noise control programs. Therefore, losses resulting from medical treatment and absenteeism, represented in health care and social services, result in hidden work-related costs that directly affect the gross domestic product in any country.
Method: This article compiles different case studies from around the world. The studies were divided for review into general studies on the effects of workforce noise and then particularized according to the effects of industrial noise on workers’ health. At a control level, the assessment and measurement of noise is defined through the use of tools such as noise maps and their respective derivations, in addition to spatial databases.
Results: According to the collection of information and its analysis, we observe that in the medium term, the economies will be diminished in an important percentage due to the consequences generated by the exposure to noise. Specific information can be found in the development of the article.
Conclusions: The data provided by the case studies point to the need for Colombia, a country that is no stranger to this phenomenon, and which additionally has the great disadvantage of not having significant studies in the field of noise analysis, should strengthen studies based on spatial data as a mechanism for measurement and control.
Financing: Fundación universitaria Los Libertadores.
The coupling coordination degree model is used to analyze the change law of the inherent coupling relationship between the forest economy and the ecological environment system in Heilongjiang Province from 2006 to 2018 and its causes. The results show that by combining the coupling relationship with the relative priority of under-forest economic development, the coupling relationship change can be divided into three stages, the coupling coordination degree from 2006 to 2009 is mainly on the verge of imbalance, and the under-forest economic development lags behind the development of the ecological environment. From 2010 to 2012, the coupling coordination degree changed from the reluctant coupling stage to the stage on the verge of imbalance, and the forest economy was ahead of the ecological environment development. From 2013 to 2018, the degree of coupling and coordination was in the reluctant coupling stage, and the under-forest economy and the ecological environment continued to develop in synchronize and in harmony. Therefore, according to the research results, it is proposed to establish the principle of ecological priority, adhere to the development of characteristics, improve the level of science and technology, and rationally develop the under-forest economic industry, so as to promote the coupling and coordinated development of the under-forest economy and ecological environment system in Heilongjiang Province.
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