Physiological Observations Research Articles

Thoracic Diseases Prediction Algorithm From Chest X-Ray Images Using Machine Learning Techniques

Examining Chest X-Ray (CXR) is a time consuming process. In some cases, medical experts had overlooked the diseases in their first examinations on CXR, and when the images were reexamined, the disease signs are detected. Radiologists have to spend time diagnosing these chest X-ray images to find any potential lung diseases. Diagnosing X-ray require careful observation and knowledge of anatomical, physiology and pathological principles. The work involves machine learning techniques applied for automated prediction of seven thoracic diseases namely Pneumonia, Fibrosis, Hernia, Edema, Emphysema, Cardiomegaly and Pneumothorax from chest X-ray images. Computerized image segmentation and feature analysis helps in assisting the doctors in treatment and diagnosis of diseases more accurately.

Stably Transformed Lotus japonicus Plants Overexpressing Phytoglobin LjGlb1-1 Show Decreased Nitric Oxide Levels in Roots and Nodules as Well as Delayed Nodule Senescence.

The class 1 phytoglobin, LjGlb1-1, is expressed in various tissues of the model legume Lotus japonicus, where it may play multiple functions by interacting with nitric oxide (NO). One of such functions is the onset of a proper symbiosis with Mesorhizobium loti resulting in the formation of actively N2-fixing nodules. Stable overexpression lines (Ox1 and Ox2) of LjGlb1-1 were generated and phenotyped. Both Ox lines showed reduced NO levels in roots and enhanced nitrogenase activity in mature and senescent nodules relative to the wild-type (WT). Physiological and cytological observations indicated that overexpression of LjGlb1-1 delayed nodule senescence. The application to WT nodules of the NO donor S-nitroso-N-acetyl-dl-penicillamine (SNAP) or the phytohormones abscisic acid (ABA) and the ethylene precursor 1-aminocyclopropane-1-carboxylic acid (ACC) repressed nitrogenase activity, induced the expression of three senescence-associated genes and caused cytological changes evidencing nodule senescence. These effects were almost completely reverted by the NO scavenger 2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide. Our results reveal that overexpression of LjGlb1-1 improves the activity of mature nodules and delays nodule senescence in the L.japonicus-M.loti symbiosis. These beneficial effects are probably mediated by the participation of LjGlb1-1 in controlling the concentration of NO that may be produced downstream in the phytohormone signaling pathway in nodules.

Intraoperative neurophysiological monitoring: reliability and usefulness in pediatrics

This review presents a number of literature data on the use of the bispectral index (BIS) in children. It is shown that extrapolation of data obtained in adults to children can not be sufficiently justified because of the different methods of anesthesia in pediatrics, the changed pharmacology of anesthetics, the features of the maturation of the brain and the developing psychology of children. The use of encephalographic technologies to measure depression in pediatrics requires not only the validity of these methods, but also a more significant study and understanding of neurophysiology in a given population.The bispectral index was suggested for use in children, but many studies have not confirmed their effectiveness for young children. As you know, EEG reflects the functional activity of the brain, which depends on the degree of maturity of the brain structures. Therefore, it is obvious that as the various departments of the central nervous system mature, the bioelectrical activity of the brain changes (as the gradual transition of the dominant brain rhythm from low-frequency to higher-frequency brain becomes more frequent), the EEG picture changes very much with the child's age. The concept of the general age norm in electroencephalography also can not be considered strictly defined, as in young children the individual differences in EEG are significantly expressed. In older children, physiology, anatomy and clinical observation indicate that the performance of BIS monitors may be similar to that in adults, although the clinical significance of the results may be different.

Engagement of Pulvino-cortical Feedforward and Feedback Pathways in Cognitive Computations

Computational modeling of brain mechanisms of cognition has largely focused on the cortex, but recent experiments have shown that higher-order nuclei of the thalamus participate in major cognitive functions and are implicated in psychiatric disorders. Here, we show that a pulvino-cortical circuit model, composed of the pulvinar and two cortical areas, captures several physiological and behavioral observations related to the macaque pulvinar. Effective connections between the two cortical areas are gated by the pulvinar, allowing the pulvinar to shift the operation regime of these areas during attentional processing and working memory and resolve conflict in decision making. Furthermore, cortico-pulvinar projections that engage the thalamic reticular nucleus enable the pulvinar to estimate decision confidence. Finally, feedforward and feedback pulvino-cortical pathways participate in frequency-dependent inter-areal interactions that modify the relative hierarchical positions of cortical areas. Overall, our model suggests that the pulvinar provides crucial contextual modulation to cortical computations associated with cognition.

Alternations of hemodynamic parameters during Chinese cupping therapy assessed by an embedded near-infrared spectroscopy monitor.

Cupping therapy is a promising method to cure or reduce the symptoms of some diseases including muscle pain/tendency/fatigue. Although the applications of cupping therapy have a thousand-year history in traditional Chinese medicine, the therapeutic effect of cupping is still questionable due to a lack of scientific evidence and the absence of physiological observations. In our previous study, we utilized near-infrared spectroscopy (NIRS) to assess the concentration change surrounding the cupping site and found a significant elevation in oxy-hemoglobin (HbO2). To further investigate the therapeutic effect of dry cupping treatment, we embedded a NIRS sensor into a suction cup to monitor the hemodynamic changes including HbO2, deoxy-hemoglobin ([Hb]) and blood volume on the cupping site in this study. Both a prominent elevation in [Hb] and a significant drop in [HbO2] in the tissue of the cupping site were observed during cupping. We also observed similar hemodynamic changes during post-cupping, which may demonstrate how cupping therapy works for treatment. This study showed that the embedding of NIRS sensor in a cupping system could offer a better understanding of the mechanism of cupping therapy.

Axonopus compressus (Sw.) Beauv.: A potential biomonitor for molybdenum in soil pollution

Phytoremediation is an emerging technology that utilizes plants to remediate contaminated environments. In this study, Axonopus compressus (Sw.) Beauv, a fast-growing and hardy groundcover with wide geographical distribution, was exposed to soil Mo treatments ranging from 100 to 1000 mg/kg under tropical greenhouse conditions for five weeks. Generally, Mo accumulation increased as the concentration of Mo in the soil increased. The species was found to accumulate about 4000 mg/kg of Mo without exhibiting severe physiological stress at 600 mg/kg of soil Mo. Maximum accumulation of 6000 mg/kg Mo was observed at the 1000 mg/kg soil Mo treatment, though with severe necrosis and eventual plant mortality. The physiological observations, Mo accumulation behavior, and a bioconcentration factor of about 1 indicated that A. compressus could be a potential biomonitor of Mo.

Real-life Lernaean Hydras: a practical activity about the effects of oxygen concentration on regenerative capabilities of planarians

ABSTRACTChanges in environmental conditions can have a profound impact on organismal processes. For aquatic organisms, changes in dissolved oxygen concentration can have major repercussions, notably for physiological processes that have high long-term energetic costs and are more likely to rely on aerobic metabolic pathways. Here we propose a simple college or university-level low-cost laboratory activity that addresses the effect of differences in oxygen concentration on an important physiological property of planarian flatworms: their regeneration capacity. Students were asked to perform measurements and statistically compare the efficacy of the regeneration process between planarians kept in normoxic conditions and others kept in hypoxic conditions. The activity was evaluated by asking students to produce a short laboratory report with all of the sections that a scientific article generally comprises. This hands-on experiment has the benefit of going beyond how planarians are traditionally used in biodiversity classes (i.e. basic anatomy of flatworms) by combining behavioural, physiological and environmental observations while investigating the effects of an environmental variable on the regeneration response. We would further encourage professors to expand even more upon this framework by providing the students with an opportunity to actively engage in all steps inherent to the scientific process.

An energetic reformulation of kinetic rate laws enables scalable parameter estimation for biochemical networks

The technology for building functionally complete or ‘whole-cell’ biological simulations is rapidly developing. However, the predictive capabilities of these simulations are hindered by the availability of parameter values, which are often difficult or even impossible to obtain experimentally and must therefore be estimated. Using E. coli’s glycolytic network as a model system, we describe and apply a new method which can estimate the values of all the system’s 102 parameters – fit to observations from studies of proteomics, metabolomics, enzyme kinetics and chemical energetics – and find that the resulting metabolic models are not only well-fit, but also dynamically stable. An analysis of how well parameter values in the network were determined by the training data revealed that over 80% of the parameter values were not well-specified. Moreover, the distribution of well-determined values was biased to a specific part of the network and against certain types of experimental data. Our results also suggest that perturbing the functional, energetic space of parameters (rather than traditional metabolic parameters) is a superior strategy for exploring the space of biological dynamics. The estimated parameter values matched both training data and previously withheld validation data within an order of magnitude for over 85% of the data points; notably, the area of greatest frustration in the network was also the most fully determined. Finally, our estimation method showed that fidelity to physiological observations such as network response time is enforced at the cost of fit to molecular parameter values. In summary, our reformulation enables estimation of accurate, biologically relevant parameters, generates insight into the biology of the simulated network, and appears generalizable to any biochemical network – potentially including whole-cell models.

Paediatric early warning scores are predictors of adverse outcome in the pre-hospital setting: A national cohort study

IntroductionPhysiological deterioration often precedes clinical deterioration as patients develop critical illness. Use of a specific Paediatric Early Warning Score (PEWS), based on basic physiological measurements, may help identify children prior to their clinical deterioration. NHS Scotland has adopted a single national PEWS – PEWS (Scotland). We aim to look at the utility of PEWS (Scotland) in unselected paediatric ambulance patients. MethodsWe performed a retrospective cohort of all ambulance patients aged under 16 years conveyed to hospital in Scotland between 2011 and 2015. Patients were matched to their 30 day mortality and ICU admission using data linkage. ResultsFull results were available for 21,202 children and young people (CYP). On multivariate logistic regression, PEWS (Scotland) was an independent predictor of the primary outcome (ICU admission within 48 h or death within 30 days) with an odds ratio of 1.403 (95%CI 1.349–1.460, p < 0.001). Area Under Receiving Operator Curve (AUROC) for aggregated PEWS was 0.797 (95% CI 0.759 to 0.836, p < 0.001). The optimal PEWS using Youlden’s Index was 5. DiscussionThese data show PEWS (Scotland) to be a useful tool in a pre-hospital setting. A single set of physiological observations undertaken prior to arrival at hospital can identify a group of children at higher risk of an adverse in-hospital outcome. Paediatric care is becoming more specialised and focussed on a smaller number of centres. In this context, use of PEWS (Scotland) in the pre-hospital phase may allow changes to paediatric pre-hospital pathways to improve both admission to ICU and child mortality rates.

Comparative transcriptomics reveals suppressed expression of genes related to auxin and the cell cycle contributes to the resistance of cucumber against Meloidogyne incognita

BackgroundMeloidogyne incognita is a devastating nematode that causes significant losses in cucumber production worldwide. Although numerous studies have emphasized on the susceptible response of plants after nematode infection, the exact regulation mechanism of M. incognita-resistance in cucumber remains elusive. Verification of an introgression line, ‘IL10–1’, with M. incognita-resistance provides the opportunity to unravel the resistance mechanism of cucumber against M. incognita.ResultsIn the present study, analyses of physiological responses and transcriptional events between IL10–1 (resistant line) and CC3 (susceptible line) were conducted after M. incognita infection. Physiological observations showed abnormal development of giant cells and M. incognita in IL10–1, which were the primary differences compared with CC3. Furthermore, Gene ontology (GO) analysis revealed that genes encoding cell wall proteins were up-regulated in IL10–1 and that the highly expressed lipid transfer protein gene (Csa6G410090) might be the principal regulator of this up-regulation. Simultaneously, analyses of gene expression profiles revealed more auxin-related genes were suppressed in IL10–1 than in those of CC3, which corresponded with the lower level of indole acetic acid (IAA) in the roots of IL10–1 than in those of CC3. Additionally, poor nucleus development as a clear indication of abnormal giant cells in IL10–1 was related to inhibition of the cell cycle. Of those genes related to the cell cycle, the F-box domain Skp2-like genes were down-regulated in IL10–1, whereas more of these genes were up-regulated in CC3.ConclusionsAll of these findings indicate that suppressed expression of genes related to auxin and the cell cycle and highly expressed cell wall proteins play important roles in the abnormal development of giant cells, which hinders the development of M. incognita, thereby causing resistance to M. incognita in IL10–1. Knowledge from this research will provide a useful foundation for developing effective strategies in M. incognita-resistance breeding.

Cadmium detoxification induced by salt stress improves cadmium tolerance of multi-stress-tolerant Pichia kudriavzevii

Heavy metal tolerance of microorganisms is the basis of heavy metal removal by growing cells. In this study, a cross-protection effect generated by salt stress significantly enhanced the cadmium tolerance of multi-stress-tolerant Pichia kudriavzevii. Comparative transcriptome analysis using RNA-Seq linked with physiological and biochemical observation was used to elucidate the underlying mechanisms of the improved cadmium tolerance. The expression of cadmium transport related genes (GSTY2, GLR1, GLO2, YCF1 and YOR1), GSH content and GST activity were elevated by salt stress, suggesting enhanced cadmium conjugation and detoxification in yeast cells. The inhibited cadmium uptake by ZRT1 and enhanced cadmium efflux by YOR1 contributed to the decrease in the intracellular cadmium concentration. The improved expression of antioxidant enzyme genes (SOD1, SOD2, SOD6, CAT1 and PRXIID), along with the enhanced activities of antioxidant enzymes (SOD, CAT and POD) resulted in a decrease in cadmium-induced ROS production, protein carbonylation, lipid peroxidation and cell death. The abundant expression of heat shock protein genes (HSP12, HSP10 and SSC1) and genes related to trehalose synthesis (TPS1 and TSL1) induced by salt stress protected yeast cells against complex stress conditions, contributing to the improved cadmium tolerance. These findings will be useful to develop cadmium-tolerant yeasts for cadmium removal by growing cells.

DEVELOPING PLANT TOLERANCE INDICATOR TO AIR POLLUTION, CASE STUDY IN KRAKATAU INDUSTRIAL ESTATE CILEGON CITY, INDONESIA

Plant tolerance against air pollutants from industrial estate can be assessed based on the change of physiological parameters calculated according to APTI (Air Pollution Tolerance Index by Singh). However, based on previous research, APTI formulation was less accurate, the results obtained between macroscopic and physiological observations are not always sync. Additional physiological parameters, i.e. total carbohydrates as main product of photosynthesis process was need to be examined. Therefore, purpose of this study were to examine the physiological parameters that indicate the level of tolerance of plants sensitivity to air pollution and to analyze the level of tolerance of tree species to air pollution in industrial estate. The method used in this research were survey method, along with macroscopic parameters (leaf area, leaf number, and leaf hue), microscopic parameters (stomatal density, leaf and palisade thickness) and physiological parameters (ascorbic acid content, total chlorophyll, leaf pH, water content, and total carbohydrate)observation of tree species which exposed to pollution and non-pollution (control). The results of this research showed that total carbohydrate as an additional parameter affected the level of tolerance by 49.2% and thus modified the APTI formulation and changed the classification range of plants tolerance. Results showed that the tolerant plants were Polyalthia longifolia Sonn.,Polyalthia fragrans (Dalzell) Hook. f. &amp; Thomson, Erythrina crista-galli L., and Casuarina junghuhniana Miq.; moderate tolerance were Hibiscus tiliaceus L., Samanea saman (Jacq.)Merr. and Acacia auriculiformis A. Cunn. ex Benth; and intolerant were Leucaena leucocephala (Lam.) de Wit, Pterocarpus indicus Wild., and Swietenia mahagoni L.

Feasibility of Transabdominal Electrohysterography for Analysis of Uterine Activity in Nonpregnant Women

Uterine activity plays a key role in reproduction, and altered patterns of uterine contractility have been associated with important physiopathological conditions, such as subfertility, dysmenorrhea, and endometriosis. However, there is currently no method to objectively quantify uterine contractility outside pregnancy without interfering with the spontaneous contraction pattern. Transabdominal electrohysterography has great potential as a clinical tool to characterize noninvasively uterine activity, but results of this technique in nonpregnant women are poorly documented. The purpose of this study is to investigate the feasibility of transabdominal electrohysterography in nonpregnant women. Longitudinal measurements were performed on 22 healthy women in 4 representative phases of the menstrual cycle. Twelve electrohysterogram-based indicators previously validated in pregnancy have been estimated and compared in the 4 phases of the cycle. Using the Tukey honest significance test, significant differences were defined for P values below .05. Half of the selected electrohysterogram-based indicators showed significant differences between menses and at least 1 of the other 3 phases, that is the luteal phase. Our results suggest transabdominal electrohysterography to be feasible for analysis of uterine activity in nonpregnant women. Due to the lack of a golden standard, this feasibility study is indirectly validated based on physiological observations. However, these promising results motivate further research aiming at evaluating electrohysterography as a method to improve understanding and management of dysfunctions (possibly) related to altered uterine contractility, such as infertility, endometriosis, and dysmenorrhea.

Audit of ten years of donation after circulatory death experience in Queensland: observations of agonal physiology following withdrawal of cardiorespiratory support.

An audit of ten years' experience in all patients undergoing withdrawal of cardiorespiratory support (WCRS) in the context of donation after circulatory death (DCD) was conducted in Queensland, Australia (2008 to 2017). One hundred and seventy-one patients proceeded to donation after declaration of death by circulatory criteria with loss of pulsatile arterial blood pressure (circulatory arrest) for five minutes. The demographics, times and haemodynamic observations were abstracted, de-identified and collated. The average age of patients was 43 years (standard deviation 16.1 years) and 63% were male. The median and mean times to an agonal systolic blood pressure below 50 mmHg were 10 and 11 minutes and the median and mean times from WCRS to circulatory arrest were 14 and 16 minutes. After systolic blood pressure fell to 50 mmHg or lower, 33 patients (19.3%) had spontaneous return of systolic pressure to above 50 mmHg. Following periods of circulatory arrest, five patients were documented to have spontaneous return of pulsatile arterial pressure. Two patients had return of circulation after two minutes, but less than five minutes of circulatory arrest and three patients had return of circulation where circulatory arrest had been documented for less than two minutes. Following WCRS, transient restoration of circulation following circulatory arrest may occur, even following two minutes of circulatory asystole, albeit rarely.

Synthetic antimicrobial peptides delocalize membrane bound proteins thereby inducing a cell envelope stress response

BackgroundThree amphipathic cationic antimicrobial peptides (AMPs) were characterized by determining their effect on Gram-positive bacteria using Bacillus subtilis strain 168 as a model organism. These peptides were TC19 and TC84, derivatives of thrombocidin-1 (TC-1), the major AMPs of human blood platelets, and Bactericidal Peptide 2 (BP2), a synthetic designer peptide based on human bactericidal permeability increasing protein (BPI). MethodsTo elucidate the possible mode of action of the AMPs we performed a transcriptomic analysis using microarrays. Physiological analyses were performed using transmission electron microscopy (TEM), fluorescence microscopy and various B. subtilis mutants that produce essential membrane bound proteins fused to green fluorescent protein (GFP). ResultsThe transcriptome analysis showed that the AMPs induced a cell envelope stress response (cell membrane and cell wall). The cell membrane stress response was confirmed with the physiological observations that TC19, TC84 and BP2 perturb the membrane of B. subtilis. Using B. subtilis mutants, we established that the cell wall stress response is due to the delocalization of essential membrane bound proteins involved in cell wall synthesis. Other essential membrane proteins, involved in cell membrane synthesis and metabolism, were also delocalized due to alterations caused by the AMPs. ConclusionsWe showed that peptides TC19, TC84 and BP2 perturb the membrane causing essential proteins to delocalize, thus preventing the possible repair of the cell envelope after the initial interference with the membrane. General significanceThese AMPs show potential for eventual clinical application against Gram-positive bacterial cells and merit further application-oriented investigation.

Differential Proteomic Analysis of Lactic Acid Bacteria-Escherichia coli O157:H7 Interaction and Its Contribution to Bioprotection Strategies in Meat.

Human infection by Enterohemorrhagic Escherichia (E.) coli (EHEC) occurs through the ingestion of contaminated foods such as milk, vegetable products, water-based drinks, and particularly minced meats. Indeed EHEC is a pathogen that threatens public health and meat industry. The potential of different Lactic Acid Bacteria (LAB) strains to control EHEC in a meat-based medium was evaluated by using a simple and rapid method and by analyzing the growth kinetics of co-cultures (LAB-EHEC) in a meat-based medium. The activity of LAB toward EHEC in co-cultures showed variable inhibitory effect. Although, LAB were able to control EHEC, neither the produced acid nor bacteriocins were responsible of the inhibition. The bacteriocinogenic Enteroccus (Ent.) mundtii CRL35 presented one of the highest inhibition activities. A proteomic approach was used to evaluate bacterial interaction and antagonistic mechanisms between Ent. mundtii and EHEC. Physiological observations, such as growth kinetics, acidification ability and EHEC inhibitory potential were supported by the proteomic results, demonstrating significant differences in protein expression in LAB: (i) due to the presence of the pathogen and (ii) according to the growth phase analyzed. Most of the identified proteins belonged to carbohydrate/amino acid metabolism, energy production, transcription/translation, and cell division. These results contribute to the knowledge of competition strategies used by Ent. mundtii during its co-culture with EHEC setting new perspectives for the use of LAB to control this pathogen in meat.

Differential response of hexaploid and tetraploid wheat to interactive effects of elevated [CO2] and low phosphorus.

Hexaploid wheat is more responsive than tetraploid to the interactive effects of elevated [CO2] and low P in terms of carboxylate efflux, enzyme activity and gene expression (TaPT1 and TaPAP). Availability of mineral nutrients to plants under changing climate has become a serious challenge to food security and economic development. An understanding of how elevated [CO2] influences phosphorus (P) acquisition processes at the whole-plant level would be critical in selecting cultivars as well as to maintain optimum yield in limited-P conditions. Wheat (Triticum aestivum and T. durum) grown hydroponically with sufficient and low P concentration were exposed to elevated and ambient [CO2]. Improved dry matter partitioning towards root resulted in increased root-to-shoot ratio, root length, volume, surface area, root hair length and density at elevated [CO2] with low P. Interaction of low P and [CO2] induced activity of enzymes (phosphoenolpyruvate carboxylase, malate dehydrogenase and citrate synthase) in root tissue resulting in twofold increase in carboxylates and acid phosphatase exudation. Physiological absorption capacity of roots showed that plants alter their uptake kinetics by increasing affinity (low Km) in response to elevated [CO2] under low P supply. Increased relative expression of genes, purple acid phosphatase (TaPAP) and high-affinity Pi transporter (TaPT1) in roots induced by elevated [CO2] and low P supported our physiological observations. Hexaploid wheat (PBW-396) being more responsive to elevated [CO2] at low P supply as compared to tetraploid (PDW-233) necessitates the ploidy effect to be explored further which might be advantageous under changing climate.

Observation of Women Soccer Players' Physiology During a Single Season.

Paulsen, KM, Butts, CL, and McDermott, BP. Observation of women soccer players' physiology during a single season. J Strength Cond Res 32(6): 1702-1707, 2018-The purpose of this study was to observe heart rate (HR) responses in match settings over the course of a conference season in National Collegiate Athletic Association Division I women's soccer. Twenty-one female collegiate soccer players were provided a HR monitor and instructed to wear it for the duration of match play. Player positions included 6 defenders (DEF), 6 midfielders (MID), and 9 forwards (FWD). Defenders were further identified as either center defenders (CD) or outside defenders (OD). A 1-way analysis of variance was used to determine if mean HR varied between FWD, MID, and DEF. An independent t-test was used to determine if there was a difference between CD and OD HRs. The FWD, MID, and DEF did have significantly different mean HR (p ≤ 0.05), but post-hoc analysis revealed no significant differences (p ≥ 0.05). However, CD demonstrated significantly lower HRs than OD (p = 0.009). Player position, specifically in the CD and OD role, impact the intensity of exercise in match settings and may be used to specify training and conditioning sessions.

Acute Respiratory Distress Syndrome

Acute respiratory distress syndrome (ARDS) is a syndrome, a combination of clinical and physiological observations that describe a pathological state. The pathogenesis of ARDS is not completely clear and there is no gold standard for diagnosis. ARDS is characterized by non-cardiogenic pulmonary edema, inflammation of the lungs, hypoxemia, and decreased lung compliance. Acute is defined as a symptom that occurs within one week of a known risk factor. Early clinical manifestations are shortness of breath (dyspneu and tachypneu) which then quickly develop into respiratory failure. ARDS was first described in 1967 by Asbaugh, et al., then the AECC made a definition that was finally refined by Berlin's criteria. Berlin's criteria divided the degree of hypoxemia into 3, namely mild, moderate, and severe, based on the arterial PO2 / FiO2 ratio and the need for PEEP (5 cm H2O or more) which can be given via endotracheal tube or non-invasive ventilation. Sepsis, aspiration of fluid or gastric contents, and multipe transfusion (&gt;15 units/24 hours) are associated with a high risk of ARDS. Cases of ARDS related to pulmonary sepsis, such as pneumonia, inhalational trauma, and pulmonary contusions are as much as 46% or non-pulmonary sepsis as much as 33%. ARDS management includes oxygen therapy and supportive therapy, such as hemodynamics, pharmacotherapy, and nutrition. Further studies are still needed to get a good outcome for ARDS patients.

Functional MRI of brain physiology in aging and neurodegenerative diseases

Brain aging and associated neurodegeneration constitute a major societal challenge as well as one for the neuroimaging community. A full understanding of the physiological mechanisms underlying neurodegeneration still eludes medical researchers, fuelling the development of in vivo neuroimaging markers. Hence it is increasingly recognized that our understanding of neurodegenerative processes likely will depend upon the available information provided by imaging techniques. At the same time, the imaging techniques are often developed in response to the desire to observe certain physiological processes. In this context, functional MRI (fMRI), which has for decades provided information on neuronal activity, has evolved into a large family of techniques well suited for in vivo observations of brain physiology. Given the rapid technical advances in fMRI in recent years, this review aims to summarize the physiological basis of fMRI observations in healthy aging as well as in age-related neurodegeneration. This review focuses on in-vivo human brain imaging studies in this review and on disease features that can be imaged using fMRI methods. In addition to providing detailed literature summaries, this review also discusses future directions in the study of brain physiology using fMRI in the clinical setting.