Facial features and head movements obtained with a webcam correlate with performance deterioration during prolonged wakefulness

xlomafota.13 shared this article with you from Inoreader Facial features and head movements obtained with a webcam correlate with performance deterioration during prolonged wakefulness Via Latest Results for Attention, Perception, & Psychophysics Abstract We have performed a direct comparison between facial features obtained from a webcam and vigilance-task performance during prolonged wakefulness. Prolonged wakefulness deteriorates working performance due to changes in cognition, emotion, and by delayed response. Facial features can be potentially collected everywhere using webcams located in the workplace. If this type of device can obtain relevant information to predict performance deterioration, this technology can potentially reduce serious accidents and fatality. We extracted 34 facial indices, including head movements, facial expressions, and perceived facial emotions from 20 participants undergoing the psychomotor vigilance task (PVT) over 25 hours. We studied the correlation between facial indices and the performance indices derived from PVT, and evaluated the feasibility of facial indices as detectors of diminished reaction time during the PVT. Furthermore, we tested the feasibility of classifying perfor mance as normal or impaired using several machine learning algorithms with correlated facial indices. Twenty-one indices were found significantly correlated with PVT indices. Pitch, from the head movement indices, and four perceived facial emotions—anger, surprise, sadness, and disgust—exhibited significant correlations with indices of performance. The eye-related facial expression indices showed especially strong correlation and higher feasibility of facial indices as classifiers. Significantly correlated indices were shown to explain more variance than the other indices for most of the classifiers. The facial indices obtained from a webcam strongly correlate with working performance during 25 hours of prolonged wakefulness. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The pleasure of multiple images

xlomafota.13 shared this article with you from Inoreader The pleasure of multiple images Via Latest Results for Attention, Perception, & Psychophysics ABSTRACT How many pleasures can you track? In a previous study, we showed that people can simultaneously track the pleasure they experience from two images. Here, we push further, probing the individual and combined pleasures felt from seeing four images in one glimpse. Participants (N = 25) viewed 36 images spanning the entire range of pleasure. Each trial presented an array of four images, one in each quadrant of the screen, for 200 ms. On 80% of the trials, a central line cue pointed, randomly, at some screen corner either before (precue) or after (postcue) the images were shown. The cue indicated which image (the target) to rate while ignoring the others (distractors). On the other 20% of trials, an X cue requested a rating of the combined pleasure of all four images. Later, for baseline reference, we obtained a single-pleasure rating for each image shown alone. When precued, participants faithfully reported the pleasure of the target. When postcued, however, the mean ratings of images that are intensely pleasurable when seen alone (pleasure >4.5 on a 1–9 scale) dropped below baseline. Regardless of cue timing, the rating of the combined pleasure of four images was a linear transform of the average baseline pleasures of all four images. Thus, while people can faithfully track two pleasures, they cannot track four. Instead, the pleasure of otherwise above-medium-pleasure images is diminished, mimicking the effect of a distracting task. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Adsorbents for removal of cationic dye: nanocellulose reinforced biopolymer composites

xlomafota.13 shared this article with you from Inoreader Adsorbents for removal of cationic dye: nanocellulose reinforced biopolymer composites Via Latest Results for Journal of Polymer Research Abstract Reusable and eco-friendly poly(vinyl alcohol)/chitin/nanocellulose based biopolymer composite films were synthesized and characterized. Maleic acid (MA) was used as a crosslinker of the biopolymer composite film. The effect of constituent materials of the biopolymer composite film and the pH on removal of methylene blue (MB) dye from aqueous testing solution were studied by batch adsorption studies. The successful deposition of MB dye onto the adsorbent (biopolymer composite film) was confirmed using Fourier transform infrared spectroscopy (FTIR) analysis. Adsorption isotherm studies were fitted to the Freundlich model with the maximum adsorption capacity amounted to 467.5 mg/g. The adsorption kinetics were in conformance to the pseudo-second order model (R2 = 0.9924–0.9987). The point zero charge (pHpzc) of the adsorbents were investigated by pH drift method where the MA cross-linked adsorbents showed pHp zc values in the range of 8.05–8.55. Moreover, the best adsorption performance was observed in sample PVA/CT10/NCC/MA30, with calculated maximum adsorption capacity amounted to 467.5 mg/g. Thermodynamic studies showed that the adsorption were spontaneous, exothermic and less-ordered reactions. High adsorption reusability was determined for PVA/CT10/NCC/MA30 composite, with adsorption percentage of 83.67 ± 1.08% at the fifth cycle. All these positive results implied the potential application of PVA/Chitin/NCC composites for the MB dye's adsorption from aqueous testing solution. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Comparison of the Long-term Outcome Between Billroth-I and Roux-en-Y Reconstruction Following Distal Gastrectomy for Gastric Cancer

xlomafota.13 shared this article with you from Inoreader Comparison of the Long-term Outcome Between Billroth-I and Roux-en-Y Reconstruction Following Distal Gastrectomy for Gastric Cancer Via Latest Results for Journal of Gastrointestinal Surgery Abstract Background Various reconstruction methods have been performed following distal gastrectomy; however, each reconstruction method has its own advantages and disadvantages. This study aims to compare the long-term outcomes between Billroth-I (B-I) and Roux-en-Y (RY) reconstruction after distal gastrectomy for gastric cancer. Methods A total of 459 patients who underwent distal gastrectomy (B-I: 166, RY: 293) were included. Postoperative endoscopic findings and biliary tract stone formation were compared between the two groups. Results At 1 year and 2 years postoperatively, gastric residue was more common in the RY group, gastritis was similar between groups, and bile reflux was more common in the B-I group. At 5 years postoperatively, gastric residue was similar between the groups, while gastritis and bile reflux were more common in the B-I group. Gastroesophageal reflux was more common in the B-I group at 1 year postoperatively, but gastroesophageal reflux became not significantly different between the groups at 2 and 5 years postoperatively. Gallstone formation was more common in the RY group and in patients aged ≥ 65 years. Conclusion During long-term follow-up, RY reconstruction was associated with lower incidence of bile reflux and gastritis, and higher incidence of gallstone formation than B-I reconstruction. The incidence of gastric residue was more common in the RY reconstruction group in the early postoperative period and became not significantly different between the two groups over time. For aged patients with RY reconstruction, cholecystectomy is recommended concurrently as gastrectomy. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Radiotherapy for Resectable and Borderline Resectable Pancreas Cancer: When and Why?

xlomafota.13 shared this article with you from Inoreader Radiotherapy for Resectable and Borderline Resectable Pancreas Cancer: When and Why? Via Latest Results for Journal of Gastrointestinal Surgery Abstract The role of (chemo) radiation in the perioperative management of patients with resectable and borderline resectable pancreatic ductal adenocarcinoma is controversial. Herein, we review and interpret existing data relating to the ability of (chemo) radiation to "downstage" pancreatic tumors, delay recurrence, and prolong patients' survival. In sum, the evidence suggests that while neoadjuvant (chemo) radiation may impact pathologic metrics favorably, it rarely converts anatomically unresectable tumors to resectable ones. And while data do support the ability of (chemo)radiation to delay cancer progression, its ability to prolong longevity has not been confirmed. It is possible that (chemo)radiation is effective in prolonging the survival of select patients, but to date, this cohort remains undefined due to heterogeneity in both the populations studied and the regimens used to treat them. Based on our interpretation of existing data, we currently administer n eoadjuvant and adjuvant (chemo)radiation selectively to patients with localized pancreatic cancer who we consider at highest risk for local progression. We may also use it as an alternative to pancreatectomy in patients who are poor candidates for surgery. Ultimately, the role of (chemo)radiation in these settings is evolving. Better studies of patients most likely to benefit from its local effects are necessary to clearly define its place within the perioperative treatment algorithms used for patients with localized pancreatic cancer. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Alteration of FBXW7 is Associated with Worse Survival in Patients Undergoing Resection of Colorectal Liver Metastases

xlomafota.13 shared this article with you from Inoreader Alteration of FBXW7 is Associated with Worse Survival in Patients Undergoing Resection of Colorectal Liver Metastases Via Latest Results for Journal of Gastrointestinal Surgery Abstract Background For patients undergoing resection of colorectal liver metastases (CLMs), the prognostic role of somatic gene alterations is increasingly recognized. F-box/WD repeat–containing protein 7 (FBXW7) is a tumor suppressor gene found in approximately 10% of patients with colorectal cancer. The aim of this study is to assess the association of FBXW7 with overall survival after CLM resection. Methods Patients who underwent initial CLM resection during 2001–2016 and had genetic sequencing data were studied. Risk factors for overall survival (OS) were evaluated with Cox proportional hazards models using backward elimination. Results Of 2045 patients who underwent CLM resection during the study period, 476 were included. The majority (90.5%) underwent prehepatectomy chemotherapy. A total of 27 patients (5.7%) had FBXW7 alteration, along with 240 (50.4%) RAS, 337 (70.8%) TP53, 51 (10.7%) SMAD4, and 27 (5.7%) BRAF. Cox proportional hazards model analyses including 5 somatic gene alteration status and 12 clinicopathologic factors revealed FBXW7(hazard ratio [HR] 1.99, P = 0.015), BRAF (HR 2.47, P = 0.023), RAS (HR 2.42, P < 0.001), TP53 (HR 2.00, P < 0.001), and SMAD4 alterations (HR 1.90, P = 0.004) as significantly associated with OS, together with three clinicopathologic factors, prehepatectomy chemotherapy > 6 cycles (HR 1.51, P = 0.021), number of CLM (HR 1.05, P = 0.007), and largest liver metastasis diameter (HR 1.07, P = 0.023). The covariate-adjusted 5-year OS was significantly lower in patients with FBXW7 alteration than in patients with FBXW7 wild-type (40.4% vs.59.4%, P = 0.015). Conclusions FBXW7 alterations are associated with worse survival after CLM resection. The information on multiple somatic gene alterations is imperative for risk stratification and patient selection for CLM resection. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Targets for Intervention? Preoperative Predictors of Postoperative Ileus After Colorectal Surgery in an Enhanced Recovery Protocol

xlomafota.13 shared this article with you from Inoreader Targets for Intervention? Preoperative Predictors of Postoperative Ileus After Colorectal Surgery in an Enhanced Recovery Protocol Via Latest Results for Journal of Gastrointestinal Surgery Abstract Background Postoperative ileus occurs in up to 30% of colorectal surgery patients and is associated with increased length of stay, costs, and morbidity. While Enhanced Recovery Protocols seek to accelerate postoperative recovery, data on modifiable preoperative factors associated with postoperative ileus in this setting are limited. We aimed to identify preoperative predictors of postoperative ileus following colorectal surgery in Enhanced Recovery Protocols, to determine new intervention targets. Methods We performed a retrospective single-center cohort study of patients ≥ 18 years old who underwent colorectal surgery via Enhanced Recovery Protocols (7/2015–7/2017). Postoperative ileus was defined as nasogastric tube insertion postoperatively or nil-per-os by postoperative day 4. Preoperative risk factors including comorbidities and medication use were identified using multivariable stepwise logistic regression. Results Of 530 patients, 14.9% developed postoperative ileus. On univariate analysis of perioperative and postoperative factors, postoperative ileus patients had increased psychiatric illness, antidepressant and antipsychotic use, American Society of Anesthesiologists classification, ileostomy creation, postoperative opioid use, complications, surgery duration, and length of stay (p < 0.05). Multivariable logistic regression model for preoperative factors identified psychiatric illness, preoperative antipsychotic use, and American Society of Anesthesiologists classification ≥ 3 as significant predictors of postoperative ileus (p < 0.05). Discussion Postoperative ileus remains a common complication following colorectal surgery under Enhanced Recovery Protocols. Patients with pre-existing psychiatric comorbidities and preoperative antipsychotic use may be a previously overlooked cohort at increased risk for postoperative ileus. Additional research and preoperative interventions within Enhanced Recovery Protocols to reduce postoperative ileus for this higher-risk population are needed. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.