Application of artificial intelligence in screening for adverse perinatal outcomes: A protocol for systematic review

The article presents a systematic review protocol. The aim of the study is an assessment of current studies regarding the application of artificial intelligence and neural networks in the screening for adverse perinatal outcomes. We intend to compare the reported efficacy of these methods to improve pregnancy care and outcomes. There are more and more studies that describe the role of machine learning in facilitating the diagnosis of adverse perinatal outcomes, like gestational diabetes or pregnancy hypertension. A systematic review of available literature seems to be crucial to compare the known efficacy and application. Publication of a systematic review in this category would improve the value of future studies. The studies reporting on artificial intelligence application will have a major impact on future prenatal practice.     

High-level gait and balance disorders in the elderly: a midbrain disease?

The pathophysiology of gait and balance disorders in elderly people with ‘higher level gait disorders’ (HLGD) is poorly understood. In this study, we aimed to identify the brain networks involved in this disorder. Standardised clinical scores, biomechanical parameters of gait initiation and brain imaging data, including deep white matter lesions (DWML) and brain voxel-based morphometry analyses, were assessed in 20 HLGD patients in comparison to 20 age-matched controls. In comparison to controls, HLGD patients presented a near-normal preparatory phase of gait initiation, but a severe alteration of both locomotor and postural parameters of first-step execution, which was related to ‘axial’ hypokinetic-rigid signs. HLGD patients showed a significant grey matter reduction in the mesencephalic locomotor region (MLR) and the left primary motor cortex. This midbrain atrophy was related to the severity of clinical and neurophysiologically determined balance deficits. HLGD patients also showed a reduction in speed of gait, related to ‘appendicular’ hypokinetic-rigid signs and frontal-lobe-like cognitive deficits. These last two symptoms were correlated with the severity of DWML, found in 12/20 HLGD patients. In conclusion, these data suggest that the gait and balance deficits in HLGD mainly result from the lesion or dysfunction of the network linking the primary motor cortex and the MLR, brain regions known to be involved in the control of gait and balance, whereas cognitive and ‘appendicular’ hypokinetic-rigid signs mainly result from DWML that could be responsible for a dysfunction of the frontal cortico-basal ganglia loops.     

An ERP investigation of item-scene incongruity at encoding on subsequent recognition

The aim of the present study was to investigate how item-scene incongruity at encoding influences subsequent item recognition and the associated event-related potential (ERP) old/new effects. Participants (N = 26) studied pictures showing an item in a scene, either in a congruent condition (e.g., a tent in a field) or an incongruent condition (e.g., a shower cabin in a field). Items were presented alone at test. Behavioral data revealed a benefit of incongruent information, with greater source memory performance but no significant effect on old/new recognition judgments. Longer response times for old compared to new items showed that participants not only evaluated the old-new status of objects during recognition, but also worked already on the scene context decision relative to the source memory judgment. An ERP incongruity effect was found at study, with greater N400 amplitude in the incongruent condition than the congruent condition. During recognition, the results provide evidence that item-scene incongruity at study increases the amplitude of ERP old/new effects. A mid-frontal N400 old/new effect was found in the early time window (300–500 ms), and a right frontal sub-component was modulated by item-scene incongruity at encoding. The modulation observed in the later time window (500–800 ms) confirmed previous studies showing that the parietal old/new effect reflects the retrieval of episodic contextual details. The present study shows that the magnitude of ERP old/new effects is sensitive to item-scene incongruity at encoding from the early time window in the right frontal region to the later retrieval processes.     

Multiplex PCR for Detection of Seven Virulence Factors and K1/K2 Capsular Serotypes of Klebsiella pneumoniae

A single multiplex PCR assay targeting seven virulence factors and the wzi gene specific for the K1 and K2 capsular serotypes of Klebsiella pneumoniae was developed and tested on 65 clinical isolates, which included 45 isolates responsible for community-acquired severe human infections. The assay is useful for the surveillance of emerging highly virulent strains.     

Group A Escherichia coli-Related Purpura Fulminans: an Unusual Manifestation Due to an Unusual Strain?

We describe an exceptional case of life-threatening group A Escherichia coli-induced purpura fulminans. Genotyping of common polymorphisms in genes involved in innate immunity or coagulation did not reveal known susceptibility to such a manifestation. Genetic analysis of the strain revealed an unusual conserved virulence plasmidic region, pointing out its potential virulence.