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Background Gastrointestinal graft-versus-host-disease (GI-GVHD) is a major cause of nonrelapse mortality after hematopoietic stem cell transplantation (HSCT) necessitating endoscopic examinations and biopsies for diagnosis. Fecal calprotectin (CPT) has been widely used in gastrointestinal inflammation, but comprehensive data in GI-GVHD are lacking. Aims We aimed to identify an association of CPT with endoscopic findings, mucosal damage and symptoms for diagnosing and monitoring acute GI-GVHD. Methods Symptoms were prospectively evaluated in 110 consecutive HSCT recipients by standardized questionnaires and Bristol Stool Scale (BSS). CPT was assayed by ELISA. Symptom assessment and CPT were performed weekly and with onset of first symptoms. GVHD was diagnosed according to the Glucksberg criteria and by endoscopic biopsies. Patients with GI-GVHD received standard high-dose corticosteroid therapy and follow-up CPT, and symptom evaluation was performed after 28 days. Patients not responding to steroid treatment were re-evaluated by colonoscopy. Results GI-GVHD was diagnosed in 40 patients. Twelve patients with GI symptoms and CMV colitis and 24 patients with isolated skin GVHD were included as control subjects. CPT was significantly higher in GI-GVHD compared to skin GVHD and CMV colitis. Endoscopic findings, histological grading, abdominal cramps, diarrhea, urgency and BSS correlated with CPT. At follow-up, CPT correlated with abdominal cramps, diarrhea, urgency and BSS. In steroid refractory patients, CPT level was still significantly associated with severity of mucosal damage. Conclusion CPT predicts endoscopic and histological findings in GI-GVHD and correlates with lower GI symptoms. It enables to discriminate GVHD from CMV colitis and to monitor therapeutic success.

The mechanism of seizure emergence and the role of brief interictal epileptiform discharges (IEDs) in seizure generation are two of the most important unresolved issues in modern epilepsy research. We found that the transition to seizure is not a sudden phenomenon, but is instead a slow process that is characterized by the progressive loss of neuronal network resilience. From a dynamical perspective, the slow transition is governed by the principles of critical slowing, a robust natural phenomenon that is observable in systems characterized by transitions between dynamical regimes. In epilepsy, this process is modulated by synchronous synaptic input from IEDs. IEDs are external perturbations that produce phasic changes in the slow transition process and exert opposing effects on the dynamics of a seizure-generating network, causing either anti-seizure or pro-seizure effects. We found that the multifaceted nature of IEDs is defined by the dynamical state of the network at the moment of the discharge occurrence.

This study delves into selective laser melting (SLM). By using M300 steel in virgin and recycled powder form (after 20 cycles), with the aim of reducing the cost of printing for the practical application of M300 maraging steel, a comprehensive comparison between the two types of powder was evaluated. The powder’s morphology was analyzed using scanning electron microscopy (SEM) and backscattered electrons (BSE). The particles were seen to have a spherical shape, with a notable number of satellites attached to their surfaces. The particle size distribution (PSD) was examined and ranged from 10 to 90 µm for both powders. In addition, the porosity exhibited an average value of 0.07% for the virgin powder and 0.10% for the recycled powder. The microstructure was examined. Additionally, the surface wettability was tested, and it was seen to display wetting behavior for both types of powder, while blackened surfaces showed a higher wetting angle than untreated surfaces (hydrophobic). The 2D roughness measurements showed that the recycled powder had no significant difference from the virgin powder (Ra = 5.33 µm, Rz = 24.17 µm) before blackening and (Ra = 5.48 µm, Rz = 24.07 µm) after blackening. Corrosion tests proved that the recycled powder did not affect the corrosion properties of the material, while blackening caused partial surface corrosion in both types of samples, regardless of the used powder.

[...]the brain-state-representing functional connectivity matrices are pooled across subjects and clustered based on their similarity to define higher-order states. To explore the viability of this alternative explanation, we applied a processing pipeline built according to the description given in the original manuscript to model data, consisting of 100 samples (each of length T = 2500 time points, representing mock 5 s epoch of EEG data) of a multivariate (N = 20) white noise process. From a wider perspective, one could see a parallel here with other examples of data analysis approaches that may lead to spurious observation of intriguing structures due to intrinsic bias of the methods—such as apparent signs of chaos in power-law spectra stochastic processes (Osborne and Provenzale, 1989) or small-world properties of functional connectivity graphs (Hlinka et al., 2012). Neuroimage 59, 431–438. doi: 10.1016/j.neuroimage.2011.07.044 Jaroslav Hlinka1* and Michal Hadrava1,2 * 1Department of Nonlinear Dynamics and Complex Systems, Institute of Computer Science, Academy of Sciences of the Czech Republic, Prague, Czech Republic * 2Department of Cybernetics, Faculty of Electrical Engineering, Czech Technical University in Prague, Prague, Czech Republic