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Pattern Recognition Algorithms for Predicting Surgical Site Infection in Abdominal Hysterectomy
- Flávio Souza, Braulio Couto, Felipe Leandro Andrade da Conceição, Gabriel Henrique Silvestre da Silva, Igor Gonçalves Dias, Rafael Vieira Magno Rigueira, Gustavo Maciel Pimenta, Maurilio Martins, Julio Cesar Mendes, Amanda Martins Fagundes, Beatriz Viana Ferreira Escalda, Isabela Marques de Souza, Laura Ferraz de Vasconcelos, Maria Eduarda Rodrigues Medeiros, Thais Azevedo de Almeida
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- Journal:
- Infection Control & Hospital Epidemiology / Volume 41 / Issue S1 / October 2020
- Published online by Cambridge University Press:
- 02 November 2020, pp. s344-s345
- Print publication:
- October 2020
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Background: This research represents an experiment based in surgical site infection (SSI) to patients undergoing abdominal hysterectomy surgery procedures in hospitals in Belo Horizonte, (population, 3 million). We statistically evaluated such incidences and studied the SSI prediction power of pattern recognition algorithms, the artificial neural networks based in multilayer perceptron (MLP). Methods: Between July 2016 and June 2018, data on SSI were collected by the hospital infection control committees (CCIH) of the 3 hospitals involved in the research. They collected all data used in the analysis during their routine SSI surveillance procedures. The information was forwarded to the NOIS (Nosocomial Infection Study) Project, which used SACIH (ie, automated hospital infection control system software) to collect data from a sample of hospitals participating voluntarily in the project. After data collection, 3 procedures were performed for SSI prediction: (1) a treatment of the database collected for the use of intact samples; (2) a statistical analysis on the profile of the hospitals collected; and (3) an assessment of the predictive power of 5 types of MLP (ie, backpropagation standard, momentum, resilient propagation, weight decay, and quick propagation). MLPs were tested with 3, 5, 7, and 10 hidden-layer neurons and a database split for the resampling process (65% or 75% for testing, 35% or 25% for validation). They were compared by measuring area under the curve (AUC; range, 0–1) presented for each of the configurations. Results: From 1,166 records collected, only 665 records were enabled for analysis. Regarding statistical data: the average duration of surgery was 100 minutes (range, 31–180); patients were aged 41–49 years; the SSI rate was low (only 10 cases); the average length of stay was 2 days; and there were no deaths among the cases. Moreover, 29% of the operative sites were contaminated and 57% were potentially contaminated, revealing a high rate of potential contamination in the operative sites. The prediction process achieved 0.995. Conclusions: Despite the noise in the database, it was possible to obtain a relevant sampling to evaluate the profile of hospitals in Belo Horizonte. In addition, for the predictive process, although some settings achieved AUC results of 0.5, others achieved and AUC of 0.995, indicating the promise of the automated SSI monitoring framework for abdominal hysterectomy surgery (available in www.sacihweb.com). To optimize data collection and to enable other hospitals to use the SSI prediction tool, a mobile application was developed.
Funding: None
Disclosures: None
Effect of temperature during embryonic development and first feeding of Trichogaster leeri larvae
- Samuel Louzada Pereira, Dalcio Ricardo de Andrade, Marcella Costa Radael, João Carlos Fosse Filho, Rafael Vieira de Azevedo, Douglas da Cruz Mattos, Manuel Vazquez Vidal Junior
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Temperature is an environmental factor that influences the development of fish, and when changed abruptly can lead to high mortality. Some species of fish are influenced by this factor, exhibiting a longer time for embryonic development and time to first feeding. This study aims to evaluate the effect of water temperature on embryonic and larval development up to first feeding, to describe the time in hours post fertilization (hpf) of the emergence of different structures and to determine the best hatching rate and survival of animals under different treatments. Five different egg incubation temperatures were used (24, 26, 28, 30 or 32°C, respectively). The eggs were observed at regular intervals of 30 min up to 24 h, every 2 h until 48 h and every 4 h until the display of first feeding in all treatments. Embryonic development was longer for eggs incubated at 24°C and the best results for hatching rate and survival of spawning efficiency were at 28°C. We recommend that incubation of Trichogaster leeri eggs is carried out at 28°C up to the first feeding of larvae.
Activin-A promotes the development of goat isolated secondary follicles in vitro
- Cleidson Manoel Gomes da Silva, Simone Vieira Castro, Luciana Rocha Faustino, Giovanna Quintino Rodrigues, Ivina Rocha Brito, Rafael Rossetto, Márcia Viviane Alves Saraiva, Claudio Cabral Campello, Carlos Henrique Lobo, Carlos Eduardo Azevedo Souza, Arlindo de Alencar Araripe Moura, Mariana Aragão Matos Donato, Christina Alves Peixoto, José Ricardo de Figueiredo
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The role of activin-A in follicular development and on the mRNA expression levels of different genes in goat secondary follicles was evaluated. Goat secondary follicles (≥150 μm) were cultured for 18 days under control conditions or with the addition of either 50 or 100 ng/ml activin-A (Experiment 1). The mRNA levels for the genes that code for activin-A, ActR-IA, ActR-IB, ActR-IIA, ActR-IIB, follicle stimulating hormone receptor (FSH-R) and P450 aromatase were measured in each condition (Experiment 2). We observed that after 6 days of culture, the antrum formation rate was higher in cultures with added activin-A than in the cultured control (P < 0.05). The addition of 50 ng/ml activin-A increased the follicular growth rate in the final third of the culture (days 12–18), resulting in a higher percentage of meiosis resumption (P < 0.05). On day 6, the addition of activin-A (50 ng/ml) increased the levels of ActR-IA mRNA compared with the cultured control (P < 0.05). After 18 days, the addition of 50 ng/ml activin-A significantly increased the levels of its own mRNA compared with the non-cultured control. Moreover, this treatment reduced the mRNA levels of P450 aromatase in comparison with the cultured control (P < 0.05). Higher levels of P450 aromatase mRNA were found for both activin-A treatments compared with the non-cultured control (P < 0.05). No difference in estradiol levels was detected among any of the tested treatments. In conclusion, the addition of activin-A to culture medium stimulated early antrum formation as well as an increase in the daily follicular growth rate and the percentage of meiosis resumption.