McGraw Lauridsen (friendpencil52)

Significance Our results support for the first time the use of a memory-based deep learning classifier to decode walking activity from non-invasive brain recordings. We suggest that this classifier, exploited in real time, can be a more effective input for devices restoring locomotion in impaired people.Physical activity (PA) is a proven strategy for reducing risk of chronic disease. Many older adults do not reach recommended levels of activity to achieve health benefits. There is growing interest among scholars and practitioners about the potential of technology to increase PA and improve health. This study investigated knowledge of, attitudes toward, and experiences with PA technology among a sample of older adults to determine potential for use in interventions. Overall, participants indicated that they learned about their levels of PA, held positive attitudes toward, and reported good experiences with PA technology, including desired behavior change. Negative outcomes included concerns about risk from using PA technology. Outcomes from this study suggest the need for updated views of older adults and technology and potential health benefits from using PA technology.Objective The object of this study was to determine if revision transsphenoidal surgery (TSS), guided by 11C-methionine PET/CT coregistered with volumetric MRI (Met-PET/MRCR), can lead to remission in patients with persistent acromegaly due to a postoperative lateral disease remnant. Methods The authors identified 9 patients with persistent acromegaly following primary intervention (TSS ± medical therapy ± radiotherapy) in whom further surgery had initially been discounted because of equivocal MRI findings with suspected lateral sellar and/or parasellar disease (cases with clear Knosp grade 4 disease were excluded). All patients underwent Met-PET/MRCR. Scan findings were used by the pituitary multidisciplinary team to inform decision-making regarding repeat surgery. Revision TSS was performed with wide lateral exploration as guided by the PET findings. Endocrine reassessment was performed at 6-10 weeks after surgery, with longitudinal follow-up thereafter. Results Met-PET/MRCR revealed focal tracer uptake in helpful in the evaluation of residual lateral sellar/parasellar disease in persistent acromegaly and facilitate targeted revision TSS in a subgroup of patients.Objective The primary aim of this study was to investigate the value of multidisciplinary team (MDT) management in treating patients with Cushing's disease (CD). The secondary aim was to assess the concordance of bilateral inferior petrosal sinus sampling (BIPSS) lateralization with intraoperative observations. Methods The authors recruited 124 consecutive patients (128 procedures) who had undergone endoscopic endonasal resection of adrenocorticotropic hormone-secreting pituitary adenomas from May 2014 to April 2018 and assessed their clinical characteristics, surgical outcomes, and adjuvant therapies. The criteria for surgical remission were normalized serum and urinary cortisol levels, which could be suppressed by a low-dose dexamethasone suppression test at 3-months' follow-up without adjuvant treatment. Results The remission rates of the 113 patients with long-term follow-up (20.3 ± 12.2 months) were 83.2% after surgery alone and 91.2% after adjuvant therapy. The surgical remission rates of macroadenomas,e. BIPSS may help to lateralize the tumor in MRI-negative/equivocal microadenomas.Objective The "chopsticks" technique is a 3-instrument, 2-hand mononostril technique that has been recently introduced in endoscopic neurosurgery. It allows a dynamic surgical view controlled by one surgeon only while keeping bimanual dissection. Being a mononostril approach, it requires manipulation of the mucosa of one nasal cavity only. The rationale of the technique is to reduce nasal morbidity without compromising surgical results and complication rates. There are, however, no data available on its results in