Endoscopic balloon dilatation of Crohn's anastomotic strictures is safe and effective in the long term. We demonstrate that active disease predicts for future surgery, while escalation of medical therapy may decrease the need for repeat dilatation.
Abstract-Hardware technologies for trusted computing, or trusted execution environments (TEEs), have rapidly matured over the last decade. In fact, TEEs are at the brink of widespread commoditization with the recent introduction of Intel Software Guard Extensions (Intel SGX). Despite such rapid development of TEE, software technologies for TEE significantly lag behind their hardware counterpart, and currently only a select group of researchers have the privilege of accessing this technology. To address this problem, we develop an open source platform, called OpenSGX, that emulates Intel SGX hardware components at the instruction level and provides new system software components necessarily required for full TEE exploration. We expect that the OpenSGX framework can serve as an open platform for SGX research, with the following contributions. First, we develop a fully functional, instruction-compatible emulator of Intel SGX for enabling the exploration of software/hardware design space, and development of enclave programs. OpenSGX provides a platform for SGX development, meaning that it provides not just emulation but also operating system components, an enclave program loader/packager, an OpenSGX user library, debugging, and performance monitoring. Second, to show OpenSGX's use cases, we applied OpenSGX to protect sensitive information (e.g., directory) of Tor nodes and evaluated their potential performance impacts. Therefore, we believe OpenSGX has great potential for broader communities to spark new research on soon-to-becommodity Intel SGX.
The past decade has been especially creative for nanogenerators as energy harvesting devices utilizing both piezoelectric and triboelectric properties. Most recently, self-charging power units using both nanogenerators and energy storage systems have begun to be investigated for portable and wearable electronics to be used in our daily lives. This review focuses on these hybrid devices with self-charging combined with energy harvesting storage systems based on the most recent reports. In this research update, we will describe the materials, device structures, integration, applications, and research progress up to the present on hybrid devices.
ObjectivePatients with ulcerative colitis (UC) diagnosed with low-grade dysplasia (LGD) have increased risk of developing advanced neoplasia (AN: high-grade dysplasia or colorectal cancer). We aimed to develop and validate a predictor of AN risk in patients with UC with LGD and create a visual web tool to effectively communicate the risk.DesignIn our retrospective multicentre validated cohort study, adult patients with UC with an index diagnosis of LGD, identified from four UK centres between 2001 and 2019, were followed until progression to AN. In the discovery cohort (n=246), a multivariate risk prediction model was derived from clinicopathological features using Cox regression. Validation used data from three external centres (n=198). The validated model was embedded in a web tool to calculate patient-specific risk.ResultsFour clinicopathological variables were significantly associated with AN progression in the discovery cohort: endoscopically visible LGD >1 cm (HR 2.7; 95% CI 1.2 to 5.9), unresectable or incomplete endoscopic resection (HR 3.4; 95% CI 1.6 to 7.4), moderate/severe histological inflammation within 5 years of LGD diagnosis (HR 3.1; 95% CI 1.5 to 6.7) and multifocality (HR 2.9; 95% CI 1.3 to 6.2). In the validation cohort, this four-variable model accurately predicted future AN cases with overall calibration Observed/Expected=1.01 (95% CI 0.64 to 1.52), and achieved 100% specificity for the lowest risk group over 13 years of available follow-up.ConclusionMulticohort validation confirms that patients with large, unresected, multifocal LGD and recent moderate/severe inflammation are at highest risk of developing AN. Personalised risk prediction provided via the Ulcerative Colitis-Cancer Risk Estimator (www.UC-CaRE.uk) can support treatment decision-making.
The use of vibration is proposed as a means of controlling the settlement of marine fouling organisms. In this study, panels with embedded lead zirconate titanate, known as PZT, were placed in the field over 3 months. The panels were vibrated at different velocity levels at frequencies between 70 and 445 Hz. It was found that barnacles (Amphibalanus variegatus Darwin and Elminius sp.) were the only fouling organisms affected by the applied vibration, and these organisms settled in significantly lower numbers when the plates were excited at specific frequencies and amplitudes. Panels vibrating at relatively higher frequencies, greater than 260 Hz, exhibited reduced barnacle settlement, whilst lower frequencies in the 70-100 Hz range had little or no effect. The settlement of other fouling organisms such as tubeworms, bryozoans, ascidians and algae did not appear to be affected by the applied excitation. The experimental results showed that increasing the velocity amplitude of vibration was a contributing factor in inhibiting barnacle settlement.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.