Chronic diarrhea and parasitic infections: Diagnostic challenges

A Fine-Grained Image Classification Approach for Dog Feces Using MC-SCMNet under Complex Backgrounds

In a natural environment, factors such as weathering and sun exposure will degrade the characteristics of dog feces; disturbances such as decaying wood and dirt are likely to make false detections; the recognition distinctions between different kinds of feces are slight. To address these issues, this paper proposes a fine-grained image classification approach for dog feces using MC-SCMNet under complex backgrounds. First, a multi-scale attention down-sampling module (MADM) is proposed. It carefully retrieves tiny feces feature information. Second, a coordinate location attention mechanism (CLAM) is proposed. It inhibits the entry of disturbance information into the network's feature layer. Then, an SCM-Block containing MADM and CLAM is proposed. We utilized the block to construct a new backbone network to increase the efficiency of fecal feature fusion in dogs. Throughout the network, we decrease the number of parameters using depthwise separable convolution (DSC). In conclusion, MC-SCMNet outperforms all other models in terms of accuracy. On our self-built DFML dataset, it achieves an average identification accuracy of 88.27% and an F1 value of 88.91%. The results of the experiments demonstrate that it is more appropriate for dog fecal identification and maintains stable results even in complex backgrounds, which may be applied to dog gastrointestinal health checks.

Diarrhea due to parasites: a short, updated point of view from the clinical setting

Diarrhea represents a common manifestation of several gastrointestinal diseases. Infectious agents are the most common causes of diarrhea in developing countries, where the inadequate sanitation and hygiene are prevalent. In these countries, the scarcity of preventive measures as well as the limited health resources cause a substantial increase in incidence, morbidity and mortality due to infectious diseases, including diarrhea. Currently, with the availability of rapid and inexpensive air transportation millions of people travel for tourism, work and immigration from developing countries to industrialized countries and vice versa. This leads to a high number of imported pathogens such as parasites causing infectious diarrhea. Importantly, while most cases of parasitic diarrhea are short, mild and self-limited, other cases may be associated with chronic diarrhea and serious morbidity and mortality. The aim of the current review was to provide an update, from a clinician's point of view, of the main parasites causing diarrhea, with a focus on their diagnosis and management in the clinical setting.

Transition to PCR diagnosis of cryptosporidiosis and giardiasis in the Norwegian healthcare system: could the increase in reported cases be due to higher sensitivity or a change in the testing algorithm?

Cryptosporidiosis has been a notifiable infection in Norway since 2012 and giardiasis since 1977. For both infections, there has been an increase in notified cases. We used a questionnaire to explore whether this may be associated with implementation of molecular diagnostic methods. We received responses from 14 of 16 laboratories, most of which had implemented molecular diagnostic methods for these parasites. Algorithms for testing had also been modified, and several laboratories now test more faecal samples than previously for both parasites. The increase in reported cases may reflect not only higher sensitivity of diagnostic methods, but also more sample testing.