Spatial Analysis of Dengue Incidence in Taiwan

Dengue is an important mosquito-borne viral disease. In Taiwan, there are hundreds to thousands dengue cases each year, and dengue is considered one of the most important public health issues. The objective of this study was to use geographical information systems (GIS) methodology to map and analyze the spatial and temporal distribution of dengue in Taiwan during 2004 to 2007 and to elucidate the association of geographical and climatic risk factors with dengue incidence.Dengue annually occurs starting in summer, peaking in fall and goes down in winter. The spatial distribution: Spatial autocorrelation of dengue was measured using Moran's I at the global level and LISA at the local level. The global spatial autocorrelation analysis revealed a significantly positive spatial autocorrelation of dengue for 2004 to 2007, with Moran's I=0.171, p-value=0.03. The local spatial autocorrelation analysis showed a significantly high dengue incidence around Tainan county and Kaohsiung county (p-value<0.05), which are located in the southern Taiwan. Based on the geographical features, dengue tended to occur in the southwestern cities/counties in Taiwan with plains and rivers spread. Temperature had a positive relationship with dengue incidence in summer and fall (rs=0.74 and p-value=0.002 in summer, rs=0.53 and p-value=0.003 in fall). Rainfall had a positive relationship with dengue incidence in summer (rs=0.61 and p-value=0.017). However, there was no significant correlation between temperature or rainfall and dengue incidence in winter.The public health importance of this study: Disease maps have been playing a key descriptive role in public health and epidemiology. By this study, areas of the current geographical distribution of the incidence of dengue in Taiwan were identified. Through spatial autocorrelation analyses, the identification of unusual concentration of dengue in Tainan county and Kaohsiung county has been defined. This could prompt health agencies and the government to take a critical look at these risk areas, and make appropriate health planning and resource allocation

Joint modeling of bivariate longitudinal and survival data in spouse pairs

Joint modeling of longitudinal and survival data has become increasingly useful for analyzing clinical trials data. Recent multivariate joint models relate one or more longitudinal outcomes to one or more failure times (e.g., competing risks) in the same subject. We consider a case where longitudinal and survival outcomes are measured in subject pairs (e.g., married couples). In this dissertation, we propose a joint model incorporating within-pair correlations, both in the longitudinal and survival processes. We use a bivariate linear mixed-effects model for the longitudinal process, where the random effects are used to model the temporal correlation among longitudinal outcomes and the correlation between different outcomes. For the survival process, we incorporate a gamma frailty into a Weibull proportional hazards model to account for the correlation between survival times within pairs. The two sub-models are then linked through the shared random effects, where the longitudinal and survival processes are conditionally independent given the random effects. Parameter estimates are obtained by maximizing the joint likelihood for the bivariate longitudinal and bivariate survival data using the EM algorithm. The proposed methodology is applied to the spouse data from the Cardiovascular Health Study (CHS) to investigate the association of both longitudinal depression scores and survival times between husbands and wives, and to quantify the association of mortality and longitudinal depression with other covariates in husbands and wives after accounting for the within-spouse correlation. Public Heath Significance: Spouse studies seek to reveal the importance of both environmental and genetic influences on individuals. The analysis of such information is useful in assessing long term health effects in spouse pairs and/or individuals living together. The methodology we propose provides a valid statistical inference on the association of longitudinal measurements and the time-to-events among paired subjects. This methodology will contribute to the analysis of public health studies by ensuring that proper prediction and inference are made when pairs of individuals are measured longitudinally

Terminal Deletion of Chromosome 6q

Terminal deletions of chromosome 6q are rare. Clinical features associated with 6q terminal deletion syndrome include psychomotor retardation, seizures, hypotonia, short neck, and facial abnormalities, as well as various case-specific anomalies. Here, we describe a girl with 6q terminal deletion syndrome and unusually short stature. Features of previously described patients are also summarized

Electroencephalography and transcranial Doppler ultrasonography in neonatal citrullinemia

The authors present a case of citrullinemia with a genotype of argininosuccinate synthetase (ASS1), c.380 G>A (p.R127Q)/c.380 G>A (p.R127Q), in two alleles. A 3-day-old female infant presented with status epilepticus and coma. Laboratory data showed hyperammonemia and marked lactic acidosis in the blood and cerebrospinal fluid; electroencephalography showed severely suppressed cerebral activity and focal paroxysmal volleys of slow and sharp waves (< 1Hz) over the left hemisphere. Real-time transcranial Doppler ultrasonography showed a brain edema and high peaked systolic and low diastolic flows in basal, anterior, and middle cerebral arteries; however, immediately after a blood exchange transfusion, systolic flows were lower and diastolic flows were higher. The resistance indices were significantly different (means: 0.58 vs. 0.37; p=0.01). The patient was placed on diet therapy. After six blood exchange transfusions and peritoneal dialysis, her neurologic examination results and serum ammonia and lactate values were normal. The authors found that electroencephalography and transcranial Doppler ultrasonography were useful for the diagnosis and follow-up treatment of neonatal citrullinemia

Automatic calibration system for micro-displacement devices

With the industrial development and the advances in micro - displacement technology, the demands on piezo transducers are increasing. For piezo transducers, the error inspections of the non-linearity and the hysteresis are necessary procedure before piezo transducers utilized. Due to the possible decline or damage during the employment of the transducers, it is important to provide the automatic calibration system. In this investigation, a self-developed automatic calibration system for micro-displacement devices is proposed. The automatic system according to the international specification of ASTM-E2309 has been developed. This system designed for the calibration of piezo transducers is based on the interferometric structure of the common optical path and possesses the resolution of the nanometer order. The experimental verifications demonstrate that the repeatability of the Fabry-Perot interferometer is less than 11 nm. Experimental results of the synchronic measurement with the self-developed interferometer and a commercial interferometer reveal that the differences of the maximum nonlinearity error and maximum hysteresis error are less than 1%. With the proposed correct equations, the maximum non-linearity error can be minimized to 1% and the maximum hysteresis error will be less than 5.2%

Far-Infrared Therapy Induces the Nuclear Translocation of PLZF Which Inhibits VEGF-Induced Proliferation in Human Umbilical Vein Endothelial Cells

Many studies suggest that far-infrared (FIR) therapy can reduce the frequency of some vascular-related diseases. The non-thermal effect of FIR was recently found to play a role in the long-term protective effect on vascular function, but its molecular mechanism is still unknown. In the present study, we evaluated the biological effect of FIR on vascular endothelial growth factor (VEGF)-induced proliferation in human umbilical vein endothelial cells (HUVECs). We found that FIR ranging 3∼10 µm significantly inhibited VEGF-induced proliferation in HUVECs. According to intensity and time course analyses, the inhibitory effect of FIR peaked at an effective intensity of 0.13 mW/cm2 at 30 min. On the other hand, a thermal effect did not inhibit VEGF-induced proliferation in HUVECs. FIR exposure also inhibited the VEGF-induced phosphorylation of extracellular signal-regulated kinases in HUVECs. FIR exposure further induced the phosphorylation of endothelial nitric oxide (NO) synthase (eNOS) and NO generation in VEGF-treated HUVECs. Both VEGF-induced NO and reactive oxygen species generation was involved in the inhibitory effect of FIR. Nitrotyrosine formation significantly increased in HUVECs treated with VEGF and FIR together. Inhibition of phosphoinositide 3-kinase (PI3K) by wortmannin abolished the FIR-induced phosphorylation of eNOS and Akt in HUVECs. FIR exposure upregulated the expression of PI3K p85 at the transcriptional level. We further found that FIR exposure induced the nuclear translocation of promyelocytic leukemia zinc finger protein (PLZF) in HUVECs. This induction was independent of a thermal effect. The small interfering RNA transfection of PLZF blocked FIR-increased PI3K levels and the inhibitory effect of FIR. These data suggest that FIR induces the nuclear translocation of PLZF which inhibits VEGF-induced proliferation in HUVECs

Urinary Incontinence Before and After Bariatric Surgery

IMPORTANCE: Among women and men with severe obesity, evidence for improvement in urinary incontinence beyond the first year after bariatric surgery–induced weight loss is lacking. OBJECTIVES: To examine change in urinary incontinence before and after bariatric surgery and to identify factors associated with improvement and remission among women and men in the first 3 years after bariatric surgery. DESIGN, SETTING, AND PARTICIPANTS: The Longitudinal Assessment of Bariatric Surgery 2 is an observational cohort study at 10 US hospitals in 6 geographically diverse clinical centers. Participants were recruited between February 21, 2005, and February 17, 2009. Adults undergoing first-time bariatric surgical procedures as part of clinical care by participating surgeons between March 14, 2006, and April 24, 2009, were followed up for 3 years (through October 24, 2012). INTERVENTION: Participants undergoing bariatric surgery completed research assessments before the procedure and annually thereafter. MAIN OUTCOMES AND MEASURES: The frequency and type of urinary incontinence episodes in the past 3 months were assessed using a validated questionnaire. Prevalent urinary incontinence was defined as at least weekly urinary incontinence episodes, and remission was defined as change from prevalent urinary incontinence at baseline to less than weekly urinary incontinence episodes at follow-up. RESULTS: Of 2458 participants, 1987 (80.8%) completed baseline and follow-up assessments. At baseline, the median age was 47 years (age range, 18-78 years), the median body mass index was 46 kg/m(2) (range, 34-94 kg/m(2)), and 1565 of 1987 (78.8%) were women. Urinary incontinence was more prevalent among women (49.3%; 95% CI, 46.9%-51.9%) than men (21.8%; 95% CI, 18.2%-26.1%) (P < .001). After a mean 1-year weight loss of 29.5% (95% CI, 29.0%-30.1%) in women and 27.0% (95% CI, 25.9%-28.6%) in men, year 1 urinary incontinence prevalence was significantly lower among women (18.3%; 95% CI, 16.4%-20.4%) and men (9.8%; 95% CI, 7.2%-13.4%) (P < .001 for all). The 3-year prevalence was higher than the 1-year prevalence for both sexes (24.8%; 95% CI, 21.8%-26.5% among women and 12.2%; 95% CI, 9.0%-16.4% among men) but was substantially lower than baseline (P < .001 for all). Weight loss was independently related to urinary incontinence remission (relative risk, 1.08; 95% CI, 1.06-1.10 in women and 1.07; 95% CI, 1.02-1.13 in men) per 5% weight loss, as were younger age and the absence of a severe walking limitation. CONCLUSIONS AND RELEVANCE: Among women and men with severe obesity, bariatric surgery was associated with substantially reduced urinary incontinence over 3 years. Improvement in urinary incontinence may be an important benefit of bariatric surgery

Genome-Wide Association Study of Lung Adenocarcinoma in East Asia and Comparison With a European Population

Lung adenocarcinoma is the most common type of lung cancer. Known risk variants explain only a small fraction of lung adenocarcinoma heritability. Here, we conducted a two-stage genome-wide association study of lung adenocarcinoma of East Asian ancestry (21,658 cases and 150,676 controls; 54.5% never-smokers) and identified 12 novel susceptibility variants, bringing the total number to 28 at 25 independent loci. Transcriptome-wide association analyses together with colocalization studies using a Taiwanese lung expression quantitative trait loci dataset (n = 115) identified novel candidate genes, including FADS1 at 11q12 and ELF5 at 11p13. In a multi-ancestry meta-analysis of East Asian and European studies, four loci were identified at 2p11, 4q32, 16q23, and 18q12. At the same time, most of our findings in East Asian populations showed no evidence of association in European populations. In our studies drawn from East Asian populations, a polygenic risk score based on the 25 loci had a stronger association in never-smokers vs. individuals with a history of smoking (Pinteraction = 0.0058). These findings provide new insights into the etiology of lung adenocarcinoma in individuals from East Asian populations, which could be important in developing translational applications

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency–Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research