Electronic health record-wide association study for atrial fibrillation in a British cohort

Background: Atrial fibrillation (AF) confers a major healthcare burden from hospitalisations and AF-related complications, such as stroke and heart failure. We performed an electronic health records-wide association study to identify the most frequent reasons for healthcare utilization, pre and post new-onset AF. Methods: Prospective cohort study with the linked electronic health records of 5.6 million patients in the United Kingdom Clinical Practice Research Datalink (1998–2016). A cohort study with AF patients and their age-and sex matched controls was implemented to compare the top 100 reasons of frequent hospitalisation and primary consultation. Results: Of the 199,433 patients who developed AF, we found the most frequent healthcare interactions to be cardiac, cerebrovascular and peripheral-vascular conditions, both prior to AF diagnosis (41/100 conditions in secondary care, such as cerebral infarction and valve diseases; and 33/100 conditions in primary care), and subsequently (47/100 conditions hospital care and 48 conditions in primary care). There was a high representation of repeated visits for cancer and infection affecting multiple organ systems. We identified 10 novel conditions which have not yet been associated with AF: folic acid deficiency, pancytopenia, idiopathic thrombocytopenic purpura, seborrheic dermatitis, lymphoedema, angioedema, laryngopharyngeal reflux, rib fracture, haemorrhagic gastritis, inflammatory polyneuropathies. Conclusion: Our nationwide data provide knowledge and better understanding of the clinical needs of AF patients suggesting: (i) groups at higher risk of AF, where screening may be more cost-effective, and (ii) potential complications developing following new-onset AF that can be prevented through implementation of comprehensive integrated care management and more personalised, tailored treatment. Clinical trial registration: NCT0478636

Motion and edge adaptive interpolation de-interlacing algorithm

This paper presents a new motion and edge adaptive de-interlacing algorithm, which is efficient and artifacts-free. It is novel in the sense that it introduces a way to properly interpolate the two (odd and even) field images according to the information provided by the simplest form of motion detection and edge orientation estimation methods. The proposed algorithm was evaluated by three video sequences, namely, 'Akiyo', 'Silent', 'Foreman'. Experimental results confirm that the proposed algorithm performs, both objectively and subjectively, much better than other similar algorithms. These promising results indicate that the proposed interpolation approach has good potential to realize even better de-interlacing algorithms, if more sophisticated motion detection and edge orientation estimation methods are employed.postprintThe 10th WSEAS international conference on Computers (ICCOMP'06), Athens, Greece, 13-15 July 2006. In Proceedings of ICCOMP, 2006, p. 1030-103

Generalized motion and edge adaptive interpolation de-interlacing algorithm

This paper presents a generalized motion and edge adaptive de-interlacing framework, which offers a structured way to develop de-interlacing algorithm. The framework encompasses many typical de-interlacing algorithms, ranging from simple interpolation based algorithms, to more complex edge dependent and motion adaptive algorithms. Based on this framework, we develop a new de-interlacing algorithm which is efficient and artifacts-free. The proposed algorithm was evaluated by five video sequences, namely, "Akiyo", Mother and Daughter", "Silent", "Foreman" and "Stefan". Experimental results confirm that the proposed algorithm performs, both objectively and subjectively, much better than other similar algorithms. These promising results indicate that the proposed framework has good potential for realizing even better de-interlacing algorithms.postprin

Waste reduction and recycling strategies for the in-flight services in the airline industry

Author name used in this publication: X. D. LiAuthor name used in this publication: S. C. Lee2002-2003 > Academic research: refereed > Publication in refereed journalAccepted ManuscriptPublishe

Super-resolution of faces using texture mapping on a generic 3D model

This paper proposes a novel face texture mapping framework to transform faces with different poses into a unique texture map. Under this framework, texture mapping can be realized by utilizing a generic 3D face model, standard Haar-like feature based detector, active appearance model and pose estimation algorithm. By this texture map, correspondence of every pixel at the face across multiple distinct input images can then be established, which enables super-resolution algorithms to be applied directly on registered texture map to render high resolution faces. This paper details the proposed framework, and illustrates how the proposed super-resolution algorithm works with the help of weighted average and median filters. Convincing experimental results are also presented to validate the effectiveness of the proposed framework and superresolution algorithm. © 2009 IEEE.published_or_final_versio

Motion and edge adaptive interpolation de-interlacing algorithm

This paper presents a new motion and edge adaptive de-interlacing algorithm, which is efficient and artifacts-free. It is novel in the sense that it introduces a way to properly interpolate the two (odd and even) field images according to the information provided by the simplest form of motion detection and edge orientation estimation methods. The proposed algorithm was evaluated by three video sequences, namely, 'Akiyo', 'Silent', 'Foreman'. Experimental results confirm that the proposed algorithm performs, both objectively and subjectively, much better than other similar algorithms. These promising results indicate that the proposed interpolation approach has good potential to realize even better de-interlacing algorithms, if more sophisticated motion detection and edge orientation estimation methods are employed.postprintThe 10th WSEAS international conference on Computers (ICCOMP'06), Athens, Greece, 13-15 July 2006. In Proceedings of ICCOMP, 2006, p. 1030-103

Lowered Immune Cell Function in Liver Recipients Recovered From Posttransplant Lymphoproliferative Disease Who Developed Graft Tolerance

published_or_final_versio

White cell count in the normal range and short-term and long-term mortality: international comparisons of electronic health record cohorts in England and New Zealand

OBJECTIVES: Electronic health records offer the opportunity to discover new clinical implications for established blood tests, but international comparisons have been lacking. We tested the association of total white cell count (WBC) with all-cause mortality in England and New Zealand. SETTING: Primary care practices in England (ClinicAl research using LInked Bespoke studies and Electronic health Records (CALIBER)) and New Zealand (PREDICT). DESIGN: Analysis of linked electronic health record data sets: CALIBER (primary care, hospitalisation, mortality and acute coronary syndrome registry) and PREDICT (cardiovascular risk assessments in primary care, hospitalisations, mortality, dispensed medication and laboratory results). PARTICIPANTS: People aged 30-75 years with no prior cardiovascular disease (CALIBER: N=686 475, 92.0% white; PREDICT: N=194 513, 53.5% European, 14.7% Pacific, 13.4% Maori), followed until death, transfer out of practice (in CALIBER) or study end. PRIMARY OUTCOME MEASURE: HRs for mortality were estimated using Cox models adjusted for age, sex, smoking, diabetes, systolic blood pressure, ethnicity and total:high-density lipoprotein (HDL) cholesterol ratio. RESULTS: We found 'J'-shaped associations between WBC and mortality; the second quintile was associated with lowest risk in both cohorts. High WBC within the reference range (8.65-10.05×10(9)/L) was associated with significantly increased mortality compared to the middle quintile (6.25-7.25×10(9)/L); adjusted HR 1.51 (95% CI 1.43 to 1.59) in CALIBER and 1.33 (95% CI 1.06 to 1.65) in PREDICT. WBC outside the reference range was associated with even greater mortality. The association was stronger over the first 6 months of follow-up, but similar across ethnic groups. CONCLUSIONS: Clinically recorded WBC within the range considered 'normal' is associated with mortality in ethnically different populations from two countries, particularly within the first 6 months. Large-scale international comparisons of electronic health record cohorts might yield new insights from widely performed clinical tests. TRIAL REGISTRATION NUMBER: NCT02014610

Multimorbidity patterns and risk of hospitalisation in children: A population cohort study of 3.6 million children in England, with illustrative examples from childhood cancer survivors

Background: Population-level estimates of hospitalisation risk in children are currently limited. The study aims to characterise morbidity patterns in all children, focusing on childhood cancer survivors versus children without cancer. Methods: Employing hospital records of children aged <19 years between 1997 to 2018 in England, we characterised morbidity patterns in childhood cancer survivors compared with children without cancer. The follow-up began on the 5th anniversary of the index hospitalisation and the primary outcome was the incidence of comorbidities. Findings: We identified 3,559,439 eligible participants having 12,740,666 hospital admissions, with a mean age at study entry of 11.2 years. We identified 32,221 patients who survived for at least 5 years since their initial cancer diagnosis. During the follow-up period and within the whole population of 3.6 million children, the leading conditions for admission were (i) metabolic, endocrine, digestive renal and genitourinary conditions (84,749, 2.5%), (ii) neurological (35,833, 1.0%) and (iii) musculoskeletal or skin conditions (23,574, 0.7%), fever, acute respiratory and sepsis (22,604, 0.7%). Stratified analyses revealed that females and children from socioeconomically deprived areas had a higher cumulative incidence for morbidities requiring hospitalisation (p < 0.001). At baseline (5 years after the initial cancer diagnosis or initial hospitalisation for survivors and population comparisons, respectively), cancer survivors experienced a higher prevalence of individual conditions and multimorbidity (≥ 2 morbidities) compared with children without cancer. Cox regression analyses showed that survivors had at least a 4-fold increase in the risk of hospitalisation for conditions such as chronic eye conditions (hazard ration (HR):4.0, 95% confidence interval (CI): 3.5-4.7), fever requiring hospitalisation (HR: 4.4, 95% CI: 3.8-5.0), subsequent neoplasms (HR: 5.7, 95% CI:5.0-6.5), immunological disorders (HR: 6.5, 95% CI:4.5-9.3) and metabolic conditions (HR: 7.1, 95% CI:5.9-8.5). Interpretation: The overall morbidity burden among children was low in general; however, childhood cancer survivors experienced a higher prevalence and subsequent risk of hospitalisation for a range of morbidities. Targeted policies may be required to promote awareness on health vulnerabilities and gender disparity and to improve advocacy for healthcare in deprived communities. Funding: Wellcome Trust, National Institute for Health Research (NIHR) University College London Hospitals Biomedical Research Centre, NIHR Great Ormond Street Hospital Biomedical Research Centre and Academy of Medical Sciences. The funders of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report

Comments on a class of orthogonality relations relevant to fluid-structure interaction

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