947 research outputs found

    An efficient approach to generating location-sensitive recommendations in ad-hoc social network environments

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    Social recommendation has been popular and successful in various urban sustainable applications such as online sharing, products recommendation and shopping services. These applications allow users to form several implicit social networks through their daily social interactions. The users in such social networks can rate some interesting items and give comments. The majority of the existing studies have investigated the rating prediction and recommendation of items based on user-item bipartite graph and user-user social graph, so called social recommendation. However, the spatial factor was not considered in their recommendation mechanisms. With the rapid development of the service of location-based social networks, the spatial information gradually affects the quality and correlation of rating and recommendation of items. This paper proposes spatial social union (SSU), an approach of similarity measurement between two users that integrates the interconnection among users, items and locations. The SSU-aware location-sensitive recommendation algorithm is then devised. We evaluate and compare the proposed approach with the existing rating prediction and item recommendation algorithms subject to a real-life data set. Experimental results show that the proposed SSU-aware recommendation algorithm is more effective in recommending items with the better consideration of user's preference and location.This work was supported by the National Natural Science Foundation of China under Grant 61372187. G. Min’s work was partly supported by the EU FP7 CLIMBER project under Grant Agreement No. PIRSES-GA-2012-318939. L. T. Yang is the corresponding author

    Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam

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    BACKGROUND: The cost of treatment for infectious shock in intensive care in Vietnam is unknown. METHODS: We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. RESULTS: The median hospital bills were US617forsepticshock(n=100)andUS617 for septic shock (n=100) and US57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. CONCLUSIONS: Further advocacy is required to moderate insurance co-payments for costly critical care interventions

    Using Neural Networks for Relation Extraction from Biomedical Literature

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    Using different sources of information to support automated extracting of relations between biomedical concepts contributes to the development of our understanding of biological systems. The primary comprehensive source of these relations is biomedical literature. Several relation extraction approaches have been proposed to identify relations between concepts in biomedical literature, namely, using neural networks algorithms. The use of multichannel architectures composed of multiple data representations, as in deep neural networks, is leading to state-of-the-art results. The right combination of data representations can eventually lead us to even higher evaluation scores in relation extraction tasks. Thus, biomedical ontologies play a fundamental role by providing semantic and ancestry information about an entity. The incorporation of biomedical ontologies has already been proved to enhance previous state-of-the-art results.Comment: Artificial Neural Networks book (Springer) - Chapter 1

    Association of Serum Uric Acid with Non-Valvular Atrial Fibrillation: A Retrospective Study in China

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    Hua-Jing Yuan,1 Hua-Chen Jiao,2 Xiu-Juan Liu,2 Hao Hao,2 Yang Liu,2 Yi-Tao Xue,2 Yan Li2 1Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, 250014, People’s Republic of China; 2Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, 250014, People’s Republic of ChinaCorrespondence: Yi-Tao Xue; Yan Li, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Shanshi East Road, Lixia District, Jinan City, Shandong Province, People’s Republic of China, Tel +86-531-82602943 ; +86-531-68611662, Email [email protected]; [email protected]: The association between serum uric acid (SUA) and atrial fibrillation (AF) has been widely focused on and studied in recent years. However, the exact association between SUA and AF is unclear, and the effect of gender on the association between SUA levels and AF has been controversial. This study aimed to investigate the association between SUA levels and non-valvular AF (NVAF) and the potential effect of gender on it.Patients and Methods: A total of 866 NVAF patients (463 males, age 69.44 ± 8.07 years) and 646 sex-matched control patients in sinus rhythm, with no history of arrhythmia were included in this study. t-test, ANOVA, and chi-square test were used for baseline data analysis. The receiver operating characteristic curve, logistic regression and Pearson correlation analysis were used for correlation analysis.Results: Compared to controls, NVAF patients exhibited higher SUA (P< 0.001). After adjusting for confounders of NVAF, SUA remained significantly associated with NVAF, regardless of gender (OR= 1.31, 95% CI 1.18– 1.43, P< 0.001). SUA demonstrated higher predictability and sensitivity in predicting the occurrence of female NVAF compared to male (area under the curve was 0.68 (95% CI 0.64– 0.72, P< 0.001), sensitivity 87.3%), with the optimal cut-off point identified as 5.72 mg/dL. Furthermore, SUA levels correlated with APOA1, Scr and NT-proBNP in NVAF patients. SUA levels varied significantly among NVAF subtypes.Conclusion: High SUA levels were independently associated with NVAF, regardless of gender. SUA exhibited higher predictability and sensitivity in predicting the occurrence of NVAF in females compared to males. High SUA levels may affect other NVAF-related factors and participate in the pathophysiological process of NVAF.Keywords: serum uric acid, non-valvular atrial fibrillation, gender difference, retrospective study, predictive indicator

    Immuno-targeting the multifunctional CD38 using nanobody

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    Intrathecal Immunoglobulin for treatment of adult patients with tetanus: A randomized controlled 2x2 factorial trial

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    Despite long-standing availability of an effective vaccine, tetanus remains a significant problem in many countries. Outcome depends on access to mechanical ventilation and intensive care facilities and in settings where these are limited, mortality remains high. Administration of tetanus antitoxin by the intramuscular route is recommended treatment for tetanus, but as the tetanus toxin acts within the central nervous system, it has been suggested that intrathecal administration of antitoxin may be beneficial. Previous studies have indicated benefit, but with the exception of one small trial no blinded studies have been performed. The objective of this study is to establish whether the addition of intrathecal tetanus antitoxin reduces the need for mechanical ventilation in patients with tetanus. Secondary objectives: to determine whether the addition of intrathecal tetanus antitoxin reduces autonomic nervous system dysfunction and length of hospital/ intensive care unit stay; whether the addition of intrathecal tetanus antitoxin in the treatment of tetanus is safe and cost-effective; to provide data to inform recommendation of human rather than equine antitoxin. This study will enroll adult patients (≄16 years old) with tetanus admitted to the Hospital for Tropical Diseases, Ho Chi Minh City. The study is a 2x2 factorial blinded randomized controlled trial. Eligible patients will be randomized in a 1:1:1:1 manner to the four treatment arms (intrathecal treatment and human intramuscular treatment, intrathecal treatment and equine intramuscular treatment, sham procedure and human intramuscular treatment, sham procedure and equine intramuscular treatment). Primary outcome measure will be requirement for mechanical ventilation. Secondary outcome measures: duration of hospital/ intensive care unit stay, duration of mechanical ventilation, in-hospital and 240-day mortality and disability, new antibiotic prescription, incidence of ventilator associated pneumonia and autonomic nervous system dysfunction, total dose of benzodiazepines and pipecuronium, and incidence of adverse events. Trial registration: ClinicalTrials.gov NCT02999815 Registration date: 21 December 2016

    Homozygous variants in the HEXB and MBOAT7 genes underlie neurological diseases in consanguineous families

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    Neurological disorders are a common cause of morbidity and mortality within Pakistani populations. It is one of the most important challenges in healthcare, with significant life-long socio-economic burden.This article is freely available via Open Access. Click on the Publisher URL to access the full-text
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