Chinese Herbal Medicine Improves the Long-Term Survival Rate of Patients With Chronic Kidney Disease in Taiwan: A Nationwide Retrospective Population-Based Cohort Study

Background and purpose: Chinese herbal medicine (CHM) is frequently applied in conjunction with western pharmacotherapy to relieve symptoms in patients with CKD. However, evidence-based research into the effectiveness of CHM use as applied to treat CKD is limited and warrants further investigation. The aim of this study is to assess whether adjunctive treatment with CHM affected survival rate of CKD patients undergoing conventional western medical management.Methods: A total of 14,718 CKD patients, including 6,958 CHM users and 7,760 non-CHM users, were recruited from the Longitudinal Health Insurance Database 2000, a sub-dataset of the National Health Insurance Research Database, to conduct this study. Demographic characteristics, including sex, age, job type, residential area, and comorbidity were considered as covariates to adjust the analysis. A network analysis of treatments, including with herbal formulas and single herbs, was performed to investigate the core patterns of CHM use for the treatment of CKD patients. The Kaplan-Meier method was used to determine the survival rate between CHM and non-CHM groups.Results: After matching for sex and age, there were 550 subjects in both the CHM and non-CHM cohorts. Other than presence of diabetes (adjusted OR = 0.57, p < 0.001) and urinary tract infection (adjusted OR = 0.69, p < 0.05), sex, age, job type, area of residence, and other comorbidities indicated no special preference for CHM use among subjects. Salvia miltiorrhiza Bunge (SM) and Ji-Sheng-Shen-Qi-Wan (JSSQW) were the most frequent single herb and formula, respectively, prescribed for patients with CKD. The most frequent CHM combination between herbs and formulas was JSSQW, associated with Rheum officinale Baill. (RO), SM and Astragalus membranaceus (Fisch.) Bunge (AM). The long-term survival rate demonstrated significant benefits for CHM users within a 12-year follow-up period (P < 0.004).Conclusion: This nationwide retrospective cohort study provides valuable insight into the characteristics and prescription patterns of CHM usage in CKD patients. JSSQW associated with RO, SM, and AM is the most common CHM prescription. CHM improves long-term survival in patients with CKD, suggesting that CHM is an effective adjuvant therapy for CKD

SuperLine3D: Self-supervised Line Segmentation and Description for LiDAR Point Cloud

Poles and building edges are frequently observable objects on urban roads, conveying reliable hints for various computer vision tasks. To repetitively extract them as features and perform association between discrete LiDAR frames for registration, we propose the first learning-based feature segmentation and description model for 3D lines in LiDAR point cloud. To train our model without the time consuming and tedious data labeling process, we first generate synthetic primitives for the basic appearance of target lines, and build an iterative line auto-labeling process to gradually refine line labels on real LiDAR scans. Our segmentation model can extract lines under arbitrary scale perturbations, and we use shared EdgeConv encoder layers to train the two segmentation and descriptor heads jointly. Base on the model, we can build a highly-available global registration module for point cloud registration, in conditions without initial transformation hints. Experiments have demonstrated that our line-based registration method is highly competitive to state-of-the-art point-based approaches. Our code is available at https://github.com/zxrzju/SuperLine3D.git.Comment: 17 pages, ECCV 2022 Accepte

Spiniform phase-encoded metagratings entangling arbitrary rational-order orbital angular momentum

Quantum entanglements between integer-order and fractional-order orbital angular momentums (OAMs) have been previously discussed. However, the entangled nature of arbitrary rational-order OAM has long been considered a myth due to the absence of an effective strategy for generating arbitrary rational-order OAM beams. Therefore, we report a single metadevice comprising a bilaterally symmetric grating with an aperture, creating optical beams with dynamically controllable OAM values that are continuously varying over a rational range. Due to its encoded spiniform phase, this novel metagrating enables the production of an average OAM that can be increased without a theoretical limit by embracing distributed singularities, which differs significantly from the classic method of stacking phase singularities using fork gratings. This new method makes it possible to probe the unexplored niche of quantum entanglement between arbitrarily defined OAMs in light, which could lead to the complex manipulation of microparticles, high-dimensional quantum entanglement and optical communication. We show that quantum coincidence based on rational-order OAM-superposition states could give rise to low cross-talks between two different states that have no significant overlap in their spiral spectra. Additionally, future applications in quantum communication and optical micromanipulation may be found

Chinese Herbal Medicine as an Adjunctive Therapy Ameliorated the Incidence of Chronic Hepatitis in Patients with Breast Cancer: A Nationwide Population-Based Cohort Study

We conducted a National Health Insurance Research Database-based Taiwanese nationwide population-based cohort study to evaluate whether Chinese herbal medicine (CHM) treatment decreased the incidence of chronic hepatitis in breast cancer patients receiving chemotherapy and/or radiotherapy. A total of 81171 patients were diagnosed with breast cancer within the defined study period. After randomly equal matching, data from 13856 patients were analyzed. Hazard ratios of incidence rate of chronic hepatitis were used to determine the influence and therapeutic potential of CHM in patients with breast cancer. The patients with breast cancer receiving CHM treatment exhibited a significantly decreased incidence rate of chronic hepatitis even across the stratification of age, CCI score, and treatments. The cumulative incidence of chronic hepatitis for a period of seven years after initial breast cancer diagnosis was also reduced in the patients receiving CHM treatment. The ten most commonly used single herbs and formulas were effective in protecting liver function in patients with breast cancer, where Hedyotis diffusa and Jia-Wei-Xiao-Yao-San were the most commonly used herbal agents. In conclusion, our study provided information that western medicine therapy combined with CHM as an adjuvant modality may have a significant impact on liver protection in patients with breast cancer

Siamese DETR

Recent self-supervised methods are mainly designed for representation learning with the base model, e.g., ResNets or ViTs. They cannot be easily transferred to DETR, with task-specific Transformer modules. In this work, we present Siamese DETR, a Siamese self-supervised pretraining approach for the Transformer architecture in DETR. We consider learning view-invariant and detection-oriented representations simultaneously through two complementary tasks, i.e., localization and discrimination, in a novel multi-view learning framework. Two self-supervised pretext tasks are designed: (i) Multi-View Region Detection aims at learning to localize regions-of-interest between augmented views of the input, and (ii) Multi-View Semantic Discrimination attempts to improve object-level discrimination for each region. The proposed Siamese DETR achieves state-of-the-art transfer performance on COCO and PASCAL VOC detection using different DETR variants in all setups. Code is available at https://github.com/Zx55/SiameseDETR.Comment: 10 pages, 11 figures. Accepted in CVPR 202

Remote sensing and social sensing data reveal scale-dependent and system-specific strengths of urban heat island determinants

Urban natural surfaces and non-surface human activities are key factors determining the urban heat island (UHI), but their relative importance remains highly controversial and may vary at different spatial scales and focal urban systems. However, systematic studies on the scale-dependency system-specificity remain largely lacking. Here, we selected 32 major Chinese cities as cases and used Landsat 8 images to retrieve land surface temperature (LST) and quantify natural surface variables using point of interest (POI) data as a measure of the human activity variable and using multiple regression and relative weight analysis to study the contribution and relative importance of these factors to LST at a range of grain sizes (0.25–5 km) and spatial extents (20–60 km). We revealed that the contributions and relative importance of natural surfaces and human activities are largely scale-dependent and system-specific. Natural surfaces, especially vegetation cover, are often the most important UHI determinants for a majority of scales, but the importance of non-surface human activities is increasingly pronounced at a coarser spatial scale with respect to both grain and spatial extent. The scaling relations of the UHI determinants and their relative importance were mostly linear-like at the city-collective level, but highly diverse across individual cities, so reducing non-surface heat emissions could be the most effective measure in particular cases, especially at relatively large spatial scales. This study advances the understanding of UHI formation mechanisms and highlights the complexity of the scale issue underpinning the UHI effect

Phyllanthus urinaria Induces Apoptosis in Human Osteosarcoma 143B Cells via Activation of Fas/FasL- and Mitochondria-Mediated Pathways

Phyllanthus urinaria (P. urinaria), in this study, was used for the treatment of human osteosarcoma cells, which is one of the tough malignancies with few therapeutic modalities. Herein, we demonstrated that P. urinaria inhibited human osteosarcoma 143B cells growth through an apoptotic extrinsic pathway to activate Fas receptor/ligand expression. Both intracellular and mitochondrial reactive oxygen species were increased to lead to alterations of mitochondrial membrane permeability and Bcl-2 family including upregulation of Bid, tBid, and Bax and downregulation of Bcl-2. P. urinaria triggered an intrinsic pathway and amplified the caspase cascade to induce apoptosis of 143B cells. However, upregulation of both intracellular and mitochondrial reactive oxygen species and the sequential membrane potential change were less pronounced in the mitochondrial respiratory-defective 143Bρ0 cells compared with the 143B cells. This study offers the evidence that mitochondria are essential for the anticancer mechanism induced by P. urinaria through both extrinsic and intrinsic pathways