Towards Suicide Prevention from Bipolar Disorder with Temporal Symptom-Aware Multitask Learning

Bipolar disorder (BD) is closely associated with an increased risk of suicide. However, while the prior work has revealed valuable insight into understanding the behavior of BD patients on social media, little attention has been paid to developing a model that can predict the future suicidality of a BD patient. Therefore, this study proposes a multi-task learning model for predicting the future suicidality of BD patients by jointly learning current symptoms. We build a novel BD dataset clinically validated by psychiatrists, including 14 years of posts on bipolar-related subreddits written by 818 BD patients, along with the annotations of future suicidality and BD symptoms. We also suggest a temporal symptom-aware attention mechanism to determine which symptoms are the most influential for predicting future suicidality over time through a sequence of BD posts. Our experiments demonstrate that the proposed model outperforms the state-of-the-art models in both BD symptom identification and future suicidality prediction tasks. In addition, the proposed temporal symptom-aware attention provides interpretable attention weights, helping clinicians to apprehend BD patients more comprehensively and to provide timely intervention by tracking mental state progression.Comment: KDD 2023 accepte

A Dual-Prompting for Interpretable Mental Health Language Models

Despite the increasing demand for AI-based mental health monitoring tools, their practical utility for clinicians is limited by the lack of interpretability.The CLPsych 2024 Shared Task (Chim et al., 2024) aims to enhance the interpretability of Large Language Models (LLMs), particularly in mental health analysis, by providing evidence of suicidality through linguistic content. We propose a dual-prompting approach: (i) Knowledge-aware evidence extraction by leveraging the expert identity and a suicide dictionary with a mental health-specific LLM; and (ii) Evidence summarization by employing an LLM-based consistency evaluator. Comprehensive experiments demonstrate the effectiveness of combining domain-specific information, revealing performance improvements and the approach's potential to aid clinicians in assessing mental state progression

Sketch-based Video Object Localization

We introduce Sketch-based Video Object Localization (SVOL), a new task aimed at localizing spatio-temporal object boxes in video queried by the input sketch. We first outline the challenges in the SVOL task and build the Sketch-Video Attention Network (SVANet) with the following design principles: (i) to consider temporal information of video and bridge the domain gap between sketch and video; (ii) to accurately identify and localize multiple objects simultaneously; (iii) to handle various styles of sketches; (iv) to be classification-free. In particular, SVANet is equipped with a Cross-modal Transformer that models the interaction between learnable object tokens, query sketch, and video through attention operations, and learns upon a per-frame set matching strategy that enables frame-wise prediction while utilizing global video context. We evaluate SVANet on a newly curated SVOL dataset. By design, SVANet successfully learns the mapping between the query sketches and video objects, achieving state-of-the-art results on the SVOL benchmark. We further confirm the effectiveness of SVANet via extensive ablation studies and visualizations. Lastly, we demonstrate its transfer capability on unseen datasets and novel categories, suggesting its high scalability in real-world application

Shuttle-effect-free sodium–sulfur batteries derived from a Tröger's base polymer of intrinsic microporosity

Room-temperature sodium-sulfur (RT Na-S) batteries have recently gained attention as next-generation energy storage devices owing to their low cost, the abundance of sodium, and the high theoretical capacity of sulfur. However, the notorious shuttle effect, caused by the dissolution of intermediate polysulfides during cycling, limits the long-term performance of Na-S batteries. In this study, intrinsically microporous Tro center dot ger's base based polymer (PIM-EA-TB)-based carbon-sulfur composites are prepared for shuttle-effect-free RT Na-S batteries by utilizing the combination of physical confinement and covalent bonding in a single material. The composites demonstrate excellent electrochemical performance, including a negligible capacity fading over 350 cycles and a high coulombic efficiency of approximately greater than 99%.

Malignant Pleural Effusion from Metastatic Prostate Cancer: A Case Report with Unusual Cytologic Findings

We present a case of 55-year-old man who complained of dyspnea and sputum for a month. He was an ex-smoker with a history of prostate cancer and pulmonary tuberculosis. Chest radiographs revealed bilateral pleural effusions of a small to moderate amount. Pigtail catheters were inserted for drainage. The pleural fluid consisted of large clusters and tightly cohesive groups of malignant cells, which however could not be ascribed to prostate cancer with certainty. We performed immunocytochemical panel studies to determine the origin of cancer metastasis. The immunostaining results were positive for prostate-specific antigen, alpha-methylacyl-coenzyme A racemase, and Nkx 3.1, consistent with prostate cancer. Pleural effusion associated with prostate cancer is rare. To our knowledge, this is the first case report in Korea to describe cytologic features of malignant pleural effusion associated with prostate cancer

Effects of transcutaneous electrical nerve stimulation on myocardial protection in patients undergoing aortic valve replacement: a randomized clinical trial

Abstract Background Cardiopulmonary bypass-related myocardial ischemia-reperfusion injury is a major contributor to postoperative morbidity. Although transcutaneous electrical nerve stimulation (TENS) has been found to have cardioprotective effects in animal studies and healthy volunteers, its effects on cardiac surgery under cardiopulmonary bypass patients have not been evaluated. We investigated the effects of TENS on myocardial protection in patients undergoing aortic valve replacement surgery using cardiopulmonary bypass. Methods Thirty patients were randomized to receive TENS or sham in three different anesthetic states – pre-anesthesia, sevoflurane, or propofol (each n = 5). TENS was applied with a pulse width of 385 μs and a frequency of 10 Hz using two surface electrodes at the upper arm for 30 min. Sham treatment was provided without stimulation. The primary outcome was the difference in myocardial infarct size following ischemia-reperfusion injury in rat hearts perfused with pre- and post-TENS plasma dialysate obtained from the patients using Langendorff perfusion system. The cardioprotective effects of TENS were determined by assessing reduction in infarct size following treatment. Results There were no differences in myocardial infarct size between pre- and post-treatment in any group (41.4 ± 4.3% vs. 36.7 ± 5.3%, 39.8 ± 7.3% vs. 27.8 ± 12.0%, and 41.6 ± 2.2% vs. 37.8 ± 7.6%; p = 0.080, 0.152, and 0.353 in the pre-anesthesia, sevoflurane, and propofol groups, respectively). Conclusions In our study, TENS did not show a cardioprotective effect in patients undergoing aortic valve replacement surgery. Trial registration This study was registered at clinicaltrials.gov ( NCT03859115 , on March 1, 2019)

Characterization and source of fluorescent dissolved organic matter in the Western Arctic Ocean: new insights from the 2019 summer study

Increase in river discharge and seasonal primary production and decline in sea ice coverage in the Arctic Ocean in summer can significantly affect the distribution and composition of dissolved organic matter (DOM). This study aimed to enhance the current available knowledge about the impacts of environmental changes on the characteristics of DOM in the rapidly changing Arctic Ocean. Seawater samples were collected from the western Arctic Ocean during the summer of 2019 and analyzed for fluorescent DOM (FDOM), dissolved organic carbon (DOC), and stable oxygen isotope (δ18O) content in conjunction with biophysical properties. We identified two humic-like (C1 and C2) and one protein-like (C3) components using fluorescence excitation-emission matrix coupled with parallel factor (EEM–PARAFAC) analysis. Remarkably high intensities of humic-like FDOM were found in the upper halocline layer (32 < salinity < 33.5 psu, at depths between 50–200 m) with high inorganic nutrient concentrations and low N* values, indicating that the humic-like FDOM was supplied from the shelf sediment. Furthermore, shoaling of the upper halocline layer brought high levels of humic-like FDOM to the euphotic zone, resulting in an increased probability of photodegradation of humic-like FDOM due to exposure to solar radiation in the surface layer. Tryptophan-like FDOM was positively correlated with river water fraction (friver) and riverine DOC but not with chlorophyll-a (Chl-a) and heterotrophic bacterial abundance, indicating river discharge as a potential additional source of tryptophan-like FDOM. The correlation coefficients between tryptophan-like FDOM and river water parameters (friver and riverine DOC) differed across the Chukchi Sea, Chukchi Borderland, and East Siberian Sea, implying that the influence of river discharge on tryptophan-like FDOM is region-dependent. An increase in river discharge in future might lead to a greater supply of tryptophan-like FDOM, impacting the dynamics of DOM cycling in the western Arctic Ocean

Intraoperative mild hyperoxia may be associated with improved survival after off-pump coronary artery bypass grafting: a retrospective observational study

Background : The effect of hyperoxia due to supplemental oxygen administration on postoperative outcomes in patients undergoing cardiac surgery remains unclear. This retrospective study aimed to evaluate the relationship between intraoperative oxygen tension and mortality after off-pump coronary artery bypass grafting (OPCAB). Methods : The study included adult patients who underwent isolated OPCAB between July 2010 and June 2020. Patients were categorised into three groups based on their intraoperative time-weighted average arterial oxygen partial pressure (PaO2): normoxia/near-normoxia ( 250 mmHg). The risk of in-hospital mortality was compared using weighted logistic regression analysis. Restricted cubic spline analysis was performed to analyse intraoperative PaO2 as a continuous variable. The risk of cumulative all-cause mortality was compared using Cox regression analysis. Results : The normoxia/near-normoxia, mild hyperoxia, and severe hyperoxia groups included 229, 991, and 173 patients (n = 1393), respectively. The mild hyperoxia group had a significantly lower risk of in-hospital mortality than the normoxia/near-normoxia (odds ratio [OR], 0.12; 95% confidence interval [CI], 0.06–0.22) and severe hyperoxia groups (OR, 0.06; 95% CI, 0.03–0.14). Intraoperative PaO2 exhibited a U-shaped relationship with in-hospital mortality in the non-hypoxic range. The risk of cumulative all-cause mortality was significantly lower in the mild hyperoxia group (hazard ratio, 0.72; 95% CI, 0.52–0.99) than in the normoxia/near-normoxia group. Conclusions : Maintaining intraoperative PaO2 at 150–250 mmHg was associated with a lower risk of mortality after OPCAB than PaO2 at 250 mmHg. Future randomised trials are required to confirm if mildly increasing arterial oxygen tension during OPCAB to 150–250 mmHg improves postoperative outcomes

Intracoronary versus intravenous glycoprotein IIb/IIIa inhibitors during primary percutaneous coronary intervention in patients with STEMI: a systematic review and meta-analysis

Background Intracoronary (IC) administration of glycoprotein IIb/IIIa inhibitors (GPIs) has been studied as an adjunctive therapy to improve outcomes in patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention. In this systematic review and meta-analysis, we aimed to evaluate the efficacy and safety of IC administration of GPIs compared with those of intravenous (IV) administration in patients with STEMI. Methods We searched the MEDLINE, Embase, and Cochrane CENTRAL databases for relevant studies published before September 21, 2022. In total, 22 randomized controlled trials involving 7,699 patients were included. Results The proportions of patients achieving thrombolysis in myocardial infarction grade 3 flow, myocardial blush grade 2/3, and complete ST-segment resolution were significantly higher in the IC group than in the IV group. Major adverse cardiac events (MACE) (RR: 0.54, 95% CI: 0.37–0.80) and heart failure (RR: 0.48, 95% CI: 0.25–0.91) within 1 month were significantly lower in the IC group than in the IV group; however, after 6 months, no difference was observed in MACE risk. Additionally, the risks of death and bleeding did not differ between the two routes of administration. Conclusions When considering adjunctive GPI administration for patients with STEMI, the IC route may offer greater benefits than the IV route in terms of myocardial reperfusion and reduced occurrence of MACE and heart failure within 1 month. Nonetheless, when making decisions for IC administration of GPIs, the absence of a benefit for bleeding risk and difficulty accessing the administration route should be considere