Congenital Dysfibrinogenemia Presented with Massive Hematomas Formed after Hysterectomy

ArticleCase Reports in Clinical Medicine. 10: 108-116 (2021)journal articl

Comprehensive autoantibody profiling in systemic autoimmunity by a highly-sensitive multiplex protein array

Comprehensive autoantibody evaluation is essential for the management of autoimmune disorders. However, conventional methods suffer from poor sensitivity, low throughput, or limited availability. Here, using a proteome-wide human cDNA library, we developed a novel multiplex protein assay (autoantibody array assay; A-Cube) covering 65 antigens of 43 autoantibodies that are associated with systemic sclerosis (SSc) and polymyositis/dermatomyositis (PM/DM). The performance of A-Cube was validated against immunoprecipitation and established enzyme-linked immunosorbent assay. Further, through an evaluation of serum samples from 357 SSc and 172 PM/DM patients, A-Cube meticulously illustrated a diverse autoantibody landscape in these diseases. The wide coverage and high sensitivity of A-Cube also allowed the overlap and correlation analysis between multiple autoantibodies. Lastly, reviewing the cases with distinct autoantibody profiles by A-Cube underscored the importance of thorough autoantibody detection. Together, these data highlighted the utility of A-Cube as well as the clinical relevance of autoantibody profiles in SSc and PM/DM

A Switching Hybrid Dynamical System: Toward Understanding Complex Interpersonal Behavior

Complex human behavior, including interlimb and interpersonal coordination, has been studied from a dynamical system perspective. We review the applications of a dynamical system approach to a sporting activity, which includes continuous, discrete, and switching dynamics. Continuous dynamics identified switching between in- and anti-phase synchronization, controlled by an interpersonal distance of 0.1 m during expert kendo matches, using a relative phase analysis. In the discrete dynamical system, return map analysis was applied to the time series of movements during kendo matches. Offensive and defensive maneuvers were classified as six coordination patterns, that is, attractors and repellers. Furthermore, these attractors and repellers exhibited two discrete states. Then, state transition probabilities were calculated based on the two states, which clarified the coordination patterns and switching behavior. We introduced switching dynamics with temporal inputs to clarify the simple rules underlying the complex behavior corresponding to switching inputs in a striking action as a non-autonomous system. As a result, we determined that the time evolution of the striking action was characterized as fractal-like movement patterns generated by a simple Cantor set rule with rotation. Finally, we propose a switching hybrid dynamics to understand both court-net sports, as strongly coupled interpersonal competition, and weakly coupled sports, such as martial arts

A novel Fuzy Internal Model Controller (FIMC)

SIGLEAvailable from British Library Document Supply Centre-DSC:DXN045540 / BLDSC - British Library Document Supply CentreGBUnited Kingdo