When is the estimated propensity score better? High-dimensional analysis and bias correction

Anecdotally, using an estimated propensity score is superior to the true propensity score in estimating the average treatment effect based on observational data. However, this claim comes with several qualifications: it holds only if propensity score model is correctly specified and the number of covariates $d$ is small relative to the sample size $n$. We revisit this phenomenon by studying the inverse propensity score weighting (IPW) estimator based on a logistic model with a diverging number of covariates. We first show that the IPW estimator based on the estimated propensity score is consistent and asymptotically normal with smaller variance than the oracle IPW estimator (using the true propensity score) if and only if $n \gtrsim d^2$. We then propose a debiased IPW estimator that achieves the same guarantees in the regime $n \gtrsim d^{3/2}$. Our proofs rely on a novel non-asymptotic decomposition of the IPW error along with careful control of the higher order terms.Comment: Fangzhou Su and Wenlong Mou contributed equally to this wor

Dissipative elastic metamaterial with a lowfrequency passband

We design and experimentally demonstrate a dissipative elastic metamaterial structure that functions as a bandpass filter with a low-frequency passband. The mechanism of dissipation in this structure is well described by a mass-spring-damper model that reveals that the imaginary part of the wavenumber is non-zero, even in the passband of dissipative metamaterials. This indicates that transmittance in this range can be low. A prototype for this viscoelastic metamaterial model is fabricated by 3D printing techniques using soft and hard acrylics as constituent materials. The transmittance of the printed metamaterial is measured and shows good agreement with theoretical predictions, demonstrating its potential in the design of compact waveguides, filters and other advanced devices for controlling mechanical waves

Dissipative elastic metamaterial with a lowfrequency passband

We design and experimentally demonstrate a dissipative elastic metamaterial structure that functions as a bandpass filter with a low-frequency passband. The mechanism of dissipation in this structure is well described by a mass-spring-damper model that reveals that the imaginary part of the wavenumber is non-zero, even in the passband of dissipative metamaterials. This indicates that transmittance in this range can be low. A prototype for this viscoelastic metamaterial model is fabricated by 3D printing techniques using soft and hard acrylics as constituent materials. The transmittance of the printed metamaterial is measured and shows good agreement with theoretical predictions, demonstrating its potential in the design of compact waveguides, filters and other advanced devices for controlling mechanical waves

Identification of copper death-associated molecular clusters and immunological profiles in rheumatoid arthritis

Objective: An analysis of the relationship between rheumatoid arthritis (RA) and copper death-related genes (CRG) was explored based on the GEO dataset. / Methods: Based on the differential gene expression profiles in the GSE93272 dataset, their relationship to CRG and immune signature were analysed. Using 232 RA samples, molecular clusters with CRG were delineated and analysed for expression and immune infiltration. Genes specific to the CRGcluster were identified by the WGCNA algorithm. Four machine learning models were then built and validated after selecting the optimal model to obtain the significant predicted genes, and validated by constructing RA rat models. / Results: The location of the 13 CRGs on the chromosome was determined and, except for GCSH. LIPT1, FDX1, DLD, DBT, LIAS and ATP7A were expressed at significantly higher levels in RA samples than in non-RA, and DLST was significantly lower. RA samples were significantly expressed in immune cells such as B cells memory and differentially expressed genes such as LIPT1 were also strongly associated with the presence of immune infiltration. Two copper death-related molecular clusters were identified in RA samples. A higher level of immune infiltration and expression of CRGcluster C2 was found in the RA population. There were 314 crossover genes between the 2 molecular clusters, which were further divided into two molecular clusters. A significant difference in immune infiltration and expression levels was found between the two. Based on the five genes obtained from the RF model (AUC = 0.843), the Nomogram model, calibration curve and DCA also demonstrated their accuracy in predicting RA subtypes. The expression levels of the five genes were significantly higher in RA samples than in non-RA, and the ROC curves demonstrated their better predictive effect. Identification of predictive genes by RA animal model experiments was also confirmed. / Conclusion: This study provides some insight into the correlation between rheumatoid arthritis and copper mortality, as well as a predictive model that is expected to support the development of targeted treatment options in the future

Follow up observation of permanent epicardial pacing

Objective: To summarize the safety and long-term efficacy of epicardial permanent pacemaker implantation. Methods 69 patients who underwent epicardial permanent pacemaker implantation in Wuhan Asian heart hospital from December 2009 to November 2019 and were followed up at least once after discharge were selected. In 23 children, single chamber pacemakers were implanted through right ventricular epicardium; Among 46 adults, 19 were implanted with pacing electrodes through left ventricular epicardium and 27 through right ventricular epicardium. Follow up the changes of electrode parameters and adverse events within 1 week, 1~3 months, 1~3 years and more than 5 years after operation.Results: Right ventricular electrodes were fixed in 50 cases, of which 37 cases were fixed on the right ventricular diaphragmatic surface and 13 cases were fixed on the right ventricular outflow tract; the left ventricular electrodes were fixed in 19 cases, of which 15 were fixed in the lateral wall of the left ventricle, 2 in the posterior wall of the left ventricle, and 2 in the diaphragmatic surface of the left ventricle. The median follow-up was 48.6 months. All 69 patients were discharged smoothly without operation related complications. Two patients with giant left ventricular cardiomyopathy died of heart failure after cardiac resynchronization therapy (CRT), and one patient with CRT implantation underwent heart transplantation 12 months after operation because of poor efficacy. The pulse generator was replaced in 12 cases because the pacemaker battery was exhausted. Electrode breakage occurred in 4 cases, and bag infection occurred in 1 case. The ventricular thresholds (median) within 1 week, 1~3 months, 1~3 years and more than 5 years after epicardial electrode implantation were 1.0v/0.4ms, 0.75v/0.4ms, 0.8v/0.4ms and 1.0v/0.4ms respectively. The left ventricular epicardial electrode threshold was the same as that of the right ventricle, and that of children and adults. Conclusion the parameters of epicardial electrode are stable for a long time, but the safety is not good

Different doses of intermittent theta burst stimulation for upper limb motor dysfunction after stroke: a study protocol for a randomized controlled trial

BackgroundUpper limb motor recovery is one of the important goals of stroke rehabilitation. Intermittent theta burst stimulation (iTBS), a new type of repetitive transcranial magnetic stimulation (rTMS), is considered a potential therapy. However, there is still no consensus on the efficacy of iTBS for upper limb motor dysfunction after stroke. Stimulus dose may be an important factor affecting the efficacy of iTBS. Therefore, we aim to investigate and compare the effects and neural mechanisms of three doses of iTBS on upper limb motor recovery in stroke patients, and our hypothesis is that the higher the dose of iTBS, the greater the improvement in upper limb motor function.MethodsThis prospective, randomized, controlled trial will recruit 56 stroke patients with upper limb motor dysfunction. All participants will be randomized in a 1:1:1:1 ratio to receive 21 sessions of 600 pulses active iTBS, 1,200 pulses active iTBS, 1,800 pulses active iTBS, or 1,800 pulses sham iTBS in addition to conventional rehabilitation training. The primary outcome is the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) score from baseline to end of intervention, and the secondary outcomes are the Wolf Motor Function Test (WMFT), Grip Strength (GS), Modified Barthel Index (MBI), and Stroke Impact Scale (SIS). The FMA-UE, MBI, and SIS are assessed pre-treatment, post-treatment, and at the 3-weeks follow-up. The WMFT, GS, and resting-state functional magnetic resonance imaging (rs-fMRI) data will be obtained pre- and post-treatment.DiscussionThe iTBS intervention in this study protocol is expected to be a potential method to promote upper limb motor recovery after stroke, and the results may provide supportive evidence for the optimal dose of iTBS intervention

Resolution enhancement for topography measurement of high-dynamic-range surfaces via image fusion

In this paper, we introduce a method and algorithm for resolution enhancement of low-resolution surface topography data by fusing it with corresponding high-resolution intensity images. This fusion is carried out by linking the three-dimensional topographical map to its intensity image via an intrinsic image-based shape-from-shading algorithm. Through computational simulation and physical experiments, the effectiveness of the proposed method and the repeatability have been evaluated, and the computational cost has been shown to be less than other state-of-the-art algorithms. This proposed method can be easily integrated with high-speed in-line measurements of high-dynamic-range surfaces

Brassinosteroids affect wood development and properties of Fraxinus mandshurica

IntroductionXylem development plays a crucial role in wood formation in woody plants. In recent years, there has been growing attention towards the impact of brassinosteroids (BRs) on this xylem development. In the present study, we evaluated the dynamic variation of xylem development in Fraxinus mandshurica (female parent, M8) and a novel interspecific hybrid F. mandshurica × Fraxinus sogdiana (1601) from May to August 2020.MethodsWe obtained RNA-Seq transcriptomes of three tissue types (xylem, phloem, and leaf) to identify the differences in xylem-differentially expressed genes (X-DEGs) and xylem-specifically expressed genes (X-SEGs) in M8 and 1601 variants. We then further evaluated these genes via weighted gene co-expression network analysis (WGCNA) alongside overexpressing FmCPD, a BR biosynthesis enzyme gene, in transient transgenic F. mandshurica.ResultsOur results indicated that the xylem development cycle of 1601 was extended by 2 weeks compared to that of M8. In addition, during the later wood development stages (secondary wall thickening) of 1601, an increased cellulose content (14%) and a reduced lignin content (11%) was observed. Furthermore, vessel length and width increased by 67% and 37%, respectively, in 1601 compared with those of M8. A total of 4589 X-DEGs were identified, including enzymes related to phenylpropane metabolism, galactose metabolism, BR synthesis, and signal transduction pathways. WGCNA identified hub X-SEGs involved in cellulose synthesis and BR signaling in the 1601 wood formation–related module (CESA8, COR1, C3H14, and C3H15); in contrast, genes involved in phenylpropane metabolism were significantly enriched in the M8 wood formation–related module (CCoAOMT and CCR). Moreover, overexpression of FmCPD in transient transgenic F. mandshurica affected the expression of genes associated with lignin and cellulose biosynthesis signal transduction. Finally, BR content was determined to be approximately 20% lower in the M8 xylem than in the 1601 xylem, and the exogenous application of BRs (24-epi brassinolide) significantly increased the number of xylem cell layers and altered the composition of the secondary cell walls in F. mandshurica.DiscussionOur findings suggest that BR biosynthesis and signaling play a critical role in the differing wood development and properties observed between M8 and 1601 F. mandshurica