MedDG: An Entity-Centric Medical Consultation Dataset for Entity-Aware Medical Dialogue Generation

Developing conversational agents to interact with patients and provide primary clinical advice has attracted increasing attention due to its huge application potential, especially in the time of COVID-19 Pandemic. However, the training of end-to-end neural-based medical dialogue system is restricted by an insufficient quantity of medical dialogue corpus. In this work, we make the first attempt to build and release a large-scale high-quality Medical Dialogue dataset related to 12 types of common Gastrointestinal diseases named MedDG, with more than 17K conversations collected from the online health consultation community. Five different categories of entities, including diseases, symptoms, attributes, tests, and medicines, are annotated in each conversation of MedDG as additional labels. To push forward the future research on building expert-sensitive medical dialogue system, we proposes two kinds of medical dialogue tasks based on MedDG dataset. One is the next entity prediction and the other is the doctor response generation. To acquire a clear comprehension on these two medical dialogue tasks, we implement several state-of-the-art benchmarks, as well as design two dialogue models with a further consideration on the predicted entities. Experimental results show that the pre-train language models and other baselines struggle on both tasks with poor performance in our dataset, and the response quality can be enhanced with the help of auxiliary entity information. From human evaluation, the simple retrieval model outperforms several state-of-the-art generative models, indicating that there still remains a large room for improvement on generating medically meaningful responses.Comment: Data and code are available at https://github.com/lwgkzl/MedD

Folic acid therapy reduces the first stroke risk associated with hypercholesterolemia among hypertensive patients

Background and Purpose - We sought to determine whether folic acid supplementation can independently reduce the risk of first stroke associated with elevated total cholesterol levels in a subanalysis using data from the CSPPT (China Stroke Primary Prevention Trial), a double-blind, randomized controlled trial. Methods - A total of 20 702 hypertensive adults without a history of major cardiovascular disease were randomly assigned to a double-blind daily treatment of an enalapril 10-mg and a folic acid 0.8-mg tablet or an enalapril 10-mg tablet alone. The primary outcome was first stroke. Results - The median treatment duration was 4.5 years. For participants not receiving folic acid treatment (enalapril-only group), high total cholesterol (≥ 200 mg/dL) was an independent predictor of first stroke when compared with low total cholesterol (\u3c200 mg/dL; 4.0% versus 2.6%; hazard ratio, 1.52; 95% confidence interval, 1.18-1.97; P=0.001). Folic acid supplementation significantly reduced the risk of first s roke among participants with high total cholesterol (4.0% in the enalapril-only group versus 2.7% in the enalapril-folic acid group; hazard ratio, 0.69; 95% confidence interval, 0.56-0.84 P\u3c0.001; number needed to treat, 78; 95% confidence interval, 52-158), independent of baseline folate levels and other important covariates. By contrast, among participants with low total cholesterol, the risk of stroke was 2.6% in the enalapril-only group versus 2.5% in the enalapril-folic acid group (hazard ratio, 1.00; 95% confidence interval, 0.75-1.30; P=0.982). The effect was greater among participants with elevated total cholesterol (P for interaction=0.024). Conclusions - Elevated total cholesterol levels may modify the benefits of folic acid therapy on first stroke. Folic acid supplementation reduced the risk of first stroke associated with elevated total cholesterol by 31% among hypertensive adults without a history of major cardiovascular diseases

A global review on short peptides: frontiers and perspectives

Peptides are fragments of proteins that carry out biological functions. They act as signaling entities via all domains of life and interfere with protein-protein interactions, which are indispensable in bio-processes. Short peptides include fundamental molecular information for a prelude to the symphony of life. They have aroused considerable interest due to their unique features and great promise in innovative bio-therapies. This work focusing on the current state-of-the-art short peptide-based therapeutical developments is the first global review written by researchers from all continents, as a celebration of 100 years of peptide therapeutics since the commencement of insulin therapy in the 1920s. Peptide “drugs” initially played only the role of hormone analogs to balance disorders. Nowadays, they achieve numerous biomedical tasks, can cross membranes, or reach intracellular targets. The role of peptides in bio-processes can hardly be mimicked by other chemical substances. The article is divided into independent sections, which are related to either the progress in short peptide-based theranostics or the problems posing challenge to bio-medicine. In particular, the SWOT analysis of short peptides, their relevance in therapies of diverse diseases, improvements in (bio)synthesis platforms, advanced nano-supramolecular technologies, aptamers, altered peptide ligands and in silico methodologies to overcome peptide limitations, modern smart bio-functional materials, vaccines, and drug/gene-targeted delivery systems are discussed

Analysis of a CO₂ Transcritical Refrigeration Cycle with a Vortex Tube Expansion

A carbon dioxide (CO2) refrigeration system in a transcritical cycle requires modifications to improve the coefficient of performance (COP) for energy saving. This modification has become more important with the system’s more and more widely used applications in heat pump water heaters, automotive air conditioning, and space heating. In this paper, a single vortex tube is proposed to replace the expansion valve of a traditional CO2 transcritical refrigeration system to reduce irreversible loss and improve the COP. The principle of the proposed system is introduced and analyzed: Its mathematical model was developed to simulate and compare the system performance to the traditional system. The results showed that the proposed system could save energy, and the vortex tube inlet temperature and discharge pressure had significant impacts on COP improvement. When the vortex tube inlet temperature was 45 °C, and the discharge pressure was 9 MPa, the COP increased 33.7%. When the isentropic efficiency or cold mass fraction of the vortex tube increased, the COP increased about 10%. When the evaporation temperature or the cooling water inlet temperature of the desuperheater decreased, the COP also could increase about 10%. The optimal discharge pressure correlation of the proposed system was established, and its influences on COP improvement are discussed

Integrated Research on the Impact of Entrepreneurs' Social Relationships on the Business Resources-Based on the "Yin-Yang" Perspective

Conference Name:2010 Conference on Management in China. Conference Address: Lanzhou, PEOPLES R CHINA. Time:AUG 13-15, 2010.In the typical Chinese society which based on "Personal Feeling and Private Relationship", "Guanxi" as a social existence is affecting business operations. In the entrepreneurial process, entrepreneurs place emphasis on the different relationships, and attach different importance to the access and the usage of the three key business resources simultaneously (economic capital, social capital, symbolic capital). Based on the "Yin-Yang" Perspective of Traditional Chinese culture, this paper builds a dynamic integration model of Entrepreneurs' Social Relationships correspond to the Business Resources, this model assumes "Guanxi" is composed of "heart" and "mind", which are the two polar sides in "Yin-Yang" of traditional Chinese culture. In the different stages of business, through the use of "Guanxi" of "Yin Yang" to integrate three most required capital: economic capital, social capital and symbolic capital effectively and dynamically to meet the needs of growth of entrepreneurial business

Asymmetric Total Synthesis of Dragonbloodins A1 and A2

The first asymmetric total synthesis of dragonbloodins A1 and A2, a pair of unprecedented chalcone-flavan heterotrimmers, has been achieved through a series of rationally designed or bioinspired transformations. Key elements of the synthesis include a highly efficient heterotrimerization reaction to assemble the two chalcone units and one flavan unit in one pot and a tandem oxidative dearomatization/cyclization/oxygenation reaction to forge the polycyclic core of dragonbloodins A1 and A2. The present synthesis unambiguously confirms the biogenetic relationship and absolute stereochemistry of dragonbloodins A1 and A2

Rh(II)-Catalyzed Transannulation of <i>N</i>‑Sulfonyl-1,2,3-Triazoles with 2,1-Benzisoxazoles or 1,2-Benzisoxazoles

A Rh­(II)-catalyzed transannulation of <i>N</i>-sulfonyl-1,2,3-triazoles with 2,1-benzisoxazoles has been developed, which affords an efficient method for the synthesis of quinazoline derivatives. The transformation represents an unprecedented example which utilizes <i>N</i>-sulfonyl-1,2,3-triazole as an aza-[2C]-component in cycloadditions. Meanwhile, a Rh­(II)-catalyzed formal [3 + 2] cycloaddition of <i>N</i>-sulfonyl-1,2,3-triazoles with 1,2-benzisoxazoles is also presented, which enables the rapid synthesis of functionalized imidazole derivatives