A new smart mobile system for chronic wound care management

Nonhealing wounds pose a major challenge in clinical medicine. Typical chronic wounds, such as diabetic foot ulcers and venous leg ulcers, have brought substantial difficulties to millions of patients around the world. The management of chronic wound care remains challenging in terms of precise wound size measurement, comprehensive wound assessment, timely wound healing monitoring, and efficient wound case management. Despite the rapid progress of digital health technologies in recent years, practical smart wound care management systems are yet to be developed. One of the main difficulties is in-depth communication and interaction with nurses and doctors throughout the complex wound care process. This paper presents a systematic approach for the user-centered design and development of a new smart mobile system for the management of chronic wound care that manages the nurse's task flow and meets the requirements for the care of different types of wounds in both clinic and hospital wards. The system evaluation and satisfaction review was carried out with a group of ten nurses from various clinical departments after using the system for over one month. The survey results demonstrated high effectiveness and usability of the smart mobile system for chronic wound care management, in contrast to the traditional pen-and-paper approach, in busy clinical contexts

HiCAST: Highly Customized Arbitrary Style Transfer with Adapter Enhanced Diffusion Models

The goal of Arbitrary Style Transfer (AST) is injecting the artistic features of a style reference into a given image/video. Existing methods usually focus on pursuing the balance between style and content, whereas ignoring the significant demand for flexible and customized stylization results and thereby limiting their practical application. To address this critical issue, a novel AST approach namely HiCAST is proposed, which is capable of explicitly customizing the stylization results according to various source of semantic clues. In the specific, our model is constructed based on Latent Diffusion Model (LDM) and elaborately designed to absorb content and style instance as conditions of LDM. It is characterized by introducing of \textit{Style Adapter}, which allows user to flexibly manipulate the output results by aligning multi-level style information and intrinsic knowledge in LDM. Lastly, we further extend our model to perform video AST. A novel learning objective is leveraged for video diffusion model training, which significantly improve cross-frame temporal consistency in the premise of maintaining stylization strength. Qualitative and quantitative comparisons as well as comprehensive user studies demonstrate that our HiCAST outperforms the existing SoTA methods in generating visually plausible stylization results

Assessing Structural Connectivity of Urban Green Spaces in Metropolitan Hong Kong

Connectivity is a vital element in landscape structure because of its importance in species–landscape interactions. Connectivity analysis of green spaces in urban landscapes, especially in high-density cities such as Hong Kong, differs from that of habitats in natural or rural landscapes. Using the human being as the target species, we formulated with GIS techniques a resistance weight, a structural connectivity index and an ecological barrier effect index to assess connectivity of green spaces. Two factors were included in the modeling, namely the resistance of different land uses related to human activities, and the distance between different urban green spaces. We analyzed the relationships between the connectivity index of green spaces and green cover, elevation, building density and population density. Our results indicate that low connectivity usually occurs in both old and new town centers with high building density and low green cover, and in areas occupied by land uses with a high resistance weight. However, urban density may not necessarily have a negative influence on the structural connectivity of green spaces. Green cover also may not necessarily have positive impact on connectivity if the green spaces have a poor spatial pattern. Adding more green stepping stones, large green spaces and green corridors to form greenways and shortening the distance between urban green spaces can offer a spatial-planning strategy to increase the green space connectivity in Hong Kong. The study provides insights to optimize connectivity of green spaces to improve the urban living environment in high-density metropolises

Accuracy of Percutaneous Core Biopsy in the Diagnosis of Small Renal Masses (≤4.0 cm): A Meta-analysis

Objective To use meta-analysis to determine the accuracy of percutaneous core needle biopsy in the diagnosis of small renal masses (SMRs≤4.0 cm). Materials and Methods Studies were identified by searching PubMed, Embase, and the Cochrane Library database up to March 2013. Two of the authors independently assessed the study quality using QUADAS-2 tool and extracted data that met the inclusion criteria. The sensitivity, specificity, likelihood ratios, diagnostic odds ratio (DOR) and also summary receiver operating characteristic (SROC) curve were investigated and draw. Deek’s funnel plot was used to evaluate the publication bias. Result A total of 9 studies with 788 patients (803 biopsies) were included. Failed biopsies without repeated or aborted from follow-up/surgery result were excluded (232 patients and 353 biopsies). For all cases, the pooled sensitivity was 94.0% (95% CI: 91.0%, 95.0%), the pooled positive likelihood was 22.57 (95% CI: 9.20-55.34), the pooled negative likelihood was 0.09 (95% CI: 0.06-0.13), the pooled DOR was 296.52(95% CI: 99. 42-884.38). The area under the curve of SROC analysis was 0.959±0.0254. Conclusion Imaging-guided percutaneous core needle biopsy of small renal masses (SMRs≤4.0 cm) is highly accurate to malignant tumor diagnosis with unknown metastatic status and could be offered to some patients after clinic judgment prior to surgical intervention consideration

Accuracy of Percutaneous Core Biopsy in the Diagnosis of Small Renal Masses (≤4.0 cm): A Meta-analysis

Objective To use meta-analysis to determine the accuracy of percutaneous core needle biopsy in the diagnosis of small renal masses (SMRs≤4.0 cm). Materials and Methods Studies were identified by searching PubMed, Embase, and the Cochrane Library database up to March 2013. Two of the authors independently assessed the study quality using QUADAS-2 tool and extracted data that met the inclusion criteria. The sensitivity, specificity, likelihood ratios, diagnostic odds ratio (DOR) and also summary receiver operating characteristic (SROC) curve were investigated and draw. Deek’s funnel plot was used to evaluate the publication bias. Result A total of 9 studies with 788 patients (803 biopsies) were included. Failed biopsies without repeated or aborted from follow-up/surgery result were excluded (232 patients and 353 biopsies). For all cases, the pooled sensitivity was 94.0% (95% CI: 91.0%, 95.0%), the pooled positive likelihood was 22.57 (95% CI: 9.20-55.34), the pooled negative likelihood was 0.09 (95% CI: 0.06-0.13), the pooled DOR was 296.52(95% CI: 99. 42-884.38). The area under the curve of SROC analysis was 0.959±0.0254. Conclusion Imaging-guided percutaneous core needle biopsy of small renal masses (SMRs≤4.0 cm) is highly accurate to malignant tumor diagnosis with unknown metastatic status and could be offered to some patients after clinic judgment prior to surgical intervention consideration

Clinical and Prognostic Effect of Plasma Fibrinogen in Renal Cell Carcinoma: A Meta-Analysis

Background. Although numerous studies have shown that plasma fibrinogen is linked to renal cell carcinoma (RCC) risk, the consistency and magnitude of the effect of plasma fibrinogen are unclear. The aim of the study was to explore the association between plasma fibrinogen and RCC prognosis. Methods. An electronic search of Embase, PubMed/MEDLINE, and the Cochrane databases was performed to identify relevant studies published prior to June 1, 2016. Results. A total of 3744 patients with RCC from 7 published studies were included in the meta-analysis. The prognostic and clinical relevance of plasma fibrinogen are evaluated in RCC patients. Statistical significance of the combined hazard ratio (HR) was detected for overall survival, cancer-specific survival, and disease-free survival. Our pooled results showed that elevated plasma fibrinogen was significantly associated with clinical stage and Fuhrman grading. The level of plasma fibrinogen was not found to be associated with tumor type and gender. Conclusions. Elevated plasma fibrinogen is a strong indicator of poorer prognosis of patients with RCC, whereas the plasma fibrinogen is not significantly associated with tumor type. Therefore, plasma fibrinogen could be used in patients with RCC for risk stratification and decision providing a proper therapeutic strategy

The hazard ratio (HR) of Ki-67 expression associated with PFS in all bladder cancer patients.

<p>The hazard ratio (HR) of Ki-67 expression associated with PFS in all bladder cancer patients.</p