104 research outputs found
Electrocardiogram Baseline Wander Suppression Based on the Combination of Morphological and Wavelet Transformation Based Filtering
One of the major noise components in electrocardiogram (ECG) is the baseline wander (BW). Effective methods for suppressing BW include the wavelet-based (WT) and the mathematical morphological filtering-based (MMF)algorithms. However, the T waveform distortions introduced by the WTand the rectangular/trapezoidal distortions introduced by MMF degrade the quality of the output signal. Hence, in this study, we introduce a method by combining the MMF and WTto overcome the shortcomings of both existing methods. To demonstrate the effectiveness of the proposed method, artificial ECG signals containing a clinicalBW are used for numerical simulation, and we also create a realistic model of baseline wander to compare the proposed method with
other state-of-the-art methods commonly used in the literature. /e results show that the BW suppression effect of the proposed method is better than that of the others. Also, the new method is capable of preserving the outline of the BW and avoiding waveform distortions caused by the morphology filter, thereby obtaining an enhanced quality of ECG
Treatment of nonunions of humeral fractures with interlocking intramedullary nailing
ObjectiveTo introduce the experience of treating nonunions of humeral fractures with interlocking intramedullarynailing.MethodsTwelve patients with humeral nonunions were treated with interlocking intramedullary nailing. The time interval between trauma and surgery was 10.5 months on average. Open reduction with anterograde approach was performed. Axial compression was specially applied to the fracture site with humeral nail holder after insertion of distal locked screws. Iliac bone grafting was added.ResultsThe average follow-up period was 21 months (ranging 9-51 months). All patients achieved osseous union 5.8 months after treatment on average. Eleven patients had good functions of the shoulder joints and the upper extremities. No patient experienced any permanent neurological deficit. Refracture of the original ununited region occurred in one patient after removal of the internal fixator one year later, but union was achieved after closed re-intramedullarynailing fixation.ConclusionHumeral interlocking intramedullarynailing is an effective alternative treatment for humeral nonunion
TIPE1 Inhibits Breast Cancer Proliferation by Downregulating ERK Phosphorylation and Predicts a Favorable Prognosis
TIPE1, which acts as a cell death regulator, has emerged as a tumor suppressor in the process of carcinogenesis. However, our recent research demonstrated that it serves as an oncogene in the pathogenesis of cervical cancer, indicating that the role of TIPE1 in carcinogenesis needs to be further evaluated. In this study, we show that TIPE1 is able to inhibit breast cancer cell growth both in vivo and in vitro. Functionally, TIPE1 inhibits cancer cell proliferation preferentially by downregulating ERK phosphorylation. Furthermore, the expression of TIPE1 is decreased in breast cancer tissues compared to matched adjacent tissues, and its expression is positively correlated with patients' lifespan. These data indicate that TIPE1 suppresses breast cancer proliferation by inhibiting the ERK signaling pathway. This study also suggests that TIPE1 could serve as a potential therapeutic target and a diagnostic biomarker for breast cancer
ObjSim: Lightweight Automatic Patch Prioritization via Object Similarity
In the context of test case based automatic program repair (APR), patches
that pass all the test cases but fail to fix the bug are called overfitted
patches. Currently, patches generated by APR tools get inspected manually by
the users to find and adopt genuine fixes. Being a laborious activity hindering
widespread adoption of APR, automatic identification of overfitted patches has
lately been the topic of active research. This paper presents engineering
details of ObjSim: a fully automatic, lightweight similarity-based patch
prioritization tool for JVM-based languages. The tool works by comparing the
system state at the exit point(s) of patched method before and after patching
and prioritizing patches that result in state that is more similar to that of
original, unpatched version on passing tests while less similar on failing
ones. Our experiments with patches generated by the recent APR tool PraPR for
fixable bugs from Defects4J v1.4.0 show that ObjSim prioritizes 16.67% more
genuine fixes in top-1 place. A demo video of the tool is located at
https://bit.ly/2K8gnYV.Comment: Proceedings of the 29th ACM SIGSOFT International Symposium on
Software Testing and Analysis (ISSTA '20), July 18--22, 2020, Virtual Event,
US
The effect on the extracellular matrix of the deep fascia in response to leg lengthening
<p>Abstract</p> <p>Background</p> <p>Whereas the alterations of diverse tissues in cellular and molecular levels have been investigated during leg lengthening via microscopy and biochemical studies, little is known about the response of deep fascia. This study aims to investigate the changes of the extracellular matrix in deep fascia in response to leg lengthening.</p> <p>Methods</p> <p>Animal model of leg lengthening was established in New Zealand white rabbits. Distraction was initiated at a rate of 1 mm/day and 2 mm/day in two steps, and preceded until increases of 10% and 20% in the initial length of tibia had been achieved. Alcian blue stain and picrosirius-polarization method were used for the study of the extracellular matrix of deep fascia samples. Leica DM LA image analysis system was used to investigate the quantitative changes of collagen type I and III.</p> <p>Results</p> <p>Alcian blue stain showed that glycosaminoglycans of fascia of each group were composed of chondroitin sulphate and heparin sulphate, but not of keratan sulphate. Under the polarization microscopy, the fascia consisted mainly of collagen type I. After leg lengthening, the percentage of collagen type III increased. The most similar collagen composition of the fascia to that of the normal fascia was detected at a 20% increase in tibia length achieved via a distraction rate of 1 mm/d.</p> <p>Conclusion</p> <p>The changes in collagen distribution and composition occur in deep fascia during leg lengthening. Although different lengthening schemes resulted in varied matrix changes, the most comparable collagen composition to be demonstrated under the scheme of a distraction rate of 1 mm/day and 20% increase in tibia length. Efficient fascia regeneration is initiated only in certain combinations of the leg load parameters including appropriate intensity and duration time, e.g., either low density distraction that persist a relatively short time or high distraction rates.</p
The Minimum Variation Timescales of X-ray bursts from SGR J1935+2154
The minimum variation timescale (MVT) of soft gamma-ray repeaters can be an
important probe to estimate the emission region in pulsar-like models, as well
as the Lorentz factor and radius of the possible relativistic jet in gamma-ray
burst (GRB)-like models, thus revealing their progenitors and physical
mechanisms. In this work, we systematically study the MVTs of hundreds of X-ray
bursts (XRBs) from SGR J1935+2154 observed by {\it Insight}-HXMT, GECAM and
Fermi/GBM from July 2014 to Jan 2022 through the Bayesian Block algorithm. We
find that the MVTs peak at 2 ms, corresponding to a light travel time
size of about 600 km, which supports the magnetospheric origin in pulsar-like
models. The shock radius and the Lorentz factor of the jet are also constrained
in GRB-like models. Interestingly, the MVT of the XRB associated with FRB
200428 is 70 ms, which is longer than that of most bursts and implies
its special radiation mechanism. Besides, the median of MVTs is 7 ms, shorter
than the median MVTs of 40 ms and 480 ms for short GRBs or long GRBs,
respectively. However, the MVT is independent of duration, similar to GRBs.
Finally, we investigate the energy dependence of MVT and suggest that there is
a marginal evidence for a power-law relationship like GRBs but the rate of
variation is at least about an order of magnitude smaller. These features may
provide an approach to identify bursts with a magnetar origin.Comment: accepted for publication in ApJ
ChatRadio-Valuer: A Chat Large Language Model for Generalizable Radiology Report Generation Based on Multi-institution and Multi-system Data
Radiology report generation, as a key step in medical image analysis, is
critical to the quantitative analysis of clinically informed decision-making
levels. However, complex and diverse radiology reports with cross-source
heterogeneity pose a huge generalizability challenge to the current methods
under massive data volume, mainly because the style and normativity of
radiology reports are obviously distinctive among institutions, body regions
inspected and radiologists. Recently, the advent of large language models (LLM)
offers great potential for recognizing signs of health conditions. To resolve
the above problem, we collaborate with the Second Xiangya Hospital in China and
propose ChatRadio-Valuer based on the LLM, a tailored model for automatic
radiology report generation that learns generalizable representations and
provides a basis pattern for model adaptation in sophisticated analysts' cases.
Specifically, ChatRadio-Valuer is trained based on the radiology reports from a
single institution by means of supervised fine-tuning, and then adapted to
disease diagnosis tasks for human multi-system evaluation (i.e., chest,
abdomen, muscle-skeleton, head, and maxillofacial neck) from six different
institutions in clinical-level events. The clinical dataset utilized in this
study encompasses a remarkable total of \textbf{332,673} observations. From the
comprehensive results on engineering indicators, clinical efficacy and
deployment cost metrics, it can be shown that ChatRadio-Valuer consistently
outperforms state-of-the-art models, especially ChatGPT (GPT-3.5-Turbo) and
GPT-4 et al., in terms of the diseases diagnosis from radiology reports.
ChatRadio-Valuer provides an effective avenue to boost model generalization
performance and alleviate the annotation workload of experts to enable the
promotion of clinical AI applications in radiology reports
Uncaria rhynchophylla Ameliorates Parkinsonâs Disease by Inhibiting HSP90 Expression: Insights from Quantitative Proteomics
Background/Aims: Uncaria rhynchophylla, known as âGou-tengâ, is a traditional Chinese medicine (TCM) used to extinguish wind, clear heat, arrest convulsions, and pacify the liver. Although U. rhynchophylla has a long history of being often used to treat central nervous system (CNS) diseases, its efficacy and potential mechanism are still uncertain. This study investigated neuroprotective effect and the underlying mechanism of U. rhynchophylla extract (URE) in MPP+-induced SH-SY5Y cells and MPTP-induced mice. Methods: MPP+-induced SH-SY5Y cells and MPTP-induced mice were used to established Parkinsonâs disease (PD) models. Quantitative proteomics and bioinformatics were used to uncover proteomics changes of URE. Western blotting was used to validate main differentially expressed proteins and test HSP90 client proteins (apoptosis-related, autophagy-related, MAPKs, PI3K, and AKT proteins). Flow cytometry and JC-1 staining assay were further used to confirm the effect of URE on MPP+-induced apoptosis in SH-SY5Y cells. Gait analysis was used to detect the behavioral changes in MPTP-induced mice. The levels of dopamine (DA) and their metabolites were examined in striatum (STR) by HPLC-EC. The positive expression of tyrosine hydroxylase (TH) was detected by immunohischemical staining and Western blotting. Results: URE dose-dependently increased the cell viability in MPP+-induced SH-SY5Y cells. Quantitative proteomics and bioinformatics results confirmed that HSP90 was an important differentially expressed protein of URE. URE inhibited the expression of HSP90, which further reversed MPP+-induced cell apoptosis and autophagy by increasing the expressions of Bcl-2, Cyclin D1, p-ERK, p-PI3K p85, PI3K p110α, p-AKT, and LC3-I and decreasing cleaved caspase 3, Bax, p-JNK, p-p38, and LC3-II. URE also markedly decreased the apoptotic ratio and elevated mitochondrial transmembrane potential (DΚm). Furthermore, URE treatment ameliorated behavioral impairments, increased the contents of DA and its metabolites and elevated the positive expressions of TH in SN and STR as well as the TH protein. Conclusions: URE possessed the neuroprotective effect in vivo and in vitro, regulated MAPK and PI3K-AKT signal pathways, and inhibited the expression of HSP90. U. rhynchophylla has potentials as therapeutic agent in PD treatment
Towards a global One Health index: a potential assessment tool for One Health performance
BACKGROUND: A One Health approach has been increasingly mainstreamed by the international community, as it provides for holistic thinking in recognizing the close links and inter-dependence of the health of humans, animals and the environment. However, the dearth of real-world evidence has hampered application of a One Health approach in shaping policies and practice. This study proposes the development of a potential evaluation tool for One Health performance, in order to contribute to the scientific measurement of One Health approach and the identification of gaps where One Health capacity building is most urgently needed. METHODS: We describe five steps towards a global One Health index (GOHI), including (i) framework formulation; (ii) indicator selection; (iii) database building; (iv) weight determination; and (v) GOHI scores calculation. A cell-like framework for GOHI is proposed, which comprises an external drivers index (EDI), an intrinsic drivers index (IDI) and a core drivers index (CDI). We construct the indicator scheme for GOHI based on this framework after multiple rounds of panel discussions with our expert advisory committee. A fuzzy analytical hierarchy process is adopted to determine the weights for each of the indicators. RESULTS: The weighted indicator scheme of GOHI comprises three first-level indicators, 13 second-level indicators, and 57 third-level indicators. According to the pilot analysis based on the data from more than 200 countries/territories the GOHI scores overall are far from ideal (the highest score of 65.0 out of a maximum score of 100), and we found considerable variations among different countries/territories (31.8â65.0). The results from the pilot analysis are consistent with the results from a literature review, which suggests that a GOHI as a potential tool for the assessment of One Health performance might be feasible. CONCLUSIONS: GOHIâsubject to rigorous validationâwould represent the worldâs first evaluation tool that constructs the conceptual framework from a holistic perspective of One Health. Future application of GOHI might promote a common understanding of a strong One Health approach and provide reference for promoting effective measures to strengthen One Health capacity building. With further adaptations under various scenarios, GOHI, along with its technical protocols and databases, will be updated regularly to address current technical limitations, and capture new knowledge. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40249-022-00979-9
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